Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Time Management”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 271 records · Page 15Linked to original sources
PubMed1999

'Real time' case management keeps patients out of hospital.

Data drive real-time case management. UniHealth, a Los Angeles-based integrated health system, is using a new Internet-based data collection and analysis system that captures data from hospitals, pharmacies, medical groups, and other members of the health care team. A pilot project found that patients in the study group had 25% fewer hospital admissions, 8.7% fewer bed days per 1,000 patients, and 17.5% fewer urgent inpatient bed days.

Case Management↗
PubMed2000

Three-dimensional catheter positioning during radiofrequency ablation in patients: first application of a real-time position management system.

INTRODUCTION: Precise localization of target sites for radiofrequency catheter ablation (RFCA) of arrhythmias is hampered by the relative inaccuracy of X-ray localization procedures. This study evaluated the efficacy of a three-dimensional (3D) real-time position management system in guiding RFCA procedures in patients. METHODS AND RESULTS: Patients (n = 30, age 59+/-20 years) referred for ablation of either atrial flutter (n = 10), ventricular tachycardia (n = 15), or accessory pathways (n = 5) were studied. The real-time position management system uses ultrasound ranging techniques to track the position of an ablation catheter relative to two multitransducer reference catheters, positioned in the right atrium or coronary sinus and the right ventricle. Each catheter contains three or four ultrasound transducers. The distance between the transducer(s) is determined by calculating the time necessary for an ultrasound pulse to reach other transducers, assuming the speed of sound in blood is 1,550 m/sec. The proximal His bundle was marked at the beginning and the end of the procedure as an electrical landmark to verify reproducibility. After identification of target sites, the position of each lesion created with the ablation catheter was marked. Successful ablation was achieved in 94% of the patients. The distance between the location of the proximal His bundle as marked at the beginning and at the end of the procedure was 2.0+/-1.2 mm (range 1.5 to 3.5). CONCLUSION: The new 3D real-time position management system facilitated RFCA procedures as it allowed accurate and reproducible 3D tracking of the mapping and ablation catheter.

Adult↗
PubMed2005

Developing dental education in primary care: the student perspective.

A pilot outreach course in restorative dentistry based in community clinics began in 2001. As part of the evaluation, 48 fourth year students completed a questionnaire about their opinions of the new course, and about restorative dentistry clinics in the dental hospital. Time management was the most frequently mentioned gain from outreach. In relation to the dental school, students most often saw the specialised teaching staff as a gain. Outreach was equally or more important for students' confidence in clinical diagnosis of dental caries, treatment planning, direct restorations, communicating with patients, and managing patients, time, and resources. The dental hospital was equally or more important for their confidence in the diagnosis of periodontal disease, root planing, crowns, bridges, dentures, and communicating effectively with laboratory staff. Patients in outreach were seen as different from those at the dental hospital because they were unselected, and had different treatment needs. Meeting course requirements was the most frequent concern about outreach. In relation to the dental hospital, students were most often concerned about the quality of teaching and support available. Outreach and the dental hospital provided complementary experiences and the new course met its educational objectives.

Dental Clinics↗
PubMedDate not supplied

College students with diabetes: using focus groups and interviews to determine psychosocial issues and barriers to control.

College students with diabetes are at risk for improvised diabetes care due to their age, newly acquired independence, and erratic schedules. The purpose of this study was to employ focus groups and interviews to identity factors that affect the ability of these students to engage in appropriate self-care behaviors. Focus group and interview questions were developed to address variables of the Expanded Health Belief Model. Two focus groups and fifteen interviews were conducted. Barriers to successful diabetes management were time management, stress hypoglycemic reactions, diet management constraints, and inadequate finances. Several psychosocial issues that affected successful management also were identified. These issues were grouped into three categories: (1) inconveniences of diabetes management, (2) motivators to managing diabetes, and (3) social support issues. The findings show the value of formative evaluation that can then be used to design diabetes education programs to meet clients' perceived needs.

Adaptation, Psychological↗
PubMed2002

Managing during times of uncertainty. Part I--Short-term strategies.

