World hospitals and health services : the official journal of the International Hospital Federation
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World Hosp Health Serv · Jan 2015
Comparative StudyFast track surgery, a strategy to improve operational efficiency in a high-complexity hospital in Latin America.
Fast Track surgery is designed to optimize time in low-complexity procedures, thus improving efficiency in care provision, and preserving patient safety. ⋯ Fast Track surgery is a useful strategy for improving operating room efficiency and reducing surgical time. Procedures start on time, with increased timely care, patient and practitioner satisfaction, and lower service costs.
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World Hosp Health Serv · Jan 2014
The National Accreditation Board for Hospital and Health Care Providers accreditation programme in India.
Quality in health care is important as it is directly linked with patient safety. Quality as we know is driven either by regulation or by market demand. Regulation in most developing countries has not been effective, as there is shortage of health care providers and governments have to be flexible. ⋯ Not only is India establishing numerous state of the art hospitals, but they are also experiencing an increase in demand for quality as well as medical tourism. India launched its own accreditation system in 2006, conforming to standards accredited by ISQua. This article shows the journey to accreditation in India and describes the problems encountered by hospitals as well as the benefits it has generated for the industry and patients.
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Telemedicine has shown substantial growth recently both in terms of financial volume and numbers of people served. It also holds promise for even more growth in the future, driven by both epidemiological conditions and technological advancements. The spread of the mobile telephone into the remotest parts of developing countries, combined with its multiple applications in health and mobile financial services will extend telemedicine to vast swathes of the world's populations. However, some challenges, primarily in dealing with the regulatory environment, will need to be overcome for this potential to be fully realized.
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World Hosp Health Serv · Jan 2013
Process reengineering of preoperative verification, site marking and time-out for patient safety.
In this article, we describe our hospital's journey in implementing the WHO High 5s Project Correct Site Surgery Standard (CSS) protocol. We discuss how we incorporated the protocol into our system by revising the pre-existing checklist, reengineering the existing processes on preoperative verification, site marking and time-out at the Major Operating Theatre (MOT), and performing audit and feedback to ensure effective compliance. We also reflect on the importance of leadership and ministry support, benchmarking and tailoring the practice for each discipline in the pursuit of improving patient safety within the hospital.