INTENSIVE CARE UNIT. ROYAL NATIONAL THROAT, NOSE AND EAR HOSPITAL, LONDON.
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Thistletown Hospital is a children's psychiatric hospital which was established by the Department of Health of the Province of Ontario. Special legislation permitting control of the admissions procedures was enacted. The administrative organization consists of a series of committees made up of the heads of hospital departments. An advisory board of distinguished psychiatrists and psychologists advises the Minister of Health directly on major policy changes or innovations envisaged for the hospital. Clinical organization is related to four functions: (1) service (treatment and assessment), (2) research, (3) training of staff, and (4) community education.The basic units of the hospital are related to the treatment or research design necessary in special diagnostic categories. A children's psychiatric hospital should not be restricted to in-patient facilities but should consist of a totally community-oriented service.
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Building a new hospital facility is a difficult task, but adding onto and renovating an existing structure while normal activity continues is even more difficult. Project planners, designers, contractors, and hospital managers must carefully program the joint effort of construction and hospital operation. Several factors in the construction process and potential problems for hospital operations are described to help hospital managers better anticipate difficulties before plans are finalized and construction commences.
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