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11	Připravenost zdravotnického zařízení na vznik mimořádných událostí zdravotnického charakteru / Preparedness of Medical Facility to Emergency Events of Medical Character HUSOVÁ, Iva January 2018 (has links) Theoretical part of the diploma thesis is focused on preparedness and crisis management of healthcare services during occurrence of emergency event with mass health disability. The first chapters provides simple and complete overview of various types of catastrophes, the explanation of emergency events, their causes and outcomes. Theoretical part deals with analysis of Integrated rescue system and puts emphasis on Medical rescue service and its role in mass health disability control in pre-hospital phases. The whole chapter is devoted to recommended procedure of resolving emergency event with mass health disability in the medical facility. Other chapters emphasize on medical facility crisis preparedness focused on traumatological plan. The aim of the diploma thesis was to find out the contemporary state of crisis preparedness of Nemocnice Písek, a.s. emphasizing on traumatological plan and to identify its potential deficiencies as well as to find the best possible solutions that would eliminate the problem to minimum or would remove the problem completely. The second mainstay of the diploma thesis was to evaluate knowledge of medical staff in Nemocnice Písek, a.s. concerning the issue of traumatological planning and evaluate their preparedness to admission of patients during mass health disability and providing quality medical and nursery health care. In my diploma thesis I also looked into the case whether the researched medical facility organises practices of crisis preparedness of traumatological plan in collaboration with the Integrated rescue system, which make the major presumption for quality and professional managing of emergency event with mass health disability. SWOT analysis was used to achieve the set goals, a managerial tool which aims at evaluation of internal and external environment of medical facility through strengths and weaknesses, opportunities and threats, was used. Quantitative research was also used in the thesis, particularly the method of questionnaire survey which gathered data about traumatological planning awareness and attitude of researched group of respondents. The results of questionnaire survey were surprising. Medical staffs are theoretically aware enough of procedures necessary for handling with emergency event with mass health disability according to the traumatological plan. On the other hand, the negative finding is the fact that 74% of medical staff do not participate in practice to handle mass admission of injured people, which in my opinion shows underestimation of the preparedness of the medical facility for emergency event or crisis. The traumatological plan of the chosen medical facility follows the regulations given by the valid legislation and is regularly updated but the interview with the head doctor of the surgical department MUDr. Marta Horáková reveals the weaknesses of traumatology planning. The traumatological plan contains practical deficiencies so that it is recommended to make it more specific, detailed and adapted to technical disposal of the hospital. In particular, the system of calling out the staff in case of traumatological plan activation during out of working hours has not been fully resolved; furthermore, direction points for the Integrated rescue system and the public have been marked insufficiently or have not been marked at all. The last major weakness is the absence of contact point for the media or the public. In the final part of my thesis I suggested measures for elimination or at least reduction of the crisis points.
12	Strategická analýza soukromého zdravotnického zařízení / Strategic Analysis of Private Medical Facilities Hrachová, Lenka January 2012 (has links) The aim of this thesis is formulate a strategic analysis of Santé Ltd., which is a private facility in the market for providing health services. Company headquarters are located in the capital city Prague. The company provides highly qualified care in all medical disciplines, not only in Prague and throughout the Czech Republic. The company operates in a dynamically growing sector, which is also relatively strong competition. The strengths are a long tradition of the company, comprehensive services and its reputation. The weaknesses include poor company strategy, a large load in administration, high fluctuations and lack of motivation. Based on the analysis will be proposed the recommendatiat the end of this.
13	Zdravotní středisko / Medical center Tomíček, Dominik January 2018 (has links) In my diploma thesis I drafted a layout of a medical facility of emergency care in the town Kravaře. I focus on a choice of an appropriate structural design and processing of the design documentation for the construction in accordance with the laws, bylaws and the technical standard. The building is a standalone three stories building without cellar and with a flat roof. There are 16 medical units, a pharmacy and an optician. The construction is based on reinforced concrete foundation slab and walled with sand-lime blocks. The ceiling is constructed from cast-in-place reinforced slab. The façade is made of combination of ventilated façade with fibre-cement board paneling, insulation system and a glazed area with sunscreen. The construction is roofed with a warm flat roof. The openings in the external walls are designed as aluminum infills.
14	Podnikatelský záměr – založení agentury domácí péče / Business Plan for Starting a Home Care Agency Buďová, Radka January 2011 (has links) This thesis deals with essential steps that are necessary to start-up home care agency. The goal is to determine whether it is nowadays a lucrative business to provide health and social care in this way. In terms of specificity of health care, the thesis includes both a detailed analysis of current state of the health care market and the theoretical knowledge of legislative and legal regulations associated with the establishment of home care agency.
