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Biomedical subjects

R L Simpson

Publications and source records attributed to R L Simpson.

At least 19 recordsLinked to original sources

Using lower eyelid fascial slings for recalcitrant burn ectropion.

Burns of the lower eyelid represent a difficult management problem. Even with skin grafting, scarring and contraction can result in ectropion. This condition creates a marked aesthetic deformity, poses a risk of corneal exposure, and jeopardizes the patient's vision. Historically, full-thickness skin grafts and tarsorrhaphies have been described to manage recurrent ectropion. The lower eyelid fascial sling (LEFS) uses a temporalis fascial strip to create a suspension sling for the lower eyelid. In a series of 7 patients, the LEFS procedure resolved the symptoms permanently in all patients. Because the LEFS procedure counteracts the natural scar contraction forces of lower eyelid burns, it can resolve recalcitrant ectropion successfully while preserving the function and aesthetics of the lower eyelid.

Adult↗

Compassion meets the computer age.

Computers get smarter and smarter, but they'll never replace human caring. View the nature of compassion and its unique role in nursing, as well as our challenge to measure the abstract quality. The surprising revelation: Computers are our best bet.

Attitude to Computers↗

Size up the big three.

Before we can tackle the complexities of solid nursing IT, we need a set of standards on which to base our efforts. Learn how three groups--HIPAA, JCAHO, and the Workgroup--are building nursing a firm foundation.

Guideline Adherence↗

How can we keep private data private?

While technology increases the accessibility of patient data, it also compromises its confidentiality. Here, review the federal government's solutions.

Computer Security↗

Government cracks down on billing fraud.

As the largest professional caregiving group, nurses have a stake in preventing misuse of the reimbursement system. Technology also plays a crucial role, as automated billing systems can both prevent and enable billing fraud.

Fraud↗

What to do before disaster strikes.

The key to averting disaster or minimizing its effects is a solid data security plan. Learn the types of data risks that exist, how to develop a plan to counteract them, and your role in ensuring the safety of health and patient data.

Disaster Planning↗

There is no "I" in team, but there is one in meeting.

Increasingly, emotional intelligence (EI) and one's emotional quotient, or EQ, have become critical workforce success factors. This article examines the often overlooked issue of EI and EQ in group situations. It will delineate the three types of groups that show the most variance in emotional dynamics, and explore the application of EI and EQ to these group settings.

Emotions↗

Minding the store: how IT impacts outcomes measurement.

Today, the question is not whether organizations should measure outcomes, but how. Right now, there are several initiatives, but no single, collaborative effort to tie them all together. This article will discuss the rise and early history of outcomes assessment in health care and highlight some key current initiatives (for example, OASIS [home health], QISMC [managed care organizations], HCQIP [inpatient care], ACQIP [ambulatory care], Joint Commission's ORYX accreditation initiative [hospitals, long-term care, home care, behavioral health care, and networks]). It will also delineate some of the problems with measuring outcomes and discuss where more work is needed. It will go on to discuss the role of IT in outcomes measurement, including its contributions, goals, effects, categories of IT support, infrastructure solutions, and analysis.

Data Interpretation, Statistical↗

The role of IT in caring for the chronically ill.

This article provides a brief overview of the problem of chronic disease, presents some of the emerging models of care delivery for the chronically ill, and discusses information technology's (IT) role in supporting those models and assisting in the search for cures.

Chronic Disease↗