Author: Edwin Palmer Hoyt
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 280

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Book Description

Author: Edward Moore Kennedy
Publisher: Simon & Schuster
ISBN:
Category : Health insurance
Languages : en
Pages : 264

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Book Description

Author: Ridwan Shabsigh
Publisher: Springer Nature
ISBN: 303095806X
Category : Medical
Languages : en
Pages : 344

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Book Description
In the USA, the COVID-19 crisis came as an unpleasant surprise and a shock to many healthcare systems and hospitals, especially in the crisis epicenter, New York City. The Bronx was one of the hardest hit boroughs of New York City, with significant negative impact of the COVID-19 pandemic on its indigent population. SBH Health System (formerly known as St. Barnabas Hospital) is an integrated system of an acute care hospital, ambulatory care center, trauma center, dialysis center, stroke center and other services and facilities, serving the community of the Bronx. The story of SBH in preparing for and managing the rapidly escalating surge of severely ill patients is a treasure of lessons in health crisis preparedness and management at all levels: clinical, administrative, financial, etc. These lessons can be used for other acute care hospital settings and other potential health crises that may arise in the future. Within a short 3 weeks, SBH increased its in-patient capacity by 50%. However, during the same short time, it increased its critical care capacity by over 500%, providing critical care to severely ill patients on ventilators. This book chronicles the situation step by step and describes how this accomplishment was done. Accounts from the frontline health workers and from the clinical and administrative leaders describe important aspects of crisis management, such as team building, multi-departmental coordination, effective communications, dynamic decision-making in response to rapidly changing situations, keeping up the morale and caring for the healthcare workers and managing the supply chain. The uniqueness of the experience of SBH is enhanced by the fact that SBH is a low budget “safety net” hospital serving the poorest population in New York City. The worldwide trend is toward tighter healthcare budgets with demands for higher efficiency and productivity. There is a lot to be learned from the SBH health crisis management, including how efficient management, team building, management of limited resources and collaborative workplace culture make the foundation of success in the face of the crisis of the century. This unique text serves as a “how to” guide for implementing skills necessary for crisis management. Lessons from the success of SBH in tackling the dramatically fast unfolding crisis are utilized in a clear and concise manner. Such lessons may benefit other health systems and hospitals in planning and preparing for similar crises.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309285526
Category : Medical
Languages : en
Pages : 217

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Book Description
Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Author: Theresa Morris
Publisher: NYU Press
ISBN: 147982769X
Category : Business & Economics
Languages : en
Pages : 249

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Book Description
More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital's obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses' care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. Morris explains how the tumultuous political-economic changes have challenged obstetrical nurses, who are at the front lines of providing care for women during labor and birth. --

Author: Hospital Trustees of New York State
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 14

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Book Description

Author: George Everly, Jr.
Publisher:
ISBN: 9781943001149
Category :
Languages : en
Pages :

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Book Description
Psychological Crisis Intervention: The SAFER-R Model is designed to provide the reader with a simple set of guidelines for the provision of psychological first aid (PFA). The model of psychological first aid (PFA) for individuals presented in this volume is the SAFER-R model developed by the authors. Arguably it is the most widely used tactical model of crisis intervention in the world with roughly 1 million individuals trained in its operational and derivative guidelines. This model of PFA is not a therapy model nor a substitute for therapy. Rather it is designed to help crisis interventionists stabile and mitigate acute crisis reactions in individuals, as opposed to groups. Guidelines for triage and referrals are also provided. Before plunging into the step-by-step guidelines, a brief history and terminological framework is provided. Lastly, recommendations for addressing specific psychological challenges (suicidal ideation, resistance to seeking professional psychological support, and depression) are provided.

Author: Ronaldo Collo Go
Publisher: McGraw Hill Professional
ISBN: 1264258720
Category : Medical
Languages : en
Pages : 768

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Book Description
The first detailed retrospective of the spread and management of COVID-19—and a blueprint for better management of the next major healthcare crisis From a team of global experts, Understanding Crisis in Critical Care describes the global spread of COVID-19 and analyzes how it was managed compared to other deadly epidemics, such as SARS and MERS. The book features contributors from across the world who dealt first-hand with COVID-19, making this a truly global retrospective on new global pandemics. Organized into three sections, the text covers critical care changes associated with crises, crises in pandemics, trauma, and crises in war and natural disasters. You’ll learn how hospitals are transformed to accommodate surges in patients, while dealing with shortages in staffing, medications, mechanical ventilators, and personal protective equipment and get an invaluable look at how real-time critical decision were made during the height of the pandemic. This one-of-a-kind guide covers: • Working the frontlines • Antimicrobials versus Immunomodulators • Respiratory failure and mechanical ventilation • Repurposing therapies for COVID-19 • Endocrinologic and cardiovascular Issues • Special Populations: pediatrics and immunocompromised patients • SARS, MERS, COVID-19, Ebola, Anthrax, Influenza • Traumatic brain and lung injury • Palliative care and bioethics • Psychiatric issues • Intensive care units under austere conditions • Terrorism (biological and chemical)

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030915037X
Category : Medical
Languages : en
Pages : 175

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Book Description
During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable health care providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.

Author: Richard D. Lamm
Publisher: Fulcrum Publishing
ISBN: 9781555916121
Category : Health attitudes
Languages : en
Pages : 198

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Book Description
Explains in laymen's terms why we need to control costs, come to terms with rationing in the near future, and take more individual responsibility for health. Lamm and Blank explain why "blank check" medicine-unchecked spending and use of technology-is bad for our collective health. [from publisher description].