15	Zaměstnanost z pohledu současné právní úpravy a úloha úřadů práce / Employment from the View of Current Legal Regulations and the Role of Employment Offices PLÁŠILOVÁ, Eva January 2011 (has links) The dissertation deals with the current situation of the labour market, as well as presents legal wording in the field of labour law, employment law, labour code, their ammendments, and other important legal regulations. The aim of this work is an analysis of the existing situation of the labour market and the cooperation with employment offices and companies in the Czech Republic. In addition, it looks to define an understanding of the real situations and problems these institutions struggle with, using statistical and mathematical models learned during my studies.
16	Bariéry v komunikaci mezi vybranými úrovněmi managementu zdravotnického zařízení / Communication Barriers between selected levels of management of medical facility Doležel, Jan January 2012 (has links) The aim of this work is to identify the most common communication errors in terms of transactional analysis taken from selected levels of management of medical facility, which undermine the social interaction at work, and analyse their causes and impact on the behaviour and experience of parties involved. Part of the work is a set of recommendations for the prevention and elimination of these barriers. For these goals to be met, I have developed questionnaires, particularly for top management, and especially for middle management, where the respondents assess themselves on how often they face barriers in the workplace and the impact of these barriers on their behaviour and experience. Their responses are processed in charts by allocation criteria. Communication theories and the barriers related to the identified data give an idea of how the top management of this medical facility (and possibly at other medical facilities of similar size and structure) should communicate with senior consultants with care. The contribution of this work should be to improve communication and achieve not only greater satisfaction for all employees, but also increase productivity during business hours. For this to transpire, it is first necessary to increase communication, especially the knowledge of effective communication, then accept their mistakes and make a constant effort to eliminate them. Some important basic concepts in communication, transactional, barriers of communication and removing communication barriers are clarified in the theoretical part. The practical part is focused on the environment of unnamed hospital. The most commonly met crossed transactions in the workplace and their impact on the behaviour and experience are shown and described there.
17	Podnikatelský plán - výběr vhodné formy podnikání pro lékařskou ordinaci / Business Plan - Selection of Appropriate Forms of Business for the Medical Surgery Jeleníková, Judita January 2012 (has links) This thesis focuses on the essential steps that are necessary to select of appropriate form of business for the private surgery of a paediatrician and then to describe the activities leading to setting up the chosen legal entity. In view of specificity of health care, the thesis includes both an analysis of a current situation of the private health care and the information of legislative and legal regulations associated with the establishment of appropriate legal entity
18	Felinus Domus: A Veterinary Hospital for Cats in Old Town Alexandria, Virginia Butterworth, Mary Michele 15 April 2008 (has links) Throughout time man has discovered that the human form, in all its harmonious proportion, can be used as a guide, gauge and tool to design and build structures. However, the human figure has not been the only organic form used to create architecture. Many animals create dwellings that synchronize with not only their own unique physical characteristics and survival instincts, but with their aesthetic preferences as well. It is logical that a design should respond to its surroundings, program and most importantly, its inhabitants. This thesis design is for two specific occupants: the cat and the human. They are both meant to inhabit the building wholly and simultaneously. The way each of them experiences and uses the space, however, differs greatly. For a building to survive it needs many of the same things as living creatures: sunlight, air and movement, to name a few. It also needs to function like a living creature. It must breathe, sleep, respond to the changing seasons, and adapt over time. This thesis is an investigation of how both human and cat can dwell in a building of harmonious proportion, scale, light, and material. / Master of Architecture curiosity barrel vault inhabit louver dwell dwelling scale spine proportion animal architecture hospital veterinary display windows felis domesticus tail animal medical facility arch cat organic curvilinear playroom vault
19	Metody výuky pro nácvik hygieny rukou / Teaching methods for hand hygiene Hájková, Iveta January 2021 (has links) Introduction to the issue and the importance of the topic: The subject of this diploma thesis is to focus on issues related to teaching methods for the practice of hand hygiene in health care professionals in medical facilities. The issue of increasing efficiency in education is today an increasingly relevant topic supporting the activity of every person. In medical facilities, we encounter a problem with employee motivation, mutual interaction and communication when practicing new nursing procedures (hand hygiene), (Cullen, 2017). Unfortunately, most lecturers still teach only traditional teaching methods and use activating methods minimally or not at all (Sitná et al., 2009). Such a stereotype in the teaching process often provides only mechanical reproduction of the learned content. There is no consideration of understanding and practical interconnection, which is often boring and cumbersome for employees (Duran et al., 2017). The lecturer should pass on theoretical knowledge and practical skills to the given employees and thus develop their attitudes necessary for the performance of their profession (Vengl, 2011). Although much attention is paid to education in the literature, the methods used are often briefly characterized and listed by the authors. The primary focus of this work is on...
