Health Systems Science

Author: Susan E. Skochelak
Publisher: Elsevier Health Sciences
ISBN: 9780702070372
Release Date: 2016-11-30
Genre: Medical

Developed by the American Medical Association’s Accelerating Change in Medical Education Consortium, Health Systems Science is the first text that focuses on providing a fundamental understanding of how health care is delivered, how health care professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. Along with basic and clinical science, Health Systems Science (HSS) is rapidly becoming a crucial "third pillar" of medical science, requiring a practical, standardized curriculum with an emphasis on understanding the role of human factors, systems engineering, leadership, and patient improvement strategies that will help transform the future of health care and ensure greater patient safety. Complete coverage of the evolving field of HSS includes patient safety, quality improvement, evidence-based medicine, value in health care, interprofessional teamwork, stewardship of health care resources, population management, clinical informatics, care coordination, leadership, and health care financing/reform. Patient improvement strategies incorporates checklists, information technology, team training, and more. A consistent chapter template provides clear coverage of each topic, including Learning Objectives, Chapter Outline, Core Chapter Content, Summary, Questions for Reflection, and Annotated Bibliography and References. Highly relevant content applicable to today’s evolving health care delivery written by experts in key, emerging areas of HSS. Developed in partnership with the AMA’s Accelerating Change in Medical Education Consortium, at the forefront of change and innovation in medical education.

Health Systems Science Review E Book

Author: Jesse M. Ehrenfeld
Publisher: Elsevier Health Sciences
ISBN: 9780323653718
Release Date: 2019-03-30
Genre: Medical

As part of the American Medical Association (AMA)’s Accelerating Change in Medical Education Consortium’s work, Health Systems Science (HSS) is establishing itself as the third major branch of a balanced medical education, alongside basic and clinical sciences. Health Systems Science Review is a first-of-its-kind review book designed to prepare future physicians and other health care professionals to function effectively within health systems by better understanding how health care is delivered, how health care professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. This study tool provides case-based questions followed by discussions of answers and suggested readings—making it a valuable review resource for medical students and instructors, as well as medical residents; nursing, allied health, and public health students; and hospital administrators. Meets a growing need for an effective, targeted review tool on HSS, a topic increasingly covered on the USMLE and other exams. Contains 250+ case-based, multiple-choice questions, with extensive discussion of correct and incorrect answers. Offers an up-to-date, effective review to support and assess competence in HSS, covering health care delivery and processes, health care policy and economics, clinical informatics and technology, social determinants of health, patient safety, teamwork and collaboration, systems thinking and complexity science, and much more. Provides highly relevant content applicable to today’s evolving health care delivery written by experts in emerging areas of HSS. Serves as an excellent study companion for the ground-breaking book, Health Systems Science, by Susan E. Skochelak, MD, MPH, et al., also developed by the AMA’s Accelerating Change in Medical Education Consortium, which is at the forefront of change and innovation in medical education.

Third International Conference on System Science in Health Care

Author: W. van Eimeren
Publisher: Springer Science & Business Media
ISBN: 9783642699399
Release Date: 2012-12-06
Genre: Medical

In the early stages of planning the Third International Conference in System Science in Health Care, the steering committee members, most of whom had participated in the first conference in Paris (1976) and the second in Montreal (1980), made some basic decisions about organization of subject matter. The earlier meetings had been very successful in bringing together specialists from the health professions and the traditional sciences. In addition to physicians and nurses, these were representatives of the disciplines of the behavioral sciences, system theory, economics, engineering, and the emergency fields of management science and informatics -all concerned with the development of health resources in a broad system context. The reported research and experience of the many disciplines represented had dealt with one or more of three concerns: 1) a major health problem, such as cardiovascular disease, or an important popUlation at risk, such as the elderly or children or workers; 2) some generic aspect of organization and decision making, including trial and evaluation ofinnovative health strategies; and 3) the methodology of research and analysis in system of health service. The challenge to the conference organizers lay in the eliciting and arranging of experiences in such a way that the health services could be seen as purposeful,living, evolving systems.

