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CAREER GUIDE for RESIDENTS
Winter 2017 CAREER GUIDE for RESIDENTS Featuring: • Finding a job that fits • Fixing the system to fight burnout • Understanding nocturnists • A shift in hospital-physician affiliations • Taking communication skills seriously • Millennials, the same doctors in a changed environment • Negotiating an Employment Contract Create your legacy Hospitalists Legacy Health Portland, Oregon At Legacy Health, our legacy is doing what’s best for our patients, our people, our community and our world. Our fundamental responsibility is to improve the health of everyone and everything we touch–to create a legacy that truly lives on. Ours is a legacy of health and community. Of respect and responsibility. Of quality and innovation. It’s the legacy we create every day at Legacy Health. And, if you join our team, it’s yours. Located in the beautiful Pacific Northwest, Legacy is currently seeking experienced Hospitalists to join our dynamic and well established yet expanding Hospitalist Program. Enjoy unique staffing and flexible scheduling with easy access to a wide variety of specialists. You’ll have the opportunity to participate in inpatient care and teaching of medical residents and interns. Successful candidates will have the following education and experience: • Graduate of four-year U.S. Medical School or equivalent • Residency completed in IM or FP • Board Certified in IM or FP • Clinical experience in IM or FP • Board eligible or board certified in IM or FP The spectacular Columbia River Gorge and majestic Cascade Mountains surround Portland. The beautiful ocean beaches of the northwest and fantastic skiing at Mt. Hood are within a 90-minute drive. The temperate four-season climate, spectacular views and abundance of cultural and outdoor activities, along with five-star restaurants, sporting attractions, and outstanding schools, make Portland an ideal place to live. -
Acronyms and Terms for Consumer Engagement
ACRONYMS AND TERMS FOR CONSUMER ENGAGEMENT This table has a list of acronyms and a list of terms for phrases often used in health care. It aims to help people who want to get involved as health consumers or community members. Acronym Phrase What it means ABHR Alcohol Based Hand Rub Alcohol-based hand rubs eliminate micro-organisms from the hands more effectively and cause less irritation than soap and water hand washing. ABI Acquired Brain Injury Damage to the brain through accident or illness ABS Australian Bureau of Statistics Australian Government organisation that collects measurements of our lives in Australia including our health and wellbeing. ABCDEFG Airway, Breathing, Circulation, Disability, ABCDEFG is the structured approach used when assessing a deteriorating patient. Exposure, Fluids, Glucose ACC Altered Calling Criteria Calling criteria provide early recognition of patients whose medical condition is deteriorating. Standard calling criteria (e.g. a patient’s temperature or respiration rate) are set within a chart called a Standard Observation Chart. Patients’ observations are ideally “Between The Flags”, which is termed the White Zone. Yellow and Red zones indicate observations that are of concern and trigger a facility’s Clinical Emergency Response System. Standard calling criteria can be altered for Yellow or Red Zone observations, based on a patient’s health care requirements. For example, the threshold for the calling criterion for systolic blood pressure may be altered downwards to alert to re-bleeding of a cerebral aneurysm or may be altered upwards to better reflect the patient’s usual observation patterns. Changes must be clearly documented by a medical officer, in consultation with the Attending Medical Officer, on the appropriate Standard Observation Chart. -
Sepsis: a Guide for Patients & Relatives
SEPSIS: A GUIDE FOR PATIENTS & RELATIVES CONTENTS ABOUT SEPSIS ABOUT SEPSIS: INTRODUCTION P3 What is sepsis? In the UK, at least 150,000* people each year suffer from serious P4 Why does sepsis happen? sepsis. Worldwide it is thought that 3 in a 1000 people get sepsis P4 Different types of sepsis P4 Who is at risk of getting sepsis? each year, which means that 18 million people are affected. P5 What sepsis does to your body Sepsis can move from a mild illness to a serious one very quickly, TREATMENT OF SEPSIS which is very frightening for patients and their relatives. P7 Why did I need to go to the Critical Care Unit? This booklet is for patients and relatives and it explains sepsis P8 What treatment might I have had? and its causes, the treatment needed and what might help after P9 What other help might I have received in the Critical Care Unit? having sepsis. It has been written by the UK Sepsis Trust, a charity P10 How might I have felt in the Critical Care Unit? which supports people who have had sepsis and campaigns to P11 How long might I stay in the Critical Care Unit and hospital? raise awareness of the illness, in collaboration with ICU steps. P11 Moving to a general ward and The Outreach Team/Patient at Risk Team If a patient cannot read this booklet for him or herself, it may be helpful for AFTER SEPSIS relatives to read it. This will help them to understand what the patient is going through and they will be more able to support them as they recover. -
Options for a Statewide Health Data Reporting System in Mississippi
