Zeitschriftenartikel: „Critical care medicine – Case studies“

1

GEER, RALPH T. „Case Studies In Critical Care Medicine“. Anesthesiology 66, Nr. 2 (01.02.1987): 258. http://dx.doi.org/10.1097/00000542-198702000-00038.

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2

Gafford, Frank H. „Case Studies in Critical Care Medicine“. Critical Care Medicine 14, Nr. 2 (Februar 1986): 173. http://dx.doi.org/10.1097/00003246-198602000-00028.

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3

Hoyt, John W. „Case Studies in Critical Care Medicine“. Anesthesia & Analgesia 65, Nr. 3 (März 1986): 323???324. http://dx.doi.org/10.1213/00000539-198603000-00034.

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4

Porter, K. M. „Case studies in critical care medicine“. Injury 17, Nr. 6 (November 1986): 422. http://dx.doi.org/10.1016/0020-1383(86)90093-8.

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5

Haupt, Marilyn T. „Case Studies in Critical Care Medicine“. JAMA: The Journal of the American Medical Association 254, Nr. 21 (06.12.1985): 3109. http://dx.doi.org/10.1001/jama.1985.03360210125050.

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6

Scuderi, Phillip E. „Critical Care Management Case Studies“. Anesthesiology 88, Nr. 2 (01.02.1998): 556–57. http://dx.doi.org/10.1097/00000542-199802000-00052.

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7

Stack, C. G. „Case Studies in Paediatric Critical Care“. British Journal of Anaesthesia 103, Nr. 4 (Oktober 2009): 619. http://dx.doi.org/10.1093/bja/aep244.

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8

Henke, Vanessa G., Edward A. Bittner und Michael J. Avram. „Case Studies in Pediatric Critical Care“. Anesthesiology 113, Nr. 2 (01.08.2010): 504. http://dx.doi.org/10.1097/aln.0b013e3181e4f99e.

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9

Weldon, B. Craig. „Case Studies in Pediatric Critical Care“. Anesthesia & Analgesia 112, Nr. 1 (Januar 2011): 252–53. http://dx.doi.org/10.1213/ane.0b013e3181f0b8c8.

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10

Thorburn, Kentigern. „Case Studies in Pediatric Critical Care“. Critical Care 14, Nr. 1 (2010): 301. http://dx.doi.org/10.1186/cc8836.

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11

Barr, Frederick Rick E. „Case studies in paediatric critical care“. Acta Paediatrica 99, Nr. 7 (19.04.2010): 1109. http://dx.doi.org/10.1111/j.1651-2227.2010.01844.x.

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12

Duncan, Alan. „Book Review: Case Studies in Critical Care Medicine, 2nd Ed“. Anaesthesia and Intensive Care 19, Nr. 1 (Februar 1991): 138. http://dx.doi.org/10.1177/0310057x9101900133.

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13

Lindquist, Ruth, Diane Treat-Jacobson und Shigeaki Watanuki. „A case for multisite studies in critical care“. Heart & Lung 29, Nr. 4 (Juli 2000): 269–77. http://dx.doi.org/10.1067/mhl.2000.106939.

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14

CRISTEA, T. „Critical Care Management. Case Studies: Tricks and Traps.“ European Journal of Anaesthesiology 15, Nr. 2 (März 1998): 248–49. http://dx.doi.org/10.1097/00003643-199803000-00023.

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15

Su, Erik. „Case Studies in Pediatric Emergency and Critical Care Ultrasound“. Critical Care Medicine 42, Nr. 11 (November 2014): e731-e732. http://dx.doi.org/10.1097/ccm.0000000000000630.

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16

Ryan, J. „Case Studies in Emergency Medicine“. Emergency Medicine Journal 14, Nr. 3 (01.05.1997): 191. http://dx.doi.org/10.1136/emj.14.3.191-c.

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17

Bartman, Thomas, und Richard J. Brilli. „Quality Improvement Studies in Pediatric Critical Care Medicine“. Pediatric Critical Care Medicine 22, Nr. 7 (Juli 2021): 662–68. http://dx.doi.org/10.1097/pcc.0000000000002744.

