Leadership and management skills are increasingly critical to the success of pathologists in and outside of academic centers. We describe a leadership and management curriculum in a combined anatomic and clinical pathology residency program. The mentor-based approach incorporates leadership and management skills throughout the residency with a dedicated 2-month rotation ...

The incident Monitoring in General Practice Project began as an initiative of the Professional Indemnity Review. Anonymous data from general practitioners about unintended and possibly adverse events were collected in order to develop preventive strategies that might ultimately increase patient safety and therefore reduce litigation. Feedback and sharing of experiences ...

Semiotics, the theory of sign and meaning, may help physicians complement the project of interpreting signs and symptoms into diagnoses. A sign stands for something. We communicate indirectly through signs, and make sense of our world by interpreting signs into meaning. Thus, through association and inference, we transform flowers into ...

An overview is given of natural language processing applications in medicine. An attempt has been made to enumerate the most important and known international projects and to summarize their goals, principles, methods and results. A section is devoted to projects involving the Dutch language. A more general discussion about the ...

Medical investigators increasingly attempt to demonstrate the effectiveness of treatments given in routine practice settings as well as in research settings. We identified and describe several key issues in practice-based research: identifying the appropriate population; drawing the sample; recruitment of physicians and patients; maintenance of the physician-researcher relationship; and data ...

The incident Monitoring in General Practice Project began as an initiative of the Professional Indemnity Review. Anonymous data from general practitioners about unintended, and possibly adverse events were collected in order to develop preventive strategies that might ultimately increase patient safety and therefore reduce litigation. Feedback and sharing of experiences ...

The Incident Monitoring in General Practice Project began as an initiative of the Professional Indemnity Review. Anonymous data from general practitioners about unintended, and possibly adverse events were collected in order to develop preventive strategies that might ultimately increase patient safety and therefore reduce litigation. Feedback and sharing of experiences ...

The finite time span and the nonrepetitive nature of the project distinguish it from the routine activities characteristic of the management of a surgical department or division. Defined goals, specific (finite) resource allocation, and identifiable sequential phases also characterize the project. This paper reviews project management techniques that may be ...

A well-established study group undertook a pilot peer review project testing the use of clinical audit in members' practices. Two peer review groups were formed involving a total of 16 practices. Practice visits were undertaken and a series of meetings were held to prepare and discuss the various projects. The ...

The incident Monitoring in General Practice Project began as an initiative of the Professional Indemnity Review. Anonymous data from general practitioners about unintended, and possibly adverse events were collected in order to develop preventive strategies that might ultimately increase patient safety and therefore reduce litigation. Feedback and sharing of experiences ...

The incident Monitoring in General Practice Project began as an initiative of the Professional Indemnity Review. Anonymous data from general practitioners about unintended, and possibly adverse events were collected in order to develop preventive strategies that might ultimately increase patient safety and therefore reduce litigation. Feedback and sharing of experiences ...

The STARDUST Discovery mission will collect samples of cometary coma and interstellar dust and return them to Earth. Five years after launch in February 1999, coma dust in the 1- to 100-micrometers size range will be captured by impact into ultra-low-density silica aerogel during a 6 kms-1 flyby of Comet ...

This is the sixth in a series of articles (1) describing how to identify, assess, diagnose and strategically manage key medical group practice (MGP) stakeholders and (2) interpreting the results from the Facing the Uncertain Future (FUF) study. This article continues (from the previous article in this series) the discussion ...

The authors describe how to develop and manage a capitated outpatient radiology contract. Aspects of a capitated fee structure and the need to apportion fees between a hospital and its radiology group are discussed. During negotiations with a managed care organization (MCO), certain information and commitments should be obtained. Utilization ...

The project described in this paper concerns the assurance of quality in biomedical equipment management. The project commenced in 1988 with the establishment of the Clinical Engineering Department at the General Hospital of Bolzano, which was entrusted with the task of managing all biomedical equipment installed within its health institutions. ...

The nature of the research carried out by the staff of the Microbiology Section of the Centre for Tropical Veterinary Medicine (CTVM) at home and abroad is illustrated by precis of projects on rinderpest, orf in goats and sheep, bovine dermatophilosis, contagious caprine pleuropneumonia, tick-borne fever in goats and sheep, ...

OBJECTIVES: To survey audit activity in primary care and determine which practice factors are associated with completed audit; to survey the quality of completed audit projects. DESIGN: From April 1992 to June 1993 a team from the medical audit advisory group visited all general practices; a research assistant visited each ...

