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Quality assurance: a vital aspect of the clinician's role. 质量保证:临床医生角色的一个重要方面。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1991-05-01
B H Anderson, C St John, R Rahr
{"title":"Quality assurance: a vital aspect of the clinician's role.","authors":"B H Anderson,&nbsp;C St John,&nbsp;R Rahr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medical professionals are ethically obligated to document the quality of the care they provide for patients. Society's demands and patients' expectations make quality assurance an issue of concern to all health care providers. The Joint Commission on Accreditation of Healthcare Organizations has formulated a detailed process for monitoring clinical activities and evaluating quality. This report reviews the rationale for and recommended approach to monitoring and evaluating quality assurance.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"15 5","pages":"69-70, 72-3"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20983468","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 debate over Medicare reimbursement. 关于医疗保险报销的争论。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1991-05-01
C G Huntington
{"title":"The debate over Medicare reimbursement.","authors":"C G Huntington","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"15 5","pages":"14, 16, 21"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007177","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
HIV roundtable. Strategies to enhance professional awareness and involvement. Part II. 艾滋病毒圆桌会议。提高专业意识和参与度的策略。第二部分。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1991-01-01
M Behar, L Gage, R Howell, D Kirk, J S Mott, D A James, C Kober, P Valentine
{"title":"HIV roundtable. Strategies to enhance professional awareness and involvement. Part II.","authors":"M Behar,&nbsp;L Gage,&nbsp;R Howell,&nbsp;D Kirk,&nbsp;J S Mott,&nbsp;D A James,&nbsp;C Kober,&nbsp;P Valentine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite extensive public attention to the social and medical problems associated with HIV infection and AIDS, many clinicians remain largely uninvolved in public health and patient counseling programs aimed at preventing infection and getting patients into treatment. Suggestions to enhance professional involvement include improved schooling and continuing medical education; increased liaison and exchange of information among the various groups working with AIDS patients and at-risk populations; and programs to help clinicians confront their own feelings and concerns relating to AIDS.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"15 1","pages":"38, 43-4"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007174","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
HIV roundtable. Strategies to enhance professional awareness and involvement, Part I. 艾滋病毒圆桌会议。提高专业意识和参与的策略，第一部分。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-12-01
M Behar, L Gage, R Howell, D Kirk, J S Mott, D A James, C Kober, P Valentine
{"title":"HIV roundtable. Strategies to enhance professional awareness and involvement, Part I.","authors":"M Behar,&nbsp;L Gage,&nbsp;R Howell,&nbsp;D Kirk,&nbsp;J S Mott,&nbsp;D A James,&nbsp;C Kober,&nbsp;P Valentine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite extensive public attention to the social and medical problems associated with HIV infection and AIDS, many clinicians remain largely uninvolved in public health and patient counseling programs aimed at preventing infection and getting patients into treatment. Suggestions to enhance professional involvement include improved schooling and continuing medical education; increased liaison and exchange of information among the various groups working with AIDS patients and at-risk populations; and programs to help clinicians confront their own feelings and concerns relating to AIDS.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 12","pages":"26-8"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007170","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 role of patient-controlled analgesia in postoperative pain management. 患者自控镇痛在术后疼痛管理中的作用。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-12-01
D D West
{"title":"The role of patient-controlled analgesia in postoperative pain management.","authors":"D D West","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient-controlled Analgesia (PCA) permits patients to treat their postoperative pain by activating a pump to deliver doses of intravenous narcotic. This technique was developed in response to the undertreatment of postoperative pain with conventional intramuscular therapy. PCA allows patients to balance pain control with sedation, and permits nurses to implement other aspects of patient care once pain is controlled. Concerns regarding PCA include mechanical errors, overdosage, and inadequate patient instruction. Careful patient screening and preoperative teaching are essential. While data regarding cost-effectiveness are limited, increasing use and patient satisfaction could make PCA the standard of care in the future.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 12","pages":"21-4"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20979910","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
Dealing with the impaired supervisor. 处理受损的主管。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-09-01
J S Mott