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18

Ward, Nicholas S. „Rationing critical care medicine: recent studies and current trends“. Current Opinion in Critical Care 11, Nr. 6 (Dezember 2005): 629–32. http://dx.doi.org/10.1097/01.ccx.0000186377.41697.ed.

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19

Cardin, Suzette, Sandra Kane und Kathleen Koch. „Use of Patient Care Extenders in Critical Care Nursing“. AACN Advanced Critical Care 3, Nr. 4 (01.11.1992): 789–96. http://dx.doi.org/10.4037/15597768-1992-4007.

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This article explores the implementation and use of patient care extenders in two critical care units. Experimentation and diversity in changing the care-delivery system were the forces motivating the management team to redesign the existing nursing care-delivery system. The impetuses for the change process were the use of the role of the registered nurse and cost containment. Two case studies will illustrate from a practical perspective how the change occurred. Although the same nurse manager was responsible administratively for the two units, the patient care extender models were implemented differently. This was based on the conviction that each unit is unique with regard to patients and staff needs. The first case study occurred in an 18-bed cardiac telemetry unit in which the patient extender care model was integrated with direct patient care activities of the unit. In the second case study, which occurred in a ten-bed cardiac care unit, the patient care extender was integrated with indirect patient care activities. The approach to this article is practical, and it is intended for units that may be dealing with these issues in these changing times in health care

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Rudis, Maria I., und David Q. Hoang. „The Year in Review: Critical Care Medicine“. Journal of Pharmacy Practice 14, Nr. 1 (Februar 2001): 70–85. http://dx.doi.org/10.1106/8y8w-9ftr-p57j-5t9x.

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Background: There have been significant recent advances in the pharmacotherapeutic management of critically ill patients. The purpose of this article is to review and discuss the most pertinent published literature in the areas of neurology, cardiovascular diseases, infectious diseases, nephrology, hematology, and gastroenterology as it pertains to critical care in order to provide an update for the critical care practitioner. Methods: We performed a Medline search from July 1999 to December 2000 utilizing terms relating to the pharmacotherapy of the specific aforementioned topics in critical care medicine. We focused on English-language clinical studies performed in adult intensive care unit (ICU) patients. From these articles we selected those that would have a practical impact on drug therapy in the ICU or the development of drug usage guidelines for critically ill patients. Review articles were generally not included. Results: The following topics were found to be either new developments or of potentially significant impact in the management of adult critically ill patients. In the area of neurology, advances were found with respect to optimization of regimens for sedative and neuromuscular blocking agents, validation of sedation scales and tools, and in the treatment of head injury patients. In the cardiovascular diseases, most studies related to the hemodynamic support of septic shock. We focus on developments in fluid resuscitation, optimization of global and regional oxygen transport variables, the repositioning of vasopressor agents, and a return to the use of steroids. Given the high mortality rate associated with the development of acute renal failure in the ICU, there has been a consistent attempt to develop preventative and treatment strategies for these patients, including optimization of antimicrobial dosing methods. Several epidemiological and longitudinal studies document changes in multi-drug antimicrobial resistance patterns. The use of treatment guidelines for antimicrobials in the critically ill improves outcomes in most patients. Significant attention has focused on the characterization of anemia in the ICU and the development of alternative pharmacological strategies in its treatment. Finally, in gastroenterology, the main focus has been the investigation of methods to optimize the delivery of enteral nutrition given its proven benefits in critically ill patients. Conclusions: Significant advances in the areas of neurological, cardiovascular, infectious diseases, renal, hematological, and gastrointestinal issues in the pharmacotherapy of critically ill patients have been published over the course of the past year. Many of these studies have yielded data that may be incorporated into the pharmacotherapeutic management of ICU patients, hence maximizing outcomes.

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DeAngelis, R., und ML Lessig. „ECG case studies. Hyperkalemia“. Critical Care Nurse 12, Nr. 3 (01.03.1992): 55–59. http://dx.doi.org/10.4037/ccn1992.12.3.55.

