Clinical governance

Feb 9, 2017 by in GENERAL SURGERY Comments Off on Clinical governance

Clinical governance ‘The set of relationships and responsibilities established by a health service organisation between its executive, workforce and stakeholders (including consumers)’ to support safe, quality care (Australian Commission on…

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Ethical leadership

Feb 9, 2017 by in GENERAL SURGERY Comments Off on Ethical leadership

Ethical decision-making Decisions that take into account values, morals and norms New managers in the healthcare system will be faced with multiple and sometimes competing frameworks that guide practice. These…

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Exploring values

Feb 9, 2017 by in GENERAL SURGERY Comments Off on Exploring values

Values ‘Underlying attitudes and beliefs that determine individual behaviour’ (Viinamäki, 2012, p. 29) As a leader, it is important to reflect upon questions like the following: Who does your organisation…

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Emotional intelligence and self-awareness

Feb 9, 2017 by in GENERAL SURGERY Comments Off on Emotional intelligence and self-awareness

Emotional intelligence The ‘ability to recognize the meanings of emotion and their relationships, and to reason and problem-solve on the basis of them’ (Mayer, Caruso & Salovey, 1999, p. 267)…

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Laparoscopic Cholecystectomy

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Laparoscopic Cholecystectomy

■  In atypical cases, a hepatobiliary iminodiacetic acid (HIDA) cholescintigraphy scan may be used to demonstrate obstruction of the cystic duct, which definitively diagnoses cholecystitis. Filling of the gallbladder during a…

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Inguinal Hernia: Open Approaches

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Inguinal Hernia: Open Approaches

■  Using electrocautery, the soft tissue is dissected to the superficial epigastric vessels, which are ligated. The dissection is then carried down through Camper’s fascia and the more fibrous Scarpa’s fascia….

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Feeding Jejunostomy

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Feeding Jejunostomy

Incision ■  If the open J-tube placement is being done as a stand-alone operation, the incision should be centered in the midline at the level of the LOT. ■  The supraumbilical vertical…

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Minimally Invasive Esophagectomy

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Minimally Invasive Esophagectomy

Mary T. Hawn DEFINITION ■  The incidence of esophageal cancer, especially adenocarcinoma, has increased dramatically over the past decades. This phenomenon is secondary to the increasing incidence of obesity contributing to…

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