Objective: The evolving healthcare landscape, driven by digital transformation and increasing reliance on emerging Artificial Intelligence-derived tools, calls for a reassessment of the competencies required for effective healthcare leadership. Traditional healthcare administration and informatics programs may no longer meet the current and future complexity of the contemporary healthcare system. This study examines how graduate healthcare administration programs could adapt to better equip future leaders with leadership, management, and technical skills.
Methods: The research draws on three sources of information that were analyzed by the authors: (1) a comparison of the National Center for Health Leadership Competency Model 3.0TM and the American Medical Informatics Association Health Informatics Core Competencies; (2) analyses of opportunities to integrate health informatics in general and artificial intelligence (AI), in particular - into healthcare administration education competencies; and (3) insights from interviews with 55 C-suite executives from 33 U.S. nonprofit health systems.
Results: There are areas for integrating and synthesizing competencies from health care and informatics disciplines. In addition, AI may be integrated across a variety of competencies and learning activities. Future executives will require the ability to integrate technology and informatics knowledge and skills into management and leadership competencies, skills, and behaviors.
Conclusions: To prepare healthcare leaders for the digital age, educational programs must integrate informatics and AI-driven technologies into their curricula. This includes a focus on data analytics, financial training, regulatory knowledge, and change management. The study calls for a reimagined approach to healthcare education that ensures leaders are equipped to thrive in an increasingly data-driven and regulated environment.

Objective: The number of telemedicine solutions is growing, and studies are focusing on feasibility assessments. It is time to consider the fundamentals of deploying telemedicine solutions and provide recommendations for effective implementation.
Methods: A qualitative data collection through observation and interview was conducted at our tertiary academic hospital after 2 years of experience with a telemedicine solution. The data underwent semantic analysis, and hypotheses were compared with a literature review to provide recommendations for implementation. Between February 2021 and October 2022, patients’ opinions were gathered through feedback questionnaires using the institutional mHealth application, a key component of the deployed telemedicine solution. Satisfaction results guided conclusions and reevaluations.
Results: During April 2021, 14 interviews were conducted with 7 medical department chairs, 2 head nurses and 5 administrative leaders. Between February 2021 and October 2022, a total of 760 surgical patients used the mobile application CHUV@home and 478 (62.9%) answered the feedback questionnaire. During this period, 1,226 surgical patients were included, and 760 used the mobile application, generating 1,693 alerts with an average resolution time of 130 minutes per alert. Feedback questionnaires were answered by 478 (62.9%) patients, with global satisfaction. Patients and healthcare workers opinions were aligned to foster a design of telemedicine experience. Results were presented in the form of a risk matrix. Five major risks and their mitigation recommendations were highlighted.
Conclusions: With the growing number of telemedicine solutions, many studies focus on feasibility assessment. The present study suggests that a holistic approach, engaging healthcare workers and patients, is essential for developing a meaningful and sustainable telemedicine strategy at a broader systemic level.

Objective: Music therapy is a credentialed and established allied health profession with increasing prevalence in medical settings across the United States. The field is evidence-based, guided by research and best practice, and music therapy clinicians collaborate inter-professionally to support patients and families during hospitalization. Pediatric music therapists are uniquely situated to improve patient and family care and positively impact the hospital experience. This cross-sectional survey focused on capturing current trends in pediatric music therapy, comparing current data with previously captured data, identifying unique clinical needs of pediatric music therapists; and providing guidance for current clinical considerations.
Methods: The REDCap survey yielded 84 responses (n = 84) from pediatric music therapists. Survey data were analyzed using a modified exploratory sequential mixed methods design, incorporating an initial data review, followed by an inductive qualitative analysis, and concluding with a quantitative phase. The approach was selected to provide a comprehensive understanding of current trends in pediatric music therapy, allowing for comparisons with findings from a previous survey, identification of unique clinical needs, and the development of insights to inform current clinical practice considerations.
Results: The analyzed data showed significant trends within the pediatric music therapy workforce. The comparison between the previous survey conducted in 2020 and the results from 2023 shows that the demand for music therapy services continues, particularly in the clinical areas of emotional support, coping, rehabilitation, palliative care, and pain management. The data suggest that clarifying career progression opportunities, improving institutional backing, and addressing workload distribution could play a pivotal role in therapist retention and long-term service effectiveness.
Conclusions: Music therapists, creative arts therapists, and hospital administrators can use this data to understand resource allocation better and continue growth and support of music therapy within their respective facilities.

Objective: Occupational sharps and needlestick injuries (SNSI) are a significant and persistent challenge in the U.S. healthcare work environment. With the purpose of better delineating contributing factors for a ubiquitous occupational injury among healthcare workers, we undertook a two-component study of SNSIs among physician residents and nurses at an academic health center.
Methods: Retrospective injury data among nurses (N = 58) and medical residents (N = 63) were analyzed. A 35-item crosssectional survey was used to evaluate the prevalence, non-reporting, and contributing factors among physician residents who sustained a SNSI (N = 76).
Results: Physician residents had a rate of injury that was 11.0 SNSIs/100 medical residents/year compared to nurses at 3.2 SNSIs/100 nurses/year; a rate three-fold higher. Physician residents in neurosurgery, otolaryngology, obstetrics and gynecology, and general surgery reported the highest rates of injury.
Conclusions: Our results underscore the need for a more comprehensive study to better identify injury drivers specific to the operating room environment.

Objective: The case aimed to highlight the increasing absenteeism among pregnant medical workers employed at the Clinical Hospital Centre Rijeka, Croatia. The paper proposed and implemented measures to reduce this trend through coordinated efforts involving the contracted outpatient Occupational Medicine, the Hospital Personnel Department, and the Occupational Safety Department.
Methods: A descriptive approach was used to assess the current state of pregnancy-related absenteeism, which fluctuated up to 3% annually of the total 3,500 hospital employees, of whom 81% were females.
Results: Immediate action by contracted outpatient Occupational Medicine introduced a selective approach to granting temporary incapacity leave only when the workplace posed a genuine threat to maternal and fetal health. In collaboration with the Occupational Safety Department, temporary reassignment to less hazardous roles was implemented, minimizing absenteeism.
Conclusions: The implementation of governmental measures in March 2025, granting significant benefits to pregnant employees, risked straining hospital operations, possibly leading to department closures given the female-dominated workforce. Adhering to Occupational Medicine evaluations and strategically reassigning pregnant workers helped mitigate these risks.