Systems Science and Population Health

Author: Abdulrahman M. El-Sayed
Publisher: Oxford University Press
ISBN: 9780190492410
Release Date: 2017-02-01
Genre: Medical

Population health is complex and multileveled, encompassing dynamic interactions between cells, societies, and everything in between. Our typical approach to studying population health, however, remains oriented around a reductionist approach to conceptualizing, empirically analyzing, and intervening to improve population health. The trouble is that interventions founded on simplifying a complex world often do not work, sometimes yielding failure or, even worse, harm. The difficult truth is that "silver bullet" health science often fails, and understanding these failures can help us improve our approach to health science, and, ultimately, population health. SYSTEMS SCIENCE AND POPULATION HEALTH employs principles from across a range of sciences to refine the way we understand population health. By augmenting traditional analytic approaches with new tools like machine learning, microsimulation, and social network analysis, population health can be studied as a dynamic and complex system. This allows us to understand population health as a complex whole, offering new insights and perspectives that stand to improve the health of the public. This text offers the first educational and practical guide to this forward-thinking approach. Comprising 17 chapters from the vanguard of population health, epidemiology, computer science, and medicine, this book offers a three-part introduction to the subject: · An intellectual and conceptual history of systems science as it intersects with population health · Concise, introductory overviews of important and emerging methodological tools in systems science, including systems dynamics, agent-based modeling, microsimulation, social network analysis, and machine-learning-all with relevant examples drawn from population health literature · An exploration of future implications for systems science and its applications to our understanding of population health issues For researchers, students, and practitioners, SYSTEMS SCIENCE AND POPULATION HEALTH redefines many of the foundational elements of how we understand population health. It should not be missed.

Self Care Science Nursing Theory and Evidence Based Practice

Author: Katherine Renpenning, MScN
Publisher: Springer Publishing Company
ISBN: 9780826107794
Release Date: 2011-05-20
Genre: Medical

"This is an excellent review of the development of self-care deficit theory and the use of self-care in nursing practice. Explanations of the various theories and theory terms are well done and written at a level that novice theorists can relate to. The authors demonstrate how self-care science can be fiscally and effectively applied to the care of patients/clients."--Doody's Medical Reviews Dorothea Orem's Self-Care Theory has been used as a foundation for nursing practice in healthcare institutions and as the basis of curricula in nursing schools for decades. This book explores the high-level theory of the application of Orem's Self-Care Theory, and how it can improve patient outcomes as well as cost-effectiveness of nursing care delivery. Written for nursing theorists, researchers, administrators, and graduate students, the text addresses the relationship of self-care theory and evidence-based care in nursing, and provides a solution to improving contemporary healthcare outcomes. The book is divided into three sections. Section one discusses the reason for the existence of the nursing profession, and identifies the performance of self-care. Section two covers three nursing practice sciences-wholly compensatory nursing, partly compensatory nursing, and supportive educative nursing. Section three offer suggestions on how health care organizations can incorporate this broadened perspective of what constitutes evidence based practice and on-going research methodology into every-day delivery of nursing services. Key Features: Includes case examples to illustrate the application of theory to nursing practice Provides a current, cost-effective resource for implementing Orem's Self-Care Deficit Theory for effective evidence-based practice Builds the link between the application of Orem's Self Care Theory and improved patient and fiscal healthcare outcomes

The Management of Uncertainty Approaches Methods and Applications

Author: Luc Wilkin
Publisher: Springer Science & Business Media
ISBN: 9789400944589
Release Date: 2012-12-06
Genre: Business & Economics

For thirty years, the literature on decision-making and planning has been divided into two camps : work premised on rational models of choice and work designed to discredit such models. The sustained critic of fully rational decision-making theories has al ready a long history and a constant message to deliver : in practice, consequential decision-making hardly fulfills the canons of perfect rationality. There is also evidence that decision-making and planning are not unitary processes. Although the concept of "decision-making" connotes the idea of a single process, making a single choice involves a complex of processing tasks : structuring the problem, finding alternatives worth considering, deciding what information is relevant, assessing various consequences, and a variety of others. The aim of this volume is to bring together and try to inter relate some of the concepts and relevant knowledge from various disciplines concerned with one important aspect of this complex process : the management of uncertainty. It is hardly necessary to reiterate the case made by numerous authors about our changing and increasingly uncertain world. Suffice it to say here that it is uncertainty about the future, and in many cases about the past and the present also, which makes decision-making and planning so difficul t. The management of uncertainty may be defined as the way in which uncertainty is treated and processed in decision-making.

Exploring Services Science

Author: Henriqueta Nóvoa
Publisher: Springer
ISBN: 9783319149806
Release Date: 2015-01-06
Genre: Business & Economics

This book contains the refereed proceedings of the 6th International Conference on Exploring Service Science (IESS), held in Porto, Portugal, in February 2015. Service science constitutes an interdisciplinary approach to systematic innovation in service systems, integrating managerial, social, legal, and engineering aspects to address the theoretical and practical challenges of the service industry and its economy. The 27 full papers accepted for IESS were selected from 69 submissions. The papers consider the topics service innovation, service exploration, service design, IT-based service engineering, and service sustainability.

