Impact of a Formal Research Committee on Respiratory Therapists' Publications.

Background: Presenting research at national and international meetings is an important aspect of the practice of respiratory care. Our department regularly presented abstracts but few projects were written up as manuscripts. We also noted that we did not have a centralized strategy to evaluate individual projects and provide mentorship.

Analysis of radial artery catheter placement by respiratory therapists using ultrasound guidance.

Background: The use of ultrasound (US) guidance for radial artery cannulation has been shown to improve first attempt success rate, reduce time to successful cannulation, and reduce complications. We sought to determine whether properly trained respiratory therapists (RTs) could utilize US guidance for the placement of radial artery catheters. Primary outcome measurements were successful cannulation and first attempt success rate.

Development of a collaborative program to provide extracorporeal membrane oxygenation for adults with refractory hypoxemia within the framework of a pandemic.

Objective: We report the process used to rapidly develop a collaborative adult respiratory extracorporeal membrane oxygenation program as a response to caring for young adult patients with refractory hypoxemia in the setting of the pH1N1 pandemic.

Design: Interdisciplinary response of a complex medical system to a public health crisis. PATIENTS, INTERVENTIONS, MEASUREMENTS, AND MAIN RESULTS: After the successful use of extracorporeal membrane oxygenation in young adults with pH1N1-induced acute respiratory distress syndrome refractory to conventional therapies, an adult venovenous extracorporeal membrane oxygenation program was implemented over an 8-wk period.

Balanced scorecard for methodology for total performance improvement.

Health care organizations are complex adaptive systems, a set of connected or interdependent parts or agents that include caregivers, patients, and processes. Consequently, health care organizations are prone to problems and are not always predictable environments. Fundamental changes are needed in the organization and in the delivery of health care in the United States.

Labor and productivity measures.

Respiratory care directors are now becoming experts in staffing models that are unique to services provided through allied health professionals. The basic human resource management tenets of attract, retain, and motivate remain at the core of management focus; however, time standards, volumes, staffing variables, and flexible budgets are the current twists added to the litany of labor management terms. Optimizing resource consumption and establishing measurable patient outcomes to justify staff use will also be part of the manager's challenges related to health care delivery in the twenty-first century.

Managing respiratory care services.

Managing in a health care environment is not for the frail of heart or weak of spirit. Health care is a system in crisis that is exacerbated because it got there by doing what once made it successful. From 1900 to 2004, focus of health care has shifted from controlling infectious diseases to episodic care and to present-day chronic and perspective care.