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The complexity of providing medical care in a high-tech environment with a highly specialized, limited labour force makes hospitals more crisis-prone than other industries. An effective defence against crises is only possible if the organizational resilience and the capacity to handle crises become part of the hospitals’ organizational culture. To become more resilient to crises, a raised awareness — especially in the area of human resource (HR) — is necessary. The aim of this paper is to contribute to the process robustness against crises through the identification and evaluation of relevant HR crises and their causations in hospitals.
Qualitative and quantitative methods were combined to identify and evaluate crises in hospitals in the HR sector. A structured workshop with experts was conducted to identify HR crises and their descriptions, as well as causes and consequences for patients and hospitals. To evaluate the findings, an online survey was carried out to rate the occurrence (past, future) and dangerousness of each crisis.
Six HR crises were identified in this study: staff shortages, acute loss of personnel following a pandemic, damage to reputation, insufficient communication during restructuring, bullying, and misuse of drugs. The highest occurrence probability in the future was seen in staff shortages, followed by acute loss of personnel following a pandemic. Staff shortages, damage to reputation, and acute loss of personnel following a pandemic were seen as the most dangerous crises.
The study concludes that coping with HR crises in hospitals is existential for hospitals and requires increased awareness. The six HR crises identified occurred regularly in German hospitals in the past, and their occurrence probability for the future was rated as high.
In German hospitals there is a need for optimized crisis- and risk management. About one third of all hospital-acquired patient damages are due to medication errors. The aim of our interdisciplinary project “Risk Management in Hospitals” is to analyze the behavior of the various key players in the fields of medical care, human resources, supply and IT-systems in the context of various simulated risk scenarios as well as to develop adequate risk management tools. In this abstract, the first Results on medication errors are presented.
We have investigated the optical excitation of solitons and charge transfer excitons in polymer chains by solving the equations of motion for the reduced density matrix and the lattice displacement simultaneously in time. Electron-phonon coupling leads to polaron-exciton formation which can be identified in transient pump-probe signals.
We introduce a concept which allows to study the nonlinear optical response of conjugated polymers taking into account many-body effects of the excitation process. The formation of charge transfer excitons and the creation of lattice distortions are studied in short polymer chains by solving the self consistent equations of motion for the reduced single electron density matrix and the lattice displacement. The coupling of electronic motions to lattice dynamics gives rise to the formation of excitonic polarons, which can be identified in the femtosecond pump-probe signal.
We analyze risks and crises for healthcare providers and discuss the impact of cloud computing in such scenarios. The analysis is conducted in a holistic way, taking into account organizational and human aspects, clinical, IT-related, and utilities-related risks as well as incorporating the view of the overall risk management.
Time‐resolved four wave mixing (4WM) signals of conjugated polymers are calculated using a density matrix approach and the Hartree–Fock approximation. The influence of the Coulomb interaction as well as size effects on the nonlinear optical response are examined. For the Hückel model (no Coulomb interaction), quantum beats due to the coherent excitation of several band states are found for small sizes, and photon echo‐like behavior is obtained for infinite size. The Coulomb interaction changes the nature of the response and gives rise to a broad delayed signal whose temporal profile is determined by the dephasing time.
We report a strong (300:1) excitonic resonance in time-resolved (100 fs) four-wave mixing in GaAs quantum wells as a function of the incident photon energy and show that it results from the large difference in the dephasing rates of excitons and free carriers. We conclude that excitons dominate even when they make up only a small fraction of the excited states. These results, in conjuction with new results in exciton-phonon scattering, provide new insights into previous studies performed with spectrally broad ultrashort pulses.
Starting from the kinetic equations for the nonequilibrium Green's functions, a practical method is proposed which allows to solve the set of equations for the two-time propagators numerically. In contrast to the usual semiconductor Bloch equations with phenomenological damping relaxation and dephasing processes are treated microscopically for the case of coupling to a bath of LO-phonons. Beside a standard approximation for the treatment of LO-phonon scattering, no further approximations are performed. For the low-density limit we compare exact results with approximate treatments, as the Marcovian and non-Marcovian approximations resulting from a density matrix approach. First results concerning nonlinear optical properties are presented.
Kinetic equations for the density correlation and density-density response function are derived. Solving these equations numerically and comparing its solution with the adiabatic approximation the change in the transmitted spectrum of a single electronic transition is calculated where a red-shift can be observed.
Es werden kinetische Gleichungen für die Di Dichtekorrelationsfunktion und die Dichte-Dichte-Responsefunktion abgeleitet. Die numerische Lösung dieser Gleichungen wird mit der adiabatischen Approximation verglichen. Die Berechnung der Änderung im Transmissionsspektrum für einen einzelnen elektronischen Übergang ergibt eine Rotverschiebung.
The dynamical Stark effect of excitons in CdS bulk crystals has been measured recently using differential transmission spectroscopy (DTS). A general DTS formula is derived taking into account exciton-exciton interaction. A perculiar influence of the pump and test polarization on its magnitude is predicted. Concerning the dephasing (transverse relaxation), coupling to optical phonons is treated on a microscopic level. A density-matrix approach leads to the imaginary part of the exciton-phonon self energy. Its strong frequency dependence which shows up as a non-Markoff relaxation strongly suppresses the relaxation for the pump pulse at large detuning. A more sophisticated approach using the non-equilibrium Green function gives deeper insight into the underlying scattering processes.
Kinetic problems for off-resonance excitation (dynamical Stark effect) and resonant excitation (laser-induced gaps) are studied. Within the Hartree-Fock theory, Stark shift and bleaching of the exciton line are evaluated. The influence of photon statistics on light-induced gaps is investigated. Open questions concerning the transient response are clarified.
Es werden kinetische Probleme für nichtresonante Anregung (dynamischer Stark-Effekt) und resonante Anregung (laserinduzierte Lücken) betrachtet. Im Rahmen der Hartree-Fock-Theorie werden Stark-Verschiebung und Oszillatorstärkenänderung für die Exzitonlinie berechnet. Der Einfluß der Photon-Statistik auf die lichtinduzierten Lücken wird untersucht. Einige offene Fragen des Kurzzeit-Response werden geklärt.
Due to the influence of a strong electromagnetic field an induced gap is expected to occur in the band structure of a semiconductor. In this paper the influence of the damping by electron–phonon collisions and by recombination on the new band structure is investigated. Taking into account damping kinetic equations for the electrons are derived and discussed with the help of calculations.
Unter dem Einfluß eines starken elektromagnetischen Feldes kommt es in der Bandstruktur eines Halbleiters zur Ausbildung eines Zusatzgaps. In dieser Arbeit wird der Einfluß der Dämpfung durch Elektron–Phononstöße und Rekombination auf die neue Bandstruktur untersucht. Weiterhin werden kinetische Gleichungen unter Berücksichtigung der Dämpfung abgeleitet und an Hand von numerischen Berechnungen diskutiert.