Search PubMed⌕ Search

Biomedical subjects

J Jones

Publications and source records attributed to J Jones.

At least 811 records · Page 45Linked to original sources
PubMedDate not supplied

A method for developing outcome measures in the clinical laboratory.

Measuring and reporting outcomes in health care is becoming more important for quality assessment, utilization assessment, accreditation standards, and negotiating contracts in managed care. How does one develop an outcome measure for the laboratory to assess the value of the services? A method is described which outlines seven steps in developing outcome measures for a laboratory service or process. These steps include the following: 1. Identify the process or service to be monitored for performance and outcome assessment. 2. If necessary, form an multidisciplinary team of laboratory staff, other department staff, physicians, and pathologists. 3. State the purpose of the test or service including a review of published data for the clinical pathological correlation. 4. Prepare a process cause and effect diagram including steps critical to the outcome. 5. Identify key process variables that contribute to positive or negative outcomes. 6. Identify outcome measures that are not process measures. 7. Develop an operational definition, identify data sources, and collect data. Examples, including a process cause and effect diagram, process variables, and outcome measures, are given using the Therapeutic Drug Monitoring service (TDM). A summary of conclusions and precautions for outcome measurement is then provided.

Data Collection↗
PubMedDate not supplied

The future for mental health nursing.

In February 1998 200 mental health nurses attended the RCN third European Mental Health Nursing Conference in Belfast. This paper reports on a delegate questionnaire concerning issues of resourcing, personal safety, skill mix and commissioning. The findings indicate that mental health nurses remain under threat from physical assault. However, the link between human resourcing, skill mix and threatening behaviour appears not to be one which practising nurses associate with their work area. Not surprisingly, there was a definite perception that purchasers of current services have no real understanding of the needs of service users or providers.

Attitude of Health Personnel↗
PubMedDate not supplied

Violence: part of the job for Australian nurses?

According to a recent Australian Institute of Criminology report (1999) the health industry is the most violent industry in Australia. In this paper the authors aim to highlight violence as an important professional issue for Australian nurses that is currently concealed as 'part of the job'. National and international studies bring attention to the severity of the problem for nurses with a particular focus on emergency nurses. Some of the issues identified and discussed include increased waiting times and frustration; increasing use of weapons; inadequate systems of security; culture of silence; inadequate support for emergent mental health needs; lack of reporting; lack of institutional concern and systems of support, and; demands of triage nursing. The nature of workplace violence in emergency departments in New South Wales and South Australia will be explored based on the authors' research. A research pathway to explore national impact and implications of violence for nurses and nursing practice in general will be outlined.

Australia↗
PubMedDate not supplied

Correlation of endomyocardial biopsy findings with autopsy findings in human cardiac allografts.

To determine the reliability of endomyocardial biopsies in the detection of rejection, we took biopsy specimens from 22 autopsied human cardiac allografts by direct visualization. Five specimens were taken from each of four sites: left ventricular free wall, left ventricular septum, right ventricular free wall, and right ventricular septum. The findings in individual biopsy specimens and the summed diagnosis in the five biopsy specimens from each site were graded for rejection by a grading system similar to the Billingham criteria. Grading of the five specimens from each site also was done using criteria recommended by the International Society for Heart and Lung Transplantation. These findings were compared with the rejection grade determined by examination of large tissue sections from the autopsied hearts, used as the standard. Overall, X-Y correlation for single-specimen grading had an r value of 0.792. Grading based on five biopsy specimens from all sites using the modified Billingham criteria grading scheme had an r value of 0.845; the r value was 0.857 for the new grading system. Specificity of findings was high for all grades. Sensitivity of findings, however, was dramatically less for grades 1, 2, and 3. Predictive values for these grades also were less for grades 1, 2, and 3, but to a lesser degree than sensitivity. No difference in detection of rejection was found from specimens taken from different areas of the heart. We conclude that a significant number of hearts with middle grades of rejection may be underestimated by routine biopsies. The criteria for grading of the International Society for Heart and Lung Transplantation had a slight advantage over a more traditional grading system.

Adult↗
PubMedDate not supplied

A question of empathy.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Viva España.

Explore the source record for details and available documents.

Aged↗
PubMedDate not supplied

Pericardial tamponade in sarcoidosis.

A woman with a three month history of progressive right heart failure was found to have sarcoid pericarditis complicated by pericardial tamponade. The pericardial fluid was serosanguineous, and numerous nodules were noted on the parietal and visceral pericardium. Non-caseating granulomas were found in biopsy specimens of the pericardium, lung and skin. Right-sided heart failure in sarcoidosis is usually attributed to cor pulmonale or primary myocardial sarcoid. Pericardial tamponade should be considered in patients who present with sarcoidosis complicated by right heart failure.

Cardiac Tamponade↗