This issue of Surgical Oncology Clinics of North America, guest edited by Drs. Caprice C. Greenberg and Daniel E. Abbott, is devoted to Measuring Quality in a Shifting Payment Landscape: Implications for Surgical Oncology. Drs. Caprice C. Greenberg and Daniel E. Abbott have assembled expert authors to review the following topics: Implications of the Affordable Care Act or Surgery and Cancer Care; Repealing the Affordable Care Act and Implications for Cancer Care; Quality Measurement and Pay for Performance; Surgical Collaboratives for Quality Improvement; Big Data and Cancer Care; Cancer Care Delivery Research; Engaging Stakeholders and Patient Partners; Beyond Morbidity and Mortaility - Outcomes that Matter to Patients; Regionalization and its Alternatives; The Economics of the End of Life: Power of Attorney, Palliative Care, Utilization of Hospice; The Accountable Care Organization for Surgical Care; and more!
This issue of Surgical Oncology Clinics of North America, guest edited by Dr. Mark Arnold, is devoted to Colon Cancer. Dr. Arnold has assembled expert authors to review the following topics: Chemotherapy for Colon Cancer; Colon Cancer: What We Eat; Colon Cancer: Inflammatory Associated Cancer; Colon Cancer: The Imaging Conundrum; Minimally Invasive Surgical Approaches to Colon Cancer; Population Screening for Hereditary Colorectal Cancer; The Economics of Colon Cancer; Clinical Trials in Colon Cancer; Advanced Colonoscopic Techniques; Surgical Treatment of Metastatic Disease; The Metastatic Lymph Node; and more!
This issue of Surgical Oncology Clinics of North America, guest edited by Dr. Edward A. Levine, is devoted to Treatment of Peritoneal Metastasis. Dr. Levine has assembled expert authors to review the following topics: History of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy; Imaging for peritoneal metastases; Patient selection for cytoreductive surgery; Pharmacodynamics and pharmacokinetics of intraperitoneal chemotherapy; Genomics and peritoneal metastases; Techniques and safety issue for intraperitoneal chemotherapy; Learning curve for cytoreductive surgery; Peritoneal metastases from gastric cancer; Peritoneal metastases from mesothelioma; Peritoneal metastases from appendiceal cancer; Peritoneal metastasis from colorectal cancer; Peritoneal metastases from ovarian cancer; Palliative care of advanced peritoneal disease; and more!
This issue of Surgical Oncology Clinics of North America, guest edited by Dr. Kelly Hunt, is devoted to Changing Paradigms in Breast Cancer Diagnosis and Treatment. Dr. Hunt has assembled expert authors to review the following topics: Tomosynthesis in breast cancer imaging: how does it fit into preoperative evaluation and surveillance?; Lobular breast cancer: different disease, different algorithms?; Hypofractionated radiation therapy in breast conserving therapy; Oncoplastic breast reconstruction: should all patients be considered?; Neoadjuvant endocrine therapy: who benefits most?; Breast cancer disparities: how can we leverage genomics to improve outcomes?; Anatomy and breast cancer staging: is it still relevant?; When does atypical ductal hyperplasia require surgical intervention?; Surgical intervention for lymphedema; Are there alternative strategies in the local management of DCIS?; Genetic testing and genetic counseling: what is standard of care?; Molecular subtypes and local-regional control of breast cancer; Intraoperative margin assessment in breast cancer management; Triple negative breast cancer: who should receive neoadjuvant chemotherapy?; and more!
This two-part issue of Surgical Oncology Clinics of North America, guest edited by Drs. Claudius Conrad and James Fleshman, is devoted to Minimally Invasive Oncologic Surgery. For Part II, Drs. Conrad and Fleshman has assembled expert authors to review the following topics: Minimally Invasive Esophagus Cancer Surgery; Minimally Invasive Gallbladder/Extrahepatic Bile Duct Cancer Surgery; Minimally Invasive Primary Liver Cancer Surgery; Minimally Invasive Secondary Liver Cancer Surgery; Minimally Invasive Peritoneum Cancer Surgery; Minimally Invasive Colon Cancer Surgery; Minimally Invasive Rectum Cancer Surgery; Minimally Invasive Adrenal Cancer Surgery; Minimally Invasive Pancreas Cancer Surgery; Minimally Invasive Gastric Cancer Surgery; Minimally Invasive Small Bowel Cancer Surgery; Afterword; and more!