Social Sciences in Health Care and Medicine

Author: Janet B. Garner
Publisher: Nova Publishers
ISBN: 1604562862
Release Date: 2008
Genre: Medical

Health care and medicine are dependent upon a close interaction with social sciences and professions in order to effectively treat patients. Athough medicines have becoming more and more targeted in recent times, it is the recovery of the patient which is the true test of the system whether it be in a hospital setting or within a daily societal setting. Such interactions may be psychological or interactions with social organisations essential to phase the patient back into society. This book presents new issues, experiences and research in the field from around the globe.

Handbook of Healthcare System Scheduling

Author: Randolph Hall
Publisher: Springer Science & Business Media
ISBN: 1461417341
Release Date: 2011-11-25
Genre: Business & Economics

This edited volume captures and communicates the best thinking on how to improve healthcare by improving the delivery of services -- providing care when and where it is needed most -- through application of state-of-the-art scheduling systems. Over 12 chapters, the authors cover aspects of setting appointments, allocating healthcare resources, and planning to ensure that capacity matches needs for care. A central theme of the book is increasing healthcare efficiency so that both the cost of care is reduced and more patients have access to care. This can be accomplished through reduction of idle time, lessening the time needed to provide services and matching resources to the needs where they can have the greatest possible impact on health. Within their chapters, authors address: (1) Use of scheduling to improve healthcare efficiency. (2) Objectives, constraints and mathematical formulations. (3) Key methods and techniques for creating schedules. (4) Recent developments that improve the available problem solving methods. (5) Actual applications, demonstrating how the methods can be used. (6) Future directions in which the field of research is heading. Collectively, the chapters provide a comprehensive state-of-the-art review of models and methods for scheduling the delivery of patient care for all parts of the healthcare system. Chapter topics include setting appointments for ambulatory care and outpatient procedures, surgical scheduling, nurse scheduling, bed management and allocation, medical supply logistics and routing and scheduling for home healthcare.

Complex Systems Science in Biomedicine

Author: Thomas Deisboeck
Publisher: Springer Science & Business Media
ISBN: 0387335323
Release Date: 2007-06-13
Genre: Medical

Complex Systems Science in Biomedicine Thomas S. Deisboeck and J. Yasha Kresh Complex Systems Science in Biomedicine covers the emerging field of systems science involving the application of physics, mathematics, engineering and computational methods and techniques to the study of biomedicine including nonlinear dynamics at the molecular, cellular, multi-cellular tissue, and organismic level. With all chapters helmed by leading scientists in the field, Complex Systems Science in Biomedicine's goal is to offer its audience a timely compendium of the ongoing research directed to the understanding of biological processes as whole systems instead of as isolated component parts. In Parts I & II, Complex Systems Science in Biomedicine provides a general systems thinking perspective and presents some of the fundamental theoretical underpinnings of this rapidly emerging field. Part III then follows with a multi-scaled approach, spanning from the molecular to macroscopic level, exemplified by studying such diverse areas as molecular networks and developmental processes, the immune and nervous systems, the heart, cancer and multi-organ failure. The volume concludes with Part IV that addresses methods and techniques driven in design and development by this new understanding of biomedical science. Key Topics Include: • Historic Perspectives of General Systems Thinking • Fundamental Methods and Techniques for Studying Complex Dynamical Systems • Applications from Molecular Networks to Disease Processes • Enabling Technologies for Exploration of Systems in the Life Sciences Complex Systems Science in Biomedicine is essential reading for experimental, theoretical, and interdisciplinary scientists working in the biomedical research field interested in a comprehensive overview of this rapidly emerging field. About the Editors: Thomas S. Deisboeck is currently Assistant Professor of Radiology at Massachusetts General Hospital and Harvard Medical School in Boston. An expert in interdisciplinary cancer modeling, Dr. Deisboeck is Director of the Complex Biosystems Modeling Laboratory which is part of the Harvard-MIT Martinos Center for Biomedical Imaging. J. Yasha Kresh is currently Professor of Cardiothoracic Surgery and Research Director, Professor of Medicine and Director of Cardiovascular Biophysics at the Drexel University College of Medicine. An expert in dynamical systems, he holds appointments in the School of Biomedical Engineering and Health Systems, Dept. of Mechanical Engineering and Molecular Pathobiology Program. Prof. Kresh is Fellow of the American College of Cardiology, American Heart Association, Biomedical Engineering Society, American Institute for Medical and Biological Engineering.