Options for a Statewide Health Data Reporting System in Mississippi Prepared by the National Association of Health Data Organizations for the Center for Mississippi Health Policy November 2007 THE NATIONAL ASSOCIATION OF HEALTH DATA ORGANIZATIONS Options for a Statewide Health Data Reporting System in Mississippi Prepared by the National Association of Health Data Organizations for the Center for Mississippi Health Policy November 2007 THE NATIONAL ASSOCIATION OF HEALTH DATA ORGANIZATIONS Table of Contents i Table of Contents Table of Contents ............................................................................................................................. i List of Figures & Tables ................................................................................................................ iii Executive Summary ........................................................................................................................ v Summary of Recommendations ............................................................................................... viii Introduction ..................................................................................................................................... 1 The Benefits of a Patient-level Statewide Health Data Reporting System ................................... 12 Public safety and injury surveillance and prevention ............................................................... 12 Public health, disease surveillance and disease registries ........................................................ -
Consumer Preferences, Hospital Choices, and Demand-Side Incentives
Consumer Preferences, Hospital Choices, and Demand-side Incentives David I Auerbach, PhD Director of Research, Massachusetts Health Policy Commission Co-authors: Amy Lischko, Susan Koch-Weser, Sarah Hijaz (all of Tufts University School of Medicine) Background § The HPC has consistently found that community hospitals generally provide care of similar quality, at a lower cost, compared to Academic Medical Centers (AMCs) and teaching hospitals § Yet Massachusetts residents use AMCs and teaching hospitals for a high proportion of routine care – In 2014, 42% of Medicare inpatient hospital discharges took place at major teaching hospitals compared to 17% nationwide § Massachusetts has promoted demand-side and supply-side strategies to steer care to more cost-effective settings – Demand-side: e.g., tiered and limited network products – Supply-side: e.g., alternative payment models § Still, the percentage of statewide routine care provided at teaching hospitals continues to rise § The HPC sought a deeper understanding of consumer preferences and what incentives might lead them to seek care in lower-cost, high-quality settings 2 Most community hospitals provide care at a lower cost per discharge, without significant differences in quality Hospital costs per case mix adjusted discharge (CMAD), by cohort On average, community hospital costs are nearly $1,500 less per inpatient stay as Source: HPC analysis of CHIA Hosp. Profiles, 2013 compared to AMCs, Costs per CMAD are not correlated with quality (risk-standardized readmission rates) although -
Employee Handbook Can Be Found Under Quick Links on the Intranet
Revised January 2020 INTRODUCTION Welcome to Daviess Community Hospital As an employee of Daviess Community Hospital, whether employed in in the hospital or its physician practices, you now have a very important role in the success of the hospital. Throughout your employment at Daviess Community Hospital, you will be working with the rest of the staff in a team effort to make the hospital a place where patients choose to come for care, where physicians want to practice and where employees want to work. By accepting your new role with a commitment to Daviess Community Hospital values, you will support the hospital’s mission to provide the best heath care services to our patients. At the same time your dedication to Daviess Community Hospital’s values will allow growth and expansion of our services to meet the health care needs of the community, both today and in the future. You should take pride in being a part of Daviess Community Hospital. We are pleased to welcome you as an employee. You are an important member of the staff, carefully selected to work toward the essential goal of providing excellent medical care and friendly service to our patients, visitors and co- workers. This handbook presents an overview of the benefits and working conditions that are part of your employment. Please read it carefully, as it is important to familiarize yourself with your responsibilities as an employee of Daviess Community Hospital. This handbook supersedes all previous handbooks. The information contained in this handbook is not guaranteed and is subject to change. Should you have any questions as to the interpretation of any policies in this manual or regarding other employment matters, please contact your supervisor or the human resources department. -
In. ^Ifil Fiegree in PNILOSOPNY
