Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Nursing, Team: Coordination of nursing services by various nursing care personnel under the leadership of a professional nurse. The team may consist of a professional nurse, nurses' aides, and the practical nurse.Hospital Rapid Response Team: Multidisciplinary team most frequently consisting of INTENSIVE CARE UNIT trained personnel who are available 24 hours per day, 7 days per week for evaluation of patients who develop signs or symptoms of severe clinical deterioration.Institutional Management Teams: Administrator-selected management groups who are responsible for making decisions pertaining to the provision of integrated direction for various institutional functions.Interdisciplinary Communication: Communication, in the sense of cross-fertilization of ideas, involving two or more academic disciplines (such as the disciplines that comprise the cross-disciplinary field of bioethics, including the health and biological sciences, the humanities, and the social sciences and law). Also includes problems in communication stemming from differences in patterns of language usage in different academic or medical disciplines.Interprofessional Relations: The reciprocal interaction of two or more professional individuals.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Leadership: The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers.Management Quality Circles: Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.Operating Rooms: Facilities equipped for performing surgery.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Inservice Training: On the job training programs for personnel carried out within an institution or agency. It includes orientation programs.Community Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Organizational Culture: Beliefs and values shared by all members of the organization. These shared values, which are subject to change, are reflected in the day to day management of the organization.Quality Improvement: The attainment or process of attaining a new level of performance or quality.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Soccer: A game in which a round inflated ball is advanced by kicking or propelling with any part of the body except the hands or arms. The object of the game is to place the ball in opposite goals.Crisis Intervention: Brief therapeutic approach which is ameliorative rather than curative of acute psychiatric emergencies. Used in contexts such as emergency rooms of psychiatric or general hospitals, or in the home or place of crisis occurrence, this treatment approach focuses on interpersonal and intrapsychic factors and environmental modification. (APA Thesaurus of Psychological Index Terms, 7th ed)Football: A competitive team sport played on a rectangular field. This is the American or Canadian version of the game and also includes the form known as rugby. It does not include non-North American football (= SOCCER).Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Videoconferencing: Communications via an interactive conference between two or more participants at different sites, using computer networks (COMPUTER COMMUNICATION NETWORKS) or other telecommunication links to transmit audio, video, and data.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Organizational Innovation: Introduction of changes which are new to the organization and are created by management.Professional Role: The expected function of a member of a particular profession.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Patient-Centered Care: Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)Physician-Nurse Relations: The reciprocal interaction of physicians and nurses.Athletic Injuries: Injuries incurred during participation in competitive or non-competitive sports.Professional-Family Relations: The interactions between the professional person and the family.Medical Missions, Official: Travel by a group of physicians for the purpose of making a special study or undertaking a special project of short-term duration.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Traumatology: The medical specialty which deals with WOUNDS and INJURIES as well as resulting disability and disorders from physical traumas.EnglandOrganizational Case Studies: Descriptions and evaluations of specific health care organizations.Sports: Activities or games, usually involving physical effort or skill. Reasons for engagement in sports include pleasure, competition, and/or financial reward.Great BritainTotal Quality Management: The application of industrial management practice to systematically maintain and improve organization-wide performance. Effectiveness and success are determined and assessed by quantitative quality measures.Medical Errors: Errors or mistakes committed by health professionals which result in harm to the patient. They include errors in diagnosis (DIAGNOSTIC ERRORS), errors in the administration of drugs and other medications (MEDICATION ERRORS), errors in the performance of surgical procedures, in the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings. Medical errors are differentiated from MALPRACTICE in that the former are regarded as honest mistakes or accidents while the latter is the result of negligence, reprehensible ignorance, or criminal intent.Patient Simulation: The use of persons coached to feign symptoms or conditions of real diseases in a life-like manner in order to teach or evaluate medical personnel.United StatesMedical Staff, Hospital: Professional medical personnel approved to provide care to patients in a hospital.Athletic Performance: Carrying out of specific physical routines or procedures by one who is trained or skilled in physical activity. Performance is influenced by a combination of physiological, psychological, and socio-cultural factors.Safety Management: The development of systems to prevent accidents, injuries, and other adverse occurrences in an institutional setting. The concept includes prevention or reduction of adverse events or incidents involving employees, patients, or facilities. Examples include plans to reduce injuries from falls or plans for fire safety to promote a safe institutional environment.Continuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Teaching Rounds: Systematic discussions and teaching relating to patient care.Education, Nursing, Continuing: Educational programs designed to inform nurses of recent advances in their fields.Aviation: Design, development, manufacture, and operation of heavier-than-air AIRCRAFT.Research Personnel: Those individuals engaged in research.Hospice Care: Specialized health care, supportive in nature, provided to a dying person. A holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. Care may be provided in the home, in the hospital, in specialized facilities (HOSPICES), or in specially designated areas of long-term care facilities. The concept also includes bereavement care for the family. (From Dictionary of Health Services Management, 2d ed)Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Education, Nursing: Use for general articles concerning nursing education.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Professional Competence: The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.Relief Work: Assistance, such as money, food, or shelter, given to the needy, aged, or victims of disaster. It is usually granted on a temporary basis. (From The American Heritage Dictionary, 2d college ed)Nurse Clinicians: Registered nurses who hold Master's degrees in nursing with an emphasis in clinical nursing and who function independently in coordinating plans for patient care.Nurses: Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.Emergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.Critical Pathways: Schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment. (From Mosby's Medical, Nursing & Allied Health Dictionary, 4th ed)Emergency Medicine: The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Mobile Health Units: Movable or portable facilities in which diagnostic and therapeutic services are provided to the community.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Focus Groups: A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.Critical Care: Health care provided to a critically ill patient during a medical emergency or crisis.