Ongoing government and healthcare industry initiatives clearly indicate that information technology will be the driver for change in healthcare. As systems proliferate, healthcare organizations grapple with issues of whether to choose best-of-breed systems or standardize around one vendor. For many years, HCA Inc. has been a major proponent of standardization to help meet its financial and patient safety objectives. This article examines HCA's experience and explores how standardization has been a major factor in the company's financial and clinical success, enabling faster implementation, greater quality control and significant cost-savings.
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BMC Palliat Care
December 2024
University of Northumbria at Newcastle, Newcastle Upon Tyne, England.
Background: For many patients and caregivers, attending to dying and death at home will be a new and fearful experience. This research brings new evidence on the central support of the Rapid Response Service (RRS), provided to those who chose to die at home. RRS's are variable, although all seek to avoid unwanted hospital admissions and to respond flexibly to suit individual preferences for support.
View Article and Find Full Text PDFJ Clin Med
December 2024
Miami Cancer Research Center, Miami, FL 33181, USA.
Thyroidectomy has been post-operatively managed by hormone replacement therapy in order to satisfy the reference ranges of thyroid stimulating hormone (TSH) and thyroxine (T4) levels. While medication and standardized reference ranges have proven to be effective, many patients continue to report unintentional weight gain despite adequate amounts of treatment and levels of TSH and T4. Physicians, over the years, have become complacent to these "normal" ranges, and have ignored the metabolic consequences that are affecting thyroidectomy patients.
View Article and Find Full Text PDFFront Genet
November 2024
Department of Animal Science, Bioinformatics and Computational Biology Program, Iowa State University, Ames, IA, United States.
Introduction: The agriculture genomics community has numerous data submission standards available, but the standards for describing and storing single-cell (SC, e.g., scRNA- seq) data are comparatively underdeveloped.
View Article and Find Full Text PDFJ Wound Care
December 2024
Donald and Barbara Zucker School of Medicine, Hofstra/Northwell, Hempstead, NY, US.
South Med J
December 2024
Department of Pulmonology, HCA Healthcare/USF Morsani GME Consortium: HCA Florida Citrus Hospital, Inverness.
Objectives: Current guidelines recommend dexamethasone 6 mg/day for up to 10 days in patients with severe coronavirus disease 2019 (COVID-19) requiring supplemental oxygenation or mechanical ventilation. The practice has significant variation, however, and dexamethasone has been used for >10 days for many patients with severe COVID-19. The aim of this study was to assess the benefits and risks associated with standard versus extended use of dexamethasone in patients with severe COVID-19.
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