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BUSINESS PROCESS REENGINEERING AT THE HOSPITALS: A CASE STUDY AT SINGAPORE HOSPITAL

maddy — Mon, 07 Dec 2009 08:53:09 +0000

As health care costs increase, there is a need for healthcare service providers to look for ways to contain costs and to achieve a higher efficiency at their operating facilities without sacrificing quality. This paper studies a case in employing business process reengineering techniques on one aspect of a health care service – surgical work. The system is simulated focusing on the processes that contribute to the effective functioning of an operating theatre. Read More…

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From Stigmatization to Independence: Empowering People with HIV/AIDS in Uganda

admin — Mon, 05 Oct 2009 18:26:49 +0000

People living with HIV/AIDS suffer not only from their medical condition, but also from stigmatizing attitudes in society. Fear of stigma is a main barrier for testing and disclosure in Uganda Neither do they access treatment, crucial for their survival which causes both personal and societal strain such as orphaned children and increased poverty. Uganda Red Cross Society have succeeded in empowering people living with HIV/AIDS, leading to decreased self-stigma and increased independence…read more

Case Study: Companies in Crisis

admin — Mon, 05 Oct 2009 09:50:34 +0000

A shocking incident that happened with Johnson & Johnson. The company was in real crisis when it was hit by the Tylenol case. Refer to the complete case study

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short case studies on organizational climate

A 7-year-old boy with confusion and incoherent speech.

admin — Sun, 20 Sep 2009 20:23:05 +0000

A 7-year-old Chinese boy with a history of bronchial asthma had upper respiratory tract infection for the preceding two weeks treated by a pediatrician. He then presented with confusion and incoherent speech on the day of admission. He was afebrile, with the Glasgow coma scale (GCS) of 14/15 (E4V4M6) and normal physical findings. Investigations showed normal complete blood counts, blood glucose, renal and liver function tests except for mildly elevated ALT at 34 IU/L (5-25 IU/L).
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Clinical Ethics Using a Case Study

Aniruddha — Thu, 04 Jun 2009 13:43:40 +0000

Critical care nurses often find themselves in the midst of challengingethical situations that involve conflict between the needs ofcritically ill patients and the patients’ family membersand the preferences of physicians and other healthcare providerswho initiate and manage resuscitation measures. The presence of patients’ family members during cardiopulmonaryresuscitation (CPR) is an ethical issue debated among healthcareprofessionals who routinely face life-threatening situations.Presentation of a case study involving a family’s presenceduring CPR provides students in a critical care nursing coursevaluable experience in making ethical decisions that will preparethe students for the inevitable dilemmas faced by professionalnurses. It discusses about the Family Presence duringCardiopulmonary Resuscitation.

This paper shows a case about a 40 year man and the issue caused due to the arrival of his wife in the critical care unit.

Click on the link to read more.

Teaching Clinical Ethics Using a Case Study

Diabetic Case Study

Aniruddha — Thu, 04 Jun 2009 13:33:18 +0000

This Case describes and discusses about a 60 year old woman with a Type 2 Diabetes and COPD. The 3-year history of diabetes is seen for worsening dyspnea and cough. She has had chronic obstructive pulmonary disease (COPD) since age 55.

The Case specifies her cuyrretnt condition and asks question regarding the probable solution or medication.

It later gives a proper medication and discusses it in detail.

To read this case click on the following link.

Diabetic Case Study

Asthma Case Study

Aniruddha — Thu, 04 Jun 2009 12:18:38 +0000

This case is an example of what many people with asthma experience. The following discussion will cover the etiology, pathogenesis, signs and symptoms, diagnosis, and treatment of asthma.

To read about the Case Study, please click on the following link.

Asthma Case Study

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Obstetrical Case Study

admin — Mon, 01 Jun 2009 14:45:42 +0000

The following is taken from an update given to Ob/Gyn board candidates at the LSU Board Review in April, 1998. It is intended to be a basic review of the topic.

“The rate of the foetal heart is subject to considerable variations which affords us a fairly reliable means of judging as to the well-being of the child.” This was excerpted from Dr. J. Whitridge Wfetus

illiams, in the second edition of Williams Obstetrics, in 1908. Much has been learned in the 90 years since that statement was written, we still rely on the fetus to give us insight into its health, but we have many more sophisticated methods to evaluate the fetus, and I will try to highlight them in this talk.

To know more click on this link

Antepartal Fetal Surveillance

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Example of Medical case study format

admin — Sun, 26 Apr 2009 14:39:50 +0000

Format for Case Study Write-Up

I. Patient profile:

Age, race, sex, marital status, city of residence, occupation, last clinic visit, date and reason for visit, overview of past clinic visits, chronic illnesses. (Do not use the patient’s name or other references which will identify him/her.)

II. Chart Review:

History of Present Illness (HPI) Narrative describing the patient’s story of illness to include: chronology, bodily location, quality, quantity, setting, aggravating or alleviating factors, associated manifestations, past evaluations and/or treatment. May use numbered sections for separate problems.

Past Medical History (PMH). Childhood health; adult health (illness and hospitalizations, surgery, obstetrical history); accidents and injuries; allergies and immunizations; current medications.

Family History (FH) Family health record: age, diagnoses, manifestations of illness and/or date of death of family members; family disease screening: diabetes, cancer, heart disease, hypertension, anemia, bleeding disorder, epilepsy, TB, asthma, stroke, gout, glaucoma, kidney disease.

Social History (SH) Home environment (residence, family relationships); social adjustment (education, work record, military history, community activities, religious activities, friendships, financial status and medical insurance); marital history; personal habits (sleep, exercise, diet, smoking, caffeine, alcohol and/or drug use); recent stresses and current supports.

Community Agencies and Resources (CAR). Examples of community agencies and resources include Homeless Shelter, Department of Social Services, Home Health Care, Alcoholics Anonymous, The Senior Center, Church, Women’s Shelter, and Mental Health Agency.

Review of Systems (ROS) As recorded from most recent medical visit. Examples include: general (fatigue, weight change, fever/chills); integument (dry skin); head (dizziness, head trauma); eyes (blurring); ears (pain); nose (discharge); mouth (toothache); neck (swelling); breast (self-exam); respiratory (cough); cardiovascular (shortness of breath); gastrointestinal (constipation); genitourinary (incontinence); genital tract (date of last menses; discharge); musculoskeletal (joint swelling); hematopoietic (easy bruising); endocrine (cold intolerance); nervous system (tremor); psychiatric (depression).

Physical Examination (PE) As recorded from most recent medical visit. Vital signs and other relevant physical findings.

Read More on

http://www.ecu.edu/irhtp/Curriculum_Comp/case_format.htm

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