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22

Sandau, Kristin E., und Maureen Smith. „Continuous ST-Segment Monitoring: 3 Case Studies in Progressive Care“. Critical Care Nurse 29, Nr. 5 (01.10.2009): 18–27. http://dx.doi.org/10.4037/ccn2009953.

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23

Applefeld, Willard N., Jeffrey Wang, Irene Cortés-Puch, Harvey G. Klein, Peter Q. Eichacker, Diane Cooper, Robert L. Danner und Charles Natanson. „Modeling current practices in critical care comparative effectiveness research“. Critical Care and Resuscitation 24, Nr. 2 (06.06.2022): 150–62. http://dx.doi.org/10.51893/2022.2.oa5.

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OBJECTIVE: To determine whether contemporaneous practices are adequately represented in recent critical care comparative effectiveness research studies. DESIGN: All critical care comparative effectiveness research trials published in the New England Journal of Medicine from April 2019 to March 2020 were identified. To examine studies published in other high impact medical journals during the same period, such trials were subsequently also identified in the Journal of the American Medical Association and The Lancet. All cited sources were reviewed, and the medical literature was searched to find studies describing contemporary practices. Then, the designated control group or the comparable therapies studied were examined to determine if they represented contemporaneous critical care practices as described in the medical literature. RESULTS: Twenty-five of 332 randomised clinical trials published in these three journals during this 1-year period described critical care comparative effectiveness research that met our inclusion criteria. Seventeen characterised current practices before enrolment (using surveys, observational studies and guidelines) and then incorporated current practices into one or more study arm. In the other eight, usual care arms appeared insufficient. Four of these trials randomly assigned patients to one of two fixed approaches at either end of a range of usually titrated care. However, due to randomisation, different subgroups within each arm received care that was inappropriate for their specific clinical conditions. In the other four of these trials, common practices influencing treatment choice were not reflected in the trial design, despite a prior effort to characterise usual care. CONCLUSION: One-third of critical care comparative effectiveness research trials published in widely read medical journals during a recent year did not include a designated control arm or comparable therapies representative of contemporary practices. Failure to incorporate contemporary practices into critical care comparative effectiveness trials appears to be a widespread design weakness.

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Reis Miranda, D., R. Rivera-Fernández und R. E. Nap. „Critical care medicine in the hospital: lessons from the EURICUS-studies“. Medicina Intensiva 31, Nr. 4 (Mai 2007): 194–203. http://dx.doi.org/10.1016/s0210-5691(07)74806-4.

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25

Alhejily, Wesam A. „Simulation in Critical Care Medicine: A Meta-analysis“. Journal of King Abdulaziz University - Medical Sciences 22, Nr. 3 (01.07.2015): 29–34. http://dx.doi.org/10.4197/med.22-3.4.

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Simulation is a recognized method of teaching in academic medicine. Despite its long availability, only a paucity of information exists regarding its efficacy and utility on patient care and subsequently on patient outcomes. In this meta-analysis, we attempt to systematically study the effect of simulation-based clinical teaching in critical care medicine. A review of literature was conducted, looking across several databases, for any available studies that compare simulation to standard methods of teaching in the setting of critical care medicine on three surrogate outcomes: enhancement of knowledge, improvement in skills, and patient outcomes. In this study, 508 articles were found at the initial screening, however only 14 articles were eligible after applying our inclusion and exclusion criteria. Of these 14 articles only 5 were found to be randomized control trials and their outcomes were either knowledge or skill enhancement, no study on patient outcome was identified. Despite the significant heterogeneity between studies (χ2 (4) = 120.73) p < 0.001), the random effect was significant on both surrogate markers (p < 0.001). As a conclusion, albeit only a few randomized trials, simulation has a positive impact on knowledge and skill acquisition in the field of critical care medicine.

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Givens Bell, Susan. „Step 3: Critically Appraising Evidence: Case-Control Studies“. Neonatal Network 42, Nr. 5 (01.08.2023): 303–5. http://dx.doi.org/10.1891/nn-2022-0037.

