Transitional Telephone Follow-up Call by Nurse Practitioner

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Publisher :
ISBN 13 :
Total Pages : 90 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Transitional Telephone Follow-up Call by Nurse Practitioner by : Denise Romney

Download or read book Transitional Telephone Follow-up Call by Nurse Practitioner written by Denise Romney and published by . This book was released on 2019 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospital readmission is a severe problem, costing the United States $12 billion to $17.4 billion annually, with Medicare beneficiaries 65 years and older accounting for a disproportionate share of the cost. For 30 days post-discharge from hospitalization or an emergency department (ED) visit, the highest rates of readmission and ED revisits occur among patients suffering from a chronic obstructive pulmonary disease (COPD), heart failure, hypertension, or diabetes. In New York City, the problem of chronic illness and hospital readmissions is acute. For example, at a local hospital, the chronic disease population exceeds 20,000, the readmission rate is higher than 40%, and it takes 40 days to gain access to follow-up care. Research shows the Transitional Care Model Program (TCM) decreases readmission 30 days after the discharge of patients with chronic diseases, thereby reducing healthcare cost and improving health outcomes. Evidence-Based Framework: Rosswurm and Larrabee's Model for Change to Evidence-Based Practice and Meleis' Transitions Theory Model Framework guided the quality improvement practice change. Methods: The primary objective of the study was to determine whether transitional telephone follow-up (TFU) calls to patients with chronic diseases at primary adult care clinic reduce avoidable readmission and ED revisits 30 days post discharge. The TFU call intervention was implemented by a nurse practitioner using the Re-Engineered Discharge Project (RED) toolkit telephone script. TFU calls were conducted 1-14 days post-discharge from hospital stays or emergency department visits. The study employed a sample of 60 patients randomly assigned to one of two groups of 30 patients each. The treatmet group received TFU intervention, while the control group, was not subjected to intervention. Using the IBM SPSS program, the study employed Chi-square and Unpaired T-test statistics to compare the readmission and ED revisits of the control and treatment groups. Findings: The results show that TFU call intervention had a significant association with ED revisits. ED revisits among the treatment group were 30% less than that of the control group. In terms of number of visits, ED revists among the treatment group were 0.4 revisits less than that of the control group. By contrast, the results failed to establish a significant associatiion between the intervention and readmissions. Other results showed that the intervention reduced healthcare cost by ad estimated $554 per patient. Recommendations: The study recommends that the Transitional TFU call intervention is implemented as standard practice in the primary adult clinic at Kings County Medical Clinic for patients with chronic diseases.

Patient Readmission Prevention Using Telephone Intervention: Implications for Nurse Practitioners

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis Patient Readmission Prevention Using Telephone Intervention: Implications for Nurse Practitioners by : Katherine L. Hand

Download or read book Patient Readmission Prevention Using Telephone Intervention: Implications for Nurse Practitioners written by Katherine L. Hand and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Readmission after hospitalization occurs frequently and is a concern for healthcare systems. Adults with chronic illness frequently have the highest readmission rates, often related to adverse events, medication errors, or worsening symptoms. A systematic review of literature related to readmission was conducted. An evidenced-based practice project was implemented to reduce readmission rates within 30 days after hospitalization. The intervention was a telephone call within 24-72 hours after discharge by a nurse practitioner using a prepared script. The purpose of the call was focused upon assessment of patient understanding of medication dosage, side effects, symptoms of worsening conditions, and scheduling of follow-up appointments. The results demonstrated that telephone intervention by a nurse practitioner has the potential to reduce readmission rate for hospitalized adults. Involvement of an advanced practice nurse to contact the patient by telephone during the transition to home after dismissal from the hospital, results in improved management of the condition after discharge. Reconceptualization of the discharge process as a transition period will bridge the gap in healthcare until the follow-up appointment. Telephone contact will individualize health care to meet the needs of the client. Early recognition of new or worsening symptoms will result in practitioner management of the condition, with decreased need for readmission. Keywords: readmission, adverse events, discharge, discharge planning, care transition. ." -- Abstract

Advances in Patient Safety

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Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Priorities in Critical Care Nursing - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323809936
Total Pages : 659 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Priorities in Critical Care Nursing - E-Book by : Linda D. Urden

