Relevant bibliographies by topics / Acute Setting

Academic literature on the topic 'Acute Setting'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Acute Setting"

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Muir, Keith W. "Stroke in the acute setting." Medicine 49, no. 3 (March 2021): 155–61. http://dx.doi.org/10.1016/j.mpmed.2020.12.008.

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Leary, Alison. "Education in the acute setting." Cancer Nursing Practice 4, no. 7 (September 2005): 22–23. http://dx.doi.org/10.7748/cnp.4.7.22.s19.

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Waters, Liz. "Haemophilia in the acute setting." Nursing Standard 8, no. 16 (January 12, 1994): 31–36. http://dx.doi.org/10.7748/ns.8.16.31.s43.

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Patanwala, Imran, Paul Richardson, Ian Gilmore, and Conall J. Garvey. "Jaundice in the acute setting." Medicine 45, no. 2 (February 2017): 98–103. http://dx.doi.org/10.1016/j.mpmed.2016.11.008.

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Muir, Keith W. "Stroke in the acute setting." Medicine 45, no. 3 (March 2017): 163–68. http://dx.doi.org/10.1016/j.mpmed.2016.12.008.

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Young, A. "Acute psychosis in clinical setting." European Psychiatry 17 (May 2002): 12. http://dx.doi.org/10.1016/s0924-9338(02)80054-2.

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Timmermans, Bart. "Stollingsproblematiek in de acute setting." Critical Care 9, no. 3 (June 2012): 12–15. http://dx.doi.org/10.1007/s12426-012-0053-0.

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Wetarini, Krisnhaliani, Ni Made Ratih Purnama Dewi, and Ni Made Widya Mahayani. "Acute angle closure glaucoma: management in acute attack setting." Bali Medical Journal 9, no. 1 (April 1, 2020): 386. http://dx.doi.org/10.15562/bmj.v9i1.1659.

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Balasanthiran, Anjali, Ben Zalin, Emma H. Baker, and Kevin Shotliff. "Hyperglycaemia in the acute care setting." Clinical Medicine 12, no. 3 (June 2012): 272–75. http://dx.doi.org/10.7861/clinmedicine.12-3-272.

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Brown, Sean, Peter Kirkbride, and Ernie Marshall. "Radiotherapy in the acute medical setting." Clinical Medicine 15, no. 4 (August 2015): 382–87. http://dx.doi.org/10.7861/clinmedicine.15-4-382.

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Dissertations / Theses on the topic "Acute Setting"

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Zalin, Anjali. "Stress hyperglycaemia in the acute care setting." Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/29751.

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Introduction: Stress hyperglycaemia (SH), defined as transient hyperglycaemia during illness, is seen in up to 50% of inpatients and may progress to glucose intolerance in a significant proportion. SH is also associated with increased mortality. Despite this, there is no consensus on definition and management. Existing work focuses on single disease groups, frequently reporting adverse outcomes and variable success with therapies. There is, however, a scarcity of work profiling individuals with SH in detail. It is hoped that this approach may contribute to individualised management and improved outcomes for people with the condition. Methods: The central hypotheses of this work focus on metabolic profiling and were examined through a prospective observational study. Participants were allocated into study groups based on glucose levels. A 30-day follow-up was organised for people with SH. Novel biomarkers, tools and a diabetes risk calculator were employed to provide the most detailed profile currently available of individuals with stress hyperglycaemia. Finally, results from the first multicentre trial to bear on the effect of metformin in SH are presented. Results: The prevalence of SH was 34% and 31% in prospective (n=62) and metformin (n=52) studies respectively. People with SH had lower fasting insulin levels and insulin resistance. Otherwise, few differences were found. Metabolic profile, glycaemic variability, and HbA1c values were similar in both groups. Metabolic abnormalities and marked glycaemic excursions were also seen in both groups. Metformin was well tolerated but did not result in significantly reduced glucose variability or levels during the study period. Conclusions: People with SH do not appear to be phenotypically different from people without the condition. Marked hyper- and hypoglycaemia are common in hospital patients despite apparent normal glucose levels. Increased vigilance as well as timely and appropriate interventions could significantly improve outcomes for these individuals.
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Belcher, Justin Miles. "Acute Kidney injury in the Setting of Cirrhosis." Thesis, Yale University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3663447.

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Acute kidney injury (AKI) is a common complication in patients with cirrhosis and is associated with significant mortality. Despite the overall poor outcomes, there exists hope for such patients as, unlike in the majority of setting of AKI, specific treatments are available which have been shown to improve renal function and mortality. However, historically intransient difficulties in differential diagnosis and prognosis have limited the extent to which such treatments can be appropriately utilized. In addition, though AKI has long been appreciated as a feared complication, the definitions of AKI employed in studies involving patients with cirrhosis have not been standardized, lack sensitivity, and have often been limited to narrow clinical settings. We conducted a multicenter, prospective observational cohort study of patients with cirrhosis and AKI, drawn from multiple hospital wards, utilizing the modern acute kidney injury network (AKIN) definition and assessed the association between AKI severity and progression with in-hospital mortality. Following this we investigated whether early changes in serum cystatin C levels were more closely associated with subsequent outcomes than similarly early changes in serum creatinine. We subsequently assessed whether novel biomarkers of kidney structural injury, measured on the day of fulfilling AKI criteria, can predict progression of AKI and mortality. Finally, we investigated the ability of biomarkers to assist with differential diagnosis and potentially change the way in which causes of AKI in cirrhosis are conceptualized.

