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Biomedical subjects

S Burrows-Hudson

Publications and source records attributed to S Burrows-Hudson.

At least 19 recordsLinked to original sources

Development of a patient classification system for chronic hemodialysis patients.

The purpose of this project was to develop a patient classification system that could indicate the caregiver time required by chronic hemodialysis patients during one dialysis treatment session. A patient acuity tool that used a condition indicator model was developed and validated. Initial indicator weights were established by an expert panel of 12 center directors. An experimental design was formulated that permitted evaluation of the influence of independent factors, such as type of ownership and cost-per-treatment environment on the acuity-time relationship. Acuity-time data were collected on more than 600 individual treatments performed in 12 different centers across the country. Results indicate that patient acuity, measured by The American Nephrology Nurses' Association (ANNA)/MECON acuity tool, is a strong predictor of the caregiver time that will be required by the patient during that treatment session (P < 0.0001) and that centers differ in the amount of time that caregivers spend with patients who are rated at the same level of acuity (P = 0.001). The overall average time spent by caregivers ranged from 61 minutes per treatment for level I patients to 97 minutes per treatment for level 5 patients. Ownership and cost-per-treatment effects were not significant as independent factors. However, some combinations of ownership and cost-per-treatment data may be significant.

Humans↗

CQI and anemia management: maximizing positive outcomes. Case study of the anemic patient.

Quality improvement techniques provide a scientific approach that allows nurses and other health care professionals to improve patient satisfaction and outcomes. Continuous quality improvement (CQI) encourages the health care team to move beyond minimum standards of care and create an environment in which all team members are continuously working to improve services. This article reviews the principles of CQI and discusses the nurses' role in implementing and maintaining a successful CQI program. Anemia management is used as an example to illustrate how CQI principles and tools can lead to improvements in patient outcomes.

Anemia↗

Nurse's role in achieving patient outcomes.

Nephrology nursing's influence on patient outcomes has as many facets as there are practice roles in nephrology nursing. These speakers discussed the impact on patient outcomes from a variety of practice perspectives. The roles of administrator, educator, staff nurse, government nurse, research nurse, and corporate nurse are each described.

Humans↗

Building consensus for nephrology nursing practice.

Building consensus for nephrology nursing practice was the theme for the American Nephrology Nurses' Association's (ANNA's) 1994 Clinical Concerns Meetings in Chicago and LaJolla, California respectively. This article emphasizes the importance of consensus building, traditional approaches to consensus conferences, and the inherent risks in conducting such a conference. Additionally, the consensus conference design and steps leading to a final working document are presented by members of the Clinical Concerns Planning Committee.

Consensus Statements as Topic↗

Measuring, managing, and improving quality in the end-stage renal disease treatment setting: committee statement.

The Institute of Medicine (IOM) committee that organized the conference reported in this issue of the journal on assessing quality of care and quality of life, wishes to emphasize that it regards the task of measuring quality as one that can be approached systematically, albeit with caution. Outcomes of end-stage renal disease (ESRD) care by dialysis and transplantation (and variations of outcomes among treatment units) and related processes of care need to be measured in ways useful to clinicians. In addition to clinical measures of outcome, the committee also favored giving greater attention to functional outcomes and health-related quality of life. The interest in maintaining and improving quality in the treatment setting reflects an underlying need to encourage its systematic assessment on a sustained basis, with appropriate weight devoted to practical issues.

Humans↗

A care plan for self-administration of epoetin alfa.

A care plan was developed to assist nephrology nurses managing the care of patients self-administering epoetin alfa. This is a generic care plan intended to serve as a basis for communication and should be adapted for appropriateness to individual facilities.

Erythropoietin↗

Resolutions.

Explore the source record for details and available documents.

Consumer Behavior↗

Annotated bibliography on the reuse of hemodialyzers.

The following annotated bibliography on the reuse of hemodialyzers is offered as a service to nephrology nurses needing information on this subject. The articles with the exception of two, are those published in the medical literature from 1980-1989. For ease of access, the articles are divided into the following categories: general information/reading, dialyzer performance, disinfectant, physiologic response, and infection control. Additionally, very brief descriptions of the primary contents of the articles are included. Many of the articles also contain material in addition to that summarized in the annotation. The bibliography is a selection of the hundreds available. For a more thorough study of reuse, we recommend that the reader access the additional citations listed in the bibliographies of the individual articles included herein. No attempt was made to critique the quality of the studies being reported. Readers are encouraged to examine the articles first hand, incorporating the findings into their own clinical settings.

Bibliographies as Topic↗