scholarly journals Development of a Prone Team and Exploration of Staff Perceptions During COVID-19

2021 ◽  
pp. e1-e10
Author(s):  
Karen Miguel ◽  
Colleen Snydeman ◽  
Virginia Capasso ◽  
Mary Ann Walsh ◽  
John Murphy ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adverse Events ◽  
Prone Positioning ◽  
Staff Perceptions ◽  
Intensive Care Unit Staff ◽  
Team Members ◽  
Nursing Leaders ◽  
Pressure Injury ◽  
Bed Capacity

Objective: As intensive care unit bed capacity doubled due to COVID-19 cases, nursing leaders created a prone team to support labor-intensive prone positioning of patients with COVID-related acute respiratory distress syndrome. The goal of the prone team was to reduce workload on intensive care teams, standardize the proning process, mitigate pressure injuries and turning-related adverse events, and ensure prone team safety. Methods: Staff were trained using a hybrid learning model focused on prone-positioning techniques, pressure injury prevention, and turning-related adverse events. Results: No adverse events occurred to patients or members of the prone ream. The prone team mitigated pressure injuries using prevention strategies. The prone team and intensive care unit staff were highly satisfied with their experience. Conclusion: The prone team provided support for critically ill patients, and team members reported feeling supported and empowered. Intensive care unit staff were highly satisfied with the prone team.

scholarly journals Eventos adversos na unidade de terapia intensiva

2018 ◽  
Vol 12 (1) ◽  
pp. 19 ◽  
Author(s):  
Ragive Ferreira de Souza ◽  
Isabele Gouveia Muniz Alencar ◽  
Audimar De Sousa Alves
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adverse Events ◽  
Continuing Education ◽  
Healthcare Associated Infections ◽  
Unplanned Extubation ◽  
Pressure Injury ◽  
Terapia Intensiva ◽  
Quantitative Descriptive ◽  
Healthcare Associated

RESUMOObjetivo: caracterizar os eventos adversos de uma Unidade de Terapia Intensiva. Método: estudo quantitativo, descritivo, retrospectivo, com pacientes internados na Unidade de Terapia Intensiva. A coleta de dados ocorreu por meio de questionário. A análise estatística considerou frequências absolutas e relativas calculadas por meio do programa MS Excel e apresentadas em tabelas e figuras. Resultados: constatou-se a ocorrência de 152 eventos adversos. O perfil dos pacientes destacou-se por ser do sexo masculino, adultos jovens, com média de 45 anos. Os principais eventos adversos identificados foram: erros de medicação (29,6%), lesão por pressão (21%), extubação não planejada (17%), infecções associadas aos cuidados de saúde (15,13%), perda de sonda (9,90%), entre outros. Conclusão: reforça-se a necessidade de educação permanente dos profissionais, a fim de sensibilizá-los para notificar os eventos, e da capacitação, para reduzir os índices dos eventos adversos. Descritores: Segurança do Paciente; Indicadores de Qualidade em Assistência à Saúde; Unidades de Terapia Intensiva; Cuidados Críticos; Enfermagem; Educação Continuada.ABSTRACT Objective: to characterize the adverse events of an Intensive Care Unit. Method: quantitative, descriptive, retrospective study with patients admitted to the Intensive Care Unit. Data were collected through a questionnaire. The statistical analysis considered absolute and relative frequencies calculated through the MS Excel program and presented in tables and figures. Results: The occurrence of 152 adverse events was verified. The profile of the patients was highlighted as being male, young adults, with an average of 45 years. The main adverse events identified were: medication errors (29.6%), pressure injury (21%), unplanned extubation (17%), healthcare-associated infections (15.13%), 9.90%), among others. Conclusion: the need for continuing education of professionals, is reinforced in order to sensitize them to notify the events, and the capacitation, to reduce the rates of adverse events. Descriptors: Patient Safety; Quality Indicators, Health Care; Intensive Care Units; Critical Care; Nursery; Education, Continuing.RESUMENObjetivo: caracterizar los eventos adversos de una Unidad de Terapia Intensiva. Método: estudio cuantitativo, descriptivo, retrospectivo, con pacientes internados en la Unidad de Terapia Intensiva. La recolección de datos se produjo por medio de un cuestionario. El análisis estadístico consideró frecuencias absolutas y relativas calculadas a través del programa MS Excel y presentadas en tablas y figuras. Resultados: se constató la ocurrencia de 152 eventos adversos. El perfil de los pacientes se destacó por ser del sexo masculino, adultos jóvenes, con promedio de 45 años. Los principales eventos adversos identificados fueron: errores de medicación (29,6%), lesión por presión (21%), extubación no planificada (17%), infecciones asociadas a la atención de salud (15,13%), pérdida de sonda (9,90%), entre otros. Conclusión: se refuerza la necesidad de educación permanente de los profesionales a fin de sensibilizarlos para notificar los eventos, y de la capacitación, para reducir los índices de los eventos adversos. Descriptores: Seguridad del Paciente; Indicadores de Calidad de la Atención de Salud; Unidade de Cuidados Intensivos; Cuidados Críticos; Enfermería; Educación Continua.

