do intensive care specialists improve patient outcomes

... per patient and the size of intensive care units: a multicentre prospective study Intensive Care Med 2003, 29:2307-2323 doi:10.1186/cc8903 Cite this article as: Braun J-P, Spies C: Dividing intensive ... as: Braun J-P, Spies C: Dividing intensive care specialists according to their backgrounds is not useful to improve quality in intensive care Critical Care 2010, 14:409 ... length of stay as our primary outcomes because, once patients are discharged from the ICU, nonintensivists assume patient care and confound the effect of intensivists on patient outcome In the end,...

Ngày tải lên: 13/08/2014, 20:21

... untoward overdosing or underdosing of cefepime in unstable patients Ideal dosing of cefepime should obey pharmacokinetic/ pharmacodynamic (PK/PD) population kinetics that help adjust drug dosing to ... adult patients (≥18 years old) Page of 10 entering the ICU and prescribed cefepime (Bristol-Myers Squibb AG, Baar, Switzerland) by the caretakers were prospectively enrolled All drug dosages and dosingadjustments ... The majority of patients (that is, 13/17 or 76% at first dose and 9/11 or 81% at steady state) had trough levels ≤10 mg/l On the other hand, four patients Chapuis et al Critical Care 2010, 14:R51...

Ngày tải lên: 13/08/2014, 20:21

... process of care [26,41,56] Four of 14 (29%) studies showed improved patient outcomes Only 13 (32%) studies reported both process of care and patient outcomes Cancer screening (10 trials) CCDSSs improved ... language that compared the effects of care with a CCDSS for PPC, used by healthcare providers, with care without a CCDSS Outcomes included processes of care and patient outcomes We only considered RCTs ... no trials assessed patient outcomes Other preventive care activities (3 trials) Two trials reported improved process of care [36], including one that also assessed patient outcomes but found...

Ngày tải lên: 10/08/2014, 11:20

... used for acute care; used an randomized controlled trial (RCT) design where patient care with a CCDSS was compared to patient care without a CCDSS; assessed effects among healthcare professionals ... relevant data for acute care conditions [10-12] Research question Do CCDSSs improve process of care or patient outcomes for acute medical care? Study selection The review was conducted using a partnership ... process of care) or patient outcomes (including any aspect of patient well-being) Studies were excluded if they provided only summaries of patient information, feedback on groups of patients without...

Ngày tải lên: 10/08/2014, 11:20

... performance of intensive care units (ICUs) [10-13] In the Netherlands, the National Intensive Care Evaluation (NICE) quality registry was founded in 1996 by the Dutch intensive care profession ... executed in the context of intensive care This paper presents the study’s protocol Methods/design: We will conduct a cluster randomized controlled trial with intensive care units (ICUs) in the ... indicators, ideally combining measures of structure, process, and outcomes of care [3,4] Also within the domain of intensive care, several indicator sets have been developed [5-9], and numerous...

Ngày tải lên: 10/08/2014, 11:20

... improvement into the intensive care unit Crit Care Med 2007, 35:S59-S65 Kahn JM, Fuchs BD: Identifying and implementing quality improvement measures in the intensive care unit Curr Opin Crit Care 2007, ... advances in critical care delivery, mortality remains high[5,6] It is thus imperative that eligible patients receive interventions which improve outcomes or decrease intensive care unit (ICU) length ... costs of care Crit Care Med 2001, 29:1303-1310 Pronovost PJ, Rinke ML, Emery K, Dennison C, Blackledge C, Berenholtz SM: Interventions to reduce mortality among patients treated in intensive care...

Ngày tải lên: 11/08/2014, 16:21

... ward In the end of the corridor a locked door separates the PICU area from the ordinary area The PICU area consists of two wings with two single patient rooms in each The patients stay mostly in ... the dominating category “Physician’s prediction” is an index defined by giving the patients with category reason for admittance the scorings on “patients’ need” of PICU, and the rest of the patients ... http://www.biomedcentral.com/1471-244X/11/44/prepub doi:10.1186/1471-244X-11-44 Cite this article as: Vaaler et al.: Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient...

