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Management: Mongolia Table 3: Mean score of management function by district Bayangol Chingeltei Khan-Uul Nalaikh Number Cronbach n=35 n=71 n=47 n=56 Total Management function of items alpha x (SD) x (SD) x (SD) x (SD) n=209 P value Operational planning and follow up 28.00 0.85 3.61 (0.48) 2.88 (0.55) 3.52 (0.56) 2.94 (0.61) 3.16 (0.64)
Management: Safety and efficiency Improvement of efficiency and safety in hospitals starts in the beginning of the planning phase and influences patient safety, staff, hygiene as well as logistics, and efficiency within the entire hospital ULRICH MATERN ASSOCIATE PROFESSOR, MEDICAL FACULTY EBERHARD-KARLS, UNIVERSITY OF TUEBINGEN, GERMANY ABSTRACT: To increase patient safety and hospital efficiency a new stepwise planning methodology including an early peer review of the future design is shown in the article as well as innovative training concepts for hospital staff. Today hospitals are operating in a very difficult political and social environment that demands increased efficiency as well as patient safety. In current hospital structures, this leads medical staff to become overloaded with the following alarming effects, all over the world, including countries with a very high health care standard: ✚ Not enough time for their patients. 84 percent of German hospital doctors and 97 percent of hospital nursing staff declare that they do not have enough time for patients due to inefficient workflows and increasing administrative work (DAK- BGW Gesundheitsreport 2005; Merz and Oberlander 2008). ✚ Not enough training in medical technology. 59 percent of German surgeons and 40 percent of OR nursing staff regret the mismatch between complex medical devices and their insufficient training in using these devices (Matern et al. 2006a). In auditing hospitals in various countries, we can observe that complex life-saving devices are sometimes not used because of a lack of understanding of the usage of the technology. ✚ Not enough knowledge in infection control. The World Health Organization (WHO) criticizes the limited knowledge in infection control regarding various issues such as waste disposal, equipment, infrastructure, etc. that lead to health care associated nosocomial infections (WHO 2011). All of these problems are related to the limited knowledge of the medical staff. It is mandatory that the medical staff to be taught and trained in infection control, safe manipulation of medical devices and efficient administrative and clinical workflow but to Figure 1: Current and future situation in hospitals – the problems of patient safety and efficiency might increase Source: Author No. of patients No. and complexity of medical technology Patient-doctor ratio Bed-patient ratio Patient-nursing ratio Duration of stay reiterate this is time consuming, expensive and hinders the treatment of the patients. These problems described above might increase within the next decade (Figure 1). The reasons for this are: ✚ an existing and growing worldwide lack of hospital staff (doctors, nurses, administrators and engineers), which means a reduction in the staff-patient-ratio; ✚ a reduction in the duration of stay in hospitals, which additionally leads to an increase in the administrative work to World <strong>Hospital</strong>s and Health Services Vol. 47 No. 4 27
Page 1 and 2: 2011 Volume 47 Number 4 www.ihf-fih
Page 3 and 4: Contents Contents volume 47 number
Page 5 and 6: Editorial Editorial ERIC DE ROODENB
Page 7 and 8: Imaging 2.0 - Sharing your vision.
Page 9 and 10: Policy: China Figure 1: Three eras
Page 11 and 12: Policy: China need to be closely mo
Page 13 and 14: Policy: Japan Figure 2: The disaste
Page 15 and 16: Policy: Egypt Public policy and med
Page 17 and 18: Policy: Egypt consider the potentia
Page 19 and 20: Policy: Democratic Republic of the
Page 21 and 22: Policy: Democratic Republic of the
Page 23 and 24: Management: Paediatric hospitals Th
Page 25 and 26: Management: Paediatric hospitals pa
Page 27: Management: Mongolia Table 1: Chara
Page 31 and 32: Management: Safety and efficiency F
Page 33 and 34: Clinical care: Noncommunicable dise
Page 35 and 36: Clinical care: Noncommunicable dise
Page 37 and 38: Opinion matters Self: You think a s
Page 39 and 40: Reference World Hospitals and Healt
Page 41 and 42: Reference World Hospitals and Healt
Page 43 and 44: IHF corporate partners Meet IHF cor
Page 45 and 46: IHF corporate partners ROYAL PHILIP
Page 47 and 48: Inject Geography into Your Electron
Page 49 and 50: Reference IHF Events calendar 2012
Page 51 and 52: Healing Environment. Healthy Busine

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