This issue of Surgical Oncology Clinics of North America, guest edited by Drs. Claudius Conrad and James Fleshman, is devoted to Minimally Invasive Oncologic Surgery. For Part I, Drs. Conrad and Fleshman has assembled expert authors to review the following topics: Development of Minimally Invasive Cancer Surgery; Fluorescent Imaging for Minimally Invasive Cancer Surgery; Augmented Reality for Minimally Invasive Cancer Surgery; Endoscopic Management of Pancreatic Cancer; Robotic Developments for Cancer Surgery; Minimally Invasive Surgery for Palliation; Transluminal Cancer Surgery; Minimally Invasive Pediatric Cancer Surgery; Minimally Invasive Staging Surgery for Cancer; Training for Minimally Invasive Cancer Surgery; Minimally Invasive Head and Neck Cancer Surgery; much more!
Using a unique collaborative care approach to adult health nursing, Medical-Surgical Nursing: Patient-Centered Collaborative Care, 8th Edition covers the essential knowledge you need to succeed at the RN level of practice. Easy-to-read content includes evidence-based treatment guidelines, an enhanced focus on QSEN competencies, and an emphasis on developing clinical judgment skills. This edition continues the book's trendsetting tradition with increased LGBTQ content and a new Care of Transgender Patients chapter. Written by nursing education experts Donna Ignatavicius and M. Linda Workman, this bestselling text also features NCLEX® Exam-style challenge questions to prepare you for success on the NCLEX Exam. Cutting-edge coverage of the latest trends in nursing practice and nursing education prepares you not just for today's nursing practice but also for tomorrow's. UNIQUE! Collaborative care approach organizes all medical, surgical, nursing, and other interventions within the framework of the nursing process, mirroring the nurse's role in the coordination/management of care in the real world of medical-surgical nursing. UNIQUE! A focus on nursing concepts relates concepts learned in Nursing Fundamentals with the disorders you will study in Medical-Surgical Nursing. Easy to read, direct-address writing style makes this one of the most readable medical-surgical nursing textbooks available. UNIQUE! A focus on QSEN emphasizes patient safety and evidence-based practice with Nursing Safety Priority boxes including Drug Alerts, Critical Rescues, and Action Alerts. UNIQUE! Emphasis on clinical judgment teaches you to develop skills in clinical reasoning and clinical decision-making when applying concepts to clinical situations, with Clinical Judgment Challenge questions throughout the chapters. An emphasis on prioritization stresses the most important patient problems and nursing interventions, with patient problems presented in a single prioritized list of nursing diagnoses and collaborative problems. UNIQUE! NCLEX preparation tools include chapter-opening Learning Outcomes and chapter-ending Get Ready for the NCLEX Examination! sections organized by NCLEX® Client Needs Categories, plus NCLEX Examination Challenge questions, with an answer key in the back of the book and on the Evolve companion website. Practical learning aids include NCLEX Examination Challenges, Clinical Judgment Challenges, Best Practice for Patient Safety & Quality Care charts, common examples of drug therapy, concept maps, laboratory profiles, and more. A clear alignment with the language of clinical practice reflects the real world of nursing practice with NANDA diagnostic labels where they make sense, and non-NANDA diagnostic labels when these are more common descriptions of patient problems. Student Resources on an Evolve companion website help you prepare for class, clinicals, or lab with video and audio clips, animations, case studies, a concept map creator, NCLEX exam-style review questions, and more. UNIQUE! Concentration on essential knowledge for the RN level of medical-surgical nursing practice focuses your attention on need-to-know content to pass the NCLEX Examination and practice safety as a beginning nurse. NEW! Enhanced focus on QSEN (Quality and Safety Education for Nurses) competencies includes new icons identifying QSEN competency material and new Quality Improvement boxes describing projects that made a dramatic difference in patient outcomes. UPDATED learning features include an expanded emphasis on developing clinical judgment skills; on prioritization, delegation, and supervision skills; on long-term care issues; and on preparation for the NCLEX® Examination and consistency with the 2013 NCLEX-RN® Test Plan. NEW! UNIQUE! Care of Transgender Patients chapter discusses the unique health care needs and issues specific to the transgender community. Improved delineation of NANDA-I nursing diagnoses clearly differentiate NANDA diagnoses from collaborative problems. NEW photos and drawings show patient care skills as well as the latest in nursing education and practice.
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
