Fields of promoted actions for facilitating multitasking activity during a medical emergency

2017 ◽  
Vol 3 (2) ◽  
pp. 70-72 ◽  
Author(s):  
Thierry Morineau ◽  
Pascal Chapelain ◽  
Marion Le Courtois ◽  
Jean-Marc Le Gac
Keyword(s):  
Spatial Arrangement ◽  
Medical Emergency ◽  
Clinical Event ◽  
Team Members ◽  
Emergency Team ◽  
Advantages And Disadvantages ◽  
Level Of Satisfaction ◽  
Adverse Clinical Event ◽  
Before And After ◽  
High Level

BackgroundAn adverse clinical event requires emergency team coordination and multitasking activity. Based on studies in ecological psychology, we propose that a structured ambient environment can implicitly facilitate these requirements.MethodWe designed a new configuration of work in which spatial zones were specified as fields of promoted actions for doctors, nurses and nursing auxiliaries. 6 emergency teams were confronted with scenarios in a simulation setting, either with a traditional configuration of work or with the new configuration.ResultsSignificantly, each kind of caregiver respected the delimited spatial zones: 91.5% of occupation time for doctors, 97.1% for nurses and 95.3% for nursing auxiliaries. The mean durations of occupation of a same zone by the nursing auxiliaries and another caregiver decreased significantly, thus reducing the likelihood of mutual disturbance. Readiness for multitasking activity measured before and after experiencing the work configuration increased significantly among caregivers. An ergonomic evaluation scale showed a high level of satisfaction among caregivers (68.5 points out of 100). Participants also indicated the advantages and disadvantages of this new work configuration.ConclusionsThis study is a first step towards recommendations to standardise the positioning of emergency team members and for a new spatial arrangement of equipment.

A prospective before‐and‐after trial of a medical emergency team

2003 ◽  
Vol 179 (6) ◽  
pp. 283-287 ◽  
Author(s):  
Rinaldo Bellomo ◽  
Donna Goldsmith ◽  
Shigehiko Uchino ◽  
Jonathan Buckmaster ◽  
Graeme K Hart ◽  
...  
Keyword(s):  
Medical Emergency Team ◽  
Medical Emergency ◽  
Emergency Team ◽  
Before And After

scholarly journals A survey of the organization, preparation and workload of the medical aid teams sent to Wuhan in China during Covid-19 epidemic

2020 ◽  
Author(s):  
Jing Zhong ◽  
Xingfeng Sun ◽  
Minli Sun ◽  
Peng Liang ◽  
Feng Ge ◽  
...  
Keyword(s):  
Medical Emergency Team ◽  
Medical Emergency ◽  
Psychological Counseling ◽  
Web Based ◽  
Team Members ◽  
Medical Aid ◽  
Emergency Team ◽  
Tertiary Hospitals ◽  
Service Training ◽  
Medical Materials

Abstract Background: The 2020 Covid-19 epidemic challenged China’s mechanisms for public health team mobilization to control outbreaks. As of March 8th, 346 non-military Medical Aid Teams (MATs) and 42,600 team members have been sent to Hubei Province from other regions in China. This study aims to review the organization and perspectives of the MATs sent to Wuhan during Covid-19 epidemic.Methods: The organization, preparation and workload of doctors and nurses in each MAT were reviewed via a Web-based survey filled by the MATs leaders. The perspectives of the MATs members were investigated via an independent Web-based survey. Results were reported as numbers and percent. The qualitative data was analyzed using thematic content analysis.Results: The leaders of nine MATs from six provinces or municipality participated in the first survey. In the second survey, 512 valid questionnaires including 142 doctors and 370 nurses were collected. The average number of members in a MAT was 138. Each MAT included pulmonary physicians and ICU doctors. The percentage of nurses varied from 60% to 80%. The staffing of MATs was suggested to be optimized. Before going to Wuhan, 32% of participants are members of the Medical Emergency Team in hospital. 91% of the MAT members received pre-service training. Two most important trainings were nosocomial infection control and self-protective measures. The average stay of MATs in Wuhan was 51 days. The lack of medical materials supply was considered as the most important factor that negatively affected organizational MATs efficiency. Psychological counseling for the members of MATs needs to be strengthened.Conclusion: The MATs sent to Wuhan from tertiary hospitals in other regions in China were organized and prepared to fight Covid-19 epidemic. The staffing of MATs needs to be optimized. The lack of medical materials supply was considered as the most important factor that negatively affected organizational MATs efficiency. Psychological counseling was considered to be in need of strengthening.

