hospital administration


Summary: Management of the internal organization of the hospital.

Top Publications

  1. Shabot M, Monroe D, Inurria J, Garbade D, France A. Memorial Hermann: high reliability from board to bedside. Jt Comm J Qual Patient Saf. 2013;39:253-7 pubmed
    ..The most significant cultural change at MHHS has been the expectation for 100% compliance with evidence-based quality measures and 0% incidence of patient harm. ..
  2. van Lent W, Sanders E, van Harten W. Exploring improvements in patient logistics in Dutch hospitals with a survey. BMC Health Serv Res. 2012;12:232 pubmed publisher
    ..To make improvement efforts more successful, research should be conducted into the selection and application of approaches, their contingency factors, and goal-setting procedures. ..
  3. Olson J, Belohlav J, Cook L. A Rasch model analysis of technology usage in Minnesota hospitals. Int J Med Inform. 2012;81:527-38 pubmed publisher
    ..In particular, it was shown that the technological capability of a hospital is a key consideration in determining the level of resources that are necessary to implement specific healthcare technologies within a hospital. ..
  4. Escobar G, Greene J, Scheirer P, Gardner M, Draper D, Kipnis P. Risk-adjusting hospital inpatient mortality using automated inpatient, outpatient, and laboratory databases. Med Care. 2008;46:232-9 pubmed publisher
    ..Efforts to support improvement of hospital outcomes can take advantage of risk-adjustment methods based on automated physiology and diagnosis data that are not confounded by information obtained after hospital admission. ..
  5. Singer S, Gaba D, Falwell A, Lin S, Hayes J, Baker L. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47:23-31 pubmed publisher
    ..Differences among and within hospitals suggest that strategies for improving safety climate and patient safety should be tailored for work areas and disciplines. ..
  6. Vera A, Kuntz L. Process-based organization design and hospital efficiency. Health Care Manage Rev. 2007;32:55-65 pubmed
    ..However, to actually achieve positive effects on efficiency, it is of paramount importance to observe some implementation rules, in particular to mobilize physician participation and to create an adequate organizational culture. ..
  7. Brinkman S, Abu Hanna A, van der Veen A, de Jonge E, de Keizer N. A comparison of the performance of a model based on administrative data and a model based on clinical data: effect of severity of illness on standardized mortality ratios of intensive care units. Crit Care Med. 2012;40:373-8 pubmed publisher
    ..Comparing institutions based on standardized mortality ratios can be unfavorable for those with a more severely ill intensive care unit population, especially when using the customized hospital standardized mortality ratio. ..
  8. Smith D, Rogers G, Dreyfus A, Glasser J, Rabson B, Derbyshire L. Balancing accountability and improvement: a case study from Massachusetts. Jt Comm J Qual Improv. 2000;26:299-312 pubmed
    ..The goals of public accountability reporting will be realized sooner when it is wedded to the spirit of continuous quality improvement and when providers are engaged as partners at every step of the measurement and reporting process. ..
  9. Gray B, Hebert K. Hospitals in Hurricane Katrina: challenges facing custodial institutions in a disaster. J Health Care Poor Underserved. 2007;18:283-98 pubmed
    ..This paper explores what happened in New Orleans-area hospitals during and after Hurricane Katrina and why hospitals had such varied experiences. We conclude with lessons based on the Katrina experience. ..

More Information


  1. Braithwaite J. An empirical assessment of social structural and cultural change in clinical directorates. Health Care Anal. 2006;14:185-93 pubmed
    ..This being the case, the paper questions the benefits alleged to have accrued from establishing CDs and calls for more effective, micro-behavioural change strategies than merely altering the structure. ..