The cortical masticatory area (CMA) in the guinea pig is subdivided into the anterior and posterior parts (A-CMA and P-CMA), based on the pattern of the CMA-induced rhythmical digastric EMG burst and the cytoarchitecture. The anterograde tracing of horseradish peroxidase from the A-CMA and P-CMA revealed, in addition to a ...

BACKGROUND: Departments of general practice increasingly provide formal teaching in audit. However, little is known about audit projects carried out by trainees in general practice. AIM: A study was undertaken to ascertain general practitioner trainees' experience of undertaking an audit project in the trainee year, with reference to their understanding ...

This paper focuses on project management and examines its value for nurse managers. The paper explores the implementation of project management and its contribution to the collaboration between two Trusts in West Suffolk, UK. It argues that project management could serve the interest of nurse managers within the changing culture ...

A growing number of projects required by a changing national health care environment and an increased awareness of continuous quality improvement methodologies provided the impetus for the department of nursing at a 265-bed academic children's hospital to develop a standardized project management approach. The article describes how the project management ...

An audit project has been submitted by all trainees in the West of Scotland since 1992 as part of a pilot process for summative assessment. The impact of 2 consecutive years of audit was assessed on 117 trainees in May 1994. A response rate of 89% was achieved. For 82 ...

Critical care nurses routinely care for patients who require chest tube management. To obtain the best patient outcome, critical care nurses develop standards of practice from research derived recommendations. Although there are several studies recommending chest tube management practices, there is limited research in some areas of chest tube management. ...

The objectives of this 24-herd, demonstration project of integrated problem solving and extension advising were 1) to evaluate dairy production management practices, 2) to formulate recommendations for guiding producers to correct management deficiencies, and 3) to measure the rate of practice adoption. Management evaluations focused on herd nutrition and forage ...

The human genome project is an attempt to identify all the genes on the human chromosomes that determine the biological makeup of every individual. Armed with such knowledge, argues M. Therese Lysaught, doctors will face intense pressure to practice medicine in a way that differs radically from practice at present. ...

Nurses often are called on to plan, participate in, and manage special projects. These projects and special assignments can be managed most effectively when business principles of project management are applied. This method includes defining the project, developing a work breakdown structure, assigning resources, calculating budget implications, presenting and negotiating ...

Access to biomedical terminologies is hampered by the high degree of variability inherent in natural language terms and in the terminologies themselves. The lexicon, lexical programs, databases, and indexes included with the 1994 release of the UMLS Knowledge Sources are designed to help users manage this variability. We describe these ...

This study was designed to evaluate changes in calf and heifer management in a sample of Pennsylvania dairy farms in conjunction with a statewide extension program on dairy replacements. The extension program reached dairy farmers in addition to individuals in agribusiness, veterinarians, and others who have frequent contact with dairy ...

Observation of the current procedure for telephone triage in a community-based acquired immunodeficiency syndrome (AIDS) clinic and a retrospective chart audit identified opportunities for improvement in the process for the management of telephone triage encounters. Specifically, it pointed out that the nurses faced difficulties in accessing relevant clinical data, and ...

In general medical practice, hypochondriasis is present in 3 to 14 percent of patients. This condition is reported as being resistant to treatment. In this paper, behavioral intervention in an adult male with hypochondriasis is outlined The management involved progressive relaxation, behavioral counseling and bibliotherapy.

Radiology administrators are expected not only to take on the ultimate accountability for meeting the needs and challenges of present day-to-day operations, but also to plan for the future. Computer Aided Facility Management (CAFM), as a tool, enables radiology managers to obtain up-to-date data to manage their services. Using Autocad ...

The palatal lift appliance has been described in the dental literature for more than 30 years, yet its efficacy remains controversial in the management of palatopharyngeal incompetency during speech. A pilot project was undertaken to develop a clinical research protocol. In the pilot project, 32 patients had palatopharyngeal incompetency managed ...

The course that an organization takes to create a competitive information management infrastructure is determined by a series of decisions, each of which balances tradeoffs. Key success factors include sequencing projects to reflect data requirements; obtaining benefits as cost is incurred; establishing an architecture that permits integration of applications; managing ...

Forty-eight herds participating in the 1988/1989 Ohio National Animal Health Monitoring System dairy project were monitored for 1 year to determine the effects of environment and management on mortality in preweaned calves. Environmental factors were evaluated by veterinarians during monthly visits to the herds. Management procedures were measured through the ...

