Log in

Relevant bibliographies by topics / Intensive care units - Evaluation / Journal articles

Journal articles on the topic 'Intensive care units - Evaluation'

To see the other types of publications on this topic, follow the link: Intensive care units - Evaluation.

Author: Grafiati

Published: 4 June 2021

Last updated: 7 February 2022

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 journal articles for your research on the topic 'Intensive care units - Evaluation.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.

1

BAYRAKCI, Benan, Selman KESİCİ, Tanıl KENDİRLİ, Gökhan KALKAN, Aydın SARI, Necvan TOKMAK, Gökmen YILMAZ, Orkun BALOĞLU, and İrfan ŞENCAN. "Evaluation report of pediatric intensive care units in Turkey." TURKISH JOURNAL OF MEDICAL SCIENCES 44 (2014): 1073–86. http://dx.doi.org/10.3906/sag-1307-102.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

ÜZEN CURA, Şengül, Aysel ÖZSABAN, and Ela YILMAZ COŞKUN. "EVALUATION OF BEHAVIORAL CARE SCALES USED IN INTENSIVE CARE UNITS: SISTEMATIC REVIEW." INTERNATIONAL REFEREED JOURNAL OF NURSING RESEARCHES, no. 13 (2018): 0. http://dx.doi.org/10.17371/uhd.2018.2.5.

Full text

APA, Harvard, Vancouver, ISO, and other styles

3

Premaratne, S., H. Jagoda, M. M. Ikram, and A. Abayadeera. "Acquired-Hypernatraemia in the Intensive Care Units." Open Anesthesiology Journal 10, no. 1 (February 10, 2016): 1–7. http://dx.doi.org/10.2174/1874321801610010001.

Full text

Abstract:

Objectives: Determine the incidence and predisposing factors of acquired-hypernatraemia in the intensive care units (ICU) and its impact on the outcome. Design: Observational cross-sectional study with prospective analysis. Setting: Surgical, medical and trauma intensive care units of National Hospital of Sri Lanka. Study Population: 174 consecutive patients were included in this study. Definition: Hypernatraemia was defined as serum sodium concentration > 145 mmol/l. Results: 74 patients (42.5%) developed hypernatraemia after admission to the intensive care units. Incidence in medical, surgical and trauma ICUs were 47%, 48% and 31% respectively. Significantly lower incidence was reported in patients with trauma compared to the patients from the other two ICUs. High APACHE II (Acute Physiology and Chronic Health Evaluation) score, low GCS (Glasgow Coma Scale), organ dysfunction, transfusion of blood and blood products were associated with an increased incidence of hypernatraemia. Hypernatraemic patients had received significantly greater volume of intravenous fluids exceeding their daily fluid requirement. Compared to normonatraemic patients, hypernatraemic patients demonstrated a longer length of stay (LOS) in the ICU (mean 4.8 days versus 11 days, p< 0.001) and a higher ICU-mortality rate (15% versus 43%, p<0.001). Conclusions: Severity of the illness, inappropriate intravenous fluid therapy and blood transfusions contribute to the incidence of hypernatraemia in intensive care units. It is associated with increased risk of ICU-mortality and longer length of stay in the ICU.

APA, Harvard, Vancouver, ISO, and other styles

4

Tutanc, Murat, Tanju Celik, Fatmagul Basarslan, Ali Gunes, Capan Konca, Servet Yel, and Mehmet Bosnak. "Evaluation of Cases of Diabetic Ketoascidosis in Intensive Care Units." Journal of Dr. Behcet Uz Children's Hospital 1, no. 3 (December 10, 2011): 121–25. http://dx.doi.org/10.5222/buchd.2011.121.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Thrall, Samuel, Margaret K. Doll, Charles Nhan, Milagros Gonzales, Thérèse Perreault, Philippe Lamer, and Caroline Quach. "Evaluation of pentavalent rotavirus vaccination in neonatal intensive care units." Vaccine 33, no. 39 (September 2015): 5095–102. http://dx.doi.org/10.1016/j.vaccine.2015.08.015.

Full text

APA, Harvard, Vancouver, ISO, and other styles

6

Park, Sojin, Yongwon In, Gee young Suh, Kieho Sohn, and Eunyoung Kim. "Evaluation of adverse drug reactions in medical intensive care units." European Journal of Clinical Pharmacology 69, no. 1 (June 7, 2012): 119–31. http://dx.doi.org/10.1007/s00228-012-1318-2.

Full text

APA, Harvard, Vancouver, ISO, and other styles

7

Van Berkel, Megan, Marina Rabinovich, and Andrea Newsome. "913: EVALUATION OF CRITICAL CARE PHARMACIST-TO-PATIENT RATIOS IN INTENSIVE CARE UNITS." Critical Care Medicine 46, no. 1 (January 2018): 440. http://dx.doi.org/10.1097/01.ccm.0000528920.59351.25.

