Effective personnel communications in radiology department management.
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A descriptive study was carried out to examine patient satisfaction among women attending the Iranian Centre for Breast Cancer. A specially designed patient satisfaction questionnaire was distributed to all attendees and they were asked to complete the questionnaire. The questionnaire contained items on satisfaction with care organization, physical environment, personnel communication skills, clinical care, and overall satisfaction. In all, 425 women participated in the study. The mean age of women was 40.4 years (SD = 11.6), most were married (81%) and housewives (69%). A vast majority of women were very satisfied or satisfied with physical environment, personnel communication skills, and clinical care received. Eighty-two per cent of respondents were very satisfied or satisfied with the clinic's overall performance. There was a significant agreement between patients' overall satisfaction and satisfaction with physical environment, personnel communication skills, and clinical care. There was greatest agreement between patients' overall satisfaction and satisfaction with examination room (Kappa = 0.21, P < 0.0001) and with physicians' consultation (Kappa = 0.20, P < 0.0001). None of the demographic variables showed any significant association with patients' overall satisfaction. The findings suggest that the physical environment and physicians' style of consultation contribute most to the patients' overall satisfaction.
Performance contracting is an essential component of quality assurance in human service settings. Performance contracting involves developing performance standards for administrative, support service, and direct service personnel; communicating and contracting with personnel to ensure that they agree to comply with the performance standards for their positions; and using standards to monitor and evaluate the quantity and quality of staff performance. Performance contracting also serves to reinforce organizational structure and facilitate program evaluation and is useful in helping to ensure that psychiatrists and other professionals are sufficiently committed to meeting organizational goals as well as those of their professional disciplines.
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Patients and personnel who are exposed to certain communicable diseases in a hospital setting often require therapeutic or epidemic control measures which may differ from measures employed following community exposure. This paper offers guidelines for reducing the hospital spread of communicable diseases by preventive measures (admission screening procedures, immunizations for personnel), and post-exposure management of patients and personnel. It is intended as a companion to the "Hospital Isolation and Precaution Guidelines" for patients with clinically manifest infections which appeared previously.
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One of the reasons why population information has to a certain degree failed to create demand for family planning services is that the majority of information and communication materials being used have been developed in an urban setting, resulting in their inappropriateness to the target rural audiences. Furthermore, their having been evolved in urban centers has hampered their subsequent replication, distribution, and use in rural areas due to lack of funds, production and distribution resources. For this reason, many developing countries in Asia have begun to demand population materials which are low-cost and simple, more appropriate to rural audiences and within local production resources and capabilities. In the light of this identified need, the Population Communication Unit, with the assistance of the Population Education Mobile Team and Clearing House, Unesco, has collaborated with the Population Center Foundation of the Philippines to undertake a Regional Training Workshop on the Design, Development, and Utilization of Low-Cost Audiovisual Aids in the Philippines from 21-26 July 1980. The Workshop, which will be attended by communications personnel and materials developers from Bangladesh, Indonesia, Nepal, the Philippines, Sri Lanka and Thailand, will focus on developing the capabilities of midlevel population program personnel in conceptualizing, designing, developing, testing and utilizing simple and low-cost audiovisual materials. It is hoped that with the skills acquired from the Workshop, participants will be able to increase their capability in training their own personnel in the development of low-cost materials.
The opportunity to provide effective EMS begins at the point of citizen access, with successive links to emergency response and medical control. This responsibility places much pressure on the communications division of any EMS system. Communications specialists must be acutely aware that each flashing number on the computer screen represents someone in trouble--a person's life. This unique situation is highlighted when, through emergency medical instructions given over the phone to the caller, a life is saved. This type of event has become more common throughout the United States, with most EMS systems implementing proactive protocols for pre-arrival instructions. The strength of an EMS system directly correlates with the effectiveness of its communications center and the professionalism of communications personnel. Unlike other individuals in the EMS system, communications specialists rarely see their patients "in the flesh" and must experience the rewards of accomplishment vicariously through the actions of the crews dispatched. In the same vein, they also share the tragedies and disappointments that are all too often part of an EMS career.
In 2001, the intentional release of anthrax spores in the eastern United States increased concern about exposure to anthrax nationwide, and residents of Idaho sought assistance. Response from state and local agencies was required, increasing the strain on epidemiologists, laboratorians, and communications personnel. In late 2001, Idaho's public health communications system handled 133 calls about suspicious powders. For each call, a multiagency bridge call was established, and participants (public health officials, epidemiologists, police, Federal Bureau of Investigation personnel, hazardous materials officials, and others) determined which samples would be tested by the state public health laboratory. A triage system for calls helped relieve the burden on public safety and health systems.
Effective communications between the consultant pharmacist and nursing home personnel: Communications components of clinical significance/severity, coordination, continuity, and culpability are detailed with case examples of types of communications recommendations.
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