192 patients were enrolled and included in the study. In the first phase, 85 (44%) of these were found to progress to a higher AKIN stage after initially fulfilling AKI criteria. Patients achieved a peak severity of AKIN stage 1, 26%, stage 2, 24%, and stage 3, 49%. Progression was significantly more common and peak AKI stage higher in non-survivors than survivors (p < 0.0001). After adjusting for baseline renal function, demographics and critical hospital and cirrhosis-associated variables, progression of AKI was independently associated with mortality (adjusted odds ratio = 3.8, 95% confidence interval (CI) 1.3-11.1). We conclude that AKI, as defined by AKIN criteria, in patients with cirrhosis is frequently progressive and severe and is independently associated with mortality in a stage-dependent fashion.

Unfortunately, accurately predicting which patients will experience the worst outcomes is challenging as serum creatinine correlates poorly with glomerular filtration in patients with cirrhosis and fluctuations may mask progression early in the course of AKI. Cystatin C, a low-molecular-weight cysteine proteinase inhibitor, is a potentially more accurate marker of glomerular filtration. In the second phase of our study we evaluated whether early changes in serum cystatin C would associate more strongly with a composite endpoint of dialysis or mortality than early changes in creatinine. Of 106 patients studied with at least 2 blood samples, 37 (35%) met the endpoint. Cystatin demonstrated less variability between samples than creatinine. Patients were stratified into four groups reflecting changes in creatinine and cystatin: both unchanged or decreased 38 (36%) (Scr-/CysC-); only cystatin increased 25 (24%) (Scr-/CysC+); only creatinine increased 15 (14%) (Scr+/CysC-); and both increased 28 (26%) (Scr+/CysC+). With Scr-/CysC- as the reference, in both instances where cystatin rose, Scr-/CysC+ and Scr+/CysC+, the primary outcome was significantly more frequent in multivariate analysis, P = 0.02 and 0.03, respectively. However, when only creatinine rose, outcomes were similar to the reference group. We therefore concluded that changes in cystatin levels early in AKI are more closely associated with eventual dialysis or mortality than creatinine and may allow more rapid identification of patients at risk for adverse outcomes.

The next aspect of the study evaluated urinary biomarkers, including neutrophil gelatinase-associated lipocalin (NGAL), IL-18, kidney injury molecule-1 (KIM-1), liver-type fatty acid-binding protein (L-FABP), albuminuria and the fractional excretion of sodium (FENa) as predictors of AKI progression and in-hospital mortality. Of 188 patients with available urine samples, 44 (23%) experienced AKI progression alone and 39 (21%) suffered both progression and death during their hospitalization. NGAL, IL-18, KIM-1, L-FABP and albuminuria were significantly higher in patients with AKI progression and death. These biomarkers were independently associated with this outcome after adjusting for key clinical variables including model of end stage liver disease score, IL-18 (relative risk [RR], 4.09; 95% CI, 1.56 to 10.70), KIM-1 (RR, 3.13; 95% CI, 1.20 to 8.17), L-FABP (RR, 3.43; 95% CI, 1.54 to 7.64), and albuminuria (RR, 2.07; 95% CI, 1.05-4.10) per log change. No biomarkers were independently associated with progression without mortality. FENa demonstrated no association with worsening of AKI. When added to a robust clinical model, only IL-18 independently improved risk stratification on a net reclassification index. This phase of the study demonstrated that multiple structural biomarkers of kidney injury, but not FENa, are independently associated with progression of AKI and mortality in patients with cirrhosis. However, injury marker levels were similar between those without progression and those with progression alone.

Knowledge of which patients are at the highest risk of adverse outcomes may allow for earlier targeting of treatments but only if clinicians can may objective, accurate diagnoses as to the cause of AKI. The most common etiologies of AKI in this cirrhosis are prerenal azotemia (PRA), acute tubular necrosis (ATN) and hepatorenal syndrome (HRS). However, establishing an accurate differential diagnosis is extremely challenging. Urinary biomarkers of kidney injury distinguish structural from functional causes of AKI and we hypothesized that they may facilitate more accurate and rapid diagnoses. In the next phase of our study we therefore assessed multiple biomarkers for differential diagnosis in clinically adjudicated AKI. Patients (n = 36) whose creatinine returned to within 25% of their baseline within 48 hours were diagnosed with PRA. In addition, 76 patients with progressive AKI were diagnosed by way of blinded retrospective adjudication. Of these progressors, 39 (53%) patients were diagnosed with ATN, 19 (26%) with PRA, and 16 (22%) with HRS. Median values for neutrophil gelatinase-associated lipocalin (NGAL), interleukin-18 (IL-18), kidney injury molecule-1 (KIM-1), liver-type fatty acid binding protein (L-FABP), and albumin differed between etiologies and were significantly higher in patients adjudicated with ATN. The fractional excretion of sodium (FENa) was lowest in patients with HRS, 0.10%, but did not differ between those with PRA, 0.27%, or ATN, 0.31%, P = 0.54. The likelihood of being diagnosed with ATN increased step-wise with the number of biomarkers above optimal diagnostic cutoffs. From these results we concluded that urinary biomarkers of kidney injury are in fact elevated in patients with cirrhosis and AKI due to ATN and that incorporating biomarkers into clinical decision making has the potential to more accurately guide treatment by establishing which patients have structural injury underlying their AKI.

