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Winning physician buy-in, one of the toughest challenges in any process improvement (PI) endeavor, was the key to success in a PI project undertaken by Peninsula Regional Medical Center in Salisbury, MD.
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Its a frequent tactic of physicians: claiming that quality data are imperfect, invalid, or otherwise misleading.
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At Medical City Dallas Hospital, there is a healthy competition between two hospitalist groups who compare their outcomes with those of the other group and all the physicians in the hospital, says Beverly Cunningham, MS, RN, director of case management.
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When Christiana Hospital in Newark, DE, first instituted its hospitalist program in 1994, the hospital experienced a big drop in length of stay, especially with the uninsured patients who had no particular physician watching over them, recalls Thomas Mannis, MD, senior medical advisor for case management and head of the division of hospitalists.
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Editors note: This is the second of a two-part series on improving care of obese patients in the ED. This months story addresses complications of surgical treatment for morbid obesity you may be seeing in your ED. Last month, we covered special considerations for assessment and supplies.
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Here are key recommendations from the Atlanta-based Centers for Disease Control and Prevention guidance for preventing and controlling influenza in health care facilities:
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If an 11-year-old girl comes to your ED with a radius-ulnar fracture, she is X-rayed, casted, and discharged home a minor injury with minor inconveniences.
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Greenfield RH. Stress and multiple sclerosis. Altern Med Alert 2004;7(5):59-60.
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Stokes MJ. Soy and menopausal symptoms. Altern Med Alert 2004;7(5):49-55.
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