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At least 1,747 records · Page 97Linked to original sources
PubMed1997

Research utilization by nurse managers: current practices and future directions.

Forty nurse managers from seven hospitals were surveyed about barriers to utilization of research. The highest rated barriers were related to the acquisition and understanding of research; the lowest rated barriers pertained to the need for research as a basis for nursing practice. Managers with diploma and associate degree preparation and those in rural hospitals perceived themselves as having more barriers in research skills and awareness of research than did baccalaureate and master's prepared managers and managers in urban hospitals. Implications for nurse executives include support for research active environments and the time and education necessary for involvement in research and research utilization activities.

Humans↗
PubMed1991

Legal aspects of orthodontic practice: risk management concepts. Disposing of your orthodontic practice: be careful.

In this and succeeding issues of the American Journal of Orthodontics and Dentofacial Orthopedics, factual risk management scenarios will be presented. These scenarios are based on composites of actual court cases that have been tried to verdict or decision. Valuable risk management lessons may be learned from careful analysis of the course of the events described. Please be advised that the standard of care determined in any case is specific for that jurisdiction and that set of facts as established by expert testimony for the prevailing party. Readers' comments may be addressed to Dr. Donald E. Machen, 5801 Beacon St., Pittsburgh, PA 15217.

Humans↗
PubMed2000

Emergency management of the head trauma patient. Principles and practice.

Management of the severely brain-injured dog or cat can be frustrating, especially considering the lack of proven effective therapies for head trauma patients. A working knowledge of the basic pathophysiology of head trauma and intracranial pressure (ICP) dynamics is essential to the logical treatment of head traumatized patients. Prevention and correction of hypotension and hypoxemia are necessary for preventing progressive increases in ICP. Mannitol is recommended in most cases of severe head trauma, but there is little evidence to support the use of glucocorticoids in acutely brain-injured dogs and cats. The role of surgical intervention for head-traumatized dogs and cats is still uncertain, but may be beneficial in some cases. Aggressive, expedient treatment and attentive patient monitoring are key aspects of successfully managing canine and feline head trauma patients.

Animals↗
PubMedDate not supplied

Managed care: the benefits and implications for clinical practice.

Managed care is a system of coordinating and structuring health care for use by all members of the multidisciplinary team. It is intended to provide quality, cost-effective care that is research- or evidence-based. With limited resources available to the NHS and constantly increasing healthcare costs, a balance needs to be reached between quality and cost. Managed care progammes have the potential to achieve this. This article describes the concept of managed care and some of the tools used in managed care programmes. The benefits of adopting such a system are discussed and the issues that should be considered before its implementation examined.

Case Management↗
PubMed1999

Practice visits as a tool in quality improvement: acceptance and feasibility.

OBJECTIVE: To evaluate the feasibility and acceptance of (a) two programmes of assessment of practice management in a practice visit: mutual practice visits and feedback by peers versus visits and feedback by non-physician observers and (2) the practice visit method used in these programmes (the visit instrument to assess practice management and organisation (VIP)--a validated Dutch tool). DESIGN: Prospective, randomised intervention study with the two programmes, follow up after one year. General practitioners (GPs) were visited after each programme and after the revisits by non-physician observers a year later. SETTING: General practices in the Netherlands in 1993 and 1994. SUBJECTS: A total of 90 GPs in 68 practices. At follow up after 1 year there were 81 GPs in 62 practices. MAIN MEASURES: Scores (mainly five point scales) for questions on appreciation and acceptance; after the follow up visit a year later, scores for questions on feasibility and practicality of the improved procedure and feedback report. RESULTS: Data of 44 mutual visits by peers were compared with data of 46 visits by non-physician observers. A visit by a non-physician observer was appreciated significantly more. After the practice visit at one year follow up, the participants reported to have appreciated the visit and the feedback report and to prefer feedback of a non-physician observer to that of a peer. Participants' reports on the procedure and the presentation of the feedback provided clues for the improvement of visit procedures. CONCLUSIONS: A practice visit and feedback by a non-physician observer is more appreciated than a visit and feedback by a colleague. A practice visit with the VIP by a non-physician observer is a simple, easy, and well accepted method for assessing practice management.

