The heart team in acute cardiac care

2015 ◽  
Author(s):  
Arie Pieter Kappetein ◽  
Stephan Windecker
Keyword(s):  
Decision Making ◽  
One Health ◽  
Positive Impact ◽  
Cardiac Care ◽  
Heart Team ◽  
Specialty Area ◽  
Acute Setting ◽  
Roles And Responsibilities ◽  
Acute Cardiac Care

The complexity of acute cardiac care today makes it necessary that patients are looked after by more than one health care professional. Complex tasks require complex systems. Teamwork is essential for minimizing adverse events caused by miscommunication and misunderstanding about roles and responsibilities, and it can have an immediate and positive impact on the patient. The increasing complexity and specialization of care of the cardiac patient in the acute setting make it necessary to coordinate teams of doctors for each specialty area. Multidisciplinary decision making optimizes care and is mandatory in light of evolving options and improvement of quality of care and will lead to more efficiency.

The heart team in acute cardiac care

2018 ◽  
Author(s):  
Arie Pieter Kappetein ◽  
Christiaan Antonides ◽  
Stephan Windecker
Keyword(s):  
Decision Making ◽  
One Health ◽  
Positive Impact ◽  
Cardiac Care ◽  
Heart Team ◽  
Specialty Area ◽  
Acute Setting ◽  
Roles And Responsibilities ◽  
Acute Cardiac Care

The complexity of acute cardiac care today makes it necessary that patients are looked after by more than one health care professional. Complex tasks require complex systems. Teamwork is essential for minimizing adverse events caused by miscommunication and misunderstanding about roles and responsibilities, and it can have an immediate and positive impact on the patient. The increasing complexity and specialization of care of the cardiac patient in the acute setting, combined with an ever increasing number of therapeutic options, make it necessary to coordinate teams of doctors for each specialty area. Multidisciplinary decision making optimizes care and is mandatory in light of evolving options and improvement of quality of care and will lead to more efficiency.

Ethical issues in cardiac arrest and acute cardiac care: a European perspective

2021 ◽  
pp. 43-53
Author(s):  
Jean-Louis Vincent ◽  
Jacques Creteur
Keyword(s):  
Decision Making ◽  
Cardiac Arrest ◽  
Ethical Issues ◽  
Cardiac Care ◽  
Ethical Perspective ◽  
Mortality And Morbidity ◽  
Good Communication ◽  
Ethical Decisions ◽  
Artery Disease ◽  
Acute Cardiac Care

Acute cardiac syndromes are common and responsible for considerable mortality and morbidity. Decision making in such patients can be difficult clinically but can also be complex and challenging from an ethical perspective. This chapter reviews some of the ethical problems, including organ donation and withholding/withdrawing, that can occur in the acutely ill adult cardiac patient, starting with a brief look at the ethical principles that should guide our decision making: beneficence, non-maleficence, autonomy, and distributive justice. The role of advance directives and considerations related to family presence during cardiopulmonary resuscitation will also be discussed. With the increasing incidence and prevalence of coronary artery disease worldwide, the number of patients with cardiac arrest and requiring acute cardiac care is going to increase, and doctors will increasingly be faced with difficult ethical decisions associated with these patients. Open discussion and debate about these issues and good communication among patients, family members, and members of the health care team are essential to ensure that all patients receive the best possible end-of-life care.

Quality of care assessment in acute cardiac care

2021 ◽  
pp. 54-62
Author(s):  
Fiona Ecarnot ◽  
François Schiele
Keyword(s):  
Cardiovascular Disease ◽  
Quality Of Care ◽  
Performance Measures ◽  
Quality Measures ◽  
Cardiac Care ◽  
Composite Measures ◽  
Care Assessment ◽  
Measuring Outcomes ◽  
Acute Cardiac Care

This chapter will describe the use of performance measures and quality measures in the assessment of the quality of care delivered to patients with acute cardiovascular disease. It gives a brief recap of the major landmarks in the development of the use of performance measures, and goes on to explain the different approaches to measuring processes of care and to measuring outcomes. The utility and construction of composite measures is also described.