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Patient Care Planning: Usually a written medical and nursing care program designed for a particular patient.Medical Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.LondonDelivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Allied Health Personnel: Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.ManikinsBasketball: A competitive team sport played on a rectangular court having a raised basket at each end.Dental Staff: Personnel who provide dental service to patients in an organized facility, institution or agency.Diffusion of Innovation: The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Creativity: The ability to generate new ideas or images.Mouth Protectors: Devices or pieces of equipment placed in or around the mouth or attached to instruments to protect the external or internal tissues of the mouth and the teeth.Health Plan Implementation: Those actions designed to carry out recommendations pertaining to health plans or programs.Patient Safety: Efforts to reduce risk, to address and reduce incidents and accidents that may negatively impact healthcare consumers.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Hospital Bed Capacity, 300 to 499Triage: The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment.Pharmacists: Those persons legally qualified by education and training to engage in the practice of pharmacy.Observation: The act of regarding attentively and studying facts and occurrences, gathering data through analyzing, measuring, and drawing conclusions, with the purpose of applying the observed information to theoretical assumptions. Observation as a scientific method in the acquisition of knowledge began in classical antiquity; in modern science and medicine its greatest application is facilitated by modern technology. Observation is one of the components of the research process.Professional-Patient Relations: Interactions between health personnel and patients.Systems Analysis: The analysis of an activity, procedure, method, technique, or business to determine what must be accomplished and how the necessary operations may best be accomplished.Checklist: Aid for consistent recording of data such as tasks completed and observations noted.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Nurse Practitioners: Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician.Resuscitation: The restoration to life or consciousness of one apparently dead. (Dorland, 27th ed)Process Assessment (Health Care): An evaluation procedure that focuses on how care is delivered, based on the premise that there are standards of performance for activities undertaken in delivering patient care, in which the specific actions taken, events occurring, and human interactions are compared with accepted standards.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Anesthesiology: A specialty concerned with the study of anesthetics and anesthesia.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Teaching: The educational process of instructing.Disease Management: A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)Hockey: A game in which two parties of players provided with curved or hooked sticks seek to drive a ball or puck through opposite goals. This applies to either ice hockey or field hockey.Curriculum: A course of study offered by an educational institution.General Surgery: A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.Clinical Protocols: Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.Transportation of Patients: Conveying ill or injured individuals from one place to another.Community-Institutional Relations: The interactions between members of a community and representatives of the institutions within that community.Athletes: Individuals who have developed skills, physical stamina and strength or participants in SPORTS or other physical activities.Patient Care Management: Generating, planning, organizing, and administering medical and nursing care and services for patients.Operating Room Nursing: The functions of the professional nurse in the operating room.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Podiatry: A specialty concerned with the diagnosis and treatment of foot disorders and injuries and anatomic defects of the foot.Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Heart Arrest: Cessation of heart beat or MYOCARDIAL CONTRACTION. If it is treated within a few minutes, heart arrest can be reversed in most cases to normal cardiac rhythm and effective circulation.Morale: The prevailing temper or spirit of an individual or group in relation to the tasks or functions which are expected.Education, Medical, Continuing: Educational programs designed to inform physicians of recent advances in their field.Case Management: A traditional term for all the activities which a physician or other health care professional normally performs to insure the coordination of the medical services required by a patient. It also, when used in connection with managed care, covers all the activities of evaluating the patient, planning treatment, referral, and follow-up so that care is continuous and comprehensive and payment for the care is obtained. (From Slee & Slee, Health Care Terms, 2nd ed)Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Intensive Care Units: Hospital units providing continuous surveillance and care to acutely ill patients.Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Personnel, Hospital: The individuals employed by the hospital.Nursing Staff, Hospital: Personnel who provide nursing service to patients in a hospital.Staff Development: The process by which the employer promotes staff performance and efficiency consistent with management goals and objectives.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Sports Medicine: The field of medicine concerned with physical fitness and the diagnosis and treatment of injuries sustained in exercise and sports activities.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Research Design: A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.Interdisciplinary Studies: Programs of study which span the traditional boundaries of academic scholarship.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Job Satisfaction: Personal satisfaction relative to the work situation.Neonatology: A subspecialty of Pediatrics concerned with the newborn infant.Patient Transfer: Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Community Mental Health Centers: Facilities which administer the delivery of psychologic and psychiatric services to people living in a neighborhood or community.Nurse's Role: The expected function of a member of the nursing profession.Physicians: Individuals licensed to practice medicine.Hospitals, Pediatric: Special hospitals which provide care for ill children.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Personnel Management: Planning, organizing, and administering all activities related to personnel.Nursing Research: Research carried out by nurses, generally in clinical settings, in the areas of clinical practice, evaluation, nursing education, nursing administration, and methodology.Social Work: The use of community resources, individual case work, or group work to promote the adaptive capacities of individuals in relation to their social and economic environments. It includes social service agencies.Hospitals, Public: Hospitals controlled by various types of government, i.e., city, county, district, state or federal.Employee Performance Appraisal: The assessment of the functioning of an employee in relation to work.Cardiopulmonary Resuscitation: The artificial substitution of heart and lung action as indicated for HEART ARREST resulting from electric shock, DROWNING, respiratory arrest, or other causes. The two major components of cardiopulmonary resuscitation are artificial ventilation (RESPIRATION, ARTIFICIAL) and closed-chest CARDIAC MASSAGE.Translational Medical Research: The application of discoveries generated by laboratory research and preclinical studies to the development of clinical trials and studies in humans. A second area of translational research concerns enhancing the adoption of best practices.Nursing: The field of nursing care concerned with the promotion, maintenance, and restoration of health.Physician's Role: The expected function of a member of the medical profession.

