Reinventing the Academic Health Center - 1 views
Kirch, D.G., Grigsby, K., Zolko, W.W., Moskowitz, J., Hefner, D.S., Souba, W.W., Carubia,J.M., &Baron, S.D., (2005) Reinventing the academic health center. Academic Medicine, 80, 980-989 The autho...
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The impact of ed nurse manager leadership style on staff nurse turnover and patient sat... - 4 views
Raup. (2008). The impact of ed nurse manager leadership style on staff nurse turnover and patient satisfaction in academic health center hospitals. Journal of emergency nursing, 34(5), 403-409.
Leadership class: Article on how to create culture for improved patient safety - 3 views
Interesting article that also confirmed the root cause analysis of poor leadership and communication failures were consistently among the key factors leading to adverse events. To me personally th...
Exploring the Organizational Cultur of Exemplary Community Health Center Practices - 2 views
Craigei, F.C., & Hobbs, R.F., (2004) Exploring the organizational culture of exemplary community health center practices. Family Medicine, 36, 733-738 This article is a follow up piece to a 1999 ...
Wall Street Journal Article. Why New Health Law Is So Complicated. - 2 views
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Alex F on 26 Oct 14This article is a useful example of a complex adaptive system. From a personal business perspective, the author discusses several reasons as to why the implementation of The Affordable Care Act has been challenging. This example of a macro system exhibits the need for multiple aspects within the system to work in collaboration with key stakeholders including government parties, insurance companies, business and individuals. Seib, G. (2013). Why new health law is so complicated. The Wall Street Journal. Retrieved from http://online.wsj.com/articles/SB10001424052702303755504579205800232065892
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Phyllis Wright on 29 Oct 14This article also provides insight into how the macro, micro and meso systems become so intertwined in such a large undertaking and how its implementation philosophically is even more complex as it advances both parties polar opposite desires of privatization and unification of health care delivery. Great short read!
Evidence based tool for Triage - 9 views
Erin, sorry I changed your post. Still learning!
Transition to specialty practice programs in emergency nursing - a review of the litera... - 12 views
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Great literature review on emergency nursing orientation programs.
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Thank you Dr. Martyn, This is very helpful.
Wall Street Journal Article: Healthcare.Gov's Flaws Found, Fixes Eyed; Site's Design O... - 3 views
I love this comment from the article: "If you put a critical pathway at the front of the experience, you're going to logjam everything," It so validates much of what we run into in complex systems....
Values Based Decison Making: A Tool for Achieving the Goals of Healthcare - 3 views
This values based decision making approach has been used successfully in businesses such as the Ritz Carlton to empower employees based on the values of the organization. I often wonder why it take...
Journal of Nursing Administration Article: Managing Organizational Complexity: It's A... - 3 views
This was a very interesting article using the short/long flow of biological systems. The most alarming fact to me was the concurrence that branching patterns of nurse's workflow is increasing (shor...
Shaping Humane Healthcare Systems - 2 views
The author does offer a common sense approach, and sadly to see this article was written 7 years ago reflects what little progress we have made in flattening hierarchies and including patients in...
Managing Organizational Complexity. Directing: A Complex Systems Perspective - 1 views
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This article, written by Dr. Thomas Clancy, a Clinical Professor at the University of Minnesota's School of Nursing discusses complexities within healthcare systems (specifically hospitals) as it relates to directing. Using a complex systems perspective, the author suggests innovative methods in directing high functioning teams. In congruence with characteristics and models of complex adaptive systems as presented by the Institute of Healthcare Improvement Modules and Dr. Bonnie Jennings (2013), the author gives a clear depiction of how nurses function within these systems. Rapid cognition and structured spontaneity are two skills the author suggests are crucial for nurse administrators to develop among teams within complex environments (high potentials). This article suggests the development of these skills will enable "nurses to make independent decisions within limits defined by policy" (p. 62). In other words, decision making would be less autocratic and more participatory which would enable the director to higher levels of directing. Data from this series of articles are relevant to today's practice and may be particularly resources for healthcare leaders as they redesign and implement innovatieve techniques within macro, mess, or microsystems. Clancy ,T. R. (2008). Managing organizational complexity. Directing: A complex systems perspective. The Journal of Nursing Administration, 38(2), 61-63.
