Evaluating Critical Care

The critic might comment on the decoration and lighting ofthe restaurant, how close the tables are to each other, the extent ofthe wine list and where the chef trained. These are all evaluations of the restaurant structure.

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Author: William J. Sibbald

Publisher: Springer Science & Business Media

ISBN: 9783642567193

Category: Medical

Page: 379

View: 124

Measuring the quality of a complex service like critical care that combines the highest technology with the most intimate caring is a challenge. Recently, con sumers, clinicians, and payers have requested more formal assessments and comparisons of the quality and costs of medical care [2). Donabedian [1) pro posed a framework for thinking about the quality of medical care that separates quality into three components: structure, process, and outcome. An instructive analogy for understanding this framework is to imagine a food critic evaluating the quality of a restaurant. The critic might comment on the decoration and lighting ofthe restaurant, how close the tables are to each other, the extent ofthe wine list and where the chef trained. These are all evaluations of the restaurant structure. In addition, the critic might comment on whether the service was courteous and timely - measures of process. Finally, the critic might comment on outcomes like customer satisfaction or food poisoning. Similarly, to a health care critic, structure is the physical and human resources used to deliver medi cal care. Processes are the actual treatments offered to patients. Finally,outcomes are what happens to patients, for example, mortality, quality of life,and satisfac tion with care (Table 1). There is a debate about which of these measurements is the most important measure of quality.

The Organization of Critical Care

In The Organization of Critical Care: An Evidence-Based Approach to Improving Quality, leaders provide a concise, evidence-based review of ICU organizational factors that have been associated with improved patient (or other) outcomes.

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Author: Damon C. Scales

Publisher: Springer

ISBN: 9781493908110

Category: Medical

Page: 284

View: 638

The origin of modern intensive care units (ICUs) has frequently been attributed to the widespread provision of mechanical ventilation within dedicated hospital areas during the 1952 Copenhagen polio epidemic. However, modern ICUs have developed to treat or monitor patients who have any severe, life-threatening disease or injury. These patients receive specialized care and vital organ assistance such as mechanical ventilation, cardiovascular support, or hemodialysis. ICU patients now typically occupy approximately 10% of inpatient acute care beds, yet the structure and organization of these ICUs can be quite different across hospitals. In The Organization of Critical Care: An Evidence-Based Approach to Improving Quality, leaders provide a concise, evidence-based review of ICU organizational factors that have been associated with improved patient (or other) outcomes. The topics covered are grouped according to four broad domains: (1) the organization, structure, and staffing of an ICU; (2) organizational approaches to improving quality of care in an ICU; (3) integrating ICU care with other healthcare provided within the hospital and across the broader healthcare system; and (4) international perspectives on critical care delivery. Each chapter summarizes a different aspect of ICU organization and targets individual clinicians and healthcare decision makers. A long overdue contribution to the field, The Organization of Critical Care: An Evidence-Based Approach to Improving Quality is an indispensable guide for all clinicians and health administrators concerned with achieving state-of-the-art outcomes for intensive care.

Nursing in Critical Care Setting

This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years.

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Author: Irene Comisso

Publisher: Springer

ISBN: 9783319505596

Category: Medical

Page: 524

View: 602

This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized early ICUs to a wider personalization of patient care that also highlights general problems such as basic hygiene and general comfort. It also demonstrates that, at the same time, the nurses' role has become more professionalized, with increasing competences in assessing and managing patients' problems and measuring related outcomes. It is structured in four units: Unit 1 presents the essential elements of accurate vital-function and basic-needs assessments for ICU patients, using both instrumental monitoring and specially validated assessment tools. Unit 2 addresses basic care in ICU patients, particularly hygiene and mobilization, reflecting recent developments in nursing that focus on the importance of these activities. Unit 3 highlights the main nursing outcomes in ICU patients, particularly focusing on risk prevention and complication management. Lastly, Unit 4 discusses advances in ICU nursing, from clinical, organizational and research perspectives.

Evidence Based Practice of Critical Care E Book

Clifford S. Deutschman and Patrick J. Nelligan, along with nearly 200 critical-care experts, provide a comprehensive framework for translating evidence into practice, helping both residents and practitioners obtain the best possible ...