*  Feb. 25 - News Room - UNC Health Care

Labor Efforts Require Team Approach that Respects Culture and Patient Satisfaction The Carolina Value Labor solution team ... Since May 2015, the Labor solution team has been partnering with each UNC Health Care hospital to help them identify ways to ... Labor Efforts Require Team Approach that Respects Culture and Patient Satisfaction - Read More… ... UNC Health Care's Annual Family Baseball Day Join us on April 10 at 1 p.m. for a family-friendly afternoon at this year's UNC ...
news.unchealthcare.org/empnews/2016/feb-25

*  The Interaction of SETMA's Hospital Care Team | The Examiner

SETMA's Model of Care has more physicians and more team member interacting on more patients every day than in any other model. ... uninsured and unassigned patients for whom we care receive the same quality of care as our private patients. I would offer the ... This is only one example as to how the team increases the patient's quality of and safety of care. RNs are not being asked or ... The reality is that with multiple "sets of eyes" on a patient's care, patient safety goes up as it is not unusual for ...
theexaminer.com/features/commentary/interaction-setma’s-hospital-care-team?page=1&quicktabs_1=2

*  Our Team - AIDS Center - Patient Care - Infectious Diseases - University of Rochester Medical Center

Our Team AIDS Physicians and Providers. *Peter Mariuz, MD. Interim AIDS Center Director ...
https://urmc.rochester.edu/medicine/infectious-disease/patient-care/aids-center/team.aspx

*  Pharmacy team plays critical role in hospital patient care: doctor | CTV Atlantic News

The pharmacy team plays a big role in patient care at the QEII Health Sciences Centre in Halifax. ... They also spend time in patient care areas as part of the interdisciplinary health care team, working with nurses and doctors. ... The pharmacy team plays a big role in patient care at the QEII Health Sciences Centre in Halifax. ... Campbell says it's common to see patients who are taking a whole list of different medications, making the pharmacy team's keen ...
atlantic.ctvnews.ca/pharmacy-team-plays-critical-role-in-hospital-patient-care-doctor-1.2820271

*  RN Patient Aligned Care Team PACT Care Manager jobs in norfolk virginia | Job.com

498 RN Patient Aligned Care Team PACT Care Manager jobs in norfolk virginia available on Job.com ... Get updates for RN Patient Aligned Care Team PACT Care Manager jobs in norfolk virginia Sign Up. ... RN Patient Aligned Care Team PACT Care Manager Jobs in norfolk virginia Showing 1-16 of 498 ... "RN Patient Aligned Care Team PACT Care Manager" jobs in "norfolk virginia" delivered to your Inbox. ...
job.com/job-search/results/?mmid=14&q=RN Patient Aligned Care Team PACT Care Manager&l=norfolk virginia

*  Now the hit squad will go in: Rescue teams to run trusts where lack of care left patients dead | Daily Mail Online

Now the hit squad will go in: Rescue teams to run trusts where lack of care left patients dead. *11 of the 14 hospital trusts ... Patients felt scared to complain in case it jeopardised their care The three trusts which had high death rates but which will ... Patients on dementia wards not fed properly or given enough water. *One patient transferred between two hospitals eight times ... Patients shunted around hospitals between wards. *Nurses not properly trained to treat bedsores with patients left in crippling ...
dailymail.co.uk/news/article-2366312/Now-hit-squad-Rescue-teams-run-trusts-lack-care-left-patients-dead.html?ico=health^headlines

*  Systematic Team Approach to Guide Early Mobilization in Surgical Intensive Care Unit Patients - Full Text View - ClinicalTrials...

Systematic Team Approach to Guide Early Mobilization in Surgical Intensive Care Unit Patients (mSOMS). This study is ongoing, ... The investigators propose to conduct a randomized controlled study in surgical intensive care unit patients to evaluate the ... Effects of a Systematic Team Approach to Guide Early Mobilization in Surgical ICU Patients. ... Patient mobilization discussed on rounds, SOMS score goal created, specific attempt to mobilize patient and achieve goal ...
https://clinicaltrials.gov/ct2/show/NCT01363102

*  On-site Cardiology Team Improves Care for Heart Attack Patients

"Our staff is on hand and prepared all of the time to meet patients when they arrive and require immediate care." ... "Having a team on site 24/7 is the best way to enhance emergency angioplasty times," said Michelle Fennessy, APN, study ... "By treating patients quickly, you save more lives and improve their prognosis." Source: Eurekalert ... All patients received angioplasties within 90 minutes and 82 percent received them within 60 minutes. These results greatly ...
medindia.net/news/On-site-Cardiology-Team-Improves-Care-for-Heart-Attack-Patients-83448-1.htm

*  APTA Participates in BlogTalkRadio Show on Patient Access, Value of Multidisciplinary Care Teams

... On June 18, APTA's Janet ... Rights and its mission to protect patient access to the full range of care providers, as well as the importance of ... multidisciplinary care teams. Other guests included Lisa Summers, CNM, DrPH, senior policy fellow at the American Nurses ... Bezner, PT, PhD, appeared as a guest on RN.FM's online radio station to discuss the Coalition for Patients' ...
apta.org/PTinMotion/NewsNow/2012/6/20/CPRBlogTalkRadio/?blogmonth=7&blogday=26&blogyear=2013&blogid=10737418615

*  Clerical Staff Serve Critical Role on Patient-Centered Care Team

New research shows that all members of the care team -- including clerical staff -- play a crucial role in delivering efficient ... Clerical Staff Serve Critical Role on Patient-Centered Care Team. New research shows that all members of the care team - ... including clerical staff - play a crucial role in delivering efficient, patient-centered care. ... End New Exemptions for Women's Health Care, AAFP Urges. The AAFP and other organizations warned that two new rules on coverage ...
https://affinicorp.com/clerical-staff-serve-critical-role-on-patient-centered-care-team/

*  International Patient Services

International Patient Care Team. As one of the largest pediatric health care providers in the United States, Children's Health ... Becoming a Patient. To help our team recommend the most comprehensive plan of care for your child, please send an email to ... ATTN: International Patient Care Team. 1935 Medical District Drive. Dallas, Texas 75235. CHSTinternationalprogram@childrens.com ... you'll be guided through your medical journey by our International Patient Care Team, who will ensure you feel prepared and ...
https://childrens.com/footer/international-policy

