TY - JOUR ID - 113499563 T1 - A systematic review of relocation stress following in-house transfer out of critical/intensive care units. AU - Salmond, Susan Warner AU - Evans, Benjamin AU - Hamdi, Hanaa A. AU - Saimbert, Marie K. Y1 - 2011/12/09/ N1 - Accession Number: 113499563. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Biomedical; Nursing. Special Interest: Evidence-Based Practice. KW - Nurse Liaison KW - Hand Off (Patient Safety) KW - Intensive Care Units KW - Family KW - Critical Care Nursing KW - Critical Care KW - Patient Care KW - Systematic Review KW - Concept Analysis KW - Randomized Controlled Trials KW - Quantitative Studies KW - Data Collection KW - Qualitative Studies KW - Experimental Studies KW - Case Studies KW - Data Collection Methods KW - Convenience Sample KW - Purposive Sample KW - Research Methodology KW - Semi-Structured Interview KW - Content Analysis KW - Meta Analysis KW - Interview Guides KW - Theoretical Sample KW - Internal Consistency KW - Nonexperimental Studies KW - Correlational Studies KW - Action Research KW - Grounded Theory KW - Random Sample KW - Random Assignment KW - Field Notes KW - Study Design KW - Adult KW - Prospective Studies KW - Literature Review KW - Unstructured Interview KW - Focus Groups KW - Ethnographic Research KW - Sampling Methods KW - Data Analysis KW - Phenomenological Research KW - Child KW - Infant KW - Structured Interview KW - Empirical Research KW - Narratives KW - Scales KW - Interviews KW - Checklists KW - Questionnaires KW - Surveys KW - Chi Square Test KW - Diaries KW - Analysis of Variance SP - 2684 EP - 2777 JO - JBI Library of Systematic Reviews JF - JBI Library of Systematic Reviews VL - 9 IS - 61 PB - Joanna Briggs Institute SN - 1838-2142 AD - University of Medicine and Dentistry of New Jersey, The New Jersey Center for Evidence-Based Nursing : a collaborating centre of the Joanna Briggs Institute AD - Bergen Pines Regional Medical Center UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113499563&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 113589733 T1 - A Systematic Review of Relocation Stress Following In-House Transfer Out of Critical/Intensive Care Units. AU - Salmond, Susan W. AU - Evans, Benjamin M. Y1 - 2009/09/05/2009 Supplement N1 - Accession Number: 113589733. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Supplement Title: 2009 Supplement. Journal Subset: Biomedical; Nursing. Special Interest: Evidence-Based Practice. KW - Intensive Care Units KW - Stress KW - Relocation KW - Joint Commission KW - Observation Units KW - Systematic Review KW - Randomized Controlled Trials KW - Research Methodology KW - Data Collection Methods KW - Data Collection KW - Meta Analysis KW - Experimental Studies KW - Qualitative Studies KW - Odds Ratio KW - Confidence Intervals KW - Nonexperimental Studies KW - Action Research KW - Prospective Studies KW - Data Analysis KW - Quantitative Studies KW - Case Studies KW - Narratives KW - Checklists KW - Surveys KW - Scales SP - 1 EP - 19 JO - JBI Library of Systematic Reviews JF - JBI Library of Systematic Reviews VL - 7 PB - Joanna Briggs Institute SN - 1838-2142 AD - University of Medicine and Dentistry of New Jersey, School of Nursing. 65 Bergen Street, Suite 1141, Newark, NJ 07101 AD - University of Medicine and Dentistry of New Jersey, School of Nursing, 65 Bergen Street, Suite 1141, Newark, NJ 07101 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113589733&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120086386 T1 - ADVERSE EVENTS DURING INTRA-HOSPITAL TRANSPORTATION IN INTENSIVE CARE UNIT. AU - da Silva, Renata AU - Nazareth Amante, Lucia AU - Chiodelli Salum, Nadia AU - Martins, Tatiana AU - Werner, Joane Y1 - 2016/12// N1 - Accession Number: 120086386. Language: English. Entry Date: 20161219. Revision Date: 20170203. Publication Type: Article; research; tables/charts. Journal Subset: Mexico & Central/South America; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety. NLM UID: 101484186. KW - Adverse Health Care Event KW - Transfer, Intrahospital KW - Transportation of Patients KW - Intensive Care Units KW - Quantitative Studies KW - Descriptive Research KW - Prospective Studies KW - Human KW - Hospitals, Public KW - Brazil KW - Nonparticipant Observation KW - Descriptive Statistics KW - Inferential Statistics KW - Monitoring, Physiologic KW - Vital Signs KW - Convenience Sample KW - Data Analysis Software KW - Wilcoxon Rank Sum Test KW - Kruskal-Wallis Test KW - Analysis of Variance KW - Post Hoc Analysis KW - Blood Pressure KW - Oxygen Saturation SP - 4459 EP - 4465 JO - Journal of Nursing UFPE / Revista de Enfermagem UFPE JF - Journal of Nursing UFPE / Revista de Enfermagem UFPE JA - REV ENFERMAGEM UFPE VL - 10 IS - 12 PB - Revista de Enfermagem UFPE AB - Objective: to describe the occurrence of adverse events related to intra-hospital transportation of patients admitted to the Intensive Care Unit. Method: quantitative, descriptive and prospective study carried out in a public institution in the Uberlândia (MG), Brasil. Data collection occurred with 103 intra-hospital transportations through non-participant observation using a structured script. Data were analyzed with descriptive, inferential and analytical statistics. Results: the occurrence of adverse events was observed and changes in blood pressure in patients was more frequent (20%) assessed by doctors and nurses. Blood pressure (13%) and peripheral oxygen saturation (3%) were the isolated vital signs that varied the most when associated with adverse events. Conclusion: it is recommended that further studies explore descriptively the association between the change of vital signs and adverse events in relation to the care adopted by staff in order to prevent the occurrence of adverse events. AB - Objetivo: describir los eventos adversos relacionados al transporte intra-hospitalario de pacientes internados en la Unidad de Terapia Intensiva. Método: estudio cuantitativo, descriptivo y prospectivo realizado en una institución pública en la ciudad de Uberlândia (MG), Brasil. La recolección de datos fue con 103 transportes intra-hospitalarios por la observación no participante mediante guía estructurada. Los datos fueron analizados por medio de estadística descriptiva, inferencia y analítica. Resultados: hubo eventos adversos con mayor frecuencia para alteraciones de la presión arterial en pacientes (20%) evaluados por médicos y enfermeros. La presión arterial (13%) y la saturación de oxígeno periférico (3%) fueron las señales vitales que aisladamente más variaron, cuando fueron asociados a los eventos adversos. Conclusión: se recomienda que más estudios exploten descriptivamente la asociación entre la variación de las señales vitales y los eventos adversos en relación a los cuidados adoptados por el equipo para prevenir los eventos adversos. AB - Objetivo: descrever a ocorrência de eventos adversos relacionados ao transporte intra-hospitalar de pacientes internados na Unidade de Terapia Intensiva. Método: estudo quantitativo, descritivo e prospectivo realizado em uma instituição pública na cidade de Uberlândia (MG), Brasil. A coleta de dados ocorreu com 103 transportes intra-hospitalar pela observação não participante mediante roteiro estruturado. Os dados foram analisados por meio de estatística descritiva, inferencial e analítica. Resultados: evidenciaram a ocorrência de eventos adversos com maior frequência para alterações da pressão arterial em pacientes (20%) avaliados por médicos e enfermeiros. A pressão arterial (13%) e a saturação de oxigênio periférico (3%) foram os sinais vitais que isoladamente mais variaram, quando foram associados aos eventos adversos. Conclusão: recomenda-se que mais estudos explorem descritivamente a associação entre a variação dos sinais vitais e os eventos adversos em relação aos cuidados adotados pela equipe para prevenir a ocorrência de eventos adversos. SN - 1981-8963 AD - Nurse, Master, Intensive Care Unit of Uberlândia Clinical Hospital. Uberlandia (MG), Brazil AD - Nurse, PhD Professor, Department of Nursing, Federal University of Santa Cartarina/UFSC. Florianópolis (SC), Brazil AD - Nurse, PhD in Nursing, Graduate Program in Nursing Care Management - Professional Master. Florianópolis (SC), Brazil AD - Nurse, Specialist in Hospital Management, Master student, Graduate Nursing Program, Federal University of Santa Cartarina/UFSC. CAPES scholarship holder, Santa Catarina (SC), Brazil AD - Undergraduate student, Nursing Course, Federal University of Santa Cartarina/UFSC. GAO scholarship holder. Santa Catarina (SC), Brazil DO - 10.5205/reuol.9978-88449-6-ED1012201604 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120086386&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 122512985 T1 - USE OF ELECTROMAGNETIC DEVICE TO INSERT POSTPYLORIC FEEDING TUBES IN A PEDIATRIC INTENSIVE CARE UNIT. AU - Brown, Ann-Marie Y1 - 2017/05// N1 - Accession Number: 122512985. Language: English. Entry Date: 20170419. Revision Date: 20170424. Publication Type: Article; pictorial; research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Grant Information: This study was supported by an unrestricted grant from Corpak Medsystems, Dublin, Ohio.. NLM UID: 9211547. KW - Electromagnetics -- Equipment and Supplies KW - Intubation, Gastrointestinal -- Methods KW - Intensive Care Units, Pediatric KW - Enteral Nutrition KW - Outcomes (Health Care) KW - Inpatients KW - Prospective Studies KW - Control Group KW - Infant, Newborn KW - Infant KW - Child, Preschool KW - Child KW - Adolescence KW - Human KW - Female KW - Male KW - Data Analysis Software KW - Descriptive Statistics KW - P-Value KW - Pearson's Correlation Coefficient KW - T-Tests KW - Academic Medical Centers -- United States KW - Hospitals, Pediatric KW - United States KW - Confidence Intervals KW - Odds Ratio KW - Transfer, Intrahospital -- Statistics and Numerical Data KW - Radiation Dosage -- Statistics and Numerical Data KW - Severity of Illness Indices KW - Funding Source SP - 248 EP - 254 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 26 IS - 3 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - Background The preferred route for providing nutrition in the pediatric intensive care unit is enteral. Placement of postpyloric feeding tubes using an electromagnetictipped stylet that emits a signal detected by a device held over the patient's abdomen is effective in adult intensive care units, but has not been well studied in pediatric units. Objectives To determine the effectiveness of the electromagnetic device in reducing the numbers of radiation exposures, intrahospital transports, tubes used, and tube placement attempts in the pediatric intensive care unit. Methods Data from a historical control group were compared with data from a prospective intervention group of patients less than 18 years of age and weighing at least 3 kg who required a postpyloric feeding tube in a 23-bed pediatric intensive care unit. Primary outcome was number of radiation exposures. Independent-samples Student t tests were used to compare the 2 study groups for mean equality; Pearson χ² tests were used to compare categorical data. Statistical testing was 2-sided, and P less than .05 was considered statistically significant. Results Of 73 children (30 in control group, 43 in intervention group), those in the intervention group had a higher success rate at tube placement (P = .009) and fewer radiation exposures (P = .006), intrahospital transports (P = .004), and tubes used (P < .001). Conclusions Successful placement of postpyloric feeding tubes by nurse practitioners was safely enhanced using an electromagnetic device. Establishing users' expertise with the device before studying outcomes may improve effectiveness. SN - 1062-3264 AD - Education coordinator in the Simulation Center for Safety and Reliability, Akron Children's Hospital DO - 10.4037/ajcc2017202 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122512985&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126065710 T1 - Problemi aperti nel passaggio del paziente tra la terapia intensiva e la terapia sub-intensiva: gestione del setting, vie aeree, respiro e circolo...Open issues related to the transfer of the patient from the intensive care unit to the high dependency unit: Management of clinical setting, airways, breathing and circulation AU - CHOLEWA, AGNIESZKA KATARZYNA AU - LUCCHINI, ALBERTO AU - CARUSO, CHRISTIAN AU - BAMBI, STEFANO Y1 - 2017/07// N1 - Accession Number: 126065710. Language: Italian. Entry Date: 20171107. Revision Date: 20171123. Publication Type: Article. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care. KW - Critically Ill Patients KW - Transfer, Intrahospital KW - Subacute Care KW - Observation Units KW - Oxygen Therapy KW - Respiration, Artificial KW - Catheters, Vascular KW - Tracheostomy Tube SP - 12 EP - 17 JO - SCENARIO: Official Italian Journal of ANIARTI JF - SCENARIO: Official Italian Journal of ANIARTI JA - SCENARIO VL - 34 IS - 3 PB - ANIARTI AB - Patients who survived to their stay in Intensive Care Unit (ICU) can require to spend periods (sometimes long ones) in settings characterized by intermediate levels of care which cannot be delivered in general wards: High Dependency Unit (HDU). HDUs allow to maintain a certain degree of instrumental monitoring, and an appropriate level of nursing care in order to meet the needs of patients affected by mono-organ failure or with significant risk of clinical deterioration that could entail their re-admission to the ICU. The moment of discharge and transfer of patients from ICU to HDU becomes a critical element, because it requires a global care with attention focused on the prevention of complications, and the progressive removal of the invasive devices for the monitoring and the treatment of the patient. It's essential to focus nursing interventions on preventing the complications related to airways (tracheostomy tube), breathing (oxygen therapy, noninvasive ventilation), circulation (intravascular catheters), and to manage the therapeutic and caring devices in the long term. AB - I pazienti sopravvissuti al ricovero in terapia intensiva (ICU) necessitano di periodi di degenza talvolta anche lunghi, in contesti di cura a ridotta intensità, ma caratterizzati da livelli di assistenza intermedi rispetto alle degenze ordinarie: le Terapie Sub-Intensive (HDU). Le HDU consentono di mantenere un certo grado di monitoraggio strumentale e offrono un livello di assistenza adeguato ai bisogni di pazienti con insufficienze mono-organo o con importante rischio di deterioramento clinico. Il momento della dimissione e del trasferimento del paziente dalla ICU alla HDU diventa quindi un elemento critico, perché richiede di fare il punto sul percorso di cura e assistenza del paziente nelle fasi iperacute e critiche della malattia e una presa in carico globale con particolare attenzione a focalizzare il nursing sulla prevenzione delle complicanze, e sul percorso di downgrade rispetto agli accessori e dispositivi invasivi diagnostici e terapeutici. Particolarmente sensibili, perché a rischio di compromissione degli esiti (lunghezza di degenza, e in alcuni casi, mortalità) sono la gestione dei device invasivi ancora in sede nel in fase di stepdown. In particolare, diventa critico focalizzare il nursing sulle potenziali complicanze del paziente in uscita dalla ICU legate alle vie aeree (particolarmente alla tracheostomia), al respiro (ossigenoterapia e ventilazione non invasiva), al circolo (devices intravascolari) e sulla gestione necessaria al mantenimento dei dispositivi relativi alla cura e assistenza di queste funzioni nel lungo periodo. SN - 1592-5951 AD - Infermiere, Terapia Intensiva di Emergenza e del Trauma, Azienda Ospedaliera Universitaria Careggi, Firenze AD - Infermiere coordinatore, Terapia Intensiva Generale, Azienda Ospedaliera San Gerardo, Monza UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126065710&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 123832368 T1 - Effect of Liaison Nurse Service on Transfer Anxiety of Patients Transferred From the Cardiac Surgery Intensive Care Unit to the General Ward. AU - Jodaki, Kurosh AU - Ghyasvandian, Shahrzad AU - Abbasi, Mohammad AU - Kazemnejad, Anooshirvan AU - Zakerimoghadam, Masoumeh Y1 - 2017/03// N1 - Accession Number: 123832368. Language: English. Entry Date: 20170720. Revision Date: 20170720. Publication Type: Article; research; tables/charts; randomized controlled trial. Journal Subset: Continental Europe; Europe; Nursing. Instrumentation: State-Trait Anxiety Inventory (STAI)(Spielberger). NLM UID: 101606711. KW - Nurse-Patient Relations KW - Anxiety -- Prevention and Control KW - Transportation of Patients -- Psychosocial Factors KW - Nurse Liaison KW - Cardiac Patients KW - Stress, Psychological KW - Randomized Controlled Trials KW - State-Trait Anxiety Inventory KW - Psychological Tests KW - T-Tests KW - Data Analysis Software KW - Chi Square Test KW - P-Value KW - Adolescence KW - Young Adult KW - Adult SP - 1 EP - 4 JO - Nursing & Midwifery Studies JF - Nursing & Midwifery Studies JA - NURS MIDWIFERY STUD VL - 6 IS - 1 PB - Wolters Kluwer India Pvt Ltd AB - Background: Transition from intensive care unit to a general ward is a stressful situation for patients. It is believed that a liaison nurse can prevent adverse events during the transfer process. Objectives: This study aimed to examine the effect of a liaison nurse on anxiety related to the transportation of patients from the cardiac surgery intensive care unit to a general ward. Methods: This randomized clinical trial was conductedon68 patients that were randomly assigned to the experimental and control groups. The demographic information and disease profile were collected at the baseline of the study. Liaison nurse services were provided for the experimental group during the transfer process. The Spielberger state-trait anxiety inventory (STAI) was used to measure the patients' anxiety at the start of the transfer and two hours after admission to the general ward. Independent samples and paired t-tests were used to compare the anxiety mean scores in the experimental and control groups. Results: Before the intervention, the mean anxiety was 45.61±12.42 and 40.11±±10.95 in the experimental and the control groups, respectively (P = 0.057). However, after the intervention, the mean anxiety score was significantly decreased to 33.20 ± 6.22 in the experimental group (P < 0.001) while it increased to 44.17±10.23 in the control group (P < 0.001). Conclusions: Liaison nurse services affected the patients' anxiety in the process of transition from the cardiac surgery intensive care unit to the general ward. SN - 2322-1488 AD - Department of Anesthesia, School of Allied Medical Sciences, Qom University of Medical Sciences, Qom, Iran AD - Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran AD - Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran AD - Department of Biostatistics, Tarbiat Modares University, Tehran, Iran AD - Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran DO - 10.5812/nmsjournal.33478 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123832368&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126959751 T1 - Utilizing a transfer of care bundle to OPEN ACCESS reduce unplanned readmissions to the cardiac intensive care unit. AU - Storey, Jean AU - Byrnes, Jonathan W. AU - Anderson, Jeffrey AU - Brown, James AU - Clarke-Myers, Katherine AU - Kimball, Melissa AU - Meyer, Candice AU - Mustin, Laurie AU - Schoenling, Gina AU - Madsen, Nicolas Y1 - 2018/01// N1 - Accession Number: 126959751. Language: English. Entry Date: 20180109. Revision Date: 20180109. Publication Type: Article. Journal Subset: Blind Peer Reviewed; Europe; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; UK & Ireland. NLM UID: 101546984. KW - Quality Improvement KW - Readmission KW - Transfer, Discharge KW - Intensive Care Units KW - Human KW - Male KW - Female KW - Outcomes (Health Care) KW - Cardiac Patients KW - Coronary Care Units KW - Nurse-Patient Ratio KW - Organizational Change KW - Length of Stay KW - Quality of Health Care KW - Intraprofessional Relations SP - 66 EP - 72 JO - BMJ Quality & Safety JF - BMJ Quality & Safety JA - BMJ QUAL SAF VL - 27 IS - 1 PB - BMJ Publishing Group SN - 2044-5415 AD - The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA DO - 10.1136/bmjqs-2016-006366 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126959751&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126023873 T1 - Patient transfer from the intensive care unit to a general ward. AU - Guest, Mags Y1 - 2017/11//11/1/2017 N1 - Accession Number: 126023873. Language: English. Entry Date: 20171107. Revision Date: 20171108. Publication Type: Article; tables/charts. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care. NLM UID: 9012906. KW - Transfer, Intrahospital KW - Critical Care Nursing KW - Inpatients KW - Intensive Care Units KW - Nursing Units KW - Time Factors KW - Hand Off (Patient Safety) KW - Communication KW - Staff Development KW - Adverse Health Care Event KW - Outcomes (Health Care) KW - Vital Signs KW - Nursing Assessment SP - 45 EP - 51 JO - Nursing Standard JF - Nursing Standard JA - NURS STAND VL - 32 IS - 10 PB - RCNi AB - The transfer of patients from the intensive care unit (ICU) to a general ward can present several challenges for nurses. Such patients are at high risk of adverse outcomes, including readmission to the ICU, and increased nosocomial infections and mortality, with a resultant increase in hospital costs. This article explores the challenges of transferring patients from the ICU and uses evidence to examine ways to address them to ensure optimal care for a complex patient group. Transfer time, factors affecting general ward care, handover processes, recognition of deterioration and education, intensive care outreach, and the psychological factors affecting these patients are examined. SN - 0029-6570 AD - Lecturer in adult nursing, University of Hull, Hull, England DO - 10.7748/ns.2017.e10670 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126023873&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 123094952 T1 - Transfer of Accountability between the Emergency Department (ED) and the Intensive Care Unit (ICU). AU - Guiyab, Melissa AU - Paramalingam, Vasuki AU - Swift, Shannon AU - Savedra, Prafulla AU - Barratt, Lee AU - Den Bok, Jodi Y1 - 2017///Summer2017 N1 - Accession Number: 123094952. Language: English. Entry Date: 20170525. Revision Date: 20170525. Publication Type: Article; abstract. Journal Subset: Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Patient Safety. KW - Patient Safety KW - Accountability KW - Transfer, Intrahospital KW - Hand Off (Patient Safety) KW - Posters KW - Intensive Care Units KW - Emergency Service KW - Quality Improvement SP - 62 EP - 63 JO - Canadian Journal of Critical Care Nursing JF - Canadian Journal of Critical Care Nursing JA - CAN J CRIT CARE NURS VL - 28 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses AB - Purpose/goals: To improve the consistency and quality of information provided in the transfer of accountability (TOA) process between nurses from the Emergency Department (ED) to the Intensive Care Unit (ICU) through standardization and the use of a checklist. Session description: This electronic poster describes the process undertaken by the emergency department (ED) and two intensive care units (ICUs) to improve interdepartmental transfer of accountability (TOA) during patient handover. The transfer of patients from one department to another has been identified as a high-risk point in patient care. To ameliorate the nursing TOA of patients from the ED to the ICU, a phased approach was taken using principles of quality improvement. Initially beginning with the ED and the Trauma-Neurosurgery Intensive Care Unit (TNICU), a checklist and video illustrating how TOA should occur were created. On successful implementation, the checklist was revised to include the care needs of Medical-Surgical Intensive Care Unit (MSICU) and the new process was introduced there. This new practice is sustained with huddles and audits. As a result of standardizing TOA, interdepartmental relations and patient care have significantly improved. Learning outcomes: 1. Describe the impact TOA has on patient safety and identify risks associated with poor handover. 2. Apply communication techniques for interdepartmental TOA to your own practice setting. SN - 2368-8653 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123094952&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 123066277 T1 - Qualitative Study to Investigate the Process of Nursing Documentation Regarding the Transfer or Omission of Information in an Intensive Care Unit. AU - Moustakis, Ilias AU - Filippas, Matthew AU - Rovithis, Michael AU - Rikos, Nikolaos Y1 - 2016/07//Jul-Sep2016 N1 - Accession Number: 123066277. Language: Modern Greek. Entry Date: 20170522. Revision Date: 20170524. Publication Type: Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 8912007. KW - Documentation KW - Intensive Care Units KW - Nursing Process KW - Human KW - Qualitative Studies KW - Quality Improvement KW - Greece KW - Purposive Sample KW - Content Analysis KW - Workload SP - 263 EP - 272 JO - Nosileftiki JF - Nosileftiki JA - NOSILEFTIKI VL - 55 IS - 3 CY - , PB - Hellenic Nurses' Association SN - 1105-6843 AD - Nurse, graduated of the Technological Educational Institute of Crete, Greece AD - Nurse, graduated of the Technological Educational Institute of Athens, Greece AD - RN, MPH, PhDc, Lecturer Department of Nursing TEI of Crete, Greece UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123066277&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 115826816 T1 - Different characteristics associated with intensive care unit transfer from the medical ward between patients with acute exacerbations of chronic obstructive pulmonary disease with and without pneumonia. AU - Hong-Joon Shin AU - Cheol-Kyu Park AU - Tae-Ok Kim AU - Hee-Jung Ban AU - In-Jae Oh AU - Yu-Il Kim AU - Yong-Soo Kwon AU - Young-Chul Kim AU - Sung-Chul Lim Y1 - 2016/06// N1 - Accession Number: 115826816. Language: English. Entry Date: In Process. Revision Date: 20160602. Publication Type: Article. Journal Subset: Asia; Biomedical; Peer Reviewed. NLM UID: 101533916. SP - 1121 EP - 1131 JO - Journal of Thoracic Disease JF - Journal of Thoracic Disease JA - J THORAC DIS VL - 8 IS - 6 CY - , PB - Pioneer Bioscience Publishing Company SN - 2072-1439 AD - Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea DO - 10.21037/jtd.2016.04.10 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115826816&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125293362 T1 - A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. AU - Stelfox, Henry AU - Leigh, Jeanna AU - Dodek, Peter AU - Turgeon, Alexis AU - Forster, Alan AU - Lamontagne, Francois AU - Fowler, Rob AU - Soo, Andrea AU - Bagshaw, Sean AU - Stelfox, Henry T AU - Leigh, Jeanna Parsons AU - Dodek, Peter M AU - Turgeon, Alexis F AU - Forster, Alan J AU - Fowler, Rob A AU - Bagshaw, Sean M Y1 - 2017/10// N1 - Accession Number: 125293362. Language: English. Entry Date: In Process. Revision Date: 20171113. Publication Type: journal article. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. NLM UID: 7704851. SP - 1485 EP - 1494 JO - Intensive Care Medicine JF - Intensive Care Medicine JA - INTENSIVE CARE MED VL - 43 IS - 10 CY - , PB - Springer Science & Business Media B.V. AB - Purpose: To provide a 360-degree description of ICU-to-ward transfers.Methods: Prospective cohort study of 451 adults transferred from a medical-surgical ICU to a hospital ward in 10 Canadian hospitals July 2014-January 2016. Transfer processes documented in the medical record. Patient (or delegate) and provider (ICU/ward physician/nurse) perspectives solicited by survey 24-72 h after transfer.Results: Medical records (100%) and survey responses (ICU physicians-80%, ICU nurses-80%, ward physicians-46%, ward nurses-64%, patients-74%) were available for most transfers. The median time from initiation to completion of transfer was 25 h (IQR 6-52). ICU physicians and nurses reported communicating with counterparts via telephone (78 and 75%) when transfer was requested (82 and 24%) or accepted (31 and 59%) and providing more elements of clinical information than ward physicians (mean 4.7 vs. 3.9, p < 0.001) and nurses (5.0 vs. 4.4, p < 0.001) reported receiving. Patients were more likely to report satisfaction with the transfer when they received more information (OR 1.32, 95% CI 1.18-1.48), had their questions addressed (OR 3.96, 95% CI 1.33-11.84), met the ward physician prior to transfer (OR 4.61, 95% CI 2.90-7.33), and were assessed by a nurse within 1 h of ward arrival (OR 4.70, 95% CI 2.29-9.66). Recommendations for improvement included having a documented care plan travel with the patient (all stakeholders), standardized face-to-face handover (physicians), avoiding transfers at shift change (nurses) and informing patients about pending transfers in advance (patients).Conclusions: ICU-to-ward transfers are characterized by failures of patient flow and communication; experienced differently by patients, ICU/ward physicians and nurses, with distinct suggestions for improvement. SN - 0342-4642 AD - Departments of Critical Care Medicine, and Community Health Sciences , O'Brien Institute for Public Health, University of Calgary and Alberta Health Services , Calgary Canada AD - Department of Critical Care Medicine and Critical Care Strategic Clinical Network , University of Calgary and Alberta Health Services , Calgary Canada AD - Division of Critical Care Medicine and Center for Health Evaluation and Outcome Sciences , St. Paul's Hospital and University of British Columbia , Vancouver Canada AD - Department of Anesthesiology and Critical Care Medicine, and CHU de Québec, Université Laval Research Center, Population Health and Optimal Health Practices Research Unit (Trauma-Emergency-Critical Care Medicine Research Group) , Université Laval , Québec Canada AD - Department of Medicine, The Ottawa Hospital Research Institute , University of Ottawa , Ottawa Canada AD - Centre de Recherche du CHU de Sherbrooke , Universite de Sherbrooke , Sherbrooke Canada AD - Departments of Medicine and Critical Care Medicine , Sunnybrook Hospital, University of Toronto , Toronto Canada AD - Department of Critical Care Medicine , University of Calgary and Alberta Health Services , Calgary Canada AD - Department of Critical Care Medicine, Faculty of Medicine and Dentistry , University of Alberta and Alberta Health Services , Edmonton Canada AD - Departments of Critical Care Medicine, and Community Health Sciences, O'Brien Institute for Public Health, University of Calgary and Alberta Health Services, Calgary, Canada AD - Department of Critical Care Medicine and Critical Care Strategic Clinical Network, University of Calgary and Alberta Health Services, Calgary, Canada AD - Division of Critical Care Medicine and Center for Health Evaluation and Outcome Sciences, St. Paul's Hospital and University of British Columbia, Vancouver, Canada AD - Department of Anesthesiology and Critical Care Medicine, and CHU de Québec, Université Laval Research Center, Population Health and Optimal Health Practices Research Unit (Trauma-Emergency-Critical Care Medicine Research Group), Université Laval, Québec, Canada AD - Department of Medicine, The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Canada AD - Departments of Medicine and Critical Care Medicine, Sunnybrook Hospital, University of Toronto, Toronto, Canada AD - Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, Canada U2 - PMID: 28852789. DO - 10.1007/s00134-017-4910-1 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125293362&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 111511612 T1 - RAPID RESPONSE TEAM CALLS AND UNPLANNED TRANSFERS TO THE PEDIATRIC INTENSIVE CARE UNIT IN A PEDIATRIC HOSPITAL. AU - Humphreys, Stacey AU - Totapally, Balagangadhar R. Y1 - 2016/01// N1 - Accession Number: 111511612. Language: English. Entry Date: 20151228. Revision Date: 20170203. Publication Type: Article; research. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 9211547. KW - Early Intervention KW - Child, Hospitalized KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Outcomes (Health Care) -- Evaluation -- In Infancy and Childhood KW - Human KW - Intensive Care Units, Pediatric KW - Hospitals, Pediatric -- Florida KW - Retrospective Design KW - Record Review KW - Databases KW - Descriptive Research KW - Descriptive Statistics KW - Mortality KW - Florida KW - Chi Square Test KW - Time Factors KW - Mann-Whitney U Test KW - Infant KW - Child, Preschool KW - Child SP - e9 EP - e13 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 25 IS - 1 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - Background Variability in disposition of children according to the time of rapid response calls is unknown. Objective To evaluate times and disposition of rapid response alerts and outcomes for children transferred from acute care to intensive care. Methods Deidentified data on demographics, time and disposition of the child after activation of a rapid response, time of transfer to intensive care, and patient outcomes were reviewed retrospectively. Data for rapid-response patients on time of activation of the response and unplanned transfers to the intensive care unit were compared with data on other patients admitted to the unit. Results Of 542 rapid responses activated, 321 (59.2%) were called during the daytime. Out of all rapid response activations, 323 children (59.6%) were transferred to intensive care, 164 (30.3%) remained on the general unit, and 19 (3.5%) required resuscitation. More children were transferred to intensive care after rapid response alerts (P = .048) during the daytime (66%) than at night (59%). During the same period, 1313 patients were transferred to intensive care from acute care units. Age, sex, risk of mortality, length of stay, and mortality rate did not differ according to the time of transfer. Mortality among unplanned transfers (3.8%) was significantly higher (P < .001) than among other intensive care patients (1.4%). Conclusion Only 25% of transfers from acute care units to the intensive care unit occurred after activation of a rapid response team. Most rapid responses were called during daytime hours. Mortality was significantly higher among unplanned transfers from acute care than among other intensive care admissions. SN - 1062-3264 AD - Pediatric intensivist, Division of Critical Care Medicine, Palmetto Health Children's Hospital, Columbia, South Carolina AD - Medical director of the pediatric intensive care unit, Division of Critical Care Medicine, Miami Children's Hospital AD - Clinical professor of pediatrics, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida DO - 10.4037/ajcc2016329 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111511612&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 123463973 T1 - Decreased transport time to the surgical intensive care unit. AU - Ko, Ara AU - Harada, Megan Y. AU - Dhillon, Navpreet K. AU - Patel, Kavita A. AU - Kirillova, Lydia R. AU - Kolus, Riley C. AU - Torbati, Sam AU - Ley, Eric J. Y1 - 2017/06// N1 - Accession Number: 123463973. Language: English. Entry Date: In Process. Revision Date: 20170614. Publication Type: journal article. Journal Subset: Biomedical; USA. NLM UID: 101228232. SP - 54 EP - 57 JO - International Journal of Surgery JF - International Journal of Surgery JA - INT J SURG VL - 42 CY - New York, New York PB - Elsevier B.V. AB - Introduction: Extended stay in the emergency department (ED) is associated with worse outcomes in critically ill trauma patients. We conducted a human factors analysis to better understand impediments for patient flow when a surgical ICU (SICU bed is available in order to reduce ED LOS.Methods: This is a retrospective review of all trauma patients admitted to a protected SICU through the ED during 2011 and 2014. In 2010, a 24-hour protected SICU bed protocol was implemented to make a bed readily available. During 2013 human factors analysis helped to describe flow disruptions; related interventions were introduced to facilitate rapid transport from the ED to SICU. The interventions required the following prior to CT scanning: immediate ICU bed orders placed by the ED physician and ED to ICU personnel communication. Direct transport from the CT scanner to the ICU was mandated. Data including patient demographics, injury severity, ED LOS, ICU LOS, and hospital LOS was collected and compared between 2011 (PRE) and 2014 (POST).Results: A total of 305 trauma patients admitted from the ED to the SICU were analyzed; 174 patients in 2011 (PRE) and 131 in 2014 (POST). Average age was 46 years and patients had a mean admission GCS and injury severity score (ISS) of 12.3 and 15.9, respectively. The cohorts were similar in age, mechanism of injury, initial vital signs, and injury severity. After implementing the human factors interventions, decreases were noted in the mean ED LOS (2.4 v. 3.0 hours, p=0.005) and ICU LOS (4.0 v. 4.8 days, p=0.023). No differences in hospital LOS or mortality were observed.Conclusions: While an open SICU bed protocol may facilitate rapid transport of trauma patients from the ED to the ICU, additional human factors interventions emphasizing improved communication and coordination can further reduce time spent in the ED.Level Of Evidence: Level IV, Economic/Decision. SN - 1743-9191 AD - Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA, USA AD - Department of Emergency Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA U2 - PMID: 28428064. DO - 10.1016/j.ijsu.2017.04.030 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123463973&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120757911 T1 - Benefits of and Untoward Events during Intrahospital Transport of Pediatric Intensive Care Unit Patients. AU - Harish, M. M. AU - Siddiqui, Suhail Sarwar AU - R., Natesh Prabu AU - Chaudhari, Harish K. AU - Kulkarni, Atul Prabhakar AU - Divatia, Jigeeshu V. Y1 - 2017/01// N1 - Accession Number: 120757911. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article; research; tables/charts. Journal Subset: Asia; Biomedical. NLM UID: 101208863. KW - Transfer, Intrahospital KW - Intensive Care Units, Pediatric KW - Critically Ill Patients KW - Intensive Care Units KW - Central Venous Catheters KW - Magnetic Resonance Imaging KW - Fisher's Exact Test KW - Child KW - Data Collection KW - Descriptive Statistics KW - Prospective Studies KW - Scales SP - 46 EP - 48 JO - Indian Journal of Critical Care Medicine JF - Indian Journal of Critical Care Medicine JA - INDIAN J CRIT CARE MED VL - 21 IS - 1 PB - Wolters Kluwer India Pvt Ltd AB - Background and Aims: The transport of critically ill patients for procedures or imaging outside the Intensive Care Unit (ICU) is potentially hazardous; hence, the transport process must be organized and efficient. The literature about benefits of and untoward events (UEs) during intrahospital transport of pediatric critically ill patient is scarce. We, therefore, audited the UEs during and benefits of intrahospital transport of critically ill pediatric patients in our ICU. Subjects and Methods: Eighty critically ill pediatric (<18 years) cancer patients, transported from the ICU for either diagnostic or therapeutic procedure over a period of 6 months, were included in the study. The data collected included the destination (computed tomography scan, intervention radiology, magnetic resonance imaging scan, and operation theater), accompanying medical personnel, UEs, and benefits obtained during transport. Results: Among eighty pediatric patients, the median age was 8 years (range 2-17 years). During the transport, four (5%) patients required endotracheal intubation, three (3.75%) patients required intercostal drain placement, and six (7.5%) patients required cardiopulmonary resuscitation. Accidental removal of central venous catheter was reported in three (3.75%) patients, drain came out in four (5%) patients, and three (3.75%) patients had accidental extubation. Transport indirectly led to a change in antibiotic therapy in 24 (30%) patients and directly helped in change of therapy in the form of interventions in 20 (25%) patients. Conclusion: Critically ill children can be transported safely with adequate pretransport preparations, which may help in avoiding major UEs and benefit the patient by change in the therapy. SN - 0972-5229 AD - Department of Anaesthesia Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Maharashtra, India AD - Department of Anaesthesia Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India DO - 10.4103/0972-5229.198326 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120757911&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 114120801 T1 - An evaluation of intra-hospital transport outcomes from tertiary neonatal intensive care unit. AU - Bastug, Osman AU - Gunes, Tamer AU - Korkmaz, Levent AU - Elmali, Ferhan AU - Kucuk, Fatma AU - Adnan Ozturk, Mehmet AU - Kurtoglu, Selim Y1 - 2016/06/15/ N1 - Accession Number: 114120801. Language: English. Entry Date: 20170117. Revision Date: 20171207. Publication Type: journal article; research. Journal Subset: Biomedical; Europe; UK & Ireland. Instrumentation: Global Assessment Scale (GAS). NLM UID: 101136916. KW - Transportation of Patients -- Statistics and Numerical Data KW - Intensive Care Units, Neonatal -- Statistics and Numerical Data KW - Hospitals, Special -- Statistics and Numerical Data KW - Birth Weight KW - Infant, Very Low Birth Weight KW - Infant, Newborn KW - Human KW - Male KW - Female KW - Validation Studies KW - Comparative Studies KW - Evaluation Research KW - Multicenter Studies KW - Scales SP - 1993 EP - 1998 JO - Journal of Maternal-Fetal & Neonatal Medicine JF - Journal of Maternal-Fetal & Neonatal Medicine JA - J MATERN FETAL NEONAT MED VL - 29 IS - 12 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Introduction: Patient transport has more important side effects in patients in the newborn age group than in other age groups. This study was performed to evaluate the intra-hospital transport of infants in the neonatal intensive care unit(NICU).Methods: A total of 284 babies hospitalized in the neonatal unit and transported inside the hospital were divided into three groups based on their weights at the time of transport. Their places of transport and important changes in the vital functions of the newborn that might have been caused by transport were recorded with a view to understand the vital effects of intra-hospital transport on the newborn.Results: In our unit, the primary reasons for transport were determined to be echocardiography and radiology (26.4% and 25.7%, respectively). In our study, hyperglycemia and hypothermia were among the statistically most significant side effects associated with transport (p < 0.05). It was found that 19% and 27% of the patients had hyperglycemia and hypothermia, respectively. There was a significant difference in the blood sugar levels and the body temperature between pre- and post-transport (p < 0.05). There were no significant differences in the pH, blood gas CO2, heart rate and breath rate values between pre- and post-transport (p > 0.05). As expected, the complication rate was higher in babies with low weight.Conclusions: Current weight is useful for assessing the risks of untoward outcomes associated with intra-hospital transport. Protecting patients from hypothermia during the time spent outside of the NICU would reduce the risk of complications. SN - 1476-7058 AD - Department of Pediatrics, Division of Neonatology, Kayseri, Turkey, AD - Department of Biostatistics and Medical Bioinformatics, Kayseri, Turkey, and AD - Department of Nursing, Erciyes University Medical Faculty, Kayseri, Turkey U2 - PMID: 26335382. DO - 10.3109/14767058.2015.1072158 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114120801&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121632655 T1 - PaO2/FIO2 Ratio Derived From the SpO2/FIO2 Ratio to Improve Mortality Prediction Using the Pediatric Index of Mortality-3 Score in Transported Intensive Care Admissions. AU - Ray, Samiran AU - Rogers, Libby AU - Pagel, Christina AU - Raman, Sainath AU - Peters, Mark J. AU - Ramnarayan, Padmanabhan Y1 - 2017/03// N1 - Accession Number: 121632655. Language: English. Entry Date: In Process. Revision Date: 20171113. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Global Assessment Scale (GAS). NLM UID: 100954653. KW - Critical Care -- Methods KW - Decision Support Techniques KW - Severity of Illness Indices KW - Respiratory Failure -- Mortality KW - Respiratory Failure -- Diagnosis KW - Oximetry -- Methods KW - Linear Regression KW - Sensitivity and Specificity KW - Critical Illness KW - Transportation of Patients KW - Female KW - Intensive Care Units, Pediatric KW - Adolescence KW - Retrospective Design KW - Child KW - Infant KW - Male KW - Child, Preschool KW - Respiratory Failure -- Blood KW - Infant, Newborn KW - Scales SP - e131 EP - e136 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 18 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objectives: To derive a relationship between the SpO2/FIO2 ratio and PaO2/FIO2 ratio across the entire range of SpO2 values (0-100%) and to evaluate whether mortality prediction using the Pediatric Index of Mortality-3 can be improved by the use of PaO2/FIO2 values derived from SpO2/FIO2.Design: Retrospective analysis of prospectively collected data.Setting: A regional PICU transport service.Patients: Children transported to a PICU.Interventions: None.Measurements and Main Results: The relationship between SpO2/FIO2 and PaO2/FIO2 across the entire range of SpO2 values was first studied using several mathematical models in a derivation cohort (n = 1,235) and then validated in a separate cohort (n = 306). The best SpO2/FIO2-PaO2/FIO2 relationship was chosen according to the ability to detect respiratory failure (PaO2/FIO2 ≤ 200). The discrimination of the original Pediatric Index of Mortality-3 score and a derived Pediatric Index of Mortality-3 score (where SpO2/FIO2-derived PaO2/FIO2 values were used in place of missing PaO2/FIO2 values) were compared in a different cohort (n = 1,205). The best SpO2/FIO2-PaO2/FIO2 relationship in 1,703 SpO2/FIO2-to-PaO2/FIO2 data pairs was a linear regression equation of ln[PF] regressed on ln[SF]. This equation identified children with a PaO2/FIO2 less than or equal to 200 with a specificity of 73% and sensitivity of 61% in children with SpO2 less than 97% (92% and 33%, respectively, when SpO2 ≥ 97%) in the validation cohort. PaO2/FIO2 derived from SpO2/FIO2 (derived PaO2/FIO2) was better at predicting PICU mortality (area under receiver operating characteristic curve, 0.64; 95% CI, 0.55-0.73) compared with the original PaO2/FIO2 (area under receiver operating characteristic curve, 0.54; 95% CI, 0.49-0.59; p = 0.02). However, there was no difference in the original and derived Pediatric Index of Mortality-3 scores and their discriminatory ability for mortality.Conclusions: SpO2-based metrics perform no worse than arterial blood gas-based metrics in mortality prediction models. Future Pediatric Index of Mortality score versions may be improved by the inclusion of risk factors based on oxygen saturation values, especially in settings where PaO2 values are missing in a significant proportion of cases. SN - 1529-7535 AD - Respiratory Critical Care and Anaesthesia Unit, UCL Great Ormond Street Institute of Child Health, London, United Kingdom. AD - Children’s Acute Transport Service, Great Ormond Street Hospital, London, United Kingdom. AD - UCL Clinical Operational Research Unit, London, United Kingdom. U2 - PMID: 28121834. DO - 10.1097/PCC.0000000000001075 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121632655&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120046218 T1 - The prognostic significance of the Birmingham Vasculitis Activity Score (BVAS) with systemic vasculitis patients transferred to the intensive care unit (ICU). AU - Biscetti, Federico AU - Carbonella, Angela AU - Parisi, Federico AU - Bosello, Silvia Laura AU - Schiavon, Franco AU - Padoan, Roberto AU - Gremese, Elisa AU - Ferraccioli, Gianfranco Y1 - 2016/11/29/ N1 - Accession Number: 120046218. Language: English. Entry Date: In Process. Revision Date: 20161210. Publication Type: Article. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 2985248R. SP - 1 EP - 6 JO - Medicine JF - Medicine JA - MEDICINE VL - 95 IS - 48 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0025-7974 AD - Division of Rheumatology, Institute of Rheumatology, Fondazione Policlinico Universitario Agostino Gemelli, Catholic University School of Medicine, Rome, Italy. AD - Operative Unit of Rheumatology, Department of Internal Medicine, University of Padua, Padua, Italy. DO - 10.1097/MD.0000000000005506 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120046218&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 123094949 T1 - The Development and Implementation of a Transfer of Accountability (TOA) Tool between the Cardiac Catheterization Laboratory and Cardiac Intensive Care Unit. AU - Aquino, Maria AU - D'Cambre, Michele AU - Williams, Michelle AU - Santiago, Cecilia Y1 - 2017///Summer2017 N1 - Accession Number: 123094949. Language: English. Entry Date: 20170525. Revision Date: 20170525. Publication Type: Article; abstract. Journal Subset: Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Patient Safety. KW - Instrument Construction KW - Transfer, Intrahospital KW - Heart Catheterization KW - Critical Care Nursing KW - Accountability KW - Hand Off (Patient Safety) KW - Posters KW - Intensive Care Units SP - 61 EP - 61 JO - Canadian Journal of Critical Care Nursing JF - Canadian Journal of Critical Care Nursing JA - CAN J CRIT CARE NURS VL - 28 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses AB - Purpose/goals: There are frequent patient transfers that occur between the Cardiac Catheterization Laboratory (Cath Lab) and Cardiac Intensive Care Unit (CICU). A survey of both units showed that 100% of staff have either transferred or received a patient from either the Cath Lab or CICU. The goal of this project is to develop and implement a standardized Transfer of Accountability (TOA) tool and process to facilitate safe and comprehensive communication between the CICU and Cath Lab. Session description: A sentinel event occurred during a patient transfer from CICU to the Cath Lab prompting the need for a standardized TOA communication tool. Nurses from both units have expressed dissatisfaction with the current handover process. Nurses from the CICU and Cath Lab will develop a TOA checklist tool to standardize the care transition process and documentation. This tool will undergo iterative changes to meet evolving needs and feedback from staff. A descriptive survey will be conducted to assess the impact of the TOA checklist on self-reported staff satisfaction with the safety, efficacy, and accessibility of information before and after the introduction of the tool. Review of patient safety incidents based on the Safety and Learning reporting system will be conducted to evaluate the impact of the TOA tool on patient safety indicators and team communication. The results of the pre-implementation survey will form the content of the TOA checklist tool and the tool will be implemented on a trial basis. Retrospective chart audits will be conducted during a six-month period to determine TOA checklist tool use. Learning outcomes: 1. Identify opportunities to enhance handover practices. 2. Implement a standardized approach to TOA to promote patient safety. 3. Describe the benefits of using a formalized TOA tool during handover. SN - 2368-8653 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123094949&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103759772 T1 - Role Adaptation Processes of Family Caregivers with Patients Transferred from Intensive Care Unit to General Ward: Becoming almost a Nurse with Hope and Fear. AU - Heui-Kyeong Kwon AU - Misoon Song Y1 - 2014/12// N1 - Accession Number: 103759772. Language: Chinese. Entry Date: 20150217. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Asia; Nursing; Peer Reviewed. KW - Caregivers KW - Family KW - Role KW - Adaptation, Psychological KW - Human KW - Qualitative Studies KW - Grounded Theory KW - Interviews KW - Field Notes KW - Constant Comparative Method KW - Transfer, Discharge SP - 603 EP - 613 JO - Korean Journal of Adult Nursing JF - Korean Journal of Adult Nursing JA - KOREAN J ADULT NURS VL - 26 IS - 6 PB - Korean Society of Adult Nursing SN - 1225-4886 AD - Seoul National University Hospital, Seoul AD - College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea DO - 10.7475/kjan.2014.26.6.603 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103759772&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109792779 T1 - What impact did a Paediatric Early Warning system have on emergency admissions to the paediatric intensive care unit? An observational cohort study. AU - Sefton, G. AU - McGrath, C. AU - Tume, L. AU - Lane, S. AU - Lisboa, P. J. G. AU - Carrol, E. D. Y1 - 2015/04// N1 - Accession Number: 109792779. Language: English. Entry Date: 20150723. Revision Date: 20151008. Publication Type: Journal Article; forms; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. Instrumentation: Prognostic Indicator of Mortality score (PIM2); Modified Bristol Paediatric Early Warning tool(PEW)(Haines). NLM UID: 9211274. KW - Early Intervention KW - Pediatric Critical Care Nursing KW - Patient Admission KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Pediatric Care KW - Emergencies -- In Infancy and Childhood KW - Human KW - Intensive Care Units KW - England KW - Length of Stay KW - Hospital Mortality KW - Program Implementation KW - Program Evaluation KW - Scales KW - Referral and Consultation KW - Hospitals, Pediatric KW - Clinical Assessment Tools KW - Prospective Studies KW - Observational Methods KW - Record Review KW - Pretest-Posttest Design KW - Mann-Whitney U Test KW - Chi Square Test KW - Infant KW - Child, Preschool KW - Child KW - Adolescence KW - Descriptive Statistics SP - 91 EP - 99 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 31 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - The ideology underpinning Paediatric Early Warning systems (PEWs) is that earlier recognition of deteriorating in-patients would improve clinical outcomes. Objective: To explore how the introduction of PEWs at a tertiary children's hospital affects emergency admissions to the Paediatric Intensive Care Unit (PICU) and the impact on service delivery. To compare 'in-house' emergency admissions to PICU with 'external' admissions transferred from District General Hospitals (without PEWs). Method: A before-and-after observational study August 2005--July 2006 (pre), August 2006--July 2007 (post) implementation of PEWs at the tertiary children's hospital. Results: The median Paediatric Index of Mortality (PIM2) reduced; 0.44 vs 0.60 (p < 0.001). Fewer admissions required invasive ventilation 62.7% vs 75.2% (p = 0.015) for a shorter median duration; four to two days. The median length of PICU stay reduced; five to three days (p = 0.002). There was a non-significant reduction in mortality (p = 0.47). There was no comparable improvement in outcome seen in external emergency admissions to PICU. A 39% reduction in emergency admission total beds days reduced cancellation of major elective surgical cases and refusal of external PICU referrals. Conclusions: Following introduction of PEWs at a tertiary children's hospital PIM2 was reduced, patients required less PICU interventions and had a shorter length of stay. PICU service delivery improved. SN - 0964-3397 AD - PICU, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool L12 2AP, United Kingdom AD - University of Liverpool, Brownlow Hill, Liverpool L69 7ZX, United Kingdom AD - John Moores University, Byrom Street, Liverpool L3 3AF, United Kingdom U2 - PMID: 24878262. DO - 10.1016/j.iccn.2014.01.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109792779&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120601062 T1 - Determination of reference range of gamma glutamyl transferase in the neonatal intensive care unit. AU - Kim, Dong Bin AU - Lim, Gina AU - Oh, Ki Won Y1 - 2017/03/15/ N1 - Accession Number: 120601062. Language: English. Entry Date: 20170727. Revision Date: 20170727. Publication Type: journal article. Journal Subset: Biomedical; Europe; UK & Ireland. Instrumentation: Longitudinal Interval Follow-Up Evaluation (LIFE). NLM UID: 101136916. KW - Gestational Age KW - Gamma-Glutamyltransferase -- Blood KW - Liver KW - Infant, Premature KW - Reference Values KW - Female KW - Intensive Care Units, Neonatal KW - Adult KW - Infant, Newborn KW - Retrospective Design KW - Sex Factors KW - Liver Function Tests KW - Male SP - 670 EP - 672 JO - Journal of Maternal-Fetal & Neonatal Medicine JF - Journal of Maternal-Fetal & Neonatal Medicine JA - J MATERN FETAL NEONAT MED VL - 30 IS - 6 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Objective: We aimed to establish the reference range of gamma glutamyl transferase (GGT) in the first week of life at each gestational age (GA).Methods: This retrospective study included infants born and admitted before 7 days of age with no apparent congenital liver disease during four consecutive years. Early GGT levels measured at 3-7 days of age were analyzed according to GA. Differences according to sex, mode of delivery, small for gestational age, and the predictability for cholestasis were analyzed.Results: We analyzed early GGT values in 2091 neonates. The average reference value in neonates (156.7 ± 98.2 IU/L) was much higher than that in adults. The GGT values were significantly higher in preterm than in term infants and in male infants than in female infants. Mode of delivery and small for gestational age were not significantly related to GGT level. Early GGT had no predictive value for cholestasis occurrence.Conclusions: Early GGT levels were much higher in neonates, especially preterm infants with GA of 31-35 weeks. SN - 1476-7058 AD - Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea U2 - PMID: 27124251. DO - 10.1080/14767058.2016.1182974 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120601062&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103951969 T1 - Cervical Collar–Related Pressure Ulcers in Trauma Patients in Intensive Care Unit. AU - Ham, H. W. AU - Schoonhoven, L. AU - Galer, A. AU - Shortridge-Baggett, L. M. Y1 - 2014/05//May/Jun2014 N1 - Accession Number: 103951969. Language: English. Entry Date: 20140602. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. Instrumentation: Braden Scale for Predicting Pressure Sore Risk. NLM UID: 9512997. KW - Cervical Collars -- Adverse Effects KW - Pressure Ulcer -- Epidemiology -- New York KW - Pressure Ulcer -- Risk Factors KW - Pressure Ulcer -- Prevention and Control KW - Transfer, Intrahospital KW - Intensive Care Units KW - Nursing Practice KW - Critical Care Nursing KW - Comparative Studies KW - Human KW - Retrospective Design KW - Record Review KW - Patient Admission KW - Length of Stay KW - Cervical Vertebrae KW - Immobilization KW - Trauma Centers KW - New York KW - Nursing Assessment KW - Risk Assessment KW - Nursing Interventions KW - Braden Scale for Predicting Pressure Sore Risk KW - Scales KW - Patient Positioning KW - Convenience Sample KW - Health Status KW - Physical Examination KW - Data Analysis Software KW - Descriptive Statistics KW - T-Tests KW - Male KW - Female KW - Adolescence KW - Adult KW - Middle Age KW - Aged KW - Aged, 80 and Over KW - Inpatients KW - Chi Square Test KW - Logistic Regression KW - Body Mass Index KW - Comorbidity KW - P-Value KW - Trauma -- Etiology KW - Beds and Mattresses KW - Hospitals, Urban SP - 94 EP - 102 JO - Journal of Trauma Nursing JF - Journal of Trauma Nursing JA - J TRAUMA NURS VL - 21 IS - 3 CY - Lexington, Kentucky PB - Society of Trauma Nurses AB - Introduction: The application of a cervical collar (C-collar) in trauma patients can be life-saving. Previous studies, however, describe development of pressure ulcers related to C-collars. Objective: To retrospectively compare collar-related pressure ulcers (CRPUs) occurring in trauma patients admitted to the intensive care unit wearing a C-collar before and after implementation of preventive interventions and to identify risk factors for CRPU development. Methods: Retrospective chart review of 88 trauma patients admitted to the intensive care unit before (2006) and after (2008) implementation of preventive interventions; early C-collar removal ( < 24 hours) and an occipital foam ring. Data were collected in the first 14 days of admission on pressure ulcer incidence, risk factors, and preventive interventions. Results: The incidence of CRPUs was 1.1%. Although risk factors were present in the sample, it was impossible to identify significant risk factors for CRPU development and explore the effect of preventive interventions. Conclusion: The incidence of CRPUs in this study was low. CRPUs, however, should never be accepted as an inevitable complication of cervical immobilization. To identify trauma patients at risk and to apply effective preventive interventions for CRPU development, further research is needed. SN - 1078-7496 AD - University Medical Center, Utrecht, the Netherlands. AD - Nursing Science, Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands. AD - Elmhurst Hospital Center, Elmhurst, New York. AD - Department of Graduate Studies, Lienhard School of Nursing, Pace University, New York. DO - 10.1097/JTN.0000000000000046 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103951969&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116325152 T1 - Relocating an intensive care unit: An exploratory qualitative study. AU - Lin, Frances Fengzhi AU - Foster, Michelle AU - Chaboyer, Wendy AU - Marshall, Andrea Y1 - 2016/05// N1 - Accession Number: 116325152. Language: English. Entry Date: In Process. Revision Date: 20160709. Publication Type: Article. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9207852. SP - 55 EP - 60 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 29 IS - 2 CY - New York, New York PB - Elsevier B.V. AB - Background As new hospitals are built to replace old and ageing facilities, intensive care units are being constructed with single patient rooms rather than open plan environments. While single rooms may limit hospital infections and promote patient privacy, their effect on patient safety and work processes in the intensive care unit requires greater understanding. Strategies to manage changes to a different physical environment are also unknown. Objectives This study aimed to identify challenges and issues as perceived by staff related to relocating to a geographically and structurally new intensive care unit. Methods This exploratory ethnographic study, underpinned by Donabedian's structure, process and outcome framework, was conducted in an Australian tertiary hospital intensive care unit. A total of 55 participants including nurses, doctors, allied health professionals, and support staff participated in the study. We conducted 12 semi-structured focus group and eight individual interviews, and reviewed the hospital's documents specific to the relocation. After sorting the data deductively into structure, process and outcome domains, the data were then analysed inductively to identify themes. Findings Three themes emerged: understanding of the relocation plan, preparing for the uncertainties and vulnerabilities of a new work environment, and acknowledging the need for change and engaging in the relocation process. Discussion and conclusions A systematic change management strategy, dedicated change leadership and expertise, and an effective communication strategy are important factors to be considered in managing ICU relocation. Uncertainty and staff anxiety related to the relocation must be considered and supports put in place for a smooth transition. Work processes and model of care that are suited to the new single room environment should be developed, and patient safety issues in the single room setting should be considered and monitored. Future studies on managing multidisciplinary work processes during intensive care unit relocation will add to the learnings we report here. SN - 1036-7314 AD - Centre for Health Practice Innovation (HPI), Menzies Health Institute Queensland, Griffith University, Australia AD - Nursing Unit Manager Intensive Care Unit, Gold Coast University Hospital, Gold Coast Health, Southport, Queensland, Australia AD - Centre of Research Excellence in Nursing Interventions for Hospitalised Patients (NCREN), Centre for Health Practice Innovation (HPI), Menzies Health Institute Queensland, Griffith University, Australia AD - Acute and Complex Care Nursing, Gold Coast Health, Australia DO - 10.1016/j.aucc.2015.09.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116325152&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 117976518 T1 - How to create educational development in intensive care in an arctic area, where the only possibility for transportation between the cities is by airplane. AU - Lemvig, Jens Jørgen Y1 - 2016/04// N1 - Accession Number: 117976518. Language: English. Entry Date: In Process. Revision Date: 20160927. Publication Type: Article. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. SP - 52 EP - 53 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 10 IS - 2 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 AD - Queen Ingrid's Hospital, Nuuk, Greenland UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117976518&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104135499 T1 - Centralisation of paediatric intensive care and a 24-hour retrieval service. AU - Roussak, Penelope Y1 - 2014/01/09/ N1 - Accession Number: 104135499. Language: English. Entry Date: 20140110. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Nursing Administration; Pediatric Care. NLM UID: 9212059. KW - Critical Care -- In Infancy and Childhood -- United Kingdom KW - Critically Ill Patients KW - Pediatric Critical Care Nursing KW - Intensive Care Units, Pediatric -- Economics KW - United Kingdom KW - Patient Classification KW - Transfer, Discharge KW - Transportation of Patients KW - Intensive Care Units, Pediatric -- Administration KW - Child SP - 25 EP - 29 JO - British Journal of Nursing JF - British Journal of Nursing JA - BR J NURS VL - 23 IS - 1 PB - Mark Allen Holdings Limited AB - This article aims to analyse the effects of the centralisation of paediatric intensive care (PIC) and the requirement for a 24-hour retrieval service, as outlined in Standards for the Care of Critically Ill Children (Paediatric Intensive Care Society, 2010). It affects staff at district general hospitals (DGHs) and has an impact on the critically ill children who present there. Although the centralisation of PIC has shown better outcomes, there have been concerns that, coupled with relocation of elective surgery to tertiary centres, it has resulted in the deskilling of staff in DGHs. The introduction of more paediatric high-dependency care units in DGHs is presented as a solution to the increased burden on the retrieval service and the deskilling of staff. SN - 0966-0461 AD - Staff Nurse, Rays of Sunshine Ward, King's College Hospital, London U2 - PMID: 24406493. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104135499&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104015699 T1 - Erfaring og kompleksitet -- en kvalitativ undersøgelse af betydningsfulde forhold hos sygeplejerskerne ved overflytning af patienter fra intensiv til sengeafdeling...EXPERIENCE AND COMPLEXITY. – A QUALITATIVE STUDY OF CONDITIONS OF SIGNIFICANCE FOR NURSES DURING PATIENT TRANSITION FROMTHE INTENSIVE CARE UNIT TO THE GENERALWARD AU - Frølund, Christina AU - Beedholm, Kirsten Y1 - 2013/12// N1 - Accession Number: 104015699. Language: Danish. Entry Date: 20140128. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 8700224. KW - Transfer, Intrahospital KW - Stress, Psychological KW - Critical Care Nursing KW - Hand Off (Patient Safety) KW - Human KW - Phenomenological Research KW - Intensive Care Units KW - Hospital Units KW - Interviews KW - Nurse Attitudes -- Evaluation KW - Clinical Competence KW - Job Experience SP - 9 EP - 13 JO - Nordic Journal of Nursing Research & Clinical Studies / Vård i Norden JF - Nordic Journal of Nursing Research & Clinical Studies / Vård i Norden JA - VARD I NORDEN VL - 33 IS - 4 PB - Sage Publications, Ltd. SN - 0107-4083 AD - Intensiv afdeling, Kolding sygehus, Skovvangen 2-6, 6000 Kolding, DK AD - Adjunkt på Institut for Folkesundhed, Sektion for Sygepleje, Aarhus Universitet. Høegh-Guldbergs Gade 6A, 8000 Aarhus UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104015699&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104188406 T1 - Factors contributing to the process of intensive care patient discharge: An ethnographic study informed by activity theory. AU - Frances Lin AU - Chaboyer, Wendy AU - Wallis, Marianne AU - Miller, Anne Y1 - 2013/08// N1 - Accession Number: 104188406. Language: English. Entry Date: 20130703. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care. Grant Information: Queensland Health Clinical Practice Improvement Centre (CPIC). NLM UID: 0400675. KW - Critical Care KW - Patient Discharge KW - Transfer, Intrahospital KW - Intensive Care Units KW - Multidisciplinary Care Team KW - Funding Source KW - Ethnographic Research KW - Semi-Structured Interview KW - Record Review KW - Conceptual Framework KW - Bed Occupancy KW - Teamwork KW - Hand Off (Patient Safety) KW - Communication KW - Participant Observation KW - Academic Medical Centers KW - Length of Stay KW - Critical Care Nursing KW - Medical-Surgical Nursing KW - Physicians KW - Interns and Residents KW - Employment Status KW - Job Experience KW - Questionnaires KW - Field Notes KW - Data Analysis Software KW - Patient Admission KW - Nurse Managers KW - Workload KW - Decision Making, Clinical KW - Guideline Adherence KW - Protocols KW - Human KW - Inpatients KW - Critically Ill Patients SP - 1054 EP - 1066 JO - International Journal of Nursing Studies JF - International Journal of Nursing Studies JA - INT J NURS STUD VL - 50 IS - 8 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Background: Patient flow from intensive care to acute care units is often problematic and many discharges from intensive care to acute care are unsuccessful on the first attempt. Objectives: The aim of this study was to explore the factors that influence intensive care patient discharge. Design, setting, and participants: This ethnographic study was undertaken in an Australian metropolitan tertiary hospital that had a 14-bed level 3 intensive care unit. Intensive care and acute care unit medical and nursing staff, and other hospital staff who were involved in the intensive care patient discharge process participated in this study. A total of 28 discharges were observed, and 56 one on one interviews were conducted. Methods: Data collection techniques including direct observations, semi-structured interviews, and collection of existing documents were used. Activity theory was the theoretical framework that underpinned this study. Findings: Three patient activity systems were identified: intensive care patient discharge activity, acute care unit accepting patient activity, and hospital bed management activity. Analysis of the interactions among these activity systems revealed conflicting objects (goals), communication breakdowns, and teamwork issues. Conclusion: Discharge delay was found to be a significant problem, which was associated with limited acute care unit bed availability. Strategies to improve acute care unit bed availability are needed. Routine after-hours ICU discharge could raise patient safety concerns which need to be considered. All team members' input in discharge decision making should be encouraged. Problems identified in clinical handover call for actions to change the handover practice. Activity theory successfully guided the study by providing a practical and descriptive framework for the study, facilitating the understanding of the interrelationships among the activity systems. SN - 0020-7489 AD - School of Nursing and Midwifery, Griffith Health Institute, Griffith University, Australia AD - NHMRC Centre of Research Excellence in Nursing Interventions for Hospitalised Patients (NCREN), Research Centre for Clinical and Community Practice Innovation (RCCCPI), Griffith Health Institute, Griffith University, Australia AD - School of Nursing and Midwifery, Griffith University, Australia AD - Vanderbilt University Medical Center, Nashville, TN, United States U2 - PMID: 23261036. DO - 10.1016/j.ijnurstu.2012.11.024 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104188406&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104290875 T1 - Post-intensive care syndrome: What it is and how to help prevent it. AU - Davidson, Judy E AU - Harvey, Maurene AU - Schuller, Jessica AU - Black, Gary Y1 - 2013/05// N1 - Accession Number: 104290875. Language: English. Entry Date: 20130809. Revision Date: 20160217. Publication Type: Journal Article; CEU; exam questions; pictorial; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 101291565. KW - Critical Care KW - Critical Illness -- Complications KW - Critical Illness -- Psychosocial Factors KW - Hospitalization -- Psychosocial Factors KW - After Care KW - Cognition Disorders KW - Continuity of Patient Care KW - Critical Care Nursing KW - Education, Continuing (Credit) KW - Family -- Psychosocial Factors KW - Functional Status KW - Hand Off (Patient Safety) KW - ICU Psychosis KW - ICU Psychosis -- Prevention and Control KW - Information Resources KW - Inpatients KW - Intensive Care Units KW - Mental Health KW - Multidisciplinary Care Team KW - Patient Discharge KW - Patient Education KW - Quality of Life KW - Transfer, Intrahospital KW - Ventilator Patients KW - World Wide Web SP - 32 EP - 37 JO - American Nurse Today JF - American Nurse Today JA - AM NURSE TODAY VL - 8 IS - 5 CY - Doylestown, Pennsylvania PB - HealthCom Media AB - ICU stays can cause physical and cognitive problems for years after discharge. Find out how to improve patient outcomes. SN - 1930-5583 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104290875&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104564758 T1 - INTENSIVE CARE TRIAGE: PRIORITY SHOULD BE INDEPENDENT OF WHETHER PATIENTS ARE ALREADY RECEIVING INTENSIVE CARE. AU - Hope, Tony AU - Mcmillan, John AU - Hill, Elaine Y1 - 2012/06// N1 - Accession Number: 104564758. Language: English. Entry Date: 20120514. Revision Date: 20150711. Publication Type: Journal Article; case study. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. Special Interest: Critical Care. NLM UID: 8704792. KW - Transfer, Intrahospital -- Ethical Issues KW - Triage -- Ethical Issues KW - Health Resource Allocation -- Ethical Issues KW - Intensive Care Units -- Ethical Issues KW - Critical Care -- Ethical Issues KW - Decision Making, Ethical KW - Patient Classification KW - Patient Admission KW - Influenza, Pandemic (H1N1) 2009 -- Transmission KW - Practice Guidelines KW - Morals KW - Triage -- Methods SP - 259 EP - 266 JO - Bioethics JF - Bioethics JA - BIOETHICS VL - 26 IS - 5 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - ABSTRACT Intensive care units (ICUs) are not always able to admit all patients who would benefit from intensive care. Pressure on ICU beds is likely to be particularly high during times of epidemics such as might arise in the case of swine influenza. In making choices as to which patients to admit, the key US guidelines state that significant priority should be given to the interests of patients who are already in the ICU over the interests of patients who would benefit from intensive care but who have not been admitted. We examine four reasons that in principle might justify such a prioritization rule and conclude that none is convincing. We argue that the current location of patients should not, in principle, affect their priority for intensive care. We show, however, that under some but not all circumstances, maximizing lives saved by intensive care might require continuing to treat in the ICU a patient already admitted rather than transferring that patient out of the unit in order to admit a sicker patient who would also benefit more from intensive care. We conclude that further modelling is required in order to clarify what practical policies would maximize lives saved by intensive care. SN - 0269-9702 AD - University of Oxford, UK AD - Flinders Medical School, Adelaide AD - John Radcliffe Hospital, Oxford, UK U2 - PMID: 21133976. DO - 10.1111/j.1467-8519.2010.01852.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104564758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 115902256 T1 - Implementation of a Follow-up Program: Extending the Walls of the Intensive Care Unit. AU - Chase, Merica AU - Stevenson, Gwen Y1 - 2016///Summer2016 N1 - Accession Number: 115902256. Language: English. Entry Date: 20160812. Revision Date: 20160812. Publication Type: Article; abstract. Journal Subset: Canada; Core Nursing; Nursing; Peer Reviewed. KW - Critical Care KW - Transfer, Intrahospital KW - Intensive Care Units KW - Inpatients KW - Registered Nurses KW - Nursing Units KW - Medical-Surgical Nursing KW - Readmission KW - Critical Care Nursing SP - 36 EP - 37 JO - Canadian Journal of Critical Care Nursing JF - Canadian Journal of Critical Care Nursing JA - CAN J CRIT CARE NURS VL - 27 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses AB - In June of 2014, a Rapid Response Team (RRT) based in the Intensive Care Unit (ICU) called the Advanced Care Team (ACT) was implemented in our facility. Developed using various models including recommendations from Safer Healthcare Now!, the Advanced Care Team responds to calls to inpatient adult units within the facility to assist nursing and medical staff with advanced assessment and treatment. The ACT Registered Nurse (RN) is also responsible for “follow-up” assessments. This is a form of critical care outreach. Each patient transferred from ICU to the med/surg nursing units has a follow-up visit done within 24 hours of transfer. The goal of this visit is tw ofold: 1) to ensure that the transfer of care was adequate and all relevant inform ation has been relayed to the receiving unit; and 2) to ensure the patient has remained stable and there have been no issues or changes in the patient's condition since the transfer from intensive care. An added benefit of this resource is that we are able to transition long-term ICU patients to the nursing units more quickly and with less pre-planning, helping to ensure staff on the receiving unit are comfortable caring for these complicated patients. In the 12 months prior to the implementation of the follow-up visits the re-admission rate to our ICU was 4.4%. In the year since implementation that rate has decreased to 3.9%. The ability to identify and mitigate an impending threat to a patient's health is the cornerstone of ICU nursing. With the follow-up visits, communication of any concerns can occur between the ICU RN, the floor RN and the primary physician, hopefully avoiding any further clinical deterioration. In a few instances, a follow-up visit resulted in an ACT call. While the benefit to the patient is the ultimate goal, an unforeseen benefit is the improvement in relations between ICU and the nursing units. The ICU has created a culture of support, mentorship and collaboration through the Advanced Care Team and follow-ups! SN - 2368-8653 AD - Horizon Health Network, Fredericton, New Brunswick UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115902256&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 114192202 T1 - Parental perceptions of transition from intensive care following a child's cardiac surgery. AU - Obas, Katrina A. AU - Leal, Jessica M. AU - Zegray, Michele AU - Rennick, Janet E. Y1 - 2016/05// N1 - Accession Number: 114192202. Language: English. Entry Date: 20160411. Revision Date: 20170501. Publication Type: Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Pediatric Care; Perioperative Care. NLM UID: 9808649. KW - Heart Surgery -- In Infancy and Childhood KW - Parental Attitudes KW - Perception KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Heart Defects, Congenital -- Surgery KW - Human KW - Intensive Care Units, Pediatric KW - Nursing Units KW - Semi-Structured Interview KW - Audiorecording KW - Thematic Analysis KW - Exploratory Research KW - Quebec KW - Descriptive Research KW - Qualitative Studies KW - Interview Guides KW - Adult KW - Middle Age KW - Constant Comparative Method KW - Infant KW - Child, Preschool KW - Child KW - Adolescence KW - Length of Stay KW - Inpatients KW - Time Factors KW - Pediatric Critical Care Nursing KW - Parental Role KW - Uncertainty KW - Patient Centered Care SP - e1 EP - e9 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 21 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - ABSTRACT Background Children with congenital heart disease ( CHD) who undergo cardiac surgery are hospitalized in a paediatric intensive care unit ( PICU) prior to being transferred to a surgical ward. This is a challenging transition for parents of children with CHD who experience high levels of stress related to their child's illness. Aim To explore parents' perceptions of the transition from the PICU to the surgical ward following their child's cardiac surgery. Study design A qualitative descriptive design using semi-structured interviews was used to explore parents' perceptions of the transfer experience. Methods All parents of children with CHD who met inclusion criteria were approached to participate. Parents were recruited until data saturation was achieved ( n = 9). Interviews were audiotaped and transcribed verbatim. Transcripts were coded and thematically analysed concurrently with data collection. Results Parents described having mixed feelings of happiness and uncertainty upon learning that their child would be transferred to the surgical ward (theme 1). Parents' uncertainty prompted a need to rally for the upcoming transfer, a process in which the nurse was perceived to play an important role (theme 2). Once transferred to the surgical ward, parents described having to come to terms with a new care experience in which they encountered new role expectations and a challenging new environment (theme 3). Conclusion Emotional reactions to transfer were generally consistent with the literature, although parents in our study did not describe feelings of isolation related to transition as reported elsewhere. We also identified the timing of transfer as a potential source of stress for parents. Parents identified key nursing interventions that helped them to prepare for transfer and come to terms with challenges in their new environment. Relevance to practice A deeper understanding of parents' transfer experience will facilitate the development of effective nursing interventions to support parents at this time. SN - 1362-1017 AD - Department of Nursing, Royal Victoria Hospital, McGill University Health Centre AD - Department of Nursing, Montreal Children's Hospital, McGill University Health Centre AD - Ingram School of Nursing and Department of Pediatrics, Faculty of Medicine, McGill University DO - 10.1111/nicc.12202 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114192202&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109810462 T1 - Clinical validity of a relocation stress scale for the families of patients transferred from intensive care units. AU - Oh, HyunSoo AU - Lee, Seul AU - Kim, JiSun AU - Lee, EunJu AU - Min, HyoNam AU - Cho, OkJa AU - Seo, WhaSook Y1 - 2015/07// N1 - Accession Number: 109810462. Language: English. Entry Date: 20150626. Revision Date: 20160630. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care. Instrumentation: e Family Burden Scale (Suh and Oh); Korean Activities of Daily Living Scale (K-ADL) (Won et al); Son¿s Relocation Stress Syndrome Scale, modified. Grant Information: INHA UNIVERSITY Research Grant.. NLM UID: 9207302. KW - Transfer, Intrahospital -- Psychosocial Factors KW - Critically Ill Patients KW - Family -- Psychosocial Factors KW - Instrument Validation KW - Stress, Psychological -- Evaluation KW - Human KW - Intensive Care Units KW - Validation Studies KW - Academic Medical Centers -- South Korea KW - South Korea KW - Nonexperimental Studies KW - Correlational Studies KW - Construct Validity KW - Factor Analysis KW - Face Validity KW - Content Validity KW - Self Report KW - Questionnaires KW - Coefficient Alpha KW - Family Attitudes -- Evaluation KW - Activities of Daily Living -- Evaluation KW - Visual Analog Scaling KW - Descriptive Statistics KW - Multiple Regression KW - Summated Rating Scaling KW - Item-Total Correlations KW - One-Tailed Test KW - Funding Source KW - Scales SP - 1805 EP - 1814 JO - Journal of Clinical Nursing JF - Journal of Clinical Nursing JA - J CLIN NURS VL - 24 IS - 13/14 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aims and objectives This study was conducted to develop a family relocation stress scale by modifying the Son's Relocation Stress Syndrome Scale, to examine its clinical validity and reliability and to confirm its suitability for measuring family relocation stress. Background The transfer of ICU patients to general wards is a significant anxiety-producing event for family members. However, no relocation stress scale has been developed specifically for families. Design A nonexperimental, correlation design was adopted. Methods The study subjects were 95 family members of 95 ICU patients at a university hospital located in Incheon, South Korea. Face and construct validities of the devised family relocation stress scale were examined. Construct validity was examined using factor analysis and by using a nomological validity test. Reliability was also examined. Results Face and content validity of the scale were verified by confirming that its items adequately measured family relocation stress. Factor analysis yielded four components, and the total variance explained by these four components was 63·0%, which is acceptable. Nomological validity was well supported by significant relationships between relocation stress and degree of preparation for relocation, patient self-care ability, family burden and satisfaction with the relocation process. The devised scale was also found to have good reliability. Conclusions The family relocation stress scale devised in this study was found to have good validity and reliability, and thus, is believed to offer a means of assessing family relocation stress. Relevance to clinical practice The findings of this study provide a reliable and valid assessment tool when nurses prepare families for patient transfer from an ICU to a ward setting, and may also provide useful information to those developing an intervention programme for family relocation stress management. SN - 0962-1067 AD - Department of Nursing, Inha University AD - Department of Nursing, Inha University; Inha University Hospital AD - Inha University Hospital U2 - PMID: 25665020. DO - 10.1111/jocn.12778 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109810462&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112574081 T1 - Serotonin Transporter Gene (SLC6A4) Methylation Associates With Neonatal Intensive Care Unit Stay and 3-Month-Old Temperament in Preterm Infants. AU - Montirosso, Rosario AU - Provenzi, Livio AU - Fumagalli, Monica AU - Sirgiovanni, Ida AU - Giorda, Roberto AU - Pozzoli, Uberto AU - Beri, Silvana AU - Menozzi, Giorgia AU - Tronick, Ed AU - Morandi, Francesco AU - Mosca, Fabio AU - Borgatti, Renato Y1 - 2016/01//Jan/Feb2016 N1 - Accession Number: 112574081. Language: English. Entry Date: 20161223. Revision Date: 20170104. Publication Type: journal article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Instrumentation: Profile of Mood States (POMS); Infant Characteristics Questionnaire (ICQ) (Bates et al). NLM UID: 0372725. KW - Intensive Care Units, Neonatal KW - Infant, Premature KW - Membrane Proteins -- Metabolism KW - DNA Methylation -- Physiology KW - Temperament KW - Stress, Psychological -- Metabolism KW - Human KW - Female KW - Infant KW - Membrane Proteins KW - DNA Methylation KW - Prospective Studies KW - Stress, Psychological KW - Male KW - Infant, Newborn KW - Validation Studies KW - Comparative Studies KW - Evaluation Research KW - Multicenter Studies KW - Questionnaires SP - 38 EP - 48 JO - Child Development JF - Child Development JA - CHILD DEV VL - 87 IS - 1 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Preterm birth and Neonatal Intensive Care Unit (NICU) stay are early adverse stressful experiences, which may result in an altered temperamental profile. The serotonin transporter gene (SLC6A4), which has been linked to infant temperament, is susceptible to epigenetic regulation associated with early stressful experience. This study examined a moderation model in which the exposure to NICU-related stress and SLC6A4 methylation moderated infant temperament at 3 months of age. SLC6A4 methylation at 20 CpG sites was quantified in preterm infants (N = 48) and full-term infants (N = 30) from Italian middle-class families. Results suggested that in preterm infants NICU-related stress might be associated with alterations of serotonergic tone as a consequence of SLC6A4 methylation, which in turn, might associate with temperamental difficulties assessed at 3 months of age. SN - 0009-3920 AD - IRCCS Eugenio Medea AD - University of Milan AD - University of Massachusetts and Division of Newborn Medicine AD - Sacra Famiglia Hospital U2 - PMID: 26822441. DO - 10.1111/cdev.12492 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112574081&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104303149 T1 - Ask the Experts. Safety of Patients Transferred From the Operating Room to the Intensive Care Unit. AU - Kaplow, Roberta Y1 - 2013/02// N1 - Accession Number: 104303149. Language: English. Entry Date: 20130204. Revision Date: 20150818. Publication Type: Journal Article; questions and answers. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety; Perioperative Care. NLM UID: 8207799. KW - Transfer, Intrahospital KW - Patient Safety KW - Critical Care Nursing KW - Postoperative Care KW - Post Anesthesia Care KW - Nursing Assessment KW - Inpatients KW - Body Temperature Regulation KW - Postoperative Complications -- Prevention and Control KW - Respiration, Artificial KW - Pulmonary Edema KW - Hypotension KW - Laryngospasm KW - Hypertension KW - Arrhythmia KW - Malignant Hyperthermia KW - Intensive Care Units KW - Operating Rooms SP - 68 EP - 70 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 33 IS - 1 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Clinical nurse specialist, Emory University Hospital, Atlanta, Georgia DO - 10.4037/ccn2013866 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104303149&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 110940893 T1 - Association between Hospital Volume and Within-Hospital Intensive Care Unit Transfer for Sickle Cell Disease in Children's Hospitals. AU - Raphael, Jean L. AU - Richardson, Troy AU - Hall, Matt AU - Oyeku, Suzette O. AU - Bundy, David G. AU - Kalpatthi, Ram V. AU - Shah, Samir S. AU - Ellison, Angela M. Y1 - 2015/12// N1 - Accession Number: 110940893. Language: English. Entry Date: 20160307. Revision Date: 20170203. Publication Type: journal article; research. Journal Subset: Biomedical; Peer Reviewed; USA. Grant Information: K23 HL105568/HL/NHLBI NIH HHS/United States. NLM UID: 0375410. KW - Intensive Care Units KW - Anemia, Sickle Cell -- Therapy KW - Transfer, Discharge -- Statistics and Numerical Data KW - Hospitals, Pediatric -- Statistics and Numerical Data KW - Retrospective Design KW - Adolescence KW - Incidence KW - Child KW - Female KW - Infant, Newborn KW - Child, Preschool KW - Hospital Mortality -- Trends KW - Prospective Studies KW - Length of Stay -- Trends KW - Anemia, Sickle Cell -- Epidemiology KW - Male KW - Infant KW - United States KW - Human KW - Validation Studies KW - Comparative Studies KW - Evaluation Research KW - Multicenter Studies KW - Funding Source KW - Logistic Regression KW - Linear Regression KW - Confidence Intervals KW - Odds Ratio SP - 1306 EP - 1313 JO - Journal of Pediatrics JF - Journal of Pediatrics JA - J PEDIATR VL - 167 IS - 6 CY - New York, New York PB - Elsevier B.V. AB - Objective: To assess the relationship between hospital volume and intensive care unit (ICU) transfer among hospitalized children with sickle cell disease (SCD).Study Design: We conducted a retrospective cohort study of 83,477 SCD-related hospitalizations at children's hospitals (2009-2012) using the Pediatric Health Information System database. Hospital-level all-cause and SCD-specific volumes were dichotomized (low vs high). Outcomes were within-hospital ICU transfer (primary) and length of stay (LOS) total (secondary). Multivariable logistic/linear regressions assessed the association of hospital volumes with ICU transfer and LOS.Results: Of 83,477 eligible hospitalizations, 1741 (2.1%) involving 1432 unique children were complicated by ICU transfer. High SCD-specific volume (OR 0.77, 95% CI 0.64-0.91) was associated with lower odds of ICU transfer while high all-cause hospital volume was not (OR 0.87, 95% CI 0.73-1.04). A statistically significant interaction was found between all-cause and SCD-specific volumes. When results were stratified according to all-cause volume, high SCD-specific volume was associated with lower odds of ICU transfer at low all-cause volume (OR 0.46, 95% CI 0.38-0.55). High hospital volumes, both all-cause (OR 0.94, 95% CI 0.92-0.97) and SCD-specific (OR 0.86, 95% CI 0.84-0.88), were associated with shorter LOS.Conclusions: Children's hospitals vary substantially in their transfer of children with SCD to the ICU according to hospital volumes. Understanding the practices used by different institutions may help explain the variability in ICU transfer among hospitals caring for children with SCD. SN - 0022-3476 AD - Department of Pediatrics, Baylor College of Medicine, Houston, TX AD - Children's Hospital Association, Overland Park, KS AD - Department of Pediatrics, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY AD - Department of Pediatrics, Medical University of South Carolina, Charleston, SC AD - Department of Pediatrics, The Children's Mercy Hospital and Clinics, Kansas City, MO AD - Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH AD - Department of Pediatrics, Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA U2 - PMID: 26470686. DO - 10.1016/j.jpeds.2015.09.007 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110940893&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 115902261 T1 - Transfer of Accountability among the Operating Room, Post Anesthesia Care Unit, and Intensive Care Units. AU - Guiyab, Melissa AU - Rudyk, Nancy AU - Mustard, Mary AU - Grandy, Joyce AU - Snatenchuk, Debbie AU - McLachlan, Pamela Y1 - 2016///Summer2016 N1 - Accession Number: 115902261. Language: English. Entry Date: 20160812. Revision Date: 20160812. Publication Type: Article; abstract; research. Journal Subset: Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Patient Safety; Perioperative Care; Quality Assurance. KW - Accountability KW - Perioperative Care KW - Critical Care KW - Hand Off (Patient Safety) KW - Transfer, Intrahospital KW - Intensive Care Units KW - Post Anesthesia Care Units KW - Operating Rooms KW - Inpatients KW - Quality Improvement KW - Multidisciplinary Care Team KW - Committees KW - Communication KW - Checklists KW - Human KW - Pilot Studies KW - Surveys KW - Continuity of Patient Care SP - 39 EP - 39 JO - Canadian Journal of Critical Care Nursing JF - Canadian Journal of Critical Care Nursing JA - CAN J CRIT CARE NURS VL - 27 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses AB - Background: The transitions of care for critically ill patients are complex, involving interaction and com munication between health care professionals from different departm ents and disciplines. Gaps in the transfer of patient information have been highlighted by staff, and may be a source of patient safety breach in the transitions of patients among the operating room (OR), post anesthesia care unit (PACU), and intensive care units (ICUs). Objective: To utilize a quality im provem ent fram ew ork to develop and im plem ent an interdisciplinary standardized transfer of accountability (TOA) process among these units. M ethod: We used a quality im provem ent fram ew ork to develop a standardized TOA process between the p erio p erativ e an d c ritic a l care d e p a rtm e n ts. We cre ate d a m ulti-departm ental interdisciplinary com m ittee to lead the project. To understand the current state of patient transfers between departm ents, we conducted a literature review and surveyed the staff. Based on these results we developed an interdisciplinary TOA procedure consisting of three com ponents: 1) pre-transfer com m unication, 2) a “pause” upon transfer to the receiving unit, and 3) a checklist to guide the information given during handover. Results: This process will be piloted in April among the perioperative and critical care departments and the evaluations from this trial will be presented. Conclusion: There is a large am ount of im portant, pertinent information that must be relayed between the care providers of critically ill patients who have undergone surgical procedures to ensure safe continuity of care. Once the standardized TOA process has been implemented, tests of compliance will include audits, staff feedback, and a review of adverse events related to TOA among the OR, PACU, and ICUs. Through interdisciplinary collaboration across departm ents, these patients will experience a smooth, safe, and efficient transition, as they journey from one care area to another. SN - 2368-8653 AD - St. Michael's Hospital, Toronto, Ontario UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115902261&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 111059287 T1 - A quality improvement project to decrease emergency department and medical intensive care unit transfer times. AU - Cohen, Rubin I. AU - Kennedy, Heather AU - Amitrano, Bernadette AU - Dillon, Maryanne AU - Guigui, Sarah AU - Kanner, Andrew Y1 - 2015/12// N1 - Accession Number: 111059287. Language: English. Entry Date: 20151203. Revision Date: 20151203. Publication Type: Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 8610642. KW - Patient Care -- Methods KW - Emergency Service KW - Intensive Care Units KW - Transfer, Discharge -- Evaluation KW - Critical Care KW - Human KW - Prospective Studies KW - Treatment Delay -- Evaluation KW - Length of Stay -- Evaluation KW - Hospitals KW - Interns and Residents KW - Medical Practice KW - Data Analysis KW - Descriptive Statistics KW - Transportation of Patients -- Evaluation SP - 1331 EP - 1337 JO - Journal of Critical Care JF - Journal of Critical Care JA - J CRIT CARE VL - 30 IS - 6 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0883-9441 AD - Department of Medicine, Long Island Jewish Medical Center, Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY AD - Department of Nursing, Long Island Jewish Medical Center, Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY U2 - PMID: 26365001. DO - 10.1016/j.jcrc.2015.07.017 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111059287&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 115902272 T1 - Message Given and Received: Developing a standardized Tool for Shiffcto-Shiffc Transfer of Accountability (TOA) in an Intensive Care Unit. AU - Glen, Janice AU - Harrington, Alana AU - Lewis, Ellen Y1 - 2016///Summer2016 N1 - Accession Number: 115902272. Language: English. Entry Date: 20160812. Revision Date: 20160812. Publication Type: Article; abstract; research. Journal Subset: Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Patient Safety. KW - Shift Reports -- Standards KW - Accountability KW - Critical Care Nursing KW - Human KW - Intensive Care Units KW - Communication KW - Checklists KW - Record Review KW - Surveys KW - Registered Nurses KW - Quality of Nursing Care KW - Observational Methods SP - 45 EP - 45 JO - Canadian Journal of Critical Care Nursing JF - Canadian Journal of Critical Care Nursing JA - CAN J CRIT CARE NURS VL - 27 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses AB - In a surgical intensive care unit, patient turn-over is frequent. In our C ardiovascular Intensive Care Unit (CV ICU), 96.3% of patients stay less than 24 hours. Patients who require prolonged mechanical ventilation fall outside o f the routine care process and often require more complex interventions and longer time in the Intensive Care Unit (ICU ). In 2011, interprofessional, long-term care rounds were developed to discuss all patients residing in the CVICU for more than seven days. The intent was to: identify and understand patient/family issues; improve the coordination of care between nursing, health disciplines and medicine; and develop a more holistic approach to the care of patients receiving prolonged intensive care. In early 2012, CVICU adopted “My Story” from our Medical Surgical Intensive Care Unit (MSICU) colleagues. This tool was originally developed in California by a family member whose husband was involved in a trauma. The tool was further refined for use at St. M ichael's Hospital to humanize the patient's experience while in the hospital. The aim of the tool is to facilitate families sharing important information that is not traditionally captured in hospital documents, and provide a conversation starter between caregivers and family. More recently, attention has been given to a fundamental tenant in our unit: “every patient must have a destination”. There is a recognition that patients need to transition to other areas, including the ward, ventilation weaning units, or referring hospitals. With this in mind for long-term ICU patients, care needs to be re-focused and both short- and long-term goals need to be set. To that end, we have created a guideline/checklist to use proactively at weekly long-term care rounds, which addresses issues such as de-medicalization of the patient, development of written weaning and mobility plans, increasing patient/family involvement in care, and initiating com m unication with future care facilities/units. Future evaluation will assess the impact this tool has had on our long-term ICU patients. SN - 2368-8653 AD - St. Michaels Hospital, Toronto, Ontario UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115902272&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104962253 T1 - Factors influencing relocation stress syndrome in patients following transfer from intensive care units. AU - Park, Jin-Hee AU - Yoo, Moon-Sook AU - Son, Youn-Jung AU - Bae, Sun Hyoung Y1 - 2010/06// N1 - Accession Number: 104962253. Language: Korean. Entry Date: 20110121. Revision Date: 20180110. Publication Type: Journal Article; research; tables/charts. Journal Subset: Asia; Nursing; Peer Reviewed. Grant Information: Ajou University in 2009. NLM UID: 101488689. KW - Relocation KW - Stress, Psychological -- Psychosocial Factors KW - Transfer, Discharge KW - Cross Sectional Studies KW - Data Analysis Software KW - Descriptive Statistics KW - Funding Source KW - Human KW - Intensive Care Units KW - One-Way Analysis of Variance KW - Pearson's Correlation Coefficient KW - Prospective Studies KW - Questionnaires KW - Self Report KW - Step-Wise Multiple Regression KW - T-Tests SP - 307 EP - 316 JO - Journal of Korean Academy of Nursing JF - Journal of Korean Academy of Nursing JA - J KOREAN ACAD NURS VL - 40 IS - 3 CY - , PB - Korean Society of Nursing Science SN - 2005-3673 AD - Assistant Professor, College of Nursing, Ajou University, Suwon, Korea. U2 - PMID: 20634622. DO - 10.4040/jkan.2010.40.3.307 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104962253&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124060836 T1 - The impact of Italian regionalisation on transporting neonatal patients back from the neonatal intensive care unit to the referring level two unit. AU - Bellini, Carlo AU - Risso, Francesco M. AU - Ramenghi, Luca A. Y1 - 2017/08// N1 - Accession Number: 124060836. Language: English. Entry Date: In Process. Revision Date: 20170718. Publication Type: journal article. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. NLM UID: 9205968. SP - 1358 EP - 1358 JO - Acta Paediatrica JF - Acta Paediatrica JA - ACTA PAEDIATR VL - 106 IS - 8 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - The article presents a study for evaluating the impact of Italian regionalisation on transporting neonatal patients back from the neonatal intensive care unit to the referring level two unit. Topics include policies of Liguria, Italy for the management of low birthweight preterm infants; parenteral nutrition and persistent chronic problems in children such as bronchopulmonary dysplasia, and patent ductus arteriosus; and establishment of Neonatal Emergency Transport Service in 1995 in Italy. SN - 0803-5253 AD - Neonatal Intensive Care Unit, Neonatal Emergency Transport Service, IRCCS Istituto Giannina Gaslini U2 - PMID: 28294399. DO - 10.1111/apa.13821 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124060836&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 125373542 T1 - Risk factors for unplanned transfer to the intensive care unit after emergency department admission: Methodological issues. AU - Safiri, Saeid AU - Ayubi, Erfan Y1 - 2017/10// N1 - Accession Number: 125373542. Language: English. Entry Date: 20171009. Revision Date: 20171009. Publication Type: Letter to the Editor. Journal Subset: Allied Health; Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 8309942. SP - 1573 EP - 1573 JO - American Journal of Emergency Medicine JF - American Journal of Emergency Medicine JA - AM J EMERG MED VL - 35 IS - 10 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0735-6757 AD - Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran AD - Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran AD - Department of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran U2 - PMID: 28532980. DO - 10.1016/j.ajem.2017.04.031 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125373542&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 121278020 T1 - Complications and Benefits of Intrahospital Transport of Adult Intensive Care Unit Patients...Sai Saran PV, Azim A. Complications and benefits of intrahospital transport of adult intensive care unit patients. Indian J Crit Care Med, Oct 2016;20(10):628‑9. AU - Harish, M. M. AU - Janarthanan, S. AU - Siddiqui, S. S. AU - Chaudhary, Harish K. AU - Prabu, N. R. AU - Divatia, Jigeeshu Vashistha AU - Kulkarni, Atul Prabhakar Y1 - 2017/02// N1 - Accession Number: 121278020. Language: English. Entry Date: 20170316. Revision Date: 20170316. Publication Type: Letter to the Editor; letter; response. Journal Subset: Asia; Biomedical. NLM UID: 101208863. KW - Critically Ill Patients KW - Intensive Care Units KW - Transfer, Intrahospital SP - 112 EP - 112 JO - Indian Journal of Critical Care Medicine JF - Indian Journal of Critical Care Medicine JA - INDIAN J CRIT CARE MED VL - 21 IS - 2 PB - Wolters Kluwer India Pvt Ltd SN - 0972-5229 AD - Division of Critical Care Medicine, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India AD - Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India DO - 10.4103/ijccm.IJCCM_390_16 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121278020&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 114023758 T1 - Pediatric Specialty Transport Teams Are Not Associated With Decreased 48-Hour Pediatric Intensive Care Unit Mortality: A Propensity Analysis of the VPS, LLC Database. AU - Meyer, Michael T. AU - Mikhailov, Theresa A. AU - Kuhn, Evelyn M. AU - Collins, Maureen M. AU - Scanlon, Matthew C. Y1 - 2016/03//Mar/Apr2016 N1 - Accession Number: 114023758. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Intensive Care Units, Pediatric KW - Emergency Medical Services KW - Child Mortality KW - Mortality KW - Emergency Service KW - Multiple Logistic Regression KW - Multiple Regression KW - Child SP - 73 EP - 78 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 2 CY - New York, New York PB - Elsevier B.V. AB - Objective The purpose of this study was to determine if pediatric specialty pediatric team (SPT) interfacility–transported children from community emergency departments to a pediatric intensive care unit (PICU) have improved 48-hour mortality. Methods This is a multicenter, historic cohort analysis of the VPS, LLC PICU clinical database (VPS, LLC, Los Angeles, CA) for all PICU directly admitted pediatric patients ≤ 18 years of age from January 1, 2007, to March 31, 2009. Categoric variables were analyzed by the chi-square and Mann-Whitney tests for non-normally distributed continuous variables. The propensity score was determined by multiple logistic regression analysis. Nearest neighbor matching developed emergency medical services SPT pairs by similar propensity score. Multiple regression analyses of the matched pairs determined the association of SPT with 48-hour PICU mortality. P values < .05 were considered significant. Results This study included 3,795 PICU discharges from 12 hospitals. SPT-transported children were more severely ill, younger in age, and more likely to have a respiratory diagnosis ( P < .0001). Unadjusted 48-hour PICU mortality was statistically significantly higher for SPT transports (2.04% vs. 0.070%, P = .0028). Multiple regressions adjusted for propensity score, illness severity, and PICU site showed no significant difference in 48-hour PICU mortality. Conclusion No significant difference in adjusted 48-hour PICU mortality for children transported by transport team type was discovered. SN - 1067-991X AD - Medical College of Wisconsin, Milwaukee, WI, USA AD - Children’s Hospital of Wisconsin, Milwaukee, WI, USA AD - Curative Care Network, Inc, Milwaukee, WI, USA DO - 10.1016/j.amj.2015.12.003 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114023758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109641781 T1 - Unplanned Transfers from Hospital Wards to the Neurological Intensive Care Unit. AU - Gold, C A AU - Mayer, S A AU - Lennihan, L AU - Claassen, J AU - Willey, J Z Y1 - 2015/10// N1 - Accession Number: 109641781. Language: English. Entry Date: 20150923. Revision Date: 20171115. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. Grant Information: K23 NS073104/NS/NINDS NIH HHS/United States. NLM UID: 101156086. SP - 159 EP - 165 JO - Neurocritical Care JF - Neurocritical Care JA - NEUROCRIT CARE VL - 23 IS - 2 CY - , PB - Springer Science & Business Media B.V. AB - Background: The aim of this study is to evaluate the characteristics of unplanned transfers of adult patients from hospital wards to a neurological intensive care unit (NICU).Methods: We retrospectively reviewed consecutive unplanned transfers from hospital wards to the NICU at our institution over a 3-year period. In-hospital mortality rates were compared between patients readmitted to the NICU ("bounce-back transfers") and patients admitted to hospital wards from sources other than the NICU who were then transferred to the NICU ("incident transfers"). We also measured clinical characteristics of transfers, including source of admission and indication for transfer.Results: A total of 446 unplanned transfers from hospital wards to the NICU occurred, of which 39% were bounce-back transfers. The in-hospital mortality rate associated with all unplanned transfers to the NICU was 17% and did not differ significantly between bounce-back transfers and incident transfers. Transfers to the NICU within 24 h of admission to a floor service accounted for 32% of all transfers and were significantly more common for incident transfers than bounce-back transfers (39 vs. 21%, p = .0002). Of patients admitted via the emergency department who had subsequent incident transfers to the NICU, 50% were transferred within 24 h of admission.Conclusions: Unplanned transfers to an NICU were common and were associated with a high in-hospital mortality rate. Quality improvement projects should target the triage process and transitions of care to the hospital wards in order to decrease unplanned transfers of high-risk patients to the NICU. SN - 1541-6933 U2 - PMID: 25680399. DO - 10.1007/s12028-015-0123-z UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109641781&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 113662499 T1 - Transporting the paediatric intensive care patient: an insight into CATS. AU - Weir, Alan Y1 - 2016/03// N1 - Accession Number: 113662499. Language: English. Entry Date: In Process. Revision Date: 20160318. Publication Type: Article. Journal Subset: Allied Health; Europe; UK & Ireland. SP - 122 EP - 124 JO - Journal of Paramedic Practice JF - Journal of Paramedic Practice JA - J PARAMEDIC PRACT VL - 8 IS - 3 PB - Mark Allen Holdings Limited SN - 1759-1376 AD - Head of clinical services, St John Ambulance AD - Paramedic, South Central Ambulance Service NHS Foundation Trust UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113662499&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 110968486 T1 - A Novel Method to Identify the Start and End of the Winter Surge in Demand for Pediatric Intensive Care in Real Time. AU - Pagel, Christina AU - Ramnarayan, Padmanabhan AU - Ray, Samiran AU - Peters, Mark J. Y1 - 2015/11// N1 - Accession Number: 110968486. Language: English. Entry Date: 20160228. Revision Date: 20160820. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Symptom Distress Scale (SDS) (McCorkle and Young). NLM UID: 100954653. KW - Intensive Care Units, Pediatric -- Statistics and Numerical Data KW - Forecasting KW - Health Services Needs and Demand -- Statistics and Numerical Data KW - Algorithms KW - Health Services Needs and Demand KW - England KW - Linear Regression KW - Transportation of Patients -- Statistics and Numerical Data KW - Intensive Care Units, Pediatric -- Administration KW - Seasons KW - Symptom Distress Scale SP - 821 EP - 827 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 16 IS - 9 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objective: Implementation of winter surge management in intensive care is hampered by the annual variability in the start and duration of the winter surge. We aimed to develop a real-time monitoring system that could identify the start promptly and accurately predict the end of the winter surge in a pediatric intensive care setting.Design: We adapted a method from the stock market called "Bollinger bands" to compare current levels of demand for pediatric intensive care services to thresholds based on medium-term average demand. Algorithms to identify the start and end of the surge were developed using Bollinger bands and pragmatic considerations. The method was applied to a specific pediatric intensive care service: the North Thames Children's Acute Transport Service using eight winters of data (2005-2012) to tune the algorithms and one winter to test the final method (2013/2014).Setting: A regional specialized pediatric retrieval service based in London, United Kingdom.Measurements and Main Results: The optimal Bollinger band thresholds were 1.2 and 1 SDs above and below a 41-day moving average of demand, respectively. A simple linear model was found to predict the end of the surge and overall surge demand volume as soon as the start had been identified. Applying the method to the validation winter of 2013/2014 showed excellent performance, with the surge identified from November 18, 2013, to January 4, 2014.Conclusions: We have developed and tested a novel method to identify the start and predict the end of the winter surge in emergency demand for pediatric intensive care. SN - 1529-7535 AD - UCL Clinical Operational Research Unit, University College London, London, United Kingdom AD - Children's Acute Transport Service, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom AD - Respiratory, Anaesthesia, and Critical Care Group, Institute of Child Health, University College London, London, United Kingdom U2 - PMID: 26536545. DO - 10.1097/PCC.0000000000000540 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110968486&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 114448645 T1 - Adverse Events and Near-Misses Relating to Intensive Care Unit-Ward Transfer: A Qualitative Analysis of Resident Perceptions. AU - Lyons, Patrick G. AU - Arora, Vineet M. AU - Farnan, Jeanne M. Y1 - 2016/04// N1 - Accession Number: 114448645. Language: English. Entry Date: 20160826. Revision Date: 20170128. Publication Type: letter. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 101600811. KW - Physicians -- Psychosocial Factors KW - Communication KW - Transfer, Discharge -- Methods KW - Intensive Care Units -- Administration KW - Hand Off (Patient Safety) -- Standards KW - Illinois KW - Hospitals, Special KW - Internship and Residency KW - Uncertainty SP - 570 EP - 572 JO - Annals of the American Thoracic Society JF - Annals of the American Thoracic Society JA - ANN AM THORAC SOC VL - 13 IS - 4 CY - New York, New York PB - American Thoracic Society SN - 2325-6621 AD - University of Chicago, Chicago, Illinois U2 - PMID: 27058186. DO - 10.1513/AnnalsATS.201512-789LE UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114448645&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105099714 T1 - A portable CT scanner in the pediatric intensive care unit decreases transfer-associated adverse events and staff disruption. AU - Agrawal S AU - Hulme S AU - Hayward R AU - Brierley J Y1 - 2010/08// N1 - Accession Number: 105099714. Language: English. Entry Date: 20100908. Revision Date: 20150711. Publication Type: Journal Article; diagnostic images; forms; pictorial; research; tables/charts. Journal Subset: Biomedical; Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed. Special Interest: Critical Care; Emergency Care; Pediatric Care; Perioperative Care. KW - Tomography, X-Ray Computed KW - Mobile Health Units KW - Intensive Care Units, Pediatric KW - Transfer, Discharge KW - Human KW - Child KW - Prospective Studies KW - Nonexperimental Studies KW - Brain Injuries -- Radiography KW - Outcomes (Health Care) SP - 346 EP - 352 JO - European Journal of Trauma & Emergency Surgery JF - European Journal of Trauma & Emergency Surgery JA - EUR J TRAUMA EMERG SURG VL - 36 IS - 4 CY - , PB - Springer Science & Business Media B.V. AB - Introduction:: Computerized tomography (CT) is an important diagnostic tool in the management of critically ill children, especially those with neurosurgical problems such as traumatic brain injury. Traditionally, such scans require transfer to the radiology department (RD) at times of extreme physiological instability, such as incipient cerebral herniation, and exposes children with actual, or potential, spinal injuries to the risks of transfer. Moving children from pediatric intensive care (PIC), often overnight, also depletes units of senior staff. Portable CT (PCT) scanning offers a solution to this problem, and we assessed patient stability and staff time occupied during urgent CT scans before and after the introduction of a PCT scanner (CereTom) in a regional neurosurgical pediatric intensive care unit (PICU). Materials and Methods:: Prospective observational study of ventilated children in the PICU requiring urgent CT of the head to limit secondary brain injury. Data was collected for three months prior to, and for the same period after, the introduction of PCT on a questionnaire designed to assess physiological variables, PICU interventions, and staff time, which was completed immediately post scanning. Results:: Eight children had urgent CT head scan in the RD during the first 3 months and ten PCT in the second 6 months. The patients transferred to the RD required medical intervention because of cardio-respiratory instability or fluctuating intracranial pressure in nearly every patient and clearly increased the strain on staff resources. None of those patients undergoing PCT had untoward events and staff resources were far less impacted upon. Discussion:: PCT scanning is safe for unstable neurosurgical patients who need urgent diagnostic head CT, reducing the risks associated with transfer and the depletion of staff provision to the other children in the PICU. While this study did not specifically address image quality, all images were diagnostic regarding the indication for scanning. SN - 1863-9933 AD - Paediatric and Neonatal Intensive Care Unit, Institute of Child Health and Great Ormond Street Hospital for Children, London UK DO - 10.1007/s00068-009-9127-8 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105099714&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109704378 T1 - Face-to-face handoff: improving transfer to the pediatric intensive care unit after cardiac surgery. AU - Vergales, Jeffrey AU - Addison, Nancy AU - Vendittelli, Analise AU - Nicholson, Evelyn AU - Carver, D Jeannean AU - Stemland, Christopher AU - Hoke, Tracey AU - Gangemi, James Y1 - 2015/03// N1 - Accession Number: 109704378. Language: English. Entry Date: 20150923. Revision Date: 20170104. Publication Type: journal article. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Quality Assurance. NLM UID: 9300756. SP - 119 EP - 125 JO - American Journal of Medical Quality JF - American Journal of Medical Quality JA - AM J MED QUAL VL - 30 IS - 2 CY - Thousand Oaks, California PB - Sage Publications Inc. AB - The goal was to develop and implement a comprehensive, primarily face-to-face handoff process that begins in the operating room and concludes at the bedside in the intensive care unit (ICU) for pediatric patients undergoing congenital heart surgery. Involving all stakeholders in the planning phase, the framework of the handoff system encompassed a combination of a formalized handoff tool, focused process steps that occurred prior to patient arrival in the ICU, and an emphasis on face-to-face communication at the conclusion of the handoff. The final process was evaluated by the use of observer checklists to examine quality metrics and timing for all patients admitted to the ICU following cardiac surgery. The process was found to improve how various providers view the efficiency of handoff, the ease of asking questions at each step, and the overall capability to improve patient care regardless of overall surgical complexity. SN - 1062-8606 U2 - PMID: 24443318. DO - 10.1177/1062860613518419 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109704378&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107777594 T1 - A two-site survey of clinicians to identify practices and preferences of intensive care unit transfers to general medical wards. AU - Detsky, Michael E. AU - Ailon, Jonathan AU - Weinerman, Adina S. AU - Amaral, Andre C. AU - Bell, Chaim M. Y1 - 2015/04// N1 - Accession Number: 107777594. Language: English. Entry Date: 20150319. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8610642. KW - Physicians -- Evaluation KW - Medical Practice KW - Transfer, Discharge KW - Critical Care KW - Serial Publications KW - Human KW - Surveys KW - Critically Ill Patients KW - Hospital Units SP - 358 EP - 362 JO - Journal of Critical Care JF - Journal of Critical Care JA - J CRIT CARE VL - 30 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0883-9441 AD - Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Leonard Davis Institute, University of Pennsylvania, Philadelphia, PA AD - Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, St Michael's Hospital, Toronto, Ontario, Canada AD - Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada AD - Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada AD - Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada U2 - PMID: 25499415. DO - 10.l016/j.jcrc.20l4.10.026 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107777594&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107856608 T1 - Nurse-to-Nurse Inter-shift Transfer of Accountability in the Intensive Care Unit...Dynamics of Critical Care 2014, Quebec City, Quebec, September 21-23, 2014 AU - Santiago, Cecilia AU - Michelsen, Karen AU - Berlin, Angelina AU - Wannamaker, Karen AU - Smith, Orla Y1 - 2014///Summer2014 N1 - Accession Number: 107856608. Language: English. Entry Date: 20140612. Revision Date: 20150712. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety. NLM UID: 100955578. KW - Hand Off (Patient Safety) KW - Shift Reports KW - Critical Care Nursing KW - Nursing Practice KW - Patient Bedside KW - Intensive Care Units KW - Evaluation Research KW - Human KW - Nursing Audit KW - Professional Compliance KW - Thematic Analysis KW - Descriptive Statistics KW - Staff Development SP - 54 EP - 55 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 25 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107856608&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103858720 T1 - Parents' Experience of the Transition with their Child from a Pediatric Intensive Care Unit (PICU) to the Hospital Ward: Searching for Comfort Across Transitions. AU - Berube, Kristyn M. AU - Fothergill-Bourbonnais, Frances AU - Thomas, Margot AU - Moreau, Denise Y1 - 2014/11//Nov/Dec2014 N1 - Accession Number: 103858720. Language: English. Entry Date: 20141120. Revision Date: 20150710. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 8607529. KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Parents -- Psychosocial Factors KW - Human KW - Intensive Care Units, Pediatric KW - Pediatric Units KW - Stress KW - Comfort KW - Interviews KW - Canada KW - Hospitals, Pediatric KW - Support, Psychosocial KW - Pediatric Nursing KW - Health Transition KW - Family Centered Care KW - Phenomenological Research KW - Qualitative Studies KW - Inpatients KW - Child SP - 586 EP - 595 JO - Journal of Pediatric Nursing JF - Journal of Pediatric Nursing JA - J PEDIATR NURS VL - 29 IS - 6 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Parents of children in pediatric intensive care units (PICUs) have many needs and stressors, but research has yet to examine their experience of their child's transfer from PICU to the hospital ward. Ten parents were interviewed following transfer from PICU to a hospital ward at a children's hospital in Canada. Parents' experience involved a search for comfort through transitions. The themes were: ‘being a parent with a critically ill child is exhausting’, ‘being kept in the know’, ‘feeling supported by others’, and ‘being transferred’. Findings from this study can help nurses and health professionals working with parents during transitions. SN - 0882-5963 AD - MacEwan University, Edmonton, AB, Canada AD - University of Ottawa, Ottawa, ON, Canada AD - Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada DO - 10.1016/j.pedn.2014.06.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103858720&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103832642 T1 - Developing and evaluating a machine learning based algorithm to predict the need of pediatric intensive care unit transfer for newly hospitalized children. AU - Zhai, Haijun AU - Brady, Patrick AU - Li, Qi AU - Lingren, Todd AU - Ni, Yizhao AU - Wheeler, Derek S AU - Solti, Imre Y1 - 2014/08// N1 - Accession Number: 103832642. Language: English. Entry Date: 20150417. Revision Date: 20161117. Publication Type: journal article; research. Journal Subset: Biomedical; Europe; UK & Ireland. Special Interest: Perioperative Care. Grant Information: R21 HD072883/HD/NICHD NIH HHS/United States. NLM UID: 0332173. KW - Algorithms KW - Artificial Intelligence KW - Child, Hospitalized KW - Health Services Needs and Demand KW - Intensive Care Units, Pediatric -- Administration KW - Transfer, Discharge KW - Child KW - Female KW - Prospective Studies KW - Human KW - Infant KW - Male KW - ROC Curve KW - Retrospective Design KW - Severity of Illness Indices SP - 1065 EP - 1071 JO - Resuscitation JF - Resuscitation JA - RESUSCITATION VL - 85 IS - 8 PB - Elsevier B.V. AB - Background: Early warning scores (EWS) are designed to identify early clinical deterioration by combining physiologic and/or laboratory measures to generate a quantified score. Current EWS leverage only a small fraction of Electronic Health Record (EHR) content. The planned widespread implementation of EHRs brings the promise of abundant data resources for prediction purposes. The three specific aims of our research are: (1) to develop an EHR-based automated algorithm to predict the need for Pediatric Intensive Care Unit (PICU) transfer in the first 24h of admission; (2) to evaluate the performance of the new algorithm on a held-out test data set; and (3) to compare the effectiveness of the new algorithm's with those of two published Pediatric Early Warning Scores (PEWS).Methods: The cases were comprised of 526 encounters with 24-h Pediatric Intensive Care Unit (PICU) transfer. In addition to the cases, we randomly selected 6772 control encounters from 62516 inpatient admissions that were never transferred to the PICU. We used 29 variables in a logistic regression and compared our algorithm against two published PEWS on a held-out test data set.Results: The logistic regression algorithm achieved 0.849 (95% CI 0.753-0.945) sensitivity, 0.859 (95% CI 0.850-0.868) specificity and 0.912 (95% CI 0.905-0.919) area under the curve (AUC) in the test set. Our algorithm's AUC was significantly higher, by 11.8 and 22.6% in the test set, than two published PEWS.Conclusion: The novel algorithm achieved higher sensitivity, specificity, and AUC than the two PEWS reported in the literature. SN - 0300-9572 AD - Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. AD - Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. AD - Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. AD - Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: imre.solti@cchmc.org. U2 - PMID: 24813568. DO - 10.1016/j.resuscitation.2014.04.009 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103832642&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107856571 T1 - Development and Utilization of a Cardiac Handover Tool in a Pediatric Intensive Care Unit...Dynamics of Critical Care 2014, Quebec City, Quebec, September 21-23, 2014 AU - Maclntrye, Denise AU - Pellerine, Kimberly AU - Ellsmere, Barb AU - Whitelaw, Catherine Y1 - 2014///Summer2014 N1 - Accession Number: 107856571. Language: English. Entry Date: 20140612. Revision Date: 20150712. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety; Pediatric Care; Quality Assurance. NLM UID: 100955578. KW - Hand Off (Patient Safety) KW - Transfer, Intrahospital KW - Intensive Care Units, Pediatric KW - Operating Rooms KW - Perioperative Nursing KW - Pediatric Critical Care Nursing KW - Postoperative Care -- In Infancy and Childhood KW - Quality Improvement KW - Postoperative Period KW - Surgical Patients KW - Critically Ill Patients KW - Heart Surgery KW - Child KW - Inpatients SP - 31 EP - 32 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 25 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107856571&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105687935 T1 - Nursing after transfer from intensive care to the stationary ward. AU - Marcussen A Y1 - 2008/09// N1 - Accession Number: 105687935. Language: Danish. Entry Date: 20081114. Revision Date: 20170808. Publication Type: Journal Article; abstract; pictorial. Journal Subset: Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 0421366. KW - Continuity of Patient Care KW - Critical Care Nursing KW - Neuroscience Nursing KW - Transfer, Intrahospital KW - Denmark KW - Intraprofessional Relations KW - Practice Guidelines SP - 48 EP - 51 JO - Sygeplejersken / Danish Journal of Nursing JF - Sygeplejersken / Danish Journal of Nursing JA - SYGEPLEJERSKEN VL - 108 IS - 18 PB - Dansk Sygeplejerad AB - The article examines how intensive and neurology nurses can optimise the transfer from intensive care to the neurology department in such a way that patients and their relatives experience security and continuity in the care given. The article has its origins in a project undertaken at the intensive care and neurology departments at Vejle Hospital.A project description and a clinical guidelines were drawn up on the basis of a study of the literature, as was information material for relatives. The project was evaluated in connection with a minor quality survey in 2007, which indicated an improvement in the quality experienced by patients and relatives in transfer situations, as well as improved cooperation between the nurses in the two departments. SN - 0106-8350 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105687935&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103883534 T1 - Clearing the Runway: An Innovative Approach to Preparing an Intensive Care Unit Patient for a Magnetic Resonance Imaging Scan. AU - Wells, Jennifer L. AU - Murphy, Paula S. Y1 - 2014/09// N1 - Accession Number: 103883534. Language: English. Entry Date: 20140909. Revision Date: 20150710. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Diagnostic Imaging; Patient Safety; Quality Assurance. NLM UID: 101189931. KW - Magnetic Resonance Imaging KW - Critically Ill Patients KW - Transportation of Patients KW - Patient Assessment KW - Intensive Care Units KW - Quality Improvement KW - Inpatients KW - Patient Safety KW - Hand Off (Patient Safety) KW - Radiology Service KW - Interdepartmental Relations SP - 147 EP - 151 JO - Journal of Radiology Nursing JF - Journal of Radiology Nursing JA - J RADIOL NURS VL - 33 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Intensive care unit (ICU) patients need vital examinations, such as MRI, for diagnosis and to determine a treatment plan. In this institution, ICU patients were transported to the magnetic resonance imaging (MRI) area where an assessment is performed. This takes place away from the ICU area, thereby increasing the risk for issues to occur without proper support. Developing a safe streamlined process for ICU patients going for MRI will decrease time and provide for safe transport while away from the critical care setting. A quality improvement project was developed to address this issue. A communication plan was developed to coordinate transport of the patient to MRI area, bypassing any other stops in radiology. Performing the patient assessment in the ICU setting instead of in the Radiology Department showed that most issues causing delays for the patient were caught and addressed before the patient was transported to the MRI area. By preassessing the patient and having both the patient and scanner ready, patient safety, patient and staff satisfaction, and efficiency are increased while maintaining a high standard of care. SN - 1546-0843 DO - 10.1016/j.jradnu.2014.01.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103883534&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103992213 T1 - Factors associated with post-intensive care unit adverse events: a clinical validation study. AU - Elliott, Malcolm AU - Page, Karen AU - Worrall-Carter, Linda Y1 - 2014/09// N1 - Accession Number: 103992213. Language: English. Entry Date: 20140820. Revision Date: 20150901. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Patient Safety. NLM UID: 9808649. KW - Adverse Health Care Event KW - Critical Care KW - Human KW - Inpatients KW - Critical Care Nursing KW - Nurse Liaison KW - Prospective Studies KW - Validation Studies KW - Convenience Sample KW - Severity of Illness KW - Comorbidity KW - Victoria KW - Descriptive Statistics KW - Risk Factors KW - Confidence Intervals KW - Sample Size KW - Transfer, Intrahospital SP - 228 EP - 235 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 19 IS - 5 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - ABSTRACT Background Many patients discharged from intensive care units ( ICU) have complex care needs, placing them at risk of an adverse event in a ward environment. Currently, there is limited understanding of factors associated with these events in the post-intensive care population. A recent study explored intensive care liaison nurses' opinions on factors associated with these events; 25 factors were identified, highlighting the multifaceted nature of post-intensive care adverse events. Aim This study aimed to clinically validate 25 factors intensive care liaison nurses believe are associated with post-intensive care adverse events, to determine the factors' relevance and importance to clinical practice. Design Prospective, clinical validation study. Method Data were prospectively collected on a convenience sample of 52 patients at 4 tertiary referral hospitals in an Australian capital city. All patients had experienced an adverse event after intensive care discharge. Results Each of the 25 factors contributed to adverse events in at least 6 patients. The factors associated with the most adverse events were those that related to the patient such as illness severity and co-morbidities. Conclusion Clinical care and research should focus on modifiable factors in care processes to reduce the risk of future adverse events in post-intensive care patients. Relevance to clinical practice Many patients are at risk of post- ICU adverse events due to the contribution of non-modifiable factors. However, by focusing on modifiable factors in care processes, the risk of post- ICU adverse events may be reduced. SN - 1362-1017 AD - M Elliott, RN, BN, Doctoral Candidate, St. Vincent's Centre for Nursing Research, Melbourne, Australia AD - K Page, RN, DN, Manager, Clinical Care Engagement, Heart Foundation, Melbourne, Australia AD - L Worrall-Carter, RN, PhD, Professor of Cardiovascular Nursing, St. Vincent's Centre for Nursing Research, Australian Catholic University, Melbourne, Australia U2 - PMID: 24809526. DO - 10.1111/nicc.12091 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103992213&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104089323 T1 - Variations in Transport Outcomes of Outborn Infants among Canadian Neonatal Intensive Care Units. AU - Y. Eliason, Sabrina H. AU - Whyte, Hilary AU - Dow, Kim AU - Cronin, Catherine M. AU - Shoo Lee Y1 - 2013/05// N1 - Accession Number: 104089323. Language: English. Entry Date: 20140619. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care; Obstetric Care; Pediatric Care. Instrumentation: Transport Risk Index of Physiologic Stability. NLM UID: 8405212. KW - Transportation of Patients -- Statistics and Numerical Data KW - Outcomes (Health Care) -- In Infancy and Childhood -- Canada KW - Intensive Care Units, Neonatal KW - Human KW - Canada KW - Geographic Factors KW - Infant KW - Record Review KW - Multidisciplinary Care Team KW - Descriptive Statistics KW - Data Analysis Software KW - T-Tests KW - Scales SP - 377 EP - 382 JO - American Journal of Perinatology JF - American Journal of Perinatology JA - AM J PERINATOL VL - 30 IS - 5 CY - New York, New York PB - Thieme Medical Publishing Inc. SN - 0735-1631 AD - University of British Columbia, Vancouver, British Columbia, Canada AD - Department of Paediatrics, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada AD - Department of Paediatrics, Queen¿s University, Kingston, Ontario, Canada AD - Interior Health, Medical Affairs and Clinical Networks, Kelowna, British Columbia, Canada AD - Department of Pediatrics, Mount Sinai Hospital, University of Toronto, Toronto, Canada U2 - PMID: 22918675. DO - 10.1055/s-0032-1324706 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104089323&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104147983 T1 - Patients' and relatives' experiences of transfer from intensive care unit to wards. AU - Cullinane, James P AU - Plowright, Catherine I Y1 - 2013/11//Nov/Dec2013 N1 - Accession Number: 104147983. Language: English. Entry Date: 20131028. Revision Date: 20150820. Publication Type: Journal Article; research; systematic review; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Evidence-Based Practice. NLM UID: 9808649. KW - Patient Attitudes KW - Intensive Care Units KW - Critically Ill Patients -- Psychosocial Factors KW - Transfer, Intrahospital -- Administration KW - Stress, Psychological KW - Relocation -- Psychosocial Factors KW - Thematic Analysis KW - Descriptive Statistics KW - Systematic Review KW - Organizational Policies KW - CINAHL Database KW - Psycinfo KW - PubMed KW - Human SP - 289 EP - 296 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 18 IS - 6 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - ABSTRACT Aims This literature review looks at the evidence around transferring patients from intensive care units ( ICU) to wards. The literature informs us that patients and their families experience problems when being transferred from an ICU environment and that this increases overall anxiety. Background The effects of surviving critical illness often have a profound psychological impact on patients and families This study examines the experiences of adult patients, and their families, following their transfer from the ICU to the ward. Findings Five themes emerged from this literature review: physical responses, psychological responses, information and communication, safety and security, and the needs of relatives. Conclusions This review reminds us that these problems can be reduced if information and communication around time of transfers were improved. Relevance to clinical practice As critical care nurses it is essential that we prepare patients and families for transfer to wards. SN - 1362-1017 AD - J P Cullinane, Intensive Care Unit, Anaesthetics Department, Medway NHS Foundation Trust, Gillingham, Kent, UK AD - C I Plowright, Anaesthetics Department, Medway NHS Foundation Trust, Gillingham, Kent, UK U2 - PMID: 24165070. DO - 10.1111/nicc.12047 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104147983&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104089271 T1 - Transfer Out of Intensive Care. AU - Cypress, Brigitte S. Y1 - 2013/09//Sep/Oct2013 N1 - Accession Number: 104089271. Language: English. Entry Date: 20140422. Revision Date: 20150710. Publication Type: Journal Article; research; systematic review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Evidence-Based Practice. NLM UID: 8211489. KW - Transfer, Intrahospital KW - Inpatients KW - Qualitative Studies KW - Human KW - Systematic Review KW - Intensive Care Units KW - Nursing Units KW - Recovery KW - Family KW - Medline KW - CINAHL Database KW - Psycinfo KW - PubMed KW - Cochrane Library KW - Outcomes (Health Care) KW - Medical-Surgical Nursing KW - Critical Care Nursing KW - Patient Education KW - Coping KW - Fear KW - Anxiety KW - Stress SP - 244 EP - 261 JO - Dimensions of Critical Care Nursing JF - Dimensions of Critical Care Nursing JA - DCCN VL - 32 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0730-4625 AD - Tenure track assistant professor of nursing, Lehman College and The Graduate Center, City University of New York U2 - PMID: 23933644. DO - 10.1097/DCC.0b013e3182a07646 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104089271&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104551937 T1 - EB118 Using Best Evidence to Validate and Refine a Checklist for the Safe Intrafacility Transport of Adult Intensive Care Patients. Y1 - 2012/04// N1 - Accession Number: 104551937. Language: English. Entry Date: 20120423. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Evidence-Based Practice; Patient Safety. NLM UID: 8207799. KW - Checklists -- Utilization KW - Transfer, Intrahospital KW - Transportation of Patients KW - Inpatients KW - Critically Ill Patients KW - Patient Safety KW - Professional Practice, Evidence-Based SP - e67 EP - e67 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 32 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104551937&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120444989 T1 - 695: Validation of the sepsis in obstetrics score: a model to predict intensive care unit transfer for sepsis in pregnancy. AU - Albright, Catherine M. AU - Has, Phinnara AU - Rouse, Dwight J. AU - Hughes, Brenna L. Y1 - 2017/01/02/Jan2017 Supplement N1 - Accession Number: 120444989. Language: English. Entry Date: In Process. Revision Date: 20170104. Publication Type: Article. Supplement Title: Jan2017 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0370476. SP - S407 EP - S408 JO - American Journal of Obstetrics & Gynecology JF - American Journal of Obstetrics & Gynecology JA - AM J OBSTET GYNECOL VL - 216 CY - New York, New York PB - Elsevier B.V. SN - 0002-9378 AD - University of Washington, Seattle, WA AD - Women and Infants Hospital, Brown University, Providence, RI DO - 10.1016/j.ajog.2016.11.429 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120444989&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109668138 T1 - Effects of Ambulation and Nondependent Transfers on Vital Signs in Patients Receiving Low-Dose Norepinephrine in an Intensive Care Unit. AU - Nievera, Rosario AU - Fick, Ann AU - Harris, Hilary Y1 - 2014/05// N1 - Accession Number: 109668138. Language: English. Entry Date: 20140506. Revision Date: 20150923. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 9211547. SP - e26 EP - 7 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 23 IS - 3 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 1062-3264 AD - Barnes Jewish Hospital, St Louis, MO UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109668138&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112298293 T1 - DEVELOPMENT OF THE TRANSITIONAL CARE PROGRAM AND ITS EFFECT ON PATIENTS DISCHARGED FROM THE INTENSIVE CARE UNITS. AU - Soo Hyun Cho AU - Jin Hee Jung AU - Sun Young Won AU - Mi Sook Oui AU - Young Hee Yi Y1 - 2015/01// N1 - Accession Number: 112298293. Language: English. Entry Date: 20160302. Revision Date: 20160302. Publication Type: Article; abstract; research; randomized controlled trial. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. KW - Continuity of Patient Care KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Human KW - Randomized Controlled Trials KW - Pretest-Posttest Design KW - Descriptive Statistics KW - T-Tests KW - Mann-Whitney U Test KW - Chi Square Test KW - Fisher's Exact Test KW - Readmission KW - Mortality KW - Outcomes (Health Care) -- Evaluation KW - Patient Satisfaction -- Evaluation SP - 145 EP - 145 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 9 IS - 4 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 AD - Samsung Medical Center (Samsung Seoul Hospital), Republic of Korea AD - Sungkyunkwan University School of Medicine, Republic of Korea UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112298293&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106485097 T1 - Pediatric care. Development and implementation of a protocol for transfers out of the pediatric intensive care unit. AU - Van Waning NR AU - Kleiber C AU - Freyenberger B Y1 - 2005/06// N1 - Accession Number: 106485097. Language: English. Entry Date: 20050715. Revision Date: 20150818. Publication Type: Journal Article; forms; research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Nursing Protocols -- In Infancy and Childhood KW - Pediatric Critical Care Nursing KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Audit KW - Chi Square Test KW - Child KW - Consumer Satisfaction -- Evaluation KW - Descriptive Statistics KW - Documentation KW - Fisher's Exact Test KW - Inpatients KW - Intensive Care Units, Pediatric KW - Nonparametric Statistics KW - Parents KW - Pediatric Units KW - Pilot Studies KW - Questionnaires KW - Staff Development KW - Surveys KW - Transfer, Intrahospital -- Evaluation KW - Writing KW - Human SP - 50 EP - 55 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 25 IS - 3 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Staff Nurse, Pediatric and Neonatal Intensive Care Units, University of Iowa Hospital and Clinics, Iowa City, Iowa U2 - PMID: 15946928. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106485097&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103908423 T1 - Improving Patients’ Experience of Transfer from the Adult Intensive Care Unit to the High Dependency Unit. AU - Kaur, Surjeet AU - Fleming, Sharon Y1 - 2014/02// N1 - Accession Number: 103908423. Language: English. Entry Date: 20141020. Revision Date: 20150710. Publication Type: Journal Article; research. Journal Subset: Europe; Nursing; UK & Ireland. Special Interest: Critical Care; Quality Assurance. KW - Transfer, Intrahospital KW - Critical Care Nursing KW - Staff Nurses KW - Intensive Care Units KW - Quality Improvement KW - Interviews KW - Narratives KW - Audiorecording KW - Thematic Analysis KW - Communication KW - Comfort KW - Patient Education KW - Hand Off (Patient Safety) KW - Time Factors KW - Patient Centered Care KW - Progressive Patient Care KW - Inpatients KW - Family KW - Human KW - England KW - Exploratory Research SP - 1 EP - 1 JO - Foundation of Nursing Studies: Improvement Insights JF - Foundation of Nursing Studies: Improvement Insights JA - FOUND NURS STUD IMPROV INSIGHTS VL - 10 IS - 2 PB - Foundation of Nursing Studies SN - 2049-1476 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103908423&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107925790 T1 - Patient Room Considerations in the Intensive Care Unit. AU - Evans, Jennie AU - Reyers, Evelyn Y1 - 2014/01//Jan/Feb/Mar2014 N1 - Accession Number: 107925790. Language: English. Entry Date: 20140107. Revision Date: 20150712. Publication Type: Journal Article; pictorial; tables/charts. Supplement Title: Jan/Feb/Mar2014. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8704517. KW - Patients' Rooms KW - Intensive Care Units KW - Hospital Design and Construction KW - Critical Care Nursing KW - Hospital Policies KW - Simulations KW - Patient Classification KW - Medication Systems KW - Telemedicine KW - Lifting KW - Patient Safety KW - Productivity KW - Access to Information KW - Toileting KW - Patient Rounds KW - Patient Positioning KW - Work Environment KW - Transportation of Patients KW - Infection Control KW - Family Centered Care KW - Lighting KW - Privacy and Confidentiality SP - 83 EP - 92 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 37 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - The Patient Room is one of the most important and costly rooms in the design of an inpatient bed unit. As a result, the patient room mock-up requires knowledge of the components that inform the patient room environment. This article provides the intensive care nurse with questions about patient care processes and unit policies that should be considered in a mock-up. The mock-up outcome should align with the project's goals and objectives of the health care system, infuse the principles of evidence-based design, and ensure that the design accommodates the best workflow for the patient population that will be served. The template will serve as a guide to evaluate the various features of the patient room and for the mock-up discussion between the nurse and the architect. SN - 0887-9303 AD - HKS, Inc, Dallas, Texas; Nursing Institute for Healthcare Design, Dallas, Texas AD - HKS, Inc, Dallas, Texas U2 - PMID: 24309462. DO - 10.1097/CNQ.0000000000000007 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107925790&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104376689 T1 - Reduction in late-onset sepsis on relocating a neonatal intensive care nursery. AU - Jones AR AU - Kuschel C AU - Jacobs S AU - Doyle LW Y1 - 2012/10// N1 - Accession Number: 104376689. Language: English. Entry Date: 20130503. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Australia & New Zealand; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed. Special Interest: Pediatric Care. NLM UID: 9005421. KW - Cross Infection -- Prevention and Control KW - Health Facilities KW - Health Facility Environment KW - Infant, Premature, Diseases -- Prevention and Control KW - Infection Control -- Methods KW - Intensive Care Units, Neonatal KW - Relocation KW - Sepsis -- Prevention and Control KW - Cross Infection -- Diagnosis KW - Cross Infection -- Epidemiology KW - Cross Infection -- Etiology KW - Human KW - Infant, Newborn KW - Infant, Premature KW - Infant, Premature, Diseases -- Diagnosis KW - Infant, Premature, Diseases -- Epidemiology KW - Infant, Premature, Diseases -- Etiology KW - Infant, Very Low Birth Weight KW - Logistic Regression KW - Retrospective Design KW - Risk Factors KW - Sepsis -- Diagnosis KW - Sepsis -- Epidemiology KW - Sepsis -- Etiology KW - Severity of Illness Indices KW - Victoria SP - 891 EP - 895 JO - Journal of Paediatrics & Child Health JF - Journal of Paediatrics & Child Health JA - J PAEDIATR CHILD HEALTH VL - 48 IS - 10 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1034-4810 AD - The Department of Obstetrics and Gynaecology, The University of Melbourne Critical Care and Neurosciences Theme, Murdoch Childrens Research Institute, Parkville Neonatal Services, The Royal Women's Hospital, Melbourne, Victoria, Australia. U2 - PMID: 22897216. DO - 10.1111/j.1440-1754.2012.02524.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104376689&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104396878 T1 - Navigate New Intensive Care, Critical Care Transfer Rules. Y1 - 2013/01// N1 - Accession Number: 104396878. Language: English. Entry Date: 20121217. Revision Date: 20150711. Publication Type: Journal Article; tables/charts. Journal Subset: Health Services Administration; USA. Special Interest: Pediatric Care. KW - Billing and Claims KW - Pediatric Care KW - Current Procedural Terminology KW - Transfer, Discharge KW - Critical Care SP - 3 EP - 4 JO - Pediatric Coding Alert JF - Pediatric Coding Alert JA - PEDIATR CODING ALERT VL - 16 IS - 1 CY - Salt Lake City, Utah PB - Coding Institute SN - 1098-1799 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104396878&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108010323 T1 - Telemedicine in the pediatric intensive care unit. AU - Marcin, James P Y1 - 2013/06//2013 Jun N1 - Accession Number: 108010323. Language: English. Entry Date: 20130628. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 0401126. KW - Critical Illness -- Therapy KW - Intensive Care Units, Pediatric KW - Telemedicine KW - Child KW - Critical Care -- Methods KW - Transportation of Patients SP - 581 EP - 592 JO - Pediatric Clinics of North America JF - Pediatric Clinics of North America JA - PEDIATR CLIN NORTH AM VL - 60 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Telemedicine technologies involve real-time, live, interactive video and audio communication and allow pediatric critical care physicians to have a virtual presence at the bedside of any critically ill child. Telemedicine use is increasing and will be a common technology in remote emergency departments, inpatient wards, and pediatric intensive care units. There is mounting data that demonstrate that the use of telemedicine technologies can result in higher quality of care, more efficient resource use and improved cost-effectiveness, and higher satisfaction among patients, parents, and remote providers compared to current models of care. SN - 0031-3955 AD - Department of Pediatrics, University of California Davis Children's Hospital, 2516 Stockton Boulevard, Sacramento, CA 95817, USA. Electronic address: jpmarcin@ucdavis.edu. U2 - PMID: 23639656. DO - 10.1016/j.pcl.2013.02.002 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108010323&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108232807 T1 - Back transport of infants to community hospitals: 12 years' experience of an intervention to prepare parents for their infants' transfer from neonatal intensive care to community hospital. AU - van den Berg, Johannes AU - Lindh, Viveca Y1 - 2011/06//2011 Jun N1 - Accession Number: 108232807. Language: English. Entry Date: 20110902. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. NLM UID: 9602867. KW - Hospitals, Community KW - Intensive Care Units, Neonatal KW - Parents -- Education KW - Parents -- Psychosocial Factors KW - Professional-Family Relations KW - Transfer, Discharge -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Adult KW - Communication KW - Convenience Sample KW - Descriptive Statistics KW - Evaluation Research KW - Female KW - Human KW - Infant KW - Male KW - Nonparametric Statistics KW - Parametric Statistics KW - Parental Attitudes -- Evaluation KW - Prospective Studies KW - Questionnaires KW - Sweden KW - Transfer, Discharge -- Education KW - Transportation of Patients -- Education KW - Visual Analog Scaling SP - 116 EP - 125 JO - Journal of Neonatal Nursing JF - Journal of Neonatal Nursing JA - J NEONAT NURS VL - 17 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Effective regionalized neonatal intensive care includes back transport of stable infants to community hospitals. This transition can be pleasant or frightening for the family, and psychological preparation is critical. The aim of this study was to evaluate an intervention performed in collaboration with the neonatal intensive care unit (NICU) and community hospitals (CH) in the northern health care region of Sweden. Questionnaires were sent to families who had an infant transported from NICU to CH and discharged to home over three periods from 1994 to 2007. Families rated information about the CH more accurate, reception at the CH better, and their preparation for the transition better when they were contacted by the CH during their stay at the NICU. Both NICU and CH staff have a responsibility to facilitate back transport by promoting communication between families and staff at the hospital to which they are to be transported. SN - 1355-1841 AD - Department of Pediatrics, University Hospital of Northern Sweden, Umeå, Sweden; johannes.berg@pediatri.umu.se AD - Department of Nursing, Umea University, Umeå, Sweden DO - 10.1016/j.jnn.2010.07.021 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108232807&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108129758 T1 - Characteristics of acute wards associated with the presence of a psychiatric intensive care unit, and transfers of patients to it. AU - Bowers, Len AU - Hammond, Natalie AU - James, Karen AU - Quirk, Alan AU - Robson, Debbie AU - Stewart, Duncan Y1 - 2012/08//2012 Aug N1 - Accession Number: 108129758. Language: English. Entry Date: 20120824. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Psychiatry/Psychology. Instrumentation: Maslach Burnout Inventory; Multifactor Leadership Questionnaire (MLQ); Team Climate Inventory (TCI); Attitude to Personality Disorder Questionnaire (APDQ); Patient-Staff Conflict Checklist (PCC-SR); Ward Atmosphere Scale (WAS); Attitudes to Containment Measures Questionnaire (ACMQ). NLM UID: 101261807. KW - Aggression KW - Intensive Care Units KW - Psychiatric Units KW - Transportation of Patients KW - Checklists KW - Coding KW - Data Analysis Software KW - England KW - Female KW - Health Facility Environment KW - Human KW - Logistic Regression KW - Male KW - Questionnaires SP - 66 EP - 77 JO - Journal of Psychiatric Intensive Care JF - Journal of Psychiatric Intensive Care JA - J PSYCHIATR INTENSIVE CARE VL - 8 IS - 2 PB - National Association of Psychiatric Intensive Care & Low Secure Units (NAPICU) AB - Background: Psychiatric intensive care units (PICU) are a potentially expensive component of inpatient services, and exists to care for those patients who cannot be easily contained on ordinary acute wards. However, to date there is little evidence on their efficacy. Methods: Using data from a previous study of 136 acute psychiatric wards in England (City-128) we examined whether ordinary acute wards having access to a PICU had lower rates of adverse incidents, and modelled behaviours associated with PICU transfer rates. Results: Controlling for other factors, wards with greater ease of PICU access did not have lower rates of adverse incidents. PICU provision is related in complex ways to the use of seclusion. PICU transfers were associated with seclusion, manual restraint and other severe containment measures, and were triggered by aggression, drug use and absconding. Conclusions: Transferring patients to a PICU may not be an effective means of reducing adverse incidents on acute wards and may not have appreciable cost benefits. However, PICUs may still produce a range of valued outcomes such as injury reduction, more effective and efficient treatment, greater feelings of security on acute wards, and care for patients within the criminal justice system. Larger and more detailed evaluations using longitudinal data are required. SN - 1742-6464 AD - David Goldberg Building, Institute of Psychiatry, Health Service and Population Research, De Crespigny Park, Denmark Hill, London SE5 8AF. E-mail: len.bowers@kcl.ac.uk UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108129758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104407952 T1 - The impact of the new Turkish regulation, imposing single embryo transfer after assisted reproduction technology, on neonatal intensive care unit utilization: a single center experience. AU - Guzoglu N AU - Kanmaz HG AU - Dilli D AU - Uras N AU - Erdeve O AU - Dilmen U Y1 - 2012/08// N1 - Accession Number: 104407952. Language: English. Entry Date: 20130111. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Europe; UK & Ireland. Special Interest: Obstetric Care. NLM UID: 8701199. KW - Intensive Care Units, Neonatal -- Statistics and Numerical Data KW - Reproduction Techniques -- Legislation and Jurisprudence KW - Embryo Transfer -- Methods KW - Adult KW - Anemia -- Prevention and Control KW - Birth Rate KW - Birth Weight KW - Enterocolitis, Necrotizing -- Prevention and Control KW - Female KW - Gestational Age KW - Human KW - Infant, Newborn KW - Male KW - Multiple Offspring KW - Pneumonia -- Prevention and Control KW - Respiration, Artificial -- Utilization KW - Respiratory Distress Syndrome -- Prevention and Control KW - Sepsis -- Prevention and Control KW - Turkey SP - 2384 EP - 2388 JO - Human Reproduction JF - Human Reproduction JA - HUM REPROD VL - 27 IS - 8 PB - Oxford University Press / USA SN - 0268-1161 AD - Department of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, and Department of Pediatry, Yildirim Beyazit University, Talatpasa Bulvari, Samanpazari, 06230 Ankara, Turkey. nguzoglu@gmail.com U2 - PMID: 22617124. DO - humrep/des171 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104407952&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104990553 T1 - Attitudes of paediatric intensive care nurses to development of a nurse practitioner role for critical care transport. AU - Davies J AU - Bickell F AU - Tibby SM Y1 - 2011/02// N1 - Accession Number: 104990553. Language: English. Entry Date: 20110207. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Advanced Nursing Practice; Critical Care; Pediatric Care. NLM UID: 7609811. KW - Nurse Practitioners KW - Transportation of Patients KW - Nurse Attitudes KW - Pediatric Nursing KW - Nursing Role KW - Child, Hospitalized KW - Human KW - Qualitative Studies KW - Questionnaires KW - Attitude Measures KW - Teamwork KW - Intensive Care Units, Pediatric KW - Referral and Consultation KW - Clinical Competence KW - Nurse Practitioners -- Education KW - Descriptive Research KW - Comparative Studies KW - Phenomenological Research SP - 317 EP - 326 JO - Journal of Advanced Nursing JF - Journal of Advanced Nursing JA - J ADV NURS VL - 67 IS - 2 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aim. This paper is a report of a descriptive study of the attitudes and opinions of nurses before and after the introduction of independent Retrieval Nurse Practitioners into a critical care transport service for children. Background. Little is known about nurses' attitudes to advanced practice roles, particularly when these function as part of a team in a high-risk, remote setting (distant to the base hospital). Increasing knowledge in this area may give insight into ways of improving team working and enhancing quality of patient care. Method. A qualitative questionnaire was sent to nurses pre- (June 2006) and post- (July 2007) retrieval nurse practitioner introduction. Questionnaires were analysed using an adapted phenomenological method. Findings. The response rates were 62% (2006) and 48% (2007). The main themes that emerged included fear, communication, trust, team working, role conflict, role division and role boundaries. In the first survey, most nurses anticipated difficulties during retrieval with retrieval nurse practitioners and felt anxious about the prospect of being part of a team with an independent retrieval nurse practitioner. However, by the second survey (after retrieval nurse practitioner introduction), the majority reported confidence in the retrieval nurse practitioners' knowledge and skills. Conclusion. This advanced practice development has been a challenge for the nurses and the retrieval nurse practitioners, but initial anxieties and fears of a host of anticipated problems have been largely dispelled as enhanced communication and team working were reported. SN - 0309-2402 AD - Retrieval Nurse Practitioner and Ward Manager, Paediatric Intensive Care, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK U2 - PMID: 20946566. DO - 10.1111/j.1365-2648.2010.05454.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104990553&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104150915 T1 - Multidisciplinary Decision Making Needed for Patient Transfers...Garland A, Connors Jr A F. Optimal timing of transfer out of the intensive care unit. Am J Crit Care. 2013;22(5): 390-397. AU - Baggs, Judith AU - Garland, Allan Y1 - 2013/11// N1 - Accession Number: 104150915. Language: English. Entry Date: 20131104. Revision Date: 20150819. Publication Type: Journal Article; commentary; letter; response. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 9211547. KW - Transfer, Intrahospital KW - Decision Making, Clinical KW - Critically Ill Patients KW - Intensive Care Units SP - 464 EP - 464 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 22 IS - 6 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 1062-3264 AD - Portland, Oregon AD - Winnipeg, Manitoba U2 - PMID: 24186812. DO - 10.4037/ajcc2013116 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104150915&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107878000 T1 - Analysis of Serum [gamma]-Glutamyl Transferase Levels in Neonatal Intensive Care Unit Patients. AU - Hirfanoglu, Ibrahim M AU - Unal, Sezin AU - Onal, E Esra AU - Beken, Serdar AU - Turkyilmaz, Canan AU - Pasaoglu, Hatice AU - Koc, Esin AU - Ergenekon, Ebru AU - Atalay, Yildiz Y1 - 2014/01//2014 Jan N1 - Accession Number: 107878000. Language: English. Entry Date: 20140829. Revision Date: 20150819. Publication Type: Journal Article; research. Journal Subset: Allied Health; USA. Instrumentation: Apgar Score. NLM UID: 8211545. KW - Gamma-Glutamyltransferase -- Blood KW - Infant, Premature KW - Intensive Care Units, Neonatal KW - Liver KW - Apgar Score KW - Cesarean Section KW - Clinical Assessment Tools KW - Cross Sectional Studies KW - Female KW - Human KW - Infant, Newborn KW - Liver Function Tests KW - Male KW - Reference Values KW - Retrospective Design KW - Sex Factors KW - Turkey SP - 99 EP - 101 JO - Journal of Pediatric Gastroenterology & Nutrition JF - Journal of Pediatric Gastroenterology & Nutrition JA - J PEDIATR GASTROENTEROL NUTR VL - 58 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0277-2116 AD - *Department of Pediatrics, Division of Neonatology tDepartment of Biochemistry, Gazi University Medical School, Ankara, Turkey. U2 - PMID: 23969532. DO - 10.1097/MPG.0b013e3182a907f2 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107878000&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116325166 T1 - Continuing Professional Development Questions - Relocating an Intensive Care Unit: an exploratory qualitative study. Y1 - 2016/05// N1 - Accession Number: 116325166. Language: English. Entry Date: In Process. Revision Date: 20160709. Publication Type: Article. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9207852. SP - 61 EP - 61 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 29 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 DO - 10.1016/S1036-7314(16)30020-0 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116325166&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107918502 T1 - Care for multi-trauma patients, from the transfer to the operating theatre to intensive care]. AU - Dhollande, Noémie AU - Vigani, Séverine AU - Angot, Nathalie AU - Sirabella, Julien Y1 - 2013/09//2013 Sep N1 - Accession Number: 107918502. Language: French. Entry Date: 20140207. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Continental Europe; Europe; Nursing. NLM UID: 20910580R. KW - Cooperative Behavior KW - Intensive Care Units KW - Interprofessional Relations KW - Multiple Trauma -- Nursing KW - Multiple Trauma -- Surgery KW - Transfer, Discharge -- Methods KW - Postoperative Complications -- Nursing KW - France KW - Glasgow Coma Scale KW - Human KW - Nursing Diagnosis KW - Pain Measurement -- Nursing KW - Postoperative Complications -- Diagnosis KW - Resuscitation -- Methods KW - Risk Factors KW - Vital Signs SP - 38 EP - 40 JO - Soins: La Revue de Reference Infirmiere JF - Soins: La Revue de Reference Infirmiere JA - SOINS REV REF INFIRMIERE IS - 778 PB - Masson Editeur AB - Nurses caring for multi-trauma patients returning from the operating theatre need to have extensive knowledge. Their role is to prevent and detect any complications, and namely respiratory and neurological complications, and act efficiently to keep the patient's condition from deteriorating. SN - 0038-0814 AD - Service de réanimation traumatologique, CHU Nord Marseille, AP-HM, Chemin des Bourrely 13915 Marseille cedex 20, France. noemie.dhollande@ap-hm.fr U2 - PMID: 24218920. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107918502&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108095294 T1 - Hospital-Based Emergency Preparedness: Evacuation of the Neonatal Intensive Care Unit-the Smallest and Most Vulnerable Population. AU - Femino M AU - Young S AU - Smith VC Y1 - 2013/01//2013 Jan N1 - Accession Number: 108095294. Language: English. Entry Date: 20130628. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care; Pediatric Care. NLM UID: 8507560. KW - Disaster Planning KW - Hospital Planning KW - Intensive Care Units, Neonatal -- Administration KW - Transportation of Patients -- Administration KW - Human KW - Infant, Newborn KW - Models, Anatomic KW - Retrospective Design KW - Special Populations SP - 107 EP - 113 JO - Pediatric Emergency Care JF - Pediatric Emergency Care JA - PEDIATR EMERG CARE VL - 29 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVE: The objective of this study was to report an experience with a full-scale neonatal intensive care unit evacuation exercise. METHODS: This was a retrospective review of lessons learned from a full-scale evacuation exercise following a simulated catastrophe. Thirty-four realistically simulated neonatal intensive care unit infants (including 12 infants who required respiratory support and 3 with very complex medical issues) were horizontally evacuated emergently to limit immediate danger, followed by a vertical evacuation down several flights of stairs to a temporary holding area. The infants were then set up for transport for ongoing care to other regional hospitals. As with a real emergency, the drill involved the hospital incident management resources plus external partners (eg, police, public health, and fire departments). RESULTS: We found that effective and constant communication was critical. Essential health care personnel resources included (1) staff to physically transport patients, (2) a central communication/coordinating site, and (3) on-site triage in the holding areas. Because it is impossible to anticipate every eventuality, flexibility and creativity are essential in disaster management. Adult tracking forms, equipment, and emergency procedures were nontransferable and often inappropriate for infants. CONCLUSIONS: When a disaster occurs, hospital clinical staff, emergency management, and administrators may help avoid unnecessarily high morbidity and mortality among the smallest and most vulnerable patients by developing and practicing contingency plans. We learned what our rate-limiting steps are and how we would mitigate these. SN - 0749-5161 AD - From the *Division of Emergency Management, Departments of Health Care Quality, and tNeonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. U2 - PMID: 23283279. DO - 10.1097/PEC.0b013e31827b8bc5 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108095294&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105198362 T1 - Safe intrahospital transfer of patient care: the role of the intensive care unit. AU - Northway T AU - Assalone A AU - MacKenzie J Y1 - 2010///Summer2010 N1 - Accession Number: 105198362. Language: English. Entry Date: 20100618. Revision Date: 20150820. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Quality Assurance. NLM UID: 100955578. KW - Intensive Care Units KW - Patient Safety KW - Quality Improvement KW - Transfer, Discharge SP - 27 EP - 27 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 21 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105198362&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104477065 T1 - How can nurses facilitate patient's transitions from intensive care?: A grounded theory of nursing. AU - Häggström, Marie AU - Asplund, Kenneth AU - Kristiansen, Lisbeth Y1 - 2012/08// N1 - Accession Number: 104477065. Language: English. Entry Date: 20120810. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care. NLM UID: 9211274. KW - Critical Care Nursing KW - Transfer, Intrahospital KW - Patient Centered Care KW - Discharge Planning KW - Human KW - Grounded Theory KW - Nursing Role KW - Theory Construction KW - Focus Groups KW - Theoretical Sample KW - Intensive Care Units KW - Snowball Sample KW - Field Notes KW - Sweden KW - Nurse Attitudes -- Evaluation KW - Participant Observation KW - Constant Comparative Method KW - Audiorecording KW - Nursing Theory KW - Nurse-Patient Relations KW - Recovery SP - 224 EP - 233 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 28 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Summary: Objectives: Intensive care patients often experience feelings of powerlessness and vulnerability when being transferred from an intensive care unit to a general ward. The aim of this study was to develop a grounded theory of nurses care for patients in the ICU transitional care process. Methods: Group interviews, individual interviews and participant observations were conducted with nurses in two hospitals in Sweden and were analysed using grounded theory. Result: The substantive theory shows the process of nursing care activities – from the contexts of the ICU and the general ward. The main concern was to achieve a coordinated, strengthening, person-centered standard of care to facilitate patient transitions. The core category “being perceptive and adjustable” was a strategy to individualise, that was related to the other categories; “preparing for a change” and “promoting the recovery”. However, the nurses were forced to “balance between patient needs and the caregivers’ resources” and consequently were compromising their care. Conclusions: To facilitate an ICU-patient''s transition, individual care planning is needed. It is also essential that the patients are adequately prepared for the change to facilitate the transitional care. Knowledge about transitional needs, empowerment and patient-education seems to be important issues for facilitating transitions. SN - 0964-3397 AD - Department of Health Sciences, Mid Sweden University, SE-85170 Sundsvall, Sweden AD - Mid Sweden University, Sweden U2 - PMID: 22386583. DO - 10.1016/j.iccn.2012.01.002 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104477065&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104859990 T1 - Bacterial colonization patterns in neonates transferred from neonatal intensive care units. AU - Navarro LR AU - Pekelharing-Berghuis M AU - de Waal WJ AU - Thijsen SF Y1 - 2011/03// N1 - Accession Number: 104859990. Language: English. Entry Date: 20111014. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; Public Health. Special Interest: Public Health. NLM UID: 100898843. KW - Bacteria KW - Bacterial Infections -- Prevention and Control KW - Cross Infection -- Prevention and Control KW - Disease Outbreaks KW - Drug Resistance, Microbial KW - Infection Control -- Methods KW - Intensive Care Units, Neonatal KW - Antibiotics -- Therapeutic Use KW - Bacterial Infections -- Drug Therapy KW - Bacterial Infections -- Epidemiology KW - Birth Weight KW - Colony Count, Microbial KW - Cross Infection -- Drug Therapy KW - Cross Infection -- Epidemiology KW - Gram-Negative Bacteria KW - Female KW - Gestational Age KW - Incidence KW - Infant, Newborn KW - Length of Stay KW - Male KW - Risk Factors SP - 167 EP - 171 JO - International Journal of Hygiene & Environmental Health JF - International Journal of Hygiene & Environmental Health JA - INT J HYG ENVIRON HEALTH VL - 214 IS - 2 CY - London, PB - Elsevier GmbH, Urban & Fischer Verlag SN - 1438-4639 AD - Department of Pediatrics, Diakonessenhuis, Utrecht, The Netherlands. U2 - PMID: 21316303. DO - 10.1016/j.ijheh.2011.01.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104859990&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104066011 T1 - Idle central venous catheter-days pose infection risk for patients after discharge from intensive care. AU - Burdeu, Gabrielle AU - Currey, Judy AU - Pilcher, David Y1 - 2014/04// N1 - Accession Number: 104066011. Language: English. Entry Date: 20140410. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Patient Safety. Grant Information: June Allen Scholarship from the Nurses Board Victoria. NLM UID: 8004854. KW - Central Venous Catheters -- Adverse Effects KW - Catheter-Related Bloodstream Infections -- Risk Factors KW - Catheter-Related Bloodstream Infections -- Prevention and Control KW - Treatment Duration KW - Transfer, Intrahospital KW - Catheter Care, Peripherally Inserted Central KW - Nursing Staff, Hospital KW - Nursing Interventions KW - Nursing Practice, Evidence-Based KW - Infection Control KW - Guideline Adherence KW - Human KW - Funding Source KW - Prospective Studies KW - Intensive Care Units KW - Catheter Removal KW - Nursing Units KW - Documentation KW - Nursing Knowledge KW - Asepsis KW - Occlusive Dressings KW - Critical Care Nursing KW - Inpatients SP - 453 EP - 455 JO - American Journal of Infection Control JF - American Journal of Infection Control JA - AM J INFECT CONTROL VL - 42 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - This prospective observational study measured idle central venous catheter (CVC)-days (no medical indication), and ward clinicians' adherence to evidence-based practices for preventing short-term central line-associated bloodstream infections (CLABSIs). In 340 patients discharged from ICU over a 1-year period, 208 of 794 CVC-days (26.2%) were idle. Interventions to prevent CLABSls were poorly implemented, Ward clinicians need education regarding risk management strategies to prevent CLABSIs, and clear accountability processes for prompt catheter removal are recommended. SN - 0196-6553 AD - School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia AD - Department of Intensive Care, Alfred, Melbourne, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia U2 - PMID: 24679577. DO - 10.1016/j.ajic.2013.11.011 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104066011&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104608924 T1 - Management and outcome of a varicella exposure in a neonatal intensive care unit: Lessons for the vaccine era. AU - Kellie, Susan M. AU - Makvandi, Monear AU - Muller, Martha L. Y1 - 2011/12// N1 - Accession Number: 104608924. Language: English. Entry Date: 20120103. Revision Date: 20150711. Publication Type: Journal Article; case study; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety; Pediatric Care. NLM UID: 8004854. KW - Occupational Exposure -- Prevention and Control KW - Chickenpox -- Epidemiology -- New Mexico KW - Intensive Care Units, Neonatal KW - Patient Safety KW - Cross Infection -- Prevention and Control KW - Occupational Safety KW - Chickenpox -- Prevention and Control KW - Infection Control -- Methods KW - Postexposure Follow-Up -- Methods KW - Disease Outbreaks -- Prevention and Control KW - New Mexico KW - Immunity KW - Serologic Tests KW - Academic Medical Centers KW - Infant, Newborn KW - Female KW - Neonatal Nursing KW - Record Review KW - Case Studies KW - Epidemiological Research KW - Chickenpox -- Transmission KW - Patient Isolation KW - Immunoglobulins, Intravenous -- Administration and Dosage KW - Acyclovir -- Administration and Dosage KW - Chickenpox Vaccine -- Administration and Dosage KW - Patient Discharge KW - Transfer, Intrahospital KW - Inpatients KW - Sick Leave KW - Human KW - Descriptive Statistics KW - Infant, Premature KW - Gestational Age KW - Adult KW - Middle Age KW - Aged KW - Protocols KW - Immunization SP - 844 EP - 848 JO - American Journal of Infection Control JF - American Journal of Infection Control JA - AM J INFECT CONTROL VL - 39 IS - 10 CY - New York, New York PB - Elsevier B.V. AB - Background: Varicella exposure in health care settings poses a threat to susceptible, immunocompromised hosts. We describe the management and outcome of a varicella exposure in a neonatal intensive care unit. Methods: We reviewed the history of the index case, determination of the exposed cohort, medical management of exposed neonates, and assignment of health care workers based on exposure and immune status. We present the results of serologic testing of health care workers related to their history of varicella disease. Results: Of 427 health care workers assessed at the time of the exposure, 13.1% were seronegative for varicella. Among 180 employees recorded as having a previous history of varicella, 9 were seronegative. A total of 34 infants received prophylaxis with intravenous immune globulin; acyclovir prophylaxis was added for those born at <28 weeks gestational age. The exposed cohort was isolated. No secondary cases of varicella occurred among patients or health care workers. Conclusion: Nosocomial varicella exposures require rapid assessment and response, which can be guided by a checklist of actions. Varicella immunity in health care workers cannot be assumed even among those born before 1980; institutional policies should adhere to the 2007 Centers for Disease Control and Prevention’s definition of immunity to varicella for health care workers. SN - 0196-6553 AD - Division of Infectious Diseases, Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM AD - Epidemiology Division, New Mexico Department of Health, Santa Fe, NM AD - Division of Infectious Diseases, Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, NM U2 - PMID: 21600672. DO - 10.1016/j.ajic.2011.02.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104608924&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104867238 T1 - Pneumonia management in the intensive care setting. AU - Leininger-Hogan, Susan Y1 - 2011/04//2011 Apr-Jun N1 - Accession Number: 104867238. Language: English. Entry Date: 20110617. Revision Date: 20150818. Publication Type: Journal Article; case study; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Quality Assurance. NLM UID: 8704517. KW - Critical Care KW - Emergency Care KW - Pneumonia -- Therapy KW - Process Assessment (Health Care) KW - Quality Improvement KW - Advanced Practice Nurses KW - Clinical Indicators KW - Committees KW - Critical Care Nursing KW - Documentation KW - Emergency Service KW - Immunization KW - Influenza -- Prevention and Control KW - Inpatients KW - Intensive Care Units KW - Male KW - Microbial Culture and Sensitivity Tests KW - Multidisciplinary Care Team KW - Patient Admission KW - Pennsylvania KW - Pneumonia -- Diagnosis KW - Pneumonia -- Drug Therapy KW - Pneumonia -- Prevention and Control KW - Pneumonia -- Radiography KW - Pneumonia -- Risk Factors KW - Professional Compliance KW - Protocols KW - Record Review KW - Risk Assessment KW - Smoking Cessation KW - Staff Nurses KW - Transfer, Intrahospital SP - 110 EP - 115 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 34 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - This article describes a quality process adapted to continuously improve compliance for the core measure of pneumonia. This process began at a large tertiary/trauma hospital in Pittsburgh, Pennsylvania. Like any quality process, the pneumonia committee learned about each pneumonia measure so that a process could be designed for nursing staff to become compliant. This committee took the identified issues from nursing staff and worked on making timely changes to hospital systems. The pneumonia measure is challenging because the discharge diagnosis needs to be pneumonia; however, the committee decided to aggressively screen admitted or transferred patients who had a diagnosis of pneumonia and those at high risk for pneumonia. The advanced practice nurse follows all patients and reviews the electronic medical record for positive testing and treatments. The intensive care patients who had a diagnosis of respiratory failure or sepsis needed to be evaluated on a daily basis for the signs or symptoms of pneumonia. This measure includes patients whose primary diagnosis could be a respiratory failure or sepsis with a secondary diagnosis of pneumonia. Therefore, updates of chest radiographs or sputum cultures provided by the nursing staff and/or the nurse practitioner in the unit are helpful in making sure that all measures were completed. A list of identified issues and resolution of these issues is included in this article. SN - 0887-9303 AD - Author Affiliation: Performance Improvement Department, Allegheny General Hospital, Pittsburgh, Pennsylvania. U2 - PMID: 21407005. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104867238&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108252659 T1 - Prognosis of Patients Transferred From Intensive Care Units to Departments of Chest Diseases and the Factors Affecting Their Prognosis - Original Investigation. AU - Kalemci, Serdar AU - Sevinç, Can AU - Ellidokuz, Hülya Y1 - 2011/08//2011 Aug N1 - Accession Number: 108252659. Language: Turkish. Entry Date: 20111014. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Middle East. Special Interest: Perioperative Care. KW - Apache -- Evaluation KW - Intensive Care Units KW - Mortality -- Evaluation KW - Thoracic Diseases KW - Transfer, Discharge KW - Human KW - Multiple Organ Dysfunction Syndrome KW - Record Review KW - Retrospective Design SP - 29 EP - 33 JO - Turkish Journal of Medical & Surgical Intensive Care Medicine / Dahili ve Cerrahi Bilimler Yogun Bakim Dergisi JF - Turkish Journal of Medical & Surgical Intensive Care Medicine / Dahili ve Cerrahi Bilimler Yogun Bakim Dergisi JA - TURKISH J MED SURG INTENSIVE CARE MED VL - 2 IS - 2 PB - Aves Yayincilik Ltd. STI AB - Aim: One-third of deaths due to a critical disease occur after patients are transferred from intensive care units to hospital departments. Some of the deaths occur in patients who are considered not to need further intensive care treatment or that they are adequately stabilized or recovered according to their clinical and physiological findings. Deaths in patients transferred from intensive care units to departments might result from the incomplete recovery of the primary disease or from development of new complications. The aim of this study is to monitor the prognosis of cases who have been intubated and supported with mechanical ventilation in the intensive care unit and then transferred from this unit to the chest diseases department after having been taken off mechanical ventilation, and to determine the factors affecting their prognosis. Material and Methods: Medical records of the patients who were first intubated and monitored in different intensive care units of internal diseases, anesthesia, coronary, cardio-vascular surgery and emergency departments in Dokuz Eylül University Hospital and then transferred to the Department of Chest Diseases of the same hospital between 2006 and 2008 were retrospectively investigated. Results: Seventy-eight patients were included in the study. Fifty-three patients (67.9%) from intensive care units in the internal diseases department (internal medicine, chest diseases, coronary, and the resuscitation unit of the emergency room) and 25 patients (32.1%), from surgical intensive care units (anesthesia, cardiovascular surgery) were transferred to the Department of Chest Diseases. Forty-eight patients (61.5%) were discharged from the department. Thirteen cases (16.7%) were sent back to the intensive care unit because of their deteriorating conditions. Twenty-four patients [seventeen (21.8%) in our clinic and seven in the intensive care unit where they had been sent back] lost their lives. The following were determined to play an important role in total mortality: the presence of atrial fibrillation and malignancy during the patients' stay in the intensive care unit and in the Department of Chest Diseases, high D-dimer levels in the department, the presence of atelectasis on chest radiograph, acute physiological and chronic health evaluation system scores (APACHE II) obtained in the intensive care unit, and APACHE II scores and Sequential Organ Failure Assessment (SOFA) scores. Conclusion: APACHE II scores obtained in the intensive care unit and APACHE II scores and SOFA scores obtained when the patients were transferred to the department were the most important mortality estimation parameters after patients were discharged from the intensive care units. It was also found that the presence of atrial fibrillation and/or malignancy, high D-dimer levels and atelectasis on chest radiograph of patients who were transferred from the intensive care unit to the department led to an increase in mortality. Therefore, the decision to transfer these patients should be made more judiciously and they should be followed more carefully. SN - 1309-1689 AD - Sanliurfa Suruc Devlet Hastanesi, Gögüs Hastaliklan Bölülmül,Sanliwrfa, Türkiye AD - Dokuz Eylül Üniversitesi Tip Fakültesi, Gögüs Hastaliklan Anabilim Dali, Izmirr Türkiye AD - Dokuz EylGl Üzniversitesi Tip Fakültesi, Halk Sagligi Anabilim Dali, Halk Sagligi, Izmir,Türkiye DO - 10.5152/dcbybd.2011.07 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108252659&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104679644 T1 - Improving Patient Transfer between the Intensive Care Unit and the Medical/Surgical Floor of a 200-Bed Hospital in Southern California. AU - Kibler, Judith AU - Lee, Maria Y1 - 2011/01// N1 - Accession Number: 104679644. Language: English. Entry Date: 20110923. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety; Quality Assurance. NLM UID: 9202994. KW - Transfer, Intrahospital -- Methods KW - Quality Improvement KW - Critically Ill Patients KW - Hospitals, Community -- California KW - Human KW - California KW - Problem Identification KW - Problem Solving -- Methods KW - Treatment Delay -- Prevention and Control KW - Organizational Efficiency KW - Accountability KW - Process Assessment (Health Care) KW - Utilization Review SP - 68 EP - 76 JO - Journal for Healthcare Quality: Promoting Excellence in Healthcare JF - Journal for Healthcare Quality: Promoting Excellence in Healthcare JA - J HEALTHC QUAL VL - 33 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - This paper describes the work of a front-line team at a 200-bed hospital in southern California to improve the patient transfer process between the Intensive Care Unit (ICU) and the Medical/Surgical floors. Using a phased approach of assessing the problem, identifying opportunities, testing ideas, and then implementing successful ideas, the team was able to improve patient transfer time from the ICU to the Medical/Surgical Floor once the bed is assigned from 6 to <2 hr and to reduce the number of patients experiencing extreme delays (more than 12 hr waits since the bed is assigned) from 15% to 0%. Also, as a corollary of this work, nursing overtime was reduced by 25% year to year between March 2008 and March 2009 and patient satisfaction scores were improved. A key success factor of the front-line team was the implementation of a sustainability plan where metric and process accountability is specified, together with alert flags for the metrics and actions to take if the alert flags are triggered. SN - 1062-2551 AD - Columbia University AD - University of California Los Angeles U2 - PMID: 21199074. DO - 10.1111/j.1945-1474.2010.00101.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104679644&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104648739 T1 - Global Perspectives on the Neonatal Intensive Care Unit: Vulnerable Babies of the World. AU - Premji, Shahirose Sadrudin AU - Kanji, Zeenatkhanu Y1 - 2011/06// N1 - Accession Number: 104648739. Language: English. Entry Date: 20110810. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; USA. Special Interest: Pediatric Care. NLM UID: 101126037. KW - Intensive Care Units, Neonatal -- Developing Countries KW - Neonatal Nursing KW - Infant Mortality KW - Decision Making, Family KW - Health Services Accessibility KW - Education, Nursing KW - Neonatal Sepsis KW - Cause of Death KW - Perinatal Death KW - Developing Countries KW - Referral and Consultation KW - Uganda KW - Tanzania KW - Afghanistan KW - Transportation of Patients -- In Infancy and Childhood KW - Infant KW - Bed Occupancy KW - Staff Development SP - 75 EP - 81 JO - Newborn & Infant Nursing Reviews JF - Newborn & Infant Nursing Reviews JA - NEWBORN INFANT NURS REV VL - 11 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Abstract: The authors as Canadian trained neonatal nurses have acquired neonatal nurse practitioner training and have been afforded the opportunity to work or provide consultation in countries such as Afghanistan, China, Kenya, Tanzania, Pakistan, and Syria. This study describes the perspectives on neonatal intensive care units in developing countries, which are a culmination of personal experiences reinforced by colleagues with experiences in South Africa, India, Nepal, Uganda, and Vietnam and relate to family decision making and access to care, referral and transport of ill babies, capacity of health care facility, neonatal nursing training and education, and neonatal sepsis, the leading cause of death. The potential impact of the patterns of neonatal mortality are presented. Clinical implications are explored as an attempt to improve the quality of care and improve neonatal morbidity and mortality in developing countries in the absence of material and human resources. SN - 1527-3369 AD - Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada T2N 1N4 AD - School of Nursing, Aga Khan University, Box 3500, Karachi 5 74800, Pakistan DO - 10.1053/j.nainr.2011.04.004 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104648739&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109548705 T1 - 67 Predictive Value of Abnormal Signs of Vitality on Transfer to the Intensive Care Unit Within 24 Hours of Admission. AU - Tse, J. AU - Oldroyd, S.H. AU - Totten, V. AU - Vandegrift, M.A. AU - Sebat, F. Y1 - 2015/10/02/Oct2015 Supplement N1 - Accession Number: 109548705. Language: English. Entry Date: In Process. Revision Date: 20150922. Publication Type: Article. Supplement Title: Oct2015 Supplement. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 8002646. SP - S24 EP - S24 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 66 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 AD - Kaweah Delta Health Care District, Visalia, CA DO - 10.1016/j.annemergmed.2015.07.099 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109548705&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121671492 T1 - Risk Factors for Postoperative Respiratory Failure Necessitating Transfer to the Intensive Care Unit in Orthopedic Surgery Patients. AU - Melamed, Roman AU - Boland, Lori AU - Normington, James AU - Prenevost, Rebecca AU - Hur, Lindsay AU - Maynard, Leslie AU - McNaughton, Molly AU - Huguelet, Joseph Y1 - 2015/10/02/Oct2015 Supplement N1 - Accession Number: 121671492. Language: English. Entry Date: In Process. Revision Date: 20170327. Publication Type: Article. Supplement Title: Oct2015 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0231335. SP - 322A EP - 322B JO - CHEST JF - CHEST JA - CHEST VL - 148 CY - Glenview, Illinois PB - American College of Chest Physicians SN - 0012-3692 AD - Allina Health, Minneapolis, MN DO - 10.1378/chest.2228884 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121671492&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105488530 T1 - Location of patients before transfer to a tertiary care intensive care unit: impact on outcome. AU - Gerber DR AU - Schorr C AU - Ahmed I AU - Dellinger RP AU - Parrillo J Y1 - 2009/03// N1 - Accession Number: 105488530. Language: English. Entry Date: 20090508. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8610642. KW - Geographic Locations KW - Intensive Care Units KW - Patients KW - Referral and Consultation KW - Transfer, Discharge KW - Databases KW - Demography KW - Fisher's Exact Test KW - Mortality KW - Regression KW - Retrospective Design KW - T-Tests KW - Two-Tailed Test KW - World Wide Web KW - Human SP - 108 EP - 113 JO - Journal of Critical Care JF - Journal of Critical Care JA - J CRIT CARE VL - 24 IS - 1 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - OBJECTIVE: To evaluate the impact of the source of patients transferred to a tertiary care intensive care unit (ICU) (referring hospital ICU vs referring hospital emergency department [ED]) on outcomes of transferred patients. DESIGN AND SETTING: We performed a retrospective review of data contained in the Project Impact database of a medical-surgical ICU at a university hospital. PATIENTS AND PARTICIPANTS: A total of 503 patients transferred from local community hospitals, 283 from EDs and 220 from ICUs, were identified and included. In addition to comparing all ED transfers with all ICU transfers, comparisons between the 2 populations were made for the subgroups of patients with intracranial hemorrhage (group 1), nonhemorrhagic stroke (group 2), and all other patients (group 3). MEASUREMENTS AND RESULTS: Patients were evaluated for a variety of outcome parameters, including mortality and ICU and hospital length of stay (LOS) according to their location at the referring hospital at the time of transfer: ICU (ICUtx) or ED (EDtx). Mortality was significantly lower among EDtx in all transferred patients as well as in groups 2 and 3 with no difference in mortality identified in group 1. Intensive care unit LOS was shorter for EDtx and the 3 groups, and hospital LOS was shorter among all EDtx and those in group 3. Group 3 EDtx also had lower than predicted mortality. CONCLUSIONS: Transfer of patients to a tertiary care ICU from the ED of a referring hospital is associated with significantly better outcomes than transfers from referring hospital ICUs. © 2009 Published by Elsevier Inc. SN - 0883-9441 AD - Critical Care Medicine, Cooper University Hospital, Camden, NJ 08103, USA; gerber-dave@cooperhealth.edu U2 - PMID: 19272546. DO - 10.1016/j.jcrc.2008.03.002 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105488530&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105086773 T1 - Effect of specialist retrieval teams on outcomes in children admitted to paediatric intensive care units in England and Wales: a retrospective cohort study. AU - Ramnarayan P AU - Thiru K AU - Parslow RC AU - Harrison DA AU - Draper ES AU - Rowan KM Y1 - 2010/08/28/ N1 - Accession Number: 105086773. Language: English. Entry Date: 20101015. