Modern Hospital Research Articles

Why Is Hospice One of the Few Health Care Environments Structured for Peace?

Historically, Western medicine has recognized health care environments as vital to patient well-being and enhanced clinical outcomes. Yet most modern Western hospitals are primarily designed and regulated to promote safety and minimize risk rather than to enhance comfort or serve as therapeutic environments in and of themselves. Hospice stands out as one of the few places within the Western health care service delivery system in which the structures and spaces of caregiving are viewed as key to patient-centered practice. This commentary on a case suggests the importance of designing health care environments that center patient experiences of well-being throughout the lifespan, not just at the end of life.

Corporate marketing in modern hospitals and satisfaction level of corporate clients in Bangladesh

The study's abstract emphasizes the Marketing Department's dual responsibility in creating external awareness and disseminating internal information in modern hospitals. To improve service quality and management decision-making, the department keeps an eye on patient happiness and oversees communication, advertising, corporate agreements and feedback methods. Key research findings show that while corporate patients generally value the department's cutting-edge technology and the expertise of its staff, they do have reservations about the department's responsiveness and punctuality, particularly with regard to inpatient care. Patients in the Outpatient Department (OPD) expressed greater levels of satisfaction than those in the Inpatient Department (IPD), where patients expressed greater dissatisfaction with personalized care and error correction. To increase general patient happiness, recommendations include enhancing service speed, providing personnel training, and attending to particular patient requirements.

Hospital design and planning in the line of foresight of health needs

Abstract The health needs of the population are increasingly difficult to plan and predict. Technological progress, artificial intelligence, new medicines, but also ecological disasters, humanitarian crises, energy crisis and other challenges (as a Covid 19 pandemic) represent the image of our time. New design of hospitals should be able to respond to the challenges of the future: comprehensive provision of health services taking into account the patient’s needs, working conditions taking into account the hospital staff, energy efficiency and construction in accordance with high standards and reduction of CO2 emissions (green hospitals), to ensure alternative sources of electricity and water supply bearing in mind potential emergencies. The big challenge of long-term construction in which advanced technologies and new procedures cannot simply fit into a rigid building structure that is several decades old (example Serbia), so it is necessary to apply precise planning and efficient and high-quality construction in the next generation hospitals, taking into account current modern equipment and that which will appear in the future. Designing hospitals involves anticipating future healthcare challenges, technological advancements, demographic shifts, and changes in patient expectations. Hospitals emphasis on patient-centered design principles, creating environments that prioritize comfort, privacy, and dignity for patients and their families, accessibility and inclusivity, infection control and prevention, sustainability and resilience. Modern hospitals should create collaborative spaces for interdisciplinary teamwork and communication among healthcare providers, research and innovation units, but also community engagement and health promotion activities. Future hospital design requires strong multidisciplinary and cross-sectional cooperation, in which priority is given to architects dedicated to this field and their cooperation with public health and health management experts.

Unlocking the power of socially assistive robotic nurses in hospitals through innovative living lab methodology.

Objectives: Pilot 5 utilizes AI and robotics to develop a robotic nurse assisting hospital staff in response to workforce shortages and rising care demands due to an aging population. This project aims to optimize resources, reduce errors, and improve patient satisfaction through personalized care. Methods: The Living Lab approach was implemented to split the study into sprints. The first split involves working with project partners and stakeholders to define the problem, brainstorm functionalities, and identify limitations (24 participants). The second split focuses on further requirement gathering, exploring real-world use cases, and considering ethical and privacy concerns (51 participants). Results: The project used iterative development cycles (5-8 months) to continuously improve the solution. Surveys revealed high satisfaction rates, with average scores of 4.0 and 3.6 for Sprints 1 and 2, respectively. Similarly, a team morale survey indicated a positive trend, with average scores of 7.6 and 8.18 for Sprints 1 and 2, respectively. Conclusion: Pilot 5 offers a promising solution to the evolving needs of modern hospitals. This study explores the integration of a social robotic system into nursing care to enhance quality and emphasizes stakeholder engagement, participatory design, and user-centered approaches in AI healthcare solutions.