*  Panel Highlights Team Approaches to Patient-Centered Primary Care

Panelists at the Patient-Centered Primary Care Collaborative Fall Conference discussed successful team-based tactics and what ... Panel Highlights Team Approaches to Patient-Centered Primary Care. Panelists at the Patient-Centered Primary Care Collaborative ... End New Exemptions for Women's Health Care, AAFP Urges. The AAFP and other organizations warned that two new rules on coverage ... Counsel Young Fair-skinned Patients About Skin Cancer. The U.S. Preventive Services Task Force posted a draft recommendation ...
https://affinicorp.com/panel-highlights-team-approaches-to-patient-centered-primary-care/

*  Pa. Hospitals Test 'Warranty' on Patient Care | PBS NewsHour

The Geisinger hospital system in Pennsylvania has developed a new approach to health care management, including a 90-day ' ... At Geisinger, medical information is available 24 hours a day for all doctors on a patient's care team. Patients can stay in ... GWEN IFILL: We turn to the story now of how one health care system in Pennsylvania altered its model of care and had a big ... Guaranteed' medical care BETTY ANN BOWSER: Rushton was treated at one of Geisinger Health System's three acute care hospitals ...
pbs.org/newshour/bb/health-jan-june09-healthwarranty_03-30/

*  "What's So Great About Rehabilitation Teams? An Ethnographic Study of Interprofessional Collaboration in a Rehabilitation Unit"...

RESULTS: Recurrent examples of IPC fit 2 dominant themes: team culture (divided into leadership, care philosophy, relationships ... Data analysis consisted of an iterative process involving coding field notes for themes by 3 members of the research team by ... This understanding of daily IPC work may guide initiatives to promote IPC in other clinical team settings. ... SETTING: Single inpatient spinal cord rehabilitation care unit in a Canadian urban academic rehabilitation hospital. ...
https://works.bepress.com/loreleilingard/13/

*  A comprehensive program of health care utilizing the team approach to the education of the patient with chronic obstructive...

Cole R. A comprehensive program of health care utilizing the team approach to the education of the patient with chronic ... A comprehensive program of health care utilizing the team approach to the education of the patient with chronic obstructive ... A comprehensive program of health care utilizing the team approach to the education of the patient with chronic obstructive ... A comprehensive program of health care utilizing the team approach to the education of the patient with chronic obstructive ...
jaoa.org/article.aspx?articleid=2096853

*  A randomized controlled trial of a high support hospital discharge team for elderly people.

... a hospital discharge team for elderly patients, was created to provide practical help and promote independence of patients at ... Patients were those judged to be at particul ... Patient Care Team*. Patient Discharge*. Patient Readmission. ... The Home Treatment Team (HTT), a hospital discharge team for elderly patients, was created to provide practical help and ... Fewer HTT patients were readmitted (four by 6 weeks and nine by 12 weeks) than controls (nine by 6 weeks and 14 by 12 weeks, p ...
biomedsearch.com/nih/randomized-controlled-trial-high-support/8085509.html

*  Blinded comparison of cranial CT and MR in closed head injury evaluation.

METHODS: One hundred seven consecutive patients who were referred to the emergency department and underwent both MR and CT ... Patient Care Team. Scalp / injuries. Skull Fractures / diagnosis. Tomography, X-Ray Computed*. ... METHODS: One hundred seven consecutive patients who were referred to the emergency department and underwent both MR and CT ... The films were interpreted by two neuroradiologists blinded to all patient information. RESULTS: The sensitivity of MR was ...
biomedsearch.com/nih/Blinded-comparison-cranial-CT-MR/8192085.html

*  The use of a prosthetic speech aid for a laryngectomized esophageal speaker with right hemiparesis of the tongue: a case report.

... was used on a patient whose primary method of air charging was bilabial plosive injection and who had a right ... Patient Care Team. Phonation. Phonetics. Speech Disorders / rehabilitation*. Speech Intelligibility. Speech Therapy / ... 3799368 - Telelink: the use of telephone conferences for multidisciplinary team meetings.. 19949538 - Antecedent versus ... was used on a patient whose primary method of air charging was bilabial plosive injection and who had a right hemiparesis of ...
biomedsearch.com/nih/use-prosthetic-speech-aid-laryngectomized/365898.html

*  Gallbladder Cancer Treatment | Gastrointestinal Cancer Care Team | University Hospitals Seidman Cancer Center | Cleveland, OH

... is a nationally recognized cancer program with expertise in both local community and very complex gallbladder cancer care. ... Extraordinary Patient Care by a Team of Experts. We offer patients a multidisciplinary team approach to care. This means all ... The gastrointestinal cancer care team at UH Seidman Cancer Center can help you get well. Gallbladder cancer can be difficult to ... Our fellowship-trained team evaluates and reviews every cancer case so diagnosis, treatment and care decisions are made by ...
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*  Myopia progression control using bifocal contact lenses - ALLER THOMAS A.

The present invention provides new methods and systems for treating myopia progression in myopic patients who also exhibit near ... Final report by the patient care team," Am. J. Optom. Physiol. Opt. 64(7):482-498. ;. 64(7):482-498. Gwiazda, J. et al. (1993 ... The treated patients may be pre-presbyopic, typically patients under 40 years of age, to prevent having patient that previously ... 27 patients wore SV SCL prior to beginning bifocal SCL wear. 24 patients wore SV spectacles prior to bifocal soft contact lens ...
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*  Meet Our Team: Eye Trauma Service - NYEE

Ambulatory Care Services. *In-patient and Ambulatory Surgery Center. *Pre-Operative Services ...
nyee.edu/patient-care/ophthalmology/eye-trauma/team

*  Primary Care Physicians Call for Medical School Curricula That Prepare Graduates for Patient-Centered Medical Home

