Bone Marrow Edema, Clinical Significance, and Treatment Options: A Review.

Bone marrow edema (BME) is a descriptive term used to describe high-signal intensity changes detected on magnetic resonance fluid-sensitive sequences that could be attributed to a number of underlying pathologies. Regardless of the cause, physiologic remodeling of the subchondral bone can be limited because of ongoing joint forces, increased focalization of stress, and reduced healing capacity of the subchondral bone. BME is a known prognostic factor associated with pain, dysfunction, and progressive cartilage damage.

Implementation of a Low-Dose, High-Frequency Cardiac Resuscitation Quality Improvement Program in a Community Hospital.

Background: In 2015 the American Heart Association launched the Resuscitation Quality Improvement (RQI) Program to address the urgent need to improve in-hospital cardiac arrest survival through a novel competency-based model for health care provider (HCP) cardiopulmonary resuscitation (CPR) training. This innovation differs from the traditional Basic Life Support (BLS) training model by providing self-directed, low-dose, high-frequency CPR skill activities with the objectives of skills mastery and retention. A program implementation study was conducted at the first hospital in the state of Illinois to adopt RQI in 2016.

A review of methods to assess competency.

This article describes the various methods used for assessment of competence and the appropriate use of each method. It identifies the role of the manager, expert, and educator in the development and implementation of competency assessment opportunities. This article identifies a template for creating and assessing competence.

Gaining control in a changing environment.

The rapid evolution of home care has frequently produced chaotic and unmanageable situations for home care personnel. This article will assist clinical supervisors with daily operations as they teach their staff how to effectively gain control and stabilize the chaos--how to manage, rather than be managed by, home care.