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Linda K Kosnik

Publications and source records attributed to Linda K Kosnik.

5 recordsLinked to original sources
PubMed2004

Emergency department structure and operations.

The purpose of this article is to explore some of the tools and technologies available in operations management in health care in general and in emergency medicine in particular. The intent is to stimulate the reader to explore some of these approaches and tools in further detail. Various theories are noted, but the intent of this article is to be eclectic so as to give the reader a feel for the rich variety of approaches available.

Cooperative Behavior↗
PubMed2003

Microsystems in health care: Part 7. The microsystem as a platform for merging strategic planning and operations.

BACKGROUND: The microsystem, as agent for change, plays a critical and essential role in developing and deploying the macrosystem's strategic plan. STRATEGIC PLANNING AND MICROSYSTEM THINKING: To effectively deploy a strategic plan, the organization must align the plan's goals and objectives across all levels and to all functional units. The concepts of microsystem thinking were the foundation for the journey on which Overlook Hospital/Atlantic Health System (Summit, NJ) embarked in 1996. Six stages can be identified in the development of the relationship between macrosystems and microsystems. Five critical themes--trust making, mitigation of constraints and barriers among departments and units, creation of a common vocabulary, raising of microsystem awareness, and facilitation of reciprocal relationships--are associated with these stages. NOTES FROM A MICROSYSTEM JOURNEY: The emergency department (ED) experienced Stage 1--The Emergence of a Self-Aware Microsystem--as it created cultural and behavioral change, which included the actualization of staff-generated ideas and an ongoing theme of trust making. In Stage 3--Unlike Microsystems (Different Units) Learn to Collaborate--the ED's microsystems approach spread to other units in the hospital. Collaboratives addressed x-ray turnaround times, admission cycle times, and safety initiatives. SUMMARY AND CONCLUSIONS: The microsystem--the small, functional, front-line units--is where the strategic plans become operationalized.

Cooperative Behavior↗
PubMed2002

The new paradigm of crew resource management: just what is needed to re-engage the stalled collaborative movement?

The literature is replete with examples of collaborative studies and research from 1960 to about 1995, after which the movement seems to have lost momentum. With the emergence and focus on patient safety issues, the importance of collaboration and a team approach to patient care has become paramount. CRM is a communication methodology developed by the aviation industry, based on team-centered decision making systems. Once we have identified the key components of a successful collaborative model, it is imperative that we incorporate them into the health care providers' educational curriculum, both in training as well as in the practice setting. Effective communication must be identified as a necessary skill, and collaboration as a conscious, learned behavior. The dream of collaboration has been deferred long enough, and CRM shows promise for re-igniting the collaborative movement.

Aviation↗