Clinical review: Outreach – a strategy for improving the care of the acutely ill hospitalized patient
TLDR
The various approaches to the safe care of acutely ill hospitalized patients are reviewed, and the need for continuing evaluation of these systems as they are introduced into different health care systems is suggested.Abstract:
We examined the literature relating to the safe care of acutely ill hospitalized patients, and found that there are substantial opportunities for improvement. Recent research suggests substantial benefit may be obtained by systems of outreach care that facilitate better integration, co-ordination, collaboration and continuity of multidisciplinary care. Herein we review the various approaches that are being adopted, and suggest the need for continuing evaluation of these systems as they are introduced into different health care systems.read more
Citations
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A trial of goal- oriented hemodynamic therapy in critically ill patients
Luciano Gattinoni,Luca Brazzi,Paolo Pelosi,Roberto Latini,Gianni Tognoni,Antonio Pesenti,Roberto Fumagalli +6 more
TL;DR: Hemodynamic therapy aimed at achieving supranormal values for the cardiac index or normal values for mixed venous oxygen saturation does not reduce morbidity or mortality among critically ill patients.
Journal ArticleDOI
The 'five rights' of clinical reasoning: an educational model to enhance nursing students' ability to identify and manage clinically 'at risk' patients.
Tracy Levett-Jones,Kerry Hoffman,Jennifer Dempsey,Sarah Yeun-Sim Jeong,Danielle Noble,Carol Norton,Janiece Roche,Noelene Hickey +7 more
TL;DR: An overview of a clinical reasoning model and the literature underpinning the 'five rights' of clinical reasoning is provided.
Journal ArticleDOI
Review and performance evaluation of aggregate weighted 'track and trigger' systems.
TL;DR: The results suggest that physiology can be used to predict outcome, but that further work is required to improve the AWTTS models.
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The medical emergency team.
TL;DR: It seems reaconable III assume thai therecogmuon, but thereh no direct .. videnceto suppnr t thrc r j i セ ュ セ nurvmg N Q w j イ c ョ ・ ウ セ o f thc call-the authors' criteria to r the MET i ウ fundamen\;1.1 to It S success.
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Hospital-wide physiological surveillance–A new approach to the early identification and management of the sick patient
Gary B. Smith,David Prytherch,Paul E. Schmidt,Peter I. Featherstone,Debbie Knight,Gill Clements,Mohammed A Mohammed +6 more
TL;DR: A system for collecting routine vital signs data at the bedside using standard personal digital assistants (PDA) and analysis of the raw physiological data and patient outcomes will make it possible to validate existing and future "track and trigger" systems.
References
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BookDOI
To Err Is Human Building a Safer Health System
TL;DR: Boken presenterer en helhetlig strategi for hvordan myndigheter, helsepersonell, industri og forbrukere kan redusere medisinske feil.
Journal ArticleDOI
Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock
Emanuel P. Rivers,Bryant Nguyen,Suzanne Havstad,Julie Ressler,Alexandria Muzzin,Bernhard P. Knoblich,Edward L. Peterson,Michael C. Tomlanovich +7 more
TL;DR: This study randomly assigned patients who arrived at an urban emergency department with severe sepsis or septic shock to receive either six hours of early goal-directed therapy or standard therapy (as a control) before admission to the intensive care unit.
Journal ArticleDOI
Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95
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Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
Troyen A. Brennan,Lucian L. Leape,Nan M. Laird,Liesi E. Hebert,A R Localio,Ann G. Lawthers,Joseph P. Newhouse,Paul C. Weiler,Howard H. Hiatt +8 more
TL;DR: There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care.
Journal ArticleDOI
A controlled trial to improve care for seriously ill hospitalized patients: The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT)
Alfred F. Connors,Neal V. Dawson,N. A. Desbiens,William J. Fulkerson,Lee Goldman,William A. Knaus,Joanne Lynn,R. K. Oye,M. Bergner,Ann M. Damiano,R. Hakim,D. J. Murphy,J. Teno,B. Virnig,Douglas P. Wagner,A. W. Wu,Y. Yasui,D. K. Robinson,B. Kreling +18 more
TL;DR: A 2-year prospective observational study (phase I) with 4301 patients followed by a two-year controlled clinical trial (phase II) with 4804 patients and their physicians randomized by specialty group to the intervention group or control group (n=2652).