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Appel F - - 1991
Frank Appel, NAQAP's representative on the Joint Commission's QI Task Force, describes the ongoing Agenda for Change as progressively defining a new vision of effectiveness in healthcare organizations. This vision, first articulated in 1989 in the Principles of Organization and Management Effectiveness in Healthcare Organizations, is based on the fundamental ...
Megargle R - - 1991
The computer is a valuable tool for processing information and knowledge in medicine. Its ability to store, correlate, display, and transfer vast amounts of information rapidly and economically has already greatly impacted medicine. As the standards needed to connect the diverse parts of the current systems are put into place, ...
Campisi C - - 1991
Because of the complexity of peripheral lymphedema disorders and the variability in severity and clinical appearance, no standardized management plan of these patients is universally accepted. Based on our lengthy experience, we attempt in this report to outline a protocol for "staging" and managing lymphedema including the role of microsurgical ...
Armbruster D A - - 1991
OSHA's chemical occupational exposure standard for laboratories is an outgrowth of the previously issued Hazard Communication Standard. The standard relieves laboratories from complying with general industry standards but does require compliance with specific laboratory guidelines. The heart of the standard is the creation of a Chemical Hygiene Plan (CHP). The ...
Tracey J M - - 1991
Two peer review groups of ten general practitioners each reviewed their management of two conditions, headache and fatigue. Each group used internal standards which they had set for the review of one condition and external standards set by the other group for the other condition. Data for the review were ...
Selsky D B - - 1991
Recent restructuring of the quality assurance standards of the JCAHO and the benefits to be gained from assurance indicators are requiring clinical engineering support groups to manage their equipment inventories with greater precision. Technological enhancements in the database industry have provided these groups with a mechanism with which they can ...
Blake W - - 1990
In summary, changes came slowly at first in the OR. The biggest inventory reduction came about a year after the effort had begun. It would seem that tackling obsolescence, standardizing products, etc. would give an initial "big chunk" savings, with small amounts coming later as inventories are lowered. What we ...
Wagner L - - 1990
The Supreme Court's first right-to-die ruling, in the Missouri case of Nancy Cruzan, upheld a standard requiring "clear and convincing" evidence of an incompetent patient's wishes before removing life support. But the ruling is anything but clear to providers. The vague ruling has left open to interpretation who can decide ...
Canaveris G - - 1990
Ascents in balloons were first performed in Buenos Aires in 1855, and this activity was later regulated through the "Argentine Air Club," founded in 1908, whose Vice President, Jorge Newbery, subsequently became officially known as the "Founder of Argentine Aeronautics." Airplanes appeared and the first pilots' licenses were granted on ...
Mola G - - 1990
A study to investigate a policy of routine augmentation of dystocic labour by standard protocol encompassing definitions of delay in the first and second stages, dosage and administration of oxytocin, specific contra-indications and monitoring progress of augmented labour. During the 5 months of the study 3,261 women were confined at ...
Colman W - - 1990
Debate regarding recruitment standards and practices exemplifies various visions of practice that exist within a profession. In occupational therapy, early recruitment criteria provide an example of how the field's founders envisioned the professional practitioner. As occupational therapy grew in membership throughout the 1920s, that vision was challenged. This paper identifies ...
Stahl E - - 1990
In 1988 Dr. Sylvia Uhthoff Munro, an Ottawa general practitioner, and her husband Martin Munro, a professional engineer, spent a year at a small hospital in Ialibu, in the Southern Highlands of Papua New Guinea. The way medicine is practised there may be primitive by Canadian standards, she learned, but ...
Garrett J A - - 1990
In this paper we outline the rationale for applying British Standard BS5750 to a medical equipment management service and introduce some of the concepts of the standard as they apply to this field. We see this application as essential in today's legal and commercial environment and indicate the ways in ...
Choate B B - - 1990
Standards governing informed consent are changing across the United States, and these changes have potential impact on the techniques of behavior management used by pediatric dentists. The purpose of this study was to determine pediatric dentists' awareness of standards of informed consent in the state in which they practice, as ...
Pierce E C EC - - 1990
Anesthesiology is considered a leading specialty with respect to medical risk management and patient safety. The American Society of Anesthesiologists (ASA) developed its first practice guidelines in 1968 and published its first set of stricter practice standards in 1986. The standards are detailed specifications for the minute-to-minute conduct of anesthesia ...
King R B - - 1989
We must now face perhaps one of the great changes that is emerging in our practice of medicine of this century: recertification, based not on testing of cognitive skills, but focused on a quality assurance program for clinical performance and satisfactory outcome criteria. Certification is not the same as recertification; ...