  2. Pilyavsky A, Aaronson W, Bernet P, Rosko M, Valdmanis V, Golubchikov M. East-west: does it make a difference to hospital efficiencies in Ukraine?. Health Econ. 2006;15:1173-86 pubmed
  3. Niazkhani Z, Pirnejad H, Berg M, Aarts J. The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review. J Am Med Inform Assoc. 2009;16:539-49 pubmed publisher
    ..Regarding the diversity of findings in the literature, we conclude that more multi-method research is needed to explore CPOE's multidimensional and collective impact on especially collaborative workflow. ..
  4. Jha A, DesRoches C, Campbell E, Donelan K, Rao S, Ferris T, et al. Use of electronic health records in U.S. hospitals. N Engl J Med. 2009;360:1628-38 pubmed publisher
    ..A policy strategy focused on financial support, interoperability, and training of technical support staff may be necessary to spur adoption of electronic-records systems in U.S. hospitals. ..
  5. Halasyamani L, Davis M. Conflicting measures of hospital quality: ratings from "Hospital Compare" versus "Best Hospitals". J Hosp Med. 2007;2:128-34 pubmed
    ..Such discordance between major quality rating systems paints a conflicting picture of institutional performance for the public to interpret. ..
  6. Hubner U, Sellemann B. Current and future use of ICT for patient care and management in German acute hospitals--a comparison of the nursing and the hospital managers' perspectives. Methods Inf Med. 2005;44:528-36 pubmed
    ..The future of documentation systems is unclear, unless they not only provide statistical data for the management but support the clinical process properly. ..
  7. Lega F, DePietro C. Converging patterns in hospital organization: beyond the professional bureaucracy. Health Policy. 2005;74:261-81 pubmed
    ..Challenges and managerial implications of this more and more widely diffused organizational paradigm are debated in the last part of the study. ..
  8. Al Khatib I, Al Qaroot Y, Ali Shtayeh M. Management of healthcare waste in circumstances of limited resources: a case study in the hospitals of Nablus city, Palestine. Waste Manag Res. 2009;27:305-12 pubmed publisher
    ..Formulating rules and guidelines for medical waste and developing strategies for overcoming the obstacles related to waste management should be considered as an urgent matter. ..
  9. Shipton H, Armstrong C, West M, Dawson J. The impact of leadership and quality climate on hospital performance. Int J Qual Health Care. 2008;20:439-45 pubmed publisher
    ..A frequently neglected area-patient complaints-may be a valid measure to consider when assessing leadership and quality in a health-care context. ..
  10. Hartmann C, Rosen A, Meterko M, Shokeen P, Zhao S, Singer S, et al. An overview of patient safety climate in the VA. Health Serv Res. 2008;43:1263-84 pubmed publisher
    ..This is the first systematic study of patient safety climate in VA hospitals. Findings indicate an overall positive safety climate across the VA, but there is room for improvement. ..
  11. Longo D, Hewett J, Ge B, Schubert S. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294:2858-65 pubmed
    ..Data are consistent with recent reports that patient safety system progress is slow and is a cause for great concern. Efforts for improvement must be accelerated. ..
  12. Groene O, Jorgensen S. Health promotion in hospitals--a strategy to improve quality in health care. Eur J Public Health. 2005;15:6-8 pubmed
  13. Smits M, Wagner C, Spreeuwenberg P, van der Wal G, Groenewegen P. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Qual Saf Health Care. 2009;18:292-6 pubmed publisher
    ..Improvement efforts should be directed at their most relevant organisational level. In general, improvement efforts on patient safety culture should be addressed at the unit level, rather than the individual or hospital level. ..
  14. Villa S, Barbieri M, Lega F. Restructuring patient flow logistics around patient care needs: implications and practicalities from three critical cases. Health Care Manag Sci. 2009;12:155-65 pubmed
    ..The paper ends by discussing some policy implications. In fact, the results achieved in the three cases investigated provide interesting material for further discussion on clinical, operational, and economic issues. ..
  15. Dückers M, Makai P, Vos L, Groenewegen P, Wagner C. Longitudinal analysis on the development of hospital quality management systems in the Netherlands. Int J Qual Health Care. 2009;21:330-40 pubmed publisher
    ..Hospitals are entering the stage of systematic quality improvement. ..