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Author: Clifford S. Deutschman

Publisher: Elsevier Health Sciences

ISBN: 9780323640695

Category: Medical

Page: 688

View: 525

Approach any critical care challenge using a practical, consistent strategy based on best practices with Evidence-Based Practice of Critical Care, 3rd Edition. Unique, question-based chapters cover the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Drs. Clifford S. Deutschman and Patrick J. Nelligan, along with nearly 200 critical-care experts, provide a comprehensive framework for translating evidence into practice, helping both residents and practitioners obtain the best possible outcomes for critically ill patients. Covers a full range of critical care challenges, from routine care to complicated and special situations. Helps you think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Features revised and updated information based on current research, and includes all-new cases on key topics and controversies such as the use/overuse of antibiotics, drug resistance in the ICU, non-invasive mechanical ventilation, frequency of transfusions, and duration of renal replacement therapies. Provides numerous quick-reference tables that summarize the available literature and recommended clinical approaches.

Outcomes in Critical Care

This text covers all aspects of outcome, describing their important advanctages and highlighting their weaknesses so that the reader can easily select the appropriate outcome measure for their particular area of interest.

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Author: Saxon Ridley

Publisher: Butterworth-Heinemann Medical

ISBN: 0750649828

Category: Medical

Page: 261

View: 120

* A comprehensive guide to all aspects of outcome measures for intensive care * Practical advice on which outcome measure to select to measure efficiency or effectiveness of care, discussing the advantages and weaknesses of each one * Emphasises the need to look at disability, functionality and quality of life as outcomes following intensive care * Helps the reader to appreciate the specific and selective use of outcome measures to provide valid and reliable answers to their questions

Education Standards for Critical Care Nursing

The Expected Outcomes of Critical Care Nursing Education Critical care nursing
education is expected to prepare a competent critical care nurse and thereby
ultimately improve the quality of nursing care to critically ill patients . ' 7.19 The ...

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Author: American Association of Critical-Care Nurses

Publisher:

ISBN: UOM:39015010129354

Category: Intensive care nursing

Page: 129

View: 756

Quality Outcomes and Costs An Issue of Critical Care Nursing Clinics of North America E Book

In consultation with Consulting Editor, Dr. Jan Foster, Drs. Garbee and Danna have put together a state-of the-art issue of the Critical Care Nursing Clinics devoted to Quality Outcomes and Costs.

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Author: Deborah Garbee

Publisher: Elsevier Health Sciences

ISBN: 9780323682770

Category: Medical

Page:

View: 259

In consultation with Consulting Editor, Dr. Jan Foster, Drs. Garbee and Danna have put together a state-of the-art issue of the Critical Care Nursing Clinics devoted to Quality Outcomes and Costs. Clinical review articles are specifically devoted to the following: Information Technology, Electronic Medical Records, and Practice Alerts; Telehealth Use to Promote Quality Outcomes and Reduce Costs; Impact of a Mobility Team on ICU Patient Outcomes; MACRA and MIPS Impact on Quality and Cost Outcomes; Leadership’s Impact on Quality, Outcomes, and Costs; Big Data Sets Use for Quality, Outcomes, and Cost; Pediatric Quality Metrics Related to Quality Outcomes and Cost; Geriatric Outcomes Related to Quality and Cost; Mental Health/Behavioral Health Metrics; Obstetric Quality Outcomes and Cost; Emergency Department Throughput; and Veteran Outcomes. Readers will come away with the latest information they need to improve quality and improve out comes in critically ill patients.

Textbook of Critical Care E Book

At www.expertconsult.com you can access the complete contents of the book online, rapidly searchable, with regular updates plus new videos that demonstrate how to perform key critical care procedures.

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Author: Jean-Louis Vincent

Publisher: Elsevier Health Sciences

ISBN: 9781437715682

Category: Medical

Page: 1744

View: 901

Textbook of Critical Care, by Drs. Jean-Louis Vincent, Edward Abraham, Frederick A. Moore, Patrick Kochanek, and Mitchell P. Fink, remains your best source on effective management of critically ill patients. This trusted reference - acclaimed for its success in bridging the gap between medical and surgical critical care - now features an even stronger focus on patient outcomes, equipping you with the proven, evidence-based guidance you need to successfully overcome a full range of practice challenges. Inside, you’ll find totally updated coverage of vital topics, such as coagulation and apoptosis in certain critical care illnesses, such as acute lung injury and adult respiratory distress syndrome; sepsis and other serious infectious diseases; specific organ dysfunction and failure; and many other vital topics. At www.expertconsult.com you can access the complete contents of the book online, rapidly searchable, with regular updates plus new videos that demonstrate how to perform key critical care procedures. The result is an even more indispensable reference for every ICU. Access the complete contents of the book online at www.expertconsult.com, rapidly searchable, and stay current for years to come with regular online updates. Practice with confidence by consulting with a "who’s who" of global experts on every facet of critical care medicine. Implement today’s most promising, evidence-based care strategies with an enhanced focus on patient outcomes. Effectively apply the latest techniques and approaches with totally updated coverage of the importance of coagulation and apoptosis in certain critical care illnesses, such as acute lung injury and adult respiratory distress syndrome; sepsis and other serious infectious diseases; specific organ dysfunction and failure; and many other vital topics. See how to perform key critical care procedures by watching a wealth of new videos online. Focus on the practical guidance you need with the aid of a new, more templated format in which basic science content has been integrated within clinical chapters, and all procedural content has been streamlined for online presentation and paired with videos.

