Shelton Houston

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A rapid growth in outpatient surgical procedures has been necessary to help alleviate expensive health care costs. Because procedures, such as heart catheterization, require a short patient stay, preparatory information is often structured and delivered concisely. The purpose of this study was to determine if heart catheterization patients who receive(More)
The current competitive health care market includes consumers and payers who are demanding that providers demonstrate and validate the effectiveness of their interventions in promoting patient outcomes. Collaboration in the form of interdisciplinary teams is an effective mechanism for enhancing patient outcomes. The CPT acts as the vehicle for driving the(More)
Documentation shows that conventional methods used to prepare patients for chest tube removal (CTR) are not effective in reducing pain associated with this procedure. The quick relaxation technique (QRT) was used on 24 primary aorta-coronary bypass surgical patients. Subjects rated their pain on the visual analog scale immediately following CTR and 30(More)
With the current focus on quality outcomes and economic issues related to health care, clinical nurse specialists (CNSs) must effectively document their unique contributions that enhance the realization of organizational missions. This paper examines an outcome-oriented performance appraisal tool designed to quantify CNS services. Eleven performance(More)
Dr. Shelton L. Houston is an associate professor and associate director of the School of Engineering Technology at the University of Southern Mis-sissippi. He also serves as the program coordinator for software engineering technology. His primary area of interest is computer hardware & software and electronics engineering technology. He is a member of ASEE,(More)
Fast Track is a practical method of delivering care to aortocoronary bypass (ACB) patients with minimal risks to the patients or their care providers. A prospective study designed by an interdisciplinary practice team will evaluate the effects of an accelerated recovery program on clinical and financial outcomes of ACB patients. Essential components of the(More)
Staff participating in the CABG outcomes management program continue to examine the effectiveness and efficiency of care processes and to redesign care to improve patient and organizational outcomes. In fact, this quality enhancement program is neverending as we strive continually to improve the care of CABG patients. The success, measured through improved(More)
Organizational change has a profound impact on the role of the CNS. Movement in our institution from a centralized structure to a shared governance philosophy redirected the work of the CNS. This article describes the change response spiral that reflects the CNS role evolution and activities required by the CNS to foster the change. Three phases of the(More)