Research on Construction of Knowledge Base for MRI Equipment Maintenance Based on Knowledge Graph

To improve the level of modern hospital management and establish a scientific and effective medical equipment maintenance guarantee system, this paper proposes the construction of a dynamic interactive fault repair knowledge base system for magnetic resonance imaging (MRI) equipment based on knowledge graph technology. This innovative application of intelligent management for large medical equipment involves collecting and organizing actual maintenance data. The paper constructs the medical equipment maintenance knowledge base, with MRI equipment as a case study, and initially implements functions such as fault information retrieval, technical guidance, and training and learning for MRI equipment. These functions aim to provide an objective decision-making basis for the maintenance and management of large medical equipment, enhance the efficiency of fault repair and maintenance, and elevate the construction level of intelligent hospitals.

A Review- Optimizing Healthcare Delivery: Navigating the Challenges and Benefits of the Satellite Medical Model in Modern Hospital Management

In the rapidly evolving landscape of healthcare management, the Satellite Medical Model has emerged as a strategic solution to enhance service delivery by decentralizing care through a network of satellite facilities connected to a central hub hospital. This model not only improves accessibility and optimizes resource utilization but also addresses workforce shortages, particularly in underserved regions. Rooted in the hub-and-spoke design from the transportation sector, the Satellite Medical Model facilitates efficient healthcare services, allowing primary care units to manage routine cases while more complex conditions are referred to specialized facilities. Despite its advantages, the implementation of this model faces significant challenges, including technical issues related to data security and interoperability, financial constraints, and operational complexities. This paper explores the potential of the Satellite Medical Model in modern hospital management, examining both its benefits and challenges. By identifying strategic approaches to mitigate these barriers, this study aims to provide healthcare leaders with actionable insights to effectively adopt this model, ultimately leading to improved patient outcomes and greater operational efficiency in healthcare delivery.

The complementary nature of transformational and transactional leadership styles in modern hospital and healthcare systems

With healthcare systems becoming increasingly complex, managers must practice leadership styles that best serve their organisations, staff and service users. Rainer WG Gruessner discusses the pros and cons of different leadership styles, suggesting that transformational and transactional models can and should be combined for modern healthcare management.

Using PURPOSE-T in clinical practice: A realist evaluation

AimTo explain how the clinical and organisational context influenced the way the Pressure Ulcer Risk Primary or Secondary Evaluation Tool (PURPOSE-T) is used by nursing staff to support their clinical judgement and decision making about care planning and delivery. MethodsA realist process evaluation was undertaken in a large acute hospital trust using mixed methods incorporating organisational policy review, staff semi-structured, ethnographic observation of clinical care and patient record review. Approximately 75 h of ethnographic field work involving 72 patients, 15 patient record reviews and 16 staff interviews were undertaken on 4 wards. FindingsFindings suggest PURPOSE-T assisted nurses differently depending on their level of experience. Those with less experience use it as an educational guide, while those with more experience made an initial clinical judgement and used PURPOSE-T as a safety net to ensure they hadn't missed anything. Nurses were concerned about demonstrating good documentation of assessment, care planning and delivery in order to underpin consistent communication about care and because they had an underlying fear of being blamed if things went wrong. There is an array of other contextual features that impact the planning and delivery of pressure area care that go beyond the use of PURPOSE-T alone, including systematic equipment provision, competing patient safety initiatives and rehabilitation requirements. ConclusionThe findings reinforce the assertion that PU-RAIs are complex interventions and could inform the development of a more integrated system of care which takes into account the contextual features associated with PU prevention in modern hospitals.

