<1. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27684413
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Akula VP
AU  - Gould JB
AU  - Kan P
AU  - Bollman L
AU  - Profit J
AU  - Lee HC
FA  - Akula, V P
FA  - Gould, J B
FA  - Kan, P
FA  - Bollman, L
FA  - Profit, J
FA  - Lee, H C
IN  - Akula, V P. 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.
IN  - Gould, J B. 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.
IN  - Gould, J B. California Perinatal Transport System, Palo Alto, CA, USA.
IN  - Gould, J B. California Perinatal Quality Care Collaborative, Palo Alto, CA, USA.
IN  - Kan, P. California Perinatal Quality Care Collaborative, Palo Alto, CA, USA.
IN  - Bollman, L. California Perinatal Transport System, Palo Alto, CA, USA.
IN  - Bollman, L. California Perinatal Quality Care Collaborative, Palo Alto, CA, USA.
IN  - Profit, J. 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.
IN  - Profit, J. California Perinatal Quality Care Collaborative, Palo Alto, CA, USA.
IN  - Lee, H C. 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.
IN  - Lee, H C. California Perinatal Quality Care Collaborative, Palo Alto, CA, USA.
TI  - Characteristics of neonatal transports in California.
SO  - Journal of Perinatology. 36(12):1122-1127, 2016 Dec
AS  - J Perinatol. 36(12):1122-1127, 2016 Dec
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 36
IP  - 12
PG  - 1122-1127
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - California
MH  - Case-Control Studies
MH  - Databases, Factual
MH  - Female
MH  - Gestational Age
MH  - Humans
MH  - Infant, Extremely Low Birth Weight
MH  - Infant, Extremely Premature
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Prospective Studies
MH  - Risk Factors
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: To describe the current scope of neonatal inter-facility transports.
AB  - STUDY DESIGN: California databases were used to characterize infants transported in the first week after birth from 2009 to 2012.
AB  - RESULTS: Transport of the 22550 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.
AB  - CONCLUSION: As many neonates receive transport within the first week after birth, there may be opportunities for quality improvement activities in this area.
ES  - 1476-5543
IL  - 0743-8346
DO  - https://dx.doi.org/10.1038/jp.2016.102
PT  - Journal Article
ID  - jp2016102 [pii]
ID  - 10.1038/jp.2016.102 [doi]
PP  - ppublish
PH  - 2015/07/30 [received]
PH  - 2016/04/15 [revised]
PH  - 2016/04/28 [accepted]
LG  - English
EP  - 20160929
DP  - 2016 Dec
EZ  - 2016/09/30 06:00
DA  - 2018/01/09 06:00
DT  - 2016/09/30 06:00
YR  - 2016
ED  - 20180108
RD  - 20180108
UP  - 20180109
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27684413

<2. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27305690
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Manataki A
AU  - Fleuriot J
AU  - Papapanagiotou P
FA  - Manataki, Areti
FA  - Fleuriot, Jacques
FA  - Papapanagiotou, Petros
TI  - A Workflow-Driven Formal Methods Approach to the Generation of Structured Checklists for Intrahospital Patient Transfers.
SO  - IEEE Journal of Biomedical & Health Informatics. 21(4):1156-1162, 2017 Jul
AS  - IEEE j. biomed. health inform.. 21(4):1156-1162, 2017 Jul
NJ  - IEEE journal of biomedical and health informatics
VO  - 21
IP  - 4
PG  - 1156-1162
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101604520
IO  - IEEE J Biomed Health Inform
SB  - Index Medicus
CP  - United States
MH  - *Checklist
MH  - Feasibility Studies
MH  - Humans
MH  - Medical Informatics
MH  - Models, Theoretical
MH  - Patient Safety
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - *Patient Transfer
MH  - Tracheostomy
MH  - *Workflow
AB  - Intrahospital transfers are a common but hazardous aspect of hospital care, with a large number of incidents posing a threat to patient safety. A growing body of work advocates the use of checklists for minimizing intrahospital transfer risk, but the majority of existing checklists are not guaranteed to be error-free and are difficult to adapt to different clinical settings or changing hospital policies. This paper details an approach that addresses these challenges through the employment of workflow technologies and formal methods for generating structured checklists. A three-phased methodology is proposed, where intrahospital transfer processes are first conceptualized, then rigorously composed into workflows that are mechanically verified, and finally, translated into a set of checklists that support hospital staff while maintaining the dependencies between different transfer tasks. A case study is presented, highlighting the feasibility of this approach, and the correctness and maintainability benefits brought by the logical underpinning of this methodology. A checklist evaluation is discussed, with promising results regarding their usefulness.
ES  - 2168-2208
IL  - 2168-2194
DO  - https://dx.doi.org/10.1109/JBHI.2016.2579881
PT  - Journal Article
ID  - 10.1109/JBHI.2016.2579881 [doi]
PP  - ppublish
LG  - English
EP  - 20160610
DP  - 2017 Jul
EZ  - 2016/06/16 06:00
DA  - 2018/01/09 06:00
DT  - 2016/06/16 06:00
YR  - 2017
ED  - 20180108
RD  - 20180108
UP  - 20180109
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27305690

<3. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26969311
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sankey CB
AU  - McAvay G
AU  - Siner JM
AU  - Barsky CL
AU  - Chaudhry SI
FA  - Sankey, Christopher B
FA  - McAvay, Gail
FA  - Siner, Jonathan M
FA  - Barsky, Carol L
FA  - Chaudhry, Sarwat I
IN  - Sankey, Christopher B. Section of General Medicine, Department of Internal Medicine, Yale University School of Medicine, Harkness Hall A, Room 306, 367 Cedar St., New Haven, CT, 06510, USA. christopher.sankey@yale.edu.
IN  - Sankey, Christopher B. Yale-New Haven Hospital, New Haven, CT, USA. christopher.sankey@yale.edu.
IN  - McAvay, Gail. Section of Geriatric Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
IN  - Siner, Jonathan M. Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
IN  - Barsky, Carol L. Patient Safety and Quality, Hackensack University Medical Center, Hackensack, NJ, USA.
IN  - Chaudhry, Sarwat I. Section of General Medicine, Department of Internal Medicine, Yale University School of Medicine, Harkness Hall A, Room 306, 367 Cedar St., New Haven, CT, 06510, USA.
IN  - Chaudhry, Sarwat I. Yale-New Haven Hospital, New Haven, CT, USA.
TI  - "Deterioration to Door Time": An Exploratory Analysis of Delays in Escalation of Care for Hospitalized Patients.
SO  - Journal of General Internal Medicine. 31(8):895-900, 2016 Aug
AS  - J Gen Intern Med. 31(8):895-900, 2016 Aug
NJ  - Journal of general internal medicine
VO  - 31
IP  - 8
PG  - 895-900
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 8605834
IO  - J Gen Intern Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4945556
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Clinical Deterioration
MH  - Electronic Health Records/td [Trends]
MH  - Emergency Service, Hospital/td [Trends]
MH  - Female
MH  - *Hospitalization/td [Trends]
MH  - Humans
MH  - *Intensive Care Units/td [Trends]
MH  - Length of Stay/td [Trends]
MH  - Male
MH  - Middle Aged
MH  - Patient Transfer/mt [Methods]
MH  - *Patient Transfer/td [Trends]
MH  - Retrospective Studies
MH  - *Time-to-Treatment/td [Trends]
MH  - Young Adult
KW  - care escalation;  care transitions;  delays;  inpatient clinical deterioration;  timeliness
AB  - BACKGROUND: Timely escalation of care for patients experiencing clinical deterioration in the inpatient setting is challenging. Deterioration on a general floor has been associated with an increased risk of death, and the early period of deterioration may represent a time during which admission to the intensive care unit (ICU) improves survival. Previous studies examining the association between delay from onset of clinical deterioration to ICU transfer and mortality are few in number and were conducted more than 10 years ago.
AB  - OBJECTIVE: We aimed to evaluate the impact of delays in the escalation of care among clinically deteriorating patients in the current era of inpatient medicine.
AB  - DESIGN AND PARTICIPANTS: This was a retrospective cohort study that analyzed data from 793 patients transferred from non-intensive care unit (ICU) inpatient floors to the medical intensive care unit (MICU), from 2011 to 2013 at an urban, tertiary, academic medical center.
AB  - MAIN MEASURES: "Deterioration to door time (DTDT)" was defined as the time between onset of clinical deterioration (as evidenced by the presence of one or more vital sign indicators including respiratory rate, systolic blood pressure, and heart rate) and arrival in the MICU.
AB  - KEY RESULTS: In our sample, 64.6 % had delays in care escalation, defined as greater than 4 h based on previous studies. Mortality was significantly increased beginning at a DTDT of 12.1 h after adjusting for age, gender, and severity of illness.
AB  - CONCLUSIONS: Delays in the escalation of care for clinically deteriorating hospitalized patients remain frequent in the current era of inpatient medicine, and are associated with increased in-hospital mortality. Development of performance measures for the care of clinically deteriorating inpatients remains essential, and timeliness of care escalation deserves further consideration.
ES  - 1525-1497
IL  - 0884-8734
DO  - https://dx.doi.org/10.1007/s11606-016-3654-x
PT  - Journal Article
ID  - 10.1007/s11606-016-3654-x [doi]
ID  - 10.1007/s11606-016-3654-x [pii]
ID  - PMC4945556 [pmc]
PP  - ppublish
PH  - 2015/05/25 [received]
PH  - 2016/02/19 [accepted]
PH  - 2015/09/23 [revised]
GI  - No: KL2 TR001862
Organization: (TR) *NCATS NIH HHS*
Country: United States

GI  - No: UL1 TR001863
Organization: (TR) *NCATS NIH HHS*
Country: United States
LG  - English
EP  - 20160311
DP  - 2016 Aug
EZ  - 2016/03/13 06:00
DA  - 2018/01/09 06:00
DT  - 2016/03/13 06:00
YR  - 2016
ED  - 20180108
RD  - 20180108
UP  - 20180109
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26969311

<4. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28088757
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Henry S
AU  - Trotman H
FA  - Henry, Salome
FA  - Trotman, Helen
IN  - Henry, Salome. Department of Child & Adolescent Health, Faculty of Medical Sciences, University of the West Indies, Mona, St. Andrew, Jamaica.
IN  - Trotman, Helen. Department of Child & Adolescent Health, Faculty of Medical Sciences, University of the West Indies, Mona, St. Andrew, Jamaica.
TI  - Challenges in neonatal transport in Jamaica: A resource-limited setting.
SO  - Journal of Tropical Pediatrics. 63(4):307-313, 2017 Aug 01
AS  - J Trop Pediatr. 63(4):307-313, 2017 Aug 01
NJ  - Journal of tropical pediatrics
VO  - 63
IP  - 4
PG  - 307-313
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - kaw, 8010948
IO  - J. Trop. Pediatr.
SB  - Index Medicus
CP  - England
MH  - Female
MH  - *Health Resources
MH  - Hospitals, University
MH  - Humans
MH  - *Infant, Newborn
MH  - Infant, Newborn, Diseases/mo [Mortality]
MH  - *Intensive Care Units
MH  - Jamaica
MH  - Male
MH  - Patient Care Team
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prospective Studies
AB  - Aim: This study aimed to determine challenges associated with neonatal transport in Jamaica, a resource-limited setting.
AB  - 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 48h and at discharge were also collected. Descriptive analyses were performed.
AB  - 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.
AB  - 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.
ES  - 1465-3664
IL  - 0142-6338
DO  - https://dx.doi.org/10.1093/tropej/fmw095
PT  - Journal Article
ID  - fmw095 [pii]
ID  - 10.1093/tropej/fmw095 [doi]
PP  - ppublish
LG  - English
DP  - 2017 Aug 01
EZ  - 2017/01/16 06:00
DA  - 2018/01/05 06:00
DT  - 2017/01/16 06:00
YR  - 2017
ED  - 20180104
RD  - 20180104
UP  - 20180105
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28088757

<5. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26350066
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Weigl M
AU  - Muller A
AU  - Holland S
AU  - Wedel S
AU  - Woloshynowych M
FA  - Weigl, Matthias
FA  - Muller, Andreas
FA  - Holland, Stephan
FA  - Wedel, Susanne
FA  - Woloshynowych, Maria
IN  - Weigl, Matthias. Institute and Outpatient Clinic for Occupational, Social, and Environmental Medicine, Munich University, Munich, Germany.
IN  - Muller, Andreas. Institute for Occupational and Social Medicine, University of Dusseldorf, Dusseldorf, Germany.
IN  - Holland, Stephan. Institute and Outpatient Clinic for Occupational, Social, and Environmental Medicine, Munich University, Munich, Germany.
IN  - Wedel, Susanne. Furstenfeldbruck Hospital, Furstenfeldbruck, Germany.
IN  - Woloshynowych, Maria. Centre for Patient Safety and Service Quality, Department of Surgery and Cancer, Imperial College London, London, UK.
TI  - Work conditions, mental workload and patient care quality: a multisource study in the emergency department.
SO  - BMJ Quality & Safety. 25(7):499-508, 2016 Jul
AS  - BMJ Qual Saf. 25(7):499-508, 2016 Jul
NJ  - BMJ quality & safety
VO  - 25
IP  - 7
PG  - 499-508
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101546984
IO  - BMJ Qual Saf
SB  - Health Administration Journals
CP  - England
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Emergency Service, Hospital/st [Standards]
MH  - Hospitals, Community
MH  - Humans
MH  - Multitasking Behavior
MH  - Quality Indicators, Health Care
MH  - *Quality of Health Care/og [Organization & Administration]
MH  - Quality of Health Care/sn [Statistics & Numerical Data]
MH  - Surveys and Questionnaires
MH  - Time and Motion Studies
MH  - Workload/st [Standards]
MH  - *Workload/sn [Statistics & Numerical Data]
KW  - Cognitive biases;  Emergency department;  Hand-off;  Interruptions;  Quality measurement
AB  - BACKGROUND: Workflow interruptions, multitasking and workload demands are inherent to emergency departments (ED) work systems. Potential effects of ED providers' work on care quality and patient safety have, however, been rarely addressed. We aimed to investigate the prevalence and associations of ED staff's workflow interruptions, multitasking and workload with patient care quality outcomes.
AB  - METHODS: We applied a mixed-methods design in a two-step procedure. First, we conducted a time-motion study to observe the rate of interruptions and multitasking activities. Second, during 20-day shifts we assessed ED staff's reports on workflow interruptions, multitasking activities and mental workload. Additionally, we assessed two care quality indicators with standardised questionnaires: first, ED patients' evaluations of perceived care quality; second, patient intrahospital transfers evaluated by ward staff. The study was conducted in a medium-sized community ED (16 600 annual visits).
AB  - RESULTS: ED personnel's workflow was disrupted on average 5.63 times per hour. 30% of time was spent on multitasking activities. During 20 observations days, data were gathered from 76 ED professionals, 239 patients and 205 patient transfers. After aggregating daywise data and controlling for staffing levels, prospective associations revealed significant negative associations between ED personnel's mental workload and patients' perceived quality of care. Conversely, workflow interruptions were positively associated with patient-related information on discharge and overall quality of transfer.
AB  - CONCLUSIONS: Our investigation indicated that ED staff's capability to cope with demanding work conditions was associated with patient care quality. Our findings contribute to an improved understanding of the complex effects of interruptions and multitasking in the ED environment for creating safe and efficient ED work and care systems.

Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
ES  - 2044-5423
IL  - 2044-5415
DO  - https://dx.doi.org/10.1136/bmjqs-2014-003744
PT  - Journal Article
ID  - bmjqs-2014-003744 [pii]
ID  - 10.1136/bmjqs-2014-003744 [doi]
PP  - ppublish
PH  - 2014/11/06 [received]
PH  - 2015/08/20 [accepted]
LG  - English
EP  - 20150908
DP  - 2016 Jul
EZ  - 2015/09/10 06:00
DA  - 2017/12/28 06:00
DT  - 2015/09/10 06:00
YR  - 2016
ED  - 20171227
RD  - 20171227
UP  - 20171228
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26350066

<6. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 29157705
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Boarding of Admitted and Intensive Care Patients in the Emergency Department.
SO  - Annals of Emergency Medicine. 70(6):940-941, 2017 Dec
AS  - Ann Emerg Med. 70(6):940-941, 2017 Dec
NJ  - Annals of emergency medicine
VO  - 70
IP  - 6
PG  - 940-941
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8002646
IO  - Ann Emerg Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Emergency Service, Hospital
MH  - *Hospitalization
MH  - Hospitals
MH  - Humans
MH  - *Intensive Care Units
MH  - Nursing Staff, Hospital
MH  - Organizational Policy
MH  - *Patient Transfer
ES  - 1097-6760
IL  - 0196-0644
DI  - S0196-0644(17)31492-0
DO  - https://dx.doi.org/10.1016/j.annemergmed.2017.08.027
PT  - Editorial
ID  - S0196-0644(17)31492-0 [pii]
ID  - 10.1016/j.annemergmed.2017.08.027 [doi]
PP  - ppublish
PH  - 2017/08/08 [received]
LG  - English
DP  - 2017 Dec
EZ  - 2017/11/22 06:00
DA  - 2017/12/12 06:00
DT  - 2017/11/22 06:00
YR  - 2017
ED  - 20171211
RD  - 20171211
UP  - 20171212
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=29157705

<7. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26560019
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sirvent JM
AU  - Gil M
AU  - Alvarez T
AU  - Martin S
AU  - Vila N
AU  - Colomer M
AU  - March E
AU  - Loma-Osorio P
AU  - Metje T
FA  - Sirvent, J M
FA  - Gil, M
FA  - Alvarez, T
FA  - Martin, S
FA  - Vila, N
FA  - Colomer, M
FA  - March, E
FA  - Loma-Osorio, P
FA  - Metje, T
IN  - Sirvent, J M. Servicio de Medicina Intensiva (UCI), Hospital Universitari de Girona Doctor Josep Trueta, Grupo de Microbiologia e Infeccion, IDIBGI, CIBERES, Girona, Espana. Electronic address: jsirvent.girona.ics@gencat.cat.
IN  - Gil, M. Actio-Consulting, Barcelona, Espana.
IN  - Alvarez, T. Servicio de Medicina Intensiva (UCI), Hospital Universitari de Girona Doctor Josep Trueta, Grupo de Microbiologia e Infeccion, IDIBGI, CIBERES, Girona, Espana.
IN  - Martin, S. Servicio de Medicina Intensiva (UCI), Hospital Universitari de Girona Doctor Josep Trueta, Grupo de Microbiologia e Infeccion, IDIBGI, CIBERES, Girona, Espana.
IN  - Vila, N. Servicio de Medicina Intensiva (UCI), Hospital Universitari de Girona Doctor Josep Trueta, Grupo de Microbiologia e Infeccion, IDIBGI, CIBERES, Girona, Espana.
IN  - Colomer, M. Servicio de Medicina Intensiva (UCI), Hospital Universitari de Girona Doctor Josep Trueta, Grupo de Microbiologia e Infeccion, IDIBGI, CIBERES, Girona, Espana.
IN  - March, E. Secretaria Tecnica, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Espana.
IN  - Loma-Osorio, P. Servicio de Cardiologia, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Espana.
IN  - Metje, T. Servicio de Anestesiologia, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Espana.
TI  - Lean techniques to improve the flow of critically ill patients in a health region with its epicenter in the intensive care unit of a reference hospital.
OT  - Tecnicas <<Lean>> para la mejora del flujo de los pacientes criticos de una region sanitaria con epicentro en el servicio de medicina intensiva de un hospital de referencia.
SO  - Medicina Intensiva. 40(5):266-72, 2016 Jun-Jul
AS  - MED. INTENSIVA. 40(5):266-72, 2016 Jun-Jul
NJ  - Medicina intensiva
VO  - 40
IP  - 5
PG  - 266-72
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9207689
IO  - Med Intensiva
SB  - Index Medicus
CP  - Spain
MH  - Bed Occupancy
MH  - *Critical Illness
MH  - Female
MH  - Humans
MH  - *Intensive Care Units
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Patient Discharge
MH  - *Patient Transfer
MH  - Patients' Rooms
MH  - Referral and Consultation
MH  - Spain
MH  - *Tertiary Care Centers/og [Organization & Administration]
KW  - Critically ill process;  Flujo de pacientes;  Intensive care unit;  Lean;  Patient flow;  Proceso de criticos;  Professional satisfaction;  Satisfaccion profesional;  Unidad de cuidados intensivos
AB  - OBJECTIVE: To analyze whether the application of Lean techniques to improve the flow of critically ill patients in a health region with its epicenter in the intensive care unit (ICU) of a reference hospital.
AB  - DESIGN: Observational study with pre and post intervention analysis.
AB  - SETTING: ICU of a reference hospital.
AB  - PATIENTS: We design projects and a value stream map of flow and compared pre and post intervention.
AB  - INTERVENTIONS: We recorded demographic data, patient transfers by EMS for lack of beds and delay times in the discharge from ICU to ward. Multidisciplinary meetings and perform daily visual panel, with high priority ICU discharge. We promote temporary relocation of critically ill patients in other special areas of the hospital. We performed a professional satisfaction questionnaire with pre and post implementation of process. We make a statistical analysis of pre and post-intervention comparisons.
AB  - RESULTS: We planned for 2013 and progressively implemented in 2014. Analysis of patients entering the critical process flow 1) evaluate patients who must transfer for lack of beds, focusing on a diagnosis: pre 10/22 vs. 3/21 post (P=.045); 2) analysis of time delay in the discharge from the ICU to ward: 360.8+/-163.9minutes in the first period vs. 276.7+/-149.5 in the second (P=.036); and 3) personal professional satisfaction questionnaire, with 6.6+/-1.5 points pre vs. 7.5+/-1.1 in post (P=.001). Analysis of indicators such as the ICU acquired infections, length of ICU stay, the rate of re-admissions and mortality, with no significant differences between the two periods.
AB  - CONCLUSIONS: The application of Lean techniques in the critically ill process had a positive impact on improving patient flow within the health region, noting a decrease of transfers outside the region due to lack of beds, reduced delayed discharge from ICU to conventional ward and increased satisfaction of ICU professionals.

Copyright © 2015 Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.
ES  - 1578-6749
IL  - 0210-5691
DI  - S0210-5691(15)00201-6
DO  - https://dx.doi.org/10.1016/j.medin.2015.08.005
PT  - Journal Article
PT  - Observational Study
ID  - S0210-5691(15)00201-6 [pii]
ID  - 10.1016/j.medin.2015.08.005 [doi]
PP  - ppublish
PH  - 2015/06/30 [received]
PH  - 2015/07/19 [revised]
PH  - 2015/08/03 [accepted]
LG  - English
LG  - Spanish
EP  - 20151107
DP  - 2016 Jun-Jul
EZ  - 2015/11/13 06:00
DA  - 2017/12/05 06:00
DT  - 2015/11/13 06:00
YR  - 2016
ED  - 20171204
RD  - 20171204
UP  - 20171205
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26560019

<8. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26986078
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Roberts CT
AU  - Stewart MJ
AU  - Jacobs SE
FA  - Roberts, Calum T
FA  - Stewart, Michael J
FA  - Jacobs, Susan E
IN  - Roberts, Calum T. Neonatal Services, The Royal Women's Hospital, Parkville, Vic., Australia.
TI  - Earlier Initiation of Therapeutic Hypothermia by Non-Tertiary Neonatal Units in Victoria, Australia.
SO  - Neonatology. 110(1):33-9, 2016
AS  - Neonatology. 110(1):33-9, 2016
NJ  - Neonatology
VO  - 110
IP  - 1
PG  - 33-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101286577
IO  - Neonatology
SB  - Index Medicus
CP  - Switzerland
MH  - Australia
MH  - Databases, Factual
MH  - Humans
MH  - *Hypothermia, Induced/mt [Methods]
MH  - *Hypoxia-Ischemia, Brain/th [Therapy]
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Odds Ratio
MH  - *Patient Transfer
MH  - Practice Guidelines as Topic
MH  - Referral and Consultation
MH  - Retrospective Studies
MH  - Tertiary Care Centers
MH  - Time Factors
MH  - Treatment Outcome
AB  - BACKGROUND: Therapeutic hypothermia is an effective treatment for moderate or severe hypoxic-ischaemic encephalopathy (HIE), with maximal neuroprotective benefit when initiated soon after birth. Early initiation of therapeutic hypothermia in infants with HIE born in geographically distant settings is challenging.
AB  - OBJECTIVE: To audit temperature control in infants with HIE treated with hypothermia during neonatal transport in Victoria, Australia.
AB  - METHODS: A retrospective database review from September 1, 2008 to August 31, 2012 compared temperatures of transported outborn infants with HIE treated with hypothermia initiated by the referring non-tertiary neonatal unit, with hypothermia initiated by the transport team.
AB  - RESULTS: 123 infants received therapeutic hypothermia during the study period. Hypothermia treatment commenced significantly earlier [median (interquartile range [IQR]) 1.1 h (0.6-1.7) vs. 3.3 h (2.1-4.5); p < 0.01] with the target temperature (33-34degreeC) achieved sooner [median (IQR) 3.4 h (2.4-4.6) vs. 4.5 h (3.6-5.5)] when initiated by the referring hospital (n = 71) than by the transport team (n = 52). There was no statistically significant difference in achieving the target temperature before admission to the tertiary neonatal intensive care unit when hypothermia was initiated by the referring unit, compared with by the transport team [51/71 (71.8%) vs. 28/52 (53.9%), odds ratio (95% CI) 2.19 (0.96, 4.96)]. Infants in whom hypothermia was initiated by the referring hospital were more likely to have a recorded temperature below 33degreeC [22/71 (31.0%) vs. 4/52 (7.7%), odds ratio (95% CI) 5.39 (1.64, 22.83)].
AB  - CONCLUSIONS: The target temperature is achieved sooner in infants with moderate or severe HIE when therapeutic hypothermia is initiated by referring non-tertiary neonatal units under guidance from the regional transport service. This practice may enhance neuroprotection for infants with HIE born in non-tertiary units, particularly in remote locations.

