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  1. Article ; Online: Retrieval of a Greenfield Inferior Vena Cava Filter Indwelling for 29 Years.

    Patel, Dipesh M / Di Capua, John F / Rouhezamin, Mohammad Reza / Uppot, Raul N / Kalva, Sanjeeva P

    Vascular and endovascular surgery

    2024  , Page(s) 15385744241231134

    Abstract: Inferior vena cava (IVC) filters are used to prevent fatal and nonfatal pulmonary embolism in patients who otherwise cannot receive anticoagulation for venous thrombosis. While generally safe and effective, complications can arise, especially after ... ...

    Abstract Inferior vena cava (IVC) filters are used to prevent fatal and nonfatal pulmonary embolism in patients who otherwise cannot receive anticoagulation for venous thrombosis. While generally safe and effective, complications can arise, especially after prolonged implantation. Timely retrieval is essential once the indication for insertion has resolved. However, encountering patients with long-standing embedded filters is not uncommon. This case report discusses the successful retrieval of a permanent Greenfield IVC filter after 29 years.
    Language English
    Publishing date 2024-01-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2076272-0
    ISSN 1938-9116 ; 1538-5744
    ISSN (online) 1938-9116
    ISSN 1538-5744
    DOI 10.1177/15385744241231134
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Governance Practices in an Era of Healthcare Transformation: Achieving a Successful Turnaround.

    Sondheim, Samuel E / Patel, Dipesh M / Chin, Nicole / Barwis, Kurt / Werner, Julie / Barclay, Alexus / Mattie, Angela

    Journal of healthcare management / American College of Healthcare Executives

    2017  Volume 62, Issue 5, Page(s) 316–326

    Abstract: Executive summary: This article illustrates the successful application of principles established by the American Hospital Association (AHA) to foster hospital transformations (). We examined a small community hospital's successful transition from one ... ...

    Abstract Executive summary: This article illustrates the successful application of principles established by the American Hospital Association (AHA) to foster hospital transformations (). We examined a small community hospital's successful transition from one emergency care center (ECC) physician group to another and the methods by which significant improvements in outcomes were achieved. The foundation of this transformation included a generative governance style at the board level, a shared governance model at the employee level, a renewed sense of employee and physician engagement, and a sense of individual accountability. Outcomes included improved communication, a more unified vision throughout the ECC (which led to improved efficiency and accountability among staff), improved metrics, and a positive impact on the community's perception of care. Press Ganey scores and ECC operational metrics demonstrated significant increases in patient satisfaction and decreases in wait times for seven operational metrics. These data serve as a proxy for the transformation's success. Structured interviews revealed an increase in employee satisfaction associated with the transition. The positive outcomes demonstrate the importance of the AHA-articulated governance principles. The AHA recommendations for a superior value-based care model closely align with the methods illustrated through Bristol Hospital's successful transformation. Other institutions can apply the lessons from this case study to drive positive change and improve patient care.
    MeSH term(s) Hospitals, Community ; Humans ; Patient Satisfaction
    Language English
    Publishing date 2017-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1418083-2
    ISSN 1944-7396 ; 1096-9012
    ISSN (online) 1944-7396
    ISSN 1096-9012
    DOI 10.1097/JHM-D-15-00036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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