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At least 973 records · Page 54Linked to original sources
PubMed1987

Categorization of hospital emergency services--developing valid criteria.

In a pilot project sponsored by the California State Emergency Medical Services Authority, validated, verifiable criteria were developed for the vertical categorization of hospital emergency services in 11 different groupings of medical and surgical emergencies. We describe the development of an assessment process and categorization criteria to identify the most appropriate receiving facility for interfacility transfer and, in selected instances, field triage of patients with different levels of severity of illness or injury. We propose that this facility assessment project be used in the critical care planning process for the eventual vertical categorization of hospital emergency services in California and as a template for similar projects in other states.

California↗
PubMedDate not supplied

Developmental evaluation of the Safe Babies project: application of the COECA model.

The Safe Babies project was developed and implemented in Victoria, British Columbia in response to an increased awareness of the unique needs of infants exposed prenatally to drugs and alcohol and the education and support needs of the foster parents who frequently care for them. This article describes development of the project from within the context of health and child welfare systems and the political environment of the time. A formative evaluation process was designed and organized within the COECA (Charting the Outcomes of Education and Clinical Approaches) model. This model provided a useful method of not only organizing evaluative efforts, but also targeting efforts that might contribute to maintaining the sustainability and profile of the pilot project.

British Columbia↗
PubMed1999

A study of rural women's satisfaction with a breast cancer self-help network.

The impact of breast cancer on the emotional and social health of women and their families is an important issue for the cancer field. Nevertheless, many patients do not avail themselves of support programmes. In rural communities there is often a lack of services, which, for many, leads to a perception of 'being alone' in the struggle to become better. This paper reports an evaluation of a pilot project to facilitate a self-help peer support group network: an extensive provincial audio teleconferencing network for rural breast cancer survivors, established by the Telemedicine Centre of the Memorial University of Newfoundland. A satisfaction questionnaire was distributed to participants in the pilot programme. Responses suggested that they were very satisfied with the use of audio teleconferencing for the facilitation of a social support programme. The programme appeared to help bridge the isolation gap that rural women with breast cancer often experience. The results have implications for the provision of self-help social support services through audio teleconferencing, as well as for the quality of life and wellbeing of rural women.

Adult↗
PubMedDate not supplied

[Educational health programs in the construction industry of the Apulia Region, southern Italy].

31,000 building firms have been registered in the Apulia Region of Southern Italy, and 13.5% are concentrated in the area of the Local Health Bari/3. Especially small and middle-size firms (90% of total number) are assisted with information programs through dedicated local office. Educational and medical audit advanced programs carried out among occupational health professionals are described. A 'pilot project' for the regional health surveillance program in the construction industry is presented.

Health Education↗
PubMed1995

The message will be in the patient's receipt as New Brunswick prepares high-tech information system.

An effort to make the public appreciate the real cost of medical services has led to the development of an extensive medical-information and billing system in New Brunswick that uses a personal-information card. Likened to a credit card with unlimited credit, each has a magnetic strip with essential personal information with which to feed a province-wide computer system that eventually will link medicare, patients, doctors, prescription-drug programs and hospitals. The province hopes to have a pilot project running by year's end and then to introduce the system region by region.

Health Expenditures↗
PubMed1996

Teleconsulting: a practical account of pitfalls, problems and promise. Experience from the TEAM project group.

In Wales the Tele Education and Medicine (TEAM) project has given clinicians, in both the primary- and secondary-care sectors, practical experience in teleconsulting. From this project we have been able to identify the potential pitfalls and problems in developing and using this new technology. These problems include: using teleconsulting simply because it is fashionable; the failure to base it on the needs of the patients and the primary-care physicians; the failure to validate accuracy, acceptability and cost; the failure to adapt to new technical improvements; and the failure to scale up from a pilot project to a wider teleconsulting service. In our experience technical support is essential and is best facilitated by multisite cooperation, rather than small free-standing projects.