During times of uncertainty, nurse managers must first and foremost act like leaders. They must be visible, stay focused on the situation at hand, demonstrate congruency, convey empathy to their employees, and communicate effectively. While this discussion has dealt with some "short term" approaches to handle uncertain situations, short term may be hours, days, or weeks depending on the type of crisis or situation. The strategies are critical to managing situations during the period immediately following an unexpected event. However, these strategies do not become obsolete as managers begin to address the long term ramifications of the event. Rather, they should serve as a foundation and guide for future management activity.

Communication↗
PubMed1992

Spouse adaptation to mate's CABG surgery: 1-year follow-up.

OBJECTIVE: The purpose of this study was to describe spouses' life stressors, supports, perceptions of illness severity, role strain, physical and mental symptoms of stress, and marital quality 1 year after the mate's coronary artery bypass graft surgery. METHODS: This descriptive study was the third component of a longitudinal panel investigation. (The first component was a period within 48 hours of surgery, and the second was 6 weeks after discharge.) One year after the mate's surgery, spouses received the following instruments in the mail: the Family Inventory of Life Events and Changes, the Norbeck Social Support Questionnaire, the Cantril Ladder Scale, the Strain Questionnaire, the Role Strain Scale and the Dyadic Adjustment Scale. Subjects were a convenience sample of 49 women whose husbands were alive 1 year after their first bypass surgery. Of the women in the sample (n = 49), 98% were white, and the mean age was 56 years. RESULTS: Social support was moderate and significantly less 1 year after surgery than during the first two components (48 hours and 6 weeks after surgery). Women still perceived their husbands to have some illness severity 1 year after surgery. They continued to have physical and mental symptoms of stress and had significantly greater role strain than during the first two periods. Marital quality was average. Spouses reported making several life-style changes. DISCUSSION: During the first year after the patient's bypass surgery, spouses experienced many changes. Although physical and mental symptoms of stress remained the same, role strain increased and social support decreased. The findings suggest testing of such interventions as stress management and time management techniques, support groups, and other psychoeducational interventions. CONCLUSIONS: Although the situation remains difficult for the spouse 1 year after the patient's surgery, nurses and physicians can foster and support spouses through many adjustments and changes.

Activities of Daily Living↗
PubMed1992

[Routes to modify the impact of stress].

The combined effects that daily frustations and tensions have upon you depend, among other factors, on the evaluation you make of the importance of your needs as well as your confidence in your abilities. This effect is equally dependent upon your evaluation of the availability, quality and adequacy of your support system. To minimize the effects of stress, it is important to develop your internal and external resources. Stress management requires more than learning relaxation techniques. It demands the development of certain attitudes that will eventually influence your entire life. This includes the development of a realistic perception of situations and demands the realization that you can only do your best, keeping in mind your knowledge, and resources as well as the context of the moment. Stress management is time management. The management of your energies is related to your resources, your values, your needs and your priorities. The bottom line is the management of your life. Daily, nurses confront the challenge of discovering their own way of gathering information, of resolving problems, of planning pleasant activities, of benefiting from those surrounding them, as well as generating ideas, thoughts and emotions. Caring for patients must also include taking care of one's self.

Adaptation, Psychological↗
PubMed2002

Clinicians and product sales representatives: developing a relationship that works.

In today's healthcare climate, clinicians in any specialty may be required to make product selections for their practice. The skills necessary to negotiate the world of sales include information about how sales relationships are conducted, product evaluations, negotiation management, and time management. Because these skills are not taught in traditional healthcare training programs, clinicians often learn these skills through trial and error. Credible and resourceful clinical experts have current information and a working knowledge about products that are available for patients. An excellent resource for this information is the product sales representative. Literature providing information for clinicians on how to establish and maintain productive relationships with medical product representatives is scarce. This article will explain what issues to address in discussions and negotiations with product representatives. Common pitfalls that often result from not understanding the agenda of the sales representative are identified. By employing the suggested strategies, a mutually beneficial relationship can be fostered.

Attitude of Health Personnel↗
PubMed2002

Radiofrequency ablation of cardiac arrhythmias using a three-dimensional real-time position management and mapping system.

