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Author: William J. Sibbald
Publisher: Springer Science & Business Media
ISBN: 3642567193
Category : Medical
Languages : en
Pages : 387
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Book Description
Measuring the quality of a complex service like critical care that combines the highest technology with the most intimate caring is a challenge. Recently, con sumers, clinicians, and payers have requested more formal assessments and comparisons of the quality and costs of medical care [2). Donabedian [1) pro posed a framework for thinking about the quality of medical care that separates quality into three components: structure, process, and outcome. An instructive analogy for understanding this framework is to imagine a food critic evaluating the quality of a restaurant. The critic might comment on the decoration and lighting ofthe restaurant, how close the tables are to each other, the extent ofthe wine list and where the chef trained. These are all evaluations of the restaurant structure. In addition, the critic might comment on whether the service was courteous and timely - measures of process. Finally, the critic might comment on outcomes like customer satisfaction or food poisoning. Similarly, to a health care critic, structure is the physical and human resources used to deliver medi cal care. Processes are the actual treatments offered to patients. Finally,outcomes are what happens to patients, for example, mortality, quality of life,and satisfac tion with care (Table 1). There is a debate about which of these measurements is the most important measure of quality.
Author: William J. Sibbald
Publisher: Springer Science & Business Media
ISBN: 3642567193
Category : Medical
Languages : en
Pages : 387
Get Book Here
Book Description
Measuring the quality of a complex service like critical care that combines the highest technology with the most intimate caring is a challenge. Recently, con sumers, clinicians, and payers have requested more formal assessments and comparisons of the quality and costs of medical care [2). Donabedian [1) pro posed a framework for thinking about the quality of medical care that separates quality into three components: structure, process, and outcome. An instructive analogy for understanding this framework is to imagine a food critic evaluating the quality of a restaurant. The critic might comment on the decoration and lighting ofthe restaurant, how close the tables are to each other, the extent ofthe wine list and where the chef trained. These are all evaluations of the restaurant structure. In addition, the critic might comment on whether the service was courteous and timely - measures of process. Finally, the critic might comment on outcomes like customer satisfaction or food poisoning. Similarly, to a health care critic, structure is the physical and human resources used to deliver medi cal care. Processes are the actual treatments offered to patients. Finally,outcomes are what happens to patients, for example, mortality, quality of life,and satisfac tion with care (Table 1). There is a debate about which of these measurements is the most important measure of quality.
Author: Springer
Publisher:
ISBN: 9781461569404
Category :
Languages : en
Pages : 396
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Book Description
Author: Sharon L. Roberts
Publisher: McGraw-Hill/Appleton & Lange
ISBN:
Category : Medical
Languages : en
Pages : 868
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Book Description
This handbook provides critical care nurses with the diagnoses necessary to manage specific health problems, surgical correction, and supportive procedures. The nurse can directly focus on a particular medical, surgical, and/or nursing management problem in each section. Tables of laboratory test, invasive and non-invasive diagnostic procedures, and medications are included at the end of each chapter.
Author: Maureen Boyle
Publisher: Routledge
ISBN: 1351728784
Category : Medical
Languages : en
Pages : 224
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Book Description
Over the last ten years, pregnancy has not only become more complicated for many women, but the traditional provision of general intensive care units has been reduced. To bridge this gap, critical care units, usually staffed by midwives, have been set up in many maternity units. This textbook is an accessible and comprehensive introduction to this emerging area of practice. Critical Care Assessment by Midwives also notably sets out a template for assessment of women that will enable early identification of deteriorating health. Serious illness can arise subsequent to an emergency, a pre-existing illness or a complication of pregnancy but can also occur in the context of what appears to be a low risk pregnancy. For this reason, all midwives need to be skilled in assessment that facilitates timely, appropriate referrals and saves lives. It covers: ABCDE assessment tailored for midwives; assessment of cardiac conditions; aassessment of respiratory conditions; assessment of neurological conditions; pre-eclampsia; haemorrhage; shock, including hypovolaemia, sepsis and anaphylaxis; haemodynamic monitoring; fluid replacement and balance; ketoacidosis, hypoglycaemia and sickle cell crisis. Covering the context of care, relevant pathophysiology, signs and symptoms, specific assessment in detail, relevant drugs, assessment of the fetus, summaries of management, psychosocial support and the specific professional responsibilities of the midwife, this is an essential guide for all midwives and midwifery students.
Author: Clifford S. Deutschman
Publisher: Elsevier Health Sciences
ISBN: 1437737897
Category : Medical
Languages : en
Pages : 743
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Book Description
Evidence-Based Practice of Critical Care, edited by Drs. Clifford S. Deutschman and Patrick J. Neligan, provides objective data and expert guidance to help answer the most important questions challenging ICU physicians today. It discusses the clinical options, examines the relevant research, and presents expert recommendations on everything from acute organ failure to prevention issues. An outstanding source for "best practices" in critical care medicine, this book is a valuable framework for translating evidence into practice. Gain valuable evidence-based recommendations on key topics such as acute organ failure, infection, sepsis and inflammation, and prevention issues pointing the way to the most effective approaches. Get an overview of each question, an outline of management options, a review of the relevant evidence, areas of uncertainty, existing management guidelines, and authors’ recommendations. Navigate a full range of challenges from routine care to complicated and special situations. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches.