ISLAMIC PHILOSOPHY OF SCIENCE: A CRITICAL STUDY O F HOSSAIN NASR Dis««rtation Submitted TO THE Aiigarh Muslim University, Aligarh for the a^ar d of in. ^Ifil fiegree IN PNILOSOPNY BY SHBIKH ARJBD Abl Under the Kind Supervision of PROF. S. WAHEED AKHTAR Cbiimwa, D«ptt. ol PhiloMphy. DEPARTMENT OF PHILOSOPHY ALIGARH IWIUSLIIM UNIVERSITY ALIGARH 1993 nmiH DS2464 gg®g@eg^^@@@g@@€'@@@@gl| " 0 3 9 H ^ ? S f I O ( D .'^ ••• ¥4 H ,. f f 3« K &^: 3 * 9 m H m «< K t c * - ft .1 D i f m e Q > i j 8"' r E > H I > 5 C I- 115m Vi\ ?- 2 S? 1 i' C £ O H Tl < ACKNOWLEDGEMENT In the name of Allah« the Merciful and the Compassionate. It gives me great pleasure to thanks my kind hearted supervisor Prof. S. Waheed Akhtar, Chairman, Department of Philosophy, who guided me to complete this work. In spite of his multifarious intellectual activities, he gave me valuable time and encouraged me from time to time for this work. Not only he is a philosopher but also a man of literature and sugge'sted me such kind of topic. Without his careful guidance this work could not be completed in proper time. I am indebted to my parents, SK Samser All and Mrs. AJema Khatun and also thankful to my uncle Dr. Sheikh Amjad Ali for encouraging me in research. I am also thankful to my teachers in the department of Philosophy, Dr. M. Rafique, Dr. Tasaduque Hussain, Mr. Naushad, Mr. Muquim and Dr. Sayed. -
Intensive Care Units (ICU): the Clinical Pharmacist Role to Improve Clinical Outcomes and Reduce Mortality Rate- an Undeniable Function
Open Access Journal of Clinical Intensive Care and Medicine Review Article Intensive Care Units (ICU): The clinical pharmacist role to improve clinical ISSN 2639-6653 outcomes and reduce mortality rate- An undeniable function Luisetto M1* and Ghulam Rasool Mashori2 1Applied Pharmacologist, Hospital Pharmacist Manager 29121, Italy 2Professor & Director, Peoples University of Medcial & Health Sciences for Woman, Nawabshah, Pakistan *Address for Correspondence: Luisetto M, Applied Abstract Pharmacologist, Hospital Pharmacist Manager 29121, Italy, Email: [email protected] Observing relevant biomedical literature we have see that clinical pharmacist play a crucial role in ICU Submitted: 09 October 2017 settings with reducing in mortality rate and improving some clinical outcomes. Approved: 01 November 2017 Published: 02 November 2017 Copyright: 2017 Luisetto M, et al. This is Introduction an open access article distributed under the Creative Commons Attribution License, which In ICU settings we can easily observe that the mortality rate is higher then other permits unrestricted use, distribution, and wards and for this reason a real multisiciplinatity medical team with added clinical ph. reproduction in any medium, provided the Competences can improve this situation. High intensity of cure, polipharmacy, critical original work is properly cited. patient conditions need also a pharmaceutical competencies to be added to the classic Keywords: ICU; Clinical pharmacy; Pharmaceutical decision making systems (clinical- managerial). The critically hill patients need a more care; Clinical outcomes; Mortality rate rational decision making systems to improve the clinical outcomes and in safety way. Material and Methods In this review and research paper we have searched some relevant biomedical literature in order to evaluate the real eficacy of clinical pharmacist in improving clinical outcomes and reducing mortality rate. -
Introduction to Hospital and Health-System Pharmacy Practice 59 Tients with a Specific Disease State Or for Activities Related to Self Governance Diagnosis
Part II: Managing Medication Use CHAPTER 4 Medication Management Kathy A. Chase ■■ ■■■ Key Terms and Definitions Learning Objectives ■■ Closed formulary: A list of medica- After completing this chapter, readers tions (formulary) which limits access should be able to: of a practitioner to some medications. 1. Describe the purpose of a formulary A closed formulary may limit drugs to system in managing medication use in specific physicians, patient care areas, or institutions. disease states via formulary restrictions. 2. Discuss the organization and role of the ■■ Drug formulary: A formulary is a pharmacy and therapeutics committee. continually updated list of medications 3. Explain how formulary management and related information, representing works. the clinical judgment of pharmacists, 4. List the principles of a sound formulary physicians, and other experts in the system. diagnosis and/or treatment of disease 5. Define key terms in formulary manage- and promotion of health. ment. ■■ Drug monograph: A written, unbi- ased evaluation of a specific medica- tion. This document includes the drug name, therapeutic class, pharmacology, indications for use, summary of clinical trials, pharmacokinetics/dynamics, ad- verse effects, drug interactions, dosage regimens, and cost. ■■ Drug therapy guidelines: A document describing the indications, dosage regi- mens, duration of therapy, mode(s) of administration, monitoring parameters and special considerations for use of a specific medication or medication class. ■■ Drug use evaluation (DUE): A process used to assess the appropriate- ness of drug therapy by engaging in the evaluation of data on drug use in a given health care environment against predetermined criteria and standards. ◆■ Diagnosis-related DUE: A drug use evaluation completed on pa- INTRODUCTION TO HOSPITAL AND HEALTH-SYSTEM PHARMACY PRACTICE 59 tients with a specific disease state or for activities related to self governance diagnosis. -
Characteristics and Risk Factors for Intensive Care Unit Cardiac Arrest in Critically Ill Patients with COVID-19—A Retrospective Study
