Daily rapid rounds: decreasing length of stay and improving professional practice.

Many hospital leaders are struggling with how to decrease patients' length of stay while maintaining appropriate care. The authors provide a transfer able model for daily rounds that can be used on many units to help decrease length of stay while improving communication, collaboration, and coordination. No increase in staff is required, and nursing satisfaction improves.

Implementation and evaluation of electronic clinical decision support for compliance with pneumonia and heart failure quality indicators.

Purpose: The ability of an automated system used to identify pneumonia and heart failure (HF) patients in real time and prompt clinical interventions was evaluated.

Summary: An automated system evaluated all adult patients with an emergency department (ED) visit or hospital admission for possible pneumonia in real time for 31 days. Two quality-indicator alerts were sent to appropriate clinicians for possible interventions.

2-year-old with tuberculous meningitis: a case study.

Tuberculous meningitis (TBM) may occur with tuberculosis infection, and young children are more prone to this disease. The clinical manifestations, time course, and treatment of TBM are unlike those of other types of meningitis, and the disease presents unique challenges for nurses caring for these patients. This case study highlights the typical presentation, course, and management of TBM in a pediatric patient and provides an overview of this devastating disease.

Kernohan's notch phenomenon: a case study.

In a patient suffering from brain herniation due to a right-sided subdural hematoma, a neurological examination should show left-sided deficits, known as localizing signs, and a decreased level of consciousness. However, false localizing signs may be present, attributed to pressure on Kernohan's notch. A case study demonstrates these false localizing signs, known as Kernohan's notch phenomenon.