  16. Curry L, Spatz E, Cherlin E, Thompson J, Berg D, Ting H, et al. What distinguishes top-performing hospitals in acute myocardial infarction mortality rates? A qualitative study. Ann Intern Med. 2011;154:384-90 pubmed publisher
    ..Agency for Healthcare Research and Quality, United Health Foundation, and the Commonwealth Fund. ..
  17. Olson J, Belohlav J, Cook L, Hays J. Examining quality improvement programs: the case of Minnesota hospitals. Health Serv Res. 2008;43:1787-806 pubmed publisher
    ..A hospital's ability to successfully adopt improvement programs is a function of its existing capabilities. As a hospital's capability increases, the ability to successfully implement higher level programs also increases. ..
  18. Votruba M, Cebul R. Redirecting patients to improve stroke outcomes: implications of a volume-based approach in one urban market. Med Care. 2006;44:1129-36 pubmed
    ..4%; lower thresholds would redirect fewer patients but have negligible effects on mortality. Our findings fail to support redirecting acute stroke patients based on hospital stroke volume. ..
  19. Fraser I, Encinosa W, Glied S. Improving efficiency and value in health care: introduction. Health Serv Res. 2008;43:1781-6 pubmed publisher
  20. Fleming M. Patient safety culture measurement and improvement: a "how to" guide. Healthc Q. 2005;8 Spec No:14-9 pubmed
  21. Wagner C, Gulacsi L, Takacs E, Outinen M. The implementation of quality management systems in hospitals: a comparison between three countries. BMC Health Serv Res. 2006;6:50 pubmed
    ..However, the results show that specific obligations can stimulate the implementation of QM-activities more than general, framework legislation. ..
  22. Glance L, Dick A, Osler T, Mukamel D. Accuracy of hospital report cards based on administrative data. Health Serv Res. 2006;41:1413-37 pubmed
    ..However, the CPAA modifier will need to be further validated before date stamped administrative data can be used as the basis for health quality report cards. ..
  23. Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care. 2010;16:632-8 pubmed publisher
    ..Large datasets have established more reliable instruments that allow a more focussed investigation of the role of culture in the improvement and maintenance of staff's safety perceptions within units, as well as within hospitals. ..
  24. Chen I, Li H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Serv Res. 2010;10:152 pubmed publisher
    ..The existence of discrepancies between the US data and the Taiwanese data suggest that cultural uniqueness should be taken into consideration whenever safety culture measurement tools are applied in different cultural settings. ..
  25. van Walraven C, Austin P, Jennings A, Quan H, Forster A. A modification of the Elixhauser comorbidity measures into a point system for hospital death using administrative data. Med Care. 2009;47:626-33 pubmed publisher
    ..745, 95% CI: 0.742-0.749). When analyzing administrative data, the Elixhauser comorbidity system can be condensed to a single numeric score that summarizes disease burden and is adequately discriminative for death in hospital. ..
  26. van Merode G, Groothuis S, Hasman A. Enterprise resource planning for hospitals. Int J Med Inform. 2004;73:493-501 pubmed
    ..ERP can be very useful for planning and controlling the deterministic processes. ..
  27. Korst L, Signer J, Aydin C, Fink A. Identifying organizational capacities and incentives for clinical data-sharing: the case of a regional perinatal information system. J Am Med Inform Assoc. 2008;15:195-7 pubmed
    ..This data center case suggests four requirements for sharing data across organizations: 1) a readiness assessment; 2) a perceived mandate; 3) a formal governance structure; and 4) a third party IT component. ..
  28. Spector W, Mutter R, Owens P, Limcangco R. Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. Med Care. 2012;50:863-9 pubmed publisher
    ..It also suggests that a strategy to reduce readmission rates should not only focus on hospitals but also nursing homes and home health care. ..
