Journal Collection of Medical Science, Social Science in Medicine, and Medical Humanities
Journal Collection contents of:
Short- and Long-Term Antireflux and Asthma Medication Use in Children After Nissen Fundoplication:
Overall, study findings demonstrated a slight decrease in antireflux medication use after Nissen fundoplicaton. With respect to asthma medications, only older, neurologically healthy children decreased use in the short term (one year).
The Falling Rate of Positive Penicillin Skin Tests from 1995 to 2007: Data on the rate of positive penicillin skin test (PenST) results over time in large populations are rare. Of 3469 individuals, 255 had positive PenST. The rate declined from >10% to <5% (13 years studied) accounted for by the year of testing without contribution from patient’s age or time since reaction. Route and frequency of outpatient antibiotic use may explain this.
Developing Minimally Invasive Surgery Centers Within Kaiser Permanente: Although there are unique issues for each specialty, many common issues, such as anesthetic considerations, organizing operating room teams, standardization of disposable products and electrosurgical units, testing and implementation of new equipment, postoperative care, education, simulation, training, and research are effectively and efficiently addressed through a multidisciplinary approach and complete integration.
An Exploratory Case Study: Effects of a Physician Organizational Socialization (Enculturation) Program: Compelling study data—filling a literature void—shows that comprehensive enculturation improves physicians’ effective entry into a medical group. Themes include: developed a strong sense of belonging; gained improved communication skills; gained multiple resources for success at home, and work; and developed friends called on later for clinical advice.
Northwest Simulation Center Sharpens Clinical and Communication Skills for Individuals and Teams: Many authorities have suggested that some variant of team training is likely to reduce human error in operating rooms, Emergency Departments, resuscitation teams and other settings within health care—where human interaction is common and where breakdowns in communication and teamwork can have critical consequences. The Kaiser Sunnyside Medical Center Regional
Ohio Safety Action Teams: Following the implementation of a new process—“Images-to-Operating-Room”—a survey of all Safety Action Team (SAT) participants showed they knew more about building a reliable process, their job satisfaction increased, patient safety was improved, and the gains were sustained. The plan is to continue SATs which are readily transferable to other areas and facilities.
Download Journal pdf:
http://xnet.kp.org/permanentejournal/spr09/Spr09-TPJ.pdf
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