scholarly journals The Lègami/Legàmi Service—An Experience of Psychological Intervention in Maternal and Child Care during COVID-19

2021 ◽  
Vol 13 (1) ◽  
pp. 142-162
Author(s):  
Giovanna Perricone ◽  
Ilenia Rotolo ◽  
Viviana Beninati ◽  
Nicolò Billeci ◽  
Valeria Ilarda ◽  
...  
Keyword(s):  
Psychological Intervention ◽  
Descriptive Analysis ◽  
Support Service ◽  
Psychological Support ◽  
Medical Emergency ◽  
Level Of Satisfaction ◽  
Free Service ◽  
Relational Resources ◽  
Psychological Assistance ◽  
High Level

This study provides a descriptive analysis of the Lègami/Legàmi service, a free psychological support service in maternal and childcare, offered through the internet and by telephone that was initiated by the Italian Society of Pediatric Psychology (S.I.P.Ped.) during the COVID-19 medical emergency as an act of solidarity, first independently, and then in collaboration with the Italian Ministry of Health. This paper presents findings related to the “universe” of people who called the toll-free service, from the sociocultural characteristics of the users to the information collected by the professionals during the psychological pathways until human satisfaction was achieved. We provide a retrospective description of an experience that took place between April and June 2020, and which involved users of the maternal-infant area calling from the whole Italy. Methods: The aims of this study were to investigate the configuration of the indicators identified and to detect the possible correlations between them in the sample. There were 193 users who took advantage of the Service, 160 of whom continued beyond the reception service; it is this group that we report the findings from here. The tool used was a form reporting access to care and interventions, and the resulting data underwent a content analysis and the indicators were subject to non-parametric statistical analysis to analyze differences and relationships. Results: There were many correlations among the indicators that revealed a high prevalence of calls due to personal motivations and requests for support, which later allowed users to gain a greater understanding of the underlying problems they were facing. The professionals running the service noticed a prevalence of weaknesses attributable to the negative emotions of its users, alongside a presence of cognitive and relational resources. The professionals’ interventions, which can be characterized by a prevalence of social support, psychological rehabilitation, and psychoeducation, achieved outcomes of redefining users’ relationships with themselves and others. All of the service’s users have expressed a high level of satisfaction with it. Discussion: Our results revealed the protective and transformative effects of the service for its users and the underlying importance of having an easily accessible psychological support system in place during emergencies, like the recent pandemic. In conditions like these, the great value of a remote support service should be noted, and despite its limitations, assures its own efficacy when a medical emergency precludes closer in-person forms of psychological assistance.

scholarly journals LINC-02. IMPLEMENTATION OF AN INTEGRATED NEURO-ONCOLOGY SERVICE: CLINICIANS’ PERSPECTIVE ON CONDUCT OF NEURO-ONCOLOGY MULTIDISCIPLINARY TEAM MEETING FROM A SINGLE-INSTITUTION IN MALAYSIA

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii378-iii378
Author(s):  
Jen Chun Foo ◽  
Jawin Vida ◽  
Ariffin Hany ◽  
Pei Yuin Loh ◽  
Sockalingam Sutharsan ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Coordinated Care ◽  
Web Based ◽  
Team Members ◽  
Good Communication ◽  
Level Of Satisfaction ◽  
Central Nervous System Tumour ◽  
Before And After ◽  
Almost All ◽  
E Mail

Abstract INTRODUCTION Multidisciplinary Team (MDT) meetings are essential in the management of complex cancer cases. There are limited data regarding clinicians’ perception on conduct of neuro-oncology MDT meetings and its impact on clinical management. In University Malaya Medical Centre (UMMC), weekly neuro-oncology MDT meeting was established since 2013 to discuss adult and paediatric complex central nervous system tumour cases. OBJECTIVE To determine clinicians’ perception and level of satisfaction of neuro-oncology MDT meeting. METHODOLOGY Web-based questionnaire was distributed via e-mail to all neuro-oncology MDT clinicians at UMMC in April 2019. RESULT Eighteen out of 20 clinicians responded to the survey. Respondents were: neurosurgeons (n=5), adult oncologists (n=4), paediatric oncologists (n=3), radiologists (n=2), radiation oncologists (n=2) and pathologists (n=2). Majority of clinicians (65%) agreed at current weekly MDT meeting with maximum length of one hour duration and 75% of them suggested to discuss 5 to 10 cases during each meeting. Almost all of them (94.4%) preferred e-mail as method of communication to disseminate information before and after the meetings. MDT members expected 100% attendance from neurosurgeons. Fourteen (70%) clinicians agreed that patients/ parents/ carers do not receive copy of MDT meeting plans and only seven (35%) clinicians document MDT meeting plans in patients’ medical record. Overall, all clinicians felt that MDT meeting improved decision-making process, enhanced continuity of coordinated care and promoted good communication among team members. CONCLUSION The structure and logistics of neuro-oncology MDT meeting in UMMC are generally agreed upon. However, documentation of post-meeting plan and notification to patients need uniformity.

