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Biomedical subjects

K Darr

Publications and source records attributed to K Darr.

At least 55 records · Page 3Linked to original sources

The continuing evolution of the medical staff organization: from MSO to PSO.

Regardless of the speed of the evolution from a MSO to a PSO, it is inevitable. During the course of this evolution, hospital management must be certain that individual clinicians and the PSO as a whole perform technical services that are integrated into the hospital's overall effort to achieve its goals. Although nonclinician managers cannot deliver clinical services or independently judge quality, they can obtain the expert advice and technical assistance needed to understand individual and aggregate PSO practice. Doing so allows managers to not only meet their ethical and legal responsibilities but also implement continuous quality improvement in the hospital, an activity of critical importance in the 1990s.

Allied Health Personnel↗

Stabilization of pediatric diaphyseal femur fractures with flexible intramedullary nails (a technique paper).

The indications for surgical stabilization of a pediatric diaphyseal femur fracture are expanding. Children with multiple system injuries, a head injury, and/or multiple fractures have fewer local and distant complications if the femur fracture is treated operatively. Other indications include a pathological fracture in osteoporotic bone, a fracture in a child with a preexisting condition that prevents the application of a spica cast, a child older than 10 years of age, or a child less than 10 years of age who cannot be kept adequately aligned using conventional (traction/casting) methods of fracture management. Here we describe a technique of stabilizing pediatric diaphyseal femur fractures using flexible intramedullary nails (Ender). This technique can be used in children of all ages and with all patterns of diaphyseal fractures.

Bone Nails↗

Applying the Deming method in hospitals: Part 2.

The first article in this two-part series provided a brief history of W. Edwards Deming's influence on Japanese management and outlined the elements of his theories regarding continuous improvement of quality. This column more fully describes Deming's theories as set forth in his book Out of the Crisis (1986). It then gives examples of how they apply in hospitals. Readers will readily identify applications in their own management activities.

Data Collection↗

AIDS update.

AIDS continues to be a major health threat. Yet, life style changes and use of preventive measures have proved effective in dramatically slowing the spread of HIV in at least one group. Society's challenge is to find ways to make these benefits available to others--IV drug users, minority populations, and a new group, college students--both for humane reasons and because society must protect itself from deadly communicable diseases. Hospitals must find ways to provide efficacious, episodic treatment for acute phases of the illness and to assist organizations providing alternative sources of care. Financing this care will remain problematic for all providers. Caring for PWAs while protecting staff remains a major ethical and legal challenge and one in which managers must play a significant role.

Acquired Immunodeficiency Syndrome↗

Hospital care for the terminally ill: a model program.

While community hospitals increasingly are becoming community health care centers, evidence suggests a great need for most of these institutions to improve their care of the terminally ill. Based on a study of existing care programs and of thanatology literature, the authors have developed a model hospital program for dying patients and their families that uses a team approach to integrate resources for their care.

Hospitals, Community↗

Pheochromocytoma.

Explore the source record for details and available documents.

Adrenal Gland Neoplasms↗