A recently developed three-dimensional real-time position management system (RPM) uses an ultrasound ranging technique that enables multiple distance measurements between two reference catheters and a mapping catheter each equipped with ultrasound transducers. In addition to three-dimensional representation of the catheters and ablation sites it displays real-time movements of catheters (including the tip and shaft). A recently released version of the system enables additional geometry reconstruction of the heart chamber and activation mapping. This study included 21 patients (mean age 59 +/- 14.5 years) referred for radiofrequency catheter ablation of various arrhythmias. Geometry was reconstructed by tracing the endocardial contour of the respective heart chambers. Global and local color coded activation maps were constructed to confirm the nature of arrhythmia and to guide ablation. Spontaneous or induced arrhythmias were typical atrial flutter (n = 8), atypical atrial flutter (n = 3), atrioventricular nodal reentrant tachycardia (n = 3), atrial tachycardia (n = 2), atrial fibrillation (n = 2), ventricular tachycardia (n = 2), and Wolff-Parkinson-White syndrome (n = 1). Geometry reconstruction and mapping of arrhythmias were possible in 20 of 21 patients. RPM-guided radiofrequency ablation was successful in 19 (95%) of 20 patients. Due to difficulties in steering the RPM mapping/ablation catheter, in 6 (28%) successfully mapped patients, radiofrequency ablation was performed using another catheter. In one patient, the RPM-guided map was inconclusive and in another patient, ablation failed due to multiple reentrant circuits. No complications were observed. In conclusion, the new RPM system enables geometry reconstruction and three-dimensional positioning of the ablation catheters, reconstruction of the activation maps, marking of anatomic structures and reproducible tracking of multiple ablation sites. The system could be used to guide radiofrequency ablation of atrial and ventricular arrhythmias.

Arrhythmias, Cardiac↗
PubMed1999

Better theatre management through intelligent reporting: the TIME (theatre information, management and efficiency) system.

Hospital managers, clinicians or their colleges, and the government departments of health are interested in a variety of information for understanding the performance of the health care system and making informed decisions. Intelligent reporting aims to provide the most relevant and reliable information to major stakeholders to facilitate evidence-based practice. The key element in the reporting system is its ability to identify unsatisfactory practice. The TIME (theatre information, management and efficiency) system developed at the North Queensland Clinical School and James Cook University aims to provide intelligible reports for better theatre management. It reflects an effective amalgamation of surgical expertise and systems management principles.

Data Collection↗
PubMed1984

[Attempt to analyze the extrahospital time in managing an acute myocardial infarct patient].

The time of prehospital attendance of patients with acute myocardial infarction is analyzed for the period 1970-1983 by an emergency team according to a scheme of the stages and time for transport, communication and therapy respectively. The duration of the separate stages is determined and a conclusion is drawn that the time for communication and transport is most protracted, and the time for the therapy of a non complicated infarction--is one fourth of the total attendance time. Potentialities are looked for in order to shorten the stages by the regulation of the team, including a stretcher-bearer and a nurse, the necessity of qualification of all teams. The statistical processing of the material is presented as well as a scheme with the outcome of 230 myocardial infarctions--survival, total mortality rate and lethality, 314 patients were followed up as regards hospitalization and a correlation is presented of the members of the team and attendance time with respresentative and chronometric methods.

Aged↗
PubMedDate not supplied

[Preterm labor: timing and management].

Premature rupture of membranes and intrauterine growth retardation are the most frequent conditions in which preterm labour and delivery may be facilitated or induced. If the membranes ruptured before 34 weeks, pregnancy may be prolonged for more than one week and premature fetus perhaps might benefit of steroid administration for the prevention of respiratory distress syndrome and of antibiotic preventive treatment. After 33 completed weeks no prolongation of gestation for more than one week seems to be particularly useful for newborn survival. Actually, intrauterine growth retardation and fetal chronic distress may be prematurely diagnosed (sonographic and Doppler diagnosis, non stress test, ecc.). Antepartum fetal evaluation and management of pregnancy with poor intrauterine growth are problems that need multidisciplinary measures, but the timing and the modality of delivery are strictly obstetric decisions. In case of fetal malformations and/or in case of extremely premature low-weight infants, management and timing of preterm labour and delivery need a particular care in observance of the well-being and of the outcome of these babies.

