Hospital Management Quiz - PHM533
39 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What are the three core functions of a modern hospital, according to the provided text?

Diagnosis of diseases, treatment of illnesses, and management of complications.

Based on the text, what is the key objective of effective hospital management?

To ensure the availability, accessibility, and quality of services for all patients.

What are the key aspects of the hospital management process, as described in the text?

The process encompasses patient registration, triage, and treatment delivery, all while integrating different departments and units.

What is the significance of establishing proper procedures and systems in a hospital?

<p>It helps manage the complexity arising from multiple departments, specialties, teams, and data within the institution.</p> Signup and view all the answers

What is the role of a Hospital Management System (HMS)?

<p>It assists in effectively managing all aspects of a hospital or medical facility.</p> Signup and view all the answers

What is the significance of the transition to digital health records in developed countries?

<p>It facilitates a better hospital management system.</p> Signup and view all the answers

What is meant by the fact that "hospitals serve as centers for investigations, teaching, and research"?

<p>They are involved in advancing medical knowledge through scientific inquiry, training future healthcare professionals, and exploring new therapeutic approaches.</p> Signup and view all the answers

How is the word "hospital" related to concepts such as "hostel, hotel, and host"?

<p>It stems from the Latin word <em>hospes</em> meaning &quot;guest&quot; or &quot;host&quot;, reflecting its role as a place of lodging and care.</p> Signup and view all the answers

What are the two main considerations when choosing between single-use and reusable PPE?

<p>The environmental impact and the level of protection required.</p> Signup and view all the answers

Describe the recommended cleaning protocol for routine environmental cleaning in healthcare settings, outlining the solution used and frequency of cleaning.

<p>A fresh solution of general-purpose neutral detergent in warm water should be used for routine cleaning. This solution should be changed when dirty or when changing tasks, and cleaning should be conducted regularly.</p> Signup and view all the answers

What are the three main types of gloves typically used in healthcare settings, and what is the difference between them?

<p>The three main types are single-use medical gloves (sterile or non-sterile), protective work gloves, and surgical gloves. Single-use medical gloves provide protection against potential contamination, while protective work gloves offer more robust protection for tasks involving handling hazardous materials. Surgical gloves are sterile and are used during surgeries and other procedures requiring sterility.</p> Signup and view all the answers

Explain why routine disinfection of the environment is not recommended, and what specific disinfectant should be used in exceptional cases.

<p>Routine disinfection is not recommended because it can lead to the development of antimicrobial resistance. However, in specific cases, 1,000ppm available chlorine should be used for sanitary fittings.</p> Signup and view all the answers

List the four steps needed to ensure the sterility of non-invasive medical equipment before use.

<p>Before use, the packaging should be intact, free of visible contamination, the expiration date should be valid, and any sterility indicators should be within the acceptable range.</p> Signup and view all the answers

Describe two methods for managing inventory and explain how they differ.

<p>Two methods for managing inventory are FIFO (First In, First Out) and LIFO (Last In, First Out). FIFO assumes that the oldest stock is used first, while LIFO assumes that the newest stock is used first. These methods lead to different valuations of inventory and can have tax implications.</p> Signup and view all the answers

Explain the significance of ABC analysis in hospital inventory management.

<p>ABC analysis categorizes inventory items based on their value. High-value items (A) require more rigorous monitoring, while moderate-value items (B) and low-value items (C) receive less attention. This allows hospitals to prioritize resources for managing critical supplies.</p> Signup and view all the answers

What is the role of forecasting in medical inventory management, and why is it crucial for South Sudanese hospitals?

<p>Forecasting helps predict the quantity of medical supplies needed in the future. It is crucial for South Sudanese hospitals due to the challenges of supply chain disruptions, limited resources, and the need to ensure timely access to essential medicines and medical equipment.</p> Signup and view all the answers

Describe two benefits of using a cloud-based inventory system for a South Sudanese hospital.

<p>A cloud-based inventory system offers centralized access to inventory data, simplifying inventory tracking and reducing the risk of manual errors. It also provides real-time visibility into stock levels, enabling hospitals to better manage their supplies and respond quickly to changing needs.</p> Signup and view all the answers

Explain the difference between a PHCU and a PHCC in the South Sudanese health system, and how they contribute to the three-tier structure.

<p>A PHCU (Primary Health Care Unit) serves a smaller population (10,000) compared to a PHCC (Primary Health Care Center) (50,000). They both provide primary healthcare services, but the PHCC has more capacity and resources. Together, they form the first tier of the three-tier healthcare system, providing basic healthcare services at the community level.</p> Signup and view all the answers

Explain the importance of the secondary tier in the South Sudanese health system.

