The Problem Of Practice Variation In Newborn Medicine

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The Problem of Practice Variation in Newborn Medicine

Author : Joseph Schulman
Publisher : Springer Nature
Page : 282 pages
File Size : 55,5 Mb
Release : 2022-05-20
Category : Medical
ISBN : 9783030946555

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The Problem of Practice Variation in Newborn Medicine by Joseph Schulman Pdf

Neonatal intensive care unit (NICU) teams in the US and around the world receive performance reports that locate their particular value for selected process and outcome measures within the range of values from all reporting NICUs. Understandably, many providers focus primarily, if not exclusively, on their particular value. When a value appears undesirable, providers often justify it in an apparent reflex response rather than critically analysing their data. Exceedingly few reflect on the width or implications of the range within which their performance lies. Standard medical education does not include these skills, yet unwarranted practice variation necessarily compromises a population’s overall quality of care. Researchers report wide variation in health care resource use with little connection to patient outcomes, challenging the belief that directing incrementally more resources at certain healthcare problems necessarily produces better results. This book provides requisite knowledge to enable readers without research expertise to understand the notion of unwarranted practice variation, how to recognize it, its ubiquity, and why it is generally undesirable – why narrowing is pervasiveness improves quality. The book begins by describing practice variation, its prevalence, and why it matters. Next, it examines alternative conceptualizations of NICU work. One view is task-oriented, while the other is aim-oriented. NICU teams rarely articulate their aims explicitly, so this book offers examples that guide thinking and action. Finally, this book asks, “Which rate is 'right'; what is the performance target?” The answer entails identifying the lowest resource use rate associated with desirable outcomes. This requires data describing efficient and predictably performing provision of current evidence-based care, along with relationships to a variety of outcomes. Provider conceptualization of healthcare quality also is often vague. The challenge lies in defining this notion operationally. This book does precisely that and gives readers tools to think critically about process, outcome, and quality measures, via some understanding of systems, risk-adjustment modelling, and discriminating signal from noise in process data.

Neonatal Bioethics

Author : John D. Lantos
Publisher : JHU Press
Page : 190 pages
File Size : 48,9 Mb
Release : 2006-05-17
Category : Medical
ISBN : 9780801883446

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Neonatal Bioethics by John D. Lantos Pdf

Neonatal intensive care has been one of the most morally controversial areas of medicine during the last thirty years. This study offers an expansive view of the abstract and practical features of neonatal medicine, examining the interconnected development of four key aspects of neonatal intensive care: medical advances, ethical analysis, legal scrutiny, and econometric evaluation. Tracing the recent history of neonatal ethics, analyzing the notable advances, and considering the many lessons to be learned, the authors present neonatal medicine as a paradigm of responsible societal management of medical innovation.

Quality Improvement in Neonatal and Perinatal Medicine, An Issue of Clinics in Perinatology - E-Book

Author : Alan R. Spitzer,Dan Ellsbury
Publisher : Elsevier Health Sciences
Page : 321 pages
File Size : 42,8 Mb
Release : 2010-04-29
Category : Medical
ISBN : 9781455700530

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Quality Improvement in Neonatal and Perinatal Medicine, An Issue of Clinics in Perinatology - E-Book by Alan R. Spitzer,Dan Ellsbury Pdf

This issue of Clinics in Perinatology, guest edited by Drs. Alan Spitzer and Dan Ellsbury, examines Quality Improvement in Neonatal and Perinatal Medicine. The first part of the issue addresses Tools of Quality Improvement and includes articles on The Quality Chasm in Neonatal and Perinatal Medicine; Evaluating the Medical Evidence; The Vermont Oxford Network Database; The Pediatrix Clinical Data Warehouse; Role of Regional Collaboratives: The California Perinatal Quality Care Collaborative Model; A Primer on Quality Improvement Methodology; Using Statistical Process Control Methodology; Human Factors in Quality Improvement, Random Safety Audits, Root Cause Analysis, and Failure Mode and Effects Analysis; Collaboration Between Obstetricians and Neonatologists: Perinatal Safety Programs and Improved Clinical Outcomes; and Pay for Performance: A Business Strategy for Quality Improvement in Neonatal-Perinatal Medicine. The second part of this issue addresses Specific Applications of Documented Quality Improvement Methodology in Neonatal and Perinatal Medicine and includes articles on Delivery Room Intervention-Improving the Outcome, Reducing Retinopathy of Prematurity, Improving Breast Milk Use During and After the NICU Stay, Decreasing Catheter Related Bloodstream Infection, and Decreasing Bronchopulmonary Dysplasia.