Communication that enhances care coordination among all members of the health care team and the patient's family; ... "The patient-centered medical home model is a significantly improved way to provide individualized care to patients," said ... Adapted for use for all patients, the PCMH has been shown to improve the quality of patient care, ensure coordination of ... Leadership within the health care team, the health care community and the community at large; ...
aafp.org/media-center/releases-statements/all/2011/medical-school-curricula-pcmh.html

*  Providers With Work-Family Conflict More Likely to Experience Musculoskeletal Pain

The research team included 1,199 patient care workers in the current analysis. The team assessed work-family conflict with 5 ... To examine if an association exists between work-family conflict and musculoskeletal pain among hospital patient care workers, ... researchers conducted a survey among 2,000 hospital workers who provided direct patient care in 2 large Boston hospitals. ... In addition, the team used a questionnaire to assess how much the participants in the study experienced musculoskeletal pain ...
apta.org/PTinMotion/NewsNow/2012/10/3/ElectionPodcast/?blogid=10737418615&id=10737428205

*  20 Best Logistics Nurses jobs (Hiring Now!) | Simply Hired

Facilitates communication between vendors and Patient Care Coordinators, Team Leaders, and Nurse Managers. Establishes and ... Patient Logistics Coordinator. ST ANTHONY MEDICAL CAMPUS-Lakewood, COEst. $57,000 - $74,000 a year. Please note that all salary ... Logistics of patient visits; Logistics of obtaining and coordinating clinical samples; Licensed to practice as a Registered ... Conducting patient rounding with nurses. Sodexo is seeking a General Manager -Transportation for Yuma Regional Medical Center ...
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*  Peripheral Nerve Surgery Service - Massachusetts General Hospital, Boston, MA

Mass General takes a team approach to patient care. Your neurosurgeon will coordinate all of your care with a team of ... Before any surgical procedure, your care team will work together to develop a comprehensive treatment plan that includes ... The Peripheral Nerve Surgery Service's multidisciplinary team has extensive experience removing all types of peripheral nerve ...
massgeneral.org/neurosurgery/services/treatmentprograms.aspx?id=1576

Eco-Runner Team Delft: Eco-Runner Team DelftIndex of urban studies articles: Urban studies is the diverse range of disciplines and approaches to the study of all aspects of cities, their suburbs, and other urban areas. This includes among others: urban economics, urban planning, urban ecology, urban transportation systems, urban politics, sociology and urban social relations.Document-centric collaboration: Document-centric collaboration is a new approach to working together on projects online which puts the document and its contents at the centre of the process.Cross-cultural leadership: Cross-cultural psychology attempts to understand how individuals of different cultures interact with each other (Abbe et al., 2007).Mayo HospitalVirtual trainingCommunity mental health service: Community mental health services (CMHS), also known as Community Mental Health Teams (CMHT) in the United Kingdom, support or treat people with mental disorders (mental illness or mental health difficulties) in a domiciliary setting, instead of a psychiatric hospital (asylum). The array of community mental health services vary depending on the country in which the services are provided.Halfdan T. MahlerStandard evaluation frameworkAnthem (The 2002 FIFA World Cup Official Anthem): Anthem (The 2002 FIFA World Cup Official Anthem) by Vangelis and produced and mixed by Takkyu Ishino is the theme song for 2002 FIFA World Cup held in South Korea and Japan. The single was commercially successful in Japan, being certified platinum for 100,000 copies shipped to stores.Ontario Correctional ServicesJohn Mackey (American football)Webcam: A webcam is a video camera that feeds or streams its image in real time to or through a computer to computer network. When "captured" by the computer, the video stream may be saved, viewed or sent on to other networks via systems such as the internet, and email as an attachment.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Essex School of discourse analysis: The Essex School constitutes a variety of discourse analysis, one that combines theoretical sophistication – mainly due to its reliance on the post-structuralist and psychoanalytic traditions and, in particular, on the work of Lacan, Foucault, Barthes, Derrida, etc. – with analytical precision, since it focuses predominantly on an in-depth analysis of political discourses in late modernity.History of communication studies: Various aspects of communication have been the subject of study since ancient times, and the approach eventually developed into the academic discipline known today as communication studies.Daniel Tarantola: Daniel Tarantola was born in Ajaccio (Corsica), France, in 1942. Having obtained his medical degree from Paris University, Daniel began an international health career in 1971 in the context of emergency humanitarian medical missions to Biafra (Nigeria), and Peru.National Institute of Traumatology and Orthopedic Rehabilitation: The National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR) is an orthopedic hospital and undergraduate & post-graduate institute in Sher-e-Bangla Nagar, Dhaka, Bangladesh. It was established in 1972 by the Bangladeshi government as the Shaheed Suhrawardy Hospital.Red Moss, Greater Manchester: Red Moss is a wetland mossland in Greater Manchester, located south of Horwich and east of Blackrod. (Grid Reference ).Assunta LegnanteNational Cancer Research Institute: The National Cancer Research Institute (NCRI) is a UK-wide partnership between cancer research funders, which promotes collaboration in cancer research. Its member organizations work together to maximize the value and benefit of cancer research for the benefit of patients and the public.HydrosilaFatal Care: Survive in the U.S. Health System: Fatal Care: Survive in the U.S.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Dan BuckinghamHamid GhodseTransitional care: Transitional care refers to the coordination and continuity of health care during a movement from one healthcare setting to either another or to home, called care transition, between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness. Older adults who suffer from a variety of health conditions often need health care services in different settings to meet their many needs.Psychiatric interview: The psychiatric interview refers to the set of tools that a mental health worker (most times a psychiatrist or a psychologist but at times social workers or nurses) uses to complete a psychiatric assessment.Referral (medicine): In medicine, referral is the transfer of care for a patient from one clinician to another.García Olmos L, Gervas Camacho J, Otero A, Pérez Fernández M.RAF Centre of Aviation Medicine: The RAF Centre of Aviation Medicine is a medical organisation run by the Royal Air Force at RAF Henlow in Bedfordshire. It is the main site of aviation medicine research in the UK.Hospice care in the United States: Hospice care in the United States is a type and philosophy of end-of-life care which focuses on the palliation of a terminally ill patient's symptoms. These symptoms can be physical, emotional, spiritual or social in nature.Toyota NZ engine: The Toyota NZ engine family is a straight-4 piston engine series. The 1NZ series uses aluminum engine blocks and DOHC cylinder heads.Upsilon Phi Delta: Upsilon Phi Delta (ΥΦΔ) is the national academic honor society for students in healthcare administration in the United States. The organization was formed in 1965 to further the profession of health administration and the professional competence and dedication of its members.Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator: December 1991Richard Wells (nurse): Richard J. Wells CBE, RN, FRCN (1950–1993) was a British nurse, nursing adviser and health care administrator.Paramedic: A paramedic is a healthcare professional, predominantly in the pre-hospital and out-of-hospital environment, and working mainly as part of emergency medical services (EMS), such as on an ambulance.GetWellNetworkList of emergency medicine courses: This list of emergency medicine courses contains programs often required to be taken by emergency medical providers, including emergency medical technicians, paramedics, and emergency physicians.SAMU Social: A SAMU Social is a municipal humanitarian emergency service in several cities in France and worldwide whose purpose is to provide care and medical ambulatory aid and nursing to homeless people and people in social distress. This is partially accomplished via mobile units which distribute food, hot drinks, blankets, etc.Bio Base EuropeChronic disease in Northern OntarioSenior Emergency Department: The senior emergency department is a recent hospital innovation to build separate geriatric emergency rooms for older adults akin to pediatric emergency rooms designed for children. The trend comes in response to the nation's rapidly growing population of older adults and overcrowding of emergency departments.Central Cardiac Audit DatabaseRoyal London Hospital for Integrated MedicineGlobal Health Delivery ProjectComprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.National Clinical Guideline CentreLaerdalPhil Henderson (basketball)Creativity and mental illness: Parallels can be drawn to connect creativity to Major Mental Illnesses including: Bipolar Disorder, Schizophrenia, Depression, Anxiety Disorder, and ADHD. For example, numerous studies have demonstrated correlations between creative occupations and people living with mental illness.Mouthguard: A mouthguard is a protective device for the mouth that covers the teeth and gums to prevent and reduce injury to the teeth, arches, lips and gums. A mouthguard is most often used to prevent injury in contact sports, as a treatment for bruxism or TMD, or as part of certain dental procedures, such as tooth bleaching.Implementation research: Implementation research is the scientific study of methods to promote the uptake of research findings. Often research projects focus on small scale pilot studies or laboratory based experiments, and assume that findings can be generalised to roll out into a practice based domain with few changes.Computer-aided simple triage: Computer-Aided Simple Triage (CAST) are computerized methods or systems that assist physicians in initial interpretation and classification of medical images. CAST is a sub-class of Computer-Aided Diagnosis (CAD).