Full text

APA, Harvard, Vancouver, ISO, and other styles

8

Sari, Sema, Hayriye Cankar Dal, Ibrahim Mungan, Busra Tezcan, Dilek Kazanci, and Sema Turan. "Retrospective Evaluation of Non-neutropenic Candidemia Cases in Intensive Care Units." Turkish Journal of Medical and Surgical Intensive Care 9, no. 3 (December 17, 2018): 74–77. http://dx.doi.org/10.5152/dcbybd.2018.1799.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

Quin, G. "Chest pain evaluation units." Emergency Medicine Journal 17, no. 4 (July 1, 2000): 237–40. http://dx.doi.org/10.1136/emj.17.4.237.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Jeong, Yu Jin, and Hyunjung Kim. "Evaluation of Clinical Alarms and Alarm Management in Intensive Care Units." Journal of Korean Biological Nursing Science 20, no. 4 (January 12, 2017): 228–35. http://dx.doi.org/10.7586/jkbns.2018.20.4.228.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

KOSTAKOĞLU, Uğur, Sedat SAYLAN, Mevlüt KARATAŞ, Serap İSKENDER, Firdevs AKSOY, and Gürdal YILMAZ. "Cost analysis and evaluation of nosocomial infections in intensive care units." TURKISH JOURNAL OF MEDICAL SCIENCES 46 (2016): 1385–92. http://dx.doi.org/10.3906/sag-1504-106.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Olsen, Brita F., Tone Rustøen, and Berit T. Valeberg. "Nurse's Evaluation of a Pain Management Algorithm in Intensive Care Units." Pain Management Nursing 21, no. 6 (December 2020): 543–48. http://dx.doi.org/10.1016/j.pmn.2020.05.006.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Bakitas, Marie, J. Nicholas Dionne-Odom, Arif Kamal, and Jennifer M. Maguire. "Priorities for Evaluating Palliative Care Outcomes in Intensive Care Units." Critical Care Nursing Clinics of North America 27, no. 3 (September 2015): 395–411. http://dx.doi.org/10.1016/j.cnc.2015.05.001.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

J. Theresa, Sariga, and Fathima Latheef. "Evaluation of acute physiology and chronic health evaluation (APACHE) II in predicting ICU mortality among critically ill." International Journal of Advances in Medicine 4, no. 6 (November 22, 2017): 1566. http://dx.doi.org/10.18203/2349-3933.ijam20175168.

Full text

Abstract:

Background: Clinical assessment of the severity of illness among critically ill patients is an essential component to predict the mortality and morbidity in intensive care units. Scoring systems estimate the prognosis and help in clinical decision making thus enhance the quality of care in Intensive care units.Methods: A descriptive study including 122 patients admitted to medical intensive care unit was performed from January 2017-March 2017 in Southern Kerala. APACHE II score for the first 24 hours of admission to the intensive care unit was calculated. SPSS 20 was applied for statistical analysis, and clinical parameters were investigated with descriptive statistics.Results: The actual ICU mortality rate (9%) was less than the predicted mortality rate (43.6%) obtained using the APACHE II. Majority of patients 98(80%) had APACHE score >15. There was a statistically significant correlation observed between age and predicted mortality score of critically ill (r=.434 p=0.01).Conclusions: APACHE II scoring system has been successful in predicting the mortality of critically ill. Healthcare professionals should therefore incorporate the disease severity measuring tools in their clinical practice to prioritize and optimize the care rendered in critical care units.

APA, Harvard, Vancouver, ISO, and other styles

15

Sanagoo, Akram, Kobra Abdi Zarrini, Leila Jouybari, MohammadAli Vakili, and Ali Kavosi. "Evaluation of occupational hazards for nurses in intensive care units of tertiary care centers." Journal of Nursing and Midwifery Sciences 5, no. 4 (2018): 153. http://dx.doi.org/10.4103/jnms.jnms_52_18.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Mungan, İbrahim, Dilek Kazancı, Şerife Bektaş, Sema Sarı, Mine Çavuş, and Sema Turan. "The evaluation of nurses' knowledge related to tracheostomy care in tertiary intensive care units." International Medicine 1, no. 6 (2019): 313. http://dx.doi.org/10.5455/im.54258.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Ashktorab, Tahereh, Leili Yekefallah, Houman Manoochehri, and HamidAlavi Majd. "Developing a tool for evaluation of causes of futile care in intensive care units." Iranian Journal of Nursing and Midwifery Research 24, no. 1 (2019): 56. http://dx.doi.org/10.4103/ijnmr.ijnmr_146_17.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

Zeraati, Mashaalah, and Negin Masoudi Alavi. "Designing and Validity Evaluation of Quality of Nursing Care Scale in Intensive Care Units." Journal of Nursing Measurement 22, no. 3 (2014): 461–71. http://dx.doi.org/10.1891/1061-3749.22.3.461.

Full text

Abstract:

Background and Purpose: Quality of nursing care measurement is essential in critical care units. The aim of this study was to develop a scale to measure the quality of nursing care in intensive care units (ICUs). Methods: The 68 items of nursing care standards in critical care settings were explored in a literature review. Then, 30 experts evaluated the items’ content validity index (CVI) and content validity ratio (CVR). Items with a low CVI score (<0.78) and low CVR score (<0.33) were removed from the scale. Results: The 50 items remained in the scale. The Scale level-CVI and Scale level-CVR were 0.898 and 0.725, respectively. Conclusion: The nursing care scale in ICU (Quality of Nursing Care Scale-ICU) that was developed in this research had acceptable CVI and CVR.

APA, Harvard, Vancouver, ISO, and other styles

19

Lynch, Ceri, Richard Pugh, and Ceri Battle. "A multicentre prospective evaluation of alcohol-related admissions to intensive care units in Wales." Journal of the Intensive Care Society 18, no. 3 (March 21, 2017): 193–97. http://dx.doi.org/10.1177/1751143717698977.

Full text

Abstract:

Purpose We conducted a prospective multicentre study in 13 Welsh intensive care units to assess what proportion of intensive care admissions relate to alcohol, and how outcomes among these patients compare with non-alcohol related admissions. Materials and methods Data were prospectively collected for one month between June and July 2015. Every intensive care admission was screened for alcohol associations based on ICD-10 criteria, using a pre-designed pro-forma. Follow-up data were collected at 60 days using a pre-existing database (WardWatcher; Critical Care Audit Ltd, England). Outcomes included: lengths of mechanical ventilation, intensive care units and hospital stay; intensive care units and hospital mortality. Results Alcohol contributed directly to 10% of all ICU admissions and to 11% of unplanned admissions. These patients were younger (52 vs. 66, p = 0.0011), more likely to be male (68% vs. 52%, p = 0.014) and had more prolonged ventilation (p = 0.019) There was no significant difference between the groups with respect to length of stay or mortality. Conclusions Alcohol contributes to a significant proportion of ICU admissions in Wales, a Western European country with a relatively low number of ICU beds per capita. Strategies to address this impact should be explored.