Merenstein & Gardner's Handbook of Neonatal Intensive Care - E-Book

Author : Sandra Lee Gardner,Brian S. Carter,Mary I Enzman-Hines,Jacinto A. Hernandez
Publisher : Elsevier Health Sciences
Page : 1008 pages
File Size : 45,7 Mb
Release : 2015-04-10
Category : Medical
ISBN : 9780323320849

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Merenstein & Gardner's Handbook of Neonatal Intensive Care - E-Book by Sandra Lee Gardner,Brian S. Carter,Mary I Enzman-Hines,Jacinto A. Hernandez Pdf

Merenstein & Gardner’s Handbook of Neonatal Intensive Care, 8th Edition, is the leading resource for collaborative, interprofessional critical care of newborns. Co-authored by physicians and nurses, it offers concise, comprehensive coverage with a unique multidisciplinary approach and real-world perspective that make it an essential guide for both neonatal nurses and physicians. The 8th edition features the latest neonatal research, evidence, clinical guidelines, and practice recommendations — all in a practical quick-reference format for easy retrieval and review of key information. UNIQUE! Multidisciplinary author and contributor team consists of two physicians and two nurses, with each chapter written and reviewed by a physician-nurse team to ensure that information mirrors current, real-world practice in a neonatal intensive care unit. Critical Findings boxes and tables outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care. UNIQUE! Clinical content highlighted in color allows you to quickly scan for information that directly affects patient care. UNIQUE! Parent Teaching boxes highlight relevant information to share with a patient’s caregivers. Clinical images, graphs, and algorithms illustrate clinically relevant concepts in neonatal intensive care. Streamlined references include only the most current or classic sources. NEW! Coverage of the latest neonatal research, evidence, clinical guidelines, and practice recommendations addresses topics such as: women with chronic illnesses becoming pregnant; maternal obesity; hypotension and shock in premature infants; pain and sedation; dedicated feeding sets vs. IVs for safety; MRSA; pediatric stroke; autism screening; discharge coordination; and more. NEW! The latest AAP recommendations and guidelines for hypoglycemia, jaundice, herpes, respiratory syncytial virus, and neonatal transport team composition. EXPANDED! Revised Evidence-Based Clinical Practice chapter focuses on evidence-based practice and quality improvement and the role of qualitative research in EBP. EXPANDED! Updated Infection in the Neonate chapter features new GBS guidelines and CRP research.

Emerging Topics and Controversies in Neonatology

Author : Elaine M. Boyle,Jonathan Cusack
Publisher : Springer Nature
Page : 575 pages
File Size : 45,6 Mb
Release : 2020-02-05
Category : Medical
ISBN : 9783030288297

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Emerging Topics and Controversies in Neonatology by Elaine M. Boyle,Jonathan Cusack Pdf

This textbook addresses the themes that are at the forefront of neonatal clinical care and research, based on natural divisions in care during pregnancy, and postnatally by gestational age at birth. The book offers a unique approach, in that it proposes discussion of important general principles underpinning neonatal care that are not addressed in most general neonatology textbooks, such as ethical issues, counselling, effective training methods, quality and safety, among other subjects. These are fundamental aspects and challenges that need to be appreciated by senior clinicians. A chapter authored by parents describing their perspectives of neonatal intensive care is unique and will be highly educational, with the potential to influence the way in which individuals view and deliver neonatal care. The authors discuss common and important conditions, to promote adoption of sound evidenced based practice where this is available. However, where evidence is limited, as is the case in many areas of neonatal practice, the authors aim to encourage critical thinking and evidence appraisal, which are necessary skills for busy clinicians wishing to filter evidence to guide delivery of care. This text is suitable for senior trainees wishing to pursue a career in neonatal medicine, early career neonatologists and paediatricians with an interest in neonatology. It is also of interest to established neonatologists wishing to update their neonatal knowledge. The content is based on the RCPCH Level 3 curriculum, and addresses important topical and/or controversial aspects of neonatal care.