{"title":"Dealing with the impaired supervisor.","authors":"J S Mott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As professional impairment issues have gained increasing recognition, a multitude of resources have been established for dealing with them. The most common source of impairment is chemical dependence-especially involving alcohol. The PA working with an impaired supervisor should understand the disease process associated with chemical dependence, come to terms with his or her own personal views on impairment, and seek support from colleagues. Every state has some form of physician impairment mechanism. With increasing availability of support systems, the prospects are good for successful rehabilitation of impaired professionals.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 9","pages":"93-4, 99-101"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21042154","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 malpractice suit. What to know from the start. 医疗事故诉讼。从一开始就知道什么。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-07-01
M A Dombroff
{"title":"The malpractice suit. What to know from the start.","authors":"M A Dombroff","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Once the immediate visceral reaction to being slapped with a malpractice suit has subsided, it's time to assess the situation and prepare for the impending legal battle. A successful outcome is more likely if you remain calm; call your insurance company immediately; familiarize yourself with your rights and obligations; cooperate fully with your lawyer; and help to secure credible, credentialed experts to testify on your behalf.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 7","pages":"47-8"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007397","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
Clinical skills problems. A valid instrument for assessing competence? 临床技能问题。评估能力的有效工具?
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-04-01
J W Gilliam, C J Staropoli
{"title":"Clinical skills problems. A valid instrument for assessing competence?","authors":"J W Gilliam,&nbsp;C J Staropoli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physician assistants are required to take the clinical skills problems (CSP) portion of the National Certifying Examination administered by the National Commission on Certification of Physician's Assistants (NCCPA). No comparable section exists in entry-level physician certification examinations because studies have shown that this type of examination is neither a valid nor a reliable indicator of clinical competence. A published account of the studies used to implement the CSP portion of the National Certifying Examination contained serious flaws, calling the research into question. Denial of certification based solely on failure on the CSP portion of the National Certifying Examination could be challenged legally. The CSP is invalid and unreliable, and should be eliminated.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 4","pages":"51-2, 55-8, 61-2"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007396","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
PA utilization on a pediatric bone marrow transplant unit. 小儿骨髓移植单位PA的使用。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-03-01
M E Trigg
{"title":"PA utilization on a pediatric bone marrow transplant unit.","authors":"M E Trigg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Operating without residents or fellows in continuous attendance, The University of Iowa Hospitals and Clinics Pediatric Bone Marrow Transplant Unit utilizes PAs to assume primary responsibility for patients and to assure continuity of care. Major tasks assigned to the PAs include evaluation and assessment, writing notes and orders, and clinic follow-up. Basic PA training in pharmacology, physiology, and pathology has proved to be a sufficient background, supplemented by extensive on-the-job training; a knowledge of hematology is helpful. Severity of illnesses being treated contributes to burnout, which is addressed by staff support groups. This PA utilization model is strongly recommended for other such wards.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 3","pages":"64, 67-8, 70 passim"},"PeriodicalIF":0.0,"publicationDate":"1990-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007395","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
Violence prevention: a challenge for health care practitioners. 预防暴力:对保健从业人员的挑战。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-02-01
D Condit
{"title":"Violence prevention: a challenge for health care practitioners.","authors":"D Condit","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Interpersonal violence has reached epidemic proportions in the United States. Principles of preventive medicine can be applied to help curb the growing rates of assault, murder, and rape. Health care providers should become leaders in the fight against violence. Physician assistants can encourage their national, state, and local organizations to develop specific educational programs. Individual PAs should become involved at the community level, as well as maintain a high index of suspicion with patients, and be prepared to offer counseling as needed.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 2","pages":"16, 19"},"PeriodicalIF":0.0,"publicationDate":"1990-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007393","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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