  29. Halpern S, Emanuel E. Ethical guidance on the use of life-sustaining therapies for patients with Ebola in developed countries. Ann Intern Med. 2015;162:304-5 pubmed publisher
  30. Sheikh A, Jha A, Cresswell K, Greaves F, Bates D. Adoption of electronic health records in UK hospitals: lessons from the USA. Lancet. 2014;384:8-9 pubmed publisher
  31. Wong E, Coulter A, Cheung A, Yam C, Yeoh E, Griffiths S. Validation of inpatient experience questionnaire. Int J Qual Health Care. 2013;25:443-51 pubmed publisher
  32. Méndez C, Miranda C, Torres M, Márquez M. [Hospital self-management policy in Chile: perceptions of decision-makers]. Rev Panam Salud Publica. 2013;33:47-53 pubmed
    ..Conceptually, the hospital self-management policy is based on financial autonomy, and implementation is affected by persistent capacity gaps in policy design. ..
  33. Holt H, Clark J, DelliFraine J, Brannon D. Organizing for performance: what does the empirical literature reveal about the influence of organizational factors on hospital financial performance?. Adv Health Care Manag. 2011;11:21-62 pubmed
    ..Additional implications for theory and management are discussed. ..
  34. Christiansen T. Ten years of structural reforms in Danish healthcare. Health Policy. 2012;106:114-9 pubmed publisher
    ..Concurrent reforms included economic incentives to increase hospital production as measured by DRGs; quality programmes to secure high quality and patient safety; and electronic patient records and increased use of IT systems. ..
  35. Callegari J, Kilonzo K, Yeates K, Handelman G, Finkelstein F, Kotanko P, et al. Peritoneal dialysis for acute kidney injury in sub-Saharan Africa: challenges faced and lessons learned at Kilimanjaro Christian Medical Centre. Kidney Int. 2012;81:331-3 pubmed publisher
  36. Pungjitprapai A, Tantawichien T. Assessment of appropriateness of restricted antibiotic use in Charoenkrung Pracharak Hospital, a tertiary care hospital in Bangkok, Thailand. Southeast Asian J Trop Med Public Health. 2011;42:926-35 pubmed
    ..Future studies of compliance with hospital antibiotic guidelines and its impact on bacterial resistance and infection related mortality should be carried out to determine if appropriate antimicrobial use leads to improve outcomes. ..
  37. Clarke B, Barch S. Set up to succeed. Trustee. 2013;66:6-7, 1 pubmed
    ..You've found the new CEO; onboarding will help you keep her. ..
  38. Badlani N, Boden S, Phillips F. Orthopedic specialty hospitals: centers of excellence or greed machines?. Orthopedics. 2012;35:e420-5 pubmed publisher
    ..Patient care cannot be compromised. With thoughtful and efficient leadership, specialty hospitals can be an integral part of improving health care in the long term. ..
  39. Agnetis A, Coppi A, Corsini M, Dellino G, Meloni C, Pranzo M. A decomposition approach for the combined master surgical schedule and surgical case assignment problems. Health Care Manag Sci. 2014;17:49-59 pubmed publisher
    ..A pilot example is also proposed to highlight the usefulness of our approach for decision support. The proposed decomposition approach finds satisfactory solutions with significant savings in computation time. ..
  40. Ward J, Armitage G. Can patients report patient safety incidents in a hospital setting? A systematic review. BMJ Qual Saf. 2012;21:685-99 pubmed publisher
    ..The future of patient reporting may well be as part of an 'error detection jigsaw' used alongside other methods as part of a quality improvement toolkit. ..
  41. Werner R, Bradlow E, Asch D. Does hospital performance on process measures directly measure high quality care or is it a marker of unmeasured care?. Health Serv Res. 2008;43:1464-84 pubmed publisher
    ..This finding suggests that process measures capture important information about care that is not directly measured, and that these unmeasured effects are in general larger than the measured effects. ..