Pediatrics A Competency-Based Companion E-Book

Author : Maureen C McMahon,Glenn R Stryjewski
Publisher : Elsevier Health Sciences
Page : 868 pages
File Size : 44,9 Mb
Release : 2011-05-24
Category : Medical
ISBN : 9780323081306

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Pediatrics A Competency-Based Companion E-Book by Maureen C McMahon,Glenn R Stryjewski Pdf

Pediatrics: A Competency-Based Companion, by Maureen C. McMahon, MD and Glenn R. Stryjewski, MD, MPH, is designed to teach you to think like an experienced clinician. The only text written in the framework of the Core Competencies developed by the ACGME, its case-based approach illustrates the thought processes that effective practitioners use to approach and evaluate common pediatric presentations. Learning is easy through an intuitive, practical organization...a concise, high-yield presentation...graphs, tables, and other at-a-glance features, such as Professors’ Pearls" that provide cases with questions and annotated answers...and a framework that allows you to track your progress and that of your patients in relation to ACGME and AAMC expectations. A convenient pocket-sized format enables you to review the material on the go, and online access via Student Consult includes online extras such as "Integration Links" to bonus content in other Student Consult titles, a Competency Self-Assessment Log, Vertical Reads, and much more. Master ACGME Core Competencies with the aid of a color-coded system that helps you to integrate evidence-based medicine, continual self-assessment, and cognizance of interpersonal skills into your daily routine. Access the high-yield core information you need for pediatric rotations in a portable, pocket-sized format that organizes the most common, must-know pediatric signs/symptoms and disorders by patient presentation. Learn to see the "big picture" with the aid of "Teaching Visuals" chapters and "Speaking Intelligently" and "Clinical Thinking" features in clinical chapters. Easily locate more in-depth information on any topic with references to Nelson Essentials of Pediatrics, 6th Edition. Access the complete contents online at www.studentconsult.com, along with "Integration Links" to bonus content in other Student Consult titles...a Competency Self-Assessment Log... "Professors’ Pearls" that provide cases with questions and annotated answers...Vertical Reads...and many other features to enhance learning and retention. Get advice on managing your career, time, and life outside the clinical setting via bonus online appendices.

Neonatology Practice Made Easy

Author : MMA Faridi,Priyanka Gupta
Publisher : JP Medical Ltd
Page : 422 pages
File Size : 50,9 Mb
Release : 2013-08-31
Category : Medical
ISBN : 9789350904213

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Neonatology Practice Made Easy by MMA Faridi,Priyanka Gupta Pdf

Neonatology Practice Made Easy is a quick reference guide to neonatology for paediatricians and neonatologists. Beginning with infection control and the importance of hygiene, the book covers the diagnosis and management of numerous common and less common conditions, including nutrition and weight disorders, respiratory distress, seizures, hypoglycaemia, apnoea, and infections such as HIV, Hepatitis B and Tuberculosis. Presented in an easy to follow format, this manual provides useful annexures including checklists for resuscitation and emergency drugs, conversions, fluids protocols, a patient discharge form, and extensive references. Key points Practical guide to neonatology for paediatricians and neonatologists Discusses importance of infection control and hygiene Covers diagnosis and treatment of most common and less common diseases and disorders Includes useful annexures for easy reference

Workbook in Practical Neonatology

Author : Richard Polin,Mervin C. Yoder
Publisher : Elsevier Health Sciences
Page : 390 pages
File Size : 47,5 Mb
Release : 2019-10-06
Category : Medical
ISBN : 9780323624800

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Workbook in Practical Neonatology by Richard Polin,Mervin C. Yoder Pdf

Using a highly effective, case-based approach, Workbook in Practical Neonatology puts neonatal evaluation, diagnosis, and treatment in a clinical context and tests your knowledge with questions and answers for each topic. You’ll find authoritative guidance on the problems you’re most likely to see in practice, including issues regarding resuscitation, mechanical ventilation, anemia, fluid therapy, and bronchopulmonary dysplasia. The 6th Edition has been extensively revised, with new authors, rewritten content, improved figures and tables, and many new cases throughout. Organizes chapters around case studies, followed by questions and answers that require you to make diagnostic decisions and help you understand how scientific concepts apply to each clinical problem. Guides you step-by-step through patient care with abundant diagnostic algorithms, illustrations, and decision trees. Features eleven chapters rewritten by new authors, new tables and algorithms, new cases, and updated discussions of existing cases. An excellent learning tool and everyday reference for practicing neonatologists, as well as students, trainees, nurses, and other clinicians.

