ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The University of Michigan Health Systems (UMHS), an academic, tertiary care health system, provides chronic peritoneal dialysis (PD) along an inpatient-outpatient continuum that gives patients access to an integrated system of settings, services, and care levels. An evaluation of key indicators was conducted to determine the quality of PD services as chronic dialysis clients were admitted to one UMHS inpatient unit. The challenge of matching the chronic PD patient's needs with the appropriate level of care along the health care continuum was addressed. This information presents an effective way to use quality data to improve PD care practices and patient outcomes.

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The article provides an example of spanning organizational and professional boundaries to improve care in a medically underserved community through the development of a nursing center. Descriptions of the practice and organizational models demonstrate how each was tailored to the specific community. Using Andersen's behavioral model of families' use of health services and objectives for the year 2000, the impact on access to care and population outcomes are evaluated.

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

In this era of changing health care systems, the word redesign is often linked with mergers, layoffs, or an economic move to balance the bottom line. Redesign is often perceived as a way to reduce the need for professional nurses by eliminating job functions. In this cost-cutting milieu, however, the most important factor—the patient—has been put aside. The article explores what factors contribute to patient satisfaction and describes the redesign process that was implemented at one institution to increase patients' satisfaction during hospitalization.

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The article describes a study performed to determine whether the use of the critical path tool made a difference in the readmission rates of patients after coronary artery bypass graft (CABG) surgery compared with CABG patients cared for without the critical path tool. The sample for this retrospective study consisted of 780 specific patient medical records from the medical record department. Examination of the data revealed no statistically significant difference in readmission for CABG patients cared for with critical paths and those cared for without critical paths. A comparison of hospital length of stay and surgical length of stay between the two groups, however, revealed statistically significant differences between the two groups. The critical path group had a significant decrease in hospital and surgical length of stay.

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Careful monitoring of ambulatory patients on anticoagulation medication is essential to prevent serious complications such as hemorrhages or blood clots. Nurse-run clinics developed in the 1980s provided some of the assistance necessary for chronic maintenance. These clinics had systems problems, however, that were frustrating for both the nurse and the patient. The article describes how multidisciplinary involvement at one medical center helped develop an anticoagulation pathway that improved service to patients and clarified and strengthened the nurse's role in the pathway.

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

A study was conducted to assess the current status of clinical path implementation for acute care cases and to explore implementation issues related to defining discharge outcomes and measuring variances in clinical paths. Results indicated that documentation, identification of critical indicators and discharge outcomes, and variance detection and correction are three core issues that must be addressed by institutions that implement clinical paths. A discussion of each of these areas is provided.

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

As part of a quality improvement study, the incidence and severity of altered skin integrity in a tertiary pediatric intensive care unit (PICU) were investigated in an attempt to identify contributing risk factors. Demographic, severity of illness, and practice variables were collected on 271 of 357 admissions during an 18-week period. Data were analyzed from the date of PICU admission until a change in skin integrity occurred or until PICU discharge. Altered skin integrity occurred in 26 percent of admissions; 7 percent of the cases had skin breakdown. By multivariate analysis, only the Pediatric Risk of Mortality Score and white race were associated with altered skin integrity.

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:1996

数据来源: OVID