Unfortunately, despite these promising results, it is likely that, as long as the focus is on assigning patients one of three distinct diagnoses, there will always be overlap in biomarkers values between groups such that, on the individual rather than population level, their utility will not be fully optimized. In the final phase of our study we evaluated a diagnostic algorithm utilizing optimal cutoffs for FENa and NGAL and the current diagnostic categories of PRA, ATN and HRS. In conclusion, we suggest moving beyond current diagnoses by instead attempting to physiologically phenotype patients using both function (FENa, urinary cystatin C) and structural (NGAL) urinary biomarkers. Figures are presented demonstrating that patients fall into distinct physiologic clusters which may allow more precise targeting of therapies.

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Boye-Doe, Sylvia B. "Improving Fall Prevention Strategies in an Acute-Care Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3337.

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Falls with or without injuries among the elderly have become a public health concern, with falls among adults age 65 years and older increasing every year. Nurses play a role in ensuring patient safety by following fall prevention guidelines. The purpose of this evidence-based study was to implement the RE-AIM evaluation tool to determine the impact of the Safe Five program on staff compliance with the program; patients' awareness of the need for falls prevention; and falls among older adults, ages 65 years and older, admitted to an acute care nursing unit. The literature supports implementing a falls prevention program with multifactorial and interdisciplinary components, and an evaluation plan to help decrease falls in acute care settings. The Safe Five falls prevention program was implemented on the acute care nursing unit in an effort to decrease the inpatient falls rate on the unit. The inpatient falls data were collected retrospectively, 2 years pre implementation of the Safe Five program, and 8 to 10 months post implementation. Data were collected from the Safe Five checklists, recorded inpatient fall rates, and high fall risk chart audits provided by staff and nurse manager; they were then analyzed using the RE-AIM evaluation tool. The long-term effects of the Safe Five program include an 18% increase in patients' awareness of the importance of preventing falls, an 18% increase in staff compliance with the program, and a 14% decrease in inpatient fall rate on the unit. It is projected that the decrease in inpatient falls will result in decreased healthcare costs and improved patient satisfaction with the healthcare system, communication among the interdisciplinary team, and health outcomes for the patients.
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Philyaw, Charlotte Evette. "Preventing Urinary Tract Infections in the Acute Care Setting." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2574.

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More than 13,000 deaths and $340 million in health care costs are the result of catheter-associated urinary tract infections (CAUTIs) annually in the United States. CAUTIs can also result in acute patient discomfort and potentially preventable exposure to antibiotics. The hospital for which this quality improvement project was developed was above the National Healthcare Safety Network CAUTI bench mark. Framed within the Iowa model of evidence-based practice, a multidisciplinary team of 8 hospital stakeholders guided the project (n=8). The purpose of the project was to develop an indwelling urinary catheter maintenance checklist using evidence-based practice guidelines related to preexisting inappropriate risk factors for catheterization and appropriate indications for catheterization, as well as evidence-based maintenance practices for care of the indwelling catheter. Each piece of evidence to be included in the checklist was evaluated by 4 content experts using a 10 item 5 point Likert scale ranging from 'strongly disagree' to 'strongly agree'. Descriptive analysis showed an average of 4.8/5 for all items with 'agree' being voiced in two of the items rather than 'strongly agree'. The checklist was completed and presented to hospital senior leadership who recommended that the checklist be incorporated into the hospital CAUTI prevention plan. All project team members (n=8) completed an 8 item 5 point Likert scale summative evaluation of the purpose, goal, objectives, and my leadership which averaged as 5 or 'strongly agree' supporting the development of the project. Implications for social change include improved patient outcomes, mindful stewardship of healthcare dollars, and increased patient and family satisfaction.
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Pugliese, Michael. "Mobile Tablet-Based Stroke Rehabilitation in the Acute Care Setting." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/37016.

