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C Aubrey

Publications and source records attributed to C Aubrey.

6 recordsLinked to original sources
PubMed1992

Collaborative care documentation by exception system.

Development of a workstation-based documentation system supporting collaborative care and nurse charting by exception has been underway for the last two and one-half years at Vanderbilt University Medical Center in Nashville, Tennessee. The Pathways system has undergone two major revisions and is currently implemented on three nursing units. The system supports collaborative care by providing a mechanism for entry and printing of collaborative care pathways and collection of exception data. Paper flowsheets for manual charting are generated based on the patient's collaborative pathway and individual needs. The Pathways system has significantly decreased nursing time and effort for documentation. This paper describes the development, implementation, and impact of the workstation-based documentation system.

Hospitals, Teaching↗
PubMed1982

Corynebacterium hofmannii infection after renal transplantation.

A case of malakoplakia affecting the entire urinary tract is described. The patient had received a cadaveric renal transplant and had required particularly heavy immunosuppression because of recurrent rejection episodes. Heavy hematuria developed, and this was followed by obstruction at the vesico-ureteric junction. Despite adequate drainage via a nephrostomy, the graft ceased functioning, and was explanted. Although appropriate antibiotics were given, the patient died. The organism responsible for triggering the malakoplakia was Corynebacterium hofmannii, and this is only the third report of this organism as a human pathogen. However, other coryneform bacteria have been reported as being pathogenic in immunosuppressed subjects, and should be sought when more common organisms cannot be cultured in such patients showing signs of infection.

Adult↗
PubMed1981

Evaluation of buffy-coat microscopy for the early diagnosis of bacteraemia.

Three hundred and sixty samples of blood from 230 hospital patients were examined and compared with the results of simultaneous blood culture to determine the value of buffy-coat microscopy in detecting bacteraemia. One observer found 86 positive smears, 12 of which were from patients with positive blood cultures and 74 from patients with negative blood cultures. The buffy-coat smear was negative in 274 specimens, 8 of which yielded positive blood cultures. A second observer considered that only 34 of the buffy coats were positive. Only six of these were associated with positive blood cultures. Although there was a statistically significant association between positive smears and positive blood cultures, the procedure has little practical value because of the high incidence of false positives and negatives.

Bacillus↗