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A great article and what an interesting contribution to nursing education with use of simulation to develop the rapid cognition and structured spontaneity.
Medicare Fines 2,610 Hospitals In Third Round Of Readmission Penalties - 0 views
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The government is beginning the third year of fining hospitals for having too many readmissions of patients with Medicare, and penalties, as well as the categories of patients included in the data measured, are increasing. The goal is to encourage healthcare systems and care providers within them to manage chronic disease better. The problem is a complex one. Safety-net hospitals, which tend to have sicker patients with less resources, may not be able to meet the same bench marks that hospitals catering to the wealthy can. However, to set a lower goal for these hospitals would be tantamount to the government enforcing a lower standard of care for the poor. In addition, managing chronic disease to reduce readmission will reduce overall admissions, and some hospitals cannot remain financially stable if they do so. The article was produced for Kaiser Health News (KHN) in association with the Scan Foundation, whose stated mission is to promote aging with dignity and independence. It relates to another story published on KHS about a hospital system who has hired a nurse just to talk with people about their diabetes in an effort to promote patient self-care and knowledge, and reduce hospital admissions (McCammon, 2014). Reference McCammon, S. (2014). Personal attention seen as antidote to rising health costs. Georgia Public Radio & Kaiser Health News. Retrieved from http://kaiserhealthnews.org/news/care-coordinators-try-to-save-hospitals-money/
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Erin, such a telling article and relates to the complexity of the entire process of self care, desire to change, and personal empowerment. Knowledge skills and attitudes are at the core of some of the issues but one also has to consider the socio-cultural-economic environment as well. Identifying those who are at the highest risk for readmission based on multiple inputs may be the next step--both for financial relief for hospital and improved outcomes for patients.
Use of Triple Aim to Improve Population Health - 2 views
Levine, J.F., Herbert, B., Mathews, J., Serra, A., & Rutledge, V., (electronically published 2011, September 25) Use of triple aim to improve population health. NCMEDICALJOURNAL.COM 72, 201-204 The...
Care Coordination - 6 views
It was interesting in this study that there were not statistical improvements between the two units, specifically pointing to lower costs of care and and quality outcomes. Also telling was the last...
Wall Street Journal Article: May Take: Chasing the Vision of Safe, High -Quality, Effec... - 3 views
For our informatics folks, this is a great "so what" article. Improving analytics and giving one a synopsis of care is truly meaningful, however from the clinical improvement perspective, perhaps w...
Journal of Nursing Administration Article: Advancing the Evolution of Healthcare: Infor... - 2 views
After reading this article, I do agree this is the utopia in which we would all like to exist; however, until we can place these system interfaces together, then even the models the author cites ca...
Managing Organizational Complexity. Social Networks as Embedded complex Adaptive Systems. - 1 views
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Benham-Hutchins, M. & Clancy ,T. R. (2010). Managing organizational complexity. social networks as embedded complex adaptive systems. The Journal of Nursing Administration, 40(9), 352. The authors of this article, both of whom are faculty at Texas Women's University School of Nursing, identify social network analysis (SNA) as a tool that is complementary to the theatrical underpinnings of complexity science. They assert that interprofessional communication is influenced not only by two individuals in communication with one another, but also by the social networks of which each is a part. The authors focus on the non-linear processes involved in communication between professionals and units when transferring a patient. Incorporating the theories of complexity sciences into research on communication networks could increase the applicability to healthcare organizations. Recognizing the complex nature and influence of social networks within an organization will assist the nurse leaders in our case study formulate solutions for the non-linear challenges they face.
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I thought the dynamic figures in this article were telling. However in the patient centered environment, it was odd to me that very little attention was paid to the patient in the midst of this complex transfer especially in Figure 3. I think we all must be aware that the true definition of a CAS is the ability to learn and adapt based on environmental cues, feedback or events. We often have complex systems but not complex adaptive systems.
The habits of an improver: Thinking about learning for improvement in health care. - 0 views
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"At a time of heightened interest in education and training, this paper offers curriculum designers and all those providing initial or continuing professional development a new way of thinking about education for improvement."
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