APA, Harvard, Vancouver, ISO, and other styles

20

Shahnaz, Navid. "Wideband Reflectance in Neonatal Intensive Care Units." Journal of the American Academy of Audiology 19, no. 05 (May 2008): 419–29. http://dx.doi.org/10.3766/jaaa.19.5.4.

Full text

Abstract:

Background: Wideband reflectance (WBR) provides important information about middle ear function and can explain variations in how the middle ear receives, absorbs, and transmits sound energy across a wide range of frequencies. However, as of yet, few normative studies have been published to guide clinicians in the practical applications of WBR. WBR has been measured more extensively in well babies than in neonatal intensive care unit (NICU) babies, who have significantly higher incidence of otitis media with effusion (OME). Purpose: The goal of this study was to explore the characteristics of the middle ear while using energy reflectance (ER) and normalized admittance in NICU babies who passed automated auditory brainstem response (AABR) and evoked otoacoustic emission (EOAE) hearing screening criteria and to compare these characteristics to patterns in normal hearing adults. This study was done to identify ways to implement WBR so it could improve hearing assessment in newborns. Methods: Thirty-one neonatal intensive care unit (NICU) babies with an average gestational age (GA) of 37.8 weeks (range: 32–51 weeks) and 56 adults with normal hearing between the ages of 18 and 32 years served as subjects in this study. NICU babies and adults were tested using multifrequency tympanometry (MFT) and WBR. Results: WBR can be obtained on what appears to be a majority of NICU babies without other abnormal findings. Maximum absorption of the incident energy appears to occur at a narrower range of frequencies in normal NICU babies in comparison to normal hearing adults. This range becomes even narrower in NICU babies who fail EOAE screening. In most NICU babies who failed EOAE screening, ER values were closer to 1 (most incident energy is reflected) at a frequency below 3000 Hz. The measurements of normalized acoustic admittance may also be very useful and may supplement ER and tympanometric data in evaluating middle ear status.

APA, Harvard, Vancouver, ISO, and other styles

21

Moerer, Onnen, Enno Plock, Uchenna Mgbor, Alexandra Schmid, Heinz Schneider, Manfred Wischnewsky, and Hilmar Burchardi. "A German national prevalence study on the cost of intensive care: an evaluation from 51 intensive care units." Critical Care 11, no. 3 (2007): R69. http://dx.doi.org/10.1186/cc5952.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

van de Klundert, Nick, Rebecca Holman, Dave A. Dongelmans, and Nicolette F. de Keizer. "Data Resource Profile: the Dutch National Intensive Care Evaluation (NICE) Registry of Admissions to Adult Intensive Care Units." International Journal of Epidemiology 44, no. 6 (November 27, 2015): 1850–1850. http://dx.doi.org/10.1093/ije/dyv291.

Full text

APA, Harvard, Vancouver, ISO, and other styles

23

Li, Huiyang, Melody Ku, Robert Schumacher, and F. Jacob Seagull. "Designing Automated Aids for Patient Monitoring Systems in Intensive Care Units." Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 2, no. 1 (June 2013): 69–76. http://dx.doi.org/10.1177/2327857913021014.

Full text

Abstract:

This study investigated the challenges faced by care givers in using patient monitoring systems, specifically focusing on the needs for automation support in patient monitoring tasks. User interactions with monitors in a Neonatal Intensive Care Unit were studied through field observation, interviews, and cognitive task analysis. Results show that physicians are primarily interested in the patient health trends and progress, while the nurses prefer more routine operating abilities. Based on these results, two automation aids were developed in support of (1) CRG (cardiorespirography) trends retrieval (an information integration task), and (2) alarm limits adjusting (a decision making task). Future studies will involve evaluation and refinement of the designs through both heuristic evaluation and simulation experiments to further improve the monitor’s functions. This work has implications on the design of patient monitoring systems in intensive care units as well as other medical environments.

APA, Harvard, Vancouver, ISO, and other styles

24

Prevedello, Danielle, Marco Fiore, Jacques Creteur, and J. C. Preiser. "Intensive care units follow-up: a scoping review protocol." BMJ Open 10, no. 11 (November 2020): e037725. http://dx.doi.org/10.1136/bmjopen-2020-037725.

Full text

Abstract:

IntroductionIncreasing numbers of patients are surviving critical illness, leading to growing concern about the potential impact of the long-term consequences of intensive care on patients, families and society as a whole. These long-term effects are together known as postintensive care syndrome and their presence can be evaluated at intensive care unit (ICU) follow-up consultations. However, the services provided by these consultations vary across hospitals and units, in part because there is no validated standard model to evaluate patients and their quality of life after ICU discharge. We describe a protocol for a scoping review focusing on models of ICU follow-up and the impact of such strategies on improving patient quality of life.Methods and analysisIn this scoping review, we will search the literature systematically using electronic databases (MEDLINE - from database inception to June 15th 2020) and a grey literature search. We will involve stakeholders as recommended by the Joanna Briggs Institute approach developed by Peters et al. The research will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines.Ethics and disseminationThis study does not require ethics approval, because data will be obtained through a review of published primary studies. The results of our evaluation will be published in a peer-reviewed journal and will also be disseminated through presentations at national and international conferences.

