Board calls for credentialing center under ANA auspices.
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Laparoscopic Cholecystectomy (L.C.) offers advantages that are realized only when patient safety is assured. In November 1990, The Department of Surgery at The New York Hospital Medical Center of Queens initiated a program to introduce this new technology to surgeons who had not performed the operation previously. A preceptorship program was initiated, accompanied by contemporaneous quality assurance review. This is the experience of 15 general surgeons who performed their first 400 L.C.s from November 1990 through March 1993. There were no deaths and only one common bile duct injury (0.25%).
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With time and creativity, a performance evaluation can help nurse managers maintain safe and competent care delivery, meet organizational goals, assist nurses to develop professionally and even encourage ideas for future research. Some of the common problems encountered--time, paperwork and incongruent judgments--may arise between the evaluator and the evaluatee. This article discusses some of these very issues and offers some suggestions for how to handle, if not avoid, these difficulties.
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