PubMed Health⌕ Search

Biomedical subjects

D Rudin

Publications and source records attributed to D Rudin.

5 recordsLinked to original sources
PubMed2005

Prevention of perioperative venous thromboembolism and coronary events: differential responsiveness to an intervention program to improve guidelines adherence.

INTRODUCTION: Prevention of venous thromboembolism and coronary events (with beta-blockers) during and after surgery is at the top of a list of safety practices for hospitalized patients, recommended by the Agency for Health Care Research and Quality (AHRQ). We wished to determine and improve adherence to clinical guidelines for these topics in our institution. PATIENTS, MATERIAL, AND METHODS: A prospective survey was conducted over several weeks on operated patients in a 1200-beds medical center (a teaching, community and referral hospital in Jerusalem, Israel). Eligibility for and actual administration of prophylactic treatment with anticoagulant and beta-blockers were determined. Following an intervention program, which included staff meetings, development of local protocols, and academic detailing by a nurse, the survey was repeated. RESULTS: In general, adherence to recommended anticoagulation prophylaxis was low, found in only 29% [95% confidence interval (CI) = 23-36] of eligible patients. After the intervention, adequate anticoagulation increased to 50% (95% CI = 40-59) of eligible patients (P < 0.001). Initiation of beta-blockers in preventing perioperative cardiac events was very low (0%, 95% CI = 0-5%) and did not increase after intervention. CONCLUSIONS: Adherence to guidelines for prevention of surgical complications was found to be low in our institution. A multifaceted intervention significantly increased use of prophylaxis for venous thromboembolism but not for coronary events. This differential response suggests that the success of a quality improvement project strongly depends on topic content and its phase of acceptance.

Adrenergic beta-Antagonists↗
PubMed2000

Managing volunteers.

This brief provides an overview of how to identify, select, train and retain volunteers. The next issue will focus on costs (both hard dollar and staff time) associated with volunteer programs, as well as profiles of Medicare education and advocacy programs that have successfully integrated volunteers into their efforts. Additional information and sample materials can be found on the Center for Medicare Education Web site (www.MedicareEd.org).

Humans↗
PubMed2000

The costs of volunteer programs.

This brief is the second in our series on volunteers and focuses on costs associated with developing and maintaining volunteer programs. It also highlights lessons learned by two organizations that have successfully integrated volunteers into their operations. Additional information and sample materials can be found on the Center for Medicare Education Web site (http://www.MedicareEd.org).

Costs and Cost Analysis↗
PubMed1999

SAPHO syndrome: report of three cases and review of the literature.

SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis) is an acronym that describes a seronegative syndrome of bone and joint lesions, frequently localized to the anterior chest wall, associated with variable dermatologic manifestations. Dermatologists should be aware of this entity, as early diagnosis can prevent unnecessary surgery and avoid prolonged ineffective antibiotic therapy. We report three new cases and review the literature.

Acquired Hyperostosis Syndrome↗