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Biomedical subjects

G S Olivas

Publications and source records attributed to G S Olivas.

5 recordsLinked to original sources
PubMed1989

Case management: a bottom-line care delivery model. Part 1: The concept.

Nurse executives have been challenged to "reinvent" hospital-based nursing through alternative care delivery models. These models also help eliminate a major barrier to quality: the lack of understanding and ability to control the care delivery process. The authors discuss a collaborative and multidisciplinary case management model which promises to positively affect the institution's total bottom-line patient, staff, and system, including financial, outcomes.

Cost-Benefit Analysis↗
PubMed1989

Case management--a bottom-line care delivery model. Part II: Adaptation of the model.

Tuscson Medical Center's service volume management, research based approach to developing an adaptation of several design components of the New England Medical Center's case management model is described. The concept behind this model has been described (JONA 19(11):16-20). TMC's adaptation has been accomplished by operationalizing Rhea's steps to control variation in resource use through the (1) application of qualitative and quantitative research methods, (2) integration of other models, (3) inherent differences between the southwest and northeast settings, and (4) an organizational and participative planning structure and process.

Accounting↗
PubMed1986

The use of cough cardiopulmonary resuscitation in clinical practice.

In summary, the cough CPR technique uses physiologic principles similar to those that maintain circulation during chest compression with a number of significant advantages over the latter. At the onset of lethal arrhythmias such as asystole, profound bradycardia, VT, and VF, coughing may assist in maintaining consciousness and an optimum systolic blood pressure. It may also generate the mechanism required to convert the arrhythmia. The simplicity and effectiveness of this technique warrants its consideration for greater clinical use by hospital staff in all monitored settings. It has been noted, however, that clinical research is indicated to more closely examine the proposed cause and effect relationship between cough and arrhythmia conversion and to compare the clinical efficacy between the cough CPR technique and chest blow or other clinical practice measures.

Arrhythmias, Cardiac↗