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Full-Text Articles in Medicine and Health Sciences

Burn Disaster Response Planning: An Urban Region's Approach, Roger W. Yurt, Eliot J. Lazar, Nicole E. Leahy, Nicholas V. Cagliuso Jan 2008

Burn Disaster Response Planning: An Urban Region's Approach, Roger W. Yurt, Eliot J. Lazar, Nicole E. Leahy, Nicholas V. Cagliuso

Nicholas V. Cagliuso Sr., Ph.D.

The objective of this study was to describe a draft response plan for the tiered triage, treatment, or transportation of 400 adult and pediatric victims (50/million population) of a burn disaster for the first 3 to 5 days after injury using regional resources. Review of meeting minutes and the 11 deliverables of the draft response plan was performed. The draft burn disaster response plan developed for NYC recommended: 1) City hospitals or regional burn centers within a 60- mile distance be designated as tiered Burn Disaster Receiving Hospitals (BDRH); 2) these hospitals be divided into a four-tier system, based on …


Need For Performance Metrics In Hospital Emergency Management, Eliot J. Lazar, Nicholas V. Cagliuso, Kristine M. Gebbie Jan 2008

Need For Performance Metrics In Hospital Emergency Management, Eliot J. Lazar, Nicholas V. Cagliuso, Kristine M. Gebbie

Nicholas V. Cagliuso Sr., Ph.D.

An extraordinary number of health care quality and patient safety indicators have been developed for hospitals and other health care institutions; however, few meaningful indicators exist for comprehensive assessment of hospital emergency management. Although health care institutions have invested considerable resources in emergency management preparedness, the need for universally accepted, evidence-based performance metrics to measure these efforts remains largely unfulfilled. We suggest that this can be remediated through the application of traditional health care quality paradigms, coupled with novel analytic approaches to develop meaningful performance data in hospital emergency management.


Towards E-Health: National Access To Electronic Health Information, Lindsay K. Harris Apr 2007

Towards E-Health: National Access To Electronic Health Information, Lindsay K. Harris

Lindsay Harris

Health Libraries Australia has made a sustained effort to advance the development of a national approach to the delivery of electronic health information since holding a national forum back in 2003. Lindsay Harris plots the progress to date.


The Economics Of Open Access Publishing In The Sciences - Recent Reports For Health Librarians, Lindsay K. Harris Apr 2005

The Economics Of Open Access Publishing In The Sciences - Recent Reports For Health Librarians, Lindsay K. Harris

Lindsay Harris

Australian health librarians would be familiar with the general background to the origins of open access publishing. These encompass the escalating costs of periodical prices that are far in excess of national inflation rates, the unending pressure on library budgets, the consequent incapacity of libraries to keep pace with mounting subscription costs and the emergence during the past decade of huge STM (scientific, technology and medical) publishers which have reduced competitive forces in the market place. That STM publishing is big business is unquestionable. In 2002 the merchant bankers Morgan Stanley estimated the global STM publishing market to be a …


Use Of Critical Incident Reports In Medical Education: A Perspective, William T. Branch Jr. Md, Macp Jan 2005

Use Of Critical Incident Reports In Medical Education: A Perspective, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

Critical incident reports are now being widely used in medical education. They are short narrative accounts focusing on the most important professional experiences of medical students, residents, and other learners. As such, critical incident reports are ideally suited for addressing values and attitudes, and teaching professional development. This manuscript describes critical incident reports and gives examples of their use, provides a theoretical underpinning that explains their effectiveness, and describes the educational impacts of critical incident reports and similar methods that use reflective learning. The author recommends critical incident reports as an especially effective means to address learners' most deeply held …


Implementing Library Service Agreements: The Experience Of Australian Health Libraries, Lindsay Harris, Sue Rockliff Aug 2003

Implementing Library Service Agreements: The Experience Of Australian Health Libraries, Lindsay Harris, Sue Rockliff

Lindsay Harris

There is little in the published literature on creating and implementing service agreements in libraries as distinct from reports on the outsourcing and contracting out of discrete functions or entire services. This paper examines the role of service agreements in Australian health libraries and their operation in libraries. Aspects considered are the definition of service agreements, what they are and are not, how they are developed, the scope and contents of such agreements and areas likely to cause difficulties. The experiences of Australian health libraries in the implementation of service agreements and key features in their success or failure are …


Teaching The Human Dimensions Of Care In The Clinical Settings, William T. Branch Jr. Md, Macp Jan 2001

Teaching The Human Dimensions Of Care In The Clinical Settings, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

Despite repeated calls to emphasize the humanistic dimensions of care during medical education, these are few known techniques for effective teaching of humanism. We describe the barriers that inhibit humanistic teaching and suggest pragmatic teaching methods to overcome such barriers and teach humanistic care in clinical settings. We began by asking participants at a conference on patient-physician communications sponsored by the American Academy on Physician and Patient in June 1998, "What can we do in the patient's presence to improve and teach the human dimensions of care? Please provide one or more examples of approaches you found to be effective." …


The Ethics Of Caring And Medical Education, William T. Branch Jr. Md, Macp Jan 2000

The Ethics Of Caring And Medical Education, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

The ethics of caring, though the subject of much recent discussion by philosophers, has hardly been applied to medical ethics and medical education. Based on receptivity (that is, empathy and compassion) toward and taking responsibility for other persons, the ethics of caring has particular relevance to medicine. Caring guides the physician always to remain the patient's advocate and to maintain the therapeutic relationship when dealing with and resolving ethical dilemmas. This article discusses the philosophy behind the ethics of caring and then explores three issues that arise within its context: receptivity, taking responsibility, and creating an educational environment that fosters …


Supporting The Moral Development Of Medical Students, William T. Branch Jr. Md, Macp Jan 2000

Supporting The Moral Development Of Medical Students, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

Philosophers who studied moral development have found that individuals normally progress rapidly in early adulthood from a conventional stage in which they base behavior on the norms and values of those around them to a more principled stage where they identify and attempt to live by personal moral values. Available data suggest that many medical students, who should be in this transition, show little change in their moral development. Possibly, this relates to perceived pressures to conform to the informal culture of the medical wards. Many students experience considerable internal dissidence as they struggle to accommodate personal values related to …


Medical Students Development Of Empathic Understanding Of Their Patients, William T. Branch Jr. Md, Macp Jan 1998

Medical Students Development Of Empathic Understanding Of Their Patients, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

No abstract provided.


Professional And Moral Development In Medical Students: The Ethics Of Caring For Patients, William T. Branch Jr. Md, Macp Jan 1998

Professional And Moral Development In Medical Students: The Ethics Of Caring For Patients, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

The young physician-in-training faces arduous tasks. Knowledge must be absorbed, and skills must be mastered. But, becoming a physician is a moral as well as an intellectual task. The attitudes and values that a young physician adopts will determine the way he or she practices, and be equally as important as intellectual and technical proficiency. Physicians-in-training are young adults. They have emerged from adolescence into adulthood, hopefully with a firm image of themselves and a self-awareness of their values and inner feelings.