Copyright © 2016 S. Karger AG, Basel.
ES  - 1661-7819
IL  - 1661-7800
DO  - https://dx.doi.org/10.1159/000444274
PT  - Journal Article
PT  - Multicenter Study
ID  - 000444274 [pii]
ID  - 10.1159/000444274 [doi]
PP  - ppublish
PH  - 2015/09/07 [received]
PH  - 2016/01/27 [accepted]
LG  - English
EP  - 20160318
DP  - 2016
EZ  - 2016/03/18 06:00
DA  - 2017/11/07 06:00
DT  - 2016/03/18 06:00
YR  - 2016
ED  - 20171106
RD  - 20171117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26986078

<9. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28121834
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ray S
AU  - Rogers L
AU  - Pagel C
AU  - Raman S
AU  - Peters MJ
AU  - Ramnarayan P
FA  - Ray, Samiran
FA  - Rogers, Libby
FA  - Pagel, Christina
FA  - Raman, Sainath
FA  - Peters, Mark J
FA  - Ramnarayan, Padmanabhan
IN  - Ray, Samiran. 1Respiratory Critical Care and Anaesthesia Unit, UCL Great Ormond Street Institute of Child Health, London, United Kingdom. 2Children's Acute Transport Service, Great Ormond Street Hospital, London, United Kingdom. 3UCL Clinical Operational Research Unit, London, United Kingdom.
TI  - 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.
SO  - Pediatric Critical Care Medicine. 18(3):e131-e136, 2017 Mar
AS  - Pediatr Crit Care Med. 18(3):e131-e136, 2017 Mar
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 18
IP  - 3
PG  - e131-e136
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/mt [Methods]
MH  - Critical Illness
MH  - *Decision Support Techniques
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Linear Models
MH  - Male
MH  - *Oximetry/mt [Methods]
MH  - Respiratory Insufficiency/bl [Blood]
MH  - *Respiratory Insufficiency/di [Diagnosis]
MH  - *Respiratory Insufficiency/mo [Mortality]
MH  - Retrospective Studies
MH  - Sensitivity and Specificity
MH  - *Severity of Illness Index
MH  - Transportation of Patients
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.
AB  - DESIGN: Retrospective analysis of prospectively collected data.
AB  - SETTING: A regional PICU transport service.
AB  - PATIENTS: Children transported to a PICU.
AB  - INTERVENTIONS: None.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000001075
PT  - Journal Article
PT  - Observational Study
ID  - 10.1097/PCC.0000000000001075 [doi]
PP  - ppublish
LG  - English
DP  - 2017 Mar
EZ  - 2017/01/26 06:00
DA  - 2017/11/03 06:00
DT  - 2017/01/26 06:00
YR  - 2017
ED  - 20171102
RD  - 20171102
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28121834

<10. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27801708
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Noje C
AU  - Bernier ML
AU  - Costabile PM
AU  - Klein BL
AU  - Kudchadkar SR
FA  - Noje, Corina
FA  - Bernier, Meghan L
FA  - Costabile, Philomena M
FA  - Klein, Bruce L
FA  - Kudchadkar, Sapna R
IN  - Noje, Corina. 1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.2Department of Nursing, The Johns Hopkins Hospital, Baltimore, MD.3Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD.
TI  - Pediatric Critical Care Transport as a Conduit to Terminal Extubation at Home: A Case Series.
SO  - Pediatric Critical Care Medicine. 18(1):e4-e8, 2017 Jan
AS  - Pediatr Crit Care Med. 18(1):e4-e8, 2017 Jan
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 18
IP  - 1
PG  - e4-e8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - *Airway Extubation
MH  - Child
MH  - *Critical Care/mt [Methods]
MH  - Critical Care/og [Organization & Administration]
MH  - Female
MH  - Home Care Services/og [Organization & Administration]
MH  - *Home Care Services
MH  - Humans
MH  - Infant
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - *Palliative Care/mt [Methods]
MH  - Palliative Care/og [Organization & Administration]
MH  - Retrospective Studies
MH  - *Terminal Care/mt [Methods]
MH  - Terminal Care/og [Organization & Administration]
MH  - *Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
AB  - OBJECTIVES: To present our single-center's experience with three palliative critical care transports home from the PICU for terminal extubation.
AB  - DESIGN: We performed a retrospective chart review of patients transported between January 1, 2012, and December 31, 2014.
AB  - SETTING: All cases were identified from our institutional pediatric transport database.
AB  - 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.
AB  - INTERVENTIONS: Patients underwent palliative care transport home for terminal extubation.
AB  - 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.
AB  - 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.
CI  - For the remaining authors, none were declared.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000997
PT  - Case Reports
PT  - Journal Article
ID  - 10.1097/PCC.0000000000000997 [doi]
ID  - PMC5218873 [pmc]
ID  - NIHMS821502 [mid]
PP  - ppublish
GI  - No: KL2 RR025006
Organization: (RR) *NCRR NIH HHS*
Country: United States
LG  - English
DP  - 2017 Jan
PQ  - 2018/01/01
EZ  - 2016/11/02 06:00
DA  - 2017/11/03 06:00
DT  - 2016/11/02 06:00
YR  - 2017
ED  - 20171102
RD  - 20171102
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27801708

<11. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28968472
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bean DM
AU  - Stringer C
AU  - Beeknoo N
AU  - Teo J
AU  - Dobson RJB
AI  - Bean, Daniel M; ORCID: http://orcid.org/0000-0002-8594-7804
FA  - Bean, Daniel M
FA  - Stringer, Clive
FA  - Beeknoo, Neeraj
FA  - Teo, James
FA  - Dobson, Richard J B
IN  - Bean, Daniel M. Department of Biostatistics and Health Informatics, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, United Kingdom.
IN  - Stringer, Clive. King's College Hospital NHS Foundation Trust, London, United Kingdom.
IN  - Beeknoo, Neeraj. King's College Hospital NHS Foundation Trust, London, United Kingdom.
IN  - Teo, James. King's College Hospital NHS Foundation Trust, London, United Kingdom.
IN  - Dobson, Richard J B. Department of Biostatistics and Health Informatics, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, United Kingdom.
IN  - Dobson, Richard J B. Farr Institute of Health Informatics Research, UCL Institute of Health Informatics, University College London, London, United Kingdom.
TI  - Network analysis of patient flow in two UK acute care hospitals identifies key sub-networks for A&E performance.
SO  - PLoS ONE [Electronic Resource]. 12(10):e0185912, 2017
AS  - PLoS ONE. 12(10):e0185912, 2017
NJ  - PloS one
VO  - 12
IP  - 10
PG  - e0185912
PI  - Journal available in: Electronic-eCollection
PI  - Citation processed from: Internet
JC  - 101285081
IO  - PLoS ONE
SB  - Index Medicus
CP  - United States
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - *Hospitals, Public
MH  - State Medicine
MH  - United Kingdom
AB  - The topology of the patient flow network in a hospital is complex, comprising hundreds of overlapping patient journeys, and is a determinant of operational efficiency. To understand the network architecture of patient flow, we performed a data-driven network analysis of patient flow through two acute hospital sites of King's College Hospital NHS Foundation Trust. Administration databases were queried for all intra-hospital patient transfers in an 18-month period and modelled as a dynamic weighted directed graph. A 'core' subnetwork containing only 13-17% of all edges channelled 83-90% of the patient flow, while an 'ephemeral' network constituted the remainder. Unsupervised cluster analysis and differential network analysis identified sub-networks where traffic is most associated with A&E performance. Increased flow to clinical decision units was associated with the best A&E performance in both sites. The component analysis also detected a weekend effect on patient transfers which was not associated with performance. We have performed the first data-driven hypothesis-free analysis of patient flow which can enhance understanding of whole healthcare systems. Such analysis can drive transformation in healthcare as it has in industries such as manufacturing.
ES  - 1932-6203
IL  - 1932-6203
DO  - https://dx.doi.org/10.1371/journal.pone.0185912
PT  - Journal Article
ID  - 10.1371/journal.pone.0185912 [doi]
ID  - PONE-D-17-17385 [pii]
ID  - PMC5624623 [pmc]
PP  - epublish
PH  - 2017/05/10 [received]
PH  - 2017/09/21 [accepted]
LG  - English
EP  - 20171002
DP  - 2017
EZ  - 2017/10/03 06:00
DA  - 2017/11/01 06:00
DT  - 2017/10/03 06:00
YR  - 2017
ED  - 20171031
RD  - 20171031
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28968472

<12. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27743735
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Latifi NA
AU  - Karimi H
FA  - Latifi, Noor-Ahmad
FA  - Karimi, Hamid
IN  - Latifi, Noor-Ahmad. Faculty of Medicine, Motahary Burn Hospital, School of Medicine, Burn Research Center, Iran University of Medical Sciences, Yasemi Alley, Vali Asr Ave., Tehran 19637, Iran.
IN  - Karimi, Hamid. Faculty of Medicine, Motahary Burn Hospital, School of Medicine, Burn Research Center, Iran University of Medical Sciences, Yasemi Alley, Vali Asr Ave., Tehran 19637, Iran. Electronic address: hamidkarimi1381@yahoo.com.
TI  - Why burn patients are referred?.
SO  - Burns. 43(3):619-623, 2017 May
AS  - Burns. 43(3):619-623, 2017 May
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 43
IP  - 3
PG  - 619-623
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Body Surface Area
MH  - Burn Units
MH  - *Burns
MH  - Child
MH  - Cost-Benefit Analysis
MH  - Family
MH  - Female
MH  - Hospitals, Teaching
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Preference
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - *Referral and Consultation
MH  - *Registries
MH  - Smoke Inhalation Injury
MH  - *Telemedicine
MH  - Tertiary Care Centers
MH  - Trauma Severity Indices
MH  - Young Adult
KW  - Burns;  Referral;  TBSA;  Telemedicine;  Tertiary burn center
AB  - BACKGROUND: Many burn patients are needed to be referred to a tertiary burn hospital according to the American Burn Association (ABA) criteria. The purpose of this study was to verify the reasons for referring of the burn patients to the hospital.
AB  - MATERIALS AND METHODS: For 2 years, we prospectively surveyed the burn patients referred to a tertiary teaching burn hospital. Data for the following variables were collected and analyzed with SPSS software V21.0: causes of burn; age; gender; total body surface area (TBSA) measured at the referring center; TBSA measured at the receiving center; concomitant diseases and traumas; the reason for referral; condition of patients before and during the transportation; transportation time; presence of infection; presence of inhalation injury, electrical injury, and chemical injury; child abuse; insurance coverage; and results and outcomes of patients.
AB  - RESULTS: A total of 578 burn patients (33.6% of the total admissions) were referred in the study period. Among these patients, 70.9% were females. The mean (SD) age of the patients was 35.3 (19.69) years. The mean (SD) of TBSA was 45.2 (26.3). Of the 578 patients, 45% were referred by request of the family or patients; 9% were referred because lack of diagnostic facility, approximately 43% were referred because of the need to be admitted in a tertiary burn center, 0.7% were referred because of a lack of capacity at other hospitals, and 0.5% were referred because of an error in the estimation of TBSA.
AB  - CONCLUSIONS: A total of 45% of the referrals were by request of the family and patients. Tele-medicine may help to establish a direct contact between expert burn physicians and the patients and thus reduce unnecessary transfers. Approximately 9% of the referrals were because of lack of some diagnostic facilities.

Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.
ES  - 1879-1409
IL  - 0305-4179
DI  - S0305-4179(16)30356-4
DO  - https://dx.doi.org/10.1016/j.burns.2016.09.007
PT  - Journal Article
ID  - S0305-4179(16)30356-4 [pii]
ID  - 10.1016/j.burns.2016.09.007 [doi]
PP  - ppublish
PH  - 2016/07/25 [received]
PH  - 2016/08/25 [revised]
PH  - 2016/09/12 [accepted]
LG  - English
EP  - 20161012
DP  - 2017 May
EZ  - 2016/10/17 06:00
DA  - 2017/10/24 06:00
DT  - 2016/10/17 06:00
YR  - 2017
ED  - 20171023
RD  - 20171023
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27743735

<13. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28159078
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stutzman SE
AU  - Olson DM
AU  - Greilich PE
AU  - Abdulkadir K
AU  - Rubin MA
FA  - Stutzman, Sonja E
FA  - Olson, DaiWai M
FA  - Greilich, Philip E
FA  - Abdulkadir, Kamal
FA  - Rubin, Michael A
TI  - The Patient and Family Perioperative Experience During Transfer of Care: A Qualitative Inquiry.
SO  - AORN Journal. 105(2):193-202, 2017 Feb
AS  - AORN J. 105(2):193-202, 2017 Feb
NJ  - AORN journal
VO  - 105
IP  - 2
PG  - 193-202
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 6jr, 0372403
IO  - AORN J
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Anxiety/pc [Prevention & Control]
MH  - *Attitude of Health Personnel
MH  - *Communication
MH  - *Family
MH  - Humans
MH  - *Intensive Care Units
MH  - *Operating Rooms
MH  - *Patient Transfer
MH  - Professional-Family Relations
MH  - Qualitative Research
KW  - hand-over communication;  patient transfer;  patient-centered care;  qualitative research;  transfer of care
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.

Copyright © 2017 AORN, Inc. Published by Elsevier Inc. All rights reserved.
ES  - 1878-0369
IL  - 0001-2092
DI  - S0001-2092(16)30954-1
DO  - https://dx.doi.org/10.1016/j.aorn.2016.12.006
PT  - Journal Article
ID  - S0001-2092(16)30954-1 [pii]
ID  - 10.1016/j.aorn.2016.12.006 [doi]
PP  - ppublish
PH  - 2016/04/06 [received]
PH  - 2016/05/05 [revised]
PH  - 2016/12/07 [accepted]
LG  - English
DP  - 2017 Feb
EZ  - 2017/02/06 06:00
DA  - 2017/10/20 06:00
DT  - 2017/02/05 06:00
YR  - 2017
ED  - 20171019
RD  - 20171019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28159078

<14. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27099972
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dayal P
AU  - Hojman NM
AU  - Kissee JL
AU  - Evans J
AU  - Natale JE
AU  - Huang Y
AU  - Litman RL
AU  - Nesbitt TS
AU  - Marcin JP
FA  - Dayal, Parul
FA  - Hojman, Nayla M
FA  - Kissee, Jamie L
FA  - Evans, Jacqueline
FA  - Natale, JoAnne E
FA  - Huang, Yunru
FA  - Litman, Rebecca L
FA  - Nesbitt, Thomas S
FA  - Marcin, James P
IN  - Dayal, Parul. All authors: Department of Pediatrics, University of California, Davis, Sacramento, CA.
TI  - Impact of Telemedicine on Severity of Illness and Outcomes Among Children Transferred From Referring Emergency Departments to a Children's Hospital PICU.
SO  - Pediatric Critical Care Medicine. 17(6):516-21, 2016 Jun
AS  - Pediatr Crit Care Med. 17(6):516-21, 2016 Jun
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 17
IP  - 6
PG  - 516-21
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - California
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/mt [Methods]
MH  - Critical Care/og [Organization & Administration]
MH  - Emergency Service, Hospital/og [Organization & Administration]
MH  - *Emergency Service, Hospital
MH  - Female
MH  - *Health Services Accessibility
MH  - Healthcare Disparities
MH  - Hospitals, Pediatric/og [Organization & Administration]
MH  - *Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - Outcome Assessment (Health Care)
MH  - *Patient Transfer
MH  - Referral and Consultation
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - *Telemedicine
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.
AB  - DESIGN: Retrospective cohort study.
AB  - SETTING: Tertiary academic children's hospital PICU.
AB  - PATIENTS: Pediatric patients admitted directly to the PICU from referring emergency departments between 2010 and 2014.
AB  - INTERVENTIONS: None.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000761
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/PCC.0000000000000761 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Jun
EZ  - 2016/04/22 06:00
DA  - 2017/10/19 06:00
DT  - 2016/04/22 06:00
YR  - 2016
ED  - 20171018
RD  - 20171018
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27099972

<15. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27705983
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - d'Aranda E
AU  - Pastene B
AU  - Ughetto F
AU  - Cotte J
AU  - Esnault P
AU  - Fouilloux V
AU  - Mazzeo C
AU  - Mancini J
AU  - Lebel S
AU  - Paut O
FA  - d'Aranda, Erwan
FA  - Pastene, Bruno
FA  - Ughetto, Fabrice
FA  - Cotte, Jean
FA  - Esnault, Pierre
FA  - Fouilloux, Virginie
FA  - Mazzeo, Cecilia
FA  - Mancini, Julien
FA  - Lebel, Stephane
FA  - Paut, Olivier
IN  - d'Aranda, Erwan. 1Department of Pediatric Anesthesia and Intensive Care, La Timone University Children's Hospital, Marseille, France.2Intensive Care Unit, Sainte Anne Military Hospital, Toulon, France.3Department of Pediatric Cardiovascular Surgery, La Timone University Hospital, Marseille, France.4Public Health and Medical Informatics, La Timone University Hospital, Marseille, France.
TI  - Outcome Comparison in Children Undergoing Extracorporeal Life Support Initiated at a Local Hospital by a Mobile Cardiorespiratory Assistance Unit or at a Referral Center.
SO  - Pediatric Critical Care Medicine. 17(10):992-997, 2016 Oct
AS  - Pediatr Crit Care Med. 17(10):992-997, 2016 Oct
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 17
IP  - 10
PG  - 992-997
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/mt [Methods]
MH  - Critical Care/og [Organization & Administration]
MH  - Extracorporeal Membrane Oxygenation/is [Instrumentation]
MH  - *Extracorporeal Membrane Oxygenation/mt [Methods]
MH  - Female
MH  - France
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric
MH  - Logistic Models
MH  - Male
MH  - Mobile Health Units/og [Organization & Administration]
MH  - *Mobile Health Units
MH  - Outcome and Process Assessment (Health Care)
MH  - Patient Transfer
MH  - Retrospective Studies
MH  - Tertiary Care Centers/og [Organization & Administration]
MH  - *Tertiary Care Centers
MH  - Transportation of Patients
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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/PCC.0000000000000897 [doi]
ID  - 00130478-201610000-00011 [pii]
PP  - ppublish
LG  - English
DP  - 2016 Oct
EZ  - 2016/10/06 06:00
DA  - 2017/10/13 06:00
DT  - 2016/10/06 06:00
YR  - 2016
ED  - 20171012
RD  - 20171012
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27705983

<16. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27505717
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Singh JM
AU  - Gunz AC
AU  - Dhanani S
AU  - Aghari M
AU  - MacDonald RD
FA  - Singh, Jeffrey M
FA  - Gunz, Anna C
FA  - Dhanani, Sonny
FA  - Aghari, Mahvareh
FA  - MacDonald, Russell D
IN  - Singh, Jeffrey M. 1Division of Critical Care Medicine, Department of Medicine, University Health Network, Toronto, ON, Canada.2Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.3Department of Pediatrics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.4Division of Pediatric Critical Care, Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.5Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.6Ornge Transport Medicine, Mississauga, ON, Canada.7Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.
TI  - Frequency, Composition, and Predictors of In-Transit Critical Events During Pediatric Critical Care Transport.
SO  - Pediatric Critical Care Medicine. 17(10):984-991, 2016 Oct
AS  - Pediatr Crit Care Med. 17(10):984-991, 2016 Oct
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 17
IP  - 10
PG  - 984-991
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care
MH  - *Critical Illness/ep [Epidemiology]
MH  - Decision Support Techniques
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Logistic Models
MH  - Male
MH  - Multivariate Analysis
MH  - Ontario/ep [Epidemiology]
MH  - Patient Safety
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Risk Factors
MH  - *Transportation of Patients
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.
AB  - DESIGN: Retrospective cohort study using administrative and clinical data.
AB  - SETTING: Single pediatric critical care transport provider in Ontario, Canada.
AB  - PATIENTS: All pediatric care transports between January 1, 2005, and December 31, 2010.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
PT  - Journal Article
ID  - 10.1097/PCC.0000000000000919 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Oct
EZ  - 2016/08/10 06:00
DA  - 2017/10/13 06:00
DT  - 2016/08/10 06:00
YR  - 2016
ED  - 20171012
RD  - 20171012
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27505717

<17. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27149045
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Thompson K
AU  - Gardiner J
AU  - Resnick S
FA  - Thompson, Kirsten
FA  - Gardiner, Jacqueline
FA  - Resnick, Steven
IN  - Thompson, Kirsten. Neonatology Clinical Care Unit, King Edward Memorial Hospital, Subiaco, Western Australia, Australia.
IN  - Thompson, Kirsten. Centre for Neonatal Research and Education, University of Western Australia, Perth, Western Australia, Australia.
IN  - Thompson, Kirsten. Newborn Emergency Transport Service, Princess Margaret Hospital, Subiaco, Western Australia, Australia.
IN  - Gardiner, Jacqueline. Neonatology Clinical Care Unit, King Edward Memorial Hospital, Subiaco, Western Australia, Australia.
IN  - Resnick, Steven. Neonatology Clinical Care Unit, King Edward Memorial Hospital, Subiaco, Western Australia, Australia.
IN  - Resnick, Steven. Centre for Neonatal Research and Education, University of Western Australia, Perth, Western Australia, Australia.
IN  - Resnick, Steven. Newborn Emergency Transport Service, Princess Margaret Hospital, Subiaco, Western Australia, Australia.
TI  - Outcome of outborn infants at the borderline of viability in Western Australia: A retrospective cohort study.
SO  - Journal of Paediatrics & Child Health. 52(7):728-33, 2016 Jul
AS  - J Paediatr Child Health. 52(7):728-33, 2016 Jul
NJ  - Journal of paediatrics and child health
VO  - 52
IP  - 7
PG  - 728-33
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Cohort Studies
MH  - Gestational Age
MH  - Humans
MH  - Infant
MH  - Infant Mortality
MH  - *Infant, Extremely Premature
MH  - Intensive Care Units, Neonatal
MH  - Morbidity
MH  - *Outcome Assessment (Health Care)
MH  - Retrospective Studies
MH  - Transportation of Patients
MH  - Western Australia
KW  - neonatal transport;  outborn;  preterm infant
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+6weeks gestation) with a similar cohort of inborn infants in the sole tertiary perinatal centre in Western Australia from 2001 to 2011.
AB  - METHODS: This was a retrospective cohort study. Outborn infants >=23 to <=25+6weeks 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.
AB  - 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.
AB  - CONCLUSIONS: Outborn extremely preterm infants <26weeks gestation have higher mortality than inborn counterparts. However, those transported to a tertiary NICU have similar morbidity and developmental outcomes.

Copyright © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
ES  - 1440-1754
IL  - 1034-4810
DO  - https://dx.doi.org/10.1111/jpc.13187
PT  - Journal Article
ID  - 10.1111/jpc.13187 [doi]
PP  - ppublish
PH  - 2016/02/09 [accepted]
LG  - English
EP  - 20160505
DP  - 2016 Jul
EZ  - 2016/05/06 06:00
DA  - 2017/09/28 06:00
DT  - 2016/05/06 06:00
YR  - 2016
ED  - 20170927
RD  - 20170927
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27149045

<18. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28787292
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bergman LM
AU  - Pettersson ME
AU  - Chaboyer WP
AU  - Carlstrom ED
AU  - Ringdal ML
FA  - Bergman, Lina M
FA  - Pettersson, Monica E
FA  - Chaboyer, Wendy P
FA  - Carlstrom, Eric D
FA  - Ringdal, Mona L
IN  - Bergman, Lina M. 1Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 2The Vascular Department, Sahlgrenska University Hospital/Sahlgrenska, Gothenburg, Sweden. 3Menzies Health Institute Queensland, Griffith University, Southport, QLD, Australia. 4University College of Southeast Norway, Notodden, Norway. 5Department of Anesthesiology and Intensive Care, Kungalvs Hospital, Kungalv, Sweden.
TI  - Safety Hazards During Intrahospital Transport: A Prospective Observational Study.
SO  - Critical Care Medicine. 45(10):e1043-e1049, 2017 Oct
AS  - Crit Care Med. 45(10):e1043-e1049, 2017 Oct
NJ  - Critical care medicine
VO  - 45
IP  - 10
PG  - e1043-e1049
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Critical Illness
MH  - Equipment Design
MH  - Equipment and Supplies, Hospital
MH  - Hospitals, University
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Patient Handoff
MH  - *Patient Safety
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Prospective Studies
MH  - Risk Assessment
MH  - Sweden
AB  - OBJECTIVE: To identify, classify, and describe safety hazards during the process of intrahospital transport of critically ill patients.
AB  - DESIGN: A prospective observational study. Data from participant observations of the intrahospital transport process were collected over a period of 3 months.
AB  - SETTING: The study was undertaken at two ICUs in one university hospital.
AB  - PATIENTS: Critically ill patients transported within the hospital by critical care nurses, unlicensed nurses, and physicians.
AB  - INTERVENTIONS: None.
AB  - 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.
AB  - 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.
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0000000000002653
PT  - Journal Article
PT  - Observational Study
ID  - 10.1097/CCM.0000000000002653 [doi]
PP  - ppublish
LG  - English
DP  - 2017 Oct
EZ  - 2017/08/09 06:00
DA  - 2017/09/26 06:00
DT  - 2017/08/09 06:00
YR  - 2017
ED  - 20170925
RD  - 20170925
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28787292

<19. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28624030
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Siletz A
AU  - Jin K
AU  - Cohen M
AU  - Lewis C
AU  - Tillou A
AU  - Cryer HM
AU  - Cheaito A
FA  - Siletz, Anaar
FA  - Jin, Kexin
FA  - Cohen, Marilyn
FA  - Lewis, Catherine
FA  - Tillou, Areti
FA  - Cryer, Henry Magill
FA  - Cheaito, Ali
IN  - Siletz, Anaar. Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California. Electronic address: aeastoak-siletz@mednet.ucla.edu.
IN  - Jin, Kexin. Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California.
IN  - Cohen, Marilyn. Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
IN  - Lewis, Catherine. Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
IN  - Tillou, Areti. Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
IN  - Cryer, Henry Magill. Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
IN  - Cheaito, Ali. Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California. Electronic address: acheaito@mednet.ucla.edu.
TI  - Emergency department length of stay in critical nonoperative trauma.
SO  - Journal of Surgical Research. 214:102-108, 2017 Jun 15
AS  - J Surg Res. 214:102-108, 2017 Jun 15
NJ  - The Journal of surgical research
VO  - 214
PG  - 102-108
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - k7b, 0376340
IO  - J. Surg. Res.
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Critical Illness
MH  - Emergency Service, Hospital/og [Organization & Administration]
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Humans
MH  - Injury Severity Score
MH  - Intensive Care Units/og [Organization & Administration]
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Los Angeles
MH  - Male
MH  - Middle Aged
MH  - Outcome and Process Assessment (Health Care)
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Time Factors
MH  - Trauma Centers/og [Organization & Administration]
MH  - Trauma Centers/sn [Statistics & Numerical Data]
MH  - *Wounds and Injuries/th [Therapy]
MH  - Young Adult
KW  - Critical care;  Emergency department length of stay;  Trauma
AB  - BACKGROUND: Prolonged emergency department (ED) stays correlate with negative outcomes in critically ill nontrauma patients. This study sought to determine the effect of ED length of stay (LOS) on trauma patients.
AB  - MATERIALS AND METHODS: Two hundred forty-one trauma patients requiring direct intensive care unit (ICU) admission were identified. Patients requiring immediate operative intervention were excluded. Odds ratios (ORs) of outcomes for patients transferred to ICU in <=90 min were compared with patients transferred in >90 min, adjusting for Injury Severity Score (ISS).
AB  - RESULTS: One hundred two of 241 patients (42%) were transferred to the ICU in <=90 min. Increased ED LOS was associated with decreased complications (OR 0.545, 95% confidence interval 0.312-0.952). Although the result was not statistically significant, patients with an ISS >15 were less likely to have long ED stays (OR 0.725, 95% CI 0.407-1.290). No significant difference was seen in mortality. No difference in duration of intubation was observed for patients intubated in the ED versus the ICU. For the subgroup with ISS <=15, there was a significant decrease in ICU LOS for patients who remained in the ED >90 min (5.5 d versus 2.7 d, P = 0.02). No other differences in LOS were identified.
AB  - CONCLUSIONS: In a mature trauma center with standardized activation protocols and focused resource allocation in the ED trauma bay, trauma activation and subsequent management appear to mitigate the negative effects of prolonged ED LOS seen in other critically ill populations.

Copyright © 2017 Elsevier Inc. All rights reserved.
ES  - 1095-8673
IL  - 0022-4804
DI  - S0022-4804(17)30129-4
DO  - https://dx.doi.org/10.1016/j.jss.2017.02.079
PT  - Journal Article
ID  - S0022-4804(17)30129-4 [pii]
ID  - 10.1016/j.jss.2017.02.079 [doi]
PP  - ppublish
PH  - 2016/12/03 [received]
PH  - 2017/02/20 [revised]
PH  - 2017/02/28 [accepted]
LG  - English
EP  - 20170308
DP  - 2017 Jun 15
EZ  - 2017/06/19 06:00
DA  - 2017/09/20 06:00
DT  - 2017/06/19 06:00
YR  - 2017
ED  - 20170919
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28624030

<20. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27908737
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chartrain AG
AU  - Mocco J
FA  - Chartrain, Alexander G
FA  - Mocco, J
IN  - Chartrain, Alexander G. Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
IN  - Mocco, J. Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
TI  - Centralization of Intracerebral Hemorrhage Care.
SO  - World Neurosurgery. 97:716-717, 2017 Jan
AS  - World Neurosurg. 97:716-717, 2017 Jan
NJ  - World neurosurgery
VO  - 97
PG  - 716-717
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101528275
IO  - World Neurosurg
SB  - Index Medicus
CP  - United States
MH  - *Centralized Hospital Services
MH  - Cerebral Hemorrhage/mo [Mortality]
MH  - *Cerebral Hemorrhage/th [Therapy]
MH  - Clinical Competence
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units
MH  - Patient Care Team
MH  - *Patient Transfer
MH  - Practice Guidelines as Topic
MH  - Stroke/mo [Mortality]
MH  - *Stroke/th [Therapy]
MH  - Survival Analysis
MH  - Tertiary Care Centers
ES  - 1878-8769
IL  - 1878-8750
DI  - S1878-8750(16)31261-X
DO  - https://dx.doi.org/10.1016/j.wneu.2016.11.113
PT  - Journal Article
ID  - S1878-8750(16)31261-X [pii]
ID  - 10.1016/j.wneu.2016.11.113 [doi]
PP  - ppublish
LG  - English
EP  - 20161128
DP  - 2017 Jan
EZ  - 2016/12/03 06:00
DA  - 2017/09/14 06:00
DT  - 2016/12/03 06:00
YR  - 2017
ED  - 20170913
RD  - 20170913
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27908737

<21. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26724246
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vivo C
AU  - Galeiras R
AU  - del Caz MD
FA  - Vivo, C
FA  - Galeiras, R
FA  - del Caz, Ma D P
IN  - Vivo, C. Servicio de Anestesiologia y Reanimacion, Hospital Universitario y Politecnico La Fe, Valencia, Spain.
IN  - Galeiras, R. Servicio de Medicina Intensiva, Complejo Hospitalario Universitario de A Coruna (CHUAC), Instituto de Investigacion Biomedica de A Coruna (INIBIC), SERGAS, Universidade da Coruna (UDC), A Coruna, Spain. Electronic address: ritagaleiras@hotmail.es.
IN  - del Caz, Ma D P. Servicio de Cirugia Plastica, Hospital Universitario y Politecnico La Fe, Valencia, Spain.
TI  - Initial evaluation and management of the critical burn patient.
SO  - Medicina Intensiva. 40(1):49-59, 2016 Jan-Feb
AS  - MED. INTENSIVA. 40(1):49-59, 2016 Jan-Feb
NJ  - Medicina intensiva
VO  - 40
IP  - 1
PG  - 49-59
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9207689
IO  - Med Intensiva
SB  - Index Medicus
CP  - Spain
MH  - Burn Units
MH  - *Burns/th [Therapy]
MH  - *Critical Illness
MH  - *Fluid Therapy
MH  - Hospitalization
MH  - Humans
MH  - Intubation
MH  - Pain Management
MH  - Shock
MH  - Transportation of Patients
KW  - Burns;  Inhalation injury;  Initial management;  Manejo inicial;  Quemaduras;  Sindrome de inhalacion
AB  - The major improvement in burn therapy is likely to focus on the early management of hemodynamic and respiratory failures in combination with an aggressive and early surgical excision and skin grafting for full-thickness burns. Immediate burn care by first care providers is important and can vastly alter outcomes, and it can significantly limit burn progression and depth. The goal of prehospital care should be to cease the burning process as well as prevent future complications and secondary injuries for burn shock. Identifying burn patients appropriate for immediate or subacute transfer is an important step in reducing morbidity and mortality. Delays in transport to Burn Unit should be minimized. The emergency management follows the principles of the Advanced Trauma Life Support Guidelines for assessment and stabilization of airway, breathing, circulation, disability, exposure and environment control. All patients with suspected inhalation injury must be removed from the enclosure as soon as possible, and immediately administer high-flow oxygen. Any patient with stridor, shortness of breath, facial burns, singed nasal hairs, cough, soot in the oral cavity, and history of being in a fire in an enclosed space should be strongly considered for early intubation. Fibroscopy may also be useful if airway damage is suspected and to assess known lung damage. Secondary evaluation following admission to the Burn Unit of a burned patient suffering a severe thermal injury includes continuation of respiratory support and management and treatment of inhalation injury, fluid resuscitation and cardiovascular stabilization, pain control and management of burn wound. 