<p>The secondary tier (county and state hospitals) serves as the first point of referral for rural communities. They provide more specialized healthcare services compared to the primary tier, and they are critical for addressing the healthcare needs of a larger population.</p> Signup and view all the answers

Identify three types of medical inventory items commonly found in South Sudanese hospitals and explain their significance.

<p>Three types of medical inventory items include PPEs (Personal Protective Equipment, such as masks, gowns, and gloves), medical supplies (bandages, cotton, syringes), and health &amp; wellness products (vitamins, supplements). These items are essential for providing safe and effective medical care to patients.</p> Signup and view all the answers

Describe two challenges associated with establishing an effective inventory management system in South Sudan.

<p>Challenges include limited infrastructure and resources, which can make it difficult to implement sophisticated systems or purchase necessary equipment. The availability of qualified personnel and the need for ongoing training are also important concerns. Access to reliable internet service can also be a challenge in some areas.</p> Signup and view all the answers

What are the key steps to take before performing hand hygiene, and why are they important?

<p>Before performing hand hygiene, it is crucial to expose the forearms, remove jewelry (except for a single plain wedding band that can be moved up the finger during hand hygiene), ensure fingernails are clean and short, and cover any cuts or abrasions with a waterproof dressing. These steps are essential to prevent the spread of pathogens by ensuring that hands are thoroughly cleaned and free from potential contaminants.</p> Signup and view all the answers

Explain the significance of patient placement in infection prevention, particularly when assessing infection risk.

<p>Patient placement is crucial in infection prevention because it minimizes the risk of spreading infections by grouping patients with similar infection risks together. Thorough assessment for infection risk upon arrival and throughout stay helps determine suitable placement, isolating patients with potential cross-infection risks like diarrhea, vomiting, or known MDROs.</p> Signup and view all the answers

What are the essential characteristics of clinical hand-wash basins, and why are these features important?

<p>Clinical hand-wash basins must be dedicated solely for handwashing, equipped with mixer taps (no overflow or plug), be in good repair, have wall-mounted liquid soap dispensers, and offer paper towel dispensers. These features ensure proper hand hygiene by providing the necessary resources and preventing contamination by ensuring proper hygiene.</p> Signup and view all the answers

How does good hand hygiene contribute to reducing the transmission of healthcare-associated infections (HCAIs)?

<p>Hand hygiene is a cornerstone of infection prevention as it effectively reduces the transmission of infectious agents that cause HCAIs. By removing microorganisms from hands, hand hygiene minimizes the risk of spreading these agents to patients and healthcare providers.</p> Signup and view all the answers

Identify three examples of patient groups who may pose a cross-infection risk and explain why they warrant careful infection control protocols.

<p>Patients with diarrhea, vomiting, or an unexplained rash are considered high-risk for cross-infection. They may be shedding infectious agents that can easily spread to others. Additionally, patients previously positive for MDROs (multi-drug resistant organisms) like MRSA pose a significant risk due to their resistance to common antibiotics, requiring stricter infection control measures to avoid further spread.</p> Signup and view all the answers

Describe the importance of respiratory and cough hygiene in infection control within a healthcare environment.

<p>Respiratory and cough hygiene are essential for preventing the spread of respiratory infections. By practicing proper techniques like covering coughs or sneezes with a tissue or the elbow, and using appropriate respiratory protection, individuals can significantly reduce the transmission of airborne droplets containing pathogens.</p> Signup and view all the answers

Why is the safe management of healthcare linens crucial for infection control, and what are some key principles to follow?

<p>Safe management of healthcare linens is essential to prevent the spread of infections through contaminated fabrics. Linens should be handled with care to avoid contamination, promptly laundered at appropriate temperatures, and stored in a clean, dry environment to minimize the risk of pathogen growth.</p> Signup and view all the answers

Explain the significance of sharps disposal and why the use of sharps containers is a critical practice in healthcare settings.

<p>Sharps disposal is crucial to prevent accidental needle stick injuries and the potential spread of bloodborne pathogens. Sharps containers are designed to safely contain and dispose of needles, syringes, and other sharp objects, minimizing the risk of contamination and injury to healthcare workers.</p> Signup and view all the answers

Explain the purpose of negative air pressure in isolation rooms and how it differs from positive air pressure.

<p>Negative air pressure is used in isolation rooms to prevent contaminated air from escaping. It creates a lower pressure inside the room, drawing air inwards and containing potentially infectious droplets. Positive air pressure, on the other hand, keeps pathogens out by pushing air outwards from the room, commonly used in areas where patients are susceptible to infections.</p> Signup and view all the answers

Describe the difference between "Quality Control" and "Quality Assurance" within the context of hospital operations.

<p>Quality Control focuses on inspecting and reviewing the quality of individual components or processes involved in healthcare delivery, ensuring they meet established standards. Quality Assurance, on the other hand, has a broader scope, aiming to ensure the overall safety, quality, and efficacy of health products and services procured for patient care.</p> Signup and view all the answers

What is the main objective of "Total Quality Management" in a hospital setting?

