Biomedical subjects
Publications and source records attributed to L Larson.
Success stories of mergers between Catholic and non-Catholic hospitals are few and far between. Such mergers involve all of the usual complications in addition to potential conflicts of mission and control. But with the proper planning and flexibility, it's possible for such a merger to work. This case study shows you how it's done.
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When the board of a California community hospital found that it had drastically miscalculated its earnings for 1998 and was actually in the red, trustees knew they had to act fast. Resisting the "cut and slash" advice of a turnaround specialist, the board chose to "reinvent" its management structure. That's how it could maintain its community health mission and still end up in the black.
Even the most experienced trustees can learn something new. Ther's no way you can do your job well without updating your knowledge of the field. Experts discuss what you need to know--and how you can go about learning it.
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Organizational ethics provides a process to consciously and consistently incorporate the hospital's values and the good of patients into all decisions. That responsibility falls squarely on the board. "Trustees are standing in two worlds," says Robert Potter. "One foot is in the hospital and one foot is in the community. No other group of people can fairly balance the interests of both."
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OBJECTIVE: Our goal was to determine the prevalence of normal alveolar-arterial gradients in pregnant patients with documented pulmonary embolism. STUDY DESIGN: A retrospective chart review was performed on all pregnant women with pulmonary embolism at two large obstetric centers between 1990 and 1995. Alveolar-arterial gradients were calculated from room air arterial blood gas values and compared with values from patients who had been established as normal. RESULTS: Ten of 17 patients with pulmonary embolism identified had alveolar-arterial gradients that were normal. CONCLUSIONS: In our study 58% of pregnant women with documented pulmonary embolism had a normal alveolar-arterial gradient. This markedly differs from the published data in nonpregnant patients, in which the incidence of normal alveolar-arterial gradients in pulmonary embolism has ranged from 1.9% to 20%. This suggests that the alveolar-arterial gradient should not be used to determine the likelihood of pulmonary embolism in pregnant women because this could lead to the withholding of appropriate treatment for this life-threatening condition.
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Explore the source record for details and available documents.
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Explore the source record for details and available documents.