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The quest for cost savings in hospitals and health systems too often prompts leaders to rush to make major cuts in the largest budget line item: staffing and labor costs. Evidence shows, though, that cutting labor expenses, especially in nursing, negatively impacts both quality of care and overall profitability. Faced with cutting costs while continuing to provide extraordinary patient care, nurses at Children’s Hospital of Philadelphia (CHOP) decided to pave a different path. In the process, they created a new model of bedside-driven fiscal responsibility. Nursing-Led Savings shows organizational leaders at all levels how to develop and implement a robust, sustainable plan that eliminates waste and streamlines processes in everyday clinical work. This strategy involves: · Educating frontline staff on the importance of financial stewardship · Using a structured improvement approach to execute cost savings at the bedside · Engaging Nursing Shared Governance councils in implementation and oversight · Prioritizing non-labor expense reduction
Headache is a huge public health problem and migraine alone cost 27 billion Euros per year in Europe. It is therefore important how the health care service for headache patients is organised throughout the world. Patients seen at headache clinics are more severely affected than those seen in general practice, and headache clinics need to be familiar with a long list of relatively rare headache disorders. Part of the "Frontiers in Headache Research" series, this volume is the first book to focus specifically on headache clinics, their classification and organization, their methods of diagnosis, and their approaches to multi-disciplinary management. The clinical features of patients seen in he...
Most of the familiar headache drugs are used to stop a headache attack that is already in progress, or about to begin. However, there is now a growing body of research aimed at developing medications that can be taken on a regular basis to prevent headcahes from starting. These drugs will be targetted at patients whose headaches are frequent or who get their headaches at predicatble times. This book reviews the potential for prophylactic treatment of headache. It provides most of the existing evidence in the field of pharmaco-prophylaxis of migraine and other chronic headaches and may thus, serve as a platform for new initiatives in the field. The book reviews the research into the pharmacological mechanisms involved, the classes of drugs in development and the clinical trials methodology. The editors have gathered together the leading international experts to produce a book that will appeal neurologists caring for headache patients, researchers in the field and those based in the pharmaceutical industry.
Introduces all the core topics and essential information that nursing students, in all specialisms, will need to master during the first years of a nursing degree.
INTRODUCTION TO RESEARCH provides the reader with a foundation from which to critique and understand research designs and their applications to healthcare and human service settings. It is divided into four parts: Introduction, Thinking Processes, Design Approaches, and Action Processes. The text reflects a new school of thought that recognizes and values multiple research strategies. This perspective proposes that naturalistic and experimental-type research strategies have equal value and contribute in complementary and distinct ways to a science of practice. Knowledge of these different research traditions presents new opportunities for addressing the complex health-related research questions that are emerging in today's health and human service environments.
Raritan documents the growth of a Raritan River town from the 1800s through the 1970s. With intriguing photographs and text, it explores the emergence of a quiet farming area as, first, a bustling industrial town with mills and factories and, later, the modern suburb it is today. Working together, resourceful residents enriched life by harnessing the waterpower of the river, organizing the first fire department in the area, and opening schools, churches, and organizations. Worldwide recognition came when President Warren G. Harding, while visiting at the Raritan home of his friend Senator Joseph Frelinghuysen, signed the Knox-Porter Resolution, officially ending World War I.
The use of evidence-based guidelines and algorithms is widely encouraged in modern psychiatric settings, yet many practitioners find it challenging to apply and incorporate the latest evidence-based psychosocial and biological interventions. Now, practitioners have an outstanding new resource at their fingertips. How to Practice Evidence-Based Psychiatry: Basic Principles and Case Studies accomplishes two goals: it explains the methods and philosophy of evidence-based psychiatry, and it describes ways in which psychiatrists and other mental health specialists can incorporate evidence-based psychiatry into their clinical practices. Uniquely relevant to psychiatric clinicians, this is the only...
"This book highlights a framework for leveraging a Nursing Shared Governance model and a structured improvement methodology for staff to lead cost reduction efforts at the bedside. This how-to guide will walk organizational leaders at all levels through the development and implementation of a robust cost-savings strategy focusing directly on eliminating waste and streamlining processes in everyday clinical work. Includes the toolkit with which to do it. This strategy involves prioritization of non-labor expense reduction at the senior leadership levels, engaging nursing Shared Governance councils in oversight and implementation of the work, educating frontline staff on the importance of financial stewardship, and using a structured approach to improvement methodology to execute the cost-savings efforts at the bedside"--Provided by publisher.
Vols. 4-17 include General public acts passed by the 105th - 118th Legislature of the state of New Jersey and lists of members of the Legislature.
M. WILKINSON Patients with frequent or daily headaches pose a very difficult problem for the physician who has to treat them, particularly as many patients think that there should be a medicine or medicines which give them instant relief. In the search for the compound which would meet this very natural desire, many drugs have been manufactured and the temptation for the physician is either to increase the dose of a drug which seems to be, at any rate, partially effective, or to add one or more drugs to those which the patient is already taking. Although there have been some references to the dangers of overdosage of drugs for migraine in the past, it was not until relatively recently that i...