Download or read book Priorities in Critical Care Nursing - E-Book written by Linda D. Urden and published by Elsevier Health Sciences. This book was released on 2022-10-27 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: UPDATED! Content reflects the latest evidence-based guidelines and national and international treatment protocols. NEW! Expanded coverage of self-care for healthcare professionals is consistent with the 2020-2030 Future of Nursing report. UNIQUE! Facilitating Care Transitions chapter provides guidance to ensure patient safety through all phases and locations of care transitions to other departments and discharge, including patient and family education. NEW! Trending Priorities in Healthcare boxes highlight trends and issues inherent in society that affect health care as it is delivered throughout various sites and geographical settings, such as limited English proficiency (LEP), homelessness, and external disaster preparedness. NEW! Greater emphasis on the psychosocial and spiritual wellbeing of critical care patients. NEW! Algorithms facilitate the use of multiple data points to design the most evidence-based, accurate, and timely plans of care, including three new algorithms in this edition for Protein Calorie Malnutrition, Burns, and Pulmonary Embolus. NEW! Introduction of International Classification for Nursing Practice (ICNP) diagnoses provides a structured vocabulary to capture patient diagnosis and facilitate patient care management to address those health issues. NEW! Case studies for the Next Generation NCLEX® on the companion Evolve website help you prepare for the revolutionary changes coming to the NCLEX® Exam. NEW! Coverage of key trends includes content on the opioid epidemic, special considerations for bariatric patients, acute chest syndrome, and COVID-19.

Diabetes Management in Hospitalized Patients

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Publisher : Springer Nature
ISBN 13 : 3031446488
Total Pages : 467 pages
Book Rating : 4.0/5 (314 download)

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Book Synopsis Diabetes Management in Hospitalized Patients by : Rifka C. Schulman-Rosenbaum

Download or read book Diabetes Management in Hospitalized Patients written by Rifka C. Schulman-Rosenbaum and published by Springer Nature. This book was released on 2024-02-19 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the diabetes epidemic continues to burden the healthcare system, and with the literature supporting enhanced patient outcomes with improved glycemic control, the need for expertise in the clinical management of inpatient diabetes is an increasingly important and timely matter. While some books have been published on inpatient diabetes, this guide serves as a comprehensive but clinically relevant review of the available literature and recommended management for the key areas surrounding hospital diabetes management. This book is designed to provide practical guidance on diabetes management for hospitalized patients. The number of topics covered is meant to be comprehensive and include discussion on many potential scenarios encountered on the inpatient service, but in a concise and user-friendly manner. This book is intended to be a valuable resource for fellows, residents, students, and existing providers looking to improve their knowledge and skills in evidence-based inpatient diabetes management. The enclosed chapters were written by many globally renowned physicians, researchers, and clinicians. Diabetes Management in Hospitalized Patients: A Comprehensive Clinical Guide is a valuable resource for endocrinologists, hospitalists, pharmacists, PAs and NPs, and all staff responsible for clinical care of these patients.

Skill-mix Innovation, Effectiveness and Implementation

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Publisher : Cambridge University Press
ISBN 13 : 1009033298
Total Pages : 409 pages
Book Rating : 4.0/5 (9 download)

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Book Synopsis Skill-mix Innovation, Effectiveness and Implementation by : Claudia B. Maier

Download or read book Skill-mix Innovation, Effectiveness and Implementation written by Claudia B. Maier and published by Cambridge University Press. This book was released on 2022-06-09 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and palliative care, as well as access for vulnerable groups and people living in underserved areas. In addition, the book analyses the roles of educational systems, workforce planning and policy, and financing within individual countries' healthcare organisations from a cross-country perspective. Although implementing skill-mix changes may be prone to stakeholder opposition or other barriers, this book helps identify ways to steer the process. The authors ultimately determine what skill-mix innovations exist, who may benefit from the changes and how to implement these changes within health systems. This Open Access title is the sixth book in Cambridge's European Observatory on Health Systems and Policies series.

Relationship-Based Care

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Publisher : Creative Health Care Management
ISBN 13 : 1886624658
Total Pages : 313 pages
Book Rating : 4.8/5 (866 download)

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Book Synopsis Relationship-Based Care by : Mary Koloroutis, RN, MS

Download or read book Relationship-Based Care written by Mary Koloroutis, RN, MS and published by Creative Health Care Management. This book was released on 2004-06-15 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: The result of Creative Health Care Management's 25 years experience in health care, this book provides health care leaders with basic concepts for transforming their care delivery system into one that is patient and family centered and built on the power of relationships. Relationship-Based Care provides a practical framework for addressing current challenges and is intended to benefit health care organizations in which commitment to care and service to patients is strong and focused. It will also prove useful in organizations searching for solutions to complex struggles with patient, staff and physician dissatisfaction; difficulty recruiting and retaining and developing talented staff members; conflicted work relationships and related quality issues. Now in it's 16th printing, Relationship-Based Care has sold over 65,000 copies world-wide. It is the winner of the American Journal of Nursing Book of the Year Award.