APA, Harvard, Vancouver, ISO, and other styles

25

Bahar, İlhan. "The Evaluation of Intensive Care Units Quality in Turkey: a Multicenter Study." Eastern Journal Of Medicine 25, no. 2 (2020): 191–201. http://dx.doi.org/10.5505/ejm.2020.32704.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

Ciampoli, Natasha, Stephane Bouchoucha, Judy Currey, and Ana Hutchinson. "Evaluation of prevention of ventilator-associated infections in four Australian intensive care units." Journal of Infection Prevention 21, no. 4 (May 14, 2020): 147–54. http://dx.doi.org/10.1177/1757177420908006.

Full text

Abstract:

Background: Effective approaches to practice improvement require development of tailored interventions in collaboration with knowledge users. Objectives: To explore critical care nurses’ knowledge and adherence to best practice guidelines for management of patients with an artificial airway to minimise development of ventilator-associated pneumonia. Methods: A cross-sectional study was undertaken across four intensive care units that involved three phases: (1) survey of critical care nurses regarding their current practice; (2) observation of respiratory care delivery; and (3) chart audit. Key care processes evaluated were: (1) technique and adherence to standard precautions when performing endotracheal suction, cuff pressure checks and extubation; and (2) frequency of endotracheal suctioning and mouth care. Results: Observational and chart audit data on the provision and documentation of respiratory care were collected for 36 nurse/patient dyads. Forty-six nurses were surveyed and the majority responded that endotracheal suctioning and mouth care should be performed ‘as required’ or every 2 hours (h). During observations of practice, no patient received mouth care every 2 h, nor had documentation of such. Inconsistent adherence to standard precautions and hand hygiene during respiratory care provision was observed. Chart audit indicated that nurses varied in the frequency of suctioning consistent with documented clinical assessment findings. Conclusion: Although nurses had good knowledge for the management of artificial airways, this was not consistently translated into practice. Gaps were identified in relation to respiratory related infection prevention, the prevention of micro-aspiration of oropharyngeal secretions and in the provision of mouth care.

APA, Harvard, Vancouver, ISO, and other styles

27

Erbay, A., H. Bodur, E. Akıncı, and A. Çolpan. "Evaluation of antibiotic use in intensive care units of a tertiary care hospital in Turkey." Journal of Hospital Infection 59, no. 1 (January 2005): 53–61. http://dx.doi.org/10.1016/j.jhin.2004.07.026.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Terai, Takekazu, Hidekazu Yukioka, and Akira Asada. "Pain Evaluation in the Intensive Care Unit." Regional Anesthesia & Pain Medicine 23, no. 2 (March 1998): 147–51. http://dx.doi.org/10.1136/rapm-00115550-199823020-00006.

Full text

Abstract:

Background and ObjectivesThe visual analog scale (VAS) is a simple and sensitive mean of pain assessment. The faces scale is also a simple, self-reporting method for children. Facial signs of pain have not been used to assess pain in postoperative adult patients in the intensive care unit (ICU).MethodsFifty patients undergoing esophageal cancer surgery by a thoracoabdominal procedure were studied. Epidural opioids, such as morphine or buprenorphine, combined with bupivacaine were administered during and after surgery. Pain measurement was performed by a physician in the ICU using the self-reported VAS 0.5, 1, 2, 4, and 6 hours after tracheal extubation and thereafter every 4 hours during the stay in the ICU. A nurse who was unaware of the patients' VAS scores assessed facial expression as a measure of pain intensity using a five-grade faces scale immediately before pain evaluation by VAS. The VAS was rescaled into five discrete units that would match the five faces scale scores. Weighted kappa statistics were used to establish a relative level of agreement between the five-grade VAS and faces scale.ResultsGood agreement was found between the five-grade VAS and the faces scale 30 minutes and 1 hour after tracheal extubation (weighted kappa values .67 and .62, respectively). The VAS and faces scales were measured 7-13 times per patient during the stay in the ICU, and 518 observations were collected. Although moderate agreement was found between the five-graded VAS and faces scale for all pairs of observation (weighted kappa values .54), less agreement was found between them in patients with moderate pain. In addition, the calculated mean differences between the five-graded VAS and faces scale differed significantly between patients.ConclusionThe faces scale may be useful for pain evaluation in the ICU.

APA, Harvard, Vancouver, ISO, and other styles

29

Hubert, Hervé, Comlavi Guinhouya, Laurent Castra, Stéphane Soubrier, Christian Vilhelm, Pierre Ravaux, Mohamed Lemdani, Alain Durocher, and Fabienne Saulnier. "Methodological approach for the evaluation of the performances of medical intensive care units." Journal of Critical Care 22, no. 3 (September 2007): 184–90. http://dx.doi.org/10.1016/j.jcrc.2006.11.007.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

CHUANG, Y. M., S. C. KU, S. J. LIAW, S. C. WU, Y. C. HO, C. J. YU, and P. R. HSUEH. "Disseminated Cryptococcus neoformans var. grubii infections in intensive care units." Epidemiology and Infection 138, no. 7 (October 2, 2009): 1036–43. http://dx.doi.org/10.1017/s0950268809990926.

Full text

Abstract:

SUMMARYA retrospective study of clinical characteristics, outcome and prognostic factors of patients with cryptococcosis was undertaken in intensive care units (ICUs) of a medical centre for the period 2000–2005. Twenty-six patients with Cryptococcus neoformans var. grubii infection were identified (16 males, median age 58 years). The most frequent underlying diseases were liver cirrhosis (38·5%), diabetes mellitus (26·9%) and HIV infection (19·2%). The most frequently identified sites of infection were blood (61·5%), cerebrospinal fluid (38·5%) and airways (34·6%). The mean Acute Physiologic and Chronic Health Evaluation II score at ICU admission was 22·46. The ICU mortality rate in these patients was 73·1% (19/26) and there were a further two mortalities recorded after discharge from ICU, reaching a total mortality rate of 80·8% (21/26). Patients with ICU survival >2 weeks had lower rates of HIV infection (P=0·004), less use of inotropic agents during ICU stay (P<0·001) and lower white blood cell counts (P=0·01). After adjusting for clinical variables in the multivariate Cox regression model, diabetes and cryptococcal infection after ICU admission were independent predictors of good long-term prognosis (P=0·015) and HIV infectious status was associated with poor outcome (P=0·012).