Journal of Clinical Medicine Article Characteristics and Risk Factors for Intensive Care Unit Cardiac Arrest in Critically Ill Patients with COVID-19—A Retrospective Study Kevin Roedl 1,* , Gerold Söffker 1, Dominic Wichmann 1 , Olaf Boenisch 1, Geraldine de Heer 1 , Christoph Burdelski 1, Daniel Frings 1, Barbara Sensen 1, Axel Nierhaus 1 , Dirk Westermann 2, Stefan Kluge 1 and Dominik Jarczak 1 1 Department of Intensive Care Medicine, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany; [email protected] (G.S.); [email protected] (D.W.); [email protected] (O.B.); [email protected] (G.d.H.); [email protected] (C.B.); [email protected] (D.F.); [email protected] (B.S.); [email protected] (A.N.); [email protected] (S.K.); [email protected] (D.J.) 2 Department of Interventional and General Cardiology, University Heart Centre Hamburg, 20246 Hamburg, Germany; [email protected] * Correspondence: [email protected]; Tel.: +49-40-7410-57020 Abstract: The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) causing the coron- avirus disease 2019 (COVID-19) led to an ongoing pandemic with a surge of critically ill patients. Very little is known about the occurrence and characteristic of cardiac arrest in critically ill patients Citation: Roedl, K.; Söffker, G.; with COVID-19 treated at the intensive care unit (ICU). The aim was to investigate the incidence Wichmann, D.; Boenisch, O.; de Heer, and outcome of intensive care unit cardiac arrest (ICU-CA) in critically ill patients with COVID-19. G.; Burdelski, C.; Frings, D.; Sensen, This was a retrospective analysis of prospectively recorded data of all consecutive adult patients B.; Nierhaus, A.; Westermann, D.; with COVID-19 admitted (27 February 2020–14 January 2021) at the University Medical Centre et al. -
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Original Research PRACTICE-BASED RESEARCH Descriptive Analysis of Acceptance by Prescribers and Economic Benefit of Pharmacist Recommended Interventions in a Critical Care Unit YoonJung Lee, PharmD1, 2; Lana Gettman, PharmD2 1Texas Tech University Health Sciences Center; 2Harding University College of Pharmacy ABSTRACT Background: Pharmacist clinical intervention is defined as the action that identifies and prevents medication-related problems and optimizes patient’s medication therapy in cooperation with other healthcare professionals. Types of clinical interventions may vary, but each is patient specific. Few studies have focused on clinical pharmacists interventions in a critical care setting at a rural hospital. Objectives: The purpose of this study was to assess physician acceptance rate of pharmacist-recommended interventions in the critical care unit (CCU) at a rural hospital over five years and to evaluate the economic benefit of accepted pharmacist-recommended interventions over a one-year time period. Methods: This study was a retrospective chart review over a five-year time period. Each intervention was categorized and analyzed for acceptance or non-acceptance by the treating physician. Evaluation of economic benefit, cost saving and cost avoidance, for a one-year time period was performed. Results: A total of 1275 interventions were documented during study period. The average acceptance rate for documented interventions was 56%. The acceptance rate by physicians increased over the study period; with the acceptance rate in 2013 being statistically significantly higher than any other years. The overall cost saving for selected interventions was $432 for the one year. The overall cost avoidance of all accepted interventions for the one year was $453,339.36-$468,327.62. -
Gap Analysis Between Patients' Expectations and Services
JRFHHA Gap Analysis between Patients’ Expectations and Services Provided by Pharmacy10.5005/jp-journals-10035-1018 Store of a Tertiary Care Hospital RESEARCH ARTICLE Gap Analysis between Patients’ Expectations and Services Provided by Pharmacy Store of a Tertiary Care Hospital 1Jharna Bajpai, 2Nirmal K Gurbani ABSTRACT INTRODUCTION Pharmacy store of hospital is among one the major revenue In recent years, awareness has risen on how patients perceive generating area of hospital. Its performance can be a vital the quality of their healthcare. Consequently measuring element in the success of any upcoming hospital. Nowadays, not only the availability of prescribed drugs matters but explanation patient satisfaction has become an important tool to gain of dose, frequency and duration of drugs to be taken, behavior of attention and value among the healthcare consumers as well pharmacist and waiting time to get drugs play an important role as competitors. Measuring patient satisfaction encompasses in satisfaction of patients. The pharmacy store of the hospital evaluating patient’s perceptions and determining whether provides more specialized and more time-saving services they felt that their needs met.1 Research in the area of ‘Hospital for patients. It also eases the financial burden on pharmacy users via drug discounts. A cross-sectional comparative study Administration in India’ is still in its infant stage. To men- was conducted on 90 respondents. A self administered pre- tion a few important research works carried out in India, designed, pretested, structured questionnaire was given to a reference can be made to Sreenivas2 who examined why selected respondents on first contact to the pharmacy store the hospital administrator should take patient-satisfaction of the hospital with the aim to study the perception of patients seriously as a measurement.