Purpose: At one tertiary, academic medical center, two general medicine units averaged 94% and 97% occupancy causing strain on patient throughput. This project was implemented at these two comparable general medicine units, totaling 64 beds. On each of these units, Pareto analyses on causal factors related to discharge order to exit time (DOTE) were performed.
View Article and Find Full Text PDFCare coordination that improves patient care and patient outcomes is becoming increasingly necessary as bundled payment programs are developed. Rather than looking at each aspect of the patient's care, the entire care continuum from preoperative preparation through completion of the episode will become the norm. The length of the episode of care may be 30 days or as long as 90 days.
View Article and Find Full Text PDFWith increased demand to provide quality care for patients, orthopaedic practices will need to develop ways to efficiently collect and manage data to support the care that they provide. An outcomes management program must be efficient and consistent to provide good data. This article describes the implementation of an outcomes program at one large private orthopaedic practice within an academic medical setting.
View Article and Find Full Text PDFThe use of cord blood stem cells to manage disease is progressing swiftly. During the last decade, treatment of some cancers, blood dyscrasias, and immune and metabolic diseases has been enhanced by the use of stem cells. Attention to orthopaedic deficits has produced very encouraging potential uses.
View Article and Find Full Text PDFPediatric trauma injuries account for 11 million hospitalizations annually with a significant percentage related to the musculoskeletal system. Nursemaid's elbow is a common injury in young children that can often be prevented. This injury occurs when the radial head subluxates from its normal position at the elbow joint.
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