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At least 1,279 records · Page 71Linked to original sources
PubMed1986

Drug information residency rotation with pharmaceutical industry.

A drug information rotation in pharmaceutical industry may be elected as a component of a hospital pharmacy residency program. Program objectives include improving communication between the pharmaceutical industry and hospital pharmacy/academia, exposing the resident to the challenges the pharmaceutical industry encounters, improving proficiency in drug information practice, and providing insight into the working relationships of various departments within the company. During the rotation, the resident serves as a member of the Drug Information Service. Resident activities include participating in interviews with corporate professionals, updating pharmacokinetic profiles, responding to drug information requests and participating in other information projects. This rotation enables the resident to better understand pharmaceutical industry's concerns and relate these concerns to clinical pharmacy practice.

Drug Industry↗
PubMed1999

Design of a clinical notification system.

We describe the requirements and design of an enterprise-wide notification system. From published descriptions of notification schemes, our own experience, and use cases provided by diverse users in our institution, we developed a set of functional requirements. The resulting design supports multiple communication channels, third party mappings (algorithms) from message to recipient and/or channel of delivery, and escalation algorithms. A requirement for multiple message formats is addressed by a document specification. We implemented this system in Java as a CORBA object. This paper describes the design and current implementation of our notification system.

Algorithms↗
PubMedDate not supplied

It's in the mail ... educating the home health aide.

Compliance with the education regulations for the home health aide has always been a challenge; however, it can now border on the impossible. This article describes the "Monthly Mailer" that not only brought timely and interesting education materials to the busy home health aide, but also kept the agency in compliance with all local and Federal regulations. The success of the program translated into better communication with the RN staff and gave nurses an opportunity to earn inservice credit as authors of the monthly offerings.

Education, Continuing↗
PubMed2000

The problems of surgical training in gynaecologic oncology.

During the late 60s and early 70s it was recognised that the surgical training for residents in Obstetrics and Gynaecology was inadequate to comprehensively acquire the surgical skills necessary in managing women with gynaecologic cancers. Gynaecologic Oncology (Gynae-Oncology) has three important goals: 1) to maintain the highest standards for patients with gynaecologic cancer, 2) to provide the trainee with clinical skills and structural clinical research after his/her surgical completion, and 3) to acknowledge clinical training centers for the trainees in Gynae-Oncology. For women trainees careful family planning, good communication, flexibility from the program director and faculty, support from co-workers, and, most important, participation and support from the spouse of the trainee are the ingredients of successful childbearing and family care during training programs. These problems have to be faced and dealt with before they become insurmountable problems. International standards are needed for training programs of trainees in Gynae-Oncology, with special emphasis on surgical skills.

Canada↗
PubMed2000

The role of technical assistance in the replication of effective HIV interventions.

This article examines the role of technical assistance (TA) in supporting the replication of proven HIV interventions. A case study of the replication of the VOICES/VOCES intervention elucidates the level and types of TA provided to support new users through the adoption process. TA included help in garnering administrative support, identifying target audiences, recruiting groups for sessions, maintaining fidelity to the intervention's core elements, tailoring the intervention to meet clients' needs, strengthening staff members' facilitation skills, troubleshooting challenges, and devising strategies to sustain the intervention. Two to four hours per month of TA were provided to each agency adopting the intervention, at an estimated monthly cost of $206 to $412. Findings illustrate how TA supports replication by establishing a conversation between the researcher TA providers experienced with the intervention and new users. This communication helps preserve key program elements and contributes to ongoing refinement of the intervention.

Community Health Services↗
PubMed2000

Training families to better manage schizophrenics' behaviour.

The influential role of family in the outcome of chronic schizophrenia is well documented. Because families have become the primary caretakers, this study was designed to train parents of chronic schizophrenics to better manage their offspring. The sample comprised 40 parents whose offspring were admitted to a psychiatric ward from April to June 1996. A self-developed index (Patient Management Skills) was used to measure changes in the parents' expertise in handling their children before and after a 1-month training programme. After training, more parents had the necessary skills to manage the verbal and nonverbal behaviours of their children. Our results bear out the importance of the family's supportive role in producing a better outcome for schizophrenic patients.

Caregivers↗
PubMed2002

Organizational safety: which management practices are most effective in reducing employee injury rates?

PROBLEM: While several management practices have been cited as important components of safety programs, how much does each incrementally contribute to injury reduction? This study examined the degree to which six management practices frequently included in safety programs (management commitment, rewards, communication and feedback, selection, training, and participation) contributed to a safe work environment for hospital employees. METHOD: Participants were solicited via telephone to participate in a research study concerning hospital risk management. Sixty-two hospitals provided data concerning management practices and employee injuries. RESULTS: Overall, the management practices reliably predicted injury rates. A factor analysis performed on the management practices scale resulted in the development of six factor scales. A multiple regression performed on these factor scales found that proactive practices reliably predicted injury rates. Remedial measures acted as a suppressor variable. DISCUSSION: While most of the participating hospitals implemented reactive practices (fixing problems once they have occurred), what differentiated the hospitals with low injury rates was that they also employed proactive measures to prevent accidents. IMPACT ON INDUSTRY: The most effective step that hospitals can take is in the front-end hiring and training of new personnel. They should also ensure that the risk management position has a management-level classification. This study also demonstrated that training in itself is not adequate.