Ngày tải lên: 11/08/2014, 16:23

... use in critically ill patients in the intensive care unit (ICU) Methods We compared the Bomed NCCOM with the Baxter Vigilance in a mixed group of seven ICU patients All patients required pulmonary ... bioimpedance and continuous thermodilution measurement of cardiac output in intensive care unit patients Critical Care 1997 1:71 ... with approximately equal numbers of data points from each patient The patients were all mechanically ventilated; other ongoing supportive care included vasopressor and inotropic support and renal...

Ngày tải lên: 12/08/2014, 18:20

... with dobutamine in patients with severe cardiac failure Poster awards The European Society of Intensive Care Medicine chose seven poster award winners (titles given in the headings below) Documentation ... Problems of the European Society of Intensive Care Medicine Intensive Care Med 1996, 22:707-710 Anonymous: American College of Chest Physician/Society of Critical Care Medicine Consensus Conference: ... levosimendan compared with dobutamine in severe low-output heart failure (the LIDO study): a randomized double-blind trial Lancet 2002, 360:196202 Helliwell VC, Hadfield JH, Gould T: Documentation of respiratory...

Ngày tải lên: 12/08/2014, 19:21

... the intensive care unit [abstract A352] Intensive Care Med 2000, Suppl 3:S304 Park GR, Evans TN, Hutchins J, Borissov B, Gunning KE, Klinck JR: Reducing the demand for admission to intensive care ... balance in the severity of illness and patient case–mix between the two treatment groups, randomization of doubleblind patients was stratified according to the patients’ modified ICU admission Simplified ... Very agitated Patient does not calm down in response to verbal instructions or reassurance, requires physical restraint, biting endotracheal tube Agitated Anxious or agitated but calms down in response...

Ngày tải lên: 12/08/2014, 20:20

... the intensive care unit as a locus for providing supportive care for critically ill patients has confronted us with challenges that are unprecedented in medical history Intensive care units care ... the absence of infection in kidney transplant patients treated with pan-T-cell antibodies Intensive Care Med 2001, 27:987-991 Luzzani A, Polati E, Dorizzi R, Rungatscher A, Pavan R, Merlini A: ... Requirements in Critical Care Investigators for the Canadian Critical Care Trials Group: A multicentre randomized controlled clinical trial of transfusion requirements in critical care N Engl J Med...

Ngày tải lên: 12/08/2014, 20:20

... elderly patients with a long-term intensive care unit stay Crit Care Med 2000, 28:3389-3395 Hughes M, MacKirdy FN, Norrie J, Grant IS: Outcome of longstay intensive care patients Intensive Care ... scores in patients with prolonged length of stay in the ICU Intensive Care Med 2002, 28:479-485 25 Marcin JP, Slonim AD, Pollack MM, Ruttimann UE: Long-stay patients in the pediatric intensive care ... Qual Health Care 2002, 14:403-410 28 Martin CM, Hill AD, Burns K, Chen LM: Characteristics and outcomes for critically ill patients with prolonged intensive care unit stays Crit Care Med 2005,...

Ngày tải lên: 12/08/2014, 23:23

... ventilated patients Crit Care Med 2004, 32:2254-2259 11 Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y: Intensive Care Delirium Screening Checklist: evaluation of a new screening tool Intensive Care ... factors Intensive Care Med 2001, 27:1297-1304 26 Truman B, Ely EW: Monitoring delirium in critically ill patients Using the confusion assessment method for the intensive care unit Crit Care Nurse ... Method for the Intensive Care Unit Table Chart review documentation of delirium by practitioner and nursing shift by patient- days Practioner reporting and nursing shift Chart review documentation...