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Introduction: The number of stroke survivors living with post-stroke deficits is increasing worldwide. Although stroke rehabilitation can improve these deficits and promote the recovery of function when initiated early post-stroke, many survivors are not able to access rehabilitation because of a lack of resources. Early mobile tablet-based stroke rehabilitation may be a feasible means of improving access to recovery promoting therapies. Objective: To summarize and advance the knowledge of early mobile tablet-based therapies (MTBTs) for stroke survivors with regards to feasibility and barriers to care. Methods: This thesis is comprised of two major studies. (1) A scoping review summarizing the literature for MTBTs following stroke. (2) A cohort study testing the feasibility of a MTBT for post-stroke communication, cognitive, and fine-motor deficits. Results: (1) Twenty-three studies of MTBTs following stroke were identified. Most of these therapies targeted communication or fine-motor deficits, and involved patients in the chronic stages of stroke. Barriers to care were summarized. (2) A 48% recruitment rate was achieved and therapy was administered a median of four days post-stroke. However, therapy adherence was very low because of frequently encountered barriers to care. Conclusions: Stroke survivors are interested in using tablet technology to assist with their post-stroke recovery. However, early MTBT post-stroke may be challenging for some survivors because of encountered barriers to care. Regular patient-therapist communication using a convenient method of interaction appears necessary to minimize barriers and to help patients overcome barriers when they occur.
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Brown, April Samantha. "Modern matrons in an acute setting : a qualitative case study." Thesis, University of Hertfordshire, 2013. http://hdl.handle.net/2299/12304.

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The arrival of the modern matron into the NHS acute setting in 2001 was in response to increased public and political concern regarding standards of nursing care and the quality of patient care. As a politically motivated initiative, the modern matron role and its relationship with the concept of the traditional matron has been extensively debated. The aims of this study were to explore: 1. How far the modern matron represents continuity between the traditional matrons of the mid 20th century and the present day. 2. What socio-political forces led to the development and establishment of the modern matron? 3. From the perspective of health professionals, what impact has the modern matron had on the quality of patient care? Adopting a case study design underpinned by realistic evaluation, the study involved interviewing patients and a carer, a focus group and interviews with staff and national policy leads. Documentary analysis was undertaken on a set of traditional matron archives. A number of key themes emerged from the research, including: the importance of uniform and visibility, patient expectations, the impact of policy processes and the political rationale for national policy change. Conflict between ensuring nursing quality and operational demands, which acts as a barrier to the modern matron role, was also found. Long-held assumptions about the functions and the positioning of the traditional matron are explored, with continuity and divergence between the traditional and modern matron roles revealed. Using a realistic evaluation approach, the findings were framed whilst considering the structural and generative elements, which resulted in social interplay or visible phenomena and provided an explanation for the predicament of the modern matron. The key conclusions were that national policy decisions appeared to be diluted once locally implemented. Modern matrons in part did positively impact on care quality. The introduction of modern matrons and the quality agenda may have been the start of a national discussion about how to continually improve patient care in an arena where intermittent care quality challenges which give concern. The effect of previous national policies that impacted on senior nurses may have diverted them away from their core purpose – patient care. The modern matron guidance may have been limited before publication by the inference within it about limiting the authority of the new post-holders. There was limited evidence of the modern matrons’ visibility to patients and this was reflected by the traditional matron’s accounts. The expectation of modern matrons’ physical presence may have been drawn from assumptions embedded in nostalgia and media portrayal of the traditional matron. The thesis concludes with implications for strategic nurse leaders and national policy leads to consider how the organisational arrangements for secondary care can best support and secure the ultimate aim of consistent provision of good quality nursing care.
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Lungui, Ilona. "Hand Hygiene and Compliance Rates in an Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6454.

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Hospital-acquired infections (HAIs) are a significant problem faced by healthcare organizations globally. The Centers for Disease Control reported that in 2014, 722,000 patients acquired an HAI, and of those, 75,000 died as a result. This project focused on reeducating healthcare staff on hand hygiene practices to prevent HAIs. Preintervention hand hygiene compliance rates were compared to postintervention hand hygiene compliance rates on 2 units in an acute care setting to evaluate if reeducation of healthcare staff on hand hygiene protocols and practices would increase hand hygiene compliance rates. The evidence-based practice model used for this project was Nightingale's environmental theory. The research question for the study examined the effectiveness of hand hygiene reeducation on hand hygiene compliance rates. Participants included 97 nurses and ancillary staff. Hand hygiene compliance rates were compared 1 month before and 1 month after healthcare staff reeducation. Results showed an 18% increase in compliance rates following reeducation. These results might effect positive social change by reinforcing that reeducation has an impact on compliance rates for hand hygiene among nursing and ancillary staff in acute care settings.
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Belcher, Janet Maxine. "Quality Initiative to Reduce Falls in an Acute Care Setting." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7599.

