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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.