Biomedical subjects

T W Whipple

Publications and source records attributed to T W Whipple.

5 recordsLinked to original sources

PubMed1997

Variance analysis for care path outcomes management.

Variance analysis and monitoring procedures of clinical care path interventions and outcomes are discussed with the objective of modifying suboptimal care paths into optimal pathways. These critical care paths will contain value-added interventions that contribute significantly to the achievement of measurable outcomes. Care path variables are defined and measurement considerations are presented. Variance analysis procedures, measures, and uses are discussed that facilitate outcomes management and continuous quality improvement.

Analysis of Variance↗

PubMed1996

Clinical pathway implementation in the acute care hospital setting.

A study was conducted to assess the current status of clinical path implementation for acute care cases and to explore implementation issues related to defining discharge outcomes and measuring variances in clinical paths. Results indicated that documentation, identification of critical indicators and discharge outcomes, and variance detection and correction are three core issues that must be addressed by institutions that implement clinical paths. A discussion of each of these areas is provided.

Critical Pathways↗

PubMed1993

Continuous quality improvement of emergency services.

The authors describe a five-year continuous quality improvement program that monitors inpatient and outpatient satisfaction with emergency services offered by a multi-institutional health care system. The program provides managers with the information to develop detailed plans for service improvement and suggests ways to appraise performance and recognize personnel.

Data Collection↗

PubMed1987

Behavioral and psychological traits of weight-conscious teenagers: a comparison of eating-disordered patients and high- and low-risk groups.

The present study was designed to test the clinical hunch that members of high-risk groups, such as athletes, have psychological traits similar to persons with eating disorders. Three groups of adolescent females (eating-disordered, athletes, and students) were studied to determine their menstrual, dieting, and exercise patterns and their self-images. Although the three groups fell on a continuum of anorexic-like behaviors, their self-images were not on a similar continuum. Eating-disordered females had the poorest self-images while athletes were the best adjusted of all three groups. Eating-disordered subjects exhibited extremely low scores on emotional tone and social relationships, suggesting that these dimensions of self-image may be characteristic which clearly distinguish the eating-disordered from so-called high-risk persons.

Adaptation, Psychological↗

PubMedDate not supplied

Validity of the nursing diagnosis of relocation stress syndrome.

BACKGROUND: There have been no reports of validation studies on the nursing diagnosis of relocation stress syndrome (RSS). OBJECTIVES: To validate the presence of some defining characteristics of RSS in a group of long-term care residents relocated en masse to a new facility. METHODS: This study measured the effects of relocation on 106 elderly residents moved from one long-term care facility to another. The presence of five characteristics defining the nursing diagnosis of RSS (dependency, confusion, anxiety, depression, and withdrawal) were measured using the Multidimensional Observation Scale for Elderly Subjects (MOSES) scale, a tool previously validated for use among similar groups of individuals. Using the Chenitz model of relocation, measures were taken twice before and twice after the move to examine changes in these characteristics over time. No extraordinary efforts were made to alleviate RSS. RESULTS: Repeated measures analysis of variance indicated no differences in the mean scores (p < 0.05) on these factors overall or from one measurement period to another. CONCLUSION: On the basis of the findings from this research and supporting literature, the appropriateness of anticipating RSS during mass moves is questioned. Additional research with other measurement tools should be conducted to verify these results.

Adult↗