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Nursing case management : managing the process of patient care最新文献

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Effect of a clinical case manager/clinical nurse specialist on patients hospitalized with congestive heart failure. 临床病例管理员/临床专科护士对充血性心力衰竭住院患者的影响。
Nursing case management : managing the process of patient care Pub Date : 1998-07-01
R Topp, D Tucker, C Weber
{"title":"Effect of a clinical case manager/clinical nurse specialist on patients hospitalized with congestive heart failure.","authors":"R Topp,&nbsp;D Tucker,&nbsp;C Weber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the effect of case management by a Clinical Case Manager/Clinical Nurse Specialist (CCM/CNS) on hospitalized length of stay and hospital charge throughout a 12-month period for patients with congestive heart failure. A total of 491 patients were discharged during 1997 with a diagnosis-related group code of 127. Of this number, 88 were case managed by a CCM/CNS. The remaining 403 received the usual management of their care. The group who were case managed by the CCM/CNS demonstrated significantly shorter length of stay (t = 5.40, P < 0.00) and lower hospital charges (t = 4.26, P < 0.00) than the patients with congestive heart failure who were not case managed. Secondary analysis indicated a significant interaction between case management and involvement of a cardiologist in the care of the patient. Patients whose care involved a cardiologist without case management by a CCM/CNS demonstrated significantly greater (alpha = 0.01) length of stay and hospital charges than patients who were case managed by a CCM/CNS or patients whose care did not involve a cardiologist.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 4","pages":"140-5; quiz 146-7, 182"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20765349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Care coordination in managed care. Creating a quality continuum for high risk elderly patients. 管理式医疗中的护理协调。为高风险老年患者创造高质量的连续性。
Nursing case management : managing the process of patient care Pub Date : 1998-07-01
M L Bailey
{"title":"Care coordination in managed care. Creating a quality continuum for high risk elderly patients.","authors":"M L Bailey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The portion of the American population 65 years and older is growing rapidly, and the group 85 years and older is the largest growing segment of our population. The country's largest health maintenance organization, Kaiser Permanente, in Fontana, California, experienced a 9% growth in its membership between 1996 and 1997. Following the Kaiser national Model of Care recommendations, Fontana's Kaiser Permanente created their department of Extended Care Services and implemented programs that coordinated patient care across the continuum to meet the needs of its members who were 65 years and older. The programs included new member screening and orientation, telephonic care coordination, and a volunteer-based care call program. They also developed a medical management model that included a consultative geriatric assessment clinic and a primary care clinic as well as provision of team-based care to members residing in skilled nursing facilities.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 4","pages":"172-80"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20765225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Designing a system for ambulatory obstetric case management. 设计一个流动产科病例管理系统。
Nursing case management : managing the process of patient care Pub Date : 1998-07-01
P Miracle, T Savage, T Hickey, B Mountjoy, P A Martin
{"title":"Designing a system for ambulatory obstetric case management.","authors":"P Miracle,&nbsp;T Savage,&nbsp;T Hickey,&nbsp;B Mountjoy,&nbsp;P A Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe the development of critical pathways for ambulatory obstetric case management. When case management was identified as needed, but published work in outpatient obstetrics could not be found, four nurses used this opportunity to design a cost-effective system leading to quality outcomes. The driving force was the need for a format that directed comprehensive consistent care delivered by a large multidisciplinary health care team. Design issues included capturing leading edge standards of care and user friendly formats for all caregivers. Throughout a period of 2 years, a trifold format was developed for all obstetric patients, and 15 bifold formats were developed for patients with specific high-risk diagnoses. The format design facilitated cost-effective quality care and is expected to improve patient outcomes. A research study has been initiated to measure effectiveness of the design.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 4","pages":"160-7"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20764698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determining case manager workload: are there secrets to success? 确定案例管理员的工作量:是否有成功的秘诀?
