Rapid Response Teams Versus Critical Care Outreach Teams
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Rapid Response Teams Versus Critical Care Outreach Teams
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Author : Valerie C. Danesh
language : en
Publisher:
Release Date : 2015
Rapid Response Teams Versus Critical Care Outreach Teams written by Valerie C. Danesh and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.
The incidence of unplanned escalations during hospitalization is undocumented, but estimates may be as high as 1.2 million occurrences per year in the United States. Rapid Response Teams (RRT) were developed for the early recognition and treatment of deteriorating patients to deliver time-sensitive interventions, but evidence related to optimal activation criteria and structure is limited. The purpose of this study is to determine if an Early Warning Score-based Critical Care Outreach (CCO) model is related to the frequency of unplanned intra-hospital escalations in care compared to a RRT system based on staff nurse identification of vital sign derangements and physical assessments. The RRT model, in which staff nurses identified vital sign derangements to active the system, was compared with the addition of a CCO model, in which rapid response nurses activated the system based on Early Warning Score line graphs of patient condition over time. Logistic regressions were used to examine retrospective data from administrative datasets at a 237-bed community non-teaching hospital during two periods: 1) baseline period, RRT model (n=5,875) (Phase 1: October 1, 2010 - March 31, 2011), and; 2) intervention period, RRT/CCO model (n=6,273). (Phase 2: October 1, 2011 - March 31, 2012). The strongest predictor of unplanned escalations to the Intensive Care Unit was the type of rapid response system model. Unplanned ICU transfers were 1.4 times more likely to occur during the Phase 1 RRT period. In contrast, the type of rapid response model was not a significant predictor when all unplanned escalations (any type) were grouped together (medical-surgical-to-intermediate, medical-surgical-to-ICU and intermediate-to-ICU). This is the first study to report a relationship between unplanned escalations and different rapid response models. Based on the findings of fewer unplanned ICU transfers in the setting of a CCO model, health services researchers and clinicians should consider using automated Early Warning score graphs for hospital-wide surveillance of patient condition as a safety strategy.
Critical Care Outreach
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Author : Lee Cutler
language : en
Publisher: John Wiley & Sons
Release Date : 2006-07-11
Critical Care Outreach written by Lee Cutler and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-07-11 with Medical categories.
Following the publication of the department of health document - Comprehensive Critical Care (2000), the majority of hospitals in England have set up Critical Care Outreach Teams. The Government provided a significant sum of money for hospitals to set up outreach services. There are now calls for an evaluation of their impact. The book is set out in five key sections. Each section features chapters that address the conceptual and real life issues. In each section there is a chapter, set out as a case study example, demonstrating how innovative practices and service developments are going on around critical care outreach. The book will draw upon the knowledge, experience and clinical expertise of senior critical care nurses and doctors from a critical care network. The book will have a definite practical application and will provide tips to enhance practice. * Chapters contain useful 'how to' guides, prompts for critical thinking and case studies. * Very little has previously been published on this topic
Rapid Response Systems Fluid Resuscitation An Issue Of Critical Care Clinics E Book
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Author : Michael DeVita
language : en
Publisher: Elsevier Health Sciences
Release Date : 2018-03-05
Rapid Response Systems Fluid Resuscitation An Issue Of Critical Care Clinics E Book written by Michael DeVita and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-03-05 with Medical categories.
This issue of Critical Care Clinics focuses on Rapid Response Systems and Fluid Resuscitation, with topics including: RRS Now; Triggering Criteria: Big Data; Triggering Criteria: Continuous Monitoring; Measuring instability; Surgery/Trauma RRT; Obstetric RRT; Difficult airway rapid response teams; and Sepsis rapid response teams.
Oncologic Critical Care
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Author : Joseph L. Nates
language : en
Publisher: Springer
Release Date : 2019-10-30
Oncologic Critical Care written by Joseph L. Nates and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-30 with Medical categories.
