Several studies (Franklin & Mathew 1994, Rich 1999), have demonstrated that patients in hospital exhibit premonitory signs of cardiac arrest which may be observed by nursing and medical staff, but are frequently not acted upon. Similar ®ndings have been observed in relation to deterioration in patients' conditions prior to admission to Intensive Care Units (ICU) (Goldhill 1997, McQuillan et al....

BACKGROUND Alcohol is the leading psychoactive substance consumed in France, with about 15 million regular consumers. The National institute on Alcohol Abuse and Alcoholism (NIAAA) considers alcohol abuse to be more than 14 units of alcohol a week for men and 7 units for women. The specific complication of alcoholism is the alcohol withdrawal syndrome. Its incidence reaches up to 30 % and its m...

OBJECTIVE To determine whether a multifaceted systems intervention would eliminate catheter-related bloodstream infections (CR-BSIs). DESIGN Prospective cohort study in a surgical intensive care unit (ICU) with a concurrent control ICU. SETTING The Johns Hopkins Hospital. PATIENTS All patients with a central venous catheter in the ICU. INTERVENTION To eliminate CR-BSIs, a quality improv...

Background: Safety of front-line health care workers dealing with critically ill patients is prime importance during COVID-19 pandemic. We have limited skilled workforce and intensive units (ICU). Aim: To determine the frequency COVID 19 among ICU staff find association contact time procedure performed. Methods: A comparative cross-sectional study was conducted on 95 subjects working in setting...

Introduction Hospital systems for the recognition (afferent limb) and management (efferent limb) of deteriorating patients, or Rapid Response Systems (RRS), are being mandated world-wide. This is despite conflicting evidence regarding their efficacy, with studies criticised for afferent limb failure, and questionable end points1. Additionally there are concerns regarding treatment limitation de...

Objective. Analyzed in compared perspective perceptions about nursing care, nurse-patient interaction, and care outcomes two ICU staff a high-complexity hospital institution, whose Nursing are Delivery Models (NCDM) differentiated by the proportion of nurses nurse assistants (NA) per team assigned tasks responsibilities.
 Methods. Particularist ethnography with adaptation to virtual method...

OBJECTIVES A set of standard processes was developed for delivering continuous drug infusions in order to improve (1) patient safety; (2) efficiency in staff workflow; (3) hemodynamic stability during infusion changes, and (4) efficient use of resources. Failure modes effects analysis (FMEA) was used to examine the impact of process changes on the reliability of delivering drug infusions. SET...

BACKGROUND There are widespread concerns about communication and support for patients and families, especially when they face clinical uncertainty, a situation most marked in intensive care units (ICUs). Therefore, we aimed to develop and evaluate an interventional tool to improve communication and palliative care, using the ICU as an example of where this is difficult. METHODS Our design was...

OBJECTIVES To investigate whether the size of the workforce (nurses, doctors and support staff) has an impact on the survival chances of critically ill patients both in the intensive care unit (ICU) and in the hospital. BACKGROUND Investigations of intensive care outcomes suggest that some of the variation in patient survival rates might be related to staffing levels and workload, but the evi...

Background and Objectives The global coronavirus disease 2019 (COVID-19) pandemic has had a major impact on healthcare, especially in the area of critical care due to longer period mechanical ventilation. Ultrasound-guided percutaneous tracheostomy (US-PDT) is considered safe alternative method.Materials Method Patients with severe COVID-19 hospitalized intensive unit (ICU) who were ventilation...