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Falls are the most frequently reported incidents among hospitalized patients in the United States with at least 4 falls per 1,000 patient days occurring annually. Falls are related to high rates of mortality and morbidity and high hospital costs. The purpose of this project was to evaluate a fall prevention quality initiative to reduce falls in an acute care facility by educating staff on an evidence-based fall prevention protocol. The project sought to explore whether implementation of an evidence-based fall prevention initiative in educating nurses would affect the nurses’ professional knowledge and the number of patient fall incidences in the cardiac care unit. The theoretical framework supporting this project was Neuman’s systems theory. The Iowa model was used to guide this evidence-based project. An educational session was implemented to increase nurses’ awareness of fall prevention practices. Two sets of data were collected: the pretest and posttest results, and the number of falls on the unit. A total of 21 unit nurses participated in the pretest; 18 (86.0%) completed the posttest. The mean score on the pretest was 81.62%; the mean score was 85.89% for the posttest with a mean difference of 4.27%. A paired sample t-test revealed no statistically significant differences in scores after education. This project has implications for social change by supporting patient safety, decreased hospital stays, and reduced health care expenses to patients and health care organizations.
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Lad, Raina, Nisha Maymana, Trishna Kuber, and Lisa Goldstone. "Second Generation Antipsychotic Prescribing Patterns in an Acute Inpatient Psychiatric Setting." The University of Arizona, 2016. http://hdl.handle.net/10150/613987.

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Class of 2016 Abstract
Objectives: To determine if prescribers took into consideration patients’ metabolic risk factors when prescribing a low, medium or high risk second generation antipsychotic and if non-metabolic risk factors influenced prescribing. Methods: Adults 18 years or older who were admitted to an acute inpatient psychiatry unit and ordered at least one SGA were included in the study. Each patient’s metabolic syndrome risk score was determined using retrospective chart review and they were subsequently divided into low or high-risk groups. Clozapine and olanzapine were categorized as high risk for causing weight gain and diabetes, risperidone and quetiapine were moderate risk, and all others were considered low risk. A chi square test compared the two groups in regard to type of SGA selected, gender, and race, while an independent t-test analyzed the differences in age. Results: 300 patients were analyzed and divided into high (n=57) and low (n=253) risk groups. For the low risk group, 10.7%, 55.1%, and 34.2% were prescribed a low, moderate, or high risk SGA, respectively. For the high-risk group 17.5%, 56.1%, and 26.3% were prescribed a low, moderate, or high risk SGA, respectively. The type of SGA selected was not significantly different between the groups (p=0.262). Equivalence was shown between the two groups in terms of gender and race (p=0.68, p=0.65 respectively). Age was significantly different (p< 0.01). Conclusions: Prescribers may not consider metabolic risk factors when prescribing high risk SGAs such as clozapine and olanzapine.
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Baillie, Lesley. "A case study of patient dignity in an acute hospital setting." Thesis, London South Bank University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487082.

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UK healthcare policies emphasise that patients' dignity should be respected. However, studies indicate that hospital patients are vulnerable to a loss of dignity. There is a dearth of research relating to patient dignity generally and little research ~as been undertaken in acute hospital settings specifically. A qualitative case study examined the meaning of patient dignity and how patient, staff and environmental factors affect patients' dignity. The study's setting was a surgical ward, specialising in urology, and ethical approval was obtained. Data were collected from post discharge interviews with patients (n=12); four-hour periods of participant observation (n=12) with follow-up interviews with patients (n=12) and staff (n=13); observation of staff handovers (n=12); interviews with senior nurses (n=6); and examination of Trust documents. Data were analysed using Ritchie and Spencer's (1994) framework approach. A model of patient dignity was presented to portray the definition which developed from the findings: 'Patient dignity is feeling valued and comfortable psychologically with one's physical presentation and behaviour, level of control over the situation, and the behaviour of other people in the environment'. Lack of privacy in hospital threatened dignity, heightened by bodily exposure and a mixed sex environment. A conducive physical environment, a dignity-promoting culture and leadership, and other patients' support promoted patient dignity. Staff being curt, authoritarian and breaching privacy threatened dignity. Staff promoted dignity by providing privacy and interactions which made patients feel comfortable, in control and valued. Patients' impaired health threatened dignity due to loss of function, intimate procedures and psychological impact. Patients promoted their own dignity through their attitudes and developing relationships with staff. A second model was constructed to portray how patients' dignity is threatened or promoted by staff behaviour, the hospital environment and patient factors. The results emphasise that staff behaviour and the hospital environment have an important impact on whether patient dignity is threatened or promoted. However, patient factors can also promote dignity.
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Books on the topic "Acute Setting"

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Booth, Sara. Palliative care in the acute hospital setting: A practical guide. Oxford: Oxford University Press, 2010.

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Sara, Booth. Palliative care in the acute hospital setting: A practical guide. Oxford: Oxford University Press, 2010.

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Booth, Sara. Palliative care in the acute hospital setting: A practical guide. Oxford: Oxford University Press, 2010.

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Dr, Booth Sara, Edmonds Polly, and Kendall Margaret, eds. Palliative care in the acute hospital setting: A practical guide. Oxford: Oxford University Press, 2010.

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Royal College of Physicians of London. Acute Medicine Task Force. Acute medical care: The right person, in the right setting, first time. London: Royal College of Physicians of London, 2007.

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McKenna, Monica Erin. The experience of a spinal cord injured person in the acute setting. Ottawa: National Library of Canada, 1994.