APA, Harvard, Vancouver, ISO, and other styles

31

Malesker, Mark A., Pamela A. Foral, Ann C. McPhillips, Keith J. Christensen, Julie A. Chang, and Daniel E. Hilleman. "An Efficiency Evaluation of Protocols for Tight Glycemic Control in Intensive Care Units." American Journal of Critical Care 16, no. 6 (November 1, 2007): 589–98. http://dx.doi.org/10.4037/ajcc2007.16.6.589.

Full text

Abstract:

Background The efficiency of protocols for tight glycemic control is uncertain despite their adoption in hospitals. Objectives To evaluate the efficiency of protocols for tight glycemic control used in intensive care units. Methods Three separate studies were performed: (1) a third-party observer used a stopwatch to do a time-motion analysis of patients being treated with a protocol for tight glycemic control in 3 intensive care units, (2) charts were retrospectively reviewed to determine the frequency of deviations from the protocol, and (3) a survey assessing satisfaction with and knowledge of the protocol was administered to full-time nurses. Results Time-motion data were collected for 454 blood glucose determinations from 38 patients cared for by 47 nurses. Mean elapsed times from blood glucose result to therapeutic action were 2.24 (SD, 1.67) minutes for hypoglycemia and 10.65 (SD, 3.24) minutes for hyperglycemia. Mean elapsed time to initiate an insulin infusion was 32.56 (SD, 12.83) minutes. Chart review revealed 734 deviations from the protocol in 75 patients; 57% (n = 418) were deviations from scheduled times for blood glucose measurements. The mean number of deviations was approximately 9 per patient. Of 60 nurses who responded to the workload survey, 42 (70%) indicated that the protocol increased their workload; frequency of blood glucose determinations was the most common reason. Conclusions Nurses spend substantial time administering protocols for tight glycemic control, and considerable numbers of deviations occur during that process. Further educational efforts and ongoing assessment of the impact of such protocols are needed.

APA, Harvard, Vancouver, ISO, and other styles

32

&NA;. "Economic Evaluation of Propofol for Sedation of Patients Admitted to Intensive Care Units." Survey of Anesthesiology 46, no. 5 (October 2002): 263. http://dx.doi.org/10.1097/00132586-200210000-00016.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

Anis, Aslam H., Xiao-hua Wang, Hector Leon, and Richard Hall. "Economic Evaluation of Propofol for Sedation of Patients Admitted to Intensive Care Units." Anesthesiology 96, no. 1 (January 1, 2002): 196–201. http://dx.doi.org/10.1097/00000542-200201000-00034.

Full text

Abstract:

Background The goal of the current study was to evaluate the economic impact of propofol as compared with midazolam for sedating patients in the intensive care unit (ICU). Methods A randomized, unblinded, multicenter pharmacoeconomic trial captured health resource utilization and outcome measurements associated with sedation and treatment of patients in four ICUs across Canada. Statistical analysis was performed to investigate the difference in sedation quality, ICU length of stay, and other health resources used. The authors compared the costs (1997 Canadian dollars) associated with the two treatments. Two types of sensitivity analyses were performed. Results Although overall sedation duration was similar, propofol patients spent more time at adequately sedated status (60.2% vs. 44%; P = 0.01) and were extubated faster (median extubation time, 2.5 vs. 7.1 h; P = 0.001). The ICU length of stay and health resource utilization did not differ. The total cost per patient, including drug cost and ICU stay cost, did not differ between groups (median, $5,718 for propofol vs. $5,950 for midazolam; P = 0.94). The first sensitivity analysis suggested that the incremental cost (per patient) of propofol varies from an extra cost of $114 to a savings of $2,709. Based on a hypothetical model, the second sensitivity analysis showed a potential saving of $479 per patient as a result of improved discharge planning. Conclusion The analysis demonstrated that using propofol resulted in a reduction of time to extubation and higher sedative regimen costs. There was no difference in intensity of resource use or ICU length of stay and hence in costs. Issues regarding discharge delay among propofol-treated patients remain to be explored.

APA, Harvard, Vancouver, ISO, and other styles

34

Rosselli, Diego, Juan David Rueda, María Daniela Silva, and Jorge Salcedo. "Economic Evaluation of Four Drug Administration Systems in Intensive Care Units in Colombia." Value in Health Regional Issues 5 (December 2014): 20–24. http://dx.doi.org/10.1016/j.vhri.2014.05.001.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Esen Yildiz, Ilknur. "Evaluation of Prevention Bundle Application for Ventilator-Associated Pneumonia in Intensive Care Units." Journal of Family Medicine and Health Care 1, no. 2 (2015): 27. http://dx.doi.org/10.11648/j.jfmhc.20150102.13.