Copyright © 2015 Elsevier Espana, S.L.U. and SEMICYUC. All rights reserved.
ES  - 1578-6749
IL  - 0210-5691
DI  - S0210-5691(15)00256-9
DO  - https://dx.doi.org/10.1016/j.medin.2015.11.010
PT  - Journal Article
ID  - S0210-5691(15)00256-9 [pii]
ID  - 10.1016/j.medin.2015.11.010 [doi]
PP  - ppublish
PH  - 2015/09/22 [received]
PH  - 2015/11/21 [revised]
PH  - 2015/11/25 [accepted]
LG  - English
EP  - 20151224
DP  - 2016 Jan-Feb
EZ  - 2016/01/03 06:00
DA  - 2017/09/13 06:00
DT  - 2016/01/03 06:00
YR  - 2016
ED  - 20170912
RD  - 20170912
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26724246

<22. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28410917
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Khojah I
AU  - Li S
AU  - Luo Q
AU  - Davis G
AU  - Galarraga JE
AU  - Granovsky M
AU  - Litvak O
AU  - Davis S
AU  - Shesser R
AU  - Pines JM
FA  - Khojah, Imad
FA  - Li, Suhui
FA  - Luo, Qian
FA  - Davis, Griffin
FA  - Galarraga, Jessica E
FA  - Granovsky, Michael
FA  - Litvak, Ori
FA  - Davis, Samuel
FA  - Shesser, Robert
FA  - Pines, Jesse M
IN  - Khojah, Imad. Department of Emergency, Faculty of medicine, King Abdul Aziz University, Jeddah, Saudi Arabia; Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
IN  - Li, Suhui. Mathematica Policy Research, Princeton, NJ, United States.
IN  - Luo, Qian. Department of Health Policy & Management, Milken Institute School of Public Health, George Washington University, Washington, DC, United States.
IN  - Davis, Griffin. Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
IN  - Galarraga, Jessica E. Department of Emergency Medicine, Medstar Washington Hospital Center, Georgetown University School of Medicine, Washington, DC, United States.
IN  - Granovsky, Michael. Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States; LogixHealth, Inc., Bedford, MA, United States.
IN  - Litvak, Ori. LogixHealth, Inc., Bedford, MA, United States.
IN  - Davis, Samuel. LogixHealth, Inc., Bedford, MA, United States.
IN  - Shesser, Robert. Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
IN  - Pines, Jesse M. Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States; Department of Health Policy & Management, Milken Institute School of Public Health, George Washington University, Washington, DC, United States. Electronic address: pinesj@gwu.edu.
TI  - The relative contribution of provider and ED-level factors to variation among the top 15 reasons for ED admission.
SO  - American Journal of Emergency Medicine. 35(9):1291-1297, 2017 Sep
AS  - Am J Emerg Med. 35(9):1291-1297, 2017 Sep
NJ  - The American journal of emergency medicine
VO  - 35
IP  - 9
PG  - 1291-1297
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - aa2, 8309942
IO  - Am J Emerg Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Cross-Sectional Studies
MH  - *Emergencies/ep [Epidemiology]
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Fractures, Bone/ep [Epidemiology]
MH  - Health Resources
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Skin Diseases, Infectious/ep [Epidemiology]
MH  - United States
MH  - Wounds and Injuries/ep [Epidemiology]
MH  - Young Adult
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.
AB  - 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.
AB  - 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.
AB  - 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.

Copyright © 2017 Elsevier Inc. All rights reserved.
ES  - 1532-8171
IL  - 0735-6757
DI  - S0735-6757(17)30261-9
DO  - https://dx.doi.org/10.1016/j.ajem.2017.03.074
PT  - Journal Article
PT  - Multicenter Study
ID  - S0735-6757(17)30261-9 [pii]
ID  - 10.1016/j.ajem.2017.03.074 [doi]
PP  - ppublish
PH  - 2016/09/14 [received]
PH  - 2017/02/28 [revised]
PH  - 2017/03/30 [accepted]
LG  - English
EP  - 20170406
DP  - 2017 Sep
EZ  - 2017/04/16 06:00
DA  - 2017/09/08 06:00
DT  - 2017/04/16 06:00
YR  - 2017
ED  - 20170907
RD  - 20170907
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28410917

<23. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28278217
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sellam A
AU  - Lode N
AU  - Ayachi A
AU  - Jourdain G
AU  - Dauger S
AU  - Jones P
FA  - Sellam, Aurelie
FA  - Lode, Noella
FA  - Ayachi, Azzedine
FA  - Jourdain, Gilles
FA  - Dauger, Stephane
FA  - Jones, Peter
IN  - Sellam, Aurelie. SMUR Pediatrique, AP-HP, Hopital Robert Debre, Paris, France.
IN  - Lode, Noella. SMUR Pediatrique, AP-HP, Hopital Robert Debre, Paris, France.
IN  - Ayachi, Azzedine. SMUR Pediatrique, AP-HP, Hopital Andre Gregoire, Montreuil-sous-Bois, France.
IN  - Jourdain, Gilles. SMUR Pediatrique, AP-HP, Hopital Clamart, France.
IN  - Dauger, Stephane. Reanimation Pediatrique (PICU), Hopital Robert Debre, Paris, France.
IN  - Jones, Peter. SMUR Pediatrique, AP-HP, Hopital Robert Debre, Paris, France.
IN  - Jones, Peter. Reanimation Pediatrique (PICU), Hopital Robert Debre, Paris, France.
IN  - Jones, Peter. Portex Unit, Critical Care Group - Portex Unit, Institute of Child Health, University College London, London, United Kingdom.
IN  - Jones, Peter. London School of Hygiene and Tropical Medicine, London, United Kingdom.
TI  - Passive hypothermia (>=35 - <36degreeC) during transport of newborns with hypoxic-ischaemic encephalopathy.[Erratum appears in PLoS One. 2017 May 31;12 (5):e0179068; PMID: 28562652]
SO  - PLoS ONE [Electronic Resource]. 12(3):e0170100, 2017
AS  - PLoS ONE. 12(3):e0170100, 2017
NJ  - PloS one
VO  - 12
IP  - 3
PG  - e0170100
PI  - Journal available in: Electronic-eCollection
PI  - Citation processed from: Internet
JC  - 101285081
IO  - PLoS ONE
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Female
MH  - Humans
MH  - *Hypothermia
MH  - *Hypoxia-Ischemia, Brain/pp [Physiopathology]
MH  - Infant
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Intensive Care Units, Neonatal
MH  - Male
MH  - Patient Transfer
MH  - Prospective Studies
MH  - Temperature
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
AB  - BACKGROUND: Hypothermia initiated in the first six hours of life in term infants with hypoxic ischemic encephalopathy reduces the risk of death and severe neurological sequelae. Our study's principal objective was to evaluate transport predictors potentially influencing arrival in NICU (Neonatal Intensive Care Unit) at a temperature >=35-<36degreeC.
AB  - METHODOLOGY/PRINCIPAL FINDINGS: A multi-centric, prospective cohort study was conducted during 18 months by the three Neonatal Transport Teams and 13 NICUs. Newborns were selected for inclusion according to biological and clinical criteria before transport using passive hypothermia using a target temperature of >=35-<36degreeC. Data on 120 of 126 inclusions were available for analysis. Thirty-three percent of the children arrived in NICU with the target temperature of >=35-<36degreeC. The mean temperature for the whole group of infants on arrival in NICU was 35.4degreeC (34.3-36.5). The median age of all infants on arrival in NICU was 3h03min [2h25min-3h56min]. Three infants arrived in NICU with a temperature of <33degreeC and eleven with a temperature >=37degreeC. Adrenaline during resuscitation was associated with a lower mean temperature on arrival in NICU.
AB  - CONCLUSIONS/SIGNIFICANCE: Our strategy using >=35-<36degreeC passive hypothermia combined with short transport times had little effect on temperature after the arrival of Neonatal Transport Team although did reduce numbers of infants arriving in NICU in deep hypothermia. For those infants where hypothermia was discontinued in NICU our strategy facilitated re-warming. Re-adjustment to a lower target temperature to >=34.5-<35.5degreeC may reduce the proportion of infants with high/normothermic temperatures.
ES  - 1932-6203
IL  - 1932-6203
DO  - https://dx.doi.org/10.1371/journal.pone.0170100
PT  - Journal Article
ID  - 10.1371/journal.pone.0170100 [doi]
ID  - PONE-D-16-07657 [pii]
ID  - PMC5344310 [pmc]
PP  - epublish
PH  - 2016/02/22 [received]
PH  - 2016/12/29 [accepted]
LG  - English
EP  - 20170309
DP  - 2017
EZ  - 2017/03/10 06:00
DA  - 2017/09/07 06:00
DT  - 2017/03/10 06:00
YR  - 2017
ED  - 20170906
RD  - 20170906
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28278217

<24. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27196861
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Merbitz NH
AU  - Westie K
AU  - Dammeyer JA
AU  - Butt L
AU  - Schneider J
FA  - Merbitz, Nancy Hansen
FA  - Westie, Katharine
FA  - Dammeyer, Jennifer A
FA  - Butt, Lester
FA  - Schneider, Jessica
IN  - Merbitz, Nancy Hansen. Department of Physical Medicine and Rehabilitaiton, University of Michigan.
IN  - Westie, Katharine. Private Practice.
IN  - Dammeyer, Jennifer A. University of Michigan Health System.
IN  - Butt, Lester. Craig Hospital.
IN  - Schneider, Jessica. Department of Physical Medicine and Rehabilitation, University of Michigan.
TI  - After critical care: Challenges in the transition to inpatient rehabilitation. [Review]
SO  - Rehabilitation Psychology. 61(2):186-200, 2016 May
AS  - Rehabil Psychol. 61(2):186-200, 2016 May
NJ  - Rehabilitation psychology
VO  - 61
IP  - 2
PG  - 186-200
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0365337
IO  - Rehabil Psychol
SB  - Index Medicus
CP  - United States
MH  - *Adaptation, Psychological
MH  - Adjustment Disorders/px [Psychology]
MH  - Adjustment Disorders/rh [Rehabilitation]
MH  - Cognition Disorders/px [Psychology]
MH  - Cognition Disorders/rh [Rehabilitation]
MH  - *Critical Care/px [Psychology]
MH  - *Critical Illness/px [Psychology]
MH  - *Critical Illness/rh [Rehabilitation]
MH  - Guideline Adherence
MH  - Patient Readmission
MH  - *Patient Transfer
MH  - *Rehabilitation Centers
MH  - *Stress Disorders, Post-Traumatic/px [Psychology]
MH  - *Stress Disorders, Post-Traumatic/rh [Rehabilitation]
MH  - *Survivors/px [Psychology]
AB  - PURPOSE/OBJECTIVE: The aftermath of treatment for critical illness and/or critical injury in the intensive care unit (ICU) often includes persisting cognitive and emotional morbidities as well as severe physical deconditioning (a constellation termed post-intensive care syndrome, or PICS), but most patients do not receive psychological services before they enter the inpatient rehabilitation facility (IRF). Although a burgeoning literature guides the efforts of critical care providers to reduce risk factors for PICS - for example, reducing the use of sedatives and enacting early mobilization, there is need for a corresponding awareness among IRF psychologists and other providers that the post-ICU patient often arrives in a state of significantly reduced capacity, with persisting cognitive impairments and acute psychological distress. Many are at risk for long-term complications of posttraumatic stress disorder, general anxiety and/or clinical depression, and assuredly all have experienced a profound life disruption. This paper offers a multilevel perspective on the adaptation of post-ICU patients during inpatient rehabilitation, with discussion of the psychologist's role in education and intervention.
AB  - RESEARCH METHOD/DESIGN: Clinical review paper.
AB  - RESULTS: NA.
AB  - CONCLUSIONS: To optimize response to rehabilitation, it is important to understand the behavior of post-ICU patients within a full biopsychosocial context including debility, cognitive and emotional impairment, disruption of role identities, and environmental factors. The psychologist can provide education about predictable barriers to participation for the post-ICU patient, and guide individual, family and team interventions to ameliorate those barriers. (PsycINFO Database Record

Copyright (c) 2016 APA, all rights reserved).
ES  - 1939-1544
IL  - 0090-5550
DO  - https://dx.doi.org/10.1037/rep0000072
PT  - Journal Article
PT  - Review
PT  - Webcasts
ID  - 2016-23955-008 [pii]
ID  - 10.1037/rep0000072 [doi]
PP  - ppublish
LG  - English
DP  - 2016 May
EZ  - 2016/05/20 06:00
DA  - 2017/08/18 06:00
DT  - 2016/05/20 06:00
YR  - 2016
ED  - 20170817
RD  - 20170817
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27196861

<25. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28198723
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Barry ME
AU  - Hochman BR
AU  - Lane-Fall MB
AU  - Zappile D
AU  - Holena DN
AU  - Smith BP
AU  - Kaplan LJ
AU  - Huffenberger A
AU  - Reilly PM
AU  - Pascual JL
FA  - Barry, Mark E
FA  - Hochman, Beth R
FA  - Lane-Fall, Meghan B
FA  - Zappile, Denise
FA  - Holena, Daniel N
FA  - Smith, Brian P
FA  - Kaplan, Lewis J
FA  - Huffenberger, Ann
FA  - Reilly, Patrick M
FA  - Pascual, Jose L
IN  - Barry, Mark E. M.E. Barry is a medical student, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. B.R. Hochman is assistant professor, Division of Acute Care Surgery, Department of Surgery, NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, New York. M.B. Lane-Fall is assistant professor, Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, and senior fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania. D. Zappile is acute care nurse practitioner, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. D.N. Holena is assistant professor, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, and senior fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania. B.P. Smith is assistant professor, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. L.J. Kaplan is associate professor, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. A. Huffenberger is director of operations, Penn E-lert Telemedicine Program, University of Pennsylvania Health System, Philadelphia, Pennsylvania. P.M. Reilly is chief and professor, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. J.L. Pascual is associate professor, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
TI  - Leveraging Telemedicine Infrastructure to Monitor Quality of Operating Room to Intensive Care Unit Handoffs.
SO  - Academic Medicine. 92(7):1035-1042, 2017 Jul
AS  - Acad Med. 92(7):1035-1042, 2017 Jul
NJ  - Academic medicine : journal of the Association of American Medical Colleges
VO  - 92
IP  - 7
PG  - 1035-1042
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - acm, 8904605
IO  - Acad Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - *Operating Rooms/st [Standards]
MH  - *Patient Handoff/st [Standards]
MH  - *Patient Transfer/st [Standards]
MH  - Pennsylvania
MH  - Prospective Studies
MH  - *Quality of Health Care/st [Standards]
MH  - *Telemedicine
MH  - Time Factors
MH  - *Video Recording
AB  - PURPOSE: To analyze in-room video recordings of operating room (OR) to intensive care unit (ICU) handoffs to determine tempo and quality of team interactions on nights and weekends compared with weekdays, and to demonstrate how existing telemedicine technology can be used to evaluate handoffs.
AB  - METHOD: This prospective observational study of OR-to-ICU bedside handoffs was conducted in the surgical ICU of the Hospital of the University of Pennsylvania in July 2014-January 2015. Handoff video recordings were obtained for quality improvement purposes using existing telemedicine cameras. Evaluators used adapted validated in-person assessment measures to analyze basic characteristics and quality measures (timing, report types, report duration, presence of physical exam, teamwork skills, engagement, report delivery skills, listening skills, interruptions, unprofessional comments or actions).
AB  - RESULTS: Sixteen weekday and 16 night and weekend handoffs were compared. There were no significant differences in basic characteristics. Most quality measures were similar on weekdays compared with nights and weekends. Surgeons demonstrated better report delivery skills and engagement on nights and weekends (P = .002 and P = .04, respectively), whereas OR anesthesiologists' scores were similar during both time frames.
AB  - CONCLUSIONS: This study presents a novel approach of assessing handoff quality in OR-to-ICU handoffs using an existing telemedicine infrastructure. Using this approach, quality measures of night and weekend handoffs were found to be no worse-and sometimes better-than those during weekdays. Video analysis may emerge as an ideal unobtrusive quality improvement methodology to monitor handoffs and improve education and compliance with institutional handoff policies.
ES  - 1938-808X
IL  - 1040-2446
DO  - https://dx.doi.org/10.1097/ACM.0000000000001590
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/ACM.0000000000001590 [doi]
PP  - ppublish
LG  - English
DP  - 2017 Jul
EZ  - 2017/02/16 06:00
DA  - 2017/08/08 06:00
DT  - 2017/02/16 06:00
YR  - 2017
ED  - 20170807
RD  - 20170807
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28198723

<26. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28324982
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Karmakar C
AU  - Saha B
AU  - Palaniswami M
AU  - Venkatesh S
FA  - Karmakar, Chandan
FA  - Saha, Budhaditya
FA  - Palaniswami, Marimuthu
FA  - Venkatesh, Svetha
TI  - Multi-task transfer learning for in-hospital-death prediction of ICU patients.
SO  - Conference Proceedings: ... Annual International Conference of the IEEE Engineering in Medicine & Biology Society. 2016:3321-3324, 2016 08
AS  - Conf Proc IEEE Eng Med Biol Soc. 2016:3321-3324, 2016 08
NJ  - Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference
VO  - 2016
PG  - 3321-3324
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101243413
IO  - Conf Proc IEEE Eng Med Biol Soc
SB  - Index Medicus
CP  - United States
MH  - Critical Care/mt [Methods]
MH  - Databases, Factual
MH  - Decision Support Techniques
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units
MH  - Length of Stay
MH  - *Models, Theoretical
AB  - Multi-Task Transfer Learning (MTTL) is an efficient approach for learning from inter-related tasks with small sample size and imbalanced class distribution. Since the intensive care unit (ICU) data set (publicly available in Physionet) has subjects from four different ICU types, we hypothesize that there is an underlying relatedness amongst various ICU types. Therefore, this study aims to explore MTTL model for in-hospital mortality prediction of ICU patients. We used single-task learning (STL) approach on the augmented data as well as individual ICU data and compared the performance with the proposed MTTL model. As a performance measurement metrics, we used sensitivity (Sens), positive predictivity (+Pred), and Score. MTTL with class balancing showed the best performance with score of 0.78, 0.73, o.52 and 0.63 for ICU type 1 (Coronary care unit), 2 (Cardiac surgery unit), 3 (Medical ICU) and 4 (Surgical ICU) respectively. In contrast the maximum score obtained using STL approach was 0.40 for ICU type 1 & 2. These results indicates that the performance of in-hospital mortality can be improved using ICU type information and by balancing the `non-survivor' class. The findings of the study may be useful for quantifying the quality of ICU care, managing ICU resources and selecting appropriate interventions.
IS  - 1557-170X
IL  - 1557-170X
DO  - https://dx.doi.org/10.1109/EMBC.2016.7591438
PT  - Journal Article
ID  - 10.1109/EMBC.2016.7591438 [doi]
PP  - ppublish
LG  - English
DP  - 2016 08
EZ  - 2016/01/01 00:00
DA  - 2017/08/02 06:00
DT  - 2017/03/23 06:00
YR  - 2016
ED  - 20170731
RD  - 20171121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28324982

<27. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25573190
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fernandez R
AU  - Clinical Management Working Group of the Societat Catalana de Medicina Intensiva i Critica
FA  - Fernandez, R
FA  - Clinical Management Working Group of the Societat Catalana de Medicina Intensiva i Critica
IN  - Fernandez, R. Servicio de Medicina Intensiva, Hospital Sant Joan de Deu, Fundacio Althaia, CIBERES, Universitat Internacional de Catalunya, Manresa, Espana. Electronic address: rfernandezf@althaia.cat.
IR  - Nicolas JM
IR  - Zavala E
IR  - Mercadal J
IR  - Klamburg J
IR  - Sirvent JM
IR  - Bodi F
IR  - Bodi MA
IR  - Magret M
IR  - Lopera JL
IR  - Mancebo J
IR  - Baigorri F
IR  - Barbadillo S
IR  - Rodriguez A
IR  - Asmarats L
IR  - Cabre L
IR  - Solsona JF
IR  - Yebenes JC
IR  - Garro P
IR  - Amador J
IR  - Casanovas M
IR  - Masdeu G
IR  - Masip J
IR  - Artigas A
IR  - Goma G
IR  - Falip J
IR  - Fernandez R
IR  - Valencia M
IR  - Ferrer R
IR  - Vallverdu I
IR  - Cambray C
IR  - Triginer C
IR  - Masip J
IR  - Ruiz J
IR  - Diaz Boladera RM
IR  - Garcia D
IR  - Fernandez F
IR  - Farre T
IR  - Barbera C
TI  - Occupancy of the Departments of Intensive Care Medicine in Catalonia (Spain): A prospective, analytical cohort study.
SO  - Medicina Intensiva. 39(9):537-42, 2015 Dec
AS  - MED. INTENSIVA. 39(9):537-42, 2015 Dec
NJ  - Medicina intensiva
VO  - 39
IP  - 9
PG  - 537-42
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9207689
IO  - Med Intensiva
SB  - Index Medicus
CP  - Spain
MH  - *Bed Occupancy
MH  - Humans
MH  - *Intensive Care Units/ut [Utilization]
MH  - Patient Transfer/ut [Utilization]
MH  - Prospective Studies
MH  - Spain
MH  - Time Factors
KW  - Benchmarking;  Clinical management;  Gestion clinica;  Hospital management;  Hospital occupancy;  Ocupacion hospitalaria;  Organizacion hospitalaria
AB  - BACKGROUND: Before deciding increases in the number or capacitance of Intensive Care Units (ICUs), or the regionalization of Units, it is essential to know their present effectiveness.
AB  - OBJECTIVE: To analyze the daily occupancy rate of ICUs in Catalonia (Spain) and the frequency of denied admission due to lack of capacity.
AB  - DESIGN: A prospective, observational multicenter study was carried out.
AB  - PARTICIPANTS: A total of 35 out of 40 ICUs of Catalonia (87%).
AB  - INTERVENTIONS: Daily registry.
AB  - VARIABLES OF INTEREST: Open beds and free beds, patients not discharged due to unavailability of ward beds, critically ill patients not admitted due to a lack of ICU beds, and rate of transfer to other ICUs.
AB  - STATISTICAL ANALYSIS: A descriptive cohort analysis was made.
AB  - RESULTS: Daily averages were 383 open ICU beds, 58 available beds (15%), and 16 patients not discharged due to unavailability of ward beds. Each day 6 patients on average were not admitted due to a lack of ICU beds, and one of them (16%) was transferred to another ICU. The mean occupancy rate was 83+/-19%, and a 100% occupancy rate was reported in 35% of the registries. A subanalysis of the 24 public hospitals demonstrated slightly higher occupancy (87+/-16%), with a 100% occupancy rate reported in 38% of the registries.
AB  - CONCLUSIONS: The mean occupancy rate of Catalonian ICUs may appear correct, but in some Units over-occupancy very often precludes early ICU treatment and even ICU admission for a significant number of critically ill patients.

Copyright © 2014 Elsevier Espana, S.L.U. and SEMICYUC. All rights reserved.
ES  - 1578-6749
IL  - 0210-5691
DI  - S0210-5691(14)00256-3
DO  - https://dx.doi.org/10.1016/j.medin.2014.11.002
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
ID  - S0210-5691(14)00256-3 [pii]
ID  - 10.1016/j.medin.2014.11.002 [doi]
PP  - ppublish
PH  - 2014/09/23 [received]
PH  - 2014/11/10 [revised]
PH  - 2014/11/11 [accepted]
LG  - English
LG  - Spanish
EP  - 20150105
DP  - 2015 Dec
EZ  - 2015/01/13 06:00
DA  - 2017/07/29 06:00
DT  - 2015/01/10 06:00
YR  - 2015
ED  - 20170728
RD  - 20170728
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25573190

<28. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27124251
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kim DB
AU  - Lim G
AU  - Oh KW
FA  - Kim, Dong Bin
FA  - Lim, Gina
FA  - Oh, Ki Won
IN  - Kim, Dong Bin. a Department of Pediatrics , Ulsan University Hospital, University of Ulsan College of Medicine , Ulsan , South Korea.
IN  - Lim, Gina. a Department of Pediatrics , Ulsan University Hospital, University of Ulsan College of Medicine , Ulsan , South Korea.
IN  - Oh, Ki Won. a Department of Pediatrics , Ulsan University Hospital, University of Ulsan College of Medicine , Ulsan , South Korea.
TI  - Determination of reference range of gamma glutamyl transferase in the neonatal intensive care unit.
SO  - Journal of Maternal-Fetal & Neonatal Medicine. 30(6):670-672, 2017 Mar
AS  - J Matern Fetal Neonatal Med. 30(6):670-672, 2017 Mar
NJ  - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
VO  - 30
IP  - 6
PG  - 670-672
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101136916
IO  - J. Matern. Fetal. Neonatal. Med.
SB  - Index Medicus
CP  - England
MH  - Adult
MH  - Female
MH  - *Gestational Age
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature/bl [Blood]
MH  - Intensive Care Units, Neonatal
MH  - *Liver/en [Enzymology]
MH  - Liver Function Tests
MH  - Male
MH  - Reference Values
MH  - Retrospective Studies
MH  - Sex Factors
MH  - *gamma-Glutamyltransferase/bl [Blood]
KW  - Cholestasis;  gestational age;  preterm infants;  sex
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).
AB  - 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.
AB  - RESULTS: We analyzed early GGT values in 2091 neonates. The average reference value in neonates (156.7+/-98.2IU/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.
AB  - CONCLUSIONS: Early GGT levels were much higher in neonates, especially preterm infants with GA of 31-35 weeks.
RN  - EC 2-3-2-2 (gamma-Glutamyltransferase)
ES  - 1476-4954
IL  - 1476-4954
DO  - https://dx.doi.org/10.1080/14767058.2016.1182974
PT  - Journal Article
ID  - 10.1080/14767058.2016.1182974 [doi]
PP  - ppublish
LG  - English
EP  - 20160520
DP  - 2017 Mar
EZ  - 2016/04/29 06:00
DA  - 2017/07/21 06:00
DT  - 2016/04/29 06:00
YR  - 2017
ED  - 20170720
RD  - 20170720
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27124251

<29. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27894556
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Reichert RJ
AU  - Gothard MD
AU  - Schwartz HP
AU  - Bigham MT
FA  - Reichert, Ryan J
FA  - Gothard, M David
FA  - Schwartz, Hamilton P
FA  - Bigham, Michael T
IN  - Reichert, Ryan J. Pediatric Resident, Akron Children's Hospital, Akron, OH.
IN  - Gothard, M David. Statitician, BIOSTATS, Inc, East Canton, OH.
IN  - Schwartz, Hamilton P. Associate Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
IN  - Bigham, Michael T. Associate Professor, Akron Children's Hospital, Akron, OH. Electronic address: mbigham@chmca.org.
TI  - Benchmarking Pain Assessment Rate in Critical Care Transport.
SO  - Air Medical Journal. 35(6):344-347, 2016 Nov - Dec
AS  - Air Med J. 35(6):344-347, 2016 Nov - Dec
NJ  - Air medical journal
VO  - 35
IP  - 6
PG  - 344-347
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - *Benchmarking
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/st [Standards]
MH  - Databases, Factual
MH  - *Documentation/st [Standards]
MH  - *Emergency Medical Services/st [Standards]
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - *Pain Measurement/st [Standards]
MH  - *Transportation of Patients/st [Standards]
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.

