Deterioration to decision: a comprehensive literature review of rapid response applications for deteriorating patients in acute care settings

2019 ◽  
Vol 10 (3) ◽  
pp. 567-573 ◽  
Author(s):  
Mirza Mansoor Baig ◽  
Shereen Afifi ◽  
Hamid GholamHosseini ◽  
Ehsan Ullah
Keyword(s):  
Literature Review ◽  
Acute Care ◽  
Rapid Response ◽  
Comprehensive Literature Review ◽  
Acute Care Settings

scholarly journals P082: Correlation between serum and blood gas: a review on the accuracy of electrolyte readings obtained blood gases

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S106-S106
Author(s):  
J. Lindgren ◽  
S. Dowling
Keyword(s):  
Literature Review ◽  
Patient Care ◽  
Acute Care ◽  
Point Of Care ◽  
Blood Gases ◽  
Validity And Reliability ◽  
Physiological Level ◽  
High Acuity ◽  
Acute Care Settings ◽  
Sodium And Potassium

Introduction: In the Emergency Department (ED), increasing time pressures and acuity require physicians to have access to quick and reliable data to guide patient care decisions. Blood gases (BGs) allow quick access to key information, and are used frequently in the ED. Our objective was to review the literature on reliability and accuracy of electrolyte measurements obtained from BGs in high acuity settings. Methods: A comprehensive literature review was conducted in September of 2015. The search strategy, done in conjunction with a medical librarian, identified studies that assessed the accuracy of BGs when compared to traditional laboratory serum measurements. Prior to the review we determined sodium and potassium would be the area of focus. Eligibility parameters for the studies included samples from acute care areas - the ED and ICU - and a comparison of BG and serum values taken simultaneously from the patient. Results: Our review included 12 studies, 9 in adult and 3 in pediatrics. There were approximately 1,135 patients included, consisting of 851 adult and 284 pediatric cases. The results were mixed; 9 studies agreed that sodium and potassium readings from BGs were accurate enough to guide acute care decisions, 5 did not. Furthermore, important questions were raised regarding the varying accuracy of BGs depending on what physiological level the electrolytes were at during the time of collection, i.e. at critical vs non-critical levels. Conclusion: This is the first literature review to examine the existing evidence on the accuracy of BGs in acute care environments. Given the variability in the results, a larger study needs to be done to determine the validity and reliability of blood gases for electrolytes in acute care settings. Only by ensuring the accuracy of data collected via point-of-care BGs can the most informed decisions be made surrounding patient care in acute care settings.

Best practice interventions to improve the management of older people in acute care settings: a literature review

2007 ◽  
Vol 60 (2) ◽  
pp. 113-126 ◽  
Author(s):  
Louise Hickman ◽  
Phillip Newton ◽  
Elizabeth J. Halcomb ◽  
Esther Chang ◽  
Patricia Davidson
Keyword(s):  
Literature Review ◽  
Older People ◽  
Acute Care ◽  
Best Practice ◽  
Acute Care Settings

scholarly journals Burns associated with e-cigarette batteries: A case series and literature review

CJEM ◽  
2017 ◽  
Vol 20 (S2) ◽  
pp. S20-S28 ◽  
Author(s):  
Jamie Harshman ◽  
Miliana Vojvodic ◽  
Alan D. Rogers
Keyword(s):  
North America ◽  
Literature Review ◽  
Acute Care ◽  
Burn Injury ◽  
Electronic Cigarettes ◽  
Case Series ◽  
Burn Injuries ◽  
Injury Patterns ◽  
Comprehensive Literature Review ◽  
Appropriate Treatment

AbstractElectronic cigarettes, often referred to ase-cigarettes, have established a considerable market in North America over the last decade. In parallel to this trend, there has been a surge of e-cigarette battery explosions reported in the general media. Given the growing number of such events, acute care physicians should recognize the associated risks and injury patterns and initiate appropriate treatment. This report presents two cases of burn injuries from e-cigarette battery explosions requiring surgical management. The accompanying comprehensive literature review highlights the emerging importance of e-cigarettes as an aetiology of burn injury.

Finding Patterns of Meaning: Margaret Newman’s Theory of Health as Expanding Consciousness

2017 ◽  
Vol 23 (4) ◽  
pp. 207-214
Author(s):  
Ahtisham Younas ◽  
Sobia Parveen
Keyword(s):  
Literature Review ◽  
Acute Care ◽  
Nursing Care ◽  
Nursing Practice ◽  
Social Aspects ◽  
The Past ◽  
Acute Care Settings ◽  
Health As Expanding Consciousness ◽  
Practice Education ◽  
Theory Of Health

This article presents an evaluation of Margaret Newman’s theory of health as expanding consciousness, through a literature review, to determine its usefulness for nursing practice and research. The evaluation illustrates that Newman’s theory is valuable for guiding various aspects of nursing practice, education, and research. However, its use had been limited to spiritual, psychological, and social aspects of nursing care and needs to be further evaluated for its significance in acute care settings. Most of the studies that use Newman’s theory are from the past, with limited studies conducted in recent years, indicating the need for further research.

Improving Patient Safety and Patient–Provider Communication

2019 ◽  
Vol 4 (5) ◽  
pp. 1017-1027 ◽  
Author(s):  
Richard R. Hurtig ◽  
Rebecca M. Alper ◽  
Karen N. T. Bryant ◽  
Krista R. Davidson ◽  
Chelsea Bilskemper
Keyword(s):  
Acute Care ◽  
Augmentative And Alternative Communication ◽  
Health Care Team ◽  
Provider Communication ◽  
Alternative Communication ◽  
Patient Provider Communication ◽  
Acute Care Settings ◽  
Nurses Perceptions ◽  
Communication Needs ◽  
The Impact

Purpose Many hospitalized patients experience barriers to effective patient–provider communication that can negatively impact their care. These barriers include difficulty physically accessing the nurse call system, communicating about pain and other needs, or both. For many patients, these barriers are a result of their admitting condition and not of an underlying chronic disability. Speech-language pathologists have begun to address patients' short-term communication needs with an array of augmentative and alternative communication (AAC) strategies. Method This study used a between-groups experimental design to evaluate the impact of providing patients with AAC systems so that they could summon help and communicate with their nurses. The study examined patients' and nurses' perceptions of the patients' ability to summon help and effectively communicate with caregivers. Results Patients who could summon their nurses and effectively communicate—with or without AAC—had significantly more favorable perceptions than those who could not. Conclusions This study suggests that AAC can be successfully used in acute care settings to help patients overcome access and communication barriers. Working with other members of the health care team is essential to building a “culture of communication” in acute care settings. Supplemental Material https://doi.org/10.23641/asha.9990962

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