| Site Index |
|
|
         |
|
|
|
|
|
|
|
|
|
|
2007 James A Vohs Award for Quality First-Place Selection By Jeryl McGaw, MS, RN, ND; Douglas A Conner, PhD; Thomas M Delate, PhD, MS; Elizabeth A Chester, PharmD; Carol Ann Barnes, MS, PT, GCS This article describes a description of a systematic and comprehensive program for dealing with the problems inherent in a complex health system necessitating frequent transfers of responsibility among providers. There is concentration on avoidance of medication errors and coordination of outpatient care. Penicilloyl-Polylysine Stability and Clinical Use Over Time. By Eric Macy, MD; CK Lin, PhD; Bruce Goldberg, MD, PhD Because of unavailability of a commercial product, outdated material was used to test for penicillin allergy. Results were satisfactory and comparable to those with materials previously used before the stated expiration date. Introducing Narrative Practices in a Locked, Inpatient Psychiatric Unit. By Lewis Mehl-Madrona, MD, PhD A trial program of innovative, daily one-hour group therapy sessions emphasizes storytelling as a technique for obtaining emotional rapport with involuntarily confined psychiatric patients. The interesting positive results are potentially useful. Expressing your current story, then constructing a new one, is powerful self-treatment. Fetal Heart Rate Pattern Notification Guidelines and Suggested Management Algorithm for Intrapartum Electronic Fetal Heart Rate Monitoring. By Thomas Downs, MD; Evelyn Zlomke, RN, MPH Variability in the use of FHR guidelines may account for past trials showing lack of efficacy. The proof of effectiveness of a practice guideline is day-to-day use through a management algorithm. A Decade of Experience with a Multiday Residential Communication Skills Intensive: Has the Outcome Been Worth the Investment? By Terry Stein, MD This study of videotaped, role-play practice with actors for 525 physicians cites significant effects: change in habits, patient satisfaction, and physician satisfaction--all sustained over time. Whole Person Health for the Whole Population: One-Year Evaluation of Health Coaching. By Melodi Licht, RN, MSN; Jeffrey M Davis, MD, MPH; Allison Scripps, MS, RD, CDE; Juanita Cone, MD, MPH This article reports on the positive impact of personal health coaching on quality outcomes --improved glycemic control-- and overall patient satisfaction. Clostridium difficile Colitis: Reduced Time to Diagnosis in a Community-Based Outpatient Setting Between 1997 and 2004. By Charles S Salemi, MD, MPH; Timothy D Jenkins, MD, FACP; Andres Aguirre, MPH; Annie Cao, PharmD; Gisela Villaruel; John Morgan, DrPH; Andrew Simental, PharmD A study of two time periods about 7-8 years apart showed that there was substantial shortening of time to diagnosis of Clostridium difficile colitis in outpatients. The major risk factor is antecedent antibiotic use, including metronidazole. Which Chronic Obstructive Pulmonary Disease Patients Will Be Likely to Attend Consistently a Pulmonary Rehabilitation Program? By Salwa E Hassanein, PhD, RN; Georgia L Narsavage, PhD, APRN, FAAN; Sherrie Dixon Williams, MD, MHS; Mary K Anthony, PhD, RN; Lisaann S Gittner, MSc With a view of optimizing use of limited resources, this study examines a variety of traits potentially predictive of good attendance at specialized pulmonary rehabilitation classes. Several are identified. Continued smoking is the greatest predictor of low attendance. |
|
|
|
|
|
|
|
|
|
|
 |
|