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Pantall, John. "Sperrin Lakeland Hospital: Developing acute services in a rural setting" : a discussion documenton acute services in Sperrin Lakeland : the future. Manchester: Health Services Management Unit, Manchester University, 1996.

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Lordan-Dunphy, Maria. A workplace health needs assessment of staff working in an acute hospital setting. [s.l: The Author], 2001.

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Webster, B. J. Sexuality: A study of nursing skill and interventions within an acute medical setting. Oxford: Oxford Brookes University, 2001.

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Clinical Standards Board for Scotland. Stroke services: Care of the patient in the acute setting : clinical standards - March 2004. Edinburgh: Clinical Standards Board for Scotland, 2004.

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Book chapters on the topic "Acute Setting"

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Mitchell, Gordon, Chris Stanbury, and Sheila Arnold. "Acute In-patient Setting." In Mental Health Nursing, 307–34. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-4039-9756-2_22.

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McSwain, Norman E. "Prehospital Care in the Acute Setting." In Acute Care Surgery, 202–28. New York, NY: Springer New York, 2007. http://dx.doi.org/10.1007/978-0-387-69012-4_15.

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Lynge, Dana Christian, Nicholas W. Morris, and John G. Hunter. "Acute Care Surgery in the Rural Setting." In Acute Care Surgery, 194–201. New York, NY: Springer New York, 2007. http://dx.doi.org/10.1007/978-0-387-69012-4_14.

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Coccolini, Federico, Giulia Montori, Marco Ceresoli, Fausto Catena, and Luca Ansaloni. "Scientific Research in Emergency Surgery Setting." In Acute Care Surgery Handbook, 39–53. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-15341-4_3.

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Ichai, Carole, and Diane Lena. "Hyponatremia in the Setting of Acute Heart Failure Syndrome." In Acute Heart Failure, 786–96. London: Springer London, 2008. http://dx.doi.org/10.1007/978-1-84628-782-4_72.

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Kitai, Yuichiro, Takeshi Matsubara, and Motoko Yanagita. "AKI in Setting of Cancer." In Acute Kidney Injury and Regenerative Medicine, 111–24. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-1108-0_9.

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López-Sendón, José, and Esteban López de Sá. "Acute Heart Failure in the Setting of Acute Coronary Syndromes." In Acute Heart Failure, 168–82. London: Springer London, 2008. http://dx.doi.org/10.1007/978-1-84628-782-4_17.

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Roux, Damien, and Jean-Damien Ricard. "Pulmonary Disease in the Setting of Acute Heart Failure Syndrome." In Acute Heart Failure, 797–806. London: Springer London, 2008. http://dx.doi.org/10.1007/978-1-84628-782-4_73.

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Boldt, David W., and Aman Mahajan. "Echocardiography in the Acute Care Setting." In Monitoring Technologies in Acute Care Environments, 79–86. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8557-5_11.

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Dervaux, Nathalie, Gilles Montalescot, and Alexandre Mebazaa. "Antiplatelets and Anticoagulation in the Setting of Acute Heart Failure Syndrome." In Acute Heart Failure, 639–52. London: Springer London, 2008. http://dx.doi.org/10.1007/978-1-84628-782-4_59.

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Conference papers on the topic "Acute Setting"

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Dickinson, Mike, Mark Pimblett, Lorna Lees, and Jackie Hanson. "0077 Resiliance And Response In An Acute Trust Setting." In Association for Simulated Practice in Healthcare Annual Conference 11–13 November 2014 Abstracts. The Association for Simulated Practice in Healthcare, 2014. http://dx.doi.org/10.1136/bmjstel-2014-000002.78.

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Ortiz De Urbina Antia, Borja, Eva Tabernero Huguet, Beatriz Gonzalez, Lorea Martinez Indart, Elena Garay, Joseba Andia, and Milagros Iriberri. "Patients with palliative needs in an acute respiratory setting." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.pa605.

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Hilvers, Pamela, Stephanie Grayson, Ashlee Smith, Alison Ardito, Cheryl Walton, and Giovanni Piedimonte. "Detection Of Aerosolized RSV In An Pediatric Acute Care Clinic Setting." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5485.

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Jacxsens, E., H. Van den Ameele, J. De Fruyt, Y. Vandekerckhove, F. Vancoillie, and V. Grootaert. "DI-021 Qt prolongation in an acute psychiatric setting: fact or fiction?" In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.268.

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Tian, Qiang, Kiu Lam Chung, Rusong Guo, and Shan Wu. "The immediate effects of Chinese bone-setting in patients with acute ankle sprain." In 2013 IEEE International Conference on Bioinformatics and Biomedicine (BIBM). IEEE, 2013. http://dx.doi.org/10.1109/bibm.2013.6732684.

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Li, Yikuan, Liang Yao, Chengsheng Mao, Anand Srivastava, Xiaoqian Jiang, and Yuan Luo. "Early Prediction of Acute Kidney Injury in Critical Care Setting Using Clinical Notes." In 2018 IEEE International Conference on Bioinformatics and Biomedicine (BIBM). IEEE, 2018. http://dx.doi.org/10.1109/bibm.2018.8621574.

