Implementing a Critical Care Outreach Team PDF Download

Author: Kathryn Erin Davies
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 286

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Author: Lee Cutler
Publisher: John Wiley & Sons
ISBN: 0470029129
Category : Medical
Languages : en
Pages : 296

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Book Description
Following the publication of the department of health document - Comprehensive Critical Care (2000), the majority of hospitals in England have set up Critical Care Outreach Teams. The Government provided a significant sum of money for hospitals to set up outreach services. There are now calls for an evaluation of their impact. The book is set out in five key sections. Each section features chapters that address the conceptual and real life issues. In each section there is a chapter, set out as a case study example, demonstrating how innovative practices and service developments are going on around critical care outreach. The book will draw upon the knowledge, experience and clinical expertise of senior critical care nurses and doctors from a critical care network. The book will have a definite practical application and will provide tips to enhance practice. * Chapters contain useful 'how to' guides, prompts for critical thinking and case studies. * Very little has previously been published on this topic

Author: Angelina D'Roza
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Author: Sharon Burfield
Publisher:
ISBN:
Category : Critical care medicine
Languages : en
Pages : 272

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Book Description
Background: Since the publication of the 'Comprehensive Critical Care' review (DoH, 2000a) there has been widespread implementation of Critical Care Outreach (CCO) teams, or equivalent, throughout the United Kingdom. This is despite a lack of evidence to suggest that the concept of CCO is beneficial or cost effective. -- Aim: The aim of this work is to analyse the provision of CCO in a large district general hospital in Southeast England. This analysis focuses specifically on the objectives set out in the 'Comprehensive Critical Care' review (DoH, 2000a), which recommend that critical care outreach teams should 'avert admissions', 'enable discharges' and 'share skills'. Additionally, the staff experience of critical care outreach in this Trust will be considered. -- Methods: Analysis of the CCO role was undertaken, using both retrospective and prospective data. Routinely collected data from the intensive care unit (ICU) and CCO team were utilised, providing information spanning up to 15 years. These data were analysed and simple statistics used to gain insight into the impact of CCO. A further audit was undertaken to enhance the understanding of the CCO role, in particular relating to staff perceptions and the education component of the role. -- Findings: In relation to 'averting admissions', since 2002 the number of emergency admissions to ICU has increased. There have been significant improvements in mortality rates, with hospital mortality reduced from 33% to 22% and unit mortality reduced from 12% to 4% (p

Author: Michael A. DeVita
Publisher: Springer Science & Business Media
ISBN: 0387279210
Category : Medical
Languages : en
Pages : 312

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Book Description
Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of “C- dition C (Crisis),” as it was called to distinguish it from “Condition A (Arrest). ”We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.

Author: Valerie C. Danesh
Publisher:
ISBN:
Category :
Languages : en
Pages : 85

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Book Description
The incidence of unplanned escalations during hospitalization is undocumented, but estimates may be as high as 1.2 million occurrences per year in the United States. Rapid Response Teams (RRT) were developed for the early recognition and treatment of deteriorating patients to deliver time-sensitive interventions, but evidence related to optimal activation criteria and structure is limited. The purpose of this study is to determine if an Early Warning Score-based Critical Care Outreach (CCO) model is related to the frequency of unplanned intra-hospital escalations in care compared to a RRT system based on staff nurse identification of vital sign derangements and physical assessments. The RRT model, in which staff nurses identified vital sign derangements to active the system, was compared with the addition of a CCO model, in which rapid response nurses activated the system based on Early Warning Score line graphs of patient condition over time. Logistic regressions were used to examine retrospective data from administrative datasets at a 237-bed community non-teaching hospital during two periods: 1) baseline period, RRT model (n=5,875) (Phase 1: October 1, 2010 - March 31, 2011), and; 2) intervention period, RRT/CCO model (n=6,273). (Phase 2: October 1, 2011 - March 31, 2012). The strongest predictor of unplanned escalations to the Intensive Care Unit was the type of rapid response system model. Unplanned ICU transfers were 1.4 times more likely to occur during the Phase 1 RRT period. In contrast, the type of rapid response model was not a significant predictor when all unplanned escalations (any type) were grouped together (medical-surgical-to-intermediate, medical-surgical-to-ICU and intermediate-to-ICU). This is the first study to report a relationship between unplanned escalations and different rapid response models. Based on the findings of fewer unplanned ICU transfers in the setting of a CCO model, health services researchers and clinicians should consider using automated Early Warning score graphs for hospital-wide surveillance of patient condition as a safety strategy.