Gerontological Nursing: Competencies for Care

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Publisher : Jones & Bartlett Learning
ISBN 13 : 1284263312
Total Pages : 1075 pages
Book Rating : 4.2/5 (842 download)

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Book Synopsis Gerontological Nursing: Competencies for Care by : Kristen L. Mauk

Download or read book Gerontological Nursing: Competencies for Care written by Kristen L. Mauk and published by Jones & Bartlett Learning. This book was released on 2022-03-29 with total page 1075 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Fifth Edition of Gerontological Nursing takes a holistic approach and teaches students how to provide quality patient care for the older adult, preparing them to effectively care for this population.

Comparative Effectiveness and Efficacy Research and Analysis for Practice (CEERAP)

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Publisher : Springer Science & Business Media
ISBN 13 : 3642231446
Total Pages : 199 pages
Book Rating : 4.6/5 (422 download)

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Book Synopsis Comparative Effectiveness and Efficacy Research and Analysis for Practice (CEERAP) by : Francesco Chiappelli

Download or read book Comparative Effectiveness and Efficacy Research and Analysis for Practice (CEERAP) written by Francesco Chiappelli and published by Springer Science & Business Media. This book was released on 2012-02-22 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent trends in health care across the United States and internationally have emphasized a novel approach that consists in comparing the effectiveness and efficacy of treatment interventions with a patient-centered emphasis (i.e., evidence-based health care), while ensuring cost constraints, maximizing benefits, and minimizing risks. In this book, experts in comparative effectiveness and efficacy research and analysis for practice (CEERAP) in health care in general address a range of topical issues. The emphasis is on implications for endodontics and nursing, both of which are considered in a series of detailed chapters. Commonalities and differences among CEERAP, utility-based and logic-based analysis and decision-making, and evidence-based and patient-centered practice are defined and discussed. The book concludes by examining applications for CEERAP in developing patient-centered optimal treatment interventions for the next decade.

Accountable

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Publisher : CRC Press
ISBN 13 : 1498743358
Total Pages : 232 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Accountable by : Carl Couch, MD, MMM, FAAFP

Download or read book Accountable written by Carl Couch, MD, MMM, FAAFP and published by CRC Press. This book was released on 2015-12-14 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: While many health care organizations need to improve health care quality and lower costs, most lack specific strategies and tactics for implementing these changes. Baylor Scott & White Health has established and continues to develop an accountable care organization (ACO) called the Baylor Scott & White Quality Alliance (BSWQA) to improve th

Transitions Theory

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Publisher : Springer Publishing Company
ISBN 13 : 0826105351
Total Pages : 664 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Transitions Theory by : Afaf I. Meleis, PhD, DrPS (hon), FAAN

Download or read book Transitions Theory written by Afaf I. Meleis, PhD, DrPS (hon), FAAN and published by Springer Publishing Company. This book was released on 2010-02-17 with total page 664 pages. Available in PDF, EPUB and Kindle. Book excerpt: "It is very exciting to see all of these studies compiled in one book. It can be read sequentially or just for certain transitions. It also can be used as a template for compilation of other concepts central to nursing and can serve as a resource for further studies in transitions. It is an excellent addition to the nursing literature." Score: 95, 4 Stars. --Doody's "Understanding and recognizing transitions are at the heart of health care reform and this current edition, with its numerous clinical examples and descriptions of nursing interventions, provides important lessons that can and should be incorporated into health policy. It is a brilliant book and an important contribution to nursing theory." Kathleen Dracup, RN, DNSc Dean and Professor, School of Nursing University of California San Francisco Afaf Meleis, the dean of the University of Pennsylvania School of Nursing, presents for the first time in a single volume her original "transitions theory" that integrates middle-range theory to assist nurses in facilitating positive transitions for patients, families, and communities. Nurses are consistently relied on to coach and support patients going through major life transitions, such as illness, recovery, pregnancy, old age, and many more. A collection of over 50 articles published from 1975 through 2007 and five newly commissioned articles, Transitions Theory covers developmental, situational, health and illness, organizational, and therapeutic transitions. Each section includes an introduction written by Dr. Meleis in which she offers her historical and practical perspective on transitions. Many of the articles consider the transitional experiences of ethnically diverse patients, women, the elderly, and other minority populations. Key Topics Discussed: Situational transitions, including discharge and relocation transitions (hospital to home, stroke recovery) and immigration transitions (psychological adaptation and impact of migration on family health) Educational transitions, including professional transitions (from RN to BSN and student to professional) Health and illness transitions, including self-care post heart failure, living with chronic illness, living with early dementia, and accepting palliative care Organization transitions, including role transitions from acute care to collaborative practice, and hospital to community practice Nursing therapeutics models of transition, including role supplementation models and debriefing models

