Establishing demand feeding in hospital.

Establishing principles for hospital-physician joint ventures.

A typical joint venture is structured as a limited liability company (LLC). Under this nontaxable structure, income passes directly through to the owners, which benefits both physicians and hospitals. For taxable owners, such as physicians, the income is not subject to “double taxation” (where earnings are taxable both to the corporation and to the individual investor). And for a nonprofit enti...

Establishing inter-hospital comparisons of outcomes.

This paper describes the ongoing development of a region-wide system for monitoring the short-term outcomes of total knee replacement surgery. The system aims to collect data from a dozen hospitals, and relies on a close collaboration with locally based surgeons and medical audit staff. The intention is to provide routine comparative information based on a broad conception of outcome, that incl...

The human factor in hospital feeding.

Soyer himself was attacked by diarrhoea soon after his arrival at Scutari and it lasted several weeks. I n the Crimea he was taken seriously ill in September 1855; this illness lasted several weeks and when nearly well he had a relapse. The accounts given are meagre but they are more in keeping with an attack of typhoid fever. When he returned to Scutari he was again ill with fever and later wi...

Establishing a culture of perinatal safety in a community hospital.

While unsafe behavior of frontline hospital staff, primarily physicians and nurses, is sometimes the proximal cause of adverse events, the critical importance of system-wide, hospital organizational factors is now being acknowledged(1,2). These organizational factors create the "safety culture" that influences the occurrence of these proximal failures.(3) The concept of safety culture originate...

Early versus on-demand tube feeding in pancreatitis.