Clinical governance.
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Clinical Medicine↗
Biomedical subjects
R Gourlay
Publications and source records attributed to R Gourlay.
Managerial governance to parallel clinical governance.
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Management Audit↗
Quality in a service function. Value added?
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Employee Performance Appraisal↗
Re-engineering.
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Community Health Services↗
Clinical and managerial quality.
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Humans↗
The pressure for quality.
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Hospitals, Public↗
Sigmoidoscopic neurosurgery? Treatment of an unusual complication of ventriculoperitoneal shunting.
A 16-year-old male with acute hydrocephalus due to bilateral acoustic neuromata was treated successfully with a ventriculoperitoneal shunt before formal neuroma resection. However, 2 years postoperatively, he noticed the distal shunt per rectum while defaecating. Subsequent removal was successfully performed using a flexible sigmoidoscope.
Adolescent↗
Handling complaints successfully.
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Patient Satisfaction↗
Liver Biopsies Following Ileogastrostomy.
Patients who have had ileogastrostomy for the treatment of morbid obesity require close, long-term follow-up. One concern in patients undergoing any form of intestinal bypass surgery is that of possible liver damage. To assess for possible liver damage in morbidly obese patients undergoing ileogastrostomy, we undertook a prospective study of liver biopsies in 12 consecutive patients. Preoperative and 2-year postoperative biopsies of the liver were planned. There were six liver biopsies available for comparison both pre- and post-operatively. The biopsies showed changes of fatty infiltration both pro- and post-operatively. There were no differences in the degree of fatty infiltration, or of other histological parameters which we measured. There were no cases of cirrhosis of the liver recorded.
Journal Article↗
Management contracts: A forward thinking initiative becomes a primitive reality.
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Administrative Personnel↗
Personnel management. Cuckoo in the nest.
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Evaluation Studies as Topic↗
The unit administrator--his power base.
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Health Facility Administrators↗
Restructuring: some considerations.
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Organization and Administration↗