The definition of total quality management is conformance to customer requirements and specifications, fitness for use, buyer satisfaction, and value at an affordable price. The three individuals who have developed the total quality management concepts in the United States are W.E. Deming, J.M. Juran, and Philip Crosby. The universal principles ...

The Eurosentinel project was a European concerted action. It started in June 1988 and ended in June 1991. Its purpose was to coordinate activities in the field of sentinel practices with GPs and the ultimate goal was to establish a real European network of sentinel practices. This paper deals with ...

In the field of COST cooperation (COST = European Cooperation in the Field of Scientific and Technical Research) a project B2 for Quality Assurance in Nuclear Medicine Software has been established. In a memorandum of understanding setting up this project, user requirements were to be defined for the hardware and ...

An OR building project is one of the biggest challenges a manager faces. With the dramatic changes in surgery, more managers will have that opportunity. Hospitals are adding on, renovating, and reconfiguring to serve a shifting market. What are the trends for health facilities? How do you gear up for ...

In summary, it is important that the hospital manager have a positive attitude; recognize that not all projects will gain approval and that competition with others for scarce resources is a reality. A well throughout plan, anticipating questions, objections, and including affected departments, is a necessary first step to enhancing ...

There is little information available regarding management of apraxic gait. We present a 61-year-old man with a five-year history of right-sided cerebrovascular accident, apraxic gait, difficulty in walking, and frequent falls. A CT head scan revealed moderate cerebral atrophy, a small lacunar infarction. The patient was unable to initiate walking, ...

The application of the TEAM--Total Evaluation and Acceptance Methodology--to the development of Project FAMUS--Family Medicine, University of Sherbrooke--is described. Project FAMUS is concerned with the establishment of a pan-Canadian risk register, the data being provided from a network of 800 family physicians distributed across Canada. Emphasis is on the first ...

In July 1991, Vanderbilt University Medical Center (VUMC) initiated a fast track approach to the implementation of an Integrated Academic Information Management System (IAIMS). The fast track approach has four elements: 1) an integrated organizational structure combining various operational information management units and the academic informatics program into a single ...

North Colorado Medical Center is a 326 bed primary and tertiary care medical center serving northeastern Colorado and southwestern Nebraska. The pharmacy department provides 24-hour-a-day clinical and distributive services to both inpatients and outpatients with a staff of 1 clinical pharmacy coordinator, 10 pharmacists (excluding pharmacy manager), and 11 technicians. ...

Prosthodontists frequently provide prostheses for the management of speech disorders related to palatopharyngeal dysfunction. Optimal prosthetic management of the palatopharyngeal port requires close interaction between the prosthodontist and speech pathologist in the use of videofluoroscopy and videonasoendoscopy for design, placement, and modification of the prosthesis. Function of the palatopharyngeal port ...

In general, the hypotheses presented at the onset of the study were supported by the results reported here. Over 75 percent of the medical record managers surveyed were from facilities of less than 300 beds. Findings are consistent with characteristics of supervisors in small-to medium-sized departments. The most unique finding ...

Twenty-one mentors and 24 mentees participated in a mentoring project in California. The results indicated that the mentoring needs among mentees were related to their career stage. Mentoring relationships were primarily serial rather than ongoing. Because of the present mercurial environment, individuals must plan much of their career development on ...

Negotiation is an important way for physician executives to manage conflict and to accomplish new projects. Because of the rapidly changing nature of the health care environment, as well as conflicts and politics within their organizations, managers need to effectively negotiate with a wide range of other parties. Managers should ...

A team-oriented problem-solving procedure using management project teams was developed to improve quality of care and productivity in a private, nonprofit hospital. A focus group of managers developed the procedure, endorsed by top management. The work of four manager teams that followed the procedure saved the hospital more than $500,000.

In an era of increased financial strain, effective capital budgeting is critical to a hospital's continued viability. Without accurate estimates of a project's costs and benefits, however, even the most sophisticated selection method is subject to a capital manager's prediction errors. Rather than use typical performance reports to evaluate particular ...

Management issues are one of the most important constraints in achieving social sector development objectives. The practice of labeling a variety of operational weaknesses as management problems hinders diagnostic power and, hence induces a low probability of removing or reducing management constraints. Moreover terms related to management are used differently. ...