(1/2766) The impact of a multidisciplinary approach on caring for ventilator-dependent patients.

OBJECTIVE: To determine the clinical and financial outcomes of a highly structured multidisciplinary care model for patients in an intensive care unit (ICU) who require prolonged mechanical ventilation. The structured model outcomes (protocol group) are compared with the preprotocol outcomes. DESIGN: Descriptive study with financial analysis. SETTING: A twelve-bed medical-surgical ICU in a non-teaching tertiary referral center in Ogden, Utah. STUDY PARTICIPANTS: During a 54 month period, 469 consecutive intensive care patients requiring mechanical ventilation for longer than 72 hours who did not meet exclusion criteria were studied. INTERVENTIONS: A multidisciplinary team was formed to coordinate the care of ventilator-dependent patients. Care was integrated by daily collaborative bedside rounds, monthly meetings, and implementation of numerous guidelines and protocols. Patients were followed from the time of ICU admission until the day of hospital discharge. MAIN OUTCOME MEASURES: Patients were assigned APACHE II scores on admission to the ICU, and were divided into eight diagnostic categories. ICU length of stay, hospital length of stay, costs, charges, reimbursement, and in-hospital mortality were measured. RESULTS: Mortality in the preprotocol and protocol group, after adjustment for APACHE II scores, remained statistically unchanged (21-23%). After we implemented the new care model, we demonstrated significant decreases in the mean survivor's ICU length of stay (19.8 days to 14.7 days, P= 0.001), hospital length of stay (34.6 days to 25.9 days, P=0.001), charges (US$102500 to US$78500, P=0.001), and costs (US$71900 to US$58000, P=0.001). CONCLUSIONS: Implementation of a structured multidisciplinary care model to care for a heterogeneous population of ventilator-dependent ICU patients was associated with significant reductions in ICU and hospital lengths of stay, charges, and costs. Mortality rates were unaffected.  (+info)

(2/2766) Solving stubborn-wound problem could save millions, team says.

Why do some wounds refuse to heal? A team in London, Ont., is attempting to determine the cellular and molecular clues that could lead to better treatment of recalcitrant wounds.  (+info)

(3/2766) Ward pharmacy: a foundation for prescribing audit?

OBJECTIVES: To determine the extent and nature of prescription monitoring incidents by hospital pharmacists and to derive a performance indicator to allow prescription monitoring to be compared among hospitals in North West Thames region. DESIGN: Survey of all self recorded prescription monitoring incidents for one week in June 1990. SETTING: All (31) acute hospitals in the region with pharmacy departments on site, covering 10,337 beds. SUBJECTS: 210 pharmacists. MAIN MEASURES: Number of prescription monitoring incidents recorded, their nature, and outcome; a performance indicator of prescription monitoring (incidents/100 beds/week) and its variation according to specialty and site. RESULTS: 3273 prescription monitoring incidents were recorded (median 89 per hospital, range 3-301), the most common being related to the dose and frequency of administration of the drug (933 incidents, 29%). These incidents led to alterations of prescriptions on 1611 occasions; the pharmacist's advice was rejected on 81. The greatest number of prescription monitoring incidents/100 beds/week by specialty was recorded for intensive therapy units (median 75); the medians for medicine and surgery were 32 and 21 respectively. This performance indicator varied 20-fold when analysed by site, values ranging from 3.6 to 82.1 (median 29.8). CONCLUSIONS: Hospital pharmacists play a large part in monitoring and improving prescribing, and most of their interventions are related to the basics of prescribing. They therefore have a role in medical audit, working with clinicians to identify prescribing problems, and to set standards and monitor practice. A performance indicator of prescription monitoring incidents/100 beds/week allows comparison of pharmacists' activities among sites and may be a valuable tool in auditing them.  (+info)

(4/2766) Paediatric home care in Tower Hamlets: a working partnership with parents.