Full text

APA, Harvard, Vancouver, ISO, and other styles

36

Mendes, Rodrigo, Amanda Carmo, Rosana Salum, Fernando Filho, Suely Vidal, and Viviane Santos. "SIZING PERSONNEL: EVALUATION OF NURSING IN OBSTETRIC AND MIXED PEDIATRIC INTENSIVE CARE UNITS." Revista de Pesquisa: Cuidado é Fundamental Online 5, no. 2 (April 1, 2013): 3706–16. http://dx.doi.org/10.9789/2175-5361.2013v5n2p3706.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

GRAHAM, M., T. KUBOSE, D. JORDAN, J. ZHANG, T. JOHNSON, and V. PATEL. "Heuristic evaluation of infusion pumps: implications for patient safety in Intensive Care Units." International Journal of Medical Informatics 73, no. 11-12 (November 2004): 771–79. http://dx.doi.org/10.1016/j.ijmedinf.2004.08.002.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

Mendes, Rodrigo Nonato Coelho, Amanda de Figueirôa Silva Carmo, Rosana Dourado Loula Salum, Fernando Antônio Ribeiro de Gusmão-filho, Suely Arruda Vidal, and Viviane Euzébia Perreira Santos. "SIZING PERSONNEL: EVALUATION OF NURSING IN OBSTETRIC AND MIXED PEDIATRIC INTENSIVE CARE UNITS." Revista de Pesquisa Cuidado é Fundamental Online 5, no. 2 (March 24, 2013): 3706–16. http://dx.doi.org/10.9789/2175-5361.2013.v5i2.3706-3716.

Full text

Abstract:

Objetivos: avaliar a adequação do quadro de pessoal de enfermagem e compreender como esses profissionais percebem essa questão. Métodos: estudo avaliativo, exploratório, descritivo com abordagens quantitativa e qualitativa, desenvolvido nas UTIs Pediátrica Mista e Obstétrica do Hospital Dom Malan/IMIP em Petrolina-PE. Calculou-se o dimensionamento de enfermagem e foram realizadas 13 entrevistas semiestruturadas, analisadas segundo Bardin. Resultados: a UTI Pediátrica Mista possui correto quantitativo de pessoal e na Obstétrica há redução do quadro. As unidades possuem déficit de enfermeiros e uma incorreta distribuição por categoria/leito. Observou-se que a equipe de enfermagem da UTI Pediátrica Mista considera sua carga de trabalho elevada, enquanto que na UTI Obstétrica esta foi considerada leve. Conclusão: O dimensionamento de enfermagem sem conformidade com a legislação vigente pode comprometer a qualidade dos cuidados oferecidos, sobretudo em unidades de cuidados críticos. Descritores: Avaliação em Enfermagem; Dimensionamento de Pessoal; Enfermagem; Carga de Trabalho; Unidades de Terapia Intensiva.

APA, Harvard, Vancouver, ISO, and other styles

39

Beckmann, U., L. F. West, G. J. Groombridge, I. Baldwin, G. K. Hart, D. G. Clayton, R. K. Webb, and W. B. Runciman. "The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. the Development and Evaluation of an Incident Reporting System in Intensive Care." Anaesthesia and Intensive Care 24, no. 3 (June 1996): 314–19. http://dx.doi.org/10.1177/0310057x9602400303.

Full text

Abstract:

Intensive care units are complex, dynamic patient management environments. Incidents and accidents can be caused by human error, by problems inherent in complex systems, or by a combination of these. Study objectives were to develop and evaluate an incident reporting system. A report form was designed eliciting a description of the incident, contextual information and contributing factors. Staff group sessions using open-ended questions, observations in the workplace and a review of earlier narratives were used to develop the report form. Three intensive care units participated in a two-month evaluation study. Feedback questionnaires were used to assess staff attitudes and understanding, project design and organization. These demonstrated a positive attitude and good understanding by more than 90% participants. Errors in communication, technique, problem recognition and charting were the predisposing factors most commonly chosen in the 128 incidents reported. It was concluded that incident monitoring may be a suitable technique for improving patient safety in intensive care.

APA, Harvard, Vancouver, ISO, and other styles

40

Rogan, Julie, Megan Zielke, Kelly Drumright, and Leanne M. Boehm. "Institutional Challenges and Solutions to Evidence-Based, Patient-Centered Practice: Implementing ICU Diaries." Critical Care Nurse 40, no. 5 (October 1, 2020): 47–56. http://dx.doi.org/10.4037/ccn2020111.

Full text

Abstract:

Background Although diaries are an evidence-based practice that improves the quality of life of patients in an intensive care unit and their loved ones, centers in the United States are struggling to successfully implement diary programs in intensive care units. Currently, few published recommendations address how to facilitate implementation of a diary program, and how to effectively sustain it, in an intensive care unit. Objectives To discuss challenges with implementing diary programs in intensive care units at 2 institutions in the United States, and to identify solutions that were operationalized to overcome these perceived difficulties. Methods The teams from the 2 institutions identified local barriers to implementing diaries in their intensive care units. Both groups developed standard operating procedures that outlined the execution and evaluation phases of their implementation projects. Results Barriers to implementation include liability and patient privacy, diary program development, and implementation and sustainability concerns. Various strategies can help maintain clinical and family member engagement. Conclusion Through a team’s sustained dedication and a diligent assessment of perceived obstacles, a diary program can indeed be implemented within an intensive care unit.

APA, Harvard, Vancouver, ISO, and other styles

41

Prashant, G., A. Jyotsna, R. Himanshu, W. Anupam, S. Kirti, and P. Mohd. "Evaluation of a hand hygiene campaign in various intensive care units of a tertiary care hospital." Journal of Patient Safety & Infection Control 3, no. 2 (May 2015): 73. http://dx.doi.org/10.1016/j.jpsic.2015.10.087.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

Werida, Rehab H., Amany M. El-Okaby, and Noha M. El-Khodary. "Evaluation of levofloxacin utilization in intensive care units of tertiary care hospital: a retrospective observational study." Drugs & Therapy Perspectives 36, no. 1 (November 14, 2019): 33–39. http://dx.doi.org/10.1007/s40267-019-00688-8.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

Subbaiah, Meda Venkata, K. Leela Prasad Babu, Dudekula Manohar, Adluru Sumalatha, Pinjari Mohammed, and Budigireddy Mahitha. "Drug Utilization Evaluation of High Alert Medications in Intensive Care Units of Tertiary Care Teaching Hospital." Journal of Drug Delivery and Therapeutics 11, no. 1-s (February 20, 2021): 94–101. http://dx.doi.org/10.22270/jddt.v11i1-s.4749.