Chronic Illness Care

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Publisher : Springer Nature
ISBN 13 : 3031291719
Total Pages : 628 pages
Book Rating : 4.0/5 (312 download)

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Book Synopsis Chronic Illness Care by : Timothy P. Daaleman

Download or read book Chronic Illness Care written by Timothy P. Daaleman and published by Springer Nature. This book was released on 2023 with total page 628 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this popular textbook provides a comprehensive overview to chronic illness care, which is the coordinated, comprehensive and sustained response to chronic diseases and conditions by health care providers, formal and informal caregivers, healthcare systems, and community-based resources. This unique resource uses an ecological framework to frame chronic illness care at multiple levels, and includes sections on individual influences, the role of family and community networks, social and environmental determinants, and health policy. The book also orients how chronic care is provided across the spectrum of health care settings, from home to clinic, from the emergency department to the hospital and from hospitals to residential care facilities. The fully revised and expanded edition of Chronic Illness Care describes the operational frameworks and strategies that are needed to meet the care needs of chronically ill patients, including behavioral health, care management, transitions of care, and health information technology. It also addresses the changing workforce needs in health care and the fiscal models and policies that are associated with chronic care. Several new chapters are included in the second edition and reflect the significant changes that have occurred in health care due to the COVID-19 pandemic. Chapters covering vaccinations, virtual care, and care of COVID-19 associated chronic conditions have been added. The revised textbook builds on the first editions content that covered providing care to special population groups, such as children and adolescents, older adults, and adults with intellectual and developmental disabilities, by including care approaches to adults with severe and persistent mental health disorders, the LGBTQ+ community, incarcerated persons, immigrants and refugees, and military veterans. Finally, chapters on important and emerging topics, such as natural language processing and health inequities and structural racism have also been added.

A Guide to Mastery in Clinical Nursing

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Publisher : Springer Publishing Company
ISBN 13 : 0826132448
Total Pages : 900 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis A Guide to Mastery in Clinical Nursing by : Dr. Joyce Fitzpatrick, PhD, MBA, RN, FAAN, FNAP

Download or read book A Guide to Mastery in Clinical Nursing written by Dr. Joyce Fitzpatrick, PhD, MBA, RN, FAAN, FNAP and published by Springer Publishing Company. This book was released on 2017-12-28 with total page 900 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed for both new registered nurses and nurses transitioning to a new clinical area, this extensive clinical reference is the only resource to provide essential information on more than 300 topics from 11 specialty areas. Concise and practical entries provide fundamental coverage of the most common clinical problems and issues encountered in nursing practice today. Key leaders in clinical content areas authored content on emergency and critical care, geriatric nursing, health systems and health promotion, medical surgical nursing, neonatal nursing, nurse anesthesia, obstetrics and women’s health, palliative care, perioperative nursing, pediatric nursing, and psychiatric mental health nursing. Alphabetized for easy access, each entry includes a definition and description of the clinical problem, etiology, nursing assessment, related problems, interventions, nursing management and evaluation, and safety considerations. The Considerations section of each topic focuses on the role of the nurse throughout the treatment process, and discusses the role of other health care providers with a focus on multidisciplinary treatment. Intended primarily for university and hospital libraries, A Guide to Mastery in Clinical Nursing will also be of value to nursing faculty, undergraduate and graduate-level nurses and nursing students at all levels. Key Features: Provides essential information on over 300 clinical topics from 11 specialty areas Offers key knowledge for nurses new to practice or working in an unfamiliar nursing area Presented in a consistent format for ease of use Includes an overview of each specialty area Focuses on the role of the nurse throughout the treatment process Written and edited by expert clinicians and educators in each clinical area