Textbook of Post ICU Medicine

The book identifies the long term outcomes of ICU and the steps that can be taken to improve patients' health and wellbeing.

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Author: Robert D. Stevens

Publisher: Oxford University Press, USA

ISBN: 9780199653461

Category: Medical

Page: 624

View: 236

Surviving critical illness is not always the happy ending that we imagine for patients. Intensive care unit (ICU) teams have traditionally focused on short term goals such as stabilizing or reversing organ system dysfunction, with little understanding of what became of patients once they left the ICU. However, research conducted in recent years has demonstrated that many ICU survivors can suffer from ill health and mental health issues for months or years to follow. The Textbook of Post-ICU Medicine: The Legacy of Critical Care identifies the long term outcomes of ICU and the steps that can be taken to improve patients' health and wellbeing. Describing the major clinical syndromes affecting ICU survivors, the book delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. Many ICU survivors suffer from a range of long-lasting physical and psychological issues such as end stage renal disease, congestive heart failure, cognitive impairment, neuromuscular weakness, and depression or anxiety, which affect their overall quality of life and ability to lead productive lives. This book discusses the science of the recovery process and the innovative treatment regimens which are helping ICU survivors regain function as they heal following trauma or disease. This lingering burden or 'legacy' of critical illness is now recognized as a major public health issue, with major efforts underway to understand how it can be prevented, mitigated, or treated. The chapters are written by an interdisciplinary panel of leading clinicians and researchers working in the field. The book serves as a unique reference for general practitioners, internists and nurses caring for long term ICU survivors as well as specialists in intensive care medicine, neurology, psychiatry, and rehabilitation medicine.

Statistical Issues in the Analysis of Outcomes in Critical Care Medicine

This study focuses on the nexis between statistical methods and clinical practice as it applies to critical care medicine and is reflected in the literature.

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Author: John Leith Moran

Publisher:

ISBN: OCLC:225358521

Category:

Page: 680

View: 714

This study focuses on the nexis between statistical methods and clinical practice as it applies to critical care medicine and is reflected in the literature. The thesis describes a detailed expository analysis of various questions relating to the interpretation of the results of recent noteworthy trials in the medical and critical care literature. Furthermore, concrete focused analyses are performed on particular datasets and particular statistical techniques are subject to scrutiny. The importance of statistical principles in both the interpretation and conduct of analysis would seem to be obvious and the evidence-based-medicine movement has mandated critical appraisal, which incorporates, to varying degree, statistical methods.

American Journal of Respiratory and Critical Care Medicine

Whether this functional haplotype alters outcome in patients receiving adrenergic
agonists in septic shock is unknown . ... Correspondence and requests for
reprints should be addressed to Keith R. Walley , M.D. , Critical Care Research ...

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Author:

Publisher:

ISBN: UCLA:L0098921117

Category: Critical care medicine

Page:

View: 798

Improving Critical Care Survivorship

This book provides a comprehensive overview of improving critical care survivorship.

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Author: Kimberley J. Haines

Publisher: Springer Nature

ISBN: 9783030686802

Category:

Page:

View: 776

Introduction to Critical Care Nursing

Case studies and critical thinking questions challenge you to apply what you’ve learned, and user-friendly features throughout the text (updated pharmacology tables, clinical and laboratory alerts, and evidence-based practice boxes) help ...