Family Practice↗
PubMed1996

Maximizing efficiency in the management of the physician practice: survival under managed care.

The managed care environment is forcing physicians to maximize the efficiency of the management of their practices. Physicians can no longer afford to delegate billing and office management to inexperienced or untrained personnel. All physician practices must ensure they have resources available to maximize revenue, control expenses, and avoid costly billing errors and omissions. Use of outside resources such as practice management firms and delegation of all billing and collections to professional medical billing companies are the best alternatives available to the physician.

Contract Services↗
PubMed1989

Management of selected early breastfeeding problems seen in clinical practice.

Management guidelines for six common clusters of breastfeeding situations or problems commonly seen in clinical practice are discussed. These include inadequate infant weight gain, insufficient milk supply, nipple problems, latch-on and sucking disorganization, high-risk situations, and the "good baby" syndrome. Charts are provided describing devices and specialized techniques from which to choose when creating a feeding plan.

Breast Feeding↗
PubMed2004

The prevalence and nature of recent self-reported changes in general dental practice in a sample of English general dental practitioners.

OBJECTIVE: To determine the extent and types of change in seven domains of dental practice in a sample of English general dental practitioners (GDPs). METHODS: A postal questionnaire was sent to 561 GDPs on the dental lists of three health authorities in diverse regions of England. Information collected included demographic details on personal and practice characteristics, self-rating of amount of change in the seven domains of practice and factors influencing change. RESULTS: The response rate was 60%. Fifty-six per cent of the sample were under 40 years old. Over a third of respondents reported "changing a lot or completely" certain clinical activities, practice management arrangements and practice amenities. The highest self-reported level of change was in clinical activities. Of the GDPs who reported changing their clinical activities, 56% reported an increase in preventive care, followed by crown and bridge (44%), periodontics (44%) and endodontics (43%). Practice management rated second in the mean rank scores for self-reported change. The main changes reported were the introduction of computer systems and employment of practice managers. A sizeable percentage (66%) reported increasing the amount of information they provided to patients and the time spent discussing care. Quality assurance activities were the area of practice least likely to have changed over a 5-year period. Over half the sample reported not being involved in any quality assurance activities in the previous 5 years. Those respondents who were younger, had a postgraduate qualification and earned more than 20% of their income from private practice reported higher levels of change. CONCLUSIONS: General dental practitioners' work patterns are dynamic and appear to be responding to changing needs and demands on their service. The main changes were in the types of clinical procedures being carried out. The low prevalence of changes reported in auditing and peer review activities needs to be investigated further.

Adult↗
PubMed1989

Managing the practice team.

Practices do not manage themselves; they need the type of leadership the GP is best placed to supply. Skills we develop in the clinical setting can be combined with practice audit to produce the ideal management stratagem.

Family Practice↗
PubMedDate not supplied

Soil quality: a review of the science and experiences in the USA.

An increasing human population is placing greater demand on soil resources, and as a result degradation is taking place in many regions of the world. This is critical because soils perform a number of essential processes including supporting food and fiber production, influencing air quality through interaction with the atmosphere, and serving as a medium for storage and purification of water. The soil quality concept was introduced to complement soil science research by making our understanding of soils more complete and helping guide the use and allocation of labor, energy, fiscal, and other inputs as agriculture intensifies and expands to meet increasing world demands. Soil quality thus provides a unifying concept for educating professionals, producers, and the public about the important processes that soils perform. It also provides an assessment tool for evaluating current management practices and comparing alternative management practices. Soil attributes comprising a minimum data set have been identified, and both laboratory and field methods have been developed for measuring them. A soil quality index is being developed to normalize measured soil quality indicator data and generate a numeric value that can be used to compare various management practices or to assess management-induced changes over time. Using previously published data, we evaluated the soil quality index as a tool to assess a wide range of management practices in the Northern Great Plains. The index ranked the treatments: grazed fertilized tame pasture > moderately grazed > ungrazed > heavily grazed > annual cropping with no-tillage > conventionally tilled crop-fallow which agrees with the way they were subjectively ranked in the publications. The soil quality index shows potential for use as a management assessment tool.

Agriculture↗