RESUMO
The financial impact of Y2K will be significant and, in some cases, devastating. Careful analysis will help health care organizations prepare for all contingencies and set aside the necessary resources to become compliant.
Assuntos
Cronologia como Assunto , Sistemas Computacionais/normas , Administração Financeira , Tempo , Estados UnidosRESUMO
Cliffhangers in movies are great fun. But not in real life. Think Y2K. If you haven't scripted a way to beat the millennium bug, there are workable solutions that can be created in six months. Here's how to begin production: Prioritize activities, expenditures and resources, and apply them to the most vital problems first.
Assuntos
Cronologia como Assunto , Sistemas Computacionais/normas , Software/normas , Gastos de Capital , Criatividade , Equipes de Administração Institucional , Administração de Materiais no Hospital/organização & administração , Objetivos Organizacionais , Técnicas de Planejamento , Resolução de Problemas , Gestão de Riscos , Tempo , Estados UnidosRESUMO
A 2-year retrospective review of 238 cases of acute scrotal pain encountered in a children's hospital emergency department is presented. The incidences of testicular torsion, torsion of a testicular appendage, and epididymitis were 16%, 46%, and 35%, respectively. Testicular salvage was critically dependent on the interval between onset of pain and surgical intervention. No testis likely to have been viable at the time of presentation was "lost." The diagnostic error rate on first encounter was 7%, resulting in 10 negative scrotal explorations. With the exception of cases of far-advanced necrotic testes, both color Doppler ultrasound and radioisotope imaging were highly specific diagnostic modalities. Thirty-nine percent of the children with epididymitis who underwent investigation were found to have either structural or functional urinary tract abnormalities. Noninvasive urodynamic studies appear to be useful screening modalities in older children with epididymitis.