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Biomedical subjects

E I Gropper

Publications and source records attributed to E I Gropper.

17 recordsLinked to original sources

Interdisciplinary, functional approach to quality review.

Dramatic changes in the standards of the Joint Commission on Accreditation of Healthcare Organizations, as part of its "Agenda for Change," pose new challenges for health care managers. The goal of the "Agenda for Change" is to focus accreditation on the actual performance of important functions while continuously stimulating improvement in the organization's performance and outcomes of care. In 1994, seven important functions--improvement of performance, leadership, management of information, assessment of patients, education of patients and families, operative and other procedures, and treatment of patients--were identified by JCAHO. Performance, as defined by JCAHO, can be measured through observing specific dimensions, such as, availability, safety, timeliness, effectiveness, continuity, efficiency, and respect and caring. These are considered important elements in the determination of quality, value, cost, and patient outcome. In 1995, JCAHO identified 11 important functions--patient rights and organizational ethics, assessment of patients, care of patients, education, continuum of care, improving organizational performance, leadership, management of the environment of care, management of human resources, management of information, and prevention and control of infection. In addition each institution has the opportunity to decide by prioritization where it wants to devote resources. This article reports on one hospital's response to the new JCAHO initiatives.

Cardiology Service, Hospital↗

The P.A.R.T. system: perfecting actual recording talent.

A comprehensive charting process has been developed to streamline charting through increased efficiency. Duplication of patient information is eliminated and appropriate teaching is ensured by necessitating that it be documented.

Efficiency, Organizational↗

Integrating quality assessment and improvement.

A hospital's mission--to influence change at the provider level--resulted in a continuous shift to improve methodologies in quality surveillance. Interdisciplinary reviews reduce burdensome processes as well as the inherent costs of time and money. Audits were streamlined or combined when appropriate, and a uniform process improved communication and respect for other disciplines.

Decision Trees↗

Promoting health by promoting comfort.

While comfort is a concept frequently addressed in the nursing literature, few have adequately addressed this concept as a central patient objective. At present, our literature focuses more on comfort as a nursing action than on comfort as an individualized patient goal. Comfort may be more likely to be the driving force for patients obtaining healthcare services than health itself. This patient need, coupled with nursing interventions to assist them in identifying and implementing constructive ways of promoting their own comfort needs, will help to achieve an optimal state of health.

Health↗

Understanding "confusion".

Caregiver and client play major roles in the "confused" label. Health care professionals need to be aware of this phenomenon to help decrease the possibility of the label's negative consequences on client care. This article examines caregiver perceptions of "confusion" throughout the life span.

Activities of Daily Living↗