Copyright A© 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(16)30088-8
DO  - https://dx.doi.org/10.1016/j.amj.2016.07.001
PT  - Journal Article
ID  - S1067-991X(16)30088-8 [pii]
ID  - 10.1016/j.amj.2016.07.001 [doi]
PP  - ppublish
PH  - 2016/05/23 [received]
PH  - 2016/07/16 [accepted]
LG  - English
EP  - 20161025
DP  - 2016 Nov - Dec
EZ  - 2016/11/30 06:00
DA  - 2017/07/19 06:00
DT  - 2016/11/30 06:00
YR  - 2016
ED  - 20170718
RD  - 20170817
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27894556

<30. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27465464
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Boykova M
FA  - Boykova, Marina
IN  - Boykova, Marina. The Council of International Neonatal Nurses (COINN), Yardley, Pennsylvania.
TI  - Transition From Hospital to Home in Preterm Infants and Their Families.
SO  - Journal of Perinatal & Neonatal Nursing. 30(3):270-2, 2016 Jul-Sep
AS  - J Perinat Neonatal Nurs. 30(3):270-2, 2016 Jul-Sep
NJ  - The Journal of perinatal & neonatal nursing
VO  - 30
IP  - 3
PG  - 270-2
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jpn, 8801387
IO  - J Perinat Neonatal Nurs
SB  - Nursing Journal
CP  - United States
MH  - Female
MH  - Humans
MH  - Infant Care/mt [Methods]
MH  - Infant Care/px [Psychology]
MH  - *Infant Care
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Male
MH  - Needs Assessment
MH  - Parents/ed [Education]
MH  - Parents/px [Psychology]
MH  - *Parents
MH  - *Patient Discharge/st [Standards]
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - *Patient Transfer
AB  - When the day of discharge from a neonatal intensive care unit (NICU) comes for the parents of newborn infants, they are filled with long-awaited joy and happiness. They go home feeling as parents, away from scheduled routines of the hospital, monitor alarms, clinical rounds, numerous tests, and so on. What do we know about what happens after these little patients and their families leave the NICU? What happens from the point of leaving the hospital until when things get settled and life becomes perceived as normal? This article presents a short summary of research conducted with the vulnerable population of high-risk and preterm infants and their families postdischarge. Available evidence suggests that transition to home after hospital discharge, a phenomenon that many families experience, is challenging and requires attention from clinicians and researchers if we are to provide effective, efficient, and high-quality care.
ES  - 1550-5073
IL  - 0893-2190
DO  - https://dx.doi.org/10.1097/JPN.0000000000000198
PT  - Journal Article
ID  - 10.1097/JPN.0000000000000198 [doi]
ID  - 00005237-201607000-00025 [pii]
PP  - ppublish
LG  - English
DP  - 2016 Jul-Sep
EZ  - 2016/07/29 06:00
DA  - 2017/07/18 06:00
DT  - 2016/07/29 06:00
YR  - 2016
ED  - 20170717
RD  - 20170717
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27465464

<31. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28187837
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schneider LW
AU  - Crenshaw JT
AU  - Gilder RE
FA  - Schneider, Lindsay W
FA  - Crenshaw, Jeannette T
FA  - Gilder, Richard E
TI  - Influence of Immediate Skin-to-Skin Contact During Cesarean Surgery on Rate of Transfer of Newborns to NICU for Observation. [Review]
SO  - Nursing for Women's Health. 21(1):28-33, 2017 Feb - Mar
AS  - Nurs Womens Health. 21(1):28-33, 2017 Feb - Mar
NJ  - Nursing for women's health
VO  - 21
IP  - 1
PG  - 28-33
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101304602
IO  - Nurs Womens Health
SB  - Nursing Journal
CP  - United States
MH  - Adult
MH  - Cesarean Section/nu [Nursing]
MH  - *Cesarean Section/px [Psychology]
MH  - Evidence-Based Nursing/mt [Methods]
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Mother-Child Relations
MH  - Pregnancy
MH  - Retrospective Studies
MH  - *Touch
KW  - NICU observations;  cesarean;  cesarean surgery;  evidence-based practice;  skin-to-skin contact
AB  - 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 chi<sup>2</sup> = 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.

Copyright © 2017 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
ES  - 1751-486X
IL  - 1751-4851
DI  - S1751-4851(16)30341-5
DO  - https://dx.doi.org/10.1016/j.nwh.2016.12.008
PT  - Journal Article
PT  - Review
ID  - S1751-4851(16)30341-5 [pii]
ID  - 10.1016/j.nwh.2016.12.008 [doi]
PP  - ppublish
PH  - 2016/05/11 [received]
PH  - 2016/09/29 [revised]
LG  - English
DP  - 2017 Feb - Mar
EZ  - 2017/02/12 06:00
DA  - 2017/06/29 06:00
DT  - 2017/02/12 06:00
YR  - 2017
ED  - 20170628
RD  - 20170628
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28187837

<32. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28165792
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lodwick G
AU  - Edwards L
FA  - Lodwick, Gareth
FA  - Edwards, Linda
IN  - Lodwick, Gareth. Clinical Fellow, Paediatric Intensive Care Department, Birmingham Children's Hospital, Birmingham B4 6NH.
IN  - Edwards, Linda. Consultant, Paediatric Intensive Care Department, Birmingham Children's Hospital, Birmingham.
TI  - Paediatric retrieval services: is it better to 'stay and play' or 'scoop and run'?.
SO  - British Journal of Hospital Medicine. 78(2):118, 2017 Feb 02
AS  - Br J Hosp Med (Lond). 78(2):118, 2017 Feb 02
NJ  - British journal of hospital medicine (London, England : 2005)
VO  - 78
IP  - 2
PG  - 118
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101257109
IO  - Br J Hosp Med (Lond)
SB  - Index Medicus
CP  - England
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Models, Organizational
MH  - *Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer
MH  - *Point-of-Care Systems
MH  - United Kingdom
IS  - 1750-8460
IL  - 1750-8460
DO  - https://dx.doi.org/10.12968/hmed.2017.78.2.118
PT  - Journal Article
ID  - 10.12968/hmed.2017.78.2.118 [doi]
PP  - ppublish
LG  - English
DP  - 2017 Feb 02
EZ  - 2017/02/07 06:00
DA  - 2017/06/20 06:00
DT  - 2017/02/07 06:00
YR  - 2017
ED  - 20170619
RD  - 20170619
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28165792

<33. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27535085
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Halvorson S
AU  - Wheeler B
AU  - Willis M
AU  - Watters J
AU  - Eastman J
AU  - O'Donnell R
AU  - Merkel M
FA  - Halvorson, Stephanie
FA  - Wheeler, Brian
FA  - Willis, Marge
FA  - Watters, Jennifer
FA  - Eastman, Jamie
FA  - O'Donnell, Randy
FA  - Merkel, Matthias
IN  - Halvorson, Stephanie. Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, USA.
IN  - Wheeler, Brian. Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, USA.
IN  - Willis, Marge. Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, USA.
IN  - Watters, Jennifer. Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, USA.
IN  - Watters, Jennifer. Department of Surgery at Oregon Health & Science University, 3303 SW Bond Ave, Portland, OR, USA.
IN  - Eastman, Jamie. Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, USA.
IN  - O'Donnell, Randy. Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, USA.
IN  - Merkel, Matthias. Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, USA.
IN  - Merkel, Matthias. Department of Anesthesiology and Perioperative Medicine at Oregon Health & Science University, 3181 S.W.Sam Jackson Park Road, Portland, OR, USA.
TI  - A multidisciplinary initiative to standardize intensive care to acute care transitions.
SO  - International Journal for Quality in Health Care. 28(5):615-625, 2016 Oct
AS  - Int J Qual Health Care. 28(5):615-625, 2016 Oct
NJ  - International journal for quality in health care : journal of the International Society for Quality in Health Care
VO  - 28
IP  - 5
PG  - 615-625
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - b2z, 9434628
IO  - Int J Qual Health Care
SB  - Index Medicus
CP  - England
MH  - Checklist
MH  - *Critical Care
MH  - Humans
MH  - *Interdisciplinary Communication
MH  - Organizational Culture
MH  - Patient Safety
MH  - *Patient Transfer/st [Standards]
MH  - Total Quality Management
KW  - checklist;  lean management;  process mapping;  quality improvement;  safety culture
AB  - QUALITY ISSUE: Transfers from intensive care units to acute care units represent a complex care transition for hospitalized patients. Within our institution, variation in transfer practices resulted in unpredictable processes in which patient safety concerns were raised.
AB  - INITIAL ASSESSMENT: Key stakeholders were engaged across the institution. Patient safety ('incident') reports and a staff survey identified safety concerns.
AB  - CHOICE OF A SOLUTION: Using lean methodology, current transfer processes were mapped for the four adult intensive care units and waste was identified. During a summit of key stakeholders an ideal transfer process was conceived and a structured handoff tool (checklist) was developed. A daily management system (DMS) was implemented to monitor adherence.
AB  - EVALUATION: The primary process outcome was adherence to the standardized workflow. Audits at 4, 8, and 12 months after implementation indicated that the checklist was used for 100% of transfers. Secondary outcomes included the percentage of transfers completed within a pre-specified time window of 120 minutes, provider notification of patient arrival on the acute care unit, and staff survey responses assessing adequacy of transfer communication.
AB  - LESSONS LEARNED: Prior work has shown that structuring handoffs can improve patient safety, but the novelty of this project was addressing the transfer process in its entirety, across silos of care. Factors leading to the success of this project were the involvement of key stakeholders across the entire institution early in the project development phase, employment of lean methodology, and implementation of tools to guide workflow adherence and track causes of deviation from the workflow.

Copyright © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
ES  - 1464-3677
IL  - 1353-4505
PT  - Journal Article
ID  - mzw076 [pii]
ID  - 10.1093/intqhc/mzw076 [doi]
PP  - ppublish
PH  - 2016/06/28 [received]
PH  - 2016/06/11 [revised]
PH  - 2016/06/15 [accepted]
LG  - English
EP  - 20160817
DP  - 2016 Oct
EZ  - 2016/08/19 06:00
DA  - 2017/06/13 06:00
DT  - 2016/08/19 06:00
YR  - 2016
ED  - 20170612
RD  - 20170612
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27535085

<34. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28292615
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Martin AS
AU  - Chang J
AU  - Zhang Y
AU  - Kawwass JF
AU  - Boulet SL
AU  - McKane P
AU  - Bernson D
AU  - Kissin DM
AU  - Jamieson DJ
AU  - States Monitoring Assisted Reproductive Technology (SMART) Collaborative
FA  - Martin, Angela S
FA  - Chang, Jeani
FA  - Zhang, Yujia
FA  - Kawwass, Jennifer F
FA  - Boulet, Sheree L
FA  - McKane, Patricia
FA  - Bernson, Dana
FA  - Kissin, Dmitry M
FA  - Jamieson, Denise J
FA  - States Monitoring Assisted Reproductive Technology (SMART) Collaborative
IN  - Martin, Angela S. Emory University Department of Gynecology and Obstetrics, Atlanta, Georgia; Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: angela.matlack@gmail.com.
IN  - Chang, Jeani. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
IN  - Zhang, Yujia. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
IN  - Kawwass, Jennifer F. Emory University Department of Gynecology and Obstetrics, Atlanta, Georgia; Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
IN  - Boulet, Sheree L. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
IN  - McKane, Patricia. Maternal & Child Health Epidemiology Section, Lifecourse Epidemiology and Genomics Division, Michigan Department of Health & Human Services, Lansing, Michigan.
IN  - Bernson, Dana. Massachusetts Department of Public Health, Boston, Massachusetts.
IN  - Kissin, Dmitry M. Emory University Department of Gynecology and Obstetrics, Atlanta, Georgia; Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
IN  - Jamieson, Denise J. Emory University Department of Gynecology and Obstetrics, Atlanta, Georgia; Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
IR  - Mneimneh AS
IR  - Sunderam S
IR  - Crawford S
IR  - Grigorescu V
IR  - Copeland G
IR  - Mersol-Barg M
IR  - Cohen B
IR  - Diop H
IR  - Steele J
IR  - Sappenfield W
IR  - Kirby RS
TI  - Perinatal outcomes among singletons after assisted reproductive technology with single-embryo or double-embryo transfer versus no assisted reproductive technology.
SO  - Fertility & Sterility. 107(4):954-960, 2017 Apr
AS  - Fertil Steril. 107(4):954-960, 2017 Apr
NJ  - Fertility and sterility
VO  - 107
IP  - 4
PG  - 954-960
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - evf, 0372772
IO  - Fertil. Steril.
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Apgar Score
MH  - Birth Weight
MH  - Chi-Square Distribution
MH  - Databases, Factual
MH  - Embryo Transfer/ae [Adverse Effects]
MH  - *Embryo Transfer/mt [Methods]
MH  - Female
MH  - Fertility
MH  - Fertilization in Vitro
MH  - Gestational Age
MH  - Humans
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Infertility/di [Diagnosis]
MH  - Infertility/pp [Physiopathology]
MH  - *Infertility/th [Therapy]
MH  - Intensive Care Units, Neonatal
MH  - Live Birth
MH  - Logistic Models
MH  - Male
MH  - Odds Ratio
MH  - Patient Admission
MH  - Pregnancy
MH  - Pregnancy Rate
MH  - Premature Birth/et [Etiology]
MH  - Propensity Score
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Single Embryo Transfer/ae [Adverse Effects]
MH  - *Single Embryo Transfer
MH  - Treatment Outcome
MH  - United States
KW  - *Assisted reproductive technology;  *double-embryo transfer;  *elective single-embryo transfer;  *in vitro fertilization;  *perinatal outcomes
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.
AB  - DESIGN: Retrospective cohort using linked ART surveillance data and vital records from Florida, Massachusetts, Michigan, and Connecticut.
AB  - SETTING: Not applicable.
AB  - PATIENT(S): Singleton live-born infants.
AB  - INTERVENTION(S): None.
AB  - 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.
AB  - 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).
AB  - 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.

Copyright © 2017 American Society for Reproductive Medicine. All rights reserved.
ES  - 1556-5653
IL  - 0015-0282
DI  - S0015-0282(17)30215-7
DO  - https://dx.doi.org/10.1016/j.fertnstert.2017.01.024
PT  - Journal Article
PT  - Multicenter Study
ID  - S0015-0282(17)30215-7 [pii]
ID  - 10.1016/j.fertnstert.2017.01.024 [doi]
PP  - ppublish
PH  - 2016/09/15 [received]
PH  - 2017/01/19 [revised]
PH  - 2017/01/30 [accepted]
LG  - English
EP  - 20170311
DP  - 2017 Apr
EZ  - 2017/03/16 06:00
DA  - 2017/06/06 06:00
DT  - 2017/03/16 06:00
YR  - 2017
ED  - 20170605
RD  - 20170605
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28292615

<35. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27664306
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Baleine JF
AU  - Fournier-Favre P
AU  - Fabre A
FA  - Baleine, Julien Frederic
FA  - Fournier-Favre, Patricia
FA  - Fabre, Agnes
IN  - Baleine, Julien Frederic. Smur neonatal, CHU Montpellier, 371 avenue du Doyen Gaston Giraud, 34295 Montpellier, France. Electronic address: jf-baleine@chu-montpellier.fr.
IN  - Fournier-Favre, Patricia. Smur neonatal, CHU Montpellier, 371 avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
IN  - Fabre, Agnes. Smur neonatal, CHU Montpellier, 371 avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
TI  - [Neonatal transport characteristics]. [French]
OT  - La specificite du transport neonatal.
SO  - Soins. Pediatrie, Puericulture. 37(292):25-29, 2016 Sep-Oct
AS  - Soins Pediatr Pueric. 37(292):25-29, 2016 Sep-Oct
NJ  - Soins. Pediatrie, puericulture
VO  - 37
IP  - 292
PG  - 25-29
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9604503, cjc
IO  - Soins Pediatr Pueric
SB  - Nursing Journal
CP  - France
MH  - *Critical Care/og [Organization & Administration]
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - France
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
KW  - *mobile neonatal intensive care unit;  *neonate;  *nouveau-ne;  *perinatal care;  *perinatalite;  *transport;  *unite mobile de reanimation neonatale
AB  - Neonatal transport is necessary where a neonate is transferred between two care units. It provides all the skills of a dedicated team, representing a real mobile neonatal intensive care unit. Informing and involving the families is essential during this transport, which can be a source of stress for the child and its family.

Copyright © 2016 Elsevier Masson SAS. All rights reserved.
IS  - 1259-4792
IL  - 1259-4792
DI  - S1259-4792(16)30065-7
DO  - https://dx.doi.org/10.1016/j.spp.2016.07.005
PT  - Journal Article
ID  - S1259-4792(16)30065-7 [pii]
ID  - 10.1016/j.spp.2016.07.005 [doi]
PP  - ppublish
LG  - French
DP  - 2016 Sep-Oct
EZ  - 2016/09/25 06:00
DA  - 2017/06/02 06:00
DT  - 2016/09/25 06:00
YR  - 2016
ED  - 20170601
RD  - 20170601
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27664306

<36. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27664304
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Julliand S
AU  - Lode N
FA  - Julliand, Sebastien
FA  - Lode, Noella
IN  - Julliand, Sebastien. Reanimation, unite de surveillance continue et Smur pediatriques, Hopital Universitaire Robert-Debre, 48 boulevard Serurier, 75019 Paris, France. Electronic address: sebastien.julliand@aphp.fr.
IN  - Lode, Noella. Smur pediatrique, Hopital Universitaire Robert-Debre, 48 boulevard Serurier, 75019 Paris, France.
TI  - [Paediatric mobile emergency and intensive care services, objectives and missions]. [French]
OT  - Les services mobiles d'urgence et de reanimation pediatriques, objectifs et missions.
SO  - Soins. Pediatrie, Puericulture. 37(292):17-21, 2016 Sep-Oct
AS  - Soins Pediatr Pueric. 37(292):17-21, 2016 Sep-Oct
NJ  - Soins. Pediatrie, puericulture
VO  - 37
IP  - 292
PG  - 17-21
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9604503, cjc
IO  - Soins Pediatr Pueric
SB  - Nursing Journal
CP  - France
MH  - Child
MH  - *Child Health Services/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - France
MH  - Humans
MH  - Transportation of Patients/og [Organization & Administration]
KW  - *emergency;  *paediatric and neonatal intensive care;  *paediatric mobile emergency and intensive care service;  *reanimation pediatrique et neonatale;  *service mobile d'urgence et de reanimation pediatrique;  *urgence
AB  - The paediatric mobile emergency and intensive care service care teams have expertise in taking care of children in life-threatening circumstances. At the Robert-Debre Hospital in Paris, the paediatric Smur is multi-skilled, specialising particularly in transporting neonates and infants with severe cardiac or respiratory difficulties. The pathologies handled are very varied and include both neonatal pathologies and trauma pathologies in older children.

Copyright © 2016 Elsevier Masson SAS. All rights reserved.
IS  - 1259-4792
IL  - 1259-4792
DI  - S1259-4792(16)30063-3
DO  - https://dx.doi.org/10.1016/j.spp.2016.07.003
PT  - Journal Article
ID  - S1259-4792(16)30063-3 [pii]
ID  - 10.1016/j.spp.2016.07.003 [doi]
PP  - ppublish
LG  - French
DP  - 2016 Sep-Oct
EZ  - 2016/09/25 06:00
DA  - 2017/06/02 06:00
DT  - 2016/09/25 06:00
YR  - 2016
ED  - 20170601
RD  - 20170601
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27664304

<37. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28089057
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - In-Process
AU  - Newman M
AU  - Petersen P
AU  - Good N
FA  - Newman, Monica
FA  - Petersen, Pat
FA  - Good, Nikole
TI  - 25<sup>th</sup> Critical Care Transport Medicine Conference.
SO  - Air Medical Journal. 36(1):24-26, 2017 Jan - Feb
AS  - Air Med J. 36(1):24-26, 2017 Jan - Feb
NJ  - Air medical journal
VO  - 36
IP  - 1
PG  - 24-26
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
CP  - United States
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(16)30284-X
DO  - https://dx.doi.org/10.1016/j.amj.2016.11.001
PT  - Journal Article
ID  - S1067-991X(16)30284-X [pii]
ID  - 10.1016/j.amj.2016.11.001 [doi]
PP  - ppublish
LG  - English
EP  - 20161229
DP  - 2017 Jan - Feb
EZ  - 2017/01/17 06:00
DA  - 2017/01/17 06:01
DT  - 2017/01/17 06:00
YR  - 2017
ED  - 20170505
RD  - 20170825
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28089057

<38. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27255875
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kuszajewski ML
AU  - O'Donnell JM
AU  - Phrampus PE
AU  - Robey WC 3rd
AU  - Tuite PK
FA  - Kuszajewski, Michele L
FA  - O'Donnell, John M
FA  - Phrampus, Paul E
FA  - Robey, Walter C 3rd
FA  - Tuite, Patricia K
IN  - Kuszajewski, Michele L. Duke University School of Nursing, Center for Nursing Discovery, Durham, NC, USA. Electronic address: michele.kuszajewski@duke.edu.
IN  - O'Donnell, John M. Department of Nurse Anesthesia, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA; Peter M. Winter Institute for Simulation, Education, and Research (WISER), University of Pittsburgh, Pittsburgh, PA, USA.
IN  - Phrampus, Paul E. University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Peter M. Winter Institute for Simulation, Education, and Research (WISER), University of Pittsburgh, Pittsburgh, PA, USA.
IN  - Robey, Walter C 3rd. East Carolina University Brody School of Medicine, Clinical Simulation Program, Greenville, NC, USA.
IN  - Tuite, Patricia K. University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.
TI  - Airway Management: A Structured Curriculum for Critical Care Transport Providers.
SO  - Air Medical Journal. 35(3):138-42, 2016 May-Jun
AS  - Air Med J. 35(3):138-42, 2016 May-Jun
NJ  - Air medical journal
VO  - 35
IP  - 3
PG  - 138-42
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - Airway Management/mt [Methods]
MH  - *Airway Management
MH  - *Allied Health Personnel/ed [Education]
MH  - Clinical Competence
MH  - Critical Care/mt [Methods]
MH  - *Critical Care
MH  - Curriculum
MH  - *Emergency Nursing/ed [Education]
MH  - Humans
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients
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.
AB  - 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.
AB  - 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).
AB  - 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.

Copyright © 2016. Published by Elsevier Inc.
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(15)00338-7
DO  - https://dx.doi.org/10.1016/j.amj.2015.12.013
PT  - Journal Article
ID  - S1067-991X(15)00338-7 [pii]
ID  - 10.1016/j.amj.2015.12.013 [doi]
PP  - ppublish
PH  - 2015/05/12 [received]
PH  - 2015/12/10 [revised]
PH  - 2015/12/20 [accepted]
LG  - English
EP  - 20160416
DP  - 2016 May-Jun
EZ  - 2016/06/04 06:00
DA  - 2017/05/05 06:00
DT  - 2016/06/04 06:00
YR  - 2016
ED  - 20170504
RD  - 20170817
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27255875

<39. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27577427
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kraus S
AU  - Castellanos I
AU  - Albermann M
AU  - Schuettler C
AU  - Prokosch HU
AU  - Staudigel M
AU  - Toddenroth D
FA  - Kraus, Stefan
FA  - Castellanos, Ixchel
FA  - Albermann, Matthias
FA  - Schuettler, Christina
FA  - Prokosch, Hans-Ulrich
FA  - Staudigel, Martin
FA  - Toddenroth, Dennis
IN  - Kraus, Stefan. Medical Informatics, University Erlangen-Nuremberg, Erlangen, Germany.
IN  - Castellanos, Ixchel. Department of Anaesthesiology, University Hospital Erlangen, Erlangen, Germany.
IN  - Albermann, Matthias. Department of Anaesthesiology, University Hospital Erlangen, Erlangen, Germany.
IN  - Schuettler, Christina. Medical Informatics, University Erlangen-Nuremberg, Erlangen, Germany.
IN  - Prokosch, Hans-Ulrich. Medical Informatics, University Erlangen-Nuremberg, Erlangen, Germany.
IN  - Staudigel, Martin. Medical Center for Information and Communication Technology, University Hospital Erlangen, Erlangen, Germany.
IN  - Toddenroth, Dennis. Medical Informatics, University Erlangen-Nuremberg, Erlangen, Germany.
TI  - Using Arden Syntax for the Generation of Intelligent Intensive Care Discharge Letters.
SO  - Studies in Health Technology & Informatics. 228:471-5, 2016
AS  - Stud Health Technol Inform. 228:471-5, 2016
NJ  - Studies in health technology and informatics
VO  - 228
PG  - 471-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ck1, 9214582
IO  - Stud Health Technol Inform
SB  - Health Technology Assessment Journals
CP  - Netherlands
MH  - *Electronic Health Records
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Medical Informatics Applications
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Programming Languages
AB  - Discharge letters are an important means of communication between physicians and nurses from intensive care units and their colleagues from normal wards. The patient data management system (PDMS) used at our local intensive care units provides an export tool to create discharge letters by inserting data items from electronic medical records into predefined templates. Local intensivists criticized the limitations of this tool regarding the identification and the further processing of clinically relevant data items for a flexible creation of discharge letters. As our PDMS supports Arden Syntax, and the demanded functionalities are well within the scope of this standard, we set out to investigate the suitability of Arden Syntax for the generation of discharge letters. To provide an easy-to-understand facility for integrating data items into document templates, we created an Arden Syntax interface function which replaces the names of previously defined variables with their content in a way that permits arbitrary custom formatting by clinical users. Our approach facilitates the creation of flexible text sections by conditional statements, as well as the integration of arbitrary HTML code and dynamically generated graphs. The resulting prototype enables clinical users to apply the full set of Arden Syntax language constructs to identify and process relevant data items in a way that far exceeds the capabilities of the PDMS export tool. The generation of discharge letters is an uncommon area of application for Arden Syntax, considerably differing from its original purpose. However, we found our prototype well suited for this task and plan to evaluate it in clinical production after the next major release change of our PDMS.
IS  - 0926-9630
IL  - 0926-9630
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2016
EZ  - 2016/09/01 06:00
DA  - 2017/04/28 06:00
DT  - 2016/09/01 06:00
YR  - 2016
ED  - 20170427
RD  - 20170427
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27577427

<40. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27230800
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fullerton BS
AU  - Sparks EA
AU  - Morrow KA
AU  - Edwards EM
AU  - Soll RF
AU  - Jaksic T
AU  - Horbar JD
AU  - Modi BP
FA  - Fullerton, Brenna S
FA  - Sparks, Eric A
FA  - Morrow, Kate A
FA  - Edwards, Erika M
FA  - Soll, Roger F
FA  - Jaksic, Tom
FA  - Horbar, Jeffrey D
FA  - Modi, Biren P
IN  - Fullerton, Brenna S. Department of Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA.
IN  - Sparks, Eric A. Department of Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA.
IN  - Morrow, Kate A. Vermont Oxford Network, Burlington, VT.
IN  - Edwards, Erika M. Vermont Oxford Network, Burlington, VT; University of Vermont, Burlington, VT.
IN  - Soll, Roger F. Vermont Oxford Network, Burlington, VT; University of Vermont, Burlington, VT.
IN  - Jaksic, Tom. Department of Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA.
IN  - Horbar, Jeffrey D. Vermont Oxford Network, Burlington, VT; University of Vermont, Burlington, VT.
IN  - Modi, Biren P. Department of Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA. Electronic address: biren.modi@childrens.harvard.edu.
TI  - Hospital transfers and patterns of mortality in very low birth weight neonates with surgical necrotizing enterocolitis.
SO  - Journal of Pediatric Surgery. 51(6):932-5, 2016 Jun
AS  - J Pediatr Surg. 51(6):932-5, 2016 Jun
NJ  - Journal of pediatric surgery
VO  - 51
IP  - 6
PG  - 932-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jmj, 0052631
IO  - J. Pediatr. Surg.
SB  - Index Medicus
CP  - United States
MH  - *Enterocolitis, Necrotizing/mo [Mortality]
MH  - Enterocolitis, Necrotizing/su [Surgery]
MH  - Female
MH  - Hospitals
MH  - Humans
MH  - Infant
MH  - Infant, Extremely Premature
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/mo [Mortality]
MH  - Infant, Premature, Diseases/su [Surgery]
MH  - *Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - *Patient Transfer
MH  - Regression Analysis
KW  - Hospital transfer;  NICU level;  Necrotizing enterocolitis;  VLBW
AB  - PURPOSE: The objectives of this study were to evaluate mortality rates in very low birth weight (VLBW) infants with surgical necrotizing enterocolitis (NEC) by level of available surgical resources and to determine the effect of hospital transfer on mortality.
AB  - METHODS: Mortality among 4328 VLBW neonates with surgical NEC born 2009-2013 was assessed using the Vermont Oxford Network database. NICUs were classified by availability of resources as a marker of overall center capability: type A (restrictions on ventilation or do not routinely perform major neonatal surgery), type B (perform major neonatal surgery but not cardiac bypass), and type C (perform major surgery, including cardiac bypass in infants).
AB  - RESULTS: Mortality was higher among those who had surgery at type B centers versus type C centers (44.3% vs 36.4%, adjusted prevalence ratio 1.20 (95% CI: 1.08, 1.33)). Neonates who were not transferred between birth and surgery had a higher mortality compared to those transferred (44.6% vs 31.6%, adjusted prevalence ratio 1.39 (95% CI: 1.25, 1.55)).
AB  - CONCLUSION: Transfer between birth and surgery and a higher level of surgical resources at the operative center were associated with lower mortality. Early transfer of high risk neonates to centers with higher levels of surgical resources may be warranted.