Science and Practice of Pediatric Critical Care Medicine

Author: Derek S. Wheeler
Publisher: Springer Science & Business Media
ISBN: 1848009216
Release Date: 2008-12-03
Genre: Medical

The ? eld of critical care medicine is in the midst of a dramatic change. Technological and s- enti? c advances during the last decade have resulted in a fundamental change in the way we view disease processes, such as sepsis, shock, acute lung injury, and traumatic brain injury. Pediatric intensivists have been both witness to and active participants in bringing about these changes. As the understanding of the pathogenesis of these diseases reaches the cellular and molecular levels, the gap between critical care medicine and molecular biology will disappear. It is imperative that all physicians caring for critically ill children in this new era have a th- ough understanding of the applicability of molecular biology to the care of these patients at the bedside in order to keep up with the rapidly evolving ? eld of critical care medicine. To the same extent, the practice of critical care medicine is in the midst of fundamental change. In keeping with the Institute of Medicine’s report “Crossing the Quality Chasm,” the care of critically ill and injured children needs to be safe, evidence-based, equitable, ef? cient, timely, and fami- centered [1,2]. In the following pages, these changes in our specialty are discussed in greater scope and detail, offering the reader fresh insight into not only where we came from, but also where we are going as a specialty.

Psychology of Decision Making in Legal Health Care and Science Settings

Author: Gloria R. Burthold
Publisher: Nova Publishers
ISBN: 1600219322
Release Date: 2007
Genre: Business & Economics

In a fast-moving world, the necessity of making decisions, and preferably good ones, has become even more difficult. One reason is the variety and number of choices perhaps available which often are not presented or understood. Alternatives are often unclear and complex paths to them confusing and misleading. Thus the process of decision making itself requires analysis on an ongoing basis. Decision making is often made based on cultural factors whereas the best alternative might be quite different. The subject touches ethical aspects as well as psychological considerations. This book presents important research on the psychology of decision making related to law and law enforcement, health care and science.

Quality Caring in Nursing and Health Systems

Author: Joanne R. Duffy, PhD, RN, FAAN
Publisher: Springer Publishing Company
ISBN: 9780826110152
Release Date: 2013-04-23
Genre: Medical

First Edition named an AJN Book of the Year! ìJoanne Duffy makes a compelling argument in this book that relationships have been marginalized and no longer serve as the central organizing principle of health servicesÖThis book resonates with a virtual groundswell of findings regarding the importance of relationships for organizational performance and for human wellbeing.î -Jody Hoffer Gittell Professor of Management, Brandeis University This edition stresses the proven need for a return to the patient-centered care neglected through our health systemís emphasis on procedures, protocols, diagnostic testing, technology, and costs. It addresses the significant challenges to quality care posed by the upcoming changes in our health care system, and focuses on health systems, the role of nursing within them, and the interprofessional health team as the key to change ensuring high quality care. The book responds to the Patient Protection and Affordable Care Actís focus on accountable care organizations, the recent IOMís Future of Nursing Report, the call for radical transformation of nursing education, and current evidence on patient safety and quality of care. This text explores the Quality-Caring Model©, which honors nursingís most deeply felt value, and can be applied to clinical, educational, and leadership practice to advance our nationís health system. Among the bookís strengths are its translation of theoretical knowledge to practical applications that can be used for clinical interventions and resolution of professional issues. Chapters include key terms, case studies along with practical exercises and references, and ìCalls to Actionî offering inspiration and guidance for implementing change. New to the Second Edition: Focuses on current challenges to quality care posed by upcoming changes to our health system Addresses health systems, the interprofessional health team, and the role of nursing within them Combines theoretical foundations for practice with clinical, leadership, and educational applications Examines the powerful role of relationships in promoting nursing excellence, improving patient satisfaction, and patient outcomes Serves as a key guide for graduate nurse educators and students, nurse leaders, and hospital leadership seeking Magnet certification Incorporates recommendations of the Affordable Care Actís focus on accountable care organizations, the IOMís Future of Nursing Report, educational transformation, and current research on safety and quality of care

Rights to Health Care

Author: Thomas J. Bole III
Publisher: Springer Science & Business Media
ISBN: 9780585282954
Release Date: 2007-08-23
Genre: Medical

Human existence is marked by pain, limitation, disability, disease, suffering, and death. These facts of life and of death give ample grounds for characterizing much of the human condition as unfortunate. A core philosophical question is whether the circumstances are in addition unfair or unjust in the sense of justifying claims on the resources, time, and abilities of others. The temptation to use the languages of rights and of justice is und- standable. Faced with pain, disability, and death, it seems natural to complain that "someone should do something", "this is unfair", or "it just isn't fight that people should suffer this way". Yet it is one thing to complain about the unfairness of another's actions, and another thing to complain about the unfairness of biological or physical processes. If no one is to blame for one's illness, disability, or death, in what sense are one's unfortunate circumstances unfair or unjust? How can claims against others for aid and support arise if no one has caused the unfortunate state of affairs? To justify the languages of fights to health care or justice in health care requires showing why particular unfortunate circumstances are also unfair, in the sense of demanding the labors of others. It requires understanding as well the limits of property claims. After all, claims regarding justice in health care or about fights to health care limit the property fights of those whose resources will be used to provide care.