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Biomedical subjects

J Meehan

Publications and source records attributed to J Meehan.

33 records · Page 2Linked to original sources
PubMed1989

Home parenteral nutrition for the child with cancer.

Compliance with treatment is greatly increased when the caregiver(s) understand the treatment, the need for the treatment, and the need for strict adherence to sterile technique. When the caregiver is not ready to handle home care of the child, compliance is less than optimal and may be a threat to the child. Parenteral nutrition support can be both safe and effective in children with cancer when the family and health-care team work together. Nutrition support facilitates treatment of the whole child and can help improve his or her quality of life.

Child↗
PubMed1989

Pain control in the terminally ill child at home.

The seriously ill or terminally ill child with cancer has received inadequate pain control in the past, partly due to physicians' and nurses' fears and misconceptions regarding the administration of effective pain medications to a child. Advances in assessment techniques in the infant and young child, as well as increasing use of pain assessment questionnaires and VAS in the older child, have mandated changes in administration of analgesia to children. It is the responsibility of the health-care team of provide adequate pain control to the ill child, using knowledgeable assessment and monitoring skills. The goal of therapy for the dying child is to maintain comfort and support the child and the family. Providing analgesia in the hospital or the home has proven safe and effective when administered either orally or parenterally, and comfort of the child is achieved.

Analgesia↗
PubMed1984

Applying for a certificate of need for unit dose and i.v. admixture services in a Connecticut hospital.

The process of obtaining regulatory-agency review of a proposal for unit dose and i.v. admixture services is described. In a 901-bed community hospital in Connecticut, a pharmacy department proposal for instituting unit dose distribution and expanding the i.v. admixture service was supported by the hospital administration and included in hospital budget projections. A state body that regulates hospital revenues, the Commission on Hospitals and Health Care (CHHC), rejected the proposal for these changes in pharmaceutical services. The pharmacy and hospital administration subsequently petitioned the Health Systems Agency in that jurisdiction for a certificate of need (CON); the procedure required that the application also be simultaneously submitted to CHHC. Implementation of the program over a three-year period was proposed. The CON application was submitted in July 1981; it required detailed information from pharmacy, nursing services, and hospital administration. During the nine months following application for the CON, further questions were asked and five hearings were held. In April 1982, CHHC approved the program and the capital expenditures but did not approve the proposed 10% increase in drug revenue needed to support the services. The hospital ultimately committed funding for implementation of the program over three years. The net result of the application procedure was a delay in implementation of expanded pharmaceutical services.

Certificate of Need↗
PubMed1979

Factor and cluster analyses with the Rosenzweig Picture Frustration Study.

The Rosenzweig Picture Frustration (P-F) Study data of 104 psychiatric hospital patients, 56 males and 48 females, were subjected first to a Factor Analysis and then to a Cluster Analysis. In the former, five factors were extracted which showed some similarity to other Factor Analyses reported in the literature. The Cluster Analysis turned up one very large group (42% of the sample) characterized by depression and P-F profiles with elevated i and very low E scores. Seven other clusters are described in the article. The factors and clusters found are clinically meaningful and can provide assistance in interpreting P-F profiles. Recommendations for a revised P-F manual to enhance the usefulness of the test are made.

Adult↗
PubMedDate not supplied

Looking to CQI for improvements in clinical documentation and coding.

The following paper examines how the philosophy of Continuous Quality Improvement (CQI) can be used to improve the quality of clinical documentation and coding. The philosophical basis of CQI and its application in the healthcare environment is outlined. Health information managers need to explore inventive ways of solving the problem of inadequate clinical documentation and high coding error rates, particularly in light of the current casemix-based funding environment.

Australia↗
PubMedDate not supplied

A new continuous quality improvement model for the coding process.

The following paper describes the development and evaluation of a Continuous Quality Improvement Model (CQIM) applied to the coding process of a public metropolitan teaching hospital. The evaluation was carried out by measuring changes to the accuracy, timeliness and quantity of the outputs of the coding process before and after the CQIM was implemented. For all three indicators of quality and productivity, improvements were observed after the CQIM was implemented. Continuous Quality Improvement methods are one strategy which health information managers can use to improve the quality of the coding process to support the provision of accurate coded data in a timely manner.

Abstracting and Indexing↗