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EFFECTS OF HOSPITAL STRUCTURAL COMPLEXITY AND PROCESS ADEQUACY ON THE PREVALENCE OF SYSTEMIC ADVERSE EVENTS AND COMPLIANCE ISSUES: A BIOMEDICAL ENGINEERING TECHNICIAN PERSPECTIVE
Title
EFFECTS OF HOSPITAL STRUCTURAL COMPLEXITY AND PROCESS ADEQUACY ON THE PREVALENCE OF SYSTEMIC ADVERSE EVENTS AND COMPLIANCE ISSUES: A BIOMEDICAL ENGINEERING TECHNICIAN PERSPECTIVE.
Creator
Fiedler, Beth, Wan, Thomas, University of Central Florida
Abstract / Description
Purpose: The purpose of this study is to understand the relationships among structural complexity, process adequacy, and level of quality in a hospital environment of care from the perspective of the biomedical engineering technician (BMET). The BMET health support occupation is under-represented in research. The BMET influences on patient outcomes were observed indirectly through the influence on nursing performance. The unit of analysis is biomedical engineering technician. The study...
Show morePurpose: The purpose of this study is to understand the relationships among structural complexity, process adequacy, and level of quality in a hospital environment of care from the perspective of the biomedical engineering technician (BMET). The BMET health support occupation is under-represented in research. The BMET influences on patient outcomes were observed indirectly through the influence on nursing performance. The unit of analysis is biomedical engineering technician. The study examined the predictors of adverse events in hospital care and suggested how to promote reduction in adverse events (hospital acquired infections) associated with medical equipment. Methods: Primary data were gathered by the Biomedical Engineering Interdepartmental Survey of BMETs' professional perception of organizational factors (Structural Complexity), process factors (Process Adequacy), Level of Quality and control variables that characterizes the study population. A total of 317 BMETs in 46 states and the District of Columbia completed the survey. The survey instrument was developed using Dillman's Tailored Design Methods and validated for reliability. A majority of respondents reported 5+ years of experience working at large, non-profit, Joint Commission accredited, urban facilities across 5 regions. The effect of structural complexity and process adequacy was analyzed by structural equation modeling (SEM) under the theoretical framework of Donabedian's Structure-Process-Outcome model. Findings: The SEM data analysis indicates strong, positive relationships between constructs as statistically significant (2-tailed) with normal distribution: 1) Structural Complexity and Process Adequacy at Beta =.889, t=7.248, p<0.001; 2) Process Adequacy and Level of Quality at Beta =.563, t=3.136, p=0.002; and 3) Structural Complexity and Level of Quality at Beta =.430, t=2.469, and p=0.014. Translation of these findings into equation form as follows: Level of Quality = .889 Structural Complexity + .563 Process Adequacy The study finds several determinants of quality derived from structural complexity including 1) uniform standards, 2) inter-professional training, and 3) coordination evidence. In addition, the intervening effect of process adequacy comprising regular meetings, equipment purchasing involvement, formal equipment training across departments, and formal department information on the level of quality is supported. Conclusion: Predictors identified from interdepartmental and inter-professional partnerships and associated processes suggest that integration of the biomedical engineering technician into the hospital delivery system can improve the quality of care. Administrators can manage and improve quality through employing simple, effective and efficient solutions such as 1) updating internal hospital policy to require regularly scheduled meetings between nursing and biomedical staff regarding equipment issues, 2) linking the BMET department goals to organization objectives, 3) interdepartmental reporting of hospital acquired infections, and 4) standardizing clinical engineering practices to facilitate increased internal and external hospital quality.
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Date Issued
2011
Identifier
CFE0003980, ucf:48670
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0003980
HEALTHCARE COMMUNICATION NETWORKS: THE DISSEMINATION OF EMPLOYEE INFORMATION FOR HOSPITAL SECURITY
Title
HEALTHCARE COMMUNICATION NETWORKS: THE DISSEMINATION OF EMPLOYEE INFORMATION FOR HOSPITAL SECURITY.
Creator
Sumner, Jennifer, Liberman, Aaron, University of Central Florida
Abstract / Description
ABSTRACT: Healthcare in the United States is a system that, organizationally speaking, is fragmented. Each hospital facility is independently operated and is responsible for the hiring of its own employees. However, corrupt individuals can take advantage of this fragmentation and move from hospital to hospital, gaining employment while hiding previous employment history. Traditionally, hospitals have been reluctant to share information on their previous employees, even with other hospitals,...
Show moreABSTRACT: Healthcare in the United States is a system that, organizationally speaking, is fragmented. Each hospital facility is independently operated and is responsible for the hiring of its own employees. However, corrupt individuals can take advantage of this fragmentation and move from hospital to hospital, gaining employment while hiding previous employment history. Traditionally, hospitals have been reluctant to share information on their previous employees, even with other hospitals, for fear of issues surrounding defamation, negligent hiring, and violation of the employee's privacy. However, growth in healthcare services is expected to rise exponentially in the near future, increasing the demand for employees. The need, therefore, to exchange pertinent information regarding employees will become necessary as hospitals seek qualified employees to fill positions throughout their organizations. One way to promote this information exchange is to develop trusted information sharing networks among hospital units. This study examined the problems surrounding organizational information sharing as well as the current level of employee information sharing being conducted by hospitals nationwide. Utilizing a survey of hospital administrators, this study drew upon the theoretical foundations of the Diffusion of Innovation Theory, the Knowledge Management Theory, the Social Exchange Theory and the earlier organizational information sharing frameworks established by Dawes (1996) and Landsbergen and Wolken (1998; 2001) in order to examine the variables that contribute to propensity of hospital administrators to engage in the sharing of employee information with other organizations.
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Date Issued
2008
Identifier
CFE0002010, ucf:47609
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002010