OBJECTIVES: To describe the first two years of a paediatric home care service. DESIGN: Observational cross sectional study, 1989-91. SETTING: One inner London health district. PATIENTS: 611 children referred to the service; 50 children selected from those referred during the first year, whose parents were interviewed and whose general practitioners were invited to complete a questionnaire. MAIN MEASURES: Description and costs of service; views of parents and general practitioners of selected sample of children. RESULTS: In its second year the team received 303 referrals and made 4004 visits at a salary cost of 98000 pounds, an average of 323 pounds/referral and 24 pounds/visit. This represented a referral rate of 3.2% (258/7939) of inpatient episodes from the main referring hospital between 1 December 1989 and 30 November 1990. Of all referrals to the service, 343(56%) came from hospital inpatient wards. The service was used by disadvantaged and ethnic minority families. The children's parents (in 28(61%) families) and the home care team did a wide range of nursing tasks in the home. Parents of 47(94%) children sampled agreed to be interviewed, and those of 43(91%) found the service useful; guidance and support were most commonly appreciated (33, 70%). Parents of 25(53%) children said that hospital stay or attendance had been reduced or avoided. Parents and general practitioners disagreed on clinical responsibility in 10 children, and communication was a problem for some general practitioners. CONCLUSIONS: The service enabled children to receive advanced nursing care at home. Clinical responsibility should be agreed between parents and professionals at referral.  (+info)

(5/2766) Diabetes care.

Providing good quality diabetes care is complex but achievable. Many aspects of the care do not require high tech medicine but, rather, good organisation. Diabetes is a costly disease, consuming 1500 pounds per diabetic patient per year versus 500 pounds on average for a non-diabetic member of the population in health service costs. Investment now in good quality diabetes care is sound: patients will benefit from a better quality of life associated with a reduced incidence of the complications of diabetes and the direct costs to the health service in treating these complications and the indirect costs to employers will be reduced. Physical and clinical assessments--measurements of blood glucose and glycosylated haemoglobin concentrations, weight, and blood pressure and assessment of eyes, kidneys, feet, and heart--are clearly important, but quality must include consideration of people and their reactions to life and diabetes--a lifelong entanglement--for which much more support should be provided.  (+info)

(6/2766) The dangers of managerial perversion: quality assurance in primary health care.

The promotion of primary health care (PHC) at the Alma Ata conference has been followed by a variety of managerial initiatives in support of the development of PHC. One of the more promising vehicles has been the implementation of quality assurance mechanisms. This paper reviews recent examples of this genre and argues that the thrust of both primary health care and quality assurance are in danger of being distorted by a rather antiquated approach to management.  (+info)

(7/2766) Understanding adverse events: human factors.

(1) Human rather than technical failures now represent the greatest threat to complex and potentially hazardous systems. This includes healthcare systems. (2) Managing the human risks will never be 100% effective. Human fallibility can be moderated, but it cannot be eliminated. (3) Different error types have different underlying mechanisms, occur in different parts of the organisation, and require different methods of risk management. The basic distinctions are between: Slips, lapses, trips, and fumbles (execution failures) and mistakes (planning or problem solving failures). Mistakes are divided into rule based mistakes and knowledge based mistakes. Errors (information-handling problems) and violations (motivational problems) Active versus latent failures. Active failures are committed by those in direct contact with the patient, latent failures arise in organisational and managerial spheres and their adverse effects may take a long time to become evident. (4) Safety significant errors occur at all levels of the system, not just at the sharp end. Decisions made in the upper echelons of the organisation create the conditions in the workplace that subsequently promote individual errors and violations. Latent failures are present long before an accident and are hence prime candidates for principled risk management. (5) Measures that involve sanctions and exhortations (that is, moralistic measures directed to those at the sharp end) have only very limited effectiveness, especially so in the case of highly trained professionals. (6) Human factors problems are a product of a chain of causes in which the individual psychological factors (that is, momentary inattention, forgetting, etc) are the last and least manageable links. Attentional "capture" (preoccupation or distraction) is a necessary condition for the commission of slips and lapses. Yet, its occurrence is almost impossible to predict or control effectively. The same is true of the factors associated with forgetting. States of mind contributing to error are thus extremely difficult to manage; they can happen to the best of people at any time. (7) People do not act in isolation. Their behaviour is shaped by circumstances. The same is true for errors and violations. The likelihood of an unsafe act being committed is heavily influenced by the nature of the task and by the local workplace conditions. These, in turn, are the product of "upstream" organisational factors. Great gains in safety can ve achieved through relatively small modifications of equipment and workplaces. (8) Automation and increasing advanced equipment do not cure human factors problems, they merely relocate them. In contrast, training people to work effectively in teams costs little, but has achieved significant enhancements of human performance in aviation. (9) Effective risk management depends critically on a confidential and preferable anonymous incident monitoring system that records the individual, task, situational, and organisational factors associated with incidents and near misses. (10) Effective risk management means the simultaneous and targeted deployment of limited remedial resources at different levels of the system: the individual or team, the task, the situation, and the organisation as a whole.  (+info)

(8/2766) How patients perceive the role of hospital chaplains: a preliminary exploration.

