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Nurse retention: outrunning the bear. 护士保留:跑熊。
Michigan health & hospitals
Pub Date : 2003-07-01
Stephen O'Connor

Did you hear the one about the hospital CEO who was hiking in the forest with the director of nursing? As they were heading down a trail, suddenly a bear jumped out of a bush and started chasing them. Both hikers started running for their lives when all of a sudden the CEO stopped, sat down on a rock and started to put on running shoes. The director of nursing said, "What are you doing? You can't outrun a bear!" The CEO replied, "I don't have to outrun the bear. I only have to outrun you."

你听说过一个医院的首席执行官和护理部主任在森林里徒步旅行的故事吗?当他们沿着一条小路前进时，突然一只熊从灌木丛中跳出来，开始追赶他们。两位徒步旅行者开始逃命，突然，CEO停下来，坐在一块岩石上，开始穿上跑鞋。护士长说:“你在干什么?你跑不过熊的!”首席执行官回答说:“我不需要比熊跑得快。我只要跑得比你快就行了。”
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引用次数: 0
Breaking through to improved community health. 突破，改善社区卫生。
Michigan health & hospitals
Pub Date : 2003-07-01
Linda Dicks

Michigan's nonprofit community hospitals serve the state's citizens in extraordinary ways--regardless of whether anyone pays for that service. In 2001, these community-based organizations provided $885 million in free health care to area residents who were uninsured or otherwise could not pay for it. In addition, the state's nonprofit hospitals contributed more than $276 million in services such as health education, outreach, screening, counseling and free clinics. The total worth of these traditional and nontraditional benefits to Michigan communities in 2001 was a staggering $1.16 billion.

密歇根州的非营利性社区医院以非凡的方式为该州公民提供服务——无论是否有人为这项服务付费。2001年，这些社区组织向没有保险或无法支付医疗费用的地区居民提供了8.85亿美元的免费医疗服务。此外，该州的非营利性医院在健康教育、外展、筛查、咨询和免费诊所等服务方面贡献了2.76亿多美元。2001年，这些传统和非传统福利对密歇根社区的总价值达到了惊人的11.6亿美元。
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引用次数: 0
Point and click solutions. 点和点击解决方案。
Michigan health & hospitals
Pub Date : 2003-07-01
Al Parker

In a time when people use computers to buy stocks, order pizza, apply for a mortgage, or search for a mate, it was only a matter of time before health care facilities turned to online technology to make bill paying more efficient and convenient for patients.

在人们使用电脑购买股票、订购披萨、申请抵押贷款或寻找伴侣的时代，医疗机构转向在线技术使患者更高效、更方便地支付账单只是时间问题。
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引用次数: 0
How does excellence become an everyday occurrence? 卓越是如何成为每天发生的事情的?
Michigan health & hospitals
Pub Date : 2003-05-01
Jeffery M Zaks
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引用次数: 0
Exploring some of Michigan's best practices. 探索密歇根州的一些最佳实践。
Michigan health & hospitals
Pub Date : 2003-05-01
Linda Dicks
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引用次数: 0
A great honor; great responsibility. 巨大的荣誉;伟大的责任。
Michigan health & hospitals
Pub Date : 2003-05-01
Trudy Barthels
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引用次数: 0
Hospitalists increase care. 医院增加护理。
Michigan health & hospitals
Pub Date : 2003-05-01
H Z Akl, Sue E Johnson-Phillippe
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引用次数: 0
"IT" outsourcing gives Michigan hospitals a boost. “IT”外包推动了密歇根医院的发展。
Michigan health & hospitals
Pub Date : 2003-05-01
Jeffrey C Bauer
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引用次数: 0
How to keep your customers. 如何留住你的客户。
Michigan health & hospitals
Pub Date : 2003-05-01
Alan Quellmalz
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引用次数: 0
Connecting for health. 连接健康。
Michigan health & hospitals
Pub Date : 2003-05-01 DOI: 10.7748/nm.12.4.37.s14
J. Fritz
British Journal of General Practice, April 2008 time and distance, exacerbating the low temperature effect (unless heated transit vehicles are used). Provision of the phlebotomy service and appropriate sample transport may become an additional responsibility for those GPs who presently have these services provided by the hospital. Figure 1 shows the effect of outdoor ambient temperature and improving phlebotomy technique on the percentage of samples giving significant hyperkalaemia (5.8 mmol/L or higher). Changes to pathology services may be introduced insidiously and GPs need to be aware of proposals that will affect their practice. Automated sample analysis can be performed in bulk on large analysers, but phlebotomy and pre-analytical handling require skill and knowledge. If this is overlooked in planned changes, news of pathology modernisation may be heralded by an epidemic of pseudohyperkalaemia. Periodic assessments of the incidence of hyperkalaemia in GPs’ own practices can yield powerful information. If the incidence of moderate hyperkalaemia (5.8 mmol/L or higher) rises above 0.7% or >9% are above reference range, transport and phlebotomy arrangements should be reviewed.
英国全科医学杂志，2008年4月，时间和距离，加剧低温效应(除非使用加热运输车辆)。提供静脉切开术服务和适当的样本运输可能成为目前由医院提供这些服务的全科医生的额外责任。图1显示了室外环境温度和改进的采血技术对明显高钾血症(5.8 mmol/L或更高)的样品百分比的影响。病理服务的变化可能会在不知不觉中引入，全科医生需要意识到将影响他们实践的建议。自动样品分析可以在大型分析仪上批量执行，但静脉切开术和分析前处理需要技能和知识。如果在有计划的改变中忽视了这一点，病理学现代化的消息可能预示着假性高钾血症的流行。在全科医生自己的实践中，定期评估高钾血症的发生率可以产生强有力的信息。如果中度高钾血症(5.8 mmol/L或更高)的发生率高于0.7%或>9%高于参考范围，则应重新考虑转运和放血安排。
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引用次数: 0
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