Copyright © 2016 Elsevier Inc. All rights reserved.
ES  - 1531-5037
IL  - 0022-3468
DI  - S0022-3468(16)00139-1
DO  - https://dx.doi.org/10.1016/j.jpedsurg.2016.02.051
PT  - Journal Article
ID  - S0022-3468(16)00139-1 [pii]
ID  - 10.1016/j.jpedsurg.2016.02.051 [doi]
PP  - ppublish
PH  - 2016/02/17 [received]
PH  - 2016/02/26 [accepted]
LG  - English
EP  - 20160303
DP  - 2016 Jun
EZ  - 2016/05/28 06:00
DA  - 2017/04/22 06:00
DT  - 2016/05/28 06:00
YR  - 2016
ED  - 20170421
RD  - 20170817
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27230800

<41. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27215363
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Foster J
FA  - Foster, Jan
IN  - Foster, Jan. Nursing Inquiry and Intervention, Inc, The Woodlands, TX 77381, USA. Electronic address: jgwfoster@comcast.net.
TI  - An Update on Sleep and Sedation Issues in Critical Care.
SO  - Critical Care Nursing Clinics of North America. 28(2):xi-xii, 2016 Jun
AS  - Crit Care Nurs Clin North Am. 28(2):xi-xii, 2016 Jun
NJ  - Critical care nursing clinics of North America
VO  - 28
IP  - 2
PG  - xi-xii
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - *Conscious Sedation/mt [Methods]
MH  - Conscious Sedation/td [Trends]
MH  - *Critical Care/mt [Methods]
MH  - Humans
MH  - Patient Transfer
MH  - *Sleep/ph [Physiology]
MH  - Sleep Initiation and Maintenance Disorders/th [Therapy]
ES  - 1558-3481
IL  - 0899-5885
DI  - S0899-5885(16)30016-8
DO  - https://dx.doi.org/10.1016/j.cnc.2016.03.001
PT  - Editorial
ID  - S0899-5885(16)30016-8 [pii]
ID  - 10.1016/j.cnc.2016.03.001 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Jun
EZ  - 2016/05/25 06:00
DA  - 2017/04/18 06:00
DT  - 2016/05/25 06:00
YR  - 2016
ED  - 20170417
RD  - 20170417
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27215363

<42. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27215353
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Johnston D
AU  - Franklin K
AU  - Rigby P
AU  - Bergman K
AU  - Davidson SB
FA  - Johnston, Dawn
FA  - Franklin, Kevin
FA  - Rigby, Paul
FA  - Bergman, Karen
FA  - Davidson, Scott B
IN  - Johnston, Dawn. West Michigan Air Care, PO Box 50406, Kalamazoo, MI 49005, USA. Electronic address: dmjohnston@aircare.org.
IN  - Franklin, Kevin. West Michigan Air Care, PO Box 50406, Kalamazoo, MI 49005, USA.
IN  - Rigby, Paul. West Michigan Air Care, PO Box 50406, Kalamazoo, MI 49005, USA.
IN  - Bergman, Karen. Bronson Hospital, Western Michigan University, 601 John Street, Box 88, Kalamazoo, MI 49007, USA.
IN  - Davidson, Scott B. Trauma Surgery Services, Bronson Hospital, 601 John Street, Kalamazoo, MI 49007, USA.
TI  - Sedation and Analgesia in Transportation of Acutely and Critically Ill Patients. [Review]
SO  - Critical Care Nursing Clinics of North America. 28(2):137-54, 2016 Jun
AS  - Crit Care Nurs Clin North Am. 28(2):137-54, 2016 Jun
NJ  - Critical care nursing clinics of North America
VO  - 28
IP  - 2
PG  - 137-54
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - *Analgesia
MH  - *Conscious Sedation
MH  - Critical Illness/nu [Nursing]
MH  - Humans
MH  - Intensive Care Units
MH  - *Pain Management
MH  - *Patient Transfer
MH  - Practice Guidelines as Topic/st [Standards]
MH  - Psychomotor Agitation/dt [Drug Therapy]
MH  - Respiration, Artificial
MH  - *Transportation/mt [Methods]
KW  - Agitation;  Analgesia;  Critical care;  Guidelines;  Intensive care;  Pain;  Sedation;  Transport
AB  - Transportation of acutely or critically ill patients is a challenge for health care providers. Among the difficulties that providers face is the balance between adequate sedation and analgesia for the transportation event and maintaining acceptable respiratory and physiologic parameters of the patient. This article describes common challenges in providing sedation and analgesia during various phases of transport. 

Copyright © 2016 Elsevier Inc. All rights reserved.
ES  - 1558-3481
IL  - 0899-5885
DI  - S0899-5885(16)30004-1
DO  - https://dx.doi.org/10.1016/j.cnc.2016.02.004
PT  - Journal Article
PT  - Review
ID  - S0899-5885(16)30004-1 [pii]
ID  - 10.1016/j.cnc.2016.02.004 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Jun
EZ  - 2016/05/25 06:00
DA  - 2017/04/18 06:00
DT  - 2016/05/25 06:00
YR  - 2016
ED  - 20170417
RD  - 20170417
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27215353

<43. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27241071
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hamrin TH
AU  - Berner J
AU  - Eksborg S
AU  - Radell PJ
AU  - Flaring U
FA  - Hamrin, Tova Hannegard
FA  - Berner, Jonas
FA  - Eksborg, Staffan
FA  - Radell, Peter J
FA  - Flaring, Urban
IN  - Hamrin, Tova Hannegard. Section of Anesthesiology and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Astrid Lindgren Children's Hospital, Karolinska University Hospital Solna, Stockholm, Sweden. tova.hannegard-hamrin@karolinska.se.
IN  - Berner, Jonas. Section of Anesthesiology and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Astrid Lindgren Children's Hospital, Karolinska University Hospital Solna, Stockholm, Sweden.
IN  - Eksborg, Staffan. 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, Stockholm, Sweden.
IN  - Radell, Peter J. Section of Anesthesiology and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Astrid Lindgren Children's Hospital, Karolinska University Hospital Solna, Stockholm, Sweden.
IN  - Flaring, Urban. Section of Anesthesiology and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Astrid Lindgren Children's Hospital, Karolinska University Hospital Solna, Stockholm, Sweden.
TI  - Characteristics and outcomes of critically ill children following emergency transport by a specialist paediatric transport team.
CM  - Comment in: Acta Paediatr. 2016 Nov;105(11):1335; PMID: 27444883
CM  - Comment in: Acta Paediatr. 2016 Nov;105(11):1336; PMID: 27426123
SO  - Acta Paediatrica. 105(11):1329-1334, 2016 Nov
AS  - Acta Paediatr. 105(11):1329-1334, 2016 Nov
NJ  - Acta paediatrica (Oslo, Norway : 1992)
VO  - 105
IP  - 11
PG  - 1329-1334
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bgc, 9205968
IO  - Acta Paediatr.
SB  - Index Medicus
CP  - Norway
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Critical Illness/mo [Mortality]
MH  - Diagnosis-Related Groups
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric/st [Standards]
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Outcome Assessment (Health Care)/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Survival Analysis
MH  - Sweden/ep [Epidemiology]
MH  - Tertiary Care Centers/st [Standards]
MH  - Tertiary Care Centers/sn [Statistics & Numerical Data]
MH  - *Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/st [Standards]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
KW  - *Critically ill children;  *Outcomes;  *Paediatric intensive care;  *Paediatric transport;  *Safety
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.
AB  - 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.
AB  - 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.
AB  - 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.

Copyright ©2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
ES  - 1651-2227
IL  - 0803-5253
DO  - https://dx.doi.org/10.1111/apa.13492
PT  - Journal Article
ID  - 10.1111/apa.13492 [doi]
PP  - ppublish
PH  - 2015/12/16 [received]
PH  - 2016/02/27 [revised]
PH  - 2016/05/30 [accepted]
LG  - English
EP  - 20160624
DP  - 2016 Nov
EZ  - 2016/06/01 06:00
DA  - 2017/03/18 06:00
DT  - 2016/06/01 06:00
YR  - 2016
ED  - 20170317
RD  - 20170817
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27241071

<44. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27043399
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jones HM
AU  - Zychowicz ME
AU  - Champagne M
AU  - Thornlow DK
FA  - Jones, Honey M
FA  - Zychowicz, Michael E
FA  - Champagne, Mary
FA  - Thornlow, Deirdre K
IN  - Jones, Honey M. Honey M. Jones, DNP, ACNP-BC, is an acute care nurse practitioner at Duke University Medical Center and the University of North Carolina at Chapel Hill. She also serves as clinical associate faculty for the MSN program at the Duke University School of Nursing. Her primary role is providing care for critically ill adults, and her clinical experience includes neurocritical care, cardiothoracic surgery, electrophysiology, and cardiac catheterization lab. She received her doctoral degree from Duke University, and her research interests include intrahospital transport of critically ill adults and neurocritical care practice issues. Michael E. Zychowicz, DNP, ANP, ONP, FAANP, is an associate professor and director of the MSN Program at DUSON. He is certified as both an adult nurse practitioner and an orthopedic nurse practitioner. His specialty is orthopedic nursing, with subspecialties in sports medicine, spine surgery, and general orthopedics. He received his doctoral degree from Case Western Reserve University. His research and clinical interests include occupational back injuries and the impact of health beliefs on return to work time. Mary Champagne, PhD, RN, FAAN, is Laurel Chadwick Distinguished Professor and dean emerita of DUSON. She has a secondary appointment as professor in the Department of Community and Family Medicine of the Duke University School of Medicine and is also a Senior Fellow of the Duke Center for the Study of Aging and Human Development. She received her doctoral degree from the University of Texas at Austin. Her research interests involve improving health in low-income seniors living locally in subsidized housing, quality and safety in the Duke Healthcare system, wound and ostomy care and quality of life of individuals with stomas, and the prevention of acute confusion in hospitalized elderly patients. Deirdre K. Thornlow, PhD, RN, CPHQ, is an assistant professor at DUSON, a John A. Hartford Foundation Claire M. Fagin Fellow, and a Senior Fell
TI  - Intrahospital Transport of the Critically Ill Adult: A Standardized Evaluation Plan.
SO  - DCCN - Dimensions of Critical Care Nursing. 35(3):133-46, 2016 May-Jun
AS  - DCCN. 35(3):133-46, 2016 May-Jun
NJ  - Dimensions of critical care nursing : DCCN
VO  - 35
IP  - 3
PG  - 133-46
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8211489
IO  - Dimens Crit Care Nurs
SB  - Nursing Journal
CP  - United States
MH  - Academic Medical Centers
MH  - Critical Care Nursing
MH  - *Critical Illness
MH  - Humans
MH  - Intensive Care Units
MH  - *Medical Audit
MH  - North Carolina
MH  - *Patient Care Planning
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Trauma Centers
AB  - BACKGROUND: Intrahospital transport of the critically ill adult carries inherent risks that can be manifested as unexpected events.
AB  - OBJECTIVE: The aim of this study is to evaluate the implementation of a standardized evaluation plan for intrahospital transports to/from adult intensive care units.
AB  - METHODS: Nurses at a level I trauma/academic center captured clinical data throughout transport. Outcome measures included compliance with the organization's transport policy and unexpected events.
AB  - RESULTS: There were 502 transports audited. Most nurses were compliant with the policy, except for the stabilization process (n = 174, 34.7%). Forty-one transports (8.2%) had an unexpected event, and 11 of these transports (26.8%) were aborted. Most of the events were hemodynamic (12), sedation (11), respiratory (10), and gastrointestinal (5). Fewer events occurred with the transport team (P = .036) and among nurses with a bachelor of science in nursing or higher degree (P = .002). Events were higher among transporting nurses with only 0 to 2 years of intensive care unit experience (P = .002), "stabilized" transports (P = .022), and patients with higher Acute Physiology and Chronic Health Evaluation scores (P = .009).
AB  - CONCLUSIONS: Health care organizations should have a policy that includes both transport and evaluation plans for intrahospital transport. Guidelines should be revised with specific criteria for the stabilization process and unexpected events. Revision should also have a standardized evaluation plan that includes an audit tool to measure incidence of unexpected events and a rapid change quality improvement method.
ES  - 1538-8646
IL  - 0730-4625
DO  - https://dx.doi.org/10.1097/DCC.0000000000000176
PT  - Journal Article
PT  - Observational Study
ID  - 10.1097/DCC.0000000000000176 [doi]
ID  - 00003465-201605000-00005 [pii]
PP  - ppublish
LG  - English
DP  - 2016 May-Jun
EZ  - 2016/04/05 06:00
DA  - 2017/03/16 06:00
DT  - 2016/04/05 06:00
YR  - 2016
ED  - 20170315
RD  - 20170315
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27043399

<45. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27644139
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Santos JV
AU  - Viana J
AU  - Amarante J
AU  - Freitas A
FA  - Santos, Joao V
FA  - Viana, Joao
FA  - Amarante, Jose
FA  - Freitas, Alberto
IN  - Santos, Joao V. CIDES-Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Portugal; CINTESIS-Centre for Health Technology and Services Research, Portugal. Electronic address: jvasco.santos@gmail.com.
IN  - Viana, Joao. CIDES-Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Portugal; CINTESIS-Centre for Health Technology and Services Research, Portugal.
IN  - Amarante, Jose. Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sao Joao and Faculty of Medicine, University of Porto, Portugal.
IN  - Freitas, Alberto. CIDES-Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Portugal; CINTESIS-Centre for Health Technology and Services Research, Portugal.
TI  - Paediatric burn unit in Portugal: Beds needed using a bed-day approach.
SO  - Burns. 43(2):403-410, 2017 Mar
AS  - Burns. 43(2):403-410, 2017 Mar
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 43
IP  - 2
PG  - 403-410
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Bed Occupancy/sn [Statistics & Numerical Data]
MH  - *Burn Units
MH  - *Burns/ep [Epidemiology]
MH  - Child
MH  - Child, Preschool
MH  - Cost-Benefit Analysis
MH  - Health Planning
MH  - *Health Services Needs and Demand
MH  - *Hospital Bed Capacity
MH  - *Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Patient Transfer
MH  - Portugal/ep [Epidemiology]
MH  - Retrospective Studies
KW  - *Bed occupancy;  *Burns;  *Health care services;  *Health policy;  *Paediatric burn unit
AB  - INTRODUCTION: Despite the high burden of children with burns, there is not a paediatric burn unit (PBU) in Portugal. We aimed to estimate the Portuguese health care providing needs on paediatric burns.
AB  - METHODS: We performed a nation-wide retrospective study, between 2009 and 2013, among less than 16 years-old inpatients with burns that met the transfer criteria to a burn unit in Portugal. A bed-day approach was used, targeting an occupancy rate of 70-75%, and possible locations were studied. The primary outcome was the number of beds needed, and secondary outcomes were the overload and revenue for each possible number of beds in a PBU.
AB  - RESULTS: A total of 1155 children met the transfer criteria to a burn unit, representing a total of 17,371 bed-days. Occupancy rates of 11-bed, 12-bed, 13-bed and 14-bed PBU were, respectively, 79.7%, 75.3%, 71.0% and 66.8%. The 13-bed PBU scenario would represent an overload of 523 bed-days, revenue of more than 5 million Euros and a ratio of 1 PBU bed per 123,409 children.
AB  - CONCLUSIONS: Using a groundbreaking approach, the optimal number of PBU beds needed in Portugal is 13. However, as half of the patients who met burn transfer criteria are not transferred, this bed number might be overestimated if this pattern maintains, despite the underestimation with our method approach. If a PBU is to be created the preferable location is Porto. Cost-effectiveness studies should be performed.

Copyright A© 2016 Elsevier Ltd and ISBI. All rights reserved.
ES  - 1879-1409
IL  - 0305-4179
DI  - S0305-4179(16)30296-0
DO  - https://dx.doi.org/10.1016/j.burns.2016.08.014
PT  - Journal Article
PT  - Observational Study
ID  - S0305-4179(16)30296-0 [pii]
ID  - 10.1016/j.burns.2016.08.014 [doi]
PP  - ppublish
PH  - 2016/05/19 [received]
PH  - 2016/08/01 [revised]
PH  - 2016/08/17 [accepted]
LG  - English
EP  - 20160916
DP  - 2017 Mar
EZ  - 2016/09/21 06:00
DA  - 2017/03/16 06:00
DT  - 2016/09/21 06:00
YR  - 2017
ED  - 20170314
RD  - 20171211
UP  - 20171211
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27644139

<46. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27575675
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - den Hollander D
AU  - Mars M
FA  - den Hollander, Daan
FA  - Mars, Maurice
IN  - den Hollander, Daan. Burns Unit, Inkosi Albert Luthuli Central Hospital, Department of Surgery, University of KwaZulu-Natal, South Africa. Electronic address: daanhol@ialch.co.za.
IN  - Mars, Maurice. Department of Telemedicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
TI  - Smart phones make smart referrals: The use of mobile phone technology in burn care - A retrospective case series.
SO  - Burns. 43(1):190-194, 2017 Feb
AS  - Burns. 43(1):190-194, 2017 Feb
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 43
IP  - 1
PG  - 190-194
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Ambulatory Care Facilities
MH  - Burn Units
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Hospitalization
MH  - Hospitals, District
MH  - Hospitals, General
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Medical Overuse/pc [Prevention & Control]
MH  - Mobile Applications
MH  - Patient Transfer
MH  - *Photography
MH  - *Referral and Consultation
MH  - Retrospective Studies
MH  - *Smartphone
MH  - South Africa
MH  - *Telemedicine/mt [Methods]
MH  - Text Messaging
MH  - *Triage/mt [Methods]
KW  - *Burns;  *Decision making;  *Mhealth;  *Smartphone;  *Telemedicine
AB  - Telemedicine using cellular phones allows for real-time consultation of burn patients seen at distant hospitals.
AB  - METHODS: Telephonic consultations to our unit have required completion of a proforma, to ensure collection of the following information: demographics, mechanism of injury, vital signs, relevant laboratory data, management at the referring hospital and advice given by the burn team. Since December 2014 we have required referring doctors to send photographs of the burn wounds to the burns specialist before making a decision on acceptance of the referral or providing management advice. The photographs are taken and sent by smartphone using MMS or WhatsApp. The cases, with photographs, are entered into a database of telemedicine consultations which we have retrospectively reviewed.
AB  - RESULTS: During the study period (December 2014-July 2015) we were consulted about 119 patients, in 100 of whom the telemedicine consultation was completed. Inappropriate transfer to the burns centre was avoided in 38% of cases, and in 28% a period of treatment in the referral hospital was advised before transfer. For a total of 66% of patients the telemedicine consultation changed, and either avoided an inappropriate admission, or delayed admission in late referrals until the patient was ready for definitive treatment.
AB  - CONCLUSION: We conclude that telemedicine consultations using a cellular phone significantly change referral pathways in burns.

Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.
ES  - 1879-1409
IL  - 0305-4179
DI  - S0305-4179(16)30225-X
DO  - https://dx.doi.org/10.1016/j.burns.2016.07.015
PT  - Journal Article
ID  - S0305-4179(16)30225-X [pii]
ID  - 10.1016/j.burns.2016.07.015 [doi]
PP  - ppublish
PH  - 2015/12/14 [received]
PH  - 2016/07/18 [revised]
PH  - 2016/07/20 [accepted]
LG  - English
EP  - 20160827
DP  - 2017 Feb
EZ  - 2016/08/31 06:00
DA  - 2017/03/16 06:00
DT  - 2016/08/31 06:00
YR  - 2017
ED  - 20170314
RD  - 20170817
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27575675

<47. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27554628
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Johnson SA
AU  - Shi J
AU  - Groner JI
AU  - Thakkar RK
AU  - Fabia R
AU  - Besner GE
AU  - Xiang H
AU  - Wheeler KK
FA  - Johnson, Sarah A
FA  - Shi, Junxin
FA  - Groner, Jonathan I
FA  - Thakkar, Rajan K
FA  - Fabia, Renata
FA  - Besner, Gail E
FA  - Xiang, Huiyun
FA  - Wheeler, Krista K
IN  - Johnson, Sarah A. Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States. Electronic address: Sarah.Johnson@nationwidechildrens.org.
IN  - Shi, Junxin. Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States. Electronic address: Junxin.Shi@nationwidechildrens.org.
IN  - Groner, Jonathan I. Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH 43210, United States; Department of Pediatric Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States. Electronic address: Jonathan.Groner@nationwidechildrens.org.
IN  - Thakkar, Rajan K. Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH 43210, United States; Department of Pediatric Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States. Electronic address: Rajan.Thakkar@nationwidechildrens.org.
IN  - Fabia, Renata. Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH 43210, United States; Department of Pediatric Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States. Electronic address: Renata.Fabia@nationwidechildrens.org.
IN  - Besner, Gail E. The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH 43210, United States; Department of Pediatric Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States. Electronic address: Gail.Besner@nationwidechildrens.org.
IN  - Xiang, Huiyun. Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH 43210, United States. Electronic address: Huiyun.Xiang@nationwidechildrens.org.
IN  - Wheeler, Krista K. Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States. Electronic address: Krista.Wheeler@nationwidechildrens.org.
TI  - Inter-facility transfer of pediatric burn patients from U.S. Emergency Departments.
SO  - Burns. 42(7):1413-1422, 2016 Nov
AS  - Burns. 42(7):1413-1422, 2016 Nov
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 42
IP  - 7
PG  - 1413-1422
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Burn Units
MH  - Burns/ep [Epidemiology]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Disease Management
MH  - *Emergency Service, Hospital
MH  - Female
MH  - *Guideline Adherence/sn [Statistics & Numerical Data]
MH  - Hand Injuries/ep [Epidemiology]
MH  - *Hand Injuries/th [Therapy]
MH  - Hospitalization
MH  - Hospitals, High-Volume
MH  - Hospitals, Low-Volume
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Patient Transfer/st [Standards]
MH  - Practice Guidelines as Topic
MH  - *Referral and Consultation/st [Standards]
MH  - Retrospective Studies
MH  - United States/ep [Epidemiology]
KW  - *Burn;  *Pediatric;  *Referral;  *Transfer
AB  - PURPOSE: To describe the epidemiology of pediatric burn patients seen in U.S. emergency departments (EDs) and to determine factors associated with inter-facility transfer.
AB  - METHODS: We analyzed data from the 2012 Nationwide Emergency Department Sample. Current American Burn Association (ABA) Guidelines were used to identify children <18 who met criteria for referral to burn centers. Burn patient admission volume was used as a proxy for burn expertise. Logistic models were fitted to examine the odds of transfer from low volume hospitals.
AB  - RESULTS: In 2012, there were an estimated 126,742 (95% CI: 116,104-137,380) pediatric burn ED visits in the U.S. Of the 69,003 (54.4%) meeting referral criteria, 83.2% were in low volume hospitals. Only 8.2% of patients meeting criteria were transferred from low volume hospitals. Of the 52,604 (95% CI: 48,433-56,775) not transferred, 98.3% were treated and released and 1.7% were admitted without transfer; 54.7% of burns involved hands.
AB  - CONCLUSIONS: Over 90% of pediatric burn ED patients meet ABA burn referral criteria but are not transferred from low volume hospitals. Perhaps a portion of the 92% of patients currently receiving definitive care in low volume hospitals are under-referred and would have improved clinical outcomes if transferred at the time of presentation.

Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.
CI  - All authors have no conflicts of interest to declare.
ES  - 1879-1409
IL  - 0305-4179
DI  - S0305-4179(16)30202-9
DO  - https://dx.doi.org/10.1016/j.burns.2016.06.024
PT  - Journal Article
ID  - PMC5056153 [pmc]
ID  - S0305-4179(16)30202-9 [pii]
ID  - 10.1016/j.burns.2016.06.024 [doi]
ID  - HHSPA811999 [mid]
PP  - ppublish
PH  - 2016/02/24 [received]
PH  - 2016/06/10 [revised]
PH  - 2016/06/17 [accepted]
GI  - No: R03 HS022277
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
EP  - 20160820
DP  - 2016 Nov
EZ  - 2016/08/25 06:00
DA  - 2017/03/16 06:00
DT  - 2016/08/25 06:00
YR  - 2016
ED  - 20170314
RD  - 20171101
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27554628

<48. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27576934
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wu G
AU  - Zhuang M
AU  - Fan X
AU  - Hong X
AU  - Wang K
AU  - Wang H
AU  - Chen Z
AU  - Sun Y
AU  - Xia Z
FA  - Wu, Guosheng
FA  - Zhuang, Mingzhu
FA  - Fan, Xiaoming
FA  - Hong, Xudong
FA  - Wang, Kangan
FA  - Wang, He
FA  - Chen, Zhengli
FA  - Sun, Yu
FA  - Xia, Zhaofan
IN  - Wu, Guosheng. Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: drwuguosheng@sina.cn.
IN  - Zhuang, Mingzhu. Department of Blood Transfusion, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: zmz_smmu@sina.com.
IN  - Fan, Xiaoming. Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: fxm_smmu@sina.com.
IN  - Hong, Xudong. Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: hxd_smmu@sina.com.
IN  - Wang, Kangan. Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: wkasmmu@163.com.
IN  - Wang, He. Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: wh_smmu@sina.com.
IN  - Chen, Zhengli. Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: czl_smmu@sina.com.
IN  - Sun, Yu. Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: sy_smmu@sina.com.
IN  - Xia, Zhaofan. Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China. Electronic address: xiazhaofan_smmu@163.com.
TI  - Blood transfusions in severe burn patients: Epidemiology and predictive factors.
CM  - Comment in: Burns. 2017 Sep;43(6):1363-1364; PMID: 28645712
CM  - Comment in: Burns. 2017 Sep;43(6):1364; PMID: 28363662
SO  - Burns. 42(8):1721-1727, 2016 Dec
AS  - Burns. 42(8):1721-1727, 2016 Dec
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 42
IP  - 8
PG  - 1721-1727
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Blood Coagulation Disorders/ep [Epidemiology]
MH  - Blood Component Transfusion/sn [Statistics & Numerical Data]
MH  - Blood Transfusion/sn [Statistics & Numerical Data]
MH  - Body Surface Area
MH  - Burn Units
MH  - Burns/ep [Epidemiology]
MH  - *Burns/th [Therapy]
MH  - China/ep [Epidemiology]
MH  - *Erythrocyte Transfusion/sn [Statistics & Numerical Data]
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Regression Analysis
MH  - Retrospective Studies
MH  - Sex Factors
MH  - Surgical Procedures, Operative/sn [Statistics & Numerical Data]
MH  - Tracheostomy/sn [Statistics & Numerical Data]
MH  - Trauma Severity Indices
MH  - Young Adult
KW  - *Blood transfusions;  *Burn;  *Epidemiology
AB  - BACKGROUND: Blood is a vital resource commonly used in burn patients; however, description of blood transfusions in severe burns is limited. The purpose of this study was to describe the epidemiology of blood transfusions and determine factors associated with increased transfusion quantity.
AB  - METHODS: This is a retrospective study of total 133 patients with >40% total body surface area (TBSA) burns admitted to the burn center of Changhai hospital from January 2008 to December 2013. The study characterized blood transfusions in severe burn patients. Univariate and Multivariate regression analyses were used to evaluate the association of clinical variables with blood transfusions.
AB  - RESULTS: The overall transfusion rate was 97.7% (130 of 133). The median amount of total blood (RBC and plasma), RBC and plasma transfusions was 54 units (Interquartile range (IQR), 20-84), 19 units (IQR, 4-37.8) and 28.5 units (IQR, 14.8-51.8), respectively. The number of RBC transfusion in and outside operation room was 7 (0, 14) and 11 (2, 20) units, and the number of plasma was 6 (0.5, 12) and 21 (11.5, 39.3) units. A median of one unit of blood was transfused per TBSA and an average of 4 units per operation was given in the series. The consumption of plasma is higher than that of RBC. On multivariate regression analysis, age, full-thickness TBSA and number of operations were significant independent predictors associated with the number of RBC transfusion, and coagulopathy and ICU length showed a trend toward RBC consumption. Predictors for increased plasma transfusion were female, high full-thickness TBSA burn and more operations.
AB  - CONCLUSIONS: Severe burn patients received an ample volume of blood transfusions. Fully understanding of predictors of blood transfusions will allow physicians to better optimize burn patients during hospitalization in an effort to use blood appropriately.

Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.
ES  - 1879-1409
IL  - 0305-4179
DI  - S0305-4179(16)30171-1
DO  - https://dx.doi.org/10.1016/j.burns.2016.06.002
PT  - Journal Article
ID  - S0305-4179(16)30171-1 [pii]
ID  - 10.1016/j.burns.2016.06.002 [doi]
PP  - ppublish
PH  - 2015/10/26 [received]
PH  - 2016/03/20 [revised]
PH  - 2016/06/02 [accepted]
LG  - English
EP  - 20160828
DP  - 2016 Dec
EZ  - 2016/09/01 06:00
DA  - 2017/03/14 06:00
DT  - 2016/09/01 06:00
YR  - 2016
ED  - 20170313
RD  - 20171104
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27576934

<49. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 28067569
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kumar S
AU  - McKean AR
AU  - Ramwell A
AU  - Johnston C
AU  - Leaver S
FA  - Kumar, Shankar
FA  - McKean, Andrew R
FA  - Ramwell, Andrew
FA  - Johnston, Carolyn
FA  - Leaver, Susannah
IN  - Kumar, Shankar. Academic Foundation Year 1 Doctor, General Intensive Care Unit, St George's University Hospitals NHS Foundation Trust, London.
IN  - McKean, Andrew R. Foundation Year 1 Doctor, General Intensive Care Unit, St George's University Hospitals NHS Foundation Trust, London SW17 0QT.
IN  - Ramwell, Andrew. Consultant Colorectal Surgeon, Department of Colorectal Surgery, St George's University Hospitals NHS Foundation Trust, London.
IN  - Johnston, Carolyn. Consultant Anaesthetist and National Emergency Laparotomy Quality Improvement Lead, Department of Anaesthesia, St George's University Hospitals NHS Foundation Trust, London.
IN  - Leaver, Susannah. Consultant in Intensive Care, Respiratory and General Medicine, General Intensive Care Unit, St George's University Hospitals NHS Foundation Trust, London.
TI  - Optimizing postoperative handover to the intensive care unit at a tertiary centre.
SO  - British Journal of Hospital Medicine. 78(1):12-15, 2017 Jan 02
AS  - Br J Hosp Med (Lond). 78(1):12-15, 2017 Jan 02
NJ  - British journal of hospital medicine (London, England : 2005)
VO  - 78
IP  - 1
PG  - 12-15
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101257109
IO  - Br J Hosp Med (Lond)
SB  - Index Medicus
CP  - England
MH  - *Checklist
MH  - Continuity of Patient Care
MH  - Humans
MH  - *Intensive Care Units
MH  - *Operating Rooms
MH  - *Patient Handoff/st [Standards]
MH  - Patient Transfer/st [Standards]
MH  - *Quality Improvement
AB  - BACKGROUND: Comprehensive handover of patients transferred from operating theatre to the intensive care unit is crucial in ensuring ongoing quality and safety of care. Handover in this setting poses unique challenges, yet few studies have considered or tested approaches to improve the process. A quality improvement project was undertaken to assess and improve the quality of information transfer during the handover of postoperative patients to the general intensive care unit at a tertiary centre.
AB  - METHODS: This quality improvement project considered all postoperative patients aged 18 years and over, using the plan-do-study-act (PDSA) approach, over a 3-month period in 2015. Baseline audit encompassing intraoperative details (allergies, grade of intubation, estimated blood loss, difficulties and complications) and the postoperative plan (analgesia, thromboprophylaxis, antibiotics and their proposed duration and nutrition) was undertaken to define the extent of the clinical problem. Changes were implemented over two cycles, centred around a novel checklist, and the transfer of information was re-audited after each cycle.
AB  - RESULTS: Baseline audit (n=30) revealed a need for improvement across all domains. In PDSA cycle 1, a novel checklist was introduced which led to global improvement across all areas with performance exceeding 70% in all but three out of nine domains (n=33). Engaging key stakeholders (PDSA cycle 2) resulted in overall improvement from baseline but decreased performance in just under half of domains in comparison to PDSA cycle 1 (n=31).
AB  - CONCLUSIONS: Successful implementation of a series of simple interventions resulted in more effective handover of postoperative patients admitted to an intensive care unit. Sustained long-term improvement is a major challenge and can only be achieved with the global engagement of all staff and incorporation of changes into routine clinical practice.
IS  - 1750-8460
IL  - 1750-8460
DO  - https://dx.doi.org/10.12968/hmed.2017.78.1.12
PT  - Journal Article
ID  - 10.12968/hmed.2017.78.1.12 [doi]
PP  - ppublish
LG  - English
DP  - 2017 Jan 02
EZ  - 2017/01/10 06:00
DA  - 2017/03/10 06:00
DT  - 2017/01/10 06:00
YR  - 2017
ED  - 20170309
RD  - 20170309
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28067569

<50. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27185667
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Moon TS
AU  - Gonzales MX
AU  - Woods AP
AU  - Fox PE
FA  - Moon, Tiffany S
FA  - Gonzales, Michael X
FA  - Woods, Amy P
FA  - Fox, Pamela E
IN  - Moon, Tiffany S. Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: Tiffany.Moon@UTSouthwestern.edu.
IN  - Gonzales, Michael X. University of Texas Southwestern Medical School, Dallas, TX, USA.
IN  - Woods, Amy P. Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
IN  - Fox, Pamela E. Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
TI  - Improving the quality of the operating room to intensive care unit handover at an urban teaching hospital through a bundled intervention.
SO  - Journal of Clinical Anesthesia. 31:5-12, 2016 Jun
AS  - J Clin Anesth. 31:5-12, 2016 Jun
NJ  - Journal of clinical anesthesia
VO  - 31
PG  - 5-12
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - an9, 8812166
IO  - J Clin Anesth
SB  - Index Medicus
CP  - United States
MH  - Anesthesiology/og [Organization & Administration]
MH  - Anesthesiology/st [Standards]
MH  - Attitude of Health Personnel
MH  - Communication
MH  - Health Services Research/mt [Methods]
MH  - Hospitals, Teaching/og [Organization & Administration]
MH  - Hospitals, Teaching/st [Standards]
MH  - Hospitals, Urban/og [Organization & Administration]
MH  - Hospitals, Urban/st [Standards]
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - *Intensive Care Units/st [Standards]
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - Operating Rooms/og [Organization & Administration]
MH  - *Operating Rooms/st [Standards]
MH  - Outcome and Process Assessment (Health Care)/mt [Methods]
MH  - Patient Care Team
MH  - Patient Handoff/og [Organization & Administration]
MH  - *Patient Handoff/st [Standards]
MH  - Patient Transfer/og [Organization & Administration]
MH  - Patient Transfer/st [Standards]
MH  - *Postoperative Care/st [Standards]
MH  - Prospective Studies
MH  - Quality Improvement
MH  - Texas
KW  - *Handoff;  *Handover;  *Intensive care unit;  *Operating room;  *Quality improvement;  *Transfer of care
AB  - STUDY OBJECTIVE: To evaluate the efficacy of a bundled intervention to improve the quality of the operating room to intensive care unit (ICU) clinical handover.
AB  - DESIGN: Prospective, interventional study.
AB  - SETTING: An urban, public teaching hospital with more than 1500 direct postoperative ICU admissions each year.
AB  - INTERVENTIONS: A bundled intervention to include the addition of a direct anesthesia provider to ICU nurse telephone report, a mnemonic to standardize the handover process, and improved template for postoperative documentation by the anesthesia team.
AB  - MEASUREMENTS: Preintervention (baseline) and postintervention survey data were solicited from key stakeholders, which included anesthesia providers and ICU nursing staff.
AB  - MAIN RESULTS: Anesthesia provider and ICU nursing staff satisfaction levels rose significantly following implementation of the bundled intervention. In addition, perceived effectiveness of the handover process and note increased significantly. The satisfaction level of the ICU nurses with respect to the phone report received before patient arrival in the ICU nearly doubled.
AB  - CONCLUSIONS: The implementation of a bundled handover intervention was associated with increased stakeholder satisfaction as well as a perception of increased efficacy and quality of the overall handover process and postoperative anesthesia documentation.

Copyright © 2016 Elsevier Inc. All rights reserved.
ES  - 1873-4529
IL  - 0952-8180
DI  - S0952-8180(16)00024-6
DO  - https://dx.doi.org/10.1016/j.jclinane.2016.01.001
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0952-8180(16)00024-6 [pii]
ID  - 10.1016/j.jclinane.2016.01.001 [doi]
PP  - ppublish
PH  - 2015/07/10 [received]
PH  - 2016/01/04 [revised]
PH  - 2016/01/04 [accepted]
LG  - English
EP  - 20160316
DP  - 2016 Jun
EZ  - 2016/05/18 06:00
DA  - 2017/03/03 06:00
DT  - 2016/05/18 06:00
YR  - 2016
ED  - 20170301
RD  - 20170302
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27185667

<51. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26628534
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Coombs MA
AU  - Darlington AE
AU  - Long-Sutehall T
AU  - Pattison N
AU  - Richardson A
FA  - Coombs, Maureen A
FA  - Darlington, Anne-Sophie E
FA  - Long-Sutehall, Tracy
FA  - Pattison, Natalie
FA  - Richardson, Alison
IN  - Coombs, Maureen A. Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand.
IN  - Darlington, Anne-Sophie E. Faculty of Health Sciences, University of Southampton, Southampton, UK.
IN  - Long-Sutehall, Tracy. Faculty of Health Sciences, University of Southampton, Southampton, UK.
IN  - Pattison, Natalie. Royal Marsden NHS Foundation Trust, London, UK.
IN  - Richardson, Alison. Faculty of Health Sciences, University of Southampton, Southampton, UK.
TI  - Transferring patients home to die: what is the potential population in UK critical care units?.
SO  - BMJ supportive & palliative care. 7(1):98-101, 2017 Mar
AS  - BMJ support. palliat. care. 7(1):98-101, 2017 Mar
NJ  - BMJ supportive & palliative care
VO  - 7
IP  - 1
PG  - 98-101
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101565123
IO  - BMJ Support Palliat Care
SB  - Index Medicus
CP  - England
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Patient Discharge/sn [Statistics & Numerical Data]
MH  - *Terminal Care/sn [Statistics & Numerical Data]
MH  - United Kingdom/ep [Epidemiology]
MH  - *Withholding Treatment/sn [Statistics & Numerical Data]
KW  - Clinical decisions;  Terminal care;  Transitional care
AB  - OBJECTIVES: Most people when asked, express a preference to die at home, but little is known about whether this is an option for critically ill patients. A retrospective cohort study was undertaken to describe the size and characteristics of the critical care population who could potentially be transferred home to die if they expressed such a wish.
AB  - METHODS: Medical notes of all patients who died in, or within 5 days of discharge from seven critical care units across two hospital sites over a 12-month period were reviewed. Inclusion/exclusion criteria were developed and applied to identify the number of patients who had potential to be transferred home to die and demographic and clinical data (eg, conscious state, respiratory and cardiac support therapies) collected.
AB  - RESULTS: 7844 patients were admitted over a 12-month period. 422 (5.4%) patients died. Using the criteria developed 100 (23.7%) patients could have potentially been transferred home to die. Of these 41 (41%) patients were diagnosed with respiratory disease. 53 (53%) patients were conscious, 47 (47%) patients were self-ventilating breathing room air/oxygen via a mask. 20 (20%) patients were ventilated via an endotracheal tube. 76 (76%) patients were not requiring inotropes/vasopressors. Mean time between discussion about treatment withdrawal and time of death was 36.4 h (SD=46.48). No patients in this cohort were transferred home.
AB  - CONCLUSIONS: A little over 20% of patients dying in critical care demonstrate potential to be transferred home to die. Staff should actively consider the practice of transferring home as an option for care at end of life for these patients.

Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
ES  - 2045-4368
IL  - 2045-435X
DO  - https://dx.doi.org/10.1136/bmjspcare-2014-000834
PT  - Journal Article
ID  - bmjspcare-2014-000834 [pii]
ID  - 10.1136/bmjspcare-2014-000834 [doi]
ID  - PMC5339543 [pmc]
PP  - ppublish
PH  - 2014/12/16 [received]
PH  - 2015/09/02 [revised]
PH  - 2015/11/12 [accepted]
GI  - No: MCCC-RP-11-A12553
Organization: *Marie Curie*
Country: United Kingdom
LG  - English
EP  - 20151201
DP  - 2017 Mar
EZ  - 2015/12/03 06:00
DA  - 2017/02/28 06:00
DT  - 2015/12/03 06:00
YR  - 2017
ED  - 20170227
RD  - 20171110
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26628534

<52. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27906716
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bowles JD
AU  - Jnah AJ
AU  - Newberry DM
AU  - Hubbard CA
AU  - Roberston T
FA  - Bowles, Jennifer D
FA  - Jnah, Amy J
FA  - Newberry, Desi M
FA  - Hubbard, Carol A
FA  - Roberston, Tracey
IN  - Bowles, Jennifer D. University of North Carolina at Chapel Hill (Mss Bowles and Hubbard and Dr Jnah); and Department of Graduate Nursing Science (Drs Newberry and Roberston), College of Nursing (Dr Jnah), East Carolina University, University of North Carolina System, Chapel Hill.
TI  - Infants With Technology Dependence: Facilitating the Road to Home. [Review]
SO  - Advances in Neonatal Care. 16(6):424-429, 2016 Dec
AS  - ADV NEONAT CARE. 16(6):424-429, 2016 Dec
NJ  - Advances in neonatal care : official journal of the National Association of Neonatal Nurses
VO  - 16
IP  - 6
PG  - 424-429
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101125644
IO  - Adv Neonatal Care
SB  - Index Medicus
CP  - United States
MH  - *Biomedical Technology
MH  - Cooperative Behavior
MH  - Family Nursing
MH  - *Home Care Services
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Intensive Care Units, Neonatal
MH  - *Neonatal Nursing
MH  - Nurse's Role
MH  - *Parents/ed [Education]
MH  - *Patient Discharge
MH  - Patient Transfer
MH  - Rooming-in Care
MH  - United States
AB  - BACKGROUND: The incidence of premature infants with complex medical needs, dependent upon medical technology at discharge, is on the rise in the United States.
AB  - PURPOSE: Preparing the family for the hospital-to-home transition can be challenging due to the complex medical and emotional needs of the vulnerable infant and the volume of subspecialty services and equipment required.
AB  - METHODS/SEARCH STRATEGY: Relevant articles from PubMed, Google Scholar, CINAHLFINDINGS/RESULTS:: There is an increasing incidence of technology dependent infants discharged from neonatal intensive care units in the United States. Transition from hospital to home requires lengthy preparation, multidisciplinary-open communication, and family centered care.
AB  - IMPLICATIONS FOR PRACTICE: Early assimilation of the parents into the ongoing care of their infant, the provision of comprehendible parental education by neonatal nurses and other members of the healthcare team, the provision of adequate rooming-in experiences prior to discharge, and the collaborative coordination of outpatient community services are crucial elements of the discharge process. Neonatal nurses possess population-specific education, training, commitment, and expertise that make them the ideal experts to implement and evaluate a discharge planning framework, in collaboration with the medical team and the family.
AB  - IMPLICATIONS FOR RESEARCH: Methods to prevent readmission and ensure successful discharge from hospital to home is indicated. Standardization of a discharge process of infants of technology dependence combining medical team, family, outpatient coordinators, and primary care providers.
ES  - 1536-0911
IL  - 1536-0903
PT  - Journal Article
PT  - Review
ID  - 10.1097/ANC.0000000000000310 [doi]
ID  - 00149525-201612000-00007 [pii]
PP  - ppublish
LG  - English
DP  - 2016 Dec
EZ  - 2016/12/03 06:00
DA  - 2017/02/15 06:00
DT  - 2016/12/02 06:00
YR  - 2016
ED  - 20170214
RD  - 20170214
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27906716

<53. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26682660
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bellini S
FA  - Bellini, Sandra
TI  - Postresuscitation Care and Pretransport Stabilization of Newborns Using the Principles of STABLE Transport.
SO  - Nursing for Women's Health. 19(6):533-6, 2015 Dec-2016 Jan
AS  - Nurs Womens Health. 19(6):533-6, 2015 Dec-2016 Jan
NJ  - Nursing for women's health
VO  - 19
IP  - 6
PG  - 533-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101304602
IO  - Nurs Womens Health
SB  - Nursing Journal
CP  - United States
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Inservice Training/og [Organization & Administration]
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Male
MH  - *Neonatal Nursing/ed [Education]
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Program Evaluation
MH  - *Resuscitation/nu [Nursing]
MH  - *Transportation of Patients/og [Organization & Administration]
KW  - STABLE Program;  neonatal postresuscitation care;  neonatal resuscitation;  neonatal stabilization;  neonatal transport
AB  - The practice of perinatal regionalization is designed to ensure that newborns are born in facilities with a care level designation that is consistent with expected pregnancy outcomes. Regionalization practices have resulted in lower neonatal mortality and morbidity rates. However, despite regionalization efforts, approximately 10 percent of newborns will require some level assistance with breathing, and a few (<1 percent) will require resuscitation in the birthing room. After resuscitation, many of these newborns require acute transport to a different facility. This column provides an overview of principles from the STABLE Program, which guides clinicians in providing postresuscitation care and pretransport stabilization for compromised newborns. 

Copyright © 2015 AWHONN.
ES  - 1751-486X
IL  - 1751-4851
DO  - https://dx.doi.org/10.1111/1751-486X.12248
PT  - Journal Article
ID  - 10.1111/1751-486X.12248 [doi]
ID  - S1751-4851(15)30845-X [pii]
PP  - ppublish
LG  - English
DP  - 2015 Dec-2016 Jan
EZ  - 2015/12/20 06:00
DA  - 2017/02/14 06:00
DT  - 2015/12/20 06:00
YR  - 2015-2016
ED  - 20170213
RD  - 20170213
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26682660

<54. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27816169
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Moreau AS
AU  - Bourhis JH
AU  - Contentin N
AU  - Couturier MA
AU  - Delage J
AU  - Dumesnil C
AU  - Gandemer V
AU  - Hichri Y
AU  - Jost E
AU  - Platon L
AU  - Jourdain M
AU  - Pene F
AU  - Yakoub-Agha I
FA  - Moreau, Anne-Sophie
FA  - Bourhis, Jean-Henri
FA  - Contentin, Nathalie
FA  - Couturier, Marie-Anne
FA  - Delage, Jeremy
FA  - Dumesnil, Cecile
FA  - Gandemer, Virginie
FA  - Hichri, Yosr
FA  - Jost, Edgar
FA  - Platon, Laura
FA  - Jourdain, Merce
FA  - Pene, Frederic
FA  - Yakoub-Agha, Ibrahim
IN  - Moreau, Anne-Sophie. CHU, centre de reanimation, universite de Lille 2, Inserm UII90, 59000 Lille, France.
IN  - Bourhis, Jean-Henri. Institut Gustave-Roussy, service d'hematologie, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
IN  - Contentin, Nathalie. Centre Henri-Becquerel, service d'hematologie, rue d'Amiens, 76000 Rouen, France.
IN  - Couturier, Marie-Anne. CHU de Brest, hopital Morvan, service d'hematologie sterile, 2, avenue Foch, 29200 Brest, France.
IN  - Delage, Jeremy. Departement d'hematologie et de therapie cellulaire, CHRU Montpellier-site Saint-Eloi, 80, avenue Augustin-Fliche, 34090 Montpellier, France.
IN  - Dumesnil, Cecile. CHU de Rouen, service d'hemato-oncologie pediatrique, 1, rue Germont, 76000 Rouen, France.
IN  - Gandemer, Virginie. CHU Hopital Sud, universite Rennes 1, 2, rue Henri-le-Guilloux, 35000 Rennes, France.
IN  - Hichri, Yosr. CHU Montpellier, departement d'hematologie clinique, 34295 Montpellier, France.
IN  - Jost, Edgar. Hematologie/oncologie, Uniklinik RWTH Aachen, 52074 Aachen, Allemagne.
IN  - Platon, Laura. Reanimation medicale, CHU Lapeyronie, 345, rue du Muscadet, 34090 Montpellier, France.
IN  - Jourdain, Merce. CHU, centre de reanimation, universite de Lille 2, Inserm UII90, 59000 Lille, France.
IN  - Pene, Frederic. Service de reanimation medicale, hopital Cochin, AP-HP, universite Paris Descartes, 75014 Paris, France.
IN  - Yakoub-Agha, Ibrahim. CHU de Lille, LIRIC Inserm U995, universite Lille 2, 59000 Lille, France. Electronic address: sfgm-tc-iya@live.fr.
TI  - [Transfer of allogeneic stem cell transplant recipients to the intensive care unit: Guidelines from the Francophone society of marrow transplantation and cellular therapy (SFGM-TC)]. [French]
OT  - Transfert des patients allogreffes de cellules-souches hematopoietiques en reanimation : recommandations de la Societe francophone de greffe de moelle et de therapie cellulaire (SFGM-TC).
SO  - Bulletin du Cancer. 103(11S):S220-S228, 2016 Nov
AS  - Bull Cancer. 103(11S):S220-S228, 2016 Nov
NJ  - Bulletin du cancer
VO  - 103
IP  - 11S
PG  - S220-S228
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 0072416
IO  - Bull Cancer
SB  - Index Medicus
CP  - France
MH  - Critical Care/sn [Statistics & Numerical Data]
MH  - Family/px [Psychology]
MH  - France
MH  - Hematopoietic Stem Cell Transplantation/px [Psychology]
MH  - *Hematopoietic Stem Cell Transplantation
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units
MH  - Patient Transfer/es [Ethics]
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/st [Standards]
MH  - *Physician's Role
MH  - Prognosis
MH  - *Records as Topic
MH  - Societies, Medical
MH  - Transplantation, Homologous
KW  - Allogeneic stem cell transplant;  Allogreffe de cellules hematopoietiques;  Considerations ethiques;  Defaillance d'organes;  Ethical considerations;  Intensive care unit;  Organ failure;  Reanimation
AB  - Transferring a patient undergoing an allogeneic stem cell transplantation to the intensive care unit (ICU) is always a challenging situation on a medical and psychological point of view for the patient and his relatives as well as for the medical staff. Despite the progress in hematology and intensive care during the last decade, the prognosis of these patients admitted to the ICU remains poor and mortality is around 50 %. The harmonization working party of the SFGM-TC assembled hematologists and intensive care specialist in order to improve conditions and modalities of the transfer of a patient after allogeneic stem cell transplantation to the ICU. We propose a structured medical form comprising all essential information necessary for optimal medical care on ICU.

Copyright A© 2016. Published by Elsevier Masson SAS.
ES  - 1769-6917
IL  - 0007-4551
DI  - S0007-4551(16)30221-1
DO  - https://dx.doi.org/10.1016/j.bulcan.2016.09.008
PT  - Journal Article
PT  - Practice Guideline
ID  - S0007-4551(16)30221-1 [pii]
ID  - 10.1016/j.bulcan.2016.09.008 [doi]
PP  - ppublish
PH  - 2016/08/19 [received]
PH  - 2016/09/01 [accepted]
LG  - French
EP  - 20161102
DP  - 2016 Nov
EZ  - 2016/11/07 06:00
DA  - 2017/02/06 06:00
DT  - 2016/11/07 06:00
YR  - 2016
ED  - 20170203
RD  - 20170203
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27816169

<55. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27021672
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Meyer MT
AU  - Mikhailov TA
AU  - Kuhn EM
AU  - Collins MM
AU  - Scanlon MC
FA  - Meyer, Michael T
FA  - Mikhailov, Theresa A
FA  - Kuhn, Evelyn M
FA  - Collins, Maureen M
FA  - Scanlon, Matthew C
IN  - Meyer, Michael T. Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address: mtmeyer@mcw.edu.
IN  - Mikhailov, Theresa A. Medical College of Wisconsin, Milwaukee, WI, USA.
IN  - Kuhn, Evelyn M. Children's Hospital of Wisconsin, Milwaukee, WI, USA.
IN  - Collins, Maureen M. Curative Care Network, Inc, Milwaukee, WI, USA.
IN  - Scanlon, Matthew C. Medical College of Wisconsin, Milwaukee, WI, USA.
TI  - Pediatric Specialty Transport Teams Are Not Associated With Decreased 48-Hour Pediatric Intensive Care Unit Mortality: A Propensity Analysis of the VPS, LLC Database.
CM  - Comment in: Acta Paediatr. 2016 Nov;105(11):1335; PMID: 27444883
SO  - Air Medical Journal. 35(2):73-8, 2016 Mar-Apr
AS  - Air Med J. 35(2):73-8, 2016 Mar-Apr
NJ  - Air medical journal
VO  - 35
IP  - 2
PG  - 73-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Databases, Factual
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Mortality
MH  - Patient Acuity
MH  - *Patient Care Team
MH  - *Pediatrics
MH  - Propensity Score
MH  - *Transportation of Patients/ma [Manpower]
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.
AB  - 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.
AB  - 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.
AB  - CONCLUSION: No significant difference in adjusted 48-hour PICU mortality for children transported by transport team type was discovered.

Copyright © 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(15)00328-4
DO  - https://dx.doi.org/10.1016/j.amj.2015.12.003
PT  - Journal Article
PT  - Multicenter Study
ID  - S1067-991X(15)00328-4 [pii]
ID  - 10.1016/j.amj.2015.12.003 [doi]
PP  - ppublish
PH  - 2015/06/07 [received]
PH  - 2015/11/11 [revised]
PH  - 2015/12/08 [accepted]
LG  - English
DP  - 2016 Mar-Apr
EZ  - 2016/03/30 06:00
DA  - 2017/01/28 06:00
DT  - 2016/03/30 06:00
YR  - 2016
ED  - 20170127
RD  - 20170418
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27021672

<56. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27058186
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lyons PG
AU  - Arora VM
AU  - Farnan JM
FA  - Lyons, Patrick G
FA  - Arora, Vineet M
FA  - Farnan, Jeanne M
IN  - Lyons, Patrick G. 1 University of Chicago Chicago, Illinois.
IN  - Arora, Vineet M. 1 University of Chicago Chicago, Illinois.
IN  - Farnan, Jeanne M. 1 University of Chicago Chicago, Illinois.
TI  - Adverse Events and Near-Misses Relating to Intensive Care Unit-Ward Transfer: A Qualitative Analysis of Resident Perceptions.
SO  - Annals of the American Thoracic Society. 13(4):570-2, 2016 Apr
AS  - Ann Am Thorac Soc. 13(4):570-2, 2016 Apr
NJ  - Annals of the American Thoracic Society
VO  - 13
IP  - 4
PG  - 570-2
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101600811
IO  - Ann Am Thorac Soc
SB  - Index Medicus
CP  - United States
MH  - *Communication
MH  - Humans
MH  - Illinois
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Internship and Residency
MH  - *Near Miss, Healthcare/st [Standards]
MH  - *Patient Handoff/st [Standards]
MH  - *Patient Transfer/mt [Methods]
MH  - *Physicians/px [Psychology]
MH  - Tertiary Care Centers
MH  - Uncertainty
ES  - 2325-6621
IL  - 2325-6621
DO  - https://dx.doi.org/10.1513/AnnalsATS.201512-789LE
PT  - Letter
ID  - 10.1513/AnnalsATS.201512-789LE [doi]
PP  - ppublish
LG  - English
DP  - 2016 Apr
EZ  - 2016/04/09 06:00
DA  - 2017/01/26 06:00
DT  - 2016/04/09 06:00
YR  - 2016
ED  - 20170125
RD  - 20170125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27058186

<57. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27043094
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Biddell EA
AU  - Vandersall BL
AU  - Bailes SA
AU  - Estephan SA
AU  - Ferrara LA
AU  - Nagy KM
AU  - O'Connell JL
AU  - Patterson MD
FA  - Biddell, Elizabeth A
FA  - Vandersall, Brian L
FA  - Bailes, Stephanie A
FA  - Estephan, Stephanie A
FA  - Ferrara, Lori A
FA  - Nagy, Kristine M
FA  - O'Connell, Joyce L
FA  - Patterson, Mary D
IN  - Biddell, Elizabeth A. From the Pediatrics (E.A.B., M.D.P.), and Simulation Center for Safety and Reliability (B.L.V., S.A.B., S.A.E., L.A.F., K.M.N., J.L.O., M.D.P., E.A.B., M.D.P.), Akron Children's Hospital, Akron, OH.
TI  - Use of Simulation to Gauge Preparedness for Ebola at a Free-Standing Children's Hospital.
SO  - Simulation in Healthcare: The Journal of The Society for Medical Simulation. 11(2):94-9, 2016 Apr
AS  - Simul. healthc.. 11(2):94-9, 2016 Apr
NJ  - Simulation in healthcare : journal of the Society for Simulation in Healthcare
VO  - 11
IP  - 2
PG  - 94-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101264408
IO  - Simul Healthc
SB  - Index Medicus
CP  - United States
MH  - Critical Care/og [Organization & Administration]
MH  - Disaster Planning/og [Organization & Administration]
MH  - Emergency Service, Hospital/og [Organization & Administration]
MH  - *Health Personnel/ed [Education]
MH  - *Hemorrhagic Fever, Ebola/pc [Prevention & Control]
MH  - Hemorrhagic Fever, Ebola/th [Therapy]
MH  - Hemorrhagic Fever, Ebola/tm [Transmission]
MH  - *Hospitals, Pediatric/og [Organization & Administration]
MH  - Humans
MH  - Infection Control/og [Organization & Administration]
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Manikins
MH  - Patient Care Team/og [Organization & Administration]
MH  - Personal Protective Equipment
MH  - *Quality Improvement/og [Organization & Administration]
MH  - *Simulation Training/og [Organization & Administration]
MH  - Transportation of Patients
AB  - STATEMENT: On October 10, 2014, a health care worker exposed to Ebola traveled to Akron, OH, where she became symptomatic. The resulting local public health agencies and health care organization response was unequalled in our region. The day this information was announced, the emergency disaster response was activated at our hospital. The simulation center had 12 hours to prepare simulations to evaluate hospital preparedness should a patient screen positive for Ebola exposure. The team developed hybrid simulation scenarios using standardized patients, mannequin simulators, and task trainers to assess hospital preparedness in the emergency department, transport team, pediatric intensive care unit, and for interdepartmental transfers. These simulations were multidisciplinary and demonstrated gaps in the system that could expose staff to Ebola. The results of these simulations were provided rapidly to the administration. Further simulation cycles were used during the next 2 weeks to identify additional gaps and to evaluate possible solutions.
ES  - 1559-713X
IL  - 1559-2332
DO  - https://dx.doi.org/10.1097/SIH.0000000000000134
PT  - Journal Article
ID  - 10.1097/SIH.0000000000000134 [doi]
ID  - 01266021-201604000-00006 [pii]
PP  - ppublish
LG  - English
DP  - 2016 Apr
EZ  - 2016/04/05 06:00
DA  - 2017/01/18 06:00
DT  - 2016/04/05 06:00
YR  - 2016
ED  - 20170117
RD  - 20170117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27043094

