Hospital & health services administration
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Hosp Health Serv Adm · Jan 1988
Universal precautions: employee resistance and strategies for planned organizational change.
Health care organizations have been strongly encouraged to design and implement procedures to prevent the spread of HIV/AIDS in the workplace. The procedures will have a dramatic impact on the work habits of health care workers and may even challenge some dominant health care values. ⋯ This article identifies some plausible causes for employee resistance to precautionary procedures. After describing the dilemma in terms of competing values and conflicting objectives, some practical managerial strategies for reconciling differences and securing broad-based commitment to preventive policies and procedures are proposed.
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Hosp Health Serv Adm · Jan 1988
Dodging the bullet: avoiding conspiracy claims in professional staff disputes.
Hospitals, because of their necessary reliance on medical staff physicians in making staff privilege decisions, are particularly susceptible to claims of conspiracy in restraint of trade in violation of the Sherman Antitrust Act. Physicians and other health care providers denied professional access to hospital facilities frequently initiate federal antitrust lawsuits against hospitals and their medical staffs asserting unlawful conspiracy in restraint of their practice. Regular, consistent, and timely preventive action by a hospital can avoid or limit the hospital's exposure to the expense and uncertainty of extended and cumbersome antitrust litigation.