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6 recordsLinked to original sources
PubMed1993

Patient-focused care: key principles to restructuring.

Patient-focused care (PFC) is a unique patient care delivery model that is becoming more popular in today's hospitals. Bishop Clarkson Memorial Hospital in Omaha, Nebraska, was one of the first hospitals to implement PFC. Clarkson used four principles to guide its pilot unit implementation--grouping similar patient populations, moving services closer to the patient, broadening staff skills, and simplifying processes. The four principles and their implementation are described; preliminary results are reported.

Attitude of Health Personnel↗
PubMed1993

The healthcare CIO's role in business process redesign.

At Bishop Clarkson Memorial Hospital in Omaha, CEO D. Max Francis has a passion. He talks it day and night. His managers will practice modern management processes and techniques. Where the majority of healthcare organizations are still remarkably hierarchical in their management structure, Clarkson Hospital has broken those traditional boundaries. Former Clarkson CIO Harry McQueen says that under the CEO's enthusiastic leadership, this regional tertiary-care center has undertaken business process redesign and has realized significant, measurable results.

Hospital Administrators↗
PubMed1993

Stereotactic breast biopsy: initial experience and recommendations for improvement.

The results of 54 stereotactic core breast biopsies performed at Bishop Clarkson Memorial Hospital were reviewed. In 47 biopsies (87% of the total), a definitive diagnosis of either benign or malignant was made. Two biopsies (4% of the total) were classified as missed, and 5 biopsies (9% of the total) were deemed indeterminate. To improve both the success of the procedure and patient management, six recommendations were made: Patients judged to be potentially uncooperative and inclined to move during the procedure should receive sedation. A post-biopsy, non-stereo film should be taken to determine whether additional stereotactic biopsies will be required to adequately sample the lesion. Lesions containing microcalcifications should have a specimen radiograph prior to completing the biopsy procedure. A history sheet including clinical and mammographic findings should be given to pathology along with the biopsy specimen to assist in the histologic interpretation. The radiologist should review the pathology results in order to determine if a miss has occurred and additional biopsy is indicated. Six-month follow-up mammograms are to be required following a benign stereotactic biopsy diagnosis.

Biopsy↗