摘要:

Automated medication dispensing systems (AMDS) technology is increasingly being implemented in health care facilities to reduce the risk of medication errors. However, the case study evidence of their effectiveness has so far been mixed. It has been suggested that the attitudes of nursing staff toward AMDS can be an important factor in influencing whether or not the technology will be successfully implemented. Nurses' attitudes toward AMDS were examined at Riverview Health Centre, a long-term care facility where the Meditrol automated dispensing system had been installed the previous year. It was found that nurses were generally distrustful of AMDS and skeptical that it had reduced medication errors. A number of technological, organizational, and social factors has been put forward to explain this distrust. In addition, the efforts of hospital administrators to raise nurses' confidence in the system's reliability were also delineated.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

To thrive in today's health care environment, hospitals are constantly striving to exceed their customers' expectations in delivering quality care in a cost-effective manner. Meeting the patient educational needs of the consumer is one well-recognized aspect of quality care. Delivering quality care does not happen by chance; rather, it requires intense planning. Our academic medical center formalized this process by empowering professional staff from Nursing Development to develop and implement a patient education strategic plan. This article outlines the project management for the assessment phase of this strategic planning process. The findings were instrumental in outlining the future direction for patient education initiatives that will benefit both the patient and the organization.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

In our modification of a quality of care framework, we blended the labels of both models with respect to structure, labeling itstructure/inputs. We then specified the types of characteristics in each of the 12 cells that can guide the evaluation of the areas of interest in a primary care system. The identification of characteristics of this conceptual framework and its subsequent application are important for a number of reasons. Specifically, this framework systematically organizes standardized data elements that are critical to monitoring and subsequently improving quality of care, guiding research, influencing policy, and developing nurse-sensitive patient outcomes.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Clinical practice guidelines are designed for use with consumers. However, consumers are rarely consulted about their development. This paper describes a research project to develop clinical practice guidelines for a community meeting to prevent and intervene with assaultive behavior. The research included consumer input from psychiatric inpatients. The two-phase approach with the consumers included a focus group, followed by survey research. Results, problems, and recommendations are presented.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The impact of altered nutritional status is costly. Surgical patients have 2-3 times the risk of complications, length of stay is extended by 90%, and charges are 35-75% higher.3Risk factors are numerous; therefore, collaboration among all members of the health care team is required to impact patient outcomes positively. The purpose of this article is to review the significance of alteration in nutrition and its impact on patient outcomes. The article demonstrates two approaches to improve the quality of care given to clients with an identified alteration in nutritional status: a clinical research project and a quality improvement project.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Change in medical practice is usually made to solve immediate problems. The continued use of these changes should then be reevaluated. Following an outbreak ofK. oxytocain our Neonatal Intensive Care Unit (NICU), glove use for all patient contact was mandated. We evaluated the need for continued glove use after resolution of the outbreak. No change in colonization patterns was seen after returning to standard precautions, and, as a secondary benefit, financial savings resulting from decreased glove use was realized. Followin implementation of any practice change, routine reevaluation will help to determine when that change is no longer needed or beneficial.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Interdisciplinary collaboration has been identified as an essential element of quality health care. Often, however, the degree of interdisciplinary collaboration in health care settings is limited. This failure to collaborate is usually not due to ill intent, but rather to a lack of collaboration skills. This article notes the need for very tangible, behaviorally specific ways to describe collaboration. Norton's Theory of Communicator Styles was used as a framework to identify the effect of three specific communication behaviors (styles)-namely, dominant, contentious, and attentive styles-on nurses' perceptions of collaboration, quality of care, or satisfaction with the interaction. Suggestions for teaching these three styles to health care professionals are provided.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID