摘要:

ORDINARILY ONE WOULD NOT ASSOCIATE SEAGULLS WITH TEAMS, BUT THEN JONATHAN Livingston Seagull was no ordinary bird. He was a one-in-a-million bird, for Jonathan Livingston Seagull knew that there was more to life than eating or fighting or power in the flock. Jonathan was a bird who made a difference because he was free, and thus could leave the flock behind.

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:Capitation achieves a competitive edge, yet many subacute care providers have not aggressively pursued this strategy. To take steps toward capitation, the following points need to be addressed: (1) determine what type of capitation to pursue; (2) establish the proper infrastructure to support capitated services; (3) implement a case management system; and (4) practice total quality management.[Nurs Manags 1998:29(1): 14–16]

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:Capitated payment arrangements are changing and expanding. The private sector is paying growing attention to capitating dental care and paying capitation rates for specialty services. The federal government plans to experiment with global purchasing and competitive bidding to establish capitation rates for Medicare beneficiaries.[Nurs Manags 1998:29(1):19–21]

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:The author reviews several cases involving medication errors and advises that one way to make a malpractice case worse is to be accused of delay in informing the patient or family of the circum-stances. If fraud or intentional concealment is established, punitive damages may be awarded-which are not covered by malpractice insurance policies since this is an intentional act.[Nurs Manags 1998:29(1):22–23]

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:A case management program is designed so that the nurses could work with any client within the health system, regardless of the diagnosis or provider. A variety of challenges surfaced: maintaining visibility within a large health care system; working with varied approaches to client care issues; and being clinically knowledgeable in the variety of chronic illnesses. Hospital admissions, physician and emergency department visits and costs are measured after establishing a nurse case management program.[Nurs Manags 1998:29(1):24–25]

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:Implementing standard approaches to nursing care simplifies task-oriented work so nurses can spend more time tailoring expectations to individual patients. A multihospital system defines a common nursing practice model and the issues that occurred during the process.

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:When establishing a case management program, patient populations were identified; goals and measures defined; and a case manager role developed. A registered nurse and a social worker team manage the patients in the program. After 9 months, a pilot study shows a total savings of $94,159 using case management[Nurs Managa 1998:29(1):28–31]

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:Critical barriers can prevent the imple mentation of an effective quality improvement (Ql) program in the health care setting, including organizational culture, restructuring, quality assurance/quality control functions, Ql teams and costs. Common pitfalls encountered that cause Ql programs to falter—or worse, to fail—are discussed.[Nurs Managa 1998:29(1):32–36]

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:Most physicians and nurses realize that the current patient-care delivery system does not meet the needs of the terminally ill. Is the kind of suffering often experienced and witnessed in hospitals needless? A bioethics committee and a palliative care subcommittee discuss aspects related to the care of the dying patient.[Nurs Managa 1998:29(1):40,42,45–46]

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract:The Nursing Information and Data Set Evaluation Center, established by the American Nurses Association, recently published the criteria by which it evaluates information systems that support nursing practice documentation. This article focuses on two of the four dimensions of nursing data sets and the systems that contain them: nomenclature and clinical content.[Nurs Managa 1998:29(1):49–50]

ISSN:0744-6314    

出版商:OVID    

年代:1998

数据来源: OVID