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Tag: Intensive Care

A quality improvement initiative can reduce the number of human milk administration errors in the neonatal intensive care unit

Quality Improvement Initiative Cuts Milk Administration Errors

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Reduction in number of expired milk, preparation, wrong-milk-to-wrong-infant errors
A critical illness event is associated with an increased risk of cardiac arrest or intensive care unit transfer for patients on the same ward

Critical Illness Events Linked to Worse Outcomes on Same Ward

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Critical illness event tied to increased risk of cardiac arrest or intensive care unit transfer in same ward
For critically ill patients with convulsive status epilepticus

Induced Hypothermia Futile in Convulsive Status Epilepticus

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At 90 days, functional outcome of critically ill patients on mechanical ventilation not significantly better
Having a 24/7 intensivist in pediatric intensive care units is associated with improved patient outcomes

24/7 Intensivist in Pediatric ICU Improves Patient Outcomes

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Findings compared to critical care staffed with discretionary attending coverage
Staffing the intensive care unit with a communication facilitator is economically feasible

Communication Facilitator in ICU Economically Feasible

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Maximal weekly savings with one full-time facilitator and 15 percent projected ICU mortality
Key strategies for successful integration of nurse practitioners into intensive care units include defining their role and providing orientation options

Strategies ID’d for Integration of Nurse Practitioners Into ICUs

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Successful integration requires strategic planning to define their role, develop program for training
For critically ill adults

Acute Kidney Injury Is Risk Factor for Delirium, Coma

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Stage 2 and 3 acute kidney injury linked to increased risk of both delirium, coma in critically ill adults
Adding a full-time trained communication facilitator in the intensive care unit may improve quality of care while also reducing costs

Communication Facilitator Beneficial in Intensive Care Unit

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Full-time, trained communication facilitator improves quality of care, costs
There has been an increase in the use of mechanical ventilation over time without substantial improvement in survival among hospitalized nursing home residents with advanced dementia

Ventilators May Be Overused Among Dementia Patients in ICUs

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Hospitals may put too many advanced dementia patients on ventilators, research suggests
For high-risk critically ill patients who have undergone extubation

High-Flow Oxygen Not Inferior for Averting Reintubation

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Not inferior to noninvasive mechanical ventilation for high-risk patients who have undergone extubation