The Gift of a Lifetime: The Hospital, Modern Medicine, and Mortality

We explore how access to modern hospitals and medicine affects mortality by leveraging efforts of the Duke Endowment to modernize hospitals in the early twentieth century. The Endowment helped communities build and expand hospitals, obtain state-of-the-art medical technology, attract qualified medical personnel, and refine management practices. We find that Duke support increased the size and quality of the medical sector, fostering growth in not-for-profit hospitals and high-quality physicians. Duke funding reduced both infant mortality—with larger effects for Black infants than White infants—and long-run mortality. Finally, we find that communities aided by Duke benefited more from medical innovations. (JEL I11, I12, J13, J15, L31, N32, O31)

The Broadcasted Operating Room Early Medical Television as a Telemedicine Device in the United States, 1939–1960

This article examines the role of medical television in surgical procedures in the United States from 1939 to 1960. It reads medical television within the history of telemedicine and its infrastructure in an attempt to understand how it shaped and was shaped by the changing location and knowledge context of surgical practice in the 20th century. With the history of telemedicine having seen increased research in recent years, this reading of telemedical devices and infrastructures as forms of mediatized knowledge transfer becomes increasingly important. Telemedical broadcasts here are therefore discussed in their turn from broadcasting systems to media systems as part of a changing surgical education and practice and a fragmented knowledge landscape in modern hospitals.

Stellungnahme der Wissenschaftlichen Fachgesellschaft und des Berufsverbandes zur Notfallversorgung in der Hals-Nasen-Ohren-Heilkunde

Clinics and practices in the field of ear, nose and throat medicine (ENT) are experiencing a significant increase in the number of emergency patients, which has multiple reasons. There is broad consent that a reform of emergency structures is necessary.The government commission for modern and needs-based hospital care has made recommendations with statements on the reform of emergency and acute care in the areas of "emergency services and financing" and "integrated emergency centers and integrated control centers". For this purpose a reliable foundation will be created with participation of specialist societies and professional associations, also linked to the hope of initiating the urgently needed relief of medical staff in clinics and practices.The present manuscript describes the health policy history and current problems in emergency care, focusing on proposed solutions with reference to the special features of ENT medicine. This position paper is linked to an appeal to self-administration and politicians to quickly implement a sustainable concept for emergency care, as financing and staff availability are becoming increasingly critical and the unregulated wave of emergency patients must be given a helping hand.

Role of Robotic-Assisted Surgery in Public Health: Its Advantages and Challenges.

The modern hospital setting is closely related to engineering and technology. In a hospital, modern equipment is abundant in every department, including the operating room, intensive care unit, and laboratories. Thus, the quality of treatment provided in hospitals and technology advancements are closely tied. Robotic systems are used to support and improve the accuracy and agility of human surgeons during medical procedures. This surgical approach is commonly referred to as robotic surgery or robotic-assisted surgery (RAS). These systems are not entirely autonomous; they are managed by skilled surgeons who carry out procedures with improved accuracy and minimized invasiveness using a console and specialized instruments. Because RAS offers increased surgical precision, less discomfort after surgery, shorter hospital stays, and faster recovery time, all of which improve patient outcomes and lessen the strain on healthcare resources, it plays a critical role in public health. Its minimally invasive technique benefits patients and the healthcare system by lowering problems, reducing the requirement for blood transfusions, and reducing the danger of infections related to medical care. Furthermore, the possibility of remote surgery via robotic systems can increase access to specialized care, reducing regional differences and advancing fairness in public health. In this review article, we will be covering how RAS has its role in public health.