Full text

Abstract:

Introduction: The utilization of HAMs is crucial in emergency and intensive care departments, as they can cause a significant amount of damage to the patient and health care members if we could not follow the standard treatment guidelines. Drug utilization evaluation/review involves a comprehensive review of the patient’s prescription and medication data before, during, and after dispensing to ensure appropriate medication decision making and positive patient outcomes. Objective: This study was taken up given finding the utilization patterns and rectifying the issues with the usage of high alert medications (HAMs) and improving their utilization. Methodology: A cross-sectional study was conducted for 6 months at a south Indian tertiary care hospital. Treatment guidelines were prepared to compare the actual drug use. Data were collected both retrospectively and prospectively by patients and care taker’s interview, medication chart review, and discussion with prescribers and applied WHO DUE indicators to evaluate utilization patterns. Results: Of 362 cases, 57.73 % were males/ and the majority geriatrics. Among all HAMs Insulin is frequently prescribed (34.5 %) and the costly drug is Enoxaparin. Generic names were used in writing prescriptions and parenteral formulations were mostly used. Around 9 ADRs were identified and managed, and a total of 133 moderate to severe Drug-Drug Interactions were found, of them, only 2 were actual. Conclusion: With this study, we conclude that the use of HAMs was found to be appropriate as per the guidelines as we observed very few DRPs with the study drugs. Keywords: HAM, DRP’s, DUE, ICU, DDD

APA, Harvard, Vancouver, ISO, and other styles

44

Brophy, Alison, Maria Cardinale, Liza Barbarello Andrews, Justin Kaplan, Yekaterina Opsha, Kimberly Brandt, Julie Saleh, and Christopher Adams. "905: PROSPECTIVE EVALUATION OF PAIN AND AGITATION PRACTICES ACROSS NEW JERSEY INTENSIVE CARE UNITS." Critical Care Medicine 44, no. 12 (December 2016): 302. http://dx.doi.org/10.1097/01.ccm.0000509581.15711.02.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Patil, Anuja, Sudhindra Vooturi, and Sita Jayalakshmi. "Continuous EEG Monitoring in Intensive Care Unit." International Journal of Epilepsy 05, no. 02 (October 2018): 062–67. http://dx.doi.org/10.1055/s-0039-1693079.

Full text

Abstract:

AbstractTrends of electroencephalogram (EEG) over 24 to 48 hours can help in prognostication in patients. Continuous electroencephalography (cEEG) allows for “real-time” bedside evaluation of cerebral function and can help to monitor patients in intensive care units. Lack of expertise in interpretation of the long-term EEG patterns and controversies in treatment implications have restricted the widespread use of this modality. This review summarizes the indications, techniques, duration, and pitfalls in cEEG monitoring. Compared with routine planned EEG, use of cEEG monitoring increases the sensitivity to detect nonconvulsive seizures (NCS) or nonconvulsive status epilepticus (NCSE) in unresponsive patients with no or subtle clinical signs of seizures. cEEG helps in reducing the overall intensive care unit (ICU) stay by timely detection of possible ischemic or ictal insults, alleviating the need for costlier imaging tests, and by precise drug adjustment in case of SE. However, standardization of the technical terms for wider applicability is needed. Analysis of automated computerized assays in seizure detection and their clinical role and addressing the technical aspects in long-term recordings should be evaluated; cEEG is gaining an important role in the multiparametric neuro-critical care units. Development of defined guidelines for the indications and application of cEEG, technological advances, and ongoing refinements are expected to enhance its utility in clinical practice.

APA, Harvard, Vancouver, ISO, and other styles

46

Tatic, Milanka, Skeledzija Miskovic, Ranko Zdravkovic, Milica Gojkovic, Aleksandra Kovac, and Maja Zubic. "Sedation in the intensive care unit." Medical review 72, no. 3-4 (2019): 123–30. http://dx.doi.org/10.2298/mpns1904123t.

Full text

Abstract:

Introduction. Sedation is the reduction of irritability or agitation by the use of certain drugs mostly to facilitate therapeutic or diagnostic procedures. Scales for evaluation of the depth of sedation. Riker Sedation-Agitation Scale and Richmond Agitation-Sedation Scale are the most commonly used scales. Drugs. Sedation is generally produced by using medications from the group of opioids, benzodiazepines, intravenous and inhalation general anesthetic agents, neuroleptics, phenothiazines, ?-agonists and barbiturates. Adverse effects of sedatives. Sedation is often associated with hypotension, prolonged mechanical ventilation and longer time on respiratory support, higher frequency of delirium, immunosuppression, deep vein thrombosis, increased risk for development of nosocomial pneumonia, all of which leads to the prolonged recovery time. Conclusion. Sedatives currently used in intensive care units are widely used, but they have limitations. The goal is to get the desired level of sedation with as few side effects as possible.

APA, Harvard, Vancouver, ISO, and other styles

47

Karagozoglu, Serife, Gulay Yildirim, Dilek Ozden, and Ziynet Çınar. "Moral distress in Turkish intensive care nurses." Nursing Ethics 24, no. 2 (July 24, 2015): 209–24. http://dx.doi.org/10.1177/0969733015593408.