Cesarean Section↗
PubMed2001

Chronic-pain management--a timely opportunity.

During the past decade, there has been an intense debate among pain management specialists in medicine over the appropriate use of medication. This controversy centers around pain control and appropriate narcotic dosage. Dentistry's role in treating chronic pain has become complex because of differing views on pain management protocols. The dental literature regarding chronic-pain management is limited, and dentistry has only a minimal role in pain management. It is time for dentistry to take a larger role in treating chronic pain. The effective use of medications is only one aspect of chronic-pain management. The success rate for managing intractable pain can be substantially improved if practitioners take advantage of early diagnosis, aggressive physiotherapy, and multiple sympathetic blocks, as well as other blocks and antidepressants. For dentists to take an active role in this arena, they need broader education in treatment regimens. Interdependence with physicians and cross-referral between these two professions may lead to more-favorable outcomes, including improved function and quality of life.

Adaptation, Psychological↗
PubMed2002

Managing during times of uncertainty. Part II--Long-term strategies.

It could be argued that uncertainty is currently part and parcel of most businesses. The degree of uncertainty may vary at times, but many occupational health nurse managers learn to live with a degree of insecurity in their jobs, and with the service they manage. The strategies discussed in this column can help occupational health nurses manage their departments more efficiently under the best of circumstances, and help identify strategies to use in times of increased uncertainty.

Adaptation, Psychological↗
PubMed2002

Vinyl by design: creating interior spaces that stand the test of time.

Managing design liability, avoiding risk and providing successful buildings are founded upon a conscious awareness of many important details. A key component of a designer's professionalism is understanding potential problems before they occur and proactively specifying the solutions to them. Familiarity with the inherent characteristics of any building material, along with the performance capabilities of specifiable products made with that material, aids in this process. Documenting the selection of a product in the project specifications should take this understanding into account. Knowing the important role of proper product installation--and, where necessary, calling upon the expertise of product manufacturers--should not be underestimated. Each part of the process has a major impact on whether the interior spaces delivered to a building owner provide lasting gratification, value, user satisfaction and recognition of the design professional's strategic importance to the project's overall success.

Education, Continuing↗
PubMed1989

Prevention of complications resulting from pelvic fracture urethral injuries--and from their surgical management.

Times have changed, and urology is not what it was: it is no longer possible for any urologist to be an in-depth expert in more than one or two of its many expanding subspecialist fields--such as pediatric, oncology, reconstruction and functional restoration, stone surgery, gynecourology, neuropathic urinary tract dysfunction, transplantation, fertility, and andrology, etc. Although some techniques for the resolution of urethral strictures, such as dilatation and internal urethrotomy, can be regarded as general urologic procedures, the problems involved in definitive urethral reconstruction should never be underestimated. The potentially complicated nature of a pelvic fracture urethral injury is entirely apparent. It is particularly important to appreciate that an apparently short subprostatic stricture cannot be reliably identified preoperatively as 'simple' and consequently appropriate for a simple perineal approach repair; any surgical failure to resolve a urethral distraction defect inevitably complicates it and may even preclude a subsequent anastomotic retrievoplasty. Thus, surgeons with a general urologic training who do not have both a special additional and ongoing experience of reconstructive procedures and a particular aptitude for the problems involved must be advised that "having a go" is not in the best interests of their patients. The prevention of complications is the essence of good surgery and is essentially a personal matter because many contrarily conceived procedures work quite satisfactorily in the hands of others: consequently, many of the views expressed in this communication are essentially personal, and references to personal publications are made to substantiate statements. However, no one is more conscious than I am of the contributions of friends and colleagues across the world who are interested in the most intriguing field of functional reconstruction, and I am also particularly grateful to the many who have most generously referred their patients and thus created the series on which this article is based.

Female↗