Biomedical subjects

C L Ireson

Publications and source records attributed to C L Ireson.

6 recordsLinked to original sources

PubMed2001

Measuring outcomes in surgical patients.

The current emphasis on quality of healthcare, cost effectiveness, and consumer satisfaction demands a better understanding of the relationship between the process of care and the outcomes of care. As patients become more active in defining healthcare quality, outcome measures are becoming increasingly patient focused. To meet these new demands for understanding the process-outcomes relationship, there exists a tremendous need for physician involvement in developing outcomes assessment programs. Such programs are best designed through the cooperative efforts of clinicians and outcomes statisticians. Advances in outcomes assessment will require a combination of increased precision in measurement, greater analysis of outliers, and the development of computerized repositories of clinical and health status data.

Costs and Cost Analysis↗

PubMed1998

A multidisciplinary shared governance model.

A group of nurse managers developed the shared governance multidisciplinary team to provide horizontal interdepartmental communication. Employees identify problems interfering with patient-care delivery and develop solutions to improve patient services.

Humans↗

PubMed1997

Critical pathways: effectiveness in achieving patient outcomes.

Refining the clinical care process to produce high-quality patient outcomes is becoming increasingly important as health care administrators strive for success in a mature managed care environment. This study examines the effect of structuring interventions and the evaluation of patient response, inherent in the critical pathway process, on clinical, length-of-hospital-stay, and financial patient outcomes. This study differs from previous critical pathway trials in that an objective measure of quality was used and the critical pathways were not introduced concurrently with a case management delivery model. The results show that critical pathways may be a significant determinant of improved quality in a managed care environment. The findings also suggest ways to improve nursing practice, nursing education, and nursing informatics.

Critical Pathways↗

PubMed1994

Preparatory information.

Research has demonstrated the effect of preparatory information in reducing patient's negative responses to stressful experiences. Information about diagnostic procedures is unavailable to the clinicians due to rapidly changing technology and lack of exposure to the diagnostic experience. Therefore the purpose of this project was to disseminate procedure related sensory to the clinician to patients through the use of mainframe terminals and printers.

Clinical Laboratory Techniques↗

PubMed1987

Relocation: the impact on staff nurses.

To stay competitive in the marketplace, many hospitals are renovating their physical plants to a more hotel-like appearance. Others are downsizing their units, reflecting the decreased demand for acute care beds. As these changes are made, patients and nurses are temporarily relocated to other places in the institution. How does this relocation of nurses impact their professional functioning and self-esteem? Based on their study of four groups of nurses who were relocated, the authors discuss their recommendations for making relocation a positive experience.

Adult↗

PubMedDate not supplied

Evaluation of variances in patient outcomes.

New knowledge and understanding about improving the quality and reducing the costs of care will come from careful scrutiny of the variations in the outcomes of nursing interventions. Nurses need to systematically identify and measure outcomes, understanding the probabilistic nature of these patient responses to the care received. Using a formative evaluation process, nurses should measure degrees of patient outcomes over time to ascertain the effects of nursing care and analyze the variances in these observed outcomes from what was expected. Critical pathways are valuable tools for guiding evaluations of nursing care along a timeline and can lead to improvements in nursing care.

Analysis of Variance↗