In order for any organization, including a medical one, to function effectively in modern conditions, the entire management system, including the human resources management system, needs constant development and improvement. The staff of health care institutions is a community of people with different levels of conflict. The ability to build constructive relationships, use the most effective strategies of behavior in conflict situations and resolve conflict contradictions is an important indicator of the effectiveness of the work of managers at all levels.The aim - to substantiate, develop and implement in the health care system a functional and organizational model of conflict prevention in medical organizations.582 medical workers of primary care centers and hospitals of the Chernivtsi region were involved in the study, who passed an individual survey about conflict situations in medical institutions and, applying a systemic analysis, developed a functional and organizational model for the prevention of conflict situations in the field of medicine.One of the most important functions of medical managers, doctors and secondary medical personnel in medical institutions is to ensure a balance between rights and obligations in the triad «administration - medical worker - patient». This function is implemented thanks to control over the creation of regulatory documents and analysis of the work of direct performers. To resolve conflict situations and disagreements that arise directly between the manager and medical workers regarding «acute» issues, we suggest using a general conflict management algorithm in a medical organization. Directly to improve the system of prevention of conflict situations in the field of health care, an organizational and functional model has been developed, the basis of which is the correction of pre-conflict situations and their exacerbation.The functional-organizational model of prevention of conflict situations in medical organizations developed in the course of the study reflects modern trends in health care and allows a medical worker to predict the further aggravation of conflict situations or resolve an existing conflict in a non-conflict way.
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J Clin Neurophysiol
December 2024
Human Brain Mapping Program, University of Pittsburgh Medical Centre, Pittsburgh, Pennsylvania, U.S.A.; and.
Objectives: Our study aimed to compare signal characteristics of subdural electrodes (SDE) and depth stereo EEG placed within a 5-mm vicinity in patients with drug-resistant epilepsy. We report how electrode design and placement collectively affect signal content from a shared source between these electrode types.
Methods: In subjects undergoing invasive intracranial EEG evaluation at a surgical epilepsy center from 2012 to 2018, stereo EEG and SDE electrode contacts placed within a 5-mm vicinity were identified.
PLoS One
January 2025
Pulmonology Department, Department of Medicine, Hospital Clínico San Carlos, School of Medicine, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), CIBER de Enfermedades Respiratorias (CIBERES), Universidad Complutense de Madrid, Madrid, Spain.
Objective: This study aimed to evaluate clinical control in chronic obstructive pulmonary disease (COPD), the consequences in terms of treatment decisions, and their potentially associated factors during follow-up of patients in real-life clinical practice.
Methods: EPOCONSUL 2021 is a cross-sectional audit that evaluated the outpatient care provided to patients with a diagnosis of COPD in respiratory clinics in Spain and multivariable logistic regression models to assess the relationships between clinical control and clinical inertia.
Results: 4225 patients from 45 hospitals in Spain were audited.
J Intensive Care Med
January 2025
Division of Critical Care Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Objective: To determine the prognostic value of the Pediatric Sequential Organ Failure Assessment (pSOFA) to discriminate critical events, including code events and intubations, in the pediatric intensive care unit (PICU).
Methods: We performed an observational cohort study of all critical events in a quaternary care PICU between 5/2020 and 4/2023. Critical events were extracted from our hospital communications platform and from the electronic health record (EHR).
J Rural Med
January 2025
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
In mass casualty incidents, effective triage, treatment, and transport are critical for efficient management but often deviate from practices and ethical standards. In terms of resource allocation, decentralized transport is the predominant transport method; however, it is not standardized. This report retrospectively analyzed the response to a mass casualty incident at a university emergency center.
View Article and Find Full Text PDFR Soc Open Sci
January 2025
Centre for Machine Intelligence, The University of Sheffield, Sheffield S1 3JD, UK.
Artificial intelligence is transforming the way we work with information across disciplines and practical contexts. A growing range of disciplines are now involved in studying, developing and assessing the use of AI in practice, but these disciplines often employ conflicting understandings of what AI is and what is involved in its use. New, interdisciplinary approaches are needed to bridge competing conceptualizations of AI in practice and help shape the future of AI use.
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