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Tian, Qiang, Kiulam Chung, Rusong Guo, Zhenbao Li, and Shan Wu. "The immediate effects of Chinese bone-setting in patients with acute ankle sprain." In 2012 IEEE International Conference on Bioinformatics and Biomedicine Workshops (BIBMW). IEEE, 2012. http://dx.doi.org/10.1109/bibmw.2012.6470350.

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Pajak, A., and D. J. Valentino. "Acute Eosinophilic Pneumonia in the Setting of Daptomycin Infusion Masquerading as Multifocal Pneumonia." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a4935.

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Goodwin, Peter, and Mark Banting. "22 Opioid prescriptions and patient understanding of opioids within an acute hospital setting." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.43.

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Miglani, Amar, Naresh P. Patel, Brar K. Tripti, and Devyani Lal. "Rathke's Cleft Cyst in Setting of COVID-19 Infection Causing Acute Visual Decompensation." In 31st Annual Meeting North American Skull Base Society. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1743898.

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Reports on the topic "Acute Setting"

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Sobieraj, Diana M., William L. Baker, Brandon K. Martinez, Benjamin Miao, Adrian V. Hernandez, Craig I. Coleman, Mark X. Cicero, and Richard A. Kamin. Comparative Effectiveness of Analgesics To Reduce Acute Pain in the Prehospital Setting. Agency for Healthcare Research and Quality (AHRQ), September 2019. http://dx.doi.org/10.23970/ahrqepccer220.

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Maiko, O. Yu. THE EFFICACY OF KETOPROFEN AND MELOXICAM FOR ACUTE GOUTY ARTHRITIS IN AN OUTPATIENT SETTING. Планета, 2018. http://dx.doi.org/10.18411/978-5-907109-24-7-2018-xxxiv-83-85.

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Sciammarella, Francesco. Pilot Study to Enhance Recovery Through Physical Activity and Healthy Lifestyles in an Acute Psychiatric Day Hospital Setting. National Institute for Health Research, July 2021. http://dx.doi.org/10.3310/nihropenres.1115158.1.

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Tsou, Amy Y., Savvas Pavlides, Laura Koepfler, and Coyne Drummond. No-Touch Modalities for Disinfecting Patient Rooms in Acute Care Settings. Agency for Healthcare Research and Quality (AHRQ), October 2020. http://dx.doi.org/10.23970/ahrqepccovidnotouch.

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Osorio, Dimelza. Do paper-based safety checklists improve patient safety in acute hospital settings? SUPPORT, 2016. http://dx.doi.org/10.30846/1608112.

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Quak, Evert-jan. Lessons Learned from Community-based Management of Acute Malnutrition (CMAM) Programmes that Operate in Fragile or Conflict Affected Settings. Institute of Development Studies (IDS), September 2021. http://dx.doi.org/10.19088/k4d.2021.133.

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This rapid review synthesises the literature on how community-based management of acute malnutrition (CMAM) programmes could be adapted in settings of conflict and fragility. It identifies multiple factors affecting the quality and effectiveness of CMAM services including the health system, community engagement and linkages with other programmes, including education, sanitation, and early childhood development. Family MUAC (Mid-Upper Arm Circumference) is a useful tool to increase community participation and detect early cases of moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) more effectively and less likely to require inpatient care. The literature does not say a lot about m-Health solutions (using mobile devises and applications) in data collection and surveillance systems. Many of the above-mentioned issues are relevant for CMAM programmes in settings of non-emergency, emergency, conflict and fragility. However, there are special circumstance in conflict and fragile settings that need adaptation and simplification of the standard protocols. Because of a broken or partly broken health system in settings of conflict and fragility, local governments are not able to fund access to adequate inpatient and outpatient treatment centres. NGOs and humanitarian agencies are often able to set up stand-alone outpatient therapeutic programmes or mobile centres in the most affected regions. The training of community health volunteers (CHVs) is important and implementing Family MUAC. Importantly, research shows that: Low literacy of CHVs is not a problem to achieve good nutritional outcomes as long as protocols are simplified. Combined/simplified protocols are not inferior to standard protocols. However, due to complexities and low funding, treatment is focused on SAM and availability for children with MAM is far less prioritised, until they deteriorate to SAM. There is widespread confusion about combined/simplified protocol terminology and content, because there is no coherence at the global level.
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Jenkins, J. Lee, Edbert B. Hsu, Anna Russell, Allen Zhang, Lisa M. Wilson, and Eric B. Bass. Infection Prevention and Control for the Emergency Medical Services and 911 Workforce. Agency for Healthcare Research and Quality (AHRQ), November 2022. http://dx.doi.org/10.23970/ahrqepctb42.