Full text

Abstract:

Background: Moral distress is a common problem among professionals working in the field of healthcare. Moral distress is the distress experienced by a professional when he or she cannot fulfill the correct action due to several obstacles, although he or she is aware of what it is. The level of moral distress experienced by nurses working in intensive care units varies from one country/culture/institution to another. However, in Turkey, there is neither a measurement tool used to assess moral distress suffered by nurses nor a study conducted on the issue. Aim/objective: The study aims to (a) validate the Turkish version of the Moral Distress Scale–Revised to be used in intensive care units and to examine the validity and reliability of the Turkish version of the scale, and (b) explore Turkish intensive care nurses’ moral distress level. Method: The sample of this methodological, descriptive, and cross-sectional design study comprises 200 nurses working in the intensive care units of internal medicine and surgical departments of four hospitals in three cities in Turkey. The data were collected with the Socio-Demographic Characteristics Form and The Turkish Version of Moral Distress Scale–Revised. Ethical considerations: The study proposal was approved by the ethics committee of the Faculty of Medicine, Cumhuriyet University. All participating nurses provided informed consent and were assured of data confidentiality. Results: In parallel with the original scale, Turkish version of Moral Distress Scale–Revised consists of 21 items, and shows a one-factor structure. It was determined that the moral distress total and item mean scores of the nurses participating in the study were 70.81 ± 48.23 and 3.36 ± 4.50, respectively. Conclusion: Turkish version of Moral Distress Scale–Revised can be used as a reliable and valid measurement tool for the evaluation of moral distress experienced by nurses working in intensive care units in Turkey. In line with our findings, it can be said that nurses suffered low level of moral distress. However, factors which caused the nurses in our study to experience higher levels of moral distress are inadequate communication within the team, working with professionals they considered as incompetent, and futile care.

APA, Harvard, Vancouver, ISO, and other styles

48

Kydonaki, Kalliopi, Janet Hanley, Guro Huby, Jean Antonelli, and Timothy Simon Walsh. "Challenges and barriers to optimising sedation in intensive care: a qualitative study in eight Scottish intensive care units." BMJ Open 9, no. 5 (May 2019): e024549. http://dx.doi.org/10.1136/bmjopen-2018-024549.

Full text

Abstract:

ObjectivesVarious strategies to promote light sedation are highly recommended in recent guidelines, as deep sedation is associated with suboptimum patient outcomes. Yet, the challenges met by clinicians in delivering high-quality analgosedation is rarely addressed. As part of the evaluation of a cluster-randomised quality improvement trial in eight Scottish intensive care units (ICUs), we aimed to understand the challenges to optimising sedation in the Scottish ICU settings prior to the trial. This article reports on the findings.DesignA qualitative exploratory design: We conducted focus groups (FG) with clinicians during the preintervention period.Setting and participants: Eight Scottish ICUs. Nurses, physiotherapists and doctors working in each ICU volunteered to participate. FG were recorded and verbatim transcribed and inserted in NVivo V.10 for analysis. Qualitative thematic analysis was undertaken to develop emergent themes from the patterns identified in relation to sedation practice. Ethical approval was secured by Scotland A Research ethics committee.ResultsThree themes emerged from the inductive analysis: (a) a recent shift in sedation practice, (b) uncertainty in decision-making and (c) system-level factors including the ICU environment, organisational factors and educational gaps. Clinicians were challenged daily to manage agitated or difficult-to-sedate patients in the era of a progressive mantra of ‘just sedate less’ imposed by the pain–agitation–delirium guidelines.ConclusionsThe current implementation of guidelines does not support behaviour change strategies to allow a patient-focused approach to sedation management, which obstructs optimum sedation–analgesia management. Recognition of the various challenges when mandating less sedation needs to be considered and novel sedation–analgesia strategies should allow a system-level approach to improve sedation–analgesia quality.DESIST registration numberNCT01634451

APA, Harvard, Vancouver, ISO, and other styles

49

Araç, Eşref, Şafak Kaya, Emine Parlak, Seyit Ali Büyüktuna, Ali İrfan Baran, Fethiye Akgül, Mehmet Enes Gökler, et al. "Yoğun Bakım Ünitelerindeki Enfeksiyonların Değerlendirilmesi: Çok Merkezli Nokta Prevalans Çalışması." Mikrobiyoloji Bulteni 53, no. 4 (October 15, 2019): 364–73. http://dx.doi.org/10.5578/mb.68665.

Full text

APA, Harvard, Vancouver, ISO, and other styles

50

Tomazoni, Andréia, Patrícia Kuerten Rocha, Denise Miyuki Kusahara, Ana Izabel Jatobá de Souza, and Taise Rocha Macedo. "Evaluation of the patient safety culture in neonatal intensive care." Texto & Contexto - Enfermagem 24, no. 1 (March 2015): 161–69. http://dx.doi.org/10.1590/0104-07072015000490014.

Full text

Abstract:

This quantitative, survey type study aimed to analyze the patient safety culture of the nursing and medical teams of public hospitals of Florianopolis. A total of 141 professionals participated, with data collected between February/April 2013, after approval by the Ethics Committee. The Hospital Survey on Patient Safety Culture was used and the 12 dimensions of the culture were evaluated. Descriptive analysis was performed, classifying the dimensions into areas of strength or critical areas. Despite not verifying a specific area of strength, the dimensions with the best evaluation were Supervisor/manager expectations and actions promoting safety and Organizational learning - continuous improvement. The dimensions with the highest percentage of negative responses, identified as critical were: Non-punitive response to errors and Management support for safety. The safety culture in the Neonatal Intensive Care Units presented aspects that could potentially become areas of strength. Cultural changes are necessary, especially in addressing errors.

APA, Harvard, Vancouver, ISO, and other styles

We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!