Dermatology↗
PubMed2002

On-site investigation of the early phase of Bhutan Health Telematics Project.

Telemedicine is valuable to many developing countries. International use of telemedicine is widespread. Telemedicine can improve health care in the developing countries by removing time and distance barrier, and optimize the use of limited health services in developing countries. The purpose of this paper is to investigate the current situation of healthcare services and telecommunications infrastructure in Bhutan. It summarizes the experience gained from a previous telemedicine pilot project initiated and implemented by the Telecommunication Development Bureau, International Telecommunication Union (BDT/ITU). It also introduces the priorities of telemedicine development set out by the local health authorities as well as the international organizations. By analyzing the common and most urgent problems in the country, which could be alleviated by using telemedicine, it formulates several recommendations concerning the future development strategy of telemedicine in Bhutan.

Bhutan↗
PubMed2001

Occupational health and safety amongst sex workers: a pilot peer education resource.

This paper presents an account of a pilot project to design and implement an innovative, sex-worker-driven approach to peer education in London. A 28-min, double-sided tape cassette containing extracts of sex workers talking candidly about their work was compiled from oral history recordings. The aims were to pilot process issues in compiling the collaborative resource, and to stimulate discussion of health and safety issues, exploring whether the resource could potentially enhance positive changes in sex workers' knowledge and awareness, self-esteem, and lifeskills. In a limited pilot distribution, 15 sex workers and seven outreach workers in London listened to the tape and completed short evaluation questionnaires. The paper sets out strengths and weaknesses of the pilot method, linking these to broader critical reflections on issues raised about peer education to, for and by sex workers.

Cooperative Behavior↗
PubMed1999

Evaluation of a Canadian telepsychiatry service.

A telepsychiatry pilot project linking five rural general hospitals and Alberta Hospital Ponoka was implemented in June 1996 as a response to both a scarcity of psychiatric resources in the Province of Alberta and the emphasis on community-based care. Psychiatrists located at Alberta Hospital Ponoka provided psychiatric consultations using videoconferencing technology in response to referrals from general practitioners. The project was evaluated through the use of questionnaires administered to consumers, service providers, and psychiatric consultants. Questionnaires were supplemented by interviews, site visits, logs, telephone interviews with consumers, and surveys to general practitioners at the rural sites. A total of 109 consultations occurred during the pilot stage. Results strongly suggested acceptance and satisfaction with the consultation by consumers, general practitioners and psychiatrists. The patient's perceived benefits included timeliness of service, service within their own community, decreased work time loss for self or family, and positive outcomes as a result of specialist expertise. Up until September 30, 1998 a total of 535 consultations had been completed, 381 of which were new referrals and 154 of which were follow up referrals. Seventy-two different physicians referred to the service. The practice profile is dramatically different to outpatient psychiatric practice in which approximately 90% of patient contacts are follow-up visits.

Adolescent↗
PubMedDate not supplied

[The introduction of projects to prevent HIV infection among people using injection narcotics and women in the sex business in the city of Simferopol'].

The work on the realization of the Project on the Prevention of HIV infection, carried out by the Charity Fund "Hope and Salvation" in 1998-1999 in the Crimea is described. As shown by the analysis of the results of behavioral reactions, the forms of behavior used by drug-dependent persons contribute to the spread of HIV infection. Since November 1999 the realization of the pilot project on the reduction of HIV infection among injecting drug users has been started in Simferopol (with the financial support to the Pasteur Institute and the advisory support of the UN Representation in the Ukraine). The necessity of the development of the Project "Decrease of Spread of HIV and Sexually Transmitted Diseases among Female Sex Workers in Simferopol" is substantiated.

Female↗
PubMed1975

Illinois: Community mental health: a noble failure?

Two studies were made in the northwestern region of Illinois to determine if the community approach helped restore the social competence and reduce the build-up of chronically ill patients. In the first study there was no indication that community care was superior to that of a traditional state hospital. Seventy-four per cent of the patients in the sample, however, had a history of repeated hospitalizations. The second study evaluated only first-admission patients and found that community-oriented programs were more effective. Both the center and the hospital had some patients for whom neither system of care was more effective in preventing chronicity. The center has established several pilot projects for managing those chronic patients.

