scholarly journals The quality of critical care service management in South African hospitals

1999 ◽  
Vol 4 (2) ◽  
pp. 12-18
Author(s):  
Marie Muller
Keyword(s):  
Critical Care ◽  
South African ◽  
Full Text ◽  
Service Management ◽  
Care Service ◽  
Critical Care Service

The purpose of this study is to determine the quality of critical care service management in South African hospitals.OpsommingDie doel met hierdie studie is om die gehalte van die bestuur van kritiekesorgdienste in Suid-Afrikaanse hospitale te bepaal. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048423
Author(s):  
Andrew George Lim ◽  
Sean Kivlehan ◽  
Lia Ilona Losonczy ◽  
Srinivas Murthy ◽  
Enrico Dippenaar ◽  
...  
Keyword(s):  
Critical Care ◽  
Service Delivery ◽  
Low Income ◽  
Full Text ◽  
Care Service ◽  
Middle Income ◽  
Middle Income Countries ◽  
Critical Care Service ◽  
Care Services ◽  
Low Middle Income Countries

IntroductionCritical care in low-income and low-middle income countries (LLMICs) is an underdeveloped component of the healthcare system. Given the increasing growth in demand for critical care services in LLMICs, understanding the current capacity to provide critical care is imperative to inform policy on service expansion. Thus, our aim is to describe the provision of critical care in LLMICs with respect to patients, providers, location of care and services and interventions delivered.Methods and analysisWe will search PubMed/MEDLINE, Web of Science and EMBASE for full-text original research articles available in English describing critical care services that specify the location of service delivery and describe patients and interventions. We will restrict our review to populations from LLMICs (using 2016 World Bank classifications) and published from 1 January 2008 to 1 January 2020. Two-reviewer agreement will be required for both title/abstract and full text review stages, and rate of agreement will be calculated for each stage. We will extract data regarding the location of critical care service delivery, the training of the healthcare professionals providing services, and the illnesses treated according to classification by the WHO Universal Health Coverage Compendium.Ethics and disseminationReviewed and exempted by the Stanford University Office for Human Subjects Research and IRB on 20 May 2020. The results of this review will be disseminated through scholarly publication and presentation at regional and international conferences. This review is designed to inform broader WHO, International Federation for Emergency Medicine and partner efforts to strengthen critical care globally.PROSPERO registration numberCRD42019146802.

scholarly journals Critical Care Nursing in Hong Kong

2018 ◽  
Vol 12 (3) ◽  
pp. 70-72
Author(s):  
Hang Mui So ◽  
Xi Cao
Keyword(s):  
Critical Care ◽  
Hong Kong ◽  
Care Service ◽  
Advisory Group ◽  
Critical Care Nursing ◽  
Care Hospital ◽  
Critical Care Service ◽  
Care Nursing ◽  
Nursing Manpower

BackgroundNursing shortage, especially in critical care unit, has become a big concern worldwide.AimThis study aimed to provide the current states of critical care nursing in Hong Kong.MethodsA literature search was conducted. Findings were narratively summarized.FindingsHong Kong faces an increasing demands in critical care service. However, the shortage of nursing manpower in ICU imposes challenges to meet such demands as well as the quality of critical care. Hospital authority has implemented various strategies such as the development of practice through Specialty Advisory Group (Critical Care) and Coordinating Committee in Intensive Care to address these issues.ConclusionEfforts from all stakeholders are needed to meet the demands and improve the quality of critical care.

scholarly journals Telemedicine coverage for post-operative ICU patients

2016 ◽  
Vol 23 (2) ◽  
pp. 360-364 ◽  
Author(s):  
Tara Ann Collins ◽  
Matthew P Robertson ◽  
Corinna P Sicoutris ◽  
Michael A Pisa ◽  
Daniel N Holena ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Care Service ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Surge Capacity ◽  
Icu Patients ◽  
Critical Care Service ◽  
Surgical Critical Care

Introduction There is an increased demand for intensive care unit (ICU) beds. We sought to determine if we could create a safe surge capacity model to increase ICU capacity by treating ICU patients in the post-anaesthesia care unit (PACU) utilizing a collaborative model between an ICU service and a telemedicine service during peak ICU bed demand. Methods We evaluated patients managed by the surgical critical care service in the surgical intensive care unit (SICU) compared to patients managed in the virtual intensive care unit (VICU) located within the PACU. A retrospective review of all patients seen by the surgical critical care service from January 1st 2008 to July 31st 2011 was conducted at an urban, academic, tertiary centre and level 1 trauma centre. Results Compared to the SICU group ( n = 6652), patients in the VICU group ( n = 1037) were slightly older (median age 60 (IQR 47–69) versus 58 (IQR 44–70) years, p = 0.002) and had lower acute physiology and chronic health evaluation (APACHE) II scores (median 10 (IQR 7–14) versus 15 (IQR 11–21), p < 0.001). The average amount of time patients spent in the VICU was 13.7 + /–9.6 hours. In the VICU group, 750 (72%) of patients were able to be transferred directly to the floor; 287 (28%) required subsequent admission to the surgical intensive care unit. All patients in the VICU group were alive upon transfer out of the PACU while mortality in the surgical intensive unit cohort was 5.5%. Discussion A collaborative care model between a surgical critical care service and a telemedicine ICU service may safely provide surge capacity during peak periods of ICU bed demand. The specific patient populations for which this approach is most appropriate merits further investigation.

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