Principles of Neonatology

Author : Akhil Maheshwari
Publisher : Elsevier Health Sciences
Page : 1157 pages
File Size : 47,5 Mb
Release : 2023-09-08
Category : Medical
ISBN : 9780323694179

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Principles of Neonatology by Akhil Maheshwari Pdf

Written by leading global experts in the field, Principles of Neonatology provides those on the NICU team with clinically focused, evidence-based guidance in an easy-to-access format. Chapters cover the key topics of greatest and most frequent concern to clinicians treating newborns, delivering current, data-driven management and treatment advice in a single source relevant to the seasoned practitioner, fellow, or trainee. A highly templated format makes it easy to find exactly the information you need. Lavishly illustrated with photos, radiographs, drawings, and charts and graphs that clarify key concepts in a helpful and accessible way. Evidence-based focus ensures that only the most reliable treatment protocols and clear-cut, data-driven guidance are included. Coverage of all relevant topics in the NICU: skin lesions, congenital anomalies, architecture/development of neonatal intensive care units, pain control, anesthesia for newborn infants, and much more. Ideal for every member of the NICU team: neonatologists, neonatology fellows, residents, and neonatal nurses, as well as all other clinicians working in the NICU, including PAs, occupational therapists, respiratory therapists, and others.

Religion and Ethics in the Neonatal Intensive Care Unit

Author : Ronald M. Green,George A. Little
Publisher : Oxford University Press
Page : 352 pages
File Size : 45,8 Mb
Release : 2019-08-22
Category : Medical
ISBN : 9780190636869

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Religion and Ethics in the Neonatal Intensive Care Unit by Ronald M. Green,George A. Little Pdf

Each year, neonatal Intensive care units (NICUs) in the U.S. and around the world help thousands of sick or premature newborns survive. NICUs are committed to the ideals of family-centered care, which encourages shared decision-making between parents and NICU caregivers. In cases of infants with conditions marked by high mortality, morbidity, or great suffering, family-centered care affirms the right of parents to assist in making decisions regarding aggressive treatment for their infant. Often, these parents' difficult and intimate decisions are shaped profoundly by their religious beliefs. In light of this, what precisely are the teachings of the major world religious traditions about the status and care of the premature or sick newborn? Few studies have grappled with what major religious traditions teach about the care of the newborn or how these teachings may bear on parents' decisions. This volume seeks to fill this gap, providing information on religious teachings about the newborn to the multidisciplinary teams of NICU professionals (neonatologists, advance practice nurses, social workers), as well as to parents of NICU patients, and students of bioethics. In chapters dealing with Judaism, Catholicism, Denominational Protestantism, Evangelical Protestantism, African American Protestantism, Sunni and Shi'a Islam, Hinduism, Buddhism, Navajo religion, and Seventh Day Adventism, leading scholars develop the teachings of these traditions on the status, treatment, and ritual accompaniments of care of the premature or sick newborn. This is an essential book that will serve as a first resort for clinicians who need to understand the religious dynamics influencing anyone making a difficult decision about her sick newborn.

Pocket Notes on Neonatology

Author : Mark Davies,David Cartwright
Publisher : Elsevier Health Sciences
Page : 285 pages
File Size : 52,8 Mb
Release : 2007-12-26
Category : Medical
ISBN : 9780729578325

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Pocket Notes on Neonatology by Mark Davies,David Cartwright Pdf

This title is directed primarily towards health care professionals outside of the United States. Neonatology is a sub-speciality of paediatrics devoted to the care of the newborn infant. The wider care of the newborn infant includes not only the sick neonate but also the well newborn infant. The practice of neonatology is generally limited to specialist neonatal units and nurseries – ranging from those nurseries that deal with the well newborn infant to neonatal intensive care units. The care of the newborn infant is delivered by full time neonatologists, visiting medical officer neonatologists, paediatric registrars, senior house officers, nurses holding neonatal certificates, midwives and JMO’s. The book has been specifically written, formatted and designed to be carried whilst on duty, and contains information that staff in neonatal units will need during the course of their day – especially that information required often, but not yet committed to memory. This information requires continual reinforcement and in a busy unit there is no time to consult other references such as textbooks or computer based information. Portable clinical reference Covers procedures such as peripheral IV, umbilical arterial and venous catheter insertion, central venous line insertion and peripheral IA line insertion Coverage of standard infusions of dopamine, dobutamine, morphine and midazolam, insulin and PGE1 Ready Reckoner table, by infant birthweight, for size of ETTs and umbilical lines (usage and insertion), and common drug and infusion dosages Resuscitation and infection algorithms included

