Outcomes Management

2002 ◽  
pp. 171-192
Author(s):  
Patrice Spath
Keyword(s):  
Outcomes Management

Phonomicrosurgery in Singers and Performing Artists: Treatment Outcomes, Management Theories, and Future Directions

2002 ◽  
Vol 111 (12_suppl) ◽  
pp. 21-40 ◽  
Author(s):  
Steven M. Zeitels ◽  
Robert E. Hillman ◽  
Marcello Mauri ◽  
Rosemary Desloge ◽  
Patricia B. Doyle
Keyword(s):  
High Performance ◽  
Outcome Data ◽  
Objective Measures ◽  
Vocal Performance ◽  
Related Factors ◽  
Performing Artists ◽  
Vocal Rehabilitation ◽  
Vocal Function ◽  
Normal Limits ◽  
Outcomes Management

Phonomicrosurgery in performing artists has historically been approached with great trepidation, and vocal outcome data are sparse. The vocal liability of surgically disturbing the superficial lamina propria (SLP) and epithelium must be balanced with the inherent detrimental vocal effect of the lesion(s). A prospective investigation was performed on 185 performing artists who underwent phonomicrosurgical resection of 365 lesions: 201 nodules, 71 polyps, 66 varices and ectasias, 13 cysts, 8 keratotic lesions. 2 granulomas, 2 Reinke's edema, and 2 papillomas. Nearly all patients with SLP lesions reported improvement in their postsurgical vocal function. This subjective result was supported by objective acoustic and aerodynamic measures. All postsurgical objective vocal function measures fell within normal limits, including a few that displayed presurgical abnormalities. However, given the relative insensitivity of standard objective measures to assess higher-level vocal performance-related factors, it is even more noteworthy that 8 of 24 objective measures displayed statistically significant postsurgical improvements in vocal function. Such changes in objective measures mostly reflect overall enhancement in the efficiency of voice production. Phonomicrosurgical resection of vocal fold lesions in performing artists is enjoying an expanding role because of a variety of improvements in diagnostic assessment, surgical instrumentation and techniques, and specialized rehabilitation. Most of these lesions are the result of phonotrauma and arise within the SLP. Successful management depends on prudent patient selection and counseling, ultraprecise technique, and vigorous vocal rehabilitation. Furthermore, an understanding of the vocal function and dysfunction of this high-performance population provides all otolaryngologists who manage laryngeal problems with valuable information that they can extrapolate for use in their practices.

Outcomes Management: The Italian Case-Mix Project

1993 ◽  
pp. 97-108 ◽  
Author(s):  
Francesco Taroni ◽  
Daniel Z. Louis ◽  
Elaine J. Yuen
Keyword(s):  
Case Mix ◽  
Italian Case ◽  
Outcomes Management

Triple Helix Organisations, Communities of Practice and Time

2011 ◽  
pp. 245-264 ◽  
Author(s):  
Kathryn J. Hayes
Keyword(s):  
Communities Of Practice ◽  
Knowledge Sharing ◽  
Triple Helix ◽  
Management Practice ◽  
Innovation Management ◽  
Future Research ◽  
Structured Interviews ◽  
Cooperative Research ◽  
Industry Research ◽  
Outcomes Management

Commercialisation activities require knowledge sharing between groups such as researchers and commercial managers. The existence of research based Knowledge-stewarding Communities of Practice (CoPs) within industry/research/government innovation collaborations has important implications for innovation management practice. The context of the study is four Australian Cooperative Research Centres (CRCs) composed of academic, government and industry personnel. Semi-structured interviews with a total of twenty scientists, engineers and managers explored collectively shared and dissimilar perceptions of time in commercialisation activities. Knowledge-stewarding CoP members and commercial participants in triple helix organisations working to commercialise inventions report differing temporal perceptions. Commercial and research groups described distinctively different views of pace and flexibility, contributing to tension, distrust and negatively influencing knowledge sharing, communication and commercialisation outcomes. Management techniques in use in the four CRCs and an agenda for future research conclude the chapter. This chapter contributes to the literature on collaborative innovation management and inter-organisational CoPs.

Intracranial Pressure Monitoring and External Ventricular Drainage

2019 ◽  
pp. 899-902
Author(s):  
Maya A. Babu ◽  
John L. D. Atkinson
Keyword(s):  
Intracranial Pressure ◽  
Surgical Therapy ◽  
Strain Gauge ◽  
Clinical Status ◽  
External Ventricular Drainage ◽  
Ventricular Drainage ◽  
Pressure Monitoring ◽  
Neurologic Outcomes ◽  
Outcomes Management ◽  
Increased Icp

Several studies have shown that increased ICP has been associated with poor neurologic outcomes. Management of elevated ICP can improve neurologic outcomes and influence medical and surgical therapy, and accurate recording of ICP is helpful in assessing a patient’s clinical status. Currently, the 2 most common forms of monitoring ICP involve 1) placement of a fiberoptic or strain gauge intraparenchymal monitor or 2) placement of a ventricular drain.

Model for Trauma Outcomes Management in Patients with Multiple Trauma

1993 ◽  
Vol 5 (4) ◽  
pp. 741-755 ◽  
Author(s):  
Maureen Misinski ◽  
Guila K. Thompson ◽  
Jane Ann Talley ◽  
Sharon Lucich ◽  
Robin Johnson
Keyword(s):  
Multiple Trauma ◽  
Trauma Outcomes ◽  
Outcomes Management
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