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Critical appraisal of the evidence is the Step 3 in the evidence-based practice (EBP) process. This column, the fourth in a multipart series to describe the critical appraisal process, focuses on the critical appraisal of a case-control study.

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Lee, R. „Book Review: Case Studies in Neuroanesthesia and Neurocritical Care.“ Anaesthesia and Intensive Care 39, Nr. 5 (September 2011): 979–80. http://dx.doi.org/10.1177/0310057x1103900533.

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Soussi, Sabri, Gary S. Collins, Peter Jüni, Alexandre Mebazaa, Etienne Gayat und Yannick Le Manach. „Evaluation of Biomarkers in Critical Care and Perioperative Medicine“. Anesthesiology 134, Nr. 1 (20.11.2020): 15–25. http://dx.doi.org/10.1097/aln.0000000000003600.

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SUMMARY Interest in developing and using novel biomarkers in critical care and perioperative medicine is increasing. Biomarkers studies are often presented with flaws in the statistical analysis that preclude them from providing a scientifically valid and clinically relevant message for clinicians. To improve scientific rigor, the proper application and reporting of traditional and emerging statistical methods (e.g., machine learning) of biomarker studies is required. This Readers’ Toolbox article aims to be a starting point to nonexpert readers and investigators to understand traditional and emerging research methods to assess biomarkers in critical care and perioperative medicine.

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Grossbach, I. „Case studies in pulse oximetry monitoring“. Critical Care Nurse 13, Nr. 4 (01.08.1993): 63–65. http://dx.doi.org/10.4037/ccn1993.13.4.63.

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30

Capaldi, Nicholas. „Consensus on Critical Care“. Christian bioethics: Non-Ecumenical Studies in Medical Morality 7, Nr. 2 (01.08.2001): 227–31. http://dx.doi.org/10.1093/chbi.7.2.227.3758.

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Capaldi, N. „Consensus on Critical Care“. Christian Bioethics 7, Nr. 2 (01.01.2001): 227–31. http://dx.doi.org/10.1076/chbi.7.2.227.3758.

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Campbell, ML. „Case studies in terminal weaning from mechanical ventilation“. American Journal of Critical Care 2, Nr. 5 (01.09.1993): 354–58. http://dx.doi.org/10.4037/ajcc1993.2.5.354.

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Terminal weaning, withdrawal of mechanical ventilation when the patient is not expected to survive the process, must not be burdensome to the patient or significant others. The healthcare team must individualize the weaning process, considering the physiologic comfort of the patient and the psychoemotional comfort of both the patient and family. The following case studies illustrate variations in a method for terminal weaning that are patient-specific and are based on the experience of a supportive care team.

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Kang, Rachael, Esa M. Rantanen und Eric A. Youngstrom. „Machine Learning in Healthcare: Two Case Studies“. Proceedings of the Human Factors and Ergonomics Society Annual Meeting 66, Nr. 1 (September 2022): 774–78. http://dx.doi.org/10.1177/1071181322661518.

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Machine learning (ML) is making significant inroads into the field of medicine. It can be used as a preventative measure by predicting a patient’s diagnosis and introducing early treatment to prevent adverse outcomes or lessen their impact. However, despite many demonstrated advantages of machine learning tools in health-care, their performance assessment remains partial at best. In particular, human interactions with machine learning tools in clinical settings remain poorly researched. This review examined machine learning tools in two important areas, sepsis diagnosis and suicide prediction. However, our exploration into the use of machine learning in sepsis and suicide prediction turned up no thorough human factors analyses of provider interactions with their machine learning tools, suggesting a critical research gap waiting to be filled.

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Ristic, Anette, Raoul Sutter und Luzius Steiner. „Current neuromonitoring techniques in critical care“. Journal of Neuroanaesthesiology and Critical Care 02, Nr. 02 (August 2015): 097–103. http://dx.doi.org/10.4103/2348-0548.154234.