Nursing case management : managing the process of patient care Pub Date : 1998-05-01
J A Carrick
{"title":"Determining case manager workload: are there secrets to success?","authors":"J A Carrick","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 3","pages":"128-30"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20941468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automated clinical pathways in the patient record legal implications. 自动临床路径在患者记录中的法律意义。
Nursing case management : managing the process of patient care Pub Date : 1998-05-01
L A Brugh
{"title":"Automated clinical pathways in the patient record legal implications.","authors":"L A Brugh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurses have long been taught the need for precise documentation of patient care. Yet, as demands on nurses' time increases, maintaining an accurate and informative patient record becomes more difficult. The use of an automated clinical pathway that contains both the plan of care and a record of the care, while increasing communication between the care providers, is a promising solution to the problem. In this article, the process of moving a clinical pathway from paper to a computerized format is discussed. Legal issues related to its status as a permanent part of the patient record are considered. The legal implications of the pathway as a standard of care are also examined. As clinical pathways and computers merge, effective automated plans of care that also can serve as a documentation tool will benefit both the caregiver and the patient, while decreasing the risk of liability.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 3","pages":"131-7"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20941472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Powerful presentations: prepare to be heard. 强有力的演讲:准备好被倾听。
Nursing case management : managing the process of patient care Pub Date : 1998-05-01
D B Williams
{"title":"Powerful presentations: prepare to be heard.","authors":"D B Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 3","pages":"97-8"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20940805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The long and winding road: merging two case management programs in a developing healthcare network. 漫长而曲折的道路:在发展中的医疗保健网络中合并两个病例管理程序。
Nursing case management : managing the process of patient care Pub Date : 1998-05-01
S Gillies
{"title":"The long and winding road: merging two case management programs in a developing healthcare network.","authors":"S Gillies","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 3","pages":"104-7"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20940807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating critical pathway selection. 导航关键路径选择。
Nursing case management : managing the process of patient care Pub Date : 1998-05-01
K Quinn
{"title":"Navigating critical pathway selection.","authors":"K Quinn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 3","pages":"117-9"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20941465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The disease management approach to cost containment. 控制成本的疾病管理方法。
Nursing case management : managing the process of patient care Pub Date : 1998-05-01
R Goldstein
{"title":"The disease management approach to cost containment.","authors":"R Goldstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Disease management has been around a long time, certainly since Pasteur. Its initial focus was to eliminate or contain epidemics. In the 20th century, American public health scientists and officials have used disease management to address a high-risk, often poor population. Currently, the population-based principles of disease management, including disease prevention activities, are being applied to noninfectious diseases. Two examples of public health disease prevention strategies are vaccinations and chlorination of water. Hospitals are now providing post-hospital disease management programs for selected chronic conditions that account for a high volume of repeat admissions or emergency department visits, such as chronic heart failure, asthma, and cancer. In other words, hospitals are spending money on a program that, if done right, will reduce their inpatient revenues. They are doing so for various reasons (e.g., because they have established at-risk financial partnerships with their physicians, or possibly because other area hospitals are doing it, or possibly because they want to keep the ancillaries [x-rays, laboratory, pharmacy, ambulatory surgery, etc]). Regardless of the reasons, hospital case managers will be charged with referring qualified patients to both hospital-based and provider-based disease management programs.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 3","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20940806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes for patients with congestive heart failure in a nursing case management model. 充血性心力衰竭患者的护理病例管理模式的结果。
Nursing case management : managing the process of patient care Pub Date : 1998-05-01
R S Morrison, V Beckworth
{"title":"Outcomes for patients with congestive heart failure in a nursing case management model.","authors":"R S Morrison,&nbsp;V Beckworth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Congestive heart failure is a leading cause of hospital admissions, costing an estimated $7 billion in 1990. Hospital-based nursing case management has been used to reduce costs of care while maintaining quality of care. This study describes the outcomes for 50 patients with congestive heart failure in a hospital-based nursing care management model, providing general outcomes, physiologic status, physical functioning, health knowledge, and family caregiver status. The number of medications was the only predictor of length of stay using regression analysis.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 3","pages":"108-14; quiz 115-6"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20941467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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