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AMERICAN JOURNAL OF CLINICAL MEDICINE® spring 2009
AMERICAN JOURNAL OF CLINICAL MEDICINE® spring 2009

... elcome to the American Journal of Clinical Medicine (AJCM®) Spring 2009, focused on Family Medicine Obstetrics. The Journal is dedicated to improving the practice of clinical medicine by providing up-to-date information for today’s practitioners. The AJCM® is the official journal of the American Ass ...
Complex Care Management Program Overviews: General
Complex Care Management Program Overviews: General

... PCPs were identified by Medicare as eligible for the program and elected to enroll. The program is an expansion of the Care Management for High Cost Beneficiaries (CMHCB) Demonstration by Massachusetts General Hospital (MGH) and Massachusetts General Physicians Organization. In the Medicare demonstr ...
No Slide Title
No Slide Title

... from time to time, as long as the list contains at least two conditions. Section 5001( c) of the Deficit Reduction Act of 2005 requires hospitals to begin reporting the secondary diagnoses that are present on the admission (POA) of all patients discharged on or after October 1, 2007. ...
Post op Nausea and Vomiting PONV
Post op Nausea and Vomiting PONV

... The presence of foreign chemicals or blood can also release serotonin. ...
NURS 135 - Great Basin College
NURS 135 - Great Basin College

... 1. Catalog Description: Introductory course designed to provide a Foundation for future courses in nursing. The nursing process is used as a framework to develop scientific understanding and basic skills necessary to meet the basic biopsychosocial needs of patients through the lifespan. Five credits ...
The Right to Refuse Antipsychotic Drugs
The Right to Refuse Antipsychotic Drugs

... effects of the drug. Previously, many mental hospitals had been primarily custodial in character. The fact that clinically significant therapeutic effects could be produced by a drug created an atmosphere that emphasized positive treatment and led to the vigorous application of milieu therapy, psych ...
Urgent Care - TripleTree
Urgent Care - TripleTree

... PhysicianOne Urgent Care, which has 10 locations in Connecticut, is one example of an urgent care model evolving to address the increasing consumer demand for “on-the-go” healthcare by offering services beyond the scope of traditional, episodic-based urgent care. The Company offers $15 prescriptions ...
connection THE AFTER BURN
connection THE AFTER BURN

... The Affordable Care Act was approved by Congress and signed into law by President Barack Obama in March 2010. While enacted more than three years ago, most of the Act will begin to take full effect starting Jan. 1, 2014. The law is designed to expand health care insurance and save individuals money ...
Primary Medical Services Out-of-Hours - Glasgow
Primary Medical Services Out-of-Hours - Glasgow

... NHS Argyll & Clyde (www.show.scot.nhs.uk/achb). NHS Argyll & Clyde progressively took over responsibility for the provision of out-of-hours primary medical services from 28 September 2004. The primary care emergency service evolved from three GP out-of-hours co-operatives and individual GP practices ...
Asthma Training Slides
Asthma Training Slides

... please verify your log in credentials and make sure you logged in under your HealthTeam username and password. Note, when accessing the EMR, you will need to login into your Clinic’s PCs and Tablets using the appropriate generic accounts (such as intemer####) like you are doing at this time. Therefo ...
Severe Asthma
Severe Asthma

... severe from milder versions of the disease and to consider it as a separate condition that requires specialist services to improve the health of this patient group, which continues to have a clear unmet need. In a publication attempting to calculate individual patient costs, it was estimated that a ...
Best Practice Guidelines for Reducing Transmission
Best Practice Guidelines for Reducing Transmission

... specific needs of the patient/resident/client population and services provided in NS healthcare facilities. The guidelines are not regulatory. However, we recommend they be used to standardize infection prevention and control practices throughout NS. Because patients/clients/residents often utilize ...
The CorSolutions Medicare Coordinated Care Demonstration
The CorSolutions Medicare Coordinated Care Demonstration

... Within the first six months, CorSolutions found that identifying patients through their physicians was inefficient, and the program began to recruit hospitals so it could use hospital lists to identify patients. During its first year, the program identified 97 percent of its enrollees by reviewing l ...
354 - Association of Surgical Technologists
354 - Association of Surgical Technologists

... normal and it was noted that the patient had a 5mm gallstone. The patient’s physical examination showed the scrotum was well-developed and both testicles were at the level of the pubic bone. When they were brought down to the hemiscrotum level, they experienced significant tension with the left tes ...
Neuromuscular conditions - PACT
Neuromuscular conditions - PACT

