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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: 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: Brian L. Erstad
Publisher:
ISBN: 9781939862204
Category :
Languages : en
Pages : 1120
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Book Description
Author: John G. Toffaletti
Publisher: Academic Press
ISBN: 0323903843
Category : Science
Languages : en
Pages : 266
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Book Description
Blood gas tests are a group of tests that are widely used and essential for the evaluation and management of a patient's ventilation, oxygenation, and acid-base balance, often in emergent situations, and along with blood gases are other critical care analytes measured on blood: calcium, magnesium, phosphate, and lactate. Blood Gases and Critical Care Testing: Clinical Interpretations and Laboratory Applications, Third Edition, serves as your single most important reference for understanding blood gases and critical care testing and interpretation. The third edition of this classic book is a complete revision and provides the fundamentals of blood gas (pH, pCO2, pO2) and other critical care tests (calcium, magnesium, phosphate, and lactate), including the history, the definitions, the physiology, and practical information on sample handling, quality control and reference intervals. Case examples with clear clinical interpretations of critical care tests have been included to all chapters. This book will serve as a valuable and convenient resource for clinical laboratory scientists in understanding the physiology and clinical use of these critical care tests and for providing practical guidelines for successful routine testing and quality monitoring of these tests. - Provides a step-by-step approach for organizing and evaluating clinical blood gas and critical care test results - Describes several calculated parameters that are used by clinicians for evaluating a patient's pulmonary function and oxygenation status and discusses clinical examples of their use - This new edition includes more detailed information about reference intervals, not only for arterial blood, but for venous blood and umbilical cord blood, and for pH in body fluids - Covers practical information on sample handling and quality control issues for blood gas testing
Author: Sheila Drake Melander
Publisher: Saunders
ISBN:
Category : Medical
Languages : en
Pages : 420
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Book Description
Detailed and up-to-date, this new second edition offers practical case sudies covering a wide variety of critical care problems. Each features questions and answers to help readers sharpen their critical-thinking skills and prepare for the CCRN exam. It features new chapters on blunt abdominal trauma and abdominal aortic aneurysm, and updated case studies reflect new treatment modalities and current critical care pharmacology.
Author: Fiona Creed
Publisher: Oxford University Press
ISBN: 0191059331
Category : Medical
Languages : en
Pages : 417
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Book Description
Focused on the practical issues of nursing care and nursing procedures, the Oxford Handbook of Critical Care Nursing has been written by nurses, for nurses Reflecting current best practice, this handbook is an easily accessible and evidence-based guide for all levels of nursing staff working in critical care environments. It provides the nurse at the bedside with the answers to day-to-day problems experienced when caring for critically ill patients, and is also a guide to some of the less commonly encountered issues. Now including more detail on the psychological issues facing critically ill patients and further information on the intricacies of receiving and transferring critically ill patients to and from critical care environments, this handbook is a concise, practical, evidence-based guide for nursing professionals caring for critically ill patients
Author: Linda Diann Urden
Publisher: Saunders
ISBN:
Category : Medical
Languages : en
Pages : 1242
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Book Description
Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.
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: Sheila K. Adam
Publisher: Oxford University Press
ISBN: 0199696268
Category : Medical
Languages : en
Pages : 593
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Book Description
The third edition of this popular work encompasses the knowledge, skills and expertise used in nursing the critically ill patient
Author: Robert D. Stevens
Publisher: Cambridge University Press
ISBN: 1107434424
Category : Medical
Languages : en
Pages : 457
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Book Description
Brain dysfunction is a major clinical problem in intensive care, with potentially debilitating long-term consequences for post-ICU patients of any age. The resulting extended length of stay in the ICU and post-discharge cognitive dysfunction are now recognized as major healthcare burdens. This comprehensive clinical text provides intensivists and neurologists with a practical review of the pathophysiology of brain dysfunction and a thorough account of the diagnostic and therapeutic options available. Initial sections review the epidemiology, outcomes, relevant behavioral neurology and biological mechanisms of brain dysfunction. Subsequent sections evaluate the available diagnostic options and preventative and therapeutic interventions, with a final section on clinical encephalopathy syndromes encountered in the ICU. Each chapter is rich in illustrations, with an executive summary and a helpful glossary of terms. Brain Disorders in Critical Illness is a seminal reference for all physicians and neuroscientists interested in the care and outcome of severely ill patients.
