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A mysterious difference between central and mixed venous oxygen
A mysterious difference between central and mixed venous oxygen

... In healthy, awake individuals ScvO2 is usually lower than SvO2. This changes during anesthesia, head trauma, shock, severe heart failure, or sepsis (3). However, the mean difference between SvO2 and ScvO2 has been reported to be around 5 in stable critically ill patients (4), leading to the suggesti ...
Pancreatitis
Pancreatitis

... Sources: American Gastroenterological Association, National Institute of Diabetes and Digestive and Kidney Diseases, National Pancreas Foundation ...
Control of intravenous medication wastage at a teaching hospital in
Control of intravenous medication wastage at a teaching hospital in

... other critical pharmaceutical services to the patients admitted. The quality of pharmaceutical services may be affected.10,11 Several studies have shown that the wastage of IV medications was commonly noticed by practicing pharmacists.12 This study shows the amount of wastage of IV medication in the ...
genomic medicine france 2025 - Ministère des affaires sociales et
genomic medicine france 2025 - Ministère des affaires sociales et

... Plan. In this field too France has to construct a new model—here too France will innovate. It will not be possible to develop personalized genomic medicine without at the same time providing answers to the numerous questions being asked by citizens and patient support groups on consent in access to ...
A. General Information - UNC School of Medicine
A. General Information - UNC School of Medicine

... System-based practice In the context of the above rotations, competency is defined for each of the categories Patient care- medical interviews, physical examinations, review of data, procedural skills, diagnostic and therapeutic decision making Medical Knowledge – basic and clinical science, evidenc ...
women`s health clinical nurse specialist competencies
women`s health clinical nurse specialist competencies

... Women’s Health CNS. As a CNS gains experience, his or her practice may include more advanced and additional skills and knowledge not included in these entry-level competencies. CNS practice occurs within parameters established by the licensing body for the jurisdiction in which the CNS practices. As ...
How to Implement the “Let Me Decide”
How to Implement the “Let Me Decide”

... contacting substitute decision makers, and choosing different treatment protocols depending on the choices expressed in the directive should be outlined. Procedures should clearly state how to follow directives, what each level of care means, and how to interpret personal statements. A study in a co ...
Confronting the Barriers to - National Academy of Social Insurance
Confronting the Barriers to - National Academy of Social Insurance

... Rather, as a general proposition, the program rules must be applied uniformly on a national basis. Exemplary performance cannot be rewarded, while poor performance is tolerated. Although particular, innovative professionals would provide additional care coordination services in a highly competent ma ...
G 1.2 Adult Heart Failure Management
G 1.2 Adult Heart Failure Management

... Heart failure affects more than 5 million Americans, with more than 500,000 new cases occurring annually and a resultant 1,000,000 hospitalizations, which translates into an annual ...
Glucose Control in a Hospitalized Person With Diabetes
Glucose Control in a Hospitalized Person With Diabetes

... his hyperglycemia, once the patient was transferred to the hospital unit, the admitting resident and nursing staff failed to consistently follow his glucose readings and adjust insulin coverage to adequately control his glucose levels. He received the same insufficient sliding scale amounts througho ...
JOURNey s 2010 - Mass General Hospital
JOURNey s 2010 - Mass General Hospital

... must be considered as having claims to assistance. In cases of long protracted disease, instances of such a description do occur amongst those of the most industrious class. Such instances are still less rare among those women, who are either widowed, or worse than widowed. It happens too frequently ...
Peripheral Intravenous Cannula (PIVC) Insertion and Post Insertion
Peripheral Intravenous Cannula (PIVC) Insertion and Post Insertion

... A clinician who has completed a training program in the insertion of PIVCs or who is in, or has completed, a specialist medical training program and has inserted a considerable number of PIVCs. Experienced clinicians are not necessarily more senior clinicians; they may be colleagues such as a Regist ...
Leaving Against Medical Advice
Leaving Against Medical Advice

... ranging from medical complications to death.1, 2, 4 Such outcomes have a significant impact both on the overall cost of their care and on their care experience and quality of life.3 Understanding the nature of admissions where patients leave against medical advice is important to finding appropriate ...
Bisphosphonate- Associated Osteonecrosis
Bisphosphonate- Associated Osteonecrosis

... sponded to topical application of a chlorine dioxidecontaining mouthwash) had received oral alendronate for osteoporosis. In addition, the diagnosis of BON in patient No. 4 was made even though the area of exposed bone was not observed for 6 to 8 weeks.10 In this case, treatment could not be postpon ...
Termination of therapy: what can clinicians do to maximise gains?
Termination of therapy: what can clinicians do to maximise gains?

... therapeutic engagement and process, there has been surprisingly little focus on how to conclude therapy in a way that maximises gains. Preparing for termination of therapy can be extremely important when working with most clinical populations. The clinician may have played a significant role, often ...
JUNE 2010 Culture Change Connection (2).
JUNE 2010 Culture Change Connection (2).

... "We are not just a 'disease' that needs a cure," says Dr. Taylor. "We are whole human beings who just happen to have that diagnosis. People with dementia are whole people and should be treated as whole people!" The focus of this year's Carter Williams Legacy Fund awards will be on individuals who a ...
San Juan Regional Medical Center Procedure Guide for Physicians
San Juan Regional Medical Center Procedure Guide for Physicians

... Each section is dedicated to the departments referenced above. These sections will list locations, hours of operations, procedures and services offered, and phone numbers that your patient can use to schedule an appointment. The contact number for each department manager is included for your purpose ...
Palliative Care and General Debility
Palliative Care and General Debility

... Multiple hospital admissions – Typical of patients with hepatic failure – Indicate poorly controlled symptoms ...
Managing long-term conditions
Managing long-term conditions

... days but stayed at around four days for those with epilepsy. 17. Often people have more than one long-term condition and this can affect how long they stay in hospital. For example, due to the nature of the conditions, it is common for people with COPD or epilepsy to have depression or anxiety, and ...
Palliative Care and General Debility
Palliative Care and General Debility

... Multiple hospital admissions – Typical of patients with hepatic failure – Indicate poorly controlled symptoms ...
Objectives 8/2/2011 Beyond Seating: Enhancing Function & Fun with Children
Objectives 8/2/2011 Beyond Seating: Enhancing Function & Fun with Children

... • Elevation of the head/upper body less than 30 degrees does not usually require the use of a hospital bed • In order to alleviate pain • Patient requires the head of the bed to be elevated more than 30 degrees most of the time due to a medical condition (for example, congestive heart failure, chron ...
DEEP BRAIN STIMULATION VANDERBILT UNIVERSITY
DEEP BRAIN STIMULATION VANDERBILT UNIVERSITY

... location using a map of some sort, we use the computer and atlases of the brain to actually help us dial in the exact precise location we want to go to. This is all done usually in one day with one of these frame systems. And we've found that we spent a lot of time in the morning initially putting t ...
MSKCC Guide By: Dominic C. Sia Last updated: 12/1/09 for any
MSKCC Guide By: Dominic C. Sia Last updated: 12/1/09 for any

... any studies done on the team's patients are discussed with the Radiologist. If your patient had some studies done, you are expected to give a short introduction on the patient to the Radiologist. Just mention the primary disease, any pertinent current problems and why the study was done. After radi ...
Within Our Grasp
Within Our Grasp

... healthcare services. In recent years, there have been numerous reports listing hundreds of recommendations for improvement to healthcare work environments; however there has not been enough concentrated action and outcomes. The ability to reduce wait-times and ultimately, the sustainability of the C ...
mobile medical apps: where health and internet privacy law meet
mobile medical apps: where health and internet privacy law meet

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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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