... A. As tidal volume decreases because of muscle weakness, respiratory rate increases to maintain minute ventilation. Arterial blood gases are maintained within the normal ranges, or arterial oxygenation is slightly reduced because of impaired cough and microatelectasis. Eventually the respiratory rat ...
Interpretive Approach and Reporting the Intensive
Interpretive Approach and Reporting the Intensive

... Left-sided congestive heart failure demonstrates a predictable sequence of findings on CXR (Fig. 12). Initially, there is enlargement of the cardiac silhouette with cephalization of pulmonary blood flow. As the degree of heart failure progresses, interstitial edema is noted with prominent interstiti ...
CHANGING SEDATION PRACTICES IN THE INTENSIVE CARE UNIT - Protocol Implementation, Multifaceted
CHANGING SEDATION PRACTICES IN THE INTENSIVE CARE UNIT - Protocol Implementation, Multifaceted

... phase6. Therefore, analgesics and sedatives must be carefully titrated to the individual needs7. A sedation goal or endpoint should be established and regularly redefined for each patient. Regular assessment of the sedation level using a validated sedation scale is recommended7. The response to ther ...
How to use CEA to set the prices of new... technologies : France’s cultural revolution` HTA Symposium
How to use CEA to set the prices of new... technologies : France’s cultural revolution` HTA Symposium

... ● It must be observed that in many cases, companies have to provide postlaunch evidence which will be used at the time of reassessment, five years afet the first inscription on reimbursement list. ● Such requirements are seldom linked to the demonstration of a given level of performance, for example ...
Norwegian Crusted Scabies: An Unusual Case Presentation
Norwegian Crusted Scabies: An Unusual Case Presentation

... treatment for scabies infestation has included lindane 1% lotion, permethrin cream 5%, benzyl benzoate, and crotamiton 10% lotion or cream (1,5,6,8,11,12). The topical treatment should be left on the entire body for a set period and then rinsed with soapy water (1,12). These treatments must be repea ...
Self Study Guide 2013
Self Study Guide 2013

... All employees of the Nursing Department will obtain and read the Nursing Department Reorientation Self Study Guide annually and sign an agreement of understanding stating they have read, understand, and will apply the concepts from the Self Study Guide Mandated Section. In addition, all employees in ...
Ping - personal.kent.edu
Ping - personal.kent.edu

... symptoms (Bent, Nallamothu, & Simel, 2002; Miller, 2001). The high prevalence of asymptomatic bacteriuria hinders the diagnosis of the UTI in the elderly age 75 and older (Woodford & George, 2009). The atypical signs and symptoms of UTI in older people include change of mental status, change of beha ...
Infectious Disease Clinical Case Presentation
Infectious Disease Clinical Case Presentation

... There is similar abnormal signal involving the posterior pons. There is a somewhat linear area of restricted diffusion in the left frontal region just superomedial to the sylvian fissure. This correlates with an area of FLAIR and T2 signal abnormality. There is abnormal FLAIR signal in the subarachn ...
MS_Word ~ 52 KB
MS_Word ~ 52 KB

... The purpose of TAGMail is to assist TAG members identify and share relevant information for their professional practice. Members are encouraged to routinely forward TAGMail to others who they believe would benefit from this information such as colleagues in the same hospital department if they are n ...
High quality care for all, now and for future generations
High quality care for all, now and for future generations

... demographic groups most likely to benefit are least likely to be aware. There are a range of programmes available to support self-management of long-term conditions but provision and uptake of these is variable across the NHS. Variable management of long-term conditions in primary care may have cont ...
Pain-Assessment Strategies in Home Care and Nursing Homes in
Pain-Assessment Strategies in Home Care and Nursing Homes in

... many clinical circumstances involving older people, such as those with reduced cognitive function, self-report is not possible. About 80% of nursing homes residents in Norway have a dementia disease (Bergh et al., 2012) and 33–40% cannot self-report pain because of an inability to communicate (Boerl ...
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Patient safety



Patient safety is a new healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events. The frequency and magnitude of avoidable adverse patient events was not well known until the 1990s, when multiple countries reported staggering numbers of patients harmed and killed by medical errors. Recognizing that healthcare errors impact 1 in every 10 patients around the world, the World Health Organization calls patient safety an endemic concern. Indeed, patient safety has emerged as a distinct healthcare discipline supported by an immature yet developing scientific framework. There is a significant transdisciplinary body of theoretical and research literature that informs the science of patient safety. The resulting patient safety knowledge continually informs improvement efforts such as: applying lessons learned from business and industry, adopting innovative technologies, educating providers and consumers, enhancing error reporting systems, and developing new economic incentives.
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