<58. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26365155
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rathod D
AU  - Adhisivam B
AU  - Bhat BV
FA  - Rathod, Deepak
FA  - Adhisivam, B
FA  - Bhat, B Vishnu
IN  - Rathod, Deepak. Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605 006, India.
IN  - Adhisivam, B. Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605 006, India. adhisivam1975@yahoo.co.uk.
IN  - Bhat, B Vishnu. Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605 006, India.
TI  - Sick Neonate Score--A Simple Clinical Score for Predicting Mortality of Sick Neonates in Resource Restricted Settings.
CM  - Comment in: Indian J Pediatr. 2016 Feb;83(2):97-8; PMID: 26747080
SO  - Indian Journal of Pediatrics. 83(2):103-6, 2016 Feb
AS  - Indian J Pediatr. 83(2):103-6, 2016 Feb
NJ  - Indian journal of pediatrics
VO  - 83
IP  - 2
PG  - 103-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - gkt, 0417442
IO  - Indian J Pediatr
SB  - Index Medicus
CP  - India
MH  - Female
MH  - Health Services Needs and Demand
MH  - Humans
MH  - India/ep [Epidemiology]
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/cl [Classification]
MH  - Infant, Newborn, Diseases/di [Diagnosis]
MH  - Infant, Newborn, Diseases/mo [Mortality]
MH  - Infant, Newborn, Diseases/th [Therapy]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Mortality
MH  - *Neonatal Screening/mt [Methods]
MH  - Predictive Value of Tests
MH  - Severity of Illness Index
MH  - *Transportation of Patients/mt [Methods]
KW  - Hypothermia;  Mortality;  Neonatal transport;  Newborn;  Score
AB  - OBJECTIVE: To evaluate an objective score to assess the condition of sick neonates at arrival and its use in predicting mortality.
AB  - 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.
AB  - 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 %.
AB  - CONCLUSIONS: SNS is a useful scoring system to predict outcome of sick neonates in resource restricted settings.
ES  - 0973-7693
IL  - 0019-5456
DO  - https://dx.doi.org/10.1007/s12098-015-1884-2
PT  - Journal Article
ID  - 10.1007/s12098-015-1884-2 [doi]
ID  - 10.1007/s12098-015-1884-2 [pii]
PP  - ppublish
PH  - 2015/01/20 [received]
PH  - 2015/08/10 [accepted]
LG  - English
EP  - 20150914
DP  - 2016 Feb
EZ  - 2015/09/15 06:00
DA  - 2017/01/18 06:00
DT  - 2015/09/15 06:00
YR  - 2016
ED  - 20170117
RD  - 20171109
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26365155

<59. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26914628
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Agulnik A
AU  - Forbes PW
AU  - Stenquist N
AU  - Rodriguez-Galindo C
AU  - Kleinman M
FA  - Agulnik, Asya
FA  - Forbes, Peter W
FA  - Stenquist, Nicole
FA  - Rodriguez-Galindo, Carlos
FA  - Kleinman, Monica
IN  - Agulnik, Asya. 1Division of Critical Care Medicine, Department of Anesthesia, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, MA. 2Clinical Research Program, Boston Children's Hospital, Boston, MA. 3Department of Pediatric Oncology, Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA.
TI  - Validation of a Pediatric Early Warning Score in Hospitalized Pediatric Oncology and Hematopoietic Stem Cell Transplant Patients.
SO  - Pediatric Critical Care Medicine. 17(4):e146-53, 2016 Apr
AS  - Pediatr Crit Care Med. 17(4):e146-53, 2016 Apr
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 17
IP  - 4
PG  - e146-53
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Case-Control Studies
MH  - Child
MH  - Child, Preschool
MH  - Chronic Disease
MH  - *Decision Support Techniques
MH  - Female
MH  - *Heart Arrest/di [Diagnosis]
MH  - Heart Arrest/pc [Prevention & Control]
MH  - Hematopoietic Stem Cell Transplantation/mo [Mortality]
MH  - *Hematopoietic Stem Cell Transplantation
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - Neoplasms/co [Complications]
MH  - Neoplasms/mo [Mortality]
MH  - *Neoplasms
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Patient Transfer
MH  - ROC Curve
MH  - Risk Factors
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
AB  - OBJECTIVES: To evaluate the correlation of a Pediatric Early Warning Score with unplanned transfer to the PICU in hospitalized oncology and hematopoietic stem cell transplant patients.
AB  - DESIGN: We performed a retrospective matched case-control study, comparing the highest documented Pediatric Early Warning Score within 24 hours prior to unplanned PICU transfers in hospitalized pediatric oncology and hematopoietic stem cell transplant patients between September 2011 and December 2013. Controls were patients who remained on the inpatient unit and were matched 2:1 using age, condition (oncology vs hematopoietic stem cell transplant), and length of hospital stay. Pediatric Early Warning Scores were documented by nursing staff at least every 4 hours as part of routine care. Need for transfer was determined by a PICU physician called to evaluate the patient.
AB  - SETTING: A large tertiary/quaternary free-standing academic children's hospital.
AB  - PATIENTS: One hundred ten hospitalized pediatric oncology patients (42 oncology, 68 hematopoietic stem cell transplant) requiring unplanned PICU transfer and 220 matched controls.
AB  - INTERVENTIONS: None.
AB  - MEASUREMENTS AND MAIN RESULTS: Using the highest score in the 24 hours prior to transfer for cases and a matched time period for controls, the Pediatric Early Warning Score was highly correlated with the need for PICU transfer overall (area under the receiver operating characteristic = 0.96), and in the oncology and hematopoietic stem cell transplant groups individually (area under the receiver operating characteristic = 0.95 and 0.96, respectively). The difference in Pediatric Early Warning Score results between the cases and controls was noted as early as 24 hours prior to PICU admission. Seventeen patients died (15.4%). Patients with higher Pediatric Early Warning Scores prior to transfer had increased PICU mortality (p = 0.028) and length of stay (p = 0.004).
AB  - CONCLUSIONS: We demonstrate that our institution's Pediatric Early Warning Score is highly correlated with the need for unplanned PICU transfer in hospitalized oncology and hematopoietic stem cell transplant patients. Furthermore, we found an association between higher scores and PICU mortality. This is the first validation of a Pediatric Early Warning Score specific to the pediatric oncology and hematopoietic stem cell transplant populations, and supports the use of Pediatric Early Warning Scores as a method of early identification of clinical deterioration in this high-risk population.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000662
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Studies
ID  - 10.1097/PCC.0000000000000662 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Apr
EZ  - 2016/02/26 06:00
DA  - 2017/01/14 06:00
DT  - 2016/02/26 06:00
YR  - 2016
ED  - 20170113
RD  - 20170113
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26914628

<60. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26626061
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rambaud J
AU  - Leger PL
AU  - Larroquet M
AU  - Amblard A
AU  - Lode N
AU  - Guilbert J
AU  - Jean S
AU  - Guellec I
AU  - Casadevall I
AU  - Kessous K
AU  - Walti H
AU  - Carbajal R
FA  - Rambaud, J
FA  - Leger, P L
FA  - Larroquet, M
FA  - Amblard, A
FA  - Lode, N
FA  - Guilbert, J
FA  - Jean, S
FA  - Guellec, I
FA  - Casadevall, I
FA  - Kessous, K
FA  - Walti, H
FA  - Carbajal, R
IN  - Rambaud, J. Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France. jerome.rambaud@aphp.fr.
IN  - Leger, P L. Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
IN  - Larroquet, M. Paediatric Surgery, Armand-Trousseau Hospital, APHP, UPMC University, Paris, France.
IN  - Amblard, A. Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
IN  - Lode, N. Emergency Transport Unit, Robert Debre Hospital, Paris, France.
IN  - Guilbert, J. Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
IN  - Jean, S. Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
IN  - Guellec, I. Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
IN  - Casadevall, I. Emergency Transport Unit, Robert Debre Hospital, Paris, France.
IN  - Kessous, K. Emergency Transport Unit, Robert Debre Hospital, Paris, France.
IN  - Walti, H. Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
IN  - Carbajal, R. Paediatric Intensive Care Unit, Armand-Trousseau Hospital, APHP, UPMC University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
TI  - Transportation of children on extracorporeal membrane oxygenation: one-year experience of the first neonatal and paediatric mobile ECMO team in the north of France.
SO  - Intensive Care Medicine. 42(5):940-941, 2016 May
AS  - Intensive Care Med. 42(5):940-941, 2016 May
NJ  - Intensive care medicine
VO  - 42
IP  - 5
PG  - 940-941
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Child, Preschool
MH  - *Extracorporeal Membrane Oxygenation
MH  - Female
MH  - France
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - *Transportation of Patients
ES  - 1432-1238
IL  - 0342-4642
DO  - https://dx.doi.org/10.1007/s00134-015-4144-z
PT  - Letter
ID  - 10.1007/s00134-015-4144-z [doi]
ID  - 10.1007/s00134-015-4144-z [pii]
PP  - ppublish
PH  - 2015/11/06 [accepted]
LG  - English
EP  - 20151201
DP  - 2016 May
EZ  - 2015/12/03 06:00
DA  - 2017/01/14 06:00
DT  - 2015/12/03 06:00
YR  - 2016
ED  - 20170112
RD  - 20171115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26626061

<61. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26335382
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bastug O
AU  - Gunes T
AU  - Korkmaz L
AU  - Elmali F
AU  - Kucuk F
AU  - Adnan Ozturk M
AU  - Kurtoglu S
FA  - Bastug, Osman
FA  - Gunes, Tamer
FA  - Korkmaz, Levent
FA  - Elmali, Ferhan
FA  - Kucuk, Fatma
FA  - Adnan Ozturk, Mehmet
FA  - Kurtoglu, Selim
IN  - Bastug, Osman. a Department of Pediatrics, Division of Neonatology , Kayseri , Turkey .
IN  - Gunes, Tamer. a Department of Pediatrics, Division of Neonatology , Kayseri , Turkey .
IN  - Korkmaz, Levent. a Department of Pediatrics, Division of Neonatology , Kayseri , Turkey .
IN  - Elmali, Ferhan. b Department of Biostatistics and Medical Bioinformatics , Kayseri , Turkey , and.
IN  - Kucuk, Fatma. c Department of Nursing , Erciyes University Medical Faculty , Kayseri , Turkey.
IN  - Adnan Ozturk, Mehmet. a Department of Pediatrics, Division of Neonatology , Kayseri , Turkey .
IN  - Kurtoglu, Selim. a Department of Pediatrics, Division of Neonatology , Kayseri , Turkey .
TI  - An evaluation of intra-hospital transport outcomes from tertiary neonatal intensive care unit.
SO  - Journal of Maternal-Fetal & Neonatal Medicine. 29(12):1993-8, 2016
AS  - J Matern Fetal Neonatal Med. 29(12):1993-8, 2016
NJ  - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
VO  - 29
IP  - 12
PG  - 1993-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101136916
IO  - J. Matern. Fetal. Neonatal. Med.
SB  - Index Medicus
CP  - England
MH  - *Birth Weight
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Tertiary Care Centers/sn [Statistics & Numerical Data]
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
KW  - Intensive care unit;  intra-hospital transport;  neonatal
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).
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1476-4954
IL  - 1476-4954
DO  - https://dx.doi.org/10.3109/14767058.2015.1072158
PT  - Evaluation Studies
PT  - Journal Article
ID  - 10.3109/14767058.2015.1072158 [doi]
PP  - ppublish
LG  - English
EP  - 20150827
DP  - 2016
EZ  - 2015/09/04 06:00
DA  - 2017/01/14 06:00
DT  - 2015/09/04 06:00
YR  - 2016
ED  - 20170112
RD  - 20170113
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26335382

<62. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26782274
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Simor AE
AU  - Pelude L
AU  - Golding G
AU  - Fernandes R
AU  - Bryce E
AU  - Frenette C
AU  - Gravel D
AU  - Katz K
AU  - McGeer A
AU  - Mulvey MR
AU  - Smith S
AU  - Weiss K
AU  - Canadian Nosocomial Infection Surveillance Program
FA  - Simor, Andrew E
FA  - Pelude, Linda
FA  - Golding, George
FA  - Fernandes, Rachel
FA  - Bryce, Elizabeth
FA  - Frenette, Charles
FA  - Gravel, Denise
FA  - Katz, Kevin
FA  - McGeer, Allison
FA  - Mulvey, Michael R
FA  - Smith, Stephanie
FA  - Weiss, Karl
FA  - Canadian Nosocomial Infection Surveillance Program
IN  - Simor, Andrew E. 1Department of Microbiology,Sunnybrook Health Sciences Centre,Toronto,Ontario.
IN  - Pelude, Linda. 2Public Health Agency of Canada,Ottawa,Ontario.
IN  - Golding, George. 3National Microbiology Laboratory,Public Health Agency of Canada,Winnipeg,Manitoba.
IN  - Fernandes, Rachel. 2Public Health Agency of Canada,Ottawa,Ontario.
IN  - Bryce, Elizabeth. 4Vancouver Coastal Health,Vancouver,British Columbia.
IN  - Frenette, Charles. 5McGill University Health Centre,Montreal,Quebec.
IN  - Gravel, Denise. 2Public Health Agency of Canada,Ottawa,Ontario.
IN  - Katz, Kevin. 6North York General Hospital,Toronto,Ontario.
IN  - McGeer, Allison. 7Mount Sinai Hospital,Toronto,Ontario.
IN  - Mulvey, Michael R. 3National Microbiology Laboratory,Public Health Agency of Canada,Winnipeg,Manitoba.
IN  - Smith, Stephanie. 8University of Alberta,Edmonton,Alberta.
IN  - Weiss, Karl. 9Maisonneuve-Rosemont Hospital, Montreal,Quebec.
IR  - Boyd D
IR  - Bridger N
IR  - Bryce E
IR  - Conly J
IR  - Embil J
IR  - Embree J
IR  - Evans G
IR  - Forgie S
IR  - Frenette C
IR  - German G
IR  - Golding G
IR  - Gravel D
IR  - Hembroff D
IR  - Henderson E
IR  - John M
IR  - Johnston L
IR  - Katz K
IR  - Kibsey P
IR  - Kuhn M
IR  - Langley J
IR  - Lee B
IR  - Lemieux C
IR  - Longtin Y
IR  - Loeb M
IR  - Matlow A
IR  - McGeer A
IR  - Mertz D
IR  - Miller M
IR  - Moore D
IR  - Mulvey M
IR  - Pelletier S
IR  - Quach C
IR  - Richardson S
IR  - Simor A
IR  - Smith S
IR  - Suh K
IR  - Taylor G
IR  - Thampi N
IR  - Thomas E
IR  - Turgeon N
IR  - Vearncombe M
IR  - Vayalumkal J
IR  - Weiss K
IR  - Wong A
TI  - Determinants of Outcome in Hospitalized Patients With Methicillin-Resistant Staphylococcus aureus Bloodstream Infection: Results From National Surveillance in Canada, 2008-2012.
SO  - Infection Control & Hospital Epidemiology. 37(4):390-7, 2016 Apr
AS  - Infect Control Hosp Epidemiol. 37(4):390-7, 2016 Apr
NJ  - Infection control and hospital epidemiology
VO  - 37
IP  - 4
PG  - 390-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - ich, 8804099
IO  - Infect Control Hosp Epidemiol
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anti-Bacterial Agents
MH  - Bacteremia/dt [Drug Therapy]
MH  - *Bacteremia/mo [Mortality]
MH  - Canada/ep [Epidemiology]
MH  - Child
MH  - Child, Preschool
MH  - *Cross Infection/mo [Mortality]
MH  - Female
MH  - *Hospitals/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units
MH  - Kaplan-Meier Estimate
MH  - Logistic Models
MH  - Male
MH  - *Methicillin-Resistant Staphylococcus aureus/ip [Isolation & Purification]
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Patient Transfer
MH  - Population Surveillance
MH  - Prospective Studies
MH  - Staphylococcal Infections/dt [Drug Therapy]
MH  - *Staphylococcal Infections/mo [Mortality]
MH  - Vancomycin/tu [Therapeutic Use]
MH  - Young Adult
AB  - BACKGROUND Bloodstream infection (BSI) due to methicillin-resistant Staphylococcus aureus (MRSA) is associated with considerable morbidity and mortality. OBJECTIVE To determine the incidence of MRSA BSI in Canadian hospitals and to identify variables associated with increased mortality. METHODS Prospective surveillance for MRSA BSI conducted in 53 Canadian hospitals from January 1, 2008, through December 31, 2012. Thirty-day all-cause mortality was determined, and logistic regression analysis was used to identify variables associated with mortality. RESULTS A total of 1,753 patients with MRSA BSI were identified (incidence, 0.45 per 1,000 admissions). The most common sites presumed to be the source of infection were skin/soft tissue (26.6%) and an intravascular catheter (22.0%). The most common spa types causing MRSA BSI were t002 (USA100/800; 55%) and t008 (USA300; 29%). Thirty-day all-cause mortality was 23.8%. Mortality was associated with increasing age (odds ratio, 1.03 per year [95% CI, 1.02-1.04]), the presence of pleuropulmonary infection (2.3 [1.4-3.7]), transfer to an intensive care unit (3.2 [2.1-5.0]), and failure to receive appropriate antimicrobial therapy within 24 hours of MRSA identification (3.2 [2.1-5.0]); a skin/soft-tissue source of BSI was associated with decreased mortality (0.5 [0.3-0.9]). MRSA genotype and reduced susceptibility to vancomycin were not associated with risk of death. CONCLUSIONS This study provides additional insight into the relative impact of various host and microbial factors associated with mortality in patients with MRSA BSI. The results emphasize the importance of ensuring timely receipt of appropriate antimicrobial agents to reduce the risk of an adverse outcome.
RN  - 0 (Anti-Bacterial Agents)
RN  - 6Q205EH1VU (Vancomycin)
ES  - 1559-6834
IL  - 0899-823X
DO  - https://dx.doi.org/10.1017/ice.2015.323
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0899823X15003232 [pii]
ID  - 10.1017/ice.2015.323 [doi]
PP  - ppublish
LG  - English
EP  - 20160119
DP  - 2016 Apr
EZ  - 2016/01/20 06:00
DA  - 2017/01/11 06:00
DT  - 2016/01/20 06:00
YR  - 2016
ED  - 20170110
RD  - 20170111
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26782274

<63. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25813295
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McMullan A
AU  - Parush A
AU  - Momtahan K
FA  - McMullan, Alicia
FA  - Parush, Avi
FA  - Momtahan, Kathryn
TI  - Transferring patient care: patterns of synchronous bidisciplinary communication between physicians and nurses during handoffs in a critical care unit.
SO  - Journal of PeriAnesthesia Nursing. 30(2):92-104, 2015 Apr
AS  - J Perianesth Nurs. 30(2):92-104, 2015 Apr
NJ  - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
VO  - 30
IP  - 2
PG  - 92-104
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9610507, CKX
IO  - J. Perianesth. Nurs.
SB  - Nursing Journal
CP  - United States
MH  - *Continuity of Patient Care/st [Standards]
MH  - *Critical Care/st [Standards]
MH  - Humans
MH  - Interdisciplinary Communication
MH  - Interprofessional Relations
MH  - *Patient Transfer/st [Standards]
MH  - Physician-Nurse Relations
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
KW  - communication;  handoffs;  patient safety
AB  - PURPOSE: The transfer of patient care from one health care worker to another involves communication in high-pressure contexts that are often vulnerable to error. This research project captured current practices for handoffs during the critical care stage of surgical recovery in a hospital setting. The objective was to characterize information flow during transfer and identify patterns of communication between nurses and physicians.
AB  - DESIGN AND METHODS: Observations were used to document communication exchanges. The data were analyzed qualitatively according to the types of information exchanged and verbal behavior types.
AB  - FINDINGS: Reporting and questions were the most common verbal behaviors, and retrospective medical information was the focus of information exchange. The communication was highly interactive when discussing patient status and future care plans. Nurses proactively asked questions to capture a large proportion of the information they needed.
AB  - CONCLUSIONS: Findings reflect positive and constructive patterns of communication during handoffs in the observed hospital unit.

Copyright © 2015 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
ES  - 1532-8473
IL  - 1089-9472
DI  - S1089-9472(14)00190-7
DO  - https://dx.doi.org/10.1016/j.jopan.2014.05.009
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
ID  - S1089-9472(14)00190-7 [pii]
ID  - 10.1016/j.jopan.2014.05.009 [doi]
PP  - ppublish
PH  - 2013/06/27 [received]
PH  - 2014/04/07 [revised]
PH  - 2014/05/30 [accepted]
LG  - English
EP  - 20141030
DP  - 2015 Apr
EZ  - 2015/03/31 06:00
DA  - 2017/01/10 06:00
DT  - 2015/03/28 06:00
YR  - 2015
ED  - 20170109
RD  - 20170110
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25813295

<64. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27518288
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Irion VH
AU  - Barnes J
AU  - Montgomery BE
AU  - Suva LJ
AU  - Montgomery CO
FA  - Irion, Val H
FA  - Barnes, James
FA  - Montgomery, Brooke E E
FA  - Suva, Larry J
FA  - Montgomery, Corey O
IN  - Irion, Val H. Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas. virion919@yahoo.com.
TI  - Presentation and Management of Venomous Snakebites: Should All Patients Be Transferred to a Tertiary Referral Hospital?.
SO  - Journal of Surgical Orthopaedic Advances. 25(2):69-73, 2016
AS  - J Surg Orthop Adv. 25(2):69-73, 2016
NJ  - Journal of surgical orthopaedic advances
VO  - 25
IP  - 2
PG  - 69-73
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101197881
IO  - J Surg Orthop Adv
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Age Distribution
MH  - *Agkistrodon
MH  - Animals
MH  - *Antivenins/tu [Therapeutic Use]
MH  - Child
MH  - Cohort Studies
MH  - Female
MH  - Hospitals, Rural
MH  - Humans
MH  - Intensive Care Units
MH  - Lower Extremity
MH  - Male
MH  - *Patient Transfer
MH  - Referral and Consultation
MH  - Retrospective Studies
MH  - Seasons
MH  - Sex Distribution
MH  - Snake Bites/ep [Epidemiology]
MH  - *Snake Bites/th [Therapy]
MH  - *Tertiary Care Centers
MH  - Time-to-Treatment
MH  - United States/ep [Epidemiology]
MH  - Upper Extremity
AB  - Venomous snakebites may be difficult to manage because of the varied clinical presentations that may lead to uncertainty regarding the most appropriate medical and surgical management. Frequently, snakebite victims are referred from smaller rural hospitals to larger tertiary centers offering more specialized services and care. A retrospective chart review was performed using medical records from both adult and pediatric hospitals in a rural state over a 7-year period (January 2004 to January 2011) to investigate the utility of intensive care and specialized medical services offered at tertiary referral centers. The results demonstrated that presentation of venomous snakebites is the same in adults and children as well as the management. The results also demonstrated that the use of supportive care and antivenin alone was successful in the management of the vast majority of snakebites. Most snakebite victims recovered with nonsurgical care; thus surgical intervention is rarely warranted. These findings demonstrate that snakebite victims may not need referral to a tertiary center, if the primary local hospital has supportive care capacity and familiarity with antivenin usage.
RN  - 0 (Antivenins)
IS  - 1548-825X
IL  - 1548-825X
PT  - Journal Article
ID  - http://www.jsoaonline.com/archive/2016/presentation-management-venomous-snakebites/ [pii]
PP  - ppublish
LG  - English
DP  - 2016
EZ  - 2016/08/16 06:00
DA  - 2017/01/04 06:00
DT  - 2016/08/13 06:00
YR  - 2016
ED  - 20170103
RD  - 20170104
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27518288

<65. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26992643
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mai CL
AU  - Ahmed Z
AU  - Maze A
AU  - Noorulla F
AU  - Yaster M
FA  - Mai, Christine L
FA  - Ahmed, Zulfiqar
FA  - Maze, Aubrey
FA  - Noorulla, Fatima
FA  - Yaster, Myron
IN  - Mai, Christine L. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
IN  - Mai, Christine L. Department of Anesthesia, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.
IN  - Ahmed, Zulfiqar. Anesthesia Associates of Ann Arbor, Wayne State University, Detroit, MI, USA.
IN  - Maze, Aubrey. Valley Anesthesiology and Pain Consultants, Phoenix, AZ, USA.
IN  - Noorulla, Fatima. Wayne State University School of Medicine, Detroit, MI, USA.
IN  - Yaster, Myron. Departments of Anesthesiology, Critical Care Medicine and Pediatrics, The Johns Hopkins University, Baltimore, MD, USA.
TI  - Pediatric transport medicine and the dawn of the pediatric anesthesiology and critical care medicine subspecialty: an interview with pioneer Dr. Alvin Hackel.
SO  - Paediatric Anaesthesia. 26(5):475-80, 2016 May
AS  - Paediatr Anaesth. 26(5):475-80, 2016 May
NJ  - Paediatric anaesthesia
VO  - 26
IP  - 5
PG  - 475-80
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - cg8, 9206575
IO  - Paediatr Anaesth
SB  - Index Medicus
CP  - France
MH  - *Anesthesiology/hi [History]
MH  - Child
MH  - *Critical Care/hi [History]
MH  - History, 20th Century
MH  - Humans
MH  - Incubators, Infant
MH  - *Pediatrics/hi [History]
MH  - *Transportation of Patients/hi [History]
MH  - United States
KW  - Alvin Hackel;  credentialing;  facility regulation and control;  incubators;  infant;  pediatric anesthesia;  transportation of patients
PN  - Hackel A
AB  - Dr. Alvin 'Al' Hackel (1932-) Professor Emeritus of Anesthesiology, Perioperative and Pain Medicine, and Pediatrics at the Stanford University School of Medicine, has been an influential pioneer in shaping the scope and practice of pediatric anesthesia. His leadership helped to formally define the subspecialty of pediatric anesthesiology ('who is a pediatric anesthesiologist?') and the importance of specialization and regionalization of expertise in both patient transport and perioperative care. His enduring impact on pediatric anesthesia and critical care practice was recognized in 2006 by the American Academy of Pediatrics when it bestowed upon him the profession's highest lifetime achievement award, the Robert M. Smith Award. Of his many contributions, Dr. Hackel identifies his early involvement in the development of pediatric transport medicine as well as the subspecialty of pediatric anesthesiology as his defining contribution. Based on a series of interviews held with Dr. Hackel between 2009 and 2014, this article reviews the early development of transportation medicine and the remarkable career of a pioneering pediatric anesthesiologist. 