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Objectives. To summarize current evidence on exposures to infectious pathogens in the emergency medical services (EMS) and 911 workforce, and on practices for preventing, recognizing, and controlling occupationally acquired infectious diseases and related exposures in that workforce. Review methods. We obtained advice on how to answer four Guiding Questions by recruiting a panel of external experts on EMS clinicians, State-level EMS leadership, and programs relevant to EMS personnel, and by engaging representatives of professional societies in infectious diseases and emergency medicine. We searched PubMed®, Embase®, CINAHL®, and SCOPUS from January 2006 to March 2022 for relevant studies. We also searched for reports from State and Federal Government agencies or nongovernmental organizations interested in infection prevention and control in the EMS and 911 workforce. Results. Twenty-five observational studies reported on the epidemiology of infections in the EMS and 911 workforce. They did not report demographic differences except for a higher risk of hepatitis C in older workers and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in minorities. EMS clinicians certified/licensed in Advanced Life Support have a high risk for blood and fluid exposure, and EMS clinicians had a higher risk of hospitalization or death from SARS-CoV-2 than firefighters whose roles were not primarily related to medical care. Eleven observational studies reported on infection prevention and control practices (IPC), providing some evidence that hand hygiene, standard precautions, mandatory vaccine policies, and on-site vaccine clinics are effective. Research on IPC in EMS and 911 workers has increased significantly since the SARS-CoV-2 pandemic. Conclusions. Moderate evidence exists on the epidemiology of infections and effectiveness of IPC practices in EMS and 911 workers, including hand hygiene, standard precautions, mandatory vaccine policies, and vaccine clinics. Most evidence is observational, with widely varying methods, outcomes, and reporting. More research is needed on personal protective equipment effectiveness and vaccine acceptance, and better guidance is needed for research methods in the EMS and 911 worker setting.
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Wang, Xiao, Hong Shen, Yujie Liang, Yixin Wang, Meiqi Zhang, and Hongtao Ma. Effects of physical activity interventions for post-COVID-19 patients: A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0036.

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Review question / Objective: Coronavirus disease 2019 (COVID-19) is a novel infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has caused a huge impact in many countries and has attracted great attention from countries around the world. However, since the outbreak of the COVID-19 pandemic, most attention has focused on containing transmission and addressing the surge of critically ill patients in acute care settings. As we enter the second phase of the pandemic, emphasis must evolve to post care of COVID-19 survivors. A variety of persistent symptoms, such as severe fatigue, shortness of breath, and attention disorder have been reported at several months after the onset of the infection. We urgently need to identify safe and effective COVID-19 rehabilitative strategies. Overwhelming evidence exists that physical activity produces short-, middle- and long-term health benefits that prevent, delay, mitigate and even reverse a large number of metabolic, pulmonary and cardiovascular diseases. The purpose of this study was to evaluate the effects of physical activity interventions for rehabilitation of post-covid-19 patient and provide a reliable method and credible evidence to improve the prognosis of post-COVID-19 patients via systematic review and meta-analysis.
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Silva, Paula. Strengthening Urban Resilience: Five emerging lessons. Oxfam, November 2021. http://dx.doi.org/10.21201/2021.8403.

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Strengthening urban resilience is key to achieving Oxfam's vision of a world without poverty. Urbanization has become a major challenge for almost all countries around the globe. Cities and city inhabitants are facing additional and amplified challenges as a result of rapid urbanization, a changing climate and rising inequality in urban areas. The COVID-19 crisis has further highlighted the importance of strengthening inclusive urban resilience to acute shocks and chronic stresses. Oxfam's Resilience Knowledge Hub conducted the Urban Resilience Learning Exchange (URLE) project with pilot programmes in Jordan, Pakistan, Nepal, South Africa, Kenya and Bangladesh to develop a better understanding of what it takes to build resilience in urban settings. This paper summarizes the learning from the pilots and looks at how Oxfam can further strengthen its urban resilience programming.
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Hauer, Klaus, Ilona Dutzi, Christian Werner, Jürgen M. Bauer, and Phoebe Ullrich. Implementation of intervention programs specifically tailored for patients with CI in early rehabilitation during acute hospitalization: a scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0067.

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Review question / Objective: What is the current status of implementation of interventional programs on early functional rehabilitation during acute, hospital-based medical care, specifically tailored for older patients with CI and what are the most appropriate programs or program components to support early rehab in this specific population? This study combines a systematic umbrella review with a scoping review. While an umbrella review synthesizes knowledge by summarizing existing review papers, a scoping review aims to provide an overview of an emerging area, extracting concepts and identify the gaps in knowledge. The study focuses on older hospitalized adults (>65 yrs.) receiving ward based early rehabilitation. The focus within this review is on study participants with cognitive impairment or dementia. The study targets at controlled trials independent of their randomization procedure reporting on an early functional rehabilitation during hospitalization. Trials that were conducted in different or mixed settings (e.g. inpatient and aftercare intervention) without a clear focus on hospital based rehabilitation were excluded. The study aim is to identify the presence of CI specific features for early rehabilitation including: CI/dementia assessment, sub-analysis of results according to cognitive status, sample description defined by cognitive impairment, program modules specific for geriatric patients CI.
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