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 2985213R. KW - Intensive Care Units, Pediatric -- Administration KW - Multidisciplinary Care Team KW - Transfer, Discharge -- Administration KW - Transportation of Patients -- Administration KW - Child KW - Child, Preschool KW - Prospective Studies KW - Resource Databases KW - England KW - Female KW - Human KW - Infant KW - Critical Care KW - Male KW - Patient Admission KW - Retrospective Design KW - Treatment Outcomes KW - Wales SP - 698 EP - 704 JO - Lancet JF - Lancet JA - LANCET VL - 376 North American Edition IS - 9742 CY - Philadelphia, Pennsylvania PB - Lancet SN - 0099-5355 AD - Children's Acute Transport Service, Great Ormond Street Hospital, London, UK. ramnap@gosh.nhs.uk U2 - PMID: 20708255. DO - 10.1016/S0140-6736(10)61113-0 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105086773&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 109664717 T1 - Arterial blood pressure changes induced by acceleration during mobile intensive care unit patient transport are not patient related: beware of misinterpretation. AU - Droogh, Joep M AU - Reinke, Laurens AU - Snel, Gert Jan AU - Mouthaan, Brian AU - Struys, Michel M R F AU - Ligtenberg, Jack J M AU - Keus, Frederik AU - Zijlstra, Jan G Y1 - 2014/03// N1 - Accession Number: 109664717. Language: English. Entry Date: 20150923. Revision Date: 20170926. Publication Type: letter. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. Special Interest: Critical Care. NLM UID: 7704851. SP - 460 EP - 461 JO - Intensive Care Medicine JF - Intensive Care Medicine JA - INTENSIVE CARE MED VL - 40 IS - 3 CY - , PB - Springer Science & Business Media B.V. SN - 0342-4642 U2 - PMID: 24352487. DO - 10.1007/s00134-013-3195-2 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109664717&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104638551 T1 - EB101: Providing Information Patients and Families Want: Smoothing the Transition From Intensive Care to General Care Units. AU - O¿Connell, Marie AU - Stare, Mary AU - Espina-Gabriel, Paulette AU - Franks, Renee Y1 - 2011/04// N1 - Accession Number: 104638551. Language: English. Entry Date: 20110406. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8207799. KW - Transfer, Intrahospital -- Education KW - Patient Education KW - Family -- Education KW - Inpatients KW - Intensive Care Units KW - Nursing Units KW - Communication KW - Human KW - Visitors to Patients KW - Pilot Studies KW - Surveys KW - Outcomes (Health Care) KW - Patient Satisfaction KW - Teaching Materials SP - e39 EP - 40 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 31 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Northshore University Health System, Glenview, IL UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104638551&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105565952 T1 - The availability of telecardiology consultations and transfer patterns from a remote neonatal intensive care unit. AU - Huang T AU - Moon-Grady AJ AU - Traugott C AU - Marcin J AU - Huang, Tannie AU - Moon-Grady, Anita J AU - Traugott, Craig AU - Marcin, James Y1 - 2008/07// N1 - Accession Number: 105565952. Language: English. Entry Date: 20090227. Revision Date: 20170411. Publication Type: journal article; research; tables/charts. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. Special Interest: Informatics; Pediatric Care. Grant Information: Children's Miracle Network. NLM UID: 9506702. KW - Echocardiography -- Utilization -- In Infancy and Childhood KW - Intensive Care Units, Neonatal KW - Remote Consultation KW - Transfer, Discharge -- In Infancy and Childhood KW - California KW - Cardiology -- Methods KW - Funding Source KW - Infant, Newborn KW - Practice Patterns KW - Record Review KW - Retrospective Design KW - Human SP - 244 EP - 248 JO - Journal of Telemedicine & Telecare JF - Journal of Telemedicine & Telecare JA - J TELEMED TELECARE VL - 14 IS - 5 PB - Sage Publications, Ltd. AB - We examined records of all admissions to an isolated community neonatal intensive care unit (NICU) in California between 2001 and 2006. We also reviewed the echocardiograms for diagnosis, disposition of patient and necessity for transport. In 2004, a telemedicine link (mainly store-and-forward) was established to a university children's hospital (UCH) 290 km away. The number of NICU patients having an echocardiogram increased from 280 (27% of 1029 admissions) to 385 (40% of 963, P = <0.001) after telemedicine became available. There was an increase in the proportion of normal studies, from 31% to 37% (P = 0.03), and an increase in the number of patients diagnosed with cardiac pathology from 192 (19% of all admissions) to 241 (25%, P < 0.001). Twenty-four patients were transferred for cardiac reasons during each three-year period; however seven pre-telemedicine transfers were avoidable, compared with two post-telemedicine transfers (P = 0.06). There was a change in referral pattern (65% to the UCH pre-telemedicine, compared with 78% post-telemedicine) although it was not significant (P = 0.10). Thus the availability of the telecardiology link was associated with increases in the utilization of echocardiography, in the proportion of normal studies, and in the percentage of neonates diagnosed with cardiac pathology without an increase in the number transferred for cardiac reasons. There was a reduction in unnecessary transfers and a strengthened relationship with the centre providing the telecardiology service. SN - 1357-633X AD - University of California Davis Children's Hospital, Sacramento, California, USA U2 - PMID: 18632999. DO - 10.1258/jtt.2008.080102 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105565952&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105734979 T1 - The Stability and Workload Index for Transfer score predicts unplanned intensive care unit patient readmission: initial development and validation. AU - Gajic O AU - Malinchoc M AU - Comfere TB AU - Harris MR AU - Achouiti A AU - Yilmaz M AU - Schultz MJ AU - Hubmayr RD AU - Afessa B AU - Farmer JC Y1 - 2008/03// N1 - Accession Number: 105734979. Language: English. Entry Date: 20080606. Revision Date: 20150711. Publication Type: Journal Article; research. Commentary: Zimmerman JE. Intensive care unit readmission: the issue is safety not frequency. (CRIT CARE MED) Mar2008; 36 (3): 984-985. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. Instrumentation: Stability and Workload Index for Transfer (SWIFT) score. Grant Information: Supported in part by National Heart, Lung, and Blood Institute grant K23 HL78743-01A1 and the Mayo Clinic. NLM UID: 0355501. KW - Intensive Care Units KW - Readmission KW - Transfer, Discharge -- Methods KW - Funding Source KW - Outcomes (Health Care) KW - Scales KW - Human SP - 676 EP - 682 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 36 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVE: Unplanned readmission of hospitalized patients to an intensive care unit (ICU) is associated with a worse outcome, but our ability to identify who is likely to deteriorate after ICU dismissal is limited. The objective of this study is to develop and validate a numerical index, named the Stability and Workload Index for Transfer, to predict ICU readmission. DESIGN: In this prospective cohort study, risk factors for ICU readmission were identified from a broad range of patients' admission and discharge characteristics, specific ICU interventions, and in-patient workload measurements. The prediction score was validated in two independent ICUs. SETTING: One medical and one mixed medical-surgical ICU in two tertiary centers. PATIENTS: Consecutive patients requiring >24 hrs of ICU care. INTERVENTIONS: None. MEASUREMENTS: Unplanned ICU readmission or unexpected death following ICU dismissal. RESULTS: In a derivation cohort of 1,131 medical ICU patients, 100 patients had unplanned readmissions, and five died unexpectedly in the hospital following ICU discharge. Predictors of readmission/unexpected death identified in a logistic regression analysis were ICU admission source, ICU length of stay, and day of discharge neurologic (Glasgow Coma Scale) and respiratory (hypoxemia, hypercapnia, or nursing requirements for complex respiratory care) impairment. The Stability and Workload Index for Transfer score predicted readmission more precisely (area under the curve [AUC], 0.75; 95% confidence interval [CI], 0.70-0.80) than the day of discharge Acute Physiology and Chronic Health Evaluation III score (AUC, 0.62; 95% CI, 0.56-0.68). In the two validation cohorts, the Stability and Workload Index for Transfer score predicted readmission similarly in a North American medical ICU (AUC, 0.74; 95% CI, 0.67-0.80) and a European medical-surgical ICU (AUC, 0.70; 95% CI, 0.64-0.76), but was less well calibrated in the medical-surgical ICU. CONCLUSION: The Stability and Workload Index for Transfer score is derived from information readily available at the time of ICU dismissal and acceptably predicts ICU readmission. It is not known if discharge decisions based on this prediction score will decrease the number of ICU readmissions and/or improve outcome. SN - 0090-3493 AD - Department of Internal Medicine and the Mayo Epidemiology and Translational Research in Intensive Care Program, Mayo Clinic College of Medicine, Rochester, MN, USA. gajic.ognjen@mayo.edu U2 - PMID: 18431260. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105734979&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105430667 T1 - Struggle with a gap between intensive care units and general wards. AU - Haggstrom M AU - Asplund K AU - Kristiansen L Y1 - 2009/09// N1 - Accession Number: 105430667. Language: English. Entry Date: 20091016. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Health Promotion/Education; USA. NLM UID: 101256506. KW - Intensive Care Units -- Sweden KW - Nurses -- Sweden KW - Transfer, Intrahospital KW - Coding KW - Collaboration KW - Critical Care Nursing KW - Discharge Planning KW - Focus Groups KW - Grounded Theory KW - Health Facility Environment KW - Interviews KW - Intraprofessional Relations KW - Nurse Attitudes KW - Stress KW - Sweden KW - Human SP - 181 EP - 192 JO - International Journal of Qualitative Studies on Health & Well-Being JF - International Journal of Qualitative Studies on Health & Well-Being JA - INT J QUAL STUD HEALTH WELL BEING VL - 4 IS - 3 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd SN - 1748-2623 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105430667&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105720249 T1 - Spotlight on PICU. Paediatric intensive care at the Evelina Children's Hospital, London, United Kingdom. AU - Lynch F A2 - Copnell B Y1 - 2007/12//2007 Dec N1 - Accession Number: 105720249. Language: English. Entry Date: 20080523. Revision Date: 20150820. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Canada; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 101305908. KW - Intensive Care Units, Pediatric -- United Kingdom KW - Pediatric Critical Care Nursing KW - Transportation of Patients KW - United Kingdom SP - 22 EP - 25 JO - Pediatric Intensive Care Nursing JF - Pediatric Intensive Care Nursing JA - PEDIATR INTENSIVE CARE NURS VL - 8 IS - 2 CY - Montreal, Quebec PB - International Pediatric Intensive Care Nursing Association SN - 1819-7566 AD - PICU, Evelina Children's Hospital, Lambeth Palace Road, London, UK, SE1 7EH; Fiona.lynch@gstt.nhs.uk UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105720249&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109848959 T1 - Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. AU - Grant MC AU - Larsen GY Y1 - 2007/12//2007 Dec N1 - Accession Number: 109848959. Language: English. Entry Date: 20080321. Revision Date: 20150923. Publication Type: Journal Article; forms; research; tables/charts. Journal Subset: Health Services Administration; Peer Reviewed; USA. Grant Information: Supported by the Primary Children's Medical Center Foundation for clinical research (02/271). NLM UID: 101233393. KW - Intensive Care Units, Pediatric KW - Medical Records KW - Medication Reconciliation KW - Transfer, Intrahospital KW - Child KW - Communication Barriers KW - Convenience Sample KW - Descriptive Research KW - Funding Source KW - Inpatients KW - Medication Errors -- Prevention and Control KW - Nurses KW - Pediatric Nurse Practitioners KW - Record Review KW - Human SP - 195 EP - 199 JO - Journal of Patient Safety JF - Journal of Patient Safety JA - J PATIENT SAF VL - 3 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1549-8417 AD - Division of Pediatric Critical Care, Primary Children's Medical Center, 100 N Medical Dr, Salt Lake City, UT; maryjo.grant@intermountainmail.org UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109848959&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107799140 T1 - Therapeutic hypothermia on transport: providing safe and effective cooling therapy as the link between birth hospital and the neonatal intensive care unit. AU - Schierholz, Elizabeth Y1 - 2014/10/02/2014 Oct Suppl 5 N1 - Accession Number: 107799140. Language: English. Entry Date: 20150529. Revision Date: 20150712. Publication Type: Journal Article. Supplement Title: 2014 Oct Suppl 5. Journal Subset: Biomedical; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 101125644. KW - Hypothermia, Induced -- Methods KW - Hypoxia-Ischemia, Brain -- Therapy KW - Transportation of Patients -- Methods KW - Infant, Newborn KW - Intensive Care Units, Neonatal SP - S24 EP - 31 JO - Advances in Neonatal Care (Lippincott Williams & Wilkins) JF - Advances in Neonatal Care (Lippincott Williams & Wilkins) JA - ADV NEONAT CARE (LIPPINCOTT WILLIAMS & WILKINS) VL - 14 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1536-0903 AD - Rady Children's Hospital San Diego, California. U2 - PMID: 25136751. DO - 10.1097/ANC.0000000000000121 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107799140&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107780235 T1 - Therapeutic hypothermia on transport: providing safe and effective cooling therapy as the link between birth hospital and the neonatal intensive care unit. Y1 - 2015/03// N1 - Accession Number: 107780235. Language: English. Entry Date: 20150401. Revision Date: 20150712. Publication Type: Journal Article; brief item; pictorial. Journal Subset: Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Obstetric Care. KW - Hypothermia, Induced KW - Transportation of Patients KW - Intensive Care Units, Neonatal KW - Hypoxia-Ischemia, Brain, Neonatal -- Therapy KW - Infant, Newborn SP - 44 EP - 44 JO - Essentially MIDIRS JF - Essentially MIDIRS JA - ESSENTIALLY MIDIRS VL - 6 IS - 2 PB - MIDIRS SN - 2044-0308 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107780235&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105813932 T1 - Considerations for emergencies & disasters: in the neonatal intensive care unit. AU - Schultz R AU - Pouletsos C AU - Combs A Y1 - 2008/07//Jul/Aug2008 N1 - Accession Number: 105813932. Language: English. Entry Date: 20080912. Revision Date: 20150818. Publication Type: Journal Article; CEU; exam questions; pictorial; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Obstetric Care; Pediatric Care. NLM UID: 7605941. KW - Disaster Planning KW - Intensive Care, Neonatal KW - Neonatal Intensive Care Nursing KW - Communication -- Methods KW - Education, Continuing (Credit) KW - Equipment and Supplies KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Organizational Structure KW - Transportation of Patients KW - United States Occupational Safety and Health Administration SP - 204 EP - 212 JO - MCN: The American Journal of Maternal Child Nursing JF - MCN: The American Journal of Maternal Child Nursing JA - MCN VL - 33 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - This article outlines outside principles of emergency and disaster planning for neonatal intensive care units and includes resources available to organizations to support planning and education, and considerations for nurses developing hospital-specific neonatal intensive care unit disaster plans. Hospital disaster preparedness programs and unit-specific policies and procedures are essential in facilitating an effective response to major incidents or disasters, whether they are man-made or natural. All disasters place extraordinary stress on existing resources, systems, and personnel. If nurses in neonatal intensive care units work collaboratively to identify essential services in disasters, the result could be safer care for vulnerable patients. SN - 0361-929X AD - Stony Brook University Medical Center, Stony Brook, New York U2 - PMID: 18664900. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105813932&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105692938 T1 - Hospital mortality among adults admitted to and discharged from intensive care on weekends and evenings. AU - Laupland KB AU - Shahpori R AU - Kirkpatrick AW AU - Stelfox HT Y1 - 2008/09// N1 - Accession Number: 105692938. Language: English. Entry Date: 20081121. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8610642. KW - Critically Ill Patients KW - Intensive Care Units KW - Risk Assessment KW - Transfer, Intrahospital KW - Alberta KW - Chi Square Test KW - Data Analysis Software KW - Logistic Regression KW - Mann-Whitney U Test KW - Mortality -- Risk Factors KW - Multivariate Analysis KW - Relative Risk KW - ROC Curve KW - T-Tests KW - Human SP - 317 EP - 324 JO - Journal of Critical Care JF - Journal of Critical Care JA - J CRIT CARE VL - 23 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Purpose: Patient care may be inconsistent during off hours. We sought to determine whether adults admitted to or discharged from intensive care units (ICUs) on evenings and weekends have increased mortality rates.Materials and Methods: All adults admitted to ICUs in the Calgary Health Region, Alberta, Canada, during 2000 to 2006 were included. The in-hospital mortality risk was assessed with admissions or discharges on weekdays (Monday to Friday) and daytime (8:00 am to 5:59 pm) as compared with weekends (Saturday and Sunday) and nights (6:00 pm to 7:59 am).Results: Intensive care unit admissions (n = 20 466) occurred during weekends in 18%, nights in 41%, and nights and/or weekends in 49%. Among the 17 864 survivors to ICU discharge, 26% were discharged on weekends, 21% at night, and 41% on nights and/or weekends. Increased crude mortality rates were associated with both admission (24% vs 14%, P < .0001) and discharge (12% vs 5%, P < .0001) during nights as compared with days. Admission to (26% vs 16%, P < .0001) but not discharge from (6% vs 7%, P = .42) ICU during weekends as compared with weekdays was associated with increased mortality. After controlling for confounding variables using logistic regression analyses, neither weekend admission nor discharge was associated with death. However, both night admission and discharge were independently associated with mortality.Conclusions: Our observations of excess risk associated with admission to or discharge from ICU at night merits further exploration as to whether it may reflect inconsistencies in care after hours. © 2008 Elsevier Inc. All rights reserved. SN - 0883-9441 AD - Department of Critical Care Medicine, University of Calgary and Calgary Health Region, Calgary, Alberta, Canada U2 - PMID: 18725035. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105692938&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105659821 T1 - Surgical procedures performed in the neonatal intensive care unit on critically ill neonates: feasibility and safety. AU - Mallick MS AU - Jado AM AU - Al-Bassam AR Y1 - 2008/03//Mar-Apr2008 N1 - Accession Number: 105659821. Language: English. Entry Date: 20081003. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Middle East; Peer Reviewed. NLM UID: 8507355. KW - Critical Illness KW - Infant, Newborn, Diseases -- Surgery KW - Intensive Care Units, Neonatal KW - Gestational Age KW - Infant, Newborn KW - Infant, Premature KW - Infant, Very Low Birth Weight KW - Postoperative Complications -- Etiology KW - Preoperative Care -- Methods KW - Retrospective Design KW - Transportation of Patients KW - Human SP - 105 EP - 108 JO - Annals of Saudi Medicine JF - Annals of Saudi Medicine JA - ANN SAUDI MED VL - 28 IS - 2 PB - Wolters Kluwer India Pvt Ltd AB - BACKGROUND AND OBJECTIVE: Transferring unstable, ill neonates to and from the operating room carries significant risks and can lead to morbidity. We report on our experience in performing certain procedures in critically ill neonates in the neonatal intensive care unit (NICU). We examined the feasibility and safety of such an approach. METHODS: All surgical procedures performed in the the NICU between January 1999 and December 2005 were analyzed in terms of demographic data, diagnosis, preoperative stability of the patient, procedures perfformed, complications and outcome. Operations were performed at bedside in the NICU in critically ill, unsstable neonates who needed emergency surgery, in neonates of very low birth weight (<1000 g) and in neonates on special equipment like high frequency ventilators and nitrous oxide. RESULTS: Thirty-seven surgical procedures were performed including 12 laparotomies, bowel resections and stomies, 7 repairs of congenital diaphragmatic hernias, 4 ligations of patent ductus arteriosus, and various otheers. Birthweights ranged between 850 g and 3500 g (mean, 2000 g). Gestational age ranged between 25 to 42 weeks (mean, 33 weeks). Age at surgery was between 1 to 30 days (mean, 10 days). Preoperatively, 19 patients (51.3%) were on inotropic support and all were intubated and mechanically ventilated. There was no mortality related to surgical procedures. Postoperatively, one patient developed wound infection and disruption. CONCLUSION: Performing major surgical procedures in the the NICU is both feasible and safe. It is useful in very low birth weight, critically ill neonates who have a definite risk attached to transfer to the operating room. No special area is needed in the the NICU to perform complication-free surgery, but designing an operating room within the the NICU would be ideal. SN - 0256-4947 AD - Pediatric Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia. U2 - PMID: 18398286. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105659821&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105471815 T1 - Evolution of the intensive care unit as a clinical center and critical care medicine as a discipline. AU - Grenvik A AU - Pinsky MR Y1 - 2009/01//2009 Jan N1 - Accession Number: 105471815. Language: English. Entry Date: 20090814. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Evidence-Based Practice. NLM UID: 8507720. KW - Critical Care -- History KW - Intensive Care Units -- History KW - Allied Health Professions -- History KW - Certification -- History KW - Congresses and Conferences -- History KW - Critical Care KW - Education, Medical -- History KW - Education, Medical KW - Europe KW - History KW - Medical Organizations -- History KW - Medical Practice, Evidence-Based -- History KW - Military Medicine -- History KW - Newsletters -- History KW - Poliomyelitis -- Complications KW - Poliomyelitis -- History KW - Poliomyelitis -- Therapy KW - Research, Medical -- History KW - Respiration, Artificial -- Equipment and Supplies KW - Respiration, Artificial -- History KW - Respiration, Artificial -- Methods KW - Respiratory Failure -- Etiology KW - Respiratory Failure -- History KW - Respiratory Failure -- Therapy KW - Respiratory Therapy -- History KW - Specialties, Nursing -- History KW - Transportation of Patients -- History KW - Transportation of Patients -- Methods KW - United States KW - Human SP - 239 EP - 250 JO - Critical Care Clinics JF - Critical Care Clinics JA - CRIT CARE CLIN VL - 25 IS - 1 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - This article discusses the history of the ICU and critical care medicine (CCM). It also discusses the certification of critical care nurses and allied health professionals, as well as CCM societies and congresses, education and board certification, evidence-based CCM, research and publications, and future challenges to the field.Copyright © 2009 by Elsevier Inc. SN - 0749-0704 AD - Department of Critical Care Medicine, University of Pittsburgh, Room 646 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA 15261, USA. U2 - PMID: 19268805. DO - 10.1016/j.ccc.2008.11.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105471815&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106343840 T1 - How parents experience the transfer from her children out of the intensive care unit: a literature review with evidence based implication for the nursing practice. AU - Stoffel G Y1 - 2005/09// N1 - Accession Number: 106343840. Language: English. Entry Date: 20061006. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. KW - Hospital Units KW - Intensive Care Units, Pediatric KW - Parents -- Psychosocial Factors KW - Transfer, Discharge -- Psychosocial Factors KW - Child SP - 83 EP - 84 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 4 IS - 3 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106343840&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106180841 T1 - Effect of back transport on readmissions and follow-up care...Lainwala S, Perritt R, Poole K, Vohr B. Neurodevelopmental and growth outcomes of extremely low birth weight infants who are transferred from neonatal intensive care units to level I or II nurseries. Pediatrics 2007;119(5). Available at: www.pediatrics.org/cgi/content/full/119/5/e1079 AU - Attar MA AU - Bratton SL AU - Lainwala S AU - Perritt R AU - Poole K AU - Vohr B Y1 - 2007/08// N1 - Accession Number: 106180841. Language: English. Entry Date: 20071102. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter; response. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0376422. KW - Continuity of Patient Care -- Standards KW - Infant, Premature KW - Readmission -- Standards KW - Transfer, Discharge -- Methods KW - Infant KW - Infant, Newborn KW - Transfer, Discharge -- Standards SP - 455 EP - 457 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 120 IS - 2 CY - Chicago, Illinois PB - American Academy of Pediatrics SN - 0031-4005 U2 - PMID: 17671080. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106180841&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106287076 T1 - Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. AU - Gillman L AU - Leslie G AU - Williams T AU - Fawcett K AU - Bell R AU - McGibbon V Y1 - 2006/11// N1 - Accession Number: 106287076. Language: English. Entry Date: 20070518. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 100963089. KW - Adverse Health Care Event KW - Critically Ill Patients KW - Emergency Service KW - Intensive Care Units KW - Transfer, Discharge KW - Adolescence KW - Adult KW - Aged KW - Aged, 80 and Over KW - Audit KW - Chi Square Test KW - Data Analysis Software KW - Equipment Failure KW - Hypothermia KW - Middle Age KW - Nonexperimental Studies KW - Patient Identification KW - Prospective Studies KW - Respiratory Failure KW - Time Factors KW - Human SP - 858 EP - 861 JO - Emergency Medicine Journal JF - Emergency Medicine Journal JA - EMERG MED J PB - BMJ Publishing Group AB - OBJECTIVES: To determine the incidence and nature of adverse events and delay to patient transfer from emergency department to intensive care unit (ICU) in a metropolitan tertiary hospital. METHOD: A 6-month prospective observational study in conjunction with a retrospective chart audit on all emergency department patients admitted to ICU, including those admitted via theatre or after a computed tomography scan. RESULTS: Equipment problems was the most common adverse event occurring in 9% of patient transfers (n = 290). Hypothermia events occurred in 7% of transfers, cardiovascular events in 6% of patient transfers, delays to transfer >20 min occurred in 38% of the prospectively audited cases, with 14% waiting >1 h. One patient was found to have an incorrect patient identification band during a preoperative check. CONCLUSIONS: This study generally reported lower rates of adverse events than noted in previous studies involving critically ill transfers. The most significant finding was the application of an incorrect patient identification band and has prompted a review of practice. The establishment of benchmark indicators for adverse events and delays in transfer will be useful for future audits. SN - 1472-0205 AD - Royal Perth Hospital and Edith Cowan University, Perth, WA 6001, Australia. Lucia.gillman@health.wa.gov.au U2 - PMID: 17057138. DO - 10.1136/emj.2006.037697 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106287076&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 66878679 T1 - Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. AU - Gillman, L. AU - Leslie, G. AU - Williams, T. AU - Fawcett, K. AU - Bell, R. AU - McGibbon, V. Y1 - 2006/11// N1 - Accession Number: 66878679. Language: English. Entry Date: 20070518. Revision Date: 20150820. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 100963089. SP - 858 EP - 861 JO - Emergency Medicine Journal JF - Emergency Medicine Journal JA - EMERG MED J PB - BMJ Publishing Group SN - 1472-0205 DO - 10.1136/emj.2006.037697 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=66878679&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107310184 T1 - Haematological patients transferred to the intensive care unit: what ICU nurses need to know. AU - Hollis H Y1 - 1996/10//1996 Oct N1 - Accession Number: 107310184. Language: English. Entry Date: 19970201. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Leukemia -- Nursing KW - Critical Care Nursing KW - Lymphoma -- Nursing KW - Radiotherapy -- Adverse Effects KW - Chemotherapy, Cancer -- Adverse Effects KW - Information Resources KW - Cancer Patients KW - Critically Ill Patients KW - Inpatients SP - 272 EP - 276 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 12 IS - 5 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - This article will consider the nursing care and treatment required by haematology patients when transferred to an intensive care unit (ICU). Background information on types of haematological malignancies, treatment for and survival from these diseases will be presented. This will be followed by considering some of the complications that may lead to admission to ICU including tumour Iysis syndrome, infections, disseminated intravascular coagulation and haemorrhage and the side-effects of treatment itself. Specialist needs of these patients when in an ICU will be addressed and the patients' experience of the disease will be discussed to enable ICU nurses to offer the best standard of care possible for such patients. SN - 0964-3397 AD - St Bartholomew School of Nursing and Midwifery, 20 St Bartholomew Close, London EC1A 7QN, UK U2 - PMID: 8938080. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107310184&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105878477 T1 - Continuous renal replacement therapy in the adult intensive care unit: history and current trends. AU - Dirkes S AU - Hodge K Y1 - 2008/02/02/Feb2008 Supplement N1 - Accession Number: 105878477. Language: English. Entry Date: 20080404. Revision Date: 20150818. Publication Type: Journal Article; care plan; CEU; exam questions; pictorial; review; tables/charts. Supplement Title: Feb2008 Supplement. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8207799. KW - Continuous Renal Replacement Therapy KW - Critical Care Nursing KW - Kidney Failure, Acute -- Therapy KW - Anticoagulants -- Therapeutic Use KW - Argatroban KW - Blood Conservation KW - Citrates KW - Continuous Renal Replacement Therapy -- Adverse Effects KW - Continuous Venovenous Hemodiafiltration KW - Continuous Venovenous Hemodialysis KW - Continuous Venovenous Hemofiltration KW - Critically Ill Patients KW - Dose-Response Relationship KW - Education, Continuing (Credit) KW - Embolism, Air KW - Fluid Therapy KW - Fluid-Electrolyte Balance KW - Heart Failure -- Therapy KW - Hemodialysis KW - Heparin KW - Hypothermia KW - Inpatients KW - Intensive Care Units KW - Isotonic Solutions KW - Multiple Organ Dysfunction Syndrome -- Therapy KW - Nephrology Nursing KW - Sepsis -- Therapy KW - Slow Continuous Ultrafiltration KW - Sodium Chloride KW - Transportation of Patients KW - Vascular Patency SP - 8 EP - 22+ JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 28 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Clinical educator, NxStage Medical, Lawrence, MA; sdirkes@umich.edu UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105878477&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106781323 T1 - Paediatric intensive care retrieval training: results of a national survey of PICU lead centres. AU - Kemp A AU - Long T Y1 - 2004/02//2004 Feb N1 - Accession Number: 106781323. Language: English. Entry Date: 20041001. Revision Date: 20150820. Publication Type: Journal Article; questionnaire/scale; research; tables/charts. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. Instrumentation: Retrieval Training Questionnaire. NLM UID: 9114927. KW - Critical Care -- In Infancy and Childhood -- United Kingdom KW - Transportation of Patients -- Education -- United Kingdom KW - Transportation of Patients -- In Infancy and Childhood -- United Kingdom KW - Child KW - Child, Preschool KW - Convenience Sample KW - Descriptive Research KW - Descriptive Statistics KW - Education, Interdisciplinary KW - Infant KW - Intensive Care Units, Pediatric KW - Mail KW - Nursing Role KW - Physicians KW - Questionnaires KW - Registered Nurses KW - Survey Research KW - Teaching Methods KW - United Kingdom KW - Human SP - 13 EP - 18 JO - Care of the Critically Ill JF - Care of the Critically Ill JA - CARE CRIT ILL VL - 20 IS - 1 CY - London, PB - Nature Publishing Group AB - A postal questionnaire survey of lead PICUs in the United Kingdom was undertaken to review current practices in the preparation of doctors and nurses for retrieval of critically ill children from satellite hospitals. Information was sought about pre-requisites, modes of training, and means of assessing competence for both nurses and doctors, together with details of shared training and the role of the specialist retrieval nurse. Formal preparation and competence-based assessment was found to be common for nurses, but preparation for doctors was reported to be much more informal. Shared training was not the norm, and the role of the retrieval nurse in training the whole team was not exploited. SN - 0266-0970 AD - Paediatric Resuscitation Officer, The Leeds Teaching Hospitals NHS Trust, St James University Hospital, Leeds LS9 7TF UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106781323&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104473241 T1 - Comment on “Under-triage as a Significant Factor Affecting Transfer Time between the Emergency Department and the Intensive Care Unit”...'Under-triage as a significant factor affecting transfer time between the emergency department and the intensive care unit'.J Emerg Nurs. 2011;37(5):491-6 AU - Bergs, Jochen AU - Gillet, Jean-Bernard Y1 - 2012/07// N1 - Accession Number: 104473241. Language: English. Entry Date: 20120814. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter; response. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 7605913. KW - Triage KW - Transfer, Intrahospital KW - Emergency Care KW - Emergency Service KW - Intensive Care Units KW - Patient Classification KW - Severity of Illness Indices KW - Emergency Patients KW - Pearson's Correlation Coefficient KW - P-Value KW - Kendall's Tau KW - Confidence Intervals KW - Length of Stay KW - Decision Making, Clinical KW - Emergency Nursing SP - 320 EP - 321 JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 38 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 0099-1767 DO - 10.1016/j.jen.2011.01.016 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104473241&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106516761 T1 - A qualitative study of the experiences of patients following transfer from intensive care. AU - Strahan EHE AU - Brown RJ Y1 - 2005/06// N1 - Accession Number: 106516761. Language: English. Entry Date: 20050923. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Critically Ill Patients -- Psychosocial Factors KW - Transfer, Intrahospital KW - Audiorecording KW - Female KW - Health KW - Inpatients KW - Interviews KW - Life Experiences KW - Male KW - Medical-Surgical Nursing KW - Patient Attitudes -- Evaluation KW - Phenomenological Research KW - Purposive Sample KW - Qualitative Studies KW - Thematic Analysis KW - Transfer, Intrahospital -- Psychosocial Factors KW - Human SP - 160 EP - 171 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 21 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - In nursing literature much attention has been paid to patients' experiences while in intensive care. Extensive literature exists examining the longer-term effects of critical care [Jones C, Humphris GM, Griffiths RD. Psychological morbidity following critical illness - the rationale for care after intensive care. Clinical Intensive Care 1998;9:199-205; Griffiths RD, Jones C. ABC of intensive care. Recovery from intensive care. Br Med J 1999;319:417-429]. There is an apparent scarcity of data examining patients' experiences immediately following discharge to wards. A Husserlian phenomenological approach was utilised to gain some understanding of the experience of patients following transfer from intensive care. Ten patients selected purposively comprised the sample. Interviews were performed on the wards 3-5 days following transfer from intensive care. Data was analysed utilising (Colaizzi's (1978)) [Colaizzi PF. Psychological Research as the phenomenologist views it. In: Valle R, King M, editors. Alternatives for psychology. New York: Oxford University Press; 1978. p. 48-71] procedural approach to phenomenological interpretation and analysis. Three major themes emerged: physical response, psychological response and provision of care. These provide a possible framework for patient assessment. Implications for future practice and study are discussed. SN - 0964-3397 AD - Regional Intensive Care Unit, The Royal Hospitals Trust, Grosvenor Road, Belfast, Co Antrim BT12 6BA, UK U2 - PMID: 15907668. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106516761&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106658790 T1 - Bridging the gap between the intensive care unit and general wards--the ICU liaison nurse. AU - Green A AU - Edmonds L Y1 - 2004/06//2004 Jun N1 - Accession Number: 106658790. Language: English. Entry Date: 20041105. Revision Date: 20150820. Publication Type: Journal Article; forms; statistics; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Advanced Practice Nurses KW - Intensive Care Units KW - Nurse Liaison KW - Transfer, Intrahospital KW - Audit KW - Charting KW - Hospital Programs KW - Length of Stay KW - Medical Records KW - Nursing Role KW - Program Development KW - Program Evaluation KW - Program Implementation KW - Readmission KW - Record Review KW - Referral and Consultation KW - Victoria KW - Workload SP - 133 EP - 143 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 20 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - The acute care system in our public hospitals has seen an increase in acuity for multiday patients with associated pressure on access to the intensive care unit (ICU) beds for both elective and emergency patients. When an ICU bed has not been available at this hospital, it has resulted in elective surgery being cancelled and/or emergency patients requiring an ICU admission being transferred to other hospitals. Apart from the problems either of these situations can cause to patients and their families, both government and hospital managements expect that access to an ICU (or other) bed will be available for patients in our community who require this level of care. To maximise access to our ICU beds it was necessary to ensure that length of stay (LOS) in ICU was kept to the minimum required for each individual patient and that re-admission rates to ICU for preventable complications were reduced. This paper relates our experience of developing and introducing an advanced practice nursing position (the ICU Liaison Nurse) in 1998, to oversee the transition of patients discharged from ICU to the general wards. Between 1997 and 2002 with the development of the ICU Liaison Nurse (ICU LN) post, medical readmissions to ICU were reduced from 2.3 to 0.5%. It is now 5 years since the position was introduced and the role has evolved over this time so that today the ICU LN not only bridges the gap between ICU and ward-based care, but when necessary can be involved in the care of patients on the ward whose condition has deteriorated to the point where transfer into ICU may be necessary. SN - 0964-3397 AD - Western Hospital, Gordon Street, Footscray, Vic. 3011, Australia; anna.green@wh.org.au U2 - PMID: 15157931. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106658790&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107790462 T1 - Comparison of three different timeframes for pediatric index of mortality data collection in transported intensive care admissions*. AU - Rahiman, Sarfaraz AU - Sadasivam, Kalaimaran AU - Ridout, Deborah A AU - Tasker, Robert C AU - Ramnarayan, Padmanabhan Y1 - 2014/03//2014 Mar N1 - Accession Number: 107790462. Language: English. Entry Date: 20150116. Revision Date: 20170411. Publication Type: journal article; research. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 100954653. KW - Child Mortality KW - Hospital Mortality KW - Hospitalization -- Statistics and Numerical Data KW - Intensive Care Units, Pediatric -- Statistics and Numerical Data KW - Child, Preschool KW - Prospective Studies KW - Female KW - Great Britain KW - Human KW - Infant KW - Infant, Newborn KW - Male KW - ROC Curve KW - Retrospective Design KW - Risk Factors KW - Time Factors SP - e120 EP - 7 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 15 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objective: To identify the most appropriate timeframe for Pediatric Index of Mortality-2 data collection in patients transported to PICUs by specialist teams. Design: Retrospective cohort study. Setting: A regional PICU transport team in London, United Kingdom. Patients: Children admitted for intensive care to a tertiary children's hospital PICU following transport by a PICU transport team between January 1, 2007, and December 31, 2008. Interventions: None. Measurements and Main Results: Data on case mix and outcome from children transferred to the tertiary PICU during the study period were analyzed. The "standard" timeframe used in calculating Pediatric Index of Mortality-2 was compared with Pediatric Index of Mortality-2 calculated using data from two other 1-hour timeframes (during "retrieval" and during "admission"). A total of 759 transported admissions were studied. Eighty-three children died (mortality rate, 10.9%). Data were missing in up to 42.7% of admissions for some Pediatric Index of Mortality-2 variables from transport. However, missing data persisted even after the first hour of PICU admission in most cases. There was significant improvement in some physiological variables following transport (p < 0.01), but Pediatric Index of Mortality-2 did not change significantly. Pediatric Index of Mortality-2 from all three timeframes exhibited good discrimination (area under the receiver-operating characteristic curve ≥ 0.77). Calibration across deciles of mortality risk was poor for the "admission" Pediatric Index of Mortality-2 (Hosmer-Lemeshow goodness-of-fit test p = 0.04) but good for the other two calculated Pediatric Index of Mortality-2 models (p > 0.20). Conclusions: The findings of our single-center study do not support the need for different timeframes for Pediatric Index of Mortality-2 data collection in transported and direct PICU admissions. Uniformity in scoring procedure may simplify data collection and improve data quality. SN - 1529-7535 AD - 1Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, United Kingdom. 2Centre for Paediatric Epidemiology and Biostatistics, Institute of Child Health, University College London, London, United Kingdom. 3Departments of Neurology and Anaesthesia (Pediatrics), Boston Children's Hospital and Harvard Medical School, Boston, MA. 4Children's Acute Transport Service, Great Ormond Street Hospital, London, United Kingdom. U2 - PMID: 24395001. DO - 10.1097/PCC.0000000000000058 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107790462&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106381095 T1 - Improving transfer from the intensive care unit: the development, implementation and evaluation of a brochure based on Knowles' Adult Learning Theory. AU - Mitchell ML AU - Courtney M Y1 - 2005/12// N1 - Accession Number: 106381095. Language: English. Entry Date: 20060120. Revision Date: 20150819. Publication Type: Journal Article; consumer/patient teaching materials; questionnaire/scale; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: Expert panel questionnaire; Family members questionnaire. Grant Information: Supported by the Royal College of Nursing, Australia, and the Centaur Memorial Fund for Nurses. NLM UID: 9613615. KW - Family -- Education KW - Intensive Care Units KW - Learning Theory KW - Pamphlets KW - Transfer, Intrahospital -- Education KW - Convenience Sample KW - Critical Care Nursing KW - Descriptive Research KW - Descriptive Statistics KW - Expert Nurses KW - Exploratory Research KW - Family Attitudes -- Evaluation KW - Focus Groups KW - Funding Source KW - Information Needs -- Evaluation KW - Nurse Attitudes -- Evaluation KW - Pamphlets -- Evaluation KW - Queensland KW - Questionnaires KW - Sample Size KW - Summated Rating Scaling KW - Human SP - 257 EP - 268 JO - International Journal of Nursing Practice JF - International Journal of Nursing Practice JA - INT J NURS PRACT VL - 11 IS - 6 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - This paper describes the development, implementation and evaluation of a transfer brochure for family members of patients in an intensive care unit (ICU) to improve patient transfer to a general ward. When family members fail to understand information, they respond in ways that affect patient recovery. The brochure was designed within Knowles' Adult Learning Theory framework and developed using a multidisciplinary team. A mixed design was used to collect data from families and nurses. Results indicate that the brochure helped nurses to address the individual family's issues during transfer from ICU. Furthermore, 95% of nurses (n = 33) recommended its introduction for all future transfers. Family members (n = 82) who received the brochure as part of their transfer were significantly more satisfied with all aspects of transfer than those who experienced ad hoc transfer methods (n = 80). These results provide strong support for Knowles' Adult Learning Theory as an educational foundation for adult learning. SN - 1322-7114 AD - Lecturer, School of Nursing and Midwifery, Griffith University, Logan Campus, University Drive, Meadowbrook, Queensland 4131, Australia; marion.mitchell@griffith.edu.au U2 - PMID: 16255737. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106381095&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106674895 T1 - Reducing family members' anxiety and uncertainty in illness around transfer from intensive care: an intervention study. AU - Mitchell ML AU - Courtney M Y1 - 2004/08//2004 Aug N1 - Accession Number: 106674895. Language: English. Entry Date: 20041210. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Instrumentation: Parent's Perception of Uncertainity in Illness -- Family (PPUS-FM) (Mishel); State-Trait Anxiety Inventory (STAI) (Spielberger); Medical Outcomes Study, Social Support Scale (MOS SSS); Acute Physiology and Chronic Health Evaluation III (APACHE III). NLM UID: 9211274. KW - Anxiety -- Prevention and Control KW - Critically Ill Patients KW - Family Attitudes -- Evaluation KW - Family -- Education KW - Transfer, Intrahospital -- Psychosocial Factors KW - Uncertainty -- Prevention and Control KW - Apache KW - Australia KW - Chi Square Test KW - Control Group KW - Convenience Sample KW - Data Analysis Software KW - Descriptive Statistics KW - Experimental Studies KW - Hospitals KW - Inferential Statistics KW - Multiple Regression KW - One-Way Analysis of Variance KW - Pearson's Correlation Coefficient KW - Post Hoc Analysis KW - Pretest-Posttest Design KW - Psychological Tests KW - State-Trait Anxiety Inventory KW - T-Tests KW - Two-Tailed Test KW - Human SP - 223 EP - 231 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 20 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Introduction: This intervention study examines anxiety and uncertainty in illness in families transferring from intensive care to a general ward. Methods: The pre-test, post-test design purposively allocated family members to a control (n = 80) and intervention group (n = 82). The intervention group experienced a structured individualised transfer method whereas the control group received existing ad hoc transfer methods. Families were surveyed before and after transfer. Results: Families' uncertainty was significantly related to their state anxiety (P < 0.000), the relationship to the patient (P = 0.022), and the unexpected nature of patients' admission (P < 0.000). Anxiety increased significantly with reduced social support (P = 0.002). Following transfer, anxiety reduced significantly for both groups whereas uncertainty reduced significantly for the intervention group (P = 0.03). Conclusion: Families at the time of transfer experience uncertainty and anxiety, which are significantly related in this study. The intervention significantly reduced uncertainty scores. When the family member was a parent, when admissions were unexpected, and those with fewer social supports represent potential 'at risk' groups whose adaptation to transfer may limit their coping ability. The structured individualised method of transfer is recommended with further research of ICU families to further examine the dimension of uncertainty and how it affects patient outcomes. SN - 0964-3397 AD - School of Nursing, Griffith University, Australia; marion.mitchell@griffith.edu.au U2 - PMID: 15288876. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106674895&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106744031 T1 - Meeting patient and relatives' information needs upon transfer from an intensive care unit: the development and evaluation of an information booklet. AU - Paul F AU - Hendry C AU - Cabrelli L Y1 - 2004/03// N1 - Accession Number: 106744031. Language: English. Entry Date: 20050425. Revision Date: 20150819. Publication Type: Journal Article; questionnaire/scale; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Grant Information: Supported by the RCN Research Society (Scotland) and the Nursing and Midwifery Practice Development Unit Scholarship Award. NLM UID: 9207302. KW - Anxiety -- Prevention and Control KW - Critical Care -- Psychosocial Factors KW - Family -- Psychosocial Factors KW - Information Needs -- Evaluation KW - Pamphlets KW - Pamphlets -- Evaluation KW - Patient Education KW - Teaching Materials KW - Teaching Materials -- Evaluation KW - Transfer, Intrahospital -- Education KW - Transfer, Intrahospital -- Psychosocial Factors KW - Content Analysis KW - Convenience Sample KW - Exploratory Research KW - Funding Source KW - Literacy KW - Needs Assessment KW - Patient Satisfaction -- Evaluation KW - Readability KW - Semi-Structured Interview KW - Thematic Analysis KW - Human SP - 396 EP - 405 JO - Journal of Clinical Nursing JF - Journal of Clinical Nursing JA - J CLIN NURS VL - 13 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - BACKGROUND: Transfer from the intensive care unit to a ward is associated with a significant degree of relocation stress for patients and relatives. This can be stressful for ward nurses due to the dependency levels of patients and the ensuing increased workload. Furthermore the patient may require care, not normally undertaken in that clinical area, e.g. tracheostomy care. Patients may forget the verbal information given to them at the time of transfer and often have limited or no memory of the intensive care unit experience. This can cause anxiety and compound the feelings of stress associated with transfer. Many patients suffer psychological and physiological problems after intensive care unit, which can affect their recovery and quality of life. AIMS: The aim of the study was to develop an evidence-based information booklet for patients and relatives preparing for transfer from intensive care units. DESIGN: This collaborative study used an exploratory design with elements of the action research cycle. The study, conducted in three phases, involved identifying patients' and relatives' information needs around the time of transfer; designing and developing an information booklet; and the introduction and evaluation of the booklet into practice. METHODS: Semistructured interviews were used to elicit the views of patients and relatives regarding their information needs. Members of the multidisciplinary team were involved in identifying and reviewing booklet content. RESULTS: Evaluation identified positive outcomes relating to patients' and relatives' satisfaction with the information and enhanced communication with other wards and health care professionals. The study also highlighted the need for more staff education in relation to patients and relatives needs when transferring to a ward. CONCLUSIONS: This study has demonstrated the value of providing patients and relatives with written information regarding transfer from intensive care units. Furthermore the study confirmed the feasibility and importance of including patients and relatives in the process of booklet development to ensure that their needs for information are being met. RELEVANCE TO CLINICAL PRACTICE: Providing written information as part of a structured discharge plan is recommended. It provides patients and relatives with a resource that they can refer to at any time and that enhances verbal communication. The purpose of this information is to inform and empower patients so that they are better prepared for the transfer and recovery period. SN - 0962-1067 AD - Specialist Liaison Nurse (Intensive Care), Ninewells Hospital, Dundee DD1 9SY, UK; fiona.paul@tuht.scot.nhs.uk U2 - PMID: 15009342. DO - 10.1046/j.1365-2702.2003.00876.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106744031&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106650123 T1 - A practical tool to reduce medication errors during patient transfer from an intensive care unit. AU - Pronovost P AU - Hobson DB AU - Earsing K AU - Lins ES AU - Rinke ML AU - Emery K AU - Berenholtz SM AU - Lipsett PA AU - Dorman T Y1 - 2004/01//2004 Jan N1 - Accession Number: 106650123. Language: English. Entry Date: 20041008. Revision Date: 20150711. Publication Type: Journal Article; forms; research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 9503754. KW - Electronic Health Records KW - Critical Care Nursing KW - Medication Errors -- Prevention and Control KW - Transfer, Intrahospital KW - Descriptive Statistics KW - Medication Errors -- Economics KW - Professional Compliance KW - Prospective Studies KW - Human SP - 26 EP - 33 JO - Journal of Clinical Outcomes Management JF - Journal of Clinical Outcomes Management JA - JCOM VL - 11 IS - 1 CY - Wayne, Pennsylvania PB - Turner White Communications AB - Objective: To decrease medication errors that occur during the transfer of patients from a surgical intensive care unit (ICU) by institution of a computerized medication reconciliation tool. Design: Prospective cohort study. Setting and participants: Patients admitted to a 16-bed surgical ICU in an academic medical center. Measurement: Proportion of medical records with at least 1 error identified. Secondary outcomes included compliance with the tool and number of medication orders changed. Results: Over the 1-year study period, 1455 medication reconciliation forms were completed. 636 medication orders were changed as a result of the medication form, and 299 (21 %) individual patients required at least 1 change. An average of 12.2 orders were changed per week, affecting an average of 6 patients per week. There was a high rate of compliance with the form. Conclusion: The implementation of a simple, inexpensive tool is associated with a decrease in medication errors that reach patients during transfer from a surgical ICU. SN - 1079-6533 AD - Johns Hopkins Medical Institution, 901 South Bond St, Ste 318, Baltimore, MD 21231; ppronovo@jhmi.edu UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106650123&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106103940 T1 - Pushing boundaries in paediatric intensive care: training as a paediatric retrieval nurse practitioner. AU - Davies J AU - Lynch F Y1 - 2007/03//Mar/Apr2007 N1 - Accession Number: 106103940. Language: English. Entry Date: 20070615. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9808649. KW - Critically Ill Patients KW - Intensive Care Units, Pediatric KW - National Health Programs -- United Kingdom KW - Nurse Practitioners -- Education KW - Pediatric Care -- Education KW - Transportation of Patients -- Education KW - Clinical Competence KW - Communication KW - Competency Assessment KW - Nursing Role KW - Prescriptive Authority KW - Program Development KW - Transfer, Discharge KW - United Kingdom SP - 74 EP - 80 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 12 IS - 2 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Traditionally in the UK, the transportation of the critically ill child to a paediatric intensive care unit has been carried out by a medically led team of doctors and nurses. However, in countries such as the USA and Canada, appropriately trained nurse practitioners have proven to be competent in the transportation of these vulnerable children. This nurse-led team model has also been shown to be successful in the speciality of neonatal care in the UK. The impact of changes in the National Health Service (NHS) has led to an increased demand for the transportation of the child requiring paediatric intensive or high-dependency care, the lifting of restrictions on nursing practice and the reduction of doctors' hours in keeping with the European Working Time Directive. This has led to one NHS Trust in the UK developing the role of paediatric retrieval nurse practitioners (RNP): nurses who lead the retrieval team. The purpose of this article is to describe a pilot initiative to develop the role of RNPs. The comprehensive process of recruitment, training and assessment of competency will be detailed. Personal reflection on the project will also explore the pertinent nursing issues around; role impact and definition, conflict and change management, communication, legislation and personal and professional growth. Recommendations for future initiatives will also be explored. SN - 1362-1017 U2 - PMID: 17883631. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106103940&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106698925 T1 - Intensive care liaison nurse service: implementation at a major metropolitan hospital. AU - Barbetti J AU - Choate K Y1 - 2003/05//2003 May N1 - Accession Number: 106698925. Language: English. Entry Date: 20040206. Revision Date: 20150820. Publication Type: Journal Article; case study; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9207852. KW - Critical Care Nursing KW - Nurse Liaison KW - Advanced Nursing Practice KW - Audit KW - Communication KW - Continuity of Patient Care KW - Hospitals KW - Interdepartmental Relations KW - Male KW - Nursing Outcomes -- Evaluation KW - Nursing Role KW - Program Evaluation KW - Program Implementation KW - Referral and Consultation KW - Tracheostomy KW - Transfer, Intrahospital KW - Victoria SP - 46 EP - 52 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 16 IS - 2 CY - New York, New York PB - Elsevier B.V. AB - In order to support nurses caring for acutely ill patients in general wards recently discharged from the intensive care unit (ICU), The Alfred Nursing Division introduced the role of the ICU liaison nurse (ICU LN). The ICU LN provides a follow up service to ICU patients discharged to the general ward and advanced clinical consultancy to nurses throughout the hospital. The hospital is a 350 bed major metropolitan facility offering services to a wide range of patients. Many of the patients require complex, advanced care. The ICU LN provides additional roving nursing support to assist in aspects of clinical nursing management of the acute patient. The service has been well received throughout the hospital. It is believed to have improved communication between the ICU and general wards, contributed to continuity in care from ICU to the ward and allowed early identification of patient deterioration and specialist medical intervention. This paper will describe the role of the ICU LN and report on the implementation of the service. The experiences in the first 12 months of this role at The Alfred will also be discussed. SN - 1036-7314 AD - ICU Liaison Nurse, The Alfred Hospital ICU, Prahan, Vic UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106698925&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106937206 T1 - Intensive care air transport: the sky is the limit; or is it? AU - Dillard TA AU - Dragiciu H Y1 - 2001/11//2001 Nov N1 - Accession Number: 106937206. Language: English. Entry Date: 20020705. Revision Date: 20150711. Publication Type: Journal Article; commentary; editorial. Original Study: Lawless N, Tobias S, Mayorga MA. Fio2 and positive end-expiratory pressure as compensation for altitude-induced hypoxemia in an acute respiratory distress syndrome model: implications for air transportation of critically ill patients. Crit Care Med 2001; 29: 2149-55. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0355501. KW - Aeromedical Transport KW - Respiratory Distress Syndrome, Acute KW - Transportation of Patients KW - Critical Care KW - Altitude KW - Swine KW - Positive Pressure Ventilation SP - 2227 EP - 2230 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 29 IS - 11 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0090-3493 U2 - PMID: 11700432. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106937206&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103982512 T1 - The impact of teamwork training on clinical practice and patient health...Jt Comm J Qual Patient Saf. 2010 Mar;36(3):133-42; Anaesth Intensive Care. 2006 Apr;34(2):228-36 AU - Mileder, Lukas P AU - Schmölzer, Georg M Y1 - 2014/08// N1 - Accession Number: 103982512. Language: English. Entry Date: 20141017. Revision Date: 20150710. Publication Type: Journal Article; commentary; letter. Journal Subset: Biomedical; USA. NLM UID: 0267200. KW - Critical Illness KW - Operating Room Personnel KW - Multidisciplinary Care Team -- Administration KW - Risk Management -- Methods KW - Transportation of Patients -- Standards KW - Female KW - Male SP - e29 EP - e29 JO - American Journal of Medicine JF - American Journal of Medicine JA - AM J MED VL - 127 IS - 8 PB - Excerpta Medica Publishing Group SN - 0002-9343 AD - Clinical Skills Center, Department of Pediatrics and Adolescence Medicine, Medical University of Graz, Graz, Austria; Division of Neonatology, Department of Pediatrics and Adolescence Medicine, Medical University of Graz, Graz, Austria. AD - Division of Neonatology, Department of Pediatrics and Adolescence Medicine, Medical University of Graz, Graz, Austria; Department of Pediatrics, University of Alberta, Edmonton, Canada; Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, Canada. U2 - PMID: 25107398. DO - 10.1016/j.amjmed.2014.02.041 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103982512&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107062094 T1 - From unit to unit: Danish nurses' experiences of transfer of a small child to and from an intensive care unit. AU - Hall EOC Y1 - 2001/08//2001 Aug N1 - Accession Number: 107062094. Language: English. Entry Date: 20011026. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Grant Information: Funded by a scholarship from the Danish National Health Research Foundation. NLM UID: 9211274. KW - Transfer, Intrahospital -- In Infancy and Childhood -- Denmark KW - Pediatric Nursing -- Denmark KW - Pediatric Critical Care Nursing -- Denmark KW - Child KW - Qualitative Studies KW - Life Experiences KW - Convenience Sample KW - Phenomenological Research KW - Exploratory Research KW - Denmark KW - Academic Medical Centers KW - Semi-Structured Interview KW - Thematic Analysis KW - Audiorecording KW - Adult KW - Middle Age KW - Male KW - Female KW - Funding Source KW - Human SP - 196 EP - 205 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 17 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - In this study, Danish nurses' lived experience of transfer of a small child to and from the intensive care unit was explored. While there has been considerable research that has addressed transfer from the parents' perspective, little literature was found which addressed the transfer of small children from the nurses' perspective. A convenience sample of 19 nurses was interviewed once. Data were analysed following Spiegelberg's and Van Manen's phenomenological methodologies. Four themes emerged: being accountable; being supportive to the parents; being with the child; and experiencing safety and insecurity. Seven subthemes expanded and clarified the meaning of these themes. The study provides a thematic interpretation of how Danish nurses experience in-hospital transfers. Overall, the nurses were responsible to the transferred patient, the unhappy and worried parents, for technical procedures and the hospital team `at home' on their own unit. However, responsibilities did not always include their colleagues on the receiving unit. It is recommended that transfer experiences be discussed more in clinical nursing, and that this explorative study needs to be followed by more studies exploring nurses' experiences of transfer. Copyright 2001 Harcourt Publishers Ltd SN - 0964-3397 AD - Institute of Nursing Science, Faculty of Health Sciences, University of Aarhus, Hoegh Guldbergsgade, 8000 Aarhus C, Denmark. E-mail: eh@nursingscience.au.dk U2 - PMID: 11868727. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107062094&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107056514 T1 - Transfer anxiety: preparing to leave intensive care. AU - Coyle MA Y1 - 2001/06//2001 Jun N1 - Accession Number: 107056514. Language: English. Entry Date: 20011005. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Critically Ill Patients KW - Anxiety KW - Transfer, Intrahospital KW - Inpatients SP - 138 EP - 143 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 17 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - There is much literature to substantiate the inadvertent emotional and psychological trauma associated with critical care areas. However, alongside this, there is a growing body of knowledge to show that these intense and specialized areas are actually perceived as secure, safe and familiar environments by some patients and family members. Transfer from the intensive care unit is not always perceived in a positive light and often the transition is dreaded by both the patient and his family. The evidence would suggest that discharge from specialized care environments can actually be as traumatic as admission. This phenomenon has become known as transfer anxiety, relocation anxiety, or translocation anxiety. There is the possibility that transfer may induce stress or distress in some patients, especially when routines, environments and/or invasive monitoring procedures are altered or ceased without prior knowledge, preparation or adequate explanation. If healthcare personnel fail to identify and meet the psychological needs of patients and families relocating from these areas, the detrimental effects may extend far beyond discharge from ICU. For relocating patients, transfer from the ICU can be presented as a positive step. However, treatment to minimize transfer anxiety will only be successful when all healthcare personnel recognize and react positively to the psychological factors that affect patients adversely. Copyright 2001 Harcourt Publishers Ltd SN - 0964-3397 AD - Staff Nurse, Intensive Care, Altnagelvin Hospital, Londonderry, Northern Ireland, UK. E-mail: wilmin6@yahoo.com U2 - PMID: 11868684. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107056514&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106295928 T1 - Continuous renal replacement therapy in the adult intensive care unit: history and current trends. AU - Dirkes S AU - Hodge K Y1 - 2007/04// N1 - Accession Number: 106295928. Language: English. Entry Date: 20070601. Revision Date: 20150818. Publication Type: Journal Article; CEU; exam questions; pictorial; review; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Continuous Renal Replacement Therapy -- Adverse Effects KW - Continuous Renal Replacement Therapy -- Classification KW - Continuous Renal Replacement Therapy -- Nursing KW - Critical Care Nursing KW - Kidney Failure, Acute -- Therapy KW - Anticoagulants KW - Citrates KW - Continuous Arteriovenous Hemofiltration KW - Continuous Venovenous Hemodiafiltration KW - Continuous Venovenous Hemodialysis KW - Continuous Venovenous Hemofiltration KW - Critically Ill Patients KW - Dialysis Membranes KW - Dialysis Solutions KW - Education, Continuing (Credit) KW - Embolism, Air KW - Fluid-Electrolyte Balance KW - Hemodialysis KW - Heparin KW - Hypothermia KW - Inpatients KW - Intensive Care Units KW - Isotonic Solutions KW - Nursing Assessment KW - Slow Continuous Ultrafiltration KW - Sodium Chloride KW - Transportation of Patients SP - 61 EP - 81 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 27 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - The authors review treatment of acute renal failure in critically ill patients, indications for intermittent hemodialysis and continuous renal replacement therapy, and the use of other variations of this therapy currently under investigation. SN - 0279-5442 AD - NxStage Medical, Lawrence, Mass. U2 - PMID: 17389414. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106295928&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106408276 T1 - Improving transfer from intensive care for families and nurses by using a structured individualized format...Nursing abstracts from the 2nd Conference of the World Federation of Critical Care Nurses AU - Mitchell ML Y1 - 2005/06// N1 - Accession Number: 106408276. Language: English. Entry Date: 20060310. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. KW - Family -- Education KW - Hospital Units KW - Intensive Care Units KW - Transfer, Discharge -- Methods KW - Consumer Satisfaction KW - Print Materials KW - Questionnaires KW - Transfer, Discharge -- Education KW - Human SP - 1p EP - 1p JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 4 IS - 2 PB - World Federation of Critical Care Nurses (WFCCN) AB - 34028 SN - 1748-6254 AD - Griffith University UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106408276&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104178577 T1 - Screening for congenital hypothyroidism in newborns transferred to neonatal intensive care. AU - Korzeniewski, Steven J AU - Kleyn, Mary AU - Young, William I AU - Chaiworapongsa, Tinnakorn AU - Schwartz, Alyse G AU - Romero, Roberto Y1 - 2013/07// N1 - Accession Number: 104178577. Language: English. Entry Date: 20130830. Revision Date: 20161119. Publication Type: journal article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Special Interest: Pediatric Care. Grant Information: ZIA HD002400-22//Intramural NIH HHS/United States. NLM UID: 9501297. KW - Hypothyroidism -- Diagnosis KW - Intensive Care Units, Neonatal KW - Neonatal Assessment -- Methods KW - Thyrotropin -- Blood KW - Prospective Studies KW - Hypothyroidism -- Metabolism KW - Human KW - Infant, Newborn KW - Michigan KW - Practice Guidelines KW - Predictive Value of Tests KW - Retrospective Design KW - Thyrotropin -- Metabolism KW - Time Factors SP - F310 EP - 5 JO - Archives of Disease in Childhood -- Fetal & Neonatal Edition JF - Archives of Disease in Childhood -- Fetal & Neonatal Edition JA - ARCH DIS CHILD FETAL NEONAT ED VL - 98 IS - 4 PB - BMJ Publishing Group AB - Objective: To evaluate the effectiveness of four dried blood spot testing protocols used in newborn screening for congenital hypothyroidism (CH) among newborns transferred to the neonatal intensive care unit (NICU).Design, Setting and Patients: Michigan newborns transferred to the NICU from 1998 to 2011 and screened for CH are included in this population-based retrospective cohort study.Main Outcome Measures: Screening performance metrics are computed and logistic regression is used to test for differences in the likelihood of detection across four periods characterised by different testing protocols.Results: Primary thyrotropin (TSH) plus retest at 30 days of life or discharge achieved the greatest detection rate (2.6: 1000 births screened). The odds of detection was also significantly greater in this period compared with the tandem thyroxine (T4) and TSH testing period and separately compared with TSH testing alone, adjusted for birth weight, sex and race (OR 1.5; CI 1.0 to 2.2; p=0.046, and OR 2.2; CI 1.5 to 3.4, respectively). Approximately half of the cases detected during primary TSH plus serial testing periods were identified by retest.Conclusions: Primary TSH testing programmes that do not incorporate serial screening may fail to identify approximately half of newborns with congenital thyroid hormone deficiency transferred to the NICU. Tandem T4 and TSH testing programmes also likely miss cases who otherwise would receive treatment if serial testing were conducted. Further research is necessary to determine the optimal newborn screening protocol for CH; strategies combining tandem T4 and TSH with serial testing conditional on birthweight may be useful. SN - 1359-2998 AD - Director, Perinatal Epidemiology Unit, Perinatology Research Branch (NICHD/NIH), Assistant Professor, Department of Obstetrics & Gynecology, Wayne State University School of Medicine, Hutzel Women's Hospital, 4 Brush-Office 4817, 3990 John R., Detroit, MI 48201, USA; sKorzeni@med.wayne.edu. U2 - PMID: 23183553. DO - 10.1136/archdischild-2012-302192 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104178577&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104716609 T1 - Does optimizing oxygen transport improve outcome in intensive care patients? AU - Brazzi, L AU - Gattinoni, L Y1 - 1998/12// N1 - Accession Number: 104716609. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0372541. KW - Critical Care -- Methods KW - Oxygen -- Administration and Dosage KW - Oxygen Consumption KW - Hemodynamics SP - 46 EP - 49 JO - BJA: The British Journal of Anaesthesia JF - BJA: The British Journal of Anaesthesia JA - BR J ANAESTH VL - 81 IS - 6 PB - Oxford University Press / USA SN - 0007-0912 AD - Department of Anaesthesia and Intensive Care, University of Milan, Italy. U2 - PMID: 10318988. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104716609&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107192934 T1 - Use of flexible intermediate and intensive care to reduce multiple transfers of patients...CE Online AU - Besserman E AU - Teres D AU - Logan A AU - Brennan M AU - Cleaves S AU - Bayly R AU - Brochis D AU - Nemeth B AU - Grare J AU - Ngo D Y1 - 1999/05//1999 May N1 - Accession Number: 107192934. Language: English. Entry Date: 19990601. Revision Date: 20150819. Publication Type: Journal Article; CEU; statistics; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9211547. KW - Transfer, Intrahospital KW - Ventilator Patients KW - Hospital Units KW - Critical Care KW - Subacute Care KW - Education, Continuing (Credit) KW - Hospitals, Community -- New Jersey KW - New Jersey KW - Mortality KW - Length of Stay KW - Cost Savings KW - Quality Improvement KW - Record Review KW - Medical Records KW - Inpatients SP - 170 EP - 179 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 8 IS - 3 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - OBJECTIVE: To test an alternative flexible approach to traditional fixed intermediate and intensive care to minimize transfers of patients. METHODS: Patients admitted to a 28-bed nursing unit with intermediate care potential and a 12-bed intensive care unit at a 300-bed teaching community hospital were studied. The group included 524 patients with a discharge diagnosis code for mechanical ventilation. During eight 3-week cycles, 1073 transfers of patients were tabulated. A plan-do-study-act method was used to improve weaning from mechanical ventilation and reduce the number of inappropriate days in intensive care. Admissions and transfers to the 2 units for all patients during the eight 3-week cycles were compared over time. Length of stay and mortality were noted for all patients treated with conventional and noninvasive ventilation. RESULTS: Direct admissions to the flexible intermediate unit increased with no overall change in admissions to the intensive care unit. Fewer patients needed conventional ventilation, and more in both units were treated with noninvasive ventilation. The median number of transfers per patient treated with mechanical ventilation decreased from 1.94 to 1.20. Length of stay and mortality also decreased among such patients. Some cost savings were attributable to the decrease in the number of transfers. Transfers out of the hospital directly from the intensive care unit increased from 2.24% to 4.43%. CONCLUSIONS: In a community teaching hospital, flexible care policies decreased the number of in-hospital transfers of patients treated with mechanical ventilation. SN - 1062-3264 AD - Department of Critical Care, Muhlenberg Regional Medical Center, Plainfield, NJ U2 - PMID: 10228658. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107192934&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107213488 T1 - Issues in administration. Patients' and family members' perceptions of transfer from intensive care. AU - Leith BA Y1 - 1999/05//1999 May-Jun N1 - Accession Number: 107213488. Language: English. Entry Date: 19991001. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0330057. KW - Patient Satisfaction KW - Transfer, Intrahospital -- Psychosocial Factors KW - Critical Care -- Psychosocial Factors KW - Inpatients -- Psychosocial Factors KW - Anxiety KW - Stress, Psychological KW - Family -- Psychosocial Factors KW - Descriptive Research KW - Surveys KW - Cross Sectional Studies KW - Convenience Sample KW - Nursing Theory KW - Retrospective Design KW - Interviews KW - Content Analysis KW - Quality of Health Care KW - Mishel Uncertainty in Illness Theory KW - Critical Care Nursing KW - Inpatients KW - Human SP - 210 EP - 218 JO - Heart & Lung JF - Heart & Lung JA - HEART LUNG VL - 28 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - OBJECTIVE: To describe patients' and family members' perceptions of transfer from an intensive care unit (ICU). DESIGN: Qualitative component of a descriptive, cross-sectional survey. SETTING: Two university-affiliated tertiary care centres in western Canada. PARTICIPANTS: Fifty-three patients and 35 family members who had been transferred from a medical ICU within the previous 48 hours. MEASURES: Content analysis of responses to 3 open-ended questions relating to transfer from the ICU. RESULTS: Patients and family members had 3 major responses of transfer from the ICU: positive, neutral or ambivalent, and negative. Although some patients and family members perceived the transfer from the ICU as a sign of progress, many individuals expressed concern about the sudden and dramatic change in the level of care after transfer. CONCLUSION: Patients and family members perceived the transfer from the ICU as a significant and sometimes negative event. SN - 0147-9563 AD - Montreal Neurological Hospital, Intensive Care Unit, 3801 University St, Montreal, Quebec H3A 2B4, Canada U2 - PMID: 10330217. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107213488&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106275927 T1 - Unplanned transport events and severity of illness: are we conveying the whole picture?...Yeager SB, Horbar JD, Greco KM et al. Pretransport and posttransport characteristics and outcomes of neonates who were admitted to a cardiac intensive care unit. Pediatrics. 2006;118:1070-1077 AU - Kuch BA AU - Munoz R AU - Orr RA AU - Watson RS AU - Yeager SB AU - Laussen PC Y1 - 2007/03// N1 - Accession Number: 106275927. Language: English. Entry Date: 20070504. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter; response. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0376422. KW - Heart Defects, Congenital -- Therapy KW - Intensive Care Units, Neonatal KW - Transportation of Patients KW - Infant, Newborn KW - Severity of Illness KW - Respiration, Artificial -- Utilization SP - 648 EP - 650 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 119 IS - 3 CY - Chicago, Illinois PB - American Academy of Pediatrics SN - 0031-4005 U2 - PMID: 17332223. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106275927&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106307684 T1 - National Consensus Conference. The rehabilitation management of traumatic brain injury patients during the acute phase: criteria for referral and transfer from intensive care units to rehabilitative facilities (Modena June 20-21, 2000) AU - Taricco M AU - De Tanti A AU - Boldrini P AU - Gatta G Y1 - 2006/03//2006 Mar N1 - Accession Number: 106307684. Language: English. Entry Date: 20060728. Revision Date: 20150820. Publication Type: Journal Article; practice guidelines; tables/charts. Journal Subset: Allied Health; Continental Europe; Double Blind Peer Reviewed; Europe; Peer Reviewed. NLM UID: 0071035. KW - Brain Injuries -- Rehabilitation KW - Acute Care -- Standards KW - Referral and Consultation -- Standards KW - Transfer, Discharge -- Standards KW - Congresses and Conferences -- Italy KW - Italy KW - Intensive Care Units KW - Rehabilitation Centers KW - Brain Injuries -- Classification KW - Functional Status -- Classification KW - Family Centered Care SP - 73 EP - 84 JO - Europa Medicophysica JF - Europa Medicophysica JA - EUROPA MEDICOPHYSICA VL - 42 IS - 1 PB - Edizioni Minerva Medica SN - 0014-2573 AD - Functional Recovery and Rehabilitation Unit, Passirana di Rho (Milan), Italy U2 - PMID: 16565689. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106307684&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106252525 T1 - Management of patients with metastatic malignancy in the intensive care unit. AU - Marik PE Y1 - 2006/12//Dec2006/Jan2007 N1 - Accession Number: 106252525. Language: English. Entry Date: 20070316. Revision Date: 20150711. Publication Type: Journal Article. Supplement Title: Dec2006/Jan2007. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9008229. KW - Cancer Patients KW - Intensive Care Units KW - Terminal Care KW - Neoplasm Metastasis KW - Physicians -- Ethical Issues KW - Transfer, Intrahospital SP - 479 EP - 482 JO - American Journal of Hospice & Palliative Medicine JF - American Journal of Hospice & Palliative Medicine JA - AM J HOSP PALLIAT MED VL - 23 IS - 6 CY - Thousand Oaks, California PB - Sage Publications Inc. SN - 1049-9091 AD - Professor of Medicine, Chief of Pulmonary and Critical Care Medicine, Thomas Jefferson University, 1015 Chestnut St, Suite M100, Philadelphia, PA 19107 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106252525&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106365709 T1 - Pretransport and posttransport characteristics and outcomes of neonates who were admitted to a cardiac intensive care unit. AU - Yeager SB AU - Horbar JD AU - Greco KM AU - Duff J AU - Thiagarajan RR AU - Laussen PC Y1 - 2006/09// N1 - Accession Number: 106365709. Language: English. Entry Date: 20061124. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Instrumentation: Risk Adjustment for Congenital Heart Surgery-1 scale. Grant Information: Supported in part by the Rochelle E. Rose Fund and the Champlain Valley Area Health Education Center. NLM UID: 0376422. KW - Heart Defects, Congenital KW - Intensive Care Units, Neonatal KW - Transportation of Patients KW - Chi Square Test KW - Female KW - Funding Source KW - Infant, Newborn KW - Length of Stay KW - Male KW - Mann-Whitney U Test KW - Massachusetts KW - Patient Admission KW - Retrospective Design KW - Scales KW - Treatment Outcomes KW - Respiration, Artificial -- Utilization KW - Human SP - 1070 EP - 1077 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 118 IS - 3 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - OBJECTIVE: The objective for this study was to characterize the impact and the safety of transporting neonates with known or suspected cardiac abnormalities. METHODS: We reviewed retrospectively the charts and computerized records of 192 admissions to a cardiac ICU in 2002. Patients were included when they were < 28 days of age at admission and were transported from adjacent obstetric facilities (local N = 70) or other inpatient medical facilities (transport N = 122). Demographic, clinical, pharmacologic, laboratory, and diagnostic information was obtained before transport (when available) and within 3 hours of arrival. Arrival status was considered optimal when measured metabolic and clinical parameters all were within range. Outcome variables included days on ventilator, days in ICU, days in hospital, and death. RESULTS: Of local admissions, 31 (44%) patients had 61 suboptimal arrival values, including pH < 7.25 (n = 11), saturation < 70% (n = 12), and temperature < 36 degrees C (n = 9). There were 69 undocumented values in 39 patients. Of transported patients, 55 (45%) had 86 suboptimal arrival values, including pH < 7.25 (n = 8), saturation < 70% (n = 14), and temperature < 36 degrees C (n = 13). There were 98 undocumented values in 53 patients. No in-transport deaths or catastrophic events occurred. Local admissions were more likely to have a prenatal diagnosis of heart disease and had more complex disease and higher mortality. Other outcome parameters were not significantly different between the 2 groups. Low admission arterial saturation, pH, and core temperature were not correlated with adverse outcome measures. CONCLUSIONS: Although we did not encounter major transport complications, opportunities exist to optimize arrival status and improve surveillance and documentation. SN - 0031-4005 AD - Department of Pediatrics, University of Vermont School of Medicine, Burlington, Vermont 05401, USA. scott.yeager@vtmednet.org U2 - PMID: 16951000. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106365709&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106367658 T1 - Intensive care and beyond: improving the transitional experiences for critically ill patients and their families. AU - Chaboyer W Y1 - 2006/08// N1 - Accession Number: 106367658. Language: English. Entry Date: 20061201. Revision Date: 20150820. Publication Type: Journal Article; editorial; statistics; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Critical Care KW - Critically Ill Patients KW - Family KW - Transfer, Intrahospital KW - Advanced Nursing Practice KW - Caregiver Burden KW - Continuity of Patient Care KW - Health Status KW - Nurse Liaison KW - Research, Nursing KW - Survivors SP - 187 EP - 193 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 22 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0964-3397 U2 - PMID: 16782338. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106367658&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107271689 T1 - Patient transport from intensive care increases the risk of developing ventilator-associated pneumonia. AU - Kollef MH AU - Von Harz B AU - Prentice D AU - Shapiro SD AU - Silver P AU - St. John R AU - Trovillion E Y1 - 1997/09//1997 Sep N1 - Accession Number: 107271689. Language: English. Entry Date: 19980701. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Acute Physiology and Chronic Health Evaluation II (APACHE II). Grant Information: Supported by a grant from BJC Innovations in Healthcare. Dr. Kollef was supported by a grant from the American Lung Association of Eastern Missouri. NLM UID: 0231335. KW - Intensive Care Units KW - Transportation of Patients KW - Pneumonia, Bacterial -- Etiology KW - Respiration, Artificial -- Adverse Effects KW - Cross Infection -- Etiology KW - Apache KW - Clinical Assessment Tools KW - Aerosols KW - Hospital Mortality KW - Intubation, Intratracheal KW - Outcomes (Health Care) KW - Risk Factors KW - Prospective Studies KW - Confidence Intervals KW - Odds Ratio KW - Two-Tailed Test KW - T-Tests KW - Wilcoxon Rank Sum Test KW - Chi Square Test KW - Fisher's Exact Test KW - Relative Risk KW - Multiple Logistic Regression KW - Data Analysis Software KW - Adolescence KW - Adult KW - Middle Age KW - Aged KW - Aged, 80 and Over KW - Female KW - Male KW - Funding Source KW - Human SP - 765 EP - 773 JO - CHEST JF - CHEST JA - CHEST VL - 112 IS - 3 CY - Glenview, Illinois PB - American College of Chest Physicians AB - STUDY OBJECTIVE: To determine whether patient transport out of the ICU is associated with an increased risk of developing ventilator-associated pneumonia. DESIGN: Prospective cohort study. SETTING: ICUs of Barnes-Jewish Hospital, a university-affiliated teaching hospital. PATIENTS: Five hundred twenty-one ICU patients requiring mechanical ventilation for > 12 h. INTERVENTION: Prospective patient surveillance and data collection. MEASUREMENTS AND RESULTS: The primary outcome measure was the development of ventilator-associated pneumonia. A total of 273 (52.4%) mechanically ventilated patients required at least one transport out of the ICU while 248 (47.6%) patients did not undergo transport. Sixty-six (24.2%) of the transported patients developed ventilator-associated pneumonia compared with 11 (4.4%) patients in the group not undergoing transport (relative risk=5.5; 95% confidence interval [CI]=2.9 to 10.1; p<0.001). Multiple logistic regression analysis demonstrated that a preceding episode of transport out of the ICU was independently associated with the development of ventilator-associated pneumonia (adjusted odds ratio=3.8; 95% CI=2.6 to 5.5; p<0.001). Other variables independently associated with the development of ventilator-associated pneumonia included reintubation, presence of a tracheostomy, administration of aerosols, and male gender. CONCLUSIONS: We conclude that patient transport out of the ICU is associated with an increased risk for the development of ventilator-associated pneumonia. SN - 0012-3692 AD - Pulmonary and Critical Care Division, Department of Medicine, Washington University School of Medicine, St. Louis U2 - PMID: 9315813. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107271689&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104841398 T1 - Letters to the editor...Barrows EL, Lutman DH, Montgomery MA, et al. Effect of patient- and team-related factors on stabilization time during pediatric intensive care transport. Pediatr Crit Care Med 2010; 11:451-456 AU - Crowe, Suzanne AU - Tan, Karen AU - Ramnarayan, Padmanabhan AU - Borrows, Emma L. AU - Montgomery, Mary AU - Lutman, Daniel AU - Petros, Andy Y1 - 2011/03//2011 Mar N1 - Accession Number: 104841398. Language: English. Entry Date: 20110422. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter; response. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 100954653. KW - Critical Care -- Evaluation KW - Transportation of Patients KW - Adolescence KW - Child KW - Child, Preschool KW - Critically Ill Patients KW - Infant KW - Infant, Newborn KW - Study Design SP - 242 EP - 243 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 12 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1529-7535 DO - 10.1097/PCC.0b013e3181fe44cb UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104841398&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106646982 T1 - Ensuring a successful discharge from intensive care. AU - Ball C Y1 - 2005/02//2005 Feb N1 - Accession Number: 106646982. Language: English. Entry Date: 20050617. Revision Date: 20150820. Publication Type: Journal Article; editorial. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Critically Ill Patients KW - Transfer, Intrahospital KW - Intensive Care Units SP - 1 EP - 4 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 21 IS - 1 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0964-3397 U2 - PMID: 15681211. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106646982&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108089261 T1 - Patients transferred to the intensive care unit within 24 hours of admission to a hospital room have high risk of dying. AU - K.B. Y1 - 2012/12// N1 - Accession Number: 108089261. Language: English. Entry Date: 20130111. Revision Date: 20150712. Publication Type: Journal Article; brief item. Journal Subset: Biomedical; USA. Special Interest: Critical Care. NLM UID: 9102229. KW - Critically Ill Patients KW - Hospital Mortality -- Risk Factors KW - Intensive Care Units KW - Patient Admission KW - Transfer, Intrahospital SP - 6 EP - 7 JO - AHRQ Research Activities JF - AHRQ Research Activities JA - RES ACTIVITIES IS - 388 CY - Rockville, Maryland PB - Agency for Healthcare Research & Quality SN - 1537-0224 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108089261&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107364677 T1 - Mobile paediatric intensive care: the ethos of transferring critically ill children. AU - Britto J AU - Nadel S AU - Levin M AU - Habibi P Y1 - 1995/11//1995 Nov-Dec N1 - Accession Number: 107364677. Language: English. Entry Date: 19960401. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9114927. KW - Transportation of Patients -- In Infancy and Childhood KW - Critical Care -- In Infancy and Childhood KW - Airway Management -- In Infancy and Childhood KW - Time Factors KW - Infant KW - Child, Preschool KW - Child SP - 235 EP - 238 JO - Care of the Critically Ill JF - Care of the Critically Ill JA - CARE CRIT ILL VL - 11 IS - 6 CY - London, PB - Nature Publishing Group SN - 0266-0970 AD - St Mary's Hospital, Paddington, London UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107364677&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106959973 T1 - Paediatric intensive care transport. AU - Macrae DJ AU - Macrae, D J Y1 - 1994/08// N1 - Accession Number: 106959973. Language: English. Entry Date: 20020913. Revision Date: 20170414. Publication Type: journal article; tables/charts. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0372434. KW - Critical Illness -- In Infancy and Childhood KW - Intensive Care Units, Pediatric KW - Transfer, Intrahospital KW - Aeromedical Transport KW - Airway Management KW - Checklists KW - Monitoring, Physiologic KW - Infant, Newborn KW - Infant KW - Child, Preschool KW - Child SP - 175 EP - 178 JO - Archives of Disease in Childhood JF - Archives of Disease in Childhood JA - ARCH DIS CHILD VL - 71 IS - 2 PB - BMJ Publishing Group SN - 0003-9888 AD - Paediatric Intensive Care Unit, Hospital for Sick Children, London AD - Paediatric Intensive Care Units, Hospital for Sick Children, Great Ormond Street, London WC1N 3JH U2 - PMID: 7944547. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106959973&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107329781 T1 - How to transfer a postoperative patient to the intensive care unit. AU - Nearman HS AU - Popple CG Y1 - 1995/04//1995 Apr N1 - Accession Number: 107329781. Language: English. Entry Date: 19970701. Revision Date: 20150711. Publication Type: Journal Article; forms. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 8608118. KW - Postoperative Period KW - Transfer, Intrahospital KW - Intensive Care Units KW - Surgical Patients SP - 275 EP - 280 JO - Journal of Critical Illness JF - Journal of Critical Illness JA - J CRIT ILLN VL - 10 IS - 4 CY - Greenwich, Connecticut PB - Cliggott Publishing Company T3 - Critical Procedures: Number 109 AB - Postoperative intensive care is often required for patients who have underlying cardiac or respiratory dysfunction, who undergo major surgery, or who experience major perioperative complications. The initial report should list the patient's intravenous lines, catheters, and surgical drains or tubes, as well as whether ventilation is needed; this allows the intensive care unit (ICU) staff to set up appropriate equipment. On the patient's arrival in the ICU, document the medical history, anesthetics given, surgery performed, and intraoperative events. Perform an organ system review with ongoing assessment at 15-minute intervals. Residual effects of anesthetic agents can include respiratory depression, hypotension, and bradycardia. SN - 1040-0257 AD - University Hospitals of Cleveland U2 - PMID: 10150500. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107329781&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106829133 T1 - Psychiatric nurses' views on criteria for psychiatric intensive care: acute and intensive care staff compared. AU - Bowers L AU - Crowhurst N AU - Alexander J AU - Eales S AU - Guy S AU - McCann E Y1 - 2003/02// N1 - Accession Number: 106829133. Language: English. Entry Date: 20030509. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0400675. KW - Critical Care KW - Nurse Attitudes -- Evaluation -- England KW - Patient Admission KW - Psychiatric Care KW - Psychiatric Nursing KW - Checklists KW - Chi Square Test KW - Comparative Studies KW - Content Analysis KW - Convenience Sample KW - Descriptive Research KW - Descriptive Statistics KW - England KW - Fisher's Exact Test KW - Mann-Whitney U Test KW - Referral and Consultation KW - Self-Injurious Behavior KW - Structured Interview KW - Transfer, Intrahospital KW - Violence KW - Human SP - 145 EP - 152 JO - International Journal of Nursing Studies JF - International Journal of Nursing Studies JA - INT J NURS STUD VL - 40 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - AIM: To explore and investigate differences between the views of qualified nurses working in psychiatric intensive care units (PICUs) and acute care wards on which patients are appropriate for PICU care. BACKGROUND: Previous research on the area of psychiatric intensive care highlights the great differences that exist in all aspects of service provision, from unit size and staffing levels to treatment approaches and physical environment. One of the most common areas of controversy is the type of client behaviour that warrants admission to the PICU. METHOD: Structured interviews of 100 qualified nursing staff (in the London area, England) working on either acute or PICU wards were used to gather data on appropriate and inappropriate referral to PICUs. Comments made during the course of the interviews were also collected and subjected to content analysis. FINDINGS: There was evidence to support the hypothesis that acute ward staff considered patients suitable for PICU care at a lower level of risk than PICU staff thought appropriate. In comparison to acute ward nurses, those working in PICUs attended to a broader range of factors when considering suitability for admission to PICU. Appropriate reasons for transfer fell into five groups: risk to others; risk of intentional harm to self; risk of unintentional harm to self; therapeutic benefit from the PICU environment; and legitimate acute ward care problem. Inappropriate reasons for transfer fell into four groups: low risk to others and/or self; illegitimate acute admission care problems; patient belongs elsewhere; policy issues. CONCLUSION: The study opens up a range of issues not previously studied in relation to the use of PICUs and the intricate relationship of this use with the available acute care wards and other services. These findings and their implications for the care of acute and disturbed psychiatric patients are discussed. SN - 0020-7489 AD - St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London E1 2EA, UK; l.bowers@city.ac.uk U2 - PMID: 12559138. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106829133&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107122043 T1 - Mobile workstation for anaesthesia and intensive-care medicine. AU - Holst D AU - Rudolph P AU - Wendt M Y1 - 2000/04/22/ N1 - Accession Number: 107122043. Language: English. Entry Date: 20000701. Revision Date: 20171106. Publication Type: Journal Article. Journal Subset: Biomedical; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 2985213R. KW - Monitoring, Physiologic -- Equipment and Supplies KW - Transportation of Patients KW - Anesthesia Equipment and Supplies KW - Critical Care KW - Portable Equipment KW - Equipment Design SP - 1431 EP - 1432 JO - Lancet JF - Lancet JA - LANCET VL - 355 North American Edition IS - 9213 CY - Philadelphia, Pennsylvania PB - Lancet SN - 0099-5355 U2 - PMID: 10791532. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107122043&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106888121 T1 - Patient on display -- a study of everyday practice in intensive care. AU - Wikström A AU - Larsson US Y1 - 2003/08/15/ N1 - Accession Number: 106888121. Language: English. Entry Date: 20050425. Revision Date: 20150819. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Grant Information: Swedish Council for Working Life DNR 1998-0079, University of Trollhättan/Uddevalla. NLM UID: 7609811. KW - Critical Care Nursing -- Sweden KW - Interprofessional Relations -- Sweden KW - Clinical Nursing Research KW - Communication KW - Convenience Sample KW - Credibility (Research) KW - Critical Care -- Equipment and Supplies KW - Data Analysis KW - Field Notes KW - Funding Source KW - Intensive Care Units KW - Naturalistic Inquiry KW - Participant Observation KW - Physicians KW - Practical Nurses KW - Qualitative Studies KW - Registered Nurses KW - Sweden KW - Transfer, Intrahospital KW - Human SP - 376 EP - 383 JO - Journal of Advanced Nursing JF - Journal of Advanced Nursing JA - J ADV NURS VL - 43 IS - 4 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - BACKGROUND: This study investigates the situated organization in a workplace producing intensive care, that is an intensive care unit (ICU). The workplace research tradition concerns work and interaction/communication in technology-intensive environments. Communication is seen as social action and cannot be separated from production or from the context in which the activities are situated. AIM: The aim of the present study was to explore how intensive care is produced by analysing a recurrent situated activity in the ICU, namely the delivery and reception of a patient coming from the operation unit. METHOD: In the fieldwork, participant observations was used to study everyday practice in an ICU, combined with written field notes. FINDINGS AND DISCUSSION: Intensive care is to a great extent produced through routine practices. The division of labour is marked and is taken for granted: everyone knows what to do. The actors' physical location in the room is connected to their functions and work with supportive tools. Verbal reports, visual displays and activities make the information transmission available to everyone in the patient room. Shared understanding of the situation seems to make words redundant when the activities of competent actors are co-ordinated. There is also coordination between the actors in the ICU and the technological equipment, which constantly produces new information that must be interpreted. Enrolled Nurses are physically closest to the patients, the physician is the one most physically distant from patients and Registered Nurses bridge the gap between them. These actors produce and re-produce intensive care through constant sense-making in the here and now at the same time as the past is present in their activities. SN - 0309-2402 U2 - PMID: 12887356. DO - 10.1046/j.1365-2648.2003.02726.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106888121&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106851596 T1 - Acquisition of methicillin-resistant Staphylococcus aureus in a large intensive care unit. AU - Marshall C AU - Harrington G AU - Wolfe R AU - Fairley CK AU - Wesselingh S AU - Spelman D Y1 - 2003/05//2003 May N1 - Accession Number: 106851596. Language: English. Entry Date: 20030725. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8804099. KW - Methicillin Resistance KW - Staphylococcal Infections -- Risk Factors KW - Staphylococcal Infections -- Epidemiology KW - Intensive Care Units KW - Cross Infection KW - Bacterial Colonization KW - Infection Control KW - Disease Surveillance KW - Epidemiological Research KW - Prospective Studies KW - Academic Medical Centers KW - Victoria KW - Microbial Culture and Sensitivity Tests KW - Length of Stay KW - Inpatients KW - Sex Factors KW - Age Factors KW - Risk Factors KW - Logistic Regression KW - Data Analysis Software KW - Descriptive Statistics KW - Transfer, Intrahospital KW - Trauma Centers KW - Trauma -- Complications KW - Human SP - 322 EP - 326 JO - Infection Control & Hospital Epidemiology JF - Infection Control & Hospital Epidemiology JA - INFECT CONTROL HOSP EPIDEMIOL VL - 24 IS - 5 PB - Cambridge University Press AB - OBJECTIVES: To determine the prevalence of MRSA colonization on admission to the ICU and the incidence of MRSA colonization in the ICU. DESIGN: Prospective cohort study. SETTING: University hospital. PARTICIPANTS: Patients admitted to the ICU in 2000-2001. METHODS: Patients were screened for MRSA with nose, throat, groin, and axilla swabs on admission and discharge. MRSA acquisition was defined as a negative admission screen and a positive discharge screen. Risk factors analyzed included previous wards/current unit, gender, age, and length of stay prior to and in the ICU. Univariate and multivariate analyses were performed using logistic regression. RESULTS: Of screened patients, 6.8% were MRSA colonized on admission to the ICU. Some patients (11.4%) became newly colonized during their stay in the ICU. Factors that remained significant in the multivariate analysis of MRSA colonization on admission were previous admission to various wards and length of stay prior to ICU admission of more than 3 days. In the multivariate analysis of MRSA acquisition in the ICU, being a trauma patient and length of stay in the ICU greater than 2 days remained significant Thirty-six percent of patients had both admission and discharge swabs taken.This percentage increased in the presence of a supervisory nurse. CONCLUSION: Significant acquisition of MRSA occurs in the ICU of our hospital, with trauma patients at increased risk. Patients who had been on the cardiothoracic ward prior to the ICU had a lower risk of MRSA colonization on admission. Presence of a supervisory nurse improved compliance with screening. SN - 0899-823X AD - Dept of Epidemiology and Preventive Medicine, Central and Eastern Clinical School, The Alfred Hospital, Melbourne, 3004, Australia U2 - PMID: 12785404. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106851596&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106485092 T1 - Transitional care after the intensive care unit: current trends and future directions. AU - Chaboyer W AU - James H AU - Kendall M Y1 - 2005/06// N1 - Accession Number: 106485092. Language: English. Entry Date: 20050715. Revision Date: 20150818. Publication Type: Journal Article; CEU; exam questions; review; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Progressive Patient Care KW - After Care KW - Critical Care Nursing KW - Discharge Planning KW - Education, Continuing (Credit) KW - Hospitalization -- Psychosocial Factors KW - Inpatients KW - Intensive Care Units KW - Nurse Liaison KW - Observation Units KW - Outpatient Service KW - Patient Discharge KW - Recovery KW - Subacute Care KW - Transfer, Intrahospital SP - 16 EP - 26 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 25 IS - 3 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - The authors review current literature on transitional care for patients from the intensive care unit, with a focus on contemporary challenges, problematic clinical practices, and future research directions. SN - 0279-5442 AD - Professor and Director, Research Centre for Clinical Practice Innovation, Griffith University, Gold Coast, Australia U2 - PMID: 15946925. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106485092&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106730116 T1 - Intensive care nurses take lead role in child transfers. AU - Duffin C Y1 - 2004/02/25/ N1 - Accession Number: 106730116. Language: English. Entry Date: 20050712. Revision Date: 20150711. Publication Type: Journal Article; brief item; pictorial. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9012906. KW - Child KW - Pediatric Critical Care Nursing -- Trends KW - Transfer Techniques -- Trends KW - United Kingdom SP - 9 EP - 9 JO - Nursing Standard JF - Nursing Standard JA - NURS STAND VL - 18 IS - 24 PB - RCNi AB - Paediatric staff will transfer hundreds of sick children without medical back-up. SN - 0029-6570 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106730116&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103836769 T1 - Delay of transfer from the intensive care unit: a prospective observational study of incidence, causes, and financial impact. AU - Johnson, Daniel W AU - Schmidt, Ulrich H AU - Bittner, Edward A AU - Christensen, Benjamin AU - Levi, Retsef AU - Pino, Richard M Y1 - 2013/07// N1 - Accession Number: 103836769. Language: English. Entry Date: 20150508. Revision Date: 20150710. Publication Type: Journal Article; research. Journal Subset: Biomedical; Europe; UK & Ireland. Special Interest: Critical Care. NLM UID: 9801902. KW - Health Facility Costs KW - Intensive Care Units -- Economics KW - Transfer, Discharge -- Economics KW - Costs and Cost Analysis KW - Organizational Efficiency KW - Bed Occupancy KW - Academic Medical Centers -- Economics KW - Academic Medical Centers -- Administration KW - Human KW - Length of Stay -- Economics KW - Massachusetts KW - Prospective Studies KW - Time Factors SP - R128 EP - R128 JO - Critical Care JF - Critical Care JA - CRIT CARE VL - 17 IS - 2 PB - BioMed Central SN - 1364-8535 U2 - PMID: 23826830. DO - 10.1186/cc12807 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103836769&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 119587072 T1 - Standardized protocol improves the transfer of cardiac surgery patients to intensive care. AU - K. B. Y1 - 2013/06// N1 - Accession Number: 119587072. Language: English. Entry Date: 20161130. Revision Date: 20161130. Publication Type: Article; brief item. Journal Subset: Biomedical; USA. Special Interest: Critical Care; Patient Safety; Perioperative Care. NLM UID: 9102229. KW - Heart Surgery KW - Transfer, Intrahospital KW - Hand Off (Patient Safety) KW - Perioperative Care KW - Critical Care KW - Protocols KW - Operating Rooms KW - Intensive Care Units SP - 14 EP - 14 JO - AHRQ Research Activities JF - AHRQ Research Activities JA - RES ACTIVITIES IS - 394 CY - Rockville, Maryland PB - Agency for Healthcare Research & Quality SN - 1537-0224 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119587072&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107486978 T1 - Development and implications of an interdisciplinary quality assurance monitor on unplanned transfers into the intensive care units. AU - Posa PJ AU - Yonkee DE AU - Fields WL Y1 - 1992/01//1992 Jan N1 - Accession Number: 107486978. Language: English. Entry Date: 19920701. Revision Date: 20150712. Publication Type: Journal Article; forms. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9200672. KW - Quality Assurance -- Methods KW - Transfer, Intrahospital KW - Intensive Care Units KW - Multidisciplinary Care Team KW - Nurse Managers -- Psychosocial Factors KW - Physicians -- Psychosocial Factors KW - Data Collection Methods KW - Collaboration SP - 51 EP - 55 JO - Journal of Nursing Care Quality JF - Journal of Nursing Care Quality JA - J NURS CARE QUAL VL - 6 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1057-3631 AD - Surg Intensive Care Unit, Sharp Memorial Hosp, San Diego, CA U2 - PMID: 1728330. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107486978&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106403722 T1 - Ventilation procedures for intensive care air transports: interview with Assistant Professor Dr Gerhard Kuhnle, Anesthesia Director of Intensive Care Transports, University of Munich hospital systems...reprinted with permission of Critical Care News, www.criticalcarenews.com Y1 - 2006/01//2006 Jan-Feb N1 - Accession Number: 106403722. Language: English. Entry Date: 20060303. Revision Date: 20150711. Publication Type: Journal Article; interview; pictorial. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9007473. KW - Aeromedical Transport -- Methods KW - Critically Ill Patients KW - Respiration, Artificial KW - Germany SP - 47 EP - 49 JO - Neonatal Intensive Care JF - Neonatal Intensive Care JA - NEONAT INTENSIVE CARE VL - 19 IS - 1 CY - Santa Monica, California PB - Goldstein & Associates SN - 1062-2454 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106403722&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107502108 T1 - Mothers' perceptions of their neonates' in-hospital transfers from a neonatal intensive care unit. AU - Kolotylo CJ AU - Parker NI AU - Chapman JS Y1 - 1991/03// N1 - Accession Number: 107502108. Language: English. Entry Date: 19910601. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8503123. KW - Maternal Attitudes KW - Intensive Care Units, Neonatal KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Mothers -- Psychosocial Factors KW - Uncertainty KW - Professional-Family Relations KW - Information Needs KW - Nurseries, Hospital KW - Interviews KW - Convenience Sample KW - Qualitative Studies KW - Neonatal Nursing KW - Helplessness, Learned KW - Infant, Newborn KW - Female KW - Human SP - 146 EP - 153 JO - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JF - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JA - JOGNN VL - 20 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - This study explored mothers' perceptions of their neonates' in-hospital transfers from a neonatal intensive-care unit. A convenience sample of 15 mothers was selected, and the researchers interviewed each mother once within a week after her neonate's transfer. Three themes emerged from the data: (1) the mothers expressed feelings of relief accompanied by concern, fear of the unknown, and feelings of alienation; (2) the mothers depended on familiar things and people; and (3) the mothers experienced feelings of helplessness. The mothers' perceptions of their preparation for transfer and continuity of care were mainly negative. SN - 0884-2175 U2 - PMID: 2030452. DO - 10.1111/j.1552-6909.1991.tb01687.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107502108&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107230338 T1 - Issues in administration. Reducing readmissions to the intensive care unit...employment of a follow-up nurse AU - Russell S Y1 - 1999/09//1999 Sep-Oct N1 - Accession Number: 107230338. Language: English. Entry Date: 19991201. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0330057. KW - Nursing Role KW - Readmission KW - Critical Care KW - Continuity of Patient Care KW - Quality of Nursing Care KW - Transfer, Intrahospital KW - Medical-Surgical Nursing KW - Interviews KW - Questionnaires KW - Self Report KW - Surveys KW - Summated Rating Scaling KW - Prospective Studies KW - Descriptive Research KW - Qualitative Studies KW - Quality of Health Care KW - Quality Assurance KW - Quantitative Studies KW - Staff Development KW - Patient Satisfaction KW - Inpatients KW - Human SP - 365 EP - 372 JO - Heart & Lung JF - Heart & Lung JA - HEART LUNG VL - 28 IS - 5 CY - New York, New York PB - Elsevier B.V. AB - OBJECTIVE: To determine factors that contributed to readmissions to the intensive care unit (ICU) from the general wards. DESIGN: Prospective, descriptive, qualitative, and quantitative. SETTING: The Royal Melbourne Hospital, which is a large, metropolitan, university-affiliated tertiary hospital with specialist and general wards. The ICU is a 14-bed medical and surgical adult unit. PATIENTS: 572 patients admitted to ICU between July 1 and December 31, 1993. RESULTS: There were 639 admissions, with 67 (10.5%) being readmissions. This study showed that 63% of all readmissions came from the general wards. The study identified three main factors that contributed to readmissions from the ward: progression of the patient's illness, postoperative care requirements, and inadequate follow-up care on the general wards. Identifying inadequate continuity of care on the general wards as a cause of readmissions to the ICU led to the appointment of an ICU follow-up nurse to facilitate the transition from the ICU to the general ward. CONCLUSION: Preliminary results indicate that the appointment of the follow-up nurse has not only reduced the rate of readmissions to the ICU but also decreased the acuity levels of those readmitted. SN - 0147-9563 AD - La Trobe University, Bundoora, Victoria, Australia 3083 U2 - PMID: 10486454. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107230338&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104628522 T1 - The state of paediatric intensive care retrieval in Britain. AU - Ramnarayan P AU - Polke E AU - Ramnarayan, Padmanabhan AU - Polke, Eithne Y1 - 2012/02// N1 - Accession Number: 104628522. Language: English. Entry Date: 20120330. Revision Date: 20170411. Publication Type: journal article; research; review. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. Special Interest: Pediatric Care. NLM UID: 0372434. KW - Critical Care -- Trends KW - Intensive Care Units, Pediatric -- Trends KW - Transportation of Patients -- Trends KW - Child KW - Critical Illness KW - Great Britain KW - Human KW - Critical Care KW - Intensive Care Units, Pediatric -- Administration KW - Management KW - Health and Welfare Planning -- Administration KW - Transportation of Patients -- Administration SP - 145 EP - 149 JO - Archives of Disease in Childhood JF - Archives of Disease in Childhood JA - ARCH DIS CHILD VL - 97 IS - 2 PB - BMJ Publishing Group AB - Paediatric intensive care (PIC) services have been centralised to a significant extent in Britain in the past two decades. As part of centralisation, PIC retrieval teams were developed to transport critically ill children from district general hospitals to regional paediatric intensive care units. This review aims to summarise the current state of retrieval in Britain, with reference to the past and possible directions for the future. While significant progress has been achieved, and PIC retrieval has now become a clinical service in its own right, the coming years present unique opportunities as well as challenges for the specialty. SN - 0003-9888 AD - Consultant, Children's Acute Transport Service, Great Ormond Street Hospital NHS Trust, 44-B, Bedford Row, London WC1R 4LL, UK AD - Consultant, Children's Acute Transport Service, Great Ormond Street Hospital NHS Trust, 44-B, Bedford Row, London WC1R 4LL, UK; ramnap@gosh.nhs.uk. U2 - PMID: 21771765. DO - 10.1136/adc.2010.204503 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104628522&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107516806 T1 - Mishaps during transport from the intensive care unit. AU - Smith I AU - Fleming S AU - Cernaianu A Y1 - 1990/03//1990 Mar N1 - Accession Number: 107516806. Language: English. Entry Date: 19900601. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0355501. KW - Transfer, Intrahospital -- Evaluation KW - Intensive Care Units KW - Accidents -- Evaluation KW - Hospital Policies KW - Patient Classification KW - Inpatients KW - Human SP - 278 EP - 281 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 18 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0090-3493 U2 - PMID: 2302952. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107516806&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107234684 T1 - Time is of the essence... the transportation of a critically ill child to a paediatric intensive care unit. AU - Taylor A Y1 - 1997/09/10/1997 Sep 10-16 N1 - Accession Number: 107234684. Language: English. Entry Date: 19980101. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0423236. KW - Pediatric Nursing KW - Critical Illness -- In Infancy and Childhood KW - Aeromedical Transport KW - United Kingdom KW - Intensive Care Units, Pediatric KW - Child SP - 26 EP - 29 JO - Nursing Times JF - Nursing Times JA - NURS TIMES VL - 93 IS - 37 PB - EMAP Healthcare AB - Anne Taylor describes the work of children's nurses who are experts in transporting critically ill children to intensive care units. SN - 0954-7762 U2 - PMID: 9348936. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107234684&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104794438 T1 - A study of the referral patterns of obstetric clinics and the performance of receiving neonatal intensive care units in Taiwan. AU - Wang, S T AU - Lin, C H AU - Wang, J N AU - Wang, C J AU - Chen, T J AU - Yeh, T F Y1 - 1997/05// N1 - Accession Number: 104794438. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Europe; Peer Reviewed; Public Health; UK & Ireland. NLM UID: 0376507. KW - Intensive Care Units, Neonatal KW - Maternal Health Services -- Administration KW - Obstetrics KW - Referral and Consultation -- Administration KW - Transportation of Patients -- Administration KW - Health Services Research KW - Human KW - Infant, Newborn KW - Prospective Studies KW - Survival Analysis KW - Taiwan SP - 149 EP - 152 JO - Public Health (Nature) JF - Public Health (Nature) JA - PUBLIC HEALTH (NATURE) VL - 111 IS - 3 CY - London, PB - Nature Publishing Group SN - 0033-3506 AD - Department of Public Health, National Cheng Kung University, Tainan, Taiwan. U2 - PMID: 9175457. DO - 10.1016/S0033-3506(97)00573-8 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104794438&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107362418 T1 - Fast Track recovery after aortocoronary bypass surgery: early extubation and intensive care unit transfer. AU - Jesurum JT AU - Alexander WA AU - Anderson JJ AU - Houston S Y1 - 1996/01//1996 Jan N1 - Accession Number: 107362418. Language: English. Entry Date: 19960301. Revision Date: 20150819. Publication Type: Journal Article; critical path; tables/charts. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9206988. KW - Coronary Artery Bypass KW - Postoperative Care KW - Recovery KW - Program Development KW - Conceptual Framework KW - Hospitals -- Texas KW - Texas KW - Multidisciplinary Care Team KW - Patient Selection KW - Extubation KW - Intensive Care Units KW - Critical Path KW - Exercise KW - Risk Assessment KW - Outcomes (Health Care) KW - Prospective Studies KW - Length of Stay KW - Inpatients SP - 12 EP - 22 JO - Seminars in Perioperative Nursing JF - Seminars in Perioperative Nursing JA - SEMIN PERIOPER NURS VL - 5 IS - 1 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Fast Track is a practical method of delivering care to aortocoronary bypass (ACB) patients with minimal risks to the patients or their care providers. A prospective study designed by an interdisciplinary practice team will evaluate the effects of an accelerated recovery program on clinical and financial outcomes of ACB patients. Essential components of the accelerated recovery program include early extubation, accelerated activity, and appropriate patient selection. Preliminary results on early extubation are discussed. Copyright (c) 1996 by W.B. Saunders Company SN - 1056-8670 AD - St Luke's Episcopal Hospital, PO Box 20269, MC 4-278, Houston, TX 77225-0269 U2 - PMID: 8696284. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107362418&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106686307 T1 - Critical incident reporting in intensive care -- experience in a district general hospital. AU - Parke T Y1 - 2003/04//2003 Apr N1 - Accession Number: 106686307. Language: English. Entry Date: 20040102. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9114927. KW - Critical Care -- United Kingdom KW - Incident Reports -- United Kingdom KW - Treatment Errors -- United Kingdom KW - Cardiotonic Agents KW - Critically Ill Patients KW - Databases KW - Endotracheal Tubes KW - Inpatients KW - Personnel Staffing and Scheduling KW - Quality Assurance KW - Transfer, Intrahospital KW - Treatment Errors -- Epidemiology KW - Treatment Errors -- Prevention and Control KW - United Kingdom SP - 42 EP - 44 JO - Care of the Critically Ill JF - Care of the Critically Ill JA - CARE CRIT ILL VL - 19 IS - 2 CY - London, PB - Nature Publishing Group AB - This paper describes our experience with collecting and reporting critical incidents in an 8-bed general intensive care unit (ICU). The system has been used since February 1997. There are around 500 admissions annually to the unit, and 70 to 130 critical incidents are reported annually. These are logged onto a database by a database manager, and scrutinised by a consultant (TIP). From the raw data a monthly newsletter is generated, which is circulated to all clinical ICU staff (nursing and medical). These incidents are discussed at the monthly multidisciplinary clinical governance meetings, and recommendations made. The purpose of the system is to raise staff awareness of incidents, and to identify system errors that can be corrected, reducing patient morbidity and mortality. It is important that the system is anonymous, and that blame is not apportioned, or staff will not report incidents. The importance of team-working to prevent recurrence of an incident is emphasised. SN - 0266-0970 AD - Consultant, ICU, Royal Berkshire Hospital, Reading RG1 5AN UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106686307&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105136009 T1 - Routine methicillin-resistant Staphylococcus aureus (MRSA) swabbing of interhospital transferred patients in the intensive care unit (ICU)...ANZICS/ACCCN Intensive Care ASM 2009 Perth 34th Australian and New Zealand Annual Scientific Meeting on Intensive Care 2009, incorporating the 15th Australian and New Zealand Paediatric and Neonatal Intensive Care Conference AU - Crouch S AU - Fitzpatrick T AU - Faoagali J AU - Henderson B AU - King J AU - Jack L AU - Kleinschmidt S AU - Tomlinson V AU - Aitken L Y1 - 2010/02// N1 - Accession Number: 105136009. Language: English. Entry Date: 20100423. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 9207852. KW - Bacterial Colonization -- Evaluation KW - Critical Care Nursing KW - Critically Ill Patients KW - Disease Surveillance KW - Methicillin Resistance KW - Staphylococcal Infections -- Prevention and Control KW - Transfer, Intrahospital KW - Australia KW - Descriptive Statistics KW - Groin KW - Human KW - Intensive Care Units KW - Nose KW - Specimen Handling SP - 40 EP - 40 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 23 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 DO - 10.1016/j.aucc.2009.12.024 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105136009&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106968329 T1 - Improving outcomes and reducing costs in intensive care. Y1 - 2000/02/17/2000 Feb 17 N1 - Accession Number: 106968329. Language: English. Entry Date: 20021011. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; USA. NLM UID: 9106372. KW - Quality Improvement KW - Intensive Care Units KW - Quality of Health Care KW - Cost Savings KW - Transfer, Intrahospital SP - 7 EP - 12 JO - Report on Medical Guidelines & Outcomes Research JF - Report on Medical Guidelines & Outcomes Research JA - REP MED GUIDELINES OUTCOMES RES VL - 11 IS - 4 CY - Alexandria, Virginia PB - Capitol Publications SN - 1050-5636 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106968329&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108258836 T1 - The pediatric intensive care unit perspective on monitoring hemodynamics and oxygen transport. AU - Wong, Hector R AU - Dalton, Heidi J Y1 - 2011/07/02/2011 Supplement N1 - Accession Number: 108258836. Language: English. Entry Date: 20111028. Revision Date: 20150712. Publication Type: Journal Article; editorial. Supplement Title: 2011 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 100954653. KW - Hemodynamics -- Evaluation KW - Oxygen Transport KW - Oxygenation KW - Shock KW - Intensive Care Units, Pediatric SP - S66 EP - 8 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 12 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Alterations of hemodynamics and oxygen transport balance are very common scenarios in the pediatric intensive care unit (PICU), and these alterations are as heterogeneous and diverse in nature as are the patient populations that typically exist in the PICU. Accordingly, the PICU perspective on monitoring of hemodynamics and oxygen transport balance in critically ill children must be understood in this context of heterogeneity and diversity. We provide an interpretation of the evidence supporting various monitoring strategies as presented in the Pediatric Cardiac Intensive Care Society Evidence-Based Review and Consensus Statement on Monitoring of Hemodynamics and Oxygen Transport Balance from a Pediatric Intensive Care perspective. SN - 1529-7535 AD - Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH AD - Division of Critical Care Medicine (HJD), Phoenix Children's Hospital, Phoenix, AZ DO - 10.1097/PCC.0b013e3182211c60 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108258836&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108258834 T1 - The cardiac intensive care unit perspective on hemodynamic monitoring of oxygen transport balance. AU - Checchia, Paul A AU - Laussen, Peter C Y1 - 2011/07/02/2011 Supplement N1 - Accession Number: 108258834. Language: English. Entry Date: 20111028. Revision Date: 20150712. Publication Type: Journal Article; editorial. Supplement Title: 2011 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 100954653. KW - Hemodynamics -- Evaluation KW - Oxygen Transport -- Evaluation KW - Oxygenation -- Evaluation KW - Cardiology KW - Congresses and Conferences KW - Intensive Care Units KW - Pediatrics SP - S69 EP - 71 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 12 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - The purpose of this consensus statement is to present the available evidence supporting the use of a variety of hemodynamic monitors in a pediatric population. Each article within this supplement and the presentations at the Eighth International Conference of the Pediatric Cardiac Intensive Care Society provide the evidence to support recommendations for the use of each monitoring modality. The purpose of this editorial is to interpret the evidence provided elsewhere in this supplement from the perspective of cardiac critical care. SN - 1529-7535 AD - Divisions of Critical Care Medicine and Cardiology, Department of Pediatrics, St Louis Children's Hospital, Washington University School of Medicine, St Louis, MO AD - Department of Cardiology (PCL), Children's Hospital Boston, Boston, MA; and Department of Pediatrics, Harvard Medical School, Boston, MA U2 - PMID: 22129553. DO - 10.1097/PCC.0b013e3182211d3d UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108258834&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108258824 T1 - The Pediatric Cardiac Intensive Care Society evidence-based review and consensus statement on monitoring of hemodynamics and oxygen transport balance. AU - Checchia, Paul A AU - Bronicki, Ronald A Y1 - 2011/07/02/2011 Supplement N1 - Accession Number: 108258824. Language: English. Entry Date: 20111028. Revision Date: 20150712. Publication Type: Journal Article; editorial. Supplement Title: 2011 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Evidence-Based Practice; Pediatric Care. NLM UID: 100954653. KW - Hemodynamics -- Evaluation KW - Oxygen Transport -- Evaluation KW - Cardiology KW - Critical Care -- Organizations KW - Pediatrics SP - S1 EP - S1 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 12 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1529-7535 AD - St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO; AD - Children's Hospital of Orange County, University of California, Orange, CA AD - David Geffen School of Medicine at the University of California, Los Angeles, CA. U2 - PMID: 22129543. DO - 10.1097/PCC.0b013e318220e64f UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108258824&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106546352 T1 - Nurse's consultation as a part of nursing of patients transferred from an intensive care unit to a ward. AU - Tuuliainen E AU - Lahtinen M Y1 - 2005/10/07/2005 Oct 7 N1 - Accession Number: 106546352. Language: Finnish. Entry Date: 20051202. Revision Date: 20150820. Publication Type: Journal Article; pictorial. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. NLM UID: 9114981. KW - Nurse Liaison KW - Transfer, Intrahospital KW - Critical Care Nursing KW - Inpatients KW - Intensive Care Units KW - Medical-Surgical Nursing SP - 11 EP - 13 JO - Sairaanhoitaja JF - Sairaanhoitaja JA - SAIRAANHOITAJA VL - 78 IS - 10 PB - Suomen sairaanhoitajaliitto AB - A project was implemented at the South Karelia Central Hospital during which nurse's consultations between the intensive care unit and wards were initiated. Patients may have feelings of stress and anxiety when they transfer from the ICU, where the care personnel is always present and observes the patients, to a ward with no such services. On the other hand, the ward staff may experience it is difficult to care a patient transferred from the ICU. It is possible to support both the patient and the ward staff in the initial phase by a nurse's consultation. Additionally, these consultations enable increasing cooperation between the wards and the ICU. The criteria guiding the nurse's consultation were drawn up in the project.According to a survey done at the South Karelia Central Hospital, both the ICU and the ward staff considered it important to develop cooperation and saw the nurse's consultations useful for patient care and cooperation. In order to develop cooperation joint education events and meetings between the ICU and the wards were suggested. The criteria drawn up in the project still guide the nurse's consultations and cooperation is developed. SN - 0785-7527 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106546352&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105173376 T1 - Evaluation of the clinical efficacy of a critical care outreach service for facilitated ICU discharge and ward-based care...ANZICS/ACCCN Intensive Care ASM 2009 Perth 34th Australian and New Zealand Annual Scientific Meeting on Intensive Care 2009, incorporating the 15th Australian and New Zealand Paediatric and Neonatal Intensive Care Conference AU - Leslie G AU - Williams T AU - Finn J AU - Brearley L AU - Athifa M AU - Hay B AU - Laurie K AU - Leen T AU - O'Brien K AU - Stuart MM AU - Watt W Y1 - 2010/02// N1 - Accession Number: 105173376. Language: English. Entry Date: 20100423. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 9207852. KW - Critical Care Nursing KW - Nurse Liaison KW - Transfer, Intrahospital KW - Australia KW - Descriptive Research KW - Descriptive Statistics KW - Hospital Units KW - Human KW - Intensive Care Units KW - Length of Stay KW - Outcomes (Health Care) KW - Patient Discharge KW - Pretest-Posttest Design KW - Readmission SP - 34 EP - 34 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 23 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 DO - 10.1016/j.aucc.2009.12.011 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105173376&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104250102 T1 - P165 What do relatives experience when patients are transferred from intensive care units to general wards. AU - Lauberg, A. AU - Jacobsen, C.J. Y1 - 2011/04/02/Apr2011 Supplement 1 N1 - Accession Number: 104250102. Language: English. Entry Date: 20130312. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Supplement Title: Apr2011 Supplement 1. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 101128793. KW - Family -- Psychosocial Factors KW - Transfer, Intrahospital KW - Human KW - Intensive Care Units KW - Nursing Units KW - Coping KW - Inpatients KW - Phenomenological Research KW - Perception KW - Interviews KW - Presence KW - Communication KW - Professional-Family Relations SP - S25 EP - S25 JO - European Journal of Cardiovascular Nursing JF - European Journal of Cardiovascular Nursing JA - EUR J CARDIOVASC NURS VL - 10 IS - s PB - Sage Publications, Ltd. SN - 1474-5151 DO - 10.1016/S1474-5151(11)60092-3 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104250102&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108125910 T1 - To eat or not to eat: Barriers to nutritional recovery after intensive care. AU - Merriweather, J. Y1 - 2012/05//2012 May N1 - Accession Number: 108125910. Language: English. Entry Date: 20120831. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Nutrition. NLM UID: 9207852. KW - Critically Ill Patients KW - Eating KW - Nutrition KW - Recovery KW - Attitude of Health Personnel -- Evaluation KW - Hospital Units KW - Human KW - Interviews KW - Observational Methods KW - Patient Attitudes -- Evaluation KW - Scotland KW - Thematic Analysis KW - Transfer, Intrahospital SP - 136 EP - 136 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 25 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108125910&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104478960 T1 - Normal Newborn Nursery - Neonatal Intensive Care Unit: What's in Between? AU - Pfeiffer, Judith AU - Keeler, Denise Y1 - 2012/06/02/Jun2012 Supplement N1 - Accession Number: 104478960. Language: English. Entry Date: 20120720. Revision Date: 20150711. Publication Type: Journal Article; abstract. Supplement Title: Jun2012 Supplement. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Obstetric Care; Pediatric Care; Women's Health. NLM UID: 8503123. KW - Intensive Care Units, Neonatal KW - Nurseries, Hospital KW - Transfer, Intrahospital KW - Infant, Newborn SP - S46 EP - S46 JO - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JF - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JA - JOGNN VL - 41 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0884-2175 AD - jogn1360_26-aff-0001 AD - jogn1360_26-aff-0002 DO - 10.1111/j.1552-6909.2012.01360_26.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104478960&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106741229 T1 - Concise communications. Unnecessary use of central venous catheters: the need to look outside the intensive care unit. AU - Trick WE AU - Vernon MO AU - Welbel SF AU - Wisniewski MF AU - Jernigan JA AU - Weinstein RA Y1 - 2004/03//2004 Mar N1 - Accession Number: 106741229. Language: English. Entry Date: 20040604. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Grant Information: Cooperative agreement #U50/CCU515853-03 from the Centers for Disease Control and Prevention, Atlanta, GA. NLM UID: 8804099. KW - Bacteremia -- Prevention and Control KW - Catheterization, Central Venous -- Standards KW - Central Venous Catheters -- Utilization KW - Infection Control KW - Academic Medical Centers KW - Catheter Care, Vascular KW - Confidence Intervals KW - Cross Sectional Studies KW - Data Analysis Software KW - Descriptive Statistics KW - Funding Source KW - Hospital Units KW - Inpatients KW - Insertion Sites -- Evaluation KW - Intensive Care Units KW - Mantel-Haenszel Test KW - Prospective Studies KW - Record Review KW - Relative Risk KW - Surveys KW - Transfer, Intrahospital KW - Human SP - 266 EP - 268 JO - Infection Control & Hospital Epidemiology JF - Infection Control & Hospital Epidemiology JA - INFECT CONTROL HOSP EPIDEMIOL VL - 25 IS - 3 PB - Cambridge University Press AB - We developed criteria for justifiable CVC use and evaluated CVC use in a public hospital. Unjustified CVC-days were more common for non-ICU patients compared with ICU patients. Also, insertion-site dressings were less likely to be intact on non-ICU patients. Interventions to reduce CVC-associated bloodstream infections should include non-ICU patients. SN - 0899-823X AD - Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA U2 - PMID: 15061422. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106741229&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107063166 T1 - Reduction in mortality after inappropriate early discharge from intensive care unit: logistic regression triage model. AU - Daly K AU - Beale R AU - Chang RWS Y1 - 2001/05/26/ N1 - Accession Number: 107063166. Language: English. Entry Date: 20011026. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Grant Information: Funded by The Special Trustees of St Thomas's Hospital. NLM UID: 101090866. KW - Triage -- Methods KW - Transfer, Intrahospital KW - Hospital Mortality KW - Critical Care KW - Intensive Care Units KW - Great Britain KW - Intensive Care Units -- Utilization KW - Apache KW - Length of Stay KW - Logistic Regression KW - Mann-Whitney U Test KW - Risk Assessment KW - Funding Source KW - Human SP - 1274 EP - 1276 JO - BMJ: British Medical Journal (International Edition) JF - BMJ: British Medical Journal (International Edition) JA - BMJ VL - 322 IS - 7297 PB - BMJ Publishing Group SN - 0959-8146 AD - Research Nurse, St Thomas's Hospital, London SE1 7EH U2 - PMID: 11375229. DO - 10.1136/bmj.322.7297.1274 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107063166&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105136013 T1 - The influence of individual power and interdepartmental mistrust on the ICU patient discharge process...ANZICS/ACCCN Intensive Care ASM 2009 Perth 34th Australian and New Zealand Annual Scientific Meeting on Intensive Care 2009, incorporating the 15th Australian and New Zealand Paediatric and Neonatal Intensive Care Conference AU - Lin F AU - Chaboyer W AU - Wallis M Y1 - 2010/02// N1 - Accession Number: 105136013. Language: English. Entry Date: 20100423. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 9207852. KW - Hospital Units KW - Intensive Care Units KW - Interdepartmental Relations KW - Power KW - Transfer, Intrahospital KW - Trust KW - Attitude of Health Personnel KW - Australia KW - Decision Making, Clinical KW - Ethnographic Research KW - Human KW - Observational Methods KW - Record Review KW - Semi-Structured Interview KW - Triangulation SP - 42 EP - 42 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 23 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 DO - 10.1016/j.aucc.2009.12.028 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105136013&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106422332 T1 - An investigation into the effect of a plastic wrap on the temperature regulation of the very low birth weight and premature infant during transfer to the neonatal intensive care unit: a systematic review. AU - Williams J Y1 - 2004/05// N1 - Accession Number: 106422332. Language: English. Entry Date: 20060407. Revision Date: 20150818. Publication Type: Journal Article; algorithm; forms; research; systematic review; tables/charts. Journal Subset: Australia & New Zealand; Double Blind Peer Reviewed; Nursing; Peer Reviewed. KW - Body Temperature Regulation -- In Infancy and Childhood KW - Hypothermia -- Prevention and Control -- In Infancy and Childhood KW - Infant, Premature KW - Infant, Very Low Birth Weight KW - Plastics KW - Transfer, Intrahospital -- In Infancy and Childhood KW - CINAHL Database KW - Cochrane Library KW - Confidence Intervals KW - Embase KW - Hypothermia KW - Infant KW - Medline KW - Meta Analysis KW - Odds Ratio KW - PubMed KW - Human SP - 53 EP - 77 JO - Health Care Reports JF - Health Care Reports JA - HEALTH CARE REP VL - 2 IS - 3 PB - Joanna Briggs Institute AB - Thermoregulation is a critical component of neonatal care because it has been well documented that hypothermia is a major contributor to infant mortality. Maintaining a neutral thermal environment for premature and very low birth weight infants can have a significant impact on health outcomes, and has been recognised behind size, as perhaps the earliest distinguishable characteristic when compared to the full term neonate. The Neonatal Intensive Care Unit (NICU) provides the expertise and equipment to avoid the consequence of inadequate thermoregulation in the premature infant, although determining the most appropriate way of attaining the best temperature balance while being transported to the NICU is the subject of ongoing investigation.Plastic wrap is a simple and potentially effective intervention that involves the wrapping of the premature infant in a polyethylene product. Whilst this has been claimed to maintain the infants' temperature and aid in the prevention of hypothermia, there has been very little research conducted in this field. Due to the lack of published material it became evident that a systematic review be conducted on the existing literature to support this practice.The purpose of this systematic review is to establish the quality of evidence and determine whether or not sufficient evidence exists to support the implementation of the intervention into Neonatal Intensive Care Units. The review identifies the breadth of research and the variety of research techniques employed to investigate this issue. Following an exhaustive search of the literature, both published and unpublished, eight studies were located. Four of these papers warranted a more detailed review and of these, only two were deemed appropriate for the meta-analysis.The findings from this systematic review have been divided into the evaluation of background papers, the meta-analysis of selected papers and the implications for practice. Although further research is recommended into the type of plastic to be used, the results of this review demonstrate the practicality and appropriateness of using the plastic wrap technique in dealing with preterm infants in the prevention of hypothermia. SN - 1448-305X AD - Level Two Reg Neonatal Nurse, Centre for Newborn Care, The Canberra Hospital, Yamba Drive, Canberra ACT 2605; jenian@homemail.com.au UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106422332&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105479046 T1 - Effectiveness of an intensive care unit transfer brochure on family members' associated knowledge and anxiety...2009 NACNS National Conference Abstracts: March 5-7, 2009, St. Louis, Missouri AU - Kitchens JL Y1 - 2009/03//2009 Mar-Apr N1 - Accession Number: 105479046. Language: English. Entry Date: 20090522. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Advanced Nursing Practice; Critical Care. NLM UID: 8709115. KW - Anxiety -- Prevention and Control KW - Family KW - Health Knowledge KW - Intensive Care Units KW - Patient Education -- Methods KW - Teaching Materials -- Evaluation KW - Transfer, Discharge -- Psychosocial Factors KW - Convenience Sample KW - Educational Theory KW - Lazarus Theory of Stress and Coping KW - Needs Assessment KW - Paired T-Tests KW - Pamphlets KW - Pretest-Posttest Design KW - Quasi-Experimental Studies KW - Summated Rating Scaling KW - Human SP - 99 EP - 99 JO - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice JF - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice JA - CLIN NURSE SPEC VL - 23 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0887-6274 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105479046&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105405426 T1 - A follow-up study of adverse events within 72h of discharge from the intensive care unit. AU - Williams T AU - Leslie G AU - Elliot N AU - Brearley L AU - Dobb G Y1 - 2008/02// N1 - Accession Number: 105405426. Language: English. Entry Date: 20090821. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 9207852. KW - Adverse Health Care Event KW - Patient Discharge KW - Transfer, Intrahospital KW - Academic Medical Centers KW - Australia KW - Convenience Sample KW - Descriptive Research KW - Descriptive Statistics KW - Intensive Care Units KW - Prospective Studies KW - Human SP - 58 EP - 59 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 21 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105405426&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105405416 T1 - An exploration of the transition of patients from intensive care to the ward environment: a ward nursing perspective. AU - Bunn S Y1 - 2008/02// N1 - Accession Number: 105405416. Language: English. Entry Date: 20090821. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 9207852. KW - Critically Ill Patients KW - Medical-Surgical Nursing KW - Staff Nurses KW - Transfer, Intrahospital KW - Communication KW - Continuity of Patient Care KW - Descriptive Research KW - Focus Groups KW - Intensive Care Units KW - New Zealand KW - Nurse Attitudes -- Evaluation KW - Qualitative Studies KW - Human SP - 54 EP - 55 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 21 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105405416&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105244471 T1 - The infant incubator in the neonatal intensive care unit: unresolved issues and future developments. AU - Antonucci R AU - Porcella A AU - Fanos V Y1 - 2009/11// N1 - Accession Number: 105244471. Language: English. Entry Date: 20100108. Revision Date: 20150711. Publication Type: Journal Article; review; tables/charts. Journal Subset: Biomedical; Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed. Special Interest: Critical Care; Obstetric Care; Pediatric Care. NLM UID: 0361031. KW - Infant Warmers KW - Intensive Care Units, Neonatal KW - Body Temperature Regulation KW - Developing Countries KW - Electromagnetic Fields -- Adverse Effects KW - Humidity KW - Infant, Low Birth Weight KW - Lighting -- Adverse Effects KW - Noise -- Adverse Effects KW - Retinopathy of Prematurity -- Risk Factors KW - Survival KW - Temperature KW - Transportation of Patients SP - 587 EP - 598 JO - Journal of Perinatal Medicine JF - Journal of Perinatal Medicine JA - J PERINAT MED VL - 37 IS - 6 CY - , PB - De Gruyter AB - Since the 19th century, devices termed incubators were developed to maintain thermal stability in low birth weight (LBW) and sick newborns, thus improving their chances of survival. Remarkable progress has been made in the production of infant incubators, which are currently highly technological devices. However, they still need to be improved in many aspects. Regarding the temperature and humidity control, future incubators should minimize heat loss from the neonate and eddies around him/her. An unresolved issue is exposure to high noise levels in the Neonatal Intensive Care Unit (NICU). Strategies aimed at modifying the behavior of NICU personnel, along with structural improvements in incubator design, are required to reduce noise exposure. Light environment should be taken into consideration in designing new models of incubators. In fact, ambient NICU illumination may cause visual pathway sequelae or possibly retinopathy of prematurity (ROP), while premature exposure to continuous lighting may adversely affect the rest-activity patterns of the newborn. Accordingly, both the use of incubator covers and circadian lighting in the NICU might attenuate these effects. The impact of electromagnetic fields (EMFs) on infant health is still unclear. However, future incubators should be designed to minimize the EMF exposure of the newborn. SN - 0300-5577 AD - Neonatal Intensive Care Unit, Department of Pediatrics and Clinical Medicine, University of Cagliari, Cagliari, Italy; r.antonucci@unica.it U2 - PMID: 19591569. DO - 10.1515/JPM.2009.109 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105244471&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106261080 T1 - Reconsidering the transfer of patients from the intensive care unit to the ward: a case study approach. AU - Wu C AU - Coyer F Y1 - 2007/03// N1 - Accession Number: 106261080. Language: English. Entry Date: 20070406. Revision Date: 20150819. Publication Type: Journal Article; case study; review. Journal Subset: Asia; Nursing; Peer Reviewed. NLM UID: 100891857. KW - Critically Ill Patients -- Psychosocial Factors KW - Intensive Care Units KW - Transfer, Discharge -- Psychosocial Factors KW - Caregivers -- Psychosocial Factors KW - Continuity of Patient Care KW - Critical Care Nursing KW - Family -- Psychosocial Factors KW - Health Services Needs and Demand KW - Hospital Units KW - Length of Stay KW - Nursing Role KW - Quality Improvement KW - Readmission SP - 48 EP - 53 JO - Nursing & Health Sciences JF - Nursing & Health Sciences JA - NURS HEALTH SCI VL - 9 IS - 1 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1441-0745 AD - School of Nursing, Queensland University of Technology, Queensland, Australia U2 - PMID: 17300545. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106261080&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106487068 T1 - Tsunami disaster and infection: beware what pathogens the transport delivers to your intensive care unit! AU - Masur H AU - Murray P Y1 - 2005/05// N1 - Accession Number: 106487068. Language: English. Entry Date: 20050715. Revision Date: 20150711. Publication Type: Journal Article; commentary. Original Study: Maegele M, Gregor S, Steinhausen E, Bouillon B, Heiss MM, Perbix W, et al. The long-distance tertiary air transfer and care of tsunami victims: injury pattern and microbiological and psychological aspects. (CRIT CARE MED) May2005; 33 (5): 1136-1140. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0355501. KW - Intensive Care Units KW - Natural Disasters -- Asia, Southeastern KW - Transportation of Patients KW - Wounds and Injuries -- Microbiology KW - Aeromedical Transport KW - Asia, Southeastern KW - Cross Infection KW - Drowning KW - Germany KW - Wound Infection -- Etiology SP - 1179 EP - 1180 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 33 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0090-3493 AD - Critical Care Medicine, National Institues of Health, Bethesda, MD U2 - PMID: 15891375. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106487068&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106447712 T1 - Adverse events experienced whilst transferring the critically ill patient from the emergency department to the intensive care unit. AU - Gillman L AU - Bell R AU - Fawcett K AU - McGibbon V AU - Williams T AU - Leslie G Y1 - 2005/11// N1 - Accession Number: 106447712. Language: English. Entry Date: 20060526. Revision Date: 20150818. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Nursing; Peer Reviewed. KW - Adverse Health Care Event KW - Critically Ill Patients KW - Transfer, Discharge KW - Emergency Service KW - Intensive Care Units KW - Patient Safety KW - Human SP - 120 EP - 121 JO - Australasian Emergency Nursing Journal JF - Australasian Emergency Nursing Journal JA - AUSTRALAS EMERG NURS J VL - 8 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 1574-6267 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106447712&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107747340 T1 - Transport of newborn infants for intensive care. AU - Blake AM AU - McIntosh N AU - Reynolds EOR Y1 - 1975/10/04/1975 Oct 4 N1 - Accession Number: 107747340. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 8302911. KW - Infant, Newborn KW - Transportation of Patients -- In Infancy and Childhood KW - Nematode Infections KW - Human SP - 13 EP - 17 JO - British Medical Journal (Clinical Research Edition) JF - British Medical Journal (Clinical Research Edition) JA - BR MED J VL - 4 PB - BMJ Publishing Group SN - 0267-0623 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107747340&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107551952 T1 - Nursing interventions: caring for parents of a newborn transferred to a regional intensive care nursery -- a challenge for low risk obstetric specialists. AU - Sherwin L AU - Weingarten CT Y1 - 1988///1988 Summer N1 - Accession Number: 107551952. Language: English. Entry Date: 19881101. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 8501884. KW - Support, Psychosocial KW - Intensive Care Units, Neonatal KW - Parents -- Psychosocial Factors KW - Crisis Intervention KW - Transfer, Discharge -- In Infancy and Childhood KW - Perinatal Care KW - Transportation of Patients -- In Infancy and Childhood KW - Postnatal Care KW - Infant, Newborn KW - Inpatients KW - Pregnancy KW - Female SP - 271 EP - 275 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 8 IS - 3 CY - London, PB - Nature Publishing Group SN - 0743-8346 U2 - PMID: 3225670. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107551952&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104774630 T1 - Intensive care patients in district hospitals. A case for transfer? AU - Lavery, G G AU - Donnelly, P B AU - Dundee, J W Y1 - 1984/06// N1 - Accession Number: 104774630. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Critical Care KW - Hospitals, Public KW - Hospitals, Special KW - Medical Records KW - Northern Ireland KW - Transportation of Patients SP - 596 EP - 599 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 39 IS - 6 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 U2 - PMID: 6742396. DO - 10.1111/j.1365-2044.1984.tb07372.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104774630&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107733295 T1 - Symposium: psychosocial factors in intensive-care nursing. The transfer process: an area of concern for the CCU nurse. AU - Shannon VJ Y1 - 1973/05//1973 May-Jun N1 - Accession Number: 107733295. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0330057. KW - Progressive Patient Care KW - Adaptation, Psychological KW - Nurse-Patient Relations SP - 364 EP - 367 JO - Heart & Lung JF - Heart & Lung JA - HEART LUNG VL - 2 CY - New York, New York PB - Elsevier B.V. SN - 0147-9563 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107733295&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105977977 T1 - Towards better care: an exploration of some barriers and solutions to research transfer in the intensive care unit. AU - Angus DC Y1 - 2003/08// N1 - Accession Number: 105977977. Language: English. Entry Date: 20080215. Revision Date: 20150711. Publication Type: Journal Article; editorial. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 9504454. KW - Critical Care KW - Diffusion of Innovation KW - Research SP - 306 EP - 307 JO - Current Opinion in Critical Care JF - Current Opinion in Critical Care JA - CURR OPIN CRIT CARE VL - 9 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1070-5295 U2 - PMID: 12883286. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105977977&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105803349 T1 - Organizational characteristics of the austere intensive care unit: the evolution of military trauma and critical care medicine; applications for civilian medical care systems. AU - Grathwohl KW AU - Venticinque SG Y1 - 2008/07/02/Jul2008 Supplement N1 - Accession Number: 105803349. Language: English. Entry Date: 20080829. Revision Date: 20150711. Publication Type: Journal Article. Supplement Title: Jul2008 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 0355501. KW - Critical Care KW - Military Medicine KW - Multidisciplinary Care Team -- Administration KW - Multiple Trauma -- Therapy KW - Afghanistan KW - Benchmarking KW - Disaster Planning KW - Health and Welfare Planning KW - Health Services Needs and Demand KW - Hospitals, Military -- Administration KW - Hospitals, Special -- Administration KW - Intensive Care Units -- Administration KW - Iraq KW - Length of Stay -- Statistics and Numerical Data KW - Management KW - Mobile Health Units -- Administration KW - Multiple Trauma -- Diagnosis KW - Multiple Trauma -- Mortality KW - Organizational Change KW - Organizational Objectives KW - Outcome Assessment -- Administration KW - Transportation of Patients -- Administration KW - United States SP - S275 EP - 83 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 36 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Critical care in the U.S. military has significantly evolved in the last decade. More recently, the U.S. military has implemented organizational changes, including the use of multidisciplinary teams in austere environments to improve outcomes in severely injured polytrauma combat patients. Specifically, organizational changes in combat support hospitals located in combat zones during Operation Iraqi Freedom have led to decreased intensive care unit mortality and length of stay as well as resource use. These changes were implemented without increases in logistic support or the addition of highly technologic equipment. The mechanism for improvement in mortality is likely attributable to the adherence of basic critical care medicine fundamentals. This intensivist-directed team model provides sophisticated critical care even in the most austere environments. To optimize critically injured patients' outcomes, intensive care organizational models similar to the U.S. military, described in this article, can possibly be adapted to those of civilian care during disaster management to meet the challenges of emergency mass critical care. SN - 0090-3493 AD - Department of Anesthesia and Operative Services, University of Texas Health Sciences Center, San Antonio, TX, USA. kurt.grathwohl@amedd.army.mil U2 - PMID: 18594253. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105803349&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104723480 T1 - Paediatric intensive care transfers. AU - Murphy, P J AU - Jenkins, I AU - Fraser, J AU - Marriage, S Y1 - 2001/01// N1 - Accession Number: 104723480. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Critical Care KW - Transfer, Discharge -- Standards KW - Clinical Competence KW - Infant KW - Intubation -- Standards KW - Male KW - Transfer, Discharge -- Methods KW - Referral and Consultation SP - 83 EP - 84 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 56 IS - 1 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 U2 - PMID: 11167443. DO - 10.1046/j.1365-2044.2001.01840-2.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104723480&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104723847 T1 - Paediatric intensive care transfers: 1. AU - Kenny, M AU - Peters, M Y1 - 2000/10// N1 - Accession Number: 104723847. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Critical Illness -- Therapy KW - Critical Care KW - Transfer, Discharge -- Administration KW - Child KW - Epiglottitis -- Therapy KW - England SP - 1025 EP - 1026 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 55 IS - 10 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 U2 - PMID: 11228660. DO - 10.1046/j.1365-2044.2000.01727.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104723847&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104722494 T1 - Paediatric intensive care transfers: 2. AU - Gudgeon, J Y1 - 2000/10// N1 - Accession Number: 104722494. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Critical Illness -- Therapy KW - Critical Care KW - Transfer, Discharge -- Administration KW - Child KW - England KW - Epiglottitis -- Therapy SP - 1025 EP - 1026 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 55 IS - 10 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 U2 - PMID: 11012501. DO - 10.1046/j.1365-2044.2000.01727-2.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104722494&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106131795 T1 - Neurodevelopmental and growth outcomes of extremely low birth weight infants who are transferred from neonatal intensive care units to level I or II nurseries. AU - Lainwala S AU - Perritt R AU - Poole K AU - Vohr B Y1 - 2007/05// N1 - Accession Number: 106131795. Corporate Author: National Institute of Child Health and Human Development Neonatal Research Network. Language: English. Entry Date: 20070810. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Instrumentation: Bayley Scales of Infant Development. NLM UID: 0376422. KW - Child Development KW - Infant, Very Low Birth Weight KW - Intensive Care Units, Neonatal KW - Nurseries, Hospital KW - Transfer, Discharge KW - Adult KW - Chi Square Test KW - Clinical Assessment Tools KW - Confidence Intervals KW - Female KW - Infant KW - Infant, Newborn KW - Kruskal-Wallis Test KW - Logistic Regression KW - Male KW - Mortality KW - Odds Ratio KW - Prospective Studies KW - Retrospective Design KW - Human SP - e1079 EP - 87 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 119 IS - 5 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - OBJECTIVE: Transfer of clinically stable infants to level I and II nurseries alleviates demands on NICUs and allows better use of beds and resources. This study compared growth, neurodevelopmental impairments, postdischarge rehospitalization and deaths, and compliance for follow-up assessment at 18 to 22 months' corrected age of extremely low birth weight infants who transferred to level I and II nurseries with those who continued to receive care to discharge in a NICU. METHODS: A retrospective analysis of prospectively collected data from the National Institute of Child Health and Human Development Neonatal Research Network was performed. Between January 1998 and June 2002, 4896 infants born with birth weights of 401 to 1000 g and cared for in 19 National Institute of Child Health and Human Development Neonatal Research Network centers were included. The sample consisted of 4392 survivors who received continuing care in the NICU to discharge home and 504 infants who were transferred to level I and II nurseries before discharge home. Demographics, perinatal characteristics, growth, and neurodevelopmental impairments were compared. Bivariate and logistic regression analyses were performed. RESULTS: Transfer of infants to level I and II nurseries was associated significantly with white race, private insurance, outborn status, and lower neonatal morbidities and compliance for follow-up compared with the NICU group. After adjusting for known covariates, transfer to level I and II nurseries was not associated with neurodevelopmental impairments or death; however, it was associated with increased postdischarge rehospitalization. CONCLUSIONS: Extremely low birth weight infants who are transferred to level I and II nurseries have similar growth and neurodevelopmental outcomes to infants who are discharged from a NICU. They are, however, more likely to be readmitted to the hospital and are less compliant for follow-up. Establishment of consistent guidelines for comprehensive discharge planning for level I and II nurseries may improve follow-up compliance and reduce rehospitalization rates among these infants who are transferred. SN - 0031-4005 AD - Department of Pediatrics, Women and Infants Hospital, 101 Dudley St, Providence, RI 02905, USA. slainwala@wihri.org U2 - PMID: 17403819. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106131795&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106784807 T1 - Understanding uncertainty and minimizing families' anxiety at the time of transfer from intensive care. AU - Mitchell ML AU - Courtney M AU - Coyer F Y1 - 2003/09// N1 - Accession Number: 106784807. Language: English. Entry Date: 20031205. Revision Date: 20150819. Publication Type: Journal Article; review. Journal Subset: Asia; Nursing; Peer Reviewed. NLM UID: 100891857. KW - Anxiety KW - Family -- Psychosocial Factors KW - Intensive Care Units KW - Transfer, Intrahospital KW - Conceptual Framework KW - Critical Illness -- Psychosocial Factors KW - Systems Theory KW - Uncertainty SP - 207 EP - 217 JO - Nursing & Health Sciences JF - Nursing & Health Sciences JA - NURS HEALTH SCI VL - 5 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - When general ward registered nurses (RN) receive patients from an intensive care unit (ICU) they report that much of their time in the initial phases revolves around meeting family needs (Farvis, 2002). Families experience anxiety when leaving the security of the close monitoring seen in ICU (Leith, 1999) and their anxiety reduces their ability to play a key role in the patient's recovery (McShane, 1991; Leske, 1992) as it can impair their decision-making (Cagan, 1988; Halm et al., 1993). By reducing a family's anxiety, they may be more able to cope with the necessary transition to a general ward and support the patient's recovery. A literature search from 1990 onwards was performed within the CINAHL, Medline and Cochrane databases using the key words: intensive care, family, General System Theory, uncertainty, anxiety and transfer. Further articles were retrieved from citation references from the Web of Science or through the reference lists of retrieved literature. Library catalogues were searched using the same key words for books and book chapters. von Bertalanffy's General System Theory provides a framework for understanding the importance of family in a critical illness situation. Critical illness permits little or no time to adapt, thus reducing the family's ability to cope with the situation. Transfer out of ICU is a significant anxiety-producing event for families. Uncertainty in illness is reported in other illness situations to reduce family's adaptation to illness events, but has not been researched with an ICU cohort of families. Seven out of the top 10 needs of ICU families are information needs, highlighting the importance of communication regarding progress and future plans. Nurses require an increased awareness that transfer anxiety exists for families and to be knowledgeable about ways to reduce its occurrence. Research is required to evaluate the efficacy of interventions to reduce anxiety for families and examine the level of uncertainty in illness in this cohort. SN - 1441-0745 AD - School of Nursing, Griffith University, Logan Campus, Meadowbrook, Australia; marion.mitchell@mailbox.gu.edu.au U2 - PMID: 12877722. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106784807&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107105043 T1 - Parents who received transfer preparation had lower anxiety about their children's transfer from the paediatric intensive care unit to a general paediatric ward [commentary on Bouve LR, Rozmus CL, Giordano P. Preparing parents for their child's transfer from the PICU to the pediatric floor. APPL NURS RES 1999 Aug;12(3):114-20]. AU - Miles MS Y1 - 2000/01// N1 - Accession Number: 107105043. Language: English. Entry Date: 20000401. Revision Date: 20150820. Publication Type: Journal Article; abstract; commentary. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9815947. KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Transfer, Intrahospital -- Psychosocial Factors KW - Pediatric Critical Care Nursing KW - Parents -- Psychosocial Factors KW - Lazarus Theory of Stress and Coping KW - Conceptual Framework KW - Experimental Studies KW - Convenience Sample KW - Southeastern United States KW - Random Assignment KW - Intensive Care Units, Pediatric -- Southeastern United States KW - Parents -- Education KW - Psychological Tests KW - Purposive Sample KW - Nursing Interventions KW - Descriptive Statistics KW - Pretest-Posttest Design KW - Anxiety -- Prevention and Control KW - Stress, Psychological -- Prevention and Control KW - Analysis of Covariance KW - Infant KW - Child, Preschool KW - Child KW - Adolescence KW - Adult KW - Middle Age KW - Male KW - Female SP - 17 EP - 17 JO - Evidence Based Nursing JF - Evidence Based Nursing JA - EVID BASED NURS PB - BMJ Publishing Group AB - QUESTION: What is the effectiveness of transfer preparation to reduce the anxiety level of parents of children facing imminent transfer from a paediatric intensive care unit (PICU) to a general paediatric ward? Design: Randomised {allocation concealed}*, unblinded, controlled trial. Setting: A tertiary medical centre in southeastern USA. Participants: 50 parents (mean age 31 y, age range 15-52 y, 62% women, 80% white, 78% married) of children (mean age 3 y, age range 1 wk to 12 y) who were in a PICU: (mean duration of PICU stay 5 d). Inclusion criteria were first experience of a child in the PICU, child in hospital because of an acute illness (eg, trauma, surgical procedure, or diagnosis of disease), parent attendance in the PICU for > 3 hours/day, and child to be transferred out of the PICU to a general paediatric ward with >/= 2d hours of notice. Intervention: Parents were allocated to an experimental (n=31) or control (n=19) group. Parents in the intervention group were given a transfer preparation letter and a 10 minute verbal explanation be a nurse of the expected changes in the level of care by the ward staff and positive aspects of the transfer, and were encouraged to ask questions. Parents in the control group did not receive a letter or verbal explanation and were informed of the transfer immediately before it occurred (standard procedure). Main outcome measures: Parental self reported anxiety levels were measured using Spielberger's State-Trait Anxiety Inventory (STAI) 24-48 hours before the child's transfer (pre-intervention score) and after the intervention 1-2 hours before the child's transfer (post-intervention score). The STAI consists of 2 separate scales, the state anxiety and trait anxiety scales; scores range between 20 and 80 and higher scores represent higher anxiety levels. Main results: Mean pre-intervention STAI scores did not differ for intervention and control groups (state anxiety scores 45 and 47, respectively, and trait anxiety scores 35 and 38, respectively). Mean post-intervention STAI state anxiety scores were lower for the intervention than the control group (37 v 47) after controlling for pre-intervention trait anxiety (p < 0.001) and pre-intervention state anxiety (p < 0.001). Mean post-intervention STAI trait anxiety scores did not differ for the intervention and control groups (33 v 36). Conclusion: Parents of children facing imminent transfer from a paediatric intensive care unit to a general paediatric ward echo received transfer preparation had lower anxiety levels than those who received the standard procedure. *Information provided by author. [Original article accession number: 1999065017 (consumer/patient teaching materials, research, tables/charts)] SN - 1367-6539 AD - Professor, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107105043&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104775708 T1 - A ventilator for use during mobile intensive care and total intravenous anaesthesia. The Dräger oxylog. AU - Park, G R AU - Johnson, S Y1 - 1982/12// N1 - Accession Number: 104775708. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Anesthesia, Intravenous KW - Critical Care KW - Transportation of Patients KW - Ventilators, Mechanical KW - Equipment Design KW - Lung Volume Measurements SP - 1204 EP - 1208 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 37 IS - 12 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 U2 - PMID: 6960741. DO - 10.1111/j.1365-2044.1982.tb01789.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104775708&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107602559 T1 - Dilemmas of perinatal intensive care. AU - McIntosh N AU - Bone C Y1 - 1984/02//1984 Feb N1 - Accession Number: 107602559. Language: English. Entry Date: 19841101. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0171545. KW - Perinatal Care KW - Intensive Care Units KW - Obstetric Care KW - Intensive Care Units, Neonatal KW - Intensive Care, Neonatal KW - United Kingdom KW - Pregnancy Complications KW - Transportation of Patients KW - Pregnancy KW - Infant, Newborn KW - Female SP - 145 EP - 148 JO - British Journal of Hospital Medicine JF - British Journal of Hospital Medicine JA - BR J HOSP MED VL - 31 IS - 2 PB - Mark Allen Holdings Limited SN - 0007-1064 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107602559&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107548536 T1 - Life, money, quality: the impact of regionalization on perinatal/neonatal intensive care. AU - Grassi LC Y1 - 1988/02//1988 Feb N1 - Accession Number: 107548536. Language: English. Entry Date: 19880501. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8503921. KW - Intensive Care Units, Neonatal -- Utilization -- United States KW - Intensive Care, Neonatal -- Economics -- United States KW - Transportation of Patients -- In Infancy and Childhood KW - Transportation of Patients -- In Pregnancy KW - Infant, High Risk KW - Perinatal Care -- Economics -- United States KW - United States KW - Infant, Low Birth Weight KW - Infant, Newborn KW - Inpatients KW - Pregnancy KW - Female SP - 53 EP - 59 JO - Neonatal Network JF - Neonatal Network JA - NEONAT NETW VL - 6 IS - 4 CY - New York, New York PB - Springer Publishing Company, Inc. SN - 0730-0832 U2 - PMID: 3347200. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107548536&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104721330 T1 - Paediatric intensive care transfers. AU - Griffiths, R AU - Smith, H Y1 - 2000/06// N1 - Accession Number: 104721330. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article; case study; letter. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Epiglottitis -- Therapy KW - Critical Care KW - Transfer, Discharge -- Administration KW - Acute Disease KW - England KW - Infant SP - 610 EP - 610 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 55 IS - 6 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 U2 - PMID: 10866756. DO - 10.1046/j.1365-2044.2000.01479-33.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104721330&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107063163 T1 - Safer discharge from intensive care to hospital wards: randomisation is necessary to disentangle intrinsic patient risk from effects of care. AU - McPherson K Y1 - 2001/05/26/ N1 - Accession Number: 107063163. Language: English. Entry Date: 20011026. Revision Date: 20150711. Publication Type: Journal Article; editorial. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 101090866. KW - Intensive Care Units KW - Transfer, Intrahospital KW - Triage -- Methods KW - Critical Care KW - Hospital Mortality KW - Intensive Care Units -- Utilization KW - Health Facility Costs KW - Treatment Outcomes KW - Great Britain KW - Apache SP - 1261 EP - 1262 JO - BMJ: British Medical Journal (International Edition) JF - BMJ: British Medical Journal (International Edition) JA - BMJ VL - 322 IS - 7297 PB - BMJ Publishing Group SN - 0959-8146 AD - Professor of Public Health Epidemiology, London School of Hygiene and Tropical Medicine, London WC1E 7HT. E-mail: klim.mcpherson@lshtm.ac.uk U2 - PMID: 11375215. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107063163&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106930609 T1 - Aeromedical transport in a regional intensive care unit. AU - Houliston S AU - Bennett F AU - Freebairn R Y1 - 2000/06//2000 Jun N1 - Accession Number: 106930609. Language: English. Entry Date: 20020614. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Australia & New Zealand; Nursing; Peer Reviewed. KW - Aeromedical Transport -- New Zealand KW - Intensive Care Units -- New Zealand KW - Regional Centers -- New Zealand KW - New Zealand SP - 28 EP - 29 JO - Vision (11749784) JF - Vision (11749784) JA - VISION VL - 6 IS - 10 PB - Hawke's Bay Publications SN - 1174-9784 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106930609&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106588510 T1 - Perinatal transport: problems in neonatal intensive care capacity. AU - Gill AB AU - Bottomley L AU - Chatfield S AU - Wood C Y1 - 2004/05// N1 - Accession Number: 106588510. Corporate Author: Yorkshire Neonatal Forum. Language: English. Entry Date: 20050304. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Grant Information: Yorkshire Multi-District Clinical Audit Committee. NLM UID: 9501297. KW - Intensive Care, Neonatal -- Standards KW - Transportation of Patients -- Standards -- In Infancy and Childhood KW - Bed Occupancy KW - Female KW - Infant, Newborn KW - Needs Assessment KW - Outcomes (Health Care) KW - Perinatal Care -- Standards KW - Pregnancy KW - Questionnaires KW - Record Review KW - Transportation of Patients -- Utilization -- In Infancy and Childhood KW - United Kingdom KW - Funding Source KW - Human SP - F220 EP - 3 JO - Archives of Disease in Childhood -- Fetal & Neonatal Edition JF - Archives of Disease in Childhood -- Fetal & Neonatal Edition JA - ARCH DIS CHILD FETAL NEONAT ED VL - 89 IS - 3 PB - BMJ Publishing Group AB - OBJECTIVE: To assess the quantity and nature of transfers within the Yorkshire perinatal service, with the aim of identifying suitable outcome measures for the assessment of future service improvements. DESIGN/SETTING: Collection of data on perinatal transfers from all neonatal and maternity units located in the Yorkshire region of the United Kingdom from May to November 2000. PATIENTS: Expectant mothers (in utero transfers) and neonates (ex utero transfers). INTERVENTIONS: None MAIN OUTCOME MEASURES: Quantification of in utero and ex utero transfers; the reasons for and resources required to support transfers; the nature of each transfer (acute, specialist, non-acute, into or out of region). RESULTS: In the period studied, there were 800 transfers (337 in utero; 463 ex utero); 306 transfers were 'acute' (80% of transfers in utero), 214 because of specialist need, and 280 'non-acute'. Some 37% of capacity transfers occurred from the two level 3 units in the region. Of 254 transfers out of the 14 neonatal units for intensive care, 44 (17.3%) were transferred to hospitals outside the normal neonatal commissioning boundaries. CONCLUSIONS: The study highlights a continuing apparent lack of capacity within the neonatal service in the Yorkshire region, resulting in considerable numbers of neonatal and maternal transfers. SN - 1359-2998 AD - Peter Congdon Neonatal Unit, Leeds General Infirmary, Leeds LS2 9NS, UK; bryan.gill@leedsth.nhs.uk U2 - PMID: 15102724. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106588510&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107595651 T1 - Military neonatal transport and intensive care--effective and cost effective. AU - Bell RE AU - Ackerman NB Jr. AU - Yoder BA AU - Null DM Jr. AU - deLemos RA AU - Bell, R E AU - Yoder, B A AU - Ackerman, N B Jr AU - Null, D M Jr AU - deLemos, R A Y1 - 1984/03//1984 Mar N1 - Accession Number: 107595651. Language: English. Entry Date: 19840501. Revision Date: 20171209. Publication Type: journal article; research. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 2984771R. KW - Transportation of Patients -- Economics KW - Intensive Care Units, Neonatal -- Economics KW - Military Services -- Economics KW - Cost Benefit Analysis KW - Infant KW - Human SP - 143 EP - 145 JO - Military Medicine JF - Military Medicine JA - MILIT MED VL - 149 IS - 3 CY - Gaithersburg, Maryland PB - AMSUS SN - 0026-4075 U2 - PMID: 6425731. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107595651&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106315612 T1 - Audit of transfers to paediatric intensive care, 2003. AU - Dison P Y1 - 2004///2004 Spring N1 - Accession Number: 106315612. Language: English. Entry Date: 20060811. Revision Date: 20150711. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Allied Health; Europe; Peer Reviewed; UK & Ireland. NLM UID: 101216069. KW - Audit KW - Intensive Care Units, Pediatric -- Evaluation KW - Transfer, Intrahospital -- Evaluation KW - Adolescence KW - Anesthetists KW - Change Management KW - Child KW - Child, Preschool KW - Clinical Competence KW - Critical Care -- Equipment and Supplies KW - Documentation KW - Drug Utilization KW - Infant KW - Infant, Newborn KW - Intensive Care Units, Pediatric -- Administration KW - Protocols KW - Quality of Health Care -- Evaluation KW - Record Review KW - Human SP - 35 EP - 35 JO - British Journal of Resuscitation JF - British Journal of Resuscitation JA - BR J RESUSCITATION VL - 3 IS - 1 PB - Council for Professionals as Resuscitation Officers (CPRO) SN - 1743-1808 AD - Consultant Paediatrician, New Cross Hospital, Wolverhampton UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106315612&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107576652 T1 - Transfer orientation: developing a retraining program... generalist nurses to the Intensive Care Nursery. AU - Lachance-Everhart R Y1 - 1986/07//1986 Jul-Aug N1 - Accession Number: 107576652. Language: English. Entry Date: 19861101. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0262321. KW - Employee Orientation KW - Neonatal Nursing -- Education KW - Staff Development KW - Curriculum SP - 122 EP - 124 JO - Journal of Continuing Education in Nursing JF - Journal of Continuing Education in Nursing JA - J CONTIN EDUC NURS VL - 17 IS - 4 CY - Thorofare, New Jersey PB - SLACK Incorporated SN - 0022-0124 U2 - PMID: 3090119. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107576652&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107374711 T1 - Consider this... Determining intensive care unit requirements: a continuous quality improvement project. AU - Counsell C AU - Beasley M AU - Denk M AU - Gilbert M AU - Rivers R Y1 - 1996/04//1996 Apr N1 - Accession Number: 107374711. Language: English. Entry Date: 19960701. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 1263116. KW - Quality Improvement -- Methods KW - Bed Occupancy KW - Intensive Care Units KW - Observation Units KW - Transfer, Intrahospital SP - 5 EP - 6 JO - Journal of Nursing Administration JF - Journal of Nursing Administration JA - J NURS ADM VL - 26 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-0443 AD - Shands Hospital at the University of Florida, Gainesville U2 - PMID: 8774463. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107374711&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107743036 T1 - Maternal and child health nursing. Nurse-physician interaction in providing newborn intensive care... part 1. AU - Jung AL Y1 - 1973/01// N1 - Accession Number: 107743036. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. NLM UID: 7511412. KW - Teamwork KW - Infant, Newborn KW - Transportation of Patients KW - Intensive Care Units, Neonatal SP - 114 EP - 118 JO - ANA Clinical Sessions JF - ANA Clinical Sessions JA - ANA CLIN SESSIONS CY - Silver Spring, Maryland PB - American Nurses Association SN - 0065-9495 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107743036&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104722497 T1 - Paediatric intensive care transfers 3. AU - Jones, K J Y1 - 2000/10// N1 - Accession Number: 104722497. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Critical Illness -- Therapy KW - Critical Care KW - Transfer, Discharge KW - Child KW - Epiglottitis -- Therapy SP - 1026 EP - 1026 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 55 IS - 10 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 U2 - PMID: 11012502. DO - 10.1046/j.1365-2044.2000.01727-3.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104722497&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106242153 T1 - After-hours discharge from intensive care increases the risk of readmission and death. AU - Pilcher D AU - Duke G AU - George C AU - Bailey M AU - Hart G Y1 - 2006/11//2006 Nov N1 - Accession Number: 106242153. Language: English. Entry Date: 20070223. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9207852. KW - Critically Ill Patients KW - Death KW - Readmission KW - Transfer, Intrahospital KW - Descriptive Research KW - Intensive Care Units KW - New Zealand KW - Time Factors KW - Human SP - 153 EP - 153 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 19 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106242153&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - THES ID - 109874014 T1 - Nurses' perceptions of collaborative nurse-physician transfer decision-making as a predictor of patient outcomes in a medical intensive care unit. AU - Higgins LW Y1 - 1997/01// N1 - Accession Number: 109874014. Language: English. Entry Date: 20000201. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. Instrumentation: Decision About Transfer (DAT); Acute Physiology and Chronic Health Evaluation Scale (APACHE). KW - Nurse-Physician Relations -- Evaluation KW - Collaboration -- Evaluation KW - Perception -- Evaluation KW - Intensive Care Units KW - Transfer, Intrahospital KW - Decision Making, Clinical -- Evaluation KW - Clinical Assessment Tools KW - Apache KW - Data Analysis Software KW - Prospective Studies KW - Correlational Studies KW - Record Review KW - Convenience Sample KW - Questionnaires KW - Scales KW - Logistic Regression KW - Correlation Coefficient KW - Chi Square Test KW - Pearson's Correlation Coefficient KW - Inpatients KW - Human SP - 200 p EP - 200 p JO - Nurses' Perceptions of Collaborative Nurse-physician Transfer Decision-making as a Predictor of Patient Outcomes in a Medical Intensive Care Unit JF - Nurses' Perceptions of Collaborative Nurse-physician Transfer Decision-making as a Predictor of Patient Outcomes in a Medical Intensive Care Unit PB - UNIVERSITY OF PITTSBURGH AB - This prospective correlational study examined nurses' perceptions of collaborative nurse-physician transfer decision making as a predictor of patient outcomes in a medical intensive care unit (MICU), adjusting for risk. The convenience sample consisted of 175 patient transfer decisions. Patient charts, computerized patient databases, and weekly telephone conversations with a patient care coordinator were used to collect patient information, and a questionnaire developed by the investigator was used to obtain demographic data from the 42 MICU nurses. An adapted version of the Decision About Transfer (DAT) scale served to measure the nurses' perceptions of collaboration and satisfaction with respect to specific patient transfer decisions, as well as decision task complexity, and the Acute Physiology and Chronic Health Evaluation (APACHE III) was utilized to adjust for patient risk. Using an SPSS computer program, the data were analyzed via hierarchical logistic regression (LR) and correlation coefficients. Testing the main effects as well as the interaction terms of various models and examining the improvement in chi-square statistics, the hierarchical logistic regression analysis first showed that the nurses' perceptions of collaboration were not a significant predictor of patient outcomes. Furthermore, the analysis also showed that decision task complexity and the nurses' years of critical care experience did not significantly moderate the contribution of nurses' perceptions of collaboration to patient outcome prediction. Finally, a Pearson product moment correlation coefficient of.28 revealed a statistically significant (p < .000), positive relationship between the nurses' perceptions of collaboration and their satisfaction with the decision making process about decisions to transfer. Implications of the research findings were discussed and recommendations for future research were made. AV - UMI Order PUZ9728665 M1 - PH.D. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109874014&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107608301 T1 - Squad team in action... how one baby was transferred to the specialised neonatal intensive care unit. AU - Lewis P Y1 - 1983/03/02/1983 Mar 2 N1 - Accession Number: 107608301. Language: English. Entry Date: 19830701. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Europe; Nursing; UK & Ireland. NLM UID: 7708429. KW - Intensive Care, Neonatal -- United Kingdom KW - Transportation of Patients -- In Infancy and Childhood KW - Infant, Newborn SP - ii EP - iv JO - Nursing Mirror JF - Nursing Mirror JA - NURS MIRROR VL - 156 IS - 9 PB - EMAP Healthcare SN - 0029-6511 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107608301&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107744773 T1 - Mobile intensive care unit nurse. AU - Shabazian D Y1 - 1975/07//1975 Jul-Aug N1 - Accession Number: 107744773. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7605913. KW - Transportation of Patients KW - Monitoring, Physiologic KW - Emergency Service KW - Specialization -- Standards SP - 20 EP - 22 JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 1 CY - New York, New York PB - Elsevier B.V. SN - 0099-1767 U2 - PMID: 1097794. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107744773&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106931851 T1 - Front-runners...mobile paediatric intensive care unit AU - Crouch D Y1 - 2002/02/28/2002 Feb 28-Mar 6 N1 - Accession Number: 106931851. Language: English. Entry Date: 20020621. Revision Date: 20150711. Publication Type: Journal Article. Supplement Title: 2002 Feb 28-Mar 6. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0423236. KW - Mobile Health Units KW - Intensive Care Units, Pediatric KW - Meningococcal Infections -- Therapy -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Child KW - England KW - Meningococcal Infections -- Mortality -- In Infancy and Childhood KW - Pediatric Nursing KW - Hospitals -- England SP - 25 EP - 25 JO - Nursing Times JF - Nursing Times JA - NURS TIMES VL - 98 IS - 9 PB - EMAP Healthcare AB - In the battle against meningitis, nurses need more than just advanced clinical skills. David Crouch spoke to the lead nurse at London's mobile paediatric intensive care unit. SN - 0954-7762 U2 - PMID: 11917390. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106931851&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - THES ID - 109869711 T1 - Nurse-physician collaboration in the intensive care unit. AU - Baggs JG Y1 - 1990/01// N1 - Accession Number: 109869711. Language: English. Entry Date: 19920401. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. Instrumentation: Collaborative Practice Scales (CPS); Index of Work Satisfaction (IWS). KW - Nurse-Physician Relations KW - Collaboration KW - Intensive Care Units KW - Job Satisfaction KW - Staff Nurses -- Psychosocial Factors KW - Transfer, Intrahospital KW - Outcomes (Health Care) KW - Critical Care Nursing -- Psychosocial Factors KW - Research Instruments KW - Physicians KW - Logistic Regression KW - Internship and Residency KW - Correlation Coefficient KW - Human SP - 182 p EP - 182 p JO - Nurse-physician Collaboration in the Intensive Care Unit JF - Nurse-physician Collaboration in the Intensive Care Unit PB - UNIVERSITY OF ROCHESTER AB - This study evaluated the association of nurse-physician collaboration in intensive care units (ICUs) with patient outcomes and nurse satisfaction. The major independent variables measured were general amount of collaborative practice and specific amount of collaboration related to the decision to transfer patients out of the ICU. The general measure used was the Collaborative Practice Scales (CPS). The specific measure was a Likert-type question about how much collaboration was involved in making the decision. Data were collected on patient outcomes of death or readmission to the ICU. Nurse satisfaction was measured generally using the Index of Work Satisfaction (IWS). A question about satisfaction with the decision-making process measured specific nurse and physician satisfaction. Relationships between nurses' and physicians' assessments of collaboration and satisfaction were explored, as were relationships between nurses' and physicians' education and experience levels and collaboration. Sixty-eight staff nurses, thirty-two residents, and fifty-nine attending physicians participated. The transfers of 286 patients from the ICU were studied. Logistic regressions revealed a significant positive relationship between patient outcome and collaboration involved in making the transfer decision as assessed by nurses (p <.05). Collaboration as assessed by physicians had no significant relationship with patient outcome. While no significant relationship was shown between collaboration and general nursing work satisfaction (r =.08), there was a strong relationship in the specific situation (r =.67, p <.05). The correlation in the specific situation was significant, but much lower for residents (r =.26, p <.05). There was no significant correlation between nurses' and residents' assessment of how much collaboration had occurred in making the transfer decision (r =.10). There was no significant relationship between education or experience variables and collaboration for nurses or attending physicians, but there was a positive association for education and collaboration for residents. The results indicate that collaboration in ICU care related to both patient outcome and nurse satisfaction. (Scientific symbols modified where possible in accordance with CINAHL policy.) AV - UMI Order PUZ9100378 M1 - PH.D. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109869711&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107552568 T1 - The effect of transportation between the recovery room and intensive care unit on postoperative acoustic tumor patients. AU - Hamm CW AU - Robertson JH AU - Robertson JT AU - Hathaway DK AU - Tolley E Y1 - 1988/10//1988 Oct N1 - Accession Number: 107552568. Language: English. Entry Date: 19881201. Revision Date: 20150712. Publication Type: Journal Article; research; review. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8603596. KW - Transportation of Patients KW - Blood Pressure -- Evaluation KW - Postoperative Complications KW - Hypertension -- Etiology KW - Neurosurgery KW - Post Anesthesia Care Units KW - Intensive Care Units KW - Hypertension -- Complications KW - Halothane -- Adverse Effects KW - Adolescence KW - Adult KW - Middle Age KW - Aged KW - Inpatients KW - Neuroscience Nursing KW - Human SP - 303 EP - 308 JO - Journal of Neuroscience Nursing JF - Journal of Neuroscience Nursing JA - J NEUROSCI NURS VL - 20 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Cardiovascular changes have been noted to occur during movement from the operating room or recovery room (RR) to the intensive care unit (ICU). This study examined blood pressure changes and related variables during transport from the RR to the ICU in 135 postoperative acoustic tumor patients. Although there was no significant change in blood pressure values from the RR to the ICU, patients with pre-existing hypertension and elevated RR blood pressures were noted to have an increased frequency of postoperative complications. In addition, a relationship was noted between administration of halothane and frequency of postoperative complications. Results highlight the need for nurses not only to monitor, but also closely control postoperative blood pressure in this population. SN - 0888-0395 U2 - PMID: 2976789. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107552568&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107550179 T1 - Improving communication between the OR and the intensive care unit. AU - Rosenthal K Y1 - 1988/08//1988 Aug N1 - Accession Number: 107550179. Language: English. Entry Date: 19880901. Revision Date: 20150712. Publication Type: Journal Article; forms. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403. KW - Communication -- Methods KW - Perioperative Nursing KW - Critical Care Nursing KW - Interdepartmental Relations KW - Equipment and Supplies -- Economics KW - Transfer, Intrahospital SP - 188 EP - 189 JO - AORN Journal JF - AORN Journal JA - AORN J VL - 48 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0001-2092 U2 - PMID: 3421687. DO - 10.1016/S0001-2092(07)68835-8 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107550179&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107620136 T1 - Airborne intensive care. AU - Griffin M Y1 - 1981/09/16/1981 Sep 16-22 N1 - Accession Number: 107620136. Language: English. Entry Date: 19821201. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0423236. KW - Transportation of Patients KW - Aircraft KW - Critical Care Nursing SP - 1022 EP - 1023 JO - Nursing Times JF - Nursing Times JA - NURS TIMES VL - 77 PB - EMAP Healthcare SN - 0954-7762 U2 - PMID: 6912511. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107620136&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107757516 T1 - A sign of the time... mobile intensive care unit (MICU) Redding, California. AU - Miller A Y1 - 1976/11//1976 Nov-Dec N1 - Accession Number: 107757516. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7605913. KW - Specialization KW - Transportation of Patients KW - Emergency Nursing SP - 29 EP - 29 JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 2 CY - New York, New York PB - Elsevier B.V. SN - 0099-1767 U2 - PMID: 792547. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107757516&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107685754 T1 - Intensive care units produce transfer and staffing problems, survey shows. Y1 - 1963/01//1963 Jan N1 - Accession Number: 107685754. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. NLM UID: 0417654. KW - Intensive Care Units SP - 68 EP - 68 JO - Modern Hospital JF - Modern Hospital JA - MOD HOSP VL - 100 CY - New York, New York PB - McGraw-Hill Healthcare Publications SN - 0026-783X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107685754&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126059613 T1 - Critical Care Air Transport Team Evacuation of Medical Patients Without Traumatic Injury. AU - Arana, Allyson A. AU - Savell, Shelia C. AU - Reeves, Lauren K. AU - Perez, Crystal A. AU - Mora, Alejandra G. AU - Maddry, Joseph K. AU - Bebarta, Vikhyat S. Y1 - 2017/11// N1 - Accession Number: 126059613. Language: English. Entry Date: In Process. Revision Date: 20171209. Publication Type: journal article. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 2984771R. SP - e1874 EP - e1880 JO - Military Medicine JF - Military Medicine JA - MILIT MED VL - 182 IS - 11 CY - Gaithersburg, Maryland PB - AMSUS AB - Background: Air Force Critical Care Air Transport Teams (CCATTs) provide fixed-wing aeromedical evacuation for combat casualties. Multiple studies have evaluated CCATT trauma patients; however, nearly 50% of patients medically evacuated from combat theaters are for nontraumatic medical illnesses to include stroke, myocardial infarctions, overdose, and pulmonary emboli. Published data are limited regarding illness types, in-flight procedures, and adverse events.Objective: The objective of our study was to characterize patients with nontraumatic medical illnesses transferred via CCATT to include a description of in-flight procedures and events.Study Design: We performed a retrospective review of CCATT medical records of patients with nontraumatic medical illnesses transported via CCATT from theater of operations to Landstuhl Regional Medical Center between January 2007 and April 2015. We abstracted data from CCATT records to include demographics, description of current illness, vital signs, labs, in-flight procedures and medications, and in-flight adverse events. Following descriptive analysis, comparative tests were performed based on service status of patients and primary diagnoses.Results: We reviewed 672 records of critically ill medical patients transported via CCATT, most of whom were male (90%, n = 606). Approximately 56% of the patients were U.S. active duty members; the remainder included U.S. contractors and civilians, and foreign citizens or unknown. The three categories (active duty, contractor/civilian, foreign/unknown) significantly differed from one another in age. Over half of the patients received a primary or secondary cardiac diagnosis. The most common in-flight procedures and medications included supplementary oxygenation, anticoagulant/antiplatelet medications, analgesics, and ventilation. Up to 20% of patients required continuous medication infusions other than analgesics. Patients most frequently experienced in-flight complications related to their primary diagnoses.Conclusions: Fifty-six percent (672) of 1,209 CCATT records that were queried were of patients with medical conditions. The most common primary diagnoses of CCATT medical patients were cardiac, pulmonary, and neurological in etiology. Mechanical ventilation and continuous medication infusions were required in approximately 20% of patients. The data provided by this study may assist in guiding future CCATT training requirements and resource allocation, as well as clinical practice guideline development. SN - 0026-4075 AD - U.S. Air Force En Route Care Research Center 59th Medical Wing/ST, U.S. Army Institute of Surgical Research, 3698 Chambers Pass, Building 3611, JBSA Fort Sam Houston, TX 78234. AD - Department of Emergency Medicine, San Antonio Military Medical Center, 3551 Roger Brooke Drive, JBSA Fort Sam Houston, TX 78234. AD - Department of Emergency Medicine, School of Medicine, University of Colorado, 19th Avenue, Aurora, CO 80045. AD - Colorado Air National Guard, Buckley Air Force Base, 18860 East Breckenridge Avenue, Aurora, CO 80011. U2 - PMID: 29087856. DO - 10.7205/MILMED-D-17-00091 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126059613&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124268863 T1 - Atención prehospitalaria a los pacientes con insuficiencia cardiaca aguda en España: estudio SEMICA. AU - Miró, Òscar AU - Llorens, Pere AU - Escalada, Xavier AU - Herrero, Pablo AU - Jacob, Javier AU - Gil, Víctor AU - Xipell, Carolina AU - Sánchez, Carolina AU - Aguiló, Sira AU - Martín-Sánchez, Francisco J. Y1 - 2017/08// N1 - Accession Number: 124268863. Language: Spanish. Entry Date: In Process. Revision Date: 20170728. Publication Type: Article. Journal Subset: Blind Peer Reviewed; Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed. SP - 223 EP - 230 JO - Emergencias JF - Emergencias JA - EMERGENCIAS VL - 29 IS - 4 PB - Revista Emergencias AB - Objectives. To study the means of emergency transport used to bring patients with acute heart failure (AHF) to hospital emergency departments (EDs) and explore associations between factors, type of transport, and prehospital care received. Methods. We gathered the following information on patients treated for AHF at 34 Spanish hospital EDs: means of transport used (medicalized ambulance [MA], nonmedicalized ambulance [NMA], or private vehicle) and treatments administered before arrival at the hospital. Twenty-seven independent variables potentially related to type of transport used were also studied. Indicators of AHF severity were triage level assigned in the ED, need for admission, need for intensive care, in-hospital mortality, and 30-day mortality. Results. A total of 6106 patients with a mean (SD) age of 80 years were included; 56.5% were women, 47.2% arrived in PVs, 37.8% in NMAs, and 15.0% in MAs. Use of an ambulance was associated with female sex, age over 80 years, chronic obstructive pulmonary disease, a history of AHF, functional dependency, New York Heart Association class III-IV, sphincteral incontinence, labored breathing, orthopnea, cold skin, and sensory depression or restlessness. Assignment of a MA was directly associated with living alone, a history of ischemic heart disease, cold skin, sensory depression or restlessness, and high temperature; it was inversely associated with a history of falls. The rates of receipt of prehospital treatments and AHF severity level increased with use of MAs vs. NMAs vs. PV. Seventy-three percent of patients transported in MAs received oxygen, 29% received a diuretic, 13.5% a vasodilator, and 4.7% noninvasive ventilation. Conclusions. Characteristics of the patient with AHF are associated with the assignment of type of transport to a hospital ED. Assignment appears to be related to severity. Treatment given during MA transport could be increased. AB - Objetivo. Investigar, en los pacientes diagnosticados de insuficiencia cardiaca aguda (ICA) en servicios de urgencias hospitalarios (SUH), su forma de llegada, los factores asociados al tipo de transporte usado y el tratamiento prehospitalario administrado. Método. En pacientes diagnosticados consecutivamente de ICA en 34 SUH españoles se recogió: forma de llegada (transporte sanitario medicalizado --TSM--, no medicalizado --TSNM-- o propio --TP--) y tratamiento prehospitalario administrado. Se estudiaron 27 variables independientes potencialmente relacionadas con el tipo de transporte utilizado. Como indicadores de gravedad se registraron nivel de triaje en urgencias, necesidad de ingreso y de cuidados intensivos, mortalidad intrahospitalaria y a 30 días. Resultados. Se incluyeron 6.106 pacientes [edad: 80 años (DE:10), 56,5% mujeres]; 47,2% llegaron en TP, 37,8% en TSNM y 15,0% en TSM. El uso de transporte sanitario se asoció a ser mujer, edad > 80 años, enfermedad pulmonar obstructiva crónica, antecedentes de ICA, dependencia funcional, NYHA III-IV, incontinencia esfínteres y presentar disnea, ortopnea, piel fría y depresión del sensorio/inquietud. La asignación de TSM se asoció directamente a vivir solo, antecedente de cardiopatía isquémica, presentar piel fría, depresión del sensorio o inquietud y temperatura elevada e inversamente al antecedente de caídas. Los traslados en TP, TSNM y TSM registraron porcentajes crecientes de tratamiento prehospitalario, y su gravedad también fue progresivamente creciente. El 73% de pacientes trasladados con TSM recibió oxígeno, el 29% diurético, el 13,5% vasodilatador y el 4,7% ventilación no invasiva. Conclusiones. Existen características del paciente con ICA relacionadas con el tipo de recurso asignado para su traslado al SUH, y dicha asignación parece corresponderse con la gravedad del episodio. El tratamiento durante el TSM podría incrementarse. SN - 1137-6821 AD - Área de Urgencias, Hospital Clínic, Barcelona; Grupo de Investigación "Urgencias: Procesos y Patologías", IDIBAPS, Barcelona, España AD - Universidad de Barcelona, España AD - Servicio de Urgencias, Unidad de Corta Estancia y Hospitalización a Domicilio, Hospital General de Alicante AD - Departamento de Medicina Clínica, Universidad Miguel Hernández AD - Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIALFundación FISABIO), Alicante, España AD - Sistema de Emergències Mèdiques, Barcelona, España AD - Servicio de Urgencias, Hospital Universitario Central de Asturias, Oviedo, España AD - Servicio de Urgencias, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España AD - Servicio de Medicina Preventiva, Hospital Clínico San Carlos, Madrid AD - Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Universidad Complutense de Madrid, España UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124268863&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125228997 T1 - Safety Hazards During Intrahospital Transport: A Prospective Observational Study. AU - Bergman, Lina M. AU - Pettersson, Monica E. AU - Chaboyer, Wendy P. AU - Carlström, Eric D. AU - Ringdal, Mona L. Y1 - 2017/10// N1 - Accession Number: 125228997. Language: English. Entry Date: 20170929. Revision Date: 20170929. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Critical Care Family Needs Inventory (CCFNI). NLM UID: 0355501. KW - Transfer, Discharge -- Administration KW - Intensive Care Units -- Administration KW - Patient Safety KW - Prospective Studies KW - Hand Off (Patient Safety) KW - Academic Medical Centers KW - Equipment and Supplies KW - Sweden KW - Equipment Design KW - Risk Assessment KW - Critical Illness KW - Critical Care Family Needs Inventory SP - e1043 EP - e1049 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 45 IS - 10 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objective: To identify, classify, and describe safety hazards during the process of intrahospital transport of critically ill patients.Design: A prospective observational study. Data from participant observations of the intrahospital transport process were collected over a period of 3 months.Setting: The study was undertaken at two ICUs in one university hospital.Patients: Critically ill patients transported within the hospital by critical care nurses, unlicensed nurses, and physicians.Interventions: None.Measurements and Main Results: Content analysis was performed using deductive and inductive approaches. We detected a total of 365 safety hazards (median, 7; interquartile range, 4-10) during 51 intrahospital transports of critically ill patients, 80% of whom were mechanically ventilated. The majority of detected safety hazards were assessed as increasing the risk of harm, compromising patient safety (n = 204). Using the System Engineering Initiative for Patient Safety, we identified safety hazards related to the work system, as follows: team (n = 61), tasks (n = 83), tools and technologies (n = 124), environment (n = 48), and organization (n = 49). Inductive analysis provided an in-depth description of those safety hazards, contributing factors, and process-related outcomes.Conclusions: Findings suggest that intrahospital transport is a hazardous process for critically ill patients. We have identified several factors that may contribute to transport-related adverse events, which will provide the opportunity for the redesign of systems to enhance patient safety. SN - 0090-3493 AD - Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. AD - The Vascular Department, Sahlgrenska University Hospital/Sahlgrenska, Gothenburg, Sweden. AD - Menzies Health Institute Queensland, Griffith University, Southport, QLD, Australia. AD - University College of Southeast Norway, Notodden, Norway. AD - Department of Anesthesiology and Intensive Care, Kungälvs Hospital, Kungälv, Sweden. U2 - PMID: 28787292. DO - 10.1097/CCM.0000000000002653 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125228997&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 123551382 T1 - Significados e procedimentos adotados no transporte intra-hospitalar de pacientes críticos: o discurso do sujeito coletivo. AU - Malerba Fernandes, Michelle Maria AU - Rodrigues, Ana Heloisa AU - Vasconcellos Haddad, Jerusa Gomes AU - Vitor da Silva, José Y1 - 2017/03// N1 - Accession Number: 123551382. Language: Portuguese. Entry Date: In Process. Revision Date: 20170616. Publication Type: Article. Journal Subset: Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 101187838. SP - 69 EP - 79 JO - Enfermagem Brasil JF - Enfermagem Brasil JA - ENFERMAGEM BRASIL VL - 16 IS - 2 PB - Atlantica Editora AB - Objective: To identify the meaning of in-hospital transport of critical patients and to verify how it is performed, from the point of view of nurses. Method: Qualitative, descriptive, exploratory and transversal research with ntentional sampling. The sample consisted of 20 nurses, working in intensive care units, emergency room and surgical center. Collection of the data was performed through two instruments: personal and professional characterization questionnaire and semi- structured interview script. For the analysis of the data the discourse of the collective subject was used, from which emerged the central ideas. Results: The meanings of in-hospital transport of critical patients revealed the following central ideas: patient transport from one unit to another; transportation of a serious patient with equipment to another sector; important procedure. From the theme of intra-hospital transport, the following expressions were identified: with the multiprofessional team through various procedures, with the multiprofessional team and materials, and when the patient is stabilized. Conclusion: It was concluded that the meanings of in-hospital transport were covered in various ways and the way in-hospital transport as it was performed was distinguished by ideas that included human resources and material resources. AB - Objetivo: Identificar el significado del traslado intrahospitalario de los pacientes críticamente enfermos y constatar cómo se realiza, desde la perspectiva de los enfermeros. Método: Investigación cualitativa, descriptiva, exploratoria y transversal. Muestreo intencional. La muestra estuvo formada por 20 enfermeros que trabajaban en la unidad de cuidados intensivos, primeros auxilios y centro quirúrgico. La recolección de datos se realizó a través de dos instrumentos: un cuestionario de caracterización personal y profesional y entrevista semiestructurada. Para el análisis de datos se utilizó el discurso del sujeto colectivo, del cual emergieron las ideas centrales. Resultados: Del tema de significados de traslado intrahospitalario de los pacientes críticamente enfermos se evidenciaron las siguientes ideas básicas: el traslado de pacientes de una unidad a otra; traslado de pacientes graves con aparatos a otro sector; procedimiento importante. Del tema como se realiza el traslado en el hospital identificaron las siguientes expresiones: con el equipo multidisciplinario a través de diversos procedimientos, con el equipo multidisciplinar y materiales, y cuando el paciente se encuentra estabilizado. Conclusión: Se concluye que el significado del traslado intrahospitalario se abarcó por varias formas y la forma como ha sido realizado el traslado se distingue por las ideas que incluyen recursos humanos y recursos materiales. AB - Objetivo: Identificar o significado do transporte intra-hospitalar de pacientes críticos e constatar como ele é realizado, sob a ótica de enfermeiros. Método: Pesquisa qualitativa, descritiva, exploratória e transversal. Amostragem do tipo intencional. A amostra constituiu-se de 20 enfermeiros, atuantes nas unidades de terapia intensiva, pronto socorro e centro cirúrgico. A coleta de dados foi realizada por meio de dois instrumentos: questionário de caracterização pessoal e profissional e roteiro de entrevista semiestruturada. Para análise dos dados utilizouse o discurso do sujeito coletivo, do qual emergiram as ideias centrais. Resultados: Do tema significados do transporte intra-hospitalar de pacientes críticos evidenciaram as seguintes ideias centrais: transporte do paciente de uma unidade para outra; transporte de paciente grave com equipamento para outro setor; procedimento importante. Do tema como é realizado o transporte intra-hospitalar identificaram-se as seguintes expressões: com a equipe multiprofissional mediante diversos procedimentos, com a equipe multiprofissional e materiais, e quando o paciente está estabilizado. Conclusão: Concluiu-se que os significados do transporte intra-hospitalar foram abarcados de diversas formas e a maneira como era realizado o transporte intra-hospitalar foi distinguida por ideias que abrangeram recursos humanos e recursos materiais. SN - 1678-2410 AD - Enfermeira, pós-graduanda em Enfermagem em Urgência e Emergência e UTI pela Escola de Enfermagem Wenceslau Braz, Itajubá/MG, atuando como Enfermeira Plena em unidade de assistência médico ambulatorial (AMA), pela empresa Centro de Estudos e Pesquisas Dr. João Amorim (Cejam), São Paulo/SP AD - Enfermeira, pós-graduanda em Enfermagem em Urgência e Emergência e UTI pela Escola de Enfermagem Wenceslau Braz, Itajubá/MG AD - Orientadora, docente da Escola de Enfermagem Wenceslau Braz, Itajubá/MG AD - Coorientador, Pós-doutor pelo Programa de Pós-Graduação Stricto Sensu em Psicologia da Universidade de São Francisco, Campus Itatiba, Itatiba/SP, professor titular da Universidade do Vale do Sapucaí, Pouso Alegre/ MG e da Escola de Enfermagem Wenceslau Braz, Itajubá/MG UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123551382&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120801697 T1 - Role of Transitional Care Measures in the Prevention of Readmission After Critical Illness. AU - Peters, Jessica S. Y1 - 2017/02// N1 - Accession Number: 120801697. Language: English. Entry Date: 20170127. Revision Date: 20170130. Publication Type: Article; research; systematic review; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. NLM UID: 8207799. KW - Readmission KW - Critical Illness -- Therapy KW - Continuity of Patient Care KW - Critical Care Nursing KW - Medical-Surgical Nursing KW - Recovery KW - Transfer, Intrahospital KW - Intensive Care Units KW - Nursing Units KW - Length of Stay KW - Comorbidity KW - Outcomes (Health Care) KW - Inpatients KW - PubMed KW - CINAHL Database KW - Cochrane Library KW - Hand Off (Patient Safety) KW - Communication KW - Human KW - Systematic Review KW - Documentation KW - Discharge Planning KW - Medication Reconciliation SP - e10 EP - e17 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 37 IS - 1 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - Transitioning from the critical care unit to the medical-surgical care area is vital to patients' recovery and resolution of critical illness. Such transitions are necessary to optimize use of available hospital resources to meet patient care needs. One in 10 patients discharged from the intensive care unit are readmitted to the unit during their hospitalization. Critical care readmission is associated with significant increases in illness acuity, overall length of stay, and health care costs as well as a potential 4-fold increased risk of mortality. Patients with complex illness, multiple comorbid conditions, and a prolonged initial stay in the critical care unit are at an increased risk of being readmitted to the critical care unit and experiencing poor outcomes. Implementing nurse-driven measures that support continuity of care and consistent communication practices such as critical care outreach services, transitional communication tools, discharge planning, and transitional care units improves transitions of patients from the critical care environment and reduces readmission rates. SN - 0279-5442 AD - Acute care nurse practitioner at Johns Hopkins Hospital within the Weinberg Surgical Critical Care Unit in Baltimore, Maryland AD - Adjunct clinical faulty at Johns Hopkins University School of Nursing, Baltimore, Maryland DO - 10.4037/ccn2017218 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120801697&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 127034797 T1 - A Quality Improvement Project Using High-Fidelity Simulation Training to Improve Clinical Knowledge among Critical Care Transport Nurses. AU - Berger, John D. AU - Kuszajewski, Michele AU - Borghese, Cynthia AU - Muckler, Virginia C. Y1 - 2018/01// N1 - Accession Number: 127034797. Language: English. Entry Date: 20180112. Revision Date: 20180112. Publication Type: Article. Journal Subset: Core Nursing; Nursing; USA. Special Interest: Critical Care; Nursing Education; Quality Assurance. NLM UID: 101486408. KW - Simulations KW - Nursing Knowledge KW - Critical Care Nursing -- Education KW - Education, Nursing, Continuing KW - Human KW - Quality Improvement KW - Pretest-Posttest Design KW - Repeated Measures KW - T-Tests KW - Benchmarking KW - Transportation of Patients SP - 54 EP - 60 JO - Clinical Simulation in Nursing JF - Clinical Simulation in Nursing JA - CLIN SIMULATION NURS VL - 14 CY - New York, New York PB - Elsevier B.V. AB - Background To cultivate clinical expertise, many critical care transport (CCT) programs have engaged simulation as a means of providing ongoing clinical education for crewmembers. Method A pretest, posttest, repeated-measures design was used to evaluate whether CCT nurses' clinical knowledge improved immediately after and three months after high-fidelity simulation training. Results The increase in mean test scores from preintervention to postintervention was not statistically significant, and knowledge was not sustained after three months. Conclusions Introducing pre- and postsimulation evaluations into staff training activities provided a reference point for CCT nurses to benchmark their individual progress and allowed department education leaders to gauge the effectiveness of their training interventions. SN - 1876-1399 AD - Duke University Nurse Anesthesia Program, Duke University School of Nursing, Durham, NC 27710, USA AD - Assistant Director, Center for Nursing Discovery, Duke University School of Nursing, Durham, NC 27710, USA AD - Nurse Manager, Duke Life Flight, Durham, NC 27710, USA AD - NLN Simulation Leader, Assistant Professor, Clinical Education Coordinator, Duke University Nurse Anesthesia Program, Durham, NC 27710, USA DO - 10.1016/j.ecns.2017.11.008 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127034797&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126207419 T1 - Effect of Transition From a Unit-Based Team to External Transport Team for a Pediatric Critical Care Unit. AU - Cummings, Brian M. AU - Kaliannan, Kanakaraju AU - Yager, Phoebe H. AU - Noviski, Natan Y1 - 2017/12// N1 - Accession Number: 126207419. Language: English. Entry Date: 20171118. Revision Date: 20171118. Publication Type: Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 8610344. KW - Intensive Care Units, Pediatric KW - Transportation of Patients KW - Human KW - Health Facility Administration SP - 597 EP - 602 JO - Journal of Intensive Care Medicine (Sage Publications Inc.) JF - Journal of Intensive Care Medicine (Sage Publications Inc.) JA - J INTENSIVE CARE MED VL - 32 IS - 10 CY - Thousand Oaks, California PB - Sage Publications Inc. AB - Objective: Pediatric hospitals must consider staff, training, and direct costs required to maintain a pediatric specialized transport team, balanced with indirect potential benefits of marketing and referral volume. The effect of transitioning a unit-based transport team to an external service on the pediatric intensive care unit (PICU) is unknown, but information is needed as hospital systems focus on population management. We examined the impact on PICU transports after transition to an external transport vendor. Methods: Single-center retrospective review performed of PICU admissions, referrals, and transfers during baseline, post-, and maintenance period with a total of 9-year follow-up. Transfer volume was analyzed during pre-, post-, and maintenance phase with descriptive statistics and statistical process control charts from 1999 to 2012. Results: Total PICU admissions increased with an annual growth rate of 3.7%, with mean annual 626 admissions prior to implementation to the mean of 890 admissions at the end of period, P < .001. The proportion of transport to total admissions decreased from 27% to 21%, but mean annual transports were unchanged, 175 to 183, P = .6, and mean referrals were similar, 186 to 203, P = .8. Seasonal changes in transport volume remained as a predominant source of variability. Annual transport refusals increased initially in the postimplementation phase, mean 11 versus 33, P < .03, but similar to baseline in the maintenance phase, mean 20/year, P = .07. Patient refusals were due to bed and staffing constraints, with 7% due to the lack of transport vendor availability. Conclusion: In a transition to a regional transport service, PICU transport volume was maintained in the long-term follow-up and total PICU admissions increased. Further research on the direct and indirect impact of transport regionalization is needed to determine the optimal cost–benefit and quality of care as health-care systems focus on population management. SN - 0885-0666 AD - Department of Pediatrics, Pediatric Critical Care Medicine, Massachusetts General Hospital, Boston, MA, USA DO - 10.1177/0885066616662815 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126207419&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126244407 T1 - Uncovering the decision-making work of transferring dying patients home from critical care units: An integrative review. AU - Lin, Yanxia AU - Myall, Michelle AU - Jarrett, Nikki Y1 - 2017/12// N1 - Accession Number: 126244407. Language: English. Entry Date: 20171120. Revision Date: 20180111. Publication Type: Article; research; systematic review; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Evidence-Based Practice. Instrumentation: Mixed Methods Appraisal Tool (MMAT) (Pluye & Hong). Grant Information: ChinaScholarship Council (CSC). NLM UID: 7609811. KW - Decision Making KW - Transfer, Discharge KW - Terminally Ill Patients KW - Intensive Care Units KW - Hospice Care KW - Home Health Care KW - Death KW - Human KW - Theory KW - Medline KW - CINAHL Database KW - Embase KW - AMED Database KW - Psycinfo KW - Checklists KW - Research Methodology -- Evaluation KW - Thematic Analysis KW - Collaboration KW - Decision Making -- Evaluation KW - Decision Making, Family KW - Funding Source SP - 2864 EP - 2876 JO - Journal of Advanced Nursing JF - Journal of Advanced Nursing JA - J ADV NURS VL - 73 IS - 12 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aims To understand how decisions are made to transfer dying patients home from critical care units. Background Many people prefer a home death, but a high proportion die in critical care units. Transferring dying patients home is recognized to be complex but transfer decision-making itself remains unclear. Design Integrative review. Data sources Seven bibliographic databases (origin-2015), grey literature and reference lists were searched. Review methods An integrative review method was used to synthesize data from diverse sources. Papers were selected through title and abstract screening and full-text reviewing, using inclusion and exclusion criteria derived from review questions. Following quality appraisal, data were extracted and synthesized using normalization process theory as a framework. Results The number of patients transferred home ranged from 1-346, with most papers reporting on the transfer of one or two patients. Four themes regarding transfer decision-making work were generated: divergent views and practice, multiple stakeholders' involvement in decision-making, collective work and limited understanding of individuals' experiences. Conclusion The practice of transferring patients home to die and its decision-making varies internationally and is usually influenced by the care system, culture or religion. It is less common to transfer patients home to die from critical care units in western societies. A better understanding of the decision-making work was obtained but mainly from the perspective of hospital-based healthcare professionals. Further research is needed to develop decision-making practice guidance to facilitate patients' wishes to die at home. SN - 0309-2402 AD - Faculty of Health Sciences, University of Southampton DO - 10.1111/jan.13368 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126244407&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126983961 T1 - Nurses' experience of the transfer of ICU patients to general wards: A great responsibility and a huge challenge. AU - Enger, Ronny AU - Andershed, Birgitta Y1 - 2018/01// N1 - Accession Number: 126983961. Language: English. Entry Date: 20180111. Revision Date: 20180111. Publication Type: Article. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9207302. KW - Work Experiences KW - Transfer, Intrahospital KW - Intensive Care Units KW - Hospital Units KW - Nursing Role KW - Human KW - Qualitative Studies KW - Descriptive Research KW - Norway KW - Convenience Sample KW - Content Analysis KW - Interviews KW - Communication KW - Hand Off (Patient Safety) KW - Quality Improvement SP - e186 EP - e194 JO - Journal of Clinical Nursing JF - Journal of Clinical Nursing JA - J CLIN NURS VL - 27 IS - 1/2 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aims and objectives The aim of the study was to describe nurses' experiences of patients' transition from ICUs to general wards and their suggestions for improvements. Background In the ICU, the most seriously ill patients with life-threatening conditions and multiple organ dysfunction syndromes are cared for and carefully monitored by specially trained professionals using advanced techniques for the prevention of failure of vital functions. The transfer of ICU patients to general wards means a change from a high to a lower level, including the loss of one-to-one nursing and a reduction of visible monitoring equipment and general close attention. Design A qualitative descriptive design. Methods Eight nurses from three different inpatient units in Norway, five from a university hospital and three from a local hospital were selected through a convenience sample. Interviews with open questions were conducted, and qualitative content analysis was used to explore the data. Results Nurses' experiences were described in one main category: ICU patients' transition-a great responsibility and a huge challenge, and two generic categories: (i) a challenging transition for nurses, patients and relatives and (ii) dialogue and competencies as tools for improvement, with six subcategories. Conclusion A number of factors affected patient care, such as poor cooperation, communication, reporting, expertise and clinical gaze. It was clear that the general wards had major challenges, and a number of improvements were suggested. Relevance to clinical practice This study shows that there is still a gap between the ICU and general wards and that nurses continue to struggle with this. It is therefore important that the managers responsible for the quality of care together with the professionals take seriously the criticism in the present and previous studies and work towards a safe transition for patients. SN - 0962-1067 AD - Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø The Arctic University of Norway AD - Faculty of Health, Care and Nursing, Norwegian University of Science and Technology DO - 10.1111/jocn.13911 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126983961&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126440591 T1 - Intrahospital transfers and the impact on nursing workload. AU - Blay, Nicole AU - Roche, Michael A AU - Duffield, Christine AU - Gallagher, Robyn Y1 - 2017/12// N1 - Accession Number: 126440591. Language: English. Entry Date: 20171205. Revision Date: 20180111. Publication Type: Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9207302. KW - Transfer, Discharge KW - Workload Measurement KW - Workload KW - Human KW - Male KW - Female KW - Retrospective Design KW - Nursing Role KW - Analysis of Variance KW - Post Hoc Analysis SP - 4822 EP - 4829 JO - Journal of Clinical Nursing JF - Journal of Clinical Nursing JA - J CLIN NURS VL - 26 IS - 23/24 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aims and objectives To determine the rate of patient moves and the impact on nurses' time. Background Bed shortages and strategies designed to increase patient flow have led to a global increase in patient transfers between wards. The impact of transferring patients between wards and between beds within a ward on nurses' workload has not previously been measured. Design A two-stage sequential study. Retrospective analysis of hospital data and a prospective observational-timing study. Methods Secondary analysis of an administrative data set to inform the rate of ward and bed transfers ( n = 34,715) was undertaken followed by an observational-timing study of nurses' activities associated with patient transfers ( n = 75). Results Over 10,000 patients were moved 34,715 times in 1 year which equates to an average of 2.4 transfers per patient. On average, patient transfers took 42 min and bed transfers took 11 min of nurses' time. Based on the frequency of patient moves, 11.3 full-time equivalent nurses are needed to move patients within the site hospital each month. Conclusion Transferring patients is workload intensive on nurses' time and should be included in nursing workload measurement systems. Relevance to clinical practice Nurses at the site hospital spend over 1700 hr each month on activities associated with transferring patients, meaning that less time is available for nursing care. SN - 0962-1067 AD - Centre for Health Services Management, Faculty of Health, University of Technology Sydney AD - Western Sydney University AD - Mental Health Drug and Alcohol Nursing, Northern Sydney Local Health District AD - School of Nursing, Midwifery & Paramedicine, Australian Catholic University AD - Nursing and Health Services Management, Edith Cowen University AD - Charles Perkins Centre, Sydney Nursing School, University of Sydney DO - 10.1111/jocn.13838 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126440591&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125151029 T1 - Analysis of Adverse Events during Intrahospital Transportation of Critically Ill Patients. AU - Gimenez, Francielli Mary Pereira AU - Camargo, Wesley Henrique Bueno de AU - Gomes, Ana Clara Beraldo AU - Nihei, Thaylla Sumyre AU - Andrade, Monique Walicheki Maria AU - Valverde, Maria Laura de A. F. Sé AU - Campos, Larissa D’ Epiro de Souza AU - Grion, Debora Carvalho AU - Festti, Josiane AU - Grion, Cintia Magalhães Carvalho AU - de Camargo, Wesley Henrique Bueno AU - Campos, Larissa D' Epiro de Souza Y1 - 2017/09/14/ N1 - Accession Number: 125151029. Language: English. Entry Date: In Process. Revision Date: 20171231. Publication Type: journal article. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; USA. NLM UID: 101539357. SP - 1 EP - 7 JO - Critical Care Research & Practice JF - Critical Care Research & Practice JA - CRIT CARE RES PRACT CY - London, PB - Hindawi Limited AB - Purpose: To describe adverse events occurring during intrahospital transportation of adult patients hospitalized in an Intensive Care Unit (ICU) and to evaluate the association with morbidity and mortality.Method: Prospective cohort study from July 2014 to July 2015. Data collection comprised clinical data, prognostic scores, length of stay, and outcome at hospital discharge. Data was collected on transport and adverse events. Adverse events were classified according to the World Health Organization following the degree of damage. The level of significance was set at 5%.Results: A total of 293 patients were analyzed with follow-up of 143 patient transportations and records of 86 adverse events. Of these events, 44.1% were related to physiological alterations, 23.5% due to equipment failure, 19.7% due to team failure, and 12.7% due to delays. Half of the events were classified as moderate. The mean time of hospital stay of the group with adverse events was higher compared to patients without adverse events (31.4 versus 16.6 days, resp., p < 0.001).Conclusions: Physiological alterations were the most frequently encountered events, followed by equipment and team failures. The degree of damage associated with adverse events was classified as moderate and associated with an increase in the length of hospital stay. SN - 2090-1305 AD - Universidade Estadual de Londrina, Londrina, PR, Brazil AD - Hospital Evangélico de Londrina, Londrina, PR, Brazil AD - Universidade Federal Fluminense, Niterói, RJ, Brazil AD - Department of Internal Medicine, Universidade Estadual de Londrina, Londrina, PR, Brazil U2 - PMID: 29062574. DO - 10.1155/2017/6847124 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125151029&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125830463 T1 - One-Stop Management of Acute Stroke Patients: Minimizing Door-to-Reperfusion Times. AU - Psychogios, Marios-Nikos AU - Behme, Daniel AU - Schregel, Katharina AU - Tsogkas, Ioannis AU - Maier, Ilko L. AU - Leyhe, Johanna Rosemarie AU - Zapf, Antonia AU - Tran, Julia AU - Bähr, Mathias AU - Liman, Jan AU - Knauth, Michael Y1 - 2017/11// N1 - Accession Number: 125830463. Language: English. Entry Date: 20171102. Revision Date: 20171102. Publication Type: journal article; clinical trial; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. NLM UID: 0235266. KW - Stroke -- Diagnosis KW - Intracranial Hemorrhage KW - Tomography, X-Ray Computed KW - Stroke -- Therapy KW - Intracranial Hemorrhage -- Therapy KW - Patient Admission KW - Cerebral Angiography KW - Male KW - Acute Disease KW - Time Factors KW - Female KW - Human KW - Prospective Studies KW - Clinical Trials KW - Validation Studies KW - Comparative Studies KW - Evaluation Research KW - Multicenter Studies SP - 3152 EP - 3155 JO - Stroke (00392499) JF - Stroke (00392499) JA - STROKE VL - 48 IS - 11 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Background and Purpose: Intrahospital time delays significantly affect the neurological outcome of stroke patients with large-vessel occlusion. This study was conducted to determine whether a one-stop management can reduce intrahospital times of patients with acute large-vessel occlusion.Methods: In this observational study, we report the first 30 consecutive stroke patients imaged and treated in the same room. As part of our protocol, we transported patients with a National Institutes of Health Stroke Scale score of ≥10 directly to the angio suite, bypassing multidetector computed tomography (CT). Preinterventional imaging consisted of noncontrast flat detector CT and flat detector CT angiography, acquired with an angiography system. Patients with large-vessel occlusions remained on the angio table and were treated with mechanical thrombectomy; patients with small artery occlusions were treated with intravenous thrombolysis, whereas patients with an intracranial hemorrhage and stroke mimics were treated as per guidelines. Door-to-groin puncture times were recorded and compared with our past results.Results: Thirty patients were transferred directly to our angio suite from June to December 2016. The time from symptom onset to admission was 105 minutes. Ischemic stroke was diagnosed in 22 of 30 (73%) patients, 4 of 30 (13.5%) had an intracranial hemorrhage, and 4 of 30 (13.5) were diagnosed with a Todd's paresis. Time from admission to groin puncture was 20.5 minutes. Compared with 44 patients imaged with multidetector CT in the first 6 months of 2016, door-to-groin times were significantly reduced (54.5 minutes [95% confidence interval, 47-61] versus 20.5 minutes [95% confidence interval, 17-26]).Conclusions: In this small series, a one-stop management protocol of selected stroke patients using latest generation flat detector CT led to a significant reduction of intrahospital times. SN - 0039-2499 AD - Department of Neuroradiology, University Medical Center Göttingen, Germany. AD - Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA. AD - Department of Neurology, University Medical Center Göttingen, Germany. AD - Department of Medical Statistics, University Medical Center Göttingen, Germany. U2 - PMID: 29018132. DO - 10.1161/STROKEAHA.117.018077 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125830463&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 126533242 T1 - Risk Assessment of Morbidity and Mortality in the Neonatal Transport. AU - da Silva, Geane Estevam AU - Lima de Souza, Nilba AU - Paraguay de Oliveira Saraiva, Cecília Olívia AU - Pereira Bulhões da Nóbrega, Edualeide Jeane AU - Costa da Silva, Maria de Lourdes AU - Maia de Oliveira, Samara Isabela AU - Sousa Onofre Diniz, Mileny Y1 - 2017/01// N1 - Accession Number: 126533242. Language: English. Entry Date: In Process. Revision Date: 20171205. Publication Type: Article. Journal Subset: Biomedical. SP - 1 EP - 7 JO - International Archives of Medicine (International Medical Society) JF - International Archives of Medicine (International Medical Society) PB - International Medical Society AB - Introduction: Neonatal transport is related to risk, which destabilizes the clinical condition of the newborn. Objective: This study aimed to present the assessment of risk of morbidity and mortality of the NB during the inter- and intra-hospital transport in accordance with the TRIPS and ERTIH-Neo scores. Method: Cross-sectional study, descriptive and retrospective, held in the year 2014 in a maternity School, located in Rio Grande do Norte. The data were from the record of 57 transports performed with newborns in the Neonatal Intensive Care Unit. The collected data were submitted to descriptive statistical analysis through absolute and relative frequencies. Results: The results of the TRIPS was possible in only 26% of the population, the majority of the scores were higher than 10. As for intra-hospital transport, there was a predominance of newborns who had obtained a score between 16 and 20. Conclusion: It was concluded that the realization of transport involved risks of neonatal morbidity and mortality. SN - 1755-7682 AD - Federal University of Rio Grande do Norte. Natal/RN, Brazil AD - Health Sciences, Federal University of Rio Grande do Norte. Natal/RN, Brazil AD - Graduate Program in Nursing, Federal University of Rio Grande do Norte. Natal/RN, Brazil DO - 10.3823/2294 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126533242&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 122655559 T1 - «Solche Verlegungen können Angst machen» - Wie Pflegefachpersonen die Verlegung von Patient(inn)en mit Polytrauma von einer Intensiv- auf eine Bettenstation erleben. AU - Parmar, Barbara Bretscher AU - Schärli, Marianne AU - Bischofberger, Iren Y1 - 2017/03// N1 - Accession Number: 122655559. Language: German. Entry Date: 20170426. Revision Date: 20170515. Publication Type: Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Continental Europe; Editorial Board Reviewed; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 101485973. KW - Multiple Trauma KW - Critically Ill Patients KW - Transfer, Intrahospital KW - Intensive Care Units KW - Nursing Units KW - Nursing Staff, Hospital KW - Critical Care Nursing KW - Stress, Occupational KW - Anxiety KW - Nursing Care KW - Grounded Theory KW - Human KW - Interviews KW - Inpatients KW - Work Experiences KW - Models, Theoretical SP - 147 EP - 155 JO - Pflegewissenschaft JF - Pflegewissenschaft JA - PFLEGEWISSENSCHAFT VL - 19 IS - 3/4 PB - hpsmedia GmbH SN - 1662-3029 AD - Pflegeexpertin, MScN, UniversitätsSpital Zürich AD - Fachführende Pflegeexpertin, MScN, MAS, UniversitätsSpital Zürich AD - Prorektorin und Studiengangleitung, MSc in Nursing, Kalaidos Fachhochschule Gesundheit, Zürich DO - 10.3936/1471 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122655559&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121128725 T1 - The Other Side of the Difficult Airway: A Disciplined, Evidence-based Approach to Emergence and Extubation. AU - Joyce, Joseph A. Y1 - 2017/02// N1 - Accession Number: 121128725. Language: English. Entry Date: 20170210. Revision Date: 20170214. Publication Type: Article; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. NLM UID: 0431420. KW - Anesthesia Recovery KW - Extubation KW - Airway Management KW - Anesthesia Nursing KW - Nurse Anesthetists KW - Anesthesia, General KW - Post Anesthesia Care Units KW - Transportation of Patients KW - Inpatients KW - Endotracheal Tubes KW - Neuromuscular Blockade -- Evaluation KW - Accelerometers KW - Oxygenation KW - Patient Positioning KW - Suctioning, Nasopharyngeal KW - Extubation -- Adverse Effects KW - Communication KW - Hand Off (Patient Safety) KW - Perianesthesia Nursing SP - 61 EP - 71 JO - AANA Journal JF - AANA Journal JA - AANA J VL - 85 IS - 1 CY - Park Ridge, Illinois PB - American Association of Nurse Anesthetists AB - Successful intubation of the patient with a difficult airway marks the beginning of the challenges facing the nurse anesthetist charged with delivery of that patient's anesthesia care. Too often, on successful intubation of this patient, the anesthetist and other members of the perioperative team may relax too much. Substantial planning and consultations have been employed to achieve the successful intubation of the patient with the difficult airway. Yet frequently, the final aspect of any general anesthetic--extubation -- does not receive sufficient planning even though there continues to be a large volume of critical airway incidents surrounding the extubation and transportation of such a patient to the postanesthesia care unit. SN - 0094-6354 AD - Staff CRNA with Carolina Anesthesia Associates from Hickory, North Carolina UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121128725&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124423116 T1 - Demographic Profile of Spinal Cord Injury (SCI): A Hospital-based Prospective study in Bangladesh. AU - ATMA Razzak AU - Rajkumar Roy AU - Shamim Khan Y1 - 2016/12// N1 - Accession Number: 124423116. Language: English. Entry Date: In Process. Revision Date: 20170805. Publication Type: Article. Journal Subset: Allied Health; Europe; Peer Reviewed; UK & Ireland. SP - 138 EP - 155 JO - Disability, CBR & Inclusive Development JF - Disability, CBR & Inclusive Development JA - DISABIL CBR INCLUSIVE DEV VL - 27 IS - 4 CY - Jayanagar, Bangalore - 560011, PB - Asia Pacific Disability Rehabilitation Journal AB - Purpose: To provide an overview of demographic characteristics of spinal cord injury (SCI) in Bangladesh. Methods: The study was conducted between 1st January and 31st December 2012 at 5 hospitals: Centre for the Rehabilitation of the Paralysed (CRP) in Savar, National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR), Bangabandhu Sheikh Mujib Medical University (BSMMU), Rangpur Medical College Hospital, and Chittagong Medical College Hospital. 600 SCI cases from these tertiary hospitals were enrolled, and data was collected from those who met the study criteria, using a structured questionnaire developed on the basis of SCI core data set. Data was processed and analysed by SPSS version 16. Results: The male/female ratio was 4.5:1. Mean age at injury was 34.53 years (16-83 years). The cause of SCI was falls for 34.8% and RTA for 25.5% of the clients. 83.5% of SCI was traumatic and 16.5% was non-traumatic in origin. Only 9.5% of the clients were directly admitted to tertiary hospitals while 90.5% had intermediate admission before that. One-third (33.2%) of the clients used ambulance for intra-hospital transfer. 70.5% of the injury resulted in paraplegia and 29.5% in tetraplegia. Thoraco-lumbar junction (T11-L2) was the region most commonly involved, accounting for 38.7% of all cases. Overall 58.7% SCI cases were found with complete injury (ASIA-A) and 41.3% with incomplete injury during admission. 20.8% of the clients were admitted with pressure ulcer. The study found 27.2% of cases were operated on. The in-hospital mortality rate was 3.3 %. St Limitation: The pre-hospital fatalities were not included in the study. During data collection, extent of SCI was found in only 507 cases instead of all 600 enrolled. Conclusions: This study could contribute to the establishment of an effective prevention programme and comprehensive SCI management in Bangladesh. SN - 2211-5242 AD - Consultant, Advanced Orthopaedics and Spine Care Centre, Savar, Dhaka, Bangladesh AD - Assistant Professor, Department of Neurosurgery, Rangpur Medical College Hospital, Rangpur, Bangladesh AD - Resident, Department of Orthopaedics, Chittagong Medical College Hospital, Bangladesh DO - 10.5463/DCID.v27i4.464 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124423116&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118640433 T1 - Using Shock Index to Evaluate Patients for Transfer to a Higher Level of Care. AU - Francis-Lau, Tara N. Y1 - 2016/09//Sep/Oct2016 N1 - Accession Number: 118640433. Language: English. Entry Date: 20161012. Revision Date: 20161019. Publication Type: Article; research; systematic review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. NLM UID: 9300545. KW - Medical-Surgical Nursing KW - Nursing Assessment KW - Nursing Practice, Evidence-Based KW - Blood Pressure -- Evaluation KW - Heart Rate -- Evaluation KW - Shock -- Symptoms KW - Triage KW - Clinical Assessment Tools KW - Decision Making, Clinical KW - Transfer, Intrahospital KW - Shock -- Physiopathology KW - Shock -- Classification KW - Shock -- Etiology KW - Systematic Review KW - Human KW - Odds Ratio KW - Confidence Intervals KW - P-Value KW - Sensitivity and Specificity KW - Databases, Health KW - Sepsis KW - Intensive Care Units KW - Emergency Service KW - Hospital Mortality KW - Resuscitation KW - Community-Acquired Pneumonia SP - 301 EP - 318 JO - MEDSURG Nursing JF - MEDSURG Nursing JA - MEDSURG NURS VL - 25 IS - 5 CY - Pitman, New Jersey PB - Jannetti Publications, Inc. AB - The decision to transfer a patient to a higher level of care (HLOC) from a medical-surgical unit needs to be made carefully but efficiently. Shock index may be beneficial in evaluating patients on a medical-surgical unit for transfer to a HLOC, particularly when their vital signs appear stable. SN - 1092-0811 AD - Acute Care Nurse Practitioner, Upper Chesapeake Medical Center, Bel Air, MD UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118640433&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125747760 T1 - A Novel Process Audit for Standardized Perioperative Handoff Protocols. AU - Pallekonda, Vinay AU - Scholl, Adam T. AU - McKelvey, George M. AU - Amhaz, Hassan AU - Essa, Deanna AU - Narreddy, Spurthy AU - Tan, Jens AU - Templonuevo, Mark AU - Ramirez, Sasha AU - Petrovic, Michelle A. Y1 - 2017/11// N1 - Accession Number: 125747760. Language: English. Entry Date: 20171020. Revision Date: 20171020. Publication Type: Article. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 101238023. KW - Audit KW - Hand Off (Patient Safety) KW - Protocols KW - Operating Rooms KW - Transfer, Intrahospital KW - Intensive Care Units KW - Post Anesthesia Care Units SP - 611 EP - 618 JO - Joint Commission Journal on Quality & Patient Safety JF - Joint Commission Journal on Quality & Patient Safety JA - JOINT COMM J QUAL PATIENT SAF VL - 43 IS - 11 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - A perioperative handoff protocol provides a standardized delivery of communication during a handoff that occurs from the operating room to the postanestheisa care unit or ICU. The protocol's success is dependent, in part, on its continued proper use over time. A novel process audit was developed to help ensure that a perioperative handoff protocol is used accurately and appropriately over time. The Audit Observation Form is used for the Audit Phase of the process audit, while the Audit Averages Form is used for the Data Analysis Phase. Employing minimal resources and using quantitative methods, the process audit provides the necessary means to evaluate the proper execution of any perioperative handoff protocol. SN - 1553-7250 DO - 10.1016/j.jcjq.2017.04.011 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125747760&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125947738 T1 - Neonatal Transport: The Long Drive has Not Even Begun. AU - Jajoo, Mamta AU - Kumar, Dipti AU - Dabas, Vikas AU - Mohta, Anup Y1 - 2017/10//Oct-Dec2017 N1 - Accession Number: 125947738. Language: English. Entry Date: 20171111. Revision Date: 20171111. Publication Type: Article; letter. Journal Subset: Asia; Biomedical; Public Health. NLM UID: 9315574. KW - Transportation of Patients -- In Infancy and Childhood KW - Health Facilities KW - Body Temperature KW - Blood Glucose KW - Oxygenation KW - Blood Pressure KW - Outcomes (Health Care) KW - Intensive Care Units, Neonatal KW - Referral and Consultation KW - Gestational Age KW - Delivery, Obstetric KW - Health Personnel KW - Intravenous Therapy KW - Pulse Oximeters KW - Ventilators, Mechanical KW - Monitoring, Physiologic KW - Socioeconomic Factors -- In Infancy and Childhood KW - Infant, Newborn, Diseases KW - Length of Stay KW - Infant Mortality -- Prevention and Control KW - Infant SP - 244 EP - 245 JO - Indian Journal of Community Medicine JF - Indian Journal of Community Medicine JA - INDIAN J COMMUNITY MED VL - 42 IS - 4 PB - Wolters Kluwer India Pvt Ltd SN - 0970-0218 AD - Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, New Delhi, India AD - Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, New Delhi, India DO - 10.4103/ijcm.IJCM_154_16 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125947738&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125017265 T1 - DESTINATION DILEMMA: WHERE SHOULD EMS TRANSPORT STROKE PATIENTS? It may be beneficial to bypass that nearest PSC. AU - Scheppke, Kenneth A. AU - Pepe, Paul E. Y1 - 2017/09// N1 - Accession Number: 125017265. Language: English. Entry Date: 20170909. Revision Date: 20170911. Publication Type: Article; pictorial. Journal Subset: Allied Health; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 101466002. KW - Transportation of Patients KW - Prehospital Care KW - Stroke -- Diagnosis KW - Stroke -- Therapy KW - Professional Practice KW - Stroke Patients KW - Stroke Units KW - Decision Making, Clinical KW - Protocols KW - Thrombolytic Therapy KW - Tissue Plasminogen Activator -- Administration and Dosage KW - Thrombectomy KW - Triage KW - Scales KW - Severity of Illness SP - 26 EP - 27 JO - EMS World JF - EMS World JA - EMS WORLD VL - 46 IS - 9 CY - Nashville, Tennessee PB - SouthComm Inc. AB - The article discusses guidelines for emergency medical services (EMS) providers in the U.S. with regards to where they should transport stroke patients. Topics covered include the benefits of bypassing a closer PSC for a more-distant comprehensive stroke center CSC with brain catheterization capabilities, and the guidelines calling for EMS systems to transport patients with suspected stroke to the highest level of stroke care within no more than an additional 15-20 minutes of transport time. SN - 1946-9365 AD - EMS medical directors for the Broward Sheriff's Office AD - Chair of the Palm Beach County EMS Medical Directors Association AD - Professor of emergency medicine, internal medicine, surgery, pediatrics, public health and the Riggs Family Chair in Emergency Medicine AD - Director of regional out-of-hospital care systems and event/ disaster preparedness in the Office of Health System Affairs at the University of Texas Southwestern Medical Center (UTSW) in Dallas UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125017265&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124422867 T1 - Challenges in neonatal transport in Jamaica: A resource-limited setting. AU - Henry, Salome AU - Trotman, Helen Y1 - 2017/08// N1 - Accession Number: 124422867. Language: English. Entry Date: In Process. Revision Date: 20180108. Publication Type: journal article. Journal Subset: Biomedical; Europe; UK & Ireland. Instrumentation: Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins). NLM UID: 8010948. KW - Intensive Care Units KW - Transfer, Discharge -- Statistics and Numerical Data KW - Infant, Newborn KW - Health Resource Utilization KW - Prospective Studies KW - Female KW - Multidisciplinary Care Team KW - Transfer, Discharge -- Administration KW - Male KW - Academic Medical Centers KW - Infant, Newborn, Diseases -- Mortality KW - Jamaica KW - Scales SP - 307 EP - 313 JO - Journal of Tropical Pediatrics JF - Journal of Tropical Pediatrics JA - J TROP PEDIATR VL - 63 IS - 4 PB - Oxford University Press / USA AB - Aim: This study aimed to determine challenges associated with neonatal transport in Jamaica, a resource-limited setting.Methods: This was a prospective descriptive study of neonates transported to the University Hospital of the West Indies (UHWI) over a 15 month period. Data on the clinical status of the neonates before, during and at the end of transport, as well as on accompanying staff and equipment, were collected. Neonatal demographics, reason for transfer and outcome at 48 h and at discharge were also collected. Descriptive analyses were performed.Results: Fifty neonates were transferred to the UHWI; the most common reason for transfer was for respiratory support [30 (60%)]. The most common mode of transport was by road ambulance [42 (84%)]. Seventeen (34%) neonates experienced at least one adverse event during transport. On arrival, 27 (54%) neonates required warming, 42 (84%) fluid resuscitation and 14 (28%) cardiopulmonary resuscitation (CPR). Eighteen (36%) neonates died. The need for CPR on arrival predicted mortality (odds ratio: 2.3, confidence interval: 0.01-0.75, p = 0.02). A lack of appropriate equipment and adequately trained personnel was also noted.Conclusion: Ensuring pre-transport stabilization of neonates, the availability of adequately trained staff and the provision of appropriate equipment must be urgently addressed to improve the outcome of neonatal transport in resource-limited settings like Jamaica. SN - 0142-6338 AD - Department of Child & Adolescent Health, Faculty of Medical Sciences, University of the West Indies, Mona, St. Andrew, Jamaica U2 - PMID: 28088757. DO - 10.1093/tropej/fmw095 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124422867&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124740306 T1 - The relative contribution of provider and ED-level factors to variation among the top 15 reasons for ED admission. AU - Khojah, Imad AU - Li, Suhui AU - Luo, Qian AU - Davis, Griffin AU - Galarraga, Jessica E. AU - Granovsky, Michael AU - Litvak, Ori AU - Davis, Samuel AU - Shesser, Robert AU - Pines, Jesse M. Y1 - 2017/09// N1 - Accession Number: 124740306. Language: English. Entry Date: 20170917. Revision Date: 20170902. Publication Type: journal article. Journal Subset: Allied Health; Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 8309942. SP - 1291 EP - 1297 JO - American Journal of Emergency Medicine JF - American Journal of Emergency Medicine JA - AM J EMERG MED VL - 35 IS - 9 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Study Objective: We examine adult emergency department (ED) admission rates for the top 15 most frequently admitted conditions, and assess the relative contribution in admission rate variation attributable to the provider and hospital.Methods: This was a retrospective, cross-sectional study of ED encounters (≥18years) from 19 EDs and 603 providers (January 2012-December 2013), linked to the Area Health Resources File for county-level information on healthcare resources. "Hospital admission" was the outcome, a composite of inpatient, observation, or intra-hospital transfer. We studied the 15 most commonly admitted conditions, and calculated condition-specific risk-standardized hospital admission rates (RSARs) using multi-level hierarchical generalized linear models. We then decomposed the relative contribution of provider-level and hospital-level variation for each condition.Results: The top 15 conditions made up 34% of encounters and 49% of admissions. After adjustment, the eight conditions with the highest hospital-level variation were: 1) injuries, 2) extremity fracture (except hip fracture), 3) skin infection, 4) lower respiratory disease, 5) asthma/chronic obstructive pulmonary disease (A&C), 6) abdominal pain, 7) fluid/electrolyte disorders, and 8) chest pain. Hospital-level intra-class correlation coefficients (ICC) ranged from 0.042 for A&C to 0.167 for extremity fractures. Provider-level ICCs ranged from 0.026 for abdominal pain to 0.104 for chest pain. Several patient, hospital, and community factors were associated with admission rates, but these varied across conditions.Conclusion: For different conditions, there were different contributions to variation at the hospital- and provider-level. These findings deserve consideration when designing interventions to optimize admission decisions and in value-based payment programs. SN - 0735-6757 AD - Department of Emergency, Faculty of medicine, King Abdul Aziz University, Jeddah, Saudi Arabia AD - Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States AD - Mathematica Policy Research, Princeton, NJ, United States AD - Department of Health Policy & Management, Milken Institute School of Public Health, George Washington University, Washington, DC, United States AD - Department of Emergency Medicine, Medstar Washington Hospital Center, Georgetown University School of Medicine, Washington, DC, United States AD - LogixHealth, Inc., Bedford, MA, United States U2 - PMID: 28410917. DO - 10.1016/j.ajem.2017.03.074 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124740306&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121136363 T1 - The Importance of Ground Critical Care Transport. AU - Wilcox, Susan R. AU - Ries, Michael AU - Bouthiller, Ted A. AU - Berry, E. Dean AU - Dowdy, Travis L. AU - DeGrace, Sharon Y1 - 2017/02// N1 - Accession Number: 121136363. Language: English. Entry Date: 20170518. Revision Date: 20170518. Publication Type: Article; case study; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 8610344. KW - Transportation of Patients KW - Critical Care KW - Respiration, Artificial KW - Organizational Culture KW - Health Resource Allocation KW - Extracorporeal Membrane Oxygenation KW - Anoxemia SP - 163 EP - 169 JO - Journal of Intensive Care Medicine (Sage Publications Inc.) JF - Journal of Intensive Care Medicine (Sage Publications Inc.) JA - J INTENSIVE CARE MED VL - 32 IS - 2 CY - Thousand Oaks, California PB - Sage Publications Inc. AB - Critical care transport (CCT) teams are specialized transport services, comprised of highly trained paramedics, nurses, and occasionally respiratory therapists, offering an expanded scope of practice beyond advanced life support (ALS) emergency medical service teams. We report 4 cases of patients with severe acute respiratory distress syndrome from influenza in need of extracorporeal membrane oxygenation evaluation at a tertiary care center, transported by ground. Our medical center did not previously have a ground CCT service, and therefore, in these cases, a physician and/or a respiratory therapist was sent with the paramedic team. In all 4 cases, the ground transport team enhanced the intensive care provided to these patients prior to arrival at the tertiary care center. In 2 of the cases, although limited by the profound hypoxemia, the team decreased the pressures and tidal volumes in an effort to approach evidence-based ventilator goals. In 3 cases, they stopped bicarbonate drips being used to treat mixed metabolic and respiratory acidosis, and in 1 case, they administered furosemide. In 1 case, they started cisatracurium, and in 3 others, they initiated inhaled epoprostenol. Existing literature supports the use of CCT teams over ALS teams for transport of the most critically ill patients, and helicopter CCT is not always available or practical. Therefore, offering comparable air and ground options, with similar staffing and resources, is a hallmark of a mature medical system with an integrated approach to CCT. SN - 0885-0666 AD - Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Division of Emergency Medicine, Medical University of South Carolina, Charleston, SC, USA AD - Meducare Ground Transport, Medical University of South Carolina, Charleston, SC, USA DO - 10.1177/0885066616668484 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121136363&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 114192217 T1 - Intrahospital transports of critically ill patients: critical care nurses' perceptions. AU - Ringdal, Mona AU - Chaboyer, Wendy AU - Warrén Stomberg, Margareta Y1 - 2016/05// N1 - Accession Number: 114192217. Language: English. Entry Date: 20160411. Revision Date: 20170501. Publication Type: Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9808649. KW - Critical Care Nursing KW - Transfer, Intrahospital KW - Perception KW - Transportation of Patients KW - Nurse Attitudes KW - Human KW - Inpatients KW - Critically Ill Patients KW - Surveys KW - Physicians KW - Registered Nurses KW - Continuity of Patient Care KW - Prospective Studies KW - Sweden KW - Hospitals, Public KW - Data Analysis Software KW - Descriptive Statistics KW - Female KW - Male KW - Workload KW - Understaffing SP - 178 EP - 184 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 21 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - ABSTRACT Background Between 30% and 70% of intrahospital transports is associated with some form of adverse event, compromising patient safety. Aims (1) To describe critical care nurses' perceptions of intrahospital transport problems, including the stress associated with transport and their perceived ability to respond appropriately to these problems; (2) to determine if there were associations between problems and responses. Design and methods This survey was conducted in three intensive care units. Descriptive data and correlations between perceived problems and responses and correlations between perceptions of the problems and ability to respond appropriately were calculated. Results from the open-ended item were categorised. Results Eighty-six nurses completed the web survey, a response rate of 57%. Two-thirds said their intensive care Units had written transport guidelines, and two-thirds of the transports were performed by nurses without physicians. Circulatory failure was the most frequently perceived problem (4·2 ± 2·8) followed by decreased levels of consciousness (3·5 ± 2·9). Positive correlations between two perceived patient problems, circulatory failure and neurological deterioration and nurses' perceptions of how to respond appropriately to them, were identified. Failure in pulse oximetry and equipment-related problems were positively correlated to nurses' responses. Nurses described the transports as an unsafe and stressful task: 'It's like a marathon race'. Conclusion Nurses report that undertaking transports were a stressful activity, but they perceived transport problems to be an infrequent occurrence. They stated that they respond appropriately to the problem. Relevance to clinical practice Nurses reported they were alert to the potential risks patients face during transport. Because fewer staff remained in the intensive care units, these remaining patients are also at risk during intrahospital transport. SN - 1362-1017 AD - Institute of Health and Care Sciences, University of Gothenburg/The Sahlgrenska Academy AD - NHMRC Centre of Research Excellence in Nursing (NCREN), Centre for Health Practice Innovation (HPI), Griffith Health Institute Gold Coast campus, Griffith University AD - Institute of Health and care Sciences, University of Gothenburg/The Sahlgrenska Academy DO - 10.1111/nicc.12229 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114192217&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104065541 T1 - Intrahospital transport policies: The contribution of the nurse. AU - Alamanou, Despoina G. AU - Brokalaki, Hero Y1 - 2014/04//Apr-Jun2014 N1 - Accession Number: 104065541. Language: English. Entry Date: 20140408. Revision Date: 20150819. Publication Type: Journal Article; research; systematic review; tables/charts. Journal Subset: Blind Peer Reviewed; Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Emergency Care; Evidence-Based Practice. KW - Transfer, Intrahospital KW - Transportation of Patients KW - Nursing Role KW - Human KW - Systematic Review KW - Cochrane Library KW - Critically Ill Patients KW - Risk Factors KW - Medline KW - CINAHL Database KW - Intensive Care Units KW - Emergency Service KW - Inpatients KW - Transportation of Patients -- Equipment and Supplies KW - Equipment Failure KW - Hospital Policies KW - Decision Making, Clinical SP - 166 EP - 178 JO - Health Science Journal JF - Health Science Journal JA - HEALTH SCI J VL - 8 IS - 2 PB - Technological Educational Institute of Athens AB - Background: Although intrahospital transports are performed daily in hospitals, they pose various risks to patients, which could lead to life-threatening complications. Nursing care, significantly, contribute to achieve the above, although the role of the nurse has never been studied, separately. The aim of this study was to analyze the risk factors for complications that usually occur during intrahospital transports and describe the role of nursing in intrahospital transport policies. Method and Material: We searched electronic databases Medline, Cinahl, Cochrane Library and Scirus, for the period 1980-2013, on both original articles and reviews, selecting and analyzing the articles related to the issue. Results: The risk factors for complications during intrahospital transport are related to patient's illness severity, handling during transport, inadequate equipment, lack of highly trained staff, inadequate monitoring and ineffective communication among staff during transport. Nurses have an active involvement in intrahospital transport procedures, as personnel of the sending and receiving departments or as members of the intrahospital transport team, following or upgrading current policy. Nurses can create an intrahospital transport protocol, based on published guidelines, train the staff on it, assess and stabilize patient's health condition prior to transport and improve the overall quality of care for transported patients. Conclusion: The risks posed by intrahospital transports for critically ill patients can be minimized or even prevented by a well-designed transport protocol with the effective participation of the nurse. SN - 1108-7366 AD - Internal Medicine Department, 417 V.A. Hospital of Athens, Greece AD - Associate Professor, Faculty of Nursing, National and Kapodistrian University of Athens, Greece UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104065541&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109648520 T1 - Medication review by a clinical pharmacist at the transfer point from ICU to ward: a randomized controlled trial. AU - Heselmans, A. AU - Krieken, J. AU - Cootjans, S. AU - Nagels, K. AU - Filliers, D. AU - Dillen, K. AU - De Broe, S. AU - Ramaekers, D. Y1 - 2015/10// N1 - Accession Number: 109648520. Language: English. Entry Date: 20150917. Revision Date: 20160930. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 8704308. SP - 578 EP - 583 JO - Journal of Clinical Pharmacy & Therapeutics JF - Journal of Clinical Pharmacy & Therapeutics JA - J CLIN PHARM THER VL - 40 IS - 5 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - What is known and objective Drug-related problems ( DRPs) occur frequently in hospitalized patients. Patient discharge from the intensive care unit ( ICU) to a non- ICU ward is one of the most challenging and high-risk transitions of care due to the number of medications, and the complexity and acuity of the medical conditions that characterize this patient group. Pharmacists could play an important role in preventing DRPs. This study was undertaken to evaluate the impact on the number and severity of drug-related problems by assigning a clinical pharmacist to the transfer process from ICU to wards. Methods The study was a randomized controlled multicentre trial conducted at the Hospital Network of Antwerp between December 2010 and January 2012. The clinical pharmacist performed a medical review in both the intervention and control group. Recommendations for drug therapy changes were immediately communicated in the intervention group but were kept blinded in the control group. The primary outcome was expressed as the number of implemented recommendations for drug therapy changes. Differences between groups were calculated using mixed effects binary logistic regression. Results Drug-related problems were found in the medical records of 360 of the 600 participants (60%). A total of 743 recommendations could be made, 375 in the intervention group and 368 in the control group. 54·1% of these problems were adjusted on time in the intervention group vs. 12·8% in the control group. Of 743 recommendations, 24·8% were judged by the expert group as major, 13·1% as moderate, 53.4% as minor and 8·9% as having no clinical impact. The odds of implementing recommendations of drug therapy changes in the intervention group were 10 times the odds of implementing recommendations of drug therapy changes in the control group (odds ratio = 10·1; 95% CI [6·3-16·1]; P < 0·001), even after accounting for differences in types of DRP between the groups (odds ratio = 15·6; 95% CI [9·4-25·9]; P < 0·001). What is new and conclusion The integration of a clinical pharmacist at the transfer point from ICU to ward led to a significant reduction in DRPs. SN - 0269-4727 AD - School of Public Health and Primary Care, Academic Center for General Practice AD - AZ Sint Maarten General Hospital, Hospital Pharmacy AD - ZNA Antwerp Hospital Network, Hospital Pharmacy AD - School of Public Health and Primary Care, Centre for Health Services and Nursing Research DO - 10.1111/jcpt.12314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109648520&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 113452128 T1 - Value of Computed Tomography of the Chest in Subjects With ARDS: A Retrospective Observational Study. AU - Simon, Marcel AU - Braune, Stephan AU - Laqmani, Azien AU - Metschke, Maria AU - Berliner, Christoph AU - Kalsow, Maria AU - Klose, Hans AU - Kluge, Stefan Y1 - 2016/03// N1 - Accession Number: 113452128. Language: English. Entry Date: 20160307. Revision Date: 20160311. Publication Type: Article; diagnostic images; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Respiratory Distress Syndrome, Acute -- Radiography KW - Tomography, X-Ray Computed KW - Radiography, Thoracic KW - Respiratory Distress Syndrome, Acute -- Therapy KW - Intensive Care Units KW - Lung -- Pathology KW - Transportation of Patients KW - Retrospective Design KW - Descriptive Statistics KW - P-Value KW - Two-Tailed Test KW - Data Analysis Software KW - Chi Square Test KW - Adolescence KW - Adult KW - Middle Age KW - Aged KW - Aged, 80 and Over KW - Female KW - Male KW - Human SP - 316 EP - 323 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 61 IS - 3 CY - Irving, Texas PB - Daedalus Enterprises, Inc. AB - BACKGROUND: The value of computed tomography (CT) of the chest in the management of patients with ARDS is poorly defined. The aim of this study was to assess the clinical utility of thoracic CT scans in subjects with ARDS using the Berlin definition. METHODS: This was a retrospective, observational study in a university hospital ARDS center on all subjects with ARDS in whom a CT scan of the chest was performed immediately before or during an ICU stay between January 1, 2007 and June 30, 2013. RESULTS: During the study period, a total of 1,781 thoracic CT scans were performed, of which 204 cases met inclusion criteria. The most common pathologic findings of the lung parenchyma were consolidations (94.1 % of cases) and ground glass opacities (85.3%). Furthermore, CT scans showed pleural effusions (80.4%), mediastinal lymphadenopathy (66.7%), signs of right ventricular strain and pulmonary hypertension (53.9%), pericardial effusion (37.3%), emphysema of the chest wall (12.3%), pneumothorax (11.8%), emphysema of the mediastinum (7.4%), and pulmonary embolism (2.5%). Results of CT scans led to changes in management in 26.5% of cases. Mortality was significantly increased in subjects with involvement of lung parenchyma of >80% (P = .004). Intrahospital transport was associated with critical incidents in 8.3% of cases. CONCLUSIONS: Systematic evaluation of thoracic CT scans yielded information useful for making a diagnosis, predicting prognosis, and recognizing concomitant disorders requiring therapeutic interventions. Results obtained from CT scans led to changes in management in 26.5% of cases. SN - 0020-1324 AD - Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany AD - Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany AD - Department of Respiratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany DO - 10.4187/respcare.04308 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113452128&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109274627 T1 - Impact of Video Laryngoscopy on Advanced Airway Management by Critical Care Transport Paramedics and Nurses Using the CMAC Pocket Monitor. AU - Boehringer, Bradley AU - Choate, Michael AU - Hurwitz, Shelley AU - Tilney, Peter V. R. AU - Judge, Thomas Y1 - 2015/06/17/ N1 - Accession Number: 109274627. Language: English. Entry Date: 20151012. Revision Date: 20151012. Publication Type: Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 101600173. KW - Airway Management KW - Laryngoscopy -- Methods KW - Videorecording KW - Emergency Medical Technicians KW - Nurses KW - Prehospital Care KW - Intubation, Intratracheal KW - Human KW - Aeromedical Transport KW - Clinical Competence KW - Retrospective Design KW - Record Review KW - Descriptive Statistics KW - Confidence Intervals KW - Chi Square Test KW - Fisher's Exact Test KW - Adult KW - Child KW - Child, Preschool KW - Male KW - Female SP - 1 EP - 6 JO - BioMed Research International JF - BioMed Research International JA - BIOMED RES INT VL - 2015 CY - London, PB - Hindawi Limited AB - Accurate endotracheal intubation for patients in extremis or at risk of physiologic decompensation is the gold standard for emergency medicine. Field intubation is a complex process and time to intubation, number of attempts, and hypoxia have all been shown to correlate with increases in morbidity and mortality. Expanding laryngoscope technology which incorporates active video, in addition to direct laryngoscopy, offers providers improved and varied tools to employ in management of the advanced airway. Over a nine-year period a helicopter emergency medical services team, comprised of a flight paramedic and flight nurse, intended to intubate 790 patients. Comparative data analysis was performed and demonstrated that the introduction of the CMAC video laryngoscope improved nearly every measure of success in airway management. Overall intubation success increased from 94.9% to 99.0%, first pass success rates increased from 75.4% to 94.9%, combined first and second pass success rates increased from 89.2% to 97.4%, and mean number of intubation attempts decreased from 1.33 to 1.08. SN - 2314-6133 AD - LifeFlight of Maine, 13 Main Street, Camden, ME 04843, USA AD - Laurea University of Applied Sciences, Uudenmaankatu 22, 05800 Hyvinkää, Finland AD - Brigham and Women’s Biostatistics Center, 5 Francis Street, Boston, MA 02115, USA DO - 10.1155/2015/821302 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109274627&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 122969339 T1 - A Systematic Review of the Prevalence and Types of Adverse Events in Interfacility Critical Care Transfers by Paramedics. AU - Alabdali, Abdullah AU - Fisher, Joanne D. AU - Trivedy, Chetan AU - Lilford, Richard J. Y1 - 2017/05// N1 - Accession Number: 122969339. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. NLM UID: 9312325. KW - Adverse Health Care Event KW - Health Facilities KW - Transfer, Discharge KW - Critical Care KW - CINAHL Database KW - Systematic Review KW - Nonexperimental Studies KW - Child KW - Adult SP - 116 EP - 121 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 36 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Objective The aim of this study was to investigate if paramedics can safely transfer interfacility critically ill adult patients and to determine the prevalence and types of adverse events when paramedics lead interfacility critical care transfers. Methods MEDLINE, Web of Science, Embase, and CINAHL databases were searched from 1990 up to February 2016. Eligibility criteria were adult patients (16 years and over), interfacility transfer (between two health care facilities), quantitative or qualitative description of adverse events, and a paramedic as the primary care provider or the sole health care provider. Results Seven publications had paramedics as the sole health care provider conducting interfacility critical care transfers. All seven studies were observational studies published in the English language. The study duration ranged from 14 months to 10 years. The frequency of adverse events seen by paramedics in interfacility transfers ranges from 5.1% to 18%. Conclusion There is a gap in literature on the safety and adverse events in interfacility transfers by paramedics. The prevalence of in-transit adverse events is well established; however, because the published literature is lacking longitudinal monitoring of patients and only reporting in-transit events, we believe that further research in this area might provide the basis of paramedics safety in interfacility transfers. SN - 1067-991X AD - Warwick Medical School, Coventry, UK AD - Senior Research Fellow, Health sciences, Warwick Medical School, University of Warwick, Coventry, UK AD - Honorary Associate Clinical Professor, Warwick Medical School, University of Warwick, Coventry, UK AD - Pro-Dean (Research), Professor of Public Health, Warwick Medical School, University of Warwick, Coventry, UK DO - 10.1016/j.amj.2017.01.011 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122969339&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120579436 T1 - Pediatric Critical Care Transport as a Conduit to Terminal Extubation at Home: A Case Series. AU - Noje, Corina AU - Bernier, Meghan L. AU - Costabile, Philomena M. AU - Klein, Bruce L. AU - Kudchadkar, Sapna R. Y1 - 2017/01// N1 - Accession Number: 120579436. Language: English. Entry Date: 20171113. Revision Date: 20180104. Publication Type: journal article; case study. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Critical Care Family Needs Inventory (CCFNI). Grant Information: KL2 RR025006/RR/NCRR NIH HHS/United States. NLM UID: 100954653. KW - Transportation of Patients -- Methods KW - Intensive Care Units, Pediatric -- Administration KW - Palliative Care -- Methods KW - Terminal Care -- Methods KW - Critical Care -- Methods KW - Home Health Care -- Administration KW - Airway Management KW - Retrospective Design KW - Adolescence KW - Male KW - Female KW - Palliative Care KW - Child KW - Infant KW - Critical Care KW - Terminal Care KW - Transportation of Patients -- Administration KW - Critical Care Family Needs Inventory SP - e4 EP - e8 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 18 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objectives: To present our single-center's experience with three palliative critical care transports home from the PICU for terminal extubation.Design: We performed a retrospective chart review of patients transported between January 1, 2012, and December 31, 2014.Setting: All cases were identified from our institutional pediatric transport database.Patients: Patients were terminally ill children unable to separate from mechanical ventilation in the PICU, who were transported home for terminal extubation and end-of-life care according to their families' wishes.Interventions: Patients underwent palliative care transport home for terminal extubation.Measurements and Main Results: The rate of palliative care transports home for terminal extubation during the study period was 2.6 per 100 deaths. The patients were 7 months, 6 years, and 18 years old and had complex chronic conditions. The transfer process was protocolized. The families were approached by the PICU staff during multidisciplinary goals-of-care meetings. Parental expectations were clarified, and home hospice care was arranged pretransfer. All transports were performed by our pediatric critical care transport team, and all terminal extubations were performed by physicians. All patients had unstable medical conditions and urgent needs for transport to comply with the families' wishes for withdrawal of life support and death at home. As such, all three cases presented similar logistic challenges, including establishing do-not-resuscitate status pretransport, having limited time to organize the transport, and coordinating home palliative care services with available community resources.Conclusions: Although a relatively infrequent practice in pediatric critical care, transport home for terminal extubation represents a feasible alternative for families seeking out-of-hospital end-of-life care for their critically ill technology-dependent children. Our single-center experience supports the need for development of formal programs for end-of-life critical care transports to include patient screening tools, palliative care home discharge algorithms, transport protocols, and resource utilization and cost analyses. SN - 1529-7535 AD - Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD AD - Department of Nursing, The Johns Hopkins Hospital, Baltimore, MD AD - Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD U2 - PMID: 27801708. DO - 10.1097/PCC.0000000000000997 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120579436&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121188311 T1 - Influence of Immediate Skin-to-Skin Contact During Cesarean Surgery on Rate of Transfer of Newborns to NICU for Observation. AU - Schneider, Lindsay W. AU - Crenshaw, Jeannette T. AU - Gilder, Richard E. Y1 - 2017/02//Feb/Mar2016 N1 - Accession Number: 121188311. Language: English. Entry Date: 20170214. Revision Date: 20170214. Publication Type: Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. NLM UID: 101304602. KW - Intensive Care, Neonatal KW - Kangaroo Care KW - Cesarean Section KW - Pregnancy Outcomes KW - Nursing Practice, Evidence-Based KW - Breast Feeding KW - Medical Records KW - Child KW - Record Review KW - Female KW - Human KW - Infant, Newborn KW - Mother-Child Relations KW - Mothers KW - Pregnancy KW - Pretest-Posttest Design KW - Intensive Care Units, Neonatal KW - Chi Square Test KW - Program Implementation KW - Program Evaluation SP - 28 EP - 33 JO - Nursing for Women's Health JF - Nursing for Women's Health JA - NURS WOMENS HEALTH VL - 21 IS - 1 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Abstract: We conducted an evidence-based practice project to determine if skin-to-skin contact immediately after cesarean birth influenced the rate of transfer of newborns to the NICU for observation. We analyzed data for 5 years (2011 through 2015) and compared the rates for the period before implementation of skin-to-skin contact with rates for the period after. The proportion of newborns transferred to the NICU for observation was significantly different and lower after implementing skin-to-skin contact immediately after cesarean birth (Pearson’s χ 2 = 32.004, df = 1, p < .001). These results add to the growing body of literature supporting immediate, uninterrupted skin-to-skin contact for all mother–newborn pairs, regardless of birth mode. SN - 1751-4851 DO - 10.1016/j.nwh.2016.12.008 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121188311&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121748322 T1 - Incorporating Patient Acuity Rating Score Into Patient Handoffs and the Correlation With Rapid Responses and Unexpected ICU Transfers. AU - O’Donnell, Christopher AU - Thomas, Samantha AU - Johnson, Crystal AU - Verma, Lalit AU - Bae, Jonathan AU - Gallagher, David AU - O'Donnell, Christopher Y1 - 2017/03//Mar/Apr2017 N1 - Accession Number: 121748322. Language: English. Entry Date: In Process. Revision Date: 20170316. Publication Type: journal article. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 9300756. SP - 122 EP - 128 JO - American Journal of Medical Quality JF - American Journal of Medical Quality JA - AM J MED QUAL VL - 32 IS - 2 CY - Thousand Oaks, California PB - Sage Publications Inc. AB - Handoffs and rapid response team (RRT) activations have been a focus for quality improvement in hospital medicine. This study aimed to incorporate a previously used scoring system (1-7) for severity of illness on initial encounter as a handoff adjunct and to determine its impact on the number of RRTs and intensive care unit transfers. The Patient Acuity Rating (PAR) scale correlates with subsequent RRTs and transfers to a higher level of care, with higher scores leading to increased rates of RRTs and transfers. Patients who experienced an RRT at any time (mean score 4.69), within 24 hours (4.74), or an unplanned transfer (5.16) had higher PAR scores on assessment than those who did not (4.02; all P < .05). There was an increased likelihood of RRTs and transfers with scores of 6 or higher. There was no reduction in the quantity of RRTs or unplanned intensive care unit transfers comparing preintervention and postintervention data. SN - 1062-8606 AD - Emory University, Atlanta, GA AD - Duke University Health System, Durham, NC AD - 1 Emory University, Atlanta, GA AD - 2 Duke University Health System, Durham, NC U2 - PMID: 27037267. DO - 10.1177/1062860616630809 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121748322&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109789800 T1 - Nursing care on admission and stay of the newborn in the accommodation set on intra-hospital transfer. AU - Malheiros Dulfe, Paolla Amorim AU - Burla de Aguiar, Rosane Cordeiro AU - Alves, Valdecyr Herdy AU - Pereira Rodrigues, Diego Y1 - 2015/04//abr-jun2015 N1 - Accession Number: 109789800. Language: English. Entry Date: 20150617. Revision Date: 20150923. Publication Type: Journal Article; research. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. Special Interest: Pediatric Care. KW - Transfer, Intrahospital KW - Patient Admission KW - Rooming In KW - Postnatal Care KW - Obstetric Nursing KW - Neonatal Nursing KW - Nursing Practice KW - Descriptive Research KW - Exploratory Research KW - Quantitative Studies KW - Qualitative Studies KW - Human KW - Record Review KW - Surveys KW - Checklists KW - Semi-Structured Interview KW - Neonatal Assessment KW - Academic Medical Centers KW - Data Analysis Software KW - Thematic Analysis KW - Mothers KW - Mother-Infant Relations KW - Obstetric Service KW - Puerperium KW - Breast Feeding KW - Hand Off (Patient Safety) KW - Hospital Information Systems KW - Female KW - Infant, Newborn KW - Inpatients KW - Brazil SP - 2287 EP - 2297 JO - Revista de Pesquisa: Cuidado e Fundamental JF - Revista de Pesquisa: Cuidado e Fundamental JA - REV PESQUISA CUIDADO FUNDAMENTAL VL - 7 IS - 2 PB - Revista de Pesquisa: Cuidado y Fundamental Online SN - 2175-5361 AD - Specialist in women's, children and adolescents health, Fluminense Federal University/UFF, Niterói (RJ), Brazil AD - Assistant Professor of Mother, Child and Psychiatry Department of the Nursing School Aurora de Afonso Costa, Fluminense Federal University/UFF, Niterói (RJ), Brazil AD - Doctorate in Nursing by Anna Nery Nursing School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; Professor of Maternal, Child and Psychiatry Department of the Nursing School Aurora de Afonso Costa, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil AD - Nursing School Aurora de Afonso Costa, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil DO - 10.9789/2175-5361.2015.v7i2.2287-2297 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109789800&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103898619 T1 - Nurses’ knowledge of intra-hospital transport of critical patients. AU - Pedreira, Larissa Chaves AU - Santos, Iuri de Matos AU - Farias, Muller Almeida AU - Sampaio, Elieusa e Silva AU - Antunes Barros, Cláudia Silva Marinho AU - Carvalho Coelho, Ana Carla Y1 - 2014/07//jul/ago2014 N1 - Accession Number: 103898619. Language: Portuguese. Entry Date: 20141007. Revision Date: 20150818. Publication Type: Journal Article; research. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. Special Interest: Advanced Nursing Practice; Critical Care; Patient Safety. NLM UID: 9440270. KW - Nursing Knowledge -- Evaluation KW - Transportation of Patients KW - Critical Care Nursing KW - Human KW - Critically Ill Patients KW - Qualitative Studies KW - Descriptive Research KW - Intensive Care Units KW - Hospitals, Public KW - Content Analysis KW - Nursing Practice KW - Patient Safety SP - 533 EP - 539 JO - Revista Enfermagem UERJ JF - Revista Enfermagem UERJ JA - REV ENFERMAGEM UERJ VL - 22 IS - 4 PB - Revista Enfermagem UERJ SN - 0104-3552 AD - Professora adjunta da Escola de Enfermagem da Universidade Federal da Bahia. Salvador, Bahia, Brasil AD - Escola de Enfermagem da Universidade Federal da Bahia. Salvador, Bahia, Brasil AD - Professora assistente I da Escola de Enfermagem da Universidade Federal da Bahia. Salvador, Bahia, Brasil AD - Professora assistente II da Escola de Enfermagem da Universidade Federal da Bahia. Salvador, Bahia, Brasil UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103898619&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109825542 T1 - Handoffs in the Postoperative Anesthesia Care Unit: Use of a Checklist for Transfer of Care. AU - Robins, Holly-May AU - Feng Dai Y1 - 2015/08// N1 - Accession Number: 109825542. Language: English. Entry Date: 20150819. Revision Date: 20150923. Publication Type: Journal Article; research; tables/charts; randomized controlled trial. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Advanced Nursing Practice; Patient Safety; Perioperative Care. NLM UID: 0431420. KW - Postoperative Care KW - Hand Off (Patient Safety) KW - Checklists KW - Anesthesia, General KW - Human KW - Anesthesia Recovery KW - Post Anesthesia Care Units KW - Quality Improvement KW - Instrument Construction KW - Content Validity KW - Random Assignment KW - Randomized Controlled Trials KW - Nurse Anesthetists KW - Perioperative Nursing KW - Sample Size KW - Data Analysis Software KW - Descriptive Statistics KW - Fisher's Exact Test KW - Wilcoxon Rank Sum Test SP - 264 EP - 268 JO - AANA Journal JF - AANA Journal JA - AANA J VL - 83 IS - 4 CY - Park Ridge, Illinois PB - American Association of Nurse Anesthetists AB - Information loss can occur during all phases of care. The transfer of care (handoff) from the operating room to the postoperative anesthesia care unit (PACU) is an especially susceptible time. Information loss can lead to an increase in medication errors, sentinel events, and poor patient outcomes. High-reliability organizations, such as the aviation industry, use checklists to decrease errors and improve safety. As the healthcare industry becomes more complex, it is in the interest of patient safety to develop, validate, and use similar objective procedures as those used in high-reliability organizations. The purpose of this research was to determine if the utilization of a formulated checklist with objective measures during the handoff from the operating room to the PACU decreased information loss, the need for information clarification, and anesthesia providers' time spent in transfer of care, with improved adequacy of the handoff. Specific metrics were monitored before and after implementation to assess for information loss, information clarification, anesthesia providers' time, and to rate the adequacy of the report. SN - 0094-6354 AD - CRNA manager, Yale-New Haven Hospital, New Haven, Connecticut; Lecturer, Department of Anesthesia, Yale University School of Medicine, New Haven, Connecticut AD - Research scientist of Public Health (in Biostatistics), Yale Center for Analytical Sciences, New Haven, Connecticut U2 - PMID: 26390744. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109825542&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118269842 T1 - Analysis of term admissions to neonatal care: a re-audit. AU - Lowe, Abigail J. AU - Geethanath, Ruppa M. Y1 - 2016/09// N1 - Accession Number: 118269842. Language: English. Entry Date: 20170920. Revision Date: 20170920. Publication Type: Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Patient Admission -- Trends KW - Intensive Care, Neonatal KW - Intensive Care Units, Neonatal KW - Infant, Premature KW - Infant, Premature, Diseases -- Therapy KW - Prospective Studies KW - Human KW - Retrospective Design KW - Audit KW - United Kingdom KW - Infant, Newborn KW - Inpatients KW - Transfer, Discharge KW - Transfer, Intrahospital KW - Gestational Age KW - Length of Stay KW - Respiration, Artificial KW - Delivery, Obstetric KW - Morbidity KW - Descriptive Statistics SP - 188 EP - 190 JO - Infant JF - Infant JA - INFANT VL - 12 IS - 5 PB - Stansted News Ltd SN - 1745-1205 AD - Newcastle University Medical School AD - Neonatal Consultant, Neonatal Intensive Care Unit, Sunderland Royal Hospital UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118269842&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104049663 T1 - COMPLICATIONS IN THE NEWBORN IN INTRA-HOSPITAL TRANSFER OF ROOMING. AU - Dulfe, Paolla Amorim Malheiros AU - Aguiar, Rosane Cordeiro Burla de AU - Alves, Valdecyr Herdy AU - Rodrigues, Diego Pereira Y1 - 2014/03// N1 - Accession Number: 104049663. Language: English. Entry Date: 20140324. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 101484186. KW - Rooming In KW - Continuity of Patient Care KW - Nursing Records KW - Intensive Care Units, Neonatal KW - Infant Care KW - Maternal-Child Nursing KW - Human KW - Semi-Structured Interview KW - Surveys KW - Descriptive Research KW - Exploratory Research KW - Thematic Analysis KW - Checklists KW - Brazil KW - Infant, Newborn KW - Quantitative Studies KW - Female KW - Male KW - Descriptive Statistics KW - Qualitative Studies SP - 514 EP - 522 JO - Journal of Nursing UFPE / Revista de Enfermagem UFPE JF - Journal of Nursing UFPE / Revista de Enfermagem UFPE JA - REV ENFERMAGEM UFPE VL - 8 IS - 3 PB - Revista de Enfermagem UFPE SN - 1981-8963 AD - Specialist Nurse in Women, Child and Adolescent Health, Federal Fluminense University/UFF. Niterói (RJ), Brazil AD - Maternal and Child Health Department of Psychiatry, School of Nursing Aurora de Afonso Costa, Federal Fluminense University/UFF. Niterói (RJ), Brazil AD - Professor of Nursing, Department of Maternal and Child Psychiatry, School of Nursing Aurora de Afonso Costa, Federal Fluminense University/UFF. Niterói (RJ), Brazil AD - Postgraduate Program in Nursing, Federal Fluminense University/PPGENF UFF. Niterói (RJ), Brazil DO - 10.5205/reuol.5149-42141-1-SM.0803201404 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104049663&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120134196 T1 - The capabilities and scope-of-practice requirements of advanced life support practitioners undertaking critical care transfers: A Delphi study. AU - Venter, M. AU - Stassen, W. Y1 - 2016/11// N1 - Accession Number: 120134196. Language: English. Entry Date: 20161219. Revision Date: 20161219. Publication Type: Article; research; tables/charts. Journal Subset: Africa; Biomedical. KW - Advanced Cardiac Life Support -- South Africa KW - Emergency Medical Technicians -- South Africa KW - Public Opinion -- South Africa KW - Professional Competence KW - Scope of Practice KW - Transfer, Discharge KW - Human KW - Delphi Technique KW - Surveys KW - Internet KW - South Africa KW - Descriptive Statistics SP - 58 EP - 61 JO - Southern African Journal of Critical Care JF - Southern African Journal of Critical Care JA - S AFR J CRIT CARE VL - 32 IS - 2 PB - Health & Medical Publishing Group AB - The article discusses the study that determined views of experts in fields that pertain to critical care and transport and skills, and skills and scope-of-practice requirements of paramedics that undertake critical care transfers (CCT) in South Africa. Topics discussed include many procedures and medications not within scope of paramedic training, need for additional postgraduate training specific to critical care, and discrepancy in paramedic practice scope and required CCT scope of practice. SN - 1562-8264 AD - Department of Emergency Medical Care, Faculty of Health Sciences, University of Johannesburg, South Africa DO - 10.7196/SAJCC.2016.v32i2.275 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120134196&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103929386 T1 - Il trasporto intraospedaliero del paziente critico: creazione di una check list di pianificazione...The intra-hospital transport of critically ill patient: creation of a check list of planning AU - Elli, Stefano AU - Gariboldi, Roberto AU - Tundo, Pancrazio AU - Mascheroni, Valentina AU - Bambi, Stefano AU - Lucchini, Alberto Y1 - 2013/09// N1 - Accession Number: 103929386. Language: Italian. Entry Date: 20140418. Revision Date: 20150819. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care. KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Instrument Construction KW - Human KW - Intensive Care Units -- Italy KW - Italy KW - Descriptive Statistics KW - Checklists KW - Adverse Health Care Event SP - 21 EP - 25 JO - SCENARIO: Official Italian Journal of ANIARTI JF - SCENARIO: Official Italian Journal of ANIARTI JA - SCENARIO VL - 30 IS - 3 PB - ANIARTI SN - 1592-5951 AD - Dipartimento di emergenza e urgenza, Terapia intensiva generale, Azienda Ospedaliera San Gerardo, Monza, Università degli Studi di Milano-Bicocca AD - Scienze Infermieristiche di Anestesia e Terapia Intensiva, Rianimazione/Terapia Intensiva Postoperatoria, Azienda Ospedaliera Ospedale Civile di Legnano (MI) AD - Dottorando di Ricerca in Scienze Infermieristiche, Terapia Intensiva di Emergenza DAI DEA, Azienda Ospedaliero Universitaria Careggi, Firenze. AD - Coordinatore Infermieristico, Dipartimento di emergenza e urgenza, Terapia intensiva generale, Azienda Ospedaliera San Gerardo, Monza, Università degli Studi di Milano-Bicocca UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103929386&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 122104664 T1 - Perinatal outcomes among singletons after assisted reproductive technology with single-embryo or double-embryo transfer versus no assisted reproductive technology. AU - Martin, Angela S. AU - Chang, Jeani AU - Zhang, Yujia AU - Kawwass, Jennifer F. AU - Boulet, Sheree L. AU - McKane, Patricia AU - Bernson, Dana AU - Kissin, Dmitry M. AU - Jamieson, Denise J. Y1 - 2017/04// N1 - Accession Number: 122104664. Corporate Author: States Monitoring Assisted Reproductive Technology (SMART) Collaborative. Language: English. Entry Date: 20170614. Revision Date: 20170614. Publication Type: journal article; research. Journal Subset: Biomedical; USA. Instrumentation: Apgar Score. NLM UID: 0372772. KW - Embryo Transfer -- Adverse Effects KW - Embryo Transfer -- Methods KW - Infertility -- Therapy KW - Infant, Newborn KW - Human KW - Logistic Regression KW - Female KW - Infertility -- Physiopathology KW - Retrospective Design KW - Fertilization in Vitro KW - Male KW - Treatment Outcomes KW - Infant, Premature KW - Intensive Care Units, Neonatal KW - Apgar Score KW - Birth Rate KW - Birth Weight KW - Childbirth, Premature -- Etiology KW - Probability KW - Risk Factors KW - Patient Admission KW - United States KW - Gestational Age KW - Odds Ratio KW - Infant, Low Birth Weight KW - Resource Databases KW - Infertility -- Diagnosis KW - Pregnancy KW - Fertility KW - Adult KW - Pregnancy Outcomes KW - Chi Square Test KW - Validation Studies KW - Comparative Studies KW - Evaluation Research KW - Multicenter Studies SP - 954 EP - 960 JO - Fertility & Sterility JF - Fertility & Sterility JA - FERTIL STERIL VL - 107 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - Objective: To examine outcomes of singleton pregnancies conceived without assisted reproductive technology (non-ART) compared with singletons conceived with ART by elective single-embryo transfer (eSET), nonelective single-embryo transfer (non-eSET), and double-embryo transfer with the establishment of 1 (DET -1) or ≥2 (DET ≥2) early fetal heartbeats.Design: Retrospective cohort using linked ART surveillance data and vital records from Florida, Massachusetts, Michigan, and Connecticut.Setting: Not applicable.Patient(s): Singleton live-born infants.Intervention(s): None.Main Outcome Measure(s): Preterm birth (PTB <37 weeks), very preterm birth (VPTB <32 weeks), small for gestational age birth weight (<10th percentile), low birth weight (LBW <2,500 g), very low birth weight (VLBW <1,500 g), 5-minute Apgar score <7, and neonatal intensive care unit (NICU) admission.Result(s): After controlling for maternal characteristics and employing a weighted propensity score approach, we found that singletons conceived after eSET were less likely to have a 5-minute Apgar <7 (adjusted odds ratio [aOR] 0.33; 95% CI, 0.15-0.69) compared with non-ART singletons. There were no differences among outcomes between non-ART and non-eSET infants. We found that PTB, VPTB, LBW, and VLBW were more likely among DET -1 and DET ≥2 compared with non-ART infants, with the odds being higher for DET ≥2 (PTB aOR 1.58; 95% CI, 1.09-2.29; VPTB aOR 2.46; 95% CI, 1.20-5.04; LBW aOR 2.17; 95% CI, 1.24-3.79; VLBW aOR 3.67; 95% CI, 1.38-9.77).Conclusion(s): Compared with non-ART singletons, singletons born after eSET and non-eSET did not have increased risks whereas DET -1 and DET ≥2 singletons were more likely to have adverse perinatal outcomes. SN - 0015-0282 AD - Emory University Department of Gynecology and Obstetrics, Atlanta, Georgia AD - Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia AD - Maternal & Child Health Epidemiology Section, Lifecourse Epidemiology and Genomics Division, Michigan Department of Health & Human Services, Lansing, Michigan AD - Massachusetts Department of Public Health, Boston, Massachusetts U2 - PMID: 28292615. DO - 10.1016/j.fertnstert.2017.01.024 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122104664&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121383304 T1 - The Patient and Family Perioperative Experience During Transfer of Care: A Qualitative Inquiry. AU - STUTZMAN, SONJA E. AU - OLSON, DAIWAI M. AU - GREILICH, PHILIP E. AU - ABDULKADIR, KAMAL AU - RUBIN, MICHAEL A. Y1 - 2017/02// N1 - Accession Number: 121383304. Language: English. Entry Date: 20170227. Revision Date: 20170316. Publication Type: Article; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403. KW - Perioperative Care KW - Transfer, Intrahospital KW - Patient Attitudes KW - Family Attitudes KW - Coding KW - Communication KW - Family KW - Health Personnel KW - Personal Satisfaction KW - Qualitative Studies KW - Intensive Care Units KW - Human KW - Teamwork KW - Patient Satisfaction KW - Quality of Health Care KW - Semi-Structured Interview KW - Adolescence KW - Intraprofessional Relations KW - Professional-Patient Relations KW - Professional-Family Relations KW - Surgical Patients SP - 193 EP - 202 JO - AORN Journal JF - AORN Journal JA - AORN J VL - 105 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Patient transfers between the OR and intensive care unit are high-risk events. Previous studies regarding mechanisms to improve these transfers do not account for the perspectives of family members or patients. Using transfer-of-care reports from health care providers, we performed a qualitative study of patient and family member perspectives by transcribing, coding, and analyzing seven interviews using hermeneutic cycling, which revealed three main themes: communication, clinical interaction, and clinician demeanor. Participants reported that anxiety about the plan of care and its outcomes eased when they had more frequent communication with members of the clinical team, observed the team interacting with one another, and felt the clinicians' demeanors were confident. The results of this study showed that families perceived that clinicians who communicated the timing and frequency of protocols and procedures improved patient care. Clinician training on empathy, professionalism, and accessibility may increase patient and family satisfaction and decrease negative interactions between clinicians and patients and their family members. SN - 0001-2092 AD - Clinical research coordinator in the Department of Neurology and Neurotherapeutics at the University of Texas Southwestern Medical Center, Dallas AD - Associate professor in the Department of Neurology and Neurotherapeutics and the Department of Neurosurgery at the University of Texas Southwestern Medical Center, Dallas AD - Professor in the Department of Anesthesiology and Pain Management at the University of Texas Southwestern Medical Center, Dallas AD - Bedside nurse in the neurointensive care unit at Zale Lipshy University Hospital in the University of Texas Southwestern Medical Center, Dallas AD - Assistant professor in the Department of Neurology and Neurotherapeutics and Department of Neurosurgery at the University of Texas Southwestern Medical Center, Dallas DO - 10.10167j.aorn.2016.12.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121383304&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124355205 T1 - Abstract 10: Use of Point of Care Laboratory Testing During Critical Care Interfacility Transport. AU - Collopy, Kevin AU - Langston, Brian AU - Powers, William F. Y1 - 2017/07// N1 - Accession Number: 124355205. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Critical Care KW - Diagnosis, Laboratory KW - Caring KW - Transportation SP - 209 EP - 211 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 36 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - AirLink/VitaLink Critical Care Transport, New Hanover Regional Medical Center, Wilmington, North Carolina DO - 10.1016/j.amj.2017.04.011 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124355205&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118657651 T1 - THE TRANSFER OF PATIENT CARE FROM THE EMERGENCY DEPARTMENT TO INPATIENT AREAS WITHIN THE INTRA HOSPITAL SETTING. AU - Hawkins, Carly Y1 - 2014///Winter2014 N1 - Accession Number: 118657651. Language: English. Entry Date: 20161017. Revision Date: 20161017. Publication Type: Article; research. Journal Subset: Australia & New Zealand; Nursing. Special Interest: Emergency Care; Patient Safety. KW - Transfer, Intrahospital KW - Emergency Nursing KW - Hospital Policies -- Evaluation KW - Human KW - Clinical Assessment Tools KW - Patient Safety SP - 6 EP - 10 JO - Emergency Nurse New Zealand JF - Emergency Nurse New Zealand JA - EMERG NURSE NZ CY - , PB - New Zealand Nurses Organisation, College of Emergency Nurses SN - 1176-2691 AD - Clinical Nurse Specialist, Dunedin Hospital ED UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118657651&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 117877376 T1 - Characteristics and Outcomes of Blood Product Transfusion During Critical Care Transport. AU - Mena-Munoz, Jorge AU - Srivastava, Udayan AU - Martin-Gill, Christian AU - Suffoletto, Brian AU - Callaway, Clifton W. AU - Guyette, Francis X. Y1 - 2016/09//Sep/Oct2016 N1 - Accession Number: 117877376. Language: English. Entry Date: 20160915. Revision Date: 20160915. Publication Type: Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 9703530. KW - Critical Care KW - Transportation of Patients KW - Blood Transfusion KW - Emergency Care KW - Prehospital Care KW - Human KW - Aeromedical Transport KW - Erythrocyte Transfusion KW - Erythrocyte Volume KW - Glasgow Coma Scale KW - Confidence Intervals KW - Odds Ratio KW - Hemorrhage -- Therapy KW - Shock -- Mortality KW - Emergency Medical Services KW - Mortality KW - Retrospective Design KW - Data Analysis KW - Data Analysis Software SP - 586 EP - 593 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 20 IS - 5 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Background:Civilian out-of-hospital transfusions have not been adequately studied. This study seeks to characterize patients receiving out-of-hospital blood product transfusion during critical care transport.Study Design and Methods:We studied patients transported by a regional critical care air-medical service who received blood products during transport. This service carries two units of uncrossmatched packed Red Blood Cells (pRBCs) on every transport in addition to blood obtained from referring facilities. The pRBC are administered according to a protocol for the treatment of hemorrhagic shock or based on medical command physician order. Transfusion amount was categorized into three groups based on the volume transfused (<350 mL, 350–700 mL, >700 mL). The association between prehospital transfusion and in-hospital outcomes (mortality, subsequent blood transfusion and emergent surgery) was estimated using logistic regression models, controlling for age, first systolic blood pressure, first heart rate, Glasgow Coma Score, time of transfer, and length of hospital admission.Results:Among the 1,440 critical care transports with transfusions examined, 81% were for medical patients, being gastrointestinal hemorrhage the most common indication (26%, CI 24–28%). pRBC transfusions were associated with emergent surgery (OR = 1.81, 95% CI = 1.31–2.52) and in-hospital transfusions (OR = 2.00, 95% CI = 1.46–2.76). Those with transfusions >700 mL were associated with emergent surgery (OR = 1.79, 95% CI = 1.10–2.92) and mortality (OR = 2.11; 95% CI = 1.21–3.69).Conclusions:In this sample, the majority of patients receiving blood products during air-medical transport were transfused for medic conditions; gastrointestinal hemorrhage was the most common chief complaint. The pRBC transfusions were associated with emergent surgery and in-hospital transfusion. Transfusions of >700 mL were associated with mortality. SN - 1090-3127 DO - 10.3109/10903127.2016.1163447 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117877376&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118551142 T1 - Frequency, Composition, and Predictors of In-Transit Critical Events During Pediatric Critical Care Transport. AU - Singh, Jeffrey M. AU - Gunz, Anna C. AU - Dhanani, Sonny AU - Aghari, Mahvareh AU - MacDonald, Russell D. Y1 - 2016/10// N1 - Accession Number: 118551142. Language: English. Entry Date: 20171021. Revision Date: 20171021. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Critical Care Family Needs Inventory (CCFNI). NLM UID: 100954653. KW - Transportation of Patients KW - Critical Illness -- Epidemiology KW - Critical Care KW - Male KW - Adolescence KW - Infant, Newborn KW - Retrospective Design KW - Child, Preschool KW - Ontario KW - Decision Support Techniques KW - Multivariate Analysis KW - Logistic Regression KW - Infant KW - Risk Assessment KW - Patient Safety KW - Risk Factors KW - Child KW - Female KW - Critical Care Family Needs Inventory SP - 984 EP - 991 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 17 IS - 10 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objectives: Transport of pediatric patients is common due to healthcare regionalization. We set out to determine the frequency of in-transit critical events during pediatric critical care transport and identify factors associated with these events.Design: Retrospective cohort study using administrative and clinical data.Setting: Single pediatric critical care transport provider in Ontario, Canada.Patients: All pediatric care transports between January 1, 2005, and December 31, 2010.Measurements and Main Results: The primary outcome was in-transit critical events, defined by an adaptation of a recent consensus definition. In-transit critical events occurred in 1,094 (12.3%) of 8,889 transports. Hypotension (3.6%), tachycardia (3.7%), and bradycardia (3.3%) were the most common critical events. Crews performed medical interventions in 194 transports (2.2%). The frequency and makeup of critical events varied across patient age groups. Age, pretransport mechanical ventilation, pretransport cardiovascular instability, transport duration, scene calls, and paramedic crew level were independently associated with increased risk of in-transit critical events in multivariate analysis. A Transport Pediatric Early Warning Score of 7 or greater predicted in-transit critical events with high specificity but low sensitivity (92.0% and 20.0%, respectively), but was not superior of the combination of pretransport mechanical ventilation and pretransport cardiovascular instability (sensitivity and specificity of 12.6% and 97.4%, respectively). Removal of early warning signs from the definition resulted in critical event rates comparable to those published in adults and improved predictive performance.Conclusions: Using new consensus definitions of transport-related critical events, we found critical events occurred in almost one in eight transports, and were strongly associated with pretransport cardiovascular instability. Transport Pediatric Early Warning Score was poorly predictive of in-transit critical events, and was not superior to the presence of pretransport mechanical ventilation and cardiovascular instability. Future prospective studies are required to elucidate the optimal matching of transport resources to patients, in particular those with both pretransport cardiovascular instability and mechanical ventilation. SN - 1529-7535 AD - Division of Critical Care Medicine, Department of Medicine, University Health Network, Toronto, ON, Canada AD - Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada AD - Department of Pediatrics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada AD - Division of Pediatric Critical Care, Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada AD - Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada AD - Ornge Transport Medicine, Mississauga, ON, Canada AD - Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada U2 - PMID: 27505717. DO - 10.1097/PCC.0000000000000919 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118551142&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109821405 T1 - eti QUALITY OF HEALTHCARE PROVIDED TO USERS AFFECTED BY CVA, BEFORE AND AFTER THE OPENING OF A CVA UNIT. AU - Dias Baptista, Simone Cristina Paixão AU - Monti Juliani, Carmen Maria Casquel AU - Rosa Olbrich, Sandra Regina Leite Y1 - 2015/06// N1 - Accession Number: 109821405. Language: Portuguese. Entry Date: 20150731. Revision Date: 20150923. Publication Type: Journal Article; research. Journal Subset: Mexico & Central/South America; Nursing; Peer Reviewed. Special Interest: Quality Assurance. Instrumentation: Modified Rankin Scale; NIH Stroke Scale. NLM UID: 101484186. KW - Stroke -- Therapy KW - Stroke Patients KW - Stroke Units KW - Clinical Indicators KW - Treatment Outcomes KW - Quantitative Studies KW - Exploratory Research KW - Descriptive Research KW - Cross Sectional Studies KW - Epidemiological Research KW - Retrospective Design KW - Human KW - Hospitals KW - Brazil KW - Emergency Service KW - Hospital Mortality KW - Functional Status KW - Transfer, Intrahospital KW - Stroke -- Classification KW - NIH Stroke Scale KW - Scales KW - Disability Evaluation KW - Data Analysis Software KW - Inpatients KW - Descriptive Statistics KW - Summated Rating Scaling SP - 8340 EP - 8343 JO - Journal of Nursing UFPE / Revista de Enfermagem UFPE JF - Journal of Nursing UFPE / Revista de Enfermagem UFPE JA - REV ENFERMAGEM UFPE VL - 9 IS - 6 PB - Revista de Enfermagem UFPE SN - 1981-8963 AD - Enfermeira, Mestranda, Programa de Pós-Graduação em Enfermagem - Mestrado Acadêmico e Doutorado, Universidade Estadual Paulista/UNESP. Botucatu (SP), Brasil AD - Enfermeira, Professora doutora em Biologia Geral e Aplicada, Área de Administração em Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista/UNESP. Botucatu (SP), Brasil AD - Enfermeira, Professora Doutora em Biologia Geral e Aplicada, Área de Fundamentos de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista/UNESP. Botucatu (SP), Brasil DO - 10.5205/reuol.7585-66362-1-ED.0906201524 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109821405&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 119778923 T1 - Benchmarking Pain Assessment Rate in Critical Care Transport. AU - Reichert, Ryan J. AU - Gothard, M. David AU - Schwartz, Hamilton P. AU - Bigham, Michael T. Y1 - 2016/11//Nov/Dec2016 N1 - Accession Number: 119778923. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Pain Measurement KW - Neonatal Assessment KW - Emergency Medical Services KW - Critical Care KW - Quality Improvement KW - Infant, Newborn KW - Adult SP - 344 EP - 347 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 6 CY - New York, New York PB - Elsevier B.V. AB - The purpose of this study is to determine the rate of pain assessment in pediatric neonatal critical care transport (PNCCT). The GAMUT database was interrogated for an 18-month period and excluded programs with less than 10% pediatric or neonatal patient contacts and less than 3 months of any metric data reporting during the study period. We hypothesized pain assessment during PNCCT is superior to prehospital pain assessment rates, although inferior to in-hospital rates. Sixty-two programs representing 104,445 patient contacts were analyzed. A total of 21,693 (20.8%) patients were reported to have a documented pain assessment. Subanalysis identified 17 of the 62 programs consistently reporting pain assessments. This group accounted for 24,599 patients and included 7,273 (29.6%) neonatal, 12,655 (51.5%) pediatric, and 4,664 (19.0%) adult patients. Among these programs, the benchmark rate of pain assessment was 90.0%. Our analysis shows a rate below emergency medical services and consistent with published hospital rates of pain assessment. Poor rates of tracking of this metric among participating programs was noted, suggesting an opportunity to investigate the barriers to documentation and reporting of pain assessments in PNCCT and a potential quality improvement initiative. SN - 1067-991X AD - Pediatric Resident, Akron Children's Hospital, Akron, OH AD - Statitician, BIOSTATS, Inc, East Canton, OH AD - Associate Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH AD - Associate Professor, Akron Children's Hospital, Akron, OH DO - 10.1016/j.amj.2016.07.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119778923&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 119763175 T1 - Preparing Critical Care and Medical-Surgical Nurses to Open a New Hospital. AU - Comeau, Odette Y. AU - Armendariz-Batiste, Josette AU - Baer, Jennifer Grant Y1 - 2017/01//Jan-Mar2017 N1 - Accession Number: 119763175. Language: English. Entry Date: 20170426. Revision Date: 20170426. Publication Type: Article; forms; pictorial; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8704517. KW - Critical Care Nursing KW - Medical-Surgical Nursing KW - Nursing Staff, Hospital KW - Hospital Design and Construction KW - Hospital Planning KW - Transportation of Patients KW - Change Management KW - Academic Medical Centers KW - Texas KW - Nursing Units KW - Simulations KW - Multidisciplinary Care Team KW - Critically Ill Patients KW - Patient Safety KW - Inpatients KW - Nursing Role KW - Checklists KW - Work Redesign KW - Staff Development SP - 59 EP - 66 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 40 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Building a new hospital is an exciting time. However significant planning is required to prepare staff to assume care of patients in an environment with new workflow changes and new equipment. The challenges of this advanced preparation are compounded when the opening of the new hospital includes the planned move of the inpatient census of patients from an existing hospital to the new hospital. Goals and objectives on the move day include patient and staff safety, with a seamless transition to the new environment. This article describes the experiences and strategies used by an adult inpatient department to successfully open a new hospital. SN - 0887-9303 AD - University of Texas Medical Branch, Galveston DO - 10.1097/CNQ.0000000000000142 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119763175&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104146304 T1 - Measure, Report, Improve: The Quest for Best Practices for High-Quality Care in Critical Care Transport. AU - Bigham, Michael T. AU - Schwartz, Hamilton P. Y1 - 2013/09// N1 - Accession Number: 104146304. Language: English. Entry Date: 20131018. Revision Date: 20150711. Publication Type: Journal Article; tables/charts. Journal Subset: Biomedical; USA. Special Interest: Emergency Care; Pediatric Care. NLM UID: 100887300. KW - Quality of Health Care -- Evaluation KW - Critical Care KW - Transportation of Patients KW - Emergency Medicine KW - Child KW - Pediatrics KW - Quality Improvement KW - Emergency Service KW - Hospitals, Pediatric KW - Intubation, Intratracheal KW - Bibliometrics KW - Data Collection KW - Safety KW - Reports SP - 171 EP - 179 JO - Clinical Pediatric Emergency Medicine JF - Clinical Pediatric Emergency Medicine JA - CLIN PEDIATR EMERG MED VL - 14 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 1522-8401 AD - Department of Pediatrics, Division of Critical Care Medicine, Akron Children's Hospital, Akron, OH AD - Department of Pediatrics, Division of Emergency Medicine, Cincinnati Children's Hospital, Cincinnati, OH UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104146304&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120530120 T1 - Opportunities for maternal transport for delivery of very low birth weight infants. AU - Robles, D AU - Blumenfeld, Y J AU - Lee, H C AU - Gould, J B AU - Main, E AU - Profit, J AU - Melsop, K AU - Druzin, M Y1 - 2017/01// N1 - Accession Number: 120530120. Language: English. Entry Date: 20170109. Revision Date: 20170109. Publication Type: Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Grant Information: Grant K23HD068400 from the Eunice Kennedy Shriver National Institute of ChildHealth and Human Development.. NLM UID: 8501884. KW - Infant, Very Low Birth Weight KW - Perinatal Care KW - Transportation of Patients KW - Human KW - Retrospective Design KW - Prospective Studies KW - Birth Weight KW - Univariate Statistics KW - Multivariate Analysis KW - Birth Certificates KW - California KW - Patient Discharge KW - Infant, Newborn KW - Gestational Age KW - Coding KW - Variable KW - Descriptive Statistics KW - Length of Stay KW - Data Analysis Software KW - Female KW - Pregnancy Complications KW - Pregnancy KW - Intensive Care Units, Neonatal KW - Delivery, Obstetric KW - Funding Source SP - 32 EP - 35 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 37 IS - 1 CY - London, PB - Nature Publishing Group AB - Objective:To assess frequency of very low birth weight (VLBW) births at non-level III hospitals.Study Design:Retrospective cohort study using linked California birth certificate and discharge data of 2008 to 2010 for deliveries of singleton or first-born infant of multiple gestations with birth weight 400 to 1500 g. Delivery rates by neonatal level of care were obtained. Risk of delivery at non-level III centers was estimated in univariable and multivariable models.Results:Of the 1 508 143 births, 13 919 (9.2%) were VLBW; birth rate at non-level III centers was 14.9% (8.4% in level I and 6.5% in level II). Median rate of VLBW births was 0.3% (range 0 to 4.7%) annually at level I and 0.5% (range 0 to 1.6%) at level II hospitals. Antepartum stay for >24 h occurred in 14.0% and 26.9% of VLBW births in level I and level II hospitals, respectively.Conclusion:Further improvement is possible in reducing VLBW infant delivery at suboptimal sites, given the window of opportunity for many patients. SN - 0743-8346 AD - Department of Obstetrics and Gynecology, University of California, San Francisco, San Francisco, CA, USA AD - California Maternal Quality Care Collaborative, Stanford, CA, USA DO - 10.1038/jp.2016.174 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120530120&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107830854 T1 - Did they use it? A qualitative study exploring transfer of ‘attitudes and behaviours’ from simulation to workplace. AU - Seethamraju, Rajasri AU - MacKinnon, Ralph Y1 - 2014/09// N1 - Accession Number: 107830854. Language: English. Entry Date: 20141001. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Occupational Therapy; Pediatric Care. NLM UID: 101242841. KW - Intensive Care Units, Neonatal KW - Teamwork KW - Simulations KW - Learning Methods KW - Attitude of Health Personnel KW - Human KW - Qualitative Studies KW - Multidisciplinary Care Team KW - Skill Acquisition KW - Nursing Knowledge KW - Semi-Structured Interview KW - Data Analysis Software KW - Collaboration SP - 160 EP - 163 JO - Infant JF - Infant JA - INFANT VL - 10 IS - 5 PB - Stansted News Ltd SN - 1745-1205 AD - ST8 Neonatology Grid Trainee and Medical Education Fellow, Health Education North West AD - North West Simulation Education Network Lead; Consultant Paediatric Anaesthetist, Royal Manchester Children’s Hospital UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107830854&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118687818 T1 - Characteristics and outcomes of critically ill children following emergency transport by a specialist paediatric transport team. AU - Hamrin, Tova Hannegård AU - Berner, Jonas AU - Eksborg, Staffan AU - Radell, Peter J. AU - Fläring, Urban AU - Hamrin, Tova Hannegård AU - Fläring, Urban Y1 - 2016/11// N1 - Accession Number: 118687818. Language: English. Entry Date: 20170322. Revision Date: 20171101. Publication Type: journal article. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. Instrumentation: General Health Questionnaire (GHQ). NLM UID: 9205968. KW - Transportation of Patients -- Methods KW - Transfer, Discharge -- Methods KW - Critical Illness -- Mortality KW - Intensive Care Units, Pediatric -- Statistics and Numerical Data KW - Outcome Assessment -- Statistics and Numerical Data KW - Male KW - Diagnosis-Related Groups KW - Length of Stay -- Statistics and Numerical Data KW - Transfer, Discharge -- Standards KW - Infant KW - Adolescence KW - Sweden KW - Child KW - Infant, Newborn KW - Hospitals, Special -- Statistics and Numerical Data KW - Hospitals, Special -- Standards KW - Hospital Mortality KW - Transportation of Patients -- Statistics and Numerical Data KW - Child, Preschool KW - Female KW - Transfer, Discharge -- Statistics and Numerical Data KW - Transportation of Patients -- Standards KW - Intensive Care Units, Pediatric -- Standards KW - Survival Analysis KW - Retrospective Design KW - Questionnaires SP - 1329 EP - 1334 JO - Acta Paediatrica JF - Acta Paediatrica JA - ACTA PAEDIATR VL - 105 IS - 11 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aim: We compared acute patients admitted to a single paediatric intensive care unit (PICU) following an emergency transfer by a specialist paediatric transport team and by other routes.Methods: This was a retrospective descriptive register-based study of consecutive admissions to a tertiary PICU in Sweden from 1 January 2008 to 31 December 2013. We compared the general characteristics of the cohorts, together with predicted death rates (PDR), PICU mortality, 30-day mortality, PICU length of stay (PICU LOS) and resource use.Results: Of the 3665 nonelective admissions, 221 patients received emergency transport from referring hospitals to the PICU by the specialist paediatric transport team. Their median age was lower (146 versus 482 days), PDR was higher (5.58% versus 1.39%), PICU LOS was longer (4.24 days versus 1.06 days), and they received more PICU-specific therapies. The standardised mortality ratio did not differ between the cohorts, and the PICU mortality was lower than predicted in both groups. The transport distance and mode of transport did not influence survival.Conclusion: Children admitted to the PICU following emergency transfers by the specialist paediatric transport team were younger, sicker, received more PICU-specific therapies and had longer PICU LOS than other acutely admitted critically ill patients. This indicates that these transfers were appropriate. SN - 0803-5253 AD - Section of Anesthesiology and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Astrid Lindgren Children's Hospital, Karolinska University Hospital Solna AD - Childhood Cancer Research Unit Q6:05, Department of Women's and Children's Health, Karolinska Institutet, Astrid Lindgren Children's Hospital, Karolinska University Hospital Solna AD - Section of Anesthesiology and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Astrid Lindgren Children's Hospital, Karolinska University Hospital Solna, Stockholm, Sweden U2 - PMID: 27241071. DO - 10.1111/apa.13492 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118687818&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121516495 T1 - Characteristics of neonatal transports in California. AU - Akula, V P AU - Gould, J B AU - Kan, P AU - Bollman, L AU - Profit, J AU - Lee, H C Y1 - 2016/12// N1 - Accession Number: 121516495. Language: English. Entry Date: 20170306. Revision Date: 20170306. Publication Type: Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Grant Information: e appreciate the support of theChild Health Research Institute, Lucile Packard Foundation for Children’s Health andStanford CTSA (grant number UL1 TR000093). This project was also supported byEunice Kennedy Shriver National Institute of Child Health and Human Development(NICHD) grant (K23HD068400).. NLM UID: 8501884. KW - Transportation of Patients -- Methods KW - Infant KW - Patient Care KW - Apgar Score KW - California KW - Child KW - Childbirth KW - Delivery Rooms KW - Female KW - Human KW - Infant Mortality KW - Infant, Low Birth Weight KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Pregnancy KW - Emergencies KW - Hispanics KW - Cesarean Section KW - Government Agencies KW - Analysis of Variance KW - Data Analysis Software KW - Funding Source SP - 1122 EP - 1127 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 36 IS - 12 CY - London, PB - Nature Publishing Group AB - Objective:To describe the current scope of neonatal inter-facility transports.Study design:California databases were used to characterize infants transported in the first week after birth from 2009 to 2012.Results:Transport of the 22 550 neonates was classified as emergent 9383 (41.6%), urgent 8844 (39.2%), scheduled 2082 (9.2%) and other 85 (0.4%). In addition, 2152 (9.5%) were initiated for delivery attendance. Most transports originated from hospitals without a neonatal intensive care unit (68%), with the majority transferred to regional centers (66%). Compared with those born and cared for at the birth hospital, the odds of being transported were higher if the patient's mother was Hispanic, <20 years old, or had a previous C-section. An Apgar score <3 at 10 min of age, cardiac compressions in the delivery room, or major birth defect were also risk factors for neonatal transport.Conclusion:As many neonates receive transport within the first week after birth, there may be opportunities for quality improvement activities in this area. SN - 0743-8346 AD - Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Salter Packard Children's Hospital, Palo Alto, CA, USA AD - California Perinatal Quality Care Collaborative, Palo Alto, CA, USA DO - 10.1038/jp.2016.102 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121516495&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103766441 T1 - HEAT RETENTION HEAD WRAP FOR REWARMING INFANTS UNDERGOING CARDIOPULMONARY BYPASS SURGERY. AU - Sakakeeny, Karen H. AU - Connor, Jean Anne AU - del Nido, Pedro J. AU - Odegard, Kirsten AU - Degrazia, Michele Y1 - 2015/03// N1 - Accession Number: 103766441. Language: English. Entry Date: 20150303. Revision Date: 20150819. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care; Perioperative Care. NLM UID: 9211547. KW - Hypothermia -- Prevention and Control -- In Infancy and Childhood KW - Warming Techniques -- Equipment and Supplies -- In Infancy and Childhood KW - Clothing -- Evaluation -- In Infancy and Childhood KW - Intraoperative Care -- In Infancy and Childhood KW - Postoperative Care -- In Infancy and Childhood KW - Coronary Artery Bypass -- In Infancy and Childhood KW - Product Evaluation KW - Pilot Studies KW - Human KW - Equipment Design KW - Descriptive Research KW - Questionnaires KW - Rectal Body Temperature KW - Body Temperature Determination KW - Transfer, Intrahospital KW - Operating Rooms KW - Intensive Care Units, Pediatric KW - Monitoring, Physiologic KW - Comparative Studies KW - Hospitals, Pediatric KW - Massachusetts KW - Convenience Sample KW - Surgical Patients KW - Parents KW - Retrospective Design KW - Nursing Assessment KW - Mann-Whitney U Test KW - Record Review KW - Male KW - Female KW - Infant KW - Inpatients KW - Heart Defects, Congenital -- Surgery KW - Surveys KW - Summated Rating Scaling KW - Scales KW - Coefficient Alpha KW - Body Weight KW - P-Value KW - Descriptive Statistics KW - Treatment Outcomes KW - Evaluation Research SP - 141 EP - 147 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 24 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - Background: A major postoperative problem for infants undergoing cardiopulmonary bypass surgery is hypothermia. Objective: To determine the safety and feasibility of a newly designed Heat Retention Head Wrap on infants during the rewarming period of cardiopulmonary bypass surgery. Methods: A sample of 10 infants was recruited into this descriptive pilot study. The health care providers completed ease-of-use questionnaires to describe the feasibility of the head wrap. Interval body temperatures were recorded to characterize temperature progression from onset of rewarming to arrival in the cardiac intensive care unit (ICU) and were compared with the temperature progression of a similar group of non-participant. Adverse events were recorded on the basis of perioperative body temperatures and skin assessments. Results: The head wrap was easily applied to the infant’s head and was removed without difficulty. A steady increase in median body temperature from (1) the onset of rewarming (28ºC), to (2) removal of bypass cannulas (28.9ºC), to (3) removal of the rectal temperature probe before transfer from the operating room to the cardiac ICU (34.5ºC), and (4) upon arrival in the cardiac ICU (36.0ºC) was observed. No skin lesions or temperature-related adverse events were observed. Conclusions: The newly designed Heat Retention Head Wrap was associated with a gradual normalization of temperature during rewarming and did not interfere with routine perioperative care of infants undergoing bypass surgery. This pilot study indicates that the head wrap is both safe and feasible for use in infants undergoing cardiopulmonary bypass surgery. SN - 1062-3264 AD - Staff nurse, main operating room, Boston Children’s Hospital, Boston, Massachusetts AD - Director of nursing research, cardiovascular program, Boston Children’s Hospital, Boston, Massachusetts; Instructor of pediatrics, Harvard Medical School, Boston, Massachusetts AD - Chief of cardiac surgery, Boston Children’s Hospital; Professor of surgery, Harvard Medical School. AD - Cardiac anesthesiologist, Boston Children’s Hospital; Associate professor of anesthesiology, Harvard Medical School AD - Director of nursing research, neonatal intensive care unit, Boston Children’s Hospital; Instructor of pediatrics, Harvard Medical School DO - 10.4037/ajcc2015939 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103766441&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125839614 T1 - ICU 病人转出过渡期护理的研究及展望. AU - 汪海霞 Y1 - 2017/07// N1 - Accession Number: 125839614. Language: Chinese. Entry Date: 20171228. Revision Date: 20171228. Publication Type: Article. Journal Subset: Asia; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care. KW - Critically Ill Patients KW - Transfer, Intrahospital KW - Critical Care KW - Transitional Care KW - Intensive Care Units KW - Inpatients KW - Health Status KW - SBAR Technique SP - 2311 EP - 2313 JO - Chinese Nursing Research JF - Chinese Nursing Research JA - CHINESE NURS RES VL - 31 IS - 19 PB - Huli Yanjiu AB - This article reviewed the concept，characteristics and status quo of ICU patients' transfer transitional care model in China，in order to provide valuable references for the development of ICU patients' transfer transitional care model in China. AB - 通过对ICU病人转出过渡期护理的概念、过渡期护理的特点、我国ICU转出过渡期护理的现状进行综述，以期对我国ICU病人转出过渡期护理的发展提供有价值的信息。 SN - 1009-6493 AD - 230011，安徽省，合肥市第二人民医院 DO - 10.3969/j.issn.1009-6493.2017.19.003 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125839614&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 115962942 T1 - Impact of Telemedicine on Severity of Illness and Outcomes Among Children Transferred From Referring Emergency Departments to a Children's Hospital PICU. AU - Dayal, Parul AU - Hojman, Nayla M. AU - Kissee, Jamie L. AU - Evans, Jacqueline AU - Natale, JoAnne E. AU - Yunru Huang AU - Litman, Rebecca L. AU - Nesbitt, Thomas S. AU - Marcin, James P. AU - Huang, Yunru Y1 - 2016/06// N1 - Accession Number: 115962942. Language: English. Entry Date: In Process. Revision Date: 20171023. Publication Type: journal article; research. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Critical Care Family Needs Inventory (CCFNI). NLM UID: 100954653. KW - Health Services Accessibility KW - Hospitals, Pediatric -- Administration KW - Intensive Care Units, Pediatric -- Administration KW - Transfer, Discharge KW - Emergency Service -- Administration KW - Critical Care -- Methods KW - Telemedicine KW - Child, Preschool KW - Human KW - Infant KW - California KW - Female KW - Adolescence KW - Healthcare Disparities KW - Critical Care KW - Referral and Consultation KW - Retrospective Design KW - Child KW - Outcome Assessment KW - Infant, Newborn KW - Severity of Illness Indices KW - Male KW - Validation Studies KW - Comparative Studies KW - Evaluation Research KW - Multicenter Studies KW - Critical Care Family Needs Inventory SP - 516 EP - 521 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 17 IS - 6 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objectives: To compare the severity of illness and outcomes among children admitted to a children's hospital PICU from referring emergency departments with and without access to a pediatric critical care telemedicine program.Design: Retrospective cohort study.Setting: Tertiary academic children's hospital PICU.Patients: Pediatric patients admitted directly to the PICU from referring emergency departments between 2010 and 2014.Interventions: None.Measurements: Demographic factors, severity of illness, and clinical outcomes among children receiving care in emergency departments with and without access to pediatric telemedicine, as well as a subcohort of children admitted from emergency departments before and after the implementation of telemedicine.Main Results: Five hundred eighty-two patients from 15 emergency departments with telemedicine and 524 patients from 60 emergency departments without telemedicine were transferred and admitted to the PICU. Children admitted from emergency departments using telemedicine were younger (5.6 vs 6.9 yr; p< 0.001) and less sick (Pediatric Risk of Mortality III score, 3.2 vs 4.0; p < 0.05) at admission to the PICU compared with children admitted from emergency departments without telemedicine. Among transfers from emergency departments that established telemedicine programs during the study period, children arrived significantly less sick (mean Pediatric Risk of Mortality III scores, 1.2 units lower; p = 0.03) after the implementation of telemedicine (n = 43) than before the implementation of telemedicine (n = 95). The observed-to-expected mortality ratios of posttelemedicine, pretelemedicine, and no-telemedicine cohorts were 0.81 (95% CI, 0.53-1.09), 1.07 (95% CI, 0.53-1.60), and 1.02 (95% CI, 0.71-1.33), respectively.Conclusions: The implementation of a telemedicine program designed to assist in the care of seriously ill children receiving care in referring emergency departments was associated with lower illness severity at admission to the PICU. This study contributes to the body of evidence that pediatric critical care telemedicine programs assist referring emergency departments in the care of critically ill children and could result in improved clinical outcomes. SN - 1529-7535 AD - Department of Pediatrics, University of California, Davis, Sacramento, CA U2 - PMID: 27099972. DO - 10.1097/PCC.0000000000000761 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115962942&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 117976487 T1 - Critical care in the air - principles of aeromedical retrieval in a fixed wing transport environment. AU - South, Miriam Y1 - 2016/04// N1 - Accession Number: 117976487. Language: English. Entry Date: In Process. Revision Date: 20160927. Publication Type: Article. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. SP - 40 EP - 41 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 10 IS - 2 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 AD - Royal Flying Doctor Service, Brisbane, Australia UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117976487&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104019804 T1 - Bilateral Tension Pneumothorax Following Equipment Improvisation. AU - Zambricki, Christine AU - Schmidt, Carol AU - Vos, Karen Y1 - 2014/02// N1 - Accession Number: 104019804. Language: English. Entry Date: 20140212. Revision Date: 20150820. Publication Type: Journal Article; case study; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Advanced Nursing Practice; Patient Safety; Perioperative Care; Quality Assurance. NLM UID: 0431420. KW - Pneumothorax -- Etiology -- In Adolescence KW - Postoperative Complications -- Etiology -- In Adolescence KW - Barotrauma, Pulmonary -- Etiology -- In Adolescence KW - Oxygen Therapy -- Adverse Effects -- In Adolescence KW - Oxygen Delivery Devices -- Adverse Effects -- In Adolescence KW - Advanced Nursing Practice KW - Anesthesia Nursing KW - Root Cause Analysis KW - Risk Management KW - Surgery, Oral KW - Surgical Patients KW - Post Anesthesia Care Units KW - Intubation, Intratracheal KW - Perianesthesia Nursing KW - Nurse Anesthetists KW - Workload KW - Attention KW - Teamwork KW - Communication KW - Inventories KW - Transfer, Intrahospital KW - Inpatients KW - Nursing Outcomes KW - Female KW - Adolescence SP - 20 EP - 24 JO - AANA Journal JF - AANA Journal JA - AANA J VL - 82 IS - 1 CY - Park Ridge, Illinois PB - American Association of Nurse Anesthetists AB - This case report describes an unexpected event that took place as a result of using improvised equipment. The patient, a 16-year-old female undergoing complex oral surgery, suffered bilateral pneumothorax following the improper use of an airway support device. During the immediate postoperative period with the patient still intubated, oxygen tubing was attached to a right angle elbow connector with the port closed and 10 L/minute oxygen flow was administered to the patient in a manner that did not allow the patient to exhale. Within seconds, pneumothorax was apparent as the patient's vital signs deteriorated, visible swelling was noted in the shoulders and neck, and there was an absence of breath sounds on auscultation. This case study has application beyond the immediate discussion of bilateral pneumothorax, serving as a caution about the unintended consequences of equipment improvisation. In addition to highlighting the hazards of providing patient care with a non-standard device, this study also provides a powerful example of the human factors that can contribute to medical errors in the healthcare setting. SN - 0094-6354 AD - Director of nurse anesthesia, William Beaumont Hospital AD - Clinical nurse anesthetist, William Beaumont Hospital; Clinical Instructor, Oakland University-Beaumont Graduate Program of Nurse Anesthesia U2 - PMID: 24654348. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104019804&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 117976479 T1 - Intrahospital transport of critically ill patients -- a Swedish perspective. AU - Ringdal, Mona Y1 - 2016/04// N1 - Accession Number: 117976479. Language: English. Entry Date: In Process. Revision Date: 20160927. Publication Type: Article. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. SP - 37 EP - 38 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 10 IS - 2 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 AD - Gothenburg University, Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg, Sweden UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117976479&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120755617 T1 - Management of Hospitalized Asthmatic Children Before Transport. AU - Mazzeo, Brande AU - Bzeih, Rami AU - Schultz, Robert AU - Tavolieri, Melissa AU - Fraser, Alicia AU - Heidemann, Sabrina M. Y1 - 2017/01//Jan/Feb2017 N1 - Accession Number: 120755617. Language: English. Entry Date: 20170201. Revision Date: 20170201. Publication Type: Article; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care; Pediatric Care. NLM UID: 9312325. KW - Asthma -- Therapy -- In Infancy and Childhood KW - Transportation of Patients KW - Prehospital Care -- In Infancy and Childhood KW - Emergency Care -- In Infancy and Childhood KW - Human KW - Respiratory Failure -- Risk Factors -- In Infancy and Childhood KW - Pediatric Advanced Life Support KW - Emergency Service -- In Infancy and Childhood KW - Intensive Care Units, Pediatric KW - Male KW - Female KW - Child KW - Adolescence KW - Intubation -- In Infancy and Childhood KW - Descriptive Statistics KW - Oxygen Therapy -- In Infancy and Childhood KW - Albuterol -- Therapeutic Use KW - Steroids -- Therapeutic Use SP - 30 EP - 33 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 36 IS - 1 CY - New York, New York PB - Elsevier B.V. AB - Asthmatic children are at risk for respiratory failure and should be appropriately treated before transport. The objectives were to find out if the Pediatric Advanced Life Support guidelines for asthma treatment were followed in the emergency department (ED); to determine if additional treatment during transport or within the first 2 hours of admission was needed; and to compare the management of intubated asthmatics by the ED, transport team, and the intensive care unit (ICU) physician. The records for children diagnosed with acute asthma over 7 years who were transported by the intensive care transport team were reviewed. The use of albuterol, steroids, oxygen, heliox, continuous positive airway pressure or bilevel positive airway pressure, and ventilator settings was recorded. Two hundred seventy-nine children were 7 years (age, 5 mo-17 y), and 62% were male. Eighty percent received oxygen, albuterol, and steroids in the ED. Heliox was initiated more often by the transport team when compared with the ED or hospital physician (77% vs. 7.7% vs. 15.3%, P < .0001). Forty-five were mechanically ventilated and were more likely to receive volume control ( P < .0001) and higher rates ( P = .007) in the ED than the ICU. We conclude that most children with acute asthma were treated with oxygen, albuterol, and steroids in the ED. If used, heliox was most likely started during transport. Intubated children were more likely to receive volume control with higher rates compared with lower rates and pressure control in the ICU. SN - 1067-991X AD - Wayne State University, Detroit, MI DO - 10.1016/j.amj.2016.11.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120755617&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118343496 T1 - Handover and transport of critically ill children: An integrative review. AU - Foronda, Cynthia AU - VanGraafeiland, Brigit AU - Quon, Robert AU - Davidson, Patricia Y1 - 2016/10// N1 - Accession Number: 118343496. Language: English. Entry Date: 20161011. Revision Date: 20161011. Publication Type: Article; research; systematic review. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Emergency Care; Evidence-Based Practice; Patient Safety; Pediatric Care. NLM UID: 0400675. KW - Hand Off (Patient Safety) -- In Infancy and Childhood KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Critically Ill Patients -- In Infancy and Childhood KW - Human KW - Systematic Review KW - Communication KW - Risk Factors KW - Teamwork KW - Outcomes (Health Care) KW - Emergency Service KW - Intensive Care Units KW - Pediatric Critical Care Nursing KW - Emergency Nursing KW - Multidisciplinary Care Team KW - Infant KW - Child, Preschool KW - Child KW - Adolescence KW - Inpatients SP - 207 EP - 225 JO - International Journal of Nursing Studies JF - International Journal of Nursing Studies JA - INT J NURS STUD VL - 62 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Background The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport. Objectives To synthesize published data on pediatric handover and transport and identify gaps to provide direction for future investigation. Methods Integrative literature review. Results Forty research studies were reviewed and revealed the following themes: risk for patient complications, standardized communication, and specialized teams and teamwork were associated with improved outcomes. No articles were identified regarding transportation of critically ill pediatric patients from the emergency room to the intensive care unit. There was a knowledge gap in best practices in handover and transport within the unique subsets of the pediatric population including neonate, toddler, school-aged, and adolescents. Conclusions Research supported a combined approach of specialized teams using standardized communication in the handover and transport of the pediatric patient to improve outcomes. Further study is warranted on interprofessional (team to team) handover practices, select subsets of the pediatric population, and the handover and transport of critically ill patients from the emergency room to the intensive care unit. SN - 0020-7489 AD - Johns Hopkins University School of Nursing, 525N. Wolfe St., Suite 414, Baltimore, MD 21205, USA AD - Johns Hopkins University, School of Nursing, 525N. Wolfe St., Suite 415, Baltimore, MD 21205, USA AD - Johns Hopkins, Bloomberg School of Public Health, 615N. Wolfe Street, Baltimore, MD 1205, USA AD - Johns Hopkins University, School of Nursing, 525N. Wolfe St., Baltimore, MD 21205, USA DO - 10.1016/j.ijnurstu.2016.07.020 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118343496&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 117191180 T1 - Receiving Hospital Characteristics Associated With Survival in Patients Transported by Emergency Medical Services After Out-of-hospital Cardiac Arrest. AU - Hunter, Benton R. AU - O'Donnell, Daniel P. AU - Kline, Jeffrey A. Y1 - 2016/08// N1 - Accession Number: 117191180. Language: English. Entry Date: 20160809. Revision Date: 20170801. Publication Type: Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9418450. KW - Hospitals KW - Survival KW - Transportation of Patients KW - Emergency Medicine KW - Human KW - Emergency Medical Services KW - Outpatients KW - Heart Arrest -- Diagnosis KW - Cardiac Patients -- Evaluation KW - Angioplasty, Transluminal, Percutaneous Coronary KW - Prospective Studies KW - Patient Discharge KW - Logistic Regression KW - Data Analysis KW - Intensive Care Units SP - 905 EP - 909 JO - Academic Emergency Medicine JF - Academic Emergency Medicine JA - ACAD EMERG MED VL - 23 IS - 8 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Objective To test whether primary emergency medical services ( EMS) transport to hospitals with certain characteristics (24/7 percutaneous coronary intervention [ PCI] availability, trauma center status, large [>24 bed] intensive care unit [ ICU]) versus hospitals without those characteristics is associated with improved hospital survival after out-of-hospital cardiac arrest ( OHCA). Methods This is an analysis of a prospectively collected EMS database, which archives patients with OHCA treated by a single large metropolitan EMS system. The database contains Utstein data, EMS transport data, and survival to hospital discharge. EMS providers uniformly apply advanced cardiac life support protocols to OHCA patients in the field. Patients with return of spontaneous circulation ( ROSC) are transported to one of 10 hospitals in the area. If ROSC is not achieved within 30 minutes, efforts are terminated and the patient is not transported. We used multivariate logistic regression to test if receiving hospital characteristics were independently associated with survival among those transported after ROSC. We excluded patients not transported to a hospital and patients with incomplete outcome data. Results Between January 2011 and December 2014, a total of 1,188 OHCA patients were resuscitated in the field and transported to an area hospital. After patients with missing data were excluded, 1,024 patients were included in the analysis. The mean (± SD) age was 61.1 (±17.0) years, and 57.7% were male. Of transported patients, 76% were taken to 24/7 PCI centers, 46% were taken to trauma centers, and 37% were taken to hospitals with large ICUs. There was considerable overlap in these hospital characteristics. A multivariate logistic regression model including age, sex, shockable rhythm, EMS time to scene, and dispatch complaint of cardiac arrest found that none of the hospital characteristics were independently associated with increased survival to discharge. The odds ratios (95% confidence intervals) for survival were as follows: PCI center, 1.28 (0.80 to 2.04); trauma center, 1.44 (0.73 to 2.85); and large ICU, 1.39 (0.69 to 2.80). Conclusions After adjusting for patient demographic data, we found no significant independent association between receiving hospital characteristics and survival to discharge among OHCA patients transported after ROSC by a single EMS agency. SN - 1069-6563 AD - Indiana University School of Medicine DO - 10.1111/acem.12978 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117191180&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 119763171 T1 - The Hospital Course of a Successfully Treated Patient with Respiratory Failure. AU - Callister, T. Brian Y1 - 2017/01//Jan-Mar2017 N1 - Accession Number: 119763171. Language: English. Entry Date: 20170426. Revision Date: 20170426. Publication Type: Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. NLM UID: 8704517. KW - Respiratory Failure -- Therapy KW - Multidisciplinary Care Team KW - Teamwork KW - Continuity of Patient Care KW - Emergency Care KW - Critical Care KW - Professional Practice, Evidence-Based KW - Critically Ill Patients KW - Acute Disease KW - Communication KW - Intensive Care Units KW - Emergency Service KW - Respiration, Artificial KW - Intubation, Intratracheal KW - Transfer, Intrahospital KW - Professional-Family Relations KW - Interprofessional Relations KW - Intraprofessional Relations KW - Decision Making, Clinical KW - Decision Making, Patient KW - Decision Making, Family KW - Advance Directives KW - Ventilator Patients KW - Patient Rounds KW - Ventilator Weaning KW - Nursing Units KW - Respiratory Failure -- Rehabilitation KW - Combined Modality Therapy KW - Protocols KW - Discharge Planning KW - Inpatients KW - Skilled Nursing Facilities KW - After Care SP - 29 EP - 35 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 40 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - The successful treatment of a patient with acute respiratory failure is a complex undertaking that requires clinical competence, evidence-based interventions, seamless coordination of care transitions, and transparent open communication among all members of the health care team. Many of the processes of care in these critically ill patients are reassuringly consistent across services, across hospitals, across health systems, and even across the country. Although the clinical course of such complicated patients can be extremely unpredictable, we are fortunate that the professional, technical, and psychosocial aspects of care for these patients can be relatively orderly, evidence-based, and transparent. SN - 0887-9303 AD - Department of Internal Medicine, University of Nevada, Reno School of Medicine, Reno, Nevada DO - 10.1097/CNQ.0000000000000138 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119763171&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104240659 T1 - Therapeutic hypothermia during neonatal transport: data from the California Perinatal Quality Care Collaborative (CPQCC) and California Perinatal Transport System (CPeTS) for 2010. AU - Akula, V P AU - Gould, J B AU - Davis, A S AU - Hackel, A AU - Oehlert, J AU - Van Meurs, K P Y1 - 2013/03// N1 - Accession Number: 104240659. Language: English. Entry Date: 20130227. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Obstetric Care; Pediatric Care. NLM UID: 8501884. KW - Transportation of Patients KW - Hypothermia KW - Human KW - Hypoxia-Ischemia, Brain, Neonatal -- Prevention and Control KW - Infant, Newborn KW - Patient Admission KW - Intensive Care Units, Neonatal KW - Outcomes (Health Care) SP - 194 EP - 197 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 33 IS - 3 CY - London, PB - Nature Publishing Group AB - Objective:To evaluate cooling practices and neonatal outcomes in the state of California during 2010 using the California Perinatal Quality Care Collaborative and California Perinatal Transport System databases.Study Design:Database analysis to determine the perinatal and neonatal demographics and outcomes of neonates cooled in transport or after admission to a cooling center.Result:Of the 223 infants receiving therapeutic hypothermia for hypoxic ischemic encephalopathy (HIE) in California during 2010, 69% were cooled during transport. Despite the frequent use of cooling in transport, cooling center admission temperature was in the target range (33-34 °C) in only 62 (44%). Among cooled infants, gestational age was <35 weeks in 10 (4.5%). For outborn and transported infants, chronologic age at the time of cooling initiation was >6 h in 20 (11%). When initiated at the birth hospital, cooling was initiated at <6 h of age in 131 (92.9%).Conclusion:More than half of the infants cooled in transport do not achieve target temperature by the time of arrival at the cooling center. The use of cooling devices may improve temperature regulation on transport. SN - 0743-8346 AD - Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Salter Packard Children's Hospital, Palo Alto, CA, USA AD - 1] Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Salter Packard Children's Hospital, Palo Alto, CA, USA [2] California Perinatal Quality Care Collaborative, Palo Alto, CA, USA AD - 1] Department of Anesthesia, Stanford University School of Medicine, Palo Alto, CA, USA [2] California Perinatal Transport System, Sacramento, CA, USA U2 - PMID: 23223159. DO - 10.1038/jp.2012.144 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104240659&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104117765 T1 - Heart rate variability of transported critically ill neonates. AU - Snedec, Nejc AU - Simoncic, Milanka AU - Klemenc, Matjaz AU - Ihan, Alojz AU - Vidmar, Ivan AU - Grosek, Stefan Y1 - 2013/12// N1 - Accession Number: 104117765. Language: English. Entry Date: 20140801. Revision Date: 20171007. Publication Type: journal article; research. Journal Subset: Biomedical; Continental Europe; Europe. Special Interest: Pediatric Care. NLM UID: 7603873. KW - Heart Rate -- Physiology KW - Infant, Newborn, Diseases -- Physiopathology KW - Transportation of Patients KW - Critical Illness KW - Electrocardiography KW - Female KW - Human KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Male KW - Prospective Studies KW - Respiration, Artificial KW - Risk Assessment KW - Severity of Illness Indices KW - Nonparametric Statistics SP - 1565 EP - 1571 JO - European Journal of Pediatrics JF - European Journal of Pediatrics JA - EUR J PEDIATR VL - 172 IS - 12 CY - , PB - Springer Science & Business Media B.V. AB - Unlabelled: Determining heart rate variability (HRV) in infants is a useful measure of physiological stability. Transport of ill neonates imposes a measurable degree of stress. A prospective observational study on 58 critically ill neonates, transported to an intensive care unit (ICU) was performed. HRV during the 24-h period before, during and after transport, heart rate (HR), mean arterial pressure and transport risk index of physiologic stability (TRIPS) score were observed. The median HRV total power value of 40.80 ms(2) was set as the cutoff value, and neonates with values below this were designated as the low-HRV group (l-HRV; n=29), and those above this as the high-HRV group (h-HRV; n=29). The h-HRV group had a significantly lower HR at retrieval and 1 h after admission and a significant 2- and 4-day shorter duration of mechanical ventilation and ICU treatment compared to the l-HRV group. Spearman's correlations between total power and duration of mechanical ventilation (ρ=-0.346; P<0.01) and ICU treatment (ρ=-0.346; P<0.01) were significant. Transported neonates were also tested for differences in HRV and other physiological and demographic parameters between the transport mode and time. No differences were found, except that the nighttime ambulance group had a statistically higher HRV compared to the daytime ambulance group.Conclusion: Higher HRV of group of neonates, who did not differ in illness severity TRIPS score from the lower HRV group, is associated with a faster and significant decrease in HR after transport and a 2- and 4-day shorter duration of mechanical ventilation and ICU treatment. SN - 0340-6199 AD - Department of Radiology, General Hospital Celje, Oblakova ulica 5, 3000, Celje, Slovenia. U2 - PMID: 23828133. DO - 10.1007/s00431-013-2081-9 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104117765&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104166709 T1 - Estimating the quality of neonatal transport in California. AU - Gould, J B AU - Danielsen, B H AU - Bollman, L AU - Hackel, A AU - Murphy, B Y1 - 2013/12// N1 - Accession Number: 104166709. Language: English. Entry Date: 20131203. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Obstetric Care; Pediatric Care. Grant Information: CPeTS data: This work was supported by California Department of Health, Maternal Child and Adolescent Health Branch.. NLM UID: 8501884. KW - Quality of Health Care KW - Transportation of Patients KW - Human KW - Infant, Newborn KW - Funding Source KW - Descriptive Statistics KW - ROC Curve KW - California KW - Male KW - Female KW - Intensive Care Units, Neonatal SP - 964 EP - 970 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 33 IS - 12 CY - London, PB - Nature Publishing Group AB - Objective:To develop a strategy to assess the quality of neonatal transport based on change in neonatal condition during transport.Study Design:The Canadian Transport Risk Index of Physiologic Stability (TRIPS) score was optimized for a California (Ca) population using data collected on 21 279 acute neonatal transports, 2007 to 2009, using models predicting (2/3) and validating (1/3) mortality within 7 days of transport. Quality Change Point 10th percentile (QCP10), a benchmark of the greatest deterioration seen in 10% of the transports by top-performing teams, was established.Result:Compared with perinatal variables (0.79), the Ca-TRIPS had a validation receiver operator characteristic area for prediction of death of 0.88 in all infants and 0.86 in infants transported after day 7. The risk of death increased 2.4-fold in infants whose deterioration exceeded the QCP10.Conclusion:We present a practical, benchmarked, risk-adjusted, estimate of the quality of neonatal transport. SN - 0743-8346 AD - 1] Department of Pediatrics, Division of Neonatal-Perinatal Medicine Stanford University School of Medicine, Stanford, CA, USA [2] California Perinatal Quality Care Collaborative, Palo Alto, CA, USA AD - Health InfomationSolutions, Rocklin, CA, USA AD - 1] California Family Health Council, Los Angeles, CA, USA [2] California Perinatal Transport System, Sacramento, CA, USA AD - 1] Department of Pediatrics and Anesthesiology, Stanford University School of Medicine, Stanford, CA, USA [2] California Perinatal Transport System, Sacramento, CA, USA AD - 1] Department of Pediatrics, Division of Neonatal-Perinatal Medicine Stanford University School of Medicine, Stanford, CA, USA [2] California Perinatal Quality Care Collaborative, Palo Alto, CA, USA [3] California Perinatal Transport System, Sacramento, CA, USA U2 - PMID: 24071907. DO - 10.1038/jp.2013.57 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104166709&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108022936 T1 - The implication of end-of-life transfers on a transport service. AU - Hands, Sheila AU - Crabtree, Louise AU - Wolfenden, Alison AU - Harrison, Cath Y1 - 2013/01// N1 - Accession Number: 108022936. Language: English. Entry Date: 20130204. Revision Date: 20150818. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Palliative Care/Hospice; Pediatric Care. NLM UID: 101242841. KW - Transportation of Patients KW - Transfer, Discharge KW - Terminally Ill Patients -- In Infancy and Childhood KW - Human KW - Infant, Newborn KW - Questionnaires KW - Attitude of Health Personnel KW - Intensive Care Units, Neonatal KW - Palliative Care SP - 30 EP - 33 JO - Infant JF - Infant JA - INFANT VL - 9 IS - 1 PB - Stansted News Ltd AB - This article describes the role of a transport team in organising and carrying out transfers for end-of-life care. This involvement is increasing and needs to be recognised, not only for the development of the transport service but also because of the implications to the staff. SN - 1745-1205 AD - Advanced Neonatal Nurse Practitioner, Embrace, Yorkshire and Humber Infant and Children's Transport Service, Barnsley AD - Senior Transport Nurse, Embrace, Yorkshire and Humber Infant and Children's Transport Service, Barnsley AD - Lead Neonatologist, Embrace, Yorkshire and Humber Infant and Children's Transport Service, Barnsley UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108022936&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118570254 T1 - RE-ESTABLISHING BASELINE WITH TRANSPORT VENTILATORS WHEN TRANSITIONING FROM ICU VENTILATOR. AU - Howard, William R. Y1 - 2016/10// N1 - Accession Number: 118570254. Language: English. Entry Date: 20161116. Revision Date: 20161116. Publication Type: Article; abstract; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Ventilators, Mechanical KW - Transfer, Discharge KW - Intensive Care Units KW - Portable Equipment KW - Positive End-Expiratory Pressure KW - Benchmarking SP - OF8 EP - OF8 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 61 IS - 10 CY - Irving, Texas PB - Daedalus Enterprises, Inc. AB - BACKGROUND: Patients who are transitioned from their ICU ventilator to a portable or transport ventilator are expected to be managed with equivalent support. To avoid physiological compromise, equivalent delivery would ideally be re-establishing critical care ventilator values without delay upon connection of the transport device. We wanted to know when using a comparable mode if there was delay in reaching equivalent delivery of PEEP, VE, mPAW, and FIO2 between a benchmark ICU ventilator and our portable ventilators. METHODS: Our set-up included a standard ventilator patient circuit connected to an ASL 5000 (IngMar Medical Ltd, Pittsburgh, PA), with C = 20 mL/cmH2O and R = 5 cmH2O/L/sec. The benchmark ventilator was a Hamilton Medical G5, (Hamilton Medical, Reno, NV), Mode = (S)CMV. The portable ventilators included a Hamilton T-l and MR-1, (Hamilton Medical, Reno, NV), Pulmonetics LTV-1000, (CareFusion Corp, San Diego, CA), and Newport/Covidien HT-50 and HT-70, (Covidien, Mansfield, MA), using a volume-targeted mode. Set VE = 4, 5, 10, 15, and 20 L/m, FIO2 = 100%, I:E = 1:2. Measurements were recorded every second with a TSI-4080 FA-Plus analyzer, (TSI Inc., Shoreview, MN), to determine the elapsed time for stability of PEEP, VE, Mean AWP, and FIO2 Comparisons to stabilized measurements of PEEP, VE, mPAW, and FIO2 were made to the benchmark and the data were analyzed using ANOVA and paired t-tests with p < 0.05 considered significant. RESULTS: Compared to the baseline MD (±SD) PEEP = 0.1 cmH2O, (±0.8 cmH2O) (p > 0.05), VE = 0.2 L/m (±1.1 L/m), (/> > 0.05), mPAW = 1.6 cmH2O (±3.2 cmH2O), (p < 0.01), and FIO2 = 1.2% (±2.3%), (p > 0.05). The Table below illustrates the elapsed time to stability of the specific measured outcomes, (p < 0.01). DISCUSSION/CONCLUSIONS: These data suggest that the evaluated transport ventilators achieve comparable measurements to benchmark values. However there were significant delays in obtaining these end-points. SN - 0020-1324 AD - Respiratory Care, Brigham and Women's Hospital, Boston, MA UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118570254&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104481123 T1 - Taking Ground Transport to a Critical Level. AU - Serino, Paul Y1 - 2012/08// N1 - Accession Number: 104481123. Language: English. Entry Date: 20120819. Revision Date: 20150711. Publication Type: Journal Article; case study; pictorial; tables/charts. Journal Subset: Allied Health; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 101466002. KW - Critical Care KW - Transportation of Patients KW - Transfer, Discharge KW - Emergency Medical Technicians KW - Professional Practice KW - New Mexico KW - Intensive Care Units KW - Critically Ill Patients KW - Teamwork KW - Protocols KW - Program Development KW - Staff Development KW - Drugs KW - Sedation KW - Intubation, Intratracheal KW - Personnel Staffing and Scheduling SP - 32 EP - 36 JO - EMS World JF - EMS World JA - EMS WORLD VL - 41 IS - 8 CY - Nashville, Tennessee PB - SouthComm Inc. SN - 1946-9365 AD - Albuquerque Ambulance Critical Care Team; Associate Degree in EMS, Eastern New Mexico University-Roswell; Bachelor's Degree, Journalism/Communications, University of New Mexico in Albuquerque U2 - PMID: 22913054. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104481123&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120755622 T1 - 25th Critical Care Transport Medicine Conference. AU - Newman, Monica AU - Petersen, Pat AU - Good, Nikole Y1 - 2017/01//Jan/Feb2017 N1 - Accession Number: 120755622. Language: English. Entry Date: 20170201. Revision Date: 20170201. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Human SP - 24 EP - 26 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 36 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X DO - 10.1016/j.amj.2016.11.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120755622&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116691678 T1 - Challenges and Resources for New Critical Care Transport Crewmembers: A Descriptive Exploratory Study. AU - Alfes, Celeste M. AU - Steiner, Stephanie AU - Rutherford-Hemming, Tonya Y1 - 2016/07//Jul/Aug2016 N1 - Accession Number: 116691678. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Association of Air Medical Services KW - Exploratory Research KW - Descriptive Research KW - Special Populations KW - Critical Care KW - Surveys SP - 212 EP - 215 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - Objective The purpose of this study was to identify the challenges new crewmembers experience in the critical care transport (CCT) environment and to determine the most valuable resources when acclimating to the transport environment. To date, no study has focused on the unique challenges nor the resources most effective in CCT training. Methods This descriptive exploratory study was conducted with a convenience survey sent to the 3 largest professional CCT organizations: the Association of Air Medical Services, the Air and Surface Transport Nurses Association, and the Association of Critical Care Transport. Results The study survey responses revealed that more education and training are needed. Novice crewmembers identified areas in safety, communication, environment, and crew resource management as particularly challenging. Responses also validate the need for more simulation training, especially for CCT of low-volume/high-risk patient populations. Conclusion Results of this survey provide valuable insight for improving training effectiveness of health care professionals transitioning to the CCT environment. More information regarding best practice on the frequency and timing of CCT simulation training should be collected, particularly for simulations completed in the transport environment. SN - 1067-991X AD - Learning Resource Skills and Simulation Center, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH AD - Dorothy Ebersbach Academic Center for Flight Nursing, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH AD - Ursuline College and Case Western Reserve University Schools of Nursing, Cleveland, OH DO - 10.1016/j.amj.2016.04.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116691678&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116691675 T1 - Intra-aortic Balloon Pump-Dependent Patient Transports by Critical Care Paramedics. AU - MacDonald, Russell D. AU - Allendes, Felipe Y1 - 2016/07//Jul/Aug2016 N1 - Accession Number: 116691675. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Aeromedical Transport KW - Aircraft KW - Critical Care KW - Transfer, Intrahospital KW - Adverse Health Care Event KW - Transportation of Patients KW - Shock, Cardiogenic KW - Medical Records KW - Ontario KW - Canada KW - Inpatients KW - Male SP - 231 EP - 234 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - Objective Transport of intra-aortic balloon pump (IABP)-dependent patients between hospitals is increasingly common. The transports are typically time-sensitive and require personnel familiar with IABP operation and management of a potentially unstable patient. This study examined transports performed by specially trained critical care paramedics in a large air medical and land critical care transport service. Methods This retrospective, descriptive review prospectively collected data for IABP-dependent patient transports in Ontario, Canada in a 10-year interval beginning September 2003. Call records and patient care reports were reviewed to capture demographic, patient care, adverse events, and transport-related data. Adverse events, including resuscitation medication, procedure, and patient instability, were independently reviewed by 2 investigators. Results There were 162 IABP-dependent patients transported. Seventy-one were performed by land critical care transport vehicles, 60 by helicopter, and 31 by fixed wing aircraft. The mean patient age was 63.7 ± 13.8 years; the majority (72.2%) were men. Fifty-nine patients (36.4%) were inotrope or vasopressor dependent, and 46 (28.4%) were intubated and mechanically ventilated. The most common indications for IABP insertion were acute myocardial infarction requiring prompt surgical intervention (n = 70), bridge to definitive care (n = 41), and cardiogenic shock (n = 37). The mean transport time was 92.7 ± 79.4 minutes. There were 48 adverse events in 35 patients, most commonly hypotension (systolic blood pressure < 90 mm Hg, n = 18) and tachyarrhythmia requiring therapy (n = 12). There were 3 IABP-related events and 3 cases in which the transport vehicle was inoperable resulting in a transport delay. One patient with cardiogenic shock died before departing the sending hospital. Paramedics managed all events without assistance from other health care personnel. Conclusion Specially trained critical care flight paramedics can safely transport potentially unstable IABP-dependent patients to definitive cardiac surgical care. SN - 1067-991X AD - Ornge Transport Medicine, Mississauga, Ontario, Canada AD - Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada AD - Department of Emergency Services, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada AD - Department of Emergency Medicine, McMaster University, Hamilton, Ontario, Canada DO - 10.1016/j.amj.2015.12.017 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116691675&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 115799678 T1 - Mechanical Ventilation in Critical Care Transport. AU - Wilcox, Susan R. AU - Saia, Mark S. AU - Waden, Heather AU - Frakes, Michael AU - Wedel, Suzanne K. AU - Richards, Jeremy B. Y1 - 2016/05//May/Jun2016 N1 - Accession Number: 115799678. Language: English. Entry Date: In Process. Revision Date: 20160610. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. SP - 161 EP - 165 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Objective Although the benefit of transferring patients with hypoxemic respiratory failure to tertiary care centers has been shown, transporting hypoxemic patients remains controversial, given the risk of desaturation in transit. Methods We performed a retrospective analysis of a database of critical care transports (CCTs) of patients with hypoxemic respiratory failure to quantify the number, types, and effects of ventilator changes performed by the CCT teams. We evaluated the changes in fraction of inspired oxygen (FiO 2 ), positive end-expiratory pressure (PEEP), tidal volume, both FiO 2 and PEEP, and the administration of a neuromuscular blocking medication to assess for an association with an improvement in the arterial partial pressure of oxygen (PaO 2 ) from the sending to the receiving hospitals. Results Ventilator changes were made in 211 (89%) of the 237 identified transports, with significant changes in the tidal volume, PEEP, and FiO 2 . Analysis of variance revealed a significant relationship between changes in FiO 2 , PEEP, tidal volume, FiO 2 and PEEP, and the administration of neuromuscular blocking agents and change in PaO 2 (F 5,1037 = 119.6, P < .001). Multivariable regression analyses showed a significant association between an increase in PaO 2 and increasing FiO 2 , increasing FiO 2 and PEEP, and the administration of a neuromuscular blocking medication. Conclusion The CCT team performed multiple changes to ventilators. Complex ventilator management was associated with a higher PaO 2 on arrival. SN - 1067-991X AD - Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA AD - Division of Emergency Medicine, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA AD - Boston MedFlight, Bedford, MA, USA DO - 10.1016/j.amj.2016.01.004 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115799678&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 115799660 T1 - Airway Management: A Structured Curriculum for Critical Care Transport Providers. AU - Kuszajewski, Michele L. AU - O'Donnell, John M. AU - Phrampus, Paul E. AU - IIIRobey, Walter C. AU - Tuite, Patricia K. Y1 - 2016/05//May/Jun2016 N1 - Accession Number: 115799660. Language: English. Entry Date: In Process. Revision Date: 20160610. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. SP - 138 EP - 142 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Objective Airway assessment and management are vital skills for the critical care transport provider. Nurses and paramedics often enter a transport program with limited or no exposure to airway management. Many programs lack a structured curriculum to show skill competence. Optimal methods in the development of airway management competence and the frequency of training needed to maintain skills have not been clearly defined. Because of this lack of standardization, the actual level of competence in both new and experienced critical care transport providers is unknown. Methods A pretest, post-test repeated measures approach using an online curriculum combined with a deliberate practice model was used. Competence in airway management was measured using 3 evaluation points: static mannequin head, simulation scenario, and the live patient. Results A convenience sample of critical care transport providers participated (N = 9). Knowledge improvement was significant, with a higher percentage of participants scoring above 85% on the post-test compared with the pretest ( P = .028). Mean scores in completion of the airway checklist pre- versus postintervention were significantly increased on all 3 evaluation points ( P < .001 for all comparisons). Significant changes were noted in the response profile evaluating participants' confidence in their ability to verbalize indications for endotracheal intubation ( P < .05). Conclusion The development of a standardized, blended learning curriculum combined with deliberate simulation practice and rigorous assessment showed improvements in multiple areas of airway assessment and management. SN - 1067-991X AD - Duke University School of Nursing, Center for Nursing Discovery, Durham, NC, USA AD - Department of Nurse Anesthesia, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA AD - Peter M. Winter Institute for Simulation, Education, and Research (WISER), University of Pittsburgh, Pittsburgh, PA, USA AD - University of Pittsburgh School of Medicine, Pittsburgh, PA, USA AD - East Carolina University Brody School of Medicine, Clinical Simulation Program, Greenville, NC, USA AD - University of Pittsburgh School of Nursing, Pittsburgh, PA, USA DO - 10.1016/j.amj.2015.12.013 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115799660&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 115727669 T1 - On-scene Times for Inter-facility Transport of Patients with Hypoxemic Respiratory Failure. AU - Wilcox, Susan R AU - Saia, Mark S AU - Waden, Heather AU - McGahn, Susan J AU - Frakes, Michael AU - Wedel, Suzanne K AU - Richards, Jeremy B Y1 - 2016/06// N1 - Accession Number: 115727669. Language: English. Entry Date: In Process. Revision Date: 20170430. Publication Type: journal article. Journal Subset: Allied Health; Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; Public Health; USA. Instrumentation: Critical Care Family Needs Inventory (CCFNI). NLM UID: 8918173. KW - Respiratory Failure KW - Transportation of Patients -- Methods KW - Critical Care KW - United States KW - Male KW - Time Factors KW - Retrospective Design KW - Comorbidity KW - Critical Care Family Needs Inventory SP - 267 EP - 271 JO - Prehospital & Disaster Medicine JF - Prehospital & Disaster Medicine JA - PREHOSPITAL DISASTER MED VL - 31 IS - 3 PB - Cambridge University Press AB - Unlabelled: Introduction Inter-facility transport of critically ill patients is associated with a high risk of adverse events, and critical care transport (CCT) teams may spend considerable time at sending institutions preparing patients for transport. The effect of mode of transport and distance to be traveled on on-scene times (OSTs) has not been well-described. Problem Quantification of the time required to package patients and complete CCTs based on mode of transport and distance between facilities is important for hospitals and CCT teams to allocate resources effectively.Methods: This is a retrospective review of OSTs and transport times for patients with hypoxemic respiratory failure transported from October 2009 through December 2012 from sending hospitals to three tertiary care hospitals. Differences among the OSTs and transport times based on the mode of transport (ground, rotor wing, or fixed wing), distance traveled, and intra-hospital pick-up location (emergency department [ED] vs intensive care unit [ICU]) were assessed. Correlations between OSTs and transport times were performed based on mode of transport and distance traveled.Results: Two hundred thirty-nine charts were identified for review. Mean OST was 42.2 (SD=18.8) minutes, and mean transport time was 35.7 (SD=19.5) minutes. On-scene time was greater than en route time for 147 patients and greater than total trip time for 91. Mean transport distance was 42.2 (SD=35.1) miles. There were no differences in the OST based on mode of transport; however, total transport time was significantly shorter for rotor versus ground, (39.9 [SD=19.9] minutes vs 54.2 [SD=24.7] minutes; P <.001) and for rotor versus fixed wing (84.3 [SD=34.2] minutes; P=0.02). On-scene time in the ED was significantly shorter than the ICU (33.5 [SD=15.7] minutes vs 45.2 [SD=18.8] minutes; P <.001). For all patients, regardless of mode of transportation, there was no correlation between OST and total miles travelled; although, there was a significant correlation between the time en route and distance, as well as total trip time and distance.Conclusions: In this cohort of critically ill patients with hypoxemic respiratory failure, OST was over 40 minutes and was often longer than the total trip time. On-scene time did not correlate with mode of transport or distance traveled. These data can assist in planning inter-facility transports for both the sending and receiving hospitals, as well as CCT services. Wilcox SR , Saia MS , Waden H , McGahn SJ , Frakes M , Wedel SK , Richards JB . On-scene times for inter-facility transport of patients with hypoxemic respiratory failure. Prehosp Disaster Med. 2016;31(3):267-271. SN - 1049-023X AD - 1Division of Pulmonary,Critical Care, and Sleep Medicine,Division of Emergency Medicine,Medical University of South Carolina,Charleston,South CarolinaUSA AD - 2Boston MedFlight,Bedford,MassachusettsUSA U2 - PMID: 27018912. DO - 10.1017/S1049023X16000315 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115727669&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 111938939 T1 - A Coordinated Patient Transport System for ICU Patients Requiring Surgery: Impact on Operating Room Efficiency and ICU Workflow. AU - Brown, Michael J. AU - Kor, Daryl J. AU - Curry, Timothy B. AU - Marmor, Yariv AU - Rohleder, Thomas R. Y1 - 2015/11//Nov/Dec2015 N1 - Accession Number: 111938939. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 9202994. KW - Transfer, Intrahospital KW - Ventilator Patients KW - Intensive Care Units KW - Operating Rooms KW - Transportation of Patients KW - Patients' Rooms KW - Transfer, Discharge KW - Time Series KW - Nonexperimental Studies KW - Data Collection KW - Nonparametric Statistics KW - Internal Validity KW - Prospective Studies KW - Interrupted Time Series Analysis KW - Record Review KW - Regression KW - Probability KW - Surveys SP - 354 EP - 362 JO - Journal for Healthcare Quality: Promoting Excellence in Healthcare JF - Journal for Healthcare Quality: Promoting Excellence in Healthcare JA - J HEALTHC QUAL VL - 37 IS - 6 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1062-2551 AD - Assistant Professor of Anesthesiology at Mayo Clinic AD - Assistant Professor of Anesthesiology at Mayo Clinic in Rochester, MN AD - Associate Professor of Anesthesiology and an Assistant Professor of Physiology at Mayo Clinic, Rochester, MN AD - Assistant Professor of Health Care Systems Engineering, College of Medicine, Mayo Clinic AD - Professor of Health Care Systems Engineering, College of Medicine, Mayo Clinic UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111938939&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 111491855 T1 - Apgar Score at 5 Minutes Is Associated with Mortality in Extremely Preterm Infants Even after Transfer to an All Referral NICU. AU - Bartman, Thomas AU - Bapat, Roopali AU - Martin, Elizabeth M. AU - Shepherd, Edward G. AU - Nelin, Leif D. AU - Reber, Kristina M. Y1 - 2015/12/15/ N1 - Accession Number: 111491855. Language: English. Entry Date: 20170513. Revision Date: 20170515. Publication Type: Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 8405212. KW - Infant Mortality -- Evaluation KW - Intensive Care Units, Neonatal KW - Apgar Score KW - Infant, Premature KW - Retrospective Design KW - Logistic Regression KW - Odds Ratio KW - Confidence Intervals KW - Human KW - Transfer, Discharge SP - 1268 EP - 1272 JO - American Journal of Perinatology JF - American Journal of Perinatology JA - AM J PERINATOL VL - 32 IS - 12 CY - New York, New York PB - Thieme Medical Publishing Inc. AB - Objective The Apgar score has been shown to have utility in predicting mortality in the extremely preterm infant in delivery hospital populations, where most mortality occurs within 12 hours of birth. We tested the hypothesis that the 5 minute Apgar score would remain associated with mortality in extremely preterm infants after transfer from the delivery hospital to an all referral neonatal intensive care unit at an average age of 10 days. Study Design A retrospective analysis of 454 infants born at < 27 weeks gestation. Results The median Apgar score was 3 at 1 minute (interquartile range [IQR] 2-6) and 6 at 5 minutes (IQR 4-7). The Apgar score increased from 1 to 5 minutes by 2.0 ±1.7 (p < 0.001). In logistic regression modeling, an Apgar score of < 5 at 5 minutes was associated with an increased mortality (odds ratio 1.76 [95% confidence interval 1.06-2.94], p < 0.05), but not morbidities. Conclusion Infants born at < 27 weeks gestation admitted to an all referral children's hospital at a mean age of 10 days with a 5 minute Apgar < 5 are at an increased risk of mortality. Our findings continue to support the importance of the Apgar score given at delivery even in the extremely preterm infant referred to a nondelivery children's hospital. SN - 0735-1631 AD - Division of Neonatology, Department of Pediatrics, Ohio State University, Columbus, Ohio AD - Small Baby Program, Nationwide Children's Hospital, Columbus, Ohio AD - Center for Perinatal Research, Research Institute at Nationwide Children's Hospital, Columbus, Ohio DO - 10.1055/s-0035-1554803 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111491855&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105017078 T1 - Military Critical Care Nursing--Army. Critical Care Transport in a Combat Environment: Building Tactical Trauma Transport Teams Before and During Deployment. AU - Hudson TL AU - Morton R Y1 - 2010/12// N1 - Accession Number: 105017078. Language: English. Entry Date: 20101123. Revision Date: 20150818. Publication Type: Journal Article; case study; CEU; exam questions; glossary; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Military/Uniformed Services. NLM UID: 8207799. KW - Military Nursing KW - Critical Care Nursing KW - Aeromedical Transport KW - Trauma -- Therapy KW - Education, Continuing (Credit) KW - United States Army KW - War -- Iraq KW - Military Deployment KW - Iraq KW - War -- Afghanistan KW - Afghanistan KW - Rescue Work KW - Critically Ill Patients KW - Prehospital Care KW - Aeromedical Transport -- Education KW - Emergency Care -- Education KW - Military Personnel -- Education KW - Goals and Objectives KW - Emergency Care -- Equipment and Supplies KW - Program Development KW - Critical Care Nursing -- Education KW - Blast Injuries -- Therapy KW - Multidisciplinary Care Team KW - Collaboration SP - 57 EP - 67 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 30 IS - 6 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Battalion Commander, 264th Medical Battalion, Fort Sam Houston, Texas DO - 10.4037/ccn2010390 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105017078&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103962829 T1 - Interventions employed to improve intrahospital handover: a systematic review. AU - Robertson, Eleanor R. AU - Morgan, Lauren AU - Bird, Sarah AU - Catchpole, Ken AU - McCulloch, Peter Y1 - 2014/07// N1 - Accession Number: 103962829. Language: English. Entry Date: 20140623. Revision Date: 20150710. Publication Type: Journal Article; research; systematic review; tables/charts. Journal Subset: Blind Peer Reviewed; Europe; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; UK & Ireland. Special Interest: Evidence-Based Practice; Patient Safety; Quality Assurance. Grant Information: National Institute for Health Research (NIHR) under its Programme Grants for Applied Research programme (Reference Number RP-PG-0108-10020).. NLM UID: 101546984. KW - Quality Improvement KW - Hand Off (Patient Safety) KW - Professional Practice, Evidence-Based KW - Adverse Health Care Event -- Prevention and Control KW - Human KW - Systematic Review KW - Funding Source KW - Embase KW - Medline KW - CINAHL Database KW - Transfer, Intrahospital KW - Database Quality KW - Study Design KW - Nomenclature -- Standards SP - 600 EP - 607 JO - BMJ Quality & Safety JF - BMJ Quality & Safety JA - BMJ QUAL SAF VL - 23 IS - 7 PB - BMJ Publishing Group AB - Background Modern medical care requires numerous patient handovers/handoffs. Handover error is recognised as a potential hazard in patient care, and the information error rate has been estimated at 13%. While accurate, reliable handover is essential to high quality care, uncertainty exists as to how intrahospital handover can be improved. This systematic review aims to evaluate the effectiveness of interventions aimed at improving the quality and/ or safety of the intrahospital handover process. Methods We searched for articles on handover improvement interventions in EMBASE, MEDLINE, HMIC and CINAHL between January 2002 and July 2012. We considered studies of: staff knowledge and skills, staff behavioural change, process change or patient outcomes. Results 631 potentially relevant papers were identified from which 29 papers were selected for inclusion (two randomised controlled trials and 27 uncontrolled studies). Most studies addressed shift-change handover and used a median of three outcome measures, but there was no outcome measure common to all. Poor study design and inconsistent reporting methods made it difficult to reach definite conclusions. Information transfer was improved in most relevant studies, while clinical outcome improvement was reported in only two of 10 studies. No difference was noted in the likelihood of success across four types of intervention. Conclusions The current literature does not confirm that any methodology reliably improves the outcomes of clinical handover, although information transfer may be increased. Better study designs and consistency of the terminology used to describe handover and its improvement are urgently required. SN - 2044-5415 AD - Quality, Reliability, Safety and Teamwork Unit, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK AD - University of Oxford Medical School, John Radcliffe Hospital, Oxford, UK AD - Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, California USA U2 - PMID: 24811239. DO - 10.1136/bmjqs-2013-002309 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103962829&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 125193138 T1 - 142 Septic Shock Patients More Likely to Be Transferred to ICU from Floor. AU - Dub, L. AU - Lebowitz, D. AU - Kramer, N.M. AU - Leon, L. AU - Rosario, J. AU - Amico, K. AU - Ballinger, B. AU - Ganti, L. Y1 - 2017/10/02/Oct2017 Supplement N1 - Accession Number: 125193138. Language: English. Entry Date: In Process. Revision Date: 20170922. Publication Type: Article. Supplement Title: Oct2017 Supplement. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 8002646. SP - S57 EP - S57 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 70 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 AD - University of Central Florida/ HCA GME Emergency Medicine Residency Program of Greater Orlando, Kissimmee, FL DO - 10.1016/j.annemergmed.2017.07.168 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125193138&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107831027 T1 - What I Have Learned about Premature Birth. AU - Goslin, Diane Y1 - 2014/09// N1 - Accession Number: 107831027. Language: English. Entry Date: 20141001. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Nursing; USA. Special Interest: Obstetric Care. NLM UID: 101135041. KW - Childbirth, Premature KW - Midwifery KW - Home Childbirth KW - Infant, Newborn KW - Infant, Premature, Diseases KW - Intensive Care Units, Neonatal KW - Transportation of Patients KW - Pregnancy KW - Female KW - Medicine, Herbal KW - Progesterone -- Administration and Dosage KW - Progesterone -- Blood KW - Fetal Growth Retardation KW - Fetal Membranes, Premature Rupture KW - Midwives KW - Professional Role SP - 16 EP - 19 JO - Midwifery Today JF - Midwifery Today JA - MIDWIFERY TODAY IS - 111 CY - Eugene, Oregon PB - Midwifery Today Inc. SN - 0891-7701 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107831027&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118680929 T1 - Serum Procalcitonin: An Independent Predictor of Clinical Outcome in Health Care-Associated Pneumonia. AU - Dae Young Hong AU - Sang O. Park AU - Jong Won Kim AU - Kyeong Ryong Lee AU - Kwang Je Baek AU - Ji Ung Na AU - Pil Cho Choi AU - Young Hwan Lee Y1 - 2016/10// N1 - Accession Number: 118680929. Language: English. Entry Date: 20170421. Revision Date: 20170421. Publication Type: Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Continental Europe; Europe. NLM UID: 0137356. KW - Cross Infection KW - Pneumonia -- Prognosis KW - Pneumonia -- Mortality KW - Calcitonin -- Blood KW - Human KW - Nonexperimental Studies KW - Record Review KW - Patient Admission KW - Intensive Care Units KW - Transfer, Intrahospital KW - Descriptive Statistics KW - Multivariate Analysis KW - Confidence Intervals KW - Odds Ratio KW - ROC Curve KW - P-Value SP - 241 EP - 251 JO - Respiration JF - Respiration JA - RESPIRATION VL - 92 IS - 4 PB - Karger AG AB - Background: Early prediction of the clinical outcomes for health care-associated pneumonia (HCAP) patients is challenging. Objectives: This is the first study to evaluate procalcitonin (PCT) as a predictor of outcomes in HCAP patients. Methods: We conducted an observational study based on data for HCAP patients prospectively collected between 2011 and 2014. Outcome variables were intensive care unit (ICU) admission and 30-day mortality. PCT was categorized into three groups: <0.5,0.5-2.0, and >2.0 ng/ml. We analysed multiple variables including age, sex, comorbidities, clinical findings, and PCT group to assess their association with outcomes. Results: Of 245 HCAP patients, 99 (40.4%) were admitted to an ICU and 44 (18.0%) died within 30 days. The median PCT level was significantly higher in the ICU admission (1.19 vs. 0.4 ng/ml; p < 0.001) and 30-day mortality (3.3 vs.0.4 ng/ml; p < 0.001 ) groups. In multivariateanalysis, high PCT (>2.0 ng/ml) was strongly associated with ICU admission [odds ratio 3.734, 95% confidence interval (CI) 1.753-7.951; p = 0.001] and 30-day mortality (hazard ratio 2.254, 95% CI 1.250-5.340; p = 0.035). In receiver operating characteristic analysis, PCT had a poor discrimination power regarding ICU admission [0.695 of thearea underthecurve (AUC)] and a fair discrimination power regarding 30-day mortality in HCAP patients (0.768 of the AUC). Conclusions: High PCT on admission was strongly associated with ICU admission and 30-day mortality in HCAP patients. However, application of PCT alone seems to be limited to predicting outcomes. SN - 0025-7931 AD - Department of Emergency Medicine, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul, Republic of Korea AD - Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea AD - Department of Emergency Medicine, Hallym University Sacred Heart Hospital, Hallym University, Anyang, Republic of Korea DO - 10.1159/000449005 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118680929&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118551143 T1 - Outcome Comparison in Children Undergoing Extracorporeal Life Support Initiated at a Local Hospital by a Mobile Cardiorespiratory Assistance Unit or at a Referral Center. AU - d'Aranda, Erwan AU - Pastene, Bruno AU - Ughetto, Fabrice AU - Cotte, Jean AU - Esnault, Pierre AU - Fouilloux, Virginie AU - Mazzeo, Cécilia AU - Mancini, Julien AU - Lebel, Stéphane AU - Paut, Olivier Y1 - 2016/10// N1 - Accession Number: 118551143. Language: English. Entry Date: 20171021. Revision Date: 20171021. Publication Type: journal article; research. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Longitudinal Interval Follow-Up Evaluation (LIFE). NLM UID: 100954653. KW - Critical Care -- Methods KW - Extracorporeal Membrane Oxygenation -- Methods KW - Mobile Health Units -- Administration KW - Intensive Care Units, Pediatric -- Administration KW - Hospitals, Special -- Administration KW - France KW - Retrospective Design KW - Child, Preschool KW - Female KW - Transfer, Discharge KW - Adolescence KW - Transportation of Patients KW - Infant, Newborn KW - Critical Care KW - Child KW - Logistic Regression KW - Extracorporeal Membrane Oxygenation -- Equipment and Supplies KW - Human KW - Outcomes (Health Care) KW - Infant KW - Male KW - Validation Studies KW - Comparative Studies KW - Evaluation Research KW - Multicenter Studies SP - 992 EP - 997 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 17 IS - 10 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Purpose: To compare characteristics and outcome in children undergoing extracorporeal life support initiated in an extracorporeal life support center or at the patient's bedside in a local hospital, by means of a mobile cardiorespiratory assistance unit.Methods: A retrospective study in a single PICU during 6 years. Extracorporeal life support was started either in our center (control group) or in the local hospital (mobile cardiorespiratory assistance unit group). The data collected were demographics, markers of patient's preextracorporeal life support condition, and outcome.Results: One hundred twenty-six children underwent extracorporeal life support, 105 in the control group and 21 in the mobile cardiorespiratory assistance unit group. There was no difference between groups in terms of age, weight, or Pediatric Risk of Mortality II score. There was a significant difference in organ failure etiology between groups, with more respiratory cases in the mobile cardiorespiratory assistance unit group (76.2%) and more cardiac surgery cases in the control group (60%; p < 0.001). The duration of extracorporeal life support was longer in the mobile cardiorespiratory assistance unit group than in the control group (10 [1-36] vs 5 [0-33] d; p = 0.003). PICU length of stay and mortality (60% vs 47.6%; p = 0.294) were not significantly different between the two groups. To allow comparison of a more homogenous population, a subgroup analysis was performed including only respiratory failure patients from the two groups (R-control group [n = 22] and R-mobile cardiorespiratory assistance unit group [n = 16]). PICU length of stay was 17 (3-64) days in the R-control group and 23 (1-45) days in the R-mobile cardiorespiratory assistance unit group (p = 0.564), and PICU mortality rate was 54.5% in the R-control group and 43.8% in the R-mobile cardiorespiratory assistance unit group (p = 0.511). There was no difference between the R-groups for age, weight, Pediatric Risk of Mortality II score, and markers of kidney or liver dysfunction, and lactate blood levels.Conclusion: Extracorporeal life support can be safely initiated at children's bedside in the local hospital and then transported to the specialized referral center. Our results support the validity of an interregional organization of mobile cardiorespiratory assistance unit teams. SN - 1529-7535 AD - Department of Pediatric Anesthesia and Intensive Care, La Timone University Children's Hospital, Marseille, France AD - Intensive Care Unit, Sainte Anne Military Hospital, Toulon, France AD - Department of Pediatric Cardiovascular Surgery, La Timone University Hospital, Marseille, France AD - Public Health and Medical Informatics, La Timone University Hospital, Marseille, France U2 - PMID: 27705983. DO - 10.1097/PCC.0000000000000897 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118551143&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107891840 T1 - Reducing Sepsis Mortality. AU - Lopez-Bushneil, Kathy AU - Demaray, William S. AU - Jaco, Cathy Y1 - 2014/01//Jan/Feb2014 N1 - Accession Number: 107891840. Language: English. Entry Date: 20140303. Revision Date: 20150819. Publication Type: Journal Article; algorithm; protocol; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Perioperative Care; Quality Assurance. NLM UID: 9300545. KW - Quality Improvement KW - Sepsis -- Diagnosis KW - Sepsis -- Nursing KW - Medical-Surgical Nursing KW - Nursing Practice, Evidence-Based KW - Nursing Protocols KW - Resuscitation KW - Program Development KW - Hospital Programs KW - Academic Medical Centers KW - Human KW - New Mexico KW - Nursing Units KW - Nursing Staff, Hospital KW - Clinical Assessment Tools KW - Nursing Assessment KW - Nursing Interventions KW - Systemic Inflammatory Response Syndrome -- Diagnosis KW - Sepsis -- Symptoms KW - Sepsis -- Drug Therapy KW - Sepsis -- Mortality KW - Evaluation Research KW - Record Review KW - Transfer, Intrahospital KW - Intensive Care Units KW - Observation Units KW - Lactates -- Blood KW - Diagnosis, Laboratory KW - Antibiotics -- Administration and Dosage KW - Administration, Intravenous KW - Monitoring, Physiologic KW - Intravenous Therapy KW - Vital Signs KW - Inpatients SP - 9 EP - 14 JO - MEDSURG Nursing JF - MEDSURG Nursing JA - MEDSURG NURS VL - 23 IS - 1 CY - Pitman, New Jersey PB - Jannetti Publications, Inc. SN - 1092-0811 AD - Director of Nursing Research, University of New Mexico Hospitals, Albuquerque, NM AD - Respiratory Therapist, University of New Mexico Hospitals, Albuquerque, NM AD - Director of Quality Resources, Great River Health System, Burlington, IA U2 - PMID: 24707663. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107891840&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112298281 T1 - KEEPING CRITICALLY ILL PATIENTS SAFE DURING INTRAHOSPITAL TRANSPORT. AU - Myeonghee Son Y1 - 2015/01// N1 - Accession Number: 112298281. Language: English. Entry Date: 20160302. Revision Date: 20160302. Publication Type: Article; abstract. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Patient Safety. KW - Patient Safety KW - Critically Ill Patients KW - Transportation of Patients KW - Adverse Health Care Event -- Prevention and Control KW - Intensive Care Units SP - 141 EP - 142 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 9 IS - 4 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 AD - Korea University Ansan Hospital, Republic of Korea UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112298281&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109421253 T1 - Post-medication Hypotension after Administration of Sedatives and Opioids during Critical Care Transport. AU - Singh, Jeffrey M. AU - MacDonald, Russell D. AU - Ahghari, Mahvareh Y1 - 2015/10//Oct-Dec2015 N1 - Accession Number: 109421253. Language: English. Entry Date: 20150915. Revision Date: 20170324. Publication Type: Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 9703530. KW - Hypotension -- Diagnosis KW - Hypnotics and Sedatives -- Administration and Dosage KW - Analgesics, Opioid -- Administration and Dosage KW - Critical Care KW - Transportation of Patients KW - Drug Evaluation KW - Emergency Care KW - Prehospital Care KW - Hypotension -- Risk Factors KW - Human KW - Retrospective Design KW - Patient Safety KW - Adverse Drug Event KW - Aeromedical Transport KW - Outcomes (Health Care) KW - Patient Selection KW - Male KW - Female KW - Trauma KW - Confidence Intervals KW - Odds Ratio SP - 464 EP - 474 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 19 IS - 4 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Objective.Identification of modifiable risk factors for hypotension during critical care transport is important to optimize patient preparation, crew training, and patient safety. We set out to determine the incidence of hemodynamic deterioration after administration of opioids or sedatives during critical care transport, and identify patient- and transport-level predictors.Methods.We assembled a retrospective cohort of adults undergoing urgent critical care transport between January 1, 2005, and December 31, 2010. The primary outcome was post-medication hypotension, defined by new hypotension or new vasopressor within 10 minutes of medication administration.Results.Opioids or sedatives were administered 28,592 times in 8,328 patient transports, with 159 episodes of post-medication hypotension (0.6% of all medication administrations). Mechanical ventilation (adjusted odds ratio [OR] 4.9; 95% confidence interval [95%CI] 2.7–8.9), baseline vasopressor requirement (adjusted OR 2.1; 95%CI 1.3–3.4), transport duration (adjusted OR 1.5; 95%CI 1.1–2.2) per log unit increment of duration), surgical diagnosis (adjusted OR 4.1; 95%CI 1.6–10.7 compared to trauma), and ACP crew level (adjusted OR 2.4 compared to baseline of CCP; 95%CI 1.5–3.8) were all associated with an increased odds of post-medication hypotension. ACP crew level remained associated with increased post-medication hypotension in a sensitivity analysis of 1,242 propensity-matched pairs (crude OR for ACP vs. CCP 3.0; 95%CI 1.4–6.5).Conclusions.Post-medication hypotension occurred once in every 160 drug administrations and was associated with mechanical ventilation, baseline hemodynamic instability, transport duration, surgical diagnosis, and ACP crew. These findings provide targets for improvements in patient preparation, crew training, and clinical practices. SN - 1090-3127 U2 - PMID: 25658022. DO - 10.3109/10903127.2014.995848 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109421253&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112741484 T1 - Impact of Retrieval, Distance Traveled, and Referral Center on Outcomes in Unplanned Admissions to a National PICU. AU - Moynihan, Katie AU - McSharry, Brent AU - Reed, Peter AU - Buckley, David Y1 - 2016/02// N1 - Accession Number: 112741484. Language: English. Entry Date: 20160603. Revision Date: 20170421. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Critical Care Family Needs Inventory (CCFNI). NLM UID: 100954653. KW - Referral and Consultation -- Statistics and Numerical Data KW - Transportation of Patients KW - Critical Care -- Methods KW - Transfer, Discharge KW - Hospitalization -- Statistics and Numerical Data KW - Hospital Mortality KW - Intensive Care Units, Pediatric KW - Adolescence KW - Child KW - Child, Preschool KW - Critical Illness KW - Prospective Studies KW - Critical Care -- Statistics and Numerical Data KW - Retrospective Design KW - Infant KW - Child Mortality KW - New Zealand KW - Male KW - Risk Factors KW - Female KW - Infant, Newborn KW - Critical Care Family Needs Inventory SP - e34 EP - e42 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 17 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objectives: Centralization of PICUs requires a transport system that delivers patient outcomes equivalent to that of the same institution admissions. Our aim was to evaluate how pediatric critical care retrieval, distance traveled, and referral center level of ICU support impact on outcomes in unplanned admissions.Design: Retrospective cohort study.Setting: The national PICU in New Zealand.Patients: A total of 5,609 (45% retrieved) unplanned pediatric admissions (< 15 yr) between January 1, 2004, and January 1, 2014.Interventions: None.Measurements and Main Results: Data analyzed included case-mix, source of admission, diagnostic category, Pediatric Index of Mortality score, PICU-specific resource use, distance traveled, transport duration, and referral hospital ICU level. Outcome measures were crude and risk-adjusted PICU mortality and PICU length of stay. Compared with nontransported admissions, retrieved children were younger, more frequently admitted outside normal working hours, had higher predicted mortality (median Pediatric Index of Mortality score, 4.7% vs 1.5%; p < 0.001) and PICU-specific resource use (respiratory support, vasoactive infusions, and renal replacement therapy). The transport cohort had greater crude mortality rates (8.6% vs 5.6%; p < 0.008) and a median of 29 hours longer PICU stay. There was no significant difference in risk-adjusted mortality between the cohorts (observed/expected mortality ratio for retrieved patients, 0.84 vs nontransported patients, 0.91; p = 0.73). Neither distance traveled (median, 135 km), transport duration (median, 4.4 hr), nor the level of ICU at the referral center had a significant effect on risk-adjusted PICU mortality in the retrieved cohort.Conclusions: Children retrieved to the national PICU in New Zealand have greater predicted mortality risk and PICU-specific resource use than nontransported patients. There is no significant difference in risk-adjusted mortality between retrieved and the same institution admissions. Critically ill pediatric patients can be transported long distances by specially trained and equipped transport teams, without an increase in risk-adjusted PICU mortality. SN - 1529-7535 AD - Department of Paediatric Intensive Care, Starship Children's Hospital, Auckland, New Zealand AD - Occupational and Aviation Medicine Unit, University of Otago, Dunedin, New Zealand AD - Children's Research Centre, Starship Children's Hospital, Auckland U2 - PMID: 26673843. DO - 10.1097/PCC.0000000000000586 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112741484&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 110337880 T1 - Quality Metrics in Neonatal and Pediatric Critical Care Transport: A National Delphi Project. AU - Schwartz, Hamilton P. AU - Bigham, Michael T. AU - Schoettker, Pamela J. AU - Meyer, Keith AU - Trautman, Michael S. AU - Insoft, Robert M. Y1 - 2015/10// N1 - Accession Number: 110337880. Corporate Author: American Academy of Pediatrics Section on Transport Medicine. Language: English. Entry Date: 20151225. Revision Date: 20160714. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Critical Care Family Needs Inventory (CCFNI). NLM UID: 100954653. KW - Transportation of Patients -- Standards KW - Quality of Health Care -- Standards KW - Pediatrics -- Standards KW - Delphi Technique KW - Critical Care -- Standards KW - Hospitals, Special KW - Airway Management -- Standards KW - Outcomes (Health Care) KW - Clinical Indicators KW - Ohio KW - Time Factors KW - Patient Safety -- Standards KW - Multidisciplinary Care Team -- Standards KW - Benchmarking KW - Critical Care Family Needs Inventory SP - 711 EP - 717 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 16 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objectives: The transport of neonatal and pediatric patients to tertiary care facilities for specialized care demands monitoring the quality of care delivered during transport and its impact on patient outcomes. In 2011, pediatric transport teams in Ohio met to identify quality indicators permitting comparisons among programs. However, no set of national consensus quality metrics exists for benchmarking transport teams. The aim of this project was to achieve national consensus on appropriate neonatal and pediatric transport quality metrics.Design: Modified Delphi technique.Setting: The first round of consensus determination was via electronic mail survey, followed by rounds of consensus determination in-person at the American Academy of Pediatrics Section on Transport Medicine's 2012 Quality Metrics Summit.Subjects: All attendees of the American Academy of Pediatrics Section on Transport Medicine Quality Metrics Summit, conducted on October 21-23, 2012, in New Orleans, LA, were eligible to participate.Measurements and Main Results: Candidate quality metrics were identified through literature review and those metrics currently tracked by participating programs. Participants were asked in a series of rounds to identify "very important" quality metrics for transport. It was determined a priori that consensus on a metric's importance was achieved when at least 70% of respondents were in agreement. This is consistent with other Delphi studies. Eighty-two candidate metrics were considered initially. Ultimately, 12 metrics achieved consensus as "very important" to transport. These include metrics related to airway management, team mobilization time, patient and crew injuries, and adverse patient care events. Definitions were assigned to the 12 metrics to facilitate uniform data tracking among programs.Conclusions: The authors succeeded in achieving consensus among a diverse group of national transport experts on 12 core neonatal and pediatric transport quality metrics. We propose that transport teams across the country use these metrics to benchmark and guide their quality improvement activities. SN - 1529-7535 AD - Division of Emergency Medicine, Department of Pediatrics, Cincinnati Children's Hospital, University of Cincinnati School of Medicine, Cincinnati, OH AD - Division of Critical Care Medicine, Department of Pediatrics, Akron Children's Hospital, Northeast Ohio Medical University, Akron, OH AD - James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital, Cincinnati, OH AD - Division of Critical Care Medicine, Department of Pediatrics, Miami Children's Hospital, Miami, FL AD - Division of Neonatology, Department of Pediatrics, James W. Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN AD - Department of Pediatrics, Brown University Alpert School of Medicine, Providence, Rl U2 - PMID: 26181297. DO - 10.1097/PCC.0000000000000477 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110337880&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124441362 T1 - Leadership in Action: Alumni, Faculty, Staff and Student Milestones. AU - Austin, Diana Y1 - 2017/03// N1 - Accession Number: 124441362. Language: English. Entry Date: 20171012. Revision Date: 20171012. Publication Type: Article. Journal Subset: Nursing; USA. KW - Faculty KW - Schools, Nursing KW - Intensive Care Units KW - Acute Coronary Syndrome KW - Transfer, Intrahospital KW - Medical Assistants KW - Accidental Falls -- In Infancy and Childhood KW - Child KW - Risk Assessment KW - Uterine Neoplasms -- Familial and Genetic KW - Cancer Screening KW - Breast Neoplasms -- Diagnosis KW - Nursing Role KW - Students, Undergraduate SP - 2 EP - 2 JO - Science of Caring JF - Science of Caring JA - SCI CARING CY - San Francisco, California PB - UCSF School of Nursing UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124441362&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109810160 T1 - Intubation in Pediatric/Neonatal Critical Care Transport: National Performance. AU - Bigelow, Amee M. AU - Gothard, M. David AU - Schwartz, Hamilton P. AU - Bigham, Michael T. Y1 - 2015/07/03/ N1 - Accession Number: 109810160. Language: English. Entry Date: 20150624. Revision Date: 20161226. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9703530. KW - Intubation, Intratracheal -- Evaluation KW - Critical Care KW - Transportation of Patients KW - Prehospital Care KW - Pediatrics KW - Infant KW - United States KW - Child KW - Specialization KW - Airway Management KW - Delphi Technique KW - Biometrics KW - Retrospective Design KW - Record Review KW - Data Analysis KW - Data Analysis Software KW - Intensive Care Units, Pediatric KW - Treatment Failure -- Evaluation KW - Institutional Review KW - Intubation, Intratracheal -- Education KW - Trauma Centers KW - Demography KW - Geographic Locations KW - Confidence Intervals KW - Emergency Medical Technicians KW - Registered Nurses KW - Respiratory Therapists KW - Multidisciplinary Care Team KW - Descriptive Statistics KW - Post Hoc Analysis KW - Human SP - 351 EP - 357 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 19 IS - 3 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Background: There are nearly 200,000 US infants/children transported annually for specialty care and there are no published best practices in transport intubation. Objective: Respiratory interventions are a priority in pediatric and neonatal critical care transport (PNCCT). A recent Delphi study identified intubation performance as an important PNCCT quality metric, though data are insufficient. The objective of the study is to determine multi-center rates of first attempt intubation success in pediatric/neonatal transport and identify practice processes associated with higher performing centers. Methods: Retrospective chart review where data was collected from the 9 participating centers over a 6-month period from January-June 2013. Data describing intubation training and practices were gathered using SurveyMonkey® (Palo Alto, CA). Data were tabulated in Microsoft Excel (Redmond, WA) and analyzed using descriptive statistics. Through the determination of 1st intubation success rate across multiple pediatric/neonatal critical care transport programs, we hypothesized that the features of higher and lower performing centers can be identified to inform practice. Results: 9 of 14 invited institutions participated. The median (IQR) 6-month transport volume for neonates(neo) was 289(35-646) and pediatric (ped) 510(122-831). On average, 7%(+/−3.0) of neo and 1.6%(+/−0.7) of ped transport patients required intubation. Individual centers had their initial success rate calculated and a 95% confidence interval was determined for those centers satisfying the np > 5 and n(1-p) > 5 sample size requirement for normality assumption of proportions. Since the overall success rate was 64%, it was determined that n = 14 initial intubation attempts would be the minimum number needed per center in order to fulfill the sample size requirement for normality assumption. Centers whose 95% confidence interval did not contain the initial overall success rate were identified. Conclusion: This represents the first multi-center neo/ped intubation dataset in PNCCT. First attempt intubation success lags behind reported anesthesia intubation rates but parallels pediatric emergency department intubation success rates. Training and operational processes are variable in PNCCT, though top performing teams require live-patient intubation success to achieve initial intubation competency. SN - 1090-3127 U2 - PMID: 25664667. DO - 10.3109/10903127.2014.980481 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109810160&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116917334 T1 - Outcome of outborn infants at the borderline of viability in Western Australia: A retrospective cohort study. AU - Thompson, Kirsten AU - Gardiner, Jacqueline AU - Resnick, Steven Y1 - 2016/07// N1 - Accession Number: 116917334. Language: English. Entry Date: 20170930. Revision Date: 20170930. Publication Type: journal article. Journal Subset: Australia & New Zealand; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed. Instrumentation: Short Portable Mental Status Questionnaire (SPMSQ) (Pfeiffer); Infant Characteristics Questionnaire (ICQ) (Bates et al); General Health Questionnaire (GHQ). NLM UID: 9005421. KW - Infant, Premature KW - Outcome Assessment KW - Intensive Care Units, Neonatal KW - Retrospective Design KW - Transportation of Patients KW - Morbidity KW - Infant Mortality KW - Infant KW - Prospective Studies KW - Gestational Age KW - Western Australia KW - Questionnaires KW - Short Portable Mental Status Questionnaire SP - 728 EP - 733 JO - Journal of Paediatrics & Child Health JF - Journal of Paediatrics & Child Health JA - J PAEDIATR CHILD HEALTH VL - 52 IS - 7 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aim: Preterm infants have a high risk of morbidity and mortality, which increases with decreasing gestational age. Inborn infants (infants born in tertiary perinatal centres) have higher survival and lower morbidity than outborn infants. We aimed to compare short-term and 1-year developmental outcomes of outborn infants at the borderline of viability (≥23 to ≤25 + 6 weeks gestation) with a similar cohort of inborn infants in the sole tertiary perinatal centre in Western Australia from 2001 to 2011.Methods: This was a retrospective cohort study. Outborn infants ≥23 to ≤25 + 6 weeks gestation who survived to be transported to the Neonatal Intensive Care Unit (NICU) in the perinatal centre were contemporaneously matched to the next inborn infant of comparable gestation and birth weight. We compared mortality, morbidity (including intraventricular haemorrhage, necrotising enterocolitis and chronic lung disease) and Griffiths General Quotient scores at 1-year corrected age.Results: There were 54 outborn and 519 inborn births in the gestational age range during the study period. Thirty-five (65%) outborn infants were transported to the NICU. Of the outborn infants, 21/54 (39%) survived to discharge compared with 375/519 (72%) inborn infants. For the 35 outborn infants transported to NICU, 14 (40%) died, compared with 6/35 (17%) of inborn infants. There were no differences in short-term and developmental outcomes in surviving infants.Conclusions: Outborn extremely preterm infants <26 weeks gestation have higher mortality than inborn counterparts. However, those transported to a tertiary NICU have similar morbidity and developmental outcomes. SN - 1034-4810 AD - Neonatology Clinical Care Unit, King Edward Memorial Hospital AD - Centre for Neonatal Research and Education, University of Western Australia AD - Newborn Emergency Transport Service, Princess Margaret Hospital U2 - PMID: 27149045. DO - 10.1111/jpc.13187 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116917334&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116991012 T1 - Managing the winter surge in demand for resources. AU - Pagel, Christina AU - Lutman, Daniel AU - Polke, Eithne AU - Ray, Samiran AU - Ramnarayan, Padmanabhan Y1 - 2016/07// N1 - Accession Number: 116991012. Language: English. Entry Date: 20161011. Revision Date: 20161011. Publication Type: Article; research; tables/charts. Journal Subset: Europe; Health Services Administration; Peer Reviewed; UK & Ireland. KW - Seasons -- United Kingdom KW - Intensive Care Units, Pediatric -- United Kingdom KW - Personnel Staffing and Scheduling -- United Kingdom KW - Health Services Needs and Demand -- United Kingdom KW - United Kingdom KW - Human KW - Transfer, Intrahospital KW - Time Factors KW - T-Tests KW - Models, Statistical KW - Computer Simulation SP - 370 EP - 379 JO - British Journal of Healthcare Management JF - British Journal of Healthcare Management JA - BR J HEALTHC MANAGE VL - 22 IS - 7 PB - Mark Allen Holdings Limited AB - This article evaluates whether providing extra clinical resource during the winter of 2014/15 improved the availability of paediatric intensive care retrieval teams in a North London retrieval service. We explored the potential impact of different staffing patterns in future years to inform service planning. We used retrospective routine data to compare the proportion of referrals refused due to lack of capacity between the winter of 2014/15 and the previous five winters. In the winter of 2014/15, an additional team were on shift for 12% of the time. We compared shifts where the additional team were available in the winter of 2014/15 to similar shifts in previous years. We used mathematical modelling to predict the potential impact of staffing levels in future winters. From 1 November 2014 to 3 January 2015, the service performed 380 emergency retrievals and refused 25 due to no available team (6.2%). The proportion of refusals during shifts with the additional team available in 2014/15 was 4.2% vs 12.4% in similar shifts from 2009/10 to 2013/14 (p = 0.026). Mathematical modelling showed that staffing an additional full-time team could result in 2% of referrals refused compared to 8% without and that much benefit could be obtained by a third team working a 12-hour shift from 10am until 10pm (refusal rate 2.8%). SN - 1358-0574 AD - Reader in operational research, UCL Clinical Operational Research Unit, University College London AD - Consultant, Children's Acute Transport Service (CATS), Great Ormond Street Hospital NHS Foundation Trust AD - Operational manager/retrieval coordinator, Children's Acute Transport Service (CATS), Great Ormond Street Hospital NHS Foundation Trust AD - Research fellow, Children's Acute Transport Service (CATS), Great Ormond Street Hospital NHS Foundation Trust DO - 10.12968/bjhc.2016.22.7.370 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116991012&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112198144 T1 - Integrative review of nurse-led follow-up after discharge from the ICU. AU - Jónasdóttir, Rannveig J. AU - Klinke, Marianne E. AU - Jónsdóttir, Helga Y1 - 2016/01// N1 - Accession Number: 112198144. Language: English. Entry Date: 20160121. Revision Date: 20170102. Publication Type: Article; research; systematic review; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Evidence-Based Practice. Instrumentation: Text Assessment and Review Instrument (NOTARI); Meta-Analysis of Statistics Assess- ment and Review Instrument (MAStARI); Qualitative Assessment and Review Instrument (QARI). Grant Information: The Icelandic Nurses Associa-tion and The Landspitali-University Hospital ResearchFund (A-2013-034).. NLM UID: 9207302. KW - Critical Care KW - After Care KW - Nursing Role KW - Transfer, Intrahospital KW - Patient Discharge KW - Human KW - Systematic Review KW - PubMed KW - CINAHL Database KW - Research Methodology -- Evaluation KW - Checklists KW - Hospital Units KW - Telephone KW - Interviews KW - Funding Source SP - 20 EP - 37 JO - Journal of Clinical Nursing JF - Journal of Clinical Nursing JA - J CLIN NURS VL - 25 IS - 1/2 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aim and objectives. To analyse and synthesise the structure, content, types of outcome variables and advantages of nurse-led follow-up of adult patients after discharge from intensive care units. Background. Follow-up service after discharge from the intensive care unit has been suggested as a way of supporting recovery of patients. Nevertheless, varieties exist in the understanding and content of nurse-led follow-up. Design. An integrative review of nurse-led follow-up inspired by the framework of Whittemore and Knafl. Methods. An integrative method merged with the recommendations of the PRISMA statement was used to structure the review and findings. Online databases PubMed, CINAHL, ScienceDirect and Scopus were searched from the years 2003-2014. The retrieved articles were independently assessed by two reviewers. Critical appraisal was conducted using check lists from Johanna Briggs Institute. Emerging patterns were validated by all the authors throughout the entire process of analysis. Results. Seventeen papers were included. Three patterns of nurse-led follow-up were identified: (1) Ward visits - in the immediate time after discharge from intensive care unit, (2) Ward visits and appointment(s) to an intensive care unit follow-up clinic and (3) follow-up visit to an intensive care unit and phone call(s) after discharge. Content of short-term nurse-led follow-up (1) ranged from clinical assessment to supporting patients in articulating their subjective health concerns. Long-term nurse-led follow-up (2, 3) included appointments, phone call(s) or information on where advice could be sought. Types of outcome variables were primarily descriptive. There were strong implications for patients' satisfaction with nurse-led follow-up up to six months after discharge. Conclusion. Nurse-led follow-up might promote patients' health and enable use of adequate resources. Relevance to clinical practice. The findings of this review could be used to design, and test, future interventions and their implementation. SN - 0962-1067 AD - Faculty of Nursing, University of Iceland, Reykjavik, and Clinical Nurse Specialist, Intensive Care Unit, Landspi'tali National University Hospital of Iceland, Reykjavik AD - Faculty of Nursing, University of Iceland, Reykjavik AD - Professor, Faculty of Nursing, University of Iceland, Reykjavik, Iceland DO - 10.1111/jocn.12939 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112198144&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107970574 T1 - Safety of intrahospital transport in ventilated critically ill patients: a multicenter cohort study*. AU - Schwebel, Carole AU - Clec'h, Christophe AU - Magne, Sylvie AU - Minet, Clémence AU - Garrouste-Orgeas, Maïté AU - Bonadona, Agnès AU - Dumenil, Anne-Sylvie AU - Jamali, Samir AU - Kallel, Hatem AU - Goldgran-Toledano, Dany AU - Marcotte, Guillaume AU - Azoulay, Elie AU - Darmon, Michael AU - Ruckly, Stéphane AU - Souweine, Bertrand AU - Timsit, Jean-François Y1 - 2013/08// N1 - Accession Number: 107970574. Corporate Author: OUTCOMEREA Study Group. Language: English. Entry Date: 20131011. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. Instrumentation: Simplified Acute Physiology Score II (SAPS II). NLM UID: 0355501. KW - Critical Illness KW - Intensive Care Units KW - Respiration, Artificial KW - Transfer, Discharge -- Statistics and Numerical Data KW - Adolescence KW - Adult KW - Aged KW - Aged, 80 and Over KW - Apache KW - Pulmonary Atelectasis -- Epidemiology KW - Child KW - Child, Preschool KW - Clinical Assessment Tools KW - Female KW - France KW - Human KW - Hyperglycemia -- Epidemiology KW - Hypernatremia -- Epidemiology KW - Hypoglycemia -- Epidemiology KW - Infant KW - Infant, Newborn KW - Length of Stay -- Statistics and Numerical Data KW - Logistic Regression KW - Male KW - Middle Age KW - Pneumonia, Ventilator-Associated -- Epidemiology KW - Pneumothorax -- Epidemiology KW - Probability KW - Prospective Studies KW - Resource Databases KW - Young Adult SP - 1919 EP - 1928 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 41 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVES: To describe intrahospital transport complications in critically ill patients receiving invasive mechanical ventilation. DESIGN: Prospective multicenter cohort study. SETTING: Twelve French ICUs belonging to the OUTCOMEREA study group. PATIENTS: Patients older than or equal to 18 years old admitted in the ICU and requiring invasive mechanical ventilation between April 2000 and November 2010 were included. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Six thousand two hundred forty-two patients on invasive mechanical ventilation were identified in the OUTCOMEREA database. The statistical analysis included a description of demographic and clinical characteristics of the cohort, identification of risk factors for intrahospital transport and construction of an intrahospital transport propensity score, and an exposed/unexposed study to compare complication of intrahospital transport (excluding transport to the operating room) after adjustment on the propensity score, length of stay, and confounding factors on the day before intrahospital transport. Three thousand and six intrahospital transports occurred in 1,782 patients (28.6%) (1-17 intrahospital transports/patient). Transported patients had higher admission Simplified Acute Physiology Score II values (median [interquartile range], 51 [39-65] vs 46 [33-62], p < 10) and longer ICU stay lengths (12 [6-23] vs 5 [3-11] d, p < 10). Post-intrahospital transport complications were recorded in 621 patients (37.4%). We matched 1,659 intrahospital transport patients to 3,344 nonintrahospital transport patients according to the intrahospital transport propensity score and previous ICU stay length. After adjustment, intrahospital transport patients were at higher risk for various complications (odds ratio = 1.9; 95% CI, 1.7-2.2; p < 10), including pneumothorax, atelectasis, ventilator-associated pneumonia, hypoglycemia, hyperglycemia, and hypernatremia. Intrahospital transport was associated with a longer ICU length of stay but had no significant impact on mortality. CONCLUSIONS: Intrahospital transport increases the risk of complications in ventilated critically ill patients. Continuous quality improvement programs should include specific procedures to minimize intrahospital transport-related risks. SN - 0090-3493 AD - Medical ICU, Albert Michallon Teaching Hospital, University Joseph Fourier, Grenoble, France. cschwebel@chu-grenoble.fr U2 - PMID: 23863225. DO - 10.1097/CCM.0b013e31828a3bbd UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107970574&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109589826 T1 - Nurse Knowledge of Intrahospital Transport. AU - Shields, John AU - Overstreet, Maria AU - Krau, Stephen D. Y1 - 2015/06// N1 - Accession Number: 109589826. Language: English. Entry Date: 20150923. Revision Date: 20150923. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0042033. SP - 293 EP - 314 JO - Nursing Clinics of North America JF - Nursing Clinics of North America JA - NURS CLIN NORTH AM VL - 50 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 0029-6465 AD - Cardiac Anesthesia Division, Department of Anesthesiology, Vanderbilt University Medical Center, 1301 Medical Center Drive, 4648 TVC, Nashville, TN 37232-5614, USA; Middle Tennessee School of Anesthesia, 315 Hospital Drive, Madison, TN 37115, USA AD - Center for Clinical Simulation, Middle Tennessee School of Anesthesia, Madison, TN 37115, USA; Vanderbilt School of Nursing, 1301 Medical Center Drive, 4648 TVC, Nashville, TN 37232-5614, USA AD - Vanderbilt School of Nursing, 1301 Medical Center Drive, 4648 TVC, Nashville, TN 37232-5614, USA U2 - PMID: 25999072. DO - 10.1016/j.cnur.2015.03.005 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109589826&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112379998 T1 - KEEPING CRITICALLY ILL PATIENTS SAFE DURING INTRAHOSPITAL TRANSPORT...WFSICCM/WFCCN/WFPICCS World Congress August 29-September 1, 2015, Seoul, Korea AU - Myeonghee Son Y1 - 2015/03// N1 - Accession Number: 112379998. Language: English. Entry Date: 20170419. Revision Date: 20170419. Publication Type: Article; abstract; proceedings. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. KW - Transfer, Intrahospital -- Standards KW - Patient Safety KW - Adverse Health Care Event -- Prevention and Control KW - Critically Ill Patients KW - Guideline Adherence SP - 141 EP - 142 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 9 IS - 4 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 AD - Korea University Ansan Hospital, Republic of Korea UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112379998&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 111210996 T1 - An Interdepartmental Care Model to Expedite Admission from the Emergency Department to the Medical ICU. AU - Elliott, Daniel J. AU - Williams, Kimberly D. AU - Pan Wu AU - Kher, Hemant V. AU - Michalec, Barret AU - Reinbold, Natalie AU - Coletti, Christian M. AU - Patel, Badrish J. AU - Dressier, Robert M. Y1 - 2015/12// N1 - Accession Number: 111210996. Language: English. Entry Date: 20151231. Revision Date: 20151231. Publication Type: Article; research; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 101238023. KW - Patient Admission KW - Intensive Care Units -- Delaware KW - Emergency Service -- Delaware KW - Transfer, Intrahospital -- Delaware KW - Human KW - Length of Stay KW - Multidisciplinary Care Team KW - Delaware KW - Female KW - Male KW - Chi Square Test KW - T-Tests KW - Data Analysis Software KW - P-Value KW - Crowding KW - Time Series KW - Health Facility Administration SP - 542 EP - 549 JO - Joint Commission Journal on Quality & Patient Safety JF - Joint Commission Journal on Quality & Patient Safety JA - JOINT COMM J QUAL PATIENT SAF VL - 41 IS - 12 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 1553-7250 AD - Medical Director, Christiana Care Quality Partners, Newark, Delaware AD - Value Institute, Christiana Care Health System, Newark, Delaware AD - Research Associate, Value Institute, Christiana Care Health System AD - Senior Biostatistician, Value Institute, Christiana Care Health System AD - Associate Professor of Operations Management, Department of Business Administration, Alfred Lerner College of Business and Economics, University of Delaware, Newark AD - Assistant Professor, Department of Sociology, University of Delaware AD - Business Operations Coordinator, Medical Group, Pulmonary Intensivists, Christiana Care Health System AD - Clinical Assistant Professor of Medicine and Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia AD - Medical Director, Wilmington Emergency Department, Value Institute, Christiana Care Health System AD - Department of Emergency Medicine and Department of Medicine, Value Institute, Christiana Care Health System AD - Value Institute, Christiana Care Health System AD - Medical Director, Medical Intensive Care Unit, Christiana Care Pulmonary Associates, Newark AD - Quality and Safety Officer, Academic and Medical Affairs, Value Institute, Christiana Care Health System UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111210996&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105190798 T1 - Therapeutic hypothermia on neonatal transport: 4-year experience in a single NICU. AU - Fairchild K AU - Sokora D AU - Scott J AU - Zanelli S Y1 - 2010/05// N1 - Accession Number: 105190798. Language: English. Entry Date: 20100611. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Obstetric Care; Pediatric Care. NLM UID: 8501884. KW - Hypothermia KW - Intensive Care Units, Neonatal KW - Transportation of Patients KW - Academic Medical Centers KW - Anoxia -- Complications KW - Brain Diseases -- Complications KW - Brain Diseases -- Epidemiology KW - Brain Diseases -- Mortality KW - Data Analysis Software KW - Descriptive Statistics KW - Developmental Disabilities -- Prevention and Control KW - Human KW - Infant, Newborn KW - Ischemia -- Complications KW - Record Review KW - Retrospective Design KW - Unpaired T-Tests KW - Virginia SP - 324 EP - 329 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 30 IS - 5 CY - London, PB - Nature Publishing Group AB - Objective: Therapeutic hypothermia instituted within 6 h of birth has been shown to improve neurodevelopmental outcomes in term newborns with moderate-to-severe hypoxic-ischemic encephalopathy (HIE). The majority of infants who would benefit from cooling are born at centers that do not offer the therapy, and adding the time for transport will result in delays in therapy, that may lead to suboptimal or no neuroprotection for some patients. Our objective was to evaluate the effect of our center's experience with therapeutic hypothermia on neonatal transport. Study Design: Retrospective review of all cases of therapeutic hypothermia at a single neonatal intensive care unit from 2005 to 2009. Result: Of 50 infants with HIE treated with hypothermia, 40 were outborn and 35 were cooled on transport. The majority of patients were passively cooled by the referring clinicians, then actively cooled by our transport team. Overcooling to <32 °C occurred in 34% of patients, but there were no significant differences in admission vital signs or laboratory values between overcooled and appropriately cooled infants. The average time after birth of initiation of passive cooling was 1.4 h and active cooling was 2.7 h compared with the time of admission to our unit of 5.9 h. Conclusion: We discuss the important aspects of our program, including the education of referring and receiving clinicians and avoidance of overcooling. SN - 0743-8346 AD - Department of Pediatrics, University of Virginia, Charlottesville, VA, USA U2 - PMID: 19847186. DO - 10.1038/jp.2009.168 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105190798&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103780215 T1 - A national survey exploring views and experience of health professionals about transferring patients from critical care home to die. AU - Darlington, Anne-Sophie E. AU - Long-Sutehall, Tracy AU - Richardson, Alison AU - Coombs, Maureen A. Y1 - 2015/04// N1 - Accession Number: 103780215. Language: English. Entry Date: 20150324. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Special Interest: Palliative Care/Hospice. Grant Information: This work was generously supported by Marie Curie Cancer Care UK (Research Project A12553).. NLM UID: 8704926. KW - Critically Ill Patients KW - Discharge Planning KW - Home Health Care KW - Human KW - Surveys KW - Academic Medical Centers KW - Physician Attitudes KW - Patient Attitudes KW - Nurse Attitudes KW - United Kingdom KW - Mann-Whitney U Test KW - Data Analysis Software KW - Funding Source SP - 363 EP - 370 JO - Palliative Medicine JF - Palliative Medicine JA - PALLIAT MED VL - 29 IS - 4 CY - Thousand Oaks, California PB - Sage Publications Inc. SN - 0269-2163 AD - Faculty of Health Sciences, University of Southampton, Southampton, UK AD - Faculty of Health Sciences, University of Southampton, Southampton, UK, Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand U2 - PMID: 25656087. DO - 10.1177/0269216315570407 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103780215&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103780210 T1 - Doctors’ and nurses’ views and experience of transferring patients from critical care home to die: A qualitative exploratory study. AU - Coombs, Maureen AU - Long-Sutehall, Tracy AU - Darlington, Anne-Sophie AU - Richardson, Alison Y1 - 2015/04// N1 - Accession Number: 103780210. Language: English. Entry Date: 20150324. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Palliative Care/Hospice. Grant Information: This work was generously supported by Marie Curie Cancer Care, UK (Research project number A12553).. NLM UID: 8704926. KW - Terminally Ill Patients KW - Home Health Care KW - Discharge Planning KW - Critical Care KW - Physician Attitudes KW - Nurse Attitudes KW - Human KW - Qualitative Studies KW - Academic Medical Centers KW - United Kingdom KW - Focus Groups KW - Multicenter Studies KW - Interviews KW - Funding Source SP - 354 EP - 362 JO - Palliative Medicine JF - Palliative Medicine JA - PALLIAT MED VL - 29 IS - 4 CY - Thousand Oaks, California PB - Sage Publications Inc. SN - 0269-2163 AD - Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand, Faculty of Health Sciences, University of Southampton, Southampton, UK AD - Faculty of Health Sciences, University of Southampton, Southampton, UK DO - 10.1177/0269216314560208 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103780210&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124229702 T1 - The need for setting standards in critical care transfers. AU - Venter, M. AU - Stanton, D. AU - Conradie, N. AU - Jordaan, L. AU - Venter, C. AU - Stassen, W. Y1 - 2017/07// N1 - Accession Number: 124229702. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Africa; Biomedical. Special Interest: Critical Care. KW - Critical Care -- Standards SP - 32 EP - 32 JO - Southern African Journal of Critical Care JF - Southern African Journal of Critical Care JA - S AFR J CRIT CARE VL - 33 IS - 1 PB - Health & Medical Publishing Group SN - 1562-8264 AD - Netcare 911, Netcare (Pty) Ltd., Midrand, South Africa AD - Critical Care Transport Unit, Department of Health, Gauteng Provincial Government, South Africa AD - Department of Emergency Medical Care, Faculty of Health Sciences, University of Johannesburg, South Africa AD - Department of Emergency Medical Care, Faculty of Health Sciences, Cape Peninsula University of Technology, Cape Town, South Africa AD - Critical Care Retrieval Services, ER24, Johannesburg, South Africa DO - 10.7196/SAJCC.2017.v33i1.319 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124229702&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103785739 T1 - Transferring Patient Care: Patterns of Synchronous Bidisciplinary Communication Between Physicians and Nurses During Handoffs in a Critical Care Unit. AU - McMullan, Alicia AU - Parush, Avi AU - Momtahan, Kathryn Y1 - 2015/04// N1 - Accession Number: 103785739. Language: English. Entry Date: 20150408. Revision Date: 20150710. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety; Perioperative Care. NLM UID: 9610507. KW - Hand Off (Patient Safety) KW - Communication KW - Nurse-Physician Relations KW - Human KW - Observational Methods KW - Documentation KW - Qualitative Studies KW - Descriptive Research KW - Hospital Units KW - Surgical Patients SP - 92 EP - 104 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 30 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 U2 - PMID: 25813295. DO - 10.1016/j.jopan.2014.05.009 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103785739&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 113255892 T1 - Impact of pulsed xenon ultraviolet light on hospital-acquired infection rates in a community hospital. AU - Vianna, Pedro G. AU - JrDale, Charles R. AU - Simmons, Sarah AU - Stibich, Mark AU - Licitra, Carmelo M. Y1 - 2016/03// N1 - Accession Number: 113255892. Language: English. Entry Date: 20160408. Revision Date: 20160408. Publication Type: Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety. NLM UID: 8004854. KW - Cross Infection -- Epidemiology -- Florida KW - Cross Infection -- Prevention and Control KW - Sterilization and Disinfection -- Methods KW - Ultraviolet Rays KW - Patients' Rooms KW - Hospitals, Community KW - Epidemiological Research KW - Human KW - Nursing Units KW - Intensive Care Units KW - Florida KW - Sterilization and Disinfection -- Equipment and Supplies KW - Transfer, Intrahospital KW - Patient Discharge KW - Clostridium Difficile -- Transmission KW - Clostridium Infections -- Epidemiology -- Florida KW - Vancomycin Resistant Enterococci -- Transmission KW - Enterococcal Infections -- Epidemiology -- Florida KW - Wilcoxon Rank Sum Test KW - Health Facility Environment KW - Methicillin-Resistant Staphylococcus Aureus -- Transmission KW - Staphylococcal Infections -- Epidemiology -- Florida KW - Outcome Assessment SP - 299 EP - 303 JO - American Journal of Infection Control JF - American Journal of Infection Control JA - AM J INFECT CONTROL VL - 44 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Background The role of contaminated environments in the spread of hospital-associated infections has been well documented. This study reports the impact of a pulsed xenon ultraviolet no-touch disinfection system on infection rates in a community care facility. Methods This study was conducted in a community hospital in Southern Florida. Beginning November 2012, a pulsed xenon ultraviolet disinfection system was implemented as an adjunct to traditional cleaning methods on discharge of select rooms. The technology uses a xenon flashlamp to generate germicidal light that damages the DNA of organisms in the hospital environment. The device was implemented in the intensive care unit (ICU), with a goal of using the pulsed xenon ultraviolet system for disinfecting all discharges and transfers after standard cleaning and prior to occupation of the room by the next patient. For all non-ICU discharges and transfers, the pulsed xenon ultraviolet system was only used for Clostridium difficile rooms. Infection data were collected for methicillin-resistant Staphylococcus aureus , C difficile , and vancomycin-resistant Enterococci (VRE). The intervention period was compared with baseline using a 2-sample Wilcoxon rank-sum test. Results In non-ICU areas, a significant reduction was found for C difficile . There was a nonsignificant decrease in VRE and a significant increase in methicillin-resistant S aureus . In the ICU, all infections were reduced, but only VRE was significant. This may be because of the increased role that environment plays in the transmission of this pathogen. Overall, there were 36 fewer infections in the whole facility and 16 fewer infections in the ICU during the intervention period than would have been expected based on baseline data. Conclusion Implementation of pulsed xenon ultraviolet disinfection is associated with significant decreases in facility-wide and ICU infection rates. These outcomes suggest that enhanced environmental disinfection plays a role in the risk mitigation of hospital-acquired infections. SN - 0196-6553 AD - University of Central Florida College of Medicine, Orlando, FL AD - Xenex Disinfection Services, LLC, San Antonio, TX AD - Orlando Health, Longwood, FL DO - 10.1016/j.ajic.2015.10.009 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113255892&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112456029 T1 - Sick Neonate Score--A Simple Clinical Score for Predicting Mortality of Sick Neonates in Resource Restricted Settings. AU - Rathod, Deepak AU - Adhisivam, B. AU - Vishnu Bhat, B. AU - Bhat, B Vishnu Y1 - 2016/02// N1 - Accession Number: 112456029. Language: English. Entry Date: 20160826. Revision Date: 20171115. Publication Type: journal article. Journal Subset: Asia; Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed. Instrumentation: Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins). NLM UID: 0417442. KW - Transportation of Patients -- Methods KW - Neonatal Assessment -- Methods KW - Infant, Newborn, Diseases -- Classification KW - Infant, Newborn, Diseases -- Therapy KW - Female KW - Intensive Care Units, Neonatal -- Statistics and Numerical Data KW - Infant, Newborn, Diseases -- Diagnosis KW - India KW - Mortality KW - Predictive Value of Tests KW - Infant, Newborn KW - Health Services Needs and Demand KW - Male KW - Infant, Newborn, Diseases -- Mortality KW - Severity of Illness Indices KW - Scales SP - 103 EP - 106 JO - Indian Journal of Pediatrics JF - Indian Journal of Pediatrics JA - INDIAN J PEDIATR VL - 83 IS - 2 CY - , PB - Springer Science & Business Media B.V. AB - Objective: To evaluate an objective score to assess the condition of sick neonates at arrival and its use in predicting mortality.Methods: This descriptive study included 303 extramural neonates who were evaluated using a simple clinical score - Sick neonate score (SNS). All neonates were followed up till discharge or expiry. The score and its individual components were correlated with outcome. A receiver operating curve was plotted to determine the cutoff value for SNS in predicting mortality.Results: The common indications for neonatal transport were sepsis (30.7 %), birth asphyxia (17.5 %) and respiratory distress (15.2 %). Sixty neonates (20 %) expired and among them 76 % were hypothermic and 10 % hypoglycemic at admission. The average SNS for all neonates was 10 while it was 6 for those who expired. A cutoff value of SNS ≤ 8 predicted mortality with a sensitivity of 58.3 % and specificity of 52.7 %.Conclusions: SNS is a useful scoring system to predict outcome of sick neonates in resource restricted settings. SN - 0019-5456 AD - Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry 605 006 India AD - Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605 006, India U2 - PMID: 26365155. DO - 10.1007/s12098-015-1884-2 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112456029&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109780071 T1 - Dynamics of house dust mite transfer in modern clothing fabrics. AU - Clarke, David AU - Burke, Daniel AU - Gormally, Michael AU - Byrne, Miriam Y1 - 2015/04// N1 - Accession Number: 109780071. Language: English. Entry Date: 20150626. Revision Date: 20150923. Publication Type: Journal Article; research. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9503580. KW - Antigens -- Immunology KW - Clothing -- Adverse Effects KW - Hypersensitivity -- Immunology KW - Mites -- Immunology KW - Textiles -- Statistics and Numerical Data KW - Environmental Exposure -- Adverse Effects KW - Human KW - Models, Biological SP - 335 EP - 340 JO - Annals of Allergy, Asthma & Immunology JF - Annals of Allergy, Asthma & Immunology JA - ANN ALLERGY ASTHMA IMMUNOL VL - 114 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - BACKGROUND: Clothing is largely presumed as being the mechanism by which house dust mites are distributed among locations in homes, yet little research to date has investigated the capacity with which various clothing fabric types serve as vectors for their accumulation and dispersal. Although previous research has indicated that car seats provide a habitat for mite populations, dynamics involved in the transfer of mites to clothing via car seat material is still unknown. OBJECTIVE: To investigate the dynamics involved in the transfer of house dust mites from car seat material to modern clothing fabrics. METHODS: A total of 480 samples of car seat material were seeded with mites and subjected to contact with plain woven cotton, denim, and fleece. Contact forces equivalent to the mass of a typical adult and child were administered for different durations of contact. RESULTS: Mean transfer efficiencies of mites from car seat material to receiving clothing fabrics ranged from 7.2% to 19.1%. Fabric type, mite condition (live or dead), and the force applied all revealed a significant effect (P < .001 for each variable) on the transfer efficiency of house dust mites from seeded material to receiving fabrics, whereas duration of contact revealed no effect (P = .20). In particular, mean numbers of mites transferred to fleece (compared with denim and plain woven cotton) were greater for each treatment. CONCLUSION: These findings indicate that clothing type can have important implications for the colonization of other biotopes by house dust mites, with potential for affecting an individuals' personal exposure to dust mite allergens. SN - 1081-1206 AD - School of Physics and Ryan Institute, National University of Ireland, Galway, Ireland; Applied Ecology Unit, School of Natural Sciences and Ryan Institute, National University of Ireland, Galway, Ireland. Electronic address: davejclarke@gmail.com. AD - School of Physics and Ryan Institute, National University of Ireland, Galway, Ireland; Applied Ecology Unit, School of Natural Sciences and Ryan Institute, National University of Ireland, Galway, Ireland. AD - Applied Ecology Unit, School of Natural Sciences and Ryan Institute, National University of Ireland, Galway, Ireland. AD - School of Physics and Ryan Institute, National University of Ireland, Galway, Ireland. U2 - PMID: 25680836. DO - 10.1016/j.anai.2014.12.021 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109780071&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103924449 T1 - Risk Factors for Failed Tracheal Intubation in Pediatric and Neonatal Critical Care Specialty Transport. AU - Smith, Kristen A. AU - Gothard, M. David AU - Schwartz, Hamilton P. AU - Giuliano, John S. AU - Forbes, Michael AU - Bigham, Michael T. Y1 - 2015/01// N1 - Accession Number: 103924449. Language: English. Entry Date: 20141217. Revision Date: 20160624. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9703530. KW - Prehospital Care KW - Transportation of Patients -- Methods KW - Intubation, Intratracheal -- Adverse Effects KW - Emergency Medicine KW - Serial Publications KW - Human KW - Retrospective Design KW - Child KW - Pediatrics KW - Infant KW - Critical Care KW - Intubation, Intratracheal -- Methods KW - Male KW - Female KW - Race Factors KW - Gestational Age KW - Body Weight -- Evaluation SP - 17 EP - 22 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 19 IS - 1 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Objective. Nearly 200,000 pediatric and neonatal transports occur in the United States each year with some patients requiring tracheal intubation. First-pass intubation rates in both pediatric and adult transport literature are variable as are the factors that influence intubation success. This study sought to determine risk factors for failed tracheal intubation in neonatal and pediatric transport. Methods. A retrospective chart review was performed over a 2.5-year period. Data were collected from a hospital-based neonatal/pediatric critical care transport team that transports 2,500 patients annually, serving 12,000 square miles. Patients were eligible if they were transported and tracheally intubated by the critical care transport team. Patients were categorized into two groups for data analysis: (1) no failed intubation attempts and (2) at least one failed intubation attempt. Data were tabulated using Epi Info Version 3.5.1 and analyzed using SPSSv17.0. Results. A total of 167 patients were eligible for enrollment and were cohorted by age (48% pediatric versus 52% neonatal). Neonates were more likely to require multiple attempts at intubation when compared to the pediatric population (69.6% versus 30.4%, p = 0.001). Use of benzodiazepines and neuromuscular blockade was associated with increased successful first attempt intubation rates ( p = 0.001 and 0.008, respectively). Use of opiate premedication was not associated with first-attempt intubation success. The presence of comorbid condition(s) was associated with at least one failed intubation attempt ( p = 0.006). Factors identified with increasing odds of at least one intubation failure included, neonatal patients (OR 3.01), tracheal tube size ≤ 2.5 mm (OR 3.78), use of an uncuffed tracheal tube (OR 6.85), and the presence of a comorbid conditions (OR 2.64). Conclusions. There were higher rates of tracheal intubation failure in transported neonates when compared to pediatric patients. This risk may be related to the lack of benzodiazepine and neuromuscular blocking agents used to facilitate intubation. The presence of a comorbid condition is associated with a higher risk of tracheal intubation failure. SN - 1090-3127 DO - 10.3109/10903127.2014.964888 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103924449&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 110337883 T1 - Outcomes of Preterm Neonates Transferred Between Tertiary Perinatal Centers. AU - Longhini, Federico AU - Jourdain, Gilles AU - Ammar, Fatme AU - Mokthari, Mostafa AU - Boithias, Claire AU - Romain, Olivier AU - Letamendia, Emmanuelle AU - Tissieres, Pierre AU - Chabernaud, Jean Louis AU - De Luca, Daniele Y1 - 2015/10// N1 - Accession Number: 110337883. Language: English. Entry Date: 20151225. Revision Date: 20160714. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins); Impact of Events Scale (IES). NLM UID: 100954653. KW - Intensive Care Units, Neonatal -- Statistics and Numerical Data KW - Transfer, Discharge -- Statistics and Numerical Data KW - Infant, Premature KW - Hospitals, Special -- Statistics and Numerical Data KW - Apgar Score KW - Birth Weight KW - Prospective Studies KW - Infant, Newborn KW - Gestational Age KW - Length of Stay KW - Infant KW - Male KW - Female KW - Hospital Mortality KW - Infant Mortality KW - Respiration, Artificial KW - Impact of Events Scale KW - Scales SP - 733 EP - 738 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 16 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objective: To verify if preterm neonates transferred between tertiary referral centers have worse outcomes than matched untransferred infants.Design: Cohort study with a historically matched control group.Setting: Two tertiary-level neonatal ICUs.Patients: Seventy-five neonates per group.Interventions: Transfer between tertiary-level neonatal ICUs carried out by a fully equipped transportation team.Measurements and Main Results: We measured in-hospital mortality, frequency of intraventricular hemorrhage greater than 2nd grade, periventricular leukomalacia, necrotizing enterocolitis greater than or equal to grade 2, bronchopulmonary dysplasia, composite outcomes (in-hospital mortality/bronchopulmonary dysplasia, in-hospital mortality/intraventricular hemorrhage > 2nd grade, and bronchopulmonary dysplasia/periventricular leukomalacia/intraventricular hemorrhage > 2nd grade), length of neonatal ICU stay, weight at discharge, and time spent on ventilatory support. Seventy-five similar (except for antenatal steroids administration) neonates were enrolled in each cohort. Cohorts did not differ in mortality, bronchopulmonary dysplasia, intraventricular hemorrhage greater than 2nd grade, periventricular leukomalacia, necrotizing enterocolitis greater than or equal to grade 2, any composite outcomes, neonatal ICU stay, weight at discharge, and duration of respiratory support. Results were unchanged adjusting for antenatal steroids.Conclusions: Neonatal transfer between tertiary-level centers does not impact on clinical outcomes, if performed under optimal conditions. SN - 1529-7535 AD - Division of Pediatrics and Neonatal Critical Care, FAME Department, South Paris University Hospitals, "A.Beclere" Medical Center-APHP, Paris, France AD - Anesthesia and Intensive Care, Sant'Andrea Hospital, ASL VC, Vercelli, Italy AD - Division of Paediatric Critical Care and Neonatal Medicine, FAME Department, South Paris University Hospitals, "Kremlin-Bicetre" Medical Center-APHP, Paris, France U2 - PMID: 26132742. DO - 10.1097/PCC.0000000000000482 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110337883&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103873642 T1 - Critical care nurses' experiences of helicopter transfers. AU - Senften, Jonah AU - Engström, Åsa Y1 - 2015/01// N1 - Accession Number: 103873642. Language: English. Entry Date: 20150115. Revision Date: 20160101. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Emergency Care. NLM UID: 9808649. KW - Critical Care Nursing KW - Aeromedical Transport KW - Human KW - Work Experiences KW - Critically Ill Patients KW - Female KW - Male KW - Sweden KW - Qualitative Studies KW - Interviews KW - Thematic Analysis KW - Content Analysis KW - Patient Safety KW - Collaboration KW - Communication KW - Nursing Assessment SP - 25 EP - 33 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 20 IS - 1 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - ABSTRACT Background Intensive care is conducted in intensive care units ( ICUs), and also during the transportation of critically ill people. Aim The aim of the study was to describe critical care nurses' ( CCNs) experiences of nursing critically ill patients during helicopter transport. Participants Seven CCNs, five women and two men participated in this study. Design Seven participants from two centres in Sweden were recruited. The design uses an inductive, qualitative approach with data collected by means of qualitative interviews with seven CCNs. Methods The interviews were transcribed verbatim and subjected to qualitative thematic content analysis. Results The analysis resulted in one theme which is safe nursing care, but sometimes feeling afraid and six categories as follows: experiencing the care environment as an ICU with limited space; a loud environment complicates communication; planning and checking to minimize risks; experience and good co-operation; facing the dilemma of allowing relatives to accompany the patient or not; feeling the patient's and their own fear. Conclusion CCNs plan for the transportation and control of patients to improve patient safety, but can sometimes feel afraid. Good co-operation is necessary. Relevance to clinical practice The possibilities for CCNs to provide effective nursing care in helicopters are good, although in some cases limited by the environmental conditions. SN - 1362-1017 AD - J Senften, RN, CCN, MSc, Critical Care Nurse, Intensive Care Unit, Gällivare Hospital, Gällivare, Sweden AD - Å Engström, RN, CCN, MSc, PhD, Associate Professor, Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden U2 - PMID: 24238003. DO - 10.1111/nicc.12063 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103873642&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103912293 T1 - Comparing the monitoring of patients transferred from a critical care unit to hospital wards at after-hours with day transfers: an exploratory, prospective cohort study. AU - Wood, Sally D. AU - Coster, Samantha AU - Norman, Ian Y1 - 2014/12// N1 - Accession Number: 103912293. Language: English. Entry Date: 20141110. Revision Date: 20151201. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Advanced Nursing Practice. Instrumentation: Therapeutic Intervention Scoring System (TISS). NLM UID: 7609811. KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Outcomes (Health Care) KW - Hospital Units KW - Nursing Assessment KW - Human KW - Prospective Studies KW - Comparative Studies KW - Descriptive Research KW - Record Review KW - Medical Records KW - Retrospective Design KW - Time Factors KW - Exploratory Research KW - United Kingdom KW - Wilcoxon Rank Sum Test KW - Two-Tailed Test KW - Hospital Mortality -- Evaluation KW - Clinical Assessment Tools KW - Descriptive Statistics KW - Unpaired T-Tests KW - Parametric Statistics KW - Mann-Whitney U Test KW - Control Group KW - Personnel Staffing and Scheduling SP - 2757 EP - 2766 JO - Journal of Advanced Nursing JF - Journal of Advanced Nursing JA - J ADV NURS VL - 70 IS - 12 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aims To investigate possible factors related to patient monitoring to explain the higher mortality rates associated with after-hours transfers compared with daytime transfers from critical care units to the wards. Background International research suggests that patients transferred from critical care units after-hours have a higher mortality rate than transfers during daytime, although the reasons remain unknown. Design A prospective exploratory study. Methods Twenty-nine patients transferred from a UK critical care unit to a ward within the same hospital after-hours for 10 weeks beginning April 2009 were compared with 29 transfers during daytime hours matched on potentially confounding characteristics. UK Critical Care Unit transfer guidelines have remained unchanged since data collection. Outcomes were as follows: (i) frequency of nursing observations; (ii) time periods from transfer to first medical review; (iii) time period from transfer to first clinical observations; (iv) frequency of transfer to an inappropriate ward; (v) delayed transfers from Critical Care Unit to ward. Results Using Wilcoxon's Rank test (two tail) to compare paired data from the matched groups, observations were recorded significantly less frequently within the first 12 hours for after-hours transfers. Time from transfer to first clinical observations was significantly longer for after-hour transfer patients. The delay from when the patient was ready for ward care and actual transfer was also longer for the after-hours transfer group. Conclusions Surveillance differences, including time to the first set of observations and frequency of observations in the first 12 hours, are potential factors that may explain the differential mortality associated with after-hours transfers. SN - 0309-2402 AD - Cardiff University Hospital Trust AD - Florence Nightingale School of Nursing and Midwifery King's College London U2 - PMID: 24702103. DO - 10.1111/jan.12410 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103912293&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 111414923 T1 - Post-anaesthetic care unit bed escalation plan. AU - Fereday, Elizabeth Y1 - 2015///Summer2015 N1 - Accession Number: 111414923. Language: English. Entry Date: 20160128. Revision Date: 20160224. Publication Type: Article. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Perioperative Care. KW - Perianesthesia Nursing KW - Early Patient Discharge KW - Transfer, Intrahospital KW - Post Anesthesia Care Units KW - Bed Occupancy KW - Personnel Staffing and Scheduling SP - 20 EP - 21 JO - ACORN: The Journal of Perioperative Nursing in Australia JF - ACORN: The Journal of Perioperative Nursing in Australia JA - ACORN VL - 28 IS - 4 PB - ACORN Australian College of Operating Room Nurses SN - 1448-7535 AD - Diploma of Management Clinical Nurse Specialist, Post-Anaesthetic Care Unit (PACU), Sir Charles Gairdner Hospital (SCGH), Perth, WA UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111414923&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108483019 T1 - 2015 Critical Care Transport Medicine Conference Scientific Forum. Y1 - 2015/07//Jul/Aug2015 N1 - Accession Number: 108483019. Language: English. Entry Date: In Process. Revision Date: 20150723. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. SP - 181 EP - 185 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 34 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X DO - 10.1016/j.amj.2015.05.010 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108483019&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116905087 T1 - Hours per patient day: Understanding this key measure of productivity. AU - Fike, Geraldine C. AU - Smith-Stoner, Marilyn Y1 - 2016/04// N1 - Accession Number: 116905087. Language: English. Entry Date: 20160728. Revision Date: 20160730. Publication Type: Article; case study. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Nursing Administration. NLM UID: 101291565. KW - Nursing Units -- Administration KW - Nursing Staff, Hospital -- Manpower KW - Personnel Staffing and Scheduling KW - Productivity KW - Workload KW - Patient Satisfaction KW - Emergency Service KW - Intensive Care Units KW - Budgets KW - Value-Based Purchasing KW - Patient Admission KW - Patient Discharge KW - Transfer, Intrahospital SP - 12 EP - 12 JO - American Nurse Today JF - American Nurse Today JA - AM NURSE TODAY VL - 11 IS - 4 CY - Doylestown, Pennsylvania PB - HealthCom Media SN - 1930-5583 AD - Assistant professor, College of Natural Sciences, Department of Nursing, California State University San Bernardino UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116905087&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 127183952 T1 - Comparison of intrahospital transport guidelines for critically ill patients at home and abroad. AU - Niu Jia AU - Xu Jianping AU - Wang Le Y1 - 2016/04/15/ N1 - Accession Number: 127183952. Language: Chinese. Entry Date: In Process. Revision Date: 20180110. Publication Type: Article. Journal Subset: Asia; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. SP - 1392 EP - 1394 JO - Chinese Nursing Research JF - Chinese Nursing Research JA - CHINESE NURS RES VL - 30 IS - 4B PB - Huli Yanjiu SN - 1009-6493 AD - Shanxi Medical University, Shanxi 030001 China DO - 10.3969/j.issn.1009-6493.2016.11.038 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127183952&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105347560 T1 - Wartime critical care air transport. AU - Bridges E AU - Evers K AU - Bridges, Elizabeth AU - Evers, Karen Y1 - 2009/04// N1 - Accession Number: 105347560. Language: English. Entry Date: 20090814. Revision Date: 20171209. Publication Type: journal article; research. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Military/Uniformed Services. NLM UID: 2984771R. KW - Aeromedical Transport KW - Critical Care -- Methods KW - Military Medicine KW - Wounds and Injuries -- Classification KW - United States KW - Human SP - 370 EP - 375 JO - Military Medicine JF - Military Medicine JA - MILIT MED VL - 174 IS - 4 CY - Gaithersburg, Maryland PB - AMSUS AB - Objectives: Describe the characteristics/enroute care of casualties transported by USAF Critical Care Air Transport Teams (CCATT) during Operation Enduring Freedom/Iraqi Freedom (OEF/OIF).Methods: Retrospective review of TRAC2ES and CCATT Mission Reports (Oct 2001-May 2006).Results: 3492 patient moves (2439 patients). Moves by route: within Area of Responsibility (AOR) (n = 261); AOR-Landstuhl (LRMC) (n = 1995), Germany-CONUS (n = 1188). For AOR-LRMC: BI (64%), NBI (8%), Disease (25%). Among injured (n = 1491), 69% suffered polytrauma, primarily d/t explosions. Injury area: extremities (63%), head (55%), thorax (46%), abdomen (31%), neck (17%). Injury type: soft tissue (64%), orthopedic (45%), thoracic (35%), skull fracture (27%), brain injury (25%). Disease diagnoses: cardiac (15%) and pulmonary (8%).Conclusions: This is the first analysis of OEF/OIF CCATT patients. Phase 1 of this study demonstrates the strengths and limitations of TRAC2ES and CCATT Mission Reports to describe the characteristics/enroute care of this unique population. SN - 0026-4075 AD - Clinical Investigations Facility, 60 Medical Group, Travis AFB, CA 94535, USA AD - Clinical Investigations Facility, 60 Medical Group, Travis AFB, CA 94535, USA. U2 - PMID: 19485106. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105347560&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105132116 T1 - Intra-hospital transport of critically ill patient: involvement of nursing staff to reduce risk. AU - Lastrucci D AU - Pallassini M AU - Olivagnoli G Y1 - 2009/12// N1 - Accession Number: 105132116. Language: Italian. Entry Date: 20100423. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care. KW - Transfer, Intrahospital KW - Trauma KW - Comparative Studies KW - Descriptive Research KW - Human KW - Nurses KW - Physicians KW - Prospective Studies KW - Quasi-Experimental Studies KW - Teamwork SP - 28 EP - 31 JO - SCENARIO: Official Italian Journal of ANIARTI JF - SCENARIO: Official Italian Journal of ANIARTI JA - SCENARIO VL - 26 IS - 4 PB - ANIARTI SN - 1592-5951 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105132116&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 124355202 T1 - 2017 Critical Care Transport Medicine Conference Scientific Forum. Y1 - 2017/07// N1 - Accession Number: 124355202. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Critical Care KW - Congresses and Conferences KW - Medicine KW - Transportation SP - N.PAG JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 36 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124355202&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104292658 T1 - Inter- and Intra-hospital Transport of the Critically Ill. AU - Blakeman, Thomas C. AU - Branson, Richard D. Y1 - 2013/06// N1 - Accession Number: 104292658. Language: English. Entry Date: 20130522. Revision Date: 20150819. Publication Type: Journal Article; forms; pictorial; review; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 7510357. KW - Transfer, Intrahospital KW - Transportation of Patients KW - Critically Ill Patients KW - Respiration, Artificial -- Adverse Effects KW - Portable Equipment KW - Diagnostic Imaging KW - Practice Guidelines KW - Checklists SP - 1008 EP - 1021 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 58 IS - 6 CY - Irving, Texas PB - Daedalus Enterprises, Inc. AB - Intra- and inter-hospital transport is common due to the need for advanced diagnostics and procedures, and to provide access to specialized care. Risks are inherent during transport, so the anticipated benefits of transport must be weighed against the possible negative outcome during the transport. Adverse events are common in both in and out of hospital transports, the most common being equipment malfunctions. During inter-hospital transport, increased transfer time is associated with worse patient outcomes. The use of specialized teams with the transport of children has been shown to decrease adverse events. Intra-hospital transports often involve critically ill patients, which increases the likelihood of adverse events. Radiographic diagnostics are the most common in-hospital transport destination and the results often change the course of care. It is recommended that portable ventilators be used for transport, because studies show that use of a manual resuscitator alters blood gas values due to inconsistent ventilation. The performance of new generation transport ventilators has improved greatly and now allows for seamless transition from ICU ventilators. Diligent planning for and monitoring during transport may decrease adverse events and reduce risk. SN - 0020-1324 AD - Division of Trauma and Critical Care, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio U2 - PMID: 23709197. DO - 10.4187/respcare.02404 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104292658&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104523733 T1 - Relationship of Respiratory Care Bundle with Incentive Spirometry to Reduced Pulmonary Complications in A Medical General Practice Unit. AU - Lamar, Joanne Y1 - 2012/01//Jan/Feb2012 N1 - Accession Number: 104523733. Language: English. Entry Date: 20120224. Revision Date: 20150819. Publication Type: Journal Article; CEU; nursing interventions; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Perioperative Care; Quality Assurance. NLM UID: 9300545. KW - Medical-Surgical Nursing KW - Respiration Disorders -- Prevention and Control KW - Breathing Exercises KW - Spirometry KW - Oral Hygiene KW - Nursing Protocols KW - Nursing Interventions KW - Education, Continuing (Credit) KW - Nursing Units KW - Patient Positioning KW - Inpatients KW - Audit KW - Record Review KW - Nursing Outcomes KW - Chi Square Test KW - P-Value KW - Descriptive Statistics KW - Transfer, Intrahospital KW - Intensive Care Units KW - Pressure Ulcer -- Prevention and Control KW - Outcomes Research KW - Human SP - 33 EP - 37 JO - MEDSURG Nursing JF - MEDSURG Nursing JA - MEDSURG NURS VL - 21 IS - 1 CY - Pitman, New Jersey PB - Jannetti Publications, Inc. AB - To address an increase in patient transfers to the intensive care unit because of respiratory distress, a respiratory care bundle utilizing incentive spirometry was developed for a medical general practice unit. This resulted in decreased respiratory complications over 12 months. SN - 1092-0811 AD - Nurse Manager, Medical General Practice Unit, Henry Ford Hospital, Detroit, MI U2 - PMID: 22479873. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104523733&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108229005 T1 - A systematic review of failures in handoff communication during intrahospital transfers. AU - Ong, Mei-Sing AU - Coiera, Enrico Y1 - 2011/06//2011 Jun N1 - Accession Number: 108229005. Language: English. Entry Date: 20110729. Revision Date: 20150712. Publication Type: Journal Article; research; systematic review; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Patient Safety; Quality Assurance. NLM UID: 101238023. KW - Hand Off (Patient Safety) KW - Transfer, Intrahospital KW - Cancer Patients KW - Collaboration KW - Communication Barriers KW - Critical Care Nursing KW - Critically Ill Patients KW - Discharge Planning KW - Documentation KW - Emergency Patients KW - Human KW - Inpatients KW - Interdepartmental Relations KW - Medline KW - Multidisciplinary Care Team KW - Nurse Liaison KW - Quality Improvement KW - Surgical Patients KW - Systematic Review KW - Transportation of Patients SP - 274 EP - 284 JO - Joint Commission Journal on Quality & Patient Safety JF - Joint Commission Journal on Quality & Patient Safety JA - JOINT COMM J QUAL PATIENT SAF VL - 37 IS - 6 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Article-at-a-Glance Background: Handoffs serve a critical function in ensuring patient care continuity during transitions of care. Studies to date have predominantly focused on intershift handoffs, with relatively little attention given to intrahospital transfers. A systematic literature review was conducted to characterize the nature of handoff failures during intrahospital transfers and to examine factors affecting handoff communication and the effectiveness of current interventions. Methods: Primary studies investigating handoff communication between care providers during intrahospital transfers were sought in the English-language literature between 1980 and February 2011. Data for study design, population characteristics, sample size, setting, intervention specifics, and relevant outcome measures were extracted. Data Synthesis: Study results were summarized by the impact of communication breakdown during intrahospital transfer of patients, and the current deficiencies in the process. Results of interventions were summarized by their effect on the quality of handoff communication and patient safety. Findings: The initial search identified 516 individual articles, 24 of which satisfied the inclusion criteria. Some 19 were primary studies on handoff practices and deficiencies, and the remaining 5 were interventional studies. The studies were categorized according to the clinical settings involved in the intrahospital patient transfers. Conclusions: There is consistent evidence on the perceived impact of communication breakdown on patient safety during intrahospital transfers. Exposure of handoffs at patient transfers presents challenges that are not experienced in intershift handoffs. The distinct needs of the specific clinical settings involved in the intrahospital patient transfer must be considered when deciding on suitable interventions. SN - 1553-7250 AD - Centre for Health Informatics, University of New South Wales, Sydney, Australia U2 - PMID: 21706987. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108229005&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109706429 T1 - Diagnostic yield and safety of CT scans in ICU. AU - Aliaga, Marine AU - Forel, Jean-Marie AU - De Bourmont, Sophie AU - Jung, Boris AU - Thomas, Guillemette AU - Mahul, Martin AU - Bisbal, Magali AU - Nougaret, Stephanie AU - Hraiech, Sami AU - Roch, Antoine AU - Chaumoitre, Kathia AU - Jaber, Samir AU - Gainnier, Marc AU - Papazian, Laurent Y1 - 2015/03// N1 - Accession Number: 109706429. Language: English. Entry Date: 20150923. Revision Date: 20170926. Publication Type: journal article; research. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. Special Interest: Critical Care. NLM UID: 7704851. SP - 436 EP - 443 JO - Intensive Care Medicine JF - Intensive Care Medicine JA - INTENSIVE CARE MED VL - 41 IS - 3 CY - , PB - Springer Science & Business Media B.V. AB - Purpose: Critically ill patients often require CT scans. Adverse events (AE) can occur during intra-hospital transport (IHT). The aim of this prospective study was to determine the diagnostic and therapeutic yield and the safety of CT scans in ICU patients.Methods: All ICU patients having a CT scan for diagnostic purposes were eligible. Diagnostic yield was evaluated by the agreement (full, partial or disagreement) between the physician main diagnostic hypothesis before the CT scan and the diagnosis established after the CT scan. Therapeutic yield was assessed by therapeutic changes after the CT scan. The safety was determined by the AE rate during IHT.Results: A total of 533 CT scans were performed on 359 patients in three teaching hospital ICUs. The diagnostic yield of CT scan showed 40.7 % of full agreement, 5.6 % of partial agreement and 53.7 % of disagreement with the main diagnostic hypothesis formulated before the CT scan. The CT-scan brought new elements to the diagnosis in 22.9 % of the cases. There was 54.4 % of therapeutic change after CT scan, while 22.3 % of AE occurred during IHT, including 6.7 % of life-threatening events. AE occurred more frequently in the first 48 h after ICU admission, in the most severely ill patients (higher SAPS II at admission), and when there was a large amount of equipment required for transport.Conclusions: The CT scan as a diagnostic procedure invalidated a diagnostic hypothesis and led to a therapeutic change in more than half of the cases. SN - 0342-4642 U2 - PMID: 25518950. DO - 10.1007/s00134-014-3592-1 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109706429&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109515474 T1 - Disfuncionalidad antioxidante de las lipoproteínas de alta densidad (HDL) en pacientes diabéticos descompensados. AU - Awad, Fernanda AU - Contreras-Duarte, Susana AU - Molina, Patricia AU - Quiñones, Verónica AU - Serrano, Valentina AU - Abbott, Eduardo AU - Maiz, Alberto AU - Busso, Dolores AU - Rigotti, Attilio Y1 - 2015/09// N1 - Accession Number: 109515474. Language: Spanish. Entry Date: 20160828. Revision Date: 20160331. Publication Type: Article. Journal Subset: Biomedical; Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed. NLM UID: 9100365. SP - 1131 EP - 1138 JO - Nutricion Hospitalaria JF - Nutricion Hospitalaria JA - NUTR HOSP VL - 32 IS - 3 PB - Sociedad Espanola de Nutricion Parenteral y Enteral AB - Introduction: high density lipoproteins (HDL) have important cardiovascular protective effects mediated by their role in reverse cholesterol transport as well as other functional activities, including significant anti-inflammatory and antioxidant properties. It has been shown that HDL anti-inflammatory and antioxidant functions are defective in metabolically stable diabetic patients; however they have not been evaluated during a hyperglycemic crisis. Aim: to determine the antioxidant activity of HDL during a severe diabetic decompensation and to analyze whether this function is restored after resolution of the acute event. Methods: the antioxidant activity of HDL was measured in vitro by a fluorescent assay in plasma samples obtained from diabetic patients with acute metabolic decompensation at admission, recovery within the hospital and follow-up in ambulatory care. As a comparison, HDL particles from some healthy subjects were used as controls. Results: the HDL antioxidant function was significantly reduced in patients during an acute diabetic decompensation compared with the control group, and was gradually restored reaching normal values during the ambulatory follow-up. Hyperglycemic crisis also showed low plasma paraoxonase-1 activity, which increased significantly during at follow-up. Conclusion: HDL particles isolated from acute diabetic descompensated patients exhibit a significantly and reversibly low antioxidant capacity, which is probably due to a reduced paraoxonase-1 activity. AB - Introducción: las lipoproteínas de alta densidad (HDL) tienen un importante efecto protector cardiovascular mediado por su función durante el transporte reverso del colesterol, así como por otras actividades, incluyendo una significativa acción antiinflamatoria y antioxidante. La funcionalidad antiinflamatoria y antioxidante de las HDL está alterada en los pacientes diabéticos crónicos estables, aunque no existe mayor información en caso de una crisis hiperglicémica. Objetivo: determinar si durante un estado de descompensación diabética aguda las partículas de HDL exhiben un deterioro de su función antioxidante y si esta logra recuperarse una vez resuelto el cuadro agudo. Métodos: la actividad antioxidante de las HDL se midió mediante un ensayo de fluorescencia in vitro en muestras plasmáticas de pacientes diabéticos con descompensación aguda obtenidas tanto al ingreso, alcanzada la resolución intrahospitalaria del evento agudo, así como en un control ambulatorio post-hospitalización. Como comparación, se analizaron partículas de HDL de algunos sujetos sanos como condición control. Resultados: la actividad antioxidante de las HDL en pacientes con descompensación diabética aguda fue significativamente menor a la observada en el grupo control sano, y esta se fue recuperando progresivamente hasta normalizarse en el momento del control ambulatorio. La crisis hiperglicémica también demostró una baja actividad plasmática de la enzima antioxidante paraoxonasa- 1, la cual aumentó significativamente en el control ambulatorio. Conclusión: las partículas de HDL presentes en pacientes con una descompensación diabética aguda presentan una reducción significativa y reversible de su capacidad antioxidante, probablemente como consecuencia de una alteración en la actividad de la paraoxonasa-1. SN - 0212-1611 AD - Departamento de Nutrición, Diabetes y Metabolismo AD - Departamento de Medicina Interna AD - Centro de Nutrición Molecular y Enfermedades Crónicas. Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago. (Chile) DO - 10.3305/nh.2015.32.3.9340 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109515474&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 114329262 T1 - Disrupted bonds – parental perceptions of regionalised transfer of very preterm infants: a small-scale study. AU - Sommer, Claudia M. AU - Cook, Catherine M. Y1 - 2015/04//Apr-Jun2015 N1 - Accession Number: 114329262. Language: English. Entry Date: 20160411. Revision Date: 20170203. Publication Type: Article; research. Journal Subset: Australia & New Zealand; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Pediatric Care. NLM UID: 9211867. KW - Infant, Premature KW - Intensive Care, Neonatal KW - Intensive Care Units, Neonatal KW - Pediatric Units KW - Transfer, Intrahospital KW - Parents -- Psychosocial Factors KW - Stress, Psychological KW - Parental Attitudes KW - Qualitative Studies KW - Human KW - Thematic Analysis KW - New Zealand KW - Semi-Structured Interview KW - Hospitals, Urban KW - Health Facility Environment KW - Snowball Sample KW - Male KW - Female KW - Length of Stay KW - Coping KW - Parenting KW - Parent-Infant Relations KW - Professional-Family Relations KW - Neonatal Intensive Care Nursing KW - Anxiety KW - Uncertainty KW - Powerlessness KW - Family Centered Care KW - Infant, Newborn KW - Infant KW - Gestational Age KW - Parental Role SP - 256 EP - 266 JO - Contemporary Nurse: A Journal for the Australian Nursing Profession JF - Contemporary Nurse: A Journal for the Australian Nursing Profession JA - CONTEMP NURSE VL - 50 IS - 2-3 CY - Oxfordshire, PB - Routledge AB - The article presents a study which investigates the perceptions of parents concerning the transfer of preterm infants. The study uses the general inductive approach for the analysis of the data from the participants. Results show the persistence of gaps despite of the studies which suggest a more family-centred transfer planning SN - 1037-6178 AD - Auckland District Health Board, Auckland, New Zealand AD - Massey University, School of Nursing, Albany, New Zealand DO - 10.1080/10376178.2015.1114421 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114329262&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103972880 T1 - Transfer Rates and Use of Post-Acute Care After Surgery At Critical Access vs Non-Critical Access Hospitals. AU - Gadzinski, Adam J AU - Dimick, Justin B AU - Ye, Zaojun AU - Zeller, John L AU - Miller, David C Y1 - 2014/07// N1 - Accession Number: 103972880. Language: English. Entry Date: 20140926. Revision Date: 20150710. Publication Type: Journal Article; research. Commentary: Resnick Matthew J, Barocas Daniel A. The right triangle. (JAMA SURG) Jul2014; 149 (7): 677-678. Journal Subset: Biomedical; USA. Special Interest: Perioperative Care. NLM UID: 101589553. KW - Hospitals, Rural -- Utilization KW - Patient Discharge -- Statistics and Numerical Data KW - Transfer, Discharge -- Statistics and Numerical Data KW - Subacute Care -- Utilization KW - Surgery, Operative KW - Comorbidity KW - Female KW - Health Services Accessibility KW - Human KW - Male KW - Outcome Assessment KW - Practice Patterns -- Statistics and Numerical Data KW - United States SP - 671 EP - 677 JO - JAMA Surgery JF - JAMA Surgery JA - JAMA SURG VL - 149 IS - 7 CY - Chicago, Illinois PB - American Medical Association SN - 2168-6254 AD - Department of Urology, University of Michigan Health System, Ann Arbor. AD - Department of Surgery, University of Michigan Health System, Ann Arbor3Center for Healthcare Outcomes and Policy, Institute for Healthcare Policy and Innovation, University of Michigan Health System, Ann Arbor. AD - Department of Orthopedic Surgery, University of Michigan Health System, Ann Arbor5Department of Emergency Medicine, University of Michigan Health System, Ann Arbor6Department of Medical Education, University of Michigan Health System, Ann Arbor. AD - Department of Urology, University of Michigan Health System, Ann Arbor3Center for Healthcare Outcomes and Policy, Institute for Healthcare Policy and Innovation, University of Michigan Health System, Ann Arbor. U2 - PMID: 24827561. DO - 10.1001/jamasurg.2013.5694 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103972880&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103867413 T1 - Family-Centered Care in Pediatric Critical Care Transport. AU - Joyce, Crystal N. AU - Libertin, Rachel AU - Bigham, Michael T. Y1 - 2015/01//Jan/Feb2015 N1 - Accession Number: 103867413. Language: English. Entry Date: 20150102. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Pediatric Care. NLM UID: 9312325. KW - Critical Care -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Family Centered Care KW - Parents KW - Presence KW - Parental Attitudes KW - Attitude of Health Personnel KW - Critically Ill Patients -- In Infancy and Childhood KW - Survey Research KW - Surveys KW - Human KW - Fisher's Exact Test KW - Chi Square Test KW - Prospective Studies KW - Retrospective Design KW - Descriptive Statistics KW - Hospitals KW - Interviews KW - Summated Rating Scaling KW - Scales KW - Data Analysis Software KW - Odds Ratio KW - Confidence Intervals KW - Parent-Child Relations KW - Professional-Family Relations KW - Male KW - Female KW - Adult KW - Middle Age KW - Employment Status KW - Job Experience KW - Infant KW - Child, Preschool KW - Child KW - Pilots KW - Emergency Medical Technicians SP - 32 EP - 36 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 34 IS - 1 CY - New York, New York PB - Elsevier B.V. AB - Objective Family-centered care (FCC) in medicine highlights mutually beneficial partnerships among providers, patients, and families. In the field of specialty pediatric critical care transport (SPCCT), FCC includes family presence during transport. We sought to describe family presence and family/staff perspectives of FCC in transport. Methods This institutional review board–approved study established family presence rates among 5 SPCCT teams. At the top-performing family presence team, parents of transported children were interviewed. A staff survey measured perspectives on FCC using SurveyMonkey (Palo Alto, CA). Statistical tests including chi-square and Fisher exact tests for comparative data were applied using SPSSv17.0 software (SPSS Inc, Chicago, IL). Results The cohort-wide range of family presence was 23% to 66%. Parents were 4 times more likely to accompany their child if transported by ground versus air (ground: 26 [59%] vs. air: 6 [26%]). Sex, race, travel distance from referral hospital, and child's age did not influence the rate of family accompaniment. Most staff (76%) received education on FCC. Conclusions This study informs how transport factors and parent/staff perceptions influence parental presence on transport at a single center. Opportunities to optimize transport FCC include defining protocols for ground and air transport, establishing a more welcoming attitude toward parents, and designing an FCC educational module specific for transport staff. SN - 1067-991X AD - Department of Pediatrics, Akron Children's Hospital, Akron, OH AD - John Carroll University, University Heights, OH AD - Department of Pediatrics, Division of Critical Care Medicine, Akron Children's Hospital, Akron, OH U2 - PMID: 25542725. DO - 10.1016/j.amj.2014.09.007 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103867413&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103799252 T1 - Exploring views and experiences about transferring patients from critical care to home to die: a national survey. Y1 - 2015/04// N1 - Accession Number: 103799252. Language: English. Entry Date: 20150513. Revision Date: 20150710. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Palliative Care/Hospice. NLM UID: 9506762. KW - Patient Discharge KW - Terminally Ill Patients KW - Death KW - Nurse Attitudes -- Evaluation KW - Physician Attitudes -- Evaluation KW - Critical Care KW - Human KW - Surveys KW - Intensive Care Units KW - United Kingdom SP - 204 EP - 204 JO - International Journal of Palliative Nursing JF - International Journal of Palliative Nursing JA - INT J PALLIAT NURS VL - 21 IS - 4 PB - Mark Allen Holdings Limited SN - 1357-6321 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103799252&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103778963 T1 - EB119 A Novel Approach to Intrahospital Transport of Patients With Multiple Modular Infusion Pumps. AU - Imperial-Perez, Flerida AU - Mellinger, Sabine AU - Blake, Nancy AU - Gross, Barbara Y1 - 2015/04// N1 - Accession Number: 103778963. Language: English. Entry Date: 20150331. Revision Date: 20150710. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Evidence-Based Practice; Patient Safety; Pediatric Care. NLM UID: 8207799. KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Infusion Pumps -- In Infancy and Childhood KW - Pediatric Critical Care Nursing KW - Nursing Practice, Evidence-Based KW - Infant KW - Child, Preschool KW - Child SP - e59 EP - e59 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 35 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Children’s Hospital Los Angeles, Los Angeles, CA UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103778963&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 110495707 T1 - Effect of a 2-tier rapid response system on patient outcome and staff. AU - Aitken, Leanne M. AU - Chaboyer, Wendy AU - Vaux, Amanda AU - Crouch, Shannon AU - Burmeister, Elizabeth AU - Daly, Michael AU - Joyce, Chris Y1 - 2015/08// N1 - Accession Number: 110495707. Language: English. Entry Date: 20160104. Revision Date: 20170203. Publication Type: Article; CEU; exam questions; research; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: Glasgow Coma Scale (GCS); General Staff Survey. Grant Information: Princess Alexandra Hospital Private Practice Trust Fund.. NLM UID: 9207852. KW - Early Intervention -- Methods KW - Inpatients KW - Nursing Role KW - Critical Care Nursing KW - Human KW - Education, Continuing (Credit) KW - Quasi-Experimental Studies KW - Program Implementation KW - Program Evaluation KW - Pretest-Posttest Design KW - Descriptive Statistics KW - Heart Arrest -- Epidemiology KW - Record Review KW - Transfer, Intrahospital -- Statistics and Numerical Data KW - Medical Records KW - Queensland KW - Hospitals KW - Multidisciplinary Care Team KW - T-Tests KW - Questionnaires KW - Intensive Care Units KW - Nurse Attitudes -- Evaluation KW - Physician Attitudes -- Evaluation KW - Chi Square Test KW - Glasgow Coma Scale KW - Funding Source SP - 107 EP - 114 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 28 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 AD - Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Australia AD - School of Health Sciences, City University London, United Kingdom AD - NHMRC Centre of Research Excellence in Nursing, Research Centre for Clinical and Community Practice Innovation, Griffith Health Institute, Griffith University, Australia AD - ICU Outreach Service, Princess Alexandra Hospital, Brisbane, Australia AD - Princess Alexandra Hospital, Brisbane, Australia AD - Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, Australia AD - Clinical Governance, Metro South Health, Brisbane, Australia AD - School of Medicine, University of Queensland, Brisbane, Australia U2 - PMID: 25498252. DO - 10.1016/S1036-7314(15)00084-3 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110495707&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118076155 T1 - Complications Arising During Interfacilty Transfers of Pediatric ICU Patient by a Generalist Air/Ground Critical Care Team. AU - Langston, Brian AU - Collopy, Kevin AU - Powers, William F. Y1 - 2016/09//Sep/Oct2016 N1 - Accession Number: 118076155. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Intensive Care Units, Pediatric KW - Critical Care KW - Air KW - Physicians, Family SP - 279 EP - 280 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 5 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - AirLink/VitaLink Critical Care Transport, New Hanover Regional Medical Center DO - 10.1016/j.amj.2016.07.015 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118076155&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107856591 T1 - Prepare Patient/Family for Transferring Out of ICU...Dynamics of Critical Care 2014, Quebec City, Quebec, September 21-23, 2014 AU - Au, Anita AU - Thomas, Biji AU - McMillan, Liseth AU - Escalona, Peggy AU - Duncan, Barb AU - Holmes, Nicky AU - Amaral, Andre Y1 - 2014///Summer2014 N1 - Accession Number: 107856591. Language: English. Entry Date: 20140612. Revision Date: 20150712. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care. Instrumentation: State-Trait Anxiety Survey; Transfer Process Questionnaire. NLM UID: 100955578. KW - Critical Care Nursing KW - Nursing Practice KW - Patient Discharge KW - Transfer, Intrahospital KW - Critically Ill Patients -- Psychosocial Factors KW - Family -- Psychosocial Factors KW - Intensive Care Units KW - Human KW - Questionnaires KW - Anxiety KW - Stress, Psychological KW - Inpatients KW - Patient Discharge Education KW - Information Needs KW - Surveys KW - Checklists KW - Documentation KW - Teaching Materials KW - Psychological Tests KW - Prospective Studies KW - Medical-Surgical Nursing KW - Nursing Units SP - 44 EP - 44 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 25 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107856591&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105017091 T1 - The risk of intrahospital transport to patients...'Keeping patients safe during intrahospital transport' (August 2010:18-32 ) AU - Bambi S AU - Day D Y1 - 2010/12// N1 - Accession Number: 105017091. Language: English. Entry Date: 20101123. Revision Date: 20150818. Publication Type: Journal Article; commentary; letter; pictorial; response. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety. NLM UID: 8207799. KW - Transfer, Intrahospital KW - Transportation of Patients -- Adverse Effects KW - Critically Ill Patients KW - Inpatients KW - Hospital Mortality KW - Adverse Health Care Event KW - Patient Safety SP - 14 EP - 16 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 30 IS - 6 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 DO - 10.4037/ccn2010483 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105017091&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103785050 T1 - Ten good reasons to practice ultrasound in critical care. AU - Lichtenstein, Daniel AU - van Hooland, Simon AU - Elbers, Paul AU - Malbrain, Manu L. N. G. Y1 - 2014/11//Nov/Dec2014 N1 - Accession Number: 103785050. Language: English. Entry Date: 20150414. Revision Date: 20150710. Publication Type: Journal Article; diagnostic images; pictorial; tables/charts. Journal Subset: Biomedical; Continental Europe; Europe. NLM UID: 101472620. KW - Critical Care KW - Ultrasonography KW - Lung Diseases -- Diagnosis KW - Protocols KW - Diagnosis, Differential KW - Heart Arrest KW - Fever -- Etiology KW - Radiotherapy KW - Echocardiography KW - Social Media KW - Teaching Materials KW - Transportation of Patients SP - 323 EP - 335 JO - Anaesthesiology Intensive Therapy JF - Anaesthesiology Intensive Therapy JA - ANAESTHESIOL INTENSIVE THER VL - 46 IS - 5 PB - VM Medica-VM Group (Via Medica) SN - 1642-5758 AD - Medical ICU, Hospital Ambroise-Pare, Boulogne (Paris-West University), France AD - Nephrology Department, AZ St Lucas Hospital, Ghent, Belgium AD - Department of Intensive Care Medicine, Research VUmc Intensive Care (Revive), Institute for Cardiovascular Research (ICaR-VU), Amsterdam, The Netherlands AD - ICU and High Care Burn Unit, Ziekenhuis Netwerk Antwerpen, ZNA Stuivenberg, B-2060 Antwerp, Belgium U2 - PMID: 25432552. DO - 10.5603/AIT.2014.0056 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103785050&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109642484 T1 - Recommendations for Safe Intra-Hospital Transport of Critically Ill Patients. Y1 - 2015/09// N1 - Accession Number: 109642484. Language: English. Entry Date: 20150918. Revision Date: 20150923. Publication Type: Journal Article. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. SP - 15 EP - 15 JO - AACN Bold Voices JF - AACN Bold Voices JA - AACN BOLD VOICES VL - 7 IS - 9 CY - Aliso Viejo, California PB - American Association of Critical-Care Nurses SN - 1948-7088 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109642484&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118551150 T1 - Critical Care Transport: How Perilous the Trip. AU - Bigham, Michael T. AU - Brilli, Richard J. Y1 - 2016/10// N1 - Accession Number: 118551150. Language: English. Entry Date: 20171021. Revision Date: 20161110. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 100954653. SP - 1008 EP - 1009 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 17 IS - 10 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1529-7535 AD - Department of Pediatrics, Akron Children's Hospital, Akron, OH AD - Department of Pediatrics, Northeast Ohio Medical University, Rootstown, OH AD - Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH AD - Department of Pediatrics, Ohio State University College of Medicine, Columbus, OH U2 - PMID: 27705990. DO - 10.1097/PCC.0000000000000927 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118551150&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108209381 T1 - Risk factors for intra-hospital transport of newborn patients: A new solution to an old problem. AU - Loersch, F. AU - Schindler, M. AU - Starr, K. AU - Moore, J. AU - Bayne, L. Lynam Y1 - 2011/12//2011 Dec N1 - Accession Number: 108209381. Language: English. Entry Date: 20120203. Revision Date: 20150820. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Evidence-Based Practice; Pediatric Care. NLM UID: 9602867. KW - Hypothermia -- Prevention and Control -- In Infancy and Childhood KW - Infant Warmers KW - Transfer, Intrahospital -- Methods -- In Infancy and Childhood KW - Body Temperature Determination KW - Clinical Research KW - Delivery Rooms KW - Descriptive Statistics KW - Female KW - Germany KW - Gestational Age KW - Human KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Male KW - Models, Theoretical KW - Operating Rooms KW - Prospective Studies KW - Resuscitation KW - T-Tests KW - Time Factors SP - 203 EP - 214 JO - Journal of Neonatal Nursing JF - Journal of Neonatal Nursing JA - J NEONAT NURS VL - 17 IS - 6 CY - New York, New York PB - Elsevier B.V. AB - Evidence continues to demonstrate neonatal hypothermia and hyperthermia on admission to the Neonatal Intensive Care Unit (NICU). This article focuses on review of current literature and a description of recent research comparing intra-hospital transfers from the delivery room to the NICU, in the Giraffe OmniBed® and a traditional infant in-house transport system. Additionally a comparison of newborn NICU admission temperature measured at the rectum is described between the two transport systems. Secondary goals to reduce unnecessary transfer between thermal microenvironments and to examine staff efficiencies are discussed. Results demonstrated the use of the Giraffe OmniBed reduced bed transfers from 4 microenvironments (delivery room warmer, delivery scale, transport incubator, and NICU incubator) to 1 microenvironment (Giraffe OmniBed). Staff efficiencies also improved as time of birth to NICU admission was reduced to less than 26 min with the Giraffe OmniBed compared to 34 min under traditional approaches. The Giraffe OmniBed for stabilization through to NICU admission showed temperature 0.49 °C higher in the Giraffe OmniBed compared to the conventional transport incubator. SN - 1355-1841 AD - University Klinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany AD - GE Healthcare Maternal Infant Care, 8880 Gorman Road, Laurel, MD 20723, USA AD - GE Healthcare, Maternal Infant Care, 71 Great North Road, Hatfield, Hertfordshire AL9 5EN, UK AD - Neovative Consulting Group, 7216 New Cut Road, Kingsville, MD 21087, USA DO - 10.1016/j.jnn.2011.08.003 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108209381&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104949279 T1 - Safe intrahospital transport of non-ICU patients: handoff communication and transport teams are the keys. AU - Huber C Y1 - 2010/11// N1 - Accession Number: 104949279. Language: English. Entry Date: 20101207. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Quality Assurance. NLM UID: 0372646. KW - Hand Off (Patient Safety) KW - Quality Improvement KW - Risk Management KW - Transfer, Intrahospital KW - Transportation of Patients KW - Communication KW - Documentation KW - Health Personnel, Unlicensed KW - Hospital Policies KW - Incident Reports KW - Inpatients KW - Monitoring, Physiologic KW - Multidisciplinary Care Team KW - Patient Identification KW - Pennsylvania KW - Scope of Practice KW - Teamwork SP - 66 EP - 69 JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 110 IS - 11 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-936X AD - Clinical patient safety analyst, Pennsylvania Patient Safety Reporting System (PA-PSRS), Plymouth Meeting, PA U2 - PMID: 20980907. DO - 10.1097/01.NAJ.0000390531.14314.1c UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104949279&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109596624 T1 - Impact of Video Laryngoscopy on Advanced Airway Management by Critical Care Transport Paramedics and Nurses Using the CMAC Pocket Monitor. AU - Boehringer, Bradley AU - Choate, Michael AU - Hurwitz, Shelley AU - Tilney, Peter V R AU - Judge, Thomas Y1 - 2015/01//1/1/2015 N1 - Accession Number: 109596624. Language: English. Entry Date: 20150923. Revision Date: 20150924. Publication Type: journal article. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 101600173. SP - 821302 EP - 821302 JO - BioMed Research International JF - BioMed Research International JA - BIOMED RES INT VL - 2015 CY - London, PB - Hindawi Limited AB - Accurate endotracheal intubation for patients in extremis or at risk of physiologic decompensation is the gold standard for emergency medicine. Field intubation is a complex process and time to intubation, number of attempts, and hypoxia have all been shown to correlate with increases in morbidity and mortality. Expanding laryngoscope technology which incorporates active video, in addition to direct laryngoscopy, offers providers improved and varied tools to employ in management of the advanced airway. Over a nine-year period a helicopter emergency medical services team, comprised of a flight paramedic and flight nurse, intended to intubate 790 patients. Comparative data analysis was performed and demonstrated that the introduction of the CMAC video laryngoscope improved nearly every measure of success in airway management. Overall intubation success increased from 94.9% to 99.0%, first pass success rates increased from 75.4% to 94.9%, combined first and second pass success rates increased from 89.2% to 97.4%, and mean number of intubation attempts decreased from 1.33 to 1.08. SN - 2314-6133 U2 - PMID: 26167501. DO - 10.1155/2015/821302 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109596624&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103795221 T1 - Assessing, monitoring and managing continuous intravenous sedation for critically ill adult patients and implications for emergency nursing practice: A systematic literature review. AU - Varndell, Wayne AU - Elliott, Doug AU - Fry, Margaret Y1 - 2015/05// N1 - Accession Number: 103795221. Language: English. Entry Date: 20150511. Revision Date: 20150710. Publication Type: Journal Article; research; systematic review; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Nursing; Peer Reviewed. Special Interest: Emergency Care; Evidence-Based Practice; Pain and Pain Management; Patient Safety. KW - Emergency Nursing KW - Nursing Practice, Evidence-Based KW - Clinical Competence KW - Infusions, Intravenous -- Nursing KW - Hypnotics and Sedatives -- Administration and Dosage KW - Sedation -- Nursing KW - Resuscitation -- Nursing KW - Critically Ill Patients KW - Ventilator Patients KW - Emergency Patients KW - Systematic Review KW - Human KW - Emergency Service KW - CINAHL Database KW - Embase KW - Medline KW - Cochrane Library KW - Databases, Health KW - Patient Safety KW - Clinical Assessment Tools KW - Intubation, Intratracheal KW - Catheterization, Peripheral KW - Chest Tubes KW - Physicians, Emergency KW - Nursing Role KW - Length of Stay KW - Severity of Illness KW - Transfer, Intrahospital KW - Intensive Care Units KW - Hospital Mortality KW - Nursing Knowledge KW - Nursing Skills KW - Staff Development KW - Education, Nursing, Continuing KW - Monitoring, Physiologic KW - Vital Signs KW - Sedation -- Adverse Effects KW - Hypnotics and Sedatives -- Adverse Effects KW - Agitation -- Drug Therapy KW - Anxiety -- Drug Therapy KW - Pain -- Drug Therapy KW - Health Policy KW - Nursing Process KW - Descriptive Statistics KW - Australia SP - 59 EP - 67 JO - Australasian Emergency Nursing Journal JF - Australasian Emergency Nursing Journal JA - AUSTRALAS EMERG NURS J VL - 18 IS - 2 CY - New York, New York PB - Elsevier B.V. AB - Summary Background Critically ill mechanically ventilated patients in ED have complex needs; chief among these is adequate sedation in addition to effective pain-relief. Emergency nurses are increasingly responsible sedation and analgesia for this complex cohort of patients. The aim of this review was to examine (1) the evidence around assessing, monitoring and managing continuous intravenous sedation for critically ill adult patients, and (2) the implications for emergency nursing practice. Study design Systematic review. Method The review of literature extended from 1946 to 2013 and examined peer review journal articles, policy and guidelines to provide a more complex understanding of a phenomenon of concern. A total of 98 articles were incorporated and comprehensively examined. Results Analysis of the literature identified several implications for emergency nursing practice and the management of continuous intravenous sedation: workload, education, monitoring and assessing sedation and policy. Conclusion Limited literature was found that directly addressed Australasian emergency nursing practices’ in managing on-going intravenous sedation and analgesia for patients. Balancing patient sedation and analgesia requires highly complex knowledge, skills and expertise; the degree of education and training required is above that obtained during pre-registration nurse training. No state or national models of education or training were identified to support ED nurses’ practices in managing sedation. Little research has addressed the safety of continuous sedation use in ED. SN - 1574-6267 AD - Prince of Wales Hospital, Emergency Department, Barker Street, Randwick, NSW 2013, Australia; Faculty of Health, University of Technology, Sydney, 15 Broadway, Ultimo, NSW 2007, Australia AD - Faculty of Health, University of Technology, Sydney, 15 Broadway, Ultimo, NSW 2007, Australia AD - Faculty of Health, University of Technology, Sydney, 15 Broadway, Ultimo, NSW 2007, Australia; School of Nursing, University of Sydney, Australia DO - 10.1016/j.aenj.2014.08.002 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103795221&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105402198 T1 - Parents' perception of the back-transport of very-low-birth-weight infants to community hospitals. AU - Donohue PK AU - Hussey-Gardner B AU - Sulpar LJ AU - Fox R AU - Aucott SW Y1 - 2009/08// N1 - Accession Number: 105402198. Language: English. Entry Date: 20090918. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Obstetric Care; Pediatric Care. Grant Information: Johns Hopkins Children's Center Telethon Funds. NLM UID: 8501884. KW - Hospitals, Community KW - Parental Attitudes KW - Transportation of Patients -- In Infancy and Childhood KW - Decision Making, Patient KW - Female KW - Funding Source KW - Infant, Very Low Birth Weight KW - Intensive Care Units, Neonatal KW - Interviews KW - Male KW - Patient Education KW - Record Review KW - Transfer, Discharge KW - Human SP - 575 EP - 581 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 29 IS - 8 CY - London, PB - Nature Publishing Group AB - OBJECTIVE: To characterize parents' perception of back-transport of very-low-birth-weight (VLBW) infants from a regional referral neonatal intensive care unit (RR-NICU) to a community hospital (CH) for convalescent care. STUDY DESIGN: Mixed methods utilizing parental interview and medical record review. RESULT: Overall, 20% of parents selected the CH to which their child was transferred. Less than half of the parents wanted the transfer. Psychological comfort with the RR-NICU was the most frequently reported reason for opposing transfer. At the time of home discharge, most parents were satisfied with the transfer and felt prepared to care for their infant at home. CONCLUSION: Parents want their infants closer to home, but are worried about the unknown. They are willing to forfeit autonomy in decision-making regarding the site of convalescent care. Parents need better preparation for transfer. Including them in an advisory group that reviews transfer policies could ameliorate the transition. SN - 0743-8346 AD - Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; pdonohu2@jhmi.edu U2 - PMID: 19262570. DO - 10.1038/jp.2009.17 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105402198&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104220391 T1 - Short-term Outcomes of US Air Force Critical Care Air Transport Team (CCATT) Patients Evacuated from a Combat Setting. AU - Lairet, Julio AU - King, James AU - Vojta, Leslie AU - Beninati, William Y1 - 2013/10//Oct-Dec2013 N1 - Accession Number: 104220391. Language: English. Entry Date: 20130904. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9703530. KW - Military Medicine KW - United States Air Force KW - Critical Care -- Evaluation KW - Aeromedical Transport KW - Multidisciplinary Care Team KW - War KW - Prehospital Care KW - Military Personnel KW - Wound Care -- Methods KW - Retrospective Design KW - Respiration, Artificial KW - Blood Transfusion KW - Human KW - Patient Care KW - Patient Selection SP - 486 EP - 490 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 17 IS - 4 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Purpose. The purpose of this study is to describe the short-term outcomes (during air transport) of patients managed by the United States Air Force Critical Care Air Transport Teams (CCATT). Methods. This is a retrospective chart review of patients who were transported by CCATT between March 1, 2007 and June 30, 2008. A standardized abstraction form was used. Patients were classified as medical or trauma. Care given inflight was documented, including mechanical ventilation, vasoactive medication administration, and administration of blood products. Short-term events (during air transport) included death, oxyhemoglobin desaturation, hypotension, decline in neurological status, development of anuria or oliguria, and dislodgement of endotracheal and chest tubes. Results. A total of 656 patient moves met inclusion criteria, of which 425 (64.8%) were trauma and 231 (35.2%) were medical. Mechanical ventilation was required by 318 (49%), 68 (10%) received vasoactive medications, and 43 (7%) required blood products during the flight. There were a total of 75 events documented on 65 patient transports (10%). Of these, 19 were oxyhemoglobin desaturation, 29 were hypotension, 3 were decline in neurological status, and 23 were due to anuria or oliguria. We did not encounter any deaths or loss of airway or chest tubes during transport. Conclusion. CCATTs are a successful platform in transporting critically injured/ill patients with minimal short-term complications. Key Words: Critical Care Air Transport; emergency medical services; prehospital; resuscitation; tactical combat casualty care SN - 1090-3127 AD - Department of Emergency Medicine, San Antonio Military Medical Center, Fort Sam Houston, Texas AD - Department of Emergency Medicine, Wright Patterson Medical Center, Wright Patterson AFB, Ohio AD - Pulmonary and Critical Care Medicine, Intermountain LDS Hospital, Salt Lake City, Utah U2 - PMID: 23865806. DO - 10.3109/10903127.2013.811564 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104220391&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104177391 T1 - Do Infants Less than 12 Months of Age with an Apparent Life-Threatening Event Need Transport to a Pediatric Critical Care Center? AU - Kaji, Amy H. AU - Santillanes, Genevieve AU - Claudius, Ilene AU - Mittal, Manoj K. AU - Hayes, Katie AU - Lee, Jumie AU - Gausche-Hill, Marianne Y1 - 2013/07//Jul-Sep2013 N1 - Accession Number: 104177391. Language: English. Entry Date: 20130607. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9703530. KW - Transportation of Patients -- Methods KW - Critical Care KW - Critical Illness -- Diagnosis KW - Prehospital Care KW - Human KW - Infant KW - Age Factors KW - Emergencies KW - Patient Admission -- Evaluation KW - Prospective Studies KW - Data Collection KW - Interns and Residents KW - Education, Medical KW - Academic Medical Centers KW - Data Analysis Software KW - Fisher's Exact Test KW - Wilcoxon Rank Sum Test KW - Confidence Intervals KW - Odds Ratio KW - Geographic Locations KW - Patient Selection KW - Outcomes (Health Care) SP - 304 EP - 311 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 17 IS - 3 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Background. Some emergency medical services (EMS) systems transport infants with an apparent life-threatening event (ALTE) directly to hospitals capable of pediatric critical care (PCC) monitoring. Objective. To describe factors identifiable by EMS providers that distinguish ALTE patients who may require PCC monitoring and management. Methods. This was an observational analysis of ALTE patients who were transported by EMS and presented to four emergency departments (EDs). ED data were prospectively collected. Hospital records or reports from contacted parents were reviewed for interventions that mandated PCC management. We defined a priori the criteria by which PCC monitoring and management were required: if the subject needed 1) airway intervention with bag-valve-mask ventilation or advanced airway (e.g., endotracheal intubation) in the field, ED, or pediatric intensive care unit (PICU); 2) administration of vasopressors; 3) invasive monitoring; 4) surgery during the hospitalization; or 5) subspecialty consultation. Univariate analysis was performed to describe factors associated with requiring PCC management, and a multivariable model, accounting for within-hospital correlations, was developed. Results. A total of 513 patients were enrolled. Of these, 51 (9.9%) had an intervention warranting PCC management. Univariate predictors for requiring PCC management included prematurity, past medical history, resuscitation attempt, upper respiratory infection, apnea, previous ALTE, more than one ALTE in 24 hours, and cyanosis. The multivariable model yielded the following independent predictors for requiring PCC management: resuscitation attempt before EMS arrival, cyanosis, and more than one ALTE in 24 hours. This model demonstrated a sensitivity of 96.3%, a specificity of 25.8%, a negative predictive value of 98.3%, and a positive predictive value of 13.5%. Conclusion. Only 9.9% of infants presenting in the field with ALTE had an intervention warranting PCC management, suggesting that many ALTE patients may be safely transported to hospitals without PCC capability. This would allow for better resource utilization of specialty care hospitals and still provide an option for secondary transports for those few patients not correctly identified in the field as requiring PCC. History of resuscitation attempt, cyanosis, and more than one ALTE in 24 hours are independent risk factors for requiring PCC management. Key words: ALTE; apparent life-threatening event; transport decision; pediatric critical care; infants SN - 1090-3127 AD - From the Department of Emergency Medicine, Harbor-UCLA Medical Center (AK, JL, MGH), Torrance, California; the Department of Emergency Medicine, USC Medical Center (GS), Los Angeles, California; the Department of Emergency Medicine, Children's Hospital Los Angeles (IC), Los Angeles, California; and the Department of Emergency Medicine, Children's Hospital of Philadelphia (MM, KH), Philadelphia, Pennsylvania. U2 - PMID: 23734987. DO - 10.3109/10903127.2013.773111 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104177391&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103963624 T1 - Unexpected events occurring during the intra-hospital transport of critically ill ICU patients. AU - Venkategowda, Pradeep M. AU - Rao, Surath M. AU - Mutkule, Dnyaneshwar P. AU - Taggu, Alai. N. Y1 - 2012/01//Jan-Mar2012 N1 - Accession Number: 103963624. Language: English. Entry Date: 20120501. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Asia; Biomedical. Special Interest: Critical Care. NLM UID: 101208863. KW - Transportation of Patients KW - Transfer, Intrahospital KW - Adverse Health Care Event KW - Human KW - Critically Ill Patients KW - Prospective Studies KW - Nonexperimental Studies KW - Intensive Care Units SP - 354 EP - 357 JO - Indian Journal of Critical Care Medicine JF - Indian Journal of Critical Care Medicine JA - INDIAN J CRIT CARE MED VL - 16 IS - 1 PB - Wolters Kluwer India Pvt Ltd SN - 0972-5229 AD - Departments of Critical Care Medicine, Yashoda Hospital, Hyderabad, Andhra Pradesh, India U2 - PMID: 24987233. DO - 10.4103/0972-5229.133880 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103963624&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107908464 T1 - Quality metrics in neonatal and pediatric critical care transport: a consensus statement. AU - Bigham, Michael T AU - Schwartz, Hamilton P Y1 - 2013/06//2013 Jun N1 - Accession Number: 107908464. Corporate Author: Ohio NeonatalPediatric Transport Quality Collaborative. Language: English. Entry Date: 20140328. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 100954653. KW - Benchmarking -- Administration KW - Critical Care -- Standards KW - Transportation of Patients -- Standards KW - Benchmarking -- Methods KW - Child KW - Child, Preschool KW - Decision Making KW - Cooperative Behavior KW - Critical Care -- Methods KW - Infant KW - Infant, Newborn KW - Ohio KW - Patient Safety -- Standards SP - 518 EP - 524 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 14 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVES: The transport of neonatal and pediatric patients to tertiary care medical centers for specialized care demands monitoring the quality of care delivered during transport and its impact on patient outcomes. Accurate assessment of quality indicators and patient outcomes requires the use of a standard language permitting comparisons among transport programs. No consensus exists on a set of quality metrics for benchmarking transport teams. The aim of this project was to achieve consensus on appropriate neonatal and pediatric transport quality metrics. DESIGN: Candidate quality metrics were identified through literature review and those metrics currently tracked by each program. Consensus was governed by nominal group technique. Metrics were categorized in two dimensions: Institute of Medicine quality domains and Donabedian's structure/process/outcome framework. SETTING: Two-day Ohio statewide quality metrics conference. SUBJECTS: Nineteen transport leaders and staff representing six statewide neonatal/pediatric specialty programs convened to achieve consensus. MEASUREMENT AND MAIN RESULTS: Two hundred fifty-seven performance metrics relevant to neonatal/pediatric transport were identified. Eliminating duplicate and overlapping metrics resulted in 70 candidate metrics. Nominal group methodology yielded 23 final quality metrics, the largest portion representing Donabedian's outcome category (n = 12, 52%) and the Institute of Medicine quality domains of effectiveness (n = 7, 30%) and safety (n = 9, 39%). Sample final metrics include measurement of family presence, pain management, intubation success, neonatal temperature control, use of lights and sirens, and medication errors. Lastly, a definition for each metric was established and agreed upon for consistency among institutions. CONCLUSIONS: This project demonstrates that quality metrics can be achieved through consensus building and provides the foundation for benchmarking among neonatal and pediatric transport programs and quality improvement projects. SN - 1529-7535 AD - 1Department of Pediatrics, Akron Children's Hospital, Akron, OH. 2Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH. U2 - PMID: 23867429. DO - 10.1097/PCC.0b013e31828a7fc1 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107908464&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107771839 T1 - Three years experience with forward-site mass casualty triage-, evacuation-, operating room-, ICU-, and radiography-enabled disaster vehicles: Development of usage strategies from drills and deployments. AU - Griffiths, Jane L AU - Kirby, Neil R AU - Waterson, James A Y1 - 2014///2014 Fall N1 - Accession Number: 107771839. Language: English. Entry Date: 20150424. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Biomedical; USA. Special Interest: Emergency Care. NLM UID: 101291100. KW - Disaster Planning KW - Emergency Medical Services -- Administration KW - Mass Casualty Incidents KW - Mobile Health Units KW - Motor Vehicles KW - Triage KW - Diagnostic Imaging KW - Human KW - Critical Care KW - Operating Rooms KW - Program Development KW - Program Evaluation KW - Transportation of Patients SP - 273 EP - 285 JO - American Journal of Disaster Medicine JF - American Journal of Disaster Medicine JA - AM J DISASTER MED VL - 9 IS - 4 CY - Weston, Massachusetts PB - Weston Medical Publishing, LLC SN - 1932-149X AD - School of Nursing, College of Health and Science, University Western Sydney, North South Wales, Australia; Director of Nursing & Chairperson Disaster Committee Rashid Hospital, Dubai, UAE. AD - Ambulance Operations Director, Dubai Corporations for Ambulance Services, Dubai, UAE. AD - Nurse Supervisor & Disaster Project Officer, Rashid Hospital, Dubai, UAE. U2 - PMID: 25672330. DO - 10.5055/ajdm.2014.0179 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107771839&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108002296 T1 - Early identification of children at risk for critical care: standardizing communication for inter-emergency department transfers. AU - Sahyoun, Cyril AU - Fleegler, Eric AU - Kleinman, Monica AU - Monuteaux, Michael C AU - Bachur, Richard Y1 - 2013/04//2013 Apr N1 - Accession Number: 108002296. Language: English. Entry Date: 20131115. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care; Pediatric Care. NLM UID: 8507560. KW - Critical Care KW - Emergency Service -- Statistics and Numerical Data KW - Interprofessional Relations KW - Patient Admission -- Statistics and Numerical Data KW - Transfer, Discharge -- Statistics and Numerical Data KW - Referral and Consultation -- Statistics and Numerical Data KW - Respiratory Tract Diseases -- Therapy KW - Risk Assessment -- Methods KW - Child, Preschool KW - Health Facility Departments KW - Human KW - Infant KW - Intensive Care Units KW - Predictive Value of Tests KW - Respiratory Tract Diseases -- Diagnosis KW - Retrospective Design KW - Relative Risk SP - 419 EP - 424 JO - Pediatric Emergency Care JF - Pediatric Emergency Care JA - PEDIATR EMERG CARE VL - 29 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - BACKGROUND: Interfacility transfers occur frequently and often involve critically ill patients. Clear communication at the time of patient referral is essential for patient safety. OBJECTIVES: The objective of this work was to study whether a standardized inter-emergency department (ED) transfer communication template for pediatric patients with respiratory complaints identifies patients that require intensive care unit (ICU) admission. METHODS: We created a template to structure the communication between referring and receiving providers involved in inter-ED transfers of children with respiratory complaints. The template was designed for use by nonphysicians to prompt specific questions that would trigger notification of the ED attending based on signs of critical illness. The template was retrospectively applied to determine whether it would have properly triggered attending physician notification of a child ultimately requiring ICU admission. RESULTS: Of 285 transferred children, 61 (21%) were admitted to an ICU from the receiving ED. The sensitivity of the communication template in predicting the need for ICU admission was 84% (95% confidence interval [CI], 72%-92%), negative predictive value of 95% (95% CI, 90%-97%), specificity of 77% (95% CI, 71%-82%), positive predictive value of 50% (95% CI, 40%-60%). Of the 10 patients admitted to an ICU who were not identified by the tool, none were critically ill upon arrival. Of the individual communication elements, the sensitivity and negative predictive value ranged from 3% to 38% and from 79% to 86%, respectively. CONCLUSIONS: A standardized communication template for inter-ED transfers can identify children with respiratory complaints who require ICU admission. Next steps include real-time application to judge screening performance compared with current nonstandardized intake protocols. SN - 0749-5161 AD - From the *Divisions of Emergency Medicine, and tCritical Care Medicine, Department of Anesthesia, Boston Children's Hospital, Boston, MA. U2 - PMID: 23528500. DO - 10.1097/PEC.0b013e318289d7c1 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108002296&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109820578 T1 - Tool to Detect Critical Illness, Potentially Reduce ICU Transfer Delays. Y1 - 2015/07// N1 - Accession Number: 109820578. Language: English. Entry Date: 20150728. Revision Date: 20150923. Publication Type: Journal Article; brief item. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. KW - Early Intervention KW - Transfer, Intrahospital KW - Hospital Mortality -- Prevention and Control KW - Critically Ill Patients SP - 7 EP - 7 JO - AACN Bold Voices JF - AACN Bold Voices JA - AACN BOLD VOICES VL - 7 IS - 7 CY - Aliso Viejo, California PB - American Association of Critical-Care Nurses SN - 1948-7088 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109820578&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107866731 T1 - 2014 Critical Care Transport Medicine Conference Abstracts...2014 Critical Care Transport Medicine Conference held March 31 to April 2, Austin, Texas Y1 - 2014/07//Jul/Aug2014 N1 - Accession Number: 107866731. Language: English. Entry Date: 20140722. Revision Date: 20150712. Publication Type: Journal Article; abstract. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Evidence-Based Practice. NLM UID: 9312325. KW - Aeromedical Transport KW - Critical Care KW - Professional Practice, Research-Based KW - Research, Medical KW - Congresses and Conferences KW - Texas KW - Aeromedical Transport -- Organizations SP - 142 EP - 145 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 33 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107866731&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105163679 T1 - Improving safety and documentation in intrahospital transport: development of an intrahospital transport tool for critically ill patients. AU - Jarden RJ AU - Quirke S Y1 - 2010/04// N1 - Accession Number: 105163679. Language: English. Entry Date: 20100528. Revision Date: 20150820. Publication Type: Journal Article; forms. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Patient Safety; Quality Assurance. NLM UID: 9211274. KW - Critical Care Nursing KW - Critically Ill Patients KW - Documentation KW - Patient Safety KW - Transfer, Intrahospital KW - Transportation of Patients KW - Documentation -- Evaluation KW - Intensive Care Units KW - Quality Improvement SP - 101 EP - 107 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 26 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Transporting the critically ill patient is described within the literature as a high-risk procedure. Both guidelines and minimum standards are available to inform practice. However, a practical, clinically useful, and evidence-based document (tool) for the ICU nurse to use when transporting a critically ill patient was not identified in the literature. Consequently, the development of an intrahospital transport tool is described. This transport tool was designed to mitigate the risks associated with patient transport by providing the Intensive Care Unit (ICU) nurse with an integrated documentation record, incorporating patient assessment with a procedural guideline. The result is a framework for the ICU nurse to use throughout intrahospital transfers, informing and supporting them to provide and document continuity of nursing care. The potential benefit of using this tool is enhanced patient outcomes through safer ICU intrahospital transport processes. SN - 0964-3397 AD - Intensive Care Unit, Wellington Hospital, Capital & Coast District Health Board, Wellington, New Zealand. rebecca.jarden@ccdhb.org.nz U2 - PMID: 20089403. DO - 10.1016/j.iccn.2009.12.007 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105163679&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108136339 T1 - Intra-hospital transport of critically ill adult patients: complications related to staff, equipment and physiological factors. AU - de Almeida, Ana Carolina Goulardins AU - Neves, Ana Lúcia Domingues AU - de Souza, Claudenice Leite Bertoli AU - Garcia, Júlia Helena AU - Lopes, Juliana de Lima AU - de Barros, Alba Lucia Bottura Leite Y1 - 2012/09// N1 - Accession Number: 108136339. Language: English. Entry Date: 20120928. Revision Date: 20150820. Publication Type: Journal Article; research; systematic review; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. Special Interest: Critical Care; Evidence-Based Practice; Patient Safety. NLM UID: 9203117. KW - Adverse Health Care Event -- Epidemiology KW - Critical Care KW - Critically Ill Patients KW - Multidisciplinary Care Team KW - Transfer, Intrahospital KW - Transportation of Patients -- Adverse Effects KW - Clinical Competence KW - Communication KW - Critical Care Nursing KW - Databases, Health KW - Descriptive Statistics KW - Equipment Failure KW - Hand Off (Patient Safety) KW - Human KW - Inpatients KW - Interprofessional Relations KW - Medline KW - Monitoring, Physiologic KW - Protocols KW - PubMed KW - Systematic Review KW - Ventilator Patients SP - 471 EP - 476 JO - Acta Paulista de Enfermagem JF - Acta Paulista de Enfermagem JA - ACTA PAUL ENFERMAGEM VL - 25 IS - 3 PB - Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem AB - OBJECTIVE: To identify in the literature the complications related to physiological changes of the patient, the multidisciplinary team and the use of equipment during the intrahospital transport of critically ill patients. METHODS: Integrative review of literature, through a search in the databases of PubMED, MEDLINE, and LILACS. RESULTS: We encountered 20 articles, all written in the English language. Studies have shown that changes in arterial pressure and heart rate are most common during transport. Of the adverse events related to problems with the team, the lack of knowledge of the professional and failure of communication stood out, apart from those derived from equipment used. CONCLUSION: Transporting the critically ill patient safely requires improving communication between teams, standardizing the actions and equipment used by means of protocols, and identifying opportunities to obtain excellence in service during transport. SN - 0103-2100 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108136339&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103785131 T1 - Comparison of nurse staffing based on changes in unit-level workload associated with patient churn. AU - Hughes, Ronda G. AU - Bobay, Kathleen L. AU - Jolly, Nicholas A. AU - Suby, Chrysmarie Y1 - 2015/04// N1 - Accession Number: 103785131. Language: English. Entry Date: 20150407. Revision Date: 20160331. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Nursing Administration. Instrumentation: ADT Work Intensity Index. NLM UID: 9306050. KW - Workload KW - Bed Occupancy KW - Nurse-Patient Ratio KW - RN Mix KW - Human KW - Census KW - Patient Admission KW - Patient Discharge KW - Transfer, Intrahospital KW - Secondary Analysis KW - Nursing Units KW - Transfer, Discharge KW - Nursing Management KW - Descriptive Research KW - Comparative Studies KW - Surveys KW - Length of Stay KW - Scales KW - Post Hoc Analysis KW - Data Analysis Software KW - Registered Nurses KW - Intensive Care Units KW - Budgets KW - Analysis of Variance KW - Inpatients SP - 390 EP - 400 JO - Journal of Nursing Management JF - Journal of Nursing Management JA - J NURS MANAGE VL - 23 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aim This analysis compares the staffing implications of three measures of nurse staffing requirements: midnight census, turnover adjustment based on length of stay, and volume of admissions, discharges and transfers. Background Midnight census is commonly used to determine registered nurse staffing. Unit-level workload increases with patient churn, the movement of patients in and out of the nursing unit. Failure to account for patient churn in staffing allocation impacts nurse workload and may result in adverse patient outcomes. Method(s) Secondary data analysis of unit-level data from 32 hospitals, where nursing units are grouped into three unit-type categories: intensive care, intermediate care, and medical surgical. Result Midnight census alone did not account adequately for registered nurse workload intensity associated with patient churn. On average, units were staffed with a mixture of registered nurses and other nursing staff not always to budgeted levels. Adjusting for patient churn increases nurse staffing across all units and shifts. Conclusion Use of the discharges and transfers adjustment to midnight census may be useful in adjusting RN staffing on a shift basis to account for patient churn. Implications for nursing management Nurse managers should understand the implications to nurse workload of various methods of calculating registered nurse staff requirements. SN - 0966-0429 AD - College of Nursing Marquette University AD - Department of Economics, College of Business Administration Marquette University AD - Labor Management Institute U2 - PMID: 24118360. DO - 10.1111/jonm.12147 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103785131&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107776313 T1 - Collaborating--or 'Selling' Patients? A Conceptual Framework for Emergency Department-to-Inpatient Handoff Negotiations. AU - Hilligoss, Brian AU - Mansfield, Jerry A. AU - Patterson, Emily S. AU - Mojfatt-Bruce, Susan D. Y1 - 2015/03// N1 - Accession Number: 107776313. Language: English. Entry Date: 20150312. Revision Date: 20150712. Publication Type: Journal Article; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Patient Safety; Quality Assurance. NLM UID: 101238023. KW - Conceptual Framework KW - Emergency Service KW - Hand Off (Patient Safety) KW - Transfer, Intrahospital KW - Negotiation KW - Intensive Care Units KW - Communication KW - Organizational Policies KW - Organizational Culture KW - Feedback KW - Quality Improvement SP - 134 EP - 143 JO - Joint Commission Journal on Quality & Patient Safety JF - Joint Commission Journal on Quality & Patient Safety JA - JOINT COMM J QUAL PATIENT SAF VL - 41 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 1553-7250 AD - Assistant Professor, Division of Health Services Management and Policy, College of Public Health, Ohio State University, Columbus AD - Chief Nursing Officer, University Hospital; Richard M. Ross Heart Hospital, Ohio State University Wexner Medical Center; Professor of Practice, College of Nursing, Ohio State University AD - Assistant Professor, Division of Health Information Management and Systems, School of Health and Rehabilitation Sciences, College of Medicine, Ohio State University AD - Chief Quality and Patient Safety Officer, Ohio State University Wexner Medical Center; Associate Dean of Clinical Affairs for Quality and Patient Safety, and Associate Professor, Department of Surgery, College of Medicine, Ohio State University U2 - PMID: 25977130. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107776313&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109793143 T1 - After-Hours ICU Discharge: A Potentially Modifiable Cause of Increased Hospital Mortality. AU - Pierson, David J. Y1 - 2014/11// N1 - Accession Number: 109793143. Language: English. Entry Date: 20150807. Revision Date: 20170918. Publication Type: Journal Article; abstract; commentary. Note: For CE see page 64.. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety. Instrumentation: Acute Physiology and Chronic Health Evaluation III (APACHE III). NLM UID: 9887258. KW - Transfer, Intrahospital KW - Intensive Care Units KW - Hospital Mortality KW - Critical Care KW - Critically Ill Patients KW - Time Factors KW - Outcomes (Health Care) KW - Australia KW - New Zealand KW - Prospective Studies KW - Retrospective Design KW - Descriptive Statistics KW - Apache KW - Severity of Illness Indices KW - Severity of Illness KW - Odds Ratio KW - Readmission KW - P-Value KW - Patient Classification KW - Nursing Units KW - Resource Databases, Health KW - Inpatients KW - Education, Continuing (Credit) SP - 61 EP - 62 JO - Critical Care Alert JF - Critical Care Alert JA - CRIT CARE ALERT VL - 22 IS - 8 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1067-9502 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109793143&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108232140 T1 - Intra-hospital transport: University of Michigan SWAT team takes the ICU to the patient. AU - Stonebraker, Keenan Y1 - 2011/05//May/Jun2011 N1 - Accession Number: 108232140. Language: English. Entry Date: 20110805. Revision Date: 20151015. Publication Type: Journal Article; pictorial. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 1260337. KW - Critical Care KW - Health Care Errors KW - Teamwork KW - Transfer, Discharge SP - 10 EP - 12 JO - Michigan Nurse JF - Michigan Nurse JA - MICH NURSE VL - 84 IS - 3 CY - Okemos, Michigan PB - Michigan Nurses Association SN - 0026-2366 U2 - PMID: 21744722. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108232140&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112379990 T1 - A STRATEGY TO ENHANCE THE TRANSITIONAL CARE FOR COMMUNICATION FROM THE ICU...WFSICCM/WFCCN/WFPICCS World Congress August 29-September 1, 2015, Seoul, Korea AU - Heesung Park Y1 - 2015/03// N1 - Accession Number: 112379990. Language: English. Entry Date: 20170419. Revision Date: 20170419. Publication Type: Article; abstract; proceedings; research. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. KW - Transfer, Intrahospital -- Standards KW - Intensive Care Units -- Manpower -- South Korea KW - Communication KW - Program Development KW - Critical Care Nursing KW - Congresses and Conferences -- South Korea KW - South Korea KW - Organizational Efficiency KW - Organizational Change KW - Critically Ill Patients KW - Nurses KW - Human KW - Program Implementation KW - Patient Safety KW - Hospitals -- South Korea SP - 139 EP - 139 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 9 IS - 4 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 AD - Samsung Medical Center, Republic of Korea UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112379990&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118076166 T1 - Improving Standardized Hand-Off Communication Through Education for a Pediatric Neonatal Critical Care Transport Team. AU - Harbour, Dawn AU - Oddi, Michelle Y1 - 2016/09//Sep/Oct2016 N1 - Accession Number: 118076166. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Hand Off (Patient Safety) KW - Pediatrics -- Education KW - Critical Care KW - Communication KW - Transportation KW - Infant, Newborn SP - 283 EP - 284 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 5 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - Children's Hospital of UC Davis Medical Center DO - 10.1016/j.amj.2016.07.020 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118076166&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - ID - 117176669 T1 - Adverse Events Encountered During the Intra-hospital Transport of ICU Patients. AU - Taggu, Alai AU - Thomas, Jerry AU - Patil, Shashidhar AU - Pradeep Arun, MV Y1 - 2016/04/02/Apr2016 Supplement N1 - Accession Number: 117176669. Language: English. Entry Date: In Process. Revision Date: 20170613. Publication Type: Abstract. Supplement Title: Apr2016 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0231335. SP - A241 EP - A241 JO - CHEST JF - CHEST JA - CHEST VL - 149 CY - Glenview, Illinois PB - American College of Chest Physicians SN - 0012-3692 AD - St. Johns Medical College, Bangalore, India DO - 10.1016/j.chest.2016.02.250 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117176669&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104838966 T1 - Relocation stress and nursing implications. AU - Kwai Ping Suen, Lorna AU - Wing Yan Lee, Tina AU - Chi Ho Wong, Jackson Y1 - 2010/12// N1 - Accession Number: 104838966. Language: English. Entry Date: 20110415. Revision Date: 20150818. Publication Type: Journal Article. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care; Psychiatry/Psychology. KW - Transfer, Discharge KW - Critically Ill Patients KW - Stress, Psychological KW - Psychological Well-Being KW - Recovery KW - Intensive Care Units KW - Health Facility Environment KW - Personnel Staffing and Scheduling KW - Communication KW - Intraprofessional Relations KW - Shift Reports KW - Critical Care Nursing KW - Medical-Surgical Nursing KW - Hospital Policies SP - 194 EP - 196 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 7 IS - 4 PB - World Federation of Critical Care Nurses (WFCCN) AB - Untimely transfer, as well as environmental, staffing, and client factors may contribute to relocation stress of ICU patients. Translocation stress my pose negative effects on the psychological well-being and physical recovery of patients. Better transfer preparation, set-up policies on transfer, strengthened staff training, and the use of liaison nurse are recommended to lessen relocation stress. SN - 1748-6254 AD - Associate Professor, Nethersole School of Nursing, Chinese University of Hong Kong, Hong Kong AD - Prince of Wales Hospital, Hong Kong AD - Queen Mary Hospital, Hong Kong UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104838966&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105881020 T1 - Baby on the move: issues in neonatal transport. AU - Teasdale D AU - Hamilton C Y1 - 2008/02// N1 - Accession Number: 105881020. Language: English. Entry Date: 20080411. Revision Date: 20150820. Publication Type: Journal Article; algorithm; pictorial; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. NLM UID: 9013329. KW - Intensive Care, Neonatal KW - Transfer, Discharge -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Algorithms KW - Communication KW - Consent KW - Infant Warmers KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Liability, Legal KW - Neonatal Nursing KW - Transportation of Patients -- Legislation and Jurisprudence -- United Kingdom KW - United Kingdom SP - 20 EP - 25 JO - Paediatric Nursing JF - Paediatric Nursing JA - PAEDIATR NURS VL - 20 IS - 1 PB - RCNi AB - The 2003 review of UK neonatal services led to wide-ranging changes including the centralisation of intensive care into level 3 units, the geographical organisation of neonatal care into 'networks', and the setting up of dedicated network transport teams. Despite these changes, neonatal transport continues to be problematic.Approaches to neonatal transportation are not yet standardised and this presents logistical problems for staff. Risks need to be considered and managed effectively to ensure safety for all involved. Although algorithms are in use for general stabilisation of the neonates, more guidance is required for effective stabilisation and management of infants with complex/surgical conditions. Staff involved in transport need to understand how neonatal physiology may be altered during transportation. They should also consider the legal implications of neonatal transport which are likely to remain unclear until the law is challenged in some way. SN - 0962-9513 AD - Department, Health, Wellbeing and the Family, Faculty of Health and Social Care, Canterbury Christ Church University; Debra.Teasdale@canterbury.ac.uk U2 - PMID: 18335900. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105881020&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103948591 T1 - Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams. AU - Barone, Giovanni AU - Corsello, Mirta AU - Papacci, Patrizia AU - Priolo, Francesca AU - Romagnoli, Costantino AU - Zecca, Enrico Y1 - 2014/05// N1 - Accession Number: 103948591. Language: English. Entry Date: 20140526. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed. NLM UID: 101510759. KW - Infant, Premature KW - Infant Warmers KW - Cribs KW - Health Transition KW - Body Weight KW - Intensive Care Units, Neonatal KW - Human KW - Pilot Studies KW - Body Temperature KW - Descriptive Statistics KW - Odds Ratio KW - Confidence Intervals KW - Length of Stay KW - Regression KW - Italy KW - Academic Medical Centers KW - Data Analysis Software KW - Chi Square Test KW - T-Tests KW - Wilcoxon Rank Sum Test KW - Fisher's Exact Test KW - Gestational Age KW - Male KW - Female SP - 1 EP - 11 JO - Italian Journal of Pediatrics JF - Italian Journal of Pediatrics JA - ITAL J PEDIATR VL - 40 IS - 1 PB - BioMed Central AB - Background Ability to maintain a normal body temperature in an open crib is an important physiologic competency generally requested to discharge preterm infants from the hospital. The aim of this study is to assess the feasibility of an early weaning protocol from incubator in preterm newborns in a Neonatal Intensive Care Unit. Methods 101 infants with birth weight < 1600 g were included in this feasibility study. We compared 80 newborns successfully transferred from an incubator to open crib at 1600 g with 21 infants transferred at weight ⩾ 1700 g. The primary outcome was to evaluate feasibility of the protocol and the reasons for the eventual delay. Secondary outcomes were the identification of factors that would increase the likelihood of early weaning, the impact of an earlier weaning on discharge timing, and the incidence of adverse outcomes. Newborns in the study period were then compared with an historical control group with similar characteristics. Results Early weaning was achieved in 79.2% of infants without significant adverse effects on temperature stability or weight gain. Delayed weaning was mainly due to the need of respiratory support. Gestational age affected the likelihood of early weaning (OR 1.7282 95% CI: 1.3071 - 2.2850). In the multivariate linear regression, early weaning reduced length of stay (LOS) by 25.8 days (p < 0.0001). Conclusions Preterm infants can be weaned successfully from an incubator to an open crib at weight as low as 1600 grams without significant adverse effect. Early weaning significantly reduces LOS in preterm newborns. SN - 1824-7288 AD - Division of Neonatology, Department of Pediatrics, Catholic University of the Sacred Heart, Rome, Italy DO - 10.1186/1824-7288-40-41 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103948591&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107856602 T1 - Piloting the Corporate Approach to Shift to Shift, RN to RN Bedside Transfer of Accountability in the Coronary Care Unit...Dynamics of Critical Care 2014, Quebec City, Quebec, September 21-23, 2014 AU - Meleca, Norine AU - Santiago, Cecilia AU - Ferrer-Pilarta, Norma AU - Little, Jacqueline AU - McFadyen, Miriam Y1 - 2014///Summer2014 N1 - Accession Number: 107856602. Language: English. Entry Date: 20140612. Revision Date: 20150712. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Evidence-Based Practice; Patient Safety; Quality Assurance. NLM UID: 100955578. KW - Coronary Care Nursing KW - Nursing Practice, Evidence-Based KW - Hand Off (Patient Safety) KW - Shift Reports KW - Patient Bedside KW - Coronary Care Units KW - Checklists KW - Evaluation Research KW - Questionnaires KW - Human KW - Surveys KW - Pretest-Posttest Design KW - Qualitative Studies KW - Inpatients KW - Cardiac Patients KW - Nursing Audit SP - 51 EP - 51 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 25 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107856602&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105500384 T1 - Mapping injuries in traffic accident victims: a literature review. AU - Calil AM AU - Sallum EA AU - Domingues CA AU - Nogueira LS Y1 - 2009/01//jan/fev2009 N1 - Accession Number: 105500384. Language: English. Entry Date: 20090515. Revision Date: 20150820. Publication Type: Journal Article; research; systematic review. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. Special Interest: Evidence-Based Practice. NLM UID: 9420934. KW - Accidents, Traffic -- Epidemiology KW - Severity of Injury KW - Trauma -- Epidemiology KW - Adult KW - Aged KW - Asians KW - Australia KW - Brazil KW - Child KW - Databases, Health KW - Descriptive Statistics KW - Emergency Patients KW - Europe KW - Female KW - Male KW - Medline KW - North America KW - Trauma Severity Indices KW - Human SP - 120 EP - 125 JO - Revista Latino-Americana de Enfermagem (RLAE) JF - Revista Latino-Americana de Enfermagem (RLAE) JA - REV LAT AM ENFERMAGEM VL - 17 IS - 1 PB - Escola de Enfermagem de Ribeirao Preto, Universidade de Sao Paulo AB - The objective of this study was to identify the body regions most affected in traffic accident victims and to map the trauma and severity of the lesions. A systematic literature review using key words related to traffic accidents, transportation accidents, wounds and injuries found a total of 248 articles. The electronic bases LILACS, MEDLINE, and PAHO were surveyed between the years 1990 and December 2006. This review emphasized a series of conclusive studies about the most frequent body regions involved and the major injuries occurring in these situations. It also indicated information gaps in the Brazilian literature. We believe that these findings are valuable for pre-hospital and intra-hospital teams and point the way to new investigations. SN - 1518-8345 U2 - PMID: 19377817. DO - 10.1590/S0104-11692009000100019 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105500384&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107856952 T1 - Designing a Critical Care Nurse-Led Rapid Response Team Using Only Available Resources: 6 Years Later. AU - Mitchell, Anne AU - Schatz, Marilyn AU - Francis, Heather Y1 - 2014/06// N1 - Accession Number: 107856952. Language: English. Entry Date: 20140612. Revision Date: 20150818. Publication Type: Journal Article; algorithm; CEU; exam questions; forms; review; statistics; tables/charts; teaching materials. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Patient Safety. NLM UID: 8207799. KW - Emergency Care KW - Heart Arrest -- Prevention and Control KW - Critical Care Nursing KW - Multidisciplinary Care Team KW - Patient Bedside KW - Education, Continuing (Credit) KW - Outcomes (Health Care) KW - Hospital Mortality KW - Clinical Research KW - Clinical Effectiveness KW - Professional Role KW - Perception KW - Inpatients KW - Physicians KW - Protocols KW - Health Status KW - Symptoms KW - Documentation KW - Resuscitation, Cardiopulmonary -- Statistics and Numerical Data KW - Transfer, Intrahospital KW - Heart Arrest -- Epidemiology KW - Hospital Programs KW - Treatment Outcomes SP - 41 EP - 56 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 34 IS - 3 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - Rapid response teams have been introduced to intervene in the care of patients whose condition deteriorates unexpectedly by bringing clinical experts quickly to the patient's bedside. Evidence supporting the need to overcome failure to deliver optimal care in hospitals is robust; whether rapid response teams demonstrate benefit by improving patient safety and reducing the occurrence of adverse events remains controversial. Despite inconsistent evidence regarding the effectiveness of rapid response teams, concerns regarding care and costly consequences of unaddressed deterioration in patients' condition have prompted many hospitals to implement rapid response teams as a patient safety strategy. A cost-neutral structure for a rapid response team led by a nurse from the intensive care unit was implemented with the goal of reducing cardiopulmonary arrests occurring outside the intensive care unit. The results of 6 years' experience indicate that a sustainable and effective rapid response team response can be put into practice without increasing costs or adding positions and can decrease the percentage of cardiopulmonary arrests occurring outside the intensive care unit. SN - 0279-5442 AD - Clinical Nurse Specialist, Emergency Department and Intensive Care Unit, Banner Baywood Medical Center, Mesa, Arizona. AD - Clinical Manager, Intensive Care Unit, Banner Baywood Medical Center. AD - Director, Nursing, Intensive Care Unit, Dialysis, Banner Baywood Medical Center. U2 - PMID: 24882828. DO - 10.4037/ccn2014412 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107856952&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105404310 T1 - Safe intrahospital transport of the non-ICU patient using standardized handoff communication. Y1 - 2009/03//2009 Mar N1 - Accession Number: 105404310. Language: English. Entry Date: 20090911. Revision Date: 20150711. Publication Type: Journal Article; tables/charts. Journal Subset: Health Promotion/Education; USA. Special Interest: Patient Safety. KW - Communication KW - Hand Off (Patient Safety) KW - Transfer, Intrahospital KW - Adverse Health Care Event -- Etiology KW - Health Care Errors -- Prevention and Control KW - Hospital Policies KW - Inpatients KW - Pennsylvania KW - Risk Management KW - Transfer, Intrahospital -- Standards SP - 16 EP - 19 JO - Pennsylvania Patient Safety Advisory JF - Pennsylvania Patient Safety Advisory JA - PENN PATIENT SAF ADVIS VL - 6 IS - 1 CY - Harrisburg, Pennsylvania PB - Pennsylvania Patient Safety Authority SN - 1941-7144 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105404310&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 113435609 T1 - Improving Patient Safety in the ICU by Prospective Identification of Missing Safety Barriers Using the Bow-Tie Prospective Risk Analysis Model. AU - Kerckhoffs, Monika C. AU - van der Sluijs, Alexander F. AU - Binnekade, Jan M. AU - Dongelmans, Dave A. Y1 - 2013/09//2013 Sep N1 - Accession Number: 113435609. Language: English. Entry Date: 20170321. Revision Date: 20170321. Publication Type: Article; research; tables/charts. Journal Subset: Health Services Administration; Peer Reviewed; USA. NLM UID: 101233393. KW - Patient Safety KW - Intensive Care Units KW - Risk Assessment KW - Multidisciplinary Care Team KW - Adverse Health Care Event -- Prevention and Control KW - Delirium -- Therapy KW - Prospective Studies SP - 154 EP - 159 JO - Journal of Patient Safety JF - Journal of Patient Safety JA - J PATIENT SAF VL - 9 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - To improve patient safety, potential critical events should be analyzed for the existence of preventive barriers. The aim of this study was to prospectively identify existing and missing barriers using the Bow-Tie model. We expected that the analysis of these barriers would lead to feasible recommendations to improve safety in daily patient care.Multidisciplinary teams of doctors and nurses on a 28 bed ICU conducted the study. The Bow-Tie analysis was performed on intrahospital transportation, unplanned extubation, and communication, which led to 9 critical events. For each event, potential threats and consequences were defined and placed in a Bow-Tie diagram. Then, barriers were determined, ways to prevent the threat or limit the consequences. The barriers were defined as existing or missing and analyzed for feasibility.Intrahospital transportation: this hazard led to 7 critical events, the Bow-Tie analysis to 52 missing but implementable barriers and 8 practical recommendations. For example, a pretransportation checklist.Unplanned extubation: this Bow-Tie analysis revealed 15 implementable missing barriers (of a total of 32) and led to 22 recommendations. One of them was optimizing treatment of delirium.Communication: this analysis showed 21 barriers, of which, 12 were missing but feasible to implement. These barriers led to7 recommendations such as the need to cosign after the handover of a patient.Prospective risk analysis using the Bow-Tie model proved usable to identify existing and missing barriers for potential critical events. Many missing barriers seemed feasible to implement and led to practical recommendations and improvements in patient safety. SN - 1549-8417 AD - From the ∗Department of Intensive Care Medicine, Academic Medical Centre, Amsterdam; †Currently working in the Department of Intensive Care Medicine, University Medical Center, Utrecht, The Netherlands. DO - 10.1097/PTS.0b013e318288a476 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113435609&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103915697 T1 - Review of Respiratory Management of Extremely Premature Neonates During Transport. AU - Maheshwari, Rajesh AU - Luig, Melissa Y1 - 2014/11//Nov/Dec2014 N1 - Accession Number: 103915697. Language: English. Entry Date: 20141113. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Pediatric Care. Instrumentation: Apgar Score. NLM UID: 9312325. KW - Infant, Premature KW - Respiration, Artificial -- In Infancy and Childhood KW - Respiration -- In Infancy and Childhood KW - Intensive Care, Neonatal KW - Transportation of Patients KW - Outcomes (Health Care) KW - Transfer, Discharge KW - Prospective Studies KW - Retrospective Design KW - Human KW - Blood Gas Monitoring, Transcutaneous KW - Carbon Dioxide -- Analysis KW - Treatment Outcomes KW - Survival Analysis KW - Gestational Age KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Record Review KW - Pregnancy Complications KW - Pregnancy KW - Female KW - Mothers KW - Birth Weight KW - Intermittent Positive Pressure Ventilation KW - Continuous Positive Airway Pressure KW - Pulmonary Surfactants -- Administration and Dosage KW - Adrenal Cortex Hormones -- Therapeutic Use KW - Intubation, Intratracheal KW - Hypercapnia KW - Hypocapnia KW - Hyperoxia KW - Sensitivity and Specificity KW - Confidence Intervals KW - Predictive Value of Tests KW - Apgar Score KW - Scales KW - Descriptive Statistics KW - Acidosis, Respiratory SP - 286 EP - 291 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 33 IS - 6 CY - New York, New York PB - Elsevier B.V. AB - Introduction: The objective was to evaluate the respiratory management of neonates of 23 to 26 weeks' gestation transported after birth outside a tertiary center. Another objective was to collect data regarding survival, intraventricular hemorrhage (IVH), and chronic lung disease. Methods: This was a retrospective study of transports from a statewide dedicated neonatal and pediatric transport service over a 3-year period. Data were collected from the local databases. Neonates with and without transcutaneous carbon dioxide (TcCO2) monitoring were compared. Outcomes were compared with the inborn group from the same period. Results: A total of 43 mechanically ventilated neonates were included. Significant hypocarbia and/or hypercarbia were seen in 49%. Flyperoxia was noted in 46.5%. Despite the moderate correlation between PCO2 and TcCO2 readings, no clinical benefit was seen with TcCO2 monitoring. Survival was 65.1%. Rates of IVH were 60% for any IVH and 27.5% for severe IVH. IVH was more common in the study cohort. Conclusions: Neonates born at 23 to 26 weeks' gestation outside tertiary centers have high rates of mortality and morbidity. The avoidance of hypocarbia, hypercarbia, and hyperoxia is challenging in the transport environment. Transcutaneous monitoring is an imperfect tool for following PCO2 levels. SN - 1067-991X AD - New South Wales Newborn and Paediatric Emergency Transport Service, Westmead, New South Wales, Australia U2 - PMID: 25441522. DO - 10.1016/j.amj.2014.08.005 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103915697&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107845395 T1 - High-fidelity Human Patient Simulators Compared with Human Actors in an Unannounced Mass-Casualty Exercise. AU - Schulz, Christian M AU - Skrzypczak, Matthias AU - Raith, Stefan AU - Hinzmann, Dominik AU - Krautheim, Veronika AU - Heuser, Fabian AU - Mayer, Valentin AU - Kreuzer, Christoph AU - Himsl, Meike AU - Holl, Michael AU - Lipp, Christina AU - Kochs, Eberhard F AU - Wagner, Klaus J Y1 - 2014/04//2014 Apr N1 - Accession Number: 107845395. Language: English. Entry Date: 20140711. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; Public Health; USA. Special Interest: Emergency Care. NLM UID: 8918173. KW - Abdominal Injuries -- Therapy KW - Brain Injuries -- Therapy KW - Emergency Medical Services -- Administration KW - Emergency Medicine -- Education KW - Mass Casualty Incidents KW - Patient Simulation KW - Wounds, Nonpenetrating -- Therapy KW - Disaster Planning KW - Transportation of Patients KW - Triage SP - 176 EP - 182 JO - Prehospital & Disaster Medicine JF - Prehospital & Disaster Medicine JA - PREHOSPITAL DISASTER MED VL - 29 IS - 2 PB - Cambridge University Press AB - High-fidelity simulators (HFSs) have been shown to prompt critical actions at a level equal to that of trained human actors (HAs) and increase perceived realism in intrahospital mass-casualty incident (MCI) exercises. For unannounced prehospital MCI exercises, however, no data are available about the feasibility of incorporating HFSs. This case report describes the integration of HFSs in such an unannounced prehospital MCI drill with HAs and provides data about the differences concerning triage, treatment, and transport of HFSs and HAs with identical injury patterns. For this purpose, 75 actors and four high-fidelity simulators were subdivided into nine groups defined by a specific injury pattern. Four HFSs and six HAs comprised a group suffering from traumatic brain injury and blunt abdominal trauma. Triage results, times for transport, and number of diagnostic and therapeutic tasks were recorded. Means were compared by t test or one-way ANOVA. Triage times and results did not differ between actors and simulators. The number of diagnostic (1.25, SD = 0.5 in simulators vs 3.5, SD = 1.05 in HAs; P = .010) and therapeutic tasks (2.0, SD = 1.6 in simulators vs 4.8, SD = 0.4 in HAs; P = .019) were significantly lower in simulators. Due to difficulties in treating and evacuating the casualties from the site of the accident in a timely manner, all simulators died. Possible causal factors and strategies are discussed, with the aim of increasing the utility of simulators in emergency medicine training. Schulz CM , Skrzypczak M , Raith S , Hinzmann D , Krautheim V , Heuser F , Mayer V , Kreuzer C , Himsl M , Holl M , Lipp C , Kochs EF , Wagner KJ . High-fidelity human patient simulators compared with human actors in an unannounced mass-casualty exercise. Prehosp Disaster Med. 2014;29(2):1-7 . SN - 1049-023X AD - 1 Department of Anesthesiology, Klinikum rechts der Isar, Technische Universität München, München, Germany. AD - 2 Clinic for Plastic Surgery and Hand Surgery, Klinikum rechts der Isar, Technische Universität München, München, Germany. U2 - PMID: 24650543. DO - 10.1017/S1049023X14000223 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107845395&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104453954 T1 - Critical Care in the Air: Aeromedical Transport...Dynamics of Critical Care 2012, Vancouver, British Columbia, September 23-25, 2012 Y1 - 2012///Summer2012 N1 - Accession Number: 104453954. Language: English. Entry Date: 20120803. Revision Date: 20150820. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 100955578. KW - Aeromedical Transport KW - Critical Care Nursing KW - Critically Ill Patients KW - Flight Nursing KW - Canada SP - 43 EP - 44 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 23 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104453954&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105149402 T1 - Intrahospital transport of children on extracorporeal membrane oxygenation: indications, process, interventions, and effectiveness. AU - Prodhan P AU - Fiser RT AU - Cenac S AU - Bhutta AT AU - Fontenot E AU - Moss M AU - Schexnayder S AU - Seib P AU - Chipman C AU - Weygandt L AU - Imamura M AU - Jaquiss RD AU - Dyamenahalli U AU - Prodhan, Parthak AU - Fiser, Richard T AU - Cenac, Sophia AU - Bhutta, Adnan T AU - Fontenot, Eudice AU - Moss, Michelle AU - Schexnayder, Stephen Y1 - 2010/03//2010 Mar N1 - Accession Number: 105149402. Language: English. Entry Date: 20100430. Revision Date: 20161116. Publication Type: journal article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. Grant Information: U10 HD050009-01/HD/NICHD NIH HHS/United States. NLM UID: 100954653. KW - Extracorporeal Membrane Oxygenation -- In Infancy and Childhood KW - Hospitals, Pediatric KW - Transportation of Patients -- Evaluation -- In Infancy and Childhood KW - Adolescence KW - Arkansas KW - Child KW - Child, Preschool KW - Critical Care -- Methods KW - Critically Ill Patients KW - Descriptive Statistics KW - Education, Continuing (Credit) KW - Fisher's Exact Test KW - Funding Source KW - Health Facility Administration KW - Heart Catheterization KW - Human KW - Infant KW - Infant, Newborn KW - Intensive Care Units, Pediatric KW - Patient Safety KW - Prospective Studies KW - Retrospective Design KW - T-Tests KW - Tomography, X-Ray Computed KW - Transportation of Patients -- Administration SP - 227 EP - 233 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 11 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objective: To evaluate indications, process, interventions, and effectiveness of patients undergoing intrahospital transport. Critically ill patients supported with extracorporeal membrane oxygenation are transported within the hospital to the radiology suite, cardiac catheterization suite, operating room, and from one intensive care unit to another. No studies to date have systematically evaluated intrahospital transport for patients on extracorporeal membrane oxygenation.Design: Retrospective cohort analysis.Setting: Cardiac intensive care unit in a tertiary care children's hospital.Patients: All patients on extracorporeal membrane oxygenation who required intrahospital transport between January 1996 and March 2007 were included and analyzed.Measurements and Main Results: A total of 57 intrahospital transports for cardiac catheterization and head computed tomography scans were analyzed. In 14 (70%) of 20 of patients with cardiac catheterization, a management change occurred as a result of the diagnostic cardiac catheterization. In ten (59%) of 17 patients, bedside echocardiography was of limited value in defining the critical problem. In the interventional group, the majority of transports were for atrial septostomy. In the head computed tomography group, significant pathology was identified, which led to management change. No major complications occurred during these intrahospital transports.Conclusions: Although transporting patients on extracorporeal membrane oxygenation is labor intensive and requires extensive logistic support, it can be carried out safely in experienced hands and it can result in important therapeutic and diagnostic yields. To our knowledge, this is the first study designed to evaluate safety and efficacy of intrahospital transport for patients receiving extracorporeal membrane oxygenation support. SN - 1529-7535 AD - Arkansas Children's Hospital, Little Rock, AR, USA U2 - PMID: 19593245. DO - 10.1097/PCC.0b013e3181b063b2 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105149402&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 112298273 T1 - A STRATEGY TO ENHANCE THE TRANSITIONAL CARE FOR COMMUNICATION FROM THE ICU. AU - Heesung Park Y1 - 2015/01// N1 - Accession Number: 112298273. Language: English. Entry Date: 20160302. Revision Date: 20160302. Publication Type: Article; abstract. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. KW - Critically Ill Patients KW - Continuity of Patient Care KW - Critical Care Nursing KW - Communication KW - Transfer, Intrahospital KW - Patient Centered Care KW - Nursing Interventions KW - Organizational Change KW - Program Implementation KW - Program Evaluation KW - Professional-Family Relations KW - Teamwork SP - 139 EP - 139 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 9 IS - 4 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 AD - Samsung Medical Center, Republic of Korea UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112298273&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 110468910 T1 - Identify Sufficient Supplemental Oxygen for Patient Intrahospital Transport. AU - Gardner, Lea Anne Y1 - 2015/09// N1 - Accession Number: 110468910. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Health Promotion/Education; USA. KW - Oxygen KW - Transportation of Patients KW - Health Care Errors KW - Patient Safety KW - Intensive Care Units SP - 121 EP - 122 JO - Pennsylvania Patient Safety Advisory JF - Pennsylvania Patient Safety Advisory JA - PENN PATIENT SAF ADVIS VL - 12 IS - 3 CY - Harrisburg, Pennsylvania PB - Pennsylvania Patient Safety Authority SN - 1941-7144 AD - Senior Patient Safety Analyst, Pennsylvania Patient Safety Authority UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110468910&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107956123 T1 - Perceived Patient Safety Culture in a Critical Care Transport Program. AU - Erler, Cheryl AU - Edwards, Nancy E. AU - Ritchey, Steve AU - Pesut, Daniel J. AU - Sands, Laura AU - Jingwei Wu Y1 - 2013/07//Jul/Aug2013 N1 - Accession Number: 107956123. Language: English. Entry Date: 20130708. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Patient Safety. Instrumentation: Hospital Survey on Patient Safety Culture (HSOPSC). NLM UID: 9312325. KW - Transportation of Patients KW - Patient Safety KW - Organizational Culture KW - Risk Management KW - Multidisciplinary Care Team KW - Attitude of Health Personnel KW - Critical Care KW - Cross Sectional Studies KW - Descriptive Research KW - Correlational Studies KW - Surveys KW - Midwestern United States KW - P-Value KW - Convenience Sample KW - Data Analysis Software KW - Questionnaires KW - Summated Rating Scaling KW - Scales KW - Critical Care Nursing KW - Emergency Medical Technicians KW - Respiratory Therapists KW - Teamwork KW - Communication KW - Interprofessional Relations KW - Intensive Care Units KW - Incident Reports KW - Correlation Coefficient KW - Coefficient Alpha KW - Human KW - Descriptive Statistics SP - 208 EP - 215 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 32 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - Background: The purpose of this study was to examine the association among selected safety culture dimensions and safety outcomes in the context of a critical care transport (CCT) program. Methods: A descriptive cross-sectional correlational design used the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture to validate perceived safety culture among personnel (n = 76) in a large Midwestern CCT program. Results: Findings revealed significant associations between 1) teamwork and frequency of error reporting (r = .428, P < .001), overall perception of safety (r = .745, P < .001), and perceived patient safety grade (r = -.681, P < .001); 2) between perception of manager actions promoting safety and frequency of error reporting (r = .521, P < .001), overall perception of safety (r = .779, P < .001 ), and perceived patient safety grade (r = -.756, P < .001 ); and 3) between communication openness and frequency of error reporting (r = .575, P < .001), overall perception of safety (r = .588, P < .001 ), and perceived patient safety grade (r = -.627, P < .001 ). Conclusion: The study supports other literature showing significant associations among safety culture dimensions and safety outcomes and provides a framework for future research on safety culture in CCT programs. SN - 1067-991X AD - School of Nursing, Indiana University, Indianapolis, IN, USA AD - School of Nursing, Purdue University, West Lafayette, IN, USA AD - LifeLine Critical Care Transport, Indiana University Health, Terre Haute, IN, USA AD - School of Nursing, University of Minnesota, Minneapolis, MN, USA AD - School of Medicine, Indiana University, Indianapolis, IN, USA U2 - PMID: 23816215. DO - 10.1016/j.amj.2012.11.002 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107956123&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107956120 T1 - 2013 Critical Care Transport Medicine Conference Scientific Forum. Y1 - 2013/07//Jul/Aug2013 N1 - Accession Number: 107956120. Language: English. Entry Date: 20130708. Revision Date: 20150712. Publication Type: Journal Article; abstract; proceedings. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Prehospital Care KW - Critical Care KW - Congresses and Conferences KW - Texas KW - Aeromedical Transport -- Organizations SP - 194 EP - 199 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 32 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107956120&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103867415 T1 - 23rd Critical Care Transport Medicine Conference Preview. AU - Newman, Monica AU - Petersen, Pat AU - Good, Nikole Y1 - 2015/01//Jan/Feb2015 N1 - Accession Number: 103867415. Language: English. Entry Date: 20150102. Revision Date: 20150710. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 9312325. KW - Critical Care KW - Transportation of Patients -- Organizations KW - Congresses and Conferences KW - North Carolina SP - 26 EP - 28 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 34 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X U2 - PMID: 25542723. DO - 10.1016/j.amj.2014.10.010 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103867415&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106666725 T1 - Use of a specialized transport team for intrahospital transport of critically ill patients. AU - McLenon M Y1 - 2004/09//Sep/Oct2004 N1 - Accession Number: 106666725. Language: English. Entry Date: 20041126. Revision Date: 20150819. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8211489. KW - Critically Ill Patients KW - Transfer, Intrahospital KW - Adverse Health Care Event KW - Critical Care -- Equipment and Supplies KW - Multidisciplinary Care Team KW - Transfer, Intrahospital -- Methods SP - 225 EP - 229 JO - Dimensions of Critical Care Nursing JF - Dimensions of Critical Care Nursing JA - DCCN VL - 23 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - The transport of critically ill patients is challenging for nurses and patients alike. It is imperative that patient safety be the primary focus. The use of a specialized transport team can help to alleviate many of the adverse effects of the transport. SN - 0730-4625 AD - Acute Care Nurse Practitioner, Surgical Critical Care, Washington Hospital Center, Washington, DC; macmel@cablespeed.com U2 - PMID: 15722846. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106666725&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106140549 T1 - Leaving critical care: facilitating a smooth transition. AU - Boutilier S Y1 - 2007/07//Jul/Aug2007 N1 - Accession Number: 106140549. Language: English. Entry Date: 20070824. Revision Date: 20150819. Publication Type: Journal Article; CEU; exam questions. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8211489. KW - Communication KW - Critical Care KW - Interdepartmental Relations KW - Patient Safety KW - Progressive Patient Care KW - Sentinel Event -- Prevention and Control KW - Transfer, Intrahospital KW - Education, Continuing (Credit) KW - Nurse Liaison KW - Vignettes SP - 137 EP - 142 JO - Dimensions of Critical Care Nursing JF - Dimensions of Critical Care Nursing JA - DCCN VL - 26 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Patient transfers from one area to another occur frequently within the inpatient healthcare environment. During transfers, nurses pass on information about patients to one another in a variety of ways. This article discusses the types of patient transfers, the problems that can occur throughout the transfer process, and strategies to decrease the identified problems. The perspectives of both the nursing staff and patients/families illustrate concerns related to patient transfers. The most important aspect of the patient transfer is systematically communicating necessary information to the receiving nurse in such a way that patient safety is not compromised and continuity of care is enhanced. SN - 0730-4625 U2 - PMID: 17577082. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106140549&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104169411 T1 - Sustaining A Coordinated, Regional Approach To Trauma And Emergency Care Is Critical To Patient Health Care Needs. AU - Eastman, A. Brent AU - MacKenzie, Ellen J. AU - Nathens, Avery B. Y1 - 2013/12// N1 - Accession Number: 104169411. Language: English. Entry Date: 20131206. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Health Services Administration; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 8303128. KW - Geographic Factors KW - Trauma Centers KW - Continuity of Patient Care KW - Health Services Accessibility KW - Health Care Delivery, Integrated KW - Transportation of Patients KW - Rehabilitation Centers KW - Transfer, Discharge KW - Reaction Time KW - Patient Protection and Affordable Care Act KW - Financing, Government KW - Accountability KW - Cost Control SP - 2091 EP - 2098 JO - Health Affairs JF - Health Affairs JA - HEALTH AFF VL - 32 IS - 12 CY - Bethesda, Maryland PB - Project HOPE/HEALTH AFFAIRS AB - Trauma systems provide an organized approach to the care of injured patients within a defined geographic region.When fully operational, the systems ensure a continuum of care involving public access through 911 calls, emergency medical services, timely triage and transport to acute care, and transfer to rehabilitation services. Substantial progress has been made in establishing statewide trauma systems, which are seen as the prototype for regionalized care for other time-sensitive, emergency conditions such as stroke. Trauma systems provide a model of care that is consistent with the goals of the Affordable Care Act, which authorizes $100 million in annual grants to ensure the continued availability of trauma services. Full funding of these provisions is needed to stabilize statewide systems that are struggling to survive. We describe the components of a regionalized trauma system, review the evidence in support of this approach, and discuss the challenges to sustaining systems that are accountable and affordable. SN - 0278-2715 AD - Immediate Past President, American College of Surgeons (2012-13) AD - Fred & Julie Soper Professor & Chair, Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD AD - Surgeon in Chief, Sunnybrook Health Sciences Centre, Toronto, Ontario; Professor of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario U2 - PMID: 24301391. DO - 10.1377/hlthaff.2013.0716 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104169411&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105610558 T1 - Assessing ICU transfers at night: a call to reduce mortality and readmission risk. AU - Morris PE Y1 - 2009/01// N1 - Accession Number: 105610558. Language: English. Entry Date: 20090227. Revision Date: 20150819. Publication Type: Journal Article; editorial. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 9211547. KW - Hospital Mortality -- Prevention and Control KW - Readmission KW - Time Factors KW - Transfer, Intrahospital KW - Hospital Units KW - Intensive Care Units SP - 6 EP - 8 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 18 IS - 1 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 1062-3264 U2 - PMID: 19116393. DO - 10.4037/ajcc2009944 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105610558&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104110234 T1 - Utilizing Electronic Health Record Data to Determine the Health of the Medication Process after the Relocation of a Children's Hospital. AU - Scharnweber, Corinna AU - Mollenkopf, Nicole L. AU - Fackler, James AU - Dover, George J. AU - Lehmann, Christoph U. Y1 - 2013/10// N1 - Accession Number: 104110234. Language: English. Entry Date: 20140213. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Computer/Information Science; Continental Europe; Editorial Board Reviewed; Europe; Peer Reviewed. Special Interest: Informatics; Pediatric Care. NLM UID: 9214582. KW - Electronic Health Records -- Utilization KW - Relocation KW - Hospitals, Pediatric -- Administration KW - Electronic Order Entry KW - Medication Systems KW - Human KW - Child KW - Intensive Care Units KW - Decision Making, Organizational KW - Data Analysis Software KW - Decision Support Systems, Clinical KW - Prescriptions, Drug SP - 210 EP - 214 JO - Studies in Health Technology & Informatics JF - Studies in Health Technology & Informatics JA - STUD HEALTH TECHNOL INFORM VL - 192 PB - IOS Press SN - 0926-9630 AD - Peter L. Reichertz Institute for Medical Informatics University of Braunschweig - Institute of Technology and Hannover Medical School, Braunschweig, Germany AD - Department of Pharmacy, Pediatric Division, Johns Hopkins Hospital, Baltimore, MD, USA AD - Department of Pediatrics, Johns Hopkins University, Baltimore, MD, USA AD - Departments of Pediatrics & Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN, USA U2 - PMID: 23920546. DO - 10.3233/978-1-61499-289-9-210 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104110234&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116691671 T1 - Abstract 5: Ground Transport: Critical Care Standards by Program Types. AU - Edwards, Kelly AU - Collopy, Kevin AU - Smith, Robert Y1 - 2016/07//Jul/Aug2016 N1 - Accession Number: 116691671. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Critical Care -- Standards KW - Transportation SP - 205 EP - 206 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - The International Association of Flight and Critical Care Paramedics DO - 10.1016/j.amj.2016.04.021 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116691671&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104643403 T1 - Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nursing Surveillance, Utilization of a MET, and Practice Implications. AU - Ott, Lora K. AU - Hoffman, Leslie A. AU - Hravnak, Marilyn Y1 - 2011/06// N1 - Accession Number: 104643403. Language: English. Entry Date: 20110726. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Patient Safety. NLM UID: 101189931. KW - Transportation of Patients KW - Radiological Nursing KW - Patient Safety KW - Adverse Health Care Event -- Risk Factors KW - Emergency Care KW - Emergency Service KW - Nursing Assessment KW - Critically Ill Patients KW - Patient Classification KW - Tomography, X-Ray Computed KW - Radiography, Interventional KW - Multidisciplinary Care Team KW - Communication KW - Hand Off (Patient Safety) KW - Practice Guidelines KW - Health Status KW - Monitoring, Physiologic KW - Inpatients KW - Documentation KW - Equipment Safety SP - 49 EP - 54 JO - Journal of Radiology Nursing JF - Journal of Radiology Nursing JA - J RADIOL NURS VL - 30 IS - 2 CY - New York, New York PB - Elsevier B.V. AB - Abstract: Nurses providing care in the radiology department (RD) are challenged by the broad scope of conditions and varied acuity of patients served by this unit. Nurses must facilitate the required diagnostic testing and simultaneously provide the surveillance necessary to detect physiologic changes signaling the need for rescue interventions. When instability occurs, one method of rescue involves activation of a medical emergency team (MET) to bring an experienced cadre of critical care providers to the unstable patient. Despite recognition that the RD can be a high-risk area, there is little in the literature specific to the surveillance of RD patients, risk for and prevention of adverse events, MET activation or the management of patient instability specific to the RD. The purpose of this article is to examine what is known regarding risk for adverse events during intrahospital transport, utilization of a MET as a rescue intervention, and practice implications. SN - 1546-0843 DO - 10.1016/j.jradnu.2011.02.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104643403&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107935555 T1 - Active Versus Passive Cooling During Neonatal Transport. AU - Chaudhary, Rajiv AU - Farrer, Kate AU - Broster, Susan AU - McRitchie, Louise AU - Austin, Topun Y1 - 2013/11// N1 - Accession Number: 107935555. Language: English. Entry Date: 20131105. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 0376422. KW - Hypothermia, Induced -- Methods -- In Infancy and Childhood KW - Transportation of Patients KW - Hypoxia-Ischemia, Brain, Neonatal -- Therapy KW - Intensive Care Units, Neonatal KW - Human KW - Retrospective Design KW - Infant, Newborn KW - Mann-Whitney U Test KW - T-Tests KW - Data Analysis Software KW - Male KW - Female SP - 841 EP - 846 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 132 IS - 5 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - BACKGROUND AND OBJECTIVE: Therapeutic hypothermia is now the standard of care for hypoxic-ischemic encephalopathy. Treatment should be started early, and it is often necessary to transfer the infant to a regional NICU for ongoing care. There are no large studies reporting outcomes from infants cooled passively compared with active (servo-controlled) cooling during transfer. Our goal was to review data from a regional transport service, comparing both methods of cooling. METHODS: This was a retrospective observational study of 143 infants referred to a regional NICU for ongoing therapeutic hypothermia. Of the 134 infants transferred, the first 64 were cooled passively, and 70 were subsequently cooled after purchase of a servo-controlled mattress. Key outcome measures were time to arrival at the regional unit, temperature at referral and arrival at the regional unit, and temperature stability during transfer. RESULTS: The age cooling was started was significantly shorter in the actively cooled group (46 [0-352] minutes vs 120 [0-502] minutes; P <.01). The median (range) stabilization time (153 [60-385] minutes vs 133 [45-505] minutes; P= .04) and age at arrival at the regional unit (504 [191-924] minutes vs 452 [225-1265]) minutes; P = .01) were significantly shorter in the actively cooled group. Only 39% of infants passively cooled were within the target temperature range at arrival to the regional unit compared with 100% actively cooled. CONCLUSIONS: Servo-controlled active cooling has been shown to improve temperature stability and is associated with a reduction in transfer time. SN - 0031-4005 AD - Acute Neonatal Transfer Service for the East of England AD - Neonatal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom U2 - PMID: 24144712. DO - 10.1542/peds.2013-1686 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107935555&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104220385 T1 - Outcomes of Different Health Care Contexts for Direct Transport to a Trauma Center versus Initial Secondary Center Care: A Systematic Review and Meta-analysis. AU - Williams, Teresa AU - Finn, Judith AU - Fatovich, Daniel AU - Jacobs, Ian Y1 - 2013/10//Oct-Dec2013 N1 - Accession Number: 104220385. Language: English. Entry Date: 20130904. Revision Date: 20150820. Publication Type: Journal Article; meta analysis; research; systematic review. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care; Evidence-Based Practice. NLM UID: 9703530. KW - Trauma Centers -- Evaluation KW - Patient Care KW - Transportation of Patients -- Evaluation KW - Prehospital Care KW - Human KW - Meta Analysis KW - Databases KW - Medline KW - Embase KW - CINAHL Database KW - Odds Ratio KW - Trauma Centers -- Classification KW - Intensive Care Units KW - Data Collection KW - Data Analysis KW - Glasgow Coma Scale -- Evaluation SP - 442 EP - 457 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 17 IS - 4 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Introduction. Within a trauma system, pre-hospital care is the first step in managing the trauma patient. Timely and appropriate transport of the injured patient to the most appropriate facility is important. Many trauma systems mandate that serious trauma cases are transported directly to a level I trauma center unless transfer to a closer hospital is deemed necessary to resuscitate and stabilize the patient prior to onward transfer to definitive care. Statistical and clinical heterogeneity is often high and is likely to be influenced by the heath care context. Methods. We conducted a systematic review and meta-analysis to compare patient outcomes for patients with serious trauma transported directly to a Level I/II trauma center ('direct' group) to those transported to a healthcare facility before transfer to the Level I/ II trauma center ('transfer' group). A search of bibliographic databases and secondary sources that focus on trauma was made. Studies were grouped by region: United States of America, Canada, Europe, Asia, Australia and New Zealand and South Africa. Results. The review included 43,554 patients from the 30 studies that met the selection criteria. Heterogeneity of the studies was high (I2 71%) overall but low for European, Asian, and Australian and New Zealand studies. There was considerable variation between studies in the structure, policies and practices of the respective trauma systems. The effect of 'directness' on patient outcomes was inconsistent. Conclusion. The current research evidence does not support nor refute a position that all serious trauma patients be routinely transported directly to a level I/II trauma center. As this is a complex issue, local health-care context and injury profile influence trauma policy and practice. Key words: trauma; trauma center; emergency medical services; transport SN - 1090-3127 AD - From the School of Primary, Aboriginal and Rural Health Care (SPARHC), the University of Western Australia and St John Ambulance (WA), Faculty of Health Sciences, Curtin University AD - Emergency Medicine, Royal Perth Hospital, University of Western Australia, and the Centre for Clinical Research in Emergency Medicine, Western Australian Institute for Medical Research AD - St John Ambulance (WA), and the Faculty of Health Sciences, Curtin University U2 - PMID: 23845080. DO - 10.3109/10903127.2013.804137 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104220385&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107962024 T1 - Pediatric and Neonatal Interfacility Transport: Results From a National Consensus Conference. AU - Stroud, Michael H. AU - Trautman, Michael S. AU - Meyer, Keith AU - Moss, M. Michele AU - Schwartz, Hamilton P. AU - Bigham, Michael T. AU - Tsarouhas, Nicholas AU - Douglas, Webra Price AU - Romito, Janice AU - Hauft, Sherrie AU - Meyer, Michael T. AU - Insoft, Robert Y1 - 2013/08// N1 - Accession Number: 107962024. Language: English. Entry Date: 20130806. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 0376422. KW - Transfer, Discharge KW - Transportation of Patients KW - Intensive Care Units, Pediatric KW - Intensive Care Units, Neonatal KW - Physician Executives KW - American Academy of Pediatrics KW - Physician's Role KW - Quality Improvement KW - Accreditation KW - Multidisciplinary Care Team KW - Benchmarking KW - Clinical Research KW - Professional Development SP - 359 EP - 366 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 132 IS - 2 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - The practice of pediatric/neonatal interfacility transport continues to expand. Transport teams have evolved into mobile ICUs capable of delivering state-of-the-art critical care during pediatric and neonatal transport. The most recent document regarding the practice of pediatric/neonatal transport is more than a decade old. The following article details changes in the practice of interfacility transport over the past decade and expresses the consensus views of leaders in the field of transport medicine, including the American Academy of Pediatrics' Section on Transport Medicine. Pediatrics 2013;132:359-366 SN - 0031-4005 AD - Department of Pediatrics, Section of Critical Care Medicine, University of Arkansas for Medical Sciences AD - Department of Pediatrics, Section of Neonatal-Perinatal Medicine, Indian University School of Medicine; Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine AD - Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine; Department of Pediatrics, Miami Children's Hospital AD - Department of Pediatrics, Section of Critical Care Medicine, University of Arkansas for Medical Sciences; Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine AD - Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine; Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio AD - Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine; Department of Pediatrics, Section of Critical Care Medicine, Akron Children's Hospital, Akron, Ohio AD - Department of Pediatrics, Section of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania AD - Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine; Maryland Regional Neonatal Transport Program, Baltimore, Maryland AD - Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine AD - Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine; Department of Pediatrics, Washington University School of Medicine AD - Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine; Department of Pediatrics, Section of Critical Care Medicine, Medical College of Wisconsin AD - Executive Committee Member, American Academy of Pediatrics, Section on Transport Medicine; Department of Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School U2 - PMID: 23821698. DO - 10.1542/peds.2013-0529 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107962024&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104183503 T1 - THE ART OF SUPPORTING FAMILIES FACED WITH NEONATAL TRANSPORT. AU - Mosher, Sara L. Y1 - 2013/06//Jun/Jul2013 N1 - Accession Number: 104183503. Language: English. Entry Date: 20130619. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Obstetric Care; Pediatric Care; Women's Health. NLM UID: 101304602. KW - Intensive Care Units, Neonatal KW - Support, Psychosocial KW - Transportation of Patients KW - Family Centered Care KW - World Wide Web KW - Information Resources KW - Multidisciplinary Care Team KW - Parent-Infant Relations KW - Communication KW - Multiple Offspring SP - 198 EP - 209 JO - Nursing for Women's Health JF - Nursing for Women's Health JA - NURS WOMENS HEALTH VL - 17 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 1751-4851 U2 - PMID: 23773192. DO - 10.1111/1751-486X.12033 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104183503&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104089330 T1 - Transport Risk Index of Physiologic Stability, Version II (TRIPS-II): A Simple and Practical Neonatal Illness Severity Score. AU - Shoo K. Lee AU - Aziz, Khalid AU - Dunn, Michael AU - Clarke, Maxine AU - Kovacs, Lajos AU - Ojah, Cecil AU - Xiang Y. Ye Y1 - 2013/05// N1 - Accession Number: 104089330. Language: English. Entry Date: 20140619. Revision Date: 20150710. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Obstetric Care; Pediatric Care. Instrumentation: Transport Risk Index of Physiologic Stability, Version II (TRIPS-II). Grant Information: This study was supported by Grant MOP-53115 from the Canadian Institutes of Health Research. Additional funding was provided by the B.C. Children’s Hospital Foundation; Calgary Regional Health Authority; Dalhousie University Neonatal-Perinatal Medicine Research Fund; Division of Neonatology, Children’s Hospital of Eastern Ontario; Child Health Program, Health Care Corporation of Saint John’s; The Neonatology Program, Hospital for Sick Children;Lawson Research Institute; Mount Sinai Hospital; Ontario Ministry of Health and Long-Term Care; Saint BonifaceHospital, Saint Joseph’s Health Centre; Sunnybrook Health Sciences Centre; University of Saskatchewan Neonatal Research Fund; University of Western Ontario; Victoria General Hospital; Winnipeg Health Sciences Centre.. NLM UID: 8405212. KW - Severity of Illness -- Statistics and Numerical Data -- In Infancy and Childhood KW - Clinical Assessment Tools KW - Human KW - Prospective Studies KW - Intensive Care Units, Neonatal KW - Instrument Construction KW - Instrument Validation KW - Outcome Assessment KW - Predictive Value of Tests KW - ROC Curve KW - Goodness of Fit Chi Square Test KW - Monitoring, Physiologic KW - Infant KW - Male KW - Female KW - Confidence Intervals KW - Funding Source KW - Infant, Newborn SP - 395 EP - 400 JO - American Journal of Perinatology JF - American Journal of Perinatology JA - AM J PERINATOL VL - 30 IS - 5 CY - New York, New York PB - Thieme Medical Publishing Inc. SN - 0735-1631 AD - Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada; Maternal-Infant Care Research Centre, Mount Sinai Hospital, Toronto, Ontario, Canada AD - Department of Pediatrics, University of Alberta, Edmonton, Alberta AD - Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada AD - Department of Pediatrics, Queen¿s University, Kingston, Ontario, Canada AD - Department of Pediatrics, McGill University, Montreal, Quebec AD - Department of Pediatrics, Saint John Regional Hospital, Saint John, New Brunswick, Canada AD - Maternal-Infant Care Research Centre, Mount Sinai Hospital, Toronto, Ontario, Canada U2 - PMID: 23023554. DO - 10.1055/s-0032-1326983 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104089330&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104212721 T1 - The effect of failure mode and effect analysis on reducing percutaneous coronary intervention hospital door-to-balloon time and mortality in ST segment elevation myocardial infarction. AU - Feng-Yu Kuo AU - Wei-Chun Huang AU - Kuan-Rau Chiou AU - Guang-Yuan Mar AU - Chin-Chang Cheng AU - Chen-Chi Chung AU - Han-Lin Tsai AU - Chen-Hung Jiang AU - Shue-Ren Wann AU - Shoa-Lin Lin AU - Chun-Peng Liu Y1 - 2013/08// N1 - Accession Number: 104212721. Language: English. Entry Date: 20130826. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Europe; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; UK & Ireland. Special Interest: Patient Safety; Quality Assurance. Grant Information: Kaohsiung Veterans General Hospital, Grant No. VGHKS 97– 004.. NLM UID: 101546984. KW - Time Factors KW - Quality Improvement KW - Myocardial Infarction -- Surgery -- China KW - Angioplasty, Balloon -- Utilization KW - Treatment Outcomes KW - Human KW - Funding Source KW - China KW - Prospective Studies -- China KW - Process Assessment (Health Care) -- Methods KW - Interdepartmental Relations KW - Interinstitutional Relations KW - Survival Analysis KW - Transfer, Discharge KW - Recurrence -- Prevention and Control KW - Cox Proportional Hazards Model KW - Risk Assessment -- Methods KW - Descriptive Statistics KW - Chi Square Test KW - Kruskal-Wallis Test KW - Confidence Intervals KW - Guideline Adherence KW - Mortality -- Prevention and Control KW - ST Segment -- Utilization SP - 626 EP - 638 JO - BMJ Quality & Safety JF - BMJ Quality & Safety JA - BMJ QUAL SAF VL - 22 IS - 8 PB - BMJ Publishing Group AB - Background Door-to-balloon (D2B) time is an important factor in the outcome of ST segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention. We aimed to use failure mode and effect analysis to reduce the D2B time for patients with STEMI and to improve clinical outcomes. Methods There were three stages in this study. In Stage 0, data collected from 2005-2006 was used to identify failures in the process, and during Stage 2 (2007) and Stage 3 (2008) the efficacy of intrahospital and interhospital strategies to reduce the D2B time were evaluated. This study enrolled 385 patients; 86 from 2005-2006; 80 in 2007; and 219 in 2008. Results By making improvements in these steps, the median D2B time was reduced from 146 min to 32 min for all patients. The proportion of patients with a D2B time of <90 min significantly increased from Stage 0 to Stage 1 and from Stage 1 to Stage 2, for all patients as well as for the non-transferred and transferred subgroups of patients (all p values <0.0001). For non-transferred patients, only reinfarction-free survival showed significant difference among the three stages (p=0.0225), and for transferred patients, only overall survival showed significant difference among the three stages (p=0.0322). Cox's proportional hazards regression analysis showed Stage 2 was associated with a lower risk of reinfarction and mortality compared with Stage 0. Conclusions This study found that failure mode and effect analysis is a powerful method for identifying weaknesses in D2B processes and evaluating strategies to reduce the D2B time. SN - 2044-5415 AD - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, Republic of China AD - Cardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, Republic of China; School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China AD - Department of Emergency, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, Republic of China U2 - PMID: 23457371. DO - 10.1136/bmjqs-2012-001288 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104212721&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104231758 T1 - Neonatal Ultrasound in Transport. AU - Carmo, Kathryn Browning AU - Evans, Nick AU - Kluckow, Martin AU - Berry, Andrew Y1 - 2013/02// N1 - Accession Number: 104231758. Language: English. Entry Date: 20130924. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Middle East; Peer Reviewed. Special Interest: Critical Care; Nutrition; Pediatric Care. NLM UID: 101240290. KW - Ultrasonography -- Utilization KW - Critically Ill Patients -- In Infancy and Childhood KW - Intensive Care Units, Neonatal KW - Infant, Newborn KW - Human KW - Monitoring, Physiologic -- Methods KW - Counseling SP - 84 EP - 89 JO - Current Pediatric Reviews JF - Current Pediatric Reviews JA - CURR PEDIATR REV VL - 9 IS - 1 PB - Bentham Science Publishers Ltd. SN - 1573-3963 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104231758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - ID - 118540605 T1 - Simulation-Based Training for Pulmonary and Critical Care Fellows in Urgent Endotracheal Intubation: Does Skill Transfer to the Clinical Arena? AU - Shah, Ronak AU - Makaryus, Mina AU - Feldman, Matthew AU - Mayo-Malasky, Perry AU - Narasimhan, Mangala AU - Mayo, Paul AU - Singas, Effie Y1 - 2016/10/02/Oct2016 Supplement N1 - Accession Number: 118540605. Language: English. Entry Date: In Process. Revision Date: 20170719. Publication Type: Abstract. Supplement Title: Oct2016 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0231335. SP - 636A EP - 636A JO - CHEST JF - CHEST JA - CHEST VL - 150 CY - Glenview, Illinois PB - American College of Chest Physicians SN - 0012-3692 AD - Northwell/North Shore & LIJ, New York, NY DO - 10.1016/j.chest.2016.08.728 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118540605&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107916889 T1 - Implementation of a structured information transfer checklist improves postoperative data transfer after congenital cardiac surgery. AU - Karakaya, Arif AU - Moerman, Annelies T AU - Peperstraete, Harlinde AU - François, Katrien AU - Wouters, Patrick F AU - de Hert, Stefan G Y1 - 2013/12//2013 Dec N1 - Accession Number: 107916889. Language: English. Entry Date: 20140704. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 8411711. KW - Heart Surgery -- Methods KW - Checklists KW - Heart Defects, Congenital -- Surgery KW - Treatment Errors -- Prevention and Control KW - Adolescence KW - Child KW - Child, Preschool KW - Continuity of Patient Care -- Standards KW - Female KW - Health Facility Departments KW - Academic Medical Centers KW - Human KW - Infant KW - Infant, Newborn KW - Intensive Care Units, Pediatric KW - Male KW - Transfer, Discharge -- Methods KW - Postoperative Period KW - Prospective Studies KW - Time Factors SP - 764 EP - 769 JO - European Journal of Anaesthesiology (Lippincott Williams & Wilkins) JF - European Journal of Anaesthesiology (Lippincott Williams & Wilkins) JA - EUR J ANAESTHESIOL (LIPPINCOTT WILLIAMS WILKINS) VL - 30 IS - 12 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0265-0215 AD - From the Department of Anaesthesiology (AKA, ATM, PEW, SGDH), Department of Intensive Care (HP), Department of Cardiac Surgery (KF), Ghent University Hospital, Gent, Belgium. U2 - PMID: 23736091. DO - 10.1097/EJA.0b013e328361d3bb UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107916889&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104282550 T1 - Innovation the EOC Way The Appointment of a Transfer Link Nurse: Is it the Answer to a Busy PACU's Prayers? AU - Inch, Jessica AU - Tyne, Suzanne Y1 - 2013/05// N1 - Accession Number: 104282550. Language: English. Entry Date: 20130501. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Europe; Nursing; UK & Ireland. Special Interest: Perioperative Care. NLM UID: 101211694. KW - Perianesthesia Nursing KW - Nursing Role KW - Transfer, Intrahospital KW - Post Anesthesia Care Units KW - Orthopedic Surgery KW - Surgery, Elective KW - Continuity of Patient Care KW - Hand Off (Patient Safety) KW - Checklists -- Utilization KW - Inpatients SP - 26 EP - 29 JO - British Journal of Anaesthetic & Recovery Nursing JF - British Journal of Anaesthetic & Recovery Nursing JA - BR J ANAESTH RECOV NURS VL - 14 IS - 1/2 PB - Cambridge University Press SN - 1742-6456 AD - The Elective Orthopaedic Centre, Epson General Hospital, Epsom, Surrey, UK DO - 10.1017/S1742645613000077 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104282550&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108004333 T1 - Bicycle accident on the way to school - an interactive case report]. AU - Faisst, Maik AU - Willenbrock, Ute AU - Rust, Dirk-Stefan AU - Lönnecker, Stefan AU - Stuhr, Markus Y1 - 2013/03/15/2013 Mar N1 - Accession Number: 108004333. Language: German. Entry Date: 20131108. Revision Date: 20150712. Publication Type: Journal Article; case study. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. NLM UID: 9109478. KW - Accidents, Traffic KW - Cycling KW - Emergency Medical Services KW - Adolescence KW - Blood Pressure -- Physiology KW - Brain Injuries -- Complications KW - Brain Injuries -- Rehabilitation KW - Brain Injuries -- Therapy KW - Decompression, Surgical KW - Female KW - Critical Care KW - Intensive Care Units KW - Monitoring, Physiologic KW - Transportation of Patients KW - Treatment Outcomes SP - 156 EP - 161 JO - AINS: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie JF - AINS: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie JA - ANASTHESIOL INTENSIVMED NOTFALLMED SCHMERZTHER VL - 48 IS - 3 PB - Georg Thieme Verlag Stuttgart SN - 0939-2661 AD - Abteilung für Anästhesie, Intensiv- und Rettungsmedizin, Zentrum für Schmerztherapie des Berufsgenossenschaftlichen Unfallkrankenhauses Hamburg. m.faisst@buk-hamburg.de U2 - PMID: 23589010. DO - 10.1055/s-0033-1342899 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108004333&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104453903 T1 - A Critical Care Nursing Transfer of Accountability Tool for Patient Transfers from ICU: A Quality Practice Change Initiative...Dynamics of Critical Care 2012, Vancouver, British Columbia, September 23-25, 2012 Y1 - 2012///Summer2012 N1 - Accession Number: 104453903. Language: English. Entry Date: 20120803. Revision Date: 20150820. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety; Quality Assurance. NLM UID: 100955578. KW - Accountability KW - Critical Care Nursing KW - Documentation KW - Hand Off (Patient Safety) KW - Quality Improvement KW - Transfer, Intrahospital KW - Academic Medical Centers KW - Audit KW - Canada KW - Critically Ill Patients KW - Descriptive Statistics KW - Evaluation Research KW - Human KW - Intensive Care Units KW - Professional Compliance KW - Staff Development SP - 19 EP - 19 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 23 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104453903&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103899758 T1 - PERIOPERATIVE TRANSPORT OF THE PATIENT ON INHALED AEROSOLIZED EPOPROSTENOL; THE ROLE OF RESPIRATORY CARE...The 60th International Respiratory Convention & Exhibition December 9-12, Las Vegas, Nevada Y1 - 2014/10// N1 - Accession Number: 103899758. Language: English. Entry Date: 20141005. Revision Date: 20150710. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Transportation of Patients KW - Epoprostenol -- Administration and Dosage KW - Aerosols KW - Heart Surgery KW - Respiratory Therapy Equipment and Supplies KW - Positive End-Expiratory Pressure KW - Respiration, Artificial KW - Intensive Care Units KW - Operating Rooms KW - Professional Role KW - Respiratory Therapists SP - OF61 EP - OF61 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 59 IS - 10 CY - Irving, Texas PB - Daedalus Enterprises, Inc. SN - 0020-1324 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103899758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107046800 T1 - Braced for disaster: transfer lessons in preparedness from the ED, OR, and ICU to acute care. AU - Ashcraft T Y1 - 2001/05// N1 - Accession Number: 107046800. Language: English. Entry Date: 20010824. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8219243. KW - Disasters KW - Disaster Planning KW - Emergencies SP - 49 EP - 52 JO - Nursing Management JF - Nursing Management JA - NURS MANAGE VL - 32 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Organized disaster or mass casualty incident planning is typically limited to prehospital, ED, OR, and ICU personnel. Such planning can be transferred to acute care situations as well. SN - 0744-6314 AD - West Virginia University Hospitals, Inc, Morgantown, WV U2 - PMID: 15103845. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107046800&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105073577 T1 - Keeping patients safe during intrahospital transport. AU - Day D Y1 - 2010/08// N1 - Accession Number: 105073577. Language: English. Entry Date: 20100910. Revision Date: 20150818. Publication Type: Journal Article; CEU; exam questions; pictorial; review; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety. NLM UID: 8207799. KW - Monitoring, Physiologic KW - Patient Safety KW - Transportation of Patients KW - Adverse Health Care Event KW - Airway Management KW - Chest Tubes KW - Communication KW - Critically Ill Patients KW - Decision Making, Clinical KW - Education, Continuing (Credit) KW - Equipment Failure KW - Equipment Safety KW - Health Status KW - Inpatients KW - Intensive Care Units KW - Intravenous Therapy KW - Magnetic Resonance Imaging KW - Monitoring, Intracranial Pressure KW - Pneumonia, Ventilator-Associated KW - Protocols KW - Time Factors KW - Transportation of Patients -- Equipment and Supplies KW - United States Agency for Healthcare Research and Quality KW - Ventilator Patients SP - 18 EP - 33 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 30 IS - 4 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - This article provides a workable, organized framework for safe intrahospital transport of critical care patients. SN - 0279-5442 AD - Staff nurse in ER, The Queens Medical Center, Honolulu, Hawaii U2 - PMID: 20436033. DO - 10.4037/ccn2010446 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105073577&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 114512580 T1 - Transportation of children on extracorporeal membrane oxygenation: one-year experience of the first neonatal and paediatric mobile ECMO team in the north of France. AU - Rambaud, J. AU - Léger, P. AU - Larroquet, M. AU - Amblard, A. AU - Lodé, N. AU - Guilbert, J. AU - Jean, S. AU - Guellec, I. AU - Casadevall, I. AU - Kessous, K. AU - Walti, H. AU - Carbajal, R. AU - Léger, P L AU - Lodé, N Y1 - 2016/05// N1 - Accession Number: 114512580. Language: English. Entry Date: 20170113. Revision Date: 20171118. Publication Type: letter. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. NLM UID: 7704851. KW - Intensive Care Units, Pediatric KW - Transportation of Patients KW - Extracorporeal Membrane Oxygenation KW - Child KW - Infant, Newborn KW - Infant KW - Female KW - France KW - Male KW - Child, Preschool SP - 940 EP - 941 JO - Intensive Care Medicine JF - Intensive Care Medicine JA - INTENSIVE CARE MED VL - 42 IS - 5 CY - , PB - Springer Science & Business Media B.V. AB - A letter to the editor is presented in response to the article "Mortality in children with respiratory failure transported using high-frequency oscillatory ventilation" by P. Jones and colleagues. SN - 0342-4642 AD - Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter 75012 Paris France AD - Paediatric Surgery, Armand-Trousseau Hospital, APHP, UPMC University, Paris France AD - Emergency Transport Unit, Robert Debré Hospital, Paris France AD - Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France AD - Emergency Transport Unit, Robert Debré Hospital, Paris, France U2 - PMID: 26626061. DO - 10.1007/s00134-015-4144-z UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114512580&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103899736 T1 - UP SIDE DOWN--HOW IS A TRANSFER INTO PRONE POSITIONING PERFORMED SAFELY IN CHILDREN WITH ARDS IN ECMO THERAPY?...The 60th International Respiratory Convention & Exhibition December 9-12, Las Vegas, Nevada Y1 - 2014/10// N1 - Accession Number: 103899736. Language: English. Entry Date: 20141005. Revision Date: 20150710. Publication Type: Journal Article; abstract; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 7510357. KW - Prone Position KW - Patient Positioning -- Adverse Effects -- In Infancy and Childhood KW - Respiratory Distress Syndrome, Acute -- Therapy -- In Infancy and Childhood KW - Extracorporeal Membrane Oxygenation KW - Human KW - Retrospective Design KW - Intensive Care Units, Pediatric KW - Infant KW - Patient Positioning -- Methods SP - OF55 EP - OF55 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 59 IS - 10 CY - Irving, Texas PB - Daedalus Enterprises, Inc. SN - 0020-1324 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103899736&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 121474510 T1 - Paediatric retrieval services: is it better to 'stay and play' or 'scoop and run'? AU - Lodwick, Gareth AU - Edwards, Linda Y1 - 2017/02// N1 - Accession Number: 121474510. Language: English. Entry Date: 20170301. Revision Date: 20170306. Publication Type: Article. Journal Subset: Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 101257109. KW - Intensive Care Units, Pediatric KW - Transfer, Discharge KW - Patient Safety KW - Transportation of Patients KW - Multidisciplinary Care Team SP - 118 EP - 118 JO - British Journal of Hospital Medicine (17508460) JF - British Journal of Hospital Medicine (17508460) JA - BR J HOSP MED (LOND) VL - 78 IS - 2 PB - Mark Allen Holdings Limited AB - The article examines the pros and cons of the stay and play and scoop and run approaches in paediatric retrieval services. SN - 1750-8460 AD - Clinical Fellow, Paediatric Intensive Care Department, Birmingham Children's Hospital, Birmingham B4 6NH AD - Consultant, Paediatric Intensive Care Department, Birmingham Children's Hospital, Birmingham UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121474510&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104149043 T1 - From simulation settings to reality. Reducing the risks of a complex procedure: out-of-hospital transfers of patients with extracorporeal membrane (ECMO). The experience of the ICU of Cuneo. AU - Maccario, A. AU - Fantino, A. AU - Pigoni, S. AU - Bono, M. AU - Verna, A. AU - Bruzzone, D. AU - Mondino, P. AU - Locatelli, A. Y1 - 2013/06/15/ N1 - Accession Number: 104149043. Language: English. Entry Date: 20131025. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety. KW - Transportation of Patients -- Education KW - Extracorporeal Membrane Oxygenation KW - Simulations KW - Models, Anatomic KW - Intensive Care Units KW - Italy SP - 25 EP - 25 JO - SCENARIO: Official Italian Journal of ANIARTI JF - SCENARIO: Official Italian Journal of ANIARTI JA - SCENARIO VL - 30 IS - 2Sup PB - ANIARTI SN - 1592-5951 AD - Cardiovascular ICU, Santa Croce and Carle Hospital, Cuneo UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104149043&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 120682192 T1 - Seizure Treatment in Children Transported to Tertiary Care: Recommendation Adherence and Outcomes. AU - Siefkes, Heather M. AU - Holsti, Maija AU - Morita, Denise AU - Cook, Lawrence J. AU - Bratton, Susan Y1 - 2016/12// N1 - Accession Number: 120682192. Language: English. Entry Date: 20170118. Revision Date: 20170131. Publication Type: Article; abstract; research. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 0376422. KW - Seizures -- Drug Therapy -- In Infancy and Childhood KW - Anticonvulsants -- Administration and Dosage -- In Infancy and Childhood KW - Emergency Care -- In Infancy and Childhood KW - Transfer, Discharge -- In Infancy and Childhood KW - Tertiary Health Care KW - Practice Guidelines KW - Guideline Adherence KW - Hospitals, Community KW - Outcomes (Health Care) KW - Hospitals, Pediatric KW - Aeromedical Transport KW - Prospective Studies KW - Retrospective Design KW - Human KW - Acute Disease KW - Treatment Outcomes KW - Intubation, Intratracheal KW - Antianxiety Agents, Benzodiazepine -- Administration and Dosage KW - Relative Risk KW - Confidence Intervals KW - Intensive Care Units, Pediatric KW - Respiration, Artificial KW - Treatment Duration KW - Medication Errors KW - Descriptive Statistics KW - Child SP - 88 EP - 88 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 138 IS - 6 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - BACKGROUND AND OBJECTIVES: Convulsive seizures account for 15% of pediatric air transports. We evaluated seizure treatment received in community hospital emergency departments among transported patients for adherence to recommended management. METHODS: This study was a retrospective cohort study of children transported for an acute seizure to a tertiary pediatric hospital from 2010 to 2013. Seizure treatment was evaluated for adherence to recommended management. The primary outcome was intubation. RESULTS: Among 126 events, 61% did not receive recommended acute treatment. The most common deviation from recommended care was administration of >2 benzodiazepine doses. Lack of adherence to recommended care was associated with a greater than twofold increased risk of intubation (relative risk 2.4; 95% confidence interval, 1.4-4.13) and 1.5-fold increased risk of admission to the ICU (relative risk 1.65; 95% confidence interval, 1.24-2.16). Duration of ventilation was commonly <24 hours (87%) for patients who did or did not receive recommended acute seizure care. Among events treated initially with a benzodiazepine, only 32% received a recommended weight-based dosage, and underdosing was most common. CONCLUSIONS: Adherence to evidence-based recommended acute seizure treatment during initial care of pediatric patients using medical air transportation was poor. Intubation was more common when patients did not receive recommended acute seizure care. Educational efforts with a sustained quality focus should be directed to increase adherence to appropriate pediatric seizure treatment of children in community emergency departments. SN - 0031-4005 AD - Division of Critical Care Medicine, Department of Pediatrics, University of Utah, Salt Lake City, Utah AD - Division of Critical Care Medicine, Department of Pediatrics, University of California Davis, Sacramento, California AD - Division of Emergency Medicine, Department of Pediatrics, University of Utah, Salt Lake City, Utah AD - Pediatric Neurology, Granger Medical Clinic, Riverton, Utah DO - 10.1542/peds.2016-1527 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120682192&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 122229977 T1 - Perioperative haemodynamic optimisation in patients undergoing non-cardiac surgery -- a position statement from the Cardiac and Thoracic Anaesthesia Section of the Polish Society of Anaesthesiology and Intensive Therapy. Part 1. AU - Kucewicz-Czech, Ewa AU - Krzych, Łukasz J. AU - Ligowski, Marcin Y1 - 2017/01// N1 - Accession Number: 122229977. Language: English. Entry Date: 20170405. Revision Date: 20171206. Publication Type: Article; review; standards; tables/charts. Journal Subset: Biomedical; Continental Europe; Europe. NLM UID: 101472620. KW - Anesthesiology -- Standards -- Poland KW - Medical Organizations -- Standards -- Poland KW - Monitoring, Physiologic KW - Hemodynamics KW - Intraoperative Care KW - Surgery, Operative KW - Poland KW - Postoperative Complications -- Prevention and Control KW - Operating Rooms KW - Risk Assessment KW - Patient Classification KW - Scales KW - Severity of Illness Indices KW - Transfer, Intrahospital KW - Post Anesthesia Care Units KW - Intensive Care Units KW - Patient Admission KW - Surgical Patients KW - Inpatients KW - Hospital Mortality KW - Critical Care KW - Fluid Resuscitation KW - Fluid-Electrolyte Balance KW - Algorithms KW - Cardiac Output KW - Oxygen Saturation KW - Preoperative Care KW - Postoperative Care KW - Treatment Outcomes SP - 6 EP - 15 JO - Anaesthesiology Intensive Therapy JF - Anaesthesiology Intensive Therapy JA - ANAESTHESIOL INTENSIVE THER VL - 49 IS - 1 PB - VM Medica-VM Group (Via Medica) SN - 1642-5758 AD - Department of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland AD - Department of Anaesthesiology and Intensive Care with Cardiology Service, Independent Public Clinical Hospital No. 5, Leszek Giec Upper Silesian Medical Centre, Katowice, Poland AD - Department of Anaesthesiology and Intensive Care, Kornel Gibiński University Clinical Centre, Katowice, Poland AD - Department of Cardiac Surgery, Szpital Kliniczny Przemienienia Pańskiego, Poznan University of Medical Science, Poznan, Poland UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122229977&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104149095 T1 - ECMO Team for intra-hospital transfers of patients with ARDS: report after seven years from the start of the program. AU - Lucchini, A. AU - Gariboldi, R. AU - Elli, S. AU - Vimercati, S. AU - Tundo, P. AU - De Felippis, C. AU - Costa, M. C. AU - Giacovelli, M. AU - Capalbi, S. AU - Caruso, R. AU - Cressoni, C. AU - Gambarini, C. Y1 - 2013/06/15/ N1 - Accession Number: 104149095. Language: English. Entry Date: 20131025. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety. KW - Transfer, Intrahospital KW - Extracorporeal Membrane Oxygenation KW - Respiratory Distress Syndrome, Acute KW - Hospital Programs -- Evaluation KW - Decision Making, Clinical KW - Multidisciplinary Care Team SP - 54 EP - 54 JO - SCENARIO: Official Italian Journal of ANIARTI JF - SCENARIO: Official Italian Journal of ANIARTI JA - SCENARIO VL - 30 IS - 2Sup PB - ANIARTI SN - 1592-5951 AD - Gen . ICU, S. Gerardo Hospital of Monza, Bicocca University, Milan AD - Cardiocirculatory Perfusion Service, S. Gerardo Hospital of Monza, Bicocca University, Milan UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104149095&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103882539 T1 - Saving our smallest patients. AU - Lynch, Thomas F AU - Kugler, Liz AU - Niedziela, Janine Y1 - 2014/07// N1 - Accession Number: 103882539. Language: English. Entry Date: 20141010. Revision Date: 20150710. Publication Type: Journal Article. Journal Subset: Biomedical; Computer/Information Science; USA. Special Interest: Informatics. NLM UID: 8506548. KW - Disaster Planning KW - Emergencies KW - Intensive Care Units, Neonatal -- Administration KW - Transportation of Patients -- Administration KW - Organizational Efficiency KW - Infant, Newborn SP - 72 EP - 82 JO - Journal of Healthcare Protection Management JF - Journal of Healthcare Protection Management JA - J HEALTHC PROTECT MANAGE VL - 30 IS - 2 CY - Glendale Heights, Illinois PB - International Association for Healthcare Security & Safety SN - 0891-7930 U2 - PMID: 25181794. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103882539&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107856597 T1 - Integrating Excellence into Culture: Developing Procedures for the TOA from CVICU to the Ward...Dynamics of Critical Care 2014, Quebec City, Quebec, September 21-23, 2014 AU - Harrington, Alana AU - Cruz, Angelo AU - Bjerkseth, Brenda AU - Glen, Janice AU - Carre, Alison AU - Mustard, Mary AU - Lewis, Ellen Y1 - 2014///Summer2014 N1 - Accession Number: 107856597. Language: English. Entry Date: 20140612. Revision Date: 20150712. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety; Quality Assurance. NLM UID: 100955578. KW - Hand Off (Patient Safety) KW - Transfer, Intrahospital KW - Intensive Care Units KW - Nursing Units KW - Documentation KW - Communication KW - Quality Improvement KW - Critical Care KW - Pilot Studies KW - Human KW - Nursing Staff, Hospital KW - Medical Staff, Hospital KW - Nurse Practitioners KW - Critical Care Nursing SP - 48 EP - 48 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 25 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107856597&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107856572 T1 - The Challenge of an Organ Donor Program: When Professional and Social Responsibilities Meet...Dynamics of Critical Care 2014, Quebec City, Quebec, September 21-23, 2014 AU - Marsolais, Pierre AU - Lagacé, Anne-Marie Y1 - 2014///Summer2014 N1 - Accession Number: 107856572. Language: English. Entry Date: 20140612. Revision Date: 20150712. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Perioperative Care. NLM UID: 100955578. KW - Transplant Donors KW - Organ Transplantation KW - Pretransplantation Period KW - Health Services Accessibility KW - Multidisciplinary Care Team KW - Critical Care KW - Transfer, Intrahospital KW - Transfer, Discharge KW - Hospital Programs KW - Intensive Care Units KW - Operating Rooms KW - Inpatients SP - 32 EP - 32 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 25 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107856572&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 109926572 T1 - Direct transfer of long-stay ICU patients to a nursing-home rehabilitation unit: focus on functional dependency. AU - Vossenberg-Postma, Sonja AU - Sikkema, Ytje AU - Drogt-Bilaseschi, Ioana AU - Bruins-Lange, Nynke AU - Jager, Corine AU - Maaren, Theo AU - Pol, Veronica AU - Boerma, E. AU - Vossenberg-Postma, Sonja R AU - Sikkema, Ytje T AU - Bruins-Lange, Nynke A AU - de Jager, Corine M AU - van Maaren, Theo AU - van der Pol, Veronica AU - Boerma, E Christiaan Y1 - 2015/11// N1 - Accession Number: 109926572. Language: English. Entry Date: 20160204. Revision Date: 20161031. Publication Type: letter. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. Instrumentation: Longitudinal Interval Follow-Up Evaluation (LIFE); Home Observation for Measurement of the Environment (HOME) (Bradley and Caldwell); Functional Living Index: Cancer (FLIC) (Schipper et al); Ferrans and Powers Quality of Life Index. NLM UID: 7704851. KW - Nursing Homes KW - Transfer, Discharge -- Trends KW - Critical Illness -- Rehabilitation KW - Intensive Care Units -- Standards KW - Intensive Care Units -- Statistics and Numerical Data KW - Activities of Daily Living KW - Cognition Disorders KW - Length of Stay KW - Nonparametric Statistics KW - Prospective Studies KW - Transfer, Discharge -- Standards KW - Readmission -- Statistics and Numerical Data KW - Outcomes (Health Care) -- Statistics and Numerical Data KW - Controlled Before-After Studies KW - Clinical Assessment Tools KW - Ferrans and Powers Quality of Life Index SP - 2031 EP - 2032 JO - Intensive Care Medicine JF - Intensive Care Medicine JA - INTENSIVE CARE MED VL - 41 IS - 11 CY - , PB - Springer Science & Business Media B.V. AB - The article discusses research which investigated functional dependency in long-stay intensive care unit (ICU) patients that have been transferred to a nursing-home rehabilitation unit (NRU). Topics explored include the quality of life-related challenges faced by post-ICU patients, the ICU length of stay (LOS) of patients involved in the study, and a comparison between the illness severity rate in patients that have been directly and indirectly transferred to an NRU. SN - 0342-4642 AD - Elderly Care Medicine, Zorggroep Noorderbreedte, Leeuwarden The Netherlands AD - Department of Emergency Medicine, Medical Centre Leeuwarden, Leeuwarden The Netherlands AD - Department of Intensive Care, Medical Centre Leeuwarden, 8901BR Leeuwarden The Netherlands AD - Elderly Care Medicine, Zorggroep Noorderbreedte, Leeuwarden, The Netherlands AD - Department of Emergency Medicine, Medical Centre Leeuwarden, Leeuwarden, The Netherlands AD - Department of Intensive Care, Medical Centre Leeuwarden, P.O. Box 888, 8901BR, Leeuwarden, The Netherlands U2 - PMID: 26306720. DO - 10.1007/s00134-015-4029-1 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109926572&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106380109 T1 - Reducing critical care admission holds in the emergency department through change in practice. AU - Thompson SB AU - Dagher M AU - Gerdik CR AU - Makransky N Y1 - 2005/07//Jul-Sep2005 N1 - Accession Number: 106380109. Language: English. Entry Date: 20060120. Revision Date: 20150711. Publication Type: Journal Article; tables/charts. Journal Subset: Allied Health; Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7906354. KW - Critical Care Nursing KW - Emergency Service -- Administration KW - Intensive Care Units KW - Length of Stay KW - Patient Admission KW - Transfer, Intrahospital KW - Work Redesign KW - Bed Occupancy KW - Change Management KW - Critically Ill Patients KW - Florida KW - Hospitals, Community KW - Inpatients KW - Personnel Staffing and Scheduling KW - Practice Guidelines KW - Program Development KW - Staff Development SP - 213 EP - 216 JO - Topics in Emergency Medicine JF - Topics in Emergency Medicine JA - TOP EMERG MED VL - 27 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - The article addresses overcrowding of the emergency department holding admitted patients needing access to critical care beds. A proposal was made to redesign an infrequently used observation unit where more immediate care could be initiated for the critical patient. It was theorized that the availability of higher acuity beds would decrease critical care admit hold hours in the emergency department by admitting directly to this new higher acuity unit and/or transferring newly stabilized patients in the critical care to this area. The goal was to decrease the hold hours of critical care admissions in the emergency department. SN - 0164-2340 AD - Orange Park Medical Center, 2001 Kingsley Avenue, Orange Park, FL 32073; www.OPMedical.com UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106380109&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103958904 T1 - STARKSTROM’S INNOVATIVE PATIENT EQUIPMENT TRANSFER TROLLEY SETS THE STANDARD -- SAFER, FASTER, BETTER. Y1 - 2014/06// N1 - Accession Number: 103958904. Language: English. Entry Date: 20140617. Revision Date: 20150710. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Blind Peer Reviewed; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Perioperative Care. KW - Technology, Medical KW - Surgical Equipment and Supplies -- Evaluation KW - Operating Rooms KW - Biomedical Engineering KW - Intensive Care Units KW - Safety KW - Infection -- Prevention and Control KW - Patient Care -- Methods KW - United Kingdom SP - 11 EP - 11 JO - Operating Theatre Journal JF - Operating Theatre Journal JA - OPER THEATRE J IS - 285 PB - Lawrand Ltd. Medical Publishing SN - 1747-728X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103958904&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105155429 T1 - Safe intrahospital transport of critically ill obese patients. AU - Roland D AU - Howes C AU - Stickles M AU - Johnson K Y1 - 2010/03//2010 Mar N1 - Accession Number: 105155429. Language: English. Entry Date: 20100507. Revision Date: 20150818. Publication Type: Journal Article; pictorial; practice guidelines; questionnaire/scale; tables/charts. Journal Subset: Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Perioperative Care. NLM UID: 101260778. KW - Critically Ill Patients KW - Obesity -- Complications KW - Patient Safety KW - Transportation of Patients -- Methods KW - Checklists KW - Critical Care Nursing KW - Critical Care -- Equipment and Supplies KW - Flotation Beds KW - Lifting and Transfer Equipment KW - Monitoring, Physiologic KW - Patient Assessment KW - Patient Positioning KW - Respiration, Artificial SP - 65 EP - 70 JO - Bariatric Nursing & Surgical Patient Care JF - Bariatric Nursing & Surgical Patient Care JA - BARIATRIC NURS SURG PATIENT CARE VL - 5 IS - 1 CY - New Rochelle, New York PB - Mary Ann Liebert, Inc. AB - As the general population of obese individuals increases, so too does the population of critically ill patients who are obese. Critically ill patients are often transported out of the Intensive Care Unit (ICU) to receive additional technical and diagnostic care that is not available in the ICU. These patients must receive safe and quality care while outside the boundaries of the ICU. The purpose of this article is to present best practice guidelines for the safe and efficient intrahospital transport of these patients. We present considerations that should be made prior to and during transport as well as special considerations that should be made during the diagnostic procedures to ensure safe care. SN - 1557-1459 AD - University of Maryland Medical Center, Baltimore, Maryland UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105155429&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104404756 T1 - A Blueprint for Critical Care Transport Research. AU - Jaynes, Cathy L AU - Werman, Howard A AU - White, Lynn J Y1 - 2013/01// N1 - Accession Number: 104404756. Language: English. Entry Date: 20130109. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Evidence-Based Practice. NLM UID: 9312325. KW - Transportation of Patients KW - Critical Care KW - Research Priorities KW - Clinical Research KW - Delphi Technique KW - Concept Mapping KW - Research Question KW - Cluster Analysis KW - Data Analysis Software KW - Summated Rating Scaling KW - Scales KW - Brainstorming KW - Descriptive Statistics KW - Occupational Safety KW - Risk Management KW - Outcomes (Health Care) KW - Health Resource Utilization KW - Accreditation KW - Professional Practice, Evidence-Based KW - Patient Safety KW - Staff Development KW - Clinical Effectiveness KW - Human SP - 30 EP - 35 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 32 IS - 1 CY - New York, New York PB - Elsevier B.V. AB - Abstract: Introduction: An estimated 500,000 critical care patient transports occur annually in the United States. Little research exists to inform optimal practices, promote safety, or encourage responsible, cost-effective use of this resource. Previous efforts to develop a research agenda have not yielded significant progress in producing much-needed scientific study. Purpose: Identify and characterize areas of research needed to direct the development of evidence-based guidelines Methods: The study used a modified Delphi technique to develop a concept map of the research domains in critical care transport. Proprietary, internet-based software was used for both data collection and analysis. The study was conducted in 3 phases: brainstorming, categorizing, and prioritizing, using experts from all aspects of critical care transport. Results: A total of 101 research questions were developed and ranked by 27 participants representing the transport community and stakeholders. An 8-cluster solution was developed with multidimensional scaling and hierarchical cluster analysis to identify the following research areas: clinical care, education/training, finance, human factors, patient outcomes, safety, team configuration, and utilization. A plot characterized each domain by urgency and feasibility. Conclusion: The content and concepts represented by the cluster map can help direct research planning in the critical care transport industry and prioritize funding decisions. SN - 1067-991X AD - The Center for Medical Transport Research, Columbus, OH AD - The Center for Medical Transport Research, Columbus, OH; Ohio State University, Columbus, OH AD - Ohio State University, Columbus, OH U2 - PMID: 23273307. DO - 10.1016/j.amj.2012.11.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104404756&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 110337890 T1 - Critical Care Transport: How Do We Measure Up? AU - Oberender, Felix Y1 - 2015/10// N1 - Accession Number: 110337890. Language: English. Entry Date: 20151225. Revision Date: 20160715. Publication Type: commentary; editorial. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Critical Care Family Needs Inventory (CCFNI). NLM UID: 100954653. KW - Delphi Technique KW - Quality of Health Care -- Standards KW - Transportation of Patients -- Standards KW - Critical Care -- Standards KW - Pediatrics -- Standards KW - Critical Care Family Needs Inventory SP - 775 EP - 776 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 16 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1529-7535 AD - Paediatric Intensive Care The Royal Children's Hospital and Monash Medical Centre Melbourne, VIC, Australia U2 - PMID: 26427809. DO - 10.1097/PCC.0000000000000478 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110337890&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106310680 T1 - Back transport of neonates: effect on hospital length of stay. AU - Attar MA AU - Lang SW AU - Gates MR AU - Iatrow AM AU - Bratton SL Y1 - 2005/11// N1 - Accession Number: 106310680. Language: English. Entry Date: 20060804. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. Grant Information: Michigan Department of Community Health Grant. NLM UID: 8501884. KW - Length of Stay -- Evaluation KW - Transfer, Discharge -- Evaluation -- In Infancy and Childhood KW - Academic Medical Centers KW - Birth Weight KW - Chi Square Test KW - Data Analysis Software KW - Female KW - Fisher's Exact Test KW - Gestational Age KW - Health Facility Costs KW - Hospitals, Community KW - Infant Care KW - Infant, Newborn KW - Infant, Newborn, Diseases KW - Infant, Very Low Birth Weight KW - Intensive Care Units, Neonatal KW - Male KW - Multivariate Analysis KW - Outcomes (Health Care) -- Evaluation KW - Readmission KW - Record Review KW - Retrospective Design KW - Transportation of Patients KW - Wilcoxon Rank Sum Test KW - Funding Source KW - Human SP - 731 EP - 736 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 25 IS - 11 CY - London, PB - Nature Publishing Group AB - INTRODUCTION:In a regionalized perinatal system, recovering neonates may be back transported from a regional Neonatal Intensive Care Unit (NICU) to community hospitals closer to their residence to convalesce prior to hospital discharge.OBJECTIVE:This study evaluates the practice of neonatal back transport for growth and the duration of total hospitalization.METHODS:We conducted a retrospective study comparing length of stay (LOS) for infants back transported from a regional NICU to a level II nursery for convalescent care (BT), with LOS for infants eligible for back transport discharged home from the Regional Center (RC).RESULTS:A total of 221 infants were studied. BT infants (n=104) had lower birth weights (median; 1955 vs 2700 g, p=0.001), more frequently needed mechanical ventilation (84 vs 65%, p=0.002) and parenteral nutrition (71 vs 55%, p=0.013), less frequently were evaluated by subspecialists (20 vs 59% p=0.0001), and had longer total LOS (median; 20 vs 11 days, p<0.0001) compared to infants discharged home from the RC (n=117). However, in the subgroup with birth weights PB - Springer Science & Business Media B.V. AB - Purpose: Teaching by lecture (lecture format) is widely used at congresses and in medical educational programmes. The process involves the transfer of take-home messages. The aim of this study was to assess the number of take-home messages identified by postgraduate critical care junior doctors (juniors) during lectures.Methods: This was a prospective observational study of 13 lectures. Lecturers were not informed in advance of the study. At the end of the lecture (30 or 50 min), the lecturer (senior doctor) and juniors listed the three main take-home messages on a form. Subjective elements of the juniors' appraisal (quality of the presentation, explanation of the topic's relevance, enthusiasm of the lecturer, background, case-based, delivery and personality, comprehensibility, practical applicability of information given, prioritization, presence of raw data, references, overall satisfaction) and objective elements (length of lecture, number of take-home messages written on the slides) of the lectures were recorded. Successful knowledge transfer was assessed by matching lecturers' and juniors' take-home messages.Results: In total, 367 forms completed by 367 juniors were analysed. A match equal to 3 (highest match), 2, 1 or 0 was observed in 3.8, 26.7, 48.2 and 21.2% of the forms, respectively. No single subjective or objective element of the lecture was associated with the number of identified take-home messages.Conclusions: Two-thirds of critical care junior doctors identified at best only one of the three main take-home messages of a lecture, suggesting that knowledge transfer is poor during passive format learning. These results suggest that there is a need to develop strategies to improve the performance of lecture-based learning. SN - 0342-4642 AD - Medical ICU, Pôle REUNNIRH, CHU Gabriel Montpied Teaching Hospital of Clermont-Ferrand, Université d'Auvergne-Clermont Ferrand 1, 58 Rue Montalembert, 63003 Clermont-Ferrand, France AD - Medical ICU, Pôle REUNNIRH, CHU Gabriel Montpied Teaching Hospital of Clermont-Ferrand, Université d'Auvergne-Clermont Ferrand 1, 58 Rue Montalembert, 63003, Clermont-Ferrand, France, alautrette@chu-clermontferrand.fr. U2 - PMID: 21660536. DO - 10.1007/s00134-011-2256-7 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104573838&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104552273 T1 - Therapeutic Hypothermia during Neonatal Transport: Current Practices in California. AU - Vishnu Akula AU - Alexis Davis AU - Jeffery Gould AU - Krisa Van Meurs Y1 - 2012/05// N1 - Accession Number: 104552273. Language: English. Entry Date: 20120713. Revision Date: 20150711. Publication Type: Journal Article; pictorial; questionnaire/scale; research; tables/charts. Journal Subset: Biomedical; Double Blind Peer Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Obstetric Care; Pediatric Care. NLM UID: 8405212. KW - Transportation of Patients -- Methods -- California KW - Hypothermia, Induced KW - Hypoxia-Ischemia, Brain -- Therapy -- In Infancy and Childhood KW - Human KW - Infant, Newborn KW - Questionnaires KW - California KW - Intensive Care Units, Neonatal KW - Practice Guidelines SP - 319 EP - 326 JO - American Journal of Perinatology JF - American Journal of Perinatology JA - AM J PERINATOL VL - 29 IS - 5 CY - New York, New York PB - Thieme Medical Publishing Inc. AB - Therapeutic hypothermia initiated at <6 hours of age reduces death and disability in newborns ≥36 weeks' gestation with moderate to severe hypoxic ischemic encephalopathy. Given the limited therapeutic window, cooling during transport becomes a necessity. Our goal was to describe the current practice of therapeutic hypothermia during transport used in the state of California. All level III neonatal intensive care units (NICUs) were contacted to identify those units providing therapeutic hypothermia. An electronic questionnaire was sent to obtain basic information. Responses were received from 28 (100%) NICUs performing therapeutic hypothermia; 26 NICUs were cooling newborns and two were in the process of program development. Eighteen (64%) centers had cooled a patient in transport, six had not yet cooled in transport, and two do not plan to cool in transport. All 18 centers use passive cooling, except for two that perform both passive and active cooling, and 17 of 18 centers recommend initiation of cooling at the referral hospital. Reported difficulties include overcooling, undercooling, and bradycardia. Cooling on transport is being performed by majority of NICUs providing therapeutic hypothermia. Clinical protocols and devices for cooling in transport are essential to ensure safety and efficacy. SN - 0735-1631 AD - Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California. U2 - PMID: 22143969. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104552273&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104452420 T1 - Outcomes of inborn and transported extremely premature very-low-birthweight infants in Hawai'i. AU - Kuo, Sheree AU - Kimata, Chieko AU - Akamine, Kristie AU - Young, Brandon AU - Balaraman, Venkataraman Y1 - 2012/06// N1 - Accession Number: 104452420. Language: English. Entry Date: 20120620. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Asia; Biomedical; Peer Reviewed. Special Interest: Critical Care; Pediatric Care. NLM UID: 100886002. KW - Transportation of Patients KW - Prehospital Care KW - Childbirth, Premature -- Hawaii KW - Hawaii KW - Human KW - Infant, Very Low Birth Weight KW - Survival KW - Retrospective Design KW - Record Review KW - Intensive Care Units, Neonatal KW - Length of Stay KW - Retinopathy of Prematurity -- Risk Factors KW - Data Analysis Software KW - T-Tests KW - Fisher's Exact Test KW - Logistic Regression KW - Odds Ratio KW - Multivariate Analysis KW - Descriptive Statistics SP - 365 EP - 369 JO - Pediatrics International JF - Pediatrics International JA - PEDIATR INT VL - 54 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1328-8067 AD - Department of Pediatrics, Kapi'olani Medical Center for Women and Children; University of Hawai'i, John A. Burn School of Medicine AD - Department of Patient Safety & Quality Services, Hawai'i Pacific Health, Honolulu, Hawai'i, USA AD - University of Hawai'i, John A. Burn School of Medicine U2 - PMID: 22247969. DO - 10.1111/j.1442-200X.2012.03561.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104452420&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104691436 T1 - SESSION 7: TRIAGE AND TRANSPORT: Safer transfer for critical care patients. Y1 - 2011/06// N1 - Accession Number: 104691436. Language: English. Entry Date: 20111027. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care. KW - Critically Ill Patients KW - Transportation of Patients KW - Patient Safety KW - United Kingdom KW - Intensive Care Units SP - 43 EP - 43 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 8 IS - 2 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104691436&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104453944 T1 - Intramural Checklist for Safe and Efficient Transport of Critically Ill Patients...Dynamics of Critical Care 2012, Vancouver, British Columbia, September 23-25, 2012 Y1 - 2012///Summer2012 N1 - Accession Number: 104453944. Language: English. Entry Date: 20120803. Revision Date: 20150820. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety; Pediatric Care. NLM UID: 100955578. KW - Checklists KW - Critically Ill Patients -- In Infancy and Childhood KW - Hand Off (Patient Safety) KW - Patient Safety KW - Pediatric Critical Care Nursing KW - Transfer, Intrahospital KW - Transportation of Patients -- In Infancy and Childhood KW - Child KW - Human KW - Inpatients KW - Intensive Care Units KW - Surveys SP - 39 EP - 39 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 23 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104453944&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108164369 T1 - Implementing a perioperative handoff tool to improve postprocedural patient transfers. AU - Petrovic, Michelle A. AU - Martinez, Elizabeth A. AU - Aboumatar, Hanan Y1 - 2012/03//2012 Mar N1 - Accession Number: 108164369. Language: English. Entry Date: 20120511. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Patient Safety; Quality Assurance. NLM UID: 101238023. KW - Checklists KW - Communication KW - Hand Off (Patient Safety) KW - Intensive Care Units KW - Protocols KW - Surgical Patients KW - Transfer, Discharge -- Methods KW - Anesthesiologists KW - Focus Groups KW - Human KW - Interviews KW - Maryland KW - Narratives KW - Nurses KW - Operating Room Personnel KW - Patient Safety KW - Physicians KW - Post Anesthesia Care Units KW - Program Implementation KW - Questionnaires SP - 135 EP - 142 JO - Joint Commission Journal on Quality & Patient Safety JF - Joint Commission Journal on Quality & Patient Safety JA - JOINT COMM J QUAL PATIENT SAF VL - 38 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 1553-7250 U2 - PMID: 22435231. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108164369&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104625877 T1 - Carrying: Parental Experience of the Hospital Transfer of Their Baby. AU - van Manen, Michael Y1 - 2012/02// N1 - Accession Number: 104625877. Language: English. Entry Date: 20120129. Revision Date: 20150820. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 9202144. KW - Parents -- Psychosocial Factors KW - Transfer, Discharge -- Psychosocial Factors -- In Infancy and Childhood KW - Parent-Infant Relations KW - Intensive Care Units, Neonatal KW - Professional-Family Relations -- Evaluation KW - Human KW - Infant, Newborn KW - Phenomenological Research KW - Interviews KW - Mothers -- Psychosocial Factors KW - Fathers -- Psychosocial Factors KW - Male KW - Female SP - 199 EP - 211 JO - Qualitative Health Research JF - Qualitative Health Research JA - QUAL HEALTH RES VL - 22 IS - 2 CY - Thousand Oaks, California PB - Sage Publications Inc. SN - 1049-7323 AD - University of Alberta, Edmonton, Alberta, Canada U2 - PMID: 21873285. DO - 10.1177/1049732311420447 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104625877&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104385230 T1 - Clonal spread and patient risk factors for acquisition of extensively drug-resistant Acinetobacter baumannii in a neonatal intensive care unit in Italy. AU - Zarrilli R AU - Di Popolo A AU - Bagattini M AU - Giannouli M AU - Martino D AU - Barchitta M AU - Quattrocchi A AU - Iula VD AU - de Luca C AU - Scarcella A AU - Triassi M AU - Agodi A Y1 - 2012/12// N1 - Accession Number: 104385230. Language: English. Entry Date: 20130503. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 8007166. KW - Acinetobacter Infections -- Epidemiology KW - Acinetobacter Infections -- Transmission KW - Gram-Negative Aerobic Bacteria -- Classification KW - Drug Resistance, Microbial KW - Intensive Care, Neonatal KW - Genetic Techniques KW - Acinetobacter Infections -- Microbiology KW - Gram-Negative Aerobic Bacteria KW - Adult KW - Case Control Studies KW - Electrophoresis, Gel, Pulsed-Field KW - Female KW - Human KW - Infant, Newborn KW - Infection Control -- Methods KW - Italy KW - Male KW - Epidemiology, Molecular KW - Risk Factors SP - 260 EP - 265 JO - Journal of Hospital Infection JF - Journal of Hospital Infection JA - J HOSP INFECT VL - 82 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - AIM: To report an outbreak of extensively drug-resistant (XDR) Acinetobacter baumannii in the neonatal intensive care unit (NICU) of an Italian university hospital. Patient risk profiles for acquisition of A. baumannii and measures used to control the outbreak are described. METHODS: Antibiotic susceptibility of strains was evaluated by microdilution. Genotyping was performed by pulsed-field gel electrophoresis (PFGE) and multi-locus sequence typing. Carbapenemase genes were analysed by polymerase chain reaction and DNA sequencing. A case-control study was designed to identify risk factors for acquisition of A. baumannii. FINDINGS: A. baumannii was isolated from 22 neonates, six of whom were infected. One major PFGE type was identified, assigned to sequence type (ST) 2, corresponding to International Clone II; this was indistinguishable from isolates from the adult ICU in the same hospital. A. baumannii isolates were resistant to aminoglycosides, quinolones and classes of [beta]-lactam antibiotics, but were susceptible to tigecycline and colistin. Carbapenem resistance was associated with the presence of transposon Tn2006 carrying the bla(OxA-23) gene. Length of NICU stay, length of exposure to A. baumannii, gestational age, use of invasive devices and length of exposure to invasive devices were significantly associated with acquisition of A. baumannii on univariate analysis, while length of exposure to central venous catheters and assisted ventilation were the only independent risk factors after multi-variate analysis. CONCLUSIONS: This XDR A. baumannii outbreak in an NICU was probably caused by intrahospital transfer of bacteria via a colonized neonate whose mother was admitted to the adult ICU. Strengthened infection control measures were necessary to control the outbreak. SN - 0195-6701 AD - Department of Preventive Medical Sciences, Hygiene Section, University 'Federico II', Naples, Italy; CEINGE Advanced Biotechnologies, Naples, Italy. Electronic address: rafzarri@unina.it. U2 - PMID: 23102814. DO - 10.1016/j.jhin.2012.08.018 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104385230&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104126698 T1 - 22nd Critical Care Transport Medicine Conference. AU - Newman, Monica AU - Petersen, Pat AU - Wojdyla, Karen Y1 - 2014/01//Jan/Feb2014 N1 - Accession Number: 104126698. Language: English. Entry Date: 20140211. Revision Date: 20150710. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 9312325. KW - Transportation of Patients -- Organizations KW - Critical Care KW - Emergency Care KW - Congresses and Conferences KW - Texas SP - 22 EP - 24 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 33 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X U2 - PMID: 24373472. DO - 10.1016/j.amj.2013.11.003 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104126698&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105725792 T1 - Quantification of impulse experienced by neonates during inter- and intra-hospital transport measured by biophysical accelerometery [sic]. AU - Shah S AU - Rothberger A AU - Caprio M AU - Mally P AU - Hendricks-Munoz K Y1 - 2008/01// N1 - Accession Number: 105725792. Language: English. Entry Date: 20080523. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed. NLM UID: 0361031. KW - Biomechanics -- Methods KW - Monitoring, Physiologic -- Methods KW - Transfer, Discharge KW - Transportation of Patients KW - Beds and Mattresses KW - Biophysics KW - Equipment Design KW - Infant, Newborn KW - Infant, Premature KW - Intensive Care Units, Neonatal KW - Models, Anatomic KW - Motion KW - Wounds and Injuries -- Prevention and Control KW - Human SP - 87 EP - 92 JO - Journal of Perinatal Medicine JF - Journal of Perinatal Medicine JA - J PERINAT MED VL - 36 IS - 1 CY - , PB - De Gruyter AB - Abstract Background: Transport of premature infants incurs transfer-related morbidity, including intraventricular hemorrhage, a contributing factor to cerebral palsy. The force transmitted to the neonate during transport as a consequence of motion may be implicated in the increased morbidity in this population. Morbidity may occur via direct concussive force to a vulnerable germinal matrix, induction of an inflammatory reaction, or via transient desaturation via extubation. This transmitted force, measured as accelerations per unit time (impulse), is not well characterized. Any modification of a neonatal transporter which increases the time for a neonate in motion to come to rest may decrease the impulse experienced by the infant. Objective: The objective of the study was to quantify the magnitude of impulse experienced by neonates during inter- and intra-hospital transport using a novel biophysical model and determine whether a specialized air-foam mattress can reduce the transmitted impulse on the neonate. Methods: Five roundtrip trials were conducted for a transported neonate using a standard medical ambulance and transport isolette outfitted with an air-foam mattress. During the trials, measurements were made per second in the X (front-to-back), Y (side-to-side), and Z (up-and-down) planes using a computerized accelerometer attached to a neonatal resuscitation mannequin. Results were integrated over the trial time in each dimension to yield a measure of impulse (acceleration-per-unit-time). Total impulse for the trial was calculated. A second design included five trials from the delivery room to the NICU utilizing four different transport configurations with a standard neonatal isolette outfitted with a gel pillow, air-foam mattress, and air-foam mattress with gel pillow. Results: Mean impulse for the transport model was statistically greater than at rest. In the X and Z dimensions, the mean impulse was significantly lower using the air-foam mattress. The impulse of the Z dimension with the air-foam mattress did not differ from that experienced by the experimental model at rest. For the intra-hospital trial, all experimental set-ups produced significantly less cumulative impulse than the standard isolette, though in each specific dimension, no significant differences were noted. For cumulative impulse, no significant differences between any of the three experimental designs were observed. A trend toward decreased transport time was seen with the addition of the air-foam mattress and gel pillow. Conclusions: The mechanical trauma induced by transport can be measured and quantified using this system. Neonates transported with the air-foam mattress experienced less impulse in the front-to-back and up-and-down dimensions. For transports between the delivery room and NICU, neonates transported using the air-foam mattress and gel pillow experienced significantly less total impulse. SN - 0300-5577 AD - Division of Neonatology, Department of Pediatrics, State University of New York at Stonybrook School of Medicine, Stonybrook, NY, USA. U2 - PMID: 18184102. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105725792&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108018377 T1 - 'To escort or not to escort your patient during intra hospital transfer from the ED to inpatient areas'. AU - Hawkins, Carly Y1 - 2013/01//2013 Autumn N1 - Accession Number: 108018377. Language: English. Entry Date: 20130614. Revision Date: 20171117. Publication Type: Journal Article; letter. Journal Subset: Australia & New Zealand; Nursing. Special Interest: Emergency Care. KW - Emergency Nursing KW - Hospital Policies KW - Policy Studies KW - Theses and Dissertations KW - Transfer, Intrahospital SP - 8 EP - 8 JO - Emergency Nurse New Zealand JF - Emergency Nurse New Zealand JA - EMERG NURSE NZ CY - , PB - New Zealand Nurses Organisation, College of Emergency Nurses SN - 1176-2691 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108018377&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109887801 T1 - Should all critically ill ventilated patients receive muscle relaxants for intrahospital transfers? AU - Tirlapur, Nikhil Y1 - 2015/09// N1 - Accession Number: 109887801. Language: English. Entry Date: 20150928. Revision Date: 20150929. Publication Type: Article. Journal Subset: Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Patient Safety. NLM UID: 101257109. KW - Muscle Relaxants, Central -- Adverse Effects KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Respiration, Artificial KW - Severity of Illness SP - 550 EP - 550 JO - British Journal of Hospital Medicine (17508460) JF - British Journal of Hospital Medicine (17508460) JA - BR J HOSP MED (LOND) VL - 76 IS - 9 PB - Mark Allen Holdings Limited AB - The article discusses the use of muscle relaxants in critically ill ventilated patients during intrahospital transfers. Topics covered include the importance given to patient safety during critical care transfers, the advantages and disadvantages of muscle relaxation for transfers and the factors considered in deciding whether to use muscle relaxants. SN - 1750-8460 AD - Specialist Registrar in Anaesthesia and Intensive Care (Dual Accreditation) in the Section for Anaesthetics, Pain Medicine and Intensive Care, Faculty of Medicine, Imperial College London, London SW10 9NH U2 - PMID: 26352723. DO - 10.12968/hmed.2015.76.9.550 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109887801&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 110968508 T1 - Transport of the Newborn: Different Realities in the World. AU - Vieira, Renata Amato AU - Rivero Ceccon, Maria Esther Jurfest AU - de Carvalho, Werther Brunow AU - Ceccon, Maria Esther Jurfest Rivero Y1 - 2015/11// N1 - Accession Number: 110968508. Language: English. Entry Date: 20160228. Revision Date: 20160715. Publication Type: commentary; letter. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 100954653. KW - Intensive Care Units, Neonatal -- Statistics and Numerical Data KW - Infant, Premature KW - Hospitals, Special -- Statistics and Numerical Data KW - Transfer, Discharge -- Statistics and Numerical Data KW - Female KW - Male SP - 897 EP - 898 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 16 IS - 9 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1529-7535 AD - Neonatology Division, Pediatric Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil U2 - PMID: 26536562. DO - 10.1097/PCC.0000000000000553 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110968508&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107227207 T1 - Success stories. Delays in patient transfer: postanesthesia care nursing. AU - Zollinger TW AU - Saywell RM Jr. AU - Smith CP AU - Highland D AU - Pfeiffer B AU - Kelton GM Y1 - 1999/09//Sep/Oct99 N1 - Accession Number: 107227207. Language: English. Entry Date: 19991201. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8404213. KW - Transfer, Intrahospital KW - Perianesthesia Nursing KW - Post Anesthesia Care Units -- Economics KW - Cost Control KW - Descriptive Research KW - Time Factors KW - Bed Occupancy KW - Midwestern United States KW - Descriptive Statistics KW - Convenience Sample KW - Data Analysis Software KW - Chi Square Test KW - Multiple Logistic Regression KW - Costs and Cost Analysis KW - Data Collection KW - Adolescence KW - Adult KW - Middle Age KW - Aged KW - Male KW - Female KW - Human SP - 283 EP - 290 JO - Nursing Economic$ JF - Nursing Economic$ JA - NURS ECON VL - 17 IS - 5 CY - Pitman, New Jersey PB - Jannetti Publications, Inc. SN - 0746-1739 AD - Associate Professor, School of Public and Environmental Affairs, Indiana University, Indianapolis, IN U2 - PMID: 10711180. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107227207&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106887724 T1 - Transfer from ward to PICU: a standard. AU - Heward Y Y1 - 2003/02/02/2003 Feb Critical Care N1 - Accession Number: 106887724. Language: English. Entry Date: 20031128. Revision Date: 20150820. Publication Type: Journal Article; pictorial; research; tables/charts. Supplement Title: 2003 Feb Critical Care. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9013329. KW - Intensive Care Units, Pediatric KW - Transfer, Intrahospital -- Standards -- In Infancy and Childhood KW - Audit KW - Child KW - Patient Safety -- In Infancy and Childhood KW - Pediatric Critical Care Nursing KW - United Kingdom KW - Human SP - XI EP - XIII JO - Paediatric Nursing JF - Paediatric Nursing JA - PAEDIATR NURS VL - 15 IS - 1 PB - RCNi AB - A disparity in the quality of care given to transferring children to intensive care led to an audit of practice and the development of a new standard of care. Yvonne Heward reports on the findings. SN - 0962-9513 AD - Clinical Practitioner for High Dependency Nursing, PICU, Birmingham Children's Hospital NHS Trust U2 - PMID: 12655957. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106887724&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116691681 T1 - 2016 Critical Care Transport Medicine Conference Scientific Forum. Y1 - 2016/07//Jul/Aug2016 N1 - Accession Number: 116691681. Language: English. Entry Date: In Process. Revision Date: 20180118. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Critical Care KW - Congresses and Conferences KW - Medicine KW - Transportation SP - N.PAG JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 35 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116691681&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106549181 T1 - Breakout session reports. Transportation progress, issues, challenges, and innovations for disabled travelers...Proceedings: White House/VA Conference. Emerging Technologies in Support of the New Freedom Initiative: Promoting Opportunities for People with Disabilities, October 13-14, 2004 AU - Thirumalai K Y1 - 2004/01/02/Jan/Feb2004 Supplement 1 N1 - Accession Number: 106549181. Language: English. Entry Date: 20051209. Revision Date: 20151016. Publication Type: Journal Article; pictorial; tables/charts. Supplement Title: Jan/Feb2004 Supplement 1. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 8410047. KW - Assistive Technology KW - Disabled KW - Research, Rehabilitation KW - Transportation KW - Architectural Accessibility KW - Computers and Computerization KW - Government Agencies KW - Physical Mobility SP - 83 EP - 85 JO - Journal of Rehabilitation Research & Development JF - Journal of Rehabilitation Research & Development JA - J REHABIL RES DEV VL - 41 CY - Baltimore, Maryland PB - VA Prosthetics Research & Development Center SN - 0748-7711 AD - Chief Engineer, Research and Special Programs Administration, Department of Transportation UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106549181&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 114252458 T1 - Ablation of the Thiol Transferase Glutaredoxin-1 Augments Protein S-Glutathionylation and Modulates Type 2 Inflammatory Responses and IL-17 in a House Dust Mite Model of Allergic Airway Disease in Mice. AU - Hoffman, Sidra M AU - Nolin, James D AU - Jones, Jane T AU - Lahue, Karolyn G AU - Chapman, David G AU - Aliyeva, Minara AU - Daphtary, Nirav AU - Lundblad, Lennart K A AU - Abdalla, Sarah AU - Ather, Jennifer L AU - Ho, Ye-Shih AU - Irvin, Charles G AU - Anathy, Vikas AU - Wouters, Emiel F M AU - Poynter, Matthew E AU - Janssen-Heininger, Yvonne M W Y1 - 2016/03/02/2016 Supplement 1 N1 - Accession Number: 114252458. Language: English. Entry Date: 20170113. Revision Date: 20170307. Publication Type: journal article. Supplement Title: 2016 Supplement 1. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 101600811. SP - S97 EP - S97 JO - Annals of the American Thoracic Society JF - Annals of the American Thoracic Society JA - ANN AM THORAC SOC VL - 13 CY - New York, New York PB - American Thoracic Society AB - S-glutathionylation has emerged as an oxidant-induced post-translational modification of protein cysteines that affects structure and function. The oxidoreductase glutaredoxin-1 (Glrx1), under physiological conditions, catalyzes deglutathionylation and restores the protein thiol group. The involvement of Grx1/S-glutathionylation in allergic inflammation induced by asthma-relevant allergens remains unknown. In the present study we examined the impact of genetic ablation of Glrx1 for the pathogenesis of house dust mite (HDM)-induced allergic airway disease in mice. Wild-type (WT) or Glrx1(-/-) mice in the BALB/c background were instilled intranasally with 50 μg of HDM 5 consecutive days for 3 weeks and killed 72 hours post final exposure. As expected, overall protein S-glutathionylation was increased in Glrx1(-/-) mice exposed to HDM as compared with WT animals. Total cells in the bronchoalveolar lavage fluid were similarly increased in WT and Glrx1(-/-) HDM-treated mice compared with phosphate-buffered saline-treated control mice. However, in response to HDM, mice lacking Glrx1 demonstrated significantly more neutrophils but fewer eosinophils than HDM-exposed WT mice. mRNA expression of the Th2-associated cytokine IL-13, as well as MUC5ac, was significantly attenuated in Glrx1(-/-) HDM-treated mice compared with WT mice. Conversely, expression of IL-17A was increased in Glrx1(-/-) HDM mice compared with WT mice. Last, HDM-induced tissue damping and elastance were significantly attenuated in Glrx1(-/-) mice compared with WT littermates. These results demonstrate that the Grx1/S-glutathionylation redox status plays a pivotal role in HDM-induced allergic inflammation and airway hyperresponsiveness and suggest a potential role of Glrx1/S-glutathionylation in controlling the nature of the HDM-induced adaptive immune responses by promoting Type-2-driven inflammation and restricting IL-17A. SN - 2325-6621 AD - 1 Department of Pathology and Laboratory Medicine, and AD - 2 Department of Medicine, The University of Vermont, Burlington, Vermont AD - 3 Institute of Environmental Health Sciences, Wayne State University, Detroit, Michigan; and AD - 4 Department of Respiratory Medicine, Maastricht University Medical Center, Maastricht, The Netherlands U2 - PMID: 27027965. DO - 10.1513/AnnalsATS.201510-656MG UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114252458&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116760301 T1 - An Antepartum Education Program to Decrease Stress and Anxiety in Parents Prior to Admission and While Caring for Their Infants in the NICU. AU - Tussey, Christina AU - DeLuca, Lisa AU - McWilliams, Michelle AU - Tiltges, Lisa AU - Leake, Alison AU - Walker, Kathy Y1 - 2016/06//Jun2016 Supplement N1 - Accession Number: 116760301. Language: English. Entry Date: 20161014. Revision Date: 20161014. Publication Type: Article; abstract. Supplement Title: Jun2016 Supplement. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8503123. KW - Prenatal Care KW - Expectant Mothers -- Psychosocial Factors KW - Anxiety -- Prevention and Control -- In Pregnancy KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Infant, Newborn KW - Female KW - Pregnancy KW - Inpatients KW - Obstetric Nursing KW - Neonatal Intensive Care Nursing KW - Intensive Care Units, Neonatal SP - S14 EP - S15 JO - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JF - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JA - JOGNN VL - 45 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - The article presents a summary of an innovative obstetric program designed to provide antepartum interventions to reduce the anxiety of hospitalized mothers before and after their newborns were admitted to the neonatal intensive care unit (NICU). Topics covered include details relating to the antepartum interventions, the implementation, outcomes and evaluation of the program, and the program's implications for nursing practice. SN - 0884-2175 AD - Banner University Medical Center–Phoenix Campus, Phoenix, AZ AD - Banner University Medical Center–Phoenix, Mesa, AZ AD - Banner University Medical Center–Phoenix, Phoenix, AZ DO - 10.1016/j.jogn.2016.03.048 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116760301&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105054530 T1 - Airway management success and hypoxemia rates in air and ground critical care transport: a prospective multicenter study. AU - Thomas S AU - Judge T AU - Lowell MJ AU - MacDonald RD AU - Madden J AU - Pickett K AU - Werman HA AU - Shear ML AU - Patel P AU - Starr G AU - Chesney M AU - Domeier R AU - Frantz P AU - Funk D AU - Greenberg RD Y1 - 2010/07//Jul-Sep2010 N1 - Accession Number: 105054530. Language: English. Entry Date: 20100723. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. Instrumentation: Glasgow Coma Scale (GCS). Grant Information: MedEvac Foundation International. NLM UID: 9703530. KW - Airway Management -- Methods KW - Anoxemia -- Diagnosis KW - Critical Care -- Methods KW - Transportation of Patients -- Methods KW - Academic Medical Centers KW - Airway Management -- Education KW - Chi Square Test KW - Confidence Intervals KW - Data Analysis -- Methods KW - Fisher's Exact Test KW - Funding Source KW - Glasgow Coma Scale KW - Human KW - Intubation -- Methods KW - Intubation, Intratracheal -- Methods KW - Odds Ratio KW - Outcomes (Health Care) KW - Prehospital Care KW - Prospective Studies KW - Scales KW - Skill Acquisition -- Methods KW - United States SP - 283 EP - 291 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 14 IS - 3 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Objective. To assess critical care transport (CCT) crews' endotracheal intubation (ETI) attempts, success rates, and peri-ETI oxygenation. Methods. Participants were adult and pediatric patients undergoing attempted advanced airway management during the period from July 2007 to December 2008 by crews from 11 CCT programs varying in geography, crew configuration, and casemix; all crews had access to neuromuscular-blocking agents. Data collected included airway management variables defined per national consensus criteria. Descriptive analysis focused on ETI success rates (reported with exact binomial 95% confidence intervals [CIs]) and occurrence of new hypoxemia (oxygen saturation [SpO2] dropping below 90% during or after ETI); to assess categorical variables, Fisher's exact test, Pearson [chi]², and logistic regression were employed to explore associations between predictor variables and ETI failure or new hypoxemia. For all tests, p < 0.05 defined significance. Results. There were 603 total attempts at airway management, with successful oral or nasal ETI in 582 cases, or 96.5% (95% CI 94.7-97.8%). In 182 cases (30.2%, 95% CI 26.5-34.0%), there were failed ETI attempts prior to CCT crew arrival; CCT crew ETI success on these patients (96.2%, 95% CI 92.2-98.4%) was just as high as in the patients in whom there was no pre-CCT ETI attempt (p = 0.81). New hypoxemia occurred in only six cases (1.6% of the 365 cases with ongoing SpO2 monitoring; 95% CI 0.6-3.5%); the only predictor of new hypoxemia was pre-ETI hypotension (p < 0.001). A requirement for multiple ETI attempts by CCT crews was not associated with new hypoxemia (Fisher's exact p = 0.13). Conclusions. CCT crews' ETI success rates were very high, and even when ETI required multiple attempts, airway management was rarely associated with SpO2 derangement. CCT crews' ETI success rates were equally high in the subset of patients in whom ground emergency medical services (EMS) ETI failed prior to arrival of transport crews. SN - 1090-3127 AD - Department of Emergency Medicine, University of Oklahoma School of Community Medicine, OU Schusterman Center, 4502 East 41st Street, Tulsa, OK 74135; stephen-thomas@ouhsc.edu U2 - PMID: 20507218. DO - 10.3109/10903127.2010.481758 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105054530&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116889342 T1 - 9-256 - The Exit Bundle: A Time to Address Risk Factors for Infection before Leaving the ICU...43rd Annual Conference Abstracts, APIC 2016, Charlotte, NC June 2016 AU - Hou, Cindy AU - Hiester, Ashlee AU - Kraemer, Marianne Y1 - 2016/06/02/Jun2016 Supplement N1 - Accession Number: 116889342. Language: English. Entry Date: 20170419. Revision Date: 20170419. Publication Type: Article; abstract. Supplement Title: Jun2016 Supplement. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8004854. KW - Infection -- Risk Factors KW - Intensive Care Units KW - Transfer, Intrahospital SP - S102 EP - S102 JO - American Journal of Infection Control JF - American Journal of Infection Control JA - AM J INFECT CONTROL VL - 44 CY - New York, New York PB - Elsevier B.V. SN - 0196-6553 AD - Infection Control Officer, Kennedy Health System AD - Infection Control Practitioner, Kennedy Health AD - Chief Nursing Officer, Kennedy Health DO - 10.1016/j.ajic.2016.04.093 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116889342&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109791448 T1 - Personal communication improves handoffs. Y1 - 2014/11// N1 - Accession Number: 109791448. Language: English. Entry Date: 20150810. Revision Date: 20170918. Publication Type: Journal Article; brief item. Journal Subset: Health Services Administration; USA. NLM UID: 9889160. KW - Communication KW - Hand Off (Patient Safety) KW - Hospitals, Pediatric KW - Hospital Policies KW - Emergency Service KW - Intensive Care Units KW - Transfer, Intrahospital SP - 114 EP - 114 JO - Healthcare Risk Management JF - Healthcare Risk Management JA - HEALTHC RISK MANAGE VL - 36 IS - 11 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1081-6534 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109791448&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106472151 T1 - High dependency care: a model for development. AU - Day H AU - Allen Z AU - Llewellyn L Y1 - 2005/04// N1 - Accession Number: 106472151. Language: English. Entry Date: 20050624. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9013329. KW - Critical Care -- In Infancy and Childhood KW - Critically Ill Patients -- In Infancy and Childhood KW - Nursing Care Delivery Systems KW - Pediatric Units KW - Child KW - Clinical Competence KW - Intensive Care Units, Pediatric KW - Pediatric Critical Care Nursing KW - Pediatric Critical Care Nursing -- Education KW - Pediatric Nursing KW - Program Evaluation KW - Program Implementation KW - Program Planning KW - Staff Development KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Treatment Outcomes SP - 24 EP - 28 JO - Paediatric Nursing JF - Paediatric Nursing JA - PAEDIATR NURS VL - 17 IS - 3 PB - RCNi AB - Helen Day and colleagues report on the positive outcomes that have resulted from the implementation of a clinical model for delivering high dependency care for children and young people. SN - 0962-9513 AD - Paediatric Critical Care Clinical Educator and Outreach Facilitator, King's College Hospital, London U2 - PMID: 15861595. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106472151&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106318916 T1 - Transporting critically ill patients: new opportunities for nurses. AU - Mackintosh M Y1 - 2006/05/17/ N1 - Accession Number: 106318916. Language: English. Entry Date: 20060818. Revision Date: 20150819. Publication Type: Journal Article. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9012906. KW - Critical Care Nursing KW - Nursing Role KW - Transportation of Patients -- Trends KW - National Health Programs -- Trends KW - Practice Guidelines KW - Transfer, Discharge KW - Transfer, Intrahospital KW - United Kingdom SP - 46 EP - 48 JO - Nursing Standard JF - Nursing Standard JA - NURS STAND VL - 20 IS - 36 PB - RCNi AB - This article examines the inter-hospital and intra-hospital transport of critically ill patients in relation to recent guidelines and recommendations for the safe transfer of patients. The impact of new legislation on existing practice and the implications for developing new nursing roles are also discussed. SN - 0029-6570 AD - Cardiothoracic Intensive Care, Freeman Hospital, Newcastle upon Tyne; magron169@onetel.com U2 - PMID: 16755893. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106318916&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104802558 T1 - Handoffs: what ORs can learn from Formula One race crews. AU - Saver, Cynthia Y1 - 2011/04// N1 - Accession Number: 104802558. Language: English. Entry Date: 20110708. Revision Date: 20171109. Publication Type: Journal Article; pictorial. Journal Subset: Nursing; USA. Special Interest: Nursing Administration; Patient Safety; Perioperative Care. NLM UID: 8700332. KW - Hand Off (Patient Safety) KW - Intensive Care Units KW - Operating Rooms KW - Continuity of Patient Care KW - Quality Improvement KW - Staff Development KW - Transfer, Intrahospital SP - 1 EP - 13 JO - OR Manager JF - OR Manager JA - OR MANAGER VL - 27 IS - 4 CY - Rockville, Maryland PB - Access Intelligence LLC SN - 8756-8047 AD - CLS Development, Inc., Columbia, Maryland, USA. U2 - PMID: 21544965. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104802558&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 116671865 T1 - Strukturierte Patientenübergaben im Aufwachraum. AU - Bosse, Götz AU - Keller, Niklas AU - Föhre, Bettina AU - König, Susanne AU - Spies, Claudia Y1 - 2016/02// N1 - Accession Number: 116671865. Language: German. Entry Date: 20161223. Revision Date: 20170104. Publication Type: journal article. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. NLM UID: 9109478. KW - Transportation of Patients -- Administration KW - Post Anesthesia Care Units -- Administration KW - Anesthesiology KW - Interprofessional Relations KW - Operating Rooms -- Administration KW - Treatment Errors -- Prevention and Control KW - Patient Safety KW - Germany SP - 77 EP - 78 JO - AINS: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie JF - AINS: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie JA - ANASTHESIOL INTENSIVMED NOTFALLMED SCHMERZTHER VL - 51 IS - 2 PB - Georg Thieme Verlag Stuttgart SN - 0939-2661 U2 - PMID: 26949900. DO - 10.1055/s-0042-102208 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116671865&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 113612570 T1 - Empfehlung der DGAI zur strukturierten Patientenübergabe in der perioperativen Phase - Das SBAR-Konzept. AU - von Dossow, Vera AU - Zwiβler, Bernhard AU - Zwißler, Bernhard Y1 - 2016/02// N1 - Accession Number: 113612570. Language: German. Entry Date: 20161223. Revision Date: 20170104. Publication Type: journal article. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. Instrumentation: Dyadic Adjustment Scale. NLM UID: 9109478. KW - Post Anesthesia Care Units -- Administration KW - Patient Safety -- Standards KW - Critical Care KW - Practice Guidelines KW - Anesthesiology KW - Operating Rooms -- Administration KW - Perioperative Care -- Standards KW - Germany KW - Management KW - Transportation of Patients -- Administration KW - Interprofessional Relations KW - Dyadic Adjustment Scale SP - 136 EP - 137 JO - AINS: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie JF - AINS: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie JA - ANASTHESIOL INTENSIVMED NOTFALLMED SCHMERZTHER VL - 51 IS - 2 PB - Georg Thieme Verlag Stuttgart SN - 0939-2661 U2 - PMID: 26949909. DO - 10.1055/s-0042-101190 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113612570&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107382000 T1 - Transfer anxiety in patients with myocardial infarction. AU - Jenkins DA AU - Rogers H Y1 - 1995/11/23/ N1 - Accession Number: 107382000. Language: English. Entry Date: 19960901. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9212059. KW - Anxiety -- Nursing KW - Myocardial Infarction -- Psychosocial Factors KW - Patient Education KW - Transfer, Intrahospital KW - Anxiety -- Psychosocial Factors KW - Coronary Care Units KW - Models, Theoretical KW - Inpatients SP - 1248 EP - 1252 JO - British Journal of Nursing JF - British Journal of Nursing JA - BR J NURS VL - 4 IS - 21 PB - Mark Allen Holdings Limited AB - When patients are transferred from a coronary care unit to a general ward they often experience transfer anxiety. A structured pre-transfer teaching programme is suggested as a tool which may improve patient care. SN - 0966-0461 AD - School of Nursing Studies, Army Medical Services Training Group, Keogh Barracks, Aldershot, Hants U2 - PMID: 8574101. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107382000&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108076784 T1 - Patient safety in the critical care environment. AU - Rossi PJ AU - Edmiston CE Jr Y1 - 2012/12//2012 Dec N1 - Accession Number: 108076784. Language: English. Entry Date: 20130201. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Perioperative Care. NLM UID: 0074243. KW - Critical Care KW - Cross Infection -- Prevention and Control KW - Intensive Care Units -- Standards KW - Treatment Errors KW - Patient Safety KW - Risk Management KW - Infection Control KW - Cross Infection -- Economics KW - Cross Infection -- Etiology KW - Diagnostic Imaging KW - Equipment Safety KW - Critical Care -- Standards KW - Personnel Staffing and Scheduling KW - Transportation of Patients KW - United States SP - 1369 EP - 1386 JO - Surgical Clinics of North America JF - Surgical Clinics of North America JA - SURG CLIN NORTH AM VL - 92 IS - 6 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Improving the quality and safety of intensive care unit (ICU) care in the United States is a significant challenge for the future. Obtaining improvement in systems of care is difficult given the reactionary mode physicians tend to enter when dealing with moment-to-moment crises. It will be important to implement quality and safety measures that are already supported by evidence. Improvement of device safety will be critical to reducing the large number of device-related complications that occur in US ICUs. Prospective collection of adverse events with rigorous analysis will be important to allow systematic errors to be exposed and corrected. SN - 0039-6109 AD - Division of Vascular Surgery, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA. Electronic address: prossi@mcw.edu. U2 - PMID: 23153874. DO - 10.1016/j.suc.2012.08.007 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108076784&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104701700 T1 - Equipping the critical care environment. AU - Gambacorta, Cathy AU - Charrin, Lisa Y1 - 2011/10//2011 Oct-Dec N1 - Accession Number: 104701700. Language: English. Entry Date: 20111118. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8704517. KW - Critical Care -- Equipment and Supplies KW - Hospital Design and Construction KW - Intensive Care Units KW - Beds and Mattresses KW - Comfort KW - Diagnostic Imaging KW - Health Facility Environment KW - Inpatients KW - Lighting KW - Monitoring, Physiologic -- Equipment and Supplies KW - Patient Satisfaction KW - Patients' Rooms KW - Product Acquisition KW - Technology KW - Transportation of Patients SP - 306 EP - 316 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 34 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Equipping the critical care unit is a complex endeavor, and requires careful planning and continuous oversight by a multidisciplinary team. The selection, purchase, placement and installation of many components of the critical care environment must be considered in the earliest stages of the unit design process to ensure successful integration of space allocation, utility support and user interfaces. The hospital's leadership team, bedside clinicians and engineering support must work closely with architects, equipment planners, construction liaisons, interior designers and other experts throughout all phases of the project to ensure the desired outcomes. SN - 0887-9303 AD - Mitchell Planning Associates, Northbrook, Illinois (Ms Gambacorta), and Mitchell Planning Associates, Pearland, Texas (Ms Charrin). U2 - PMID: 21921716. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104701700&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108250684 T1 - Analysis of the registry of the initial care given to the patient with severe trauma. AU - López, Candelas L AU - Sánchez, Cindia M AU - Vela, Silvia T AU - Pérez, Mª del AM AU - Sánchez, Iluminada P AU - Gaspar, Raquel V AU - López, Olga M AU - Gómez, Gemma S AU - Solanas, Manuela C AU - López, Emilio A Y1 - 2011/07//2011 Jul-Aug N1 - Accession Number: 108250684. Language: Spanish. Entry Date: 20111007. Revision Date: 20150820. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Emergency Care. Instrumentation: Injury Severity Score (ISS). KW - Emergency Care KW - Emergency Service KW - Protocols KW - Trauma -- Therapy KW - Academic Medical Centers KW - Adolescence KW - Adult KW - Aged KW - Aged, 80 and Over KW - Bivariate Statistics KW - Data Analysis Software KW - Descriptive Research KW - Descriptive Statistics KW - Emergency Patients KW - Female KW - Human KW - Inpatients KW - Kruskal-Wallis Test KW - Male KW - Middle Age KW - Monitoring, Physiologic KW - Nursing Records KW - Outpatients KW - Prehospital Care KW - Shift Reports KW - Spain KW - Trauma Severity Indices SP - 8 EP - 12 JO - Metas de Enfermería JF - Metas de Enfermería JA - METAS ENFERM VL - 14 IS - 6 PB - Difusion Avances de Enfermeria, S.L. AB - Objective: to analyse compliance with the registry of the initial care given to the patient with severe trauma at the Trauma and Emergency Intensive Care Unit of the Hospital 12 de Octubre in Madrid. Material and method: descriptive study of the registry of the initial care given to the patient with severe trauma (RAIT), based on the Advanced Trauma Life Support. 10 primary variables (PV) were designed (VP) to assess compliance: demographic, symptoms, initial care vital signs, vital signs during intrahospital transfer, diagnostic test outside the unit vital signs, water balance, prehospital care, care at the unit, diagnostic tests-laboratory work, care team. The level of total compliance was related to the Injury Severity Score (ISS), shift and shift-change. A descriptive analysis of the variables was carried and the Kruskall-Wallis test was used for bivariate analysis. Results: the registries of 331 patients were reviewed. Mean total compliance rate was 49,5%. No significant differences were found between total compliance, ISS, shift and shift-change. The registry of PV: demographic 82,18%, symptoms 3,63%, vital signs on initial care 44,4%, vital signs and diagnostic tests outside the unit 16,9%, water balance 0,9%, no recording of vital signs during intrahospital transfer, prehospital care 68,9%, care given at the unit 91,8%, diagnostic tests-laboratory work 95%, care team 90,3%. Conclusion: it is necessary to improve compliance with the RAIT protocol. Areas in need of improvement are detected such as increased recordings in the registry of vital signs at initial care (temperature), increased recordings of vital signs during diagnostic tests/laboratory work and increased recording of water balance (blood loss) and blood type, given the importance that these data have in the management of patients with severe trauma. SN - 1138-7262 AD - Enfermera de la Unidad de Cuidados Intensivos (UCI) de Trauma y Emergencias. Hospital Universitario 12 de Octubre, Madrid. AD - Supervisora de Enfermería de la UCI de Trauma y Emergencias. Hospital Universitario 12 de Octubre, Madrid. AD - Jefe de Sección de la UCI de Trauma y Emergencias. Hospital Universitario 12 de Octubre, Madrid. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108250684&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106716102 T1 - Effects of acuity-adaptable rooms on flow of patients and delivery of care [corrected] [published erratum appears in AM J CRIT CARE 2004 Mar;13(2):171]. AU - Hendrich AL AU - Fay J AU - Sorrells AK Y1 - 2004/01// N1 - Accession Number: 106716102. Language: English. Entry Date: 20040326. Revision Date: 20150819. Publication Type: Journal Article; CEU; pictorial; research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Patient Expectation Project standardized tool (Arbor Associates, Inc). Grant Information: Robert Wood Johnson Executive Nurse Fellowship. NLM UID: 9211547. KW - Coronary Care Nursing KW - Interior Design and Furnishings KW - Patient Classification KW - Patients' Rooms KW - Progressive Patient Care KW - Transfer, Intrahospital KW - Pretest-Posttest Design KW - Funding Source KW - Accidental Falls KW - Coronary Care Units KW - Cost Savings KW - Databases KW - Decentralization KW - Descriptive Statistics KW - Education, Continuing (Credit) KW - Indiana KW - Length of Stay KW - Medical-Surgical Nursing KW - Medication Errors KW - Observation Units KW - Patient Satisfaction -- Evaluation KW - Personnel Recruitment KW - Personnel Retention KW - Productivity KW - Questionnaires KW - Record Review KW - Sentinel Event KW - Time Factors KW - Workload KW - Human SP - 35 EP - 45 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 13 IS - 1 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - BACKGROUND: Delayed transfers of patients between nursing units and lack of available beds are significant problems that increase costs and decrease quality of care and satisfaction among patients and staff. OBJECTIVE: To test whether use of acuity-adaptable rooms helps solve problems with transfers of patients, satisfaction levels, and medical errors. METHODS: A pre-post method was used to compare the effects of environmental design on various clinical and financial measures. Twelve outcome-based questions were formulated as the basis for inquiry. Two years of baseline data were collected before the unit moved and were compared with 3 years of data collected after the move. RESULTS: Significant improvements in quality and operational cost occurred after the move, including a large reduction in clinician handoffs and transfers; reductions in medication error and patient fall indexes; improvements in predictive indicators of patients' satisfaction; decrease in budgeted nursing hours per patient day and increased available nursing time for direct care without added cost; increase in patient days per bed, with a smaller bed base (number of beds per patient days). Some staff turnover occurred during the first year; turnover stabilized thereafter. CONCLUSIONS: Data in 5 key areas (flow of patients and hospital capacity, patients' dissatisfaction, sentinel events, mean length of stay, and allocation of nursing productivity) appear to be sufficient to test the business case for future investment in partial or complete replication of this model with appropriate populations of patients. SN - 1062-3264 AD - Methodist Hospital, Clarian Health Partners, Inc, Indianapolis, Ind U2 - PMID: 14735646. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106716102&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105088190 T1 - Audit of severe acute maternal morbidity describing reasons for transfer and potential preventability of admissions to ICU. AU - LAWTON BA AU - WILSON LF AU - DINSDALE RA AU - ROSE SB AU - BROWN SA AU - TAIT J AU - COLES CL AU - MCCAW A Y1 - 2010/08// N1 - Accession Number: 105088190. Language: English. Entry Date: 20101028. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Australia & New Zealand; Double Blind Peer Reviewed; Expert Peer Reviewed; Peer Reviewed. Special Interest: Obstetric Care; Women's Health. NLM UID: 0001027. KW - Intensive Care Units KW - Puerperal Disorders -- Prevention and Control KW - Critical Illness -- Epidemiology -- In Pregnancy KW - Critical Illness -- Prevention and Control -- In Pregnancy KW - Pregnancy Complications -- Prevention and Control KW - Maternal Health Services KW - Retrospective Design KW - Pregnancy Outcomes KW - Patient Admission KW - Critically Ill Patients KW - Audit KW - Record Review KW - Nonexperimental Studies KW - New Zealand KW - Human KW - Female KW - Data Analysis Software KW - Ethnic Groups KW - Descriptive Statistics KW - Adult KW - Adolescence KW - Middle Age KW - Hypotension KW - Hemorrhage KW - Disseminated Intravascular Coagulation KW - Maori KW - Asians KW - Pregnancy KW - Quality of Health Care SP - 346 EP - 351 JO - Australian & New Zealand Journal of Obstetrics & Gynaecology JF - Australian & New Zealand Journal of Obstetrics & Gynaecology JA - AUST NZ J OBSTET GYNAECOL VL - 50 IS - 4 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0004-8666 AD - Women’s Health Research Centre, University of Otago, Wellington, PO Box 7343, Wellington, New Zealand; bev.lawton@otago.ac.nz U2 - PMID: 20716262. DO - 10.1111/j.1479-828X.2010.01200.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105088190&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 110709353 T1 - NURSE-LED ICU TRANSFER. Y1 - 2015/11/04/ N1 - Accession Number: 110709353. Language: English. Entry Date: 20151214. Revision Date: 20151214. Publication Type: Article; brief item. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. NLM UID: 9012906. KW - Nursing Assessment KW - Transfer, Discharge KW - Intensive Care Units, Pediatric KW - Child, Hospitalized KW - Advanced Nursing Practice KW - Interprofessional Relations KW - National Health Programs -- England KW - England SP - 20 EP - 20 JO - Nursing Standard JF - Nursing Standard JA - NURS STAND VL - 30 IS - 10 PB - RCNi AB - Leading a team that transfers seriously ill children between a district general hospital and a site with a paediatric intensive care unit used to be regarded as a job for a doctor. SN - 0029-6570 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110709353&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104135041 T1 - Patient Discharges From Busy ICUs. Y1 - 2014/01// N1 - Accession Number: 104135041. Language: English. Entry Date: 20140110. Revision Date: 20150710. Publication Type: Journal Article; brief item. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. KW - Decision Making, Clinical KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Intensive Care Units SP - 10 EP - 10 JO - AACN Bold Voices JF - AACN Bold Voices JA - AACN BOLD VOICES VL - 6 IS - 1 CY - Aliso Viejo, California PB - American Association of Critical-Care Nurses SN - 1948-7088 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104135041&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107829833 T1 - Vertical hospital evacuations: a new method. AU - Iserson, Kenneth V Y1 - 2013/01// N1 - Accession Number: 107829833. Language: English. Entry Date: 20141003. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0404522. KW - Beds and Mattresses KW - Disaster Planning KW - Lifting KW - Patient Positioning -- Methods KW - Transportation of Patients -- Methods KW - Hospitals KW - Intensive Care Units KW - Transportation of Patients -- Administration KW - United States SP - 37 EP - 42 JO - Southern Medical Journal JF - Southern Medical Journal JA - SOUTH MED J VL - 106 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1541-8243 AD - University of Arizona and the AZ-1 Disaster Medical Assistance Team, Tucson, AZ, USA. kvi@u.arizona.edu U2 - PMID: 23263312. DO - 10.1097/SMJ.0b013e31827caef4 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107829833&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103889344 T1 - Patient safety and prevention of unexpected events occurring during the intra-hospital transport of critically ill ICU patients. AU - Kumari Shweta AU - Kumar, Sachin Y1 - 2014/09// N1 - Accession Number: 103889344. Language: English. Entry Date: 20140911. Revision Date: 20150710. Publication Type: Journal Article; commentary; letter. Original Study: Venkategowda PM, Mutkule DP, Taggu AN. Unexpected events occurring during the intra-hospital transport of critically ill ICU patients. Indian J Crit Care Med 2014; 18: 354-357. Journal Subset: Asia; Biomedical. Special Interest: Critical Care; Emergency Care. NLM UID: 101208863. KW - Critically Ill Patients KW - Transportation of Patients KW - Safety KW - Risk Assessment KW - Intensive Care Units KW - Protocols SP - 636 EP - 636 JO - Indian Journal of Critical Care Medicine JF - Indian Journal of Critical Care Medicine JA - INDIAN J CRIT CARE MED VL - 18 IS - 9 PB - Wolters Kluwer India Pvt Ltd SN - 0972-5229 AD - Department of Hospital Administration, All India Institute of Medical Sciences (AIIMS), New Delhi, India AD - Department of Pulmonary Medicine, Institute of Liver and Biliary Sciences (ILBS), New Delhi, India U2 - PMID: 25249749. DO - 10.4103/0972-5229.140156 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103889344&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104827114 T1 - Transporting Clinical Tools to New Settings: Cultural Adaptation and Validation of the Emergency Severity Index in German. AU - Grossmann, Florian F. AU - Nickel, Christian H. AU - Christ, Michael AU - Schneider, Kristian AU - Spirig, Rebecca AU - Bingisser, Roland Y1 - 2011/03// N1 - Accession Number: 104827114. Language: English. Entry Date: 20110506. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. Instrumentation: Emergency Severity Index (ESI). NLM UID: 8002646. KW - Clinical Assessment Tools -- Evaluation KW - Cultural Competence KW - Emergency Medicine KW - Germany KW - Triage KW - Validity -- Evaluation KW - Academic Medical Centers KW - Human KW - Data Collection KW - Intensive Care Units KW - Male KW - Scales KW - Confidence Intervals KW - Reliability -- Evaluation SP - 257 EP - 264 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 57 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Study objective: To date, no German triage tool with proven reliability and validity exists. The goal of this project is to translate and culturally adapt the Emergency Severity Index (ESI) and to assess reliability and validity of the German version. Methods: The ESI was translated following principles recommended for the translation and cultural adaptation of instruments. We performed a prospective, single-center cohort study. Reliability was assessed by calculating Cohen''s weighted κ for agreement of 2 experts who reviewed the triage nurses'' notes. To assess validity, associations of the number of resources, hospitalization, admission to intensive care, length of stay, and mortality with the assigned ESI level were investigated. Results: Only small cultural adaptations had to be made during the translation process. Interrater agreement was high (κw=0.985) in a sample of 125 patients. For the assessment of validity, a sample of 2,114 patients was used. Spearman''s rank correlation coefficient between ESI category and number of resources was ρ=−0.567. The association (Kendall''s τ) between ESI category and disposition, and hospitalization was τ=−0.429 and τ=−0.453, respectively. The areas under the curves for the predictive ability of the ESI for hospitalization in general and hospitalization to an ICU were 0.788 and 0.856, respectively. The association between emergency department length of stay and ESI category was also significant (Kruskal-Wallis χ2=450.8; df=4; P<.001). Furthermore, the association between ESI category and survival probability was significant (log-rank χ2=36.06; df=3; P<.001). Conclusion: Translation of the ESI following guidelines was feasible and resulted in a reliable and valid German version. SN - 0196-0644 AD - Emergency Department, University Hospital Basel, Basel, Switzerland AD - Department of Emergency and Critical Care Medicine, Municipal Hospital, Nuremberg, Germany AD - Department of Clinical Nursing Science, University Hospital Zurich, Zurich, and Institute of Nursing Science, University Basel, Basel, Switzerland U2 - PMID: 20952097. DO - 10.1016/j.annemergmed.2010.07.021 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104827114&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104894332 T1 - Effect of Education on a Chest Pain Mnemonic on Door-to-ECG Time. AU - Ballard, Nancy AU - Bairan, Annette AU - Newberry, Lorene AU - Van Brackle, Lewis AU - Barnett, Gwen Y1 - 2011/05// N1 - Accession Number: 104894332. Language: English. Entry Date: 20110713. Revision Date: 20150818. Publication Type: Journal Article; clinical trial; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 7605913. KW - Chest Pain -- Diagnosis KW - Myocardial Infarction -- Diagnosis KW - Triage -- Methods KW - Emergency Nursing KW - Early Diagnosis KW - Electrocardiography KW - Quasi-Experimental Studies KW - Prospective Studies KW - Clinical Trials KW - Pretest-Posttest Design KW - Staff Development KW - Paired T-Tests KW - Nursing Knowledge KW - Time Factors KW - Health Care Delivery KW - Registered Nurses KW - Nomenclature KW - Early Intervention KW - Male KW - Female KW - Human KW - Education, Continuing (Credit) SP - 220 EP - 224 JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 37 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Introduction: Acute myocardial infarction (AMI) continues to contribute to both death and disability in both men and women. The first step in early intervention is an ECG. Atypically presenting patients, especially those who present by self-transport, are more likely to experience delays. The purpose of this study was to evaluate the effect of a new chest pain mnemonic (CPM) as a teaching tool for rapid recognition of AMI patients arriving by self-transport in ED triage in an effort to improve door-to-ECG (DTE) time. Methods: This study is a longitudinal, quasi-experimental quantitative study. Instruction and evaluation of nurses'' knowledge related to identification of AMI before and after instruction on the CPM education (intervention) were coordinated by the emergency clinical nurse specialist. The study sample for the educational intervention included 26 nurses (15% of total population) from 4 emergency departments. Ad hoc queries of the National Registry for Myocardial Infarction database for patients arriving by self-transport to the emergency department were done to examine DTE before and after intervention. The pretests and post-tests of the nurses were analyzed with a paired t test, and the pre- and post-intervention DTE times were analyzed by log-linear modeling. Results: Evaluation of nurses'' knowledge before and after CPM education indicated an improvement in DTE time, although it was not statistically significant. There was a significant improvement in DTE time for 2 hospitals that was somewhat negated in the aggregate data. There was a noted trend that showed an advantage in DTE time associated with male patients. Discussion: Inclusion of tools such as the CPM in education programs for emergency nurses improved rapid recognition of AMI patients presenting via self-transport to the emergency department. Attention to gender differences in patient presentation should be included in future CPM education, and tools to assist nurses in the early recognition of AMI need to be developed. Investigation regarding intra-hospital differences is warranted. SN - 0099-1767 U2 - PMID: 21550453. DO - 10.1016/j.jen.2010.02.018 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104894332&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108165330 T1 - Firearm injury: a public health problem. AU - Zandomenighi, Robson Cristiano AU - Martins, Eleine Aparecida Penha AU - Mouro, Douglas Lima Y1 - 2011/07//2011 Jul-Sep N1 - Accession Number: 108165330. Language: Portuguese. Entry Date: 20120420. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Emergency Care. KW - Emergency Care KW - Wounds, Gunshot -- Epidemiology -- Brazil KW - Academic Medical Centers KW - Adolescence KW - Adult KW - Aged KW - Aged, 80 and Over KW - Brazil KW - Child KW - Child, Preschool KW - Crime KW - Crime Victims KW - Cross Sectional Studies KW - Descriptive Statistics KW - Emergency Patients KW - Emergency Service KW - Epidemiological Research KW - Exploratory Research KW - Female KW - Human KW - Immobilization KW - Infant KW - Inpatients KW - Length of Stay KW - Male KW - Marital Status KW - Middle Age KW - Oxygen Therapy KW - Prehospital Care KW - Quantitative Studies KW - Wound Care SP - 412 EP - 420 JO - Revista Mineira de Enfermagem JF - Revista Mineira de Enfermagem JA - REV MINEIRA ENFERMAGEM VL - 15 IS - 3 PB - Universidade Federal de Minas Gerais, Escola de Enfermagem AB - This research's objective was to outline the epidemiological profile of firearm injury victims attended in the emergency unit of a university hospital in 2007. It aimed as well to characterize pre and intra hospital care. It is a cross-sectional study with a quantitative approach. The sample consisted of 98 patients. The majority of victims presented a single firearm injury, were young, male, single, from the city of Londrina, Parana. The injury main cause was robbery. The ambulances of the Trauma and Emergency Care Integrated System (in Portuguese, SIATE) were the most employed means of transportation and the main provider of pre-hospital care. The most common pre and intra-hospital care procedures were dressing, immobilization and fluid replacement, respectively. Prolonged hospitalization, need for intensive care and surgery as well as injury related disabilities and deaths occurred. The epidemiology of firearms injuries must be better understood although its control depends on interventions that are outside the healthcare scope. SN - 1415-2762 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108165330&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104586111 T1 - Transport as a system: reorganization of perinatal assistance in Northern Lombardy. AU - Martinelli, Stefano AU - Vergani, Patrizia AU - Zanini, Rinaldo AU - Bellù, Roberto AU - Farina, Clotilde AU - Tagliabue, Paolo Y1 - 2011/10/02/Oct2011 Supplement 1 N1 - Accession Number: 104586111. Language: English. Entry Date: 20120323. Revision Date: 20150711. Publication Type: Journal Article; research. Supplement Title: Oct2011 Supplement 1. Journal Subset: Biomedical; Europe; UK & Ireland. Special Interest: Obstetric Care. NLM UID: 101136916. KW - Health Services Accessibility -- Administration KW - Perinatal Care KW - Transportation -- Methods KW - Beds and Mattresses -- Supply and Distribution KW - Female KW - Health and Welfare Planning KW - Human KW - Infant, Newborn KW - Intensive Care Units, Neonatal -- Administration KW - Italy KW - Public Assistance -- Administration KW - Patient Record Systems KW - Obstetrics -- Methods KW - Obstetrics KW - Perinatal Care -- Methods KW - Pilot Studies KW - Pregnancy KW - Expectant Mothers KW - Program Evaluation SP - 122 EP - 125 JO - Journal of Maternal-Fetal & Neonatal Medicine JF - Journal of Maternal-Fetal & Neonatal Medicine JA - J MATERN FETAL NEONAT MED VL - 24 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd SN - 1476-7058 AD - Neonatology and Neonatal Intensive Care Unit, Niguarda 'Ca' Granda' Hospital , Milan , Italy. U2 - PMID: 21942610. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104586111&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107281561 T1 - Patients' outcomes: intrahospital transportation and monitoring of critically ill patients by a specially trained ICU nursing staff. AU - Stearley HE Y1 - 1998/07//1998 Jul N1 - Accession Number: 107281561. Language: English. Entry Date: 19980901. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9211547. KW - Critically Ill Patients KW - Transfer, Intrahospital KW - Outcomes (Health Care) KW - Critical Care Nursing KW - Record Review KW - Outcomes (Health Care) -- Evaluation KW - Hospitals -- Missouri KW - Missouri KW - Descriptive Statistics KW - Monitoring, Physiologic KW - Nursing Role KW - Charting KW - Diagnostic Services KW - Infant KW - Child, Preschool KW - Child KW - Adult KW - Middle Age KW - Aged KW - Inpatients KW - Human SP - 282 EP - 287 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 7 IS - 4 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - BACKGROUND: Intrahospital transportation of critically ill patients can contribute to patients' morbidity and mortality. OBJECTIVE: To determine adverse outcomes associated with intrahospital transportation of critically ill patients by a specially trained nursing transport team. METHODS: Monitoring and intervention data were collected for 237 instances of transportation of patients between a hospital's ICUs and radiology suites. These results were compared with the results of national studies on complication rates associated with intrahospital transportation of patients. RESULTS: The patients moved by the specially trained transport team has a 15.5% overall complication rate, with 10.2% minor, 2.5% moderate (compensated for with medications), and 2.8% severe complications that did not respond to intervention. No medications of therapies were delayed, and only 2 patients (0.8%) had decompensation that required the examinations to be aborted. Reported national complication rates for intrahospital transportation of patients are as high as 75%; the complications include adverse events such as delayed administration of medications, significant changes in vital signs, dislodgment of artificial airways and i.v. catheters, and cardiopulmonary arrest. CONCLUSION: Use of a specially trained ICU transport team can substantially reduce the rate of adverse outcomes generated by the transportation of critically ill patients for specialized radiological procedures. SN - 1062-3264 AD - University of Missouri Hospitals and Clinics, Columbia, Mo U2 - PMID: 9656042. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107281561&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104411297 T1 - Delayed discharge audit -- paper presented at Barna Conference 2011. AU - Bishop, Jascqui AU - Llewellyn, Lucie Y1 - 2012/08// N1 - Accession Number: 104411297. Language: English. Entry Date: 20130208. Revision Date: 20150711. Publication Type: Journal Article; statistics; tables/charts. Journal Subset: Europe; Nursing; UK & Ireland. Special Interest: Perioperative Care. NLM UID: 101211694. KW - Length of Stay KW - Patient Discharge KW - Perianesthesia Nursing KW - Post Anesthesia Care Units KW - Transfer, Intrahospital KW - Audit KW - England KW - Hospitals KW - Medical Records KW - Record Review KW - Time Factors SP - 40 EP - 47 JO - British Journal of Anaesthetic & Recovery Nursing JF - British Journal of Anaesthetic & Recovery Nursing JA - BR J ANAESTH RECOV NURS VL - 13 IS - 3/4 PB - Cambridge University Press SN - 1742-6456 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104411297&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108167620 T1 - News of the academy of neonatal nursing. Y1 - 2012/03//Mar/Apr2012 N1 - Accession Number: 108167620. Language: English. Entry Date: 20120525. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 8503921. KW - Neonatal Nursing -- Organizations KW - Access to Information KW - Awards and Honors KW - Blood Transfusion KW - Childbirth, Premature -- Trends KW - Congresses and Conferences -- Louisiana KW - Equipment and Supplies -- Utilization KW - Hypotension -- In Infancy and Childhood KW - Infant KW - Infant, Newborn KW - Infant, Premature KW - Infant, Very Low Birth Weight KW - Intensive Care Units, Neonatal KW - Joint Commission KW - Leadership KW - Louisiana KW - Membership KW - Patient Safety KW - Skull -- Abnormalities -- In Infancy and Childhood KW - Social Networks KW - Sound KW - Sudden Infant Death -- Prevention and Control KW - Supine Position KW - Transportation of Patients -- In Infancy and Childhood SP - 131 EP - 135 JO - Neonatal Network JF - Neonatal Network JA - NEONAT NETW VL - 31 IS - 2 CY - New York, New York PB - Springer Publishing Company, Inc. SN - 0730-0832 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108167620&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108483007 T1 - Critical Care Transport Training: New Strides in Simulating the Austere Environment. AU - Alfes, Celeste M. AU - Steiner, Stephanie L. AU - Manacci, Christopher F. Y1 - 2015/07//Jul/Aug2015 N1 - Accession Number: 108483007. Language: English. Entry Date: In Process. Revision Date: 20150723. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. SP - 186 EP - 187 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 34 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - The air medical transport arena requires the practitioner to develop clinical and diagnostic reasoning abilities to manage the dynamic needs of the patient in unstructured, uncertain, and often unforgiving environments. High-fidelity simulation can be instrumental in training interprofessional flight teams to improve competency through quality and safe patient care during medical transport that may otherwise take years to learn because of the inconsistency in real-world experiences. Because of the suboptimal circumstantial conditions inherent to critical care transport, a helicopter simulator designed to discretely replicate the phases of flight and train teams in air medical transport scenarios has been developed at the Dorothy Ebersbach Academic Center for Flight Nursing at the Frances Payne Bolton School of Nursing in Cleveland, OH. The goal is to prepare interdisciplinary critical care transport flight teams in collaborative practice, research, and leadership through measurable and highly structured learning activities. SN - 1067-991X DO - 10.1016/j.amj.2015.03.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108483007&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104452581 T1 - Critical care and delayed transfers of care statistics September 2011 data. Y1 - 2011/11// N1 - Accession Number: 104452581. Language: English. Entry Date: 20120613. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Allied Health; Blind Peer Reviewed; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Perioperative Care. KW - Statistics -- Evaluation KW - Critical Care -- Statistics and Numerical Data SP - 6 EP - 6 JO - Operating Theatre Journal JF - Operating Theatre Journal JA - OPER THEATRE J IS - 254 PB - Lawrand Ltd. Medical Publishing SN - 1747-728X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104452581&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 118075626 T1 - Clinical Practice: Should They Stay or Should They Go? A Checklist Approach to Improving Patient Safety. AU - Acorda, Darlene E. AU - Villalta, Mayra Y1 - 2016/09//Sep/Oct2016 N1 - Accession Number: 118075626. Language: English. Entry Date: 20161031. Revision Date: 20161031. Publication Type: Article; research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety. NLM UID: 8607529. KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Checklists -- Utilization -- In Infancy and Childhood KW - Hand Off (Patient Safety) -- In Infancy and Childhood KW - Pediatric Critical Care Nursing KW - Inpatients KW - Human KW - Patient Safety KW - Intensive Care Units KW - Health Status KW - Communication KW - Infant KW - Child, Preschool KW - Child KW - Adolescence KW - Nursing Units SP - 560 EP - 560 JO - Journal of Pediatric Nursing JF - Journal of Pediatric Nursing JA - J PEDIATR NURS VL - 31 IS - 5 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 0882-5963 AD - Texas Children's Hospital DO - 10.1016/j.pedn.2016.06.013 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118075626&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104564209 T1 - RS17 Evaluation of a Program to Ease the Transition of Trauma Patients/Families from a Critical Care to a Surgical Unit. Y1 - 2012/05// N1 - Accession Number: 104564209. Language: English. Entry Date: 20120523. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 9211547. KW - Trauma KW - Transfer, Intrahospital KW - Nursing Interventions KW - Continuity of Patient Care KW - Human KW - Quebec KW - Pilot Studies KW - Intensive Care Units KW - Hospital Units KW - Descriptive Statistics KW - Clinical Nursing Research KW - Focus Groups KW - Patient Attitudes -- Evaluation KW - Family Attitudes -- Evaluation KW - Interviews KW - Attitude of Health Personnel -- Evaluation SP - e79 EP - 80 JO - American Journal of Critical Care JF - American Journal of Critical Care JA - AM J CRIT CARE VL - 21 IS - 3 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 1062-3264 DO - 10.4037/ajcc2012591 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104564209&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106896165 T1 - Streamlining patient care processes through flexible room and equipment design. AU - Gallant D AU - Lanning K Y1 - 2001/11// N1 - Accession Number: 106896165. Language: English. Entry Date: 20020201. Revision Date: 20150818. Publication Type: Journal Article; pictorial; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8704517. KW - Intensive Care Units KW - Hospital Design and Construction KW - Health Facility Environment KW - Patients' Rooms KW - Patient Classification KW - Transfer, Intrahospital KW - Time Factors KW - Cost Control KW - Patient Centered Care KW - Observation Units KW - Continuity of Patient Care KW - Critical Care Nursing KW - Ergonomics KW - Hospital Design and Construction -- Trends KW - Intensive Care Units -- Trends KW - Diagnosis-Related Groups KW - Patients' Rooms -- Trends KW - Productivity KW - Interior Design and Furnishings SP - 59 EP - 76 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 24 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Hospitals are planning and designing new environments to accommodate a greater concentration of critically ill patients and to permit the installation of sophisticated technology required for the care of this high-acuity population. A serious nursing shortage, customer demands for privacy and personal amenities, and cost constraints pose numerous problems in planning and design processes. The flexible, acuity-adaptable room concept has been introduced as a platform for changing care processes to achieve a cost-effective care model that fosters nursing efficiency and increased customer satisfaction. Copyright © 2001 by Aspen Publishers, Inc. SN - 0887-9303 AD - Hill-Rom Company, Batesville, Indiana U2 - PMID: 11858558. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106896165&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109500428 T1 - Measuring Intangibles: Defining Predictors of Non-Technical Skills in Critical Care Air Transport Team Trainees. AU - Jernigan, Peter L. AU - Wallace, Matthew C. AU - Novak, Christine AU - Gerlach, Travis AU - Pritts, Timothy A. AU - Davis, Bradley R. Y1 - 2015/10/02/Oct2015 Supplement 1 N1 - Accession Number: 109500428. Language: English. Entry Date: In Process. Revision Date: 20150923. Publication Type: Article. Supplement Title: Oct2015 Supplement 1. Journal Subset: Biomedical; USA. NLM UID: 9431305. SP - S53 EP - S53 JO - Journal of the American College of Surgeons JF - Journal of the American College of Surgeons JA - J AM COLL SURG VL - 221 CY - New York, New York PB - Elsevier B.V. SN - 1072-7515 AD - University of Cincinnati, Cincinnati, OH; University of Cincinnati Institute of Military Medicine, Cincinnati, OH DO - 10.1016/j.jamcollsurg.2015.07.113 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109500428&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107421624 T1 - Intrahospital transport of neuro ICU patients. AU - Kalisch BJ AU - Kalisch PA AU - Burns SM AU - Kocan MJ AU - Prendergast V Y1 - 1995/04//1995 Apr N1 - Accession Number: 107421624. Language: English. Entry Date: 19951001. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8603596. KW - Transfer, Intrahospital KW - Neuroscience Nursing KW - Critical Care Nursing KW - Critically Ill Patients KW - Convenience Sample KW - Interrater Reliability KW - One-Way Analysis of Variance KW - Descriptive Statistics KW - Data Collection Methods KW - Monitoring, Physiologic -- Equipment and Supplies KW - Descriptive Research KW - Time Factors KW - Inpatients KW - Human SP - 69 EP - 77 JO - Journal of Neuroscience Nursing JF - Journal of Neuroscience Nursing JA - J NEUROSCI NURS VL - 27 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Neuroscience intensive care unit (NICU) patients are frequently transported out of the critical care environment for diagnostic and interventional procedures. Four hundred and seventy-one such transports from seventeen clinical centers were studied to identify the characteristics of intrahospital transport. Data collected included the destination and duration of transport, number and type of personnel involved, changes in monitoring and treatment during transport, adverse patient responses and the impact on patients left in the unit. Differences between transports characterized as elective or emergent in nature were noted. Results validate that intrahospital transport of NICU patients is both time and labor intensive. The study also suggests that the optimal process for safe and efficient transport is yet to be designed. SN - 0888-0395 AD - Titus Distinguished Professor of Nursing, University of Michigan School of Nursing, 400 N Ingalls St, Ann Arbor, Michigan 48109 U2 - PMID: 7622953. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107421624&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 113702584 T1 - Delivering neurocritical care in resource-challenged environments. AU - Shrestha, Gentle S. AU - Goffi, Alberto AU - Aryal, Diptesh Y1 - 2016/04// N1 - Accession Number: 113702584. Language: English. Entry Date: In Process. Revision Date: 20170104. Publication Type: journal article; review. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 9504454. KW - Critical Care -- Trends KW - Health Care Delivery -- Standards KW - Critical Care -- Standards KW - Critical Care -- Economics KW - Developing Countries KW - Intensive Care Units -- Standards KW - Neurology -- Economics KW - Neurology -- Trends KW - Neurology -- Standards KW - Health Services Needs and Demand -- Trends KW - Health Resource Utilization -- Economics KW - Intensive Care Units -- Economics KW - Health Care Delivery -- Trends KW - Attitude to Health KW - Hospital Mortality KW - Transportation of Patients KW - Health Resource Utilization -- Trends KW - Health Services Needs and Demand -- Economics KW - Critical Illness SP - 100 EP - 105 JO - Current Opinion in Critical Care JF - Current Opinion in Critical Care JA - CURR OPIN CRIT CARE VL - 22 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Purpose Of Review: Resource-challenged environments of low and middle-income countries face a significant burden of neurocritical illness. This review attempts to elaborate on the multiple barriers to delivering neurocritical care in these settings and the possible solutions to overcome such barriers.Recent Findings: Epidemiology of neurocritical illness appears to have changed over time in low and middle-income countries. In addition to neuro-infection, noncommunicable neurological illnesses like stroke, traumatic brain injury, and traumatic spinal cord injury pose a significant neurocritical burden in resource-limited settings. Many barriers that exist hinder effective delivery of neurocritical care in resource-challenged environments. Very little information exists about the neurocritical care capacity. Research and publications are few. Intensive care unit beds and trained personnel are significantly lacking. Awareness about the risk factors of preventable conditions, including stroke, is lacking. Prehospital care and trauma systems are poorly developed. There should be attempts to leverage neurocritical care in these settings with focus on promoting research, local training, capacity building, preventive measures like vaccination, raising awareness, and developing prehospital care.Summary: Considering the disease burden and potentials to improve outcome, attempts should be made to develop neurocritical care in resource-challenged environments.Video Abstract: http://links.lww.com/COCC/A11. SN - 1070-5295 AD - Department of Anesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal AD - Interdepartmental Division of Critical Care Medicine, Division of Respirology (Critical Care), University Health Network, Toronto, Canada AD - Department of Medicine, University of Toronto AD - Department of Medicine, Division of Respirology (Critical Care), University Health Network, Toronto, Canada U2 - PMID: 26828423. DO - 10.1097/MCC.0000000000000285 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113702584&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 107957056 T1 - Reducing the risks of intrahospital transport among critically ill patients*. AU - Nuckols, Teryl K Y1 - 2013/08// N1 - Accession Number: 107957056. Language: English. Entry Date: 20131011. Revision Date: 20170727. Publication Type: commentary; editorial. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. Grant Information: K08 HS017954/HS/AHRQ HHS/United States. NLM UID: 0355501. KW - Critical Illness KW - Intensive Care Units KW - Transfer, Discharge KW - Respiration, Artificial KW - Female KW - Male SP - 2044 EP - 2045 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 41 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0090-3493 AD - Division of General Internal Medicine and Health Services ResearchDepartment of MedicineDavid Geffen School of Medicine at UCLALos Angeles, CA. U2 - PMID: 23863242. DO - 10.1097/CCM.0b013e31828fd714 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107957056&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106193327 T1 - Unexpected events during the intrahospital transport of critically ill patients. AU - Papson JPN AU - Russell KL AU - Taylor DM Y1 - 2007/06// N1 - Accession Number: 106193327. Language: English. Entry Date: 20071116. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9418450. KW - Adverse Health Care Event -- Epidemiology KW - Critically Ill Patients KW - Transfer, Discharge KW - Adolescence KW - Adult KW - Aged KW - Aged, 80 and Over KW - Confidence Intervals KW - Convenience Sample KW - Data Analysis, Computer Assisted KW - Descriptive Statistics KW - Emergency Service KW - Middle Age KW - Nonexperimental Studies KW - Power Analysis KW - Prospective Studies KW - Human SP - 574 EP - 577 JO - Academic Emergency Medicine JF - Academic Emergency Medicine JA - ACAD EMERG MED VL - 14 IS - 6 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - OBJECTIVES: To examine unexpected events (UEs) that occur during the intrahospital transport of critically ill emergency department patients. METHODS: This was a prospective observational study of consecutive intrahospital transports between March 2003 and June 2004. The escorting emergency physician completed the data collection document either during or immediately after the transport. This document detailed equipment-related UEs, patient instability and invasive line-related UEs, whether the UEs required intervention, and whether the UEs were potentially life threatening (serious UEs). RESULTS: Of 339 transports observed, 230 (67.9%; 95% confidence interval [CI] = 62.6% to 72.7%) were associated with 604 UEs. Overall, there was a median of 1.0 UE per transport (range, 0-16). There were 277 (45.9%; 95% CI = 41.8% to 49.9%) UEs related to equipment, 158 (26.2%; 95% CI = 22.7% to 29.9%) related to patient instability, 156 (25.8%; 95% CI = 22.4% to 29.6%) related to equipment lines, and 13 (2.2%, 95% CI = 1.2% to 3.8%) miscellaneous UEs. The most common UEs were oxygen saturation probe failures, lead and line tangles, hypotension, and the wearing off of sedation and/or paralysis. Most UEs (478 [79.1%]; 95% CI = 75.6% to 82.3%) required an intervention. Emergency physicians had a significantly lower UE rate than residents. Thirty serious UEs occurred; 5.0% (95% CI = 3.4% to 7.1%) of UEs and 8.9% (95% CI = 6.2% to 12.5%) of transports were associated with a serious UE. The most common were severe hypotension, decreasing consciousness requiring intubation, and increased intracranial pressure. CONCLUSIONS: Unexpected events during the intrahospital transport of critically ill patients from the emergency department are common and can be potentially life threatening. Transporting physician experience is associated with UE rate. Strict adherence to and review of existing transport guidelines is recommended. SN - 1069-6563 AD - Emergency Department, Royal Melbourne Hospital, Victoria, Australia. jonathan.papson@mh.org.au U2 - PMID: 17535981. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106193327&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106443495 T1 - Online information about intrahospital transport of adults patients critical [sic]. AU - de Oliveira Nogueira V AU - de Fátima Marin H AU - Cunha ICK Y1 - 2005/10//2005 Oct-Dec N1 - Accession Number: 106443495. Language: Portuguese. Entry Date: 20060519. Revision Date: 20150820. Publication Type: Journal Article; pictorial; research; website. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 9203117. KW - Critical Care KW - Critically Ill Patients KW - Staff Development KW - Transfer, Intrahospital KW - Transportation of Patients -- Education KW - Website Development KW - Conceptual Framework KW - Content Analysis KW - Evaluation Research KW - Graphical User Interface KW - Intensive Care Units KW - Intranet KW - Multidisciplinary Care Team KW - Nursing Information Systems KW - Professional Practice, Evidence-Based KW - Questionnaires KW - Human SP - 390 EP - 396 JO - Acta Paulista de Enfermagem JF - Acta Paulista de Enfermagem JA - ACTA PAUL ENFERMAGEM VL - 18 IS - 4 PB - Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem AB - Objective: This study describes the development of an educational web site about intrahospital transportation of critically ill patients. Methods: The goal of this Web site is to provide information to health care professionals, students, and faculty members about safe transportation of this type of patient. Trochim's model for development of Web sites served as a conceptual framework for this study. Results: The model consists of four general phases: conceptualization, development, implementation, and evaluation. These phases are interrelated to each other and constitute a recurring cycle. Conclusions: The newly developed web site may serve as a practical guideline to improve the quality of care when transporting critical ill patients. It can be accessed in the World Wide Web at URL: www.unifesp.br/denf/nien/transporte. SN - 0103-2100 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106443495&site=ehost-live&scope=site UR - Related websites: www.unifesp.br/denf/nien/transporte DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105051837 T1 - 2010 Critical Care Transport Medicine Conference abstracts. Y1 - 2010/07// N1 - Accession Number: 105051837. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; abstract; proceedings. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Critical Care KW - Aeromedical Transport -- Organizations KW - Congresses and Conferences KW - Texas SP - 158 EP - 163 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105051837&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 112460434 T1 - Q&A... Andrea Kabcenel. AU - BUTCHER, LOLA Y1 - 2016/01// N1 - Accession Number: 112460434. Language: English. Entry Date: 20160128. Revision Date: 20160128. Publication Type: Interview; interview. Journal Subset: Health Services Administration; USA. NLM UID: 9312077. KW - Quality of Health Care KW - Sepsis KW - Hospital Mortality -- Prevention and Control KW - Health Facility Administration KW - Intensive Care Units KW - Disease Management KW - Transfer, Intrahospital KW - Kabcenel A SP - 40 EP - 40 JO - H&HN: Hospitals & Health Networks JF - H&HN: Hospitals & Health Networks JA - H&HN HOSP HEALTH NETW VL - 90 IS - 1 CY - Chicago, Illinois PB - Health Forum AB - An interview with Andrea Kabcenell, vice president at the Institute for Healthcare Improvement, is presented. Topics discussed include the controversy surrounding the sepsis bundle core measure, the wide range of approaches to improving sepsis care and the target that should be set for sepsis mortality rates. Also mentioned is the challenge posed by sepsis management. SN - 1068-8838 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112460434&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - ID - 104389252 T1 - Where should critically ill neurologic brain hemorrhage patients go and can transfer harm them? AU - Nyquist P AU - Nyquist, Paul Y1 - 2012/12// N1 - Accession Number: 104389252. Language: English. Entry Date: 20130607. Revision Date: 20171115. Publication Type: editorial; editorial. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 101156086. KW - Critical Illness -- Mortality KW - Critical Illness -- Therapy KW - Emergency Medical Services -- Standards KW - Intracranial Hemorrhage -- Mortality KW - Intracranial Hemorrhage -- Therapy KW - Transfer, Discharge -- Standards KW - Acute Disease KW - Emergency Medical Services -- Administration KW - Intensive Care Units -- Administration KW - Intensive Care Units -- Standards KW - Transfer, Discharge -- Administration SP - 309 EP - 311 JO - Neurocritical Care JF - Neurocritical Care JA - NEUROCRIT CARE VL - 17 IS - 3 CY - , PB - Springer Science & Business Media B.V. SN - 1541-6933 AD - Departments of Neurology, Anesthesiology/Critical Care Medicine, and Neurosurgery, Johns Hopkins School of Medicine, Meyer 8-140, 600 N Wolfe St., Baltimore, MD, 21287, USA, Pnyquis1@jhmi.edu. U2 - PMID: 22965326. DO - 10.1007/s12028-012-9778-x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104389252&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108012054 T1 - Status quo and research progress on intrahospital transport security of critically ill patient in ICU. AU - Xiaoxia, Shen Y1 - 2013/02/21/2013 Feb N1 - Accession Number: 108012054. Language: Chinese. Entry Date: 20130719. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Asia; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. KW - Critically Ill Patients KW - Patient Safety KW - Transfer, Intrahospital KW - Intensive Care Units SP - 490 EP - 490 JO - Chinese Nursing Research JF - Chinese Nursing Research JA - CHINESE NURS RES VL - 27 IS - 2C PB - Huli Yanjiu AB - Objective: It reviewed the complications, policy decision, and informed consent of critically ill patients in ICU during intrahospital transport, and summarized the preparatory work before transport and observation and care during transport. A and it put forward some views of the author on development of intrahospital transport of ICU critically, ill patients. SN - 1009-6493 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108012054&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103961658 T1 - Critical care paramedics-a missing component for safe interfacility transport in the United States. AU - Kupas, Douglas F AU - Wang, Henry E Y1 - 2014/07// N1 - Accession Number: 103961658. Language: English. Entry Date: 20140905. Revision Date: 20150710. Publication Type: Journal Article; editorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 8002646. KW - Allied Health Personnel -- Standards KW - Critical Care -- Standards KW - Critical Illness -- Therapy KW - Emergency Medical Services -- Standards KW - Professional Competence KW - Transportation of Patients -- Methods KW - Female KW - Male SP - 17 EP - 18 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 64 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 AD - Department of Emergency Medicine, Geisinger Health System, Danville, PA. Electronic address: dkupas@geisinger.edu. AD - Department of Emergency Medicine, University of Alabama School of Medicine, Birmingham, AL. U2 - PMID: 24721717. DO - 10.1016/j.annemergmed.2014.03.010 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103961658&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104807731 T1 - Enhanced Monitoring Improves Pediatric Transport Outcomes: A Randomized Controlled Trial. AU - Stroud MH AU - Prodhan P AU - Moss M AU - Fiser R AU - Schexnayder S AU - Anand K Y1 - 2011/01// N1 - Accession Number: 104807731. Language: English. Entry Date: 20110317. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts; randomized controlled trial. Commentary: Hankins Daniel. Intravenous Lines and Prehospital Patients. (AIR MED J) Jul2011; 30 (4): 181-182. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Pediatric Care. Instrumentation: Therapeutic Intervention Scoring System (TISS); Pediatric Index of Mortality (PIM-II). Grant Information: This study was funded by Children's University Medical Group Fund Program, College of Medicine, University of Arkansas for Medical Sciences.. NLM UID: 0376422. KW - Transportation of Patients KW - Critical Illness -- Therapy -- In Infancy and Childhood KW - Monitoring, Physiologic -- Methods KW - Transfer, Discharge KW - Critical Care KW - Human KW - Randomized Controlled Trials KW - Intensive Care Units KW - Blood Pressure KW - Aeromedical Transport KW - Multidisciplinary Care Team KW - Random Assignment KW - Male KW - Female KW - Child, Preschool KW - Child KW - Outcomes (Health Care) KW - Length of Stay KW - Clinical Assessment Tools KW - Data Analysis Software KW - T-Tests KW - Mann-Whitney U Test KW - Confidence Intervals KW - Funding Source SP - 42 EP - 48 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 127 IS - 1 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - BACKGROUND: The "golden-hour" concept has led to emphasis on speed of patient delivery during pediatric interfacility transport. Timely intervention, in addition to enhanced monitoring during transport, is the key to improved outcomes in critically ill patients. Taking the ICU to the patient may be more beneficial than rapid delivery to a tertiary care center. METHODS: The Improved Monitoring During Pediatric Interfacility Transport trial was the first randomized controlled trial in the out-of-hospital pediatric transport environment. It was designed to determine the impact of improved blood pressure monitoring during pediatric interfacility transport and the effect on clinical outcomes in patients with systemic inflammatory response syndrome and moderate-to-severe head trauma. Patients in the control group had their blood pressure monitored intermittently with an oscillometric device; those in the intervention group had their blood pressure monitored every 12 to 15 cardiac contractions with a near-continuous, noninvasive device. RESULTS: Between May 2006 and June 2007, 1995, consecutive transport patients were screened, and 94 were enrolled (48 control, 46 intervention). Patients in the intervention group received more intravenous fluid (19.8 ± 22.2 vs 9.9 ± 9.9 mL/kg; P = .01), had a shorter hospital stay (6.8 ± 7.8 vs 10.9 ± 13.4 days; P = .04), and had less organ dysfunction (18 of 206 vs 32 of 202 PICU days; P = .03). CONCLUSIONS: Improved monitoring during pediatric transport has the potential to improve outcomes of critically ill children. Clinical trials, including randomized controlled trials, can be accomplished during pediatric transport. Future studies should evaluate optimal equipment, protocols, procedures, and interventions during pediatric transport, aimed at improving the clinical and functional outcomes of critically ill patients. SN - 0031-4005 AD - Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas U2 - PMID: 21173006. DO - 10.1542/peds.2010-1336 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104807731&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104882782 T1 - Transitioning complex patients from the ICU: tools, tips and strategies for the team. AU - Simmons, Florence Y1 - 2011/03//2011 Mar N1 - Accession Number: 104882782. Language: English. Entry Date: 20110527. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; USA. Special Interest: Case Management. KW - Case Management KW - Critically Ill Patients KW - Discharge Planning -- Methods KW - Transfer, Intrahospital KW - Case Managers KW - Communication KW - Insurance Benefits KW - Multidisciplinary Care Team KW - Patient Assessment KW - Transportation of Patients SP - 20 EP - 23 JO - Case in Point JF - Case in Point JA - CASE POINT VL - 9 IS - 1 CY - Philadephia, Pennsylvania PB - Dorland Healthcare Information AB - The benefits of smooth transitions are both salutary and financial. Insider tips and strategies show the direction how. SN - 1542-6971 AD - Adult nurse case manager for surgical services, Medical University of South Carolina, Charleston, SC UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104882782&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105207117 T1 - Practice variation in the transfer of premature infants from incubators to open cots in Australian and New Zealand neonatal nurseries: results of an electronic survey. AU - New K AU - Bogossian F AU - East C AU - Davies MW Y1 - 2010/06// N1 - Accession Number: 105207117. Language: English. Entry Date: 20100709. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. NLM UID: 0400675. KW - Decision Making, Clinical KW - Infant Warmers KW - Neonatal Intensive Care Nursing -- Australia KW - Neonatal Intensive Care Nursing -- New Zealand KW - Australia KW - Body Temperature Regulation -- In Infancy and Childhood KW - Chi Square Test KW - Coefficient Alpha KW - Convenience Sample KW - Cross Sectional Studies KW - Descriptive Research KW - Descriptive Statistics KW - Exploratory Research KW - Fisher's Exact Test KW - Geographic Factors KW - Human KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Internet KW - New Zealand KW - Nurse Attitudes -- Evaluation KW - Post Hoc Analysis KW - Questionnaires KW - Rural Areas KW - Urban Areas SP - 678 EP - 687 JO - International Journal of Nursing Studies JF - International Journal of Nursing Studies JA - INT J NURS STUD VL - 47 IS - 6 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - BACKGROUND: The incubator environment is essential for optimal physiological functioning and development of the premature infant but the infant is ultimately required to make a successful transfer from incubator to open cot in order to be discharged from hospital. Criteria for transfer lack a systematic approach because no clear, specific guideline predominates in clinical practice. Practice variation exists between continents, regions and nurseries in the same countries, but there is no recent review of current practices utilised for transferring premature infants from incubators to open cots. OBJECTIVE: To document current practice for transferring premature infants to open cots in neonatal nurseries. DESIGN: A descriptive, cross-sectional survey. SETTINGS: Twenty-two neonatal intensive care units and fifty-six high dependency special care baby units located in public hospitals in Australia and New Zealand. PARTICIPANTS: A sample of 78 key clinical nursing leaders (nurse unit managers, clinical nurse consultants or clinical nurse specialists) within neonatal nurseries identified through email or telephone contact. METHODS: Data were collected using a web-based survey on practice, decision-making and strategies utilised for transferring premature infants from incubators to open cots. Descriptive statistics (frequencies and crosstabs) were used to analyse data. Comparisons between groups were tested for statistical significance using Chi-squared or Fisher's exact test. RESULTS: Significant practice variation between countries was found for only one variable, nursing infants clothed (p=0.011). Processes and practices undertaken similarly in both countries include use of incubator air control mode, current weight criterion, thermal challenging, single-walled incubators and heated mattress systems. Practice variation was significant between neonatal intensive care units and special care baby units for weight range (p=0.005), evidence-based practice (p=0.004), historical nursery practice (p=0.029) and incubator air control mode (p=0.001). Differences in these variables were also found between nurseries in metropolitan and rural locations. CONCLUSIONS: Practice variation exists however; many practices are uniformly performed throughout neonatal nurseries in Australian and New Zealand. Commonality was seen between countries and in nurseries with a neonatal intensive care unit. Variation was significant between neonatal intensive care units and special care baby units and nurseries in metropolitan and rural locations. SN - 0020-7489 AD - The University of Queensland, School of Nursing and Midwifery, Royal Brisbane & Women's Hospital, Butterfield Street, Brisbane, Queensland 4029, Australia. k.new@uq.edu.au U2 - PMID: 19945108. DO - 10.1016/j.ijnurstu.2009.10.017 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105207117&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108238368 T1 - Leadership strategies in transport team recruitment and retention. AU - Caron, Stephen Y1 - 2011/06// N1 - Accession Number: 108238368. Language: English. Entry Date: 20110909. Revision Date: 20150712. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Canada; Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed. Special Interest: Critical Care; Pediatric Care. NLM UID: 101208192. KW - Intensive Care Units, Pediatric KW - Leadership KW - Pediatric Nursing KW - Transportation of Patients -- Trends -- In Infancy and Childhood KW - Action Research KW - Child KW - Human KW - Interviews KW - Organizational Culture KW - Professional Development KW - Qualitative Studies KW - Teamwork SP - 83 EP - 87 JO - Healthcare Quarterly JF - Healthcare Quarterly JA - HEALTHC Q VL - 14 IS - 2 CY - Toronto, Ontario PB - Longwoods Publishing AB - The goal of the pediatric registered nurse-registered respiratory therapist (RN-RRT) transport team is to safely transport the pediatric patients requiring transport to a tertiary facility. Attrition of RN-RRT team members threatened the future existence of this invaluable service. This research project examined recruitment and retention practices through use of an interview with a manager of a successful transport organization and a world café with key stakeholders involved in pediatric transport. Main findings included the impact of education, leadership and teamwork in addressing strategies to improve recruitment and retention practices of the RN-RRT transport team. SN - 1710-2774 U2 - PMID: 21841399. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108238368&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105607947 T1 - Factors associated with unoffered trauma analgesia in critical care transport. AU - Frakes MA AU - Lord WR AU - Kociszewski C AU - Wedel SK Y1 - 2009/01// N1 - Accession Number: 105607947. Language: English. Entry Date: 20090130. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Allied Health; Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 8309942. KW - Analgesia KW - Critical Care -- Methods KW - Pain -- Drug Therapy KW - Wounds and Injuries -- Complications KW - Adolescence KW - Adult KW - Aged KW - Aged, 80 and Over KW - Child KW - Child, Preschool KW - Female KW - Male KW - Middle Age KW - Pain -- Etiology KW - Retrospective Design KW - Transportation of Patients KW - Human SP - 49 EP - 54 JO - American Journal of Emergency Medicine JF - American Journal of Emergency Medicine JA - AM J EMERG MED VL - 27 IS - 1 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - OBJECTIVE: Pain relief is a key out-of-hospital patient care outcome measure, yet many trauma patients do not receive prompt analgesia. Although specialty critical care transport (CCT) teams provide analgesia frequently, successfully, and safely, there is still a population of CCT patients to whom analgesia is not offered. We report the factors associated with non-administration of analgesia and with analgesic effect in trauma patients cared for by CCT teams. METHODS: This is a retrospective review of consecutive transport records for nonintubated trauma patients with self-reported pain during specialty CCT care. Patient demographics, CCT interventions, clinical traits, and pain self-reports are measured. Means comparisons are made with a univariate analysis of variance, and odds ratios (ORs) with 95% confidence intervals (CIs) are reported for between-group comparisons. RESULTS: Of the 209 enrolled patients, 169 (80.9%; 95% CI, 75.6%-86.2%) were treated (147 received analgesia and 22 offered analgesia but refused). In patients with pain scale documentation (n=145), self-reported pain on a scale from 0 to 10 decreased from 6.8+/-2.8 to 3.3+/-2.4 (P=5 were death of another occupant in the same vehicle (6.8; CI: 2.7-16.7), fall >20 feet (5.3; CI: 2.4-11.4), and motor vehicle crash (MVC) extrication time >20 minutes (5.1; CI: 3.2-8.1). Criteria with a +LR between >2 and <5 were intrusion >12 inches (4.2; CI: 2.9-5.9), ejection (3.2; CI: 1.3-8.2), and deformity >20 inches (2.5; CI: 1.9-3.2). The criteria with a +LR <=2 were MVC speed >40 mph (2.0; CI: 1.7-2.4), pedestrian/bicyclist struck at a speed >5 mph (1.2; CI:1.1-1.4), bicyclist/pedestrian thrown or run over (1.2; CI: 0.9-1.6), motorcycle crash at a speed >20 mph (1.2; CI: 1.1-1.4), rider separated from motorcycle (1.0; CI: 0.9-1.2), and MVC rollover (1.0; CI: 0.7-1.5). Conclusion. Death of another occupant, fall distance, and extrication time were good predictors of trauma center need when a patient did not meet the anatomic or physiologic conditions. Intrusion, ejection, and vehicle deformity were moderate predictors. Key words: wounds and injury; triage; emergency medical services; emergency medical technicians; predictors; mechanism of injury; trauma center. SN - 1090-3127 AD - From the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin; the University of Rochester (MNS, JTC), Rochester, New York; William Beaumont Hospital (RAS), Royal Oak, Michigan; CUBRC (AB), Buffalo, New York; and Harborview Medical Center (GJJ), Seattle, Washington. U2 - PMID: 21870946. DO - 10.3109/10903127.2011.598617 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104681442&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104692586 T1 - Diyarbakır'da hasta yenidoğanın taşınması konusunda yapılan iyileştirme çalışmaları ve bebeklere yansımaları. AU - Uslu, Sinan AU - Aldudak, Bedri AU - Ãzdemir, Hamuş Y1 - 2011/09// N1 - Accession Number: 104692586. Language: Turkish. Entry Date: 20111110. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Middle East; Peer Reviewed. Special Interest: Critical Care; Pediatric Care. Instrumentation: Transport Risk Index of Physiologic Stability-TRIPS. NLM UID: 9803140. KW - Transportation of Patients -- Turkey KW - Quality of Health Care KW - Quality Improvement KW - Turkey KW - Human KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Data Analysis Software KW - T-Tests KW - Chi Square Test KW - Questionnaires SP - 196 EP - 201 JO - Turkish Pediatrics Archive / Turk Pediatri Arsivi JF - Turkish Pediatrics Archive / Turk Pediatri Arsivi JA - TURK PEDIATRI ARSIVI VL - 46 IS - 3 PB - Turkish Pediatric Association AB - Aim: To determine the effects of the employments towards improving the status of neonatal transport on conditions and mortality of newborns who were referred to Diyarbakır Children Hospital, Neonatal Intensive Care Unit (NICU). Material and Method: The transport conditions of newborns referred to NICU were determined before (between March 1, 2007-August 31, 2007; 1st period, Group 1) and after (January 1, 2008 to April 30, 2008; 2nd period, Group 2) improving employments. The differences between the two periods were compared in terms of medical and paramedical findings (Date of ethics committee approval: 28.02.2007). Social Package for Social Sciences (SPSS) 11.5 program was used to analyze the data. Student's t and chi-square tests were used for statistical evaluation. Results: A total of 1525 patients were hospitalized in the first period whereas 927 in the second period. Diagnoses and demographic characteristics of infants were similar in both groups. After the improvement employments were carried out on neonatal transport the 2nd group had a higher incidence of positive findings, such as presence of pre-transport communication, detailed discharge report, birth report, determination of gender and identity, usage of ambulance and transport incubator, proper usage of intravenous fluids, and frequency of intubation of patients needing to be intubated. The frequency of hypothermia, hypoglycemia, hypotension and circulatory disorder were lower in the 2nd group. Transport Risk Index of Physiologic Stability-TRIPS score (20.07±13.41 vs 12.89±11.53; p<0.0001) and mortality rate (%18.4 vs %14.1; p=0.007) were significantly higher in among infants of the 1st group. Conclusions: Neonatal transport conditions have improved as a result of improvement employments in Diyarbakir region. Regional neonatal transport system by ensuring the rational establishment of conditions should be approached as an emergency action plan in basic health policies. SN - 1306-0015 AD - Şişli Etfal Eğitim ve Araştırma Hastanesi, Yenidoğan Kliniği, İstanbul, Türkiye AD - Diyarbakır Ãocuk Hastalıkları Hastanesi, Yenidoğan Kliniği, Diyarbakır, Türkiye AD - Yenidoğan Yoğun Bakım Birimi Sorumlu Hemşiresi, Diyarbakır Ãocuk Hastalıkları Hastanesi, Yenidoğan Kliniği, Diyarbakır, Türkiye DO - 10.4274/tpa.46.74 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104692586&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104675166 T1 - Following the Diagnosis of Neonatal Hypoxic Ischemic Encephalopathy: A Family-centered Approach. AU - Newnam, Katherine M. AU - McGrath, Jacqueline M. Y1 - 2011/09// N1 - Accession Number: 104675166. Language: English. Entry Date: 20110926. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; USA. Special Interest: Pediatric Care. NLM UID: 101126037. KW - Hypoxia-Ischemia, Brain KW - Family Centered Care KW - Intensive Care Units, Neonatal KW - Infant, Premature KW - Infant, Newborn KW - Parents -- Psychosocial Factors KW - Communication KW - Maternal Attitudes KW - Transportation of Patients KW - After Care SP - 98 EP - 101 JO - Newborn & Infant Nursing Reviews JF - Newborn & Infant Nursing Reviews JA - NEWBORN INFANT NURS REV VL - 11 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1527-3369 AD - Children's Hospital of the King's Daughters, Norfolk, VA 23507 AD - Department of Family and Community Health Nursing, Virginia Commonwealth University, Box 980567, Richmond, VA 23298 DO - 10.1053/j.nainr.2011.07.009 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104675166&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104648737 T1 - Nursing Care in Lebanon: A Nursing Perspective. AU - Badr, Lina Kurdahi AU - Abdallah, Bahia AU - Purdy, Isabell B. Y1 - 2011/06// N1 - Accession Number: 104648737. Language: English. Entry Date: 20110810. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Nursing; USA. Special Interest: Pediatric Care. NLM UID: 101126037. KW - Neonatal Intensive Care Nursing -- Lebanon KW - Intensive Care Units, Neonatal KW - Quality of Nursing Care KW - Lebanon KW - Quality Improvement KW - Maternal Health Services KW - Health Facility Environment KW - Hospital Design and Construction KW - Transportation of Patients -- In Infancy and Childhood KW - Infant, Newborn KW - Physicians KW - Hospital Policies KW - Parents KW - Infection Control KW - Sepsis -- Therapy -- In Infancy and Childhood KW - Monitoring, Physiologic KW - Infant Feeding KW - Pain -- Prevention and Control KW - Discharge Planning KW - Catheterization, Peripheral KW - Body Temperature Regulation -- In Infancy and Childhood SP - 88 EP - 94 JO - Newborn & Infant Nursing Reviews JF - Newborn & Infant Nursing Reviews JA - NEWBORN INFANT NURS REV VL - 11 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Abstract: This article describes nursing care of high-risk infants in Lebanon based on the actual observation of nine neonatal intensive care units. Observations are based on key drivers of quality-of-care initiatives encouraged for infants requiring care in the neonatal intensive care unit and their families. Discussion of quality of care described is based on national and international research leading to gold standards set forth in policies, procedures, and guidelines. The presence or lack of specific key drivers of high-level quality care is compared with evidence-based benchmarks for performance improvement in a variety of categories provided herein. SN - 1527-3369 AD - School of Nursing, Azusa Pacific University, Asuza, CA AD - University of Balamand, Beirut, Lebanon AD - David Geffen School of Medicine at UCLA, Neonatology & Developmental Biology, Los Angeles, CA DO - 10.1053/j.nainr.2011.04.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104648737&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104833267 T1 - Motor vehicle intrusion alone does not predict trauma center admission or use of trauma center resources. AU - Isenberg, Derek AU - Cone, David C. AU - Vaca, Federico E. Y1 - 2011/04// N1 - Accession Number: 104833267. Language: English. Entry Date: 20110527. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9703530. KW - Accidents, Traffic -- Evaluation KW - Motor Vehicles KW - Patient Admission -- Evaluation KW - Resource Allocation -- Evaluation KW - Trauma Centers KW - Academic Medical Centers KW - Centers for Disease Control and Prevention (U.S.) KW - Data Analysis -- Methods KW - Demography KW - Descriptive Statistics KW - Emergency Medical Services KW - Female KW - Human KW - Intensive Care Units KW - Male KW - Outcomes (Health Care) KW - Patient Assessment -- Methods KW - Patient Care -- Methods KW - Post Hoc Analysis KW - Practice Guidelines KW - Prehospital Care KW - Retrospective Design KW - Sensitivity and Specificity KW - Transportation of Patients -- Methods KW - Triage -- Methods SP - 203 EP - 207 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 15 IS - 2 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Abstract Background. The Centers for Disease Control and Prevention (CDC) published its Guidelines for Field Triage of Injured Patients in 2009. These CDC guidelines define criteria for the triage of trauma patients to trauma centers, and include physiologic, anatomic, and high-risk mechanism-of-injury criteria. One of the mechanism criteria used for motor vehicle crashes (MVCs) is intrusion >12 inches at the occupant site or >18 inches at any site. Objective. We hypothesized that motor vehicle intrusion, as the sole criterion for transport to a trauma center, is neither sensitive nor specific for predicting which patients will utilize trauma center resources. Methods. This was a retrospective, observational study of a cohort of MVC victims transported to a single trauma center. The authors extracted MVC characteristics, patient demographics, and final diagnoses from emergency medical services (EMS) and emergency department (ED) charts. Two outcomes were examined: admission to the trauma center for a traumatic injury and use of trauma center resources, defined as in-hospital death, admission to an intensive care unit, operative intervention of any type, spinal injury, or intracranial hemorrhage. Results. During the 18-month study period, 608 patients met the inclusion criteria in our study; 36 patients met the trauma center triage criteria based solely on intrusion. The sensitivity, specificity, and positive predictive value (PPV) of intrusion were 38.9%, 92.8%, and 25.5%, respectively, for trauma center admission, and 58.3%, 91.9%, and 12.7%, respectively, for trauma center resource utilization. We conducted one post hoc adjustment to modify intrusion to entrapment. This change greatly increased the PPV of the CDC guidelines for both trauma center admissions and trauma center utilization, without any reduction in sensitivity. Conclusions. Motor vehicle intrusion alone is a poor predictor of the need for trauma center admission or trauma center resource utilization. A modest change to the CDC guidelines from intrusion to entrapment may reduce overtriage while maintaining a high sensitivity for serious injury. SN - 1090-3127 AD - Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut. U2 - PMID: 21226551. DO - 10.3109/10903127.2010.541977 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104833267&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105198384 T1 - Partnering for patient safety: a clinical nurse specialist intervention to ease the transfer from ICU. AU - St-Louis L AU - Brault D Y1 - 2010///Summer2010 N1 - Accession Number: 105198384. Language: English. Entry Date: 20100618. Revision Date: 20150820. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Advanced Nursing Practice; Critical Care. NLM UID: 100955578. KW - Clinical Nurse Specialists KW - Critical Care Nursing KW - Nursing Role KW - Patient Safety KW - Transfer, Discharge KW - Critically Ill Patients KW - Intensive Care Units KW - Posters SP - 36 EP - 36 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 21 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105198384&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105876369 T1 - Emergency medical support units to critical care transport teams in Iraq. AU - Collins ST Y1 - 2008/03//2008 Mar N1 - Accession Number: 105876369. Language: English. Entry Date: 20080404. Revision Date: 20150819. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 8912620. KW - Aeromedical Transport KW - Critical Care -- Methods KW - Emergency Care -- Methods KW - Military Medicine -- Equipment and Supplies KW - Military Medicine -- Methods KW - Military Nursing KW - Mobile Health Units KW - Trauma -- Therapy KW - War -- Iraq KW - Wounds and Injuries -- Therapy KW - Active Duty Personnel KW - Early Intervention KW - Iraq KW - Mass Casualty Incidents KW - Mass Casualty Training KW - Staff Development -- Methods SP - 1 EP - 11 JO - Critical Care Nursing Clinics of North America JF - Critical Care Nursing Clinics of North America JA - CRIT CARE NURS CLIN NORTH AM VL - 20 IS - 1 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Early in the author's deployment in the United States Air Force to southern Iraq, his unit was exposed to the first of many mass casualties sent to his Expeditionary Medical Support System unit. Within minutes of the injured military members' arrival, the four-bed evaluation station was transformed into an open bay trauma room where patients were treated and supported until they could be evacuated to more definitive care. Patients were transitioned with awe-inspiring speed and professionalism to Critical Care Air Transport teams for care during aeromedical evacuation. The lessons learned from the frequency of these events are valuable to any similar transport case with critically ill and injured patients. Copyright © 2008 by Elsevier Inc. SN - 0899-5885 AD - Graduate School of Nursing, University of Massachusetts, Worcester, MA, USA; sean.collins2@umassmed.edu U2 - PMID: 18206579. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105876369&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104259968 T1 - FAILURE IN DUTY OF CARE. AU - Starr, Linda Y1 - 2013/04// N1 - Accession Number: 104259968. Language: English. Entry Date: 20130327. Revision Date: 20150819. Publication Type: Journal Article. Journal Subset: Australia & New Zealand; Core Nursing; Nursing. Special Interest: Critical Care; Perioperative Care. NLM UID: 9317904. KW - Postoperative Complications -- Prevention and Control KW - Sentinel Event -- Legislation and Jurisprudence -- Queensland KW - Liability, Legal KW - Nursing Care -- Standards KW - Coroners and Medical Examiners KW - Queensland KW - Treatment Errors KW - Oxygen Saturation KW - Transfer, Intrahospital KW - Patient Classification KW - Post Anesthesia Care Units KW - Cause of Death KW - Shift Reports KW - Communication KW - Access to Information KW - Oxygen Therapy KW - Aspiration -- Mortality KW - Nursing Records SP - 23 EP - 23 JO - Australian Nursing Journal JF - Australian Nursing Journal JA - AUST NURS J VL - 20 IS - 9 CY - Melbourne, PB - Australian Nursing & Midwifery Federation SN - 1320-3185 AD - SCHOOL OF NURSING AND MIDWIFERY, FLINDERS UNIVERSITY, SOUTH AUSTRALIA U2 - PMID: 23697305. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104259968&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104691437 T1 - SESSION 7: TRIAGE AND TRANSPORT: The need for sea level flights for the critically ill: need or dogma? Y1 - 2011/06// N1 - Accession Number: 104691437. Language: English. Entry Date: 20111027. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care; Emergency Care. KW - Aeromedical Transport -- Methods KW - Patient Safety KW - Critically Ill Patients KW - Intensive Care Units KW - United Kingdom SP - 43 EP - 43 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 8 IS - 2 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104691437&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107503116 T1 - Nursing resource applications through outcome based nursing practice. AU - Servais SH Y1 - 1991/05//May/Jun91 N1 - Accession Number: 107503116. Language: English. Entry Date: 20050712. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8404213. KW - Outcomes (Health Care) KW - Cardiovascular Nursing KW - Nursing Costs KW - Coronary Care Units -- Administration KW - Transfer, Intrahospital KW - Telemetry KW - Patient Classification KW - Workload Measurement KW - Prospective Payment System KW - Nursing Manpower KW - Consumer Satisfaction KW - Clinical Nursing Research KW - Health Resource Allocation SP - 171 EP - 179 JO - Nursing Economic$ JF - Nursing Economic$ JA - NURS ECON VL - 9 IS - 3 CY - Pitman, New Jersey PB - Jannetti Publications, Inc. AB - Nursing resources were reapplied in cardiac care as a result of investigating the episode of illness in terms of patient outcomes. Change was necessitated by scarcity of beds, competition for patients, capitation, and high cost of care. The interdisciplinary approach resulted in increased customer satisfaction, positive outcomes, and cost avoidance of $46,000 the first year. SN - 0746-1739 U2 - PMID: 2030776. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107503116&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104981820 T1 - 99291-99292: pediatric critical care bundles will change Jan. 1. Y1 - 2010/12// N1 - Accession Number: 104981820. Language: English. Entry Date: 20110225. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Health Services Administration; USA. Special Interest: Pediatric Care. KW - Coding KW - Critical Care KW - Pediatrics KW - Transportation of Patients KW - Billing and Claims KW - Current Procedural Terminology KW - Observation Units SP - 89 EP - 90 JO - Pediatric Coding Alert JF - Pediatric Coding Alert JA - PEDIATR CODING ALERT VL - 13 IS - 12 CY - Salt Lake City, Utah PB - Coding Institute SN - 1098-1799 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104981820&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105379591 T1 - Reducing preventable codes in the inpatient hematology oncology population... when you are more than ten minutes away from an ICU. AU - Gobel B AU - Murphy PJ AU - Schumacher M AU - Weitzman S Y1 - 2009/05// N1 - Accession Number: 105379591. Language: English. Entry Date: 20090828. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Oncologic Care. NLM UID: 7809033. KW - Cancer Patients KW - Emergencies KW - Intensive Care Units KW - Transfer, Intrahospital KW - Interprofessional Relations KW - Program Implementation KW - Protocols SP - 65 EP - 66 JO - Oncology Nursing Forum JF - Oncology Nursing Forum JA - ONCOL NURS FORUM VL - 36 IS - 3 CY - Pittsburgh, Pennsylvania PB - Oncology Nursing Society SN - 0190-535X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105379591&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108243203 T1 - Intrahospital transportation of the seriously ill patient. The need for an action guideline. AU - Noa Hernández, J E AU - Carrera González, E AU - Cuba Romero, J M AU - Cárdenas de Baños, L Y1 - 2011/04//2011 Apr-Jun N1 - Accession Number: 108243203. Language: Spanish. Entry Date: 20111007. Revision Date: 20150820. Publication Type: Journal Article; algorithm; questionnaire/scale; review; tables/charts. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety. NLM UID: 9517771. KW - Critical Care KW - Critically Ill Patients KW - Patient Safety KW - Practice Guidelines KW - Transfer, Intrahospital KW - Algorithms KW - Clinical Assessment Tools KW - Critical Care Nursing KW - Intensive Care Units KW - Monitoring, Physiologic KW - Patient Classification KW - Risk Assessment KW - Scales SP - 74 EP - 77 JO - Enfermería Intensiva JF - Enfermería Intensiva JA - ENFERM INTENSIVA VL - 22 IS - 2 CY - New York, New York PB - Elsevier B.V. AB - The basics caused by the transportation of a patient in serious condition within the same hospital are varied, all of them involving a risk to the patient's stability and a responsibility for the accompanying professionals. The care that supposes the appropriate attention to the patient and the need for coordination among the parties make it necessary to homogenize the transfer criteria and those of the necessary previous maneuvers. This work has been carried out based on the lack of an intervention system that guides this practice. This work describes the possible intrahospital itineraries, the transport of this kind of patient, the phases of this type of transport as well as the most frequent physiologic alterations. The purpose of all this is to develop an action algorithm for the serious patient's intrahospital transportation and to reduce the incidence of adverse events during this transfer. A classification system that makes it possible to calculate the level of risk and to anticipate the care needs that a patient may require during the transfer is presented. SN - 1130-2399 AD - Unidad de Cuidados Intensivos, Hospital Universitario Dr. Miguel Enríquez, Ciudad de Habana, Cuba. jonoa@infomed.sld.cu U2 - PMID: 21256064. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108243203&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106984144 T1 - Nursing focus. Critical care and nursing education. Y1 - 2002/11// N1 - Accession Number: 106984144. Language: English. Entry Date: 20060804. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Australia & New Zealand; Core Nursing; Nursing. NLM UID: 9317904. KW - Critical Care Nursing KW - Critical Care Nursing -- Education KW - Electrocardiography -- Education KW - Advanced Cardiac Life Support KW - Defibrillation KW - Myocardial Infarction -- Prognosis KW - Survival KW - Separation Anxiety -- Prevention and Control KW - Transfer, Intrahospital -- Psychosocial Factors KW - Intensive Care Units KW - Nursing Interventions KW - Communication KW - Chickenpox Vaccine -- Administration and Dosage KW - Chickenpox -- Prevention and Control SP - 25 EP - 29 JO - Australian Nursing Journal JF - Australian Nursing Journal JA - AUST NURS J VL - 10 IS - 5 CY - Melbourne, PB - Australian Nursing & Midwifery Federation SN - 1320-3185 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106984144&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105252560 T1 - Ventilating infants in critical care air transports. Y1 - 2009/05//2009 May-Jun N1 - Accession Number: 105252560. Language: English. Entry Date: 20100129. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 9007473. KW - Aeromedical Transport -- Sweden KW - Critically Ill Patients -- In Infancy and Childhood KW - Respiration, Artificial -- In Infancy and Childhood KW - Clinical Competence KW - Health Personnel KW - Infant, Newborn KW - Infant, Premature KW - Quality of Health Care KW - Sweden SP - 31 EP - 36 JO - Neonatal Intensive Care JF - Neonatal Intensive Care JA - NEONAT INTENSIVE CARE VL - 22 IS - 3 CY - Santa Monica, California PB - Goldstein & Associates SN - 1062-2454 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105252560&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105453466 T1 - Critical care transport of patients who have acute neurological emergencies. AU - Uren B AU - Lowell MJ AU - Silbergleit R Y1 - 2009/02//2009 Feb N1 - Accession Number: 105453466. Language: English. Entry Date: 20090410. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 8219565. KW - Brain Injuries -- Therapy KW - Critical Care KW - Stroke -- Therapy KW - Transportation of Patients -- Economics KW - Carbon Dioxide -- Analysis KW - Coma -- Therapy KW - Emergencies KW - Emergency Medical Services KW - Fibrinolytic Agents -- Therapeutic Use KW - Hypothermia, Induced KW - Monitoring, Physiologic KW - Tissue Plasminogen Activator -- Therapeutic Use SP - 17 EP - vii JO - Emergency Medicine Clinics of North America JF - Emergency Medicine Clinics of North America JA - EMERG MED CLIN NORTH AM VL - 27 IS - 1 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - This article reviews the special questions and issues in critical care transport related specifically to the care of patients who have neurologic emergencies. It first considers potential indications for transport and reviews attempts to create a hierarchical stroke center system akin to that developed for trauma care. It then discusses therapeutic concerns relating to the transport environment and the use of specific interventions, including the effects of end-tidal CO(2) monitoring on intracranial pressure, patient outcomes after traumatic brain injury, and opportunities to initiate therapeutic hypothermia in comatose survivors of cardiac arrest during transport. Finally, the cost of critical care transport of patients who have neurologic emergencies is considered. Copyright © 2009 by Elsevier Inc. SN - 0733-8627 AD - Department of Emergency Medicine and Survival Flight, University of Michigan, Ann Arbor, MI, USA. bguren@umich.edu U2 - PMID: 19218016. DO - 10.1016/j.emc.2008.09.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105453466&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104432386 T1 - Unplanned Kangaroo Transport of a Preterm Infant. AU - Funk, Deborah L. AU - Tilney, Peter V.R. AU - Mitchell, Sean AU - Walker, Heather Y1 - 2012/11// N1 - Accession Number: 104432386. Language: English. Entry Date: 20121116. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Infant, Premature KW - Kangaroo Care KW - Body Temperature -- In Infancy and Childhood KW - Infant, Newborn KW - Resuscitation KW - Prehospital Care KW - Monitoring, Physiologic KW - Intensive Care Units, Neonatal KW - Hypothermia -- Prevention and Control SP - 264 EP - 266 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 31 IS - 6 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X U2 - PMID: 23116865. DO - 10.1016/j.amj.2012.08.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104432386&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106451749 T1 - Intra-hospital transport of critical care patients. AU - Roberts M AU - Harris K Y1 - 2006/04// N1 - Accession Number: 106451749. Language: English. Entry Date: 20060602. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Critically Ill Patients KW - Transfer, Intrahospital KW - Inpatients SP - S22 EP - S22 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 26 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Poudre Valley Hospital, Colo UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106451749&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104990318 T1 - In the news...TU Y1 - 2010/11// N1 - Accession Number: 104990318. Language: English. Entry Date: 20110128. Revision Date: 20171109. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. NLM UID: 101242841. KW - Drug Administration -- In Pregnancy KW - England KW - Female KW - Health Services Accessibility -- Trends KW - Infant, Newborn KW - Infant, Premature KW - Information Resources KW - Infusions, Intravenous -- In Infancy and Childhood KW - Intensive Care Units, Neonatal -- England KW - Medication Errors -- Risk Factors -- In Infancy and Childhood KW - Meningitis -- Therapy KW - National Health Programs -- United Kingdom KW - Neonatal Intensive Care Nursing KW - Organizations, Nonprofit KW - Patient Safety KW - Personnel Staffing and Scheduling KW - Practice Guidelines KW - Pregnancy KW - Transportation of Patients -- In Infancy and Childhood KW - United Kingdom KW - World Wide Web SP - 188 EP - 189 JO - Infant JF - Infant JA - INFANT VL - 6 IS - 6 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104990318&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104573250 T1 - Therapeutic hypothermia during neonatal transport. AU - O'Reilly KM AU - Tooley J AU - Winterbottom S Y1 - 2011/08// N1 - Accession Number: 104573250. Language: English. Entry Date: 20120323. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. Special Interest: Pediatric Care. NLM UID: 9205968. KW - Asphyxia Neonatorum -- Therapy KW - Hypothermia, Induced -- Equipment and Supplies KW - Hypothermia, Induced -- Methods KW - Transportation of Patients KW - Asphyxia Neonatorum -- Complications KW - Body Temperature KW - Hypoxia-Ischemia, Brain -- Prevention and Control KW - Infant, Newborn KW - Intensive Care Units, Neonatal SP - 1084 EP - 1086 JO - Acta Paediatrica JF - Acta Paediatrica JA - ACTA PAEDIATR VL - 100 IS - 8 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0803-5253 AD - Neonatal Unit, St Michael's Hospital, Bristol, UK. U2 - PMID: 21362040. DO - 10.1111/j.1651-2227.2011.02249.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104573250&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105307378 T1 - Questions & answers from PICU-nurse-international. A2 - Lan PN Y1 - 2009/12//2009 Dec N1 - Accession Number: 105307378. Language: English. Entry Date: 20100326. Revision Date: 20150711. Publication Type: Journal Article; questions and answers. Journal Subset: Blind Peer Reviewed; Canada; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Pediatric Care. NLM UID: 101305908. KW - Nursing Protocols KW - Pediatric Critical Care Nursing KW - Albuterol -- Administration and Dosage KW - Catheterization KW - Catheters and Tubes KW - Charting KW - Drug Administration KW - Equipment and Supplies KW - Equipment Maintenance KW - Hypokalemia KW - Intravenous Therapy KW - Monitoring, Physiologic KW - Nitric Oxide KW - Patient Rounds KW - Pediatric Advanced Life Support KW - Personnel Recruitment KW - Personnel Staffing and Scheduling KW - Phlebotomy KW - Potassium Chloride -- Administration and Dosage KW - Potassium -- Administration and Dosage KW - Resuscitation Orders KW - Spectroscopy, Near-Infrared KW - Teaching Materials KW - Transportation of Patients KW - Tube Placement Determination KW - Visitors to Patients KW - X-Rays SP - 20 EP - 32 JO - Pediatric Intensive Care Nursing JF - Pediatric Intensive Care Nursing JA - PEDIATR INTENSIVE CARE NURS VL - 10 IS - 1-2 CY - Montreal, Quebec PB - International Pediatric Intensive Care Nursing Association SN - 1819-7566 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105307378&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107405887 T1 - Interruption of oxygen therapy during intrahospital transport of non-ICU patients: elimination of a common problem through caregiver education. AU - Stubbs CR AU - Crogan KJ AU - Pierson DJ Y1 - 1994/10//1994 Oct N1 - Accession Number: 107405887. Language: English. Entry Date: 19950501. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Oxygen Therapy KW - Transportation of Patients -- Adverse Effects KW - Record Review KW - Sampling Methods KW - Interviews KW - Descriptive Statistics KW - Staff Development KW - Inpatients KW - Human SP - 968 EP - 972 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 39 IS - 10 CY - Irving, Texas PB - Daedalus Enterprises, Inc. AB - BACKGROUND: Hospital inpatients frequently leave their rooms for diagnostic procedures and for other reasons. For some, interruption of oxygen therapy during transport could lead to serious complications. In our institution, non-ICU patient transport is done mainly by nonclinical personnel from an independent transport service. MATERIALS & METHODS: We reviewed respiratory care department and transport service records for 5 arbitrarily selected days to determine the number of non-ICU patients receiving O2 therapy, the number of times these patients were transported, and the number of occasions on which O2 was used during the transport. We then interviewed the primary nurse for each patient transported without O2 and reviewed the charts of those patients to determine whether this practice was consistent with the therapy as it had been ordered. After our initial investigation showed a high rate of transport without prescribed O2, we sent memoranda to all nursing units describing proper procedures for transport of patients for whom O2 had been ordered. We then repeated the audit. Because the second audit showed the need, we conducted education sessions with all nursing personnel on the affected units and posted guidelines for O2 use during transport. A third audit was then conducted. In addition, we performed a telephone survey of respiratory care department managers to learn the patient-transport practices in all hospitals in our state with more than 200 beds, using a structured questionnaire. RESULTS: During the initial 125 patient-days of O2 therapy, O2 accompanied patients on only 30 of 55 transports (55%). After distribution of memoranda, O2 use increased to 28 of 35 transports (80%) during 82 patient-days. The second educational effort resulted in O2 use with all 35 transports (100%) performed during 99 patient-days. Survey results from 24 hospitals with 225-680 beds showed that 11(46%) had separate transport services and that decisions on O2 use during patient transport were generally made by nursing staff. Although respiratory care departments supplied the O2 equipment, their personnel were involved in non-ICU transports in only 5/24 hospitals. CONCLUSIONS: Patients receiving O2 therapy on acute-care wards are often transported to other areas of the hospital without O2. This potentially dangerous practice can be corrected by respiratory care practitioners through educational efforts targeted toward those responsible for administering O2 therapy in non-ICU hospital areas. SN - 0020-1324 AD - Respiratory Care Dept, ZA-68, 325 Ninth Ave, Seattle WA 98104 U2 - PMID: 10146115. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107405887&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105521364 T1 - Rescue me: saving the vulnerable non--ICU patient population. AU - Bader MK AU - Neal B AU - Johnson L AU - Pyle K AU - Brewer J AU - Luna M AU - Stalcup C AU - Whittaker M AU - Ritter M Y1 - 2009/04//2009 Apr N1 - Accession Number: 105521364. Language: English. Entry Date: 20090619. Revision Date: 20150711. Publication Type: Journal Article; forms; research; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Emergency Care; Patient Safety; Quality Assurance. Grant Information: Neuro/Critical Care Nurse Specialist, Mission Hospital, Mission Viejo, California, USA. NLM UID: 101238023. KW - Emergency Care KW - Heart Arrest -- Prevention and Control KW - Multidisciplinary Care Team KW - California KW - Documentation KW - Funding Source KW - Health Status KW - Heart Arrest -- Mortality KW - Hospitals, Community KW - Inpatients KW - Length of Stay KW - Outcomes (Health Care) KW - Protocols KW - Quality Improvement KW - Quality of Care Research KW - T-Tests KW - Transfer, Intrahospital KW - Human SP - 199 EP - 205 JO - Joint Commission Journal on Quality & Patient Safety JF - Joint Commission Journal on Quality & Patient Safety JA - JOINT COMM J QUAL PATIENT SAF VL - 35 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Background: From 2003-2005, a comprehensive review of all cardiac/respiratory arrests at Mission Hospital (Mission Viejo, California) uncovered deficits in knowledge and judgment in the hours preceding 75% of our non-ICU patients. Nearly half of all arrests were occurring outside the ICU, with an overall mortality rate of 60%. In addition, transfers into ICU from the floor averaged 96 patients per month. Methods: A multidisciplinary team met for 12 months to develop a specialized nurse-driven rapid response team (RRT) to reduce the incidence and mortality of non-ICU arrests, reduce transfers to the ICU from the floor, and provide ICU-level nursing care for emergency department (ED) patients in extremis. The team developed an RRT protocol, a methodology for rounds and calls, and a data collection system. After gaining consensus among the nursing managers, 4.2 full-time equivalent (FTE) RRT nurse positions were created by each unit contributing portions of an FTE. Results: Prospective data collected demonstrated an inpatient call frequency averaging 118 calls per 1,000 discharges; 138 calls per month were in support of the ED. Floor codes were reduced from 36 to 17 per year, and the mortality rate in the floor-code patients decreased from 61% to 26%. Unanticipated transfers from the floor units to the ICU decreased significantly. Discussion: The RRT initiative delivered measurable outcomes demonstrating the hospital's commitment to saving the vulnerable hospitalized patient population. In addition, the identification of critical system and clinical issues resulted in efforts to improve processes and identify patient subpopulations at risk (for example, patients with congestive heart failure, end-stage heart disease, high-dose narcotics). SN - 1553-7250 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105521364&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105488414 T1 - A literature review of organisational, individual and teamwork factors contributing to the ICU discharge process. AU - Lin F AU - Chaboyer W AU - Wallis M Y1 - 2009/02//2009 Feb N1 - Accession Number: 105488414. Language: English. Entry Date: 20090522. Revision Date: 20150820. Publication Type: Journal Article; research; systematic review; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Evidence-Based Practice. NLM UID: 9207852. KW - Critical Care KW - Critically Ill Patients KW - Intensive Care Units KW - Patient Discharge KW - Teamwork KW - Transfer, Intrahospital KW - CINAHL Database KW - Conceptual Framework KW - Critical Care Nursing KW - Decision Making, Clinical KW - Hospital Policies KW - Length of Stay KW - Medline KW - Mortality KW - Patient Safety KW - Snowball Sample KW - Time Factors KW - Human SP - 29 EP - 43 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 22 IS - 1 CY - New York, New York PB - Elsevier B.V. AB - AIM: It is everyday news that we need more intensive care unit (ICU) beds, thus effective use of existing resources is imperative. The aim of this literature review was to critically analyse current literature on how organizational factors, individual factors and teamwork factors influence the ICU discharge process. A better understanding of discharge practices has the potential to ultimately influence ICU resource availability. METHODS: Databases including CINAHL, MEDLINE, PROQUEST, SCIENCE DIRECT were searched using key terms such as ICU discharge, discharge process, ICU guidelines and policies, discharge decision-making, ICU organisational factors, ICU and human factors, and ICU patient transfer. Articles' reference lists were also used to locate relevant literature. A total of 21 articles were included in the review. RESULTS: Only a small number of ICUs used written patient discharge guidelines. Consensus, rather than empirical evidence, dictates the importance of guidelines and policies. Premature discharge, discharge after hours and discharge by triage still exist due to resources constraints, even though the literature suggests these are associated with increased mortality. Teamwork and team training appear to be effective in improving efficiency and communication between professions or between clinical areas. However, this aspect has rarely been researched in relation to ICU patient discharge. CONCLUSION: Intensive care patient discharge is influenced by organisational factors, individual factors and teamwork factors. Organisational interventions are effective in reducing ICU discharge delay and shortening patient hospital stay. More rigorous research is needed to discover how these factors influence the ICU discharge process. SN - 1036-7314 AD - School of Nursing and Midwifery, Griffith Health, Griffith University, Gold Coast Campus, QLD 4222, Australia U2 - PMID: 19138531. DO - 10.1016/j.aucc.2008.11.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105488414&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105266637 T1 - Neonatal transport -- a family support module. AU - Duritza K Y1 - 2009/12// N1 - Accession Number: 105266637. Language: English. Entry Date: 20100205. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Core Nursing; Nursing; USA. Special Interest: Pediatric Care. NLM UID: 101126037. KW - Family Centered Care KW - Family -- Psychosocial Factors KW - Infant, Premature KW - Intensive Care Units, Neonatal KW - Support, Psychosocial KW - Transportation of Patients -- In Infancy and Childhood KW - Infant, Newborn KW - Information Needs KW - Information Resources KW - Mother-Infant Relations KW - Ohio KW - Organizations, Nonprofit KW - Parents -- Psychosocial Factors KW - Professional-Family Relations KW - Program Development SP - 212 EP - 218 JO - Newborn & Infant Nursing Reviews JF - Newborn & Infant Nursing Reviews JA - NEWBORN INFANT NURS REV VL - 9 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - With the regionalization of perinatal/neonatal care and an increase in the prematurity rate, the number of neonatal transports is also increasing. To help foster a family-centered care environment and establish a trusting relationship between families and staff, the neonatal transport team must provide educational and emotional support materials and services to families throughout the transport process. This article describes a collaborative effort between hospital staff, outside organizations (especially the March of Dimes), community businesses and neonatal graduate families that resulted in the creation of a family support module for neonatal transport. This family support module is comprised of services and resources that can be customized to meet the needs of the regional population served. The idea that all staff at the referring hospital and regional center must be knowledgeable of the information and services being provided to families is discussed. In addition, the need for regular evaluation of materials/programs to insure effectiveness is stressed. Copyright © 2009 Elsevier Inc. All rights reserved. SN - 1527-3369 AD - Akron Children's Hospital, NeuroDevelopment Center, Spasticity Program Coordinator, Akron, OH; kduritza@chmca.org DO - 10.1053/j.nainr.2009.09.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105266637&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105929455 T1 - Opportunities and barriers to successful learning transfer: impact of critical care skills training. AU - Meyer E AU - Lees A AU - Humphris D AU - Connell NA Y1 - 2007/11// N1 - Accession Number: 105929455. Language: English. Entry Date: 20080118. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Grant Information: Hampshire and Isle of Wight Workforce Development Confederation. NLM UID: 7609811. KW - Critical Care Nursing -- Education KW - Nursing Skills -- Education KW - Transfer (Psychology) KW - Audiorecording KW - Convenience Sample KW - Data Analysis KW - Empirical Research KW - Evaluation Research KW - Funding Source KW - Interview Guides KW - Nurse Attitudes -- Evaluation KW - Nurse Managers KW - Outcomes of Education KW - Semi-Structured Interview KW - United Kingdom KW - Human SP - 308 EP - 316 JO - Journal of Advanced Nursing JF - Journal of Advanced Nursing JA - J ADV NURS VL - 60 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Aim. This paper is a report of a study to assess the impact on nursing practice of critical care skills training for ward-based nurses. Background. Following a government review in the UK of adult critical care provision, new ways of working were advocated to ensure that critical care services depended on the needs of the patient, not their location in the hospital. A reconceptualization beyond service provision in high dependency units and intensive care units was required in order to deliver an integrated service. This has ramifications for training requirements. Methods. Semi-structured interviews were used to explore perceived learning and learning transfer from a range of courses. The data were collected from course attendees (n = 47) and line-managers (n = 19) across two sites between 2005 and 2006. Findings. Learning was closely associated with the clinical application of new skills and knowledge. Commonly, course attendees and line-managers quoted increased knowledge and confidence, better assessment skills and improved interprofessional working. Time with competency assessors, availability of expanding roles, and supernumerary time were key factors for successful learning transfer. Barriers were financial pressures on hospitals, lack of perceived relevance of the course to staff or nursing practice, and lack of time to practice skills or work with clinical skills facilitators. Conclusion. Course design should be a collaborative activity between education providers and commissioners to ensure the impact of training on practice. Relevance of material, time to practise skills and new learning, and organizational, rather than merely individual, support are essential for successful training interventions. SN - 0309-2402 AD - Centre for Excellence in Teaching and Learning for Interprofessional Learning across the Public Sector (CETL:IPPS), and Health Care Innovation Unit, University of Southampton, Southampton, UK. U2 - PMID: 17908126. DO - 10.1111/j.1365-2648.2007.04422.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105929455&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105420624 T1 - Mothers of preterm infants: experiences of space, tone and transfer in the neonatal care unit. AU - Hall EOC AU - Brinchmann BS Y1 - 2009/08//2009 Aug N1 - Accession Number: 105420624. Language: English. Entry Date: 20091016. Revision Date: 20150820. Publication Type: Journal Article; research. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. Grant Information: Danish Nurse Association. NLM UID: 9602867. KW - Infant, Premature KW - Mothers -- Psychosocial Factors KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Content Analysis KW - Convenience Sample KW - Denmark KW - Funding Source KW - Intensive Care Units, Neonatal KW - Life Experiences KW - Maternal Attitudes -- Evaluation KW - Neonatal Intensive Care Nursing KW - Nurse Attitudes KW - Personal Boundaries KW - Phenomenological Research KW - Purposive Sample KW - Semi-Structured Interview KW - Thematic Analysis KW - Human SP - 129 EP - 136 JO - Journal of Neonatal Nursing JF - Journal of Neonatal Nursing JA - J NEONAT NURS VL - 15 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - Neonatal units are technologically well-equipped hospital rooms where preterm babies spend months growing and developing. Mothers spend much time there caring for their infant. When infants are free from technology, the dyad is transferred to another room in the unit. The aim of this study was to investigate preterm mothers' experiences and recollections of the neonatal room. Five mothers were interviewed repeatedly. Data were analysed using qualitative content analysis and categories and themes were developed. Mothers experienced one room as quiet and caring, another as a hustled passage room. A personal space, the tone in the room and the transfer meant a lot for the mothers: they were well recollected. The transfer to a next-door room is recognized as causing bewilderment because of the new atmosphere. SN - 1355-1841 AD - Department of Nursing Science, School of Public Health, Aarhus University, Arhus, Denmark UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105420624&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105480623 T1 - Impact of an observation unit and an emergency department-admitted patient transfer mandate in decreasing overcrowding in a pediatric emergency department: a discrete event simulation exercise. AU - Hung GR AU - Kissoon N Y1 - 2009/03//2009 Mar N1 - Accession Number: 105480623. Language: English. Entry Date: 20090911. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care; Pediatric Care. NLM UID: 8507560. KW - Computer Simulation KW - Hospitalization -- Statistics and Numerical Data KW - Hospitals, Pediatric -- Administration KW - Intensive Care Units, Pediatric -- Administration KW - Patient Admission -- Statistics and Numerical Data KW - Transfer, Discharge -- Administration KW - British Columbia KW - Child KW - Hospital Units -- Administration KW - Patient Selection KW - Human SP - 160 EP - 163 JO - Pediatric Emergency Care JF - Pediatric Emergency Care JA - PEDIATR EMERG CARE VL - 25 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVES: The primary objective was to examine the effects of a simulated observation unit (OU) and a transfer mandate for admitted patients on pediatric emergency department (PED) patient flow indicators. The secondary objective was to report on the occupancy rate of the simulated OU. METHODS: Simulations were conducted using a previously designed and validated discrete event simulation model of our PED operations. A simulated OU was designed, and an emergency department-admitted patient transfer mandate was developed and then applied to a discrete event simulation model. Four scenarios (regular PED operations with and without a 5-bed OU and transfer mandate in all combinations) were modeled. RESULTS: A combination of an OU and an emergency department-admitted patient transfer mandate resulted in reductions in time to be seen by a physician and length of stay in patients who were triaged with urgent or emergent presentations as compared with PED operations with neither an OU nor a transfer mandate. Small improvements in fractile response were observed for patients triaged with urgent presentations. The OU without the transfer mandate had a simulated occupancy rate of 73.1%. The inclusion of the transfer mandate reduced the occupancy rate to 48.1%. CONCLUSIONS: Simulation scenario analyses predict that an OU and a transfer mandate would reduce overcapacity in the PED, with more substantial reductions in time to be seen and length of stay for patients of high acuity. SN - 0749-5161 AD - Division of Emergency Medicine, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada. ghung@cw.bc.ca U2 - PMID: 19262424. DO - 10.1097/PEC.0b013e31819a7e20 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105480623&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104954937 T1 - Comparison of the 1999 and 2006 trauma triage guidelines: where do patients go? AU - Lerner, E. Brooke AU - Shah, Manish N. AU - Swor, Robert A. AU - Cushman, Jeremy T. AU - Guse, Clare E. AU - Brasel, Karen AU - Blatt, Alan AU - Jurkovich, Gregory J. Y1 - 2011/01// N1 - Accession Number: 104954937. Language: English. Entry Date: 20110204. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. Grant Information: Centers for Disease Control and Prevention (5R49CE001010). NLM UID: 9703530. KW - Practice Guidelines -- Methods KW - Trauma -- Diagnosis KW - Triage -- Methods KW - Centers for Disease Control and Prevention (U.S.) KW - Confidence Intervals KW - Data Analysis -- Methods KW - Decision Making, Clinical -- Evaluation KW - Demography KW - Descriptive Statistics KW - Emergency Medical Services KW - Funding Source KW - Human KW - Intensive Care Units KW - Interviews KW - Medical Organizations KW - Prehospital Care KW - Prospective Studies KW - Surgeons KW - Transportation of Patients -- Evaluation KW - Wounds and Injuries -- Diagnosis SP - 12 EP - 17 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 15 IS - 1 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Background. In 2006, the Centers for Disease Control and Prevention (CDC) released a revised Field Triage Decision Scheme. It is unknown how this modified scheme will affect the number of patients identified by emergency medical services (EMS) for transport to a trauma center. Objectives. To determine the change in the number of patients transported by EMS who meet the 2006 scheme, compared with the 1999 scheme, and to determine how the scheme change would affect under- and overtriage rates. Methods. The EMS providers in charge of care for injured adult patients transported to a regional trauma center in three mid-sized cities were interviewed immediately after completing transport. All injured patients were included, regardless of severity. The interview included patient demographics, vital signs, apparent anatomic injury, and the mechanism of injury. Included patients were then followed through hospital discharge. The 1999 and 2006 scheme criteria were each retrospectively applied to the collected data. The numbers of patients identified by the two schemes were determined. Patients were considered to have needed a trauma center if they had nonorthopedic surgery within 24 hours, were admitted to an intensive care unit (ICU), or died. Data were analyzed using descriptive statistics including 95% confidence intervals. Results. EMS interviews were conducted for 11,892 patients and outcome data were unavailable for one patient. The average patient age was 48 years; 51% of the patients were men. Providers reported bringing 54% of the enrolled patients to the trauma center based on their local trauma protocol. Medical record review identified 12% of the enrolled patients as needing a trauma center. Use of the 2006 scheme would have resulted in 1,423 fewer patients (12%; 95% confidence interval [CI]:11%-13%) being identified as needing a trauma center by EMS providers (40%; 95% CI: 39%-41% versus 28%; 95% CI: 27%-29%). Of those patients, 1,344 (94%) did not actually need the resources of a trauma center, whereas 78 (6%) actually needed the resources of a trauma center and would have been undertriaged. Conclusion. Use of the 2006 Field Triage Decision Scheme would have resulted in a significant decrease in the number of patients identified as needing the resources of a trauma center. These changes reduced overtriage while causing a small increase in the number of patients who would have been undertriaged. SN - 1090-3127 AD - Department of Emergency Medicine, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA; eblerner@mcw.edu AD - Department of Family and Community Medicine, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA AD - Department of Surgery, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA AD - Department of Emergency Medicine, University of Rochester, Rochester, NY, USA AD - Department of Emergency Medicine, Oakland University/Beaumont Hospital School of Medicine, Royal Oak, MI, USA AD - CUBRC, Buffalo, NY, USA AD - Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA, USA U2 - PMID: 21054176. DO - 10.3109/10903127.2010.519819 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104954937&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105050283 T1 - Safety of surfactant administration before transport of premature infants. AU - Biniwale M AU - Kleinman M Y1 - 2010/07// N1 - Accession Number: 105050283. Language: English. Entry Date: 20100827. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care; Patient Safety; Pediatric Care. Instrumentation: Apgar Score. Grant Information: Fred Lovejoy Resident Research and Education Fund from Children's Hospital Boston. NLM UID: 9312325. KW - Aeromedical Transport KW - Infant, Premature KW - Intensive Care, Neonatal KW - Patient Safety KW - Respiratory Distress Syndrome -- Drug Therapy KW - Surface-Active Agents -- Administration and Dosage KW - Apgar Score KW - Birth Weight KW - Blood Gas Analysis KW - Chi Square Test KW - Clinical Assessment Tools KW - Confidence Intervals KW - Continuous Positive Airway Pressure KW - Data Analysis Software KW - Descriptive Statistics KW - Female KW - Funding Source KW - Gestational Age KW - Hospitals, Pediatric KW - Human KW - Hyperventilation -- Epidemiology -- Massachusetts KW - Infant, Newborn KW - Inpatients KW - Intensive Care Units, Neonatal KW - Length of Stay KW - Logistic Regression KW - Male KW - Massachusetts KW - Odds Ratio KW - P-Value KW - Pneumothorax -- Epidemiology -- Massachusetts KW - Record Review KW - Retrospective Design KW - Treatment Outcomes SP - 170 EP - 177 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - OBJECTIVE: To assess the safety of surfactant administration prior to transport of premature infants. DESIGN/METHODS: We performed a retrospective review of 24- to 34-weeks premature infants admitted to the Newborn Intensive Care Unit (NICU) between July 1, 1999 and September 30, 2004. Outcome measures were the presence of hyperventilation (PCO2 <40 mm Hg) and/or pneumothorax on admission to the NICU. Factors associated with the presence of hyperventilation and pneumothorax were identified. RESULTS: 955 infants born at 24 to 34 weeks' gestation were admitted to the NICU during the study period. 217 (22.7%) received surfactant prior to transport within 48 hours of birth. The incidence of hyperventilation was 18.9%. Hyperventilated infants had longer transport times, lower birth weights, and lower PCO2 on blood gases obtained prior to transport. Pneumothorax occurred in six subjects (2.9%). Neonates with pneumothorax had lower APGAR scores. CONCLUSIONS: We found the administration of surfactant prior to transport to be safe as evidenced by a low incidence of pneumothorax. Pneumothorax was more likely to occur in infants who needed significant resuscitation at birth. The incidence of hyperventilation appeared to be high and was inversely associated with birth weight. SN - 1067-991X AD - Center for Fetal and Neonatal Medicine and the USC Division of Neonatal Medicine, Los Angeles, CA, USA. biniwale@usc.edu U2 - PMID: 20599151. DO - 10.1016/j.amj.2010.04.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105050283&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105516582 T1 - Assuming command: using simulation training to develop leadership skills for resuscitation and critical care transport. AU - Hallinan WH AU - MacIntyre J AU - Stalic L Y1 - 2009/04// N1 - Accession Number: 105516582. Language: English. Entry Date: 20090605. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Nursing Education. NLM UID: 8207799. KW - Critical Care Nursing -- Education KW - Leadership -- Education KW - Patient Simulation KW - Curriculum KW - Inpatients KW - Patient Classification KW - Resuscitation KW - Transportation of Patients SP - e4 EP - e4 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 29 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105516582&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105231688 T1 - Clinical and molecular characteristics of nosocomial meticillin-resistant Staphylococcus aureus skin and soft tissue isolates from three Indian hospitals. AU - Gadepalli R AU - Dhawan B AU - Kapil A AU - Sreenivas V AU - Jais M AU - Gaind R AU - Chaudhry R AU - Samantaray JC AU - Udo EE Y1 - 2009/11// N1 - Accession Number: 105231688. Language: English. Entry Date: 20100129. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 8007166. KW - Cross Infection -- Epidemiology KW - Cross Infection -- Microbiology KW - Hospitals -- Statistics and Numerical Data KW - Methicillin-Resistant Staphylococcus Aureus -- Classification KW - Methicillin-Resistant Staphylococcus Aureus KW - Soft Tissue Infections -- Epidemiology KW - Soft Tissue Infections -- Microbiology KW - Skin Diseases, Infectious -- Epidemiology KW - Skin Diseases, Infectious -- Microbiology KW - Adolescence KW - Adult KW - Antibiotics -- Pharmacodynamics KW - Bacterial Proteins KW - Bacterial Typing Techniques KW - Child KW - Electrophoresis, Gel, Pulsed-Field KW - Female KW - India KW - Male KW - Microbial Culture and Sensitivity Tests KW - Middle Age KW - Risk Factors KW - Sequence Analysis SP - 253 EP - 263 JO - Journal of Hospital Infection JF - Journal of Hospital Infection JA - J HOSP INFECT VL - 73 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - We analysed risk factors for nosocomial meticillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections (SSTIs) in three Indian hospitals. We also determined antimicrobial resistance patterns and genotypic characteristics of MRSA isolates using pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST) and staphylococcal cassette chromosome (SCCmec) typing. Medical records of 709 patients admitted to three tertiary hospitals with nosocomial S. aureus SSTIs were clinically evaluated. Antimicrobial susceptibility testing of patient isolates was performed in accordance with Clinical and Laboratory Standards Institute guidelines, with meticillin and mupirocin resistance confirmed by multiplex polymerase chain reaction. PFGE analysis of 220 MRSA isolates was performed, followed by MLST and SCCmec typing of a selected number of isolates. MRSA was associated with 41%, 31% and 7.5% of infections at the three hospitals, respectively. Multiple logistic regression analysis identified longer duration of hospitalisation [odds ratio (OR): 1.78; OR: 2.83 for >/=20 days], intra-hospital transfer (OR: 1.91), non-infectious skin conditions (3.64), osteomyelitis (2.9), neurological disorders (2.22), aminoglycoside therapy (1.74) and clindamycin therapy (4.73) as independent predictors for MRSA SSTIs. MRSA isolates from all three hospitals were multidrug resistant, with fifteen clones (I-XV) recognised. A majority of the strains possessed type III cassette. The common sequence type (ST) 239 was considered the signature MLST sequence for PFGE clone III. This major MRSA clone III was closely related to the UK EMRSA-1 and was significantly more resistant to antibiotics. Dissemination of multidrug-resistant MRSA clones warrants continuous tracking of resistant genotypes in the Indian subcontinent.Copyright © 2009 by Elsevier Inc. SN - 0195-6701 AD - Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India. U2 - PMID: 19782432. DO - 10.1016/j.jhin.2009.07.021 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105231688&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104914761 T1 - Improving pretransport care of pediatric emergency patients: an assessment of referring hospital care. AU - Walls TA AU - Chamberlain JM AU - Strohm-Farber J AU - Klein BL Y1 - 2010/08//2010 Aug N1 - Accession Number: 104914761. Language: English. Entry Date: 20110107. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care; Pediatric Care. NLM UID: 8507560. KW - Critical Illness -- Therapy KW - Hospitals, Pediatric -- Standards KW - Intensive Care Units, Pediatric -- Standards KW - Outcome Assessment KW - Referral and Consultation -- Trends KW - Transportation of Patients -- Standards KW - Academic Medical Centers KW - Adolescence KW - Child KW - Child, Preschool KW - Female KW - Hospitals, Urban KW - Human KW - Infant KW - Infant, Newborn KW - Male KW - Prospective Studies KW - United States KW - Young Adult SP - 567 EP - 570 JO - Pediatric Emergency Care JF - Pediatric Emergency Care JA - PEDIATR EMERG CARE VL - 26 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVES:: Before effective educational interventions can be implemented to improve health care, a needs assessment is essential to determine areas best targeted for improvement. The purpose of this study was to assess the educational needs of referring community hospitals with regard to the pretransport care of pediatric patients. METHODS:: We performed a prospective survey of physicians accepting referrals from community hospitals in the emergency department of a large, urban, academic, pediatric hospital. Based on the routine pretransport telephone consultation, we asked the accepting physician to document the appropriateness of the referring hospital's management of the patient before the request for transport. We reviewed the corresponding transport records of all children for whom pretransport care was categorized as suboptimal. We report frequencies and relative frequencies for suboptimal care, reasons for suboptimal care, and the pretransport diagnoses of these patients. RESULTS:: There were 817 pediatric patients transported from 54 different hospitals during the 3-month study period, for which we received 477 surveys (58% response rate). The accepting physician rated the pretransport care as suboptimal for 105 (22%) of 477 patients. The most common diagnoses of referrals were respiratory distress, asthma, and seizures. Care was more likely to be reported suboptimal for patients with fever (P = 0.001) and asthma (P = 0.04). CONCLUSIONS:: Using a simple survey, we identified opportunities for improvement in the management of pediatric emergency patients by referring hospitals in 22% of cases. SN - 0749-5161 AD - From the Children's National Medical Center, Washington, DC. U2 - PMID: 20657338. DO - 10.1097/PEC.0b013e3181ea71f8 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104914761&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107869441 T1 - Warning! Fire in the ICU. AU - Rispoli, Fabio AU - Iannuzzi, Michele AU - De Robertis, Edoardo AU - Piazza, Ornella AU - Servillo, Giuseppe AU - Tufano, Rosalba Y1 - 2014/06//2014 Jun N1 - Accession Number: 107869441. Language: English. Entry Date: 20141003. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; Public Health; USA. Special Interest: Emergency Care. NLM UID: 8918173. KW - Power Sources -- Adverse Effects KW - Fires KW - Intensive Care Units KW - Equipment Failure KW - Italy KW - Occupational Exposure -- Adverse Effects KW - Transportation of Patients SP - 339 EP - 340 JO - Prehospital & Disaster Medicine JF - Prehospital & Disaster Medicine JA - PREHOSPITAL DISASTER MED VL - 29 IS - 3 PB - Cambridge University Press AB - At 5:30 pm on December 17, 2010, shortly after a power failure, smoke filled the Intensive Care Unit (ICU) of Federico II University Hospital in Naples, Italy, triggering the hospital emergency alarm system. Immediately, staff began emergency procedures and alerted rescue teams. All patients were transferred without harm. The smoke caused pharyngeal and conjunctival irritation in some staff members. After a brief investigation, firefighters discovered the cause of the fire was a failure of the Uninterruptible Power Supply (UPS). Rispoli F , Iannuzzi M , De Robertis E , Piazza O , Servillo G , Tufano R . Warning! Fire in the ICU. Prehosp Disaster Med. 2014;29(3):1-2 . SN - 1049-023X AD - Department of Anesthesiology,Intensive Care,Hyperbaric Therapy and Pain Therapy,University of Naples Federico II,Naples,Italy. U2 - PMID: 24870019. DO - 10.1017/S1049023X1400048X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107869441&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105050186 T1 - Using clinical data to capture nurse workload: implications for staffing and safety. AU - Baernholdt M AU - Cox K AU - Scully K Y1 - 2010/07//2010 Jul-Aug N1 - Accession Number: 105050186. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Computer/Information Science; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Informatics. NLM UID: 101141667. KW - Clinical Information Systems KW - Nursing Staff, Hospital KW - Patient Safety KW - Personnel Staffing and Scheduling KW - Workload KW - Human KW - Intensive Care Units KW - Patient Admission KW - Patient Discharge KW - Record Review KW - Transfer, Intrahospital SP - 229 EP - 234 JO - CIN: Computers, Informatics, Nursing JF - CIN: Computers, Informatics, Nursing JA - CIN COMPUT INFORM NURS VL - 28 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - The purpose of this project was to demonstrate how a hospital clinical database can be utilized to calculate individual nursing unit activities that affect nurses' workload. While research has established that staffing is associated with patient safety, few studies have examined ways to measure nurse workload and its impact on patient safety. The widely used midnight census does not account for the number of patients who occupy a bed in a 24-hour period. In this study, a hospital clinical data repository was used to calculate workload measures such as total treated patients, midnight census, and admission, discharges, and transfers, as well as a unit activity index. Unit activity indexes for intensive care and medical-surgical units were compared over time, by shift, day of week, and month. Admission, discharges, and transfers varied according to unit type. During 1994 to 2006, unit activity index increased. Fluctuations in unit activity index were noted according to shift, day of week, and month. Hospital clinical data repositories can be used to calculate workload measures, and these measures should be incorporated with other traditional measures in making staffing decisions. SN - 1538-2931 AD - School of Nursing, University of Virginia, Charlottesville, VA 22908-0782, USA. mb2vy@virginia.edu U2 - PMID: 20571375. DO - 10.1097/NCN.0b013e3181e1e57d UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105050186&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109852804 T1 - Single-parameter early warning criteria to predict life-threatening adverse effects. AU - Rothschild JM AU - Gandara E AU - Woolf S AU - Williams DH AU - Bates DW Y1 - 2010/06//2010 Jun N1 - Accession Number: 109852804. Language: English. Entry Date: 20100806. Revision Date: 20151008. Publication Type: Journal Article; research; tables/charts. Journal Subset: Health Services Administration; Peer Reviewed; USA. Special Interest: Patient Safety. Grant Information: Risk Management Foundation of the Controlled Risk Insurance Company, Cambridge, MA.. NLM UID: 101233393. KW - Adverse Health Care Event -- Prevention and Control KW - Clinical Indicators KW - Predictive Validity KW - Reaction Time KW - Academic Medical Centers -- Massachusetts KW - Apnea -- Symptoms KW - Case Control Studies KW - Chi Square Test KW - Confidence Intervals KW - Correlational Studies KW - Funding Source KW - Heart Arrest -- Symptoms KW - Hospital Mortality -- Risk Factors KW - Human KW - Intensive Care Units KW - Massachusetts KW - Odds Ratio KW - Oxygen Therapy -- Utilization KW - Prospective Studies KW - Record Review KW - Retrospective Design KW - Severity of Illness KW - T-Tests KW - Transfer, Intrahospital SP - 97 EP - 101 JO - Journal of Patient Safety JF - Journal of Patient Safety JA - J PATIENT SAF VL - 6 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Objectives: Early warning criteria ('criteria'), used to activate rapid response system (RRS) teams, may improve patient outcomes by predicting life-threatening adverse events-urgent intensive care unit (ICU) transfers and cardiac arrests.Methods: We conducted a case-control study on medicine patients in an academic medical center from May 2005 to June 2006. Controls were matched to RRS activation patients by admission date and unit. Rapid response system activation patients were then excluded from analysis. Chart reviews identified positive criteria on non-RRS patients. For controls, physiologic data were collected from admission until the day of matched RRS activations. Data were collected in patients with adverse events for the 8 hours preceding events.Results: A total of 262 patients (2.8%) had 271 adverse events including 245 ICU transfers and 26 arrests. Positive criteria were found during 21.1% of control admissions (68/323). Positive criteria preceded 60.8% of the ICU transfers (158/260; 95% confidence interval, 54.8%-66.7%). However, 76.9% of patients with an arrest did not have previous positive criteria (20/26; 95% confidence interval, 60.7%-93.1%). Intensive care unit transfers with positive criteria were more likely to die than patients without criteria (35.4% versus 20.6%; odds ratio [OR], 2.1). Positive criteria most strongly associated with life-threatening adverse events were tachypnea (OR, 31.1) and 100% supplemental oxygen (OR, 13.7).Conclusions: The early warning conditions used to activate RRS teams were only fair predictors of acute deterioration, although early signs of respiratory failure during routine monitoring were strongly associated with future life-threatening adverse events. Improved respiratory monitoring may improve outcomes from RRS interventions. SN - 1549-8417 AD - Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA U2 - PMID: 22130351. DO - 10.1097/PTS.0b013e3181dcaf32 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109852804&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105161876 T1 - Trauma VAP SWAT team: a rapid response to infection prevention. AU - Laux L AU - Dysert K AU - Kiely S AU - Weimerskirch J Y1 - 2010/04//2010 Apr-Jun N1 - Accession Number: 105161876. Language: English. Entry Date: 20100507. Revision Date: 20150818. Publication Type: Journal Article; forms; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Patient Safety; Perioperative Care; Quality Assurance. NLM UID: 8704517. KW - Pneumonia, Ventilator-Associated -- Prevention and Control KW - Checklists -- Utilization KW - Critical Care Nursing KW - Cross Infection -- Prevention and Control KW - Inpatients KW - Intensive Care Units KW - Multidisciplinary Care Team KW - Patient Positioning KW - Pneumonia, Ventilator-Associated -- Epidemiology KW - Quality Improvement KW - Respiratory Therapists KW - Staff Development KW - Surgical Patients KW - Transportation of Patients KW - Trauma SP - 126 EP - 131 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 33 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - The prevention of ventilator-associated pneumonia (VAP) has been a challenge within many healthcare organizations. The initial efforts for VAP prevention focused on compliance with 'ventilator bundles.' VAP rates initially improved with implementation of the bundles but then reached a plateau. The trauma surgical intensive care unit (ICU) was interested in investigating measures to further improve the prevention of VAP after bundle implementation. A multidisciplinary team was formed to investigate innovative strategies to prevent VAP. The group identified their initial focus as head of bed (HOB) elevation intervention within and outside of the ICU through HOB audits and a transport checklist. Through these efforts, the VAP rate within the trauma surgical ICU dropped to the lowest level in 4 years. SN - 0887-9303 AD - Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA. llaux@wpahs.org U2 - PMID: 20234201. DO - 10.1097/CNQ.0b013e3181d911bb UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105161876&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105171684 T1 - Improved trauma system multicasualty incident response: comparison of two train crash disasters. AU - Cryer HG AU - Hiatt JR AU - Eckstein M AU - Chidester C AU - Raby S AU - Ernst TG AU - Margulies D AU - Putnam B AU - Demetriades D AU - Gaspard D AU - Singh R AU - Saad S AU - Samuel C AU - Upperman JS Y1 - 2010/04// N1 - Accession Number: 105171684. Language: English. Entry Date: 20100521. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. Instrumentation: Injury Severity Score (ISS). NLM UID: 0376373. KW - Accidents KW - Emergency Medical Services -- Administration KW - Railroads KW - Transportation of Patients -- Methods KW - Trauma Centers -- Utilization KW - Wounds and Injuries -- Therapy KW - Disaster Planning KW - Emergency Medical Services -- Standards KW - Health Services Needs and Demand KW - Hospitals, Community -- Utilization KW - Human KW - Trauma Severity Indices KW - Intensive Care Units -- Utilization KW - California KW - Transportation of Patients -- Standards KW - Triage SP - 783 EP - 789 JO - Journal of Trauma JF - Journal of Trauma JA - J TRAUMA VL - 68 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - BACKGROUND: Two train crash multicasualty incidents (MCI) occurred in 2005 and 2008 in Los Angeles. A postcrash analysis of the first MCI determined that most victims went to local community hospitals (CHs) with underutilization of trauma centers (TCs), resulting in changes to our disaster plan. To determine whether our trauma system MCI response improved, we analyzed the distribution of patients from the scene to TCs and CHs in the two MCIs. METHODS: Data from the emergency medical services and TC records were interrogated to compare patients triage status, type of transport, and the destination in the 2008 MCI to the 2005 MCI. Clinical data from the 2008 MCI were tabulated to evaluate severity of injuries, need for immediate and delayed operation, need for intensive care unit, and need for specialty surgical services, and appropriate distribution of patients. RESULTS: In 2005, 14 (56%) of the 25 severely injured patients and 75 (71%) of the 106 total patients were transported to four CHs. In 2008, 53 (93%) of 57 of the severely injured patients were transported to TCs and only 34 (35%) of 98 of total patients were transported to nine CHs. In 2008, more TCs were used (8 vs. 5) and more patients were transported by air (34 vs. 2). In 2008, the most severely injured victims were transported to four level I TCs (median injury severity score, 16; range, 1-43; 10 emergent operations) and four level II TCs (median injury severity score, 10; range, 1-22; 4 emergent operations). Only 11 patients were admitted to CHs, and no operations were required. CONCLUSIONS: A trauma system performance improvement program allowed us to significantly improve our response to MCIs with improved utilization of TCs and improved distribution of victims according to injury severity and needs. SN - 0022-5282 AD - Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, California 90095-1711, USA. hcryer@mednet.ucla.edu U2 - PMID: 20386274. DO - 10.1097/TA.0b013e3181d03b8c UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105171684&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106170142 T1 - Smoked out: emergency evacuation of an ICU. AU - Carey MG Y1 - 2007/09// N1 - Accession Number: 106170142. Language: English. Entry Date: 20071012. Revision Date: 20150819. Publication Type: Journal Article; case study; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0372646. KW - Critical Care Nursing KW - Critically Ill Patients KW - Disaster Planning KW - Fires KW - Intensive Care Units KW - Transfer, Intrahospital KW - Information Resources KW - Inpatients KW - Patient Safety KW - Post Anesthesia Care Units KW - Smoke KW - United States SP - 54 EP - 57 JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 107 IS - 9 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Rapid intrahospital evacuation of critically ill patients may take more than improvisation. Are you prepared? SN - 0002-936X AD - Assistant Professor, School of Nursing, State University of New York at Buffalo U2 - PMID: 17721151. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106170142&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105782826 T1 - SecurEx: a preventive program to safely transport critically ill patients. AU - Bérubé M AU - Marion H AU - Parent J AU - Bernard F AU - Perrier J AU - Ferland A AU - Albert M Y1 - 2008///Summer2008 N1 - Accession Number: 105782826. Language: English. Entry Date: 20080808. Revision Date: 20150820. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety; Quality Assurance. NLM UID: 100955578. KW - Critically Ill Patients KW - Transportation of Patients KW - Congresses and Conferences -- Quebec KW - Intensive Care Units -- Administration KW - Quality Improvement -- Methods KW - Quebec KW - Human SP - 36 EP - 37 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 19 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105782826&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104666758 T1 - Using Failure Mode and Effects Analysis to Design a Mobile Extracorporeal Membrane Oxygenation Team. AU - Meyer, Michael T. AU - Braby, Jeanne AU - Scanlon, Matthew C. Y1 - 2011/07// N1 - Accession Number: 104666758. Language: English. Entry Date: 20110822. Revision Date: 20150711. Publication Type: Journal Article; algorithm; equations & formulas; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Patient Safety; Pediatric Care; Quality Assurance. NLM UID: 9312325. KW - Extracorporeal Membrane Oxygenation -- Adverse Effects -- In Infancy and Childhood KW - Process Assessment (Health Care) -- Methods KW - Critical Care -- In Infancy and Childhood KW - Transportation of Patients KW - Risk Assessment KW - Quality Improvement KW - Multidisciplinary Care Team KW - Risk Management KW - Extracorporeal Membrane Oxygenation -- Adverse Effects KW - Team Building KW - Intensive Care Units, Pediatric KW - Pediatric Critical Care Nursing KW - Transfer, Discharge KW - Algorithms KW - Relative Risk KW - Human KW - Summated Rating Scaling KW - Scales KW - Quality of Care Research KW - Descriptive Statistics KW - Critically Ill Patients KW - Outpatients KW - Infant, Newborn SP - 201 EP - 207 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 30 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - Medical College of Wisconsin, Milwaukee, WI; Children's Hospital of Wisconsin, Milwaukee, WI AD - Children's Hospital of Wisconsin, Milwaukee, WI AD - Medical College of Wisconsin, Milwaukee, WI U2 - PMID: 21798454. DO - 10.1016/j.amj.2010.12.002 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104666758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105631837 T1 - Transfer of patients dependent on an intra-aortic balloon pump using critical care services. AU - Sinclair TD AU - Werman HA Y1 - 2009/01// N1 - Accession Number: 105631837. Language: English. Entry Date: 20090508. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Intra-Aortic Balloon Pumping -- Utilization KW - Prehospital Care -- Methods KW - Adolescence KW - Adult KW - Aged KW - Aged, 80 and Over KW - Airway Management KW - Algorithms KW - Audit KW - Cardiopulmonary Technicians KW - Descriptive Statistics KW - Documentation KW - Drug Therapy KW - Emergency Medical Technicians KW - Equipment Failure KW - Female KW - Male KW - Middle Age KW - Nurses KW - Ohio KW - Quality Improvement KW - Quality of Care Research KW - Record Review KW - Retrospective Design KW - Human SP - 40 EP - 46 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 28 IS - 1 CY - New York, New York PB - Elsevier B.V. AB - INTRODUCTION: The intra-aortic balloon pump (IABP) is a hemodynamic support device that provides circulatory enhancement to patients whose cardiac output is compromised. Special clinical skills are required for management of the patient with an IABP in place. Few studies have discussed the transport of the IABP-dependent patient. The current study was designed to describe the transport of IABP-dependent patients, with a focus on pretransport interventions, transport interventions, quality improvement, and complications. METHODS: A review of all transports from January 1, 2004, through December 31, 2005, performed by a critical care transport program with a nurse/paramedic crew offering mobile intensive care unit (ICU), rotor-wing, and fixed-wing service was conducted. All patients who were maintained on an intra-aortic balloon pump (IABP) were eligible for inclusion. A certified perfusionist was available for consultation on all transports. Information about the IABP, including the pump timing, confirmation of balloon location, and inflation/deflation timing parameters, was collected. Proper balloon placement was verified and recorded at the sending hospital. Data were collected regarding interventions required before and during transport and complications during transport. Descriptive statistics were used. RESULTS: During the study period, 173 transports involving an IABP were performed. The average age was 60.8 years, and 67.8% were men. Forty-one percent were flown by rotor-wing, 36.4% were transported by the mobile ICU, and 21.4% were flown by the fixed-wing transport. In 1.2% of cases, there was a change in transport mode. Twelve percent of patients required some increase in oxygen supplementation, but only one patient required intubation before transport by the transport crew. The most common pretransport medications were heparin (69%), inotropes (55%), and other infusions (46.8%). Twenty-two percent had no written confirmation of the correct balloon placement. There were no significant complications found during transport, including hemorrhage, loss of trigger signals, or cardiac arrest. Twelve percent had some abnormalities in timing of balloon inflation or deflation. CONCLUSION: IABP transports can be safely performed by a nurse/paramedic critical care transport team with perfusionist consultation. Few patients require significant intervention before transport. Attention must be paid to balloon inflation and deflation timing despite the existence of timing algorithms. Significant complications during transport were not seen. Future studies should explore the overall outcome of IABP-dependent patients and the role of transport mode on outcome. SN - 1067-991X AD - Emergency Department, The Ohio State University Medical Center, Columbus, OH. U2 - PMID: 19131025. DO - 10.1016/j.amj.2008.07.013 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105631837&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106415890 T1 - In our unit. Ground critical care transport: a lifesaving intervention. AU - Johnson K Y1 - 2006/02// N1 - Accession Number: 106415890. Language: English. Entry Date: 20060331. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Critical Care KW - Transportation of Patients KW - Aeromedical Transport KW - Critically Ill Patients KW - Multidisciplinary Care Team SP - 80 EP - 77 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 26 IS - 1 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Education Manager, Kanawha County Emergency Ambulance Authority, Charleston, WV; kimjohnson@kceaa.org U2 - PMID: 16443815. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106415890&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105578654 T1 - Twenty-five years later...critical care transport, Birmingham, Alabama. AU - Demmons LL Y1 - 2008/11// N1 - Accession Number: 105578654. Language: English. Entry Date: 20090123. Revision Date: 20150711. Publication Type: Journal Article; anecdote; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport -- History KW - Prehospital Care KW - Aeromedical Transport -- Equipment and Supplies KW - Aircraft KW - Alabama KW - Anniversaries and Special Events KW - Nurses KW - Telecommunications SP - 276 EP - 280 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 27 IS - 6 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - Manager for critical care transport, University Hospital in Birmingham, Alabama U2 - PMID: 18992686. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105578654&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105674989 T1 - 2008 Critical Care Transport Medicine Conference abstracts. Y1 - 2008/07// N1 - Accession Number: 105674989. Language: English. Entry Date: 20081031. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Prehospital Care KW - Aeromedical Transport -- Organizations KW - Congresses and Conferences -- Texas KW - Texas SP - 178 EP - 181 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 27 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105674989&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105102854 T1 - Transport no man's land: state-to-state critical care transport still varies. Y1 - 2010/07//2010 Jul N1 - Accession Number: 105102854. Language: English. Entry Date: 20101001. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. KW - Critical Care KW - Insurance, Health, Reimbursement KW - Quality of Health Care KW - Transfer, Discharge KW - Transportation of Patients KW - Critically Ill Patients KW - Emergency Medical Technicians KW - Emergency Medical Treatment and Active Labor Act KW - Government Regulations KW - Information Resources KW - Transportation of Patients -- Economics KW - United States KW - World Wide Web SP - 1 EP - 5 JO - EMS Insider JF - EMS Insider JA - EMS INSIDER VL - 37 IS - 7 CY - , PB - Elsevier Public Safety SN - 1081-4507 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105102854&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105136287 T1 - 18th Critical Care Transport Medicine Conference, April 12-14, 2010. AU - Newman M AU - Petersen P AU - Wojdyla K Y1 - 2010/03// N1 - Accession Number: 105136287. Language: English. Entry Date: 20100409. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Critical Care KW - Congresses and Conferences KW - Texas SP - 78 EP - 80 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X DO - 10.1016/j.amj.2010.01.002 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105136287&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107223931 T1 - Critical care transport: outcome evaluation after interfacility transfer and hospitalization...including commentary by Garcia TB AU - Selevan JS AU - Fields WW AU - Chen W AU - Petitti DB AU - Wolde-Tsadik G Y1 - 1999/01//1999 Jan N1 - Accession Number: 107223931. Language: English. Entry Date: 19991101. Revision Date: 20150818. Publication Type: Journal Article; commentary; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Instrumentation: Resource Demand Scale. NLM UID: 8002646. KW - Transfer, Discharge KW - Critical Care KW - Outcome Assessment KW - Transportation of Patients KW - Emergency Care KW - Health Care Costs KW - Health Maintenance Organizations KW - Hospital Mortality KW - Length of Stay KW - Readmission KW - Retrospective Design KW - Two-Tailed Test KW - Odds Ratio KW - Data Analysis Software KW - Confidence Intervals KW - Analysis of Variance KW - Logistic Regression KW - Research Instruments KW - Human SP - 33 EP - 96 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 33 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 AD - Physician Manager of Operations, Southern California Permanente Medical Group, 393 East Walnut St., Pasadena, CA 91188 U2 - PMID: 9867884. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107223931&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105592078 T1 - Supporting families through discharge from PICU to the ward: the development and evaluation of a discharge information brochure for families. AU - Linton S AU - Grant C AU - Pellegrini J Y1 - 2008/12// N1 - Accession Number: 105592078. Language: English. Entry Date: 20090220. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. NLM UID: 9211274. KW - Family -- Psychosocial Factors KW - Intensive Care Units, Pediatric KW - Nurse Liaison KW - Pamphlets KW - Parents -- Education KW - Patient Discharge Education KW - Support, Psychosocial KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Convenience Sample KW - Descriptive Research KW - Descriptive Statistics KW - Infant, Newborn KW - Neonatal Intensive Care Nursing KW - Nursing Role KW - Pamphlets -- Evaluation KW - Parental Attitudes -- Evaluation KW - Questionnaires KW - Summated Rating Scaling KW - Victoria KW - Human SP - 329 EP - 337 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 24 IS - 6 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - INTRODUCTION: Discharge from paediatric ICU and transfer to the ward can evoke fear and anxiety. Along with the introduction of the ICU liaison nurse role, the literature suggests that the provision of written information has the greatest potential to reduce transfer anxiety. This paper will discuss the issues associated with discharge from a paediatric ICU, the process of identifying the information needs of families, the development of a written brochure and evaluation of the brochure in practice. RESULTS: Evaluation of the 'discharge from ICU' brochure found, 95% of parents believed the brochure was easy to read, understand and helpful in improving their understanding of what to expect on the ward. 95% also found it useful to have the transfer ward details written down prior to leaving the PICU. 85% agreed the brochure helped to answer their questions in relation to the transfer. CONCLUSION: The introduction of a brochure explaining the process of discharge from ICU and what to expect on the wards received positive feedback from families. The brochure provides families with generic information regarding ICU transfer, however, it is important for the ICU liaison nurse to promote discussion and tailor the information for the particular experiences and needs of each patient and family situation. SN - 0964-3397 AD - PICU Liaison Nurse, c/o Intensive Care Unit, Royal Children's Hospital, Flemington Road, Parkville 3052, Australia. sophie.linton@rch.org.au U2 - PMID: 18657975. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105592078&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 28129758 T1 - Critical care in the emergency department: patient transfer. AU - Dunn, M. J. G. AU - Gwinnutt, C. L. AU - Gray, A. J. Y1 - 2007/01// N1 - Accession Number: 28129758. Language: English. Entry Date: 20070601. Revision Date: 20120301. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 100963089. SP - 40 EP - 44 JO - Emergency Medicine Journal JF - Emergency Medicine Journal JA - EMERG MED J VL - 24 IS - 1 PB - BMJ Publishing Group AB - The article describes a case report of a 28-year old man who lost conciousness as a result of a three-meter fall and experienced paralysis on a long spinal board with cervical spine collar, blocks and tape. A decision was made to transfer him to the radiology department for a computed tomographic scan of his head, cervical spine and abdomen. It was advised that the patient be carried by a physician with training in airway management, advanced cariac life support and experience in critical care management. SN - 1472-0205 AD - The Royal Infirmary of Edinburgh, Edinburgh, UK AD - Hope Hospital, Salford, UK DO - 10.1136/emj.2006.042044 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=28129758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109779252 T1 - A Randomized Clinical Trial of Therapeutic Hypothermia Mode during Transport for Neonatal Encephalopathy. AU - Akula, Vishnu Priya AU - Joe, Priscilla AU - Thusu, Kajori AU - Davis, Alexis S AU - Tamaresis, John S AU - Kim, Sunhwa AU - Shimotake, Thomas K AU - Butler, Stephen AU - Honold, Jose AU - Kuzniewicz, Michael AU - DeSandre, Glenn AU - Bennett, Mihoko AU - Gould, Jeffrey AU - Wallenstein, Matthew B AU - Van Meurs, Krisa Y1 - 2015/04// N1 - Accession Number: 109779252. Language: English. Entry Date: 20150612. Revision Date: 20150923. Publication Type: Journal Article; research; randomized controlled trial. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 0375410. KW - Asphyxia Neonatorum -- Complications KW - Body Temperature Regulation KW - Brain Diseases -- Therapy KW - Hypothermia, Induced -- Methods KW - Infant, Newborn, Diseases -- Therapy KW - Intensive Care Units, Neonatal KW - Transportation of Patients -- Methods KW - Asphyxia Neonatorum -- Therapy KW - Brain Diseases -- Etiology KW - Female KW - Prospective Studies KW - Human KW - Infant, Newborn KW - Male KW - Prognosis SP - 856 EP - 861.e2 JO - Journal of Pediatrics JF - Journal of Pediatrics JA - J PEDIATR VL - 166 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 0022-3476 AD - Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital Stanford, Palo Alto, CA. AD - Division of Neonatology, Children's Hospital and Research Center, Oakland, CA. AD - Division of Neonatology, Children's Hospital Central California, Madera, CA. AD - Pediatrix Medical Group, San Jose, CA. AD - Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA. AD - Division of Neonatology, Loma Linda University Children's Hospital, Loma Linda, CA. AD - Division of Neonatology, University of California San Francisco (UCSF) Medical Center, San Francisco, CA. AD - Division of Neonatology, Sutter Medical Center, Sacramento, CA. AD - Division of Neonatology, Rady Children's Hospital, San Diego, CA. AD - Division of Neonatology, Kaiser Permanente, Oakland, CA. AD - Division of Neonatology, Santa Clara Valley Medical Center, San Jose, CA. AD - California Perinatal Quality Care Collaborative (CPQCC), Palo Alto, CA. AD - Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital Stanford, Palo Alto, CA; California Perinatal Quality Care Collaborative (CPQCC), Palo Alto, CA. U2 - PMID: 25684087. DO - 10.1016/j.jpeds.2014.12.061 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109779252&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105935025 T1 - Efficacy of fentanyl analgesia for trauma in critical care transport. AU - Frakes MA AU - Lord WR AU - Kociszewski C AU - Wedel SK Y1 - 2006/05// N1 - Accession Number: 105935025. Language: English. Entry Date: 20080118. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Allied Health; Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 8309942. KW - Analgesia -- Methods KW - Analgesics, Opioid -- Therapeutic Use KW - Critical Care -- Methods KW - Fentanyl -- Therapeutic Use KW - Transportation of Patients KW - Adolescence KW - Adult KW - Analysis of Variance KW - Child KW - Female KW - Male KW - Middle Age KW - Pain Measurement KW - Retrospective Design KW - Human SP - 286 EP - 289 JO - American Journal of Emergency Medicine JF - American Journal of Emergency Medicine JA - AM J EMERG MED VL - 24 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - INTRODUCTION: Pain relief is one of the most important interventions for out-of-hospital patient care providers. This paper documents the need for and benefits from the administration of fentanyl to trauma patients during critical care transport. METHODS: We underwent a retrospective review of the transport charts of 100 trauma patients who received fentanyl analgesia during transport and who were able to use a numeric response scale to rate their pain from 0 to 10. RESULTS: Mean initial pain report was 7.6 +/- 2.2 units, relieved to 3.7 +/- 2.8 units by a mean total fentanyl dose of 1.6 +/- 0.8 microg/kg (P < .001). Neither initial pain level nor pain relief differed between male and female patients, but did differ between patients originating at the site of injury and those transferred between hospitals. Fentanyl dose correlated poorly with the magnitude of pain relief (r = 0.22), but a dose greater than 2 microg/kg provided more relief than lower doses (5.1 +/- 2.1 vs 3.6 +/- 2.4, P < .02). CONCLUSION: Fentanyl analgesia from these critical care transport teams provided significant pain relief to trauma patients. Pain reduction was greater for patients who received more than 2.0 microg/kg of fentanyl. © 2006 Elsevier Inc. All rights reserved. SN - 0735-6757 U2 - PMID: 16635698. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105935025&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105575931 T1 - Effectiveness of 2 methods to teach and evaluate new content to neonatal transport personnel using high-fidelity simulation. AU - LeFlore JL AU - Anderson M Y1 - 2008/10//Oct-Dec2008 N1 - Accession Number: 105575931. Language: English. Entry Date: 20090213. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Obstetric Care; Pediatric Care. Instrumentation: Behavioral Assessment Tool (BAT); Technical Evaluation Tool (TET). NLM UID: 8801387. KW - Intensive Care, Neonatal -- Education KW - Simulations KW - Transportation of Patients -- Education KW - Transportation of Patients -- In Infancy and Childhood KW - Adult KW - Attitude of Health Personnel -- Evaluation KW - Coefficient Alpha KW - Colleges and Universities KW - Convenience Sample KW - Descriptive Research KW - Descriptive Statistics KW - Education Research KW - Educational Measurement KW - Educational Theory KW - Emergency Medical Technicians -- Education KW - Evaluation Research KW - Female KW - Hospitals, Pediatric -- Texas KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Learning -- Evaluation KW - Male KW - Middle Age KW - Models, Anatomic KW - Nurses -- Education KW - Pilot Studies KW - Respiratory Therapists -- Education KW - Scales KW - Summated Rating Scaling KW - Teaching Methods -- Evaluation KW - Texas KW - Human SP - 319 EP - 328 JO - Journal of Perinatal & Neonatal Nursing JF - Journal of Perinatal & Neonatal Nursing JA - J PERINAT NEONAT NURS VL - 22 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Neonatal transport team members undergo initial and periodic training to ensure knowledge and performance competencies. Given that various methods can be employed in this effort, it is important to evaluate how well new knowledge is learned and applied by transport team members and assess learner satisfaction. Self-paced modular learning and expert-modeled learning using high-fidelity simulations (HFSs) are 2 teaching/learning/evaluation tools for content application for team members. This article describes 2 educational approaches using simulated scenarios and evaluations. These experiences occurred in 2006, summer I (self-paced modular learning) and in 2007 for the same participants, summer II (expert-modeled learning). A group of experienced nurses, respiratory therapists, emergency medical technicians, and paramedics participated. Satisfaction was measured using a 5-point Likert scale. Effectiveness of HFS was evaluated using the Technical Evaluation Tool. Behavioral performance was assessed using the Behavioral Assessment Tool. The Technical Evaluation Tool showed that expert-modeled learning using HFS as a teaching/ learning/evaluation tool for application of content was effective as self-paced modular learning. Experienced participants appear to be satisfied with the use of HFS scenarios. SN - 0893-2190 AD - The University of Texas at Arlington School of Nursing, Arlington. U2 - PMID: 19011498. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105575931&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105638466 T1 - Neonatal transportation: a community hospital experience. AU - Tang M AU - Chou H AU - Chen C AU - Tsao P AU - Hsieh W Y1 - 2008/06//2008 Jun N1 - Accession Number: 105638466. Language: English. Entry Date: 20090403. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Asia; Biomedical; Peer Reviewed. Special Interest: Pediatric Care. Instrumentation: Clinical Risk Index for Babies (CRIB). NLM UID: 9605407. KW - Hospitals, Community -- Administration KW - Transportation of Patients -- Statistics and Numerical Data -- In Infancy and Childhood KW - Abnormalities -- Epidemiology KW - Descriptive Statistics KW - Gastrointestinal Diseases -- Epidemiology KW - Gestational Age KW - Health Facility Administration KW - Health Status Indicators KW - Infant, Low Birth Weight KW - Infant, Newborn KW - Infant, Premature KW - Intensive Care Units, Neonatal KW - Jaundice -- Epidemiology KW - Mortality KW - Record Review KW - Respiration Disorders -- Epidemiology KW - Retrospective Design KW - Taiwan KW - Human SP - 26 EP - 30 JO - Clinical Neonatology JF - Clinical Neonatology JA - CLIN NEONATOL VL - 15 IS - 1 PB - Excerpta Medica Publishing Group AB - Objective: Well organizedperinatal regionalization has not been established in Taiwan. Neonatal transportation usually depends on medical centers. The purpose of this study was to provide experience from a community hospital in Taipei County. Methods: We retrospectively reviewed the transportation and medical chart records at Cardinal Tien Hospital sYung Ho Branch. The patients were transportedfrom levell hospitals located in Taipei County and northern Taoyuan County. Results: There were a total of397 transportations from January 1, 2004 through December 31, 2005. The majority of them (365, 91.9%) were from Taipei County and the rest (32, 8.1%) were from northern Taoyuan County. Most ofthe mothers (357, 89.9%) were healthy, without any systemic disease. About one-third of the transported infants (124, 31.2%) had low birth weight (S 2500 gm). One hundred and ninety-two (48.3%) were full term and 157 (37.6%) were of gestational age 34 to 37 weeks, and 48 (12.1%) were < 34 weeks old. The average CRIB and NTISS scores were 1.2 and 15.2, respectively. The common reasons for transportation were neonatal respiratory distress (47.4%), jaundice (13.1%), gastrointestinal tract problems (10.1%), andprematurity without symptoms or signs (7.3%). Two hundred and forty-nine neonates (62.7%) had indications sufficient to be admitted to the neonatal intensive care unit (NICU). Seventeen (4.3%) neonates were further transferred to tertiary medical centers, mainly due to congenital heart disease or other congenital anomalies. No death occurred during transportation. The mortality rate was 2.5%. Conclusion: Maternal transport is not always possible in high risk pregnancies. Postnatal transportation to a NICU remains essential because preterm labor and perinatal illness cannot always be anticipated, and the most common cause is respiratory distress. It is hard to identifY which infants need level III care directly in transportation cases. A tendency to high mortality in fetal distress cases was noted in this study. A professional. efficient transport team from non-tertiary centers available on a 24-hour basis may provide effective and safe transportation until a well-organized regionalization is established in Taiwan. SN - 1381-3390 AD - Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105638466&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103963742 T1 - Parents' Experiences of Their Premature Infants' Transportation From a University Hospital NICU to the NICU at Two Local Hospitals. AU - Granrud, Marie Dahlen AU - Ludvigsen, Elin AU - Andershed, Birgitta Y1 - 2014/07//Jul/Aug2014 N1 - Accession Number: 103963742. Language: English. Entry Date: 20140619. Revision Date: 20150710. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 8607529. KW - Transfer, Discharge -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Infant, Premature KW - Human KW - Intensive Care Units, Neonatal KW - Descriptive Research KW - Parents KW - Academic Medical Centers KW - Hospitals, Community KW - Qualitative Studies KW - Interviews KW - Content Analysis KW - Uncertainty KW - Health Transition KW - Infant, Newborn KW - Inpatients SP - e11 EP - 8 JO - Journal of Pediatric Nursing JF - Journal of Pediatric Nursing JA - J PEDIATR NURS VL - 29 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - The aim of this study was to describe how the parents of premature infants experience the transportation of their baby from the neonatal intensive care unit at a university hospital (NICU-U) to such a unit at a local hospital (NICU-L). This descriptive qualitative study comprises interviews with nine sets of parents and two mothers. The qualitative content analysis resulted in one theme: living in uncertainty about whether the baby will survive, and three categories: being distanced from the baby; fearing that something would happen to the baby during transportation; and experiencing closeness to the baby. The results also revealed that the parents experienced developmental, situational and health–illness transitions. SN - 0882-5963 AD - Department of Nursing, Hedmark University College, Elverum, Norway; Neonatal Intensive Care Unit, Innlandet Hospital Trust, Norway AD - Neonatal Intensive Care Unit, Innlandet Hospital Trust, Norway AD - Department of Nursing, Gjøvik University College, Norway, and Department of Palliative Research Centre, Ersta Sköndal University College and Ersta Hospital, Stockholm, Sweden U2 - PMID: 24582644. DO - 10.1016/j.pedn.2014.01.014 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103963742&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108506191 T1 - Highway to Handoff. AU - Childs, Heidi AU - Hoefner-Notz, Regina AU - Wintz, Mary AU - Bartlett, Elaine Y1 - 2015/08// N1 - Accession Number: 108506191. Language: English. Entry Date: 20151012. Revision Date: 20151012. Publication Type: Article; abstract. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care. NLM UID: 9610507. KW - Perianesthesia Nursing KW - Hand Off (Patient Safety) KW - Transfer, Intrahospital KW - Post Anesthesia Care Units SP - e24 EP - e24 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 30 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Children’s Hospital Colorado, Aurora, Colorado DO - 10.1016/j.jopan.2015.05.066 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108506191&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108506107 T1 - Promoting Successful Transitions From Pacu To Inpatient Units. AU - Gingerich, Stephanie AU - Sakurets, Sasha AU - Briggs, Mary Y1 - 2015/08// N1 - Accession Number: 108506107. Language: English. Entry Date: 20151012. Revision Date: 20151012. Publication Type: Article; abstract. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Pediatric Care; Perioperative Care. NLM UID: 9610507. KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Post Anesthesia Care Units KW - Hospital Units KW - Perianesthesia Nursing KW - Surgical Patients -- In Infancy and Childhood KW - Child SP - e34 EP - e34 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 30 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - University of Minnesota Medical Center and Masonic Children’s Hospital, Minneapolis, MN DO - 10.1016/j.jopan.2015.05.090 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108506107&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106306626 T1 - Danish parents' experiences when their new born or critically ill small child is transferred to the PICU -- a qualitative study. AU - Hall EOC Y1 - 2006/05//2006 May N1 - Accession Number: 106306626. Language: Danish. Entry Date: 20060721. Revision Date: 20150818. Publication Type: Journal Article; research. Journal Subset: Continental Europe; Editorial Board Reviewed; Europe; Nursing; Peer Reviewed. NLM UID: 9425346. KW - Critical Illness -- In Infancy and Childhood KW - Intensive Care Units, Neonatal KW - Intensive Care Units, Pediatric KW - Parental Attitudes KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Adult KW - Audiorecording KW - Child, Preschool KW - Content Analysis KW - Convenience Sample KW - Descriptive Research KW - External Validity KW - Female KW - Infant KW - Infant, Newborn KW - Interview Guides KW - Interviews KW - Male KW - Nurse-Patient Relations KW - Pediatric Critical Care Nursing KW - Qualitative Studies KW - Human SP - 4 EP - 14 JO - Klinisk Sygepleje JF - Klinisk Sygepleje JA - KLINISK SYGEPLEJE VL - 20 IS - 2 PB - Universitetsforlaget AB - The aim of this study was to describe Danish parents' experiences when their newborn or small child was critically ill. Thirteen parents were interviewed. Data were analysed using qualitative con-tent analysis. The child's transfer to the PICU meant either help or death for the parents. The back transfer was experienced as joy and despair.The parents had confidence in most nurses; they were kind, helpful, informative and capable. Less capable and distressed nurses made the parents feel uncomfortable and insecure.Parents need help and support during their child's transfer to and from the PICU. Critical care nurses have to discuss the policy of family-centred care. SN - 0902-2767 AD - Associate Professor, Institute of Public Health, Department of Nursing Science, Aarhus University, Hoegh Guldbergsgade 6A, Building 1633, DK -- 8000 Århus C; eh@sygeplejevid.au.dk UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106306626&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106377154 T1 - Does intermediate care minimize relocation stress for patients leaving the ICU? AU - Beard H Y1 - 2005/11//Nov/Dec2005 N1 - Accession Number: 106377154. Language: English. Entry Date: 20060113. Revision Date: 20150820. Publication Type: Journal Article; research; systematic review. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9808649. KW - Stress, Psychological -- Prevention and Control KW - Subacute Care KW - Transfer, Discharge -- Psychosocial Factors KW - Anxiety KW - CINAHL Database KW - Continuity of Patient Care KW - Critical Illness -- Psychosocial Factors KW - Discharge Planning KW - Documentation KW - Hospital Units KW - Medline KW - Nursing Staff, Hospital -- Psychosocial Factors KW - Psycinfo KW - Human SP - 272 EP - 278 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 10 IS - 6 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - Relocation stress is a phenomenon in which physical and psychological disturbances are experienced following transfer from one environment to another [Carpenito LJ. (2000). Nursing Diagnosis. Application to Clinical Practice, 8th edn]. The purpose of this review was to identify whether a period of intermediate care minimizes the problems associated with relocation stress after discharge from the intensive care unit (ICU) and before transfer to the ward. Methods of retrieving the literature involved identifying key terms, utilizing a range of databases and applying specific criteria in order to delineate the boundaries of the search. Using electronic and manual search methods, 11 studies were selected, both primary and secondary research. Following tabulation and critiquing of the studies, the findings of the review suggest that the factors which contribute towards relocation stress are the loss of one-to-one nursing, a reduction of visible monitoring equipment, lack of continuity of care and inadequate preparation of the patient for the transfer. The evidence also indicates that in order to minimize these factors, early planning and preparation of the patient for transfer are required, incorporating strategies of gradual reduction in nursing attention and monitoring equipment and the provision of information. Although the benefits of intermediate care are established as being advanced monitoring, appropriate nurse-to-patient ratio, heightened demonstration of expert knowledge and skill, there is no sufficient evidence to indicate a period of intermediate care that can ease the transition from the ICU to the ward. SN - 1362-1017 AD - Critical Care Sister, High Dependency Unit, West Suffolk Hospital NHS Trust, Hardwick Lane, Bury St Edmunds, Suffolk; helen.beard@wsh.nhs.uk U2 - PMID: 16255334. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106377154&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106591953 T1 - Intraosseous access in the setting of pediatric critical care transport. AU - Fiorito BA AU - Mizra F AU - Doran TM AU - Oberle AN AU - Cruz ECV AU - Wendtland CL AU - Abd-Allah SA Y1 - 2005/01//2005 Jan N1 - Accession Number: 106591953. Language: English. Entry Date: 20050311. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Commentary: Quintana EC. [Commentary on] Intraosseous access in the setting of pediatric critical care transport. (ANN EMERG MED) Nov2005; 46 (5): 475-476. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 100954653. KW - Infusions, Intraosseous -- Evaluation KW - Transportation of Patients -- In Infancy and Childhood KW - Chi Square Test KW - Child KW - Data Analysis Software KW - Descriptive Statistics KW - Emergency Medical Technicians KW - Intensive Care Units, Pediatric KW - One-Way Analysis of Variance KW - Record Review KW - Retrospective Design KW - Human SP - 50 EP - 53 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 6 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVE: To demonstrate safety and efficacy of intraosseous needle placement among health care provider groups in the setting of pediatric critical care transport. DESIGN: Retrospective chart review. SETTING: Pediatric critical care transports to a pediatric intensive care unit. PATIENTS: Children undergoing pediatric critical care transport between January 1, 2000, and March 31, 2002, requiring intraosseous access before arrival to the pediatric intensive care unit. INTERVENTIONS: Intraosseous access placed for emergent vascular access. MEASUREMENTS AND MAIN RESULTS: During the study period, the transport team performed 1,792 transports and identified 47 patients requiring 58 intraosseous placements. These were placed by emergency medical technician-paramedics (18%), referring emergency medicine physicians (42%), and the transport team members (40%). The intraosseous needles were placed with a mean of 1.2 attempts per placement and a first attempt success rate of 78%. Main site of placement was the proximal anterior tibia (95%). Access was maintained for a mean of 5.2 hrs. The intraosseous needle was used for fluids, medications, and laboratory studies. Admitting diagnoses included respiratory distress (28%), cardiopulmonary arrest (26%), neurologic insults (17%), dehydration (15%), sepsis (11%), and other (3%). Ages ranged from 3 wks to 14 yrs (mean 2.2 yrs) and weights from 2.1 to 60 kg (mean 12.3 kg). Complications were noted in seven of 58 (12%), all limited to local edema or infiltration. CONCLUSIONS: Intraosseous placement is frequently needed in the care of critically ill pediatric patients before they reach the pediatric intensive care unit. We have demonstrated that intraosseous needles can be placed safely with similar rates of success when comparing different provider groups. Emergency medical technician-paramedics, emergency medicine physicians, and pediatric critical care transport teams should be familiar with intraosseous placement. SN - 1529-7535 AD - Division of Pediatric Critical Care, Loma Linda University School of Medicine, Loma LInda, CA U2 - PMID: 15636659. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106591953&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 66878409 T1 - Emergency department organisation of critical care transfers in the UK. AU - Stevenson, A. AU - Fiddler, C. AU - Craig, M. AU - Gray, A. Y1 - 2005/11// N1 - Accession Number: 66878409. Language: English. Entry Date: 20060210. Revision Date: 20150820. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 100963089. SP - 795 EP - 798 JO - Emergency Medicine Journal JF - Emergency Medicine Journal JA - EMERG MED J PB - BMJ Publishing Group SN - 1472-0205 DO - 10.1136/emj.2004.017822 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=66878409&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106589399 T1 - Success rates of pediatric intubation by a non-physician-staffed critical care transport service. AU - Harrison TH AU - Thomas SH AU - Wedel SK Y1 - 2004/02// N1 - Accession Number: 106589399. Language: English. Entry Date: 20050304. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 8507560. KW - Emergency Medical Technicians KW - Intubation, Intratracheal -- In Infancy and Childhood KW - Transportation of Patients KW - Chi Square Test KW - Child KW - Child, Preschool KW - Confidence Intervals KW - Critical Care KW - Data Analysis Software KW - Fisher's Exact Test KW - Logistic Regression KW - Massachusetts KW - Nurses KW - Odds Ratio KW - Record Review KW - Retrospective Design KW - Human SP - 101 EP - 107 JO - Pediatric Emergency Care JF - Pediatric Emergency Care JA - PEDIATR EMERG CARE VL - 20 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVES: Previous researchers have found that institution of an endotracheal intubation (ETI) protocol into a large urban paramedic program resulted in low success rates and had no beneficial effects. The primary goal of the current study was to assess ETI success rates achieved by a small cadre of nonphysician critical care transport (CCT) providers. A secondary objective was to assess for association between ETI success and factors such as age group or ETI setting (eg, in-hospital, in-aircraft). DESIGN: This retrospective study analyzed transport records of consecutive pediatric patients (younger than 13 years) in whom ETI was attempted by a nurse/paramedic (RN/EMTP) CCT crew working under protocols which included neuromuscular blockade (NMB)-facilitated ETI. The CCT service performs scene and interfacility transports in helicopter, fixed-wing (airplane), and ground critical care vehicles; pediatric patients are transferred to 4 receiving tertiary care centers. Chi2 test, Fisher exact test, and logistic regression analysis (P = 0.05) examined ETI success rates and assessed for association between ETI success and various characteristics (eg, age group, ETI setting). RESULTS: The CCT crew attempted ETI in 143 patients, with success in 136 cases (95.1%). There were no unrecognized esophageal intubations. ETI success was of similar likelihood across pediatric age groups (P = 0.19) and in different ETI settings (P = 0.57). CONCLUSIONS: CCT crew airway management success was very high in all practice settings. These data support contentions that, with a high level of initial and ongoing training, nonphysician CCT crew can successfully manage pediatric airways in a variety of circumstances. SN - 0749-5161 AD - Boston MedFlight Critical Care Transport Service, Boston, MA U2 - PMID: 14758307. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106589399&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105303079 T1 - Neonatal resuscitation -- a practical approach. The experience of one UK tertiary neonatal unit. AU - Atkinson E AU - Summers D AU - Jones H AU - Berrington J Y1 - 2010/01//2010 Jan N1 - Accession Number: 105303079. Language: English. Entry Date: 20100319. Revision Date: 20150818. Publication Type: Journal Article; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Evidence-Based Practice; Pediatric Care. NLM UID: 101242841. KW - Intensive Care Units, Neonatal -- England KW - Resuscitation -- In Infancy and Childhood -- England KW - Resuscitation -- Trends -- In Infancy and Childhood KW - Airway Management KW - Audit KW - Catheterization KW - Chest Tubes KW - Collaboration KW - Emergency Care KW - England KW - Forecasting KW - Infant Mortality KW - Infant, Newborn KW - Infant, Premature KW - Interprofessional Relations KW - Intubation, Intratracheal KW - Professional Practice, Evidence-Based KW - Resuscitation -- Equipment and Supplies KW - Resuscitation, Cardiopulmonary KW - Risk Management KW - Simulations KW - Transportation of Patients -- In Infancy and Childhood SP - 9 EP - 14 JO - Infant JF - Infant JA - INFANT VL - 6 IS - 1 PB - Stansted News Ltd AB - Neonatal resuscitation is a complex task requiring appropriate equipment and personnel, and it is the co-ordination of tasks and people that helps ensure the best outcomes. It is also, like many other practical skills, a process that is improved by regular practice and review. The approach at the Royal Victoria Infirmary to ensuring neonatal resuscitation equipment, personnel and recording of events is as smooth running as possible is presented, as well as a technique of reviewing the process of resuscitation across disciplines within a neonatal unit. SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105303079&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106622810 T1 - Danish parents' experiences when their new born or critically ill small child is transferred to the PICU -- a qualitative study. AU - Hall EOC Y1 - 2005/03//Mar/Apr2005 N1 - Accession Number: 106622810. Language: English. Entry Date: 20050429. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9808649. KW - Critical Illness -- Psychosocial Factors -- In Infancy and Childhood KW - Infant, Hospitalized -- Psychosocial Factors KW - Intensive Care Units, Pediatric -- Psychosocial Factors KW - Parents -- Psychosocial Factors KW - Adult KW - Audiorecording KW - Content Analysis KW - Convenience Sample KW - Death -- Psychosocial Factors KW - Denmark KW - Descriptive Research KW - Hopelessness KW - Infant, Newborn KW - Interview Guides KW - Interviews KW - Life History Review KW - Professional-Family Relations KW - Qualitative Studies KW - Thematic Analysis KW - Human SP - 90 EP - 97 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 10 IS - 2 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - The aim of this study was to describe Danish parents' experiences when their newborn or small child was critically ill. Thirteen parents were interviewed. Data were analysed using qualitative content analysis. The child's transfer to the paediatric intensive care unit (PICU) meant either help or death for the parents. The back transfer was experienced as joy and despair. The parents had confidence in most nurses, and they were kind, helpful, informative and capable. Less capable and distressed nurses made the parents feel uncomfortable and insecure. Parents need help and support during their child's transfer to and from the PICU. Critical care nurses have to discuss the policy of family-centred care. SN - 1362-1017 AD - Associate Professor, Dept of Nursing Science, Aarhus University, Aarhus, Denmark; eh@nursingscience.au.dk U2 - PMID: 15839240. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106622810&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 104270918 T1 - VRE transmission via the reusable breathing circuit of a transport ventilator: outbreak analysis and experimental study of surface disinfection. AU - Schulz-Stübner, Sebastian AU - Schmidt-Warnecke, Antje AU - Hwang, Jae-Hyuk Y1 - 2013/05// N1 - Accession Number: 104270918. Language: English. Entry Date: 20131115. Revision Date: 20170926. Publication Type: letter; letter. Journal Subset: Biomedical; Continental Europe; Europe; Peer Reviewed. Special Interest: Critical Care. NLM UID: 7704851. KW - Cross Infection -- Microbiology KW - Disease Outbreaks KW - Disinfectants -- Administration and Dosage KW - Sterilization and Disinfection -- Methods KW - Enterococcus Faecium KW - Gram-Positive Bacterial Infections -- Microbiology KW - Gram-Positive Bacterial Infections -- Transmission KW - Vancomycin Resistance KW - Ventilators, Mechanical KW - Equipment Contamination KW - Germany KW - Intensive Care Units SP - 975 EP - 976 JO - Intensive Care Medicine JF - Intensive Care Medicine JA - INTENSIVE CARE MED VL - 39 IS - 5 CY - , PB - Springer Science & Business Media B.V. SN - 0342-4642 U2 - PMID: 23404473. DO - 10.1007/s00134-013-2842-y UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104270918&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106528170 T1 - An intervention study to improve the transfer of ICU patients to the ward -- evaluation by ICU nurses. AU - Mitchell M AU - Courtney M Y1 - 2005/08//2005 Aug N1 - Accession Number: 106528170. Language: English. Entry Date: 20051021. Revision Date: 20150820. Publication Type: Journal Article; questionnaire/scale; research; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: ICU nurses' questionnaire. NLM UID: 9207852. KW - Critical Care Nursing KW - Nurse Attitudes -- Evaluation KW - Transfer, Intrahospital KW - Clinical Nursing Research KW - Coding KW - Convenience Sample KW - Data Analysis Software KW - Descriptive Statistics KW - Evaluation Research KW - Face Validity KW - Family -- Education KW - Intensive Care Units KW - Pamphlets KW - Professional-Family Relations KW - Queensland KW - Questionnaires KW - Summated Rating Scaling KW - Human SP - 123 EP - 128 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 18 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - Introduction: This intervention study, directed towards patients' family members, examined the efficacy of a structured individualised method of patient transfer from the perspective of Intensive Care Unit (ICU) nurses. A specifically designed brochure provided topics for the nurses to discuss in regards to patient transfer and was used by ICU nurses to guide their communication with family members and give information about impending transfer. Families retained the brochure which contained specific information hand written by the nurse.Method: An evaluation study using a nine-item questionnaire was used to appraise ICU nurses' perception of the usefulness of the structured transfer brochure to improve patient transfer from ICU to a general ward.Results: Of the original sample of 120 ICU nurses, 40 used the intervention and 33 completed the questionnaire. Respondents considered that the transfer process constituted a significant event for families who they considered fundamental to patient recovery. Communication about patient transfer was acknowledged as a sometimes overlooked aspect of ICU nurses' role. The nurses considered that the structured intervention assisted them by supporting and directing their discussion about patient transfer with family members. Around 95% of respondents indicated it provided a useful framework for them to use and recommended its introduction for all patient transfers from ICU.Conclusions: These positive results suggest that the ICU nurses felt supported by the brochure in their role of transferring patients. The topics covered promoted discussion and improved communication with family members. Further research with a larger sample size and multi-site design is recommended to further examine the efficacy of this intervention to the broader community of ICUs. SN - 1036-7314 AD - Faculty of Nursing and Health, Griffith University, Logan QLD UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106528170&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106020584 T1 - Transfers of patient care between house staff on internal medicine wards: a national survey. AU - Horwitz LI AU - Krumholz HM AU - Green ML AU - Huot SJ Y1 - 2006/06/12/ N1 - Accession Number: 106020584. Language: English. Entry Date: 20071207. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0372440. KW - Health Facility Departments KW - Internal Medicine KW - Internship and Residency KW - Transfer, Discharge -- Administration KW - Data Collection KW - Transfer, Discharge KW - United States SP - 1173 EP - 1177 JO - Archives of Internal Medicine JF - Archives of Internal Medicine JA - ARCH INTERN MED VL - 166 IS - 11 CY - Chicago, Illinois PB - American Medical Association SN - 0003-9926 AD - VA Connecticut Healthcare System, West Haven. U2 - PMID: 16772243. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106020584&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106493810 T1 - An intervention study to improve the transfer of ICU patients to the ward -- evaluation by family members. AU - Mitchell ML AU - Courtney M Y1 - 2005/04//2005 Apr N1 - Accession Number: 106493810. Language: English. Entry Date: 20050805. Revision Date: 20150820. Publication Type: Journal Article; consumer/patient teaching materials; pictorial; questionnaire/scale; research; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: Family Members' Satisfaction with Transfer Scale. Grant Information: Centaur Memorial Fund for Nurses, Queensland Nursing Council and the Royal College of Nursing, Australia. NLM UID: 9207852. KW - Critically Ill Patients KW - Family Attitudes -- Evaluation KW - Transfer, Intrahospital KW - Australia KW - Coefficient Alpha KW - Comparative Studies KW - Convenience Sample KW - Critical Care Nursing KW - Data Analysis Software KW - Descriptive Statistics KW - Effect Size KW - Family -- Education KW - Funding Source KW - Hospitals KW - Information Needs KW - Mann-Whitney U Test KW - Pamphlets KW - Quasi-Experimental Studies KW - Sample Size KW - Scales KW - T-Tests KW - Human SP - 61 EP - 69 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 18 IS - 2 CY - New York, New York PB - Elsevier B.V. AB - Introduction: This study evaluates family members' perspective of transfer from an intensive care unit (ICU) to a general ward. This intervention study directed towards patients' family members, examined the efficacy of a structured individualised method of patient transfer from the perspective of families. A specifically designed brochure provided nurses with key points to discuss with families regarding the impending patient transfer. Families retained the brochure, which contained specific information hand written by the nurse.Methods: A quasi-experimental comparative design was used. The researcher purposely allocated family members to a control (n=80) and intervention group (n=82). The intervention group experienced a structured individualised transfer method developed by the researcher whereas the control group received existing ad hoc transfer methods. Families were surveyed after transfer with a ten-item questionnaire.Results: The intervention group of family members experienced significantly higher levels of satisfaction with the information given to them before transfer from ICU than did the control group (p=.015). The intervention group also recorded significantly higher scores when their level of understanding of information was evaluated (p=.002) and they felt significantly more prepared for transfer than those in the control group (p=.001). The intervention group was informed as transfer plans were being made significantly more than those in the control group (p<.0001) and had fewer worries with the information given to them (p=.002).Conclusions: This study supports the introduction of a two-tiered approach to sharing information with family members prior to transfer. The face-to-face communication and individualised brochure for the family contributed significantly to families' satisfaction, preparation and communication about patient transfer and is thus recommended. Further research to replicate and extend this study is recommended with patients and families transferred from ICU for palliative care requiring a specific intervention to support them prior to transfer. SN - 1036-7314 AD - Lecturer -- Faculty of Nursing and Health, Griffith University, Brisbane, Australia UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106493810&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106850312 T1 - Global presence: USAF aeromedical evacuation and critical care air transport. AU - Pierce PF AU - Evers KG Y1 - 2003/06//2003 Jun N1 - Accession Number: 106850312. Language: English. Entry Date: 20030718. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8912620. KW - Aeromedical Transport -- Education KW - Aeromedical Transport -- Nursing KW - Aircraft KW - Critical Care Nursing KW - Flight Nursing KW - Job Characteristics KW - Military Nursing KW - Military Nursing -- Education KW - United States Air Force KW - Equipment Design KW - Flight Nursing -- Education KW - Iraq KW - Multidisciplinary Care Team KW - Personnel Staffing and Scheduling KW - Teamwork KW - War -- Iraq SP - 221 EP - 231 JO - Critical Care Nursing Clinics of North America JF - Critical Care Nursing Clinics of North America JA - CRIT CARE NURS CLIN NORTH AM VL - 15 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Flight nursing, whether as an AE nurse or as a CCAT team member, is a demanding profession that extracts tremendous energy, competes with family and recreational time, and sets high expectations. On reflection, however, most crewmembers claim it is the most rewarding experience in their professional life. The opportunity to be a part of history, to provide care and transport to American servicemen and women in times of extreme need, and to accomplish the mission safely despite the circumstances and personal cost is an unparalleled experience and one that hold tremendous pride. Copyright © 2003 by Elsevier Science (USA). SN - 0899-5885 AD - University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109; pfpierce@umich.edu U2 - PMID: 12755188. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106850312&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105292239 T1 - Terrorism-related injuries versus road traffic accident-related trauma: 5 years of experience in Israel. AU - Peleg K AU - Savitsky B Y1 - 2009/12//2009 Dec N1 - Accession Number: 105292239. Corporate Author: Israeli Trauma Group. Language: English. Entry Date: 20100312. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Public Health; USA. Special Interest: Public Health. Instrumentation: Glasgow Coma Scale (GCS). NLM UID: 101297401. KW - Accidents, Traffic KW - Blast Injuries -- Epidemiology KW - Terrorism KW - Demography KW - Blast Injuries -- Etiology KW - Blast Injuries -- Mortality KW - Chemistry, Analytical -- Adverse Effects KW - Female KW - Hospitalization -- Statistics and Numerical Data KW - Human KW - Trauma Severity Indices KW - Intensive Care Units -- Statistics and Numerical Data KW - Israel KW - Male KW - Data Collection KW - Retrospective Design KW - Transportation of Patients -- Methods KW - Transportation of Patients -- Statistics and Numerical Data KW - Glasgow Coma Scale SP - 196 EP - 200 JO - Disaster Medicine & Public Health Preparedness JF - Disaster Medicine & Public Health Preparedness JA - DISASTER MED PUBLIC HEALTH PREPAREDNESS VL - 3 IS - 4 PB - Cambridge University Press SN - 1935-7893 AD - Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Health Policy Research, Tel Hashomer 52621, Israel. kobip@gertner.health.gov.il U2 - PMID: 20081415. DO - 10.1097/DMP.0b013e3181c12734 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105292239&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105431966 T1 - Linking the chain of survival: trauma as a traditional role model for multisystem trauma and brain injury. AU - Capone-Neto A AU - Rizoli SB Y1 - 2009/08//2009 Aug N1 - Accession Number: 105431966. Language: English. Entry Date: 20090925. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 9504454. KW - Brain Injuries -- Therapy KW - Continuity of Patient Care KW - Emergency Care -- Methods KW - Health Facility Administration KW - Trauma -- Therapy KW - Critical Path KW - Emergency Service KW - Intensive Care Units KW - Prehospital Care KW - Transportation of Patients KW - Triage SP - 290 EP - 294 JO - Current Opinion in Critical Care JF - Current Opinion in Critical Care JA - CURR OPIN CRIT CARE VL - 15 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - PURPOSE OF REVIEW: Trauma systems are central in the care of trauma patients and the concept of 'Critical Care Cascade' matches the concept of the 'Trauma Systems'. Both concepts aim to offer a model of continuum care from prehospital assistance to ICU discharge that can have a significant impact on outcome. In spite of the trauma system concept maturity, many controversies still remain unresolved. This text will review some of the relevant literature related to prehospital and early hospital care of trauma patients. RECENT FINDINGS: Effectiveness of trauma systems and outcome studies on prehospital and early hospital care have been published recently. Limitations, controversies and important points of those studies will be highlighted in this text. SUMMARY: Although there is a lack of definitive evidence to support many of the current recommendations for the acute care of trauma patients, the historical development of trauma systems, their long experience and even the existing controversies, can help to establish other critical pathways and can guide performance evaluations so necessary to improve outcomes. SN - 1070-5295 AD - Sunnybrook Health Sciences Centre, University of Toronto, Ontario M4N3M5, Canada. U2 - PMID: 19528797. DO - 10.1097/MCC.0b013e32832e383e UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105431966&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105531945 T1 - Epidemiology of admissions in a pediatric resuscitation room. AU - Claudet I AU - Bounes V AU - Fédérici S AU - Laporte E AU - Pajot C AU - Micheau P AU - Grouteau E Y1 - 2009/05//2009 May N1 - Accession Number: 105531945. Language: English. Entry Date: 20090828. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care; Pediatric Care. NLM UID: 8507560. KW - Diagnosis-Related Groups KW - Intensive Care Units, Pediatric -- Statistics and Numerical Data KW - Patient Admission -- Statistics and Numerical Data KW - Resuscitation -- Utilization KW - Academic Medical Centers -- Statistics and Numerical Data KW - Adolescence KW - Cardiovascular Diseases -- Epidemiology KW - Child KW - Child, Preschool KW - Emergency Medicine -- Education KW - Female KW - France KW - Health Services Needs and Demand KW - Hospital Mortality KW - Infant KW - Infant, Newborn KW - Male KW - Nervous System Diseases -- Epidemiology KW - Prospective Studies KW - Respiration Disorders -- Epidemiology KW - Transportation of Patients -- Statistics and Numerical Data KW - Wounds and Injuries -- Epidemiology KW - Human SP - 312 EP - 316 JO - Pediatric Emergency Care JF - Pediatric Emergency Care JA - PEDIATR EMERG CARE VL - 25 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVE:: Describe the epidemiology of a pediatric resuscitation room (PRR). METHODS:: A prospective study was performed in a pediatric emergency department (PED) from June 17, 2004 to March 19, 2006. Collected data were date and time of admission in the unit and, in the PRR, age and sex, geographical origin, mode of transportation, PED referral mode, diagnosis, evolution, and resuscitation techniques. Statistical analysis included a univariate analysis of hypothetical links between variables and their relation to the risk of death or transfer to the pediatric intensive care unit, then a multivariate analysis by logistical regression where the dependant variable was this risk. RESULTS:: Three hundred sixty-one patients totaled 370 admissions. The male-female ratio was 1.3. Mean (SD) age was 5.5 (5.2) years. A quarter of the population was recommended for admission by a physician. Main causes were cardiocirculatory (32%), neurological (26%), respiratory (23%), and traumas (18%), and 17% were hospitalized in an intensive care unit and 4 died. Sixteen technical resuscitation procedures were performed. Children from 0 to 2 years old were more often admitted for cardiocirculatory insufficiency (P < 0.001). The children who were at higher risk for pediatric intensive care unit transfer or death were children from 0 to 2 years old (P < 0.001), an admission for respiratory insufficiency (P < 0.001), and an arrival by medicalized transport (P = 0.003). CONCLUSIONS:: In addition to national guidelines for PRR management, the teaching and knowledge of the different diagnosis admitted in the PRR and their resuscitation technical procedures warranty a serener approach of those stressful situations. SN - 0749-5161 AD - From the Pediatric Emergency Department, Children Hospital, Toulouse, France. U2 - PMID: 19404225. DO - 10.1097/PEC.0b013e3181a341ac UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105531945&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105501155 T1 - Prospective evaluation of a pediatric inpatient early warning scoring system. AU - Tucker KM AU - Brewer TL AU - Baker RB AU - Demeritt B AU - Vossmeyer MT Y1 - 2009/04// N1 - Accession Number: 105501155. Language: English. Entry Date: 20090710. Revision Date: 20150820. Publication Type: Journal Article; questionnaire/scale; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. Instrumentation: Pediatric Early Warning Score (PEWS). NLM UID: 101142025. KW - Child, Hospitalized KW - Clinical Assessment Tools KW - Critical Care -- In Infancy and Childhood KW - Critical Illness -- Prevention and Control -- In Infancy and Childhood KW - Early Intervention -- In Infancy and Childhood KW - Instrument Validation KW - Adolescence KW - Adult KW - Child KW - Child, Preschool KW - Confidence Intervals KW - Descriptive Research KW - Hospitals, Pediatric KW - Infant KW - Infant, Newborn KW - Intensive Care Units, Pediatric KW - Interrater Reliability KW - Logistic Regression KW - Midwestern United States KW - Pediatric Nursing KW - Predictive Value of Tests KW - Prospective Studies KW - Sensitivity and Specificity KW - Transfer, Intrahospital KW - Validation Studies KW - Human SP - 79 EP - 85 JO - Journal for Specialists in Pediatric Nursing JF - Journal for Specialists in Pediatric Nursing JA - J SPEC PEDIATR NURS VL - 14 IS - 2 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - PURPOSE. The present study evaluated the use of the Pediatric Early Warning Score (PEWS) for detecting clinical deterioration among hospitalized children. DESIGN/METHODS. A prospective, descriptive study design was used. The tool was used to score 2,979 patients admitted to a single medical unit of a pediatric hospital over a 12-month period. RESULTS. PEWS discriminated between children who required transfer to the pediatric intensive care unit and those who did not require transfer (area under the curve = 0.89, 95% CI = 0.84-0.94, p < .001). IMPLICATIONS. The PEWS tool was found to be a reliable and valid scoring system to identify children at risk for clinical deterioration. SN - 1539-0136 AD - Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. karen.tucker@cchmc.org U2 - PMID: 19356201. DO - 10.1111/j.1744-6155.2008.00178.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105501155&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107813890 T1 - STROKE. AU - French, David AU - McGeorge, Todd AU - Jauch, Edward Y1 - 2015/01// N1 - Accession Number: 107813890. Language: English. Entry Date: 20150126. Revision Date: 20150820. Publication Type: Journal Article; pictorial; questionnaire/scale; review; tables/charts. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 8102138. KW - Stroke -- Diagnosis KW - Stroke -- Therapy KW - Prehospital Care KW - Emergency Medical Technicians KW - Professional Practice KW - Emergency Medical Services KW - Practice Guidelines KW - Stroke -- Etiology KW - Stroke -- Risk Factors KW - Stroke -- Physiopathology KW - Stroke -- Symptoms KW - Stroke -- Classification KW - Stroke -- Drug Therapy KW - Thrombolytic Therapy KW - Tissue Plasminogen Activator -- Administration and Dosage KW - Stroke Patients KW - Emergency Patients KW - Stroke Units KW - Clinical Assessment Tools KW - Monitoring, Physiologic KW - Physical Examination KW - Patient History Taking KW - Transportation of Patients KW - Time Factors KW - Oxygen Therapy KW - Blood Glucose -- Analysis SP - 38 EP - 45 JO - JEMS: Journal of Emergency Medical Services JF - JEMS: Journal of Emergency Medical Services JA - JEMS VL - 40 IS - 1 CY - Tulsa, Oklahoma PB - PennWell Corporation SN - 0197-2510 AD - Assistant professor, Division of Emergency Medicine, Medical University of South Carolina (MUSC); Prehospital director, MUSC; Associate medical director, Charleston County EMS AD - Training and operations officer, Charleston County EMS AD - Division director for emergency medicine, MUSC UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107813890&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106540868 T1 - A case report of the transport of an infant with a tension pneumopericardium. AU - Mordue BC A2 - Charsha DS Y1 - 2005/08// N1 - Accession Number: 106540868. Language: English. Entry Date: 20051118. Revision Date: 20150818. Publication Type: Journal Article; case study; CEU; diagnostic images; exam questions; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 101125644. KW - Diagnosis, Delayed -- In Infancy and Childhood KW - Infant, Newborn, Diseases -- Complications KW - Pneumopericardium -- Diagnosis -- In Infancy and Childhood KW - Pneumoperitoneum -- Etiology -- In Infancy and Childhood KW - Respiration, Artificial -- Adverse Effects -- In Infancy and Childhood KW - Aeromedical Transport -- In Infancy and Childhood KW - Education, Continuing (Credit) KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Male KW - Neonatal Nursing KW - Pneumopericardium -- Etiology -- In Infancy and Childhood KW - Pneumopericardium -- Nursing KW - Pneumopericardium -- Radiography -- In Infancy and Childhood KW - Pneumopericardium -- Symptoms -- In Infancy and Childhood KW - Pneumopericardium -- Therapy -- In Infancy and Childhood KW - Pneumoperitoneum -- Diagnosis -- In Infancy and Childhood KW - Pneumoperitoneum -- Radiography -- In Infancy and Childhood KW - Pneumoperitoneum -- Symptoms -- In Infancy and Childhood KW - Pneumoperitoneum -- Therapy -- In Infancy and Childhood KW - Resuscitation -- In Infancy and Childhood KW - Root Cause Analysis SP - 190 EP - 203 JO - Advances in Neonatal Care (Elsevier Science) JF - Advances in Neonatal Care (Elsevier Science) JA - ADV NEONAT CARE (ELSEVIER SCI) VL - 5 IS - 4 CY - New York, New York PB - Elsevier B.V. T3 - Neonatal case files series AB - Neonatal pneumopericardium is a potentially fatal complication of positive-pressure ventilation and has become rare with the advent of surfactant replacement therapy. The clinical diagnosis, stabilization, treatment, and nursing care of an infant with pneumopericardium has not previously been discussed in the nursing literature. In this case report, delays in the recognition and definitive treatment of the pneumopericardium were encountered, resulting in the transport of an infant with a tension pneumopericardium and pneumoperitoneum. Root-cause analysis is used to identify contributing factors and examine system changes necessary to prevent the transport of another patient with a similar potentially life-threatening condition. Pneumopericardium should be suspected in any infant with an acute deterioration, especially in the presence of normal, equal breath sounds and muffled heart sounds, because prompt recognition and definitive treatment may be life-saving. SN - 1536-0903 AD - Department of Advanced Practice Nursing, Loma Linda University Children's Hospital, Loma Linda, CA 92354; bmordue@ahs.llumc.edu UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106540868&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 66999700 T1 - Descriptive epidemiology of adult critical care transfers from the emergency department. AU - Gray, A. AU - Gill, S. AU - Airey, M. AU - Williams, R. Y1 - 2003/05// N1 - Accession Number: 66999700. Language: English. Entry Date: 20040102. Revision Date: 20150820. Publication Type: Article. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 100963089. SP - 242 EP - 246 JO - Emergency Medicine Journal JF - Emergency Medicine Journal JA - EMERG MED J PB - BMJ Publishing Group SN - 1472-0205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=66999700&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103883486 T1 - Maintenance of Therapeutic Hypothermia During Critical Care Interfacility Transport...2014 Air Medical Transport Conference in Nashville, TN Y1 - 2014/09//Sep/Oct2014 N1 - Accession Number: 103883486. Language: English. Entry Date: 20140909. Revision Date: 20150710. Publication Type: Journal Article; abstract. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 9312325. KW - Hypothermia, Induced KW - Critical Care KW - Aeromedical Transport KW - Transfer, Discharge KW - Critically Ill Patients SP - 206 EP - 206 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 33 IS - 5 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X DO - 10.1016/j.amj.2014.07.023 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103883486&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107491299 T1 - Intrahospital transport: a framework for assessment. AU - Fought SG AU - Nemeth L Y1 - 1992/05//1992 May N1 - Accession Number: 107491299. Language: English. Entry Date: 19920901. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8704517. KW - Transfer, Intrahospital -- Evaluation KW - Critically Ill Patients KW - Critical Care Nursing KW - Stress, Physiological KW - Risk Factors KW - Intensive Care Units SP - 87 EP - 90 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 15 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0887-9303 U2 - PMID: 1568160. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107491299&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106173068 T1 - Neonatal back transport: perspectives from parents of Medicaid-insured infants and providers. AU - Hanrahan K AU - Gates M AU - Attar M AU - Lang SW AU - Frohna A AU - Clark SJ Y1 - 2007/09//Sep/Oct2007 N1 - Accession Number: 106173068. Language: English. Entry Date: 20071019. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Commentary: Beal J. Toward evidence-based practice. [Commentary on] Neonatal back transport: perspectives from parents on Medicaid-insured infants and providers. (MCN) Mar/Apr2008; 33 (2): 131-131. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Grant Information: Michigan Department of Community Health. NLM UID: 8503921. KW - Attitude of Health Personnel KW - Parental Attitudes KW - Transportation of Patients -- Psychosocial Factors -- In Infancy and Childhood KW - Audiorecording KW - Communication KW - Cross Sectional Studies KW - Descriptive Statistics KW - Female KW - Focus Groups KW - Funding Source KW - Hospitals, Community KW - Infant KW - Institutional Review KW - Intensive Care Units, Neonatal KW - Male KW - Medicaid KW - Michigan KW - Parents KW - Qualitative Studies KW - Human SP - 301 EP - 311 JO - Neonatal Network JF - Neonatal Network JA - NEONAT NETW VL - 26 IS - 5 CY - New York, New York PB - Springer Publishing Company, Inc. AB - Purpose: to examine parents' and health care providers' perceptions of back transport from a tertiary care neonatal intensive care unit to a community hospital.Design: Qualitative, hypothesis-generating, cross-sectional study utilizing focus group methodology.Sample: Participants included 12 parents of back-transported infants insured by Medicaid, 6 regional nicu health care providers, and 17 community hospital special care nursery health care providers.Main Outcome Measures: Participant perceptions of factors that support or impede successful back transport.Results: data from the focus groups were analyzed to identify five main themes: early communication about back transport, preparing parents for back transport, communication between hospitals at the time of back transport, follow-up and information exchange after back transport, and improving the back-transport experience for parents. SN - 0730-0832 U2 - PMID: 17926660. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106173068&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 102785962 T1 - The Impact of Ultraviolet Disinfection on Hospital Acquired Infection Rates in a Tertiary Care Community Hospital...42nd Annual Conference Abstracts, APIC 2015, Nashville, TN June 2015 AU - Vianna, Pedro G. AU - Dale, Charles AU - Simmons, Sarah AU - Stibich, Mark AU - Licitra, Carmelo Y1 - 2015/06/02/Jun2015 Supplement N1 - Accession Number: 102785962. Language: English. Entry Date: 20151027. Revision Date: 20151027. Publication Type: Article; abstract; research; tables/charts. Supplement Title: Jun2015 Supplement. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety. NLM UID: 8004854. KW - Cross Infection -- Prevention and Control KW - Bacterial Infections -- Epidemiology -- Florida KW - Sterilization and Disinfection -- Equipment and Supplies KW - Ultraviolet Rays KW - Patients' Rooms KW - Bacterial Contamination KW - Health Facility Environment KW - Tertiary Health Care KW - Hospitals KW - Florida KW - Evaluation Research KW - Intensive Care Units KW - Patient Discharge KW - Transfer, Intrahospital KW - Clostridium Difficile KW - Methicillin-Resistant Staphylococcus Aureus KW - Vancomycin Resistant Enterococci KW - Wilcoxon Rank Sum Test KW - Descriptive Statistics KW - Pretest-Posttest Design KW - Human KW - Epidemiological Research SP - S19 EP - S20 JO - American Journal of Infection Control JF - American Journal of Infection Control JA - AM J INFECT CONTROL VL - 43 CY - New York, New York PB - Elsevier B.V. SN - 0196-6553 AD - Medical Student, University of Central Florida College of Medicine AD - Research Assistant, Xenex Disinfection Services AD - Science Director, Xenex Disinfection Services AD - Chief Science Officer, Xenex Disinfection Services, LLC AD - Clinical Professor, Infectious Disease, OrlandoHealth/University of Central Florida, College of Medicine DO - 10.1016/j.ajic.2015.04.050 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=102785962&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105828865 T1 - Practice variation in initial management and transfer thresholds for infants with respiratory distress in Australian hospitals. Who should write the guidelines? AU - Buckmaster AG AU - Wright IM AU - Arnolda G AU - Henderson-Smart DJ Y1 - 2007/06// N1 - Accession Number: 105828865. Language: English. Entry Date: 20080307. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Australia & New Zealand; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed. NLM UID: 9005421. KW - Decision Making KW - Oxygen Therapy KW - Pediatrics -- Standards KW - Practice Guidelines -- Standards KW - Respiratory Distress Syndrome -- Therapy KW - Transfer, Discharge KW - Australia KW - Female KW - Hospitals KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Intensive Care, Neonatal KW - Male KW - Nurseries, Hospital KW - Questionnaires KW - Study Design KW - Time Factors KW - Human SP - 469 EP - 475 JO - Journal of Paediatrics & Child Health JF - Journal of Paediatrics & Child Health JA - J PAEDIATR CHILD HEALTH VL - 43 IS - 6 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1034-4810 AD - Northern Sydney Central Coast Area Health Service, Gosford Hospital, Gosford, NSW, Australia. abuckmaster@nsccahs.health.nsw.gov.au U2 - PMID: 17535178. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105828865&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105471802 T1 - Battlefield trauma, traumatic shock and consequences: war-related advances in critical care. AU - Allison CE AU - Trunkey DD Y1 - 2009/01//2009 Jan N1 - Accession Number: 105471802. Language: English. Entry Date: 20090814. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8507720. KW - Critical Care -- History KW - Military Medicine -- History KW - Wounds and Injuries -- History KW - Critical Care -- Methods KW - Critical Care KW - History KW - Military Medicine -- Methods KW - Military Medicine KW - Shock, Traumatic -- History KW - Shock, Traumatic -- Therapy KW - Transportation of Patients -- History KW - Trauma Centers -- History KW - World Health KW - Wounds and Injuries -- Therapy KW - Wounds, Nonpenetrating -- History KW - Wounds, Nonpenetrating -- Therapy KW - Wounds, Penetrating -- History KW - Wounds, Penetrating -- Therapy SP - 31 EP - 45 JO - Critical Care Clinics JF - Critical Care Clinics JA - CRIT CARE CLIN VL - 25 IS - 1 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Over the course of history, while the underlying causes for wars have remained few, mechanisms of inflicting injury and our ability to treat the consequent wounds have dramatically changed. Success rates in treating war-related injuries have improved greatly, although the course of progress has not proceeded linearly. From Homer's Iliad to the Civil War to Vietnam, there have been significant improvements in mortality, despite a concurrent increase in the lethality of weapons. These improvements have occurred primarily as a result of progress in three key areas: management of wounds, treatment of shock, and systems of organization.Copyright © 2009 by Elsevier Inc. SN - 0749-0704 AD - Department of Surgery, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L223, Portland, OR 97239, USA. U2 - PMID: 19268793. DO - 10.1016/j.ccc.2008.10.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105471802&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106327501 T1 - Caring for the critically ill ward patient: implementation of the critical care liaison nurse. AU - LeComte K AU - Goodwin J AU - Freame T AU - Rolfe S Y1 - 2006///Summer2006 N1 - Accession Number: 106327501. Language: English. Entry Date: 20060825. Revision Date: 20150820. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. NLM UID: 100955578. KW - Critical Illness -- In Infancy and Childhood KW - Nursing Role KW - Transfer, Intrahospital KW - British Columbia KW - Child KW - Hospitals, Pediatric KW - Inpatients SP - 27 EP - 28 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 17 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106327501&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107912097 T1 - The impact of postintubation chest radiograph during pediatric and neonatal critical care transport. AU - Sanchez-Pinto, Nelson AU - Giuliano, John S AU - Schwartz, Hamilton P AU - Garrett, Lynne AU - Gothard, M David AU - Kantak, Anand AU - Bigham, Michael T Y1 - 2013/06//2013 Jun N1 - Accession Number: 107912097. Language: English. Entry Date: 20140328. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 100954653. KW - Critical Care -- Methods KW - Intubation, Intratracheal -- Methods KW - Radiography, Thoracic KW - Transportation of Patients KW - Female KW - Human KW - Infant KW - Infant, Newborn KW - Male KW - Prospective Studies KW - Time Factors SP - e213 EP - 7 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 14 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVES: Tracheal intubation is necessary in the setting of pediatric/neonatal critical care transport but information regarding usefulness and efficiency of a confirmatory postintubation chest radiograph is limited. We hypothesize that routine postintubation chest radiograph to confirm tracheal tube position is not informative and can be eliminated to improve efficiency without compromising safety in transport. DESIGN: This was a prospective observational study. The primary study outcome was the rate of tracheal tube repositioning after postintubation chest radiograph and the secondary outcome was the on-scene time. Additional data obtained included the initial accuracy of tracheal tube depth based on Pediatric Advanced Life Support and Neonatal Resuscitation Program guidelines. SETTING: A children's hospital-based pediatric/neonatal critical care transport team in northeastern Ohio. PATIENTS: All pediatric/neonatal patients intubated by the transport team during the 18-month study period (January 2009-July 2010). MEASUREMENTS AND MAIN RESULTS: There were 77 patients enrolled (43 pediatric, 34 neonatal). A postintubation chest radiograph was obtained 85.7% of the time and showed tracheal tube malposition in 47% of cases. No difference was seen in the rate of malpositioned tracheal tubes in the neonatal group compared with pediatric group (51.7% vs. 43.2%, p = 0.54). The calculated tracheal tube depth based on the Neonatal Resuscitation Program and Pediatric Advanced Life Support guidelines was correct in 50% of the neonates and 41.9% of the pediatric patients. In patients with appropriate initial tracheal tube depth by calculations, the tracheal tube was repositioned at similar rates after postintubation chest radiograph in both neonatal and pediatric patients (50% vs. 41.9%, p = 0.48). When comparing mean onscene times for patients with/without a postintubation chest radiograph, the neonatal patients saved 33 minutes on average when no chest radiograph was obtained (mean ± sd: 60.6 ± 35.8 min vs. 93.8 ± 23.8 min, p = 0.01). There was no statistical difference in on-scene time for pediatric patients whether they did or did not receive a postintubation chest radiograph. CONCLUSIONS: Although postintubation chest radiographs may extend the overall on-scene transport times in select patients, our data show that the postintubation chest radiographs remain informative in pediatric/neonatal critical care specialty transport and should be obtained when feasible. SN - 1529-7535 AD - Department of Pediatrics, Los Angeles Children's Hospital, Los Angeles, CA, USA. U2 - PMID: 23439465. DO - 10.1097/PCC.0b013e3182772e13 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107912097&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106899998 T1 - Parents' experiences of the transfer of their child from the PICU to the ward: a phenomenological study. AU - Keogh S Y1 - 2001/01//2001 Jan-Feb N1 - Accession Number: 106899998. Language: English. Entry Date: 20020215. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Commentary: Dampier S. Research & commentary. Parents' experience of transfer from PICU. (PAEDIATR NURS) 2001 May; 13 (4): 9-9. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9808649. KW - Intensive Care Units, Pediatric KW - Transfer, Intrahospital -- Psychosocial Factors KW - Parental Attitudes KW - Phenomenological Research KW - Purposive Sample KW - Interviews KW - Audiorecording KW - Parental Attitudes -- Evaluation KW - Human SP - 7 EP - 13 JO - Nursing in Critical Care JF - Nursing in Critical Care JA - NURS CRIT CARE VL - 6 IS - 1 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - * This phenomenological study describes the lived experience of parents whose child is transferred from a paediatric intensive care unit to the ward in a London teaching hospital* Transfer from one hospital environment to another is a potentially stressful experience for patients and their families* Parents were interviewed after discharge from the PICU and the transcripts analysed using Van Marten's method of phenomenology (central to Van Marten's methodology is the art of phenomenological reflective thinking and writing)* Eighty-six significant statements were identified and captured within five theme clusters and two theme categories: emotional responses and organisational issues* Parents' feelings were complex and mixed, revealing the influence of the nature of ICU care, the transfer process itself, interdisciplinary communication and organisational approach on the parent's perceptions of the transfer process* An exhaustive description and statement of the essential structure of the lived experience were then developed to reflect the parents' descriptions SN - 1362-1017 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106899998&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109658403 T1 - Safe Travels: Transporting Critically Ill Patients from PICU to MRI. AU - Durning, Suzanne Y1 - 2013/06// N1 - Accession Number: 109658403. Language: English. Entry Date: 20150923. Revision Date: 20150923. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Diagnostic Imaging. NLM UID: 101189931. SP - 103 EP - 103 JO - Journal of Radiology Nursing JF - Journal of Radiology Nursing JA - J RADIOL NURS VL - 32 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1546-0843 AD - Nurse Manager, Radiology/Sedation/Vascular Access, The Children's Hospital of Philadelphia, West Chester, PA DO - 10.1016/j.jradnu.2013.04.009 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109658403&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103814742 T1 - Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without Infections. AU - Tsai, Jeffrey Che-Hung AU - Cheng, Ching-Wan AU - Weng, Shao-Jen AU - Huang, Chin-Yin AU - Yen, David Hung-Tsang AU - Chen, Hsiu-Ling Y1 - 2014/01// N1 - Accession Number: 103814742. Language: English. Entry Date: 20150123. Revision Date: 20150710. Publication Type: Journal Article; research. Journal Subset: Biomedical; Continental Europe; Europe. NLM UID: 101131163. KW - Emergency Service KW - Intensive Care Units KW - Patient Admission KW - Transfer, Discharge KW - Case Control Studies KW - Human KW - Risk Factors SP - 102929 EP - 102929 JO - Scientific World Journal JF - Scientific World Journal JA - THESCIENTIFICWORLDJOURNAL CY - London, PB - Hindawi Limited SN - 1537-744X AD - Department of Emergency Medicine, China Medical University Hospital, No. 2 Yude Road, North District, Taichung City 404, Taiwan ; School of Medicine, College of Medicine, China Medical University, Taichung 404, Taiwan ; Department of Industrial Engineering & Enterprise Information, Tunghai University, Taichung 407, Taiwan. AD - Department of Emergency Medicine, Cheng-Ching General Hospital, Taichung 407, Taiwan. AD - Department of Industrial Engineering & Enterprise Information, Tunghai University, Taichung 407, Taiwan. AD - Program for Health Administration, Tunghai University, Taichung 407, Taiwan. AD - Institute of Emergency and Critical Care Medicine, College of Medicine, National Yang-Ming University, Taipei 112, Taiwan. AD - Department of Emergency Medicine, China Medical University Hospital, No. 2 Yude Road, North District, Taichung City 404, Taiwan ; School of Medicine, College of Medicine, China Medical University, Taichung 404, Taiwan. U2 - PMID: 24672286. DO - 2014/102929 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103814742&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107799142 T1 - Family-centered care during acute neonatal transport. AU - Mullaney, Dorothy M AU - Edwards, William H AU - DeGrazia, Michele Y1 - 2014/10/02/2014 Oct Suppl 5 N1 - Accession Number: 107799142. Language: English. Entry Date: 20150529. Revision Date: 20150712. Publication Type: Journal Article; research. Supplement Title: 2014 Oct Suppl 5. Journal Subset: Biomedical; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 101125644. KW - Family Nursing -- Methods KW - Parents KW - Professional-Family Relations KW - Transportation of Patients -- Methods KW - Adolescence KW - Adult KW - Female KW - Human KW - Infant, Newborn KW - Infant, Premature KW - Intensive Care Units, Neonatal KW - Male KW - Neonatal Nursing -- Methods KW - Quality Improvement KW - Questionnaires KW - Young Adult SP - S16 EP - 23 JO - Advances in Neonatal Care (Lippincott Williams & Wilkins) JF - Advances in Neonatal Care (Lippincott Williams & Wilkins) JA - ADV NEONAT CARE (LIPPINCOTT WILLIAMS & WILKINS) VL - 14 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1536-0903 AD - Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, and Children's Hospital at Dartmouth, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire (Drs Mullaney and Edwards); and Harvard Medical School, Northeastern University School of Nursing, and Nursing Research, Neonatal Intensive Care Unit, Boston Children's Hospital, Massachusetts (Dr DeGrazia). U2 - PMID: 25136750. DO - 10.1097/ANC.0000000000000119 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107799142&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107064252 T1 - Providing continuity of care for patients transferred from ICU. AU - Haines S AU - Crocker C AU - Leducq M Y1 - 2001/09//2001 Sep N1 - Accession Number: 107064252. Language: English. Entry Date: 20011102. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 8612884. KW - Transfer, Intrahospital -- Psychosocial Factors KW - Continuity of Patient Care KW - Stress, Occupational KW - Medical-Surgical Nursing -- Psychosocial Factors KW - Staff Nurses -- Psychosocial Factors KW - Inpatients KW - United Kingdom KW - Intensive Care Units KW - Nursing Units KW - Pilot Studies KW - Exploratory Research KW - Qualitative Studies KW - Semi-Structured Interview KW - Purposive Sample KW - Critically Ill Patients KW - Internal Validity KW - Open-Ended Questionnaires KW - Content Analysis KW - Interrater Reliability KW - Anxiety KW - Fear KW - Control (Psychology) KW - Time Factors KW - Nurse-Patient Relations KW - Nursing Skills KW - Nursing Knowledge KW - Family -- Psychosocial Factors KW - Relocation -- Psychosocial Factors KW - Human SP - 17 EP - 21 JO - Professional Nurse JF - Professional Nurse JA - PROF NURSE VL - 17 IS - 1 PB - EMAP Healthcare AB - Patients requiring treatments previously only undertaken in critical care units are now being nursed in other ward areas. A study was carried out to determine the difficulties that are faced by ward nurses caring for this highly dependent patient group. Staff and patient stress were problems experienced and there was a call for closer liaison between ICU and ward staff. SN - 0266-8130 AD - Practice Development Nurse -- Critical Care, Nottingham City Hospital NHS Trust U2 - PMID: 12030140. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107064252&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107131936 T1 - Development of a pediatric critical care transport team: experience at a military medical center. AU - Wheeler DS AU - Sperring JL AU - Vaux KK AU - Poss B AU - Wheeler, D S AU - Sperring, J L AU - Vaux, K K AU - Poss, W B Y1 - 1999/03//1999 Mar N1 - Accession Number: 107131936. Language: English. Entry Date: 20000901. Revision Date: 20171209. Publication Type: journal article; research; tables/charts. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 2984771R. KW - Military Medicine KW - Pediatrics KW - Critical Care KW - Hospitals, Military -- California KW - Transportation of Patients KW - Attitude of Health Personnel KW - Clinical Competence KW - Cost Savings KW - Military Medicine -- Education KW - Program Development KW - Program Evaluation KW - Retrospective Design KW - Record Review KW - Surveys KW - Descriptive Statistics KW - California KW - Human SP - 188 EP - 193 JO - Military Medicine JF - Military Medicine JA - MILIT MED VL - 164 IS - 3 CY - Gaithersburg, Maryland PB - AMSUS AB - Introduction: A pediatric critical care transport program was initiated and organized at Naval Medical Center San Diego in January 1994. The primary goal of the program was to formally train military pediatric residents in the early stabilization and transport of the critically ill neonatal and pediatric patient. It was also felt that such a program would generate significant cost savings to the Department of Defense. We present the statistics, training protocol, and the cost savings. In addition, we surveyed previous residents who had been involved with this program to determine its perceived benefit.Methods: In the first phase of this project, the pediatric critical care transport program database from January 1994 to December 1997 was reviewed. The number and types of transports were recorded. Next, we determined cost savings for the transport program for fiscal year 1996-1998 (the period for which fiscal data were available). In the second phase of this project, we sent surveys to the 23 graduating residents who had participated in the pediatric critical care transport program. The survey sought to determine the perceived value of the transport training experience and the degree to which that training is now being used. All investigators were blinded to the responses. Statistical analysis consisted of determining the percentage of each response.Results: During the 4-year period reviewed, 404 transports were performed (198 neonatal and 206 pediatric). During fiscal year 1996-1998, there was a cost avoidance of $1,962 per transport. In the second phase, 91% of the surveys were returned and analyzed. The majority of residents were practicing in overseas or isolated communities. All respondents rated their experience in the pediatric critical care transport program as worthwhile and educational, and they complemented their training in the neonatal and pediatric intensive care units. Seventy-one percent of the respondents had transported a critically ill neonate or child to another facility within the last year.Conclusions: In summary, we report our experience with the development of a pediatric critical care transport program. The program was developed to provide military pediatric residents instruction and experience in the stabilization and transport of critically ill children. In addition, we were able to demonstrate a significant cost avoidance. SN - 0026-4075 AD - Department of Pediatrics and Clinical Research, Naval Medical Center San Diego, CA, USA AD - Departments of Pediatrics and Clinical Research, Naval Medical Center San Diego, San Diego, CA U2 - PMID: 10091491. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107131936&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104720901 T1 - The Critical Care Research Network: a partnership in community-based research and research transfer. AU - Keenan, S P AU - Martin, C M AU - Kossuth, J D AU - Eberhard, J AU - Sibbald, W J Y1 - 2000/02// N1 - Accession Number: 104720901. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; Public Health; UK & Ireland. NLM UID: 9609066. KW - Critical Care KW - Diffusion of Innovation KW - Medical Practice, Evidence-Based KW - Health Services Research -- Methods KW - Canada KW - National Health Programs KW - Program Evaluation SP - 15 EP - 22 JO - Journal of Evaluation in Clinical Practice JF - Journal of Evaluation in Clinical Practice JA - J EVAL CLIN PRACT VL - 6 IS - 1 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - The objectives of this study were to present a short history of the Critical Care Research Network (CCR-Net), describe its approach to health services research and to summarize completed and current research projects. In doing this, we explored the question is this research network accomplishing its goals? We reviewed the medical literature to identify studies on similar types of Networks and also the evidence supporting the methodology used by CCR-Net to conduct research using MEDLINE, HEALTHSTAR, CINAHL and the keywords network and health care or healthcare, benchmarking and health care or healthcare, and research transfer or research utilization. We also reviewed the bibliographies of retrieved articles and our personal files. In addition, we summarized the results of studies conducted by CCR-Net and outlined those currently in progress. A review of the literature identified studies on two similar networks that appeared to be succeeding. In addition, the literature was also supportive of the general process used by CCR-Net, although the level of evidence varied. Finally, the studies conducted to date within CCR-Net follow the suggested methodology. At the time of this preliminary communication CCR-Net appears to have adopted a valid approach to health services research within the area of Critical Care Medicine. Further direct evidence is required and appropriate studies are planned. SN - 1356-1294 AD - Richard Ivey Critical Care Trauma Center, London Health Sciences Centre, Ontario, Canada. U2 - PMID: 10807020. DO - 10.1046/j.1365-2753.2000.00214.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104720901&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104417440 T1 - Comparing Methodologies for Evaluating Emergency Medical Services Ground Transport Access to Time-critical Emergency Services: A Case Study Using Trauma Center Care. AU - Doumouras, Aristithes G. AU - Gomez, David AU - Haas, Barbara AU - Boyes, Donald M. AU - Nathens, Avery B. Y1 - 2012/09// N1 - Accession Number: 104417440. Language: English. Entry Date: 20120919. Revision Date: 20150711. Publication Type: Journal Article; case study; research. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9418450. KW - Emergency Medical Service Communication Systems -- Evaluation KW - Transportation of Patients -- Evaluation KW - Trauma Centers KW - Research Methodology KW - Emergency Medicine SP - E1099 EP - 108 JO - Academic Emergency Medicine JF - Academic Emergency Medicine JA - ACAD EMERG MED VL - 19 IS - 9 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1069-6563 AD - From the Keenan Research Center in the Li Ka Shing Knowledge Institute of St Michael's Hospital and the Department of Surgery (AGD, DG, BH, ABN) and the Department of Geography and Program in Planning (DMB), University of Toronto; and the Institute for Clinical Evaluative Sciences (ABN), Toronto, Ontario, Canada. U2 - PMID: 22978740. DO - 10.1111/j.1553-2712.2012.01440.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104417440&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107481692 T1 - Critical care transport of a cardiac infant: a case study. AU - Demmons LL AU - McGreevy T Y1 - 1991/12//1991 Dec N1 - Accession Number: 107481692. Language: English. Entry Date: 19920301. Revision Date: 20150712. Publication Type: Journal Article; case study. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8503921. KW - Transportation of Patients -- In Infancy and Childhood KW - Neonatal Nursing KW - Multidisciplinary Care Team KW - Aeromedical Transport KW - Intensive Care, Neonatal KW - Cardiac Patients -- In Infancy and Childhood KW - Perinatal Care KW - Heart Defects, Congenital KW - Hereditary Diseases KW - Infant, Newborn KW - Inpatients KW - Male SP - 39 EP - 44 JO - Neonatal Network JF - Neonatal Network JA - NEONAT NETW VL - 10 IS - 4 CY - New York, New York PB - Springer Publishing Company, Inc. SN - 0730-0832 AD - Univ Alabama Hosp, 6l9 S 19th St, Birmingham, AL 35233 U2 - PMID: 1766425. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107481692&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104109904 T1 - Analysis of the Interface and Data Transfer from ICU to Normal Wards in a German University Hospital...MEDINFO 2013 AU - Vollmer, Anne-Maria AU - Skonetzki-Cheng, Stefan AU - Prokosch, Hans-Ulrich Y1 - 2013/10// N1 - Accession Number: 104109904. Language: English. Entry Date: 20140213. Revision Date: 20150710. Publication Type: Journal Article; abstract; research. Journal Subset: Computer/Information Science; Continental Europe; Editorial Board Reviewed; Europe; Peer Reviewed. Special Interest: Critical Care; Informatics; Pediatric Care. NLM UID: 9214582. KW - Intensive Care Units, Pediatric KW - Hospital Units KW - Transportation of Patients KW - Hand Off (Patient Safety) KW - Information Management KW - Academic Medical Centers -- Germany KW - Germany KW - Qualitative Studies KW - Prospective Studies KW - Interviews KW - Record Review KW - Triangulation KW - Nonparticipant Observation KW - Human SP - 1104 EP - 1104 JO - Studies in Health Technology & Informatics JF - Studies in Health Technology & Informatics JA - STUD HEALTH TECHNOL INFORM VL - 192 PB - IOS Press SN - 0926-9630 AD - Departmant of Medical Informatics, Friedrich-Alexander University, Erlangen, Germany AD - Faculty of Health Care Management, University of Applied Sciences Niederrhein, Krefeld, Germany U2 - PMID: 23920878. DO - 10.3233/978-1-61499-289-9-1104 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104109904&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107965678 T1 - Transfers to the ICU: Don't delay. Y1 - 2013/08// N1 - Accession Number: 107965678. Language: English. Entry Date: 20130805. Revision Date: 20150820. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety. NLM UID: 7600137. KW - Critically Ill Patients KW - Intensive Care Units KW - Transfer, Intrahospital KW - Hospital Mortality KW - Time Factors KW - Inpatients SP - 23 EP - 23 JO - Nursing JF - Nursing JA - NURSING VL - 43 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0360-4039 DO - 10.1097/01.NURSE.0000432543.83502.48 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107965678&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107870958 T1 - Sustaining Pressure Ulcer Best Practices in a High-Volume Cardiac Care Environment. AU - Paul, Rohini AU - Paris McCutcheon, Stacey AU - Tregarthen, Jenna Penelope AU - Thayer Denend, Lyn AU - Zenios, Stefanos A. Y1 - 2014/08// N1 - Accession Number: 107870958. Language: English. Entry Date: 20140808. Revision Date: 20150819. Publication Type: Journal Article; CEU; exam questions; nursing interventions; pictorial; review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Evidence-Based Practice; Patient Safety; Perioperative Care. NLM UID: 0372646. KW - Pressure Ulcer -- Prevention and Control KW - Perioperative Care KW - Perioperative Nursing KW - Critical Care Nursing KW - Nursing Practice, Evidence-Based KW - Quality Improvement -- Methods KW - Hospital Programs KW - Program Development KW - Patient Safety KW - Education, Continuing (Credit) KW - Hospitals, Special KW - India KW - Pressure Ulcer -- Risk Factors KW - Nursing Assessment KW - Nursing Interventions KW - Risk Assessment KW - Clinical Assessment Tools KW - Staff Development KW - Transfer, Intrahospital KW - Skin Care KW - Patient Positioning KW - Guideline Adherence KW - Health Facility Administration KW - Physicians KW - Organizational Culture KW - Accountability KW - Medical Records KW - Nurse-Patient Ratio KW - Nursing Staff, Hospital KW - Operating Rooms KW - Intensive Care Units KW - Surgical Patients KW - Inpatients SP - 34 EP - 46 JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 114 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Narayana Hrudayalaya Cardiac Hospital (NHCH) in Bangalore, India (now known as the Narayana Institute o f Cardiac Sciences), is one of the world's largest and busiest cardiac hospitals. In early 2009, NHCH experienced a sharp increase in the number of surgical procedures performed and a corresponding rise in hospital-acquired pressure ulcers. The hospital sought to reduce pressure ulcer prevalence by implementing a portfolio of quality improvement strategies. Baseline data showed that, over the five-month observation period, an average of 6% of all adult and pediatric surgical patients experienced a pressure ulcer while recovering in the NHCH intensive therapy unit (ITU). Phase 1 implementation efforts, which began in January 2010, focused on four areas: raising awareness, increasing education, improving documentation and communication, and implementing various preventive practices. Phase 2 implementation efforts, which began the following month, focused on changing operating room practices. The primary outcome measure was the weekly percentage of ITU patients with pressure ulcers. By July 2010, that percentage was reduced to zero; as o f April 1,2014, the hospital has maintained this result. Elements that contributed significantly to the program's success and sustainability include strong leadership, nurse and physician involvement, an emphasis on personal responsibility, improved documentation and communication, ongoing training and support, and a portfolio of low-tech changes to core workflows and behaviors. Many of these elements are applicable to U.S. acute care environments. SN - 0002-936X AD - Nursing Superintendent, Department of Cardiology, Narayana Institute of Cardiac Sciences, Bangalore, Karnataka, India. AD - Chief Executive Officer, Recovery Record. AD - Associate Director, Curriculum for Stanford Biodesign, Stanford University. AD - Professor, Health Care Management, Graduate School of Business, Stanford University, Stanford, CA. U2 - PMID: 25036664. DO - 10.1097/01.NAJ.0000453041.16371.16 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107870958&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105578658 T1 - Hantavirus cardiopulmonary syndrome: implications for transport management and care. AU - Guilfoyle JF AU - Macnab AJ Y1 - 2008/11// N1 - Accession Number: 105578658. Language: English. Entry Date: 20090123. Revision Date: 20150820. Publication Type: Journal Article; case study. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Hantavirus Pulmonary Syndrome -- Diagnosis -- In Adolescence KW - Heart Failure -- Etiology KW - Pulmonary Edema -- Etiology KW - Adolescence KW - Death KW - Dopamine -- Administration and Dosage KW - Epinephrine -- Administration and Dosage KW - Extracorporeal Membrane Oxygenation KW - Hantavirus Pulmonary Syndrome -- Mortality KW - Hantavirus Pulmonary Syndrome -- Symptoms KW - Infusions, Intravenous KW - Intensive Care Units, Pediatric KW - Intubation, Intratracheal KW - Male KW - Midazolam -- Administration and Dosage KW - Monitoring, Physiologic KW - Morphine -- Administration and Dosage KW - Oxygen Saturation KW - Pancuronium -- Administration and Dosage KW - Positive End-Expiratory Pressure KW - Stroke KW - Tachycardia KW - Vancomycin -- Administration and Dosage KW - Vasoconstriction SP - 299 EP - 302 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 27 IS - 6 CY - New York, New York PB - Elsevier B.V. AB - Introduction: A 14-year-old boy with cardiorespiratory failure was referred for air medical transport. The complexity of care during air medical transport and subsequent diagnosis of hantavirus warranted a post hoc review of the literature to establish optimal transport management criteria.Methods: This is a case report and literature review, defining epidemiology, presentation, cause of pulmonary edema and cardiac failure, management, and outcome.Results: Hantavirus cardiopulmonary syndrome is rare in children. Severe cases have manifestations similar to those seen in adults: atypical pneumonia progresses to respiratory failure with severe pulmonary edema and associated circulatory compromise. Mechanical ventilation, judicious fluid replacement, and early inotropic therapy are central to transport management. Critical care may require extracorporeal membrane oxygenation (ECMO). Mortality remains high, although it appears to be lower in children younger than 14 years.Conclusion: Hantavirus infection commonly progresses to a cardiopulmonary syndrome, in which mortality is high. Optimal management includes: early suspicion/recognition based on characteristic clinical course and history; provision of oxygen and comprehensive ventilatory support; judicious fluid replacement; early and intensive inotropic therapy; prompt referral to an appropriate level of care; skillful interfacility transport. Definitive care can involve ECMO. SN - 1067-991X AD - Division of Pediatric Emergency Medicine, BC Children's and Women's Hospital, 4480 Oak Street, Vancouver, BC, Canada V7E 5N7; jguilfoyle@cw.bc.ca U2 - PMID: 18992690. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105578658&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106326100 T1 - Clinical research and critical care transport: how to get started. AU - Thompson CB AU - Panacek EA Y1 - 2006/05// N1 - Accession Number: 106326100. Language: English. Entry Date: 20060901. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Clinical Research KW - Research Question KW - Prehospital Care KW - Transportation of Patients SP - 107 EP - 111 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 25 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X U2 - PMID: 16679250. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106326100&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105490484 T1 - Modified bain circuit used to transport critically ill patients. AU - Goyal P AU - Goyal R AU - Lal J Y1 - 2009/02// N1 - Accession Number: 105490484. Language: English. Entry Date: 20090612. Revision Date: 20150820. Publication Type: Journal Article; pictorial. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Perioperative Care. NLM UID: 100888356. KW - Airway Management KW - Critically Ill Patients KW - Transportation of Patients SP - 1 EP - 3 JO - Internet Journal of Anesthesiology JF - Internet Journal of Anesthesiology JA - INTERNET J ANESTHESIOL VL - 19 IS - 2 CY - Sugar Land, Texas PB - Internet Scientific Publications LLC AB - Necessity plays a key role in the birth of new ideas and innovations that are very rewarding at the time of need. Usually Ambu bag is used for intrahospital transfer of critically ill patients. We report the successful use of modified bain circuit to transfer these patients. SN - 1092-406X AD - Senior resident, Anesthesia, PGIMS Rohtak, Rohjtak, Haryana, India UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105490484&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107214894 T1 - Preparing parents for their child's transfer from the PICU to the pediatric floor. AU - Bouve LR AU - Rozmus CL AU - Giordano P Y1 - 1999/08//1999 Aug N1 - Accession Number: 107214894. Language: English. Entry Date: 19991001. Revision Date: 20150711. Publication Type: Journal Article; consumer/patient teaching materials; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Spielberger State-Trait Anxiety Inventory (STAI). NLM UID: 8901557. KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Transfer, Intrahospital -- Psychosocial Factors KW - Pediatric Critical Care Nursing KW - Parents -- Psychosocial Factors KW - Lazarus Theory of Stress and Coping KW - Conceptual Framework KW - Experimental Studies KW - Convenience Sample KW - Southeastern United States KW - Random Assignment KW - Intensive Care Units, Pediatric -- Southeastern United States KW - Parents -- Education KW - Psychological Tests KW - Purposive Sample KW - Nursing Interventions KW - Descriptive Statistics KW - Pretest-Posttest Design KW - Anxiety -- Prevention and Control KW - Stress, Psychological -- Prevention and Control KW - Analysis of Covariance KW - Infant KW - Child, Preschool KW - Child KW - Adolescence KW - Adult KW - Middle Age KW - Male KW - Female KW - Human SP - 114 EP - 120 JO - Applied Nursing Research JF - Applied Nursing Research JA - APPL NURS RES VL - 12 IS - 3 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - The experimental study described here was conducted to examine a nursing intervention intended to diminish the anxiety level of parents of children being transferred from a pediatric intensive care unit (PICU) to a general pediatric floor. The convenience sample included 50 parents of patients in a PICU at a southeastern U.S. tertiary medical center. The sample was randomly assigned to control and experimental groups. All subjects' anxiety levels were measured using Spielberger's State-Trait Anxiety Inventory (STAI) 24 to 48 hours prior to the child's impending transfer. The experimental group subsequently was given a transfer-preparation letter along with a verbal explanation. Finally, both groups were retested using the STAI immediately prior to the child's transfer. After controlling for trait anxiety, the analysis of covariant results showed significantly lower anxiety levels among the subjects who received the transfer-preparation letter than among those who did not, F(1,47) = 18.65, p < .0005. The study concludes that effective transfer preparation can significantly reduce the anxiety experienced by parents who are facing the imminent transfer of their child out of the PICU. Copyright (c) 1999 by W.B. Saunders Company SN - 0897-1897 AD - School of Nursing, Georgia Southwestern State University, Americus, GA U2 - PMID: 10457621. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107214894&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105765106 T1 - Noninvasive respiratory support. AU - Deis JN AU - Abramo TJ AU - Crawley L Y1 - 2008/05//2008 May N1 - Accession Number: 105765106. Language: English. Entry Date: 20080711. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Emergency Care; Pediatric Care. NLM UID: 8507560. KW - Continuous Positive Airway Pressure -- Methods KW - Emergency Service KW - Intensive Care Units KW - Intermittent Positive Pressure Ventilation -- Methods KW - Lung Diseases -- Therapy KW - Pediatrics KW - Respiratory Therapy Equipment and Supplies KW - Respiratory Therapy -- Methods KW - Respiratory Therapy -- Trends KW - Continuous Positive Airway Pressure -- Equipment and Supplies KW - Transportation of Patients SP - 331 EP - 339 JO - Pediatric Emergency Care JF - Pediatric Emergency Care JA - PEDIATR EMERG CARE VL - 24 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Noninvasive ventilation (NIV) refers to the delivery of ventilatory support using techniques that do not require an endotracheal airway. Noninvasive ventilation is being used with increased frequency in a variety of clinical situations in the emergency department, intensive care unit, and prehospital environment. This article reviews the history of NIV, the rationale for its use, and the evidence of efficacy in both the adult and pediatric literature. This article also describes equipment and techniques currently available for administration of NIV as well as new trends in noninvasive respiratory support. SN - 0749-5161 AD - Department of Emergency Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN 73232-4700, USA. jamie.deis@vanderbilt.edu U2 - PMID: 18496121. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105765106&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106167275 T1 - Examination of skin injuries/lesions on admission to an ICU. AU - Zulkowski K AU - Zinnecker P AU - Blackwell C AU - Sutphin L AU - Horman M AU - Thompson D AU - Quest R Y1 - 2007/01//2007 Jan-Mar N1 - Accession Number: 106167275. Language: English. Entry Date: 20071012. Revision Date: 20150820. Publication Type: Journal Article; forms; pictorial; research; tables/charts. Journal Subset: Australia & New Zealand; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: Braden Scale for Predicting Pressure Sore Risk. NLM UID: 9426361. KW - Critically Ill Patients KW - Patient Assessment KW - Pressure Ulcer -- Diagnosis KW - Skin -- Physiopathology KW - Soft Tissue Injuries -- Diagnosis KW - Adolescence KW - Adult KW - Age Factors KW - Aged KW - Aged, 80 and Over KW - Braden Scale for Predicting Pressure Sore Risk KW - Clinical Assessment Tools KW - Comorbidity KW - Consent (Research) KW - Descriptive Research KW - Descriptive Statistics KW - Diagnosis KW - Diagnosis, Laboratory KW - Female KW - Intensive Care Units KW - Male KW - Middle Age KW - Montana KW - Patient Admission KW - Pressure Ulcer -- Epidemiology KW - Pressure Ulcer -- Physiopathology KW - Rural Areas KW - Soft Tissue Injuries -- Physiopathology KW - Time Factors KW - Transportation of Patients KW - Human SP - 22 EP - 29 JO - World Council of Enterostomal Therapists Journal JF - World Council of Enterostomal Therapists Journal JA - WORLD COUNC ENTEROSTOM THERAPISTS J VL - 27 IS - 1 PB - Cambridge Publishing AB - Patients admitted to an intensive care unit (ICU) are critically ill, often with a multi-system condition. In rural areas, this admission may have been proceeded by a prolonged ambulance trip or a some length of time in a rural facility prior to transportation. To examine skin conditions and pressure ulcers present on ICU admission, the Billings Clinic instituted use of a trigger tool. The purpose of the trigger tool was to examine types of skin problems and stages of pressure ulcers identified on admission.To further explore the relationship between transportation length, diagnosis and age, data were collected on all patients admitted to the ICU between May and August 2005. During this time a total of 104 patients were admitted to the ICU with identified skin lesions. The majority of these had experienced trauma (17%), respiratory (13.5%) or cardiac (11.5%) events. Eighteen patients (17%) were identified as having a pressure ulcer on admission. Patients with pressure ulcers had experienced respiratory (28%), neurological (11%) or sepsis (11%) related problems. They spent approximately 72 minutes in ambulance transportation and/or 54 minutes in the emergency room (ER). Nine patients were transported on a backboard, with average backboard time of 60 minutes. There was no significant difference in age between those with a pressure ulcer (55 years) and those without (51 years). ICU nurses need to be aware of the high rate of skin lesions present on ICU admission. SN - 0819-4610 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106167275&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104404754 T1 - 21st Critical Care Transport Medicine Conference: We're Going to Austin-Live Music Capital of the World! AU - Newman, Monica AU - Petersen, Pat AU - Wojdyla, Karen Y1 - 2013/01// N1 - Accession Number: 104404754. Language: English. Entry Date: 20130109. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 9312325. KW - Critical Care KW - Transportation of Patients KW - Congresses and Conferences KW - Texas KW - Transportation of Patients -- Organizations SP - 28 EP - 29 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 32 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X U2 - PMID: 23273306. DO - 10.1016/j.amj.2012.10.007 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104404754&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106636758 T1 - Transport ventilators: a guide for critical-care transportation, aeromedical & prehospital operations. AU - DiLuigi KJ Y1 - 2005/01//2005 Jan N1 - Accession Number: 106636758. Language: English. Entry Date: 20050527. Revision Date: 20150711. Publication Type: Journal Article; glossary; pictorial. Journal Subset: Allied Health; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0431735. KW - Prehospital Care KW - Transportation of Patients KW - Respiration, Artificial KW - Ventilators, Mechanical KW - Capnography KW - Equipment Alarm Systems KW - Intubation, Intratracheal KW - Monitoring, Physiologic KW - Pulse Oximetry KW - Respiration SP - 67 EP - 104 JO - Emergency Medical Services JF - Emergency Medical Services JA - EMERG MED SERV VL - 34 IS - 1 CY - Fort Atkinson, Wisconsin PB - Cygnus Business Media SN - 0094-6575 AD - Clinical Nurse, Temple University Hospital, Philadelphia, PA U2 - PMID: 15743123. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106636758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106008516 T1 - Ventilator-dependent survivors of catastrophic illness transferred to 23 long-term care hospitals for weaning from prolonged mechanical ventilation. AU - Scheinhorn DJ AU - Hassenpflug MS AU - Votto JJ AU - Chao DC AU - Epstein SK AU - Doig GS AU - Knight EB AU - Petrak RA Y1 - 2007/01// N1 - Accession Number: 106008516. Corporate Author: Ventilation Outcomes Study Group. Language: English. Entry Date: 20080229. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0231335. KW - Critical Illness -- Mortality KW - Long Term Care KW - Transfer, Discharge KW - Ventilator Weaning KW - Adolescence KW - Adult KW - Aged KW - Aged, 80 and Over KW - Apache KW - Critical Care KW - Female KW - Intensive Care Units KW - Male KW - Middle Age KW - United States KW - Human SP - 76 EP - 84 JO - CHEST JF - CHEST JA - CHEST VL - 131 IS - 1 CY - Glenview, Illinois PB - American College of Chest Physicians AB - STUDY OBJECTIVES: This multicenter study was undertaken to characterize the population of ventilator-dependent patients admitted to long-term care hospitals (LTCHs) for weaning from mechanical ventilation. DESIGN: Observational study with concurrent data collection. Characteristics of the LTCHs were also surveyed. SETTING: Twenty-three LTCHs in the United States. PATIENTS: Consecutive ventilator-dependent patients admitted over a 1-year period: March 1, 2002, to February 28, 2003. RESULTS: A total of 1,419 patients were enrolled in the Ventilation Outcomes Study. Median age of the patients was 71.8 years old (range, 18 to 97.7 years), with an equal gender distribution. The premorbid domicile was home or assisted living in 86.5%; 'good' premorbid functional status (Zubrod score 0-2) was assessed in 77%. There was a history of smoking in 59% (mean, 57 +/- 42 pack-years [+/- SD]); premorbid diagnoses averaged 2.6 per patient. Patients came to the LTCH after mean of 33.8 +/- 29 days at the transferring hospital; mean time to tracheotomy was 15.0 +/- 10 days. A medical illness led to ventilator dependency in 60.8% of patients; a surgical procedure led to ventilatory dependency in 39.2%. On admission to the LTCH, the median acute physiology score of APACHE (acute physiology and chronic health evaluation) III was 35 (range, 4 to 115); > 90% of patients had at least three penetrating indwelling tubes/catheters; 42% of patients had stage 2 or higher pressure ulceration. CONCLUSIONS: This is the first multicenter study to characterize ventilator-dependent survivors of catastrophic illness admitted to the post-ICU venue of LTCHs for weaning from prolonged mechanical ventilation (PMV). Overall, our findings suggest that ventilator-dependent patients admitted to LTCHs for weaning will continue to require considerable medical interventions and treatments, owing to the burden of acute-on-chronic diseases resulting in PMV. SN - 0012-3692 U2 - PMID: 17218559. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106008516&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106008515 T1 - Transferring critically ill patients out of hospital improves the standardized mortality ratio: a simulation study. AU - Kahn JM AU - Kramer AA AU - Rubenfeld GD Y1 - 2007/01// N1 - Accession Number: 106008515. Language: English. Entry Date: 20080229. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Peer Reviewed; USA. Instrumentation: Acute Physiology and Chronic Health Evaluation (APACHE). NLM UID: 0231335. KW - Critical Illness -- Mortality KW - Hospital Mortality KW - Intensive Care Units KW - Transfer, Discharge KW - Algorithms KW - Apache KW - Prospective Studies KW - Systems Analysis KW - Human SP - 68 EP - 75 JO - CHEST JF - CHEST JA - CHEST VL - 131 IS - 1 CY - Glenview, Illinois PB - American College of Chest Physicians AB - BACKGROUND: Transferring critically ill patients to other acute care hospitals may artificially impact benchmarking measures. We sought to quantify the effect of out-of-hospital transfers on the standardized mortality ratio (SMR), an outcome-based measure of ICU performance. METHODS: We performed a cohort study and Monte Carlo simulation using data from 85 ICUs participating in the acute physiology and chronic health evaluation (APACHE) clinical information system from 2002 to 2003. The SMR (observed divided by expected hospital mortality) was calculated for each ICU using APACHE IV risk adjustment. A set number of patients was randomly assigned to be transferred out alive rather than experience their original outcome. The SMR was recalculated, and the mean simulated SMR was compared to the original. RESULTS: The mean (+/- SD) baseline SMR was 1.06 +/- 0.19. In the simulation, increasing the number of transfers by 2% and 6% over baseline decreased the SMR by 0.10 +/- 0.03 and 0.14 +/- 0.03, respectively. At a 2% increase, 27 ICUs had a decrease in SMR of > 0.10, and two ICUs had a decrease in SMR of > 0.20. Transferring only one additional patient per month was enough to create a bias of > 0.1 in 27 ICUs. CONCLUSIONS: Increasing the number of acute care transfers by a small amount can significantly bias the SMR, leading to incorrect inference about ICU quality. Sensitivity to the variation in hospital discharge practices greatly limits the use of the SMR as a quality measure. SN - 0012-3692 U2 - PMID: 17218558. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106008515&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106121400 T1 - The effect of planned maternal transport on postnatal outcomes in very low birth weight infants. AU - Chen M AU - Shu C AU - Kao H AU - Hung H AU - Chang J AU - Jim W AU - Huang F Y1 - 2006/06//2006 Jun N1 - Accession Number: 106121400. Language: English. Entry Date: 20070720. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Asia; Biomedical; Peer Reviewed. Grant Information: Preterm Baby Foundation, ROC. NLM UID: 9605407. KW - Health Facility Planning KW - Maternal Welfare KW - Outcomes of Prematurity KW - Postnatal Care KW - Transportation of Patients KW - Adult KW - Apgar Score KW - Cerebral Hemorrhage KW - Cesarean Section KW - Chi Square Test KW - Confidence Intervals KW - Female KW - Funding Source KW - Infant Mortality KW - Infant, Low Birth Weight KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Multicenter Studies KW - Multivariate Analysis KW - Odds Ratio KW - Perinatal Care KW - Pregnancy KW - Pregnancy, High Risk KW - Retrospective Design KW - Steroids KW - T-Tests KW - Taiwan KW - Human SP - 6 EP - 11 JO - Clinical Neonatology JF - Clinical Neonatology JA - CLIN NEONATOL VL - 13 IS - 1 PB - Excerpta Medica Publishing Group AB - Objectives. The purpose of this study was to evaluate the effect of planned maternal transport on the outcomes of very-low-birth-weight (VLBW) infants in Taiwan.Patients and Methods: From January 1995 to October 2002, a retrospective data review was performed of all VLBW infants with antenatal maternal transport in twenty medical centers which joined the national multi-center collaborative follow-up program of the Taiwan Premature Infant Developmental Collaborative Study Group. A total of 1390 VLBW infants from 20 hospitals met the enrollment criteria and were divided into 2 groups: the planned maternal transport group (n=655) and the unplanned maternal transport group (n=735). Data were collected including maternal information, delivery modes and condition at birth, and neonatal morbidity and mortality.Results: Infants born after planned and unplanned maternal transport had similar gestational ages, 1 and 5 minute Apgar scores, need for resuscitation at birth, and the other characteristics. There was no significant difference in neonatal mortality between the two groups. The mean birth weight, incidence of hypotension within 24 hours of NICU ad-mission, apnea, respiratory distress syndrome and the overall incidence of intraventricular hemorrhage were statistically lower in planned maternal transport group. The numbers of babies whose mothers received antenatal steroid treatment and Cesarean delivery were significantly higher in the planned maternal transport group. The use of antenatal steroids was an important factor in reducing intraventricular hemorrhage in VLBW infants.Conclusions: Our study indicates that planned maternal transport decreases the incidence of intraventricular hemorrhage and improves the short-term outcomes in very low birth weight infants. These results might be due to the adequate prenatal care such as the antenatal steroid treatment and evaluation of the indications for Cesarean section. SN - 1381-3390 AD - Division of Neonatology, Departent of Pediatrics, Mackay Memorial Hospital UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106121400&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106236560 T1 - Estimation of rewarming time in transported extramural hypothermic neonates. AU - Mathur NB AU - Krishnamurthy S AU - Mishra TK AU - Mathur, N B AU - Krishnamurthy, Sriram AU - Mishra, T K Y1 - 2006/05// N1 - Accession Number: 106236560. Language: English. Entry Date: 20070216. Revision Date: 20171128. Publication Type: journal article; research; tables/charts. Journal Subset: Asia; Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed. NLM UID: 0417442. KW - Hypothermia -- Therapy -- In Infancy and Childhood KW - Transfer, Discharge KW - Warming Techniques -- Methods KW - Academic Medical Centers KW - Asphyxia -- Complications -- In Infancy and Childhood KW - Body Temperature KW - Chi Square Test KW - Descriptive Statistics KW - Female KW - Fisher's Exact Test KW - Gestational Age KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Male KW - Severity of Illness KW - T-Tests KW - Time Factors KW - Human SP - 395 EP - 399 JO - Indian Journal of Pediatrics JF - Indian Journal of Pediatrics JA - INDIAN J PEDIATR VL - 73 IS - 5 CY - , PB - Springer Science & Business Media B.V. AB - Objectives: To evaluate the time taken for rewarming hypothermic neonates and to correlate the time taken for rewarming with severity of hypothermia (WHO classification), weight, gestational age and associated morbidity.Methods: 100 extramural neonates transported to the Referral neonatal unit of a teaching hospital, with weight more than 1000 grams and abdominal skin temperature less than 36.5 oC at admission were included in the study. Hypothermia was classified as per WHO recommendations. Clinical features including age, weight, gestational age, clinical diagnosis and vitals were recorded at the time of admission. Rewarming was done under a servo-controlled radiant warmer, in skin mode at set temperature of 37 oC. Skin and air temperatures measured by the thermistor probe were recorded at the time of admission and then at least every 15 minutes till skin temperature reached 36.5 oC. The neonates were monitored for oxygen saturation, blood glucose and capillary filling time and stabilized promptly.Results: The mean abdominal skin temperature was 34.9 +/- 1.4 oC. 72% of babies were moderately or severely hypothermic as per WHO classification. The duration of rewarming was 4.9 +/- 0.8 min, 17.5 +/- 9.5 min and 42+/-7.9 min for mild, moderate and severe hypothermia respectively (p=0.021). The difference in rate of rewarming between various grades of hypothermia was also significant. The duration of rewarming a baby did not differ significantly between the different weight and gestational age groups. When the rate of rewarming was expressed as rise in oC per Kg body weight per hour, it was higher in smaller and more premature babies. The rate of rewarming was slower in asphyxiated babies.Conclusions: The duration of rewarming depends on the severity of hypothermia. When rewarmed under radiant warmer using servo mode, the duration of rewarming a baby is the same irrespective of weight and gestational age. Asphyxiated babies take longer time to rewarm. SN - 0019-5456 AD - Department of Pediatrics, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India AD - Department of Pediatrics, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India. drmathur@nda.vsnl.net.in U2 - PMID: 16741323. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106236560&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106436162 T1 - Pulmonary edema in meningococcal septicemia associated with reduced epithelial chloride transport. AU - Eisenhut M AU - Wallace H AU - Barton P AU - Gaillard E AU - Newland P AU - Diver M AU - Southern KW Y1 - 2006/03// N1 - Accession Number: 106436162. Language: English. Entry Date: 20060505. Revision Date: 20150711. Publication Type: Journal Article; CEU; exam questions; research; tables/charts. Commentary: Singhi S. Sepsis-induced pulmonary edema: what do we know? (PEDIATR CRIT CARE MED) May2006; 7 (3): 289-290. Journal Subset: Biomedical; Peer Reviewed; USA. Grant Information: Supported in part by the Joanne Holly Meningitis Fund and the Endowment Fund of the Royal Liverpool Children's Hospital NHS Trust. NLM UID: 100954653. KW - Meningococcal Infections -- Physiopathology KW - Pulmonary Edema -- Physiopathology KW - Sepsis -- Microbiology KW - Analysis of Variance KW - Child, Preschool KW - Convenience Sample KW - Data Analysis Software KW - Education, Continuing (Credit) KW - Electrolytes KW - Female KW - Fisher's Exact Test KW - Infant KW - Intensive Care Units, Pediatric KW - Kruskal-Wallis Test KW - Male KW - Mann-Whitney U Test KW - Multiple Regression KW - Nonexperimental Studies KW - Polymerase Chain Reaction KW - Prospective Studies KW - Saliva KW - Sodium Chloride KW - Sweat KW - United Kingdom KW - Funding Source KW - Human SP - 119 EP - 125 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 7 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVES: To test the hypothesis that meningococcal septicemia-related pulmonary edema is associated with a systemic abnormality of epithelial sodium and chloride transport and to investigate an association with hormones regulating Na transport. DESIGN: Prospective observational study. SETTING: The 24-bed pediatric intensive care unit and pediatric wards of Royal Liverpool Children's Hospital. PATIENTS: Consecutive children admitted to the pediatric intensive care unit and pediatric wards with a diagnosis of meningococcal septicemia and children (controls) with noninfectious critical illness receiving ventilatory support in the pediatric intensive care unit. MEASUREMENTS AND MAIN RESULTS: We measured sweat and saliva electrolytes, renal electrolyte excretion, nasal potential difference, and aldosterone, thyroxine, and cortisol levels. Pulmonary edema was diagnosed by chest radiography and its severity quantified by calculation of ventilation index at admission and duration of mechanical ventilation. We recruited 17 patients with severe meningococcal septicemia (nine patients with pulmonary edema), 14 patients with mild meningococcal septicemia, and 20 controls. Sweat and saliva Na and Cl concentrations and renal Na excretion were significantly (p < .05) higher in patients with pulmonary edema compared with controls. Nasal potential difference and amiloride response in patients with pulmonary edema were not significantly different to controls, but response to a low Cl solution was reduced in the nasal airway of patients with pulmonary edema (p < .05). Sweat and saliva chloride concentrations correlated significantly and better with ventilation index and duration of ventilation than sodium concentrations. Aldosterone, thyroxine, and cortisol levels were not significantly different between groups. CONCLUSIONS: We have confirmed that meningococcal septicemia-related pulmonary edema is associated with reduced systemic sodium and chloride transport. Features of reduced Cl transport were most closely associated with markers of respiratory compromise, and this was supported by the reduced chloride channel function detected on nasal potential difference measurement. SN - 1529-7535 AD - Honorary Lecturer, Institute of Child Health, University of Liverpool U2 - PMID: 16446600. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106436162&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107394782 T1 - The impact of intrainstitutional relocation on morbidity in an acute care setting. AU - Mirotznik J AU - Lombardi TG Y1 - 1995/04// N1 - Accession Number: 107394782. Language: English. Entry Date: 19961201. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0375327. KW - Transfer, Intrahospital KW - Morbidity KW - Health Status KW - Age Factors KW - Quasi-Experimental Studies KW - Sampling Methods KW - Record Review KW - Data Analysis, Statistical KW - Hospitals, Veterans -- New York KW - New York KW - Retrospective Design KW - Inpatients KW - Human SP - 217 EP - 224 JO - Gerontologist JF - Gerontologist JA - GERONTOLOGIST VL - 35 IS - 2 PB - Oxford University Press / USA SN - 0016-9013 AD - Department of Health and Nutrition Sciences, Brooklyn College, CUNY, 2900 Bedford Ave, Brooklyn, New York 11210 U2 - PMID: 7750778. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107394782&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107430562 T1 - Critical care transport: an evolving role in EMS. AU - Celia M AU - Paluck JN AU - Smith RL Y1 - 1995/08//1995 Aug N1 - Accession Number: 107430562. Language: English. Entry Date: 19951201. Revision Date: 20150820. Publication Type: Journal Article; pictorial; tables/charts. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. NLM UID: 8102138. KW - Emergency Medical Services KW - Critical Care KW - Transportation of Patients KW - Emergency Medical Technicians KW - Multidisciplinary Care Team KW - Mobile Health Units KW - Emergency Medical Technicians -- Education SP - 90 EP - 94 JO - JEMS: Journal of Emergency Medical Services JF - JEMS: Journal of Emergency Medical Services JA - JEMS VL - 20 IS - 8 CY - Tulsa, Oklahoma PB - PennWell Corporation SN - 0197-2510 U2 - PMID: 10144803. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107430562&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104687036 T1 - Critical care transfers: using audit to make a difference...Anaesthesia. 2011 May;66(5):337-40 AU - Shonfeld A AU - Riyat A AU - Kotecha A AU - Sacks M Y1 - 2011/10// N1 - Accession Number: 104687036. Language: English. Entry Date: 20111125. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Critical Care -- Trends KW - Transfer, Discharge -- Trends SP - 946 EP - 947 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 66 IS - 10 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 AD - St Mary's Hospital London, UK Email: adamshonfeld@gmail.com. U2 - PMID: 21916863. DO - 10.1111/j.1365-2044.2011.06879.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104687036&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104687035 T1 - Critical care transfers...Anaesthesia. 2011 May;66(5):337-40 AU - Inglis A AU - Cadamy A AU - Price R AU - Rutherford G Y1 - 2011/10// N1 - Accession Number: 104687035. Language: English. Entry Date: 20111125. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0370524. KW - Critical Care -- Trends KW - Transfer, Discharge -- Trends SP - 945 EP - 946 JO - Anaesthesia JF - Anaesthesia JA - ANAESTHESIA VL - 66 IS - 10 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0003-2409 U2 - PMID: 21916862. DO - 10.1111/j.1365-2044.2011.06842.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104687035&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106651728 T1 - Spirit of Marshfield: celebrating 10 years of critical care transport excellence. AU - Martin DK Y1 - 2004/01//2004 Jan-Feb N1 - Accession Number: 106651728. Language: English. Entry Date: 20041015. Revision Date: 20150711. Publication Type: Journal Article; case study; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Aeromedical Transport -- Wisconsin KW - Program Development KW - Program Implementation KW - Public Opinion KW - Wisconsin SP - 20 EP - 23 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 23 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - Flight Nurse, Spirit of Marshfield Medical Transportation Service, Saint Joseph's Hospital, Marshfield, Wisconsin U2 - PMID: 14760302. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106651728&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106646465 T1 - A 3-year review of emergency PICU admissions from the ward in a specialist cardio-respiratory centre. AU - Tume L Y1 - 2005/02//2005 Feb N1 - Accession Number: 106646465. Language: English. Entry Date: 20050617. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9114927. KW - Critical Care -- In Infancy and Childhood KW - Emergencies -- In Infancy and Childhood KW - Intensive Care Units, Pediatric KW - Patient Admission -- In Infancy and Childhood KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Adolescence KW - Child KW - Child, Preschool KW - Convenience Sample KW - Descriptive Research KW - Descriptive Statistics KW - England KW - Infant KW - Medical Records KW - Nursing Records KW - Record Review KW - Retrospective Design KW - Vital Signs KW - Human SP - 4 EP - 7 JO - Care of the Critically Ill JF - Care of the Critically Ill JA - CARE CRIT ILL VL - 21 IS - 1 CY - London, PB - Nature Publishing Group AB - There has been a wealth of literature published on the deterioration of adults on ward areas, yet there is very little published data in children. Although fewer in number than adult hospital patients, the potential for deterioration in children could potentially be higher. This may be particularly so in the younger age groups and in high-risk populations (for example children with cardio-respiratory disease). This paper will present the results of a 3-year review of emergency PICU admissions from the ward in a specialist cardio-respiratory centre. SN - 0266-0970 AD - Lecturer/Practitioner, c/o Royal Liverpool Children NHS Trust, Alder Hey, Liverpool, L12 2AP UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106646465&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108188286 T1 - Nursing measures of safe intra -- hospital transport of cardiac surgical patients. AU - Meng, Che Y1 - 2012/02/21/2012 Feb N1 - Accession Number: 108188286. Language: Chinese. Entry Date: 20120706. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Asia; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. KW - Cardiac Patients KW - Patient Safety KW - Surgical Patients KW - Transfer, Intrahospital SP - 491 EP - 492 JO - Chinese Nursing Research JF - Chinese Nursing Research JA - CHINESE NURS RES VL - 26 IS - 2C PB - Huli Yanjiu AB - It summarized the security risks existing in surgical patients during hospital transporter in department of cardiovascular surgery and factors of accident occurrence, and its own characteristics in Our hospital, at the same time, refer to the relevant literature, it put forward the corresponding prevention and nursing standards of safe transporter, improved the process of hospital transporter, enhanced the security of hospital transporter of surgical patients, realized the no apparent errors occurred, and ensured the operation successful. SN - 1009-6493 AD - Fuwai Cardiovascular Hospital of Chinese Academy of Medical Sciences, Beijing, China UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108188286&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108125898 T1 - Implementation strategies for earlier ICU discharge. AU - Doric, A. AU - Jones, D. AU - Gibney, D. AU - Charlesworth, D. Y1 - 2012/05//2012 May N1 - Accession Number: 108125898. Language: English. Entry Date: 20120831. Revision Date: 20150712. Publication Type: Journal Article; abstract. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 9207852. KW - Critically Ill Patients KW - Discharge Planning KW - Transfer, Intrahospital KW - Time Factors KW - Victoria SP - 130 EP - 131 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 25 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108125898&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 119562985 T1 - Emergency department patients with heart attack, respiratory conditions, or sepsis at risk of unplanned transfer to the ICU. AU - M. W. S. Y1 - 2014/02// N1 - Accession Number: 119562985. Language: English. Entry Date: 20170104. Revision Date: 20170104. Publication Type: Article; brief item; pictorial. Journal Subset: Biomedical; USA. Special Interest: Emergency Care. NLM UID: 9102229. KW - Intensive Care Units KW - Emergency Service KW - Transfer, Discharge KW - Emergency Patients SP - 13 EP - 13 JO - AHRQ Research Activities JF - AHRQ Research Activities JA - RES ACTIVITIES IS - 401 CY - Rockville, Maryland PB - Agency for Healthcare Research & Quality SN - 1537-0224 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119562985&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106664168 T1 - The Ottawa Model of Research Use: a guide to clinical innovation in the NICU. AU - Hogan DL AU - Logan J Y1 - 2004/09// N1 - Accession Number: 106664168. Language: English. Entry Date: 20041119. Revision Date: 20150819. Publication Type: Journal Article; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8709115. KW - Aeromedical Transport -- Nursing KW - Clinical Assessment Tools -- Utilization KW - Family Assessment KW - Instrument Construction KW - Intensive Care, Neonatal KW - Models, Theoretical KW - Nursing Practice, Research-Based KW - Research -- Utilization KW - Transportation of Patients -- In Infancy and Childhood KW - Transportation of Patients -- Psychosocial Factors KW - Caring KW - Clinical Nurse Specialists KW - Focus Groups KW - Infant KW - Infant, Newborn KW - Interviews KW - Nursing Role KW - Program Implementation KW - Quality Improvement KW - Summated Rating Scaling KW - Surveys SP - 255 EP - 261 JO - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice JF - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice JA - CLIN NURSE SPEC VL - 18 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Purpose/Objectives: To improve performance of a neonatal transport team by implementing a research-based family assessment instrument. Objectives included providing a structure for evaluating families and fostering the healthcare relationship.Background/Rationale: Neonatal transports are associated with family crises. Transport teams require a comprehensive framework to accurately assess family responses to adversity and tools to guide their practice toward parental mastery of the event. Currently, there are no assessment tools that merge family nursing expertise with neonatal transport.Description of the Project: A family assessment tool grounded in contemporary family nursing theory and research was developed by a clinical nurse specialist. The Ottawa Model of Research Use guided the process of piloting the innovation with members of a transport team. Focus groups, interviews, and surveys were conducted to create profiles of barriers and facilitators to research use by team members. Tailored research transfer strategies were enacted based on the profile results.Outcome: Formative evaluations demonstrated improvements in team members' perceptions of their knowledge, family centeredness, and ability to assess and intervene with families. The family assessment tool is currently being incorporated into Clinical Practice Guidelines for Transport and thus will be considered standard care.Conclusion: Use of a family assessment tool is an effective way of appraising families and addressing suffering. The Ottawa Model of Research Use provided a framework for implementing the clinical innovation.Implications for Nursing Practice: A key role of the clinical nurse specialist is to influence nursing practice by fostering research use by practitioners. When developing and implementing a clinical innovation, input from end users and consumers is pivotal. Incorporating the innovation into a practice guideline provides a structure to imbed research evidence into practice. SN - 0887-6274 AD - Neonatal Intensive Care Unit, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada U2 - PMID: 15540068. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106664168&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106408778 T1 - Neonatal pre-transport stabilisation -- caring for infants the STABLE way. AU - Mears M AU - Chalmers S Y1 - 2005/01//2005 Jan N1 - Accession Number: 106408778. Language: English. Entry Date: 20060317. Revision Date: 20150818. Publication Type: Journal Article; diagnostic images; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Emergency Medical Services KW - Intensive Care, Neonatal -- Education KW - Life Support Care -- Education KW - Transportation of Patients -- In Infancy and Childhood KW - Education, Medical, Continuing KW - Health Services Accessibility KW - Infant, Newborn KW - Infant, Premature KW - Intensive Care Units, Neonatal KW - Multidisciplinary Care Team -- Education KW - Neonatal Nurse Practitioners KW - Outcomes of Education KW - Program Development KW - Program Implementation KW - Resuscitation -- Education SP - 34 EP - 37 JO - Infant JF - Infant JA - INFANT VL - 1 IS - 1 PB - Stansted News Ltd AB - High quality training of all staff involved in the resuscitation, stabilisation and transfer of sick babies, allows staff to work together to initiate intensive care from the minute the infant is born. The STABLE Programme provides a comprehensive guide to the stabilisation process, which complements the neonatal life support and transport courses currently available. SN - 1745-1205 AD - Neonatal Clinical Nurse Educator, formerly Guys and St. Thomas' Hospital NHS Trust UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106408778&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106582870 T1 - ED-PICU collaboration: getting by with a little help from our friends...includes discussion AU - Foley C AU - Okada P AU - Thompson M AU - Klein BL A2 - Isaacman DJ A2 - Poirier MP Y1 - 2004/12// N1 - Accession Number: 106582870. Language: English. Entry Date: 20050218. Revision Date: 20150711. Publication Type: Journal Article; questions and answers. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 8507560. KW - Critical Care -- In Infancy and Childhood KW - Emergency Care -- In Infancy and Childhood KW - Transfer, Intrahospital KW - Asthma KW - Child KW - Emergency Service KW - Infant KW - Intensive Care Units, Pediatric KW - Physicians, Emergency KW - Shock, Septic SP - 838 EP - 844 JO - Pediatric Emergency Care JF - Pediatric Emergency Care JA - PEDIATR EMERG CARE VL - 20 IS - 12 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0749-5161 U2 - PMID: 15572975. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106582870&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106451796 T1 - Smoother transitions: development of the ICU to acute care transfer checklist. AU - Johanson R AU - Bachman C AU - Gibran N AU - Blayney C Y1 - 2006/04// N1 - Accession Number: 106451796. Language: English. Entry Date: 20060602. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Checklists -- Utilization KW - Transfer, Intrahospital KW - Acute Care KW - Communication KW - Inpatients KW - Intensive Care Units SP - S31 EP - 2 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 26 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - University of Washington Regional Burn Center, Harborview Medical Center, Wash UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106451796&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106451693 T1 - Timely patient transfer out of the ICU while maintaining cardiac surgery postoperative glucose control. AU - Staul E Y1 - 2006/04// N1 - Accession Number: 106451693. Language: English. Entry Date: 20060602. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Glycemic Control KW - Hyperglycemia -- Drug Therapy KW - Insulin -- Administration and Dosage KW - Postoperative Care KW - Blood Glucose Monitoring KW - Critical Care Nursing KW - Heart Surgery KW - Infusions, Intravenous KW - Infusions, Subcutaneous KW - Inpatients KW - Protocols KW - Transfer, Intrahospital SP - S11 EP - S11 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 26 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Legacy Health System, Ore UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106451693&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106394509 T1 - Feasibility and safety of early transfer of premature infants from incubators to cots: a pilot study. AU - West CR AU - Williams M AU - Weston PJ Y1 - 2005/12// N1 - Accession Number: 106394509. Language: English. Entry Date: 20060210. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Australia & New Zealand; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed. NLM UID: 9005421. KW - Body Temperature Regulation -- In Infancy and Childhood KW - Infant Equipment KW - Infant Warmers KW - Infant, Very Low Birth Weight KW - Intensive Care Units, Neonatal KW - Transfer, Discharge KW - Birth Weight KW - Body Temperature KW - Body Weight KW - Chi Square Test KW - Data Analysis Software KW - Descriptive Statistics KW - Female KW - Gestational Age KW - Infant, Premature KW - Kruskal-Wallis Test KW - Male KW - New Zealand KW - Nonexperimental Studies KW - One-Way Analysis of Variance KW - Parent-Infant Bonding KW - Pilot Studies KW - Prospective Studies KW - Treatment Outcomes KW - Wilcoxon Signed Rank Test KW - Human SP - 659 EP - 662 JO - Journal of Paediatrics & Child Health JF - Journal of Paediatrics & Child Health JA - J PAEDIATR CHILD HEALTH VL - 41 IS - 12 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1034-4810 AD - Neonatal Intensive Care Unit, Waikato Hospital, Pembroke Road, Hamilton, New Zealand U2 - PMID: 16398870. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106394509&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105760522 T1 - ED handles 30 burn patients after plant fire and explosion in Georgia: ED and ICU utilized before some transferred to burn center. Y1 - 2008/04// N1 - Accession Number: 105760522. Language: English. Entry Date: 20080711. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; USA. Special Interest: Emergency Care. NLM UID: 9425690. KW - Burns -- Therapy KW - Emergency Care KW - Emergency Service -- Administration KW - Mass Casualty Incidents KW - Occupational-Related Injuries -- Therapy KW - Accidents, Occupational -- Georgia KW - Georgia SP - 37 EP - 39 JO - ED Management JF - ED Management JA - ED MANAGE VL - 20 IS - 4 CY - Atlanta, Georgia PB - AHC Media LLC AB - Dealing with a mass casualty event involving a high number of burn victims requires strategic use of ED resources. The ED at Memorial University Medical Center in Savannah, GA, was praised by the receiving burn center for the care it gave victims of a recent plant disaster. Here are some of their key strategies: * After making your primary concern the patient's airway, turn to fluid resuscitation and pain management.Be certain burn victims are placed in warm rooms and are covered with blankets.Have a pre-plan with a regional burn center, then establish contact with that center in multiple-burn patient incidents. SN - 1044-9167 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105760522&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107455272 T1 - Mothers of chronically ill neonates and primary nurses in the NICU: transfer of care. AU - Scharer K AU - Brooks G Y1 - 1994/08//1994 Aug N1 - Accession Number: 107455272. Language: English. Entry Date: 19941201. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8503921. KW - Professional-Family Relations KW - Neonatal Intensive Care Nursing KW - Parenting KW - Infant, Premature KW - Interviews KW - Audiorecording KW - Qualitative Studies KW - Grounded Theory KW - Demography KW - Theoretical Sample KW - Descriptive Statistics KW - Constant Comparative Method KW - Credibility (Research) KW - Infant Care KW - Mothers KW - Primary Nursing KW - Adult KW - Human SP - 37 EP - 47 JO - Neonatal Network JF - Neonatal Network JA - NEONAT NETW VL - 13 IS - 5 CY - New York, New York PB - Springer Publishing Company, Inc. AB - The purpose of this study was to explore the relationship between nurse and mother during the ill neonate's hospitalization and examine how this relationship influenced the mother's parenting of her infant during the hospitalization. Using qualitative methods, we separately interviewed ten mothers and nine primary nurses about their relationships, their views on each other, and the mothers' infant care. The tape-recorded interviews were transcribed verbatim, themes were extracted, and categories were developed for coding the data. As issues emerged, they were further explored in follow-up interviews. We identified four stages in the process of transferring the care of the infant from nurse to mother. The mother-nurse relationships were influenced by both the nurses' and the mothers' typical interactional patterns. Nurses had definite ideas about who was an 'ideal' mother. To the mothers, the nurses' competence and caring attitude toward their infants were most important. The process by which the nurse and mother interact to provide care for the infant and alter their roles during the course of the hospitalization is linked to various factors and aspects of the nurse-mother relationship. SN - 0730-0832 AD - Lutheran General Hosp, Box 311, 1775 Dempster, Park Ridge IL 60068 U2 - PMID: 7854261. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107455272&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105888089 T1 - Continuous extracorporeal stool transport (CEST) in a preterm infant with proximal ileostomy: apropos of a case. AU - Jimenez-Rumi MT AU - Jimenez-Molina M AU - Tamame-San Antonio M AU - Albert-Mallafre C AU - Cotorruelo-Da Costa N AU - Escardo-Pinol E AU - Casanova-Fernandez P Y1 - 2007/11//2007 Nov-Dec N1 - Accession Number: 105888089. Language: Spanish. Entry Date: 20080418. Revision Date: 20150820. Publication Type: Journal Article; case study; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 101190915. KW - Infant, Premature, Diseases -- Surgery KW - Neonatal Intensive Care Nursing KW - Short Bowel Syndrome -- Prevention and Control -- In Infancy and Childhood KW - Enteral Nutrition KW - Feces KW - Ileostomy -- Adverse Effects KW - Infant, Newborn KW - Infant, Premature KW - Inpatients KW - Intensive Care Units, Neonatal KW - Male KW - Ostomy Care SP - 326 EP - 330 JO - Enfermeria Clinica JF - Enfermeria Clinica JA - ENFERM CLIN VL - 17 IS - 6 CY - New York, New York PB - Elsevier B.V. AB - Children with ileostomy can develop short bowel syndrome (SBS), characterized by malabsorption of nutrients and consequent malnutrition. Continuous extracorporeal stool transport (CEST) consists of collecting and transporting the intestinal effluent drained from the proximal stoma to the portion of the distal intestine. Thus, intestinal flux can be maintained, while digestion and absorption approximate real physiology until defecation. We describe the case of a preterm newborn who suffered from necrotizing enterocolitis and who underwent resection of the small intestine and implantation of four stomas. CEST was applied, allowing early reduction of total enteral nutrition and its subsequent withdrawal. This in turn allowed the reduction of those complications associated to the continous use of this therapy (risk of infection and hepatobiliary alterations) and permited keeping the distal intestine in optimal conditions until reconstructive surgery could be performed. Our experience demonstrates that CEST is a safe and relatively simple technique with good results that allows restoration of intestinal homeostasis in neonates with SBS. SN - 1130-8621 U2 - PMID: 18039442. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105888089&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105750821 T1 - Entry-instrument used in the patient's evaluation in a post-anaesthetic recovery room -- a matter of great concern: care continuity. AU - Reda E AU - Peniche ACG Y1 - 2008/01//2008 Jan-Mar N1 - Accession Number: 105750821. Language: English. Entry Date: 20080627. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 9203117. KW - Nursing Assessment KW - Nursing Records KW - Perianesthesia Nursing KW - Postoperative Care KW - Brazil KW - Comparative Studies KW - Descriptive Research KW - Descriptive Statistics KW - Field Studies KW - Hospitals KW - Inpatients KW - Interviews KW - Post Anesthesia Care Units KW - Postoperative Period KW - Quantitative Studies KW - Questionnaires KW - Record Review KW - Shift Reports KW - Surgical Patients KW - Transfer, Intrahospital KW - Human SP - 24 EP - 31 JO - Acta Paulista de Enfermagem JF - Acta Paulista de Enfermagem JA - ACTA PAUL ENFERMAGEM VL - 21 IS - 1 PB - Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem AB - OBJECTIVE: To know the nurses' evaluation about the continuity of nursing care. METHODS: Fifty-nine nurses from two Hospitals (I and II) were interviewed. The questions addressed the following issues: the difficulties they face to obtain the necessary information to provide patient care in the immediate post-operative period; what is the best strategy to receive information related to this period; and what is their evaluation about the entry-instrument of the post anaesthetic recovery. RESULTS: Difficulties in Hospital I: the instrument was often not included in the patient record and changing shifts over the telephone. Hospital II: incomplete completion of the instrument. Best strategy in Hospital I: entry-instrument associated to the shift change over the telephone. Hospital II: to aggregate the several means of information. Both groups evaluated the entry instrument and reported that it helps in the planning because it is a way to document patient care. They considered the aspects contained in the instrument as important and pertinent. CONCLUSIONS: This instrument consists of an efficient strategy for patient care continuity, in spite of the difficulties described above. SN - 0103-2100 AD - Graduate student, Nursing Graduate Program on Adult Health - Escola de Enfermagem da Universidade de Sao Paulo, USP, Sao Paulo (SP), Brazil; elreda@ig.com.br UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105750821&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107467476 T1 - Transfer out of critical care: freedom or fear? AU - Saarmann L Y1 - 1993/05//1993 May N1 - Accession Number: 107467476. Language: English. Entry Date: 19930701. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8704517. KW - Transfer, Intrahospital -- Psychosocial Factors KW - Critical Care Nursing KW - Patient Attitudes KW - Intensive Care Units SP - 78 EP - 85 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 16 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0887-9303 AD - School Nurs, San Diego State Univ, San Diego, CA U2 - PMID: 8504366. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107467476&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106817425 T1 - Delays in implementing admission orders for critical care patients associated with length of stay in emergency departments in six mid-Atlantic states. AU - Clark K AU - Normile LB Y1 - 2002/12//2002 Dec N1 - Accession Number: 106817425. Language: English. Entry Date: 20030328. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Grant Information: Partially funded by Sigma Theta Tau International, Epsilon Zeta Chapter, George Mason University, Fairfax, VA. NLM UID: 7605913. KW - Medical Orders KW - Critically Ill Patients KW - Patient Admission KW - Transfer, Intrahospital KW - Length of Stay KW - Treatment Delay KW - Funding Source KW - Emergency Service KW - Summated Rating Scaling KW - Descriptive Research KW - Coronary Care Units KW - Correlational Studies KW - Nurse Administrators KW - Mid Atlantic Region KW - Comparative Studies KW - Hospitals KW - Surveys KW - Data Analysis Software KW - Face Validity KW - Coefficient Alpha KW - Mail KW - Time Factors KW - Convenience Sample KW - Pearson's Correlation Coefficient KW - Nursing Shortage KW - Critical Care Nursing KW - Human SP - 489 EP - 495 JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 28 IS - 6 CY - New York, New York PB - Elsevier B.V. AB - INTRODUCTION: Every day many admitted patients wait in emergency departments for available beds or for a receiving nurse to accomplish a transfer to an inpatient bed. The purpose of this study was to examine critical care patients' length of stay and time held in the emergency department once admitted to determine if (1) holding critical care patients in emergency departments after admission was related to skilled nursing shortages and/or limitations in available resources and (2) admission orders or tests may have been overlooked during this time. Little or no literature exists on this topic. METHODS: A Likert scale survey designed to yield descriptive comparative correlational data was sent to directors of critical care and emergency service areas. RESULTS: Received responses totaled 109. There is a positive correlation between increased length of stay and delays in implementation of admission orders while in emergency departments and tests missed or delayed upon arrival at the critical care unit. A majority of respondents indicated that ED nursing staff had responsibility for critical care admitted patients and other patients. Few indicated a formal process or committee was in place to address this issue specific to critical care patients. Limitations included a convenience sample and variations in operations related to size, location, and culture. DISCUSSION: Further study is necessary to determine whether patients' length of stay in the hospital is increased because of delays in plans of care and if patient outcomes are ultimately affected. SN - 0099-1767 AD - ACLS Instructor, PinnacleHealth System, Harrisburg, PA; healthmart@yahoo.com U2 - PMID: 12509725. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106817425&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106900407 T1 - Ventilation for life. Pediatric critical care transport: assessment, management, and monitoring of pediatric septic shock. AU - Sittig SE Y1 - 2001/01//2001 Jan N1 - Accession Number: 106900407. Language: English. Entry Date: 20020215. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Allied Health; USA. NLM UID: 8708187. KW - Transportation of Patients -- In Infancy and Childhood KW - Critically Ill Patients -- In Infancy and Childhood KW - Shock, Septic -- In Infancy and Childhood KW - Shock, Septic -- Symptoms KW - Shock, Septic -- Physiopathology KW - Shock, Septic -- Therapy KW - Shock, Septic -- Drug Therapy KW - Disease Progression KW - Fluid Therapy KW - Infant KW - Child, Preschool KW - Child SP - 13 EP - 72 JO - AARC Times JF - AARC Times JA - AARC TIMES VL - 25 IS - 1 CY - Irving, Texas PB - Daedalus Enterprises, Inc. SN - 0893-8520 AD - Pediatric Clinical Specialist, Mayo Clinic, Rochester, MN UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106900407&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106600265 T1 - Evaluation of 16 adult disposable manual resuscitators. AU - Mazzolini DG Jr. AU - Marshall NA Y1 - 2004/12//2004 Dec N1 - Accession Number: 106600265. Language: English. Entry Date: 20050401. Revision Date: 20150819. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Disposable Equipment -- Evaluation KW - Respiratory Therapy Equipment and Supplies -- Evaluation KW - Ventilation, Manual -- Equipment and Supplies KW - Descriptive Statistics KW - Equipment Design -- Evaluation KW - In Vitro Studies KW - Positive End-Expiratory Pressure KW - Product Evaluation KW - Tidal Volume -- Evaluation KW - Human SP - 1509 EP - 1514 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 49 IS - 12 CY - Irving, Texas PB - Daedalus Enterprises, Inc. AB - INTRODUCTION: Disposable manual resuscitators are commonly used to ventilate patients during cardiopulmonary resuscitation, suctioning, and intrahospital transport, and their clinical performance is critical. METHODS: We bench-tested 16 adult disposable manual resuscitators from 9 different manufacturers. We performed a series of tests and made observations using testing industry standards as a guideline. Each resuscitator was tested for fraction of delivered oxygen (FDO2), tidal volume delivery, drop test, and patient valve lock-up. We also made observations about reservoir style, ease or difficulty of attaching the positive end-expiratory pressure valve, size, texture, carbon dioxide detector, and if the resuscitator was labeled 'latex free.' RESULTS: Reservoir style and manufacturer design significantly affected FDO2. In general, the resuscitators with reservoir bags provided better FDO2 than did the resuscitators with tubing reservoirs (large-bore or small-bore). Delivered tidal volumes were acceptable for all the resuscitators tested. All the resuscitators passed a standard drop test. None of the resuscitators had a patient valve lock up at high flow. With all but one resuscitator, attaching the positive end-expiratory pressure valve was easy and the valve attached securely. Most resuscitators were average in size and had good texture, but some were large, somewhat slippery, and difficult to handle. Only 2 resuscitators came with carbon dioxide detectors already attached. All but one of the resuscitators were labeled 'latex free,' and the one that was not was found not to contain latex proteins. CONCLUSIONS: Resuscitator reservoir style and manufacturer design significantly affect FDO2. Some resuscitator models may not deliver adequate oxygen in certain clinical circumstances. Each institution should evaluate and choose the resuscitator that best fits its needs, while meeting established performance criteria. SN - 0020-1324 AD - Dept of Respiratory Care Services, Advocate Lutheran General Hospital, 1775 Dempster St, Park Ridge, IL 60068-1174; dan.mazzolini@advocatehealth.com U2 - PMID: 15571642. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106600265&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105969284 T1 - Hand-off communication. AU - Sullivan EE Y1 - 2007/08// N1 - Accession Number: 105969284. Language: English. Entry Date: 20080215. Revision Date: 20150711. Publication Type: Journal Article; forms. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9610507. KW - Communication KW - Continuity of Patient Care KW - Hand Off (Patient Safety) KW - Patient Safety KW - Perianesthesia Nursing KW - Perioperative Nursing KW - Transfer, Intrahospital KW - Documentation KW - Hospital Units KW - Post Anesthesia Care Units SP - 275 EP - 279 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 22 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Brigham and Women's Hospital, Boston, MA, USA; eesullivan@partners.org U2 - PMID: 17666298. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105969284&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105882018 T1 - The nursing experience when treating esophageal carcinoma admitted for wide resectioning and reconstruction. AU - Chen Y Y1 - 2007/02// N1 - Accession Number: 105882018. Language: Chinese. Entry Date: 20080411. Revision Date: 20170802. Publication Type: Journal Article; research; tables/charts. Journal Subset: Asia; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Instrumentation: Gorden 11-item Functional Health Pattern. NLM UID: 101216490. KW - Esophageal Neoplasms -- Surgery KW - Nursing Care KW - Clinical Assessment Tools KW - Intensive Care Units KW - Interviews KW - Nursing Assessment KW - Nutrition Disorders KW - Observational Methods KW - Transfer, Intrahospital KW - Human SP - 123 EP - 132 JO - Tzu Chi Nursing Journal JF - Tzu Chi Nursing Journal JA - TZU CHI NURS J VL - 6 IS - 1 CY - Taiwan, PB - Buddhist Tzu Chi General Hospital AB - This article describes the nursing experience when treating an esophageal carcinoma patient admitted for wide resectioning and reconstruction. After thirteen days of ICU care, the patient was transferred to an ordinary ward. The primary nurse used clinical observation, interviews and physical assessment guided by the Gorden 11-item Functional Health Pattern to identify the patient' s four major problems. These were impaired nutrition that was less than that required by the body, impaired tissue integrity, a disturbed sleep pattern and a disturbed body image. The experience described here is presented to provide a useful example to nurses who may have to treat such individuals in the future. SN - 1683-1624 AD - No. 707, Sec. 3, Chung Yang Ro., Hualien City, Hualien County 970, Taiwan (R.O.C.); iwei6161@yahoo.com.tw UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105882018&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107442881 T1 - A strategy for decreasing anxiety of ICU transfer patients and their families. AU - Maillet RJ AU - Pata I AU - Grossman S Y1 - 1993///1993 Winter N1 - Accession Number: 107442881. Language: English. Entry Date: 19940601. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 8809326. KW - Pamphlets KW - Patient Orientation KW - Transfer, Intrahospital KW - Patient Education KW - Critically Ill Patients KW - Inpatients SP - 5 EP - 8 JO - NursingConnections JF - NursingConnections JA - NURSINGCONNECTIONS VL - 6 IS - 4 PB - Washington Hospital Center, Division of Nursing AB - With the growing number of clients transferred out of the intensive care units (ICUs) following increasingly shorter stays, time constraints have become a barrier to effective teaching. Written information that is readily available to clients helps resolve this problem. A pamphlet (in Spanish and English) was developed to ease the move for patients, families, and critical care and medical nurses from a medical ICU (MICU) to a general floor. SN - 0895-2809 AD - Yale New Haven Hosp, New Haven CT U2 - PMID: 8133938. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107442881&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106605922 T1 - Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece. AU - Brokalaki H AU - Matziou V AU - Zyga S AU - Kapella M AU - Tsaras K AU - Brokalaki E AU - Myrianthefs P Y1 - 2004/12//2004 Dec N1 - Accession Number: 106605922. Language: English. Entry Date: 20050415. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Oxygen Therapy KW - Treatment Errors -- Greece KW - Chi Square Test KW - Convenience Sample KW - Descriptive Research KW - Descriptive Statistics KW - Greece KW - Hospitals KW - Inpatients KW - Logistic Regression KW - Nebulizers and Vaporizers KW - Nursing Role KW - Odds Ratio KW - Questionnaires KW - Sterilization and Disinfection KW - Human SP - 352 EP - 357 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 20 IS - 6 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Omissions and errors are commonly found concerning hospital oxygen use and the use of nebulizers. The aim of the study was to record oxygen use in seven hospitals located in a large district city of Greece. Another aim was to record the use of nebulizers in the same hospitals. We included 105 head nurses (HNs) working in seven hospitals of a large city district of Greece. Data were collected after interviewing each HN using a questionnaire and completing an anonymous data form. Data are expressed as percentages and analyzed using the chi-square test. We found that 41% of HN believed O(2) is a gas that improves patient's dyspnea. The majority of the nurses (88.6%) stated that there was no protocol for O(2) therapy in the departments in which they worked. We found that O(2) therapy was commonly started, modified, discontinued by nurses in the absence of a medical order. Oxygen therapy was commonly not guided by arterial blood gas (ABG) analysis. We also found that there are no guidelines to prevent O(2) therapy interruption during intra-hospital transportation, and that few measures were taken to prevent O(2) explosion. In 95.2% of the departments the nebulizers were filled with tap water and were not changed on a daily basis (81.2%). Our results indicate that educational programmes, nursing protocols and guidelines are becoming mandatory in our country in order to ensure the proper use of O(2) therapy and nebulizers. SN - 0964-3397 AD - Nursing Faculty, National and Kapodistrian University of Athens, 123 Papadiamandopoulou Str. GR-11528, Greece; heropan@nurs.uoa.gr U2 - PMID: 15567676. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106605922&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106556425 T1 - Viewpoint. Oncology critical care nurses can ease the transfer between care settings. AU - Wujcik D Y1 - 2004/10// N1 - Accession Number: 106556425. Language: English. Entry Date: 20050107. Revision Date: 20150711. Publication Type: Journal Article; editorial. Journal Subset: Editorial Board Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8906187. KW - Critical Care Nursing KW - Oncologic Nursing SP - 2 EP - 2 JO - ONS News JF - ONS News JA - ONS NEWS VL - 19 IS - 10 CY - Pittsburgh, Pennsylvania PB - Oncology Nursing Society SN - 0890-5215 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106556425&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107492809 T1 - Intrahospital transport of critically ill, mechanically ventilated patients. AU - Branson RD Y1 - 1992/07/02/1992 Jul Emerg Resp Care Part 2 N1 - Accession Number: 107492809. Language: English. Entry Date: 19921101. Revision Date: 20150712. Publication Type: Journal Article; pictorial; proceedings; tables/charts. Supplement Title: 1992 Jul Emerg Resp Care Part 2. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Respiration, Artificial -- Equipment and Supplies KW - Monitoring, Physiologic KW - Ventilators, Mechanical KW - Portable Equipment KW - Blood Gas Monitoring, Transcutaneous SP - 775 EP - 795 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 37 IS - 7 CY - Irving, Texas PB - Daedalus Enterprises, Inc. SN - 0020-1324 AD - Dept Surg, Univ Cincinnati Med Ctr, 231 Bethesda Ave, Cincinnati, OH 45267-0550 U2 - PMID: 10145673. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107492809&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107112009 T1 - Chest pain: current concepts and implications for critical care transport. AU - Lowell MJ Y1 - 2000/04//2000 Apr-Jun N1 - Accession Number: 107112009. Language: English. Entry Date: 20000601. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Chest Pain -- Etiology KW - Aeromedical Transport KW - Angina Pectoris -- Drug Therapy KW - Platelet Aggregation Inhibitors -- Therapeutic Use KW - Anticoagulants -- Therapeutic Use KW - Adrenergic Beta-Antagonists -- Therapeutic Use KW - Calcium Channel Blockers -- Therapeutic Use KW - Pneumothorax -- Symptoms KW - Aortic Dissections -- Symptoms KW - Esophagus -- Injuries KW - Rupture -- Symptoms KW - Myocardial Ischemia -- Symptoms KW - Arteriosclerosis SP - 50 EP - 54 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 19 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - University of Michigan, Department of Emergency Medicine, TC B1354, Box 0303, 1500 E. Medical Center Dr, Ann Arbor, MI 48109-0303 U2 - PMID: 11010377. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107112009&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107494764 T1 - The problems of intrahospital transfer of patients with trauma and one solution: the 'trauma transfer backpack'. AU - Nayduch D AU - Sullivan SL Y1 - 1992/10//1992 Oct N1 - Accession Number: 107494764. Language: English. Entry Date: 19921201. Revision Date: 20150712. Publication Type: Journal Article; pictorial; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7605913. KW - Portable Equipment KW - Transfer, Intrahospital KW - Emergency Care -- Equipment and Supplies KW - Patient Safety KW - Trauma KW - Inpatients SP - 383 EP - 389 JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 18 IS - 5 CY - New York, New York PB - Elsevier B.V. AB - With long stays for computed tomographic scans and x-ray exams and long trips to ICUs, patients with trauma may need extra fluids, drugs, or equipment outside the emergency department. Putting everything in a backpack saves time, leaves the nurse's hands free, and does not take up room on the stretcher. SN - 0099-1767 AD - Duke Univ Med Ctr, Durham, NC U2 - PMID: 1474732. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107494764&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106617601 T1 - Paediatric and neonatal critical care transport (book) AU - Smith F Y1 - 2003/12// N1 - Accession Number: 106617601. Language: English. Entry Date: 20050712. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9013329. KW - Book Reviews SP - 6 EP - 6 JO - Paediatric Nursing JF - Paediatric Nursing JA - PAEDIATR NURS VL - 15 IS - 10 PB - RCNi SN - 0962-9513 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106617601&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106343911 T1 - The development of an inter/intra hospital transfer course for the critically ill adult patient in south east England. AU - Collins T AU - Lumsden K Y1 - 2005/09// N1 - Accession Number: 106343911. Language: English. Entry Date: 20061006. Revision Date: 20150818. Publication Type: Journal Article; abstract. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. KW - Critically Ill Patients KW - Personnel, Health Facility -- Education KW - Transfer, Discharge -- Education KW - Transfer, Intrahospital -- Education KW - Course Content KW - England SP - 113 EP - 113 JO - CONNECT: The World of Critical Care Nursing JF - CONNECT: The World of Critical Care Nursing JA - CONNECT WORLD CRIT CARE NURS VL - 4 IS - 3 PB - World Federation of Critical Care Nurses (WFCCN) SN - 1748-6254 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106343911&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107004144 T1 - Clinical perspectives. Intrahospital transport of the mechanically ventilated patient. AU - Zahodnic RJ Y1 - 2000/03//2000 Mar N1 - Accession Number: 107004144. Language: English. Entry Date: 20010309. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Allied Health; USA. NLM UID: 8708187. KW - Ventilator Patients KW - Respiration, Artificial KW - Transfer, Intrahospital KW - Ventilators, Mechanical SP - 26 EP - 29 JO - AARC Times JF - AARC Times JA - AARC TIMES VL - 24 IS - 3 CY - Irving, Texas PB - Daedalus Enterprises, Inc. SN - 0893-8520 AD - Hospital Clinical Consultant, Mallinckrodt, Inc., St. Louis, MO UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107004144&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107083199 T1 - At Children's Hospital, on the move: critical care transport is a full-time job. AU - Wessling L Y1 - 1999/10//1999 Oct N1 - Accession Number: 107083199. Language: English. Entry Date: 20000101. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; USA. KW - Aeromedical Transport KW - Nursing Practice KW - Infant KW - Child, Preschool KW - Child SP - 14 EP - 17 JO - On Call JF - On Call JA - ON CALL VL - 2 IS - 10 CY - Boston, Massachusetts PB - BostonWorks UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107083199&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107226219 T1 - Timely admits, transfers, and discharges. AU - Hulsey K Y1 - 1999/10// N1 - Accession Number: 107226219. Language: English. Entry Date: 19991201. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8219243. KW - Intensive Care Units -- Administration KW - Work Redesign KW - Patient Care -- Administration SP - 40 EP - 42 JO - Nursing Management JF - Nursing Management JA - NURS MANAGE VL - 30 IS - 10 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Nurse managers implemented a critical care patient coordinator program that's improved patient flow, staffing, and problem identification. The hospital has increased the new department from 7 to 12 critical care nurses and applied the program to other units. SN - 0744-6314 AD - Critical Care Patient Coordinator/Resource Nurse, Piedmont Hospital, Atlanta, Ga U2 - PMID: 15116446. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107226219&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104376246 T1 - Interfacility transportation of the critical care patient and its medical direction. Y1 - 2012/11// N1 - Accession Number: 104376246. Language: English. Entry Date: 20130201. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 8002646. KW - Critical Care -- Standards KW - Physicians KW - Transportation of Patients -- Standards KW - Critical Care KW - Emergency Medicine -- Manpower KW - Emergency Medicine -- Standards KW - Transportation of Patients -- Manpower SP - 677 EP - 677 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 60 IS - 5 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 U2 - PMID: 23089103. DO - 10.1016/j.annemergmed.2012.08.023 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104376246&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104456259 T1 - Intrahospital Transport: Safe Passage or Potential for Disaster? AU - Winemiller, Margaret Y1 - 2012/06// N1 - Accession Number: 104456259. Language: English. Entry Date: 20120627. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 101189931. KW - Transfer, Intrahospital KW - Radiological Nursing KW - Communication KW - Hand Off (Patient Safety) SP - 74 EP - 74 JO - Journal of Radiology Nursing JF - Journal of Radiology Nursing JA - J RADIOL NURS VL - 31 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1546-0843 AD - Clin III, York Hospitals, York, PA DO - 10.1016/j.jradnu.2012.03.019 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104456259&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106147382 T1 - Defibrillator availability on rotor-wing critical care transports. AU - Frakes MA AU - Neher SW Y1 - 2007/05// N1 - Accession Number: 106147382. Language: English. Entry Date: 20070907. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Aeromedical Transport KW - Defibrillators KW - Chi Square Test KW - Confidence Intervals KW - Descriptive Statistics KW - Health Services Accessibility KW - Survey Research KW - Human SP - 144 EP - 146 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 26 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - INTRODUCTION: Defibrillation is a time-critical and life-saving intervention for patients in ventricular fibrillation or ventricular tachycardia. The preparation of rotor-wing critical care transport teams to manage such arrhythmias out of the transport vehicle is unclear. METHODS: A mail and telephone survey of 230 rotor-wing critical care transport programs. RESULTS: Transport teams take a defibrillator to the patient's side on scene flights at 23.9% of programs, on interfacility flights at 48.3%, and after off-load at the receiving hospital at 43.1% of programs. Monitor style and utilization are associated with defibrillator deployment on scene flights, interfacility flights, and at offload. The site of patient origin does not affect transport team defibrillator availability on offload. CONCLUSIONS: It is not completely clear that defibrillators are immediately available during all phases of rotor-wing critical care transport. There are many opportunities for additional investigation. SN - 1067-991X AD - LIFE STAR, Hartford Hospital, Hartford, Connecticut. U2 - PMID: 17467568. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106147382&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107482245 T1 - Critical care air transportation of the severely injured: does long distance transport adversely affect survival? AU - Valenzuela TD AU - Criss EA AU - Copass MK AU - Luna GK AU - Rice CL Y1 - 1990/02//1990 Feb N1 - Accession Number: 107482245. Language: English. Entry Date: 19920301. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 8002646. KW - Emergency Medical Services KW - Critical Care KW - Aeromedical Transport -- Evaluation KW - Outcomes (Health Care) KW - Trauma -- Therapy KW - Mortality KW - Comparative Studies KW - Chi Square Test KW - Adolescence KW - Adult KW - Analysis of Variance KW - Research Instruments KW - Alaska KW - Case Control Studies KW - Aircraft KW - Glasgow Coma Scale KW - Trauma Severity Indices KW - Trauma Centers KW - Human SP - 169 EP - 172 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 19 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 U2 - PMID: 2301795. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107482245&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104480742 T1 - Efficacy of information interventions in reducing transfer anxiety from a critical care setting to a general ward: A systematic review and meta-analysis. AU - Brooke, Joanne AU - Hasan, Nazeeha AU - Slark, Julia AU - Sharma, Pankaj Y1 - 2012/08// N1 - Accession Number: 104480742. Language: English. Entry Date: 20120913. Revision Date: 20150711. Publication Type: Journal Article; meta analysis; research; systematic review. Journal Subset: Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Critical Care; Evidence-Based Practice. NLM UID: 8610642. KW - Information Resources KW - Transfer, Discharge -- Evaluation KW - Anxiety -- Diagnosis KW - Hospital Units KW - Critical Care KW - Meta Analysis KW - Human KW - Patient Care KW - Databases KW - Medline KW - Embase KW - CINAHL Database KW - Cochrane Library KW - Descriptive Statistics KW - Odds Ratio KW - Confidence Intervals SP - 425.e9 EP - 425.e15 JO - Journal of Critical Care JF - Journal of Critical Care JA - J CRIT CARE VL - 27 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Abstract: Purpose: Our aim was to undertake a comprehensive systematic review on the efficacy of information interventions on reducing anxiety in patients and family members on transfer from a critical care setting to a general ward. Materials and methods: MEDLINE, EMBASE, CINAHL, Cochrane Database of Systematic Reviews, and Google Scholar databases from 1990 to January 1, 2011, were searched. Bibliographies of identified articles were reviewed. Only high-quality randomized controlled trials comparing an intervention to reduce transfer anxiety with standard care, where transfer anxiety is measured by the validated State Trait Anxiety Inventory, were included. Data were extracted to estimate standard mean differences (SMDs), pooled odds ratios (ORs), and 95% confidence intervals (CIs) using both fixed and random effects model. Results: Of 266 studies identified in the primary search, 5 studies enrolling 629 participants met the inclusion criteria, family members'' transfer anxiety was significantly reduced in the intervention arm of information provision (OR, 1.70; 95% CI, 1.15-2.52; P = .01) compared with those who received standard care (OR, 0.42; 95% CI; 0.276-0.625; P < .001), and patients'' transfer anxiety was significantly reduced in one study. Conclusions: Providing information to understand a future ward environment can significantly reduce patients'' and family members'' transfer anxiety from the critical care setting when compared with standard care. SN - 0883-9441 AD - University of Greenwich, G308, Southwood Site, Avery Hill Road, Eltham, London SE9 2UG AD - Imperial College Cerebrovascular Research Unit (ICCRU), Imperial College London W6 8RF U2 - PMID: 22824085. DO - 10.1016/j.jcrc.2012.01.009 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104480742&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106335589 T1 - Perceptions of critical care outreach within a network. AU - Plowright C AU - Fraser J AU - Smith S AU - Buras-Rees S AU - Dennington L AU - King D AU - MacLellan C AU - Seymour P AU - Scott G AU - Brindle A Y1 - 2006/07/18/2006 Jul 18-24 N1 - Accession Number: 106335589. Language: English. Entry Date: 20060915. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 0423236. KW - Attitude of Health Personnel KW - Critical Care KW - Critical Care -- Education KW - Intensive Care Units -- Utilization KW - Purposive Sample KW - Questionnaires KW - Staff Development KW - Transfer, Intrahospital KW - Human SP - 36 EP - 40 JO - Nursing Times JF - Nursing Times JA - NURS TIMES VL - 102 IS - 29 PB - EMAP Healthcare AB - Aim: The purpose of this study was to establish healthcare professionals' perceptions of critical care outreach. Method: A multi-site survey approach was used to collect qualitative data. Results: Most respondents felt that outreach assisted with patient care by enabling the admission and smooth discharge to and from the critical care units and providing useful education and training that changed practice. Respondents also thought that the audits undertaken by the outreach teams benefited patient care. Conclusion: Overall, outreach was considered by healthcare professionals to enhance patient care and improve practice. SN - 0954-7762 AD - Nurse Consultant Critical Care, Medway NHS Trust U2 - PMID: 16895249. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106335589&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104212385 T1 - Does non-transferrin bound iron contribute to transfusion related immune-modulation in preterms? AU - Stark, Michael J AU - Keir, Amy K AU - Andersen, Chad C Y1 - 2013/09// N1 - Accession Number: 104212385. Language: English. Entry Date: 20131122. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Special Interest: Pediatric Care. NLM UID: 9501297. KW - Erythrocyte Transfusion -- Adverse Effects KW - Immune System -- Physiology KW - Infant, Premature KW - Infant, Premature, Diseases -- Blood KW - Iron -- Blood KW - Malondialdehyde -- Blood KW - Transferrin -- Metabolism KW - Enzyme-Linked Immunosorbent Assay KW - Female KW - Human KW - Infant KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Interleukins -- Blood KW - Male KW - Oxidative Stress KW - Prospective Studies KW - Reactive Oxygen Species SP - F424 EP - 9 JO - Archives of Disease in Childhood -- Fetal & Neonatal Edition JF - Archives of Disease in Childhood -- Fetal & Neonatal Edition JA - ARCH DIS CHILD FETAL NEONAT ED VL - 98 IS - 5 PB - BMJ Publishing Group AB - OBJECTIVE: There is increasing awareness that allogeneic transfusion is potentially harmful in preterm neonates secondary to transfusion related immunomodulation (TRIM). Non-transferrin bound iron (NTBI) may contribute to TRIM by promoting oxidative damage and pro-inflammatory cytokine release. The current study aimed to determine if transfusion early in the neonatal period resulted in an increase in circulating NTBI, oxidative stress and immune activation. DESIGN: Prospective observational study. SETTING: One transfusion event was studied in infants <=28 weeks gestation between 2 and 6 weeks postnatal age (n=33) admitted to a tertiary neonatal intensive care unit. METHODS: Serum NTBI, inflammatory cytokines and malondialdehyde (MDA) were measured from the donor pack, prior to and at 2-4 and 24 h post-transfusion. RESULTS: Median (range) age at transfusion was 17 (14-39) days with the pretransfusion haemoglobin level 9.6 (7.4-10.4) g/dl. NTBI was detectable in 18 (51%) of the transfusion packs. NTBI levels were higher after transfusion (p<0.01) returning to pretransfusion levels by 24 h. Post-transfusion NTBI level correlated with the age of transfused blood (p<0.001) and was positively correlated with plasma MDA (p=0.01) but not IL-1[beta], IL-6, IL8 or TNF[alpha]. CONCLUSIONS: Circulating NTBI is transiently elevated following blood transfusion in preterm newborns. This increase was related to the age of blood transfused and correlated with increases in oxidative stress but not pro-inflammatory cytokines. While further studies are necessary to determine whether these transient effects influence clinical outcome, the current data do not support a significant role in the very preterm neonate for NTBI in TRIM. SN - 1359-2998 AD - Department of Neonatal Medicine, Women's and Children's Hospital, , Adelaide, South Australia, Australia. U2 - PMID: 23475935. DO - 10.1136/archdischild-2012-303353 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104212385&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107524285 T1 - Which patient gets the critical care bed? AU - Oddi LF AU - Huerta SR Y1 - 1990/09//1990 Sep-Oct N1 - Accession Number: 107524285. Language: English. Entry Date: 19901101. Revision Date: 20150712. Publication Type: Journal Article; case study. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8211489. KW - Intensive Care Units -- Administration KW - Intensive Care Units -- Utilization KW - Ethics, Nursing KW - Patient Admission KW - Critical Care Nursing KW - Personnel Staffing and Scheduling KW - Patient Classification KW - Transfer, Intrahospital KW - Decision Making KW - Jurisprudence KW - Personnel Staffing and Scheduling -- Legislation and Jurisprudence KW - Critical Care -- Legislation and Jurisprudence SP - 288 EP - 295 JO - Dimensions of Critical Care Nursing JF - Dimensions of Critical Care Nursing JA - DCCN VL - 9 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Census fluctuations and the failure to develop appropriate guidelines for admitting and transferring patients have made the staffing of critical care units extremely difficult, sometimes with serious ethical and physical consequences to patients. In this report, a case is analyzed to explore some of the ramifications of the use of beds in the critical care unit. SN - 0730-4625 U2 - PMID: 2397684. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107524285&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107114238 T1 - Day-of-surgery transfer after cardiac surgery. AU - Ockerman JC AU - Cronin SN Y1 - 2000/05// N1 - Accession Number: 107114238. Language: English. Entry Date: 20030328. Revision Date: 20150819. Publication Type: Journal Article; algorithm; CEU; exam questions; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0372646. KW - Heart Surgery KW - Postoperative Care KW - Transfer, Intrahospital KW - Observation Units KW - Outcomes (Health Care) KW - Education, Continuing (Credit) KW - Post Anesthesia Care Units KW - Program Implementation KW - Protocols KW - Decision Making, Clinical KW - Length of Stay KW - Staff Development KW - Outcome Assessment KW - Patient Satisfaction KW - Cost Savings KW - Inpatients KW - Hospitals -- Kentucky KW - Kentucky SP - 33 EP - 50 JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 100 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - One facility finds that the implementation of a dayof-surgery transfer protocol leads to better clinical and financial results. SN - 0002-936X AD - Clinical Nurse Specialist, Jewish Hospital, Louisville, KY UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107114238&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107107202 T1 - Same-day transfer of patients to the cardiac telemetry unit after surgery: the Rapid After Bypass Back Into Telemetry (RABBIT) Program. AU - Sakallaris BR AU - Halpin LS AU - Knapp M AU - Sheridan MJ Y1 - 2000/04//2000 Apr N1 - Accession Number: 107107202. Language: English. Entry Date: 20000501. Revision Date: 20150818. Publication Type: Journal Article; care plan; CEU; protocol; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Transfer, Intrahospital KW - Observation Units KW - Postoperative Care KW - Coronary Artery Bypass KW - Critical Care Nursing KW - Hospital Programs KW - Education, Continuing (Credit) KW - Virginia KW - Academic Medical Centers -- Virginia KW - Quality Improvement KW - Inpatients KW - Female KW - Male KW - Length of Stay KW - Extubation KW - Ventilator Weaning KW - Outcomes (Health Care) KW - Multidisciplinary Care Team KW - Early Patient Discharge KW - Readmission KW - Patient Satisfaction KW - Patient Selection KW - Recovery KW - Intensive Care Units KW - Respiratory Therapy KW - Cardiovascular Nursing KW - Coronary Artery Bypass -- Economics KW - Cost Savings KW - Cardiac Patients KW - Heart Surgery KW - Program Evaluation KW - Pilot Studies KW - Surveys KW - Quality of Health Care KW - Demography KW - Time Factors SP - 50 EP - 68 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 20 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - Cardiac surgery costs surpass all other treatments for cardiovascular disease. Rapid recovery protocols for ventilator weaning and extubation have reduced length of stay in the ICU. The success of the program is examined. SN - 0279-5442 AD - Senior Clinical Consultant, APACHE Medical Systems/National Health Advisors, McLean, Va U2 - PMID: 11873752. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107107202&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107332251 T1 - Influence of referring physicians of interventions by a pediatric and neonatal critical care transport team... this article is reprinted from Pediatric Emergency Care, Vol 12, No 2, copyright 1996 by Williams & Wilkens Children's Hospital of Western Ontario, and the Child Health Research Institute, University of Western Ontario, London, Canada. AU - Kronick JB AU - Frewen TC AU - Kissoon N AU - Lee R AU - Sommerauer JF AU - Reid WD AU - Casier S AU - Boyle K Y1 - 1997/05//1997 May-Jun N1 - Accession Number: 107332251. Language: English. Entry Date: 19970801. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9007473. KW - Referral and Consultation KW - Physicians KW - Transportation of Patients -- In Infancy and Childhood KW - Multidisciplinary Care Team KW - Intensive Care, Neonatal KW - Critical Care -- In Infancy and Childhood KW - Linear Regression KW - Analysis of Variance KW - Hospitals, Pediatric -- Canada KW - Canada KW - Convenience Sample KW - Descriptive Statistics KW - Chi Square Test KW - Specialties, Medical KW - Infant, Newborn KW - Infant KW - Human SP - 56 EP - 62 JO - Neonatal Intensive Care JF - Neonatal Intensive Care JA - NEONAT INTENSIVE CARE VL - 10 IS - 3 CY - Santa Monica, California PB - Goldstein & Associates SN - 1062-2454 AD - Paediatric Critical Care Unit, Children's Hospital of Western Ontario, London, Canada UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107332251&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107210623 T1 - Back transport of the stable neonate: easing the transition. AU - Klawitter M Y1 - 1999/05//1999 May N1 - Accession Number: 107210623. Language: English. Entry Date: 19990901. Revision Date: 20150818. Publication Type: Journal Article; forms; tables/charts. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 9612506. KW - Transportation of Patients -- In Infancy and Childhood KW - Intensive Care, Neonatal KW - Transfer, Discharge -- In Infancy and Childhood KW - Intensive Care Units, Neonatal KW - Hospitals, Community -- Evaluation KW - Infant, Premature KW - Treatment Outcomes KW - Transportation of Patients -- Economics -- In Infancy and Childhood KW - Length of Stay -- In Infancy and Childhood KW - Parents -- Psychosocial Factors KW - Communication KW - Support, Psychosocial KW - Neonatal Assessment KW - Transportation of Patients -- Psychosocial Factors KW - Neonatal Nursing KW - Interinstitutional Relations KW - Perinatal Care KW - Collaboration KW - Inpatients KW - Infant, Newborn SP - 7 EP - 12 JO - Mother Baby Journal JF - Mother Baby Journal JA - MOTHER BABY J VL - 4 IS - 3 CY - Santa Rosa, California PB - Neonatal Network SN - 1084-6190 AD - St. John Hospital and Medical Center, 22101 Moross Road, Detroit, MI 48236 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107210623&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107514870 T1 - Intrahospital transport of seriously ill or injured children. AU - Tompkins JM Y1 - 1990/01//1990 Jan-Feb N1 - Accession Number: 107514870. Language: English. Entry Date: 19900401. Revision Date: 20150712. Publication Type: Journal Article; protocol. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7505804. KW - Transfer, Intrahospital -- Standards -- In Infancy and Childhood KW - Child SP - 51 EP - 53 JO - Pediatric Nursing JF - Pediatric Nursing JA - PEDIATR NURS VL - 16 IS - 1 CY - Pitman, New Jersey PB - Jannetti Publications, Inc. AB - Critically ill children are frequently subject to transfer between hospitals or even between units in hospitals. Safety is an important concern for the ensuing transport in order to minimize risk and maximize efficiency. Nurses should give careful consideration to many aspects of the intrahospital transport when planning the move. Principles outlined in this article can be included in critical care educational programs. SN - 0097-9805 U2 - PMID: 2359624. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107514870&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106165672 T1 - Communicating about dying in the ICU...Lautrette A, Darmon M, Megarbane B, et al. A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med 2007;356:469-78. AU - Hansen-Flaschen J AU - Fisher KA AU - Karakitsos D AU - Karabinis A AU - Azoulay E AU - Lautrette A AU - Schlemmer B Y1 - 2007/05/10/ N1 - Accession Number: 106165672. Language: English. Entry Date: 20071005. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter; response. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0255562. KW - Communication -- Methods KW - Hospital Mortality KW - Intensive Care Units KW - Professional-Family Relations KW - Terminally Ill Patients KW - Bereavement KW - Counseling -- Economics KW - Family -- Psychosocial Factors KW - France KW - Palliative Care -- Economics KW - Physician Attitudes KW - Salaries and Fringe Benefits KW - Transfer, Intrahospital KW - United States SP - 2003 EP - 2005 JO - New England Journal of Medicine JF - New England Journal of Medicine JA - N ENGL J MED VL - 356 IS - 19 CY - Waltham, Massachusetts PB - New England Journal of Medicine SN - 0028-4793 U2 - PMID: 17494939. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106165672&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104666765 T1 - 2011 Critical Care Transport Medicine Conference Abstracts...2011 Critical Care Transport Medicine Conference, April 4-6, 2011, Nashville, Tennessee Y1 - 2011/07// N1 - Accession Number: 104666765. Language: English. Entry Date: 20110822. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 9312325. KW - Critical Care KW - Aeromedical Transport KW - Prehospital Care KW - Congresses and Conferences -- Tennessee KW - Tennessee KW - Aeromedical Transport -- Organizations SP - 192 EP - 193 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 30 IS - 4 CY - New York, New York PB - Elsevier B.V. AB - The following abstracts are from the poster presentations made at the 2011 Critical Care Transport Medicine Conference held April 4–6, 2011, at the Loews Vanderbilt Hotel in Nashville, Tennessee. The Scientific Forum is sponsored by the Air Medical Physician Association, Air and Surface Transport Nurses Association, and International Association of Flight Paramedics; the first place winner received an Outstanding Research Award from Golden Hour Data Systems, Inc. For more information, contact Pat Petersen at ppeter1111@aol.com. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104666765&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107200281 T1 - Neonatal thermoregulation: bed surface transfers. AU - Altimier L AU - Warner B AU - Amlung S AU - Kenner C Y1 - 1999/06//1999 Jun N1 - Accession Number: 107200281. Language: English. Entry Date: 19990701. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8503921. KW - Infant, Premature KW - Body Temperature Regulation -- In Infancy and Childhood KW - Infant Warmers KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Neonatal Nursing KW - Infant, Newborn KW - Convenience Sample KW - Prospective Studies KW - Repeated Measures KW - Videorecording KW - Descriptive Statistics KW - Intensive Care Units, Neonatal KW - Body Temperature -- In Infancy and Childhood KW - Human SP - 35 EP - 38 JO - Neonatal Network JF - Neonatal Network JA - NEONAT NETW VL - 18 IS - 4 CY - New York, New York PB - Springer Publishing Company, Inc. AB - Purpose: To describe temperature changes that occur in preterm infants following bed surface transfers. Design: The design was descriptive. Sample: The convenience sample was comprised of 20 preterm infants (<1,500 gm birth weight). Main outcome variable: Temperature stability after a bed transfer (i.e., radiant warmer to incubator) was the main outcome variable. Results: There were no significant differences in temperatures after bed surface transfer. However, the temperatures one hour after bed surface transfer were lower than baseline temperature before bed surface transfer. SN - 0730-0832 AD - Neonatal Services, Tri-Health, 375 Dixmyth, Cincinnati, OH 45220-2489 U2 - PMID: 10633683. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107200281&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107084764 T1 - Molecular epidemiology of vancomycin-resistant enterococci from 6 hospitals in New York State. AU - Bopp LH AU - Schoonmaker DJ AU - Baltch AL AU - Smith RP AU - Ritz WJ Y1 - 1999/10//1999 Oct N1 - Accession Number: 107084764. Language: English. Entry Date: 20000201. Revision Date: 20150819. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8004854. KW - Vancomycin Resistance KW - Enterococcal Infections -- Epidemiology KW - Infection Control KW - Enterococcal Infections -- Transmission KW - Cross Infection KW - Epidemiological Research KW - Genetic Techniques KW - Microbial Culture and Sensitivity Tests KW - Electrophoresis KW - Polymerase Chain Reaction KW - DNA Probes KW - DNA Fingerprinting KW - In Situ Hybridization KW - Descriptive Statistics KW - New York KW - Hospitals, Public KW - Human SP - 411 EP - 417 JO - American Journal of Infection Control JF - American Journal of Infection Control JA - AM J INFECT CONTROL VL - 27 IS - 5 CY - New York, New York PB - Elsevier B.V. AB - BACKGROUND: Vancomycin resistance among enterococci is an emerging nosocomial problem. Consequently, it is important to understand the distribution of vancomycin-resistant enterococci (VRE) within and between hospitals to implement appropriate infection control measures. METHODS: In this study, 116 VRE isolates obtained from patients in 6 New York State hospitals were analyzed by antibiotic susceptibility testing, pulsed-field gel electrophoresis (PFGE) fingerprinting, plasmid profile analysis, vanA and vanB polymerase chain reaction, and DNA:DNA hybridization with vanA and vanB probes. RESULTS: PFGE and plasmid typing generally agreed, but plasmid profiles were more variable. These analyses revealed that genetic heterogeneity among isolates from within each of the 6 hospitals varied considerably. Among 23 Enterococcus faecium isolates from one hospital, there were only 3 PFGE types, and 20 isolates had the same type. However, in another hospital, each isolate was genetically distinct. Closely related strains were not found in separate hospitals. VRE strains with vanA genes and strains with vanB genes were found in 3 hospitals. Both plasmid and chromosomal carriage of these genes was detected. CONCLUSIONS: PFGE typing showed that nosocomial VRE transmission had occurred in some hospitals. However, there was no evidence for it in others. Neither was there evidence for intrahospital transmission or for emergence of an endemic strain. These observations demonstrate that it is important to evaluate genetic heterogeneity among VRE before implementation of infection control measures. PFGE is the method of choice for epidemiologic typing, but polymerase chain reaction, plasmid, and hybridization studies can provide important information concerning the presence and potential for transfer of vancomycin resistance genes. SN - 0196-6553 AD - Department of Biological Sciences, University of Southern Mississippi, Hattiesburg U2 - PMID: 10511488. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107084764&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107347045 T1 - Emergency medical care for spectators attending national football league games... presented as a poster at the Eleventh Annual Conference and Scientific Assembly of the National Association of EMS Physicians, San Diego, California, July 1995. AU - Roberts DM AU - Blackwell TH AU - Marx JA Y1 - 1997/01/03/ N1 - Accession Number: 107347045. Language: English. Entry Date: 19971101. Revision Date: 20150820. Publication Type: Journal Article; questionnaire/scale; research; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 9703530. KW - Sports KW - Organizations -- Evaluation KW - Emergency Medical Services KW - Public Spaces KW - Prospective Studies KW - Structured Questionnaires KW - Transportation of Patients KW - Drug Therapy KW - Telephone KW - Emergency Care -- Equipment and Supplies KW - Salaries and Fringe Benefits KW - Health Personnel KW - Human SP - 149 EP - 155 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 1 IS - 3 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd AB - Objective. To analyze medical care facilities and resources available for spectators attending football games in the current National Football League (NFL) stadiums. Methods. A prospective, structured questionnaire regarding facilities, transportation, medications and equipment, personnel configuration, compensation, and communications was mailed to all 28 NFL organizations. Those failing to respond were interviewed by telephone using the identical questionnaire. Data were compiled using Lotus 1-2-3. Results. Data were collected from all 28 NFL organizations. Because two teams use the same stadium, results were calculated for 27 facilities (n = 27). The number of stadium first aid rooms ranges from 1 to 7, with an average of 2.4 +/- 1.3 rooms per stadium (+/- 1 SD) and these vary in size from 120 to 2,000 square feet, with a mean of 434 +/- 377 square feet. Each room is equipped with an average of 3.3 +/- 2.9 stretchers (or tables), with telephones being present in 91% and sinks in 88% of all rooms. To provide contractual EMS coverage, stadiums use standard EMS system designs, including private (n = 19), fire department-based (n = 7), municipal (city/county) (n = 5), volunteer (n = 4), and hospital (n = 3). Nine stadiums employ more than one type of provider. All stadiums have a minimum of one ambulance dedicated on-site for spectators, with a range of 1 to 7, and a mean of 2.9 +/- 1.4. Golf carts are used for intrafacility patient transportation in 17 stadiums, with a range of 1 to 6, and a mean of 2.5 +/- 1.3. Advanced Cardiac Life Support (ACLS) medications and equipment are present in all NFL stadiums and are provided by the private EMS company (n = 16), stadium (n = 10), fire EMS (n = 7), hospitals (n = 4), municipal EMS (n = 2), and the local NFL organization (n = 1). Several facilities have more than one provider of ACLS medications and equipment. The majority of stadiums dispense acetaminophen (n = 25) and aspirin (n = 24). Some dispense antacids (n = 7) and antihistamines (n = 6). The average stadium staffs 8 EMT-Bs, 7 EMT-Ps, 3 registered nurses, and 2 physicians. Nine stadiums pay a predesignated fee per game to an agency to provide emergency care to spectators. Medical personnel are compensated by an hourly rate (n = 15), a fixed rate per event (n = 9), overtime wages (n = 3), or volunteerism (n = 4). Four NFL organizations pay their medical personnel by more than one type of compensation. Courtesy seats are provided to physicians and nurses in 1 stadium and to just physicians in 8 stadiums, with a range of 2 to 6 and a mean of 3.3 +/- 1.3. All stadiums use two-way radios for the communication and coordination of medical care in the stadium. Additionally, 20 use fixed telephones in the first aid rooms, 3 use cellular telephones, and 2 incorporate a pager system to dispatch personnel within the stadium. Conclusion. A wide variety of system designs, facilities, and personnel configurations are used to provide emergency medical care for spectators attending NFL games. This information may be useful for assisting those individuals responsible for organizing stadium medical coverage. SN - 1090-3127 AD - Center for Prehospital Medicine, Department of Emergency Medicine, Carolinas Medical Center, Charlotte, North Carolina U2 - PMID: 9709358. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107347045&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106220976 T1 - Improved outcomes of extremely premature outborn infants: effects of strategic changes in perinatal and retrieval services. AU - Lui K AU - Abdel-Latif ME AU - Allgood CL AU - Bajuk B AU - Oei J AU - Berry A AU - Henderson-Smart D Y1 - 2006/11// N1 - Accession Number: 106220976. Corporate Author: New South Wales and Australian Capital Territory Neonatal Intensive Care Unit Study Group. Language: English. Entry Date: 20070119. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0376422. KW - Child Health Services -- Administration KW - Infant, Newborn, Diseases -- Therapy KW - Infant, Premature KW - Outcome Assessment KW - Perinatal Care KW - Chi Square Test KW - Confidence Intervals KW - Data Analysis Software KW - Female KW - Infant, Newborn KW - Infant, Newborn, Diseases -- Mortality KW - Intensive Care Units, Neonatal KW - Male KW - Multiple Logistic Regression KW - Multivariate Analysis KW - New South Wales KW - Odds Ratio KW - Referral and Consultation KW - T-Tests KW - Transportation of Patients KW - Human SP - 2076 EP - 2083 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 118 IS - 5 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - OBJECTIVE: The goal was to evaluate the impact of statewide coordinated changes in perinatal support and retrieval services on the outcomes of extremely premature births occurring outside perinatal centers in the state of New South Wales, Australia. METHODS: The intervention included additional, network-coordinated, perinatal telephone advice to optimize in utero transfers and centralization of the neonatal retrieval system, with preferential admission of retrieved infants (outborn infants) to perinatal centers instead of freestanding pediatric hospitals, from the middle of 1995. Population birth and NICU admission cohorts of infants of 23 to 28 weeks of gestation were studied. Outcomes of epoch 1 (1992 to the middle of 1995; 1778 births and 1100 NICU admissions) were compared with those of epoch 2 (1997-2002; 3099 births and 2100 NICU admissions), after an 18-month washout period. RESULTS: There were 25% fewer nontertiary hospital live births (19.7% vs 14.9%) and more prenatal steroid use. Despite an 11.4% average annual increase in NICU admissions between the 2 epochs, fewer infants were outborn (12.0% vs 9.3%) and outborn mortality rates decreased significantly (39.4% vs 25.1%), particularly for those between 27 and 28 weeks of gestation. The overall improvement was equivalent to 1 extra survivor per 16 New South Wales births. There were also significantly fewer serious outcome morbidities in outborn infants during epoch 2, over the improvements in inborn infants. CONCLUSIONS: Statewide coordinated strategies in reducing nontertiary hospital births and optimizing transport of outborn infants to perinatal centers have improved considerably the outcomes of extremely premature infants. These findings have vital implications for health outcomes and resource planning. SN - 0031-4005 AD - Department of Newborn Care, Royal Hospital for Women, Barker St, Randwick, NSW 2031, Australia. kei.lui@sesiahs.health.nsw.gov.au U2 - PMID: 17079581. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106220976&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106211070 T1 - An evaluation of an early warning clinical marker referral tool. AU - Green AL AU - Williams A Y1 - 2006/10// N1 - Accession Number: 106211070. Language: English. Entry Date: 20070112. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Clinical Indicators KW - Early Intervention KW - Referral and Consultation KW - Transfer, Intrahospital KW - Academic Medical Centers KW - Chi Square Test KW - Convenience Sample KW - Critical Illness -- Mortality KW - Descriptive Statistics KW - Evaluation Research KW - Heart Arrest KW - Hospital Mortality KW - Hospital Units KW - Intensive Care Units KW - Massachusetts KW - Medical Records KW - Multidisciplinary Care Team KW - Pretest-Posttest Design KW - Prospective Studies KW - Quality of Care Research KW - Quasi-Experimental Studies KW - Record Review KW - Research Instruments KW - Survival KW - Time Factors KW - Treatment Outcomes -- Evaluation KW - Victoria KW - Vital Signs KW - Workload KW - Human SP - 274 EP - 282 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 22 IS - 5 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - ObjectivesThe purpose of this study was to evaluate the introduction of a clinical marker tool using a pre- and post-test design in a tertiary university-affiliated hospital. The clinical marker tool was designed to assist in the early identification of unstable patients in the general surgical and medical ward environment based on abnormal vital signs.MethodsA pre- and post-test design of the clinical marker tool was undertaken over a 3-year period. All unstable ward patients who were admitted to the Intensive Care Unit (ICU) from 1 February 2002 to 31 January 2003 (pre- implementation period) and from 1 February 2003 to 31 January 2005 (post-implementation period) were included in the study. A secondary analysis was performed on annual medical emergency calls made to the resuscitation team and mortality from such events from 1 January 2002 to 31 December 2004.ResultsPrior to implementing the clinical marker tool, 63 (41.2%) unplanned ICU admissions from the ward had clinical markers present for >/=6 h. Following implementation of the clinical marker tool, 101 (24.5%) patients had clinical markers present for >/=6 h (p = 0.0002). There was no difference in ICU or hospital length of stay or hospital mortality for unplanned admissions to the ICU following implementation of the clinical marker tool. The number of patients found to be still breathing with a pulse on arrival of the resuscitation team was significantly increased from 56 (47.9%) patients to 181 (64.6%) patients post-implementation of the clinical marker tool (p = 0.0024). Additionally, we found an associated increase in survival of this group of patients discharged home from 33 (59%) patients to 136 (75.1%) patients post-implementation of the clinical marker tool (p = 0.0003).ConclusionsThe clinical marker tool implemented by an ICU Liaison Team improved the management of patients in the ward environment, including proactive admission of patients to the ICU. Additionally, implementation of the clinical marker tool was associated with a reduction in the number of cardiac arrests and improvement in hospital mortality for patients experiencing a medical emergency call. The timeframe of instability on the ward prior to the ICU admission may be used as a quality indicator to measure ICU Liaison Team performance. Further research is required to substantiate these findings. SN - 0964-3397 AD - Western Hospital, Gordon Street, Footscray, 3011, Vic., Australia; anna.green@wh.org.au U2 - PMID: 16901699. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106211070&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106207952 T1 - Reducing admissions to the neonatal unit: a report on how one neonatal service has responded to the ever increasing demand on neonatal cots. AU - Hubbard M Y1 - 2006/10//2006 Oct N1 - Accession Number: 106207952. Language: English. Entry Date: 20070112. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9602867. KW - Intensive Care Units, Neonatal KW - Intensive Care, Neonatal KW - Patient Admission -- In Infancy and Childhood KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Audit KW - Infant, Newborn KW - Infant, Premature KW - Neonatal Intensive Care Nursing KW - Personnel Staffing and Scheduling SP - 172 EP - 176 JO - Journal of Neonatal Nursing JF - Journal of Neonatal Nursing JA - J NEONAT NURS VL - 12 IS - 5 CY - New York, New York PB - Elsevier B.V. AB - This article is a report on the changes made to the Leicester Neonatal Service in order to try and reduce the number of admissions of term and near term neonates It discusses strategies that are already in place and covers audit results that demonstrate the size of the problem, staffing initiatives--some of which may be unique--and the introduction of guidelines that have proved effective. It concludes with a discussion of some of the future plans for the service. SN - 1355-1841 AD - Neonatal Unit, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, LE1 5WW, UK; marie.hubbard@uhl-tr.nhs.uk UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106207952&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107285518 T1 - Mothers' perceptions of the quality of their infants' back transfer. AU - Slattery MJ AU - Flanagan V AU - Cronewett LR AU - Meade SK AU - Chase NS Y1 - 1998/07// N1 - Accession Number: 107285518. Language: English. Entry Date: 19981001. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Instrumentation: NICU/CH Transfer Quality Scale. NLM UID: 8503123. KW - Intensive Care, Neonatal KW - Maternal Attitudes KW - Transfer, Discharge -- In Infancy and Childhood KW - Quality of Health Care -- In Infancy and Childhood KW - Infant, Premature KW - Scales KW - Infant KW - Descriptive Research KW - Correlational Studies KW - Surveys KW - Mail KW - Maternal Attitudes -- Evaluation KW - Descriptive Statistics KW - Step-Wise Multiple Regression KW - Intensive Care Units, Neonatal KW - Hospitals, Community KW - Adult KW - Female KW - Human SP - 394 EP - 401 JO - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JF - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JA - JOGNN VL - 27 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - OBJECTIVE: To describe mothers' experiences with back transfer of their infants from a neonatal intensive-care unit (NICU) to a community hospital (CH). DESIGN: Descriptive correlational study. PARTICIPANTS: One hundred forty-three mothers whose infants were back transferred from regional NICUs to 1 of 20 Level I or Level II CHs. MAIN OUTCOME MEASURES: Quality of back transfer was measured by the NICU/CH Transfer Quality Scale developed by the investigators. Overall level of stress related to back transfer was also measured. RESULTS: More positive experiences with the NICU component of back transfer were related to fewer perceived differences in physician practice between NICUs and CH settings and fewer infant problems after transfer (R2 = 8.1%, p = .007). More positive experiences with the CH component of back transfer were related to fewer perceived differences in nursing and medical practices between settings; fewer infant problems after transfer; and more sources of pretransfer preparation (R2 = 33.4%, p < .0001). Lower levels of overall stress associated with transfer were related to fewer infant problems after transfer and greater lengths of stay in the NICU (R2 = 8.8%, p = .01). CONCLUSION: Results support the need for consistency of care and coordinated approaches to back transfer. SN - 0884-2175 AD - Dartmouth-Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 U2 - PMID: 9684202. DO - 10.1111/j.1552-6909.1998.tb02663.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107285518&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107736233 T1 - Trauma center: reversing the process of dying... Emergency Medicine, Baltimore. AU - Felknor R Y1 - 1974/09// N1 - Accession Number: 107736233. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 20010080R. KW - Wounds and Injuries KW - Teamwork KW - Intensive Care Units KW - Transportation of Patients KW - Emergency Service SP - 45 EP - 51 JO - RN JF - RN JA - RN VL - 37 IS - 9 CY - North Olmsted, Ohio PB - Advanstar Communications Inc. SN - 0033-7021 U2 - PMID: 4496705. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107736233&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107300559 T1 - Spread of vancomycin-resistant enterococci: why did it happen in the United States?... from the Fifth International Conference on the Prevention of Infection. AU - Martone WJ Y1 - 1998/08//1998 Aug N1 - Accession Number: 107300559. Language: English. Entry Date: 19981201. Revision Date: 20150818. Publication Type: Journal Article; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8804099. KW - Vancomycin Resistance -- Evaluation -- United States KW - Epidemiology KW - Enterococcal Infections -- Transmission KW - Cross Infection KW - United States KW - Vancomycin KW - Carrier State KW - Microbial Contamination KW - Transfer, Discharge KW - Diagnosis, Laboratory KW - Handwashing KW - Drug Utilization SP - 539 EP - 545 JO - Infection Control & Hospital Epidemiology JF - Infection Control & Hospital Epidemiology JA - INFECT CONTROL HOSP EPIDEMIOL VL - 19 IS - 8 PB - Cambridge University Press AB - The question of why vancomycin-resistant enterococci (VRE) became epidemic in the United States can be answered on at least three basic levels: (1) molecular and genetic, (2) factors affecting host-microbe interactions, and (3) epidemiological. This article will address the epidemiological issues and seek to defend the assertion that, once VRE had evolved, its spread throughout hospitals in the United States was all but assured. Nosocomial VRE outbreaks were reported first in the mid- and late-1980s. Since that time, scientific reports of VRE have increased over 20-fold. Among hospitals participating in the National Nosocomial Infection Surveillance System from 1989 to 1997, the percentage of enterococci reported as resistant to vancomycin increased from 0.4% to 23.2% in intensive-care settings and from 0.3% to 15.4% in non-intensive-care settings. Factors leading to the spread of VRE in US hospitals include (1) antimicrobial pressure, (2) sub-optimal clinical laboratory recognition and reporting, (3) unrecognized 'silent' carriage and prolonged fecal carriage, (4) environmental contamination and survival, (5) intrahospital and interhospital transfer of colonized patients, (6) introduction of unrecognized carriers from community settings such as nursing homes, and (7) inadequate compliance with hand washing and barrier precautions. Guidelines developed by the Centers for Disease Control and Prevention's Hospital Infection Control Practices Advisory Committee address each of these factors. The impact of these guidelines on the spread of VRE within individual institutions has been variable, and the overall impact of the guidelines nationally is unknown. SN - 0899-823X AD - Senior Executive Director, National Foundation for Infectious Diseases, 4733 Bethesda Ave., Suite 750, Bethesda, MD 20814; e-mail: wjmartone@aol.com U2 - PMID: 9758052. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107300559&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105504093 T1 - Moving day: creating a guide to smooth the ride. AU - Nugteren L Y1 - 2008/04// N1 - Accession Number: 105504093. Language: English. Entry Date: 20090515. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 8207799. KW - Patient Education KW - Teaching Materials -- Utilization KW - Transfer, Intrahospital -- Education KW - Critical Care Nursing KW - Hospital Units KW - Inpatients KW - Intensive Care Units SP - e38 EP - e38 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 28 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105504093&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105503971 T1 - Take apart and make new so as to help others: improving patient flow from the ED to the MICU using a Kaizen model. AU - Daly ML Y1 - 2008/04// N1 - Accession Number: 105503971. Language: English. Entry Date: 20090515. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Quality Assurance. NLM UID: 8207799. KW - Emergency Service KW - Intensive Care Units KW - Interdepartmental Relations KW - Quality Improvement KW - Bed Occupancy KW - Charge Nurses KW - Collaboration KW - Critical Care Nursing KW - Decision Making KW - Emergency Nursing KW - Patient Admission KW - Transfer, Intrahospital SP - e47 EP - e47 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 28 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105503971&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106757879 T1 - Neonatal critical care nursing. AU - Fernandes BF Y1 - 2004/01//2004 Jan N1 - Accession Number: 106757879. Language: English. Entry Date: 20040723. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Asia; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. KW - Neonatal Intensive Care Nursing KW - Expectant Mothers KW - Female KW - Heart Catheterization KW - Heart Defects, Congenital -- Nursing KW - Heart Surgery KW - Infant, Newborn KW - Nursing Role KW - Patient History Taking KW - Pregnancy KW - Pregnancy Complications KW - Prenatal Diagnosis KW - Transportation of Patients SP - 12 EP - 15 JO - Asian Journal of Cardiovascular Nursing JF - Asian Journal of Cardiovascular Nursing JA - ASIAN J CARDIOVASC NURS VL - 12 IS - 1 PB - Birla Heart Research Centre, B.M. AD - Nursing Supervisor, P. D. Hinduja National Hospital, Mumbai UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106757879&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107456873 T1 - New pathways for critical care. AU - Borfitz D Y1 - 1994/12//1994 Dec-Jan N1 - Accession Number: 107456873. Language: English. Entry Date: 19941201. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Peer Reviewed; USA. NLM UID: 9305390. KW - Respiratory Therapists KW - Professional Role KW - Critical Care -- In Infancy and Childhood KW - Respiratory Therapy -- In Infancy and Childhood KW - Respiratory Therapy Service KW - Hospitals, Special -- Pennsylvania KW - Pennsylvania KW - Intensive Care Units, Pediatric KW - Physicians KW - Transportation of Patients -- In Infancy and Childhood KW - Respiration, Artificial -- In Infancy and Childhood KW - Clinical Research KW - Infant, Newborn KW - Infant KW - Child, Preschool KW - Adolescence KW - Inpatients SP - 122 EP - 132 JO - RT: The Journal for Respiratory Care Practitioners JF - RT: The Journal for Respiratory Care Practitioners JA - RT VL - 7 IS - 1 CY - Overland Park, Kansas PB - Anthem Systems LLC dba MEDQOR AB - At Children's Hospital of Pittsburgh, the use of new techniques in lifesaving procedures has brought RTs into a leading role. SN - 1040-6050 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107456873&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106451695 T1 - Saving money and ICU resources: moving stable chronically ventilated patients from ICU to acute care. AU - Unger N AU - De Guzman C AU - Oenning G Y1 - 2006/04// N1 - Accession Number: 106451695. Language: English. Entry Date: 20060602. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Progressive Patient Care KW - Transfer, Intrahospital KW - Ventilator Patients KW - Bed Occupancy -- Economics KW - Cost Savings KW - Health Resource Allocation KW - Inpatients KW - Intensive Care Units -- Economics SP - S11 EP - S11 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 26 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Harborview Medical Center, Wash UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106451695&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107364399 T1 - Holding on: parents' perceptions of premature infants' transfers. AU - Gibbins SAM AU - Chapman JS Y1 - 1996/02// N1 - Accession Number: 107364399. Language: English. Entry Date: 19960401. Revision Date: 20150818. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8503123. KW - Infant, Premature KW - Parental Attitudes KW - Transfer, Discharge -- In Infancy and Childhood KW - Qualitative Studies KW - Grounded Theory KW - Audiorecording KW - Unstructured Interview KW - Intensive Care Units, Neonatal KW - Convenience Sample KW - Coping KW - Data Analysis KW - Infant, Newborn KW - Human SP - 147 EP - 153 JO - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JF - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing JA - JOGNN VL - 25 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Objective: To describe parents' perceptions of their infants' transfers within a regional system of perinatal care. Design: Qualitative; grounded theory methodology. Setting: Interviews were conducted in an office adjacent to a neonatal intensive care unit (NICU), in an intermediate care unit (IMCU), and in the homes of parents. Participants: Fifteen parents of premature infants were recruited and interviewed during the 3 days before their infants were transferred from a NICU to an IMCU or home. The 15 parents were interviewed again during the 5 days after the initial interview to learn their feelings about the transfer. Data collection: After consent was obtained, unstructured interviews were recorded and transcribed. Analyses of the data were ongoing, and the second interviews with parents were more focused. Results: Parents identified four phases that described their transfer experience. Within the four phases, four categories were identified to depict parents' experiences further. The core category of holding on reflected the belief that transfer home would become a reality and normal family life eventually would ensue. Conclusions: Nurses in NlCUs and IMCUs have a responsibility to educate the parents of infants at high risk. Nurses sensitive to parental perceptions of neonatal transfer can better facilitate a positive transfer experience. SN - 0884-2175 AD - Women's College Hospital, Toronto, Ontario, Canada U2 - PMID: 8656305. DO - 10.1111/j.1552-6909.1996.tb02418.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107364399&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106637697 T1 - Strategies to reduce delays in admission into a postanesthesia care unit from operating rooms. AU - Dexter F AU - Epstein RH AU - Marcon E AU - de Matta R Y1 - 2005/04//2005 Apr N1 - Accession Number: 106637697. Language: English. Entry Date: 20050527. Revision Date: 20150711. Publication Type: Journal Article; algorithm; research; systematic review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9610507. KW - Operating Rooms KW - Personnel Staffing and Scheduling KW - Post Anesthesia Care Units KW - Transfer, Intrahospital KW - Appointments and Schedules KW - Computer Simulation KW - Length of Stay KW - Medline KW - Nursing Management KW - Patient Discharge KW - Sampling Methods KW - Surgical Patients KW - Time Factors KW - Human SP - 92 EP - 102 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 20 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Director, Department of Anesthesia, University of Iowa, 6-JCP, Iowa City, IA 52242; franklin-dexter@uiowa.edu U2 - PMID: 15806526. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106637697&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107454053 T1 - Transitional family care: PICU to pediatrics. AU - Braun R AU - St. Clair C Y1 - 1994/08//1994 Aug N1 - Accession Number: 107454053. Language: English. Entry Date: 19941101. Revision Date: 20150818. Publication Type: Journal Article; care plan; forms; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Intensive Care Units, Pediatric KW - Nursing Units KW - Transfer, Intrahospital KW - Pediatric Critical Care Nursing KW - Family Centered Care KW - Patient-Family Conferences KW - Transfer, Intrahospital -- Education KW - Transfer, Intrahospital -- Psychosocial Factors KW - Adaptation, Psychological KW - Pediatric Nursing KW - Child KW - Inpatients SP - 65 EP - 68 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 14 IS - 4 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses AB - The transition from PICU to the pediatric floor can be stressful for patients and their families. This standardized plan of care eases that transition and makes the move a positive one for everyone. SN - 0279-5442 U2 - PMID: 8055690. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107454053&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105743308 T1 - Ventilation for life. Patient safety and pediatric mechanical ventilation outside the ICU. AU - Salyer J Y1 - 2008/05//2008 May N1 - Accession Number: 105743308. Language: English. Entry Date: 20080620. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Allied Health; USA. Special Interest: Patient Safety; Pediatric Care. NLM UID: 8708187. KW - Patient Safety -- In Infancy and Childhood KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Respiration, Artificial -- In Infancy and Childhood KW - Child KW - Child, Preschool KW - Infant KW - Intensive Care Units KW - Multidisciplinary Care Team SP - 13 EP - 16 JO - AARC Times JF - AARC Times JA - AARC TIMES VL - 32 IS - 5 CY - Irving, Texas PB - Daedalus Enterprises, Inc. AB - A case for early transfer of chronically ventilated children from the ICU SN - 0893-8520 AD - Director of Respiratory Care, Children's Hospital and Regional Medical Center, Seattle, WA UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105743308&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106330113 T1 - Whether it's transportation or post-acute care, rural CMs rise to the challenge: thinking outside the box is critical for success. Y1 - 2006/08//2006 Aug N1 - Accession Number: 106330113. Language: English. Entry Date: 20060908. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; USA. NLM UID: 9603097. KW - Case Management KW - Discharge Planning KW - Transportation KW - After Care KW - Hospitals, Rural SP - 113 EP - 115 JO - Hospital Case Management JF - Hospital Case Management JA - HOSP CASE MANAGE VL - 14 IS - 8 CY - Atlanta, Georgia PB - AHC Media LLC AB - Rural case managers rise to the challenge SN - 1087-0652 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106330113&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106327526 T1 - Including patients and their family in the patient transfer process following open heart surgery. AU - Meleca N AU - Riley D Y1 - 2006///Summer2006 N1 - Accession Number: 106327526. Language: English. Entry Date: 20060825. Revision Date: 20150820. Publication Type: Journal Article; abstract; research. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. NLM UID: 100955578. KW - Heart Surgery KW - Intensive Care Units KW - Transfer, Discharge KW - Retrospective Design KW - Human SP - 33 EP - 33 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 17 IS - 2 CY - London, Ontario PB - Canadian Association of Critical Care Nurses SN - 1497-3715 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106327526&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105822801 T1 - An outbreak of multiply-resistant Klebsiella pneumoniae in the Grampian region of Scotland. AU - Hobson RP AU - MacKenzie FM AU - Gould IM Y1 - 1996/08//1996 Aug N1 - Accession Number: 105822801. Language: English. Entry Date: 20080307. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 8007166. KW - Drug Resistance KW - Klebsiella Infections -- Drug Therapy KW - Klebsiella -- Drug Effects KW - Antibiotics -- Therapeutic Use KW - Antiinfective Agents -- Therapeutic Use KW - Aztreonam -- Therapeutic Use KW - Cefotaxime -- Therapeutic Use KW - Ceftazidime -- Therapeutic Use KW - Cefuroxime -- Therapeutic Use KW - Cephalosporins -- Therapeutic Use KW - Ciprofloxacin -- Therapeutic Use KW - Costs and Cost Analysis KW - Disease Outbreaks -- Prevention and Control KW - Drug Resistance, Microbial KW - Gentamicins -- Therapeutic Use KW - Klebsiella Infections -- Epidemiology KW - Klebsiella Infections -- Microbiology KW - Klebsiella Infections -- Prevention and Control KW - Scotland SP - 249 EP - 262 JO - Journal of Hospital Infection JF - Journal of Hospital Infection JA - J HOSP INFECT VL - 33 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - A predominantly hospital-based outbreak of multiply-resistant Klebsiella pneumoniae capsular type K2 (MRK) expressing expanded spectrum betalactamase (ESBL) activity and fully sensitive only to the carbapenems and amikacin is described. The organism was isolated from 283 patients between March 1992 and September 1995. The outbreak started in the intensive care unit (ICU) of a major acute hospital and spread through surgical wards, a medical ward, a geriatric unit in a separate hospital and various other local hospitals. Environmental screening revealed extensive ward contamination. The decline of the outbreak after the spring of 1995 coincided with the re-emphasis of standard infection control procedures and the launch of a works programme aimed at addressing underlying sites of environmental contamination. Of the 283 cases, 166 (59.0%) were detected through a specially instigated case finding programme. The MRK caused 11 cases of septicaemia, two postoperative intra-abdominal abscesses, one case of postoperative meningitis, 102 cases of urinary tract infection and 28 wound infections and was isolated from the respiratory tracts of five patients with ventilator associated pneumonia. The difficulty in controlling the outbreak is ascribed to heavy environmental contamination, frequent inter- and intra-hospital patient transfers and prolonged carriage of the outbreak strain.Copyright © 1996 by Elsevier Inc. SN - 0195-6701 AD - Department of Medical Microbiology, Aberdeen Royal Infirmary, Foresterhill, UK. U2 - PMID: 8864938. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105822801&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106636131 T1 - The mountable unit stretcher extension rack (MOUNSTER) of the AZ-Vub, Brussels, Belgium. AU - Danschutter D Y1 - 2004/11//2004 Nov N1 - Accession Number: 106636131. Language: English. Entry Date: 20050527. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Canada; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 101305908. KW - Equipment Design KW - Transportation of Patients -- Equipment and Supplies -- In Infancy and Childhood KW - Child KW - Emergency Medical Technicians KW - Emergency Service KW - Europe KW - Intensive Care Units, Pediatric KW - Nurses KW - Questionnaires KW - Respiratory Therapists SP - 3 EP - 9 JO - Pediatric Intensive Care Nursing JF - Pediatric Intensive Care Nursing JA - PEDIATR INTENSIVE CARE NURS VL - 5 IS - 2 CY - Montreal, Quebec PB - International Pediatric Intensive Care Nursing Association AB - Pediatric intensive care units (PICU) are generally centralized in tertiary hospitals, requiring a transportation system to transfer patients from initial management areas towards the PICU. This transport system should be safe according to the highest standards and include initiation of full PICU therapeutic measures from the moment patient care is entrusted to the transport team. The therapeutic measures should be qualitatively identical to those that will be continued in the PICU and maintained prior to, during and after transport.Therefore, all PICU equipment has been integrated on a reconfigured ambulance trolley, leading to the design of an out of-hospital bed with precisely the same options as for a standard PICU bed; the transport team is thus not challenged by different or additional equipment during transportation.A standard available Stryker M-1 rugged trolley has been equipped with a second patient level. Most of the equipment has been integrated in the level between carrier and patient bed, creating full and 3600 access round and above the patient. All original 10G fixation points were kept unaffected. Binary gas supply and a manifold controlled distribution system provide a Siemens 300 servo respirator with compressed air and oxygen, either from the trolley gas cylinders or the ambulance supply. The same technique was used for oxygen and aerosol administration. Two independent batteries generate 1200 W resulting in 2 hours of autonomy in case of ambulance inverter failure. The trolley is standard equipped with 4 IV syringe pumps but 3 IV poles offer additional expansion. Full monitoring (including EtCO2 and invasive blood pressure measurement), AED and communication system are incorporated. The trolley is also equipped with a suction unit and an active heating and humidification device for inspired gasses. Standard PICU medication and disposables, resuscitation charts and precalculated medication charts are available in the transport backpacks. The notion of a mobile PICU is not new, but the feature of our mobile unit represents an important step in the optimisation of the transport of critically ill children. SN - 1819-7566 AD - Head Nurse, PICU, AZ-Free University Brussels, Brussels, Belgium UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106636131&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106596097 T1 - Severe traumatic brain injury and spinal cord injury in children. AU - Hoskote A Y1 - 2004/08//2004 Aug N1 - Accession Number: 106596097. Language: English. Entry Date: 20050318. Revision Date: 20150711. Publication Type: Journal Article; tables/charts. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 9803882. KW - Brain Injuries -- In Infancy and Childhood KW - Spinal Cord Injuries -- In Infancy and Childhood KW - Trauma -- In Infancy and Childhood KW - Child KW - Critical Care KW - Infant KW - Intensive Care Units KW - Resuscitation KW - Transportation of Patients SP - 489 EP - 492 JO - Hospital Medicine (14623935) JF - Hospital Medicine (14623935) JA - HOSP MED (LOND) VL - 65 IS - 8 PB - Mark Allen Holdings Limited SN - 1462-3935 AD - Consultant in Intensive Care, Division of Cardiorespiratory and Critical Care, Great Ormond Street Hospital for Children NHS Trust, London WC1N 3JH U2 - PMID: 15330352. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106596097&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106620751 T1 - Severe head injury in children: geographical range of an emergency neurosurgical practice. AU - Tasker RC AU - Gupta S AU - White DK Y1 - 2004/07// N1 - Accession Number: 106620751. Language: English. Entry Date: 20050429. Revision Date: 20150820. Publication Type: Journal Article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 100963089. KW - Catchment Area (Health) KW - Emergency Service KW - Head Injuries KW - Neurosurgery KW - Transfer, Discharge KW - Child KW - Child, Preschool KW - England KW - Female KW - Intensive Care Units, Pediatric KW - Male KW - Nonexperimental Studies KW - Patient Admission KW - Prospective Studies KW - Severity of Injury KW - Time Factors KW - Transportation of Patients KW - Trauma Centers KW - Human SP - 433 EP - 437 JO - Emergency Medicine Journal JF - Emergency Medicine Journal JA - EMERG MED J PB - BMJ Publishing Group AB - OBJECTIVE: To determine the timings of regional transfer for emergency neurosurgery and intensive care after severe head injury in children, and the effective operational range of a regional service. DESIGN: Prospective observational study of admissions to a regional paediatric intensive care unit (PICU). SETTING: East Anglia region in England, January 2000 to December 2001, where 18 referring hospitals are within two hours road transit time from the centre. PATIENTS: 69 severely head injured children (52 boys and 17 girls, aged 8.4 (3.6 to 12.5) years). MAIN OUTCOME MEASURES: Time interval between injury and arrival at first hospital (primary transfer); timing between arrival at first hospital and arrival in PICU or the operating theatre (secondary transfer). RESULTS: Arrival in one of the 19 accident and emergency departments occurred (median, IQR) within 48 (35 to 70) minutes of the accident. After arrival, the interval of secondary transfer was 4.4 (3.2 to 5.8) hours. Children rarely received their surgery within four hours of injury; for this to occur, the geographical range of this regional practice would need to be restricted to those hospitals within about 45 minute road transit time from the centre. CONCLUSIONS: Good evidence supporting the recommendation that acute neurosurgery for the evacuation of a haematoma within four hours of injury is still scarce. The timings of care after an accident suggest that this guideline is unworkable in regions covering areas with road distance travel times in excess of 45 minutes. SN - 1472-0205 AD - Paediatric Intensive Care Unit, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK; rct31@cam.ac.uk U2 - PMID: 15208225. DO - 10.1136/emj.2002.004069 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106620751&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106635801 T1 - Patient safety: senior executive adopt-a-work unit: a model for safety improvement. AU - Pronovost PJ AU - Weast B AU - Bishop K AU - Paine L AU - Griffith R AU - Rosenstein BJ AU - Kidwell RP AU - Haller KB AU - Davis R Y1 - 2004/02//2004 Feb N1 - Accession Number: 106635801. Language: English. Entry Date: 20050520. Revision Date: 20150711. Publication Type: Journal Article; forms; research; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Grant Information: Funded in part by Agency for Healthcare Research and Quality Grant No. U18HS11902-01. NLM UID: 101166696. KW - Hospital Programs KW - Intensive Care Units -- Administration KW - Patient Safety KW - Administrative Personnel KW - Critical Care Nursing KW - Infusion Pumps KW - Medication Errors KW - Occupational Hazards KW - Organizational Change KW - Organizational Culture KW - Patient Safety -- Education KW - Program Development KW - Program Implementation KW - Quality Improvement KW - Staff Development KW - Summated Rating Scaling KW - Surveys KW - Transfer, Intrahospital KW - Funding Source KW - Human SP - 59 EP - 68 JO - Joint Commission Journal on Quality & Safety JF - Joint Commission Journal on Quality & Safety JA - JOINT COMM J QUAL SAF VL - 30 IS - 2 CY - Oak Brook, Illinois PB - Joint Commission Resources AB - Background: At The Johns Hopkins Hospital (JHH), the patient safety committee created a safety program that focused on encouraging staff in selected units to identify and eliminate potential errors in the patient care environment. As part of this program, senior hospital executives each adopted an intensive care unit and worked with the unit staff to identify issues and to empower staff to address safety issues.JHH Patient Safety Program: The program consisted of eight steps, which together require six months for implementation: (1) conduct a culture survey; (2) educate staff on the science of safety; (3) identify staff safety concerns through a staff safety survey; (4) implement the senior executive adopt-a-work unit program; (5) implement improvements; (6-7) document results, share stories, and disseminate results; and (8) resurvey staff.Results: The senior executive adopt-a-work unit pro-gram was successful in identifying and eliminating hazards to patient safety and in creating a culture of safety.Discussion: The program can be broadly implement-ed. The keys to program success are the active role of an executive advocate and staffs willingness to openly discuss safety issues on the units. Regular meetings between the advocates and the units have provided a forum for enhancing executive awareness, increasing staff confidence and trust in executive involvement, and swiftly and effectively addressing areas of potential patient harm. SN - 1549-3741 AD - Associate Professor, Johns Hopkins University, Departments of Anesthesiology and Critical Care Medicine, Surgery, and Health Policy & Management, Baltimore, MD U2 - PMID: 14986336. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106635801&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107404075 T1 - Considerations for inter-hospital extracorporeal cardiopulmonary support resuscitation and transport. AU - Bennett JB AU - Hill JG AU - Long WB AU - Bennett, J B AU - Hill, J G AU - Long, W B Y1 - 1994/06//1994 Jun N1 - Accession Number: 107404075. Language: English. Entry Date: 19950401. Revision Date: 20151101. Publication Type: journal article; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 0267637. KW - Emergency Care KW - Cardiopulmonary Bypass KW - Transportation of Patients KW - Aeromedical Transport KW - Transfer, Discharge KW - Portable Equipment SP - 79 EP - 86 JO - Journal of Extra-Corporeal Technology JF - Journal of Extra-Corporeal Technology JA - J EXTRA CORPOREAL TECHNOL VL - 26 IS - 2 CY - Chicago, Illinois PB - AMSECT AB - The availability of commercial, pre-packaged extracorporeal cardiopulmonary support (ECPS) circuits, which are simplified for rapid set-up and priming, has made the intra-hospital resuscitation of moribund patients routine. The successful utilization of this technology in the emergent setting requires planning and the coordination of personnel familiar with the technology. Many issues must be addressed when a patient requiring life-sustaining support utilizing this technology at an outlying hospital, must be transported while on ECPS. After reducing the size and weight of the ECPS cart and obtaining Federal Aviation Administration approval for use during aeromedical transport, the Emanuel Hospital Mobile Surgical Transport Team (MSTT) was able to extend the use of emergency cardiopulmonary bypass to outlying medical facilities. The patients selected for transport, using ECPS, are a group of patients with a potentially survivable pathology unlikely to survive inter-hospital transport without such measures. This report describes our experience with inter-hospital transport of patients on ECPS with special emphasis on transport considerations. SN - 0022-1058 AD - Division of Cardiovascular Surgery, Legacy Health Systems, Portland, Oregon AD - Clinical Perfusionists Inc, Department of Perfusion, Episcopal Hospital, 100 E Lehigh Ave, Philadelphia, PA 19125 U2 - PMID: 10147373. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107404075&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106775681 T1 - Study reveals benchmarking flaws of many report cards, quality rankings: medical centers with high transfer rates are at a disadvantage. Y1 - 2003/08//2003 Aug N1 - Accession Number: 106775681. Language: English. Entry Date: 20040910. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Health Services Administration; USA. NLM UID: 101151031. KW - Benchmarking KW - Intensive Care Units KW - Interinstitutional Relations KW - Quality Improvement KW - Quality of Health Care KW - Severity of Illness KW - Transfer, Discharge KW - Aged, 80 and Over KW - Child KW - Hospitals -- Classification KW - Infant, Newborn SP - 85 EP - 88 JO - Healthcare Benchmarks & Quality Improvement JF - Healthcare Benchmarks & Quality Improvement JA - HEALTHC BENCHMARKS QUAL IMPROV VL - 10 IS - 8 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1541-1052 U2 - PMID: 12901317. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106775681&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106525605 T1 - A comparison of on-site and off-site patent ductus arteriosus ligation in premature infants. AU - Gould DS AU - Montenegro LM AU - Gaynor JW AU - Lacy SP AU - Ittenbach R AU - Stephens P AU - Steven JM AU - Spray TL AU - Nicolson SC Y1 - 2003/12// N1 - Accession Number: 106525605. Language: English. Entry Date: 20051014. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0376422. KW - Ductus Arteriosus, Patent -- Surgery KW - Heart Surgery -- Methods -- In Infancy and Childhood KW - Infant, Premature, Diseases -- Surgery KW - Intensive Care Units, Neonatal KW - Outcome Assessment KW - Clinical Information Systems KW - Comparative Studies KW - Hospitals, Pediatric KW - Infant, Newborn KW - Infant, Premature KW - Mann-Whitney U Test KW - Multidisciplinary Care Team KW - Pennsylvania KW - Record Review KW - Retrospective Design KW - Transfer, Discharge KW - Transportation of Patients KW - Treatment Outcomes KW - Human SP - 1298 EP - 1301 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 112 IS - 6 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - INTRODUCTION: Persistent patent ductus arteriosus (PDA) often produces hemodynamic and respiratory derangement necessitating use of inotropic drugs and escalating ventilatory support in premature infants. When medical therapy fails, surgical ligation is indicated. Because of the risks of transferring unstable neonates to the operating room, ductal ligation is routinely performed at the neonatal intensive care unit (NICU) bedside. Some patients, however, require transfer from hospitals without pediatric cardiac surgical teams. In an attempt to eliminate the risks associated with transfer, a surgical team from our institution offered to perform duct ligation in the NICUs of referring institutions. This experienced team consisted of a pediatric cardiac attending anesthesiologist and certified registered nurse anesthetist, cardiac operating room nurses, an attending cardiothoracic surgeon, and a cardiothoracic surgery fellow. We retrospectively reviewed our experience. METHODS: After approval from the Committee for the Protection of Human Subjects, the charts of premature neonates who underwent PDA ligation in the NICU at the Children's Hospital of Philadelphia NICU or in a network NICU between January 1996 and April 2002 were reviewed. Data abstracted included institution, gender, gestational age, birth weight, weight at surgery, and number of courses of indomethacin. Mean arterial blood pressure and use of inotropic drugs and ventilatory parameters (fraction of inspired oxygen, peak inspiratory pressure) were recorded at the time of surgery and 96 hours postoperatively. Perioperative complications were recorded. RESULTS: Seventy-two patients met the criteria for inclusion. PDA ligation was performed in the Children's Hospital of Philadelphia NICU in 38 of 72 patients, 53% (group 1). The remainder, 34 of 72 (47%) underwent PDA ligation in the NICU at 1 of 6 referring institutions (group 2). There were no significant differences between groups with respect to demographics, number of courses of indomethacin, or use of inotropic drugs or ventilatory support. The incidence of perioperative complications did not differ between groups: 3 in group 1 (bleeding, chylothorax, and pleural effusion) and 3 in group 2 (pneumothorax [3]). There were no anesthetic-related complications. Seven patients died (4 in group 1 and 3 in group 2), none within 96 hours of surgery and none secondary to the procedure. DISCUSSION: The data demonstrate that an experienced team can perform PDA ligation safely in NICUs of hospitals without on-site pediatric cardiac surgical capabilities in critically ill neonates without incurring the risks inherent in patient transport. Most importantly, patient care is continued by the neonatology team most familiar with the infant's medical and social history, and the patient's family is minimally inconvenienced. SN - 0031-4005 AD - Division of Cardiothoracic Anesthesia, Children's Hospital of Philadelphia, 34th St and Civic Center Blvd, Philadelphia, PA 19104; gouldd@email.chop.edu U2 - PMID: 14654600. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106525605&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106685300 T1 - Crush syndrome patients after the Marmara earthquake. AU - Demirkiran O AU - Dikmen Y AU - Utku T AU - Urkmez S AU - Demirkiran, O AU - Dikmen, Y AU - Utku, T AU - Urkmez, S Y1 - 2003/05// N1 - Accession Number: 106685300. Language: English. Entry Date: 20040102. Revision Date: 20170414. Publication Type: journal article; research; tables/charts. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Instrumentation: Acute Physiology and Chronic Health Evaluation II (APACHE II). NLM UID: 100963089. KW - Crush Syndrome -- Therapy -- Turkey KW - Treatment Outcomes KW - Academic Medical Centers KW - Aged KW - Amputation KW - Apache KW - Case Studies KW - Child KW - Clinical Assessment Tools KW - Descriptive Statistics KW - Emergency Care KW - Female KW - Hyperkalemia KW - Intensive Care Units KW - Renal Insufficiency KW - Male KW - Middle Age KW - Multiple Organ Dysfunction Syndrome KW - Natural Disasters KW - Oliguria KW - Outcomes Research KW - Record Review KW - Respiratory Distress Syndrome KW - Retrospective Design KW - Transportation of Patients KW - Turkey KW - Respiration, Artificial KW - Human SP - 247 EP - 250 JO - Emergency Medicine Journal JF - Emergency Medicine Journal JA - EMERG MED J PB - BMJ Publishing Group AB - Background: To assess the treatment and outcome of patients with crush injury sustained in the Marmara earthquake. Methods: Seven hundred eighty three patients were transferred to a university hospital and 25 of them were admitted to the intensive care unit. The medical records of 18 crush injury patients were retrospectively reviewed. Results: The major associated injuries were in the lower extremities, upper extremities, and chest. Seven patients underwent fasciotomy and six patients had amputations. Twelve patients required mechanical ventilation. Adult respiratory distress syndrome developed in four patients. Oliguria occurred in eight patients. Hyperkalaemia was seen in six patients and four of them underwent emergency haemodialysis. One patient died because of hyperkalaemia on arrival to the intensive care unit. Renal failure was treated with haemodialysis or haemoperfusion in 13 patients. Five patients died because of multiple organ failure and two patients because of sepsis. Conclusion: Crush syndrome is a life threatening event. The authors believe that early transportation and immediate intensive care therapy would have improved the survival rate. SN - 1472-0205 AD - Istanbul University, Cerrahpasa Medical School, Department of Anaesthesiology, Sadi Sun ICU, Istanbul, Turkey U2 - PMID: 12748140. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106685300&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106701733 T1 - Short-term ventilation of critically ill patients in recovery. AU - Ryan D AU - Tobin G Y1 - 2003/05//2003 May N1 - Accession Number: 106701733. Language: English. Entry Date: 20040213. Revision Date: 20150820. Publication Type: Journal Article; pictorial; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 100935999. KW - Critical Care Nursing KW - Perianesthesia Nursing KW - Respiration, Artificial KW - Convenience Sample KW - Critically Ill Patients KW - Databases KW - Descriptive Statistics KW - Patient Admission KW - Post Anesthesia Care Units KW - Prospective Studies KW - Record Review KW - T-Tests KW - Time Factors KW - Transfer, Discharge KW - Transfer, Intrahospital KW - Human SP - 214 EP - 217 JO - British Journal of Perioperative Nursing JF - British Journal of Perioperative Nursing JA - BR J PERIOPER NURS VL - 13 IS - 5 PB - Association for Perioperative Practice AB - There is often a shortfall of critical care facilities which can result in a number of patients who need management in intensive care units (ICUs) being treated in a recovery unit prior to being found an ICU bed. This article describes a study which examined this situation. The patients' origins, durations of stay in recovery, outcomes and final destinations are discussed. The authors conclude that recovery provides a hidden resource to supplement the lack of intensive care beds and suggest ways that the problem might be addressed. SN - 1467-1026 AD - Clinical Physiologist, General ITU, Freeman Hospital, Newcastle upon Tyne, NE7 7DN U2 - PMID: 12774702. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106701733&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106787808 T1 - 'The worst journey of our lives': parents' experiences of a specialised paediatric retrieval service. AU - Colville G AU - Orr F AU - Gracey D Y1 - 2003/04//2003 Apr N1 - Accession Number: 106787808. Language: English. Entry Date: 20031212. Revision Date: 20150820. Publication Type: Journal Article; questionnaire/scale; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Parental Attitudes -- Evaluation KW - Transfer, Discharge -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Child KW - Child, Preschool KW - Consumer Satisfaction -- Evaluation KW - Convenience Sample KW - Descriptive Research KW - Descriptive Statistics KW - England KW - Infant KW - Intensive Care Units, Pediatric KW - Mail KW - Nonparametric Statistics KW - Pamphlets KW - Questionnaires KW - Retrospective Design KW - Summated Rating Scaling KW - Survey Research KW - Thematic Analysis KW - Wilcoxon Signed Rank Test KW - Human SP - 103 EP - 108 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 19 IS - 2 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - In this retrospective study, a sample of 233 parents were surveyed, by means of a postal questionnaire, about their experience of a specialised paediatric retrieval service (median time interval after child's retrieval=10 months). Although all parents were routinely provided with written information about the retrieval service, only 46% remember receiving it. Also, although generally high, satisfaction ratings relating to the period of the child's transit were significantly lower (P<0.005) than those relating to the other stages of the transfer. Two main reasons were given by parents for their dissatisfaction: distress at being separated from their critically ill child and logistic problems locating and parking at the new hospital. Implications for future service provision are considered. SN - 0964-3397 AD - Consultant Clinical Psychologist, St. George's Hospital Medical School, London SW17 ORE, UK; g.colville@sghms.ac.uk U2 - PMID: 12706736. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106787808&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106783913 T1 - Effect of smoking on early complications after elective orthopaedic surgery. AU - Møller AM AU - Pedersen T AU - Villebro N AU - Munksgaard A Y1 - 2003/03//2003 Mar N1 - Accession Number: 106783913. Language: English. Entry Date: 20031128. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. Grant Information: Supported by grants from the Danish Research Councils, the Danish Ministry of Health and Director Danielsen's Foundation. NLM UID: 0375355. KW - Length of Stay KW - Orthopedic Surgery KW - Postoperative Complications KW - Smoking KW - Transfer, Intrahospital KW - Adolescence KW - Adult KW - Arthroplasty, Replacement KW - Chi Square Test KW - Comparative Studies KW - Confidence Intervals KW - Data Analysis Software KW - Denmark KW - Descriptive Statistics KW - Female KW - Funding Source KW - Health Behavior -- Evaluation KW - Intensive Care Units KW - Length of Stay -- Evaluation KW - Male KW - Mann-Whitney U Test KW - Middle Age KW - Multiple Logistic Regression KW - Odds Ratio KW - Record Review KW - Surgery, Elective KW - Two-Tailed Test KW - Unpaired T-Tests KW - Wound Healing -- Evaluation KW - Human SP - 178 EP - 181 JO - Journal of Bone & Joint Surgery, British Volume JF - Journal of Bone & Joint Surgery, British Volume JA - J BONE JOINT SURG (BR) VL - 85B IS - 2 PB - British Editorial Society of Bone & Joint Surgery AB - Smoking is an important risk factor for the development of postoperative pulmonary complications after major surgical procedures. We studied 811 consecutive patients who had undergone hip or knee arthroplasty, recording current smoking and drinking habits, any history of chronic disease and such intraoperative factors as the type of anaesthesia and the type and duration of surgery. We recorded any postoperative complications occurring before discharge from hospital. There were 232 smokers (28.6%) and 579 non-smokers. We found that smoking was the single most important risk factor for the development of postoperative complications, particularly those relating to wound healing, cardiopulmonary complications, and the requirement of postoperative intensive care. A delay in discharge from hospital was usual for those suffering a complication. In those patients requiring prolonged hospitalisation (>15 days) the proportion of smokers with wound complications was twice that of non-smokers. SN - 0301-620X AD - Department of Anaesthesiology, Bispebjerg University Hospital, Copenhagen NV 2400, Denmark U2 - PMID: 12678348. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106783913&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103842755 T1 - Year in review 2012: Critical Care - out-of-hospital cardiac arrest and trauma. AU - Goldberg, Scott A AU - Leatham, Auna AU - Pepe, Paul E Y1 - 2013/11// N1 - Accession Number: 103842755. Language: English. Entry Date: 20150410. Revision Date: 20150710. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; UK & Ireland. Special Interest: Critical Care. NLM UID: 9801902. KW - Critical Care KW - Emergency Medical Services KW - Heart Arrest -- Therapy KW - Prehospital Care KW - Wounds and Injuries -- Therapy KW - Age Factors KW - Fluid Therapy KW - Hypothermia -- Complications KW - Intubation, Intratracheal KW - Obesity -- Complications KW - Resuscitation, Cardiopulmonary -- Equipment and Supplies KW - Shock -- Etiology KW - Shock -- Therapy KW - Transportation of Patients -- Methods KW - Wounds and Injuries -- Complications SP - 248 EP - 248 JO - Critical Care JF - Critical Care JA - CRIT CARE VL - 17 IS - 5 PB - BioMed Central SN - 1364-8535 U2 - PMID: 24267483. DO - 10.1186/cc13128 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103842755&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106408731 T1 - Research round-up. Towards a safer neonatal transfer. AU - Wallis J Y1 - 2005/09// N1 - Accession Number: 106408731. Language: English. Entry Date: 20060317. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Double Blind Peer Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101189530. KW - Adverse Health Care Event KW - Patient Safety KW - Transfer, Discharge -- Evaluation -- In Infancy and Childhood KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Time Factors SP - 372 EP - 372 JO - RCM Midwives JF - RCM Midwives JA - RCM MIDWIVES VL - 8 IS - 9 CY - , PB - Redactive Publishing Ltd. SN - 1479-2915 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106408731&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107428256 T1 - Early transfer to a rehabilitation hospital for infants with chronic bronchopulmonary dysplasia. AU - Bachrach SJ AU - Pidcock FS AU - Branca PA AU - Gilbert PL AU - Schneider A AU - Walko L AU - McHugh B Y1 - 1993/09// N1 - Accession Number: 107428256. Language: English. Entry Date: 19951101. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Peer Reviewed; USA. Grant Information: Supported by SPRANS grant MCJ 423448-01-0, Division of Maternal and Child Health, US Public Health Service. NLM UID: 0372606. KW - Bronchopulmonary Dysplasia -- Rehabilitation KW - Intensive Care Units, Neonatal -- Utilization KW - Transfer, Discharge -- In Infancy and Childhood KW - Rehabilitation Centers -- Utilization -- In Infancy and Childhood KW - Funding Source KW - Length of Stay -- In Infancy and Childhood KW - Infant, Newborn KW - Infant KW - Male KW - Female KW - Human SP - 535 EP - 541 JO - Clinical Pediatrics JF - Clinical Pediatrics JA - CLIN PEDIATR VL - 32 IS - 9 CY - Thousand Oaks, California PB - Sage Publications Inc. SN - 0009-9228 AD - Dept of Medical Education, Alfred I duPont Institute, PO Box 269, Wilmington, DE 19899 U2 - PMID: 8258206. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107428256&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107491981 T1 - A cart to provide high frequency jet ventilation during transport of neonates. AU - Scuderi J AU - Elton CB AU - Elton DR Y1 - 1992/02//1992 Feb N1 - Accession Number: 107491981. Language: English. Entry Date: 19921001. Revision Date: 20150712. Publication Type: Journal Article; pictorial; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Respiratory Therapy Equipment and Supplies -- Evaluation KW - Ventilation, High Frequency -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Electricity KW - Respiratory Therapy Equipment and Supplies -- Economics KW - Equipment Failure -- Evaluation KW - Oxygen Consumption KW - Product Evaluation KW - Infant, Newborn SP - 129 EP - 136 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 37 IS - 2 CY - Irving, Texas PB - Daedalus Enterprises, Inc. AB - We report the evaluation of a cart we created to provide high frequency jet ventilation (HFJV) to neonates during intrahospital or interhospital transport. DESCRIPTION: The cart carries a conventional ventilator, jet ventilator (JV), incubator, gas blender, 3 E cylinders of oxygen and 2 of air, uninterruptible electric power supply (UPS), 2 syringe infusion pumps, cardiac monitor, and oximeter. EVALUATION METHODS: To determine the available operating time of the ventilators, we ran tests with 60% and 100% oxygen, high and low ventilator settings, 2.5-mm and 3.5-mm endotracheal tubes, and lung simulator set for low and high time constants. With five different combinations of these variables, the system was run to exhaustion of its gas supply. To determine the operating time limit of the UPS, we used it to operate the JV until the low-battery alarm sounded. RESULTS: The UPS always provided electrical power for at least 2 hours. In no case did a single cylinder of oxygen fail to power the system for less than 20 min. Because the cart carries 3 cylinders of oxygen and 2 of air, under the conditions tested a minimum of 60 min of continuous operation, using 100% oxygen, should be available during those portions of transports when the system is away from hospital and ambulance bulk power sources and is dependent on its own UPS and E cylinders of gas. EXPERIENCE: We have used the cart on two occasions to transport a 30-week gestational age, 1-kg, HFJV-dependent infant, first from ICU to surgery, then to another hospital for cardiac catheterization. Total transport time was 3 hours; there were no problems. The cart has also been used to transport three patients between hospitals during ECMO, without HFJV. CONCLUSIONS: Our HFJV transport system is adequate to transport an HFJV-dependent infant during the 30 to 60 minutes that may elapse when the cart is away from ambulance or hospital sources of electricity and gas. Available operating time with an HFJV transport system should be estimated conservatively; when an infant is dependent on HFJV, it would be well to have aircraft backup in case of ambulance breakdown or other contingencies. SN - 0020-1324 AD - Senior Transport Therapist, Childrens Hosp Intensive Care Unit Richland Memorial Hosp, Columbia, SC U2 - PMID: 10145616. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107491981&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106975256 T1 - The gold standard for efficient OR turnover time. AU - Lawrance DP Y1 - 2002/08//2002 Aug N1 - Accession Number: 106975256. Language: English. Entry Date: 20021108. Revision Date: 20150711. Publication Type: Journal Article; forms; pictorial. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 101091115. KW - Operating Rooms -- Administration KW - Surgery Schedule KW - Perioperative Care KW - Productivity KW - Quality Improvement KW - Program Development KW - Operating Room Personnel KW - Professional Role KW - Transfer, Intrahospital KW - Post Anesthesia Care Units KW - Documentation SP - 28 EP - 33 JO - SSM JF - SSM JA - SSM VL - 8 IS - 4 CY - Denver, Colorado PB - Association of periOperative Registered Nurses AD - Surgical Technologist, New Hanover Regional Hospital, Wilmington, NC UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106975256&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106963125 T1 - Caring for critically ill children: meeting the education and training needs of doctors and nurses from district general hospitals (DGH's) AU - Grange A AU - Green M Y1 - 2002/06//2002 Jun How To: Guides N1 - Accession Number: 106963125. Language: English. Entry Date: 20020927. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Supplement Title: 2002 Jun How To: Guides. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9114927. KW - Intensive Care Units, Pediatric -- Education -- England KW - Education, Nursing, Continuing -- England KW - Education, Medical, Continuing -- England KW - Professional Development -- England KW - England KW - Information Needs KW - Program Development KW - Program Implementation KW - Program Evaluation KW - Seminars and Workshops KW - Surveys KW - Transportation of Patients KW - Clinical Competence KW - Practice Guidelines KW - Infant KW - Child, Preschool KW - Child SP - 88 EP - 92 JO - Care of the Critically Ill JF - Care of the Critically Ill JA - CARE CRIT ILL VL - 18 IS - 3 CY - London, PB - Nature Publishing Group SN - 0266-0970 AD - Project Manager, PICU, The Leeds Teaching Hospitals NHS Trust UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106963125&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106962983 T1 - Creation of a neonatal end-of-life palliative care protocol...reprinted by permission of Journal of Perinatology, Vol. 22(3):184-195 AU - Catlin A AU - Carter B Y1 - 2002/06//2002 Jun N1 - Accession Number: 106962983. Language: English. Entry Date: 20020927. Revision Date: 20150819. Publication Type: Journal Article; protocol; research. Commentary: Glicken AD, Merenstein GB. A neonatal end-of-life palliative protocol -- an evolving new standard of care? (NEONAT NETW) 2002 Jun; 21 (4): 35-36. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Grant Information: Funded by the American Nurses Foundation Julia Hardy RN Scholar Award and the Lambda Gamma Chapter of Sigma Theta Tau. NLM UID: 8503921. KW - Protocols KW - Palliative Care -- In Infancy and Childhood KW - Terminally Ill Patients -- In Infancy and Childhood KW - Program Planning KW - Infant KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Delphi Technique KW - Pregnancy KW - Female KW - Prenatal Diagnosis KW - Parents -- Psychosocial Factors KW - Parents -- Education KW - Transportation of Patients -- In Infancy and Childhood KW - Patient Selection -- In Infancy and Childhood KW - Health Facility Environment KW - Neonatal Nursing KW - Respiration, Artificial -- In Infancy and Childhood KW - Extubation -- In Infancy and Childhood KW - Organ Procurement -- In Infancy and Childhood KW - Autopsy -- In Infancy and Childhood KW - Family Centered Care KW - Cultural Sensitivity KW - Spiritual Care KW - Physicians KW - Professional-Family Relations KW - Palliative Care -- Education KW - Funding Source KW - Human SP - 37 EP - 49 JO - Neonatal Network JF - Neonatal Network JA - NEONAT NETW VL - 21 IS - 4 CY - New York, New York PB - Springer Publishing Company, Inc. AB - Objective: To create a protocol delineating the needs of patients, families, and staff necessary to provide a pain-free, dignified, family-, and staff-supported death for newborns who cannot benefit from intensive, life-extending, technological support.Study design: Using Internet e-mail, a Delphi study with sequential questionnaires soliciting participant response, investigator analysis, and follow-up responses from participants was conducted to build a consensus document. Institutional review was granted and respondents gave consent. Recruitment was conducted at medical, ethics, nursing, and multidisciplinary organization meetings. Synthesis of 16 palliative care/end-of-life protocols developed by regional, institutional, and parent organizations was included. Participants from 93 locations in the US and 4 abroad gave feedback to 13 questions derived from clinical experience and the literature. The data underwent four rounds of analysis with 95% retention of the 101 participants over an 18-month period.Results/Conclusion: Specific consensus-based recommendations are presented with a description of palliative care; categories of candidates; planning and education needed to begin palliative care services; relationships between community and tertiary centers; components of optimally supported neonatal death; family care, including cultural, spiritual, and practical needs; ventilator withdrawal, including pain and symptom management; recommendations when death does not occur after cessation of lifeextending interventions; family follow-up care; and necessary ongoing staff support. SN - 0730-0832 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106962983&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107462430 T1 - Can the need for a physician as part of the pediatric transport team be predicted? A prospective study. AU - Rubenstein JS AU - Gomez MA AU - Rybicki L AU - Noah ZL Y1 - 1992/12//1992 Dec N1 - Accession Number: 107462430. Language: English. Entry Date: 19930401. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0355501. KW - Pediatric Care KW - Transportation of Patients -- Manpower KW - Physicians KW - Multidisciplinary Care Team KW - Prospective Studies KW - Data Collection Methods KW - Telephone KW - Reproducibility of Results KW - Intensive Care Units, Pediatric KW - Outcomes (Health Care) -- In Infancy and Childhood KW - Internship and Residency KW - Infant KW - Child, Preschool KW - Child KW - Human SP - 1657 EP - 1661 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 20 IS - 12 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0090-3493 U2 - PMID: 1458941. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107462430&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106388836 T1 - Critical care retrieval revisited. AU - Bateman RM Y1 - 2005/09// N1 - Accession Number: 106388836. Language: English. Entry Date: 20060127. Revision Date: 20150711. Publication Type: Journal Article; pictorial; tables/charts. Journal Subset: Biomedical; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 7503111. KW - Aircraft KW - Critical Care KW - Transportation of Patients -- Equipment and Supplies KW - Military Medicine KW - United Kingdom SP - 167 EP - 169 JO - Journal of the Royal Naval Medical Service JF - Journal of the Royal Naval Medical Service JA - J R NAV MED SERV VL - 91 IS - 3 PB - Institute of Naval Medicine SN - 0035-9033 U2 - PMID: 16383281. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106388836&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106434633 T1 - Transferring babies between units: issues for parents. AU - Hawthorne J AU - Killen M Y1 - 2006/03//2006 Mar N1 - Accession Number: 106434633. Language: English. Entry Date: 20060505. Revision Date: 20150818. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Hospital Units -- Psychosocial Factors KW - Intensive Care Units, Neonatal -- Psychosocial Factors KW - Long Term Care -- In Infancy and Childhood KW - Parents -- Psychosocial Factors KW - Professional-Family Relations KW - Support, Psychosocial KW - Transfer, Discharge -- In Infancy and Childhood KW - Behavioral Research KW - Continuity of Patient Care KW - Discharge Planning KW - Emotions KW - Health Services Accessibility KW - Health Services Needs and Demand KW - Infant KW - Infant Care KW - Infant -- Psychosocial Factors KW - Infant, Newborn KW - Information Needs KW - Interpersonal Relations KW - Interviews KW - Neonatal Nursing KW - Parent-Infant Relations KW - Parental Attitudes KW - Patient Care Plans KW - Personnel Shortage KW - Separation Anxiety SP - 44 EP - 46 JO - Infant JF - Infant JA - INFANT VL - 2 IS - 2 PB - Stansted News Ltd AB - This article is based on some material from a research study - Foretelling Futures: Dilemmas in Neonatal Neurology, funded by the Wellcome Trust Bioethics Programme (Grant Number 066458). It is a social science research project in four NICUs exploring how practitioners and parents share information and care of the babies. One of the issues arising from the study concerned parents' emotional experiences when their baby was transferred to another NICU or special care unit, which was the case for 31% of babies in the sample. It is suggested that neonatal networks draw up a care plan with contributions from parents and staff about the parents' and babies' psychological as well as medical needs around transfer to another unit. SN - 1745-1205 AD - Research Psychologist, Centre for Family Research, University of Cambridge UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106434633&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107502830 T1 - Designing critical care units: an overview. AU - Harrell MF Y1 - 1991/05//1991 May N1 - Accession Number: 107502830. Language: English. Entry Date: 19910601. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8704517. KW - Intensive Care Units KW - Hospital Design and Construction KW - Hospital Planning KW - Transfer, Intrahospital SP - 1 EP - 8 JO - Critical Care Nursing Quarterly JF - Critical Care Nursing Quarterly JA - CRIT CARE NURS Q VL - 14 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0887-9303 U2 - PMID: 2018938. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107502830&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107500862 T1 - Occurrence screening in critical care. AU - Kapner P Y1 - 1991/02//1991 Feb N1 - Accession Number: 107500862. Language: English. Entry Date: 19910501. Revision Date: 20150712. Publication Type: Journal Article; forms. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9009969. KW - Quality Assurance -- Methods KW - Outcomes (Health Care) KW - Quality of Health Care -- Evaluation KW - Intensive Care Units -- Evaluation KW - Intensive Care Units -- Standards KW - Critical Care -- Evaluation KW - Clinical Competence -- Evaluation KW - Patient Admission KW - Patient Discharge KW - Transfer, Intrahospital KW - Heart Arrest KW - Death KW - Nervous System Diseases KW - Peer Review SP - 15 EP - 22 JO - AACN Clinical Issues in Critical Care Nursing JF - AACN Clinical Issues in Critical Care Nursing JA - AACN CLIN ISSUES CRIT CARE NURS VL - 2 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Occurrence screening is a system of quality assurance in which patient care is reviewed, both concurrently and retrospectively, against a set of general outcome screening criteria. It is a method for monitoring the quality of clinical practice more comprehensively than has been possible in the past. If implemented appropriately, occurrence screening eliminates the random efforts and audits of past quality assurance efforts with a systematic and comprehensive monitoring process aimed at identifying questionable quality of care practices. This article discusses the concept of occurrence screening as a useful tool in assessing quality of care in a special care unit. SN - 1046-7467 U2 - PMID: 1995010. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107500862&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105495857 T1 - First-line nurse managers' strategize to facilitate safe patient transitions from the ICU to a general unit...The Asia Pacific Critical Care 2008 Congress AU - Goulet L AU - Fullerton L AU - Dias MH AU - Purden M AU - Slater S Y1 - 2009/02//2009 Feb N1 - Accession Number: 105495857. Language: English. Entry Date: 20090522. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Nursing Administration; Patient Safety. NLM UID: 9207852. KW - Critically Ill Patients KW - Nurse Managers KW - Patient Discharge KW - Patient Safety KW - Transfer, Intrahospital KW - Academic Medical Centers KW - Convenience Sample KW - Hospital Units KW - Interviews KW - Qualitative Studies KW - Quebec KW - Thematic Analysis KW - Human SP - 54 EP - 55 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 22 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105495857&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - ID - 108258835 T1 - The PICU perspective on monitoring hemodynamics and oxygen transport. AU - Tucker, Dawn AU - Hazinski, Mary F AU - Wong, Hector R AU - Dalton, Heidi J Y1 - 2011/07/02/2011 Supplement N1 - Accession Number: 108258835. Language: English. Entry Date: 20111028. Revision Date: 20161222. Publication Type: editorial; editorial. Supplement Title: 2011 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. Grant Information: RC1 HL100474/HL/NHLBI NIH HHS/United States. NLM UID: 100954653. KW - Hemodynamics KW - Oxygen Transport KW - Biochemistry -- Evaluation KW - Electrocardiography KW - Equipment and Supplies KW - Nurse Attitudes KW - Nursing Care KW - Oximetry KW - Pulmonary Artery Catheters SP - S72 EP - 5 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 12 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Alterations of hemodynamics and oxygen transport balance are very common scenarios in the pediatric intensive care unit (PICU), and these alterations are as heterogeneous and diverse in nature as are the patient populations that typically exist in the PICU. Accordingly, the PICU perspective on monitoring of hemodynamics and oxygen transport balance in critically ill children must be understood in this context of heterogeneity and diversity. We provide an interpretation of the evidence supporting various monitoring strategies as presented in the The Pediatric Cardiac Intensive Care Society Evidence Based Review and Consensus Statement on Monitoring of Hemodynamics and Oxygen Transport Balance from a Pediatric Intensive Care perspective. SN - 1529-7535 AD - The Children's Mercy Hospital (DT), Kansas City, MO AD - Vanderbilt University School of Nursing and School of Medicine, Nashville, TN U2 - PMID: 21857798. DO - 10.1097/PCC.0b013e3182211c60 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108258835&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107499162 T1 - Transporting the critical care child. AU - Blumen IJ AU - Tressa J Y1 - 1990/12//1990 Dec N1 - Accession Number: 107499162. Language: English. Entry Date: 19910401. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; Peer Reviewed; USA. NLM UID: 7910894. KW - Transportation of Patients -- Methods -- In Infancy and Childhood KW - Decision Making KW - Emergency Medical Services -- Standards KW - Trauma -- Diagnosis -- In Infancy and Childhood KW - Critically Ill Patients -- Evaluation -- In Infancy and Childhood KW - Aeromedical Transport -- In Infancy and Childhood KW - Infant, Newborn KW - Infant KW - Child, Preschool KW - Child SP - 36 EP - 58 JO - Emergency (01625942) JF - Emergency (01625942) JA - EMERGENCY (01625942) VL - 22 IS - 12 CY - Torrance, California PB - Bobit Publishing SN - 0162-5942 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107499162&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104980076 T1 - We're heading to music city: 19th critical care transport medicine conference. AU - Newman M AU - Petersen P AU - Wojdyla K Y1 - 2011/01// N1 - Accession Number: 104980076. Language: English. Entry Date: 20110225. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Critical Care KW - Congresses and Conferences KW - Tennessee KW - Aeromedical Transport -- Organizations SP - 32 EP - 33 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 30 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X DO - 10.1016/j.amj.2010.10.006 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104980076&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104199397 T1 - Using Evidence-Based Practice to Implement Standardized Anesthesia-to-PACU Handoff Tool and Improve PACU Staff Satisfaction. AU - Hoefner-Notz, Regina AU - Wintz, Mary AU - Sammons, Jackie AU - Markowitz, Scott Y1 - 2013/06// N1 - Accession Number: 104199397. Language: English. Entry Date: 20131114. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Patient Safety; Perioperative Care. NLM UID: 9610507. KW - Professional Practice, Evidence-Based KW - Anesthesia Nursing KW - Hand Off (Patient Safety) KW - Instrument Construction KW - Transfer, Intrahospital KW - Human KW - Operating Rooms KW - Post Anesthesia Care Units KW - Multidisciplinary Care Team KW - Summated Rating Scaling KW - Attitude of Health Personnel -- Evaluation KW - Convenience Sample KW - Checklists SP - e3 EP - e3 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 28 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Children's Hospital Colorado, Aurora, CO DO - 10.1016/j.jopan.2013.04.008 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104199397&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107135916 T1 - A study in time: performance improvement to reduce excess holding time in PACU. AU - Bruce M Y1 - 2000/08//2000 Aug N1 - Accession Number: 107135916. Language: English. Entry Date: 20001001. Revision Date: 20150819. Publication Type: Journal Article; forms; statistics; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9610507. KW - Perianesthesia Nursing KW - Transfer, Intrahospital KW - Quality Improvement KW - Patient Discharge KW - Post Anesthesia Care Units -- Georgia KW - Georgia KW - Time Factors KW - Problem Solving KW - Surgical Patients KW - Inpatients SP - 237 EP - 244 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 15 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - The early 1990s saw prolonged patient stays in the PACU at St Joseph's Hospital of Atlanta, a 350-bed tertiary-care hospital. PACU discharge was delayed for various reasons: no room available, no receiving nurse, no help to transport patients, and prolonged recovery from anesthesia. These prolonged stays resulted in occasional backups in receiving patients from the OR, as well as having alert patients among arriving patients, unstable patients, and patients with nausea or pain. These delays were perceived to be stressful to the patient, their families, and to the staff. It was also expensive for the patient and costly in terms of nursing care. A multiyear, intermittent study was conducted to seek and implement solutions to this problem and evaluate the results. This article details these efforts and the resulting accomplishments. © 2000 by American Society of PeriAnesthesia Nurses. SN - 1089-9472 AD - St Joseph's Hospital, 5665 Peachtree-Dunwoody Rd, Atltanta, Ga 30342 U2 - PMID: 11235459. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107135916&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105081497 T1 - Improving bedside to departure care in air transport of STEMI patients: a two-year retrospective study of performance...2010 Critical Care Transport Medicine Conference held April 12-14, 2010, San Antonio, Texas AU - McGrath CP AU - Rosen GS AU - Bechtel GA Y1 - 2010/07// N1 - Accession Number: 105081497. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Emergency Care KW - Myocardial Infarction -- Therapy KW - Time Factors KW - Transfer, Discharge KW - Analysis of Variance KW - Descriptive Statistics KW - Emergency Patients KW - Human KW - P-Value KW - Prospective Studies KW - Record Review KW - Retrospective Design SP - 161 EP - 162 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105081497&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105081495 T1 - An evaluation of helicopter EMS utilization for the transport of burn patients compared against established American Burn Association (ABA) burn center referral criteria: a four-and-a-half-year review...2010 Critical Care Transport Medicine Conference held April 12-14, 2010, San Antonio, Texas AU - Nicholson B AU - Dhindsa HS AU - Reid R AU - Lovelady J AU - Baker K Y1 - 2010/07// N1 - Accession Number: 105081495. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport -- Utilization KW - American Burn Association -- Standards KW - Burn Patients KW - Health Resource Utilization KW - Referral and Consultation KW - Transfer, Discharge -- Standards KW - Adult KW - Burns -- Classification KW - Burns -- Therapy KW - Child, Preschool KW - Descriptive Statistics KW - Health Services Research KW - Human KW - Record Review KW - Retrospective Design SP - 160 EP - 161 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105081495&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105081493 T1 - Assessing current use of blood products among non-trauma patients: a four year review of helicopter EMS transports...2010 Critical Care Transport Medicine Conference held April 12-14, 2010, San Antonio, Texas AU - Nicholson B AU - Dhindsa HS AU - Lovelady J AU - Reid R AU - Baker K Y1 - 2010/07// N1 - Accession Number: 105081493. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Blood Component Transfusion -- Utilization KW - Emergency Care KW - Aged KW - Blood KW - Descriptive Statistics KW - Emergency Patients KW - Gastrointestinal Hemorrhage -- Therapy KW - Human KW - Infant KW - Intracranial Hemorrhage -- Therapy KW - Outpatients KW - Prospective Studies KW - Record Review KW - Retrospective Design KW - Transfer, Discharge SP - 159 EP - 160 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105081493&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107354545 T1 - Research update. Parental perceptions of infant transfer from an NICU to a community nursery: implications for research and practice. AU - Page J AU - Lunyk-Child O Y1 - 1995/12//1995 Dec N1 - Accession Number: 107354545. Language: English. Entry Date: 19960101. Revision Date: 20150819. Publication Type: Journal Article. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8503921. KW - Transfer, Discharge -- In Infancy and Childhood KW - Parental Attitudes KW - Patient Discharge Education KW - Parents -- Psychosocial Factors KW - Stress, Psychological KW - Infant SP - 69 EP - 71 JO - Neonatal Network JF - Neonatal Network JA - NEONAT NETW VL - 14 IS - 8 CY - New York, New York PB - Springer Publishing Company, Inc. SN - 0730-0832 AD - Children's Hospital of Eastern Ontario, Ottawa, Canada U2 - PMID: 8552019. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107354545&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105081483 T1 - Blood administration in helicopter EMS (HEMS) trauma patients worsens hypothermia...2010 Critical Care Transport Medicine Conference held April 12-14, 2010, San Antonio, Texas AU - Brozen R AU - Wheeler RJ AU - von Recklinghausen FM Y1 - 2010/07// N1 - Accession Number: 105081483. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Blood Transfusion KW - Body Temperature KW - Hypothermia -- Etiology KW - Comparative Studies KW - Confidence Intervals KW - Data Analysis Software KW - Descriptive Statistics KW - Emergency Patients KW - Human KW - Normal Saline -- Administration and Dosage KW - Outpatients KW - P-Value KW - Retrospective Design KW - Rural Areas KW - Temperature KW - Trauma Centers SP - 158 EP - 159 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105081483&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105204841 T1 - AMPA: the value of CCTMC...Critical Care Transport Medicine Conference AU - Davidoff JB Y1 - 2010/05// N1 - Accession Number: 105204841. Language: English. Entry Date: 20100716. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Aeromedical Transport -- Organizations KW - Critical Care KW - Physicians KW - Congresses and Conferences KW - Florida KW - Medical Organizations KW - Tennessee KW - Texas SP - 114 EP - 115 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105204841&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107505678 T1 - Discharge planning for neonatal back transport. AU - Donovan TL AU - Schmitt R Y1 - 1991/06//1991 Jun N1 - Accession Number: 107505678. Language: English. Entry Date: 19910901. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8801387. KW - Discharge Planning KW - Intensive Care Units, Neonatal KW - Transfer, Discharge -- In Infancy and Childhood KW - Regional Centers KW - Professional-Family Relations KW - Nurseries, Hospital KW - Infant, Newborn SP - 64 EP - 70 JO - Journal of Perinatal & Neonatal Nursing JF - Journal of Perinatal & Neonatal Nursing JA - J PERINAT NEONAT NURS VL - 5 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0893-2190 U2 - PMID: 2027089. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107505678&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106717937 T1 - Evacuation of a critical care unit. AU - Cybulski P Y1 - 2003///2003 Fall N1 - Accession Number: 106717937. Language: English. Entry Date: 20040402. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Nursing; Peer Reviewed. NLM UID: 100955578. KW - Disaster Planning KW - Disasters KW - Intensive Care Units KW - Transfer, Intrahospital KW - Transportation of Patients KW - Electricity KW - Fires KW - Transfer, Discharge SP - 21 EP - 23 JO - Dynamics JF - Dynamics JA - DYNAMICS VL - 14 IS - 3 CY - London, Ontario PB - Canadian Association of Critical Care Nurses AB - Emergency preparedness is crucial to the frontline nurse who provides patient care 24 hours a day, seven days a week, especially in the wake of the September 11 bombing of the World Trade Centre (9/11). It is the professional responsibility of both the organization and the nursing staff to ensure that knowledge about disaster procedures is adequate. Disasters do not necessarily occur when the majority of administrative and support staff are on duty. It is imperative that nurses are informed of disaster procedures and can provide leadership during a crisis. In this article, the author discusses a Code Red (fire) with Code Green potential and actual Code Green (evacuation) two days later, of a 20-bed critical care unit. SN - 1497-3715 AD - Critical Care Educator, William Osler Health Centre, Brampton, Ontario U2 - PMID: 14725143. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106717937&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106400148 T1 - Clinical clips. The patient flow beeper: a system to decrease PACU transfer delays. AU - Sullivan EE Y1 - 2005/12// N1 - Accession Number: 106400148. Language: English. Entry Date: 20060224. Revision Date: 20150711. Publication Type: Journal Article; forms. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9610507. KW - Interdepartmental Relations KW - Organizational Efficiency KW - Post Anesthesia Care Units KW - Transfer, Intrahospital KW - Wireless Communications KW - Communication KW - Hospital Units KW - Perianesthesia Nursing SP - 438 EP - 440 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 20 IS - 6 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Nurse-in-Charge, PACU, Brigham and Women's Hospital, Boston, MA; eesullivan@partners.org UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106400148&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107383932 T1 - A nurse-driven patient placement system. AU - Haack M AU - Shaw P Y1 - 1996/09// N1 - Accession Number: 107383932. Language: English. Entry Date: 19961001. Revision Date: 20150711. Publication Type: Journal Article; protocol; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8219243. KW - Transfer, Intrahospital -- Administration KW - Intensive Care Units, Pediatric KW - Nursing Intensity KW - Patient Classification -- In Infancy and Childhood KW - Hospitals, Pediatric KW - Pediatric Critical Care Nursing -- Methods KW - Child SP - 32FF EP - 32HH JO - Nursing Management JF - Nursing Management JA - NURS MANAGE VL - 27 IS - 9 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - A multidisciplinary group examined the patient placement practices for two large pediatric units in an academic medical center. Hospital medical bylaws were revised and nurses now assign patient charges and transfers. SN - 0744-6314 AD - Division of Maternal/Child Health Nursing, Penn State's Milton S Hershey Medical Center, Hershey, Pennsylvania U2 - PMID: 8850953. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107383932&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107197114 T1 - Cost implications of regionalizing open heart surgery units. AU - Menke TJ AU - Wray NP Y1 - 1999///Spring99 N1 - Accession Number: 107197114. Language: English. Entry Date: 19990701. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 0171671. KW - Heart Surgery -- Economics KW - Health Care Costs KW - Hospitals, Veterans -- Economics KW - Planning Techniques KW - Geographic Factors KW - Financial Management KW - Cost Savings KW - Emergencies -- Economics KW - Health Services Research KW - Intensive Care Units -- Economics KW - Program Evaluation KW - Sensitivity and Specificity KW - Transportation of Patients -- Economics KW - United States KW - Models, Theoretical KW - Comparative Studies KW - Record Review KW - Retrospective Design KW - Diagnosis-Related Groups KW - Health Resource Allocation KW - Descriptive Statistics KW - Human SP - 57 EP - 67 JO - Inquiry (00469580) JF - Inquiry (00469580) JA - INQUIRY VL - 36 IS - 1 PB - Sage Publications Inc. AB - This study calculated the potential change in costs from regionalizing open heart surgery units in a geographic network of the Department of Veterans Affairs (VA). It used data from the VA's cost accounting system, and the authors conducted a sensitivity analysis. Under consolidation, savings from closing an open heart surgery unit would be partially offset by the costs of treating nonemergency cases at other VAs, treating emergency cases at non-VA hospitals, and transporting patients to regionalized facilities. Nevertheless, the potential savings from consolidation would exceed $3 million, or 18% of the network's costs of treating open heart surgery patients. SN - 0046-9580 AD - Center for Quality of Care and Utilization Studies, Department of Veterans Affairs Medical Center (152), 2002 Holcombe Blvd., Houston, TX 77030 U2 - PMID: 10335311. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107197114&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107487757 T1 - Enhancement of a critical care transport service. AU - Gentry S Y1 - 1992/02//1992 Feb N1 - Accession Number: 107487757. Language: English. Entry Date: 19920701. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; Peer Reviewed; USA. NLM UID: 9002199. KW - Mobile Health Units KW - Transportation of Patients KW - Critical Care KW - Aeromedical Transport SP - 17 EP - 19 JO - Journal of Air Medical Transport JF - Journal of Air Medical Transport JA - J AIR MED TRANSP VL - 11 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1046-9095 AD - Metro Life Flight, Cleveland, OH U2 - PMID: 10117162. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107487757&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107149507 T1 - Advice, p.r.n. ICU/ED conflict: negotiating peace. Y1 - 2000/11// N1 - Accession Number: 107149507. Language: English. Entry Date: 20050507. Revision Date: 20150711. Publication Type: Journal Article; brief item; questions and answers. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7600137. KW - Transfer, Intrahospital KW - Intraprofessional Relations KW - Emergency Nursing KW - Critical Care Nursing SP - 17 EP - 17 JO - Nursing JF - Nursing JA - NURSING VL - 30 IS - 11 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0360-4039 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107149507&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106755609 T1 - The safe transfer of care. AU - Sullivan EE Y1 - 2004/04//2004 Apr N1 - Accession Number: 106755609. Language: English. Entry Date: 20040716. Revision Date: 20150711. Publication Type: Journal Article; standards. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9610507. KW - Perianesthesia Nursing KW - Transfer, Intrahospital -- Standards KW - American Society of PeriAnesthesia Nurses -- Standards KW - Collaboration KW - Communication KW - Hospital Units KW - Joint Commission KW - Operating Rooms KW - Post Anesthesia Care Units SP - 108 EP - 110 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 19 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Nurse-in-Charge, PACU, Brigham and Women's Hospital, Boston, MA; eesullivan@partners.org U2 - PMID: 15069650. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106755609&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106932291 T1 - Critical care transport RN. AU - McLaughlin MJ AU - Gee-Monahan A Y1 - 2001///2001 Fall N1 - Accession Number: 106932291. Language: English. Entry Date: 20020621. Revision Date: 20150711. Publication Type: Journal Article; forms. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9878388. KW - Critical Care Nursing KW - Transportation of Patients KW - Nursing Role KW - Job Description SP - 17 EP - 19 JO - Images (10551476) JF - Images (10551476) JA - IMAGES VL - 20 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 1055-1476 AD - Nurse, Jersey Shore Medical Center, Meridian Health System, Neptune, NJ UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106932291&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106200256 T1 - Pneumonia core measures and blood cultures. AU - Blumstein H AU - Nicks BA Y1 - 2007/03// N1 - Accession Number: 106200256. Language: English. Entry Date: 20071130. Revision Date: 20150711. Publication Type: Journal Article; commentary; letter; response. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9418450. KW - Community-Acquired Pneumonia -- Diagnosis KW - Community-Acquired Pneumonia -- Therapy KW - Emergency Care -- Standards KW - Emergency Medicine -- Standards KW - Emergency Service KW - Joint Commission -- Standards KW - Practice Guidelines KW - Antibiotics -- Therapeutic Use KW - Emergency Patients KW - Health Resource Allocation KW - Intensive Care Units KW - Microbial Culture and Sensitivity Tests KW - Outpatients KW - Quality Improvement KW - Radiography, Thoracic KW - Tomography, X-Ray Computed KW - Transfer, Intrahospital SP - 288 EP - 290 JO - Academic Emergency Medicine JF - Academic Emergency Medicine JA - ACAD EMERG MED VL - 14 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1069-6563 U2 - PMID: 17331923. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106200256&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107332271 T1 - A study of unplanned readmissions to a coronary care unit. AU - Stewart S AU - Voss DW Y1 - 1997/05//1997 May-Jun N1 - Accession Number: 107332271. Language: English. Entry Date: 19970801. Revision Date: 20150818. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0330057. KW - Transfer, Intrahospital KW - Readmission KW - Coronary Care Units KW - Cardiac Patients KW - Myocardial Infarction -- Therapy KW - Angina Pectoris -- Therapy KW - Health Resource Utilization KW - Cost Benefit Analysis KW - Sex Factors KW - Outcomes (Health Care) KW - Inpatients KW - Male KW - Female KW - Human SP - 196 EP - 203 JO - Heart & Lung JF - Heart & Lung JA - HEART LUNG VL - 26 IS - 3 CY - New York, New York PB - Elsevier B.V. AB - OBJECTIVE: To determine the cause and frequency of unplanned readmissions to a coronary care unit (CCU) after initial transfer to a general cardiac unit, but before hospital discharge. DESIGN: Analysis of 1776 admissions to a CCU during a 16-month period. SETTING: The CCU of a major teaching hospital in South Australia. PARTICIPANTS: All patients admitted to the CCU during the 16-month period. OUTCOME MEASURES: CCU readmissions before hospital discharge were categorized as either 'planned' or 'unplanned.' The latter were investigated for determination of causality and variations in patient characteristics (including age, sex, initial diagnosis, pharmacotherapy, and duration of stay in the CCU). RESULTS: Of the 1776 CCU admissions examined, 44 (2.5% of total) were unplanned readmissions before hospital discharge. Most of these (39 of 44) were related to 'reactivation' of acute myocardial ischemia. Patients whose initial diagnosis was acute myocardial infarction or unstable angina pectoris were more likely to require a further unplanned CCU admission (p < 0.05); those with unstable angina pectoris had a second stay in CCU significantly longer than their first (p < 0.05). Six patients were readmitted within 6 hours of cessation of a heparin infusion (4 of the 6 without aspirin administration), and 11 patients had not received antiplatelet therapy after their initial CCU stay. Overall, a disproportionate number of men were readmitted to CCU (p < 0.05). CONCLUSIONS: In the current study. unplanned readmissions to the CCU: (1) were relatively infrequent, (2) were more protracted than initial stays in CCU, (3) may have been prevented in 15 of the 44 cases with more appropriate pharmacotherapy, and (4) involved a disproportionate number of male patients. SN - 0147-9563 AD - Department of Cardiology, Queen Elizabeth Hospital, University of Adelaide, Coronary Care Unit, Queen Elizabeth Hospital, Woodville, South Australia, 5011 U2 - PMID: 9176687. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107332271&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106996170 T1 - The child with an acute or critical illness...commentary on Sakallaris BR, Halpin LS, Knapp M et al (2000). Same-day transfer of patients to the cardiac telemetry unit after surgery: the rapid after bypass back into telemetry (RABBIT) program. CRITICAL CARE NURSE, 20(2), 50-68 AU - Delametter GL Y1 - 2000/11//2000 Nov-Dec N1 - Accession Number: 106996170. Language: English. Entry Date: 20010209. Revision Date: 20150711. Publication Type: Journal Article; abstract; commentary; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9892302. KW - Postoperative Care KW - Heart Surgery KW - Transfer, Intrahospital KW - Cost Savings KW - Inpatients SP - 415 EP - 417 JO - Journal of Child & Family Nursing JF - Journal of Child & Family Nursing JA - J CHILD FAM NURS VL - 3 IS - 6 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1098-7134 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106996170&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104881502 T1 - Effects of ICU Admission Delay on Patient Outcomes. AU - Pierson, David J. Y1 - 2011/05// N1 - Accession Number: 104881502. Language: English. Entry Date: 20110503. Revision Date: 20150711. Publication Type: Journal Article; abstract; commentary. Original Study: Cardoso LT, Grion CM, Matsuo T, Anami EH, Kauss IA, Seko L, Bonametti AM. Impact of delayed admission to intensive care units on mortality of critically ill patients: a cohort study. Crit Care 2011 Jan 18; 15(1). Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 9887258. KW - Patient Admission KW - Intensive Care Units KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Length of Stay KW - Severity of Illness KW - Time KW - Outcome Assessment KW - Emergency Service SP - 13 EP - 14 JO - Critical Care Alert JF - Critical Care Alert JA - CRIT CARE ALERT VL - 19 IS - 2 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1067-9502 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104881502&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 103963626 T1 - Have a safe journey. AU - Sampath, Sriram Y1 - 2012/01//Jan-Mar2012 N1 - Accession Number: 103963626. Language: English. Entry Date: 20120501. Revision Date: 20150710. Publication Type: Journal Article; editorial. Journal Subset: Asia; Biomedical. Special Interest: Critical Care. NLM UID: 101208863. KW - Transportation of Patients KW - Transfer, Intrahospital KW - Adverse Health Care Event KW - Intensive Care Units SP - 343 EP - 344 JO - Indian Journal of Critical Care Medicine JF - Indian Journal of Critical Care Medicine JA - INDIAN J CRIT CARE MED VL - 16 IS - 1 PB - Wolters Kluwer India Pvt Ltd SN - 0972-5229 AD - Department of Critical Care Medicine, St John's Medical College & Hospital, Bangalore - 560 034, India U2 - PMID: 24987230. DO - 10.4103/0972-5229.133865 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103963626&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104894819 T1 - Study Reinforces Value of Air Transport for Stroke Victims. AU - Hankins, Daniel Y1 - 2011/05// N1 - Accession Number: 104894819. Language: English. Entry Date: 20110713. Revision Date: 20150711. Publication Type: Journal Article; abstract; commentary. Original Study: Albright KC, Branas CC, Meyer BC, Matherne-Meyer DE, Zivin JA, Lyden PD, et al. ACCESS: acute cerebrovascular care in emergency stroke systems. Arch Neurol 2010; 67: 1210-1218. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport KW - Critical Care KW - Emergency Care KW - Stroke -- Therapy KW - Stroke Units KW - Health Services Accessibility KW - Stroke Patients KW - Meningitis, Meningococcal -- Transmission KW - Neisseria KW - Occupational Exposure -- Prevention and Control KW - California KW - Infection Control KW - Triage -- Methods KW - Trauma -- Classification KW - Trauma Severity Indices KW - Sedation KW - Ketamine -- Administration and Dosage KW - Midazolam -- Administration and Dosage KW - Adult KW - Child KW - Fluid Resuscitation KW - Shock -- Therapy KW - Emergency Patients KW - Outpatients KW - Emergency Service SP - 120 EP - 121 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 30 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X U2 - PMID: 21549282. DO - 10.1016/j.amj.2011.03.003 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104894819&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107206236 T1 - On the scene. Critical care transport in Summit County. AU - Phillips SA Y1 - 1999/06//1999 Jun N1 - Accession Number: 107206236. Language: English. Entry Date: 19990801. Revision Date: 20150819. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0431735. KW - Transportation of Patients -- Colorado KW - Transfer, Discharge -- Colorado KW - Critical Care -- Colorado KW - Emergency Medical Services -- Colorado KW - Scope of Practice KW - Staff Development KW - Respiration, Artificial KW - Paralysis -- Chemically Induced KW - Vecuronium Bromide -- Therapeutic Use KW - Colorado SP - 94 EP - 96 JO - Emergency Medical Services JF - Emergency Medical Services JA - EMERG MED SERV VL - 28 IS - 6 CY - Fort Atkinson, Wisconsin PB - Cygnus Business Media SN - 0094-6575 AD - Pridemark Paramedic Services, Boulder, CO U2 - PMID: 10538527. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107206236&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106813678 T1 - Human factors engineering and patient safety. AU - Gosbee J Y1 - 2002/12// N1 - Accession Number: 106813678. Language: English. Entry Date: 20030307. Revision Date: 20150711. Publication Type: Journal Article; case study. Journal Subset: Blind Peer Reviewed; Europe; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; UK & Ireland. NLM UID: 101136980. KW - Conceptual Framework KW - Patient Safety KW - Root Cause Analysis -- Methods KW - Intensive Care Units KW - Transportation of Patients KW - Critically Ill Patients KW - Male KW - Heart Failure KW - Lung Diseases, Obstructive KW - Process Assessment (Health Care) KW - Students, Medical KW - Monitoring, Physiologic KW - Equipment Design SP - 352 EP - 354 JO - Quality & Safety in Health Care JF - Quality & Safety in Health Care JA - QUAL SAF HEALTH CARE VL - 11 IS - 4 PB - BMJ Publishing Group AB - The case study and analyses presented here illustrate the crucial role of human factors engineering (HFE) in patient safety. HFE is a framework for efficient and constructive thinking which includes methods and tools to help healthcare teams perform patient safety analyses, such as root cause analyses. The literature on HFE over several decades contains theories and applied studies to help to solve difficult patient safety problems and design issues. A case study is presented which illustrates the vulnerabilities of human factors design in a transport monitor. The subsequent analysis highlights how to move beyond the more obvious contributing factors like training to design problems and the establishment of informal norms. General advice is offered to address these issues and design issues specific to this case are discussed. SN - 1475-3898 AD - Director, Patient Safety Information Systems, National Center for Patient Safety, Department of Veterans Affairs, 24 Frank Lloyd Wright Drive, Lobby M, Ann Arbor, MI 48106; john.gosbee@med.va.gov U2 - PMID: 12468696. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106813678&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107298435 T1 - Hypernatremic dehydration in pediatric critical care transport. AU - Abel E AU - Kudukis T AU - Ravindranath T AU - Dries DJ Y1 - 1998/10//1998 Oct-Dec N1 - Accession Number: 107298435. Language: English. Entry Date: 19981201. Revision Date: 20150820. Publication Type: Journal Article; tables/charts. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Hypernatremia -- Symptoms -- In Infancy and Childhood KW - Aeromedical Transport KW - Infant, Newborn KW - Child, Preschool KW - Male SP - 176 EP - 178 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 17 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - Loyola LIFESTAR, Loyola University Medical Center, 2160 S. First Ave, Building 111, Maywood, IL 60153 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107298435&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106451817 T1 - The roadrunners -- rapid response team. AU - Hewett M AU - Lepman D AU - Furman W Y1 - 2006/04// N1 - Accession Number: 106451817. Language: English. Entry Date: 20060602. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Emergency Care KW - Heart Arrest -- Therapy KW - Critical Care Nursing KW - Inpatients KW - Intensive Care Units KW - Transfer, Intrahospital SP - S36 EP - S36 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 26 IS - 2 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 AD - Hoag Memorial Hospital Prebyterian, Calif UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106451817&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 109737282 T1 - A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. AU - Brunsveld-Reinders, Anja H AU - Arbous, M Sesmu AU - Kuiper, Sander G AU - de Jonge, Evert Y1 - 2015/01// N1 - Accession Number: 109737282. Language: English. Entry Date: 20150605. Revision Date: 20160214. Publication Type: journal article; review. Journal Subset: Biomedical; Europe; UK & Ireland. Special Interest: Critical Care. NLM UID: 9801902. SP - 214 EP - 214 JO - Critical Care JF - Critical Care JA - CRIT CARE VL - 19 IS - 1 PB - BioMed Central AB - Introduction: Transport of critically ill patients from the Intensive Care Unit (ICU) to other departments for diagnostic or therapeutic procedures is often a necessary part of the critical care process. Transport of critically ill patients is potentially dangerous with up to 70% adverse events occurring. The aim of this study was to develop a checklist to increase safety of intra-hospital transport (IHT) in critically ill patients.Method: A three-step approach was used to develop an IHT checklist. First, various databases were searched for published IHT guidelines and checklists. Secondly, prospectively collected IHT incidents in the LUMC ICU were analyzed. Thirdly, interviews were held with physicians and nurses over their experiences of IHT incidents. Following this approach a checklist was developed and discussed with experts in the field. Finally, feasibility and usability of the checklist was tested.Results: Eleven existing guidelines and five checklists were found. Only one checklist covered all three phases: pre-, during- and post-transport. Recommendations and checklist items mostly focused on the pre-transport phase. Documented incidents most frequently related to patient physiology and equipment malfunction and occurred most often during transport. Discussing the incidents with ICU physicians and ICU nurses resulted in important recommendations such as the introduction of a standard checklist and improved communication with the other departments. This approach resulted in a generally applicable checklist, adaptable for local circumstances. Feedback from nurses using the checklist were positive, the fill in time was 4.5 minutes per phase.Conclusion: A comprehensive way to develop an intra-hospital checklist for safe transport of ICU patients to another department is described. This resulted in a checklist which is a framework to guide physicians and nurses through intra-hospital transports and provides a continuity of care to enhance patient safety. Other hospitals can customize this checklist to their own situation using the methods proposed in this paper. SN - 1364-8535 U2 - PMID: 25947327. DO - 10.1186/s13054-015-0938-1 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109737282&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105670344 T1 - Improving rehabilitation following transfer from ICU. AU - Ball C Y1 - 2008/08// N1 - Accession Number: 105670344. Language: English. Entry Date: 20081024. Revision Date: 20150820. Publication Type: Journal Article; editorial. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care. NLM UID: 9211274. KW - Critically Ill Patients KW - Rehabilitation KW - Transfer, Intrahospital SP - 209 EP - 210 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 24 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0964-3397 U2 - PMID: 18472264. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105670344&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104687642 T1 - Perceived Patient Safety of Health Care Providers in a Critical Care Transport Program...2011 Air Medical Transport Conference Abstracts Scientific Assembly, Monday, October 17, 2011 AU - Erler, C. AU - Pesut, D. AU - Jingwei, W. AU - Richey, S. AU - Edwards, N. AU - Sands, L. Y1 - 2011/09// N1 - Accession Number: 104687642. Language: English. Entry Date: 20111006. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care; Patient Safety. NLM UID: 9312325. KW - Patient Safety KW - Critical Care KW - Transportation of Patients KW - Descriptive Research KW - Cross Sectional Studies KW - Correlational Studies KW - Human KW - Convenience Sample KW - Organizational Culture KW - Communication KW - Teamwork KW - Risk Management KW - P-Value KW - Coefficient Alpha KW - Descriptive Statistics SP - 256 EP - 256 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 30 IS - 5 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - Indiana University, Indianapolis, IN AD - IU Health LifeLine, Indianapolis, IN AD - Purdue University, West Lafayette, IN DO - 10.1016/j.amj.2011.07.013 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104687642&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107217876 T1 - Life after life-support. Y1 - 1999/02// N1 - Accession Number: 107217876. Language: English. Entry Date: 20050507. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Australia & New Zealand; Core Nursing; Nursing. NLM UID: 9317904. KW - Continuity of Patient Care KW - Critically Ill Patients KW - After Care KW - Outcomes (Health Care) KW - Nursing Outcomes KW - Interviews KW - Critical Care KW - Critical Care Nursing KW - Patient Discharge KW - Transfer, Intrahospital KW - Readmission KW - Inpatients KW - Intensive Care Units KW - Home Nursing KW - Nurse Liaison KW - Australia KW - Health Services Research KW - Recovery KW - Quality of Life KW - Health Status KW - Human SP - 16 EP - 17 JO - Australian Nursing Journal JF - Australian Nursing Journal JA - AUST NURS J VL - 6 IS - 7 CY - Melbourne, PB - Australian Nursing & Midwifery Federation SN - 1320-3185 U2 - PMID: 10205407. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107217876&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106929230 T1 - The advantages of a new technology pulse oximeter in neonatal care. AU - Ogino MT Y1 - 2002/01//2002 Jan-Feb N1 - Accession Number: 106929230. Language: English. Entry Date: 20020607. Revision Date: 20150820. Publication Type: Journal Article; pictorial. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9007473. KW - Pulse Oximetry -- In Infancy and Childhood KW - Intensive Care, Neonatal KW - Delivery Rooms KW - Intensive Care Units, Neonatal KW - Apnea of Prematurity KW - Transportation of Patients KW - Infant, Newborn SP - 24 EP - 27 JO - Neonatal Intensive Care JF - Neonatal Intensive Care JA - NEONAT INTENSIVE CARE VL - 15 IS - 1 CY - Santa Monica, California PB - Goldstein & Associates SN - 1062-2454 AD - Kaiser Permanente Medical Center, Dept of Pediatrics, Neonatal Intensive Care Unit, Honolulu, HI UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106929230&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104734956 T1 - Transferring at-risk babies in-utero or neonatally: a decade's experience from a peripheral consultant maternity unit. AU - Lennox, C E Y1 - 1992/09//1992 Sep N1 - Accession Number: 104734956. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; Public Health; UK & Ireland. NLM UID: 0012330. KW - Hospitals, Special -- Statistics and Numerical Data KW - Intensive Care Units, Neonatal -- Statistics and Numerical Data KW - Transfer, Discharge -- Standards KW - Birth Weight KW - Gestational Age KW - Infant Mortality KW - Infant, Newborn KW - Transfer, Discharge -- Statistics and Numerical Data KW - Scotland SP - 362 EP - 367 JO - Health Bulletin JF - Health Bulletin JA - HEALTH BULL VL - 50 IS - 5 PB - Scottish Home & Health Department Edinburgh SN - 0374-8014 AD - William Smellie Memorial Maternity Hospital, Lanark. U2 - PMID: 1399583. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104734956&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106223161 T1 - International connections. Challenges to care: the newborn and infant with cardiac problems in Thailand. AU - Stitt T AU - Soontornchai P A2 - Kenner C Y1 - 2006/09// N1 - Accession Number: 106223161. Language: English. Entry Date: 20070126. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; USA. NLM UID: 101126037. KW - Heart Defects, Congenital -- Therapy KW - Intensive Care, Neonatal -- Thailand KW - Heart Defects, Congenital -- Epidemiology KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Neonatal Nursing KW - Physicians -- Manpower KW - Thailand KW - Transportation of Patients KW - World Wide Web SP - 114 EP - 116 JO - Newborn & Infant Nursing Reviews JF - Newborn & Infant Nursing Reviews JA - NEWBORN INFANT NURS REV VL - 6 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Our world is shrinking due to computerized linkages and the mobility of society. Information is shared rapidly around the world. Issues surrounding newborn and infant nursing are global. In efforts to acknowledge the international community, each Newborn and Infant Nursing Review (NAINR) issue will feature a column that highlights care related issues from a featured country or region of the world. This first article focuses on Thailand. Copyright © 2006 by Elsevier Inc. SN - 1527-3369 AD - University of Oklahoma Health Sciences Center, College of Nursing, Oklahoma City, OK UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106223161&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107428921 T1 - Advice, P.R.N. Transfer criteria: active participation. Y1 - 1995/11// N1 - Accession Number: 107428921. Language: English. Entry Date: 20050712. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7600137. KW - Cardiovascular Agents -- Administration and Dosage KW - Transfer, Intrahospital -- Standards KW - Cardiovascular Nursing KW - Observation Units KW - Intensive Care Units SP - 9 EP - 9 JO - Nursing JF - Nursing JA - NURSING VL - 25 IS - 11 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0360-4039 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107428921&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105196718 T1 - Journal watch. Timely transfer from ED to ICU. AU - Chu J Y1 - 2010/05// N1 - Accession Number: 105196718. Language: English. Entry Date: 20100625. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 0372646. KW - Emergency Service KW - Intensive Care Units KW - Outcomes (Health Care) KW - Patient Admission KW - Transfer, Intrahospital KW - Comparative Studies KW - Critically Ill Patients KW - Length of Stay KW - Mortality KW - Respiration, Artificial KW - Retrospective Design SP - 62 EP - 62 JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 110 IS - 5 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-936X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105196718&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104652279 T1 - Magnetic Resonance Imaging:Challenging Environment for the Critical Care Population and the Innovative Response From Radiology Nurses. AU - Fitzpatrick, Theresa AU - Cefaratti, Marjean Y1 - 2011/08// N1 - Accession Number: 104652279. Language: English. Entry Date: 20110818. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety; Pediatric Care. NLM UID: 8607529. KW - Magnetic Resonance Imaging KW - Critically Ill Patients KW - Radiological Nursing KW - Inpatients KW - Transportation of Patients KW - Patient Classification KW - Patient Safety KW - Equipment Safety KW - Critical Care Nursing SP - e26 EP - 7 JO - Journal of Pediatric Nursing JF - Journal of Pediatric Nursing JA - J PEDIATR NURS VL - 26 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 0882-5963 DO - 10.1016/j.pedn.2011.01.280 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104652279&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106720931 T1 - Doing it better: putting research into practice. Putting cardiac surgery patients on the 'fast track'. AU - Farley T Y1 - 2004/03// N1 - Accession Number: 106720931. Language: English. Entry Date: 20050712. Revision Date: 20150820. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7600137. KW - Cardiac Patients KW - Intensive Care Units KW - Length of Stay KW - Observation Units KW - Surgical Patients KW - Transfer, Intrahospital KW - Inpatients KW - Patient Classification KW - Readmission SP - 19 EP - 19 JO - Nursing JF - Nursing JA - NURSING VL - 34 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0360-4039 AD - Same-Day Admission Coordinator, Duke University Health System, Durham, NC U2 - PMID: 15179997. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106720931&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104380984 T1 - Hyperinvasive approach to out-of hospital cardiac arrest using mechanical chest compression device, prehospital intraarrest cooling, extracorporeal life support and early invasive assessment compared to standard of care. A randomized parallel groups comparative study proposal. "Prague OHCA study". AU - Belohlavek, Jan AU - Kucera, Karel AU - Jarkovsky, Jiri AU - Franek, Ondrej AU - Pokorna, Milana AU - Danda, Jiri AU - Skripsky, Roman AU - Kandrnal, Vit AU - Balik, Martin AU - Kunstyr, Jan AU - Horak, Jan AU - Smid, Ondrej AU - Valasek, Jaroslav AU - Mrazek, Vratislav AU - Schwarz, Zdenek AU - Linhart, Ales Y1 - 2012/01// N1 - Accession Number: 104380984. Language: English. Entry Date: 20130726. Revision Date: 20161222. Publication Type: journal article; research; randomized controlled trial. Journal Subset: Biomedical; Europe; UK & Ireland. Grant Information: NS 9770-4/2008/NS/NINDS NIH HHS/United States. NLM UID: 101190741. KW - Emergency Medical Services -- Administration KW - Heart Arrest -- Therapy KW - Hyperthermia, Induced KW - Resuscitation, Cardiopulmonary -- Equipment and Supplies KW - Human KW - Randomized Controlled Trials SP - 163 EP - 163 JO - Journal of Translational Medicine JF - Journal of Translational Medicine JA - J TRANSL MED VL - 10 IS - 1 PB - BioMed Central AB - Background: Out of hospital cardiac arrest (OHCA) has a poor outcome. Recent non-randomized studies of ECLS (extracorporeal life support) in OHCA suggested further prospective multicenter studies to define population that would benefit from ECLS. We aim to perform a prospective randomized study comparing prehospital intraarrest hypothermia combined with mechanical chest compression device, intrahospital ECLS and early invasive investigation and treatment in all patients with OHCA of presumed cardiac origin compared to a standard of care.Methods: This paper describes methodology and design of the proposed trial. Patients with witnessed OHCA without ROSC (return of spontaneous circulation) after a minimum of 5 minutes of ACLS (advanced cardiac life support) by emergency medical service (EMS) team and after performance of all initial procedures (defibrillation, airway management, intravenous access establishment) will be randomized to standard vs. hyperinvasive arm. In hyperinvasive arm, mechanical compression device together with intranasal evaporative cooling will be instituted and patients will be transferred directly to cardiac center under ongoing CPR (cardiopulmonary resuscitation). After admission, ECLS inclusion/exclusion criteria will be evaluated and if achieved, veno-arterial ECLS will be started. Invasive investigation and standard post resuscitation care will follow. Patients in standard arm will be managed on scene. When ROSC achieved, they will be transferred to cardiac center and further treated as per recent guidelines.Primary Outcome: 6 months survival with good neurological outcome (Cerebral Performance Category 1-2). Secondary outcomes will include 30 day neurological and cardiac recovery.Discussion: Authors introduce and offer a protocol of a proposed randomized study comparing a combined "hyperinvasive approach" to a standard of care in refractory OHCA. The protocol is opened for sharing by other cardiac centers with available ECLS and cathlab teams trained to admit patients with refractory cardiac arrest under ongoing CPR. A prove of concept study will be started soon. The aim of the authors is to establish a net of centers for a multicenter trial initiation in future. ETHICS AND REGISTRATION: The protocol has been approved by an Institutional Review Board, will be supported by a research grant from Internal Grant Agency of the Ministry of Health, Czech Republic NT 13225-4/2012 and has been registered under ClinicalTrials.gov identifier: NCT01511666. SN - 1479-5876 AD - 2nd Department of Medicine - Department of Cardiovascular Medicine, 1st Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, U Nemocnice 2, Prague 2, 128 00, Czech Republic. jan.belohlavek@vfn.cz. U2 - PMID: 22883307. DO - 10.1186/1479-5876-10-163 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104380984&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108240494 T1 - Redesigning the ICU nursing discharge process: A quality improvement study. AU - Chaboyer, W AU - Lin, F AU - Foster, M AU - Retallick, L AU - Richards, B Y1 - 2011/02// N1 - Accession Number: 108240494. Language: English. Entry Date: 20110812. Revision Date: 20150712. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Quality Assurance. NLM UID: 9207852. KW - Critical Care Nursing KW - Discharge Planning KW - Transfer, Intrahospital KW - Charting KW - Convenience Sample KW - Hospital Mortality KW - Human KW - Intensive Care Units KW - Program Implementation KW - Quality of Care Research KW - Readmission KW - Time Factors KW - Time Series SP - 62 EP - 62 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 24 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 DO - 10.1016/j.aucc.2010.12.025 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108240494&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107537361 T1 - Training and development of the ICU nurse for critical care transport. AU - Dyer LL Y1 - 1989/04//1989 Apr N1 - Accession Number: 107537361. Language: English. Entry Date: 19891101. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Critical Care Nursing KW - Transportation of Patients KW - Emergency Medical Services KW - Nursing Role KW - Employee Orientation KW - Flight Nursing KW - Mobile Health Units KW - Aerospace Medicine KW - Multidisciplinary Care Team SP - 74 EP - 80 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 9 IS - 4 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 U2 - PMID: 2582812. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107537361&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106948801 T1 - Advice P.R.N. Postoperative care: pain relief on hold. Y1 - 2002/07// N1 - Accession Number: 106948801. Language: English. Entry Date: 20020816. Revision Date: 20171109. Publication Type: Journal Article; brief item; questions and answers. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7600137. KW - Postoperative Pain -- Drug Therapy KW - Post Anesthesia Care Units KW - Transfer, Intrahospital SP - 14 EP - 14 JO - Nursing JF - Nursing JA - NURSING VL - 32 IS - 7 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0360-4039 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106948801&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105765917 T1 - Pediatric critical care transport: diagnostic uncertainty-no worries, resource limitation-worry*. AU - Kissoon N Y1 - 2008/01//2008 Jan N1 - Accession Number: 105765917. Language: English. Entry Date: 20080711. Revision Date: 20150711. Publication Type: Journal Article; editorial. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 100954653. KW - Critical Care KW - Health Resource Utilization KW - Pediatrics KW - Transfer, Discharge KW - Uncertainty KW - Diagnosis KW - Referral and Consultation -- Administration SP - 116 EP - 117 JO - Pediatric Critical Care Medicine JF - Pediatric Critical Care Medicine JA - PEDIATR CRIT CARE MED VL - 9 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1529-7535 AD - Acute and Critical Care Programs, Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada. U2 - PMID: 18185124. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105765917&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107479410 T1 - Meeting the needs of visitors -- a practical approach. AU - Dyer ID Y1 - 1991/09//1991 Sep N1 - Accession Number: 107479410. Language: English. Entry Date: 19920201. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 8507471. KW - Visitors to Patients -- Psychosocial Factors KW - Human Needs (Psychology) KW - Critical Care Nursing -- Evaluation KW - Family -- Psychosocial Factors KW - Stress, Psychological KW - Intensive Care Units KW - Questionnaires KW - Convenience Sample KW - Patient Education KW - Needs Assessment KW - Surveys KW - Information Needs KW - Transfer, Intrahospital KW - Death -- Psychosocial Factors KW - Death -- Organizations KW - Human SP - 135 EP - 147 JO - Intensive Care Nursing JF - Intensive Care Nursing JA - INTENSIVE CARE NURS VL - 7 IS - 3 PB - Churchill Livingstone, Inc. AB - Large amounts of research have been carried out into the needs of visitors to intensive therapy units and these needs are now well established. These needs may be categorised as emotional, personal and cognitive. What is now required is a quick and easy means by which individual intensive care units can judge their success (or failure) in meeting these needs and a knowledge of strategies to deal with any failures. This paper addresses these issues. Firstly, reasons why nurses should meet visitor needs are listed, secondly these needs are described and thirdly a study by the author is discussed. This study describes a simple yes/no questionnaire approach which may be used to assess the success with which needs are met. A study of the type described here is within the scope of any intensive care unit. Finally, these needs are examined in detail and methods by which these needs may be met are described. SN - 0266-612X AD - Intensive Therapy Unit, Queen Elizabeth Hosp, Edgbaston, Birmingham B15 2TH UK U2 - PMID: 1918901. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107479410&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104902799 T1 - Researchers in Canada call for policy to mandate single-embryo transfer in IVF. AU - Voelker R AU - Voelker, Rebecca Y1 - 2011/05/11/ N1 - Accession Number: 104902799. Language: English. Entry Date: 20110527. Revision Date: 20161112. Publication Type: journal article. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7501160. KW - Embryo Transfer -- Standards KW - Fertilization in Vitro -- Standards KW - Pregnancy, Multiple KW - Public Policy KW - Cost Savings KW - Embryo Transfer -- Methods KW - Female KW - Fertilization in Vitro -- Methods KW - Health Care Costs KW - Iatrogenic Disease KW - Infant, Newborn KW - Infant, Newborn, Diseases -- Economics KW - Infant, Newborn, Diseases -- Etiology KW - Intensive Care Units, Neonatal -- Statistics and Numerical Data KW - Intracranial Hemorrhage -- Etiology KW - Pregnancy KW - Pregnancy Complications KW - Quebec SP - 1848 EP - 1848 JO - JAMA: Journal of the American Medical Association JF - JAMA: Journal of the American Medical Association JA - JAMA VL - 305 IS - 18 CY - Chicago, Illinois PB - American Medical Association SN - 0098-7484 U2 - PMID: 21558511. DO - 10.1001/jama.2011.602 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104902799&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107501639 T1 - Competency-based orientation program for a cardiovascular surgery unit... part 2. AU - Peterson KJ Y1 - 1991/03//1991 Mar N1 - Accession Number: 107501639. Language: English. Entry Date: 19910501. Revision Date: 20150712. Publication Type: Journal Article; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8207799. KW - Employee Orientation KW - Intensive Care Units -- Standards KW - Education, Competency-Based KW - Cardiovascular Nursing KW - Patient Admission -- Standards KW - Preoperative Care -- Standards KW - Cardiac Output Determination KW - Heart Surgery -- Adverse Effects KW - Intra-Aortic Balloon Pumping KW - Postoperative Care -- Standards KW - Defibrillators, Implantable -- Standards KW - Patient Discharge -- Standards KW - Transfer, Intrahospital -- Standards SP - 15 EP - 22 JO - Critical Care Nurse JF - Critical Care Nurse JA - CRIT CARE NURSE VL - 11 IS - 3 CY - Alisa Veijo, California PB - American Association of Critical-Care Nurses SN - 0279-5442 U2 - PMID: 2004535. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107501639&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107501304 T1 - The effectiveness of pulse oximetry during transport. AU - Callahan L AU - Bailey RW AU - Mayer PG Y1 - 1990/08//1990 Aug N1 - Accession Number: 107501304. Language: English. Entry Date: 19910501. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 9109511. KW - Pulse Oximetry KW - Transfer, Intrahospital KW - Surgical Patients KW - Oxygen Saturation KW - Post Anesthesia Care Units KW - Postoperative Care KW - Clinical Nursing Research KW - Correlational Studies KW - Oxygen -- Administration and Dosage SP - 13 EP - 16 JO - CRNA: the Clinical Forum for Nurse Anesthetists JF - CRNA: the Clinical Forum for Nurse Anesthetists JA - CRNA VL - 1 IS - 1 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1048-2687 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107501304&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105740358 T1 - Critical care extra. The impact of delayed transfer from the ED to the ICU. AU - Cutugno C Y1 - 2008/03// N1 - Accession Number: 105740358. Language: English. Entry Date: 20080613. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 0372646. KW - Critical Care KW - Emergency Service KW - Intensive Care Units KW - Length of Stay KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Hospital Mortality KW - Inpatients KW - Outcomes Research KW - United States SP - 72CC EP - DD JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 108 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-936X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105740358&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107497175 T1 - Surgery outside the OR: when the patient cannot be moved. AU - Regas ML Y1 - 1990/12//1990 Dec N1 - Accession Number: 107497175. Language: English. Entry Date: 19910201. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403. KW - Perioperative Nursing KW - Surgery, Operative -- Methods KW - Surgical Equipment and Supplies KW - Emergency Care -- Methods KW - Intensive Care Units KW - Intra-Aortic Balloon Pumping KW - Transportation of Patients KW - Monitoring, Direct Pressure KW - Heart Catheterization KW - Thoracic Surgery KW - Critical Care Nursing KW - Inpatients SP - 1187 EP - 1194 JO - AORN Journal JF - AORN Journal JA - AORN J VL - 52 IS - 6 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0001-2092 U2 - PMID: 2278484. DO - 10.1016/S0001-2092(07)69196-0 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107497175&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105845769 T1 - Barriers to the optimal resuscitation of patients with severe sepsis? Transfer to a level I critical care center! AU - Carlson DE AU - Chiu WC AU - Johnson SB AU - Scalea TM Y1 - 2007/11// N1 - Accession Number: 105845769. Language: English. Entry Date: 20080314. Revision Date: 20150711. Publication Type: Journal Article; editorial. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0355501. KW - Resuscitation -- Standards KW - Sepsis -- Therapy KW - Critical Care KW - Protocols KW - Severity of Illness Indices KW - Transfer, Discharge SP - 2644 EP - 2645 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 35 IS - 11 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0090-3493 AD - University of Maryland School of Medicine, Baltimore, MD U2 - PMID: 18075371. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105845769&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105032098 T1 - Bay Medical improves ED throughput via ICU. Y1 - 2010/07// N1 - Accession Number: 105032098. Language: English. Entry Date: 20100730. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; USA. Special Interest: Case Management; Critical Care; Emergency Care. NLM UID: 9603097. KW - Emergency Service KW - Intensive Care Units KW - Patient Admission KW - Transfer, Intrahospital KW - Bed Occupancy KW - Florida KW - Hospitals -- Florida KW - Inpatients KW - Time Factors KW - Waiting Lists SP - 105 EP - 106 JO - Hospital Case Management JF - Hospital Case Management JA - HOSP CASE MANAGE VL - 18 IS - 7 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1087-0652 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105032098&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105264808 T1 - Planning a trouble free transfer in Manchester. AU - Roach C AU - Dady I AU - Carroll C Y1 - 2009/11//2009 Nov N1 - Accession Number: 105264808. Language: English. Entry Date: 20100205. Revision Date: 20150711. Publication Type: Journal Article; pictorial; tables/charts. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Nursing Administration; Pediatric Care. NLM UID: 101242841. KW - Hospital Design and Construction -- England KW - Intensive Care Units, Neonatal -- England KW - Transfer, Discharge KW - England KW - Treatment Outcomes SP - 182 EP - 183 JO - Infant JF - Infant JA - INFANT VL - 5 IS - 6 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105264808&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107304419 T1 - Commentary on Intrahospital transport of critically ill pediatric patients [original article by Wallen E et al appears in CRIT CARE MED 1995;23(9):1588-95]. AU - Budek CE Y1 - 1996/07//1996 Jul-Sep N1 - Accession Number: 107304419. Language: English. Entry Date: 19981201. Revision Date: 20150711. Publication Type: Journal Article; abstract; brief item; commentary. Journal Subset: Nursing; USA. NLM UID: 9113683. KW - Critical Care KW - Transportation of Patients KW - Severity of Illness Indices KW - Critical Illness KW - Hospitals, Pediatric KW - Outcomes (Health Care) KW - Intensive Care Units, Pediatric KW - Prospective Studies KW - Infant, Newborn KW - Infant KW - Child, Preschool KW - Child SP - 35 EP - 36 JO - AACN Nursing Scan In Critical Care JF - AACN Nursing Scan In Critical Care JA - AACN NURS SCAN CRIT CARE VL - 6 IS - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - PURPOSE: To identify the occurrence rate of adverse events and therapeutic interventions during intrahospital transfer of critically ill children. METHOD: This prospective study consisted of two phases. In Phase 1, data were collected over a 4-month period on 180 intrahospital transports of 139 critically ill children from the ED, OR, and general floors to the 50-bed PICU, and from the PICU to the OR, and diagnostic studies. Data consisted of vital signs, oxygen saturation readings, and ABGs (when indicated) obtained during the transport process. In addition, the Therapeutic Intervention Severity Scale (TISS) was calculated based on the last set of vital signs prior to transport. Data were analyzed to determine occurrence rate of adverse events and therapeutic interventions. Adverse events were defined as physiologic deterioration (significant change in vital sign parameter, or oxygen saturation), or equipment-related mishaps (accidental extubation, loss of oxygen supply, absence or malfunction of necessary equipment, accidental removal of invasive catheters or tubing, and medication error or omission). Significant therapeutic interventions included administration of fluid bolus >/=20 ml/Kg or vasoactive drugs, or mannitol for increased intracranial pressure, or changes in ventilator settings. In Phase 11, the researchers tested the hypothesis that adverse events were related to the transport process itself. Data were collected on 89 transports of 85 infants and children from the ICU to diagnostic or therapeutic areas over a 1-year period. In addition to the previous data variables, physiologic deterioration and equipment-related mishap were documented. FINDINGS: Phase I: Out of a total of 129 transports, 71.7% +/- 6.6% had physiologic deterioration, 10% +/- 4.4% had equipment-related mishaps, and 13.9% +/- 7.7% required therapeutic intervention. TISS score and duration of transport were significantly associated with physiologic deterioration or therapeutic intervention, and duration of transport was associated with equipment-related events. Phase II: Out of 89 transports, 64% +/- 7.0% had physiologic deterioration, 13.4% +/- 5.0% had therapeutic interventions, and 19 +/- 5.7% had equipment-related events. CONCLUSIONS: It was difficult to determine what factors contributed to the physiologic changes noted during transport. The researchers suggest adequacy of ventilation or sedation of the patient, effect of physical movement, and underlying severity of illness. [Original article NLM unique identifier: 95393703 (research)] SN - 1055-8349 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107304419&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106841643 T1 - Clinical clips. How to work smarter, hot harder: a PACU tracking system. AU - Sullivan EE Y1 - 2003/04//2003 Apr N1 - Accession Number: 106841643. Language: English. Entry Date: 20030620. Revision Date: 20150819. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9610507. KW - Appointment and Scheduling Information Systems KW - Perianesthesia Nursing KW - Post Anesthesia Care Units KW - Surgical Patients KW - Transfer, Intrahospital SP - 123 EP - 125 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 18 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Nurse-in-Charge, PACU, Brigham and Women's Hospital, Boston, MA; eesullivan@partners.org U2 - PMID: 12710007. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106841643&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107209903 T1 - Ethical problems. Conflicting DNR policies: providing seamless care. AU - Salladay SA Y1 - 1999/08// N1 - Accession Number: 107209903. Language: English. Entry Date: 20050712. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7600137. KW - Resuscitation Orders KW - Hospital Policies KW - Continuity of Patient Care KW - Transfer, Intrahospital KW - Operating Rooms KW - Intensive Care Units KW - Patient Advocacy KW - Inpatients SP - 70 EP - 70 JO - Nursing JF - Nursing JA - NURSING VL - 29 IS - 8 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0360-4039 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107209903&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107460464 T1 - The use of surfactant replacement therapy on neonatal transport: a commentary. AU - Reynolds JW Y1 - 1992/09//1992 Sep N1 - Accession Number: 107460464. Language: English. Entry Date: 19930301. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; Peer Reviewed; USA. NLM UID: 9002199. KW - Transportation of Patients -- In Infancy and Childhood KW - Pulmonary Surfactants -- Therapeutic Use -- In Infancy and Childhood KW - Intensive Care, Neonatal KW - Neonatal Intensive Care Nursing KW - Aeromedical Transport KW - Intensive Care Units, Neonatal KW - Pulmonary Surfactants -- Administration and Dosage -- In Infancy and Childhood KW - Infant, Premature KW - Respiration, Artificial -- In Infancy and Childhood KW - Respiratory Distress Syndrome -- Therapy -- In Infancy and Childhood KW - Flight Nursing KW - Infant, Newborn SP - 6 EP - 8 JO - Journal of Air Medical Transport JF - Journal of Air Medical Transport JA - J AIR MED TRANSP VL - 11 IS - 9 CY - New York, New York PB - Elsevier B.V. SN - 1046-9095 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107460464&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105495865 T1 - Review by the ICU liaison nurse is associated with improved outcomes for patients discharged from ICU with a tracheostomy...The Asia Pacific Critical Care 2008 Congress AU - Schlitz JM AU - Fankhauser SL AU - Tobin AE Y1 - 2009/02//2009 Feb N1 - Accession Number: 105495865. Language: English. Entry Date: 20090522. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Quality Assurance. NLM UID: 9207852. KW - Critically Ill Patients KW - Nurse Liaison KW - Outcomes (Health Care) KW - Patient Discharge KW - Tracheostomy KW - Transfer, Intrahospital KW - Chi Square Test KW - Cox Proportional Hazards Model KW - Extubation KW - Female KW - Hospital Units KW - Intensive Care Units KW - Kruskal-Wallis Test KW - Male KW - Multivariate Statistics KW - Outcomes (Health Care) -- Evaluation KW - Quality of Care Research KW - Victoria KW - Human SP - 58 EP - 58 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 22 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105495865&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105495856 T1 - Staff nurses' and nurse managers' perceptions of a safe patient transition from the ICU...The Asia Pacific Critical Care 2008 Congress AU - Slater S AU - Dias MH AU - Fullerton L AU - Purden MA AU - Goulet L Y1 - 2009/02//2009 Feb N1 - Accession Number: 105495856. Language: English. Entry Date: 20090522. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Patient Safety. NLM UID: 9207852. KW - Critical Care Nursing KW - Critically Ill Patients KW - Intensive Care Units KW - Nurse Managers KW - Patient Discharge KW - Patient Safety KW - Staff Nurses KW - Transfer, Intrahospital KW - Academic Medical Centers KW - Nurse Attitudes -- Evaluation KW - Qualitative Studies KW - Quebec KW - Semi-Structured Interview KW - Human SP - 54 EP - 54 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 22 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105495856&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105495828 T1 - Exploring the ICU patient discharge process -- from discharge decision making to clinical handover...The Asia Pacific Critical Care 2008 Congress AU - Lin F AU - Chaboyer W AU - Wallis M Y1 - 2009/02//2009 Feb N1 - Accession Number: 105495828. Language: English. Entry Date: 20090522. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care. NLM UID: 9207852. KW - Critically Ill Patients KW - Decision Making, Clinical KW - Hand Off (Patient Safety) KW - Intensive Care Units KW - Patient Discharge KW - Transfer, Intrahospital KW - Human KW - Interviews KW - Observational Methods KW - Queensland KW - Triangulation SP - 44 EP - 44 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 22 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105495828&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105718121 T1 - Comparison of critically ill and injured children transferred from referring hospitals versus in-house admissions. AU - Gregory CJ AU - Nasrollahzadeh F AU - Dharmar M AU - Parsapour K AU - Marcin JP Y1 - 2008/04// N1 - Accession Number: 105718121. Language: English. Entry Date: 20080516. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 0376422. KW - Critical Illness -- Therapy KW - Hospital Mortality -- Trends KW - Intensive Care Units, Pediatric -- Statistics and Numerical Data KW - Transfer, Discharge -- Statistics and Numerical Data KW - Transportation of Patients -- Statistics and Numerical Data KW - Wounds and Injuries -- Therapy KW - Academic Medical Centers KW - California KW - Child KW - Child, Hospitalized -- Statistics and Numerical Data KW - Child, Preschool KW - Critical Care -- Standards KW - Critical Care -- Trends KW - Critical Illness -- Mortality KW - Data Collection KW - Emergency Service KW - Female KW - Hospital Units KW - Infant KW - Male KW - Nonparametric Statistics KW - Patient Admission KW - Probability KW - Prospective Studies KW - Quality of Health Care KW - Referral and Consultation KW - Risk Assessment KW - Survival Analysis KW - Trauma Severity Indices KW - Wounds and Injuries -- Diagnosis KW - Wounds and Injuries -- Mortality KW - Human SP - e906 EP - 11 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 121 IS - 4 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - OBJECTIVE: The purpose of this work was to compare the outcomes, severity of illness, and resource use of patients transferred to PICUs from outside hospitals to patients admitted from within the same hospital. METHODS: We conducted a secondary analysis of patients from the 20 US PICUs in the most recent Pediatric Intensive Care Unit Evaluations Software Recalibration Database on a total of 13,017 emergent PICU admissions between January 2001 and January 2006. Dependent variables were PICU resource use and risk-adjusted mortality. The main independent variable was the PICU admission source: patients transferred from referring emergency departments and inpatient wards versus in-house admissions from the same hospitals' emergency departments and inpatient ward. RESULTS: Patients admitted from referring emergency departments had higher use of vasoactive infusions (7.31% vs 5.23%) and mechanical ventilation (33.45% vs 23.6%) than same-hospital emergency department admissions. Compared with in-house ward admissions, patients transferred from referring inpatient wards had higher mechanical ventilation rates (45.05% vs 28.56%) and PICU lengths of stay (8.0 vs 6.7 days). CONCLUSIONS: On average, children admitted to a cohort of US PICUs from referring hospitals were more ill and required more intensive care resources than patients admitted to the same PICUs from within the institution. Hospital-level differences in PICU efficiency and severity of illness were highly variable. These data highlight the need for standardized PICU admission criteria to maximize hospital efficiency and suggest opportunities for earlier intervention and consultation by hospitals with PICU-level services to improve quality of care for critically ill children. SN - 0031-4005 AD - Department of Pediatrics, University of California Davis Children's Hospital, USA. christopher.gregory@ucdmc.ucdavis.edu U2 - PMID: 18381519. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105718121&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105495883 T1 - Pneumonia Severity Index: a validation and triage tool study to help confirm clinical triage decisions in the Emergency Department to transfer patients with community acquired pneumonia for appropriate care...The Asia Pacific Critical Care 2008 Congress AU - Jacobs S AU - Goud RS AU - Shaikh A Y1 - 2009/02//2009 Feb N1 - Accession Number: 105495883. Language: English. Entry Date: 20090522. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. Special Interest: Critical Care; Emergency Care. Instrumentation: Pneumonia Severity Index (PSI). NLM UID: 9207852. KW - Community-Acquired Pneumonia KW - Instrument Validation KW - Severity of Illness Indices KW - Triage KW - Aborigines KW - Community-Acquired Pneumonia -- Complications KW - Community-Acquired Pneumonia -- Epidemiology KW - Convenience Sample KW - Descriptive Statistics KW - Medical Records KW - Race Factors KW - Record Review KW - Validation Studies KW - Human SP - 65 EP - 65 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 22 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105495883&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105081498 T1 - Helicopter EMS flight times: a comparison of scene versus interfacility trauma transports for patients in hemorrhagic shock...2010 Critical Care Transport Medicine Conference held April 12-14, 2010, San Antonio, Texas AU - Nicholson B AU - Dhindsa HS AU - Lovelady J AU - Reid R AU - Baker K Y1 - 2010/07// N1 - Accession Number: 105081498. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care. NLM UID: 9312325. KW - Aeromedical Transport -- Utilization KW - Health Resource Utilization KW - Shock, Hemorrhagic KW - Time Factors KW - Transfer, Discharge KW - Comparative Studies KW - Confidence Intervals KW - Descriptive Statistics KW - Emergency Patients KW - Human KW - Record Review KW - T-Tests SP - 161 EP - 161 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105081498&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105081504 T1 - Use of the endotracheal tube introducer to improve intubation success rate...2010 Critical Care Transport Medicine Conference held April 12-14, 2010, San Antonio, Texas AU - Stevenson C AU - Baker K AU - Dhindsa HS Y1 - 2010/07// N1 - Accession Number: 105081504. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care; Quality Assurance. NLM UID: 9312325. KW - Aeromedical Transport KW - Intubation, Intratracheal KW - Intubation, Intratracheal -- Equipment and Supplies KW - Prehospital Care KW - Quality Improvement KW - Chi Square Test KW - Comparative Studies KW - Competency Assessment KW - Confidence Intervals KW - Descriptive Statistics KW - Emergency Patients KW - Human KW - P-Value KW - Pearson's Correlation Coefficient KW - Record Review KW - Retrospective Design KW - Staff Development SP - 163 EP - 163 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105081504&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105081489 T1 - An air medical company's review of crew duty time and the effects on endotracheal intubation success rates...2010 Critical Care Transport Medicine Conference held April 12-14, 2010, San Antonio, Texas AU - Howerton D AU - Watson B Y1 - 2010/07// N1 - Accession Number: 105081489. Language: English. Entry Date: 20100827. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Emergency Care; Patient Safety. NLM UID: 9312325. KW - Aeromedical Transport KW - Clinical Competence KW - Intubation, Intratracheal KW - Job Experience KW - Descriptive Statistics KW - Human KW - Outcome Assessment KW - Personnel Staffing and Scheduling KW - Quality of Care Research KW - Record Review KW - Retrospective Design KW - Success SP - 159 EP - 159 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 29 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105081489&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105738428 T1 - The keys to hand off: when babies are transferred in and out of the NICU at HUMC, they are handled with the utmost care. AU - Kinsley M Y1 - 2008/03/24/2008 Mar 24 New York/New Jersey Edition N1 - Accession Number: 105738428. Language: English. Entry Date: 20080613. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Supplement Title: 2008 Mar 24 New York/New Jersey Edition. Journal Subset: Nursing; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 9892044. KW - Communication KW - Hand Off (Patient Safety) KW - Neonatal Intensive Care Nursing KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - New Jersey SP - 8 EP - 9 JO - Nursing Spectrum -- New York & New Jersey Edition JF - Nursing Spectrum -- New York & New Jersey Edition JA - NURS SPECTRUM (NY NJ) VL - 20 IS - 6 CY - Brookfield, Wisconsin PB - OnCourse Learning Corp. SN - 1081-3101 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105738428&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105635449 T1 - Focus on a unit. Surgical transport at the cutting edge for Hull. AU - Lawrance V Y1 - 2009/01//2009 Jan N1 - Accession Number: 105635449. Language: English. Entry Date: 20090327. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Critical Care; Pediatric Care. NLM UID: 101242841. KW - Intensive Care Units, Neonatal -- Trends -- United Kingdom KW - Quality of Health Care KW - United Kingdom SP - 4 EP - 5 JO - Infant JF - Infant JA - INFANT VL - 5 IS - 1 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105635449&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107123143 T1 - Critical care transport: gaining ground and soaring to new heights. AU - Leyendecker M Y1 - 1999/05//1999 May-Jun N1 - Accession Number: 107123143. Language: English. Entry Date: 20000801. Revision Date: 20150818. Publication Type: Journal Article. Journal Subset: Allied Health; Nursing; USA. KW - Transportation of Patients KW - Critical Care Nursing KW - Respiratory Therapy KW - Professional Role KW - Professional Competence SP - 8 EP - 41 JO - HT: The Magazine for Healthcare Travel Professionals JF - HT: The Magazine for Healthcare Travel Professionals JA - HT MAG HEALTHC TRAVEL PROF VL - 6 IS - 6 CY - North Olmsted, Ohio PB - Advanstar Communications Inc. SN - 1077-5676 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107123143&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105470371 T1 - Nighttime transfer from the ICU increases risk of death. AU - Cutugno C Y1 - 2009/03// N1 - Accession Number: 105470371. Language: English. Entry Date: 20090410. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Patient Safety. NLM UID: 0372646. KW - Hospital Mortality KW - Intensive Care Units KW - Nursing Units KW - Patient Safety KW - Transfer, Intrahospital KW - Hospitals, Rural KW - Inpatients KW - Length of Stay KW - Outcomes Research KW - Readmission SP - 70 EP - 70 JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 109 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-936X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105470371&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105079943 T1 - Predictors of critical care determinate factors: safest patient emergency department admissions. AU - Arruda T AU - Burkard JF Y1 - 2010///2010 Spring N1 - Accession Number: 105079943. Language: English. Entry Date: 20101210. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 7707277. KW - Critical Care KW - Emergency Care KW - Patient Admission KW - Transfer, Intrahospital KW - Age Factors KW - Clinical Indicators KW - Comorbidity KW - Electronic Health Records KW - Emergency Service KW - Hospital Mortality KW - Human KW - Inpatients KW - Intensive Care Units KW - Length of Stay KW - Male KW - Patient Classification KW - Patient Safety KW - Record Review KW - Retrospective Design KW - Risk Factors KW - Severity of Illness KW - Triage SP - 432 EP - 432 JO - Communicating Nursing Research JF - Communicating Nursing Research JA - COMMUN NURS RES VL - 43 CY - Boulder, Colorado PB - Western Interstate Commission for Higher Education SN - 0160-1652 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105079943&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105345103 T1 - Transfer of medication administration information from critical care transport teams to trauma teams...2007 Society for Academic Emergency Medicine Annual Meeting AU - Frakes M AU - Lord W AU - Verrengia S AU - Gaeta S AU - Robinson K AU - McQuay J AU - Harman A Y1 - 2007/05/02/May2007 Supplement 1 N1 - Accession Number: 105345103. Language: English. Entry Date: 20091211. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Supplement Title: May2007 Supplement 1. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9418450. KW - Communication Barriers KW - Confidence Intervals KW - Continuity of Patient Care KW - Drug Administration KW - Human Error KW - Medication Errors KW - Medication Reconciliation KW - Record Review KW - Retrospective Design KW - Transportation of Patients KW - Human SP - S142 EP - 3 JO - Academic Emergency Medicine JF - Academic Emergency Medicine JA - ACAD EMERG MED VL - 14 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1069-6563 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105345103&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106205833 T1 - Critical care transport teams: searching for evidence of effectiveness. AU - McDonald AC Y1 - 2006/03// N1 - Accession Number: 106205833. Language: English. Entry Date: 20070105. Revision Date: 20150711. Publication Type: Journal Article; commentary. Original Study: Belway D, Henderson W, Keenan SP, Levy AR, Dodek PM. Do specialist transport personnel improve hospital outcome in critically ill patients transferred to higher centers? A systematic review. (J CRIT CARE) Mar2006; 21 (1): 8-17. Journal Subset: Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 8610642. KW - Critical Care KW - Health Personnel KW - Multidisciplinary Care Team KW - Specialties, Medical KW - Transfer, Discharge SP - 17 EP - 18 JO - Journal of Critical Care JF - Journal of Critical Care JA - J CRIT CARE VL - 21 IS - 1 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0883-9441 AD - Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106205833&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104913919 T1 - Recommendations for the intra-hospital transport of critically ill patients. AU - Fanara B AU - Manzon C AU - Barbot O AU - Desmettre T AU - Capellier G Y1 - 2010/06// N1 - Accession Number: 104913919. Language: English. Entry Date: 20110121. Revision Date: 20150711. Publication Type: Journal Article; research. Journal Subset: Biomedical; Europe; UK & Ireland. Special Interest: Critical Care. NLM UID: 9801902. KW - Checklists KW - Critical Illness KW - Transfer, Discharge -- Administration KW - Human KW - Transfer, Discharge -- Standards KW - Literature KW - Risk Factors KW - Risk Management SP - R87 EP - R87 JO - Critical Care JF - Critical Care JA - CRIT CARE VL - 14 IS - 3 PB - BioMed Central SN - 1364-8535 AD - Department of Emergency Medicine, Jean Minjoz University Hospital, 25030 Besançon, France. fan.ben@netcourrier.com. U2 - PMID: 20470381. DO - 10.1186/cc9018 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104913919&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104996078 T1 - Neonatal stability following transfer from tertiary centres. AU - Hauser SE AU - Fan WQ AU - Kiang K Y1 - 2011/01//Jan/Feb2011 N1 - Accession Number: 104996078. Language: English. Entry Date: 20110701. Revision Date: 20150711. Publication Type: Journal Article; letter. Journal Subset: Australia & New Zealand; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed. Special Interest: Pediatric Care. NLM UID: 9005421. KW - Intensive Care Units, Neonatal KW - Transfer, Discharge -- Standards KW - Audit KW - Infant, Newborn KW - Victoria SP - 67 EP - 67 JO - Journal of Paediatrics & Child Health JF - Journal of Paediatrics & Child Health JA - J PAEDIATR CHILD HEALTH VL - 47 IS - 1/2 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 1034-4810 AD - Clinical Services Director, Paediatrics Consultant Paediatrician Paediatric Registrar Department of Paediatrics The Northern Hospital Epping, Victoria Australia. U2 - PMID: 21255150. DO - 10.1111/j.1440-1754.2010.01966.x UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104996078&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105059522 T1 - Optimizing patient throughput: PACU to inpatient unit transfer process...ASPAN National Conference AU - Schnur M AU - Micalizzi R AU - Banks C AU - Connolly K AU - Hogan K AU - Castricone R AU - Chase LD AU - Dennen K AU - Healy S AU - Higgins M AU - Mudarri S AU - Pignataro S AU - Rivello S AU - Romaniak M AU - Rossetti J AU - Sawyer M Y1 - 2010/06// N1 - Accession Number: 105059522. Language: English. Entry Date: 20100730. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Perioperative Care. NLM UID: 9610507. KW - Hospital Units KW - Post Anesthesia Care Units KW - Transfer, Intrahospital KW - Documentation KW - Program Evaluation KW - Program Implementation SP - 192 EP - 192 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 25 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105059522&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104960202 T1 - Arapahoe House gets paid to transport intoxicated to social detox. Y1 - 2010/12/06/ N1 - Accession Number: 104960202. Language: English. Entry Date: 20101214. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Editorial Board Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 9000784. KW - Colorado KW - Alcohol Rehabilitation Programs -- Colorado KW - Emergency Service -- Economics KW - Continuity of Patient Care SP - 3 EP - 3 JO - Alcoholism & Drug Abuse Weekly JF - Alcoholism & Drug Abuse Weekly JA - ALCOHOL DRUG ABUSE WKLY VL - 22 IS - 46 CY - Hoboken, New Jersey PB - John Wiley & Sons, Inc. SN - 1042-1394 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104960202&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106453481 T1 - [Commentary on] Intraosseous access in the setting of pediatric critical care transport. AU - Quintana EC Y1 - 2005/11// N1 - Accession Number: 106453481. Language: English. Entry Date: 20060609. Revision Date: 20150711. Publication Type: Journal Article; abstract; commentary. Original Study: Fiorito BA, Mizra F, Doran TM, Oberle AN, Cruz ECV, Wendtland CL, et al. Intraosseous access in the setting of pediatric critical care transport. (PEDIATR CRIT CARE MED) 2005 Jan; 6 (1): 50-53. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 8002646. KW - Infusions, Intraosseous -- Evaluation -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Critically Ill Patients KW - Emergency Medical Technicians KW - Child SP - 475 EP - 476 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 46 IS - 5 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106453481&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107315424 T1 - A new retrieval service. AU - Kelly M AU - Ferguson-Clark L AU - Marsh MJ Y1 - 1996/07//1996 Jul N1 - Accession Number: 107315424. Language: English. Entry Date: 19970301. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9013329. KW - Transportation of Patients -- In Infancy and Childhood KW - Critically Ill Patients -- In Infancy and Childhood KW - Child KW - Transportation of Patients -- Equipment and Supplies KW - Personnel Staffing and Scheduling KW - Intensive Care Units, Pediatric KW - United Kingdom SP - 18 EP - 20 JO - Paediatric Nursing JF - Paediatric Nursing JA - PAEDIATR NURS VL - 8 IS - 6 PB - RCNi AB - Margaret Kelly, Lesley Ferguson-Clark and Michael Marsh discuss the development of PICU retrieval at Guys Hospital. SN - 0962-9513 AD - Guy's and St. Thomas' Hospital NHS Trust, London U2 - PMID: 8718253. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107315424&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108122617 T1 - Court Held Police Had No Liability for Attack on RN. Y1 - 2012/04// N1 - Accession Number: 108122617. Language: English. Entry Date: 20120611. Revision Date: 20150712. Publication Type: Journal Article; legal case. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Legal Case: Ginapp vs. City of Bellvue, 282 Neb. 1027 S-11-193, N.W.2d [2012 NB]. NLM UID: 100936959. KW - Liability, Legal -- Legislation and Jurisprudence -- Nebraska KW - Critical Care Nursing KW - Mentally Ill Offenders KW - Assault and Battery KW - Negligence -- Legislation and Jurisprudence -- Nebraska KW - Nebraska KW - Police KW - Intensive Care Units KW - Local Government KW - Transportation of Patients SP - 1 EP - 1 JO - Nursing Law's Regan Report JF - Nursing Law's Regan Report JA - NURS LAW REGAN REP VL - 52 IS - 11 CY - , Rhode Island PB - Medical Law Publishing, Inc. SN - 1528-848X U2 - PMID: 23094364. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108122617&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108251451 T1 - Since Katrina: Neonatal and Pediatric Issues From Both Sides of the Levee. AU - Ginsberg, Harley G. Y1 - 2011/08/02/Aug2011 Supplement 1 N1 - Accession Number: 108251451. Language: English. Entry Date: 20110906. Revision Date: 20150712. Publication Type: Journal Article; anecdote. Supplement Title: Aug2011 Supplement 1. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Pediatric Care. NLM UID: 0376422. KW - Natural Disasters -- Louisiana KW - Pediatricians KW - Intensive Care Units, Neonatal KW - Disaster Planning KW - Louisiana KW - Academic Medical Centers KW - Health Information Systems KW - Transportation of Patients SP - S15 EP - 7 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS CY - Chicago, Illinois PB - American Academy of Pediatrics SN - 0031-4005 AD - Department of Pediatrics, Ochsner Health System. New Orleans, Louisiana DO - 10.1542/peds.2010-3724G UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108251451&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 108161522 T1 - Delayed discharge audit. AU - Llewellyn, Lucie Y1 - 2011/02//2011 Feb N1 - Accession Number: 108161522. Language: English. Entry Date: 20120330. Revision Date: 20150712. Publication Type: Journal Article; brief item. Journal Subset: Europe; Nursing; UK & Ireland. Special Interest: Perioperative Care. NLM UID: 101211694. KW - Post Anesthesia Care Units KW - Transfer, Intrahospital KW - England KW - Time Factors SP - 5 EP - 5 JO - British Journal of Anaesthetic & Recovery Nursing JF - British Journal of Anaesthetic & Recovery Nursing JA - BR J ANAESTH RECOV NURS VL - 12 IS - 1-2 PB - Cambridge University Press SN - 1742-6456 AD - Kingston University UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108161522&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106150578 T1 - 2007 Critical Care Transport Medicine Conference Abstracts. Y1 - 2007/07// N1 - Accession Number: 106150578. Language: English. Entry Date: 20070914. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Airway Management KW - Intra-Aortic Balloon Pumping KW - Intubation, Intratracheal KW - Resuscitation, Cardiopulmonary -- Evaluation KW - Transfer, Discharge KW - Transportation of Patients SP - 181 EP - 182 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 26 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106150578&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105803363 T1 - The critical care air transport program. AU - Beninati W AU - Meyer MT AU - Carter TE Y1 - 2008/07/02/Jul2008 Supplement N1 - Accession Number: 105803363. Language: English. Entry Date: 20080829. Revision Date: 20150711. Publication Type: Journal Article. Supplement Title: Jul2008 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 0355501. KW - Aeromedical Transport KW - Critical Care KW - Military Medicine KW - Multidisciplinary Care Team -- Administration KW - Transportation of Patients -- Administration KW - Disaster Planning KW - Equipment and Supplies KW - Forecasting KW - Health Services Needs and Demand KW - International Relations KW - Management KW - Organizational Objectives KW - Personnel Selection -- Administration KW - Practice Guidelines KW - Program Development KW - Safety KW - United States KW - War SP - S370 EP - 6 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 36 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - BACKGROUND: The critical care air transport team program is a component of the U.S. Air Force Aeromedical Evacuation system. A critical care air transport team consists of a critical care physician, critical care nurse, and respiratory therapist along with the supplies and equipment to operate a portable intensive care unit within a cargo aircraft. DISCUSSION: This capability was developed to support rapidly mobile surgical teams with high capability for damage control resuscitation and limited capacity for postresuscitation care. The critical care air transport team permits rapid evacuation of stabilizing casualties to a higher level of care. The aeromedical environment presents important challenges for the delivery of critical care. All equipment must be tested for safety and effectiveness in this environment before use in flight. The team members must integrate the current standards of care with the limitation imposed by stresses of flight on their patient. SUMMARY: The critical care air transport team capability has been used successfully in a range of settings from transport within the United States, to disaster response, to support of casualties in combat. SN - 0090-3493 AD - 59 Medical Operations Group (WB), Wilford Hall Medical Center, Lackland Air Force Base, TX, USA. william.beninati@lackland.af.mil U2 - PMID: 18594265. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105803363&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104751877 T1 - Delays in admission of patients with acute myocardial infarction to coronary care: implications for thrombolysis. AU - Pell, A C AU - Miller, H C Y1 - 1990/09//1990 Sep N1 - Accession Number: 104751877. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; Peer Reviewed; Public Health; UK & Ireland. NLM UID: 0012330. KW - Coronary Care Units -- Utilization KW - Emergency Service -- Administration KW - Myocardial Infarction -- Therapy KW - Thrombolytic Therapy KW - Myocardial Infarction -- Diagnosis KW - Patient Admission -- Statistics and Numerical Data KW - Scotland KW - Time Factors KW - Transportation of Patients -- Statistics and Numerical Data SP - 225 EP - 231 JO - Health Bulletin JF - Health Bulletin JA - HEALTH BULL VL - 48 IS - 5 PB - Scottish Home & Health Department Edinburgh SN - 0374-8014 AD - Department of Cardiology, Royal Infirmary, Edinburgh. U2 - PMID: 2243016. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104751877&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106718436 T1 - Pediatric update. Top 10 ways to prepare for a pediatric critical care transport. AU - Shields R A2 - Henderson DP Y1 - 2003/12//2003 Dec N1 - Accession Number: 106718436. Language: English. Entry Date: 20040402. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7605913. KW - Emergency Nursing KW - Transportation of Patients -- In Infancy and Childhood KW - Child KW - Pediatric Nursing SP - 574 EP - 575 JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 29 IS - 6 CY - New York, New York PB - Elsevier B.V. SN - 0099-1767 AD - Staff Nurse II, Critical Care Transport Team, Children's Hospital, Boston, MA U2 - PMID: 14631349. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106718436&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105557114 T1 - Homogeneous energy transfer based hepatitis C antibody assays with multiepitope proteins and fluorescent lanthanide chelates...Critical and Point-of-Care Testing: Managing Technology for the Benefit of All Populations: 22nd International Symposium, September 17-20, 2008, Catalonia Barcelona Plaza Hotel, Barcelona, Spain AU - Salminen T AU - Khanna N AU - Pettersson K AU - Soukka T Y1 - 2008/09//2008 Sep N1 - Accession Number: 105557114. Language: English. Entry Date: 20090227. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Laboratory Diagnosis. NLM UID: 101165285. KW - Fluorescent Antibody Technique KW - Hepatitis C -- Diagnosis KW - Point-of-Care Testing KW - Genome KW - Genotype KW - Hepatitis C -- Familial and Genetic KW - Immunoassay KW - Sensitivity and Specificity KW - Human SP - 202 EP - 202 JO - Point of Care JF - Point of Care JA - POINT CARE VL - 7 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1533-029X AD - Department of Biotechnology, University of Turku, Finland UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105557114&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105557033 T1 - Transferability of hemoglobin results obtained by using a POCT platform or a haematological system...Critical and Point-of-Care Testing: Managing Technology for the Benefit of All Populations: 22nd International Symposium, September 17-20, 2008, Catalonia Barcelona Plaza Hotel, Barcelona, Spain AU - Otero Santiago MF AU - Lampon Fernández N AU - Vidal-Rios Vazquez P AU - Paz Fernández M AU - Rodriguez Segade S AU - De La Peña MA Y1 - 2008/09//2008 Sep N1 - Accession Number: 105557033. Language: English. Entry Date: 20090227. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Allied Health; Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Laboratory Diagnosis. NLM UID: 101165285. KW - Hemoglobins -- Blood KW - Point-of-Care Testing KW - Anemia -- Epidemiology KW - Blood Cell Count KW - Critically Ill Patients KW - Data Analysis Software KW - Emergency Patients KW - Linear Regression KW - Paired T-Tests KW - Pearson's Correlation Coefficient KW - Prevalence KW - Surgical Patients KW - Human SP - 157 EP - 157 JO - Point of Care JF - Point of Care JA - POINT CARE VL - 7 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1533-029X AD - Laboratorio Central, Hospital Clínico Universitario de Santiago (C.H.U.S.), Santiago de Compostela UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105557033&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106696076 T1 - Determination of medical necessity for air and critical care medical transportation. Y1 - 2003/07//2003 Jul-Sep N1 - Accession Number: 106696076. Corporate Author: Air Medical Physician Association. Language: English. Entry Date: 20040130. Revision Date: 20150820. Publication Type: Journal Article; standards. Journal Subset: Allied Health; Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 9703530. KW - Aeromedical Transport -- Standards KW - Triage -- Standards KW - Aeromedical Transport -- Organizations SP - 400 EP - 401 JO - Prehospital Emergency Care JF - Prehospital Emergency Care JA - PREHOSPITAL EMERG CARE VL - 7 IS - 3 CY - Philadelphia, Pennsylvania PB - Taylor & Francis Ltd SN - 1090-3127 U2 - PMID: 12879394. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106696076&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105266624 T1 - Obstacles in providing neonatal care in Kurdistan, Iraq. AU - Mohammed AK AU - Acheson E AU - Kenner C Y1 - 2009/12// N1 - Accession Number: 105266624. Language: English. Entry Date: 20100205. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; USA. Special Interest: Pediatric Care. NLM UID: 101126037. KW - Health Services Accessibility KW - Intensive Care, Neonatal -- Iraq KW - Education, Nursing, Continuing KW - Health Facility Environment KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Iraq KW - Neonatal Nursing -- Education KW - Transportation of Patients SP - 191 EP - 192 JO - Newborn & Infant Nursing Reviews JF - Newborn & Infant Nursing Reviews JA - NEWBORN INFANT NURS REV VL - 9 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders AB - Our world is shrinking because of computerized linkages and the mobility of society. Information is shared rapidly around the world. Issues surrounding newborn and infant nursing are global. In efforts to acknowledge the international community, each Newborn and Infant Nursing Review issue will feature a column that highlights care-related issues from a featured country or region of the world. This article focuses on Iraq. Newborn and infant health issues are global ones. A different area of the globe will be featured to review issues occurring in different areas of the world, which addresses Newborn and Infant Nursing Review's theme-oriented topic. This month, Iraq will be featured. Our guest authors are Drs Atiya Mohammed and Evelyn Acheson. Dr Mohammed teaches maternity nursing at Sulaimani University in Northern Iraq. Dr Acheson is the assistant professor and director of the International Health Program at the University of Oklahoma College of Nursing, Tulsa, OK. This month's article focuses on obstacles to neonatal care and neonatal transport. Copyright © 2009 Published by Elsevier Inc. SN - 1527-3369 AD - College of Nursing, Sulaimani University, Sulaimani, Northern Iraq; atiyakareem@yahoo.com DO - 10.1053/j.nainr.2009.09.007 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105266624&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105248018 T1 - Practice corner. AU - Clifford T Y1 - 2009/08// N1 - Accession Number: 105248018. Language: English. Entry Date: 20100108. Revision Date: 20150711. Publication Type: Journal Article; questions and answers. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Perioperative Care. NLM UID: 9610507. KW - American Society of PeriAnesthesia Nurses -- Standards KW - Perianesthesia Nursing -- Standards KW - Transfer, Intrahospital -- Standards KW - Post Anesthesia Care Units SP - 258 EP - 259 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 24 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - PACU, Mercy Hospital, Fore River Campus, Portland, ME 04102, USA. cliffordt@maine.rr.com. U2 - PMID: 19647666. DO - 10.1016/j.jopan.2009.05.096 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105248018&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107538547 T1 - Role of the oncology nurse when the patient with cancer is transferred to the critical care unit. AU - Griffin JP AU - Comley C Y1 - 1989/09//1989 Sep-Oct N1 - Accession Number: 107538547. Language: English. Entry Date: 19891101. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 7809033. KW - Oncologic Nursing KW - Nursing Role KW - Intensive Care Units -- Psychosocial Factors KW - Transfer, Intrahospital -- Psychosocial Factors KW - Patient Advocacy KW - Ethics KW - Interdepartmental Relations KW - Intraprofessional Relations KW - Family -- Psychosocial Factors SP - 703 EP - 707 JO - Oncology Nursing Forum JF - Oncology Nursing Forum JA - ONCOL NURS FORUM VL - 16 IS - 5 CY - Pittsburgh, Pennsylvania PB - Oncology Nursing Society AB - Patients with cancer can become critically ill from treatment-related complications or from progressive disease. The oncology nurse can positively influence the care of the patient and family during and after transfer to the Intensive Care Unit (ICU) by maintaining a strong advocacy role. Patient and family education can prevent or alleviate many of the psychological discomforts precipitated by critical illness. Open communication between the oncology and critical care staff can ease discussion about ethical issues. SN - 0190-535X U2 - PMID: 2780406. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107538547&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107641054 T1 - Critical care unit transfer: reducing patient stress through nursing interventions. AU - Schwartz LP AU - Brenner ZR Y1 - 1979/05//1979 May-Jun N1 - Accession Number: 107641054. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0330057. KW - Psychosocial Aspects of Illness KW - Stress KW - Coronary Care Units KW - Critical Care Nursing KW - Human SP - 540 EP - 546 JO - Heart & Lung JF - Heart & Lung JA - HEART LUNG VL - 8 CY - New York, New York PB - Elsevier B.V. SN - 0147-9563 U2 - PMID: 254678. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107641054&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107269213 T1 - RESEARCH ANALYSIS. Intrahospital transport of the critically ill adult: a research review and implications. AU - Caruana M AU - Culp K Y1 - 1998/05//1998 May-Jun N1 - Accession Number: 107269213. Language: English. Entry Date: 19980701. Revision Date: 20150819. Publication Type: Journal Article; algorithm; review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8211489. KW - Transfer, Intrahospital KW - Critically Ill Patients KW - Critical Care Nursing KW - Time Factors KW - CINAHL Database KW - Research KW - Costs and Cost Analysis KW - Patient Safety KW - Respiration, Artificial KW - Inpatients SP - 146 EP - 156 JO - Dimensions of Critical Care Nursing JF - Dimensions of Critical Care Nursing JA - DCCN VL - 17 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - Transporting the critically ill adult from the relative stability of the critical care environment to a testing site or new area is a nursing responsibility. Yet current reserch about the risks and benefits of intrahospital transport is at times conflicting. This article provides an analysis of available research on the critical elements involved in intrahospital transport and suggests recommendations for clinical practice. SN - 0730-4625 AD - University of Iowa Hospitals and Clinics, Iowa City, IA U2 - PMID: 9633345. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107269213&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105927080 T1 - Delayed transfer to the ICU increases length of stay and mortality. AU - Hoffman LA Y1 - 2007/11// N1 - Accession Number: 105927080. Language: English. Entry Date: 20080111. Revision Date: 20150711. Publication Type: Journal Article; abstract; commentary. Original Study: Chalfin DB et al. Crit Care Med 2007; 35: 1477-83. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9887258. KW - Critically Ill Patients KW - Emergency Service KW - Intensive Care Units KW - Transfer, Intrahospital KW - Treatment Delay KW - Apache KW - Bed Occupancy KW - Critical Illness -- Mortality KW - Crowding KW - Emergency Service -- Utilization KW - Female KW - Length of Stay KW - Male KW - Retrospective Design KW - Time Factors SP - 57 EP - 58 JO - Critical Care Alert JF - Critical Care Alert JA - CRIT CARE ALERT VL - 15 IS - 8 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1067-9502 AD - Department of Acute/Tertiary Care, School of Nursing, University of Pittsburgh UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105927080&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104982427 T1 - Products. Y1 - 2010/11//2010 Nov-Dec N1 - Accession Number: 104982427. Language: English. Entry Date: 20110304. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Pediatric Care. NLM UID: 9007473. KW - Enteral Nutrition -- Equipment and Supplies KW - Hyperbilirubinemia -- Diagnosis KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Nebulizers and Vaporizers KW - Noninvasive Procedures KW - Pacifiers KW - Point-of-Care Testing KW - Respiration, Artificial KW - Resuscitation -- Equipment and Supplies KW - Tracheostomy Equipment and Supplies KW - Transfer, Intrahospital KW - United States Food and Drug Administration SP - 13 EP - 14 JO - Neonatal Intensive Care JF - Neonatal Intensive Care JA - NEONAT INTENSIVE CARE VL - 23 IS - 7 CY - Santa Monica, California PB - Goldstein & Associates SN - 1062-2454 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104982427&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106001826 T1 - Living in a Glasshouse... embracing care issues beyond ICU. AU - Leslie GD Y1 - 2007/07// N1 - Accession Number: 106001826. Language: English. Entry Date: 20080229. Revision Date: 20150820. Publication Type: Journal Article; editorial. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9207852. KW - Critically Ill Patients KW - Intensive Care Units KW - Transfer, Intrahospital SP - 85 EP - 86 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 20 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 U2 - PMID: 17627837. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106001826&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107581910 T1 - Implementing an ICU transfer tool. AU - Coleman B Y1 - 1984/11//1984 Nov-Dec N1 - Accession Number: 107581910. Language: English. Entry Date: 19850501. Revision Date: 20150712. Publication Type: Journal Article; forms. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8211489. KW - Transfer, Intrahospital KW - Nursing Records KW - Documentation -- Methods KW - Critical Care Nursing KW - Nursing Diagnosis KW - Burn Nursing KW - Coronary Care Nursing KW - Shift Reports -- Methods KW - Child, Preschool KW - Aged KW - Male KW - Female SP - 352 EP - 361 JO - Dimensions of Critical Care Nursing JF - Dimensions of Critical Care Nursing JA - DCCN VL - 3 IS - 6 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0730-4625 U2 - PMID: 6568156. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107581910&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106120493 T1 - Medical director forum. Specialty center boom: is transport to the closest ED a thing of the past? AU - Eckstein M Y1 - 2007/05//2007 May N1 - Accession Number: 106120493. Language: English. Entry Date: 20070720. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. NLM UID: 8102138. KW - Emergency Service KW - Hospitals, Special KW - Transportation of Patients KW - Stroke -- Therapy KW - Emergency Patients KW - Myocardial Infarction -- Therapy KW - Stroke Units KW - Trauma Centers KW - United States SP - 42 EP - 43 JO - JEMS: Journal of Emergency Medical Services JF - JEMS: Journal of Emergency Medical Services JA - JEMS VL - 32 IS - 5 CY - Tulsa, Oklahoma PB - PennWell Corporation SN - 0197-2510 U2 - PMID: 17481432. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106120493&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104609072 T1 - Standardized Prehospital Treatment of Stroke. AU - Kessler, Christof AU - Khaw, Alexander V. AU - Nabavi, Darius G. AU - Glahn, Jörg AU - Martin, Grond AU - Busse, Otto Y1 - 2011/09/09/ N1 - Accession Number: 104609072. Language: English. Entry Date: 20120710. Revision Date: 20150711. Publication Type: Journal Article; review; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Continental Europe; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed. Special Interest: Emergency Care. KW - Stroke Patients KW - Severity of Illness KW - Emergency Care KW - Transportation of Patients KW - Checklists KW - Stroke Units KW - Hospitals, Special KW - PubMed KW - Stroke -- Classification KW - Stroke -- Diagnosis SP - 1 EP - 1 JO - Deutsches Aerzteblatt International JF - Deutsches Aerzteblatt International JA - DTSCH AERZTEBL INT VL - 108 IS - 36 PB - Deutscher Aerzte-Verlag GmbH SN - 1866-0452 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104609072&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106161208 T1 - Transfer surcharge. AU - Bekes C Y1 - 2007/06// N1 - Accession Number: 106161208. Language: English. Entry Date: 20070928. Revision Date: 20150711. Publication Type: Journal Article; commentary; editorial. Original Study: Bekes C, Fleming S, and Scott WE. Reimbursement for intensive care services under diagnosis-related groups. Crit Care Med 1988; 16: 478-81. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0355501. KW - Critical Care -- Economics KW - Insurance, Health, Reimbursement KW - Apache KW - Intensive Care Units KW - Length of Stay KW - Severity of Illness KW - Transfer, Discharge -- Economics KW - Transfer, Intrahospital SP - 1612 EP - 1613 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 35 IS - 6 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0090-3493 U2 - PMID: 17522534. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106161208&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105227361 T1 - Pro/con debate: do the benefits of regionalized critical care delivery outweigh the risks of interfacility patient transport? AU - Singh JM AU - MacDonald RD Y1 - 2009/08// N1 - Accession Number: 105227361. Language: English. Entry Date: 20100212. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Europe; UK & Ireland. Special Interest: Critical Care. NLM UID: 9801902. KW - Critical Care KW - Health Services Accessibility -- Administration KW - Transfer, Discharge -- Administration KW - Health and Welfare Planning KW - Critical Care -- Economics KW - Risk Assessment SP - 219 EP - 219 JO - Critical Care JF - Critical Care JA - CRIT CARE VL - 13 IS - 4 PB - BioMed Central SN - 1364-8535 AD - Interdepartmental Division of Critical Care and Department of Medicine, University of Toronto, Toronto Western Hospital, 399 Bathurst Street, 2 McLaughlin - 411K, Toronto, Ontario M5T 2S8, Canada. jeff.singh@uhn.on.ca U2 - PMID: 19678918. DO - 10.1186/cc7883 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105227361&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107545392 T1 - Reducing in-house transfers improves cost effectiveness. AU - Deines E AU - Stevens B Y1 - 1987/09//1987 Sep N1 - Accession Number: 107545392. Language: English. Entry Date: 19880301. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8219243. KW - Cost Benefit Analysis KW - Transfer, Intrahospital -- Economics SP - 54 EP - 57 JO - Nursing Management JF - Nursing Management JA - NURS MANAGE VL - 18 IS - 9 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0744-6314 U2 - PMID: 3114689. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107545392&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106240185 T1 - Determination of closest appropriate destination facility for air and critical care medical transportation...Position Statement of the Air Medical Physician Association Y1 - 2006/11// N1 - Accession Number: 106240185. Corporate Author: Air Medical Physician Association. Language: English. Entry Date: 20070223. Revision Date: 20150820. Publication Type: Journal Article; standards. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Aeromedical Transport -- Standards KW - Transportation of Patients -- Standards KW - Aeromedical Transport -- Organizations SP - 276 EP - 277 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 25 IS - 6 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X U2 - PMID: 17071417. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106240185&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107251226 T1 - A postanesthetic care charge nurse's perspective of postoperative verbal report by anesthesia providers. AU - Diring RO AU - O'Connor CL Y1 - 1998/02//1998 Feb N1 - Accession Number: 107251226. Language: English. Entry Date: 19980401. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 9109511. KW - Charge Nurses KW - Perianesthesia Nursing KW - Shift Reports KW - Post Anesthesia Care Units KW - Transfer, Intrahospital KW - Post Anesthesia Care KW - Anesthetists KW - Communication KW - Surgical Patients SP - 30 EP - 32 JO - CRNA: the Clinical Forum for Nurse Anesthetists JF - CRNA: the Clinical Forum for Nurse Anesthetists JA - CRNA VL - 9 IS - 1 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1048-2687 AD - Naval Medical Center Portsmouth, Portsmouth, VA U2 - PMID: 9624944. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107251226&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105444885 T1 - Analysis of functional improvement in patients transferred to a rehabilitaiton unit following stroke, relative to time of transfer into the unit...Proceedings of the 10th Congress of the European Federation for Research in Rehabilitation, Riga, Latvia, 09-12 September 2009 AU - Kohler F AU - Redmond H AU - Dickson H AU - Renton R Y1 - 2009/08//2009 Aug Supplement 1 N1 - Accession Number: 105444885. Language: English. Entry Date: 20091106. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Supplement Title: 2009 Aug Supplement 1. Journal Subset: Allied Health; Europe; Peer Reviewed; UK & Ireland. Instrumentation: Functional Independence Measure (FIM). NLM UID: 7805421. KW - Functional Status KW - Outcomes (Health Care) KW - Rehabilitation Patients KW - Stroke Units KW - Stroke -- Rehabilitation KW - Time Factors KW - Transfer, Discharge KW - Transfer, Intrahospital KW - Clinical Assessment Tools KW - Comparative Studies KW - Descriptive Statistics KW - Functional Assessment KW - Hospitals, Community KW - Inpatients KW - Length of Stay KW - New South Wales KW - Patient Admission KW - Rehabilitation Centers KW - Stroke Patients KW - Treatment Outcomes KW - Human SP - S15 EP - S15 JO - International Journal of Rehabilitation Research JF - International Journal of Rehabilitation Research JA - INT J REHABIL RES VL - 32 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0342-5282 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105444885&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - THES ID - 109850408 T1 - Clinical antecedents of a medical emergency team response as predictors of ICU transfer. AU - Sanders CL Y1 - 2008/01// N1 - Accession Number: 109850408. Language: English. Entry Date: 20090130. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. KW - Emergency Service KW - Intensive Care Units -- Utilization KW - Academic Medical Centers KW - Length of Stay KW - Logistic Regression KW - Nurse-Patient Ratio KW - Outcomes (Health Care) KW - Retrospective Design KW - Severity of Illness KW - Step-Wise Multiple Regression KW - Human SP - 126 p EP - 126 p JO - Clinical Antecedents of a Medical Emergency Team Response as Predictors of ICU Transfer JF - Clinical Antecedents of a Medical Emergency Team Response as Predictors of ICU Transfer PB - University of Colorado Health Sciences Center AB - Patient safety is a growing national concern in the U.S. Patients who unexpectedly transfer to the ICU secondary to deteriorating clinical conditions are 50-60% more likely to die than if they remained on the medical/surgical floors. Studies suggest early warning signs precede cardiac arrests and unplanned ICU transfers. Failure to rescue has been described as patient death or adverse outcomes resulting from unrecognized complications. The introduction of Medical Emergency Teams (MET) to hospitals has shown significant improvements in failure to rescue.The purpose of this study was to determine if the number of clinical antecedents to a MET response predict transfer to ICU at an academic medical center. Several intervening variables related to failure to rescue were also examined.A retrospective cohort study examining 140 medical records of patients who were treated by a MET was conducted. Sixty-six adult medical/surgical patients who received a MET response and did not transfer to the ICU were compared to 74 patients who received a MET response and were transferred to the ICU. Variables examined were number of clinical antecedents, length of time of clinical antecedents, nurse-to-patient ratio, years of experience of the provider initiating the call and other intervening variables. Data were analyzed using logistic regression methods and severity of illness risk adjustment methodology was also employed. The outcome of interest was ICU transfer versus no ICU transfer after a MET call.The findings of this study indicated severity of illness (p <. 001), number of clinical antecedents (p = .003) and nurse-to-patient ratio (p <. 001) were significant predictors of ICU transfer. Stepwise logistic regression analysis revealed nurse-to-patient ratio as the second best predictor of transfer after adjusting for severity of illness. In addition, other intervening variables such as length of stay before a MET response and duration of clinical antecedents resulted in increased odds of ICU transfer, though these findings were not statistically significant. Finally, this study revealed multiple opportunities for future research related to failure to rescue. SN - 9780549644330 AV - UMI Order AAI3316526 M1 - Ph.D. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109850408&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106946853 T1 - Relocation stress in critical care: a review of the literature. AU - McKinney AA AU - Melby V Y1 - 2002/03// N1 - Accession Number: 106946853. Language: English. Entry Date: 20020809. Revision Date: 20150819. Publication Type: Journal Article; review; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9207302. KW - Critically Ill Patients -- Psychosocial Factors KW - Transfer, Intrahospital -- Psychosocial Factors KW - Critical Care -- Psychosocial Factors KW - Stress, Psychological KW - Anxiety KW - Anxiety -- Prevention and Control KW - Inpatients -- Psychosocial Factors KW - Models, Theoretical KW - Nursing Interventions KW - Patient Education KW - Coping KW - Inpatients SP - 149 EP - 157 JO - Journal of Clinical Nursing JF - Journal of Clinical Nursing JA - J CLIN NURS VL - 11 IS - 2 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - 1. Transfer to the ward following a period in intensive care may cause stress for patients. 2. A review of the literature reveals that this phenomenon has been described in a number of different ways, such as transfer stress, transfer anxiety, translocation syndrome and, more recently, relocation stress. 3. This paper reviews the various concepts before arriving at a more operational definition of the phenomenon. 4. It attempts to reveal what causes this phenomenon and to what extent it exists. 5. Patients' responses to transfer are identified and the physical and psychological problems that have been associated with discharge from intensive care are discussed. 6. Lists of interventions that the literature suggests may reduce or prevent this phenomenon from occurring are reviewed. 7. Recommendations for practice development and further research are made. SN - 0962-1067 AD - Staff Nurse, Intensive Care Unit, Belfast City Hospital Trust, Lisburn Rd, Belfast, BT9 7AB, Northern Ireland. E-mail: aidinmckinney@hotmail.com U2 - PMID: 11903714. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106946853&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - THES ID - 109858225 T1 - The Relationship between Quality of Care in the Emergency Department and Timeliness of Interventions for Patients with Severe Sepsis. AU - Dugan, Elizabeth T Y1 - 2011/01// N1 - Accession Number: 109858225. Language: English. Entry Date: 20130621. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research; systematic review. Special Interest: Critical Care; Emergency Care; Quality Assurance. KW - Emergency Service KW - Quality of Health Care -- Evaluation KW - Sepsis -- Therapy KW - Severity of Illness KW - Time Factors KW - CINAHL Database KW - Critically Ill Patients KW - Crowding -- Evaluation KW - Health Care Delivery -- Evaluation KW - Intensive Care Units KW - Length of Stay KW - Medline KW - Nursing Role KW - Professional Compliance -- Evaluation KW - Protocols KW - Systematic Review KW - Transfer, Intrahospital SP - 210 p EP - 210 p JO - Relationship Between Quality of Care in the Emergency Department & Timeliness of Interventions for Patients With Severe Sepsis JF - Relationship Between Quality of Care in the Emergency Department & Timeliness of Interventions for Patients With Severe Sepsis PB - George Mason University AB - A comprehensive review of relevant literature was conducted using CINHAL, Medline, and Proquest to include the following search words: ED crowding, ED LOS, ED boarding, critical care, timeliness of care, early goal-directed therapy, sepsis bundle, mortality, nursing experience, expertise and competency. Emergency Department (ED) crowding and a delay in transferring critically-ill patients out of the department may adversely influence the delivery of timely treatment and adherence to established sepsis protocols. In addition, crowding can increase ED LOS and may increase HLOS and/or mortality for severe sepsis patients. In a landmark study by Rivers et al. (2001), a significant decrease in mortality was observed in patients with severe sepsis who were treated with early goal-directed therapy in the ED. Donabedian's structure, process, and outcome (SPO) model was utilized as a framework to evaluate the quality of care in the ED. A retrospective, exploratory research design was used with a non-probability, purposive sample of critically-ill patients seen in the ED and admitted to the intensive care unit.In general, the effect of the predictor variables on the timeliness of care and sepsis bundle compliance was found to be small. ED volume had very little influence on the outcome variables when using sepsis bundle interventions as a surrogate for quality of care. ED volume had minimal influence (3-5%) on timeliness of lactate draw, collection of blood cultures, and administration of antibiotics. Overall, sepsis bundle compliance was not directly influenced by ED volume. Instead, the importance of hospital characteristics, positive sepsis screens, and hypotension were identified as key factors influencing compliance. A delay in the identification of severe sepsis can be an important factor in determining compliance and timeliness of bundle interventions. In this study, a positive sepsis screen increased the odds of obtaining a serum lactate level by 76% and antibiotic administration within three hours by 72%. ED LOS only explained 1% of the variance in hospital length of stay (HLOS) and did not increase the occurrence of mortality prior to hospital discharge. In conclusion, ED volume by itself is not as significant of an influence in this health system as other factors. The goal of this study was to explore the effects of ED volume and other predictors variables on the quality of care delivered to severe sepsis patients. While the quality of care is impacted by several organizational and process factors it was not directly influenced by ED volume. Therefore, improvement efforts should focus on the removal of organizational barriers, building a more effective screening process and developing the role of the ED nurse in the management of sepsis patients. SN - 9781267100450 AV - UMI Order AAI3492112 M1 - Ph.D. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109858225&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - CONF ID - 109878138 T1 - Information online about intrahospital transport of critical patients. AU - Nogueira V AU - Marin HF A2 - Marques EP A2 - Hovenga E A2 - Goossen W Y1 - 2003/01// N1 - Accession Number: 109878138. Language: English. Entry Date: 20031212. Revision Date: 20150923. Publication Type: Proceedings; abstract; pictorial; research. KW - Transfer, Intrahospital KW - World Wide Web KW - Critically Ill Patients KW - Inpatients KW - Brazil KW - Human SP - 687 EP - 687 JO - E-health for All: Designing Nursing Agenda for the Future, Ni 2003: Proceedings, 8th International Congress in Nursing Informatics, Rio de Janeiro, June 20-25, 2003 JF - E-health for All: Designing Nursing Agenda for the Future, Ni 2003: Proceedings, 8th International Congress in Nursing Informatics, Rio de Janeiro, June 20-25, 2003 SN - 9788587922670 AD - Federal University of São Paulo, SP, Brazil UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109878138&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105059518 T1 - Improving patient flow: a handoff system from the PACU to inpatient area Memorial Sloan Kettering Cancer Center...ASPAN National Conference AU - Nolan S AU - Burns J AU - Rodrigue D AU - Thom G AU - Larson E AU - Germaine C AU - Rooney E AU - Yanolatos M AU - Rodriguez W Y1 - 2010/06// N1 - Accession Number: 105059518. Language: English. Entry Date: 20100730. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care; Quality Assurance. NLM UID: 9610507. KW - Hand Off (Patient Safety) KW - Hospital Units KW - Intraprofessional Relations KW - Perianesthesia Nursing KW - Post Anesthesia Care Units KW - Transfer, Intrahospital KW - Cancer Care Facilities KW - Quality Improvement KW - Telephone KW - Time Factors SP - 191 EP - 191 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 25 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105059518&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106871273 T1 - Relocation stress syndrome in rehabilitation transfers: a review of the literature. AU - Grenenger R Y1 - 2003/03//2003 Autumn N1 - Accession Number: 106871273. Language: English. Entry Date: 20031003. Revision Date: 20150820. Publication Type: Journal Article; review. Journal Subset: Australia & New Zealand; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. KW - Relocation -- Psychosocial Factors KW - Stress, Psychological -- Etiology KW - Transfer, Intrahospital -- Psychosocial Factors KW - Inpatients KW - Intensive Care Units KW - Nursing Homes KW - Patient Education KW - Rehabilitation Centers SP - 8 EP - 13 JO - Journal of the Australasian Rehabilitation Nurses' Association (JARNA) JF - Journal of the Australasian Rehabilitation Nurses' Association (JARNA) JA - JARNA VL - 6 IS - 1 PB - Australasian Rehabilitation Nurses' Association (ARNA) Inc. AB - The physical or psychological effects of a patient transferring from one area of health care to another (relocation stress syndrome) have been well documented in the literature. Whilst most of this work has been in the areas of aged care residential transfer and intensive care unit to general ward transfer, it seems likely that this syndrome could occur during the transfer to rehabilitation.A literature review has revealed that relocation stress syndrome is a well-recognised phenomenon in a variety of settings, but there is little evidence-based literature exploring this phenomenon in the rehabilitation setting. Coordination of a smooth transition from acute care to rehabilitation should be incorporated into a patient's continuum of care. Education as a strategy to minimise RSS is considered in view of current literature. Barriers to successful patient education are also considered and the rehabilitation nurse's role in patient preparation prior to transfer is discussed. SN - 1440-3994 AD - Clinical Nurse Consultant-Referral Coordinator, Royal Rehabilitation Centre Sydney, 59 Charles Street, RYDE NDW 2112; grenenr@doh.health.nsw.gov.au UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106871273&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105783771 T1 - Who's at risk from fast tracking after MAC? Y1 - 2008/07// N1 - Accession Number: 105783771. Language: English. Entry Date: 20080808. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Nursing; USA. Special Interest: Perioperative Care. NLM UID: 8700332. KW - Transfer, Intrahospital KW - Anesthesia KW - Operating Rooms KW - Post Anesthesia Care Units SP - 23 EP - 23 JO - OR Manager JF - OR Manager JA - OR MANAGER VL - 24 IS - 7 CY - Rockville, Maryland PB - Access Intelligence LLC SN - 8756-8047 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105783771&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106017070 T1 - Recent articles of interest to critical care out-of-hospital personnel. AU - Hankins DG Y1 - 2007/09// N1 - Accession Number: 106017070. Language: English. Entry Date: 20071207. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Cardiac Tamponade KW - Catheterization, Central Venous KW - Emergency Patients KW - Infusions, Intraosseous KW - Pericardial Effusion KW - Prehospital Care KW - Transportation of Patients SP - 212 EP - 213 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 26 IS - 5 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - Medical Director, Mayo Medical Transport, Rochester, Minnesota UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106017070&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106833983 T1 - Benchmarking success. Critical-care transport team improves care. Y1 - 2003/01//2003 Jan N1 - Accession Number: 106833983. Language: English. Entry Date: 20030523. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; USA. NLM UID: 9425690. KW - Critical Care KW - Critical Care Nursing KW - Emergency Care KW - Transportation of Patients KW - Continuity of Patient Care KW - Outpatients KW - Quality of Health Care KW - Risk Management KW - Tomography, X-Ray Computed KW - Treatment Outcomes SP - 6 EP - 7 JO - ED Management JF - ED Management JA - ED MANAGE VL - 15 IS - 1 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1044-9167 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106833983&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106574922 T1 - Race to the rescue: pediatric ICU transport. AU - Dunbar C Y1 - 2004/06/28/2004 Jun 28 New Jersey/Upper New York Metro Edition N1 - Accession Number: 106574922. Language: English. Entry Date: 20050204. Revision Date: 20150819. Publication Type: Journal Article; pictorial. Supplement Title: 2004 Jun 28 New Jersey/Upper New York Metro Edition. Journal Subset: Nursing; USA. NLM UID: 9892044. KW - Pediatric Critical Care Nursing KW - Transfer, Discharge -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Transportation of Patients -- Nursing KW - Child KW - Child, Preschool KW - Infant SP - 10 EP - 11 JO - Nursing Spectrum -- New York & New Jersey Edition JF - Nursing Spectrum -- New York & New Jersey Edition JA - NURS SPECTRUM (NY NJ) VL - 16A IS - 13 CY - Brookfield, Wisconsin PB - OnCourse Learning Corp. AB - Many facilities that do not offer an ICU for children and infants use a mobile pediatric intensive care unit to transfer critically ill children to medical centers that offer specialty care. SN - 1081-3101 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106574922&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105803350 T1 - Critical care in the austere environment: providing exceptional care in unusual places. AU - Venticinque SG AU - Grathwohl KW Y1 - 2008/07/02/Jul2008 Supplement N1 - Accession Number: 105803350. Language: English. Entry Date: 20080829. Revision Date: 20150711. Publication Type: Journal Article. Supplement Title: Jul2008 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 0355501. KW - Critical Care KW - Health Facility Environment -- Administration KW - Hospitals, Special -- Administration KW - Medically Underserved Area KW - Military Medicine KW - Afghanistan KW - Clinical Information Systems -- Administration KW - Disaster Planning KW - Iraq KW - Mobile Health Units -- Administration KW - Multidisciplinary Care Team -- Administration KW - Occupational Diseases -- Prevention and Control KW - Oxygen Therapy -- Methods KW - Quality Assurance -- Administration KW - Resource Allocation -- Administration KW - Resuscitation -- Methods KW - Stress Disorders, Post-Traumatic -- Prevention and Control KW - Transportation of Patients -- Administration KW - Triage -- Administration KW - United States SP - S284 EP - 92 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 36 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - BACKGROUND: War and other disasters are inexorably linked to illness and injury. As a consequence of this, healthcare providers will be challenged to provide advanced physiological support to preserve human life. Given the mobility and modularity of modern medical systems, the ability to provide critical care outside of the confines of traditional hospitals under such circumstances has become not only a reality and periodic necessity, but an expectation. Austerity amplifies the complexity of providing high-level critical care, because resources are frequently limited, providers are asked to fill unexpected roles determined by necessity, security may be threatened, and the population at risk and their afflictions can be highly diverse. DISCUSSION: Our current deployed military medical experience and a review of published literature pertaining to civilian medical disaster response efforts support these stated challenges. The fundamentals of successful critical care practice in unusual settings include proper planning with an emphasis on attention to detail, the careful management of all resources, using the proper equipment, leveraging aeromedical evacuation assets, and employing the right people with the right skills. SUMMARY: Adherence to sound, evidence-based, routine practice, within bounds of the circumstances, must underscore everything. SN - 0090-3493 AD - Department of Anesthesiology (SGV), University of Texas Health Science Center, San Antonio, TX, USA. steven.venticinque@va.gov U2 - PMID: 18594254. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105803350&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105803362 T1 - Critical care at Landstuhl Regional Medical Center. AU - Fang R AU - Pruitt VM AU - Dorlac GR AU - Silvey SV AU - Osborn EC AU - Allan PF AU - Flaherty SF AU - Perello MM AU - Wanek SM AU - Dorlac WC Y1 - 2008/07/02/Jul2008 Supplement N1 - Accession Number: 105803362. Language: English. Entry Date: 20080829. Revision Date: 20150711. Publication Type: Journal Article. Supplement Title: Jul2008 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 0355501. KW - Critical Care KW - Hospitals, Military -- Administration KW - Intensive Care Units -- Administration KW - Military Medicine KW - Transportation of Patients -- Administration KW - Trauma Centers -- Administration KW - Afghanistan KW - Enteral Nutrition KW - Germany KW - Infection Control KW - Iraq KW - Length of Stay -- Statistics and Numerical Data KW - Military Medicine -- Education KW - Multidisciplinary Care Team -- Administration KW - Organizational Change KW - Outcomes (Health Care) KW - Patient Admission -- Statistics and Numerical Data KW - Quality Improvement KW - Spinal Injuries -- Prevention and Control KW - Terrorism KW - Thromboembolism -- Diagnosis KW - Thromboembolism -- Etiology KW - Thromboembolism -- Prevention and Control KW - United States SP - S383 EP - 7 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 36 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - BACKGROUND: Landstuhl Regional Medical Center is the largest U.S. medical facility outside the United States, and it is the first permanently positioned hospital outside the combat zone providing care to the wartime sick and wounded. As of November 2007, Landstuhl Regional Medical Center personnel have treated over 45,000 patients from Operations Enduring Freedom and Iraqi Freedom. The current trauma/critical care service is a multidisciplinary, intensivist-directed team caring for a diverse range of clinical diagnoses to include battle injuries, diseases, and nonbattle injuries. Admissions arise from an at-risk population of 500,000 widely distributed over a geographic area encompassing three continents. DISCUSSION: When compared with 2001, the average daily intensive care unit census has tripled and the patient acuity level has doubled. Combat casualties account for 85% of service admissions. The clinical practice at this critical care hub continues to evolve as a result of wartime damage control trauma care, robust critical care air transport capabilities, length of stay, and other unique factors. The service's focus is to optimize patients for an uneventful evacuation to the United States for definitive care and family support. SUMMARY: Successful verification in 2007 as an American College of Surgeons level II trauma center reflects a continuing institutional commitment to providing the best possible care to the men and women serving our nation in the global war on terror. SN - 0090-3493 AD - Landstuhl Regional Medical Center, Landstuhl, Germany. Raymond.Fang@amedd.army.mil U2 - PMID: 18594267. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105803362&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105803352 T1 - Critical care nursing in an austere environment. AU - Smith KK Y1 - 2008/07/02/Jul2008 Supplement N1 - Accession Number: 105803352. Language: English. Entry Date: 20080829. Revision Date: 20150711. Publication Type: Journal Article; research. Supplement Title: Jul2008 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. NLM UID: 0355501. KW - Attitude of Health Personnel KW - Critical Care KW - Medically Underserved Area KW - Military Nursing KW - Staff Nurses -- Psychosocial Factors KW - Wounds and Injuries -- Therapy KW - Clinical Competence KW - Clinical Indicators KW - Health Facility Environment -- Administration KW - Hospitals, Military -- Administration KW - Infection Control KW - Iraq KW - Military Nursing -- Education KW - Nursing Role KW - Personnel Staffing and Scheduling -- Administration KW - Practice Guidelines KW - Research, Nursing KW - Retrospective Design KW - Staff Nurses -- Administration KW - Staff Nurses -- Education KW - Transportation of Patients -- Administration KW - Trauma Centers -- Administration KW - United States KW - Wounds and Injuries -- Epidemiology KW - Wounds and Injuries -- Etiology KW - Human SP - S297 EP - 303 JO - Critical Care Medicine JF - Critical Care Medicine JA - CRIT CARE MED VL - 36 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins AB - OBJECTIVE: The purpose of this article is to present an overview of critical care nursing in current battlefield healthcare environments. The various levels of tactical combat casualty care are described with emphasis on those levels in which military critical care nurses are practicing. RESULTS: Results of a critical care medical record review is presented to describe mechanism of injury, critical care diagnoses, length of stay, ventilator days, procedures, and complications. CONCLUSION: A vast knowledge of various critical care and trauma processes as well as a wide variety of nursing skills are required to provide appropriate care for these casualties. Critical care nursing competencies, cognitive and skill-focused, required to practice in this environment are described. SN - 0090-3493 AD - U.S. Army Institute of Surgical Research, Fort Sam Houston, TX, USA. kimberly.k.smith@amedd.army.mil U2 - PMID: 18594256. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105803352&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107552294 T1 - Are critical care units hazardous to health? AU - Dracup K Y1 - 1988/05//1988 May N1 - Accession Number: 107552294. Language: English. Entry Date: 19881101. Revision Date: 20150712. Publication Type: Journal Article; care plan. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8901557. KW - Intensive Care Units KW - Critical Care -- Adverse Effects KW - Inpatients KW - Patient-Family Relations KW - Critical Care Nursing KW - Autonomy KW - Noise KW - Sleep Deprivation KW - Transfer, Intrahospital -- Psychosocial Factors KW - Perception KW - Pain -- Nursing SP - 14 EP - 21 JO - Applied Nursing Research JF - Applied Nursing Research JA - APPL NURS RES VL - 1 IS - 1 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - The dramatic evolution of critical care units is summarized along with accompanying psychological hazards for patients that can delay recovery and even threaten survival. The author describes tested interventions for reducing the potentially harmful effects. SN - 0897-1897 U2 - PMID: 3239969. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107552294&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107803181 T1 - Evacuation of the ICU: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. AU - King, Mary A AU - Niven, Alexander S AU - Beninati, William AU - Fang, Ray AU - Einav, Sharon AU - Rubinson, Lewis AU - Kissoon, Niranjan AU - Devereaux, Asha V AU - Christian, Michael D AU - Grissom, Colin K Y1 - 2014/10/02/Oct2014 Supplement N1 - Accession Number: 107803181. Corporate Author: Task Force for Mass Critical Care. Language: English. Entry Date: 20150206. Revision Date: 20161117. Publication Type: journal article; review. Supplement Title: Oct2014 Supplement. Journal Subset: Biomedical; Peer Reviewed; USA. Special Interest: Critical Care. Grant Information: 1-HFPEP070013-01-00//PHS HHS/United States. NLM UID: 0231335. KW - Consensus KW - Critical Illness -- Therapy KW - Disasters KW - Housing KW - Intensive Care Units -- Administration KW - Disease Outbreaks KW - Wounds and Injuries -- Therapy SP - e44S EP - 60S JO - CHEST JF - CHEST JA - CHEST CY - Glenview, Illinois PB - American College of Chest Physicians AB - Background: Despite the high risk for patient harm during unanticipated ICU evacuations, critical care providers receive little to no training on how to perform safe and effective ICU evacuations. We reviewed the pertinent published literature and offer suggestions for the critical care provider regarding ICU evacuation. The suggestions in this article are important for all who are involved in pandemics or disasters with multiple critically ill or injured patients, including front-line clinicians, hospital administrators, and public health or government officials.Methods: The Evacuation and Mobilization topic panel used the American College of Chest Physicians (CHEST) Guidelines Oversight Committee's methodology to develop seven key questions for which specific literature searches were conducted to identify studies upon which evidence-based recommendations could be made. No studies of sufficient quality were identified. Therefore, the panel developed expert opinion-based suggestions using a modified Delphi process.Results: Based on current best evidence, we provide 13 suggestions outlining a systematic approach to prepare for and execute an effective ICU evacuation during a disaster. Interhospital and intrahospital collaboration and functional ICU communication are critical for success. Pre-event planning and preparation are required for a no-notice evacuation. A Critical Care Team Leader must be designated within the Hospital Incident Command System. A three-stage ICU Evacuation Timeline, including (1) no immediate threat, (2) evacuation threat, and (3) evacuation implementation, should be used. Detailed suggestions on ICU evacuation, including regional planning, evacuation drills, patient transport preparation and equipment, patient prioritization and distribution for evacuation, patient information and tracking, and federal and international evacuation assistance systems, are also provided.Conclusions: Successful ICU evacuation during a disaster requires active preparation, participation, communication, and leadership by critical care providers. Critical care providers have a professional obligation to become better educated, prepared, and engaged with the processes of ICU evacuation to provide a safe continuum of critical care during a disaster. SN - 0012-3692 U2 - PMID: 25144509. DO - 10.1378/chest.14-0735 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107803181&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107652124 T1 - Neonatal transport nurses: an analysis of their role in the transport of newborn infants. AU - Thompson TR Y1 - 1980/05// N1 - Accession Number: 107652124. Language: English. Entry Date: 19811231. Revision Date: 20171129. Publication Type: Journal Article; research. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0376422. KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Transportation of Patients KW - Neonatal Nursing KW - Human SP - 887 EP - 892 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 65 IS - 5 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - Abstract. From September 1976 to March 1979, nurses selected from the newborn intensive care unit (NICU) assumed the transport team leadership role for 443 newborns. Each nurse had successfully completed an eight-week didactic and practical educational program in the assessment, management, stabilization, and transport of ill newborns including premature infants, those with various medical and surgical disorders, and those requiring assisted ventilation. Physician supervision and consultation was always available. The overall survival rate for these infants was 81%, a rate similar to that for newborns transported by physicians. The transport nurses consistently demonstrated the ability to effectively assess, manage, stabilize, and transport ill newborns. In addition, their utilization has alleviated a physician shortage on the NICU, has improved the response time to transport requests, and has enhanced educational opportunities for physicians and nurses. SN - 0031-4005 U2 - PMID: 7367135. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107652124&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106308043 T1 - Policy statement. Interfacility transportation of the critical care patient and its medical direction. Y1 - 2006/03// N1 - Accession Number: 106308043. Corporate Author: American College of Emergency Physicians. Language: English. Entry Date: 20060728. Revision Date: 20150711. Publication Type: Journal Article; brief item; standards. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 8002646. KW - Transportation of Patients -- Standards KW - Critical Care KW - Personnel Staffing and Scheduling -- Standards KW - Physician Executives KW - American College of Emergency Physicians -- Standards SP - 305 EP - 305 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 47 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 U2 - PMID: 16492517. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106308043&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105914857 T1 - Toward evidence-based practice. [Commentary on] Neonatal back transport: perspectives from parents on Medicaid-insured infants and providers. AU - Beal J Y1 - 2008/03//Mar/Apr2008 N1 - Accession Number: 105914857. Language: English. Entry Date: 20080516. Revision Date: 20150711. Publication Type: Journal Article; abstract; commentary. Original Study: Hanrahan K, Gates M, Attar M, Lang SW, Frohna A, Clark SJ. Neonatal back transport: perspectives from parents of Medicaid-insured infants and providers. (NEONAT NETW) Sep/Oct2007; 26 (5): 301-311. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Obstetric Care; Pediatric Care. NLM UID: 7605941. KW - Intensive Care, Neonatal KW - Medicaid KW - Parents -- Psychosocial Factors KW - Transfer, Discharge -- In Infancy and Childhood KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Michigan SP - 131 EP - 131 JO - MCN: The American Journal of Maternal Child Nursing JF - MCN: The American Journal of Maternal Child Nursing JA - MCN VL - 33 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0361-929X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105914857&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107759366 T1 - Neonatal transport: a discussion. AU - Tooley WH AU - Goldsmith J Y1 - 1977/10//1977 Oct N1 - Accession Number: 107759366. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Hospitals KW - Equipment and Supplies KW - Infant Mortality KW - Infant, Premature KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Transportation of Patients -- In Infancy and Childhood SP - 1138 EP - 1145 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 22 CY - Irving, Texas PB - Daedalus Enterprises, Inc. SN - 0020-1324 U2 - PMID: 10314820. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107759366&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105969285 T1 - Measuring the frequency of delays in admission into the PACU. AU - Dexter F Y1 - 2007/08// N1 - Accession Number: 105969285. Language: English. Entry Date: 20080215. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9610507. KW - Perianesthesia Nursing KW - Post Anesthesia Care Units KW - Surgical Patients KW - Transfer, Intrahospital KW - Confidence Intervals KW - Nursing Management KW - Operating Rooms KW - Reports KW - Time Factors SP - 293 EP - 294 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 22 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Division of Management Consulting, Department of Anesthesia and Health Management & Policy, University of Iowa, Iowa City, IA 52242, USA; franklin-dexter@uiowa.edu U2 - PMID: 17666302. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105969285&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105970734 T1 - Bed management displays to optimize patient flow from the OR to the PACU. AU - Dexter F Y1 - 2007/06// N1 - Accession Number: 105970734. Language: English. Entry Date: 20080215. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 9610507. KW - Operating Rooms KW - Organizational Efficiency KW - Personnel Staffing and Scheduling KW - Post Anesthesia Care Units KW - Transfer, Intrahospital KW - Perianesthesia Nursing KW - Perioperative Nursing SP - 218 EP - 219 JO - Journal of PeriAnesthesia Nursing JF - Journal of PeriAnesthesia Nursing JA - J PERIANESTH NURS VL - 22 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1089-9472 AD - Department of Anesthesia, University of Iowa, IA 52242, USA. franklin-dexter@uiowa.edu U2 - PMID: 17543807. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105970734&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105943546 T1 - BLISS -- changing priorities to meet new challenges. AU - Cole A Y1 - 2007/05//2007 May N1 - Accession Number: 105943546. Language: English. Entry Date: 20080125. Revision Date: 20150818. Publication Type: Journal Article; editorial. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Infant Care KW - Infant, Premature KW - Fund Raising KW - Health Services Accessibility KW - Infant Care -- Equipment and Supplies KW - Intensive Care Units, Neonatal KW - Policy Making KW - Research Support KW - Research, Medical -- Economics KW - Transportation of Patients SP - 88 EP - 89 JO - Infant JF - Infant JA - INFANT VL - 3 IS - 3 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105943546&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107564334 T1 - The care of a ventilator-dependent child on a general pediatric unit. AU - Dixon M AU - Holmes RB Y1 - 1987/06//1987 Jun N1 - Accession Number: 107564334. Language: English. Entry Date: 19871101. Revision Date: 20150712. Publication Type: Journal Article; case study. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8607529. KW - Respiration, Artificial -- Nursing -- In Infancy and Childhood KW - Pediatric Nursing KW - Hospital Units KW - Transfer, Intrahospital KW - Myasthenia Gravis -- In Infancy and Childhood KW - Nursing Process KW - Hereditary Diseases KW - Intensive Care Units KW - Infant KW - Child, Preschool KW - Inpatients KW - Male SP - 184 EP - 192 JO - Journal of Pediatric Nursing JF - Journal of Pediatric Nursing JA - J PEDIATR NURS VL - 2 IS - 3 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 0882-5963 U2 - PMID: 3648124. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107564334&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107014531 T1 - The child with an acute or a critical illness...commentary on Neu M, Browne JV, Vojir C (2000). The impact of two transfer techniques used during skin-to-skin care on the physiologic and behavioral responses of preterm infants. NURSING RESEARCH, 49(4), 215-223 AU - Turner B Y1 - 2001/01//2001 Jan-Feb N1 - Accession Number: 107014531. Language: English. Entry Date: 20010413. Revision Date: 20150711. Publication Type: Journal Article; abstract; commentary; tracings. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9892302. KW - Oxygen Saturation -- In Infancy and Childhood KW - Kangaroo Care KW - Infant, Premature KW - Infant, Newborn SP - 34 EP - 35 JO - Journal of Child & Family Nursing JF - Journal of Child & Family Nursing JA - J CHILD FAM NURS VL - 4 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1098-7134 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107014531&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107752890 T1 - Neonatal ICU transport--a life-saver... Bellevue Hospital Center. Y1 - 1975/12// N1 - Accession Number: 107752890. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 20010080R. KW - Transportation of Patients -- In Infancy and Childhood KW - Nematode Infections SP - ICU/CCU 14 EP - 5 JO - RN JF - RN JA - RN VL - 38 IS - 12 CY - North Olmsted, Ohio PB - Advanstar Communications Inc. SN - 0033-7021 U2 - PMID: 1043113. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107752890&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106242164 T1 - Withdrawal of care at home: transfer from the ICU to provide end of life care at home. AU - Jackson E Y1 - 2006/11//2006 Nov N1 - Accession Number: 106242164. Language: English. Entry Date: 20070223. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9207852. KW - Home Health Care KW - Patient Discharge KW - Terminally Ill Patients KW - Case Studies KW - Critical Care Nursing KW - Human SP - 156 EP - 156 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 19 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106242164&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107142525 T1 - The child with an acute or critical illness...commentary on Bouve LR, Rozmus CL, Giordano P (1999). Preparing parents for their child's transfer from the PICU to the pediatric floor. APPLIED NURSING RESEARCH, 12(3), 114-120 AU - Sterling YM Y1 - 2000/01//2000 Jan-Feb N1 - Accession Number: 107142525. Language: English. Entry Date: 20001101. Revision Date: 20150711. Publication Type: Journal Article; commentary; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9892302. KW - Intensive Care Units, Pediatric KW - Parents -- Education KW - Transfer, Discharge -- In Infancy and Childhood KW - Anxiety KW - Child SP - 31 EP - 32 JO - Journal of Child & Family Nursing JF - Journal of Child & Family Nursing JA - J CHILD FAM NURS VL - 3 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1098-7134 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107142525&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107125271 T1 - The child with an acute or critical illness...commentary on Leith BA (1998). Transfer anxiety in critical care patients and their family members. CRITICAL CARE NURSE, 18(4), 24-32 AU - Delametter GL Y1 - 1999/05//1999 May-Jun N1 - Accession Number: 107125271. Language: English. Entry Date: 20000801. Revision Date: 20150819. Publication Type: Journal Article; commentary; tables/charts. Journal Subset: Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9892302. KW - Anxiety KW - Transfer, Intrahospital -- Psychosocial Factors SP - 190 EP - 191 JO - Journal of Child & Family Nursing JF - Journal of Child & Family Nursing JA - J CHILD FAM NURS VL - 2 IS - 3 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 1098-7134 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107125271&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106436828 T1 - Anaesthetic and critical care dilemma. Who should transfer children with an acute neurosurgical emergency? AU - Winton P Y1 - 2005/12// N1 - Accession Number: 106436828. Language: English. Entry Date: 20060505. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 101257109. KW - Emergency Care -- In Infancy and Childhood KW - Transportation of Patients KW - Child SP - 712 EP - 712 JO - British Journal of Hospital Medicine (17508460) JF - British Journal of Hospital Medicine (17508460) JA - BR J HOSP MED (LOND) VL - 66 IS - 12 PB - Mark Allen Holdings Limited SN - 1750-8460 AD - Retrieval Fellow, Children's Acute Transport Service, London WC1N 3WH U2 - PMID: 16417124. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106436828&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107530204 T1 - Pediatric critical care transport: is a physician always needed on the team? AU - McCloskey KA AU - King WD AU - Byron L Y1 - 1989/03//1989 Mar N1 - Accession Number: 107530204. Language: English. Entry Date: 19890501. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 8002646. KW - Emergency Medical Services KW - Multidisciplinary Care Team KW - Critical Care -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Emergency Nursing -- In Infancy and Childhood KW - Respiratory Therapy -- In Infancy and Childhood KW - Drug Administration -- In Infancy and Childhood KW - Physicians KW - Case Control Studies KW - Child KW - Human SP - 247 EP - 249 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 18 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 U2 - PMID: 2923332. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107530204&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106368091 T1 - From the air to the ground: air medical safety practices applied to ground critical care. AU - Ellis D Y1 - 2006/07// N1 - Accession Number: 106368091. Language: English. Entry Date: 20061201. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Occupational Safety KW - Transportation of Patients KW - Accidents, Occupational -- Prevention and Control KW - Aeromedical Transport KW - Emergency Medical Services KW - Protective Devices SP - 158 EP - 159 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 25 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X AD - Flight Paramedic, Base Educator, Emory Flight 1, Griffin, Georgia U2 - PMID: 16818165. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106368091&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107067805 T1 - Experts' corner. Critical care transport: the legal challenges. AU - Fogelson RJ Y1 - 1997/06//1997 Jun N1 - Accession Number: 107067805. Language: English. Entry Date: 20011116. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. KW - Transportation of Patients KW - Critical Care KW - Liability, Legal KW - Emergency Medical Technicians KW - Scope of Practice KW - Certification KW - Emergency Medical Treatment and Active Labor Act KW - Transfer, Discharge SP - 6 EP - 7 JO - EMS Insider JF - EMS Insider JA - EMS INSIDER VL - 24 IS - 6 CY - , PB - Elsevier Public Safety SN - 1081-4507 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107067805&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105266600 T1 - Guest editorial. AU - Knupp A Y1 - 2009/12// N1 - Accession Number: 105266600. Language: English. Entry Date: 20100205. Revision Date: 20150711. Publication Type: Journal Article; editorial. Journal Subset: Core Nursing; Nursing; USA. Special Interest: Pediatric Care. NLM UID: 101126037. KW - Infant, Very Low Birth Weight KW - Intensive Care Units, Neonatal KW - Transportation of Patients -- In Infancy and Childhood KW - Infant, Newborn KW - Neonatal Nursing KW - Serial Publications SP - [184] EP - [184] JO - Newborn & Infant Nursing Reviews JF - Newborn & Infant Nursing Reviews JA - NEWBORN INFANT NURS REV VL - 9 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1527-3369 AD - Nationwide Children's Hospital, Columbus, OH 43205 DO - 10.1053/j.nainr.2009.09.009 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105266600&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105266596 T1 - Editorial. AU - Altimier L Y1 - 2009/12// N1 - Accession Number: 105266596. Language: English. Entry Date: 20100205. Revision Date: 20150820. Publication Type: Journal Article; editorial. Journal Subset: Core Nursing; Nursing; USA. Special Interest: Pediatric Care. NLM UID: 101126037. KW - Infant, Very Low Birth Weight KW - Intensive Care Units, Neonatal KW - Transportation of Patients -- In Infancy and Childhood KW - Geographic Factors KW - Infant, Newborn KW - Perinatal Care -- Standards KW - Serial Publications SP - [183] EP - [183] JO - Newborn & Infant Nursing Reviews JF - Newborn & Infant Nursing Reviews JA - NEWBORN INFANT NURS REV VL - 9 IS - 4 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 1527-3369 DO - 10.1053/j.nainr.2009.09.001 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105266596&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105964448 T1 - Critical care aeromedical teams (Ccatt): then, now and what's next. AU - Johannigman JA Y1 - 2007/06/02/2007 Supplement N1 - Accession Number: 105964448. Language: English. Entry Date: 20080208. Revision Date: 20150711. Publication Type: Journal Article. Supplement Title: 2007 Supplement. Journal Subset: Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0376373. KW - Critical Care KW - Military Personnel KW - Multidisciplinary Care Team -- Administration KW - Transportation of Patients -- Administration KW - War KW - Wounds and Injuries -- Therapy KW - Iraq KW - United States KW - Wounds and Injuries -- Etiology SP - S35 EP - S35 JO - Journal of Trauma JF - Journal of Trauma JA - J TRAUMA VL - 62 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0022-5282 U2 - PMID: 17556960. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105964448&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106447668 T1 - The development of an inter-/intra-hospital transfer course for the critically ill adult patient in South East England. AU - Collins T AU - Lumsden K Y1 - 2005/11// N1 - Accession Number: 106447668. Language: English. Entry Date: 20060526. Revision Date: 20150818. Publication Type: Journal Article; abstract. Journal Subset: Australia & New Zealand; Core Nursing; Nursing; Peer Reviewed. KW - Critically Ill Patients KW - Transfer, Discharge -- Education KW - Course Content KW - England KW - Teaching Methods SP - 101 EP - 101 JO - Australasian Emergency Nursing Journal JF - Australasian Emergency Nursing Journal JA - AUSTRALAS EMERG NURS J VL - 8 IS - 3 CY - New York, New York PB - Elsevier B.V. SN - 1574-6267 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106447668&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106131351 T1 - Informing practice. The impact of the time of discharge in outcome in ICU patients. AU - Cutugno C Y1 - 2007/06// N1 - Accession Number: 106131351. Language: English. Entry Date: 20070810. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0372646. KW - Critical Care KW - Critically Ill Patients KW - Hospital Mortality KW - Intensive Care Units KW - Transfer, Intrahospital KW - Canada KW - Prospective Studies SP - 72D EP - 72D JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 107 IS - 6 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-936X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106131351&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107417182 T1 - The organization of a pediatric critical care transport program. AU - Pon S AU - Notterman DA Y1 - 1993/04//1993 Apr N1 - Accession Number: 107417182. Language: English. Entry Date: 19950801. Revision Date: 20150711. Publication Type: Journal Article; review; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0401126. KW - Transportation of Patients KW - Critical Care -- In Infancy and Childhood KW - Pediatric Care KW - Infant KW - Child, Preschool KW - Child SP - 241 EP - 261 JO - Pediatric Clinics of North America JF - Pediatric Clinics of North America JA - PEDIATR CLIN NORTH AM VL - 40 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 0031-3955 U2 - PMID: 8451080. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107417182&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106296445 T1 - Transporting babies with known heart disease; who, what and where? AU - Bu'Lock FA AU - Bu'Lock, Frances A Y1 - 2007/03// N1 - Accession Number: 106296445. Language: English. Entry Date: 20070601. Revision Date: 20170413. Publication Type: journal article; commentary. Original Study: Browning Carmo KA, Barr P, West M, Hopper NW, White JP, Badawi N. Transporting newborn infants with suspected duct dependent congenital heart disease on low-dose prostaglandin E1 without routine mechanical ventilation. (ARCH DIS CHILD FETAL NEONAT ED) Mar2007; 92 (2): F117-9. Journal Subset: Biomedical; Blind Peer Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 9501297. KW - Heart Defects, Congenital -- Therapy KW - Perinatal Care -- Methods KW - Transfer, Discharge KW - Transportation of Patients KW - Heart Defects, Congenital -- Diagnosis KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Prenatal Diagnosis KW - Prostaglandins -- Administration and Dosage KW - United Kingdom SP - F80 EP - 1 JO - Archives of Disease in Childhood -- Fetal & Neonatal Edition JF - Archives of Disease in Childhood -- Fetal & Neonatal Edition JA - ARCH DIS CHILD FETAL NEONAT ED VL - 92 IS - 2 PB - BMJ Publishing Group SN - 1359-2998 AD - Congenital and Paediatric Cardiology Service, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK. frances.bu' AD - Congenital and Paediatric Cardiology Service, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK. frances.bu'lock@uhl-tr.nhs.uk U2 - PMID: 17337670. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106296445&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106898447 T1 - Policy statements. Interfacility transportation of the critical care patient and its medical direction. Y1 - 2001/10//2001 Oct N1 - Accession Number: 106898447. Corporate Author: American College of Emergency Physicians. Language: English. Entry Date: 20020208. Revision Date: 20150711. Publication Type: Journal Article; brief item; standards. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 8002646. KW - Transportation of Patients -- Standards KW - Critical Illness KW - American College of Emergency Physicians SP - 487 EP - 487 JO - Annals of Emergency Medicine JF - Annals of Emergency Medicine JA - ANN EMERG MED VL - 38 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 0196-0644 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106898447&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105923699 T1 - Nasal continuous positive airway pressure during neonatal back transfer. AU - Ofoegbu BF AU - Clarke P AU - Robinson M Y1 - 2007/09//2007 Sep N1 - Accession Number: 105923699. Language: English. Entry Date: 20080111. Revision Date: 20150711. Publication Type: Journal Article; abstract. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Continuous Positive Airway Pressure KW - Infant, Premature KW - Transfer, Discharge KW - Descriptive Statistics KW - Intensive Care Units, Neonatal KW - Prospective Studies KW - Telephone KW - United Kingdom SP - 203 EP - 203 JO - Infant JF - Infant JA - INFANT VL - 3 IS - 5 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105923699&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105921134 T1 - Making out-of-network transfers less problematic. AU - Hay A Y1 - 2007/03//2007 Mar N1 - Accession Number: 105921134. Language: English. Entry Date: 20080111. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Intensive Care Units, Neonatal KW - Transfer, Discharge KW - England KW - Telephone Information Services KW - World Wide Web SP - 76 EP - 76 JO - Infant JF - Infant JA - INFANT VL - 3 IS - 2 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105921134&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106108045 T1 - Should every mechanically ventilated patient be monitored with capnography from intubation to extubation? AU - Cheifetz IM AU - Myers TR Y1 - 2007/04//2007 Apr N1 - Accession Number: 106108045. Language: English. Entry Date: 20070622. Revision Date: 20150819. Publication Type: Journal Article; pictorial; review; tables/charts. Journal Subset: Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7510357. KW - Capnography KW - Critical Care KW - Ventilator Patients KW - Child, Preschool KW - Extubation KW - Heart Defects, Congenital KW - Infant KW - Intensive Care Units KW - Intubation, Intratracheal KW - Obesity KW - Operating Rooms KW - Patient Positioning KW - Positive End-Expiratory Pressure KW - Respiratory Distress Syndrome, Acute -- Prognosis KW - Respiratory Failure -- In Infancy and Childhood KW - Surgical Patients KW - Transportation of Patients KW - Trauma KW - Ventilation-Perfusion Ratio SP - 423 EP - 442 JO - Respiratory Care JF - Respiratory Care JA - RESPIR CARE VL - 52 IS - 4 CY - Irving, Texas PB - Daedalus Enterprises, Inc. AB - One of the most important aspects of caring for a critically ill patient is monitoring. Few would disagree that the most essential aspect of monitoring is frequent physical assessments. Complementing the physical examination is continuous monitoring of heart rate, respiratory rate, and blood oxygen saturation measured via pulse-oximetry, which have become the standard of care in intensive care units. Over the past decade one of the most controversial aspects of monitoring critically ill patients has been capnography. Although most clinicians use capnography to confirm endotracheal intubation, few clinicians use continuous capnography in the intensive care unit. This article reviews the medical literature on whether every mechanically ventilated patient should be monitored with capnography from intubation to extubation. There are numerous articles on capnography, but no definitive, randomized study has even attempted to address this specific question. Based on the available literature, it seems reasonable to use continuous capnography, for at least a subset of critically ill patients, to ensure integrity of the endotracheal tube and other ventilatory apparatus. However, at this point definitive data are not yet available to clearly support continuous capnography for optimizing mechanical ventilatory support. We hope that as new data become available, the answer to this capnography question will become clear. SN - 0020-1324 AD - Department of Pediatric Critical Care Medicine, Duke Children's Hospital, Durham, North Carolina U2 - PMID: 17417977. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106108045&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104130279 T1 - Caring for Critical Care Boarders in the Emergency Department. AU - Denno, Jennifer Y1 - 2014/01// N1 - Accession Number: 104130279. Language: English. Entry Date: 20140206. Revision Date: 20150710. Publication Type: Journal Article; nursing interventions; protocol; review; tables/charts. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Critical Care; Emergency Care. NLM UID: 7605913. KW - Critically Ill Patients KW - Emergency Nursing KW - Nursing Practice KW - Nursing Assessment KW - Nursing Interventions KW - Emergency Service KW - Health Services Accessibility KW - Time Management KW - Patient Care Plans KW - Catheter Care, Peripherally Inserted Central KW - Monitoring, Physiologic KW - Workload KW - Vital Signs KW - Fluid Intake-Output Measures KW - Intravenous Therapy KW - Mouth Care KW - Ventilators, Mechanical KW - Sedation KW - Neuromuscular Blockade KW - Airway Management KW - Eye Care KW - Pressure Ulcer -- Prevention and Control KW - Pneumonia, Ventilator-Associated -- Prevention and Control KW - Catheter-Related Bloodstream Infections -- Prevention and Control KW - Urinary Tract Infections, Catheter-Related -- Prevention and Control KW - Enteral Nutrition KW - Transfer, Intrahospital KW - Patient Classification KW - Documentation KW - Inpatients KW - Protocols SP - e11 EP - 8 JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 40 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 0099-1767 AD - Sacramento, CA U2 - PMID: 22999645. DO - 10.1016/j.jen.2012.04.015 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104130279&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107008375 T1 - RN's AACN update. Ask AACN: does AACN have a standard program for orienting new grads and nurses new to critical care, or a tool to validate knowledge of nurses transferring into critical care areas? Y1 - 2001/02// N1 - Accession Number: 107008375. Language: English. Entry Date: 20020419. Revision Date: 20150711. Publication Type: Journal Article; brief item; questions and answers. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 20010080R. KW - Critical Care Nursing KW - Education, Nursing, Continuing KW - Information Resources KW - New Graduate Nurses SP - 24ac4 EP - 24ac4 JO - RN JF - RN JA - RN VL - 64 IS - 2 CY - North Olmsted, Ohio PB - Advanstar Communications Inc. SN - 0033-7021 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107008375&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106726624 T1 - Can protocolised-weaning developed in the United States transfer to the United Kingdom context: a discussion. AU - Blackwood B Y1 - 2003/08//2003 Aug N1 - Accession Number: 106726624. Language: English. Entry Date: 20040423. Revision Date: 20150820. Publication Type: Journal Article; review; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Grant Information: British Association of Critical Care Nurses. NLM UID: 9211274. KW - Professional Practice, Evidence-Based KW - Protocols -- United Kingdom KW - Protocols -- United States KW - Ventilator Weaning -- United Kingdom KW - Ventilator Weaning -- United States KW - Benchmarking KW - Conceptual Framework KW - Critical Care KW - Funding Source KW - Health Care Delivery -- United States KW - Intensive Care Units KW - Length of Stay KW - National Health Programs -- United Kingdom KW - Northern Ireland KW - Research KW - United Kingdom KW - United States KW - Virginia SP - 215 EP - 225 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 19 IS - 4 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. AB - Weaning patients from mechanical ventilation using standardised protocols has been demonstrated to be safe and effective in reducing mechanical ventilation time, intensive care unit (ICU) stay and costs. Studies supporting this have all been conducted in the United States of America and weaning protocols are not widely used in the United Kingdom. With such a strong scientific evidence-base for protocolised-weaning, it is unclear why the introduction of evidence-based practice in this area is so low in the UK. There may be a number of reasons for this. First, it may be that the evidence is considered not to apply to different settings, particularly between the USA and UK where there are many differences in health care cultures. Second, it is suggested that the strength of evidence is not the only factor to account for when trying to introduce research evidence into practice [Qual. Health Care 7 (1998) 149]. The context or environment into which the research is to be implemented and how the implementation process is facilitated are equally important factors to be considered. Kitson et al. [Qual. Health Care 7 (1998) 149] argue that the interplay between the three factors of evidence, context and facilitation, enable the successful implementation of evidence-based practice. This discussion paper explores the factors that influence the introduction of weaning protocols. The discussion is structured around the three core elements from Kitson et al.'s conceptual framework and it draws upon examples of UK and USA contextual differences from Northern Ireland (NI) and Virginia (VA). SN - 0964-3397 AD - Lecturer in Nursing, The Queen's University of Belfast, School of Nursing & Midwifery, 50 Elmwood Avenue, Belfast BT9 6AZ, Northern Ireland; b.blackwood@qub.ac.uk U2 - PMID: 12915111. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106726624&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106686312 T1 - Transfer of the critically ill adult patient -- a view from the north. AU - Cosgrove JF AU - Kilner AJ Y1 - 2003/04//2003 Apr N1 - Accession Number: 106686312. Language: English. Entry Date: 20040102. Revision Date: 20150820. Publication Type: Journal Article; forms; practice guidelines; review. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9114927. KW - Critically Ill Patients KW - Transfer, Discharge -- England KW - Decision Making, Ethical KW - Documentation KW - England KW - Inpatients KW - Intensive Care Units KW - Morbidity KW - Multidisciplinary Care Team KW - Oxygen Therapy KW - Patient Admission KW - Patient Safety KW - Quality of Health Care KW - Transfer, Discharge -- Education KW - Transfer, Discharge -- Methods SP - 58 EP - 64 JO - Care of the Critically Ill JF - Care of the Critically Ill JA - CARE CRIT ILL VL - 19 IS - 2 CY - London, PB - Nature Publishing Group AB - Despite guidelines on transfer of the critically ill standards can fall below recommendations. In the Northeast and Cumbria audit has highlighted inadequate training, lack of awareness and inadequate data collection as problems. Formal training has been introduced and improvements in care demonstrated however other issues need addressing for improvements to continue. These include insurance cover, transfer teams, transfer co-ordination and resource allocation. This article reflects the experience of the Northeast and Cumbria in these aspects. SN - 0266-0970 AD - Consultant, Anaesthesia and Critical Care, Dept of Anaesthesia, Freeman Hospital, Newcastle upon Tyne NE7 7DN UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106686312&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106799346 T1 - Neonatal transportation: exploring parental views. AU - Steeper SD Y1 - 2002/11//2002 Nov N1 - Accession Number: 106799346. Language: English. Entry Date: 20030124. Revision Date: 20150820. Publication Type: Journal Article; review. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9602867. KW - Parental Attitudes KW - Transportation of Patients -- In Infancy and Childhood KW - Intensive Care, Neonatal KW - Research KW - Communication KW - Professional-Family Relations KW - Intensive Care Units, Neonatal KW - Infant, Newborn SP - 173 EP - 177 JO - Journal of Neonatal Nursing JF - Journal of Neonatal Nursing JA - J NEONAT NURS VL - 8 IS - 6 CY - New York, New York PB - Elsevier B.V. AB - The movement of babies between hospitals is a common feature of neonatal intensive care, due to the need for specialist care and/or heavy demands imposed on staffing and resources. A detailed literature review highlights the effects a transport event has on parents and the significance of effective communication. It is therefore important for health professionals involved in neonatal care to be aware of parental perceptions and of strategies required to enhance the efficacy of transportation. SN - 1355-1841 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106799346&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106913449 T1 - Research & commentary. Parents' experience of transfer from PICU. AU - Dampier S Y1 - 2001/05//2001 May N1 - Accession Number: 106913449. Language: English. Entry Date: 20020405. Revision Date: 20150820. Publication Type: Journal Article; abstract; commentary. Original Study: Keogh S. Parents' experiences of the transfer of their child from the PICU to the ward: a phenomenological study. (NURS CRIT CARE) 2001 Jan-Feb; 6 (1): 7-13. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9013329. KW - Intensive Care Units, Pediatric KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Parental Attitudes KW - Phenomenological Research KW - Purposive Sample KW - Interviews KW - Audiorecording KW - Child KW - Pediatric Units KW - Parents -- Psychosocial Factors SP - 9 EP - 9 JO - Paediatric Nursing JF - Paediatric Nursing JA - PAEDIATR NURS VL - 13 IS - 4 PB - RCNi SN - 0962-9513 AD - University of Nottingham, Post Graduate School of Nursing UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106913449&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107028787 T1 - Pediatric perspective. The ABCs of pediatric critical care. AU - McDonald JL AU - Hanson J Y1 - 2000/03//2000 Mar-Apr N1 - Accession Number: 107028787. Language: English. Entry Date: 20010608. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Allied Health; USA. NLM UID: 9516730. KW - Critical Care -- In Infancy and Childhood KW - Transportation of Patients -- In Infancy and Childhood KW - Infant KW - Child KW - Vital Signs KW - Airway Management KW - Blood Circulation SP - 7 EP - 9 JO - AIRMED JF - AIRMED JA - AIRMED VL - 6 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 1079-6134 AD - Medical Director of REACH/Mediplane, Santa Rosa, Calif UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107028787&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106535497 T1 - Reader question. It's best to not reserve capacity, refuse transfers. Y1 - 2005/06//2005 Jun N1 - Accession Number: 106535497. Language: English. Entry Date: 20051104. Revision Date: 20150711. Publication Type: Journal Article; questions and answers. Journal Subset: Health Services Administration; USA. NLM UID: 9889160. KW - Emergency Medical Treatment and Active Labor Act -- Standards KW - Intensive Care Units KW - Patient Admission KW - Transfer, Discharge KW - United States SP - 71 EP - 72 JO - Healthcare Risk Management JF - Healthcare Risk Management JA - HEALTHC RISK MANAGE VL - 27 IS - 6 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1081-6534 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106535497&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107542935 T1 - Evaluation of the patient transport program in a postanesthesia care unit. AU - Pound JL Y1 - 1988/04//1988 Apr N1 - Accession Number: 107542935. Language: English. Entry Date: 19880701. Revision Date: 20150712. Publication Type: Journal Article; research. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8609069. KW - Post Anesthesia Care Units -- Administration KW - Transfer, Intrahospital KW - Perianesthesia Nursing KW - Hospital Policies KW - Monitoring, Physiologic KW - Human SP - 95 EP - 101 JO - Journal of Post Anesthesia Nursing JF - Journal of Post Anesthesia Nursing JA - J POST ANESTH NURS VL - 3 IS - 2 CY - Philadelphia, Pennsylvania PB - W B Saunders SN - 0883-9433 U2 - PMID: 2453671. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107542935&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106361630 T1 - RC currents. Service on the Air Force's CCATT creates lasting memories for RT...Critical care air transport team Y1 - 2006/09//2006 Sep N1 - Accession Number: 106361630. Language: English. Entry Date: 20061117. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; USA. NLM UID: 8708187. KW - Aeromedical Transport KW - Critical Care KW - Military Personnel KW - Iraq KW - Respiratory Therapists KW - War SP - 102 EP - 102 JO - AARC Times JF - AARC Times JA - AARC TIMES VL - 30 IS - 9 CY - Irving, Texas PB - Daedalus Enterprises, Inc. SN - 0893-8520 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106361630&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107637632 T1 - A prototype perinatal transport system... four basic types of perinatal transport are possible. AU - Haasis P AU - Goldsmith JP Y1 - 1979/06//1979 Jun N1 - Accession Number: 107637632. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; USA. NLM UID: 7705464. KW - Obstetrics KW - Intensive Care Units, Neonatal KW - Emergency Medical Technicians KW - Transportation of Patients SP - 46 EP - 51 JO - EMT Journal: Official Publication of the National Association of Emergency Medical Technicians JF - EMT Journal: Official Publication of the National Association of Emergency Medical Technicians JA - EMT J VL - 3 CY - New York, New York PB - Elsevier B.V. SN - 0147-5851 U2 - PMID: 10241661. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107637632&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107559956 T1 - Transfer stress in patients after myocardial infarction. AU - Schactman M Y1 - 1987/04//1987 Apr N1 - Accession Number: 107559956. Language: English. Entry Date: 19870701. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 8302805. KW - Myocardial Infarction -- Psychosocial Factors KW - Transfer, Intrahospital -- Psychosocial Factors KW - Stress, Psychological KW - Inpatients -- Psychosocial Factors KW - Coronary Care Units KW - Anxiety SP - 34 EP - 37 JO - Focus on Critical Care JF - Focus on Critical Care JA - FOCUS CRIT CARE VL - 14 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 0736-3605 U2 - PMID: 3646146. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107559956&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107551945 T1 - Weaning of premature infants from the incubator to an open crib. AU - Sutter TWK AU - Phan D AU - Pierchala CE AU - Rishel W Y1 - 1988///1988 Summer N1 - Accession Number: 107551945. Language: English. Entry Date: 19881101. Revision Date: 20150712. Publication Type: Journal Article; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 8501884. KW - Infant, Premature KW - Intensive Care, Neonatal KW - Body Temperature Regulation -- In Infancy and Childhood KW - Body Weight -- In Infancy and Childhood KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Clinical Research KW - Statistics KW - Research Methodology KW - Intensive Care Units, Neonatal KW - Infant KW - Male KW - Female KW - Human SP - 193 EP - 198 JO - Journal of Perinatology JF - Journal of Perinatology JA - J PERINATOL VL - 8 IS - 3 CY - London, PB - Nature Publishing Group SN - 0743-8346 U2 - PMID: 3225660. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107551945&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107662490 T1 - Impact of a regional infant dispatch center on neonatal mortality. AU - Vogt JF AU - Chan LS AU - Wu PYK Y1 - 1981/06// N1 - Accession Number: 107662490. Language: English. Entry Date: 19811231. Revision Date: 20171129. Publication Type: Journal Article; research. Journal Subset: Biomedical; Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed; Public Health; USA. NLM UID: 1254074. KW - Referral and Consultation KW - Infant Mortality KW - Intensive Care Units, Neonatal KW - Infant, Low Birth Weight KW - Transportation of Patients KW - Human SP - 577 EP - 582 JO - American Journal of Public Health JF - American Journal of Public Health JA - AM J PUBLIC HEALTH VL - 71 IS - 6 CY - Washington, District of Columbia PB - American Public Health Association AB - In 1976, a regional Infant Medical Dispatch Center (IMDC) was implemented in Southern California to improve the lives and well-being of the critically ill newborn infants by expediting location of beds in neonatal intensive care units. Comparison of birth weight-specific neonatal mortality rates among 701-2000 grams neonates before and after the program showed a six-fold improvement in hospitals served by the Center over hospitals not served by the Center during the two-year period. From 1975 to 1977, a 43.7 per cent improvement in neonatal mortality among the 701-2000 grams neonates with hyaline membrane disease was observed in the transported infants served y the Infant Medical Dispatch Center as compared to a 22.9 per cent improvement in the group of transported infants not served by IMDC. Both indicators had consistently shown a marked improvement associated with the IMDC program beyond the improvement of medical sciences over the two years. The data suggest that the improved outcome of the neonates referred by IMDC might be related to the improved efficiency of locating available neonatal intensive care beds. SN - 0090-0036 U2 - PMID: 7235095. DO - 10.2105/AJPH.71.6.577 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107662490&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107264299 T1 - Paediatric critical care transport -- the case for change. AU - Barry P Y1 - 1997/09//1997 Sep-Oct N1 - Accession Number: 107264299. Language: English. Entry Date: 19980601. Revision Date: 20150820. Publication Type: Journal Article; editorial. Journal Subset: Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9114927. KW - Critical Care -- In Infancy and Childhood -- United Kingdom KW - Transportation of Patients -- In Infancy and Childhood -- United Kingdom KW - United Kingdom KW - Infant KW - Child, Preschool KW - Child SP - 172 EP - 172 JO - Care of the Critically Ill JF - Care of the Critically Ill JA - CARE CRIT ILL VL - 13 IS - 5 CY - London, PB - Nature Publishing Group SN - 0266-0970 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107264299&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106242167 T1 - ICU and ward nurses attitudes towards the ICU discharge process. AU - Mitchener K AU - McIntyre T AU - Carty P AU - Heland M AU - Bellomo R Y1 - 2006/11//2006 Nov N1 - Accession Number: 106242167. Language: English. Entry Date: 20070223. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9207852. KW - Critically Ill Patients KW - Nurse Attitudes KW - Transfer, Intrahospital KW - Hospitals KW - Victoria KW - Human SP - 156 EP - 156 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 19 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106242167&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106242165 T1 - A prospective observational study examining the occurrence of adverse events in patients within 72 hours of discharge from the ICU. AU - McLaughlin N AU - Leslie G Y1 - 2006/11//2006 Nov N1 - Accession Number: 106242165. Language: English. Entry Date: 20070223. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 9207852. KW - Critically Ill Patients KW - Outcomes (Health Care) KW - Transfer, Intrahospital KW - Hospital Units KW - Prospective Studies KW - Time Factors KW - Human SP - 156 EP - 156 JO - Australian Critical Care JF - Australian Critical Care JA - AUST CRIT CARE VL - 19 IS - 4 CY - New York, New York PB - Elsevier B.V. SN - 1036-7314 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106242165&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106605251 T1 - Critical care transport services at Christiana Care. AU - Faedtke C Y1 - 2005/02//2005 Feb-Apr N1 - Accession Number: 106605251. Language: English. Entry Date: 20050415. Revision Date: 20150711. Publication Type: Journal Article; case study. Journal Subset: Editorial Board Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 100970882. KW - Critical Care KW - Transfer, Discharge KW - Transportation of Patients SP - 11 EP - 11 JO - DNA Reporter JF - DNA Reporter JA - DNA REPORTER VL - 30 IS - 1 CY - ??????, Delaware PB - Delaware Nurses Association SN - 0418-5412 AD - MICN Coordinator, Christiana Care HealthServices UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106605251&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - THES ID - 109849144 T1 - Factors related to the development of ventilator-associated pneumonia in the neuroscience patient population. AU - Powers JM Y1 - 2007/01// N1 - Accession Number: 109849144. Language: English. Entry Date: 20080815. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. KW - Critical Care KW - Critically Ill Patients KW - Pneumonia, Ventilator-Associated -- Risk Factors KW - Respiration, Artificial -- Adverse Effects KW - Blood Glucose -- Analysis KW - Blood Transfusion KW - Convenience Sample KW - Descriptive Research KW - Inpatients KW - Intensive Care Units KW - Length of Stay KW - Logistic Regression KW - Prospective Studies KW - Record Review KW - Retrospective Design KW - Risk Assessment KW - Transfer, Intrahospital KW - Univariate Statistics KW - Human SP - 232 p EP - 232 p JO - Factors Related to the Development of Ventilator-associated Pneumonia in the Neuroscience Patient Population JF - Factors Related to the Development of Ventilator-associated Pneumonia in the Neuroscience Patient Population PB - Indiana University AB - Ventilator-associated pneumonia (VAP), a frequently occurring complication among patients receiving mechanical ventilation, has been shown to increase morbidity and mortality. The ability to determine the factors associated with VAP will help identify the patients who are at the greatest risk of developing this complication, and can lead to preventative intervention strategies. Evidence is lacking related to the factors that specifically contribute to the development of VAP in the neurologically-injured patient population.The purpose of this research was to identify the factors associated with the development of VAP in the mechanically-ventilated, neurologically-injured adult patient population. By identifying the most significant variables, a model was developed to identify those patients predisposed to develop VAP. Situation-specific theory was used as a guiding framework for this study due to the adaptability of this theory for specific situations. Situation-specific theories provide a link between research and clinical practice and are better suited for complex processes such as VAP.A retrospective, descriptive study design was used. A convenience sample of mechanically-ventilated patients was identified through hospital databases. Group one, 107 subjects, were medically diagnosed as developing VAP; group two, 132 subjects, were not diagnosed with VAP. Selected data were obtained from medical records to identify variables with a potential association with VAP. Univariate analysis was completed in order to assess association with the development of VAP. All significant findings were then entered into a logistic regression model to identify the variable or cluster of variables that likely contributed to the development of VAP. Findings revealed that age, length of stay in the intensive care unit, elevated blood serum glucose levels (>150mg/dl), increased number of blood products transfused and increased number of intrahospital transports were associated with VAP in the neurologically-impaired population.Future prospective studies are required to assist in further delineation of associated factors and to test a possible predictive model for VAP. Until such a model can be developed, the findings of this study can assist caregivers in understanding the factors associated with the development of VAP and help guide preventative strategies to decrease this costly complication. SN - 9780549224662 AV - UMI Order AAI3278247 M1 - Ph.D. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109849144&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107310195 T1 - Re: intrahospital transportation... article by Brokalaki et al (1996), ICCN 12(3): 183-186. AU - Elliott M Y1 - 1996/10//1996 Oct N1 - Accession Number: 107310195. Language: English. Entry Date: 19970201. Revision Date: 20150820. Publication Type: Journal Article; commentary; letter. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9211274. KW - Transportation of Patients KW - Inpatients SP - 311 EP - 311 JO - Intensive & Critical Care Nursing JF - Intensive & Critical Care Nursing JA - INTENSIVE CRIT CARE NURS VL - 12 IS - 5 CY - Philadelphia, Pennsylvania PB - Elsevier B.V. SN - 0964-3397 U2 - PMID: 8938087. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107310195&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - THES ID - 109845154 T1 - Early emergency department events and subsequent critical care unit outcomes for patients admitted to a critical care unit from an emergency department. AU - Clark KM Y1 - 2005/01// N1 - Accession Number: 109845154. Language: English. Entry Date: 20051202. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. KW - Critical Care KW - Emergency Care KW - Outcomes (Health Care) KW - Time Factors KW - Transfer, Intrahospital KW - Comparative Studies KW - Data Analysis Software KW - Exploratory Research KW - Hospitals KW - Length of Stay KW - Linear Regression KW - Logistic Regression KW - Mid Atlantic Region KW - Nonexperimental Studies KW - Retrospective Design KW - Human SP - 131 p EP - 131 p JO - Early Emergency Department Events & Subsequent Critical Care Unit Outcomes for Patients Admitted to a Critical Care Unit From an Emergency Department JF - Early Emergency Department Events & Subsequent Critical Care Unit Outcomes for Patients Admitted to a Critical Care Unit From an Emergency Department PB - George Mason University AB - A key factor contributing to overcrowding in the ED is the inability to move critically ill patients out of the ED and into in-patient beds. Critically ill patients often wait long periods in the ED for transfer to critical care units. Unfortunately, little is known of hospitalization outcomes of this acutely ill population. The purpose of this study was to determine the effect of the wait times from admission order for an ICU bed to transfer from the ED to an ICU bed. The reference facility was a tertiary level I trauma, located in a metropolitan area in the Mid-Atlantic region. Study design was a non-experimental, exploratory, retrospective, comparative analysis on a secondary data set with a sample size of 1536 ICU admissions originating from the ED. Exploratory analysis employing logistic and linear regression was used along with descriptive analysis and correlations. The variables were analyzed using SPSS 11.5. The findings indicated wait time in the ED following admission order to the ICU, until actual transfer from the ED occurred, was significant. In fact, the longer the wait in the ED after the admission order, the more likely in-hospital mortality. As time increased to receive the first medication in the ED, the more likely hospital length of stay would be increased. Furthermore, increased time to receive the first medication increased the wait time to receive the ICU admission order and subsequently leave the ED. An investigation of ED processes and interventions and the impact on outcomes may provide the information to revise practice. Identification and measurement of nursing out comes could validate nursing interventions. Such substantiated data driven by valid and reliable outcomes would support policy changes to increase the available resources in our healthcare system. SN - 9780496981267 AV - UMI Order AAI3163723 M1 - Ph.D. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109845154&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107602214 T1 - Implementation of exempt status for an inpatient psychiatric unit... PPS regulations are redefining the way that intrahospital transfers are handled. AU - Hutzler NP Y1 - 1984/07//1984 Jul N1 - Accession Number: 107602214. Language: English. Entry Date: 19841101. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; Computer/Information Science; Peer Reviewed; USA. NLM UID: 8406720. KW - Hospital Units KW - Psychiatric Care KW - Transfer, Intrahospital KW - Insurance, Health, Reimbursement KW - Inpatients SP - 29 EP - 31 JO - Journal of the American Medical Record Association JF - Journal of the American Medical Record Association JA - J AM MED REC ASSOC VL - 55 IS - 7 CY - Chicago, Illinois PB - American Health Information Management Association SN - 0273-9976 U2 - PMID: 10310702. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107602214&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107253800 T1 - Research for practice. Should you transport your ICU patient? AU - Winslow EH Y1 - 1995/11// N1 - Accession Number: 107253800. Language: English. Entry Date: 19980401. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0372646. KW - Transfer, Intrahospital KW - Intensive Care Units SP - 17 EP - 17 JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 95 IS - 11 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-936X AD - Research Consultant, Presbyterian Hospital of Dallas, Dallas, TX UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107253800&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106923464 T1 - Forum. ASTNA: Critical Care Transport Nurses Day. AU - Johnson J Y1 - 2002/01//2002 Jan-Feb N1 - Accession Number: 106923464. Language: English. Entry Date: 20020517. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. NLM UID: 9312325. KW - Flight Nursing -- History KW - Anniversaries and Special Events SP - 35 EP - 35 JO - Air Medical Journal JF - Air Medical Journal JA - AIR MED J VL - 21 IS - 1 CY - New York, New York PB - Elsevier B.V. SN - 1067-991X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106923464&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106627358 T1 - The Mortality Index for Neonatal Transportation score: a new mortality prediction model for retrieved neonates. AU - Broughton SJ AU - Berry A AU - Jacobe S AU - Cheeseman P AU - Tarnow-Mordi WO AU - Greenough A Y1 - 2004/10/05/2004 Oct Supplement N1 - Accession Number: 106627358. Corporate Author: Neonatal Intensive Care Unit Study Group. Language: English. Entry Date: 20050506. Revision Date: 20150711. Publication Type: Journal Article; research; tables/charts. Supplement Title: 2004 Oct Supplement. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Instrumentation: Mortality Index for Neonatal Transportation (MINT). NLM UID: 0376422. KW - Infant Mortality KW - Infant, Newborn KW - Transportation of Patients KW - Analysis of Variance KW - Clinical Assessment Tools KW - Confidence Intervals KW - Female KW - Intensive Care Units, Neonatal KW - Logistic Regression KW - Male KW - New South Wales KW - Odds Ratio KW - Prognosis KW - Referral and Consultation KW - Resource Databases KW - ROC Curve KW - Human SP - e424 EP - 8 JO - Pediatrics JF - Pediatrics JA - PEDIATRICS VL - 114 IS - 4 CY - Chicago, Illinois PB - American Academy of Pediatrics AB - OBJECTIVE: To develop a mortality prediction score for retrieved neonates based on the information given at the first telephone contact with a retrieval service. METHODS: Data from the New South Wales Newborn and Pediatric Emergency Transport Service database were examined. Analysis was performed with the results for 2504 infants (median gestational age: 36 weeks; range: 24-43 weeks) who were <72 hours of age at the time of referral and whose outcome (neonatal death or survival) was known. The study population was divided randomly into 2 halves, the derivation and validation cohorts. Univariate analysis was performed to identify variables in the derivation cohort related to neonatal death. The variables were entered into a multivariate logistic regression analysis with neonatal death as the outcome. Receiver operator characteristic (ROC) curves were constructed with the regression model and data from the derivation cohort and then the validation cohort. The results were used to generate an integer-based score, the Mortality Index for Neonatal Transportation (MINT) score. ROC curves were constructed to assess the ability of the MINT score to predict perinatal and neonatal death. RESULTS: A 7-variable (Apgar score at 1 minute, birth weight, presence of a congenital anomaly, and infant's age, pH, arterial partial pressure of oxygen, and heart rate at the time of the call) model was constructed that generated areas under ROC curves of 0.82 and 0.83 for the derivation and validation cohorts, respectively. The 7 variables were then used to generate the MINT score, which gave areas under ROC curves of 0.80 for both neonatal and perinatal death. CONCLUSION: Data collected at the first telephone contact by the referring hospital with a regionalized transport service can identify neonates at the greatest risk of dying. SN - 0031-4005 AD - Department of Child Health, Guy's, King's, and St. Thomas' School of Medicine, King's College, London, UK U2 - PMID: 15466067. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106627358&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106000872 T1 - The human factor. AU - Young-Mason J Y1 - 2008/01//2008 Jan-Feb N1 - Accession Number: 106000872. Language: English. Entry Date: 20080229. Revision Date: 20150711. Publication Type: Journal Article; anecdote. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8709115. KW - Cardiac Patients -- Psychosocial Factors KW - Coronary Care Units -- Evaluation KW - Emergency Care -- Evaluation KW - Patient Satisfaction -- Evaluation KW - Professional-Patient Relations KW - Quality of Health Care -- Evaluation KW - Transfer, Intrahospital KW - Cardiovascular Diseases -- Therapy KW - Echocardiography SP - 48 EP - 48 JO - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice JF - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice JA - CLIN NURSE SPEC VL - 22 IS - 1 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0887-6274 U2 - PMID: 18091129. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106000872&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105887368 T1 - Focus on a unit. At the centre of care in Devon and Cornwall. AU - Lilley J Y1 - 2008/01//2008 Jan N1 - Accession Number: 105887368. Language: English. Entry Date: 20080418. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Intensive Care, Neonatal -- Trends -- United Kingdom KW - Infant, Newborn KW - Intensive Care Units, Neonatal KW - Neonatal Intensive Care Nursing KW - Referral and Consultation KW - Transportation of Patients KW - United Kingdom SP - 9 EP - 9 JO - Infant JF - Infant JA - INFANT VL - 4 IS - 1 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105887368&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107546170 T1 - Intertertiary neonatal transport. AU - Donn SM Y1 - 1987/11//1987 Nov-Dec N1 - Accession Number: 107546170. Language: English. Entry Date: 19880301. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 7806112. KW - Transportation of Patients -- In Infancy and Childhood KW - Intensive Care, Neonatal KW - Intensive Care Units, Neonatal KW - Infant, Newborn SP - 35 EP - 50 JO - Perinatology Neonatology JF - Perinatology Neonatology JA - PERINATOL NEONATOL VL - 11 IS - 6 CY - Florham Park, New Jersey PB - Macmillan Professional Journals SN - 0147-7927 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107546170&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105987570 T1 - 2007 guideline for isolation precautions: preventing transmission of infectious agents in health care settings. AU - Siegel JD AU - Rhinehart E AU - Jackson M AU - Chiarello L Y1 - 2007/12/03/Dec2007 Supplement 2 N1 - Accession Number: 105987570. Corporate Author: Healthcare Infection Control Practices Advisory Committee. Language: English. Entry Date: 20080222. Revision Date: 20150819. Publication Type: Journal Article; glossary; standards; tables/charts. Supplement Title: Dec2007 Supplement 2. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8004854. KW - Cross Infection -- Prevention and Control KW - Disease Transmission -- Prevention and Control KW - Infection Control -- Standards KW - Patient Isolation -- Standards KW - Air KW - Ambulatory Care KW - Anthrax KW - Bacterial Infections KW - Blood KW - Botulism KW - Burn Units KW - Caliciviridae Infections KW - Chemoprevention KW - Creutzfeldt-Jakob Syndrome KW - Cross Infection -- Symptoms KW - Disease Surveillance KW - Disease Transmission -- Methods KW - Drug Resistance, Microbial KW - Equipment Safety KW - Eye Protective Devices KW - Family -- Education KW - Food Services KW - Gene Therapy KW - Handwashing KW - Health Care Delivery -- Administration KW - Health Facility Environment KW - Health Personnel -- Education KW - Hemorrhagic Fever, Ebola KW - Home Health Care KW - Housekeeping Department KW - Immunization KW - Immunocompromised Host KW - Infection Preventionists -- Manpower KW - Infection Control -- Education KW - Injections KW - Intensive Care Units KW - Laboratory Personnel KW - Long Term Care KW - Microbiology KW - Mucous Membrane KW - Needlestick Injuries KW - Occupational Exposure KW - Occupational Safety KW - Organizational Compliance KW - Organizational Culture KW - Patient Education KW - Patient Isolation -- History KW - Pediatric Units KW - Personnel Staffing and Scheduling KW - Plague KW - Prions KW - Professional Compliance KW - Protective Clothing KW - Respiratory Protective Devices KW - Severe Acute Respiratory Syndrome KW - Smallpox KW - Spinal Puncture KW - Staff Nurses KW - Sterilization and Disinfection KW - Terrorism KW - Transportation of Patients KW - Tularemia KW - Universal Precautions KW - Virus Diseases KW - Visitors to Patients SP - S65 EP - 164 JO - American Journal of Infection Control JF - American Journal of Infection Control JA - AM J INFECT CONTROL VL - 35 IS - 10 CY - New York, New York PB - Elsevier B.V. SN - 0196-6553 AD - Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX U2 - PMID: 18068815. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105987570&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106143197 T1 - Informing practice. AU - Cutugno C AU - Chu J AU - Kayyai A Y1 - 2007/07// N1 - Accession Number: 106143197. Language: English. Entry Date: 20070831. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0372646. KW - Critical Care KW - Burn Patients KW - Burn Units KW - Child KW - Critical Care Nursing KW - Equipment Failure KW - Ethics, Nursing KW - Intensive Care Units KW - Physicians KW - Prone Position KW - Stress, Occupational KW - Terminal Care KW - Transfer, Discharge KW - Transportation of Patients KW - United States KW - Respiration, Artificial -- In Infancy and Childhood KW - Wireless Communications -- Utilization SP - 72AA EP - DD JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 107 IS - 7 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-936X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106143197&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106292060 T1 - Informing practice. AU - Lindsey H AU - Chu J AU - Price C Y1 - 2007/04// N1 - Accession Number: 106292060. Language: English. Entry Date: 20070525. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0372646. KW - Critical Care Nursing KW - Nursing Practice KW - Adolescence KW - Catheter-Related Infections -- Prevention and Control KW - Central Venous Catheters -- Adverse Effects KW - Cerebrospinal Fluid -- Analysis KW - Child KW - Child, Preschool KW - Clinical Assessment Tools KW - Critically Ill Patients KW - Infant KW - Infant, Newborn KW - Infant, Premature KW - Infection Control KW - Inpatients KW - Intensive Care Units KW - Intensive Care Units, Neonatal KW - Leukocyte Count KW - Meningitis, Bacterial -- Prevention and Control KW - Microbial Culture and Sensitivity Tests KW - Neonatal Intensive Care Nursing KW - Parenting Education KW - Parents -- Education KW - Patient Safety KW - Risk Assessment KW - Transfer, Intrahospital KW - Transportation of Patients KW - United States SP - 72CC EP - HH JO - AJN American Journal of Nursing JF - AJN American Journal of Nursing JA - AM J NURS VL - 107 IS - 4 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0002-936X UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106292060&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106271664 T1 - Improving patient safety through standardization of the handoff process for postoperative pediatric cardiothoracic patients...2007 NACNS National Conference abstracts: February 28-March 3, 2007, Phoenix, Arizona AU - Meliones J AU - Mericle J AU - Norman S Y1 - 2007/03//2007 Mar-Apr N1 - Accession Number: 106271664. Language: English. Entry Date: 20070427. Revision Date: 20150711. Publication Type: Journal Article; abstract; research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8709115. KW - Cardiac Patients -- In Infancy and Childhood KW - Critical Care -- In Infancy and Childhood KW - Hand Off (Patient Safety) -- Standards KW - Heart Surgery -- In Infancy and Childhood KW - Intensive Care Units, Pediatric KW - Intraoperative Care -- In Infancy and Childhood KW - Postoperative Care -- In Infancy and Childhood KW - Quality Improvement -- Methods KW - Shift Reports -- Standards KW - Transfer, Intrahospital KW - Audit KW - Child KW - Child, Preschool KW - Human KW - Infant KW - Infant, Newborn KW - Intensive Care Units, Pediatric -- Administration KW - Multidisciplinary Care Team KW - Pediatric Critical Care Nursing KW - Program Evaluation SP - 116 EP - 116 JO - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice JF - Clinical Nurse Specialist: The Journal for Advanced Nursing Practice JA - CLIN NURSE SPEC VL - 21 IS - 2 CY - Baltimore, Maryland PB - Lippincott Williams & Wilkins SN - 0887-6274 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106271664&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107023152 T1 - Expert advice. Critical-care transport: it's not right for every service. AU - Brooks J Y1 - 2000/05//2000 May N1 - Accession Number: 107023152. Language: English. Entry Date: 20010518. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. KW - Transportation of Patients KW - Critical Care KW - Emergency Medical Services -- Administration SP - 6 EP - 6 JO - EMS Insider JF - EMS Insider JA - EMS INSIDER VL - 27 IS - 5 CY - , PB - Elsevier Public Safety SN - 1081-4507 AD - EMS Systems Consultant, HTM Group Inc. E-mail: JLB1995@aol.com UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107023152&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106445090 T1 - Going with the flow. AU - Wood DA Y1 - 2006/01/30/2006 Jan 30 N1 - Accession Number: 106445090. Language: English. Entry Date: 20060526. Revision Date: 20150819. Publication Type: Journal Article; pictorial. Journal Subset: Nursing; USA. NLM UID: 9892043. KW - Emergency Care KW - Organizational Efficiency KW - Patient Admission KW - Transfer, Intrahospital KW - Bed Occupancy KW - Emergency Service KW - Florida KW - Hospitals KW - Intensive Care Units KW - Joint Commission KW - Patient Discharge KW - Teamwork KW - Time Factors SP - 12 EP - 13 JO - Nursing Spectrum -- Florida Edition JF - Nursing Spectrum -- Florida Edition JA - NURS SPECTRUM (FLA) VL - 16 IS - 3 CY - Brookfield, Wisconsin PB - OnCourse Learning Corp. AB - A tale of two hospitals and their different solutions to the problem of overcrowding. SN - 1077-7946 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106445090&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106919973 T1 - UMBC to offer EMT-P critical care course. Y1 - 1994/10//1994 Oct N1 - Accession Number: 106919973. Language: English. Entry Date: 20020503. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. KW - Emergency Medical Technicians -- Education KW - Critical Care -- Education KW - Transportation of Patients KW - Education, Continuing KW - Colleges and Universities KW - Maryland SP - 4 EP - 5 JO - EMS Insider JF - EMS Insider JA - EMS INSIDER VL - 21 IS - 10 CY - , PB - Elsevier Public Safety SN - 1081-4507 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106919973&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107091648 T1 - CAREER FITNESS. The challenge of critical care transport. AU - Tela M Y1 - 1999/09/20/1999 Sep 20 N1 - Accession Number: 107091648. Language: English. Entry Date: 20000301. Revision Date: 20150711. Publication Type: Journal Article; anecdote. Journal Subset: Nursing; USA. NLM UID: 9892047. KW - Transportation of Patients KW - Critical Care Nursing KW - Careers in Nursing KW - Multidisciplinary Care Team KW - Hospitals -- Massachusetts KW - Massachusetts SP - 17 EP - 17 JO - Nursing Spectrum -- New England Edition JF - Nursing Spectrum -- New England Edition JA - NURS SPECTRUM (N ENGL) VL - 3 IS - 19 CY - Brookfield, Wisconsin PB - OnCourse Learning Corp. AD - Per Diem Critical Care Transport Nurse, American Medical Response, Massachusetts UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107091648&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106997087 T1 - Military ICU: ready for EMS?...Life Support for Trauma and Transport (LSTAT) system AU - Spivak M Y1 - 2000/08//2000 Aug N1 - Accession Number: 106997087. Language: English. Entry Date: 20010209. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Allied Health; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 0431735. KW - Prehospital Care -- Equipment and Supplies KW - Transportation of Patients -- Equipment and Supplies KW - Military Medicine KW - Emergency Medical Services KW - Equipment Design SP - 22 EP - 22 JO - Emergency Medical Services JF - Emergency Medical Services JA - EMERG MED SERV VL - 29 IS - 8 CY - Fort Atkinson, Wisconsin PB - Cygnus Business Media SN - 0094-6575 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106997087&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107190800 T1 - Post-op transfer of critical care patients -- survey results. AU - Hillman J Y1 - 1999/03//1999 Mar-Apr N1 - Accession Number: 107190800. Language: English. Entry Date: 19990601. Revision Date: 20150711. Publication Type: Journal Article; tables/charts. Journal Subset: Nursing; USA. KW - Postoperative Care KW - Transfer, Intrahospital KW - Perianesthesia Nursing KW - Surveys KW - Surgical Patients KW - Critically Ill Patients KW - Intensive Care Units SP - 13 EP - 13 JO - Breathline JF - Breathline JA - BREATHLINE VL - 19 IS - 2 CY - Cherry Hill, New Jersey PB - American Society of PeriAnesthesia Nurses SN - 0896-4882 AD - St John's Hospital, Asheville, NC UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107190800&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107279213 T1 - Streamlined critical care transport on the shore. AU - Parks K Y1 - 1998/01/12/1998 Jan 12 N1 - Accession Number: 107279213. Language: English. Entry Date: 19980901. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Nursing; USA. NLM UID: 9421079. KW - Critical Care Nursing KW - Transportation of Patients SP - 8 EP - 8 JO - Nursing Spectrum -- Washington DC & Baltimore Edition JF - Nursing Spectrum -- Washington DC & Baltimore Edition JA - NURS SPECTRUM (WASHINGTON DC BALTIMORE) VL - 8 IS - 1 CY - Brookfield, Wisconsin PB - OnCourse Learning Corp. SN - 1098-9153 U2 - PMID: 9469098. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107279213&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107737764 T1 - Flight to life... Ground operations... St. Joseph's Hospital in Phoenix... part 2. AU - Montgomery A Y1 - 1974/03//1974 Mar-Apr N1 - Accession Number: 107737764. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0347421. KW - Infant Mortality KW - Infant, Premature -- Arizona KW - Intensive Care Units, Neonatal -- Arizona KW - Transportation of Patients -- In Infancy and Childhood -- Arizona KW - Arizona SP - 18 EP - 22 JO - JOGN Nursing: Journal of Obstetric, Gynecologic & Neonatal Nursing JF - JOGN Nursing: Journal of Obstetric, Gynecologic & Neonatal Nursing JA - JOGN NURS VL - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0090-0311 U2 - PMID: 4493976. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107737764&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107737628 T1 - Flight to life... The take off... part 1. AU - Mast FL Y1 - 1974/03//1974 Mar-Apr N1 - Accession Number: 107737628. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0347421. KW - Infant, Premature -- Arizona KW - Intensive Care Units, Neonatal -- Arizona KW - Transportation of Patients -- In Infancy and Childhood -- Arizona KW - Arizona SP - 15 EP - 18 JO - JOGN Nursing: Journal of Obstetric, Gynecologic & Neonatal Nursing JF - JOGN Nursing: Journal of Obstetric, Gynecologic & Neonatal Nursing JA - JOGN NURS VL - 3 CY - Malden, Massachusetts PB - Wiley-Blackwell SN - 0090-0311 U2 - PMID: 4493975. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107737628&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107549061 T1 - Emergency evacuation: removal of the critically ill patient. AU - Alvarez AR AU - Russell MT Y1 - 1987/12//1987 Dec N1 - Accession Number: 107549061. Language: English. Entry Date: 19880501. Revision Date: 20150712. Publication Type: Journal Article; pictorial. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 8302805. KW - Transportation of Patients KW - Lifting KW - Intensive Care Units KW - Triage KW - Emergency Medical Services SP - 18 EP - 22 JO - Focus on Critical Care JF - Focus on Critical Care JA - FOCUS CRIT CARE VL - 14 IS - 6 CY - New York, New York PB - Elsevier B.V. SN - 0736-3605 U2 - PMID: 3691881. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107549061&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107265509 T1 - Association Forum: NFPA. The next step... critical care paramedic (CCP) AU - Stansbury D Y1 - 1998/04//1998 Apr N1 - Accession Number: 107265509. Language: English. Entry Date: 19980601. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. NLM UID: 8102138. KW - Critical Care KW - Transportation of Patients KW - Emergency Medical Technicians -- Trends KW - Aeromedical Transport -- Organizations SP - 97 EP - 97 JO - JEMS: Journal of Emergency Medical Services JF - JEMS: Journal of Emergency Medical Services JA - JEMS VL - 23 IS - 4 CY - Tulsa, Oklahoma PB - PennWell Corporation SN - 0197-2510 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107265509&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 105448210 T1 - From patient transport to food service: glove selection is critical across the care continuum. AU - Boothe J Y1 - 2009/02// N1 - Accession Number: 105448210. Language: English. Entry Date: 20090327. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 9508168. KW - Gloves KW - Infection Control KW - Product Selection Criteria KW - Gloves -- Economics SP - 22 EP - 22 JO - Healthcare Purchasing News JF - Healthcare Purchasing News JA - HEALTHC PURCHASING NEWS VL - 33 IS - 2 CY - Sarasota, Florida PB - KSR Publishing SN - 1098-3716 AD - Marketing director of medical supplies, Kimberly-Clark Health Care UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105448210&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106216779 T1 - New products. Y1 - 2006/11//2006 Nov N1 - Accession Number: 106216779. Language: English. Entry Date: 20070119. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Monitoring, Physiologic -- Equipment and Supplies KW - Oxygen Therapy -- Equipment and Supplies KW - Point-of-Care Testing -- Equipment and Supplies KW - Transportation of Patients -- Equipment and Supplies KW - Equipment Design KW - Intensive Care Units, Neonatal KW - Intensive Care, Neonatal KW - Patient Safety KW - Protective Devices KW - Sepsis -- Diagnosis SP - 249 EP - 249 JO - Infant JF - Infant JA - INFANT VL - 2 IS - 6 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106216779&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106329462 T1 - Leading-edge monitoring in the unit and on the move. Y1 - 2006/07//2006 Jul N1 - Accession Number: 106329462. Language: English. Entry Date: 20060908. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Monitoring, Physiologic -- Equipment and Supplies KW - Intensive Care Units, Neonatal KW - Patient Safety KW - Transportation of Patients SP - 140 EP - 140 JO - Infant JF - Infant JA - INFANT VL - 2 IS - 4 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106329462&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106563968 T1 - Moving day on the PICU. AU - Borgognone K Y1 - 2004/03/08/2004 Mar 8 N1 - Accession Number: 106563968. Language: English. Entry Date: 20050121. Revision Date: 20150711. Publication Type: Journal Article; anecdote; pictorial. Journal Subset: Nursing; USA. NLM UID: 9892047. KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Child KW - Infant KW - Intensive Care Units, Pediatric SP - 14 EP - 14 JO - Nursing Spectrum -- New England Edition JF - Nursing Spectrum -- New England Edition JA - NURS SPECTRUM (N ENGL) VL - 8 IS - 5 CY - Brookfield, Wisconsin PB - OnCourse Learning Corp. AD - Pediatric Critical Care Nurse, Yale-New Haven's Children's Hospital, New Haven, CT UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106563968&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - THES ID - 109878541 T1 - Exogenous surfactant transport through the pulmonary airways: improving surfactant replacement therapy for neonatal respiratory distress syndrome. AU - Espinosa FF Y1 - 1996/01// N1 - Accession Number: 109878541. Language: English. Entry Date: 20040827. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. KW - Instillation, Drug -- Methods KW - Intensive Care, Neonatal KW - Pulmonary Surfactants -- Administration and Dosage KW - Respiratory Distress Syndrome -- Drug Therapy KW - In Vitro Studies KW - Infant, Newborn KW - Infant, Premature KW - Intensive Care Units, Neonatal KW - Lung -- Physiology KW - Models, Statistical KW - Patient Positioning KW - Respiratory Airflow KW - Surface Tension KW - Viscosity KW - Human SP - N.PAG p EP - N.PAG p JO - Exogenous Surfactant Transport Through the Pulmonary Airways: Improving Surfactant Replacement Therapy for Neonatal Respiratory Distress Syndrome JF - Exogenous Surfactant Transport Through the Pulmonary Airways: Improving Surfactant Replacement Therapy for Neonatal Respiratory Distress Syndrome PB - Massachusetts Institute of Technology AB - Neonatal Respiratory Distress Syndrome, RDS, is a condition of the prematurely born infant, in which a deficiency of pulmonary surfactant results in abnormal respiration. Surfactant Replacement Therapy, SRT, is now standard therapy for treating RDS in most neonatal intensive care units. Though RDS is no longer the leading cause of death among neonates, 30% of those treated have only a transient response or do not respond at all to treatment. The focus of this work is to examine surfactant administration using in vitro experiments and analytical models to elucidate the underlying physics of surfactant distribution, ultimately leading to improved techniques for SRT.Three events that occur during SRT are surfactant instillation into the trachea, initial advancement of the bolus into the lungs and recruitment of alveoli not initially receiving surfactant. These three stages provide the framework for studying surfactant dispersal through the lungs. The role of tracheal and catheter size, injection flow rate, bolus viscosity and orientation of the baby with respect to gravity during instillation are described and presented in the context of the current protocol. Applying experimental results from the literature, the quantity of surfactant immediately reaching the periphery as the bolus is advanced through the lungs is influenced by the bolus properties (viscosity and surface tension) and air flow rate. As the bolus is advanced, it coats the airways, providing a 'reservoir' of surfactant for recruiting alveoli not initially treated. A numerical model was employed to investigate the subsequent transport by surface tension gradients to untreated end units. Effects of liquid layer thickness, viscosity, sorption kinetics, gravity and airflow are presented.Using this framework developed, treatment hypotheses based on what clinical objectives of SRT might arise, are presented in the context of treating a 1 kg neonate. (Copies available exclusively from MIT Libraries, Rm. 14-0551, Cambridge, MA 02139-4307. Ph. 617-253-5668; Fax 617-253-1690.) AV - UMI Order AAI0597217 M1 - Ph.D. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109878541&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107453067 T1 - Commentary on Guidelines for the transfer of critically ill patients [original article by the Guidelines Committee of the American College of Critical Care Medicine, Society of Critical Care Medicine; and the American Association of Critical-Care Nurses Transfer Guidelines Task Force appears in CRIT CARE MED 1993;21(6):931-8 and AM J CRIT CARE 1993;2(3):189-95]. AU - Harvey MA Y1 - 1993/11//1993 Nov-Dec N1 - Accession Number: 107453067. Language: English. Entry Date: 19941001. Revision Date: 20150712. Publication Type: Journal Article; abstract; commentary. Journal Subset: Nursing; USA. NLM UID: 9113683. KW - Critical Care KW - Critically Ill Patients KW - Practice Guidelines KW - Transfer, Intrahospital -- Standards KW - Transportation of Patients -- Standards KW - Algorithms KW - Communication KW - Critical Care Nursing KW - Monitoring, Physiologic KW - Transportation of Patients -- Equipment and Supplies KW - Critical Care -- Equipment and Supplies KW - Decision Making, Organizational SP - 1 EP - 1 JO - AACN Nursing Scan In Critical Care JF - AACN Nursing Scan In Critical Care JA - AACN NURS SCAN CRIT CARE VL - 3 IS - 6 CY - Malden, Massachusetts PB - Wiley-Blackwell AB - SYNOPSIS: Representatives from three critical care organizations -- ACCM, SCCM, and AACN -- formed a task force to write guidelines for the intra- and interhospital transfer of critically ill patients. In addressing the need for minimum standards, they stress the need for specialized transport teams to use more stringent criteria. Specific recommendations focus on the decision to transport, the personnel and equipment required, and the process itself. Related ethical, legal, and regulatory issues are also discussed, with key points condensed into a useful algorithm. [Original article NLM unique identifier: 93279039 (protocol, tables/charts)] SN - 1055-8349 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107453067&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106434649 T1 - Focus on a unit. The nurse practitioner role comes to North Queensland. AU - Smith J Y1 - 2005/07//2005 Jul N1 - Accession Number: 106434649. Language: English. Entry Date: 20060505. Revision Date: 20150711. Publication Type: Journal Article; pictorial. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 101242841. KW - Intensive Care Units, Neonatal KW - Nurse Practitioners KW - Professional Role KW - Aeromedical Transport KW - Multidisciplinary Care Team KW - Queensland KW - Transportation of Patients SP - 108 EP - 108 JO - Infant JF - Infant JA - INFANT VL - 1 IS - 4 PB - Stansted News Ltd SN - 1745-1205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106434649&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106758487 T1 - ICUs on wheels ready for anything. AU - Baute R Y1 - 2003/09//2003 Sep N1 - Accession Number: 106758487. Language: English. Entry Date: 20040723. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; USA. KW - Critical Care Nursing KW - Critically Ill Patients KW - Disaster Planning KW - Transportation of Patients KW - Multidisciplinary Care Team KW - Teamwork SP - 32 EP - 32 JO - Nursing Spectrum (Midwest) JF - Nursing Spectrum (Midwest) JA - NURS SPECTRUM (MIDWEST) VL - 4 IS - 9 CY - Brookfield, Wisconsin PB - OnCourse Learning Corp. AD - Clinical Director, Neonatal/Pediatric Transport Team, Cincinnati Children's Hospital Medical Center UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106758487&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106551260 T1 - Quick tip: double-check medications before transfer to catch errors. Y1 - 2003/11//2003 Nov N1 - Accession Number: 106551260. Language: English. Entry Date: 20051209. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Health Services Administration; USA. KW - Critical Care KW - Medical Orders KW - Medical Records KW - Medication Errors -- Prevention and Control KW - Transfer, Intrahospital KW - Academic Medical Centers KW - Intensive Care Units KW - Maryland SP - 5 EP - 5 JO - Briefings on Patient Safety JF - Briefings on Patient Safety JA - BRIEF PATIENT SAF VL - 4 IS - 11 CY - Danvers, Massachusetts PB - HCPro SN - 1528-7637 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106551260&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106738959 T1 - Open forum. Returning patients from recovery. Y1 - 2003/10//2003 Oct N1 - Accession Number: 106738959. Language: English. Entry Date: 20040528. Revision Date: 20150711. Publication Type: Journal Article; letter. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 100935999. KW - Perianesthesia Nursing KW - Surgical Patients KW - Transfer, Intrahospital KW - Hospital Units KW - Post Anesthesia Care Units SP - 398 EP - 398 JO - British Journal of Perioperative Nursing JF - British Journal of Perioperative Nursing JA - BR J PERIOPER NURS VL - 13 IS - 10 PB - Association for Perioperative Practice SN - 1467-1026 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106738959&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107503814 T1 - Critical care transport. AU - Bock-Laudenslager C AU - Johnson LM Y1 - 1991/04//1991 Apr N1 - Accession Number: 107503814. Language: English. Entry Date: 19910701. Revision Date: 20150712. Publication Type: Journal Article; letter. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 8302805. KW - Critical Care Nursing KW - Transportation of Patients KW - Inpatients SP - 109 EP - 109 JO - Focus on Critical Care JF - Focus on Critical Care JA - FOCUS CRIT CARE VL - 18 IS - 2 CY - New York, New York PB - Elsevier B.V. SN - 0736-3605 U2 - PMID: 2022281. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107503814&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107459837 T1 - A home away from home: extended care in pediatrics. AU - Tower L Y1 - 1992/09//1992 Sep-Oct N1 - Accession Number: 107459837. Language: English. Entry Date: 19930301. Revision Date: 20150712. Publication Type: Journal Article; tables/charts. Journal Subset: Canada; Health Services Administration. NLM UID: 9211318. KW - Long Term Care -- In Infancy and Childhood KW - Chronic Disease -- Rehabilitation -- In Infancy and Childhood KW - Hospital Units -- Administration KW - Child, Hospitalized KW - Acute Care KW - Intensive Care Units, Pediatric KW - Pediatric Critical Care Nursing KW - Multidisciplinary Care Team KW - Transfer, Intrahospital -- In Infancy and Childhood KW - Patient Discharge -- In Infancy and Childhood KW - Child, Preschool KW - Child SP - 24 EP - 26 JO - Leadership in Health Services JF - Leadership in Health Services JA - LEADERSH HEALTH SERV VL - 1 IS - 5 PB - Canadian Healthcare Association AB - In 1982, the Winnipeg Children's Hospital initiated its Pediatric Extended Care Unit for children who require prolonged respiratory support. Since its creation, 34 children have stayed at the unit for periods ranging from a few months to nearly three years. Most have been successfully discharged to their natural or foster families to assume their place in the community. SN - 1188-3669 U2 - PMID: 10121873. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107459837&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107064056 T1 - Bill Medicare higher for critical care. Y1 - 1997/09//1997 Sep N1 - Accession Number: 107064056. Language: English. Entry Date: 20011102. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. KW - Emergency Medical Services -- Economics KW - Transportation of Patients -- Economics KW - Insurance, Health, Reimbursement KW - Medicare KW - Billing and Claims SP - 4 EP - 4 JO - EMS Insider JF - EMS Insider JA - EMS INSIDER VL - 24 IS - 9 CY - , PB - Elsevier Public Safety SN - 1081-4507 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107064056&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 106914282 T1 - Critical care EMT-P organization founded. Y1 - 1995/03//1995 Mar N1 - Accession Number: 106914282. Language: English. Entry Date: 20020412. Revision Date: 20150711. Publication Type: Journal Article; brief item. Journal Subset: Allied Health; Editorial Board Reviewed; Peer Reviewed; USA. KW - Emergency Medical Technicians -- Organizations KW - Emergency Medical Technicians -- Education KW - Critical Care -- Education KW - Transportation of Patients KW - Education, Continuing SP - 7 EP - 7 JO - EMS Insider JF - EMS Insider JA - EMS INSIDER VL - 22 IS - 3 CY - , PB - Elsevier Public Safety SN - 1081-4507 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106914282&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107315705 T1 - Scaled-down ICU saves $5,000 per patient... patient readmission rates, LOS reduced, too. Y1 - 1996/06//1996 Jun N1 - Accession Number: 107315705. Language: English. Entry Date: 19970301. Revision Date: 20150711. Publication Type: Journal Article. Journal Subset: Nursing; USA. NLM UID: 9603097. KW - Intensive Care Units KW - Cost Savings KW - Chronic Disease KW - Length of Stay KW - Long Term Care KW - Transfer, Intrahospital KW - Patient Selection SP - 94 EP - 94 JO - Hospital Case Management JF - Hospital Case Management JA - HOSP CASE MANAGE VL - 4 IS - 6 CY - Atlanta, Georgia PB - AHC Media LLC SN - 1087-0652 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107315705&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 109849905 T1 - Wartime critical care air transport: ground transportation. AU - Mortimer D Y1 - 2008/01// N1 - Accession Number: 109849905. Language: English. Entry Date: 20081017. Revision Date: 20150923. Publication Type: Research. Grant Information: TSNRP Study HU0001-05-1-TS04, N05-005. KW - Critical Care -- Methods KW - Military Personnel KW - Transportation of Patients -- Evaluation KW - War KW - Aeromedical Transport KW - Transportation of Patients -- Standards SP - N.PAG p EP - N.PAG p JO - Wartime Critical Care Air Transport: Ground Transportation JF - Wartime Critical Care Air Transport: Ground Transportation AB - BackgroundRapid transport of critically injured soldiers occurs in a very fluid, time-sensitive environment. Anecdotal information suggests that the ground transport care environment of the Critical Care Air Transport team (CCATT) mission is potentially the most hazardous for the patient. It is important to have a system that ensures safe transport. Identification of patient safety issues can provide the necessary information to develop standards and protocols to improve care during the ground transport of CCATT patients. Current methods of documenting care provided during CCATT missions are limited, reflecting the constraints on resources and time. No aggregate data are available that describe the patient, equipment/supply, and oxygen problems during CCATT ground transport.PurposeTo identify the problems experienced during the ground transport of CCATT patients and to relate factors that may be associated with the problems.Research Questions(1) Describe the incidence of problems (with patients, equipment/supply, and oxygen supply) during the ground transport of CCATT patients.(2) Describe the incidence of specific ground transport factors (patient acuity, care requirements, uncontrollable external, human resources, equipment, environmental, or information management).(3) Identify the relationship between problems and specific ground transport factors.(4) Identify the relationship between patient acuity and care requirements during the ground transport of CCATT patients. AV - Order Info: www.ntis.gov; NTIS PB2008-113447 AD - United States Army Nurse Corps UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109849905&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 109849906 T1 - Development of the Critical Care Air Transport Nurse Deployability Index (CCAT-DI) AU - Ryan-Wenger NA Y1 - 2008/01// N1 - Accession Number: 109849906. Language: English. Entry Date: 20081017. Revision Date: 20150923. Publication Type: Research. Instrumentation: Critical Care Air Transport Teams Nurse Deployment Index (CCATTN-DI). Grant Information: TSNRP Study HU0001-05-1-TS06, N05-015. KW - Aeromedical Transport KW - Critical Care Nursing -- Evaluation KW - Instrument Construction KW - Self Assessment -- Methods KW - War KW - Critical Care -- Methods KW - Delphi Technique KW - Focus Groups KW - Military Deployment KW - Nurses -- Psychosocial Factors KW - Quality Assessment KW - Research Instruments KW - Human SP - N.PAG p EP - N.PAG p JO - Development of the Critical Care Air Transport Nurse Deployability Index (ccat-di) JF - Development of the Critical Care Air Transport Nurse Deployability Index (ccat-di) AB - Introduction: Highly trained Critical Care Air Transport Teams (CCATT) extend the capabilities of aeromedical transportation in the care of critically ill or injured patients from the battlefield.Purpose and Design: The purpose of this instrument development research is to develop a deployment preparedness self-evaluation checklist for CCATT nurses.Sample: Previous TSNRP-funded research provided transcripts of 12 focus groups and interviews with 23 CCATT nurses about their patient care experiences in the combat environment.Methods and Analysis: In this study, we analyzed the transcripts to identify specific patient care behaviors during deployments. We categorized these behaviors into the six dimensions from Reineck's research on Army nurse readiness plus three additional dimensions specific to CCATT nurses. Eleven CCATT nurses served on the expert panel in Delphi round 1 to review 84 potential items for level of importance to the concept of 'deployment preparedness' on a scale of 0 to 9. Items with a median score of 7, 8, or 9 were retained. In Delphi round 2, the remaining 77 items were evaluated for level of importance on a scale of 1 to 3. Only the 39 items with a median of 2.5 or more were retained; two items were divided in two for a total of 41 items.Findings: This procedure assured the content validity of a 41-item prototype of the CCATT Nurse Deployment Index (CCATTN-DI). The next step will be to test the psychometric properties of this instrument with CCATT nurses with varied levels of deployment experience.Nursing Implications: The long-term goal is to use this instrument as a pre-deployment screening tool to identify specific training needs of CCATT teams, a self-assessment tool for individual CCATT nurses, for post-deployment evaluation of preparedness as it relates to mission success, and as a pre-posttest evaluation of deployment training. AV - Order Info: www.ntis.gov; NTIS PB2008-112238 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109849906&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 109847758 T1 - Transport (Iowa NIC) In: Nursing interventions classification (NIC): Iowa intervention project (2nd ed) AU - McCloskey JC AU - Bulechek GM Y1 - 2008/02/08/ N1 - Accession Number: 109847758. Language: English. Entry Date: 20080208. Revision Date: 20150923. Publication Type: Classification Term. KW - Transport (Iowa NIC) SP - 1 p EP - 1 p JO - Transport (Iowa NIC) In: Nursing Interventions Classification (NiC): Iowa Intervention Project (2nd Ed) JF - Transport (Iowa NIC) In: Nursing Interventions Classification (NiC): Iowa Intervention Project (2nd Ed) AB - SCOPE NOTE: Moving a patient from one location to another. Use only as a specific Iowa Nursing Interventions Classification. Copyright (c) 1996, Mosby-Year Book, Inc. CINAHL EDITORIAL SEARCH SUGGESTION: The term TRANSPORT (IOWA NIC) is used for indexing when articles specifically concern the term or research about the term. For citations that concern the general topic or topics related to the term, consider searching the subject headings: TRANSFER, INTRAHOSPITAL; TRANSPORTATION OF PATIENTS. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109847758&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107555333 T1 - Emergency Nurses Association/National Flight Nurses Association joint position paper: staffing of critical care air medical transport services. Y1 - 1986/11//1986 Nov-Dec N1 - Accession Number: 107555333. Language: English. Entry Date: 19870301. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7605913. KW - Emergency Medical Services KW - Personnel Staffing and Scheduling KW - Emergency Nursing -- Organizations KW - Flight Nursing -- Organizations SP - 16A EP - 9A JO - JEN: Journal of Emergency Nursing JF - JEN: Journal of Emergency Nursing JA - J EMERG NURS VL - 12 IS - 6 CY - New York, New York PB - Elsevier B.V. SN - 0099-1767 U2 - PMID: 3540400. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107555333&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107746335 T1 - Nursing service problem: in house transfers. Y1 - 1975/02//1975 Feb N1 - Accession Number: 107746335. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 0352140. KW - Nursing Administration SP - 4 EP - 4 JO - Regan Report on Nursing Law JF - Regan Report on Nursing Law JA - REGAN REP NURS LAW VL - 15 CY - , Rhode Island PB - Medical Law Publishing, Inc. SN - 0034-3196 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107746335&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 66878244 T1 - Critical care transport field guide. AU - Hines, K. Y1 - 2005/05// N1 - Accession Number: 66878244. Language: English. Entry Date: 20050930. Revision Date: 20150820. Publication Type: Book Review. Journal Subset: Allied Health; Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. NLM UID: 100963089. SP - 392 EP - 392 JO - Emergency Medicine Journal JF - Emergency Medicine Journal JA - EMERG MED J PB - BMJ Publishing Group SN - 1472-0205 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=66878244&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - GEN ID - 109851195 T1 - Critical care nursing expertise during air transport. AU - Topley D Y1 - 2000/01// N1 - Accession Number: 109851195. Language: English. Entry Date: 20090925. Revision Date: 20150923. Publication Type: Research. Grant Information: TSNRP MDA 905-97-Z-0035. KW - Aeromedical Transport KW - Critical Care KW - Military Personnel KW - Nursing Skills KW - Registered Nurses KW - Descriptive Research KW - Exploratory Research KW - Interviews KW - Military Nursing KW - Narratives KW - Thematic Analysis KW - Human SP - N.PAG p EP - N.PAG p JO - Critical Care Nursing Expertise During Air Transport JF - Critical Care Nursing Expertise During Air Transport AB - The purpose of this study was to describe the practical knowledge possessed by registered nurses who are part of the Air Force's Critical Care Air Transport Team (CCATT) and to distinguish salient features of CCATT knowledge to critical care nursing in the hospital. This research study used descriptive, exploratory methods. Twelve CCATT nurses, identified as experts, were included in the study. Data were collected using written narratives by each participant, group interviews in which nurses discussed the written narratives, and individual interviews. Data were analyzed using interpretive phenomenology. Four major themes developed from the data. The knowledge embedded in CCATT nursing included preflight preparation, in-flight assessment and environment, and characteristics of CCATT nurse and hospital versus in-flight nursing practice. CCATT nurses improvise and provide nursing care based on past experiences using a broad critical care knowledge base. This has led to the development of a unique body of knowledge for nursing care. The areas of assessment and preparation described by the CCATT nurses can serve as a template for the Air Force's CCATT training program and CCATT orientation checklists. This study also identified several topics for future research. AD - United States Air Force Reserve Nurse Corps UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109851195&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107513114 T1 - The neonatal transport team. AU - Forbes C Y1 - 1989/09//1989 Sep-Oct N1 - Accession Number: 107513114. Language: English. Entry Date: 19900301. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Canada; Nursing. NLM UID: 8607463. KW - Transportation of Patients -- Evaluation -- In Infancy and Childhood KW - Neonatal Nursing KW - Multidisciplinary Care Team KW - Certification KW - Nursing Role KW - Intensive Care Units, Neonatal KW - Education, Nursing, Continuing KW - Infant, Newborn SP - 8 EP - 9 JO - Canadian Critical Care Nursing Journal JF - Canadian Critical Care Nursing Journal JA - CAN CRIT CARE NURS J VL - 6 IS - 3 CY - Surrey, British Columbia PB - Health Media Inc. SN - 0826-6778 U2 - PMID: 2598109. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107513114&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 104760327 T1 - Transfer from recovery room to ward. AU - Salem, M Y1 - 1988/08// N1 - Accession Number: 104760327. Language: English. Entry Date: 20110610. Revision Date: 20150711. Publication Type: Journal Article; letter. Journal Subset: Biomedical; Europe; Peer Reviewed; UK & Ireland. NLM UID: 0372541. KW - Anesthesia Recovery KW - Transfer, Discharge KW - Postoperative Period KW - Hospital Units KW - Post Anesthesia Care Units SP - 241 EP - 241 JO - BJA: The British Journal of Anaesthesia JF - BJA: The British Journal of Anaesthesia JA - BR J ANAESTH VL - 61 IS - 2 PB - Oxford University Press / USA SN - 0007-0912 U2 - PMID: 3415902. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104760327&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107704073 T1 - Transfer from a coronary care unit. Some adverse responses. AU - Klein RF Y1 - 1968/08//1968 Aug N1 - Accession Number: 107704073. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0372440. KW - Progressive Patient Care KW - Myocardial Infarction KW - Coronary Care Units SP - 104 EP - 104 JO - Archives of Internal Medicine JF - Archives of Internal Medicine JA - ARCH INTERN MED VL - 122 CY - Chicago, Illinois PB - American Medical Association SN - 0003-9926 U2 - PMID: 5666688. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107704073&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107724049 T1 - Moving experience for a newborn. Y1 - 1971/01//1971 Jan N1 - Accession Number: 107724049. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. KW - Intensive Care Units KW - Infant, Newborn KW - Transportation of Patients SP - 32 EP - 33 JO - Emergency Medicine (00136654) JF - Emergency Medicine (00136654) JA - EMERG MED VL - 3 CY - Parsippany, New Jersey PB - Frontline Medical Communications SN - 0013-6654 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107724049&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107759208 T1 - Darwin retrieval February, 1977... The Neonatal Retrieval Unit, Queen Victoria Hospital. AU - Sweet P Y1 - 1977/03//1977 Mar N1 - Accession Number: 107759208. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article; case study. Journal Subset: Australia & New Zealand; Nursing. NLM UID: 0367666. KW - Intensive Care Units, Neonatal KW - Transportation of Patients -- In Infancy and Childhood SP - 30 EP - 31 JO - Australasian Nurses Journal JF - Australasian Nurses Journal JA - AUSTRALAS NURSES J VL - 5 PB - Messenger Publications SN - 0301-018X U2 - PMID: 587079. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107759208&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - THES ID - 109872314 T1 - The effect of inspired oxygen concentration and transportation time on arterial hemoglobin oxygen saturation during transport from the operating room to the postanesthesia care unit. AU - Swanagin SE Y1 - 1996/01// N1 - Accession Number: 109872314. Language: English. Entry Date: 19980601. Revision Date: 20150923. Publication Type: Masters Thesis; research. KW - Oxygenation -- Evaluation KW - Transfer, Intrahospital KW - Postoperative Period KW - Adolescence KW - Adult KW - Aged KW - Middle Age KW - Pretest-Posttest Control Group Design KW - Convenience Sample KW - Post Anesthesia Care Units KW - Time Factors KW - Research, Military KW - Human SP - 39 p EP - 39 p JO - Effect of Inspired Oxygen Concentration & Transportation Time on Arterial Hemoglobin Oxygen Saturation During Transport From the Operating Room to the Postanesthesia Care Unit JF - Effect of Inspired Oxygen Concentration & Transportation Time on Arterial Hemoglobin Oxygen Saturation During Transport From the Operating Room to the Postanesthesia Care Unit PB - Uniformed Services University of the Health Sciences (USUHS) AB - Early postoperative hypoxemia as a postanesthetic complication often appears at the end of an operation and may linger through the first postoperative hours. This hypoxemia is often due to reduced functional residual capacity (FRC), hypoventilation, and ventilation perfusion mismatch. Early postoperative hypoxemia leads to cellular ischemia which may delay recovery or lead to organ dysfunction and increased morbidity and mortality. In addition, posthyperventilation hypoventilation and the persistence of ventilatory depression produced by anesthetics and neuromuscular blocking drugs may aggravate hypoxemia. The availability of pulse oximetry has made it possible to make continuous measurements of arterial oxygen saturation (AaO2) intraoperatively and postoperatively, Oxygen saturation may decrease during transport from the operating room to the postanesthesia care unit (PACU). The purpose of this study was to assess the degree of blood oxygenation during transport to the PACU with and without supplemental oxygen. This study was conducted using 40 adults, aged 16 to 79 years of age, who underwent surgical procedures under general anesthesia. The research study used a pretest posttest control group design on a convenience sample. Subjects were randomized into either the treatment group or the control group. Those in the treatment group received supplemental oxygen during transport to the PACU postoperatively, while those in the control group did not. Individuals in the control group who required supplemental oxygen therapy during postoperative transport were eliminated. SaO2 was recorded just prior to transport to the PACU, transport time was recorded for each patient, and SaO2 was recorded upon arrival in the PACU and as well as prior to the institution of supplemental oxygen, unless already being used. Results showed no difference between groups in age, body weight, smoking history, baseline hemoglobin, baseline SaO2, surgery time, and transport time. There were no statistically significant differences in pretransport and post transport SaO2's. Transport time had no significant impact on the post transport SaO2 in either group. There was no significance noted in the post transport SaO2 of those patients who had abdominal or thoracic incisions. Breathing supplemental oxygen versus room air had no significant impact on post transport SaO2's. SaO2 did not decrease significantly with an increase in transport time in the group without supplemental oxygen. Routine use of supplemental oxygen during postoperative transport to the PACU may be unwarranted where OR suite to PACU transport times are less than one minute. Similar studies should focus on transport times that exceed one minute such as PACUs and surgical intensive care units which are at great distances from the OR suite. AV - Order Info: UMI Order PUZ1385143 M1 - MSN AD - United States Air Force Nurse Corps UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109872314&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107702747 T1 - The transferring phenomena influences on nurse and patient. AU - George M Y1 - 1967/10//1967 Oct N1 - Accession Number: 107702747. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. NLM UID: 0373016. KW - Progressive Patient Care KW - Communication KW - Coronary Care Units SP - 92 EP - 92 JO - Hospital Management JF - Hospital Management JA - HOSP MANAGE VL - 104 PB - Hospital Management SN - 0018-5744 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107702747&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107657267 T1 - NICU: intensive education and infant transport capabilities optimize service of Boise's St. Luke's Hospital neonatal IC unit. AU - Graalman NM Y1 - 1981/03//1981 Mar-Apr N1 - Accession Number: 107657267. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Health Services Administration; USA. NLM UID: 0376561. KW - Intensive Care Units, Neonatal SP - 55 EP - 56 JO - Hospital Forum JF - Hospital Forum JA - HOSP FORUM VL - 24 PB - Hospital Association of Southern California SN - 0018-5663 U2 - PMID: 10250100. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107657267&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107536872 T1 - Intra-hospital transport: not an 'emergency'. Y1 - 1989///1989 Summer N1 - Accession Number: 107536872. Language: English. Entry Date: 19890901. Revision Date: 20150712. Publication Type: Journal Article. Journal Subset: Allied Health; USA. NLM UID: 9426473. KW - Transfer, Intrahospital -- Legislation and Jurisprudence -- United States KW - Emergency Medical Services -- Legislation and Jurisprudence -- United States KW - Emergency Medical Technicians -- Legislation and Jurisprudence -- United States KW - Liability, Legal KW - United States KW - Jurisprudence SP - 5 EP - 6 JO - Emergency Medical Technician Legal Bulletin JF - Emergency Medical Technician Legal Bulletin JA - EMT LEGAL BULL VL - 13 IS - 3 CY - Woodbury, New Jersey PB - Med-Law Publishers SN - 0884-4836 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107536872&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107740123 T1 - Newborn care at the grassroots. Y1 - 1974/06//1974 Jun N1 - Accession Number: 107740123. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article; pictorial. NLM UID: 0254275. KW - Equipment and Supplies KW - Infant, Newborn KW - Transportation of Patients KW - Intensive Care Units, Neonatal KW - Pediatric Nursing -- Education SP - 1 EP - 1 JO - Reports on Higher Education (WICHE) JF - Reports on Higher Education (WICHE) JA - REP HIGHER EDUC (WICHE) VL - 20 CY - Boulder, Colorado PB - Western Interstate Commission for Higher Education SN - 0034-4869 UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107740123&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER - TY - JOUR ID - 107751599 T1 - Regional perinatal care in Michigan. AU - Stearns L Y1 - 1975/07//1975 Jul N1 - Accession Number: 107751599. Language: English. Entry Date: 19811231. Revision Date: 20150712. Publication Type: Journal Article; statistics. Journal Subset: Nursing; Peer Reviewed; USA. NLM UID: 1260337. KW - Transportation of Patients KW - Infant, Newborn KW - Maternal-Child Welfare -- United States KW - Infant Mortality -- United States KW - Intensive Care Units, Neonatal -- United States KW - Obstetric Nursing -- United States KW - United States SP - 12 EP - 13 JO - Michigan Nurse JF - Michigan Nurse JA - MICH NURSE VL - 48 CY - Okemos, Michigan PB - Michigan Nurses Association SN - 0026-2366 U2 - PMID: 1043985. UR - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107751599&site=ehost-live&scope=site DP - EBSCOhost DB - ccm ER -