Implementing a Critical Care Outreach Team PDF Download

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

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Book Description

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: Scott Reeves
Publisher: Routledge
ISBN: 1351798677
Category : Medical
Languages : en
Pages : 134

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Book Description
This practical and evidence-based workbook offers a series of assessment, implementation and evaluation activities for professionals working in critical care contexts. Designed to improve the quality of care delivery, it looks both at collaboration between professionals and between patients and/or family members. Collaborative Practice in Critical Care Settings: identifies the issues relating to the "current state" of collaboration in critical care through a series of assessment activities; provides a series of interventional activities which can address shortfalls of collaboration previously identified; and offers advice on generating evidence for the effects of any interventions implemented. The activities presented in this book are based on extensive empirical research, ensuring this book takes into account the everyday work environment of professionals in critical care units. It is suitable for practitioners and educators, as well as patient safety leads and managers.

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

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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: 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: National Patients' Access Team
Publisher:
ISBN:
Category :
Languages : en
Pages : 2

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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:
Publisher:
ISBN:
Category : Critical care medicine
Languages : en
Pages : 1

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Author: William J. Sibbald
Publisher: Springer Science & Business Media
ISBN:
Category : Medical
Languages : en
Pages : 408

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Book Description
This book describes how the integrated approach offered by health services research can improve the quality of care provided to critically ill patients. By focusing on the needs of the patient, health services research links conventional scientific disciplines, systems research, education, and management, with the aim of translating developments in knowledge into sustained change in culture and practice. Intensive care has much to offer in this respect, as it can both benefit from and contribute to the collaborative methodology of health services research. Although the contributions are directed at critical care, the content is relevant to all health care disciplines, including health services administration.