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Related Concept Videos

Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Ethical Concerns in Healthcare:
Purpose of Health Records I01:11

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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

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Related Experiment Videos

Identifying poor performance among doctors in NHS organizations.

Rachel Locke1, Samantha Scallan, Camilla Leach

  • 1Senior Research Officer, Faculty of Education, Health and Social Care, The University of Winchester, Winchester, UK Wessex General Practice Research Lead, GP Education Unit, Southampton University Hospitals Trusts; Associate Tutor, MA Education: Professional Enquiry (Medics Pathway), The University of Winchester, Winchester, UK Honorary Research Fellow, The University of Winchester, Winchester, UK Associate Dean at Wessex Deanery, GP at Park Surgery, Chandlers Ford; Honorary Research Professor, The University of Winchester, Winchester, UK.

Journal of Evaluation in Clinical Practice
|June 8, 2012
PubMed
Summary

National Health Service organizations often use reactive tools to identify poor doctor performance. Strengthening these processes requires better data linkage and developing proactive, organizational-level tools for early issue detection.

Keywords:
NHS organizationsclinical governanceconcernsdoctorshealth careidentificationperformancepoor performanceproceduresrevalidationtools

Related Experiment Videos

Area of Science:

  • Medical Education
  • Healthcare Management
  • Professional Standards

Background:

  • National Health Service (NHS) organizations face challenges in identifying and addressing underperforming doctors.
  • Existing performance management tools often focus on individual practitioners rather than systemic issues.
  • Revalidation and demonstrating fitness to practice necessitate robust methods for performance evaluation.

Purpose of the Study:

  • To examine how NHS organizations identify poor doctor performance.
  • To evaluate the effectiveness of current performance identification tools.
  • To propose improvements for strengthening these processes, considering revalidation requirements.

Main Methods:

  • A qualitative review encompassing literature and policy analysis.
  • Examination of current practices within 15 NHS trusts.
  • 14 semi-structured interviews with key stakeholders.
  • Analysis framework considering individual, team, and organizational levels.

Main Results:

  • Current performance management tools are predominantly reactive and individually focused.
  • Effectiveness is limited by a reluctance among colleagues to report issues.
  • Tools often lack a strong evidence base and data integration across different contexts.

Conclusions:

  • Further evaluation of existing tools and development of enhanced processes are needed.
  • Improved data linkage across various sources is crucial.
  • Proactive, organizational-level tools are required for early identification of performance issues, balancing individual and systems approaches.