Biomedical subjects

P H Grant

Publications and source records attributed to P H Grant.

2 recordsLinked to original sources

PubMed1982

Capillary venous differences in neonatal neutrophil values.

Sixty paired venous and capillary total neutrophil counts (TNCs) were obtained from 30 healthy, term neonates on days 1 and 2 of life. Day 1 venous TNC (8,200 +/-- 3,800/cu mm) and capillary TNC (10,400 +/- 4,400/cu mm) were significantly different when examined by the paired t test as were day 2 venous TNC (8,700 +/- 3,300/cu mm) and capillary TNC (9,800 +/- 3,400/cu mm). Application of published reference ranges for capillary TNC to paired samples revealed a 35% incidence of differing clinical interpretations between paired TNCs. The application of capillary reference ranges to venous TNC may result in frequent misdiagnoses and inappropriate management. Venous reference ranges should be established.

Capillaries↗

PubMedDate not supplied

Implementing case management and developing clinical pathways.

Efforts to implement case management and, subsequently, to develop critical paths at Birmingham Baptist Medical Center Montclair in Birmingham, AL, began in the late 1980s. Under the case management system, registered nurses using the CareMap system manage the care of 60-80% of the medical center's patients. Those patients whose care does not follow a map are managed by nurse case managers. The patients who do not meet the identified goals for care require a collaborative effort from all the healthcare professionals associated with their care. Since the inception of the case management program, Montclair has made significant strides in decreasing the cost per discharge, decreasing the variable cost per case, and, most importantly, improving quality outcomes for designated case types.

Alabama↗