Author: Sarah McGloin
Publisher: John Wiley & Sons
ISBN: 9781444320459
Category : Medical
Languages : en
Pages : 280
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Book Description
Advanced Practice in Critical Care provides experiencedcritical care nurses with a clear and distinct evidence base forcontemporary critical care practice. Central to the book is theapplication of research and evidence to practice and therefore,case studies and key critical care clinical situations are usedthroughout to guide the reader through the patient care trajectory. Each chapter introduces an initial patient scenario and as thechapter progresses, the patient scenario develops with thetheoretical perspectives and application. In this way, it isevident how multi-organ dysfunction develops, impacting upon andinfluencing other body systems, demonstrating the multi-organimpact that is often experienced by the critically ill patient. Inthis way, consequences of critical illness such as acute renalfailure, haemostatic failure and liver dysfunction are explored.Throughout the text, key research findings and critical caretreatment strategies are referred to, applied and evaluated in thecontext of the given patient case study. Advanced assessmenttechniques are explained and the underlying pathophysiology isdiscussed in depth. Advanced Practice in Critical Care is anessential resource for experienced practitioners within criticalcare whom primarily care for patients requiring high dependency orintensive care.
Author: Linda Diann Urden
Publisher: Elsevier Health Sciences
ISBN: 0323091784
Category : Medical
Languages : en
Pages : 1235
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Book Description
Praised for its comprehensive coverage and clear organization, Critical Care Nursing: Diagnosis and Management is the go-to critical care nursing text for both practicing nurses and nursing students preparing for clinicals.
Author: Gerard J. Criner
Publisher: Springer Science & Business Media
ISBN: 0387774521
Category : Medical
Languages : en
Pages : 1281
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Book Description
Critical care medicine is a dynamic and exciting arena where complex pathophysiologic states require extensive knowledge and up-to-date clinical information. An extensive kno- edge of basic pathophysiology, as well as awareness of the appropriate diagnostic tests and treatments that are used to optimize care in the critically ill is essential. Since our frst edition 7 years ago, new information crucial to the care and understanding of the critically ill patient has rapidly accumulated. Because this knowledge base crosses many different disciplines, a comprehensive multidisciplinary approach presenting the information is essential, similar to the multidisciplinary approach that is used to care for the critically ill patient. We have strived to provide this content in an easily digestible format that uses a variety of teaching tools to facilitate understanding of the presented concepts and to enhance information retention. To meet the demand to provide comprehensive and diverse education in order to und- stand the pathogenesis and optimum care of a variety of critical illnesses, we have subst- tially revised the prior topics in the frst edition with updated information. We have also markedly expanded the number of topics covered to include acute lung injury and the acute respiratory distress syndrome, an expanded discussion of the physiology and operation of mechanical ventilation, obstetrical care in the ICU, neurosurgical emergencies, acute co- nary syndromes, cardiac arrhythmias, role of whole body rehabilitation in the ICU, ethical conduct of human research in the ICU, and nursing care of the ICU patient.
Author: Hope C. Ukatu
Publisher:
ISBN:
Category : Intensive care nursing
Languages : en
Pages : 170
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Book Description
"The purpose of this project was to investigate reasons why HealthEast's critical care nurses were not passing the critical care evaluation test (CCET) after completion of a five week course designed to help them be successful, and at the same time try to find possible solutions for the problem."--leaf 4.
Author: Linda D. Urden
Publisher: Elsevier Health Sciences
ISBN: 0323294138
Category : Medical
Languages : en
Pages : 1235
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Book Description
Praised for its comprehensive coverage and clear organization, Critical Care Nursing: Diagnosis and Management, 7th Edition is the go-to critical care nursing text for both practicing nurses and nursing students preparing for clinicals. Nine sections highlight the alterations seen in critical care and make it easy to understand the unique challenges of critical care nursing. An abundance of learning tools such as Patient Safety Alerts, Evidence-Based Practice boxes, NIC interventions, case studies, Pharmacologic Management boxes, and more give you a better understanding of clinical practice and help you reference vital information quickly and easily. Consistent organization within each body-system unit allows you to use this book as a one-stop resource for your critical care nursing education, as well as a reference for the relevant assessment techniques, lab values, and patient management principles needed by practicing nurses. Evidence-Based Practice boxes reinforce practice guidelines for both collaborative and nursing care. Case studies in each chapter help you internalize and apply chapter content to clinical situations. Pharmacologic Management tables offer quick summaries of the drugs most often used in critical care. Patient Safety Alerts provide key information for special safety issues to keep safety in the forefront of your mind. Nursing Management Plans of Care appendix provides detailed, clinically-relevant care plans tied to 35 different NANDA nursing diagnoses. Highlighted QSEN content makes it easy to identify QSEN competencies as they relate to critical care nursing. Internet Resources box provides a list of key websites from leading organizations in critical care. Combined chapter on shock, sepsis and multiple organ dysfunction syndrome makes understanding similar physiologic processes easier. Chapter summaries provide quick study guides by organizing key information in the chapter. New! 6-second, standard ECG strips help you learn to identify wave forms and accurately reflect what you’ll use in practice. New equipment information and photos accurately depicts what you’ll encounter in a modern critical care unit.