Chinese expert consensus on clinical practice of daytime hip arthroplasty

Daytime hip arthroplasty refers to a medical procedure where a patient undergoes admission, surgery, and discharge all within a single day (24 hours). The establishment of daytime hip arthroplasty centers signifies a significant paradigm shift in the development model of modern hospitals. While numerous nationally accredited large medical institutions are undertaking daytime hip arthroplasty in various forms and scales, there remains a lack of standardized system processes and criteria. In this context, the National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Bone and Joint Specialty Committee of the China Ambulatory Surgery Alliance, Joint Surgery Branch of the Chinese Orthopedic Association, and Osteoarthritis Study Group of the Chinese Association of Orthopedic Surgeons have collaboratively organized experts in the relevant field domestically. Leveraging international experiences in daytime hip arthroplasty and integrating them with the clinical practices of well-established medical institutions conducting daytime surgeries in China, they have arrived at consensus recommendations. These recommendations cover the establishment of daytime hip arthroplasty centers, policies, procedures, and perioperative management. The ultimate goal is to provide reference points and guidance for the standardized implementation of daytime hip arthroplasty.

Epidemiology of cardiovascular diseases related admissions in a tertiary hospital in Hadramout Governorate, Yemen

Background: Cardiovascular diseases (CVDs) are a major challenge confronting physicians in Hadramout Governorate. Little is known about the admission for CVD and outcome at Hadramout Modern Hospital. The aim of this study was to determine the frequency and pattern of CVD admissions in Hadramout Modern Hospital, Hadramout, Yemen. Materials and Methods: This retrospective cross-sectional study included all adult patients admitted for CVDs in the medical ward of Hadramout Modern Hospital from January 01 to December 31, 2023. Results: During the study period, a total of 1020 patients were admitted to the medical word, of which 158 (15.5%) cases were admitted with CVDs. There were 87 (55.1%) males, and the mean age was 58.09±15.08 years. There was a significant age difference between men and women (61.4 years vs. 54.04 years, p=0.002). The most commonly affected age group was those aged 55–64 (32.4%). Uncontrolled hypertension (81.6%), stroke (52.5%), heart failure (37.3%), and acute myocardial infarction (AMI) (36.1%) were the most common CVDs. The mean hospital stay was 7.93±2.83 (2–15 days). There were 220 total deaths in Hadramout Modern Hospital during the study period. Among them, 12 (5.5%) were due to CVDs with no significant sex difference (4 [5.6%] vs. 8 [9.2%]; p=0.549). Conclusion: Given the increasing burden of CVDs in our hospital, it is crucial to understand the epidemiological features of CVDs and their etiological factors to prioritize further research, prevention, and treatment strategies. Additionally, further research is needed in other governorates across the country to identify regions with the highest regional burden of CVDs so that policymakers can reallocate limited resources accordingly.

AYURVEDIC MANAGEMENT OF BONE FRACTURE IN SMALLER BONES: A SINGLE CASE STUDY

Bone fractures or broken bones are most common in day-to-day practice and can affect anyone at any age. It can be seen as a complete or partial break in the bone. The causes of bone fractures include trauma, over-use and diseases or deficiencies that weaken the bone. Commonly, people will go to a modern hospital after a trauma or hurt, in an emergency, or to manage pain. An X-ray investigation can quickly rule out a bone fracture. Depending on the fracture severity or presentation, there are various types of bone fractures: compound, spiral, comminute, transverse, etc. In our holistic science, can easily manage simple fractures in our OPDs. I got one patient came in clinic on October 2023 with trauma from a Road Traffic Accident. It was a slight fall from the bike on his own, and he was not that much bleeding or injured, but the right-hand ring finger started swelling with pain. As his sister is an Ayurveda medical student and the patient is having belief in Ayurveda, he came to OPD for the management. He consulted a modern hospital, took an X-ray; diagnosed it as a fracture, and he came to us. I managed the case of a simple fracture with Ayurveda medicines.

