Assessed service utilization and cost impacts of a consolidated model of long-term care for functionally impaired elders. Compared to traditional long-term care, this model reduces hospital and nursing home stays, redistributes funds to broad range of community-based services, and reduces overall cost of long-term care. (Author/NRB)

Traces the death of a student athlete to deficiencies in the Yonkers, New York, athletic program. Includes evaluation questions based on actions later required of the Yonkers schools. (KS)

The new microprocessor-based fire alarm systems can help to control smoke movement throughout school buildings by opening vents and doors, identify the burning section, activate voice alarms, provide firefighters with telephone systems during the fire, and release fire-preventing gas. (KS)

A study investigated patient attitudes toward different disease control measures taken in dental school clinics (n=272 patients) and private practices (n=107 patients). Variables examined included sex, age, educational background, and knowledge of infectious diseases. Patients tended to accept the control measures being used in each context. (MSE)

Outlines standards in seven areas--staff training, facilities, athletic equipment, emergency preparedness, a central training room, athletic health care and training, and recordkeeping--for assessing school athletic programs so that potential injuries and lawsuits can be avoided. (KS)

In a University of South Carolina health care delivery course in a pharmacy program, twelve student teams visited and created profiles of health care facilities and services in the Charleston community. The project was found to be an effective way to enhance learning of course materials and could be adapted for other instructional purposes.…

A review of 136 malpractice cases involving residents and resident programs 1950-83 found a substantial increase in cases after 1975. Most concerned vicarious liability, applicable standard of care, and resident supervision. Residents were on the side of the prevailing party in 44 percent of cases. (Author/MSE)

At Case Western University (Ohio), medical students critically analyze the quality and cost of asthma care in the community by studying patients in primary care practices. Each writes a case report, listing all medical charges and comparing them with guidelines for asthma care. Several recommendations for improved care have emerged. (MSE)

The school is a defined setting where health issues can be addressed. School nurses providing health care to adolescents who are infected or affected by HIV/AIDS need strong policies and good training to make their efforts effective. the goal of these recommendations is to strengthen adolescent HIV programs in schools and to improve standards of…

A study investigated the usefulness of a small-group management process to involve physicians and nurses in analysis of patient mix, practice patterns, and care outcomes and improvement of practice strategies. Eight studies, each on one clinical topic, were undertaken at three hospitals. Significant positive changes were observed in five of them.…

The paper briefly discusses 12 critical issues that significantly affect program success in reducing severe self-injurious behavior (SIB) in group homes. The paper emphasizes the necessity of: (1) a process approach to the development and monitoring of treatment; (2) demythologizing the self-injurious client; (3) discussing and clarifying legal…

The Curriculum Outcomes Review and Evaluation system of outcomes assessment for accreditation of Canadian dental faculties is described. Features include chart reviews; evaluation of diagnosis and treatment planning and case presentation for a student sample; structured clinical observation; presite visit survey; and solicitation of feedback from…

A study assessed the usefulness of unannounced standardized patients to assess the skills of 284 physicians enrolled in a continuing medical education program in control of sexually transmitted diseases and human immunodeficiency virus. Significant discrepancies were found between physician-reported performance and actual performance, as found in…