<p>Total Quality Management aims to continuously improve all aspects of healthcare services, products, and processes through collective efforts of all employees, fostering a culture of ongoing improvement and patient satisfaction.</p> Signup and view all the answers

Explain why hospital-acquired infections (HAI) are a concern and how they differ from infections present at the time of admission.

<p>Hospital-acquired infections (HAI) are infections contracted during a patient's stay in a healthcare facility, indicating a potential breach in infection control measures. These infections are different from infections present at admission, which were already present at the time of hospitalization.</p> Signup and view all the answers

Give two examples of settings where hospital-acquired infections can occur, besides a traditional hospital.

<p>Hospital-acquired infections can occur in settings like surgical centers, dialysis centers, and any other healthcare facility where patients receive treatment. They can also occur after discharge, affecting patients or even amongst healthcare staff.</p> Signup and view all the answers

Explain the ethical principle of autonomy in the context of medical care. How does it impact patient-physician interactions?

<p>Autonomy in medical ethics emphasizes the patient's right to make informed decisions about their own healthcare. This means that healthcare providers are obligated to respect the patient's choices, even if they differ from the physician's recommendations, as long as the patient is an adult with the capacity to make informed decisions. The healthcare professional should provide a clear explanation of the proposed investigation, procedure, or treatment before it is administered.</p> Signup and view all the answers

What does the principle of non-maleficence mean in the context of healthcare practice? Provide an example of how this principle might be applied in a medical setting.

<p>Non-maleficence, meaning 'do no harm,' is a fundamental principle in medical ethics. It obligates healthcare professionals to avoid causing harm to their patients. This principle guides the use of medical interventions, ensuring that potential risks are carefully weighed against benefits, and that treatments are administered with the utmost care to minimize the risk of harm.</p> Signup and view all the answers

Describe the ethical dilemma posed by 'truth telling' in medical care. What factors need to be considered in disclosing bad news to patients?

<p>Truth-telling in medicine presents a significant ethical challenge. While honesty is paramount, disclosing bad news must be done with sensitivity, considering the patient's emotional and psychological state. The physician must carefully evaluate the patient's ability to understand and cope with the information, tailoring the disclosure to their individual needs and preferences.</p> Signup and view all the answers

How does the principle of beneficence guide healthcare professionals in their ethical decision-making? Give an example of how beneficence might be applied in a clinical setting.

<p>Beneficence, meaning 'acting in the best interest of the patient,' is a guiding principle in medical ethics. Health professionals are obligated to prioritize the patient's well-being, taking actions that promote their health, prevent harm, and improve their quality of life. This guiding principle motivates them to make decisions that are in the patient's best interests, considering their overall health and potential risks and benefits of various interventions.</p> Signup and view all the answers

Explain how the principle of justice applies to healthcare access. What are the implications of this principle for healthcare systems?

<p>Justice in healthcare emphasizes the equitable distribution of healthcare resources and services to all individuals, regardless of their background or circumstances. This principle challenges healthcare systems to ensure that access to healthcare is not determined by factors like race, ethnicity, socioeconomic status, or other personal characteristics. It implies that healthcare should be provided fairly and equitably to all members of society.</p> Signup and view all the answers

Study Notes

Course Information

  • Course Title: Hospital Management
  • Course Code: PHM533
  • Credit Hours: 2
  • Lecturer: Dr. Apal Toby
  • Qualifications: BSc, MBBS, MPH- Tropical Diseases

Hospital Management in Public Health Care

  • Vision, Mission, Goals, and Values of a Hospital
  • Role and Functions of Hospital Managers
  • Hospital Services Management
    • Nursing Management
    • Change Management
    • Infrastructure Management
    • Inventory Management
      • Drugs Management in Hospitals (1, 2)
    • Human Resource Management
      • Human Resource Development: current status and future challenges
    • Financial Management
      • Accounting rules and practices (public & private hospitals)
      • Financial Management
      • Hospital Financing for Sustainability
      • Cost Containment, cost effectiveness, and profitability
      • Costing and Cost implications of Hospital Services
    • Risk Assessment and Programming (RAP Tool)
      • Introduction to Rapid Appraisal Tool for assessment of Emergency of a Hospital
      • Data Collection in Hospitals using RAP Tool
    • Hospital Budget Preparation
    • Hospital Waste Management and infection control

Hospital System Components

  • Hospital Environment & Hospital Waste Management
    • Environment-related issues (lighting, ventilation, cleanliness, tidiness, horticulture, greenery, clean water, hygiene standards, infection control)
    • Accident & Emergency/Trauma Management Services
    • Hospital Planning and Design
    • Total Quality Management (TQM) and Medical Audit of the Hospital
    • Hospital Purchasing Process
    • Hospital Ethical Concerns
  • Background information on the concept of a hospital