Hybrid Wi-Fi and PLC network for efficient e-health communication in hospitals: a prototype

E-health is being adapted in modern hospitals as a significant addition to the existing healthcare services. To this end, modern hospitals urgently require a mobile, high-capacity, secure, and cost-effective communication infrastructure. In this paper, we explore potential applications of a hybrid broadband power line communication (PLC) and Wi-Fi in an indoor hospital scenario. It utilizes the existing power line cables and Wi-Fi plug-and-play devices for indoor broadband communication. Broadband power line (BPL) adaptors with Wi-Fi outputs are used to build an access network in hospitals, particularly in areas where the wireless router signal is poor. The Tenda PH10 AV1,000 AC Wi-Fi power line adapter is a set of BPL adapters that offer operational bandwidth of up to 1,000 Mbps. These adapters are based on the HomePlug AV2 protocol and can provide a data rate up to 200 Mbps on the physical layer. An experiment using the PLC Wi-Fi kit is carried out to show that a Wi-Fi and PLC hybrid network is the best candidate to provide wide range of practical applications in a hospital including, but not limited to, telemedicine, electronic medical records, early-stage disease diagnosis, health management, real-time monitoring, and remote surgeries.

Analysis of the Influence of Clinical Governance on Physician Job Satisfaction at RSUD Teungku Peukan Kab. Southwest Aceh in 2023

This study highlights the importance of physician job satisfaction in the context of health care quality. Modern hospitals must not only comply with regulations, but also uphold high standards to meet patient expectations. Factors such as management, clinical governance, and work environment influence physician job satisfaction. This study aims to investigate whether management factors, especially clinical governance, have an impact on the job satisfaction of doctors at Teuku Pekan Hospital, Southwest Aceh Regency in 2023. A cross-sectional method was used by collecting data through questionnaires to 33 doctors who work at home. the pain. The results of the analysis show that the majority of respondents consider management effectiveness, such as communication and strategy, to be quite effective. However, there are areas that are still less effective, such as risk and resource management. The majority of doctors feel sufficient satisfaction regarding the work environment, but there is still room for improvement, especially regarding income commensurate with workload.

Quality improvement: treatment escalation plans in oncology

Treatment escalation plans (TEPs) are increasingly appreciated tools in modern hospital medicine. It records and advises on the appropriate escalation of care for our patients, often when those of us...

The architectural spaces of a children's rehabilitation center based on adaptive technologies

The architectural spaces of children's rehabilitation centers that use adaptive technologies are reviewed. The spatial characteristics of modern hospital premises in which innovative adaptive devices are used for the rehabilitation of children with disabilities are identified. Several rehabilitation centers employing adaptive technologies were reviewed to determine the main types of devices used in the treatment and their impact on the space in which they are located. Based on this review, zoning specifics and scenarios of movement in the premises with adaptive technologies have been identified, and the functional and planning features of the architectural space in rehabilitation premises are formulated.

Factors Affecting Waiting Time for Outpatient Prescription Services in BPJS Patients at the Pharmacy Installation of the M Natsir Solok Regional General Hospital Year 2022

Modern hospital services are currently associated with one of the hospital quality indicators, namely waiting time, this waiting time is closely related to the level of patient satisfaction. The purpose of this study was to see what factors influence waiting time at the outpatient pharmacy installation at RSUD M Natsir Solok. Methods The research was conducted using a cross-sectional study design approach. The factors that influence the waiting time examined in this study are the type of prescription, the number of prescription items, the completeness of the amount of drug administration, the price of the BPJS prescriber, facilities, infrastructure and manpower. The results showed that there were more types of prescription types of officinalis (87.5%) than magistralis prescriptions (12.5%), the number of prescription items was more that did not comply with WHO standards (> 2 items) namely (77.2%), the completeness of the number of drug administration was obtained more many medicines were given in full (86.6%), BPJS prescription prices were obtained according to standards (90.4%), facilities, infrastructure, and staff were found to be incompatible with PMK and technical instructions. The conclusion in this study is that the most related factor is the type of recipe. Efforts that can be made by the hospital are to make improvements in efforts to increase waiting time to standard by maximizing power and increasing the power of the hospital. Keywords: factors that affect waiting time: BJPS prescription