Pub Date : 1994-01-01DOI: 10.1177/107755879405100105
E M McMahan, K Hoffman, G W McGee
Over the past few decades, economic, legal, technological, demographic, and political changes in the social context of health care in the United States have produced significant modifications in perceptions and expectations of the health care system. The quality of care provided within health services institutions, encompassed within the catch phrase &dquo;continuous quality improvement&dquo; or &dquo;total quality management,&dquo; is a focus of much discussion and even a mandate by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Specific methods of quality improvement remain questionable; yet multidisciplinary collaboration and teamwork have been identified by
{"title":"Physician-nurse relationships in clinical settings: a review and critique of the literature, 1966-1992.","authors":"E M McMahan, K Hoffman, G W McGee","doi":"10.1177/107755879405100105","DOIUrl":"https://doi.org/10.1177/107755879405100105","url":null,"abstract":"Over the past few decades, economic, legal, technological, demographic, and political changes in the social context of health care in the United States have produced significant modifications in perceptions and expectations of the health care system. The quality of care provided within health services institutions, encompassed within the catch phrase &dquo;continuous quality improvement&dquo; or &dquo;total quality management,&dquo; is a focus of much discussion and even a mandate by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Specific methods of quality improvement remain questionable; yet multidisciplinary collaboration and teamwork have been identified by","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"51 1","pages":"83-112"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107755879405100105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21004947","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}
Pub Date : 1994-01-01DOI: 10.1177/107755879405100104
M Arndt, B Bigelow
Clinical practice guidelines are meant to assist practitioners in making decisions about appropriate care (Field and Lohr 1992). They are also an attempt to exercise control over practice variation and, by eliminating ineffective services, to reduce the cost of health care (Garber and Wagner 1991). The concept of practice guidelines has received renewed attention with the establishment of the Agency for Health Care Policy and Research (AHCPR) whose guidelines cross disciplinary lines and are expected to affect nursing care as well as medical
{"title":"The impact of individual and contextual factors on nursing care and the implementation of AHCPR practice guidelines.","authors":"M Arndt, B Bigelow","doi":"10.1177/107755879405100104","DOIUrl":"https://doi.org/10.1177/107755879405100104","url":null,"abstract":"Clinical practice guidelines are meant to assist practitioners in making decisions about appropriate care (Field and Lohr 1992). They are also an attempt to exercise control over practice variation and, by eliminating ineffective services, to reduce the cost of health care (Garber and Wagner 1991). The concept of practice guidelines has received renewed attention with the establishment of the Agency for Health Care Policy and Research (AHCPR) whose guidelines cross disciplinary lines and are expected to affect nursing care as well as medical","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"51 1","pages":"61-82"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107755879405100104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21005108","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}
Pub Date : 1994-01-01DOI: 10.1177/107755879405100304
R A Connor, J E Kralewski, S D Hillson
{"title":"Measuring geographic access to health care in rural areas.","authors":"R A Connor, J E Kralewski, S D Hillson","doi":"10.1177/107755879405100304","DOIUrl":"https://doi.org/10.1177/107755879405100304","url":null,"abstract":"","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"51 3","pages":"337-77"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107755879405100304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21009238","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}
Pub Date : 1994-01-01DOI: 10.1177/107755879405100404
M J Gann, J D Restuccia
Compared to its near-decade of influence in manufacturing and in several service sector industries, total quality management (TQM) has only recently been applied to health care. Since the early calls for action by Berwick and others beginning in 1988, and adoption of the quality management paradigm by the Joint Commission for Accreditation of Health Care Organizations (JCAHO), 58.5 percent of acute care hospitals &dquo;have a TQM/CQI program in place&dquo; (Grayson 1992, 25; Berwick 1988; Carroll 1991; Milakovich 1991; McLaughlin and Kaluzny 1990; Kaluzny, McLaughlin, and Kibbe 1992). Of those hospital chief executive officers who do not have a TQM program in their institution, 78.2 percent plan to start one within the next year (Grayson 1992). Only
{"title":"Total quality management in health care: a view of current and potential research.","authors":"M J Gann, J D Restuccia","doi":"10.1177/107755879405100404","DOIUrl":"https://doi.org/10.1177/107755879405100404","url":null,"abstract":"Compared to its near-decade of influence in manufacturing and in several service sector industries, total quality management (TQM) has only recently been applied to health care. Since the early calls for action by Berwick and others beginning in 1988, and adoption of the quality management paradigm by the Joint Commission for Accreditation of Health Care Organizations (JCAHO), 58.5 percent of acute care hospitals &dquo;have a TQM/CQI program in place&dquo; (Grayson 1992, 25; Berwick 1988; Carroll 1991; Milakovich 1991; McLaughlin and Kaluzny 1990; Kaluzny, McLaughlin, and Kibbe 1992). Of those hospital chief executive officers who do not have a TQM program in their institution, 78.2 percent plan to start one within the next year (Grayson 1992). Only","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"51 4","pages":"467-500"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107755879405100404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011260","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}
Pub Date : 1993-03-01DOI: 10.1109/MCS.2019.2913487
Y. Hentsch
The quality of a weld joint is strongly influenced by both the spatial distribution and temporal history of material temperature during the welding process. In order to obtain high quality welds, despite disturbances which would otherwise alter welding temperatures, we have successfully designed a temperature control system for consumable electrode gas metal-arc welding. This article describes the development of an inexpensive optical system for measuring weld temperatures and a pseudogradient adaptive algorithm for self-tuning a proportional-integral (PI) bead temperature controller. The performance of the closed-system is illustrated with experimental data.
{"title":"25 Years Ago....","authors":"Y. Hentsch","doi":"10.1109/MCS.2019.2913487","DOIUrl":"https://doi.org/10.1109/MCS.2019.2913487","url":null,"abstract":"The quality of a weld joint is strongly influenced by both the spatial distribution and temporal history of material temperature during the welding process. In order to obtain high quality welds, despite disturbances which would otherwise alter welding temperatures, we have successfully designed a temperature control system for consumable electrode gas metal-arc welding. This article describes the development of an inexpensive optical system for measuring weld temperatures and a pseudogradient adaptive algorithm for self-tuning a proportional-integral (PI) bead temperature controller. The performance of the closed-system is illustrated with experimental data.","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"34 1","pages":"118 - 118"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62450459","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}
Pub Date : 1993-03-01DOI: 10.1177/002570879305000102
T. Rundall
{"title":"The Evolution of Medical Care Review","authors":"T. Rundall","doi":"10.1177/002570879305000102","DOIUrl":"https://doi.org/10.1177/002570879305000102","url":null,"abstract":"","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"50 1","pages":"3 - 6"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002570879305000102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64800901","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}
Pub Date : 1993-01-01DOI: 10.1177/002570879305000305
D J Ferrand, M Chokron, C M Lay
{"title":"An integrated analytic framework for evaluation of hospital information systems planning.","authors":"D J Ferrand, M Chokron, C M Lay","doi":"10.1177/002570879305000305","DOIUrl":"https://doi.org/10.1177/002570879305000305","url":null,"abstract":"","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"50 3","pages":"327-66"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002570879305000305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001775","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}
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