  42. Kim E, Yoo S, Hee H, Park H, Kim G, Ha S. Patient satisfaction in a context-aware hospital guidance system. Stud Health Technol Inform. 2012;180:1177-9 pubmed
    ..From our pilot experiments with 15 outpatients, they were satisfied with the service. We believe that such a smart system would be a promising model for developing the intelligent hospitals of the future. ..
  43. Borghans I, Kleefstra S, Kool R, Westert G. Is the length of stay in hospital correlated with patient satisfaction?. Int J Qual Health Care. 2012;24:443-51 pubmed publisher
    ..We found no evidence that hospital wards with a relatively short mean LOS had higher, or lower, patient satisfaction than hospital wards with a relatively long LOS, with the exception of pulmonology. ..
  44. Goldman L, Chu P, Osmond D, Bindman A. Accuracy of do not resuscitate (DNR) in administrative data. Med Care Res Rev. 2013;70:98-112 pubmed publisher
    ..The accuracy of DNR was more problematic for patients who died, suggesting that hospital-reported DNR is problematic for capturing patient preferences for resuscitation that can be used for risk-adjusted outcomes assessments. ..
  45. Glasgow J, Yano E, Kaboli P. Impacts of organizational context on quality improvement. Am J Med Qual. 2013;28:196-205 pubmed publisher
    ..A key area for future research is to understand the challenges faced as QI teams transition from improving care to sustaining quality and to ascertain what organizational characteristics can best overcome those challenges. ..
  46. Zhang P. Public Hospital Reform and the Principal Roles of Medical Staff. Cell Biochem Biophys. 2015;72:89-92 pubmed publisher
  47. Brandão C, Rego G, Duarte I, Nunes R. Social responsibility: a new paradigm of hospital governance?. Health Care Anal. 2013;21:390-402 pubmed publisher
    ..Health care organizations should abide to this new governance approach that is to create organisation value through performance, conformance and responsibility. ..
  48. Pochini A, Augellone E, Enei R, Gaetani L, Paolucci S, Ursumando D, et al. [From admission team to hospital bed management]. Prof Inferm. 2013;66:85-98 pubmed publisher
    ..Nel 2009 la Giunta Regionale del Lazio ha riconosciuto tale progetto come strategico all’interno delle organizzazioni ospedaliere pubbliche e private. ..
  49. Cawthon C, Mion L, Willens D, Roumie C, Kripalani S. Implementing routine health literacy assessment in hospital and primary care patients. Jt Comm J Qual Patient Saf. 2014;40:68-76 pubmed
    ..Next steps are to evaluate the association of health literacy with processes and outcomes of care across inpatient and outpatient populations. ..
  50. Yoshioka N, Okumura A, Yamamoto Y, Yamaguchi K, Kaga A, Yamada K, et al. Promoting notification and linkage of HBs antigen and anti-HCV antibody-positive patients through hospital alert system. BMC Infect Dis. 2017;17:330 pubmed publisher
    ..Enlightenment of doctors other than gastroenterologists on viral hepatitis and cooperation of medical staffs would be helpful to improve the notification and referral rates. ..
  51. Lee B, Wong K, Bartsch S, Yilmaz S, Avery T, Brown S, et al. The Regional Healthcare Ecosystem Analyst (RHEA): a simulation modeling tool to assist infectious disease control in a health system. J Am Med Inform Assoc. 2013;20:e139-46 pubmed publisher
    ..A decision maker can utilize RHEA to generate a detailed ABM of any healthcare system of interest, which in turn can serve as a virtual laboratory to test different policies and interventions. ..
  52. D Angelo M. Securing your hospital in a family and friends environment. J Healthc Prot Manage. 2013;29:27-31 pubmed
  53. Weinberg D, Avgar A, Sugrue N, Cooney Miner D. The importance of a high-performance work environment in hospitals. Health Serv Res. 2013;48:319-32 pubmed publisher