Marianne Baird

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PURPOSE The purpose of this study was to assess the feasibility of a nurse-driven effort to improve hyperglycemia management in the intensive care unit (ICU) setting. METHODS The setting was the ICU of a large urban hospital. The program was composed of 3 components: nurses as leaders, a clinical pathway to identify patients in need of hyperglycemia(More)
OBJECTIVE To review the efforts of the Georgia Hospital Association Diabetes Special Interest Group (DSIG) to develop and disseminate sample clinical guidelines on management of inpatient hyperglycemia. METHODS Beginning in February 2003, a consortium of physicians and allied health professionals from throughout the state of Georgia began meeting on a(More)
A culture of excellence is not synonymous with a culture of perfection. Perfection is not attainable but excellence is when an infrastructure is developed that can rapidly and effectively adapt to change. Saint Joseph's Hospital in Atlanta, Georgia, is often asked about the challenges faced in developing, and sustaining, a culture of nursing excellence over(More)
Articles concluding that tight glycemic control (TGC) in the intensive care unit (ICU) has no mortality benefit and an unacceptably high rate of hypoglycemia have been published recently in several journals. The Diabetes Special Interest Group (DSIG) [1] believes that the data from some of these recent papers have been interpreted incorrectly, misconstrued,(More)
Isothermal hemodialysis to improve intradialytic tolerance in hypotension-prone patients has been effective in outpatient settings. The purpose of this pilot study was to examine thermal control in an acute care setting and describe comfort issues associated with thermal control Although complaints of cold or shivering occurred more frequently with the(More)
BACKGROUND Patients and families commonly discuss end-of-life decisions with clinicians to create a treatment plan based on patient wishes. In some instances, respect for patient autonomy in making choices may create the potential for patient harm. Medical treatments are often performed in groupings in order to work effectively. When such combinations are(More)
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