Clinical Ethics in Pediatrics

Author : Douglas S. Diekema,Mark R. Mercurio,Mary B. Adam
Publisher : Cambridge University Press
Page : 263 pages
File Size : 50,6 Mb
Release : 2011-09-08
Category : Medical
ISBN : 9781139501835

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Clinical Ethics in Pediatrics by Douglas S. Diekema,Mark R. Mercurio,Mary B. Adam Pdf

This volume provides a practical overview of the ethical issues arising in pediatric practice. The case-based approach grounds the bioethical concepts in real-life situations, covering a broad range of important and controversial topics, including informed consent, confidentiality, truthfulness and fidelity, ethical issues relating to perinatology and neonatology, end-of-life issues, new technologies, and problems of justice and public health in pediatrics. A dedicated section also addresses the topics of professionalism, including boundary issues, conflicts of interests and relationships with industry, ethical issues arising during training, and dealing with the impaired or unethical colleague. Each chapter contains a summary of the key issues covered and recommendations for approaching similar situations in other contexts. Clinical Ethics in Pediatrics: A Case-Based Textbook is an essential resource for all physicians who care for children, as well as medical educators, residents and scholars in clinical bioethics.

Neonatology at a Glance

Author : Tom Lissauer,Avroy A. Fanaroff
Publisher : Wiley-Blackwell
Page : 0 pages
File Size : 46,7 Mb
Release : 2011-02-21
Category : Medical
ISBN : 1405199512

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Neonatology at a Glance by Tom Lissauer,Avroy A. Fanaroff Pdf

The at a Glance series is popular among medical students, residents, junior doctors and health professionals for its concise and clear approach and excellent illustrations. Each topic is concisely covered in a double-page spread with color summary diagrams accompanied by explanatory text. Covering a wide range of topics, books in the at a Glance series are ideal as introductory subject texts or for revision purposes, and are useful throughout medical and nursing training and beyond. Everything you need to know about Neonatology... at a Glance! Written by leading international experts, this accessible overview provides need-to-know information on perinatal medicine, the normal newborn infant, preterm infants and neonatal problems encountered in Intensive Care Units, and their management. Neonatology at a Glance: Provides coverage of the important conditions you will encounter Addresses ethical issues, the death of an infant, quality assurance and evidence-based medicine Includes invaluable advice on practical procedures, in text and diagrammatic form Has been updated to reflect current practice in both the UK and US Neonatology at a Glance is the perfect guide for all health professionals looking after newborn infants, including paediatric trainees, medical students, neonatal nurse practitioners and neonatal nurses, therapists and midwives. For neonatologists, pediatricians and nurse tutors it is a valuable resource to assist with teaching.

Perinatal and Neonatal Infections, An Issue of Clinics in Perinatology EBook

Author : Joseph B. Cantey,Andi Shane
Publisher : Elsevier Health Sciences
Page : 241 pages
File Size : 43,6 Mb
Release : 2021-06-03
Category : Medical
ISBN : 9780323757065

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Perinatal and Neonatal Infections, An Issue of Clinics in Perinatology EBook by Joseph B. Cantey,Andi Shane Pdf

In this issue of Clinics in Perinatology, guest editors Joseph B. Cantey and Andi Shane bring their considerable expertise to the topic of Perinatal and Neonatal Infections. Provides in-depth, clinical reviews on Perinatal and Neonatal Infections, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Pocket Book of Hospital Care for Children

Author : World Health Organization
Publisher : World Health Organization
Page : 442 pages
File Size : 51,9 Mb
Release : 2013
Category : Medical
ISBN : 9789241548373

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Pocket Book of Hospital Care for Children by World Health Organization Pdf

The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.