The “All of Us” study – Non-clinical staff members’ experience of performing cardiopulmonary resuscitation in acute care settings

Objective:To describe a nosocomial influenza A out-break, how it was managed, what impact it had on subsequent delivery of health care, and the additional charges attributable to it.Design:Prospective cohort study and microbiological investigation.Setting:One internal medicine unit in an acute care, university-affiliated hospital.Participants:Twenty-three patients and 22 staff members from February 28 to March 6,1999.Results:Attack rates were 41% (9 of 22) among patients and 23% (5 of 22) among staff members, with 3 of 14 cases being classified as “certain”. The influenza virus isolates were typed as A/SYDNEY/5/97 (H3N2). The index case was a patient who shared a room with the first nosocomial case. Vaccination rates for influenza virus were 43% (10 of 23) among patients and 36% (8 of 22) among staff members. The outbreak resulted in staff members' taking 14 person-days of sick leave. Furthermore, 8 scheduled admissions were postponed and all emergency admissions were suspended for 11 days. Hospital charges attributable to the influenza outbreak totaled $34,179 and the average extra charge per infected patient was $3,798.Conclusions:Nosocomial influenza outbreaks increase charges and alter the quality of care delivered in acute care settings. Strategies for their prevention need to be evaluated in acute care settings. (Infect Control Hosp Epidemiol 2002;23:615-619).

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Implementation of newly adopted technology in acute care settings: a qualitative analysis of clinical staff

Journal of Medical Engineering & Technology ◽

10.3109/03091902.2014.973618 ◽

2014 ◽

Vol 39 (1) ◽

pp. 44-53 ◽

Cited By ~ 13

Author(s):

Melissa L. Langhan ◽

Antonio Riera ◽

Jordan C. Kurtz ◽

Paula Schaeffer ◽

Andrea G. Asnes

Keyword(s):

Qualitative Analysis ◽

Acute Care ◽

Clinical Staff ◽

Acute Care Settings

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Experiences with capnography in acute care settings: A mixed-methods analysis of clinical staff

Journal of Critical Care ◽

10.1016/j.jcrc.2014.06.021 ◽

2014 ◽

Vol 29 (6) ◽

pp. 1035-1040 ◽

Cited By ~ 10

Author(s):

Melissa L. Langhan ◽

Jordan C. Kurtz ◽

Paula Schaeffer ◽

Andrea G. Asnes ◽

Antonio Riera

Keyword(s):

Mixed Methods ◽

Acute Care ◽

Clinical Staff ◽

Acute Care Settings

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Improving Patient Safety and Patient–Provider Communication

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig12-2019-0021 ◽

2019 ◽

Vol 4 (5) ◽

pp. 1017-1027 ◽

Cited By ~ 1

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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