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Biomedical subjects

R T Fox

Publications and source records attributed to R T Fox.

At least 19 recordsLinked to original sources

Performance of first-line management functions on productivity of hospital unit personnel.

Eight management functions influence the productivity of unit personnel differently. Although leadership of the first-line manager is the primary driving force, time and effort expended in operations detract from this unit output. Better use of second-line managers is a choice strategy to enhance productivity. Benner's model of professional development, in combination with the creation of a first-second line shared leadership operational framework, is recommended, with follow-up evaluations on unit productivity effect.

Efficiency, Organizational↗

Strategic planning for nursing.

Strategic planning is a systematic approach to decision making. Nurse administrators who rely on formal planning and measurement of outcomes are more likely to assure consistent high performance from their departments than those who rely on intuition. Planning can serve as motivation for nursing personnel if they are allowed to have some input into it. Not only is nursing practice advanced by strategic planning, as this article shows, but scarce resources can be conserved.

Data Collection↗

A comparison of wedge and segmental resection of the lung.

In the past few years there has been increasing use of limited resection for pulmonary carcinoma, especially in patients with restricted cardiorespiratory function. Because there is frequently a choice as to the type of limited resection, it was considered worth while to review the safety and efficiency of the two principal types. In total, 212 wedge resections and 281 segmental resections are reported. Despite certain theoretical advantages to segmentectomy, wedge resection carried a lower complication rate. Seventy-one per cent of wedge resections were free of complications compared to 54% of segmental resections. Minor complications were defined as apical air space and apical haematoma. The incidence of minor complications was similar for each group, 22% for wedge resections and 27% for segmentectomies. However, there was a significantly higher major complication rate in the segmental resection group (19%) compared to the wedge group (7%). This is understandable, considering the amount of raw lung surface exposed after segmental resection. It appears that where it is surgically feasible, wedge resection should be practised.

Hemoptysis↗

Experience with percutaneous internal jugular-innominate vein catheterization.

A specific technique of cannulation of the internal jugular innominate vein, presented herein, is not considered an innocuous procedure, but the incidence of serious complications is very low. In this technique a needle-in-catheter unit aids greatly in advancing the catheter through the vein. More than 62 percent of the catheters were left in place for more than five days. There was an 11.4 percent incidence of positive bacterial or fungal cultures from the catheter tip. Routine follow-up chest x-ray films demonstrated all the catheters in the innominate-superior vena cava venous system.

Bacterial Infections↗