OBJECTIVE: An exploratory study of the attitudes of hospital patients to the service provided by hospital chaplains. DESIGN: Questionnaire study of hospital inpatients in December 1992. SETTING: One large teaching hospital in London. PATIENTS: 180 hospital inpatients in 14 different general wards, 168 (93%) of whom agreed to take part. MAIN MEASURES: Attitudes to chaplains and their role contained in 12 questions developed during a pilot study on hospital inpatients (16) and staff (14) and their relation to patients' age, sex, length of hospital stay, and religious beliefs, according to Kendall rank order correlations. RESULTS: Of 168(93%) respondents, 72(43%) were women; mean age of patients was 63.1 (SD 16.8) years. Forty five (27%) were inpatients of three days or less and 22(13%) for one month or more. 136(81%) were Christian; 17(10%) atheist, agnostic, or had no religion; and 15(9%) were of other religions. In general, patients showed positive attitudes towards the role of hospital chaplains and to the services they provided. The correlation analysis showed that there was a significant tendency for older patients, those who had been inpatients for longer, and those with religious beliefs to be more sympathetic to the role of hospital chaplains. CONCLUSIONS: Hospital chaplains provide a service which is appreciated by patients. This study provides a simple instrument for assessing patients' attitudes to chaplains.  (+info)



outcomes


  • This article describes a project to institute a goal of the day, to increase patient and family satisfaction, and to monitor outcomes. (lww.com)
  • Introduction Little is known about the role of the organisational culture in the success and sustainability of the hospital-wide interventions, and how local culture affects patient outcomes in acute hospitals. (bmj.com)
  • Methods and analysis A systematic literature review will be conducted to identify organisational factors influencing hospital-wide interventions and patient outcomes. (bmj.com)
  • This review aims to identify the organisational factors that affect the implementation of hospital-wide interventions in acute hospitals, and how these organisational factors and hospital-wide interventions influence patient outcomes. (bmj.com)
  • Results published in Critical Care Medicine in September showed about the same effect on patient outcomes as other rapid response projects. (acphospitalist.org)

intensive care


  • The purpose of this article is to promote consideration of a patient-centered approach to modifying one of the suspected risk factors for intensive care unit delirium-sleep deprivation. (lww.com)
  • I wanted to work in a hospital where we recognized patients were becoming acutely ill, moved them to the intensive care unit [ICU] where they could get optimal care, or had the conversation that they could be DNR [do not resuscitate]. (acphospitalist.org)

hospitals


  • Rapid response teams have been present in many hospitals over the past decade. (lww.com)
  • Silos, or vertical structures within hospitals such as wards, units and departments, are well developed in acute care hospitals, but the system may fail at the intersection between silos for patients with complications of the original illness, which are outside the expertise of the admitting clinician. (bmj.com)
  • When Dr. Howell and his colleagues first started looking at this issue in 2004, many hospitals were experimenting with rapid response teams (RRTs)-groups of specially trained clinicians who could be summoned to the bedsides of patients who appeared to be declining. (acphospitalist.org)

Rapid


  • If any one of these conditions developed in a patient, whoever noticed the change summoned a rapid response team. (acphospitalist.org)
  • But unlike the typical rapid response system, this team was composed of the patient's primary nurse and physician, the senior nurse of the floor and, if applicable, the patient's respiratory therapist. (acphospitalist.org)
  • The unusual design had one effect from the start: The team was called more often than most intensivist-led rapid response teams are. (acphospitalist.org)
  • What's remarkable is that it's an astoundingly consistent finding across most rapid response team studies," said Dr. Howell. (acphospitalist.org)
  • It's possible that the rapid response team activations resulted in patients being transferred to the ICU, where they later died. (acphospitalist.org)
  • Or, the rapid response emergencies may have led to patients becoming DNR. (acphospitalist.org)
  • Tracking the rapid response activations also motivated other improvements to patient safety at BIDMC. (acphospitalist.org)
  • Data from the rapid response activations also led clinicians to make use of a non-re-breather mask a trigger for the team. (acphospitalist.org)

critical care


  • Thought you might appreciate this item(s) I saw at Dimensions of Critical Care Nursing. (lww.com)
  • Dimensions of Critical Care Nursing. (lww.com)
  • This is essential information for all critical care nurses. (lww.com)

Specialty


  • While trauma surgeons from a general surgery specialty practically do not operate on severe head injuries it is perceived that they both contribute to resuscitative care and expedite the work-up. (biomedcentral.com)

activation


  • Our team activation rate ends up being two or five times higher than has been reported in other studies," said Dr. Howell. (acphospitalist.org)
  • Does trauma team activation associate with the time to CT scan for those suspected of serious head injuries? (biomedcentral.com)
  • At our center, trauma responses variably consist of either full trauma activation (FTA) including an attending trauma surgeon or a non-trauma team response (NTTR). (biomedcentral.com)

Often


  • Often, team members, particularly nurses, must work with families when discussing end-of-life discussions. (lww.com)

system


  • The Alberta Health Services Calgary Region (AHSCR) is a fully integrated, publicly funded health system that provides virtually all medical and surgical care to the residents of the city of Calgary and a large surrounding area including smaller towns and communities (population ~ 1.2 million). (biomedcentral.com)

risk


  • The risk of unexpected mortality (death of a non-ICU, non-DNR patient) dropped significantly: It was 72% lower than before the team was implemented. (acphospitalist.org)

time


  • But my gestalt is that patients decompensate on the floor, people come and take care of them, they stabilize them, and that gives time enough for the patient's son and daughter to come in, or husband/wife, and to have a discussion. (acphospitalist.org)

hospital


  • To bridge these intersections and thereby reduce the potential preventable adverse events for an increasingly aged and ill hospital population with comorbidities, organisation-wide patient-safety interventions are becoming a major focus of healthcare delivery. (bmj.com)
  • Now that mechanism of harm to our patients is eliminated from our hospital," Dr. Howell said. (acphospitalist.org)