So, instead of just having a laundry list of symptoms or complaints or problems- red eye, bulgy eye, double vision, loss of vision, optic neuropathy- we would try and look at the case and make a single unifying diagnosis. And in that person's case, we try to make it in the orbit, causing compression, causing diplopia and a red eye, and that means linking the things together with the Razor. And so, Occam's Razor would dictate that thyroid ophthalmopathy would be a better single unifying diagnosis for that constellation or sequence of problems. And then we do the same thing with the HPI and we do the same thing with the focus stem in the chief complaint. So, if you haven't watched those videos, you should as well. So, we need to go from a chief complaint, to an HPI, to a focused stem, to a single unifying diagnosis or mechanism. And the razor means having a simple explanation is best and a single explanation. But some patients have multiple problems, and so that's Hiccum's Dictum, which is the opposite of Occam's Razor: a patient can have as many diseases as they pleases. But in general, you prefer the Razor to Hiccum's Dictum. Spencer S.There comes a point in everyone’s life when you have to make a big decision: do I stay or do I go? It could be a job, a relationship, a country, but the decision is big because you know if you decide to go, the consequences are going to be significant.įor further information regarding the rights to this collection, please visit: Eccles Health Sciences Library, University of UtahĬopyright 2019. In January 2015 I made the decision to leave NHS Nene Clinical Commissioning Group. I had worked there for seven and a half years, and I wanted to do something different. But I didn’t just leave the CCG, I left the NHS. I had reached the point where I honestly believed (and still do) that the NHS system has become such that making significant change from within it is virtually impossible. The day to day financial and operational challenges relegate focussing on transformational change to a mere afterthought.ĭelivering transformational change requires real focus, freedom from distractions, and the ability to do things differently. For me that opportunity sits in the creation of a new organisation, one that works with the NHS, but is not part of it: Ockham Healthcare. We wanted to create an agency that nurses and healthcare facilities could trust and depend on for quality, reliability, dependability, and loyalty.Ockham was incorporated on the 27 th March 2015, and is part think tank, part consultancy. We shall partner with our clients by meeting their urgent needs with courteous and excellent customer service. Our mission is to provide the healthcare facilities with quality and cost-effective service by meeting their hard-to-fill shifts. We service All North Carolina’s counties! We staff 24 hours 7 days a week, including all holidays. Quality, Reliability, and loyalty are the backbone of our success. We take professional approach in making sure that we provide excellent and exceptional staffing support to our clients. Our nurses meet the most stringent hiring standards in the industry, including skills testing, credentialing, drug testing, and background checks. Our strict unique recruitment measures insure that we hire the best candidates. We understand the fluctuation of staffing needs in healthcare facilities, and that is why we continue to hire the most experienced and outstanding nurses and personnel who are expertly trained to meet those needs. We also provide Allied healthcare personnel and Non-clinical healthcare services. Okam Healthcare & Nurse Staffing provides access to qualified RNs, LPNs, CNAs, Mental Health Techs, and Hospital Sitters in all specialties for per diem, long, or short-term contract, travel, temp and permanent positions. RAISING THE CALIBER OF QUALITY CARE AND PATIENTS’ SAFETY WITH EVERY HIRE!
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