The ESC Textbook of Intensive and Acute Cardiac Care

2011 ◽  
Keyword(s):  
Quality Of Care ◽  
Core Curriculum ◽  
Cardiac Care ◽  
Common Basis ◽  
Acute Cardiac Care

The ESC Textbook of Intensive and Acute Cardiac Care is a key reference for training and accreditation in this specialty. It serves as a reference for experienced and trainee cardiologists and intensivists from all over Europe. It establishes a common basis of knowledge in the field and a uniform and improved quality of care, is fully consistent with guidelines specified in the ESC Core Curriculum for Acute Cardiac Care, and features numerous videos as well as images that are downloadable to Powerpoint.

Ethical issues in cardiac arrest and acute cardiac care: a European perspective

2017 ◽  
Author(s):  
Jean-Louis Vincent
Keyword(s):  
Decision Making ◽  
Cardiac Arrest ◽  
Ethical Issues ◽  
Health Care Team ◽  
Cardiac Care ◽  
Ethical Perspective ◽  
Mortality And Morbidity ◽  
Good Communication ◽  
Number Of Patients ◽  
Acute Cardiac Care

Acute cardiac syndromes are common and responsible for considerable mortality and morbidity. Decision making in such patients can be difficult clinically but can also be complex and challenging from an ethical perspective. This chapter reviews some of the ethical problems, including organ donation and withholding/withdrawing, that can occur in the acutely ill adult cardiac patient, starting with a brief look at the ethical principles that should guide our decision making: beneficence, non-maleficence, autonomy, and distributive justice. The role of advance directives and considerations related to family presence during cardiopulmonary resuscitation will also be discussed. With the increasing incidence and prevalence of coronary artery disease worldwide, the number of patients with cardiac arrest and requiring acute cardiac care is going to increase, and doctors will increasingly be faced with difficult ethical decisions associated with these patients. Open discussion and debate about these issues and good communication among patients, family members, and members of the health care team are essential to ensure that all patients receive the best possible end-of-life care.

Novice's Performance and Satisfaction Improvement Through Expert Decision Support Usage

2004 ◽  
pp. 163-182
Author(s):  
Lucila Perez ◽  
Michel Plaisent ◽  
Prosper Bernard ◽  
Lassana Maguiraga
Keyword(s):  
Neural Networks ◽  
Decision Making ◽  
Decision Support ◽  
Positive Impact ◽  
Business World ◽  
New Employees ◽  
Training Tool ◽  
Treatment Groups ◽  
The Impact

Decision support technology, Expert Systems, Executives Information Systems, and Artificial Neural Networks, have been reported to be useful tools to enhance the performance of managers as they helped them to gain more knowledge, experiences, and expertise and consequently enhance the quality of the decision-making. They can also be used as a training tool to transfer the knowledge of the expert to middle and top management and thus improve the performance of new employees. This communication reports the conclusions of a study conducted to verify the impact of the use of the EDSS technology (Expert Decision Support Systems) on the performance and satisfaction of new employees in the business world. A laboratory experiment using control groups and treatment groups was held to test the research model. The results indicate that EDSS technologies do have a positive impact on the performance of the users.

Large Infrastructure Projects: A Review of the Quality of Demand Forecasts and Cost Estimations

2007 ◽  
Vol 34 (4) ◽  
pp. 611-625 ◽  
Author(s):  
Bert van Wee
Keyword(s):  
Decision Making ◽  
Cost Estimation ◽  
Positive Impact ◽  
Cost Benefit ◽  
Future Research ◽  
Infrastructure Projects ◽  
Strategic Behaviour ◽  
Ex Ante ◽  
Demand Forecasts

Decision making with respect to large infrastructure projects is at least partly based on ex ante evaluations of costs and impacts. Impacts include economic, environmental, and social impacts, sometimes aggregated in a cost-benefit analysis (CBA). For such ex ante evaluations the quality of the related demand and costs forecasts is very important. This paper aims to answer four questions: (1) What is the quality of demand forecasts for large infrastructure projects? (2) What is the quality of cost forecasts for these projects? (3) How can current practices with respect to assessing the demand and cost forecasts be improved? (4) Which implications do the insights have for practice, and which challenges for future research can be derived from the findings? A literature review is used to answer the first three questions. It is concluded that the quality of transport demand and costs forecasts is often very poor, especially for rail projects. This is not so much a lack of adequate forecasting techniques or a matter of insight into the factors determining costs, but more the strategic behaviour of some actors. Improvements therefore should not only be looked for in the area of transport demand and cost-estimation methodologies, but should also focus on the question of how strategic behaviour can be avoided or at least limited. These conclusions are very important for CBA because cost underestimations and demand overestimations have a major impact on the cost-benefit ratio and decrease the potentially positive impact of CBA on the quality of decision making. The paper discusses several challenges for related future research.