Howarth F P - - 1989
To investigate the feasibility of a standardized practice annual report, nine general medical practices in Grampian region collected data over a four month trial period. The definitions for core data used were arrived at after considerable consultation and discussion. They were found to be workable indicators of practice activity enabling ...
Staewen W S - - 1989
The American National Standard for the Safe Use of Lasers in Health Care Facilities is a comprehensive document that should help individual institutions establish laser safety protocols and provide guidance on laser use and training. Although it is a 61-page document, only 23 pages comprise the standard. The remainder are ...
Spoerke D G - - 1989
Homeopathy is an alternative form of medicine that employs infinitesimal doses, individualized treatments and the concept of "like cures like". Practitioners are attempting to gain credibility with standard medical practice by making their drug testing (provings) conform more closely to the placebo and double-blind crossover studies done by standard medicine. ...
Wineski L E - - 1989
In an effort to rid the dissection room of irritating and potentially health-threatening toxic chemicals, we have modified the phenoxyethanol technique for long-term preservation of embalmed cadavers. The new methods employ faster, less toxic embalming and reduced or eliminated phenoxyethanol immersions. Our results are comparable with or improved over those ...
Gardner R M - - 1988
The spirometer is used to measure forced vital capacity in pulmonary, occupational, and general medicine. Results of spirometry affect decisions regarding patient treatment and disability compensation. Accurate spirometers are also required for epidemiologic studies. The recommendations of the American Thoracic Society cover equipment selection, validation, and quality control; maneuver performance ...
Ten Eyck R P - - 1987
Two methods for modifying standard orotracheal intubation models, in order to teach and practice special airway management skills, are described. Using these quick and inexpensive manipulations, an intubation manikin can be modified for use as a teaching model for standard nasotracheal intubation techniques as well as both orotracheal and nasotracheal ...
McEwan C W - - 1987
Productivity management is a major step in analyzing and documenting our professional tasks. Defining ratios, measuring, and evaluating are the first steps in accounting to consumers, employees, government bodies, and ourselves for our resources and services. Self-evaluation with empirical productivity data can provide the key information necessary for growth and ...
Gallagher D P - - 1986
The extent to which a computer can be effectively employed in a veterinary practice depends to a large extent upon the size of the practice. Estimating defensible money investment in hardware and software prior to purchase is typically problematic because of the assumptions entailed in gauging potential return on capital. ...
Kahl K - - 1986
While not an exact science, the development, installation and use of reasonable standards can be developed from an historical perspective on the quantity and quality of work produced, to allow the manager to measure the effects of changes on departmental productivity. Those seeking to develop and install standards in the ...
Kelliher M E - - 1985
Productivity, especially labor productivity, is an important component of the information needed by healthcare managers to set goals, make decisions, and act. To measure productivity, standards must be established and performance determined. A basic problem with productivity monitoring has been that standards have been perceived as absolute and short term. ...
Kramer P M - - 1984
Over the past forty-five years, there has been a progressive refinement of the standards of practice of electroconvulsive therapy (ECT). The need to review contemporary practice patterns to maintain and further improve those standards is discussed. In this context, the respective roles of medical audits and surveys of practice are ...
Powell P H - - 1984
An assessment of the prototype Olympus Flexible Cystoscope in routine urological practice is presented. The results show that the instrument compares favourably in all respects with standard rigid equipment and has the advantage that cystoscopy can be performed supine and under local anaesthesia with ease. Biopsies may be taken; small ...
Schwartz P L - - 1984
A Mayfield neurosurgical headrest positioned at the end of a standard operating room table may be utilized to achieve the prone positioning necessary to perform certain types of ophthalmic procedures, such as the unfolding of the inverted flap of a giant retinal break. We describe the technique of employing this ...
Cruden J E - - 1984
Productivity measurement and management is introduced as a means of maximizing profits under prospective payment. Methodologies are developed for productivity standards using the workload recording system and engineered time standards. These methodologies can be used to improve labor resource budgeting, scheduling, and internal labor reallocation; project the impact of new ...
Majone G - - 1984
Many professionals prefer to work in nonprofit organizations, rather than in either for-profit or bureaucratic organizations. This preference suggests that nonprofits may be successful in reducing the tension between professional principles and institutional requirements. Professionals in for-profit organizations must submit to the control of a manager who is motivated to ...
Simon S H - - 1983
Unfortunately, there are no commonly accepted standards to guide personnel managers in evaluating HRIS (human resources information system) software. Until such standards developed, the advice offered here by author Sidney H. Simon (manager of personnel information systems and benefits administration of Bechtel Power Corporation) will stand the personnel manager in ...
