Nurse leaders can create an environment in which every member of the team feels a responsibility and an ability to insure that residents are safe by improving communication and participation in decision making.

No abstract

No abstract

Between October 1986 and May 1994, 65 patients undergoing cardiac surgery required centrifugal mechanical assist devices to separate from cardiopulmonary bypass. This experience was arbitrarily divided into early (n = 33) and recent (n = 32) groups for the purpose of comparing trends in morbidity and mortality. The incidence of mechanical assist application decreased from 2.19% in the early group to 0.96% in the recent group (p < 0.0001). Ability to wean patients from centrifugal assist increased from 33% in the early group to 53% in the more recent group, and hospital survival increased from 15 to 28%. The median chest tube drainage during the first 24 h decreased from 3,245 ml to 1,535 ml, and the incidence of renal failure decreased from 39.4% and 18.8% in the more recent group. Clinically relevant improvement in patient outcome following application of centrifugal mechanical assist for postcardiotomy ventricular failure is being observed.

No abstract

No abstract

No abstract

Students learn more effectively when they are actively engaged in the learning process. Therefore, case studies have become increasingly popular as a way to teach students about a representative subject. This article discusses the benefits of case studies, with a primary focus on how case studies can help veterinary medical students learn about the human-animal bond. The discussion is particularly aimed at veterinary medicine instructors and discusses how case studies can be used and why they are important. TigerPlace, a pet-friendly, innovative housing facility for older adults, is used as an example of a case study that can be used to teach about, and to study, the human-animal bond. In particular, the article addresses the special advantages of TigerPlace to students with respect to learning about older adults and the bond they have with their pets.