20	Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital Lucas, D. Pulane 24 April 2013 (has links) Advances in medical technology have altered the need for certain types of surgery to be performed in traditional inpatient hospital settings. Less invasive surgical procedures allow a growing number of medical treatments to take place on an outpatient basis. Hospitals face growing competition from ambulatory surgery centers (ASCs). The competitive threats posed by ASCs are important, given that inpatient surgery has been the cornerstone of hospital services for over a century. Additional research is needed to understand how surgical volume shifts between and within acute care general hospitals (ACGHs) and ASCs. This study investigates how medical technology within the hospital industry is changing medical services delivery. The main purposes of this study are to (1) test Clayton M. Christensen’s theory of disruptive innovation in health care, and (2) examine the effects of disruptive innovation on appendectomy, cholecystectomy, and bariatric surgery (ACBS) utilization. Disruptive innovation theory contends that advanced technology combined with innovative business models—located outside of traditional product markets or delivery systems—will produce simplified, quality products and services at lower costs with broader accessibility. Consequently, new markets will emerge, and conventional industry leaders will experience a loss of market share to “non-traditional” new entrants into the marketplace. The underlying assumption of this work is that ASCs (innovative business models) have adopted laparoscopy (innovative technology) and their unification has initiated disruptive innovation within the hospital industry. The disruptive effects have spawned shifts in surgical volumes from open to laparoscopic procedures, from inpatient to ambulatory settings, and from hospitals to ASCs. The research hypothesizes that: (1) there will be larger increases in the percentage of laparoscopic ACBS performed than open ACBS procedures; (2) ambulatory ACBS will experience larger percent increases than inpatient ACBS procedures; and (3) ASCs will experience larger percent increases than ACGHs. The study tracks the utilization of open, laparoscopic, inpatient and ambulatory ACBS. The research questions that guide the inquiry are: 1. How has ACBS utilization changed over this time? 2. Do ACGHs and ASCs differ in the utilization of ACBS? 3. How do states differ in the utilization of ACBS? 4. Do study findings support disruptive innovation theory in the hospital industry? The quantitative study employs a panel design using hospital discharge data from 2004 and 2009. The unit of analysis is the facility. The sampling frame is comprised of ACGHs and ASCs in Florida and Wisconsin. The study employs exploratory and confirmatory data analysis. This work finds that disruptive innovation theory is an effective model for assessing the hospital industry. The model provides a useful framework for analyzing the interplay between ACGHs and ASCs. While study findings did not support the stated hypotheses, the impact of government interventions into the competitive marketplace supports the claims of disruptive innovation theory. Regulations that intervened in the hospital industry facilitated interactions between ASCs and ACGHs, reducing the number of ASCs performing ACBS and altering the trajectory of ACBS volume by shifting surgeries from ASCs to ACGHs. Disruptive Disruptive Innovation Theory Disruptive Transformations Disruptive Innovation Innovation Technology Technological Innovation Medical Innovation Medical Technology Medical Advancement Laparoscopy Laparoscopic Surgery open surgery appendectomy cholecystectomy bariatric surgery weight loss surgery appendectomies cholecystectomies inpatient outpatient ambulatory ambulatory surgery ambulatory surgery center acute care general hospital hospital acute care hospital general hospital health care healthcare hospital industry health care industry Clayton Christensen Clayton M Christensen Michael Porter Harvard Business School Virginia Commonwealth University CMS Health policy public policy public administration organizational theory organization theory Population Ecology Theory Competitive Strategy policy analysis John Kimberly Organization Size Structural Inertia liability of smallness health spending health care cost specialty medical facility open system niche width dynamic outpatient department technology shift surgical setting surgical setting shift medical facility shift substitution threat health system system level analysis Ecological Approach hospital trends ambulatory surgery trends reimbursement rate Medicare CMS coverage decision P J DiMaggio DiMaggio and Powell w w Powell Hannan and Freeman M T Hannan Organizational change minimally invasive surgery less invasive surgery Prospective Payment System Outpatient Prospective Payment System entreprenuerial physician health care organization health care management Roice Luke Carl Ameringer new technology surgical utilization elective surgery Medicare Payment Advisory Commission MedPAC coverage decision trends in surgery abdominal surgery surgical variation physician-owned physician ownership physician autonomy outpatient clinic utilization trends unnecessary surgery Pfeffer Salancik technology diffusion redefining health care interdisciplinary research health care delivery panel design diffusion of hospital technology state variation regional variation local health care market government intervention medical facility health care capacity focused factory advances in health care physician organization relationship hospital competition medical specialization hospital expansion medical arms race integrated care integrated health system J E Wennberg health care transformation reimbursement scheme surgical volume Florida Wisconsin policy making health policy analysis competitive dynamics center of excellence intervening factor service line competition service-line competition surgical reimbursement innovative business model innovative technology environmental influence established firm new market entrant patient safety sophisticated technology Harvard Divinity School Social and Behavioral Sciences

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