Chronic Disease↗
PubMed2004

Transforming clinical dictation into structured notes in an ambulatory care practice.

Structured clinical encounter notes offer many advantages compared to free text notes. However, cost and other issues limit their widespread use. At our institution, the electronic medical record (EMR) used by an Internal Medicine practice was designed years ago to utilize structured data. This paper describes a technique to improve the process by which structured notes are dictated and transcribed. We outsourced transcription services and then passed the files through parsing software to structure the data to the granularity required for our database. Software was built to handle all aspects of the process including file validation, parsing, and review. During our pilot project, more than 10,000 notes were parsed, reviewed and uploaded into the EMR.

Ambulatory Care↗
PubMed1995

Implementing guidelines for acute pain management.

The article addresses the implementation of the Agency for Health Care Policy and Research (AHCPR) guidelines for acute pain management using a multidisciplinary approach. Results of the comprehensive program and the pilot project at St. Francis Regional Medical Center in Wichita, Kansas, are discussed.

Acute Disease↗
PubMed1995

Evaluating a comprehensive outpatient clinical information system: a case study and model for system evaluation.

Decisions about information system implementation are often justified through a cost-benefit analysis. The ability to improve efficiency and outcomes while decreasing costs through information systems--by allowing for multiple and instant simultaneous access to information, through data monitoring and altering, through automation of protocols, and by collecting information for population-based health care as opposed to individual illness-care--are all potential benefits of a comprehensive clinical information system. Measuring the quantitative impact of these system improvements, however, is difficult. Doing a complete cost-benefit analysis of a comprehensive clinical information system is unrealistic due to the many assumptions necessary and the multiple confounding factors that are involved. In our Clinical Information Systems deployment in Kaiser Permanente, Northwest Region, we have elected not to do a detailed cost-benefit analysis. Instead, we have done an evaluation, based on success criteria, of a pilot implementation of a vendor-supplied system. This evaluation is based on clinician acceptance, system usage, technical factors, and quantitative effects on physician productivity. We also considered qualitative factors such as relationship with and responsiveness of the system vendor. We are moving ahead to regionalize this clinical information system based on such an evaluation of our pilot project. This paper outlines the approach that we have taken in evaluating our implementation of this system. It may provide some guidance for organizations on how to make a decision about whether or not to regionalize a clinical information system based on the evaluation of a pilot-site implementation.

Ambulatory Care Information Systems↗
PubMed1994

Using licensed vocational nurses to provide telephone patient instructions in a health maintenance organization.

A pilot project was initiated at Kaiser Permanente Medical Offices in Fairfield, California, to determine whether licensed vocational nurses, working with registered nurses, can effectively and safely provide selected patient instructions by telephone to adult medical patients. We describe the environment, funding, implementation process, consultants' major findings, and results of the project's impact on staff and operations.

Adult↗
PubMed1995

Introducing a clinical improvement process in a multispecialty group practice setting.

In response to initial concerns about utilization of services by procedural specialists, the Sunnyvale Clinic encouraged a team of physicians and support staff to overcome differences and create a clinical guideline for sinusitis treatment. Using CQI tools, the team implemented process improvements intended to reduce variation and cost of care. The success of this pilot project, albeit slow in coming, led to further clinical guideline development and a complete restructuring of the quality management programs.

Group Practice↗
PubMedDate not supplied

Accreditation of post-basic nephrology courses within the EDTNA/ERCA.

This paper will outline the development of the EDTNA/ERCA accreditation programme for post-basic courses in nephrology. It will discuss results of the pilot project and relate the experiences of one school that has successfully gone through the accreditation process. The article will conclude with a discussion on more recent developments and evaluate the project in light of the original concepts.

Accreditation↗