scholarly journals It’s Not All about Echocardiography. Open the Lung Window for the Cardiac Emergencies

Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 69
Author(s):  
Eftihia Polyzogopoulou ◽  
Antonios Boultadakis ◽  
Ignatios Ikonomidis ◽  
John Parissis
Keyword(s):  
Decision Making ◽  
Cardiac Arrest ◽  
Chest Pain ◽  
Care Setting ◽  
Cardiac Care ◽  
Lung Ultrasonography ◽  
Clinical Presentations ◽  
Cardiac Emergencies ◽  
Lung Window ◽  
Acute Cardiac Care

In the acute cardiac care setting, undifferentiated clinical presentations such as dyspnea, chest pain, shock, and cardiac arrest are common diagnostic challenges for the clinician. Lung ultrasonography is a well-established diagnostic tool which can be integrated in simplified decision making algorithms during the initial approach of the patient, in order to differentiate accurately cardiac from non-cardiac causes and improve the management of time-sensitive cardiovascular emergencies.

scholarly journals Tingkat Kualitas Audit Perusahaan Keluarga Terhadap Tenur dan Rotasi Audit

2021 ◽  
Vol 5 (1) ◽  
pp. 11-30
Author(s):  
Ananto Prabowo ◽  
Desy Ria Wibawa
Keyword(s):  
Decision Making ◽  
Audit Quality ◽  
Negative Impact ◽  
Positive Impact ◽  
Stock Exchange ◽  
Secondary Data ◽  
Accounting Firms ◽  
Financial Report ◽  
The Family

The purpose of the research is to determine the influence of audit tenure and rotation on audit quality at the family businesses listed in the Indonesian Stock Exchange from 2009 to 2017, with the financial sector as the exemption. The reason for research is that the quality of the financial report is essential for decision-making purposes both internally and externally. This research is quantitative by utilizing secondary data. The analysis uses multiple regressions. The research showed that public accountants’ tenure and rotation have a positive impact but not significant on audit quality, where tenure and rotation on accounting firms have a negative impact but do not significantly influence audit quality.

One Health and Zoonotic Uncertainty in Singapore and Australia: Examining Different Regimes of Precaution in Outbreak Decision-Making

2019 ◽  
Vol 13 (1) ◽  
pp. 69-81
Author(s):  
C Degeling ◽  
G L Gilbert ◽  
P Tambyah ◽  
J Johnson ◽  
T Lysaght
Keyword(s):  
Decision Making ◽  
Global Justice ◽  
One Health ◽  
Emerging Infectious Diseases ◽  
Scientific Uncertainty ◽  
Great Promise ◽  
Animal Populations ◽  
Disease Risks ◽  
Political Economic

Abstract A One Health approach holds great promise for attenuating the risk and burdens of emerging infectious diseases (EIDs) in both human and animal populations. Because the course and costs of EID outbreaks are difficult to predict, One Health policies must deal with scientific uncertainty, whilst addressing the political, economic and ethical dimensions of communication and intervention strategies. Drawing on the outcomes of parallel Delphi surveys conducted with policymakers in Singapore and Australia, we explore the normative dimensions of two different precautionary approaches to EID decision-making—which we call regimes of risk management and organizing uncertainty, respectively. The imperative to act cautiously can be seen as either an epistemic rule or as a decision rule, which has implications for how EID uncertainty is managed. The normative features of each regime, and their implications for One Health approaches to infectious disease risks and outbreaks, are described. As One Health attempts to move upstream to prevent rather than react to emergence of EIDs in humans, we show how the approaches to uncertainty, taken by experts and decision-makers, and their choices about the content and quality of evidence, have implications for who pays the price of precaution, and, thereby, social and global justice.

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