Hospital Management System

  • Hospital Management Process
  • Hospital Management System (HMS)
    • Importance of systems and establishing procedures
    • Advantages of digital health records
    • HMS product types: cloud-based, free, on-premise, paid, and open-source
  • Modules of HMS
    • Appointment Scheduling System
    • Radiology Information Management System
    • Insurance Claims Management System
    • Healthcare billing and accounting system
    • Inventory and Procurement Management System
    • Information Management System
    • Laboratory Information Management System
    • Electronic Medical/Health Records (EMR & EHR)
    • Human Resource Management System
    • Immunization Tracking System
    • Data Analysis and Reporting System
    • Pharmaceutical Information
  • Components of HMS
    • Appointments Management
    • Staff Management
    • Billing records
    • Claims management
    • Supply Chain Management
    • Laboratory Management
  • Systems Theory of HMS

Culture of Safety, Reporting, and Learning

  • Just Culture
  • Reporting Culture
  • Learning Culture

Role of Hospitals in Primary Health Care (PHC)

  • PHC's policy in 1978 with Alma-Ata Declaration
  • PHC differences in communities
  • The geographic location of communities
  • Essential Health Care Package (PHC) services
  • Services at the primary, secondary, and tertiary tiers
  • Prevention & Control of outbreaks & Endemic Diseases
  • Education and Information sharing on specific health problems
  • Maternal and Child health including FP
  • Immunization of preventable infectious diseases
  • Adequate supply of safe water and basic sanitation
  • Promotion of food supply and proper nutrition
  • Provision of Essential drugs
  • Appropriate treatment of common diseases
  • Secondary Health Care
  • Tertiary Health Care

Key Hospital Elements

  • Complex problems addressed
  • Curative Services
  • District/County hospitals
  • Specialist care (Tertiary Care)
  • Teaching and training programs
  • Hospital vision, mission, and values
  • Role of the Hospital Manager
    • Financial and administrative policies
    • Staff management and capacity building
    • Interpersonal communication
    • Patient satisfaction

Inventory Management

  • Inventory ordering, storing, selling, and management of goods and services
  • Packaging and shipment of goods
  • Inventory theory (demand, stock levels, shortages)
  • Medical inventory management
    • Using digital solutions and AI where possible for efficiency
  • Types of inventory management systems
    • Radio frequency identification (RFID)
    • Barcode scanning systems
  • Inventory management steps
    • Forecasting
    • Inventory tracking
    • Recording and replenishment
    • Inventory optimization
  • Inventory management methods
    • FIFO
    • LIFO
    • JIT
    • Average costing
    • Perpetual inventory system
    • ABC analysis
    • Economic order quantity (EOQ)
  • Examples of Hospital inventory

Infection Prevention and Control (IPC)

  • Definition and approach
  • Risk management, standard and transmission precautions
  • WHO recommendations
  • Key components
    • IPC program
    • Guidelines
    • Education and training
    • Surveillance
    • Multimodal strategies
    • Monitoring/audit of IPC practices
    • Feedback
    • Workload management
    • Bed occupancy
    • Facility environment
  • Standard Infection Control Precautions (SICPs)
    • Staff use
    • Patient safety
    • Visitor safety
  • 10 Elements of SICPs
    • Patient placement/infection risk assessment
    • Hand hygiene
    • Respiratory and cough hygiene
    • Personal protective equipment (PPE)
    • Safe care environment management
    • Safe care equipment management
  • PPE (Personal Protective Equipment)

Hospital Waste and Linen Management

  • Waste types (medical, biological, chemical, etc.)
  • Waste disposal methods
  • Waste classification, segregation, storage, packaging, transport, treatment, and disposal
  • Linen management
  • Clean linen versus used linen
  • Infectious linen management
  • Storage and handling procedures

Hospital Safety and Quality

  • Emergency Department (ED)
    • Communication, triage
    • Trauma management
    • Infrastructure management
  • Quality assurance and quality control
  • Total quality management (TQM)
  • Standard precautions and patient safety
  • Ethical considerations
  • Reporting issues

Medical Ethics

  • Autonomy
  • Justice
  • Non-maleficence
  • Beneficence
  • Ethical concerns

Scenarios for Case Studies

  • Jehovah's witness patient refusing blood transfusion
  • Patients refusing pain medication due to addiction fear
  • Prioritization of critically ill patients

Readings and Resources

  • List of academic texts and guidelines used for the course.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Description

Test your knowledge on key concepts in Hospital Management, including the roles of hospital managers, financial management, and service management. This quiz covers essential topics such as human resources, inventory management, and risk assessment. Perfect for students in public health care.

More Like This

Use Quizgecko on...
Browser
Browser