Critical Care
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Improving Patient Safety During Postoperative Handoffs
A patient handover, or handoff, in health care can be defined as the transfer of information, professional responsibility, and accountability between individuals and teams. Handoffs represent a time of particular patient vulnerability to complications and medical errors, and with the current focus on safety an increasing amount of attention has been devoted to characterizing and improving them. -
Abstract & Commentary: Failure to Adhere to Evidence-Based Guidelines Worsens Outcomes: Support from a Large Study in Trauma Patients
Rice and colleagues report a secondary analysis of outcomes among trauma patients in relation to the degree to which the clinicians managing them adhered to a specified set of evidence-based guidelines. -
Critical Care Alert May 2012 Issue in PDF
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Abstract & Commentary: ICU Bed Availability Appears to Influence Goals of Care but not Hospital Mortality
This study examined outcomes for 3494 adult patients who experienced clinical deterioration that triggered a medical emergency team (MET) activation over a 2-year period. -
Pharmacology Watch: Does Aspirin Prevent Cancer?
In this issue: Aspirin and cancer prevention; rivaroxaban for pulmonary embolism; new rhinosinusitis practice guidelines; and FDA actions. -
Clinical Briefs in Primary Care supplement
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Abstract & Commentary: Mechanical Insufflation-Exsufflation and Prevention of Post-Extubation Respiratory Failure
This study from Portugal addresses an important gap in managing patients who have been extubated after an episode of acute respiratory failure facilitating the clearance of airway secretions to avoid the necessity of reintubation. -
Abstract & Commentary: Factors that Increase Risk for ICU Readmission: Implications for ICU Discharge Practices
The purpose of this study was to use data from the multi-institutional APACHE IV database (Cerner Corporation) to compare characteristics of and outcomes for patients who were readmitted to the ICU and those who were not readmitted after ICU discharge; to identify risk factors for ICU readmission; and to examine case-mix adjusted outcomes for patients with and without ICU readmission. -
Trauma Reports January/February 2013 Issue in PDF
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Syncope: The Ups and Downs
Case 1. Lily is a 23-year-old female nursing student who presented after losing consciousness. Lily was watching an EM nurse clean a wound for eventual suturing.