Accidents, Occupational↗
PubMed1975

Some current issues in primary preventive psychiatry.

This paper deals with some of the issues that seem to be involved in conceptualizing, constructing, communicating and operating a program of primary psychiatric prevention. It is based on a series of visits to Nova Scotia, February through August 1970 and Israel, August 1971. Some of the issues discussed include difficulties in conceptualizing, defining, hence in teaching, learning and practicing the subjects involved. Cognitive and affective issues among the four groups usually involved in such programs, and some of the ultimate effects of these on the final content and operation of programs, are discussed. All the individuals involved, Sr. Professional Staff, planning and hiring, Jr. Staff, field implementation, authorizing and funding government officials, and the two groups of community residents, participating and non-participating, periodically manifested ambivalence, perceptual, cognitive and affective distortion, resistance, value, method and goal conflicts in every area of program conception, construction, dissemination, funding, staffing and operation.

Allied Health Personnel↗
PubMed2002

Achieving improvement through nursing home quality measurement.

CMS has initiated the Nursing Home Quality Initiative (NHQI) to improve the quality of nursing home care. Central to the NHQI is the public reporting of nursing home quality measures that serve as the basis for the Initiative's communication and quality improvement program. This article provides an overview of the NHQI, focusing on the role of nursing home quality measures in achieving improvements in nursing home care. We also describe the evolution of quality measurement in nursing homes, a recent CMS project to improve measures through risk adjustment and other refinements, the use of these measures in a pilot of the NHQI, and the lessons learned for future work in this area.

Aged↗
PubMed2003

What to do when faced with the closure of a family practice residency.

The turbulent health care environment, combined with recent reductions in federal support for graduate medical education, has threatened the viability of many residency programs. Several family practice programs are in the process of struggling for survival, while others have been forced to close. A new Residency Assistance Program (RAP) consultation has been developed to help programs "justify their existence " to sponsoring institutions. This paper discusses the signs that a program's viability may be in jeopardy and offers recommendations to reduce the risks of closure. For those residencies forced to cease operations, 11 recommendations are provided to minimize the negative impact of closure on the program's residents, faculty, and staff. Those include steps to assure that current residents receive full credit for the training time completed and the importance of notifications to the Residency Review Committee for Family Practice, the American Board of Family Practice, and the Association of Family Practice Residency Directors. Decisions must be made about whether the option exists to permit current residents to complete their training in the same facility or whether assistance is available to facilitate resident transfers to other programs. Open and honest communication among affected parties is emphasized to minimize the emotional consequences of such an important event.

Academic Medical Centers↗
PubMed2003

[Cardiomyogenesis in the embryonic period of human development].

The morphological analysis of major processes involved in cardiac myogenesis (including cytodifferentiation, proliferation, integration and apoptosis) was carried out by studying the myocardium of 52 human embryos at weeks 4 to 8 of development. The data provided by this study, permit to draw a conclusion on the coupling of high proliferative activity of cardiomyocytes, their active divergent differentiation, formation of the integrative intercellular communications and manifestations of programmed cell death relations during this period of ontogenesis. Starting with week 6 of intrauterine life, the developing atrial and ventricular cardiac muscular tissue demonstrates the heteromorphy of constituting cardiomyocytes, which differentiate into three types: contractile, contractile-secretory and conducting ("light").

Cell Differentiation↗
PubMed1992

Successful implementation of a CQI process.

Managers and CQI facilitators must be equipped to understand both the pain and joy inherent in the organizational change process. The organizational caveats associated with successful implementation of CQI include the following: Expect resistance to change, especially if your current situation is comfortable. Be patient--the change process is an evolution, not a revolution. Plan well in a multidimensional format--you are changing more than policies and procedures when adopting CQI. Shape a culture that will support CQI, actively plan to expand communication opportunities, enhance training programs, and increase recognition modalities. Anticipate and deal with the stress that will accompany change. Don't forget to celebrate successes as transformation occurs!

Hospital Administration↗
PubMed1990

The beginner's attitude.

Communication is often a source of conflict and dissatisfaction. The Beginner's Attitude turns conflict into harmony. We have all learned poor communication habits through misdirected social programming. The average attention span is estimated by psychologists to be only 1% of the time involved in an interaction. Sensitivity and self-help programs identify our inadequacies, but they offer few remedies. Hence, most of us do not know how to improve our communication. The Beginner's Attitude offers specific technology in language that's easy to understand. Learning becomes the motivation for communication and tension dissolves into effortless rapport. The Beginner's Attitude results in sincere and effective communication.

Attitude of Health Personnel↗