This major reference work is the most comprehensive resource on oncologic critical care. The text reviews all significant aspects of oncologic ICU practices, with a particular focus on challenges encountered in the diagnosis and management of the critically ill cancer patient population. Comprised of over 140 chapters, the text explores such topics as the organization and management of an oncologic ICU, diseases and complications encountered in the oncologic ICU, multidisciplinary care, surgical care, transfusion medicine, special patient populations, critical care procedures, ethics, pain management, and palliative care. Written by worldwide experts in the field, Oncologic Critical Care is a valuable resource for intensivists, advance practice providers, nurses, and other healthcare providers, that will help close significant knowledge and educational gaps within the realm of medical care for critically ill cancer patients.
Medical Emergency Teams
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Author : Michael A. DeVita
language : en
Publisher: Springer Science & Business Media
Release Date : 2007-07-03
Medical Emergency Teams written by Michael A. DeVita and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-07-03 with Medical categories.
Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of “C- dition C (Crisis),” as it was called to distinguish it from “Condition A (Arrest). ”We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.
Rapid Response System
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Author : Raghavan Murugan
language : en
Publisher: Oxford University Press
Release Date : 2018
Rapid Response System written by Raghavan Murugan and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Medical categories.
A concise handbook and quick reference guide for the evaluation and management of common medical emergencies encountered by hospital rapid response teams in both community and academic institutions
Textbook Of Rapid Response Systems
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Author : Michael A. DeVita
language : en
Publisher: Springer Science & Business Media
Release Date : 2010-12-10
Textbook Of Rapid Response Systems written by Michael A. DeVita and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-12-10 with Medical categories.
Successor to the editors' groundbreaking book on medical emergency teams, Textbook of Rapid Response Systems addresses the problem of patient safety and quality of care; the logistics of creating an RRS (resource allocation, process design, workflow, and training); the implementation of an RRS (organizational issues, challenges); and the evaluation of program results. Based on successful RRS models that have resulted in reduced in-hospital cardiac arrest and overall hospital death rates, this book is a practical guide for physicians, hospital administrators, and other healthcare professionals who wish to initiate an RRS program within their own institutions.
Comprehensive Critical Care
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Author : Society of Critical Care Medicine
language : en
Publisher:
Release Date : 2012-01-01
Comprehensive Critical Care written by Society of Critical Care Medicine and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-01 with Medical categories.
Comprehensive Critical Care: Adult is the most complete critical care textbook for any learner in adult practice. Developed by leading experts in critical care, this comprehensive textbook covers 10 topic areas, including -Neurologic Critical Care - Cardiovascular Critical Care -Respiratory Critical Care -Critical Care Infectious Disease -Hepatic, Gastrointestinal, and Hematologic/Oncologic Disease in the ICU -Renal and Metabolic Disorders in the ICU -Environmental and Toxicologic Injury - Pharmacologic Issues in the ICU -Surgical and Obstetrical Critical Care -Administrative and Ethical Issues in the Critically Ill This new resource includes up-to-date information on the full gamut of critical care topics, with dozens of charts and tables to aid study and copious references to guide further reading.
Textbook Of Rapid Response Systems
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Author : Michael A. DeVita
language : en
Publisher: Springer
Release Date : 2017-07-04
Textbook Of Rapid Response Systems written by Michael A. DeVita and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-04 with Medical categories.
The latest edition of this text is the go-to book on rapid response systems (RRS). Thoroughly updated to incorporate current principles and practice of RRS, the text covers topics such as the logistics of creating an RRS, patient safety, quality of care, evaluating program results, and engaging in systems research. Edited and written by internationally recognized experts and innovators in the field, Textbook of Rapid Response Systems: Concepts and Implementation, Second Edition is a valuable resource for medical practitioners and hospital administrators who want to implement and improve a rapid response system.
Evidence Based Practice Of Critical Care
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Author : Clifford S. Deutschman, MS, MD, FCCM
language : en
Publisher: Elsevier Health Sciences
Release Date : 2015-12-18
Evidence Based Practice Of Critical Care written by Clifford S. Deutschman, MS, MD, FCCM and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-12-18 with Medical categories.
Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis . changing approaches to fluid administration . immune suppression in sepsis . monitoring the microcirculation . the long-term sequelae of critical illness . minimizing ventilator associated lung injury . the benefits of evidence-based medicine management guidelines . rapid response teams . and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.
