Hospitals get chance to equip offices for less.
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Biomedical subjects
Publications and source records attributed to L Souhrada.
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The recent revolution in outpatient care has rearranged the rules of thumb for hospital construction. While the vast majority of hospital facilities were designed for inpatient care, the biggest growth area is now outpatient, resulting in a need to rethink outpatient care site planning.
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Is patient-monitoring technology becoming overused? Five years ago, no one would even have posed the question. Now, almost any patient, whether under heavy sedation or a local anesthetic, is a candidate for monitoring under today's standards of care. And a growing number of organizations are setting guidelines on the use of patient monitors. Monitors of all kinds are being used to track the vital signs of patients in virtually every hospital department--from operating and recovery rooms to critical care units. And because existing guidelines are vague about where and when monitors are required, hospitals may need more monitors simply to avoid liability.
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The deepening recession hasn't slowed hospital construction activity--at least not yet. While experts say health care executives should expect fewer large projects within the next two years, as the result of unpredictable sources of capital and increasing censure of hospital capital spending, for the moment hospital projects are helping to shelter some design and construction firms from the recession's fallout.
Hospital CEOs are evenly split on the issue of whether to contract with outside firms to manage departments in their facilities. Although a small majority have never used contractors, the number of executives employing contract managers is growing--and executives are pleased with the results. These are just a few of the results of Hospitals' recent survey of 1,100 hospital CEOs nationwide. The survey asked executives for information about their hospitals' use of more than 40 specific services, including "hotel," business and clinical contract services. Our survey is one of only a few major studies ever undertaken that have asked hospitals themselves about their use of contract-management services. And what were they looking for? Interestingly, not economic advantage but specialized expertise.
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Most hospitals take advantage of only a part of all that clinical pharmacy has to offer. And all hospitals lack solid evidence of the cost-effectiveness of such programs and their impact on patient care. That's about to change. Researchers are paying more attention to analyzing clinical pharmacy's economic value. Within a decade, hospitals could have proof that highly specialized pharmacy services lead to economical, effective use of resources.
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Telecommunications vendors en masse are targeting health care as a market segment with vast, untapped potential. But hospitals are still having trouble integrating computer systems within their own walls. Are they ready to face the telecommunications challenge: utilizing long-distance telecommunication networks that would shuttle health care information around the country as efficiently as systems already at work in the finance industry? Ready or not, experts say the day must come.
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