Parameters of bed occupancy of intensive care units in Hungary

2011 ◽  
Vol 152 (24) ◽  
pp. 946-950 ◽  
Author(s):  
Miklós Gresz
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Insurance ◽  
Intensive Care Units ◽  
Emergency Care ◽  
Present Author ◽  
Bed Occupancy ◽  
National Network ◽  
Bed Capacity

According to the Semmelweis Plan for Saving Health Care, ”the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present”. Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds in intensive care units were occupied. There were about 15 to 20 thousand sick days which could be considered unnecessary because patients occupying these beds were discharged to their homes directly from the intensive care unit. The data indicate that on the whole bed capacity is not low, only in some institutions insufficient. Thus, in order to improve emergency care in Hungary, the rearrangement of existing beds, rather than an increase of bed capacity is needed. Orv. Hetil., 2011, 152, 946–950.

scholarly journals Changes in the Number of Intensive Care Unit Beds in U.S. Hospitals During the Early Months of the COVID-19 Pandemic, as reported to the National Healthcare Safety Network’s COVID-19 Module

2021 ◽  
pp. 1-12
Author(s):  
Lindsey M. Weiner-Lastinger ◽  
Margaret A. Dudeck ◽  
Katherine Allen-Bridson ◽  
Raymund Dantes ◽  
Cindy Gross ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Type ◽  
National Healthcare ◽  
National Healthcare Safety Network ◽  
Bed Capacity ◽  
Using Data

Abstract Using data from the National Healthcare Safety Network (NHSN), we assessed changes to intensive care unit (ICU) bed capacity during the early months of the COVID-19 pandemic. Changes in capacity varied by hospital type and size. ICU beds increased by 36%, highlighting the pressure placed on hospitals during the pandemic.

scholarly journals The Process and Impact of Stakeholder Engagement in Developing a Pediatric Intensive Care Unit Communication and Decision-Making Intervention

2016 ◽  
Vol 3 (4) ◽  
pp. 108-118 ◽  
Author(s):  
Kelly N Michelson ◽  
Joel Frader ◽  
Lauren Sorce ◽  
Marla L Clayman ◽  
Stephen D Persell ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Stakeholder Engagement ◽  
Pediatric Intensive Care ◽  
Healthcare Team ◽  
Team Members ◽  
Core Elements ◽  
Stakeholder Input

Stakeholder-developed interventions are needed to support pediatric intensive care unit (PICU) communication and decision-making. Few publications delineate methods and outcomes of stakeholder engagement in research. We describe the process and impact of stakeholder engagement on developing a PICU communication and decision-making support intervention. We also describe the resultant intervention. Stakeholders included parents of PICU patients, healthcare team members (HTMs), and research experts. Through a year-long iterative process, we involved 96 stakeholders in 25 meetings and 26 focus groups or interviews. Stakeholders adapted an adult navigator model by identifying core intervention elements and then determining how to operationalize those core elements in pediatrics. The stakeholder input led to PICU-specific refinements, such as supporting transitions after PICU discharge and including ancillary tools. The resultant intervention includes navigator involvement with parents and HTMs and navigator-guided use of ancillary tools. Subsequent research will test the feasibility and efficacy of our intervention.

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