BACKGROUND The increase in numbers of patients receiving warfarin treatment has led to the development of alternative models of service delivery for oral anticoagulant monitoring. Patient self management for oral anticoagulation is a model new to the UK. This randomised trial was the first to compare routine primary care management of oral anticoagulation with patient self management. AIM To ...

evidence based medicine (ebm) is a new approach to patient management which incorporates best evidence with the clinical expertise of the health care providers. although this approach has had a rapid growth in many clinical disciplines, its applications in radiology and nuclear medicine has not been addressed sufficiently. in this review ebm is briefly explained and the first two steps of the e...

BACKGROUND There is growing evidence that practice-based care management can improve clinical quality and reduce costly healthcare utilization. OBJECTIVES To explore how a disparate group of patient-centered medical homes (PCMHs) embedded care management in their team care environment to identify best practices. STUDY DESIGN A positive deviance approach was used to contrast care management ...

Present medical practice encourages management according to written guidelines, protocols, and structured procedures (GPPs). Daily medical practice includes instances in which "leaping" from one patient management routine to another is a must. We define "frozen patient management", when patient management leaping was required but was not performed. Frozen patient management may cause significan...

PURPOSE Project Leonardo represented a feasibility study to evaluate the impact of a disease and care management (D&CM) model and of the introduction of "care manager" nurses, trained in this specialized role, into the primary health care system. PATIENTS AND METHODS Thirty care managers were placed into the offices of 83 general practitioners and family physicians in the Apulia Region of Ita...

Background: Pain management is among the key tasks of nurses. Numerous studies have investigated the barriers and facilitators of pain management with conflicting results. The current study investigated the Iranian nurses’ perspectives in terms of the barriers and facilitators of pain management in hospitalized patients. Methods: This was a cross-sectional study. A total of 321 nurses working ...

BACKGROUND Health care or biomedical waste, if not managed properly, can be of high risk to the hospital staff, the patients, the community, public health and the environment, especially in low and middle income settings where proper disposal norms are often not followed. Our aim was to explore perceptions of staff of an Indian rural tertiary care teaching hospital on hospital waste management....

abstract background: chronic illnesses such as coronary heart disease are among the most prevalent and costly of all global health problems. coronary heart disease is a leading cause of death worldwide, including iran. one aspect of living with chronic illness is self-management which can reduce the impact of illness on daily life and maintain the quality of life. a qualitative understanding of...