DeMarco T - - 1982
Recent interest in transperitoneal live donor nephrectomy prompted us to review our experience with 104 live donor nephrectomies performed through a standard flank extraperitoneal approach. There were no deaths and 14.4 per cent of the patients had minor complications that were managed easily. Factors influencing morbidity in the voluntary donor ...
Karasov C G - - 1982
The system which determines who among those with respiratory impairment will qualify for disability benefits stands in need of change. Physicians need clearer criteria by which to ascribe occupational cause to impairment. Suggestions from experts should be shared and implemented more extensively. And practices of governmental agencies should be standardized ...
Robertson L S - - 1981
The effectiveness of federal automobile safety standards was examined using detailed data on 236,000 vehicles in fatal crashes in the United States during 1975-1978. Controlling statistically for type of regulation, types of vehicles, and ages of vehicles, the federal motor vehicle safety standards were associated with substantial reductions in car ...
McCormick J S - - 1981
This paper proposes that doctors need to accept the technical meaning of terms used in economics such as effectiveness, efficiency, cost, input, process, cost benefit and outcome. The usefulness of these terms is discussed, with examples, and it is agreed that effectiveness and efficiency are best examined by those whose ...
Aas K - - 1980
Many or most allergen extracts available for clinical use are unacceptable for use in human medicine. Informed physicians refrain from using them in hyposensitization. We demand that regulations and control as to quality and standardization be enforced by the appropriate authorities without further delay. We have to compromise with the ...
Martinelli J A - - 1980
Descriptive cataloging practices for serial differ significantly in some respects between the Library of Congress and the National Library of Medicine. This paper compares some of these differences and indicates the impact they can have on the development of on-line cooperative data bases such as OCLC. Attention is also given ...
Estes E H EH - - 1978
Carefully designed and highly specific standards for medical practice can improve the pattern of practice when applied by interested and committed physicians or by other similarly motivated health care providers. However, this is not popular with the physician, and the improved pattern of practice is dependent on continued feedback. The ...
Ribon A - - 1978
A review of clinical and experimental data pertaining to the standardization of allergenic extracts is presented. Various problems facing practicing allergists are outlined: potency and stability of extracts the reactivity of the patient, in vitro and in vivo methods for assessing potency. Practical recommendations for allergists concerning allergenic extracts and ...
Ducker D G - - 1977
Forty-six physicians practicing in nonurban areas of California were interviewed. A majority reported that they rarely or never felt professionally isolated. Measures describing the current community and professional activities were not found to predict feeling of professional isolation. The only background variable found to be significantly related to feelings of ...
Fry G A - - 1977
The author discusses practical issues relating to optometrists ordering and laboratories supplying ophthalmic lenses that meet the ANSI Z80. 1 Standard (1972) for minimizing unwanted spherical and cylindrical power in the periphery of lenses. He spells out the optical principles and formulas needed to develop a computer program that can ...
Donald J B - - 1975
Answers to questionnaires distributed to all trainees in the Scottish south-east region in 1972 and 1973 showed a wide variation between the standard of teaching in individual practices. This was partly due to a failure of the organizing bodies to give proper guidance on the modern concepts of training to ...
1973- Grimmett, Marc Anderson,
Thesis (Ph. D.)--University of Georgia, 2003.
Bourcart, Emmanuel.
2d English ed., rev. and enl. by Thomas R. Burton ...
Nursing & Midwifery Council
This document, published in September 2007, is the Nursing and Midwifery Council's Standards for the supervised practice of midwives - the aim of which is to provide clear and consistent guidance on statutory supervision. It provides an overview of the Supervisor of Midwives' role and a definition of misconduct. The ...
Nursing & Midwifery Council
This 81-page document is the Nursing and Midwifery Council's (NMC) Standards for medicines management. Published in February 2008, they replace the Guidelines for the administration of medicines that were originally published in 2004. The purpose of the document is to provide guidance for safe practice in the management and administration ...
Medicines and Healthcare Products ...
This 31-page document is the first annual report from the MHRA's Advertising Standards Unit aims to contribute to the MHRA's policy of transparency in the regulation of medicines advertising. Its sections include a foreword and chapters headed 'A time of change', 'A realigned Advertising Standards Unit', 'Transparency in practice', 'Listening ...
The home page of the Australian forestry standard gives details on its operation and current activities. The Australian forestry standard is a non-profit company that manages elements of the Australian Forest Certification Scheme, promoting sustainable forest management through standards, accreditation and certification. The home page is split into sections for ...
Walker Linda - - 2006
The off duty or rostering system is an important part of managing any ward or department. This article looks at the issues that need to be considered when drawing up and managing off duty. It recommends standards for off-duty planning and shares the results of an audit carried out against ...
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