Ngày tải lên: 13/08/2014, 03:20

... specificity of a screening test to document traumatic experiences and to diagnose post-traumatic stress disorder in ARDS patients after intensive care treatment Intensive Care Med 1999, 25:697-704 McHorney ... development of PTSD; 'low-scoring patients', patients with a PTSS-10 score below the cutoff score; APACHE, Acute Physiology and Chronic Health Evaluation; ICU, intensive care unit; ARDS, acute respiratory ... Anxiety All patients 61 68 79 63 'High-scoring patients' 78 78 89 89 'Low-scoring patients' Difference 53 63 74 51 χ2 = 3.3; p = 0.087b n.s n.s χ2 = 7.6; p ≤ 0.008a The proportion of patients recalling...

Ngày tải lên: 13/08/2014, 03:20

... boulardii prevents diarrhea in critically ill tube-fed patients A multicenter, randomized, double-blind placebo-controlled trial Intensive Care Med 1997, 23:517-523 Lherm T, Monet C, Nougière B, ... D, Malbrunot C: Seven cases of fungemia with Saccharomyces boulardii in critically ill patients Intensive Care Med 2002, 28:797-801 Basseti S, Frei R, Zimmerli W: Fungemia with Saccharomyces cerevisiae ... Critical Care Vol 12 No Nikolaos et al References Czeruckat D, Piche P Rampal P: Review article: yeast as...

Ngày tải lên: 13/08/2014, 08:21

... ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) Crit Care Med 2001, 29:1370-1379 Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y: Intensive Care ... E: Use of a validated delirium assessment tool improves the ability of physicians to identify delirium in medical intensive care unit patients Crit Care Med 2007, 35: 2721-2724; quiz 2725 Hart ... of the CAM-ICU and the NEECHAM Confusion Scale in intensive care delirium assessment: an observational study in non-intubated patients Crit Care 2008, 12:R16 Page of (page number not for citation...

Ngày tải lên: 13/08/2014, 08:21

... cardiac dysfunction in intensive care unit patients Anaesth Intensive Care 2003, 31:21-27 McLean AS, Huang SJ: Intensive care echocardiography In 2006 Yearbook of Intensive Care and Emergency Medicine ... ICU; in particular, cTn, CRP, and CK-MB cTn are known to be increased in intensive care patients, and are not confined to patients with cardiac injury or acute coronary syndromes [106-109] Nonthrombotic ... patients with acute ischemic-type chest pain admitted to a mobile intensive care unit, H-FABP showed a better sensitivity to identify myocardial infarction than cTnI, myoglobin and CK-MB In patients...

Ngày tải lên: 13/08/2014, 10:20

... Shahpori R, Laupland K: The epidemiology of intensive care unit-acquired hyponatremia and hypernatremia in medical–surgical intensive care units Crit Care 2008, 12:R162 Page of (page number not ... Critical Care Vol 13 No Eghtesadi-Araghi et al Competing interests The authors declare that they have no...

Ngày tải lên: 13/08/2014, 15:21

... observational study Intensive Care Med 2009, 35:1728-1737 National Confidential Enquiry into Patient Outcome and Death: Adding Insult to Injury - a Review of the Care of Patients Who Died in ... ill patients enhances short-term functional recovery Crit Care Med 379:2499-2505 Combes A, Luyt CE, Trouillet JL, Nieszkowska A, Chastre J: Gender impact on the outcomes of critically ill patients ... Patient Outcome and Death) interest recently and data into provision of care and outcomes have been published [13] French investigators Floccard and colleagues [14] have looked into 6-month outcomes...

Ngày tải lên: 13/08/2014, 19:20

... 148:839-843 doi:10.1186/cc9214 Cite this article as: van den Boogaard et al.: The impact of delirium on the prediction of in-hospital mortality in intensive care patients Critical Care 2010 14:R146 ... APACHE-II score does not improve its accuracy in predicting in-hospital mortality Page of McNicoll L, Pisani MA, Zhang Y, Ely EW, Siegel MD, Inouye SK: Delirium in the intensive care unit: occurrence ... Mariakerke, Belgium) Results During the study period, 2,116 patients were admitted to the ICU of whom 376 patients were excluded, leaving 1,740 patients for outcome analysis The main reason for exclusion...

Ngày tải lên: 13/08/2014, 21:21