Mallory Gibbons

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This article describes 4 years of TQM implementation at Bethesda, Inc., a private not-for-profit diversified healthcare organization. Bethesda has used a comprehensive implementation strategy involving the use of process improvement teams, hoshin planning, daily management of critical processes, and quality function deployment. The article includes four(More)
1. Bladder irrigation reduces occlusion of drains with clots and debris, thus protecting anastomoses. 2. Leakage from anastomoses is an acknowledged problem postoperatively but resolves spontaneously in the majority of cases. 3. To establish urinary continence a good fluid intake is essential, bladder capacity must be developed, intermittent catheterisation(More)
Distracted driving is a growing problem in the United States. With the integration of wireless devices into everyday life, cell phone use behind the wheel is a distraction requiring increasing concern. Teen drivers are most susceptible to the dangers of distracted driving as made evident in the overrepresentation of teens in distraction-related motor(More)
The article considers the use of transcutaneous (Tc) partial pressure of oxygen (PO2) monitoring as an alternative form of continuous monitoring of respiratory function in paediatric critical care. The principles of TcPO2 monitoring are discussed. The relationship between TcPO2, arterial blood gases and oxygen saturation is highlighted by examining trends(More)
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