Download Critical Care Secrets, 2e by Polly E. Parsons MD, Jeanine P. Wiener-Kronish MD PDF

By Polly E. Parsons MD, Jeanine P. Wiener-Kronish MD

Following the profitable question-and-answer structure of The secrets and techniques sequence, this booklet offers a fascinating assessment of present scientific wisdom of serious care. It covers the spectrum of severe care subject matters, from pathophysiology to in depth care administration. The booklet is a wonderful strategy to arrange for examinations, no matter if oral or written, and can also be a really precious evaluation for practitioners

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Qxd 12/8/03 13:48 Page 28 28 I. Organizational Issues SELECTED READING American College of Surgeons, Committee on Trauma. Resources for Optimal Care of the Injured Patient. Chicago: American College of Surgeons, 1999. Brenneman FD, Boulanger BR, Mclellan BA, et al. Measuring injury severity: a time for a change. J Trauma 1998;44(4):580–582. Butler, S. Module 3: Recording and Using Trauma Data. In: A Comprehensive Curriculum for Trauma Nursing. Bayley, EW, Turcke, SA. Eds. Boston: Jones and Barlett Oublishers, 1992:25–39.

2. Major Tools for Targeting Improvement a. Flowcharts. A flowchart is a picture of a process depicting the way the process is, not how it should be. b. Brainstorming and Affinity Chart. A session to elicit many ideas, solutions, questions, causes, and opportunities without judgment or decisions typifies brainstorming. These ideas can then be put on an affinity chart that groups together related items for analysis. c. Cause and Effect Diagrams (Fishbone Diagram). The Fishbone diagram illustrates the relationship between a problem and the factors that contributes to it.

A system must be set up for methodic review and comparison of data entered in the registry with that in the medical record. Data sets must be defined (what each data element means and from where the information comes) and all personnel collecting data (text continues on page 22) Definition Advantage Disadvantage GCS Developed in 1974 to quantify the level of consciousness and degree of head injury. It is the sum of three coded values representing verbal, motor and eye response. Scores range from 3 to 15; the higher the score, the better CNS function.

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