scholarly journals Client Satisfaction of Hand Therapy Intervention: An Evaluation of the Effectiveness of Therapy for Clients Recovered From Complex Regional Pain Syndrome

2008 ◽  
Vol 16 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Nirmeen Zagzoog ◽  
Shrikant J Chinchalkar ◽  
Thelma Sumsion
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Client Satisfaction ◽  
Pain Syndrome ◽  
The Body ◽  
Unique Contribution ◽  
Therapy Regimen ◽  
Therapy Program ◽  
Level Of Satisfaction ◽  
Before And After ◽  
High Level

Complex regional pain syndrome (CRPS) is a neuropathic pain condition that may develop following trauma to an extremity. Clients treated for CRPS at St Joseph's Health Care London – Hand and Upper Limb Centre, London, Ontario, were asked to evaluate their level of satisfaction with the treatment they had received by comparing their pain, functional status and emotional status before and after receiving therapy. The results indicated a high level of satisfaction among clients, attributable to the unique nature of the therapy program in use at this facility, where the occupational therapist works in close collaboration with the surgeon and pain specialists, and the therapy regimen is designed for each client individually according to his or her needs. The unique contribution of the present study to the body of clinical literature on CRPS is that it introduces a focus on client functionality and on client satisfaction with therapy received.

Features and perceptions of a critical care outreach physician role

2021 ◽  
Vol 23 (3) ◽  
pp. 248-253
Author(s):  
Keyword(s):  
Critical Care ◽  
Medical Emergency Team ◽  
Emergency Department Visits ◽  
Medical Emergency ◽  
Emergency Team ◽  
Role Design ◽  
Physician Role ◽  
High Level ◽  
Survey Responses ◽  
Critical Care Outreach

OBJECTIVE: To describe the tasks completed by the critical care outreach physician (CCOP) and staff perceptions of the CCOP role. DESIGN: Prospective observational study and survey of intensive care unit (ICU) staff. SETTING: University-affiliated teaching hospital in Australia. PARTICIPANTS: ICU consultants, registrars and nurses. INTERVENTIONS: Implementing a dedicated ICU consultant to review deteriorating patients outside the ICU. MAIN OUTCOME MEASURES: Prospective collection of CCOP tasks and survey of ICU staff. RESULTS: During 101 clinical shifts, the CCOP had 1524 encounters (mean, 15.1 [standard deviation, 6.1]; median, 14 [interquartile range, 10–19] per day). The three commonest interventions were emergency department visits, direct consultant communication, and coordinating ICU admissions. Involvement in Medical Emergency Team (MET) calls, expediting patient care, and goals of care discussions were also relatively common. Survey responses were obtained from 55/84 (66%) eligible participants. Most respondents thought the CCOP would improve the predefined processes of care and patient-centred outcomes. The areas of greatest perceived benefit included supporting the MET registrar and coordinating simultaneous emergencies outside the ICU. Areas where the role was perceived to be less beneficial included improving handover, identifying patients at clinical risk outside the ICU, and reducing repeat MET calls. CONCLUSIONS: The tasks of a CCOP involved high level communication, coordination of care, and supervision of ICU staff. The effect of this role on patient-centred outcomes requires further research.

Early impact of medical emergency team implementation in a country with limited medical resources: A before-and-after study

2011 ◽  
Vol 26 (4) ◽  
pp. 373-378 ◽  
Author(s):  
So Yeon Lim ◽  
So Young Park ◽  
Hye Kyeong Park ◽  
Mikyeong Kim ◽  
Hye Yun Park ◽  
...  
Keyword(s):  
Medical Emergency Team ◽  
Medical Emergency ◽  
Medical Resources ◽  
Emergency Team ◽  
Before And After ◽  
Before And After Study ◽  
Team Implementation
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