Author: Society of Critical Care Medicine
Publisher:
ISBN: 9780936145808
Category : Medical
Languages : en
Pages : 912

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Book Description
Comprehensive Critical Care: Adult is the most complete critical care textbook for any learner in adult practice. Developed by leading experts in critical care, this comprehensive textbook covers 10 topic areas, including -Neurologic Critical Care - Cardiovascular Critical Care -Respiratory Critical Care -Critical Care Infectious Disease -Hepatic, Gastrointestinal, and Hematologic/Oncologic Disease in the ICU -Renal and Metabolic Disorders in the ICU -Environmental and Toxicologic Injury - Pharmacologic Issues in the ICU -Surgical and Obstetrical Critical Care -Administrative and Ethical Issues in the Critically Ill This new resource includes up-to-date information on the full gamut of critical care topics, with dozens of charts and tables to aid study and copious references to guide further reading.

Author: Joseph L. Nates
Publisher: Springer
ISBN: 9783319745879
Category : Medical
Languages : en
Pages : 2099

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Book Description
This major reference work is the most comprehensive resource on oncologic critical care. The text reviews all significant aspects of oncologic ICU practices, with a particular focus on challenges encountered in the diagnosis and management of the critically ill cancer patient population. Comprised of over 140 chapters, the text explores such topics as the organization and management of an oncologic ICU, diseases and complications encountered in the oncologic ICU, multidisciplinary care, surgical care, transfusion medicine, special patient populations, critical care procedures, ethics, pain management, and palliative care. Written by worldwide experts in the field, Oncologic Critical Care is a valuable resource for intensivists, advance practice providers, nurses, and other healthcare providers, that will help close significant knowledge and educational gaps within the realm of medical care for critically ill cancer patients.

Author: Andrew D Bersten
Publisher: Elsevier Health Sciences
ISBN: 0702055468
Category : Medical
Languages : en
Pages : 1499

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Book Description
Whether you’re a newcomer to the ICU or a seasoned practitioner, Oh's Intensive Care Manual delivers the practical, expert answers you need to manage the conditions you see every day in the intensive care unit. This highly esteemed, bestselling medical reference book presents comprehensive detail on each topic, while maintaining a succinct, accessible style so this information can be seamlessly incorporated into your daily practice. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Access everything you need to know about disease processes and their management during the course of ICU rotations. Gain valuable insight into the consensus of practice and standard of ICU care as followed in the UK, Europe, India, and Australia. Take advantage of expert advice on practical issues that will be encountered on a day-to-day basis in the ICU, as well as common pitfalls in treatment and management emphasized in each chapter. Overcome the latest challenges in intensive care medicine. Ten brand-new chapters in this edition include: Palliative Care; ICU and the Elderly; Health Care Team in Intensive Care Medicine; Preparing for Examinations in Intensive Care Medicine; Ultrasound in the ICU; ECMO for Respiratory Failure; ECMO for Cardiac Failure; Cirrhosis and Acute-on-Chronic Liver Disease; Solid Tumours and their Implications in the ICU; and Delirium. Optimize patient outcomes through an even greater focus on clinical management strategies. Quickly locate essential information with an increased number of summary boxes, tables, and charts, and a new chapter organization that expedites reference.

Author: Andrew D Bersten
Publisher: Elsevier Health Sciences
ISBN: 0702076066
Category : Medical
Languages : en
Pages : 1713

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Book Description
For nearly 40 years, Oh’s Intensive Care Manual has been the quick reference of choice for ICU physicians at all levels of experience. The revised 8th edition maintains this tradition of excellence, providing fast access to practical information needed every day in today’s intensive care unit. This bestselling manual covers all aspects of intensive care in sufficient detail for daily practice while keeping you up to date with the latest innovations in the field. Short, to-the-point chapters distill the essential information you need to know for safe, effective care of patients in the ICU. Each topic includes theoretical knowledge, practical methods of treating the condition described, a review of the available evidence, and common pitfalls in treatment and management. Ideal for daily quick reference as well as an efficient review for professional examinations in critical care medicine.