Copyright © 2016 John Wiley & Sons Ltd.
ES  - 1460-9592
IL  - 1155-5645
DO  - https://dx.doi.org/10.1111/pan.12880
PT  - Biography
PT  - Historical Article
PT  - Journal Article
PT  - Portraits
ID  - 10.1111/pan.12880 [doi]
PP  - ppublish
PH  - 2016/02/15 [accepted]
LG  - English
EP  - 20160319
DP  - 2016 May
EZ  - 2016/03/20 06:00
DA  - 2017/01/04 06:00
DT  - 2016/03/20 06:00
YR  - 2016
ED  - 20170102
RD  - 20170104
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26992643

<66. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26828423
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shrestha GS
AU  - Goffi A
AU  - Aryal D
FA  - Shrestha, Gentle S
FA  - Goffi, Alberto
FA  - Aryal, Diptesh
IN  - Shrestha, Gentle S. aDepartment of Anesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal bInterdepartmental Division of Critical Care Medicine cDepartment of Medicine, University of Toronto dDepartment of Medicine, Division of Respirology (Critical Care), University Health Network, Toronto, Canada.
TI  - Delivering neurocritical care in resource-challenged environments. [Review]
SO  - Current Opinion in Critical Care. 22(2):100-5, 2016 Apr
AS  - Curr Opin Crit Care. 22(2):100-5, 2016 Apr
NJ  - Current opinion in critical care
VO  - 22
IP  - 2
PG  - 100-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9504454, d2j
IO  - Curr Opin Crit Care
SB  - Index Medicus
CP  - United States
MH  - Critical Care/ec [Economics]
MH  - Critical Care/st [Standards]
MH  - Critical Care/td [Trends]
MH  - *Critical Care
MH  - Critical Illness
MH  - *Delivery of Health Care/st [Standards]
MH  - Delivery of Health Care/td [Trends]
MH  - *Developing Countries/ec [Economics]
MH  - Health Knowledge, Attitudes, Practice
MH  - Health Resources/ec [Economics]
MH  - Health Resources/td [Trends]
MH  - Health Services Needs and Demand/ec [Economics]
MH  - Health Services Needs and Demand/td [Trends]
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - *Intensive Care Units/st [Standards]
MH  - Neurology/ec [Economics]
MH  - Neurology/st [Standards]
MH  - Neurology/td [Trends]
MH  - *Neurology
MH  - Transportation of Patients
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.
AB  - 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.
AB  - SUMMARY: Considering the disease burden and potentials to improve outcome, attempts should be made to develop neurocritical care in resource-challenged environments.
AB  - VIDEO ABSTRACT: http://links.lww.com/COCC/A11.
ES  - 1531-7072
IL  - 1070-5295
DO  - https://dx.doi.org/10.1097/MCC.0000000000000285
PT  - Journal Article
PT  - Review
ID  - 10.1097/MCC.0000000000000285 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Apr
EZ  - 2016/02/02 06:00
DA  - 2016/12/29 06:00
DT  - 2016/02/02 06:00
YR  - 2016
ED  - 20161228
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26828423

<67. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27471214
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gleich SJ
AU  - Nemergut ME
AU  - Stans AA
AU  - Haile DT
AU  - Feigal SA
AU  - Heinrich AL
AU  - Bosley CL
AU  - Tripathi S
FA  - Gleich, Stephen J
FA  - Nemergut, Michael E
FA  - Stans, Anthony A
FA  - Haile, Dawit T
FA  - Feigal, Scott A
FA  - Heinrich, Angela L
FA  - Bosley, Christopher L
FA  - Tripathi, Sandeep
IN  - Gleich, Stephen J. Departments of Pediatrics, Anesthesiology, gleich.stephen@mayo.edu.
IN  - Nemergut, Michael E. Departments of Pediatrics, Anesthesiology.
IN  - Stans, Anthony A. Orthopedics, and.
IN  - Haile, Dawit T. Anesthesiology.
IN  - Feigal, Scott A. Nursing, Mayo Clinic, Rochester, Minnesota; and.
IN  - Heinrich, Angela L. Nursing, Mayo Clinic, Rochester, Minnesota; and.
IN  - Bosley, Christopher L. Anesthesiology.
IN  - Tripathi, Sandeep. Department of Clinical Pediatrics, University of Illinois College of Medicine, Peoria, Illinois.
TI  - Improvement in Patient Transfer Process From the Operating Room to the PICU Using a Lean and Six Sigma-Based Quality Improvement Project.
SO  - Hospital Pediatrics. 6(8):483-9, 2016 Aug
AS  - Hosp. pediatr.. 6(8):483-9, 2016 Aug
NJ  - Hospital pediatrics
VO  - 6
IP  - 8
PG  - 483-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101585349
IO  - Hosp Pediatr
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - Continuity of Patient Care/st [Standards]
MH  - *Continuity of Patient Care
MH  - Female
MH  - Humans
MH  - Intensive Care Units, Pediatric/st [Standards]
MH  - Male
MH  - *Medical Errors/pc [Prevention & Control]
MH  - Models, Organizational
MH  - Operating Rooms/st [Standards]
MH  - *Patient Handoff/st [Standards]
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer
MH  - Quality Improvement
MH  - Spinal Fusion/mt [Methods]
MH  - Total Quality Management/mt [Methods]
AB  - BACKGROUND AND OBJECTIVES: Ineffective and inefficient patient transfer processes can increase the chance of medical errors. Improvements in such processes are high-priority local institutional and national patient safety goals. At our institution, nonintubated postoperative pediatric patients are first admitted to the postanesthesia care unit before transfer to the PICU. This quality improvement project was designed to improve the patient transfer process from the operating room (OR) to the PICU.
AB  - METHODS: After direct observation of the baseline process, we introduced a structured, direct OR-PICU transfer process for orthopedic spinal fusion patients. We performed value stream mapping of the process to determine error-prone and inefficient areas. We evaluated primary outcome measures of handoff error reduction and the overall efficiency of patient transfer process time. Staff satisfaction was evaluated as a counterbalance measure.
AB  - RESULTS: With the introduction of the new direct OR-PICU patient transfer process, the handoff communication error rate improved from 1.9 to 0.3 errors per patient handoff (P = .002). Inefficiency (patient wait time and non-value-creating activity) was reduced from 90 to 32 minutes. Handoff content was improved with fewer information omissions (P < .001). Staff satisfaction significantly improved among nearly all PICU providers.
AB  - CONCLUSIONS: By using quality improvement methodology to design and implement a new direct OR-PICU transfer process with a structured multidisciplinary verbal handoff, we achieved sustained improvements in patient safety and efficiency. Handoff communication was enhanced, with fewer errors and content omissions. The new process improved efficiency, with high staff satisfaction.

Copyright © 2016 by the American Academy of Pediatrics.
IS  - 2154-1663
IL  - 2154-1671
DO  - https://dx.doi.org/10.1542/hpeds.2015-0232
PT  - Journal Article
ID  - hpeds.2015-0232 [pii]
ID  - 10.1542/hpeds.2015-0232 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Aug
EZ  - 2016/07/30 06:00
DA  - 2016/12/24 06:00
DT  - 2016/07/30 06:00
YR  - 2016
ED  - 20161223
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27471214

<68. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25971367
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Landsleitner B
AU  - Keil J
FA  - Landsleitner, B
FA  - Keil, J
IN  - Landsleitner, B. Abteilung fur Anasthesie und Intensivmedizin, Cnopf'sche Kinderklinik/Klinik Hallerwiese, Diakonie Neuendettelsau, St.-Johannis-Muhlgasse 19, 90419, Nurnberg, Deutschland, bernd.landsleitner@diakonieneuendettelsau.de.
TI  - [Burns and scalds in children]. [Review] [German]
OT  - Verbrennungen und Verbruhungen im Kindesalter.
SO  - Medizinische Klinik, Intensivmedizin Und Notfallmedizin. 110(5):346-53, 2015 Jun
AS  - Med Klin Intensivmed Notfmed. 110(5):346-53, 2015 Jun
NJ  - Medizinische Klinik, Intensivmedizin und Notfallmedizin
VO  - 110
IP  - 5
PG  - 346-53
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101575086
IO  - Med Klin Intensivmed Notfmed
SB  - Index Medicus
CP  - Germany
MH  - Analgesia/mt [Methods]
MH  - Burn Units
MH  - Burns/cl [Classification]
MH  - Burns/di [Diagnosis]
MH  - Burns/et [Etiology]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Conscious Sedation/mt [Methods]
MH  - *Emergency Medical Services/mt [Methods]
MH  - Female
MH  - First Aid
MH  - Fluid Therapy/mt [Methods]
MH  - Guideline Adherence
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Male
MH  - Medical Errors/pc [Prevention & Control]
MH  - Patient Care Team
MH  - Shock, Traumatic/cl [Classification]
MH  - Shock, Traumatic/di [Diagnosis]
MH  - Shock, Traumatic/et [Etiology]
MH  - Shock, Traumatic/th [Therapy]
MH  - Transportation of Patients
AB  - BACKGROUND: Since pediatric emergencies and burn injuries are rare in prehospital emergency medicine, emergency teams can hardly develop routine in emergency care.
AB  - OBJECTIVES: How to effectively treat burn injuries and avoid common errors?
AB  - MATERIALS AND METHODS: A simple and severity-based therapy concept based on the current literature using the example of a case report is presented.
AB  - RESULTS: About 80% of burns and scalds in children are not severe cases-in these patients an effective analgesia by intranasal administration is important and further invasive treatments are generally not necessary. The emergency care of children with severe burn injuries should start with intranasally administered analgesia and/or sedation. After an intravenous or intraosseous access is gained, moderate fluid therapy is started, which should be complemented by a fluid bolus only if signs of a shock are present. Additional administration of analgesia and/or sedation may be necessary. Estimation of the burned body surface area is best determined with the palm rule; the severity of the burn appears after a latency period. Induction of anesthesia and intubation are not required in the majority of cases.
AB  - CONCLUSIONS: By applying a modified ABCDE scheme, all emergency teams can provide effective emergency care in children with burn injuries.
ES  - 2193-6226
IL  - 2193-6218
DO  - https://dx.doi.org/10.1007/s00063-015-0032-0
PT  - Journal Article
PT  - Review
ID  - 10.1007/s00063-015-0032-0 [doi]
PP  - ppublish
LG  - German
DP  - 2015 Jun
EZ  - 2015/05/15 06:00
DA  - 2016/12/21 06:00
DT  - 2015/05/15 06:00
YR  - 2015
ED  - 20161220
RD  - 20170916
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25971367

<69. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26949909
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - von Dossow V
AU  - Zwisler B
FA  - von Dossow, Vera
FA  - Zwisler, Bernhard
TI  - [Not Available]. [German]
OT  - Empfehlung der DGAI zur strukturierten Patientenubergabe in der perioperativen Phase - Das SBAR-Konzept.
SO  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. 51(2):136-7, 2016 Feb
AS  - Anasthesiol Intensivmed Notfallmed Schmerzther. 51(2):136-7, 2016 Feb
NJ  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
VO  - 51
IP  - 2
PG  - 136-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9109478, a4c
IO  - Anasthesiol Intensivmed Notfallmed Schmerzther
SB  - Index Medicus
CP  - Germany
MH  - *Anesthesiology/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - Germany
MH  - Interprofessional Relations
MH  - Models, Organizational
MH  - *Operating Rooms/og [Organization & Administration]
MH  - *Patient Safety/st [Standards]
MH  - Perioperative Care/st [Standards]
MH  - *Practice Guidelines as Topic
MH  - *Recovery Room/og [Organization & Administration]
MH  - Transportation of Patients/og [Organization & Administration]
ES  - 1439-1074
IL  - 0939-2661
DO  - https://dx.doi.org/10.1055/s-0042-101190
PT  - Journal Article
ID  - 10.1055/s-0042-101190 [doi]
PP  - ppublish
LG  - German
EP  - 20160307
DP  - 2016 Feb
EZ  - 2016/03/08 06:00
DA  - 2016/12/15 06:00
DT  - 2016/03/08 06:00
YR  - 2016
ED  - 20161214
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26949909

<70. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26949900
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bosse G
AU  - Keller N
AU  - Fohre B
AU  - Konig S
AU  - Spies C
FA  - Bosse, Gotz
FA  - Keller, Niklas
FA  - Fohre, Bettina
FA  - Konig, Susanne
FA  - Spies, Claudia
TI  - [Not Available]. [German]
OT  - Strukturierte Patientenubergaben im Aufwachraum.
SO  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. 51(2):77-8, 2016 Feb
AS  - Anasthesiol Intensivmed Notfallmed Schmerzther. 51(2):77-8, 2016 Feb
NJ  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
VO  - 51
IP  - 2
PG  - 77-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9109478, a4c
IO  - Anasthesiol Intensivmed Notfallmed Schmerzther
SB  - Index Medicus
CP  - Germany
MH  - *Anesthesiology/og [Organization & Administration]
MH  - Germany
MH  - *Interprofessional Relations
MH  - *Medical Errors/pc [Prevention & Control]
MH  - *Operating Rooms/og [Organization & Administration]
MH  - Patient Safety
MH  - *Recovery Room/og [Organization & Administration]
MH  - *Transportation of Patients/og [Organization & Administration]
ES  - 1439-1074
IL  - 0939-2661
DO  - https://dx.doi.org/10.1055/s-0042-102208
PT  - Journal Article
ID  - 10.1055/s-0042-102208 [doi]
PP  - ppublish
LG  - German
EP  - 20160307
DP  - 2016 Feb
EZ  - 2016/03/08 06:00
DA  - 2016/12/15 06:00
DT  - 2016/03/08 06:00
YR  - 2016
ED  - 20161214
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26949900

<71. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26647453
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Simon M
AU  - Braune S
AU  - Laqmani A
AU  - Metschke M
AU  - Berliner C
AU  - Kalsow M
AU  - Klose H
AU  - Kluge S
FA  - Simon, Marcel
FA  - Braune, Stephan
FA  - Laqmani, Azien
FA  - Metschke, Maria
FA  - Berliner, Christoph
FA  - Kalsow, Maria
FA  - Klose, Hans
FA  - Kluge, Stefan
IN  - Simon, Marcel. Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
IN  - Braune, Stephan. Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
IN  - Laqmani, Azien. Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
IN  - Metschke, Maria. Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
IN  - Berliner, Christoph. Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
IN  - Kalsow, Maria. Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
IN  - Klose, Hans. Department of Respiratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
IN  - Kluge, Stefan. Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. s.kluge@uke.de.
TI  - Value of Computed Tomography of the Chest in Subjects With ARDS: A Retrospective Observational Study.
SO  - Respiratory Care. 61(3):316-23, 2016 Mar
AS  - Respir Care. 61(3):316-23, 2016 Mar
NJ  - Respiratory care
VO  - 61
IP  - 3
PG  - 316-23
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - qz3, 7510357
IO  - Respir Care
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Radiography, Thoracic/mt [Methods]
MH  - *Respiratory Distress Syndrome, Adult/dg [Diagnostic Imaging]
MH  - Retrospective Studies
MH  - *Tomography, X-Ray Computed
MH  - Young Adult
KW  - ARDS;  computed tomography;  intensive care unit;  intrahospital transport
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.
AB  - 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.
AB  - 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.
AB  - 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.

Copyright © 2016 by Daedalus Enterprises.
ES  - 1943-3654
IL  - 0020-1324
DO  - https://dx.doi.org/10.4187/respcare.04308
PT  - Journal Article
PT  - Observational Study
ID  - respcare.04308 [pii]
ID  - 10.4187/respcare.04308 [doi]
PP  - ppublish
LG  - English
EP  - 20151208
DP  - 2016 Mar
EZ  - 2015/12/10 06:00
DA  - 2016/12/15 06:00
DT  - 2015/12/10 06:00
YR  - 2016
ED  - 20161214
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26647453

<72. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26822441
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Montirosso R
AU  - Provenzi L
AU  - Fumagalli M
AU  - Sirgiovanni I
AU  - Giorda R
AU  - Pozzoli U
AU  - Beri S
AU  - Menozzi G
AU  - Tronick E
AU  - Morandi F
AU  - Mosca F
AU  - Borgatti R
FA  - Montirosso, Rosario
FA  - Provenzi, Livio
FA  - Fumagalli, Monica
FA  - Sirgiovanni, Ida
FA  - Giorda, Roberto
FA  - Pozzoli, Uberto
FA  - Beri, Silvana
FA  - Menozzi, Giorgia
FA  - Tronick, Ed
FA  - Morandi, Francesco
FA  - Mosca, Fabio
FA  - Borgatti, Renato
IN  - Montirosso, Rosario. IRCCS Eugenio Medea.
IN  - Provenzi, Livio. IRCCS Eugenio Medea.
IN  - Fumagalli, Monica. University of Milan.
IN  - Sirgiovanni, Ida. University of Milan.
IN  - Giorda, Roberto. IRCCS Eugenio Medea.
IN  - Pozzoli, Uberto. IRCCS Eugenio Medea.
IN  - Beri, Silvana. IRCCS Eugenio Medea.
IN  - Menozzi, Giorgia. IRCCS Eugenio Medea.
IN  - Tronick, Ed. University of Massachusetts and Division of Newborn Medicine.
IN  - Morandi, Francesco. Sacra Famiglia Hospital.
IN  - Mosca, Fabio. University of Milan.
IN  - Borgatti, Renato. IRCCS Eugenio Medea.
TI  - Serotonin Transporter Gene (SLC6A4) Methylation Associates With Neonatal Intensive Care Unit Stay and 3-Month-Old Temperament in Preterm Infants.
SO  - Child Development. 87(1):38-48, 2016 Jan-Feb
AS  - Child Dev. 87(1):38-48, 2016 Jan-Feb
NJ  - Child development
VO  - 87
IP  - 1
PG  - 38-48
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0372725, d28
IO  - Child Dev
SB  - Index Medicus
CP  - United States
MH  - DNA Methylation/ge [Genetics]
MH  - *DNA Methylation/ph [Physiology]
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Infant, Premature/ph [Physiology]
MH  - *Intensive Care Units, Neonatal
MH  - Male
MH  - Serotonin Plasma Membrane Transport Proteins/ge [Genetics]
MH  - *Serotonin Plasma Membrane Transport Proteins/me [Metabolism]
MH  - Stress, Psychological/ge [Genetics]
MH  - *Stress, Psychological/me [Metabolism]
MH  - *Temperament/ph [Physiology]
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.

Copyright © 2016 The Authors. Child Development © 2016 Society for Research in Child Development, Inc.
RN  - 0 (SLC6A4 protein, human)
RN  - 0 (Serotonin Plasma Membrane Transport Proteins)
ES  - 1467-8624
IL  - 0009-3920
DO  - https://dx.doi.org/10.1111/cdev.12492
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1111/cdev.12492 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Jan-Feb
EZ  - 2016/01/30 06:00
DA  - 2016/12/15 06:00
DT  - 2016/01/30 06:00
YR  - 2016
ED  - 20161213
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26822441

<73. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24443318
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vergales J
AU  - Addison N
AU  - Vendittelli A
AU  - Nicholson E
AU  - Carver DJ
AU  - Stemland C
AU  - Hoke T
AU  - Gangemi J
FA  - Vergales, Jeffrey
FA  - Addison, Nancy
FA  - Vendittelli, Analise
FA  - Nicholson, Evelyn
FA  - Carver, D Jeannean
FA  - Stemland, Christopher
FA  - Hoke, Tracey
FA  - Gangemi, James
IN  - Vergales, Jeffrey. University of Virginia Health System, Charlottesville, VA jvergales@virginia.edu.
IN  - Addison, Nancy. University of Virginia Health System, Charlottesville, VA.
IN  - Vendittelli, Analise. University of Virginia Health System, Charlottesville, VA.
IN  - Nicholson, Evelyn. University of Virginia Health System, Charlottesville, VA.
IN  - Carver, D Jeannean. University of Virginia Health System, Charlottesville, VA.
IN  - Stemland, Christopher. University of Virginia Health System, Charlottesville, VA.
IN  - Hoke, Tracey. University of Virginia Health System, Charlottesville, VA.
IN  - Gangemi, James. University of Virginia Health System, Charlottesville, VA.
TI  - Face-to-face handoff: improving transfer to the pediatric intensive care unit after cardiac surgery.
SO  - American Journal of Medical Quality. 30(2):119-25, 2015 Mar-Apr
AS  - Am J Med Qual. 30(2):119-25, 2015 Mar-Apr
NJ  - American journal of medical quality : the official journal of the American College of Medical Quality
VO  - 30
IP  - 2
PG  - 119-25
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bl2, 9300756
IO  - Am J Med Qual
SB  - Index Medicus
CP  - United States
MH  - Checklist
MH  - *Communication
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Patient Care Team
MH  - *Patient Handoff/st [Standards]
MH  - *Patient Transfer/st [Standards]
MH  - *Quality Improvement
MH  - *Thoracic Surgical Procedures
KW  - cardiac surgery;  handoff;  intensive care unit;  pediatric cardiology
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. 

Copyright © 2014 by the American College of Medical Quality.
ES  - 1555-824X
IL  - 1062-8606
DO  - https://dx.doi.org/10.1177/1062860613518419
PT  - Journal Article
ID  - 1062860613518419 [pii]
ID  - 10.1177/1062860613518419 [doi]
PP  - ppublish
LG  - English
EP  - 20140117
DP  - 2015 Mar-Apr
EZ  - 2014/01/21 06:00
DA  - 2016/12/15 06:00
DT  - 2014/01/21 06:00
YR  - 2015
ED  - 20161213
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24443318

<74. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26042374
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dixon JL
AU  - Stagg HW
AU  - Wehbe-Janek H
AU  - Jo C
AU  - Culp WC Jr
AU  - Shake JG
FA  - Dixon, Jennifer L
FA  - Stagg, Hayden W
FA  - Wehbe-Janek, Hania
FA  - Jo, Chanhee
FA  - Culp, William C Jr
FA  - Shake, Jay G
TI  - A standard handoff improves cardiac surgical patient transfer: operating room to intensive care unit.
SO  - Journal for Healthcare Quality. 37(1):22-32, 2015 Jan-Feb
AS  - J Healthc Qual. 37(1):22-32, 2015 Jan-Feb
NJ  - Journal for healthcare quality : official publication of the National Association for Healthcare Quality
VO  - 37
IP  - 1
PG  - 22-32
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bbo, 9202994
IO  - J Healthc Qual
SB  - Health Administration Journals
CP  - United States
MH  - *Cardiac Surgical Procedures
MH  - Checklist
MH  - Humans
MH  - Information Dissemination
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Operating Rooms/og [Organization & Administration]
MH  - *Patient Handoff/og [Organization & Administration]
MH  - *Patient Handoff/st [Standards]
MH  - Patient Safety
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/st [Standards]
MH  - Personnel, Hospital
MH  - Prospective Studies
MH  - Surveys and Questionnaires
AB  - BACKGROUND: Patient handoffs are high-risk times associated with sentinel events. Effective handoff processes may enhance patient safety and team member communication. This study assesses the impact of a standardized protocol for handoffs from the cardiac surgery operating room to intensive care unit (ICU).
AB  - METHODS: Using a prospective pre-post study design, a formalized handoff process was developed including critical handoff elements and a standardized handoff procedure, script, and checklist. Data were collected from 60 handoff observations (30 pre and 30 post), evaluating 52 unique parameters, and survey of providers on perspectives of the handoff process. Results were compared by chi-square test, two sample t-test, or nonparametric Mann-Whitney test. Statistical significance was defined as P <= .05.
AB  - RESULTS: Provider's perspectives showed improved satisfaction with the standardized handoff process through improved responses in 19 of 22 survey items (P < .001). Median time until ventilator connection, ICU monitor transfer, first cardiac index, and chest radiograph were reduced after implementation. Completion of handoff process components also improved after implementation for 36 of 47 nontime parameters.
AB  - CONCLUSIONS: A standard checklist-driven handoff process can dramatically improve key data transmission and reduce time of critical patient care steps during the high-risk period of patient handoff in a cardiac surgical ICU.
ES  - 1945-1474
IL  - 1062-2551
DO  - https://dx.doi.org/10.1097/01.JHQ.0000460123.91061.b3
PT  - Journal Article
ID  - 10.1097/01.JHQ.0000460123.91061.b3 [doi]
ID  - 01445442-201501000-00004 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Jan-Feb
EZ  - 2015/06/05 06:00
DA  - 2016/11/12 06:00
DT  - 2015/06/05 06:00
YR  - 2015
ED  - 20161111
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26042374

<75. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25528126
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hasegawa K
AU  - Pate BM
AU  - Mansbach JM
AU  - Macias CG
AU  - Fisher ES
AU  - Piedra PA
AU  - Espinola JA
AU  - Sullivan AF
AU  - Camargo CA Jr
FA  - Hasegawa, Kohei
FA  - Pate, Brian M
FA  - Mansbach, Jonathan M
FA  - Macias, Charles G
FA  - Fisher, Erin S
FA  - Piedra, Pedro A
FA  - Espinola, Janice A
FA  - Sullivan, Ashley F
FA  - Camargo, Carlos A Jr
IN  - Hasegawa, Kohei. Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass. Electronic address: khasegawa1@partners.org.
IN  - Pate, Brian M. Department of Pediatrics, Children's Mercy Hospital, Kansas City, Mo.
IN  - Mansbach, Jonathan M. Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Mass.
IN  - Macias, Charles G. Department of Pediatrics, Section of Emergency Medicine, Texas Children's Hospital, Baylor College of Medicine, Houston, Tex.
IN  - Fisher, Erin S. Department of Pediatrics, Rady Children's Hospital, University of California San Diego, Calif.
IN  - Piedra, Pedro A. Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Tex; Department of Pediatrics, Baylor College of Medicine, Houston, Tex.
IN  - Espinola, Janice A. Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
IN  - Sullivan, Ashley F. Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
IN  - Camargo, Carlos A Jr. Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
TI  - Risk factors for requiring intensive care among children admitted to ward with bronchiolitis.
SO  - Academic pediatrics. 15(1):77-81, 2015 Jan-Feb
AS  - Acad Pediatr. 15(1):77-81, 2015 Jan-Feb
NJ  - Academic pediatrics
VO  - 15
IP  - 1
PG  - 77-81
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101499145
IO  - Acad Pediatr
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454380
OI  - Source: NLM. NIHMS607702
SB  - Index Medicus
CP  - United States
MH  - Bronchiolitis/ep [Epidemiology]
MH  - *Bronchiolitis/th [Therapy]
MH  - Child, Preschool
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - Female
MH  - *Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Logistic Models
MH  - Male
MH  - Multivariate Analysis
MH  - Odds Ratio
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Picornaviridae Infections/ep [Epidemiology]
MH  - *Picornaviridae Infections/th [Therapy]
MH  - Prospective Studies
MH  - *Respiration, Artificial/sn [Statistics & Numerical Data]
MH  - Respiratory Syncytial Virus Infections/ep [Epidemiology]
MH  - *Respiratory Syncytial Virus Infections/th [Therapy]
MH  - Risk Factors
MH  - Tachypnea/ep [Epidemiology]
KW  - bronchiolitis;  hospitalization;  intensive care unit;  mechanical ventilation;  risk factors
AB  - OBJECTIVE: To examine risk factors for transfer of bronchiolitis patients from the ward to the intensive care unit (ICU) and/or initiation of critical care interventions.
AB  - METHODS: We performed a 16-center, prospective cohort study of hospitalized children age <2 years with bronchiolitis. During the winters of 2007 to 2010, researchers collected clinical data and nasopharyngeal aspirates from study participants. The primary outcome was late intensive care use, defined as a transfer to the ICU and/or use of mechanical ventilation (regardless of location) after the child's first inpatient day.
AB  - RESULTS: Among 2104 children hospitalized with bronchiolitis, 1762 (84%) were identified as initial ward patients, comprising the analysis cohort. The median age was 4 months (interquartile range, 2-9 months), and 1048 (59%) were boys. The most frequently detected pathogens were respiratory syncytial virus (72%) and rhinovirus (25%). After the first inpatient day, 47 (3%; 95% confidence interval, 2-4) were subsequently transferred to the ICU or required mechanical ventilation. In the multivariable logistic regression model predicting subsequent transfer to the ICU or mechanical ventilation use, the significant predictors were birth weight <5 pounds (odds ratio, 2.28; 95% confidence interval, 1.30-4.02; P = .004) and respiratory rate high of >= 70 breaths/min on the first inpatient day (odds ratio, 4.64; 95% confidence interval, 2.86-7.53; P < .001).
AB  - CONCLUSIONS: In this multicenter study of children hospitalized with bronchiolitis, low birth weight and tachypnea were significantly associated with subsequent transfer to the ICU and/or use of mechanical ventilation.

Copyright © 2015 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
ES  - 1876-2867
IL  - 1876-2859
DI  - S1876-2859(14)00217-4
DO  - https://dx.doi.org/10.1016/j.acap.2014.06.008
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PT  - Research Support, N.I.H., Extramural
ID  - S1876-2859(14)00217-4 [pii]
ID  - 10.1016/j.acap.2014.06.008 [doi]
ID  - PMC4454380 [pmc]
ID  - NIHMS607702 [mid]
PP  - ppublish
PH  - 2014/03/23 [received]
PH  - 2014/05/18 [revised]
PH  - 2014/06/15 [accepted]
GI  - No: K23 AI077801
Organization: (AI) *NIAID NIH HHS*
Country: United States

GI  - No: U01 AI067693
Organization: (AI) *NIAID NIH HHS*
Country: United States

GI  - No: K23 AI-77801
Organization: (AI) *NIAID NIH HHS*
Country: United States

GI  - No: U01 AI-67693
Organization: (AI) *NIAID NIH HHS*
Country: United States
LG  - English
DP  - 2015 Jan-Feb
EZ  - 2014/12/22 06:00
DA  - 2016/11/09 06:00
DT  - 2014/12/22 06:00
YR  - 2015
ED  - 20161108
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25528126

<76. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26586085
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shah S
AU  - Shah N
AU  - Johnson R
AU  - West AN
AU  - Prasad N
FA  - Shah, Samir
FA  - Shah, Namrata
FA  - Johnson, Robert
FA  - West, Alina Nico
FA  - Prasad, Narayan
IN  - Shah, Samir. 1Departments of Paediatric Critical Care Medicine,University of Tennessee Health Science Center and Le Bonheur Children's Hospital,Memphis,TN,USA.
IN  - Shah, Namrata. 2Paediatric Neurology,University of Tennessee Health Science Center and Le Bonheur Children's Hospital,Memphis,TN,USA.
IN  - Johnson, Robert. 3Department of Family Medicine,University of Manitoba,Winnipeg,MB.
IN  - West, Alina Nico. 1Departments of Paediatric Critical Care Medicine,University of Tennessee Health Science Center and Le Bonheur Children's Hospital,Memphis,TN,USA.
IN  - Prasad, Narayan. 4Department of Clinical Neurosciences,Schulich School of Medicine and Dentistry,Children's Hospital at London Health Sciences Centre,London,ON,Canada.
TI  - Single Center Outcomes of Status Epilepticus at a Paediatric Intensive Care Unit.
SO  - Canadian Journal of Neurological Sciences. 43(1):105-12, 2016 Jan
AS  - Can J Neurol Sci. 43(1):105-12, 2016 Jan
NJ  - The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques
VO  - 43
IP  - 1
PG  - 105-12
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - cj9, 0415227
IO  - Can J Neurol Sci
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Canada
MH  - Child
MH  - Child, Preschool
MH  - Clinical Audit
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Outcome Assessment (Health Care)/sn [Statistics & Numerical Data]
MH  - *Status Epilepticus/th [Therapy]
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
AB  - BACKGROUND: Status epilepticus (SE) is a frequent admission diagnosis to paediatric intensive care units (PICUs) and is associated with variable outcomes. We have audited our experience of patients presenting in SE at a Canadian PICU to determine unfavorable outcome variables.
AB  - METHODS: Charts of patients <18 years of age presenting in SE to a tertiary care PICU over a 10-year period were audited. Data were analyzed at three care-points: transport, the emergency department (ED) and the PICU. Patient outcome before PICU discharge was categorized as "favorable" for return to pre-status functioning level or "unfavorable" for new deficit/death. Student's t-test and the Kruskal-Wallis test were used for analysis of normal and skewed continuous variables, respectively, and either Chi-square test or Fisher's exact test for categorical variables.
AB  - RESULTS: 189 patients (54% males) were identified with a median age of 1.9 years