Publications by authors named "Gillean J"
BACKGROUND Tardive dyskinesia (TD) is a chronic involuntary movement disorder frequently induced by dopamine receptor blockers, particularly first-generation antipsychotics. Until recently, management of TD was restricted to lowering the dose of the current medication, switching to another medication, or using off-label treatments with insufficient evidence of efficacy. Valbenazine, a vesicular monoamine transporter-2 (VMAT2) inhibitor, became the first drug to be approved by the FDA specifically for the treatment of TD.
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- Monthly reports tracking CPOE usage by physicians can encourage adoption by highlighting their contributions to patient safety and quality improvement, especially among those affected by performance-based financial incentives.
- Misattributions of order sources can undermine physician confidence and motivation to use CPOE effectively, which could have implications for patient safety and legal matters.
- In a study of one hospitalist group, 4.18% of orders were incorrectly attributed, primarily from nursing (42%) and pharmacy (38%), indicating the need for improved order management protocols to maintain accurate CPOE reporting.
Background: CHRISTUS Health began implementation of computer workstation single sign-on (SSO) in 2015. SSO technology utilizes a badge reader placed at each workstation where clinicians swipe or "tap" their identification badges.
Objective: To assess the impact of SSO implementation in reducing clinician time logging in to various clinical software programs, and in financial savings from migrating to a thin client that enabled replacement of traditional hard drive computer workstations.
A search for the "Holy Grail" of health care: a correlation between quality and profitability.
Healthc Financ Manage
December 2006
In a study by CHRISTUS Health, data from 18 acute care facilities revealed that numerous indicators of clinical quality were significantly correlated with measures of business success. Results suggest that timely and appropriate interventions, coupled with timely and complete documentation, are correlated with improved business performance. The correlations between quality and financial performance make intuitive sense based on the observation that diligence in clinical processes can produce better information to support financial processes.
View Article and Find Full Text PDFObjective: This study was undertaken to identify risk factors for prolonged neonatal intensive care unit (NICU) stay in macrosomic (> or = 4000 g) neonates.
Study Design: A population-based case-control study in which 799 cases of macrosomic neonates with a prolonged NICU stay were compared with macrosomic neonates without a prolonged stay (n = 1598).
Results: Significant risk factors included: 5-minute Apgar score less than 7: odds ratio (OR) = 43.