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A number of reports supporting the efficacy of process improvement are available. Jimmerson and colleagues, describing results across a broad range of clinical areas at a university-based quarternary medical center, published both general and specific instances of improvement in efficiency and quality. OR processes such as OR turnaround and surgical throughput are fertile areas for such work.
A core innovation in the origin of “scientific management” was the focus on the details of industrial processes by Frederick W. Taylor. Taylor’s work comes down to us today in the process flow diagram (in TPS Lean terminology, the process flow diagram is referred to as a “value stream map”), which is a schematic representation of the steps in any process, frequently annotated with time intervals and comments.

Amyloid positron emission tomography is available for aiding in the diagnosis of Alzheimer disease as an etiology of dementia, but its role in routine clinical practice has not been established.
Genotyping of dementia patients for diagnostic purposes is not currently recommended at this time. Persons who carry at least one copy of the e4 allele of the APOE gene are at slightly greater risk for developing dementia due to AD.
The mental status examination is a cornerstone of the diagnosis of AD dementia. The Montreal Cognitive Assessment (MoCA) represents the most recent attempt to craft a bedside examination that is more sensitive and specific for milder symptomatic disease than the older Mini-Mental State examination.

Amyloid positron emission tomography is available for aiding in the diagnosis of Alzheimer disease as an etiology of dementia, but its role in routine clinical practice has not been established.
Genotyping of dementia patients for diagnostic purposes is not currently recommended at this time. Persons who carry at least one copy of the e4 allele of the APOE gene are at slightly greater risk for developing dementia due to AD.
The mental status examination is a cornerstone of the diagnosis of AD dementia. The Montreal Cognitive Assessment (MoCA) represents the most recent attempt to craft a bedside examination that is more sensitive and specific for milder symptomatic disease than the older Mini-Mental State examination.

A number of reports supporting the efficacy of process improvement are available. Jimmerson and colleagues, describing results across a broad range of clinical areas at a university-based quarternary medical center, published both general and specific instances of improvement in efficiency and quality. OR processes such as OR turnaround and surgical throughput are fertile areas for such work.
A core innovation in the origin of “scientific management” was the focus on the details of industrial processes by Frederick W. Taylor. Taylor’s work comes down to us today in the process flow diagram (in TPS Lean terminology, the process flow diagram is referred to as a “value stream map”), which is a schematic representation of the steps in any process, frequently annotated with time intervals and comments.

A number of reports supporting the efficacy of process improvement are available. Jimmerson and colleagues, describing results across a broad range of clinical areas at a university-based quarternary medical center, published both general and specific instances of improvement in efficiency and quality. OR processes such as OR turnaround and surgical throughput are fertile areas for such work.
A core innovation in the origin of “scientific management” was the focus on the details of industrial processes by Frederick W. Taylor. Taylor’s work comes down to us today in the process flow diagram (in TPS Lean terminology, the process flow diagram is referred to as a “value stream map”), which is a schematic representation of the steps in any process, frequently annotated with time intervals and comments.

Amyloid positron emission tomography is available for aiding in the diagnosis of Alzheimer disease as an etiology of dementia, but its role in routine clinical practice has not been established.
Genotyping of dementia patients for diagnostic purposes is not currently recommended at this time. Persons who carry at least one copy of the e4 allele of the APOE gene are at slightly greater risk for developing dementia due to AD.
The mental status examination is a cornerstone of the diagnosis of AD dementia. The Montreal Cognitive Assessment (MoCA) represents the most recent attempt to craft a bedside examination that is more sensitive and specific for milder symptomatic disease than the older Mini-Mental State examination.

A number of reports supporting the efficacy of process improvement are available. Jimmerson and colleagues, describing results across a broad range of clinical areas at a university-based quarternary medical center, published both general and specific instances of improvement in efficiency and quality. OR processes such as OR turnaround and surgical throughput are fertile areas for such work.
A core innovation in the origin of “scientific management” was the focus on the details of industrial processes by Frederick W. Taylor. Taylor’s work comes down to us today in the process flow diagram (in TPS Lean terminology, the process flow diagram is referred to as a “value stream map”), which is a schematic representation of the steps in any process, frequently annotated with time intervals and comments.

Robert B Bolash, MD, Pavan Tankha, DO

Physical exam maneuvers have demonstrated high specificity and low sensitivity for cervical radiculopathy
CT myelography may offer better sensitivity for foraminal and bony abnormalities as compared to MRI
Cervical epidural steroid injections may result in the resolution of symptoms in 40-75% of patients
Failure to respond to conservative and interventional approaches in three months warrants a surgical consult

Competency-Based Surgical Care