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Author: Mary Lou Sole

Publisher: Elsevier Health Sciences

ISBN: 9780323294027

Category: Medical

Page: 768

View: 309

Here’s the essential information you need to know in critical care nursing — all in one concise text! Using a to-the-point, reader friendly approach, Introduction to Critical Care Nursing, 5th Edition, provides authoritative, real-world information on the important concepts of critical care nursing and the assessment and technical skills associated with the management of critically ill patients. The latest content on the technology makes it easy to learn and understand how to use the equipment you’ll use in the field. Nursing care chapters are organized according to the nursing process framework, and you’ll find detailed nursing care plans in every management chapter. Case studies and critical thinking questions challenge you to apply what you’ve learned, and user-friendly features throughout the text (updated pharmacology tables, clinical and laboratory alerts, and evidence-based practice boxes) help you bridge the gap between concepts and clinical practice. Nursing Care Plans provide nursing diagnoses, expected patient outcomes, and interventions with rationales to prepare you for clinical practice. Case Studies challenge you to apply concepts from the book to real-life patient situations to test their critical thinking skills. Streamlined and updated Pharmacology Tables detail the actions, indications, dosages and routes, and side effects of commonly used critical care drugs. Clinical Alerts promote optimal patient safety and outcomes by highlighting potential problems and concerns in the clinical setting. Laboratory Alerts discuss both common and cutting-edge tests and procedures, emphasizing the importance of laboratory test results to critical nursing care. Critical Thinking Questions in every chapter encourage you to use and reinforce the concepts presented throughout the chapter. Now full-color throughout, new, vibrant artwork and anatomical images are in true-to-life color. A new chapter on end-of-life care covers ethical and legal matters, palliative care, withholding of therapies, and communication issues — all essential concerns confronting today’s critical care nurse. New features on evidence-based practice, genetics, transplantation, and geriatric considerations offer realistic, easy-to-understand information on some of the most important and rapidly changing topics in critical care today.

Surviving Intensive Care

Surviving Intensive Care, written by the world's experts in this area, is dedicated to better understanding the consequences of surviving intensive care and is intended to provide a synopsis of the current knowledge and a stimulus for ...

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Author: Derek C. Angus

Publisher: Springer Science & Business Media

ISBN: 3540441492

Category: Medical

Page: 344

View: 855

For many years, intensive care has focused on avoiding immediate death from acute, life-threatening conditions. However, there are increasing reports of a number of lingering consequences for those who do indeed survive intensive care. Examples include on-going high risk of death, neurocognitive defects, significant caregiver burden, and continued high healthcare costs. Surviving Intensive Care, written by the world's experts in this area, is dedicated to better understanding the consequences of surviving intensive care and is intended to provide a synopsis of the current knowledge and a stimulus for future research and improved care of the critically ill.

Introduction to Critical Care Nursing6

Covers essential critical care concepts, technology, and procedures. This title addresses the advances in high-acuity care and emphasizes patient safety and optimum patient outcomes.

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Author: Mary Lou Sole

Publisher: Elsevier Health Sciences

ISBN: 9780323088480

Category: Medical

Page: 740

View: 517

Covers essential critical care concepts, technology, and procedures. This title addresses the advances in high-acuity care and emphasizes patient safety and optimum patient outcomes.

Psychologic Issues in the ICU An Issue of Critical Care Nursing Clinics of North America E Book

The issue focuses not only psychologic issues of patients in the ICU but also on issues facing critical care nurses working in the ICU. Articles are devoted to the following topics: Caring for the Caregiver in the ICU; Delirium vs.

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Author: Deborah W Chapa

Publisher: Elsevier Health Sciences

ISBN: 9780323682787

Category: Medical

Page:

View: 103

Dr. Chapa has assembled top-notch authors to write clinical reviews on the important topic of psychologic issues in the ICU. The issue focuses not only psychologic issues of patients in the ICU but also on issues facing critical care nurses working in the ICU. Articles are devoted to the following topics: Caring for the Caregiver in the ICU; Delirium vs. Dementia in ICU; Pediatric Delirium in ICU; Sarcopenia and Psychosocial Variables in ICU; Impact of Early Mobility in ICU on Psychological Issues; Intensive Care Syndrome; PTSD in ICU Nurses; Burnout Syndrome; Management Strategies in the ICU to Improve Psychosocial outcomes; and Psychologic Issues of Patient Transition from Intensive Care to Palliative Care. Readers will come away with current information they need to provide quality care with positive patient outcomes.

Critical Care Nursing

NEW! Links to 15 sample skills from Elsevier Clinical Skills give readers a foundation in mastering critical care skills. NEW! Enhanced Patient Teaching boxes feature more specific and practical content for at-the-bedside patient care. NEW!

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Author: Linda D Urden

Publisher: Mosby

ISBN: 032344752X

Category:

Page: 1200

View: 448

Get a firm understanding and mastery of the unique issues and procedures involved in critical care nursing with Critical Care Nursing: Diagnosis and Management, 8th Edition. Praised for its comprehensive coverage and clear organization, this market-leading text offers a great foundation in the realities and challenges of today's critical care unit that's perfect for both nursing students and practicing nurses alike. This new edition also features enhanced integration of QSEN and interprofessional collaborative practice, plus expanded coverage of leadership, post-ICU outcomes and highly contagious infections. Revamped case studies, Patient Teaching boxes, Evidence-Based Practice boxes, Patient Safety Alerts, and other learning tools further develop your critical thinking skills and prepare you for success in high-acuity, progressive, and critical care settings.