Biomedical subjects
Publications and source records attributed to M McCausland.
A case of fluoxetine induced dyskinesia in an elderly woman with previous use of low dose haloperidol is described. In contrast to neuroleptic induced tardive dyskinesia it was characterised by a rapid onset after commencing fluoxetine and rapid resolution on cessation. In the case discussion we describe other cases of fluoxetine induced extrapyramidal syndromes and possible mechanisms.
This paper describes the planning and implementation of a Local Area Network (LAN) for the nursing service of a 504-bed urban teaching hospital. The major goals of the network were: support for nurse executives, nurse managers, and the departmental assistants assigned to administrative offices; increased efficiency and effectiveness of the nursing administrative areas; and improved communication systems. Collaboration between the nursing service and the Computer Information Center (CIC) resulted in a network of over 70 workstations, spanning 11 buildings. The network provides access to multiple programs that support clinical, managerial, and research activities. Gateways provide access to the hospital's two mainframes.
Patient falls are a commonplace and costly occurrence in health care settings. Approximately two years ago, the professional nursing staff on an acute care, 28-bed division in Hanna Pavilion began developing a program to address the issue of patients at risk for falling. The need for such a program evolved as the elderly patient population increased in number. The acute psychiatric service showed an increase in patients over 65 years old, from 13 percent in 1983 to 19.8 percent in 1984. An increased number of falls was documented on the division as the numbers of elderly became larger. During 1984, patient falls constituted 42.8 percent of al reported incidents on this division. The critical concerns related to patient falls were, and still are, the potential for injury leading to chronic disability, prolonged hospital stay, need for extended care, and ultimately the catastrophic effects on the quality of life for the population.
The authors describe the assessment, planning, implementation, and benefits of a local area network (LAN) for the nursing service of a 504-bed urban teaching hospital. The major goals of the network were to increase the efficiency and effectiveness of the nursing administrative areas and improve communication systems. A network of more than 90 workstations, spanning 12 buildings, was installed. The network provides access to multiple programs that support clinical, managerial, and research activities. Gateways provide access to the hospital's two mainframe computers. Network benefits identified by nursing management include: improved communication and access to information; increased accuracy, efficiency and timeliness of data; and improved computer literacy.