Clinical Wisdom and Interventions in Acute and Critical Care, Second Edition

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Publisher : Springer Publishing Company
ISBN 13 : 0826105734
Total Pages : 603 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Clinical Wisdom and Interventions in Acute and Critical Care, Second Edition by : Patricia E. Benner

Download or read book Clinical Wisdom and Interventions in Acute and Critical Care, Second Edition written by Patricia E. Benner and published by Springer Publishing Company. This book was released on 2011-03-28 with total page 603 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart

Perioperative Care of the Orthopedic Patient

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Publisher : Springer Nature
ISBN 13 : 3030355705
Total Pages : 479 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Perioperative Care of the Orthopedic Patient by : C. Ronald MacKenzie

Download or read book Perioperative Care of the Orthopedic Patient written by C. Ronald MacKenzie and published by Springer Nature. This book was released on 2020-03-19 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although a number of comprehensive texts pertaining to perioperative medicine are available, this remains the only one that focuses specifically on the patient undergoing orthopedic surgery, now in a revised and expanded second edition. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and neurological diseases, among others. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted. Selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery, now moved to their respective chapters for ease of use and reference. The shaded key points and chapter objectives boxes at the beginning of each chapter, and the summary points at the end of each chapter, have been retained and updated within a full-color interior. Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient, 2e will be a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. It will be an valuable resource for orthopedic surgeons, sports medicine specialists and allied professionals involved in orthopedic surgery.

Geriatric Emergencies

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Publisher : John Wiley & Sons
ISBN 13 : 1118753313
Total Pages : 452 pages
Book Rating : 4.1/5 (187 download)

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Book Synopsis Geriatric Emergencies by : Amal Mattu

Download or read book Geriatric Emergencies written by Amal Mattu and published by John Wiley & Sons. This book was released on 2016-05-19 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: The elderly represent the fastest growing segment of the population in developed countries, reflected in the patient population presenting to EDs and hospitals. These patients more often than not have greater co-morbidities, more complicated workups and utilize more laboratory and radiologic services. This text is designed to teach emergency physicians how best to care for this specific demographic of patients. It addresses physiologic changes, high-risk conditions, and atypical presentations associated with elderly patients in the ED that result in frequent misdiagnosis or delays in diagnosis. It instructs the readers how best to care for elderly patients in order to minimize morbidity and mortality, addressing some of the difficult psychosocial issues that confront health care providers that care for elderly patients, such as psychiatric disease and end-of-life care. The utility of this text is not limited to emergency physicians, but it should be useful to all health care providers involved in the treatment of elderly patients with acute medical or surgical conditions.

America's Healthcare Transformation

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Publisher : Rutgers University Press
ISBN 13 : 0813572231
Total Pages : 265 pages
Book Rating : 4.8/5 (135 download)

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Book Synopsis America's Healthcare Transformation by : Robert A. Phillips

Download or read book America's Healthcare Transformation written by Robert A. Phillips and published by Rutgers University Press. This book was released on 2016-06-28 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: A revolution in American medicine is in full swing, with the race from fee-for-service to fee-for-value at the front line in an epic battle that will transform healthcare delivery for decades to come. In America’s Healthcare Transformation, eminent physician leader Robert A. Phillips brings together key thought leaders and trail-blazing practitioners, who provide a wide-ranging exploration of the strategies, innovations, and paradigm shifts that are driving this healthcare transformation. The contributors offer a panoramic look at the dramatic changes happening in the field of medicine, changes that put the patient at the heart of the process. Among other subjects, the essays evaluate innovative high quality and low cost care delivery solutions from around the United States and abroad, describe fundamental approaches to measuring the safety of care and the impact that guidelines have on improving quality of care and outcomes, and make a strong case that insurance reform will fundamentally and irreversibly drive delivery reform. In addition, America’s Healthcare Transformation reviews the role of health information technology in creating safer healthcare, provides a primer on the development of a culture of safety, and highlights ground-breaking new ways to train providers in patient safety and quality. Finally, the book looks at reports from Stanford Health Care and Houston Methodist which outline how successful behaviorally based strategies, anchored in values, can energize and empower employees to deliver a superior patient experience. Drawing on the wisdom and vision of today’s leading healthcare innovators, America’s Healthcare Transformation provides a roadmap to the future of American healthcare. This book is essential reading for all health care providers, health care administrators, and health policy professionals, and it will be an invaluable resource in the effort to improve the practice of medicine and the delivery of healthcare in our communities and nation.