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Biomedical subjects

E Green

Publications and source records attributed to E Green.

161 records · Page 9Linked to original sources
PubMedDate not supplied

Introducing quality management in the community: the VON experience.

How does a national, non-profit, community health organization introduce and implement quality management (QM) throughout its branches? This article traces VON's move from a traditional quality assurance model to a systematic QM approach, focused on customers and on outcomes. Implementing Quality Management in a three-tiered organization (national, provincial and local levels), with boards and staff, is not an easy challenge but is feasible. Effective and creative strategic planning is a necessity. Educational strategies and ideas for implementation are included.

Community Health Nursing↗
PubMedDate not supplied

Transforming people: creating a superteam.

The participative management literature, particularly that which focuses on self-managing teams or Superteams has much to offer to the changing scene in health care today. These concepts and their value to health care and nursing are illustrated through describing an emerging Superteam formed by the authors for a specific project. This transformation has the potential to yield many important benefits for both staff and management.

Decision Making, Organizational↗
PubMedDate not supplied

Ex vivo resuscitation of kidneys after postmortem warm ischemia.

An ex vivo resuscitation of kidney function following substantial post mortem warm ischemia was attempted with the ultimate goal of overcoming the ischemic barriers in organ retrieval for transplantation. The resuscitation technology involved reperfusion at 32 degrees C with an acellular solution to reinstitute oxidative metabolism of sufficient magnitude to restore function after a substantial postmortem warm ischemic insult. The ability to resuscitate renal function at various time periods postmortem was evaluated. Resuscitation parameters included perfusion pressures, vascular flow rates, vascular resistances, restoration of diuresis with concordant urinary creatinine concentrations, and blinded histologic evaluations. The results of this study suggest that it may one day be feasible to resuscitate organs following as much as 2 hr of postmortem warm ischemia for clinical transplantation. An expanded donor pool consisting of allografts resuscitated post mortem from what is now considered to be the "non retrieval donor" could help alleviate the chronic organ shortage. Furthermore, since organs resuscitated ex vivo at 32 degrees C exhibited ongoing metabolism, which was artificially supported rather than inhibited by traditional hypothermia, diuresis was restored. The ability to collect and analyze urine during organ resuscitation and preservation may present the opportunity to assess organ function prospectively.

Animals↗