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AbstractEarly detection of secondary events is a major target of neuromonitoring in critically ill patients. Intracranial pressure (ICP) and cerebral perfusion pressure are the most widely accepted neuromonitoring parameters. Many studies have shown both to be related to mortality after traumatic brain injury. However, the benefit of ICP monitoring has not been established by a randomized controlled trial, and the efficacy of ICP-guided management has indeed been challenged. This review considers current neuromonitoring techniques in critical care medicine.

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Zingg, Walter, und Stephan Harbarth. „Infectious Disease: Pathogenesis, Prevention, and Case Studies“. Critical Care 13, Nr. 4 (2009): 307. http://dx.doi.org/10.1186/cc7952.

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Shen, Liang, Christopher W. Tam, Mandisa-Maia Jones, Marguerite Hoyler und Natalia S. Ivascu. „Noteworthy Literature From 2019 for Cardiothoracic Critical Care“. Seminars in Cardiothoracic and Vascular Anesthesia 24, Nr. 2 (27.04.2020): 149–58. http://dx.doi.org/10.1177/1089253220919284.

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This annual article summarizes key findings from notable studies published in 2019 relevant to the practice of cardiothoracic critical care medicine. This year’s article encompasses updates to the literature on enhanced recovery after cardiac surgery, extracorporeal membranous oxygenation, delirium, and primary graft dysfunction after heart transplant.

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Qalab Abbas, Muhammad Shahzad, Naveed Ur Rehman, Zahra Cheema, Abdul Rahim Ahmed und Anwar Ul Haque. „Publications in pediatric critical care medicine: trends from Pakistan“. Journal of the Pakistan Medical Association 74, Nr. 5 (22.04.2024): 934–38. http://dx.doi.org/10.47391/jpma.9214.

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Objective: To analyse the characteristics of research published from Pakistan on paediatric critical care medicine. Method: The exploratory study was conducted at the Aga Khan University, Karachi from July 2021 to March 2022, and comprised a comprehensive search on MedLine, Google Scholar and PakMediNet databases for literature from Pakistan pertaining to paediatric critical care medicine published between January 2010 and December 2021. The search was done using appropriate key words. Conference abstracts and papers authored by paediatric intensivists with unrelated topics were excluded. Data was extracted on a structured spreadsheet, and was subjected to bibliometric analysis. Data was analysed using SPSS 20. Results: Of the 7,514 studies identified, 146(1.94%) were analysed. These were published in 51 journals with a frequency of 13.3 per year. There were 107(73.3%) original articles, 96(65.8%) were published in PubMed-indexed journals, and 35(24%) were published in locally indexed journals. Further, 100(69.4%) papers were published from 5 paediatric intensive care units in Karachi, and 81(56%) were contributed by a single private-sector hospital. The total citation count was 1072, with 2(1.4%) papers receiving >50 citations. There was a linear trend with some skewing and an annual growth rate of >15%. Conclusion: Publications from Pakistan related to paediatric critical care medicine showed positive linear growth. There was a paucity of multicentre studies, randomised controlled trials, and high-impact publications. Key Words: Bibliometric analysis, Paediatric critical care medicine, Publications, Pakistan, Research.

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Carey, Ashlyn E., und Lydia D. Osgood. „Reinventing Palliative Care Studies“. AACN Advanced Critical Care 32, Nr. 1 (15.03.2021): 113–18. http://dx.doi.org/10.4037/aacnacc2021386.

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Kazibwe, Joseph, Hiral A. Shah, August Kuwawenaruwa, Carl Otto Schell, Karima Khalid, Phuong Bich Tran, Srobana Ghosh, Tim Baker und Lorna Guinness. „Resource use, availability and cost in the provision of critical care in Tanzania: a systematic review“. BMJ Open 12, Nr. 11 (November 2022): e060422. http://dx.doi.org/10.1136/bmjopen-2021-060422.

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ObjectivesCritical care is essential in saving lives of critically ill patients, however, provision of critical care across lower resource settings can be costly, fragmented and heterogenous. Despite the urgent need to scale up the provision of critical care, little is known about its availability and cost. Here, we aim to systematically review and identify reported resource use, availability and costs for the provision of critical care and the nature of critical care provision in Tanzania.DesignThis is a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Data sourcesMedline, Embase and Global Health databases were searched covering the period 2010 to 17 November 2020.Eligibility criteriaWe included studies that reported on forms of critical care offered, critical care services offered and/or costs and resources used in the provision of care in Tanzania published from 2010.Data extraction and synthesisQuality assessment of the articles and data extraction was done by two independent researchers. The Reference Case for Estimating the Costs of Global Health Services and Interventions was used to assess quality of included studies. A narrative synthesis of extracted data was conducted. Costs were adjusted and reported in 2019 US$ and TZS using the World Bank GDP deflators.ResultsA total 31 studies were found to fulfil the inclusion and exclusion criteria. Critical care identified in Tanzania was categorised into: intensive care unit (ICU) delivered critical care and non-ICU critical care. The availability of ICU delivered critical care was limited to urban settings whereas non-ICU critical care was found in rural and urban settings. Paediatric critical care equipment was more scarce than equipment for adults. 15 studies reported on the costs of services related to critical care yet no study reported an average or unit cost of critical care. Costs of medication, equipment (eg, oxygen, personal protective equipment), services and human resources were identified as inputs to specific critical care services in Tanzania.ConclusionThere is limited evidence on the resource use, availability and costs of critical care in Tanzania. There is a strong need for further empirical research on critical care resources availability, utilisation and costs across specialties and hospitals of different level in low/middle-income countries like Tanzania to inform planning, priority setting and budgeting for critical care services.PROSPERO registration numberCRD42020221923.

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PUCHALSKI, CHRISTINA M., SHELLEY DEAN KILPATRICK, MICHAEL E. McCULLOUGH und DAVID B. LARSON. „A systematic review of spiritual and religious variables in Palliative Medicine, American Journal of Hospice and Palliative Care, Hospice Journal, Journal of Palliative Care, and Journal of Pain and Symptom Management“. Palliative and Supportive Care 1, Nr. 1 (März 2003): 7–13. http://dx.doi.org/10.1017/s1478951503030128.

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Objective: There has been increasing recognition and acceptance of the importance of addressing existential and spiritual suffering as an important and necessary component of palliative medicine and end-of-life care in the United States. This paper seeks to empirically and systematically examine the extent to which there is an adequate scientific research base on spirituality and its role in palliative care, in the palliative care and hospice literature.Methods: We sought to locate all empirical studies published in five palliative medicine/hospice journals from 1994 to 1998. The journals included: American Journal of Hospice and Palliative Care, Journal of Palliative Care, Hospice Journal, Palliative Medicine, and The Journal of Pain and Symptom Management. Journal contents were searched to identify studies that included spiritual or religious measures or results. Case studies, editorials, and theoretical or descriptive articles were not included in the search. Results: During the years 1994–1998, 1,117 original empirical articles were published in the five journals reviewed. Only 6.3% (70 articles) included spiritual or religious variables. This percentage, while low, was better that the 1% previously reported in an examination of studies published in Journal of the American Medical Association, The Lancet, and New England Journal of Medicine. Significance of results: While researchers in the field of palliative care have studied spiritual/religious variables more than other areas of medicine, the total percentage for studies is still a low 6.3%. To move the field of palliative medicine forward so appropriate guidelines for spiritual care can be developed, it is critical that good research be conducted upon which to base spiritual care in an evidence-based model. Recommendations are made for future studies on spiritual care in palliative medicine.

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Vincent, Jean-Louis. „A new Critical Care channel in F1000Research“. F1000Research 4 (19.11.2015): 1295. http://dx.doi.org/10.12688/f1000research.7398.1.

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A new channel for Critical Care offers clinicians and medical researchers a platform for publishing new research without the barriers and delays they often encounter in traditional journals. The channel welcomes research and debate across the broad field of acute care and emergency medicine, including confirmatory and negative/null studies supported by new data

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Zifko, Udo A. „Electrophysiological Respiratory Studies in the Critical Care Unit“. Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 25, S1 (Februar 1998): S21—S26. http://dx.doi.org/10.1017/s0317167100034685.

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AbstractRespiratory electrophysiological studies are useful in the investigation and monitoring of respiratory failure. Phrenic nerve conduction studies and needle electromyography of the diaphragm are invaluable in establishing the diagnosis, determining the severity, and following the progression of peripheral respiratory muscle dysfunction. In addition to these established methods, repetitive phrenic nerve stimulation is of diagnostic value in patients with neuromuscular transmission defects and dyspnea. The diagnosis of impaired central respiratory drive can often be accomplished by the newly-developed techniques of transcortical magnetic stimulation of the motor cortex with recording of the diaphragm and phrenic nerve somatosensory evoked potentials. These studies are of particular value in critically ill patients where both the central and peripheral lesions may impair respiration.

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Mohamad, Norfidah, Zamzaliza Abdul Mulud, Siti Faziratul Hanim Abd Rahman und Aries Abiyoga. „Differences in Critical Thinking and Decision Making among Critical Care and Non-Critical Care Nurses“. Environment-Behaviour Proceedings Journal 7, Nr. 21 (30.09.2022): 181–86. http://dx.doi.org/10.21834/ebpj.v7i21.3733.

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Critical thinking and decision-making are essential for nurses to identify and analyze judgments for nursing care. Hence, this study aims to determine critical thinking and clinical decision-making among critical and non-critical care nurses. A cross-sectional study was conducted among 237 nurses using a self-administered questionnaire. This study discovered that critical and non-critical care nurses had a modest level of critical thinking and clinical decision-making. The findings of this study can serve as a guide for nursing administration employees in implementing effective techniques to enhance the critical thinking skills of nurses in on-the-job training and orientation programs for nursing staff. Keywords: critical thinking; clinical decision making; critical care nurse, non-critical care nurses eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v7i21.3733

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Jelinek, George A. „Do we need any more casemix studies in emergency medicine?“ Emergency Medicine 10, Nr. 2 (26.08.2009): 93–94. http://dx.doi.org/10.1111/j.1442-2026.1998.tb00663.x.

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James, Fiona R., Nicola Power und Shondipon Laha. „Decision-making in intensive care medicine – A review“. Journal of the Intensive Care Society 19, Nr. 3 (12.12.2017): 247–58. http://dx.doi.org/10.1177/1751143717746566.

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Decision-making by intensivists around accepting patients to intensive care units is a complex area, with often high-stakes, difficult, emotive decisions being made with limited patient information, high uncertainty about outcomes and extreme pressure to make these decisions quickly. This is exacerbated by a lack of clear guidelines to help guide this difficult decision-making process, with the onus largely relying on clinical experience and judgement. In addition to uncertainty compounding decision-making at the individual clinical level, it is further complicated at the multi-speciality level for the senior doctors and surgeons referring to intensive care units. This is a systematic review of the existing literature about this decision-making process and the factors that help guide these decisions on both sides of the intensive care unit admission dilemma. We found many studies exist assessing the patient factors correlated with intensive care unit admission decisions. Analysing these together suggests that factors consistently found to be correlated with a decision to admit or refuse a patient from intensive care unit are bed availability, severity of illness, initial ward or team referred from, patient choice, do not resuscitate status, age and functional baseline. Less research has been done on the decision-making process itself and the factors that are important to the accepting intensivists; however, similar themes are seen. Even less research exists on referral decision and demonstrates that in addition to the factors correlated with intensive care unit admission decisions, other wider variables are considered by the referring non-intensivists. No studies are available that investigate the decision-making process in referring non-intensivists or the mismatch of processes and pressure between the two sides of the intensive care unit referral dilemma.

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Villegas, Marcela, Guillermo Oeding Angulo, Katya P. Lastra Terán, Luis E. Severino, Jorge Arango Castaño, Moisés Mebarak Chams und Raimundo Abello Llanos. „Psychological care in ICU focused on health providers and family members of patients in the COVID 19 pandemic“. Salud Uninorte 40, Nr. 1 (01.03.2024): 160–77. http://dx.doi.org/10.14482/sun.40.01.519.515.

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Currently, research emphasizes psychological support for families and health care provid-ers in the critical care unit, rather than patient care in each of the phases associated with the disease. In this article, we use the clinical case of a patient with COVID-19, critically ill, with multiple complications that lead to the discussion and proposal of protocols for comprehensive psychological care to patients, their families, and health care providers in critical care units. It is crucial, in the efforts required to achieve patient’s recovery and medical discharge, to integrate the patient into psychological care programs. Many of the sensations and emotions experienced in the ICU could produce physical reactions that hin-der the patient’s hemodynamic stability and recovery process. Few studies have been found on the usefulness of psychological or psychiatric care for patients with severe or critical COVID-19. Most of the recently reported studies are focused on psychological care for fam-ilies and health care providers.

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Kitsios, Georgios D. „Propensity score studies are unlikely to underestimate treatment effects in critical care medicine: a critical reanalysis“. Journal of Clinical Epidemiology 68, Nr. 4 (April 2015): 467–69. http://dx.doi.org/10.1016/j.jclinepi.2014.10.012.

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McFetridge, Brian, und Pat Deeny. „The use of case studies as a learning method during pre-registration critical care placements“. Nurse Education in Practice 4, Nr. 3 (September 2004): 208–15. http://dx.doi.org/10.1016/s1471-5953(03)00067-2.

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Gholamzadeh, Marsa, und Hamidreza Abtahi. „THE USAGE OF MEDICAL INFORMATICS IN CRITICAL CARE MEDICINE“. Medical Technologies Journal 1, Nr. 4 (29.11.2017): 100–101. http://dx.doi.org/10.26415/2572-004x-vol1iss4p100-101.

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Introduction: The intensive care unit can be defined as a complex system that composed of clinical informations, tasks and knowledge. It is also one of the most stressful and most vital parts of healthcare centers which involve a huge amount of information and clinical data daily. These informations should be analyzed and managed in the best way as soon as possible to restore patients to normal by health professionals. Accurate and timely diagnosis, the best treatment and to avoid any possible error in this section can be equivalent to achieve the best possible result and reducing the length of hospitalization and mortality. As a result, due to the complex nature of the critical care and the mass of clinical data; using a combination of medical knowledge with the latest technologies and use of medical informatics capabilities can be the best way to reduce the workload of the sector and improve the quality of patient care. Methods: A systematic search was conducted on the PubMed/MEDLINE, web of science, BMJ, ScienceDirect, and Scopus database for finding studies that have related to critical care and usage of informatics or medical informatics. The collected data and results are summarized by researchers and the results analyzed based on similarities and differences. Results: With increased development of medical informatics and electronic systems has led to substantial progress in the field of critical care since 1980 till now around the world. Several articles, research projects has published. From 1981 to 2016 almost 600 scientific papers were found which included reports, posters and thesis written in context of critical care medical informatics. More than 65 percent of these studies is about designing CDSS in this field. Today, many of these systems are used in medical centers around the world and lead to improving the quality of patient care and reduce medical errors in intensive care units. Among these 600 papers, 230 articles related to our issue in fields of the design of electronic records, clinical information systems, decision support systems, data mining, telemedicine, smart analysis of clinical information and knowledge extraction techniques were selected as the main source of this study. Conclusion: According to results of our study, it seems that critical care is potentially a valuable resource for medical informatics researches. The applied of medical informatics in the different fields of the diagnosis, interpretation, and treatment in different countries have improved the quality of care for patients in critical care field. We can mention some common fields which used such as infection control and early detection in intensive care units, clinical information systems, and CPOE and decision support systems such as APACHE system for grading the severity of illness of patients who hospitalized and even telemedicine. Since this area of research has not been a field of interest in Iran yet, it seems that this study with the aim of review the application of medical informatics in different countries could lead to practical researches in this field.

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Rubenfeld, Gordon D., und J. Randall Curtis. „Health status after critical illness: beyond descriptive studies“. Intensive Care Medicine 29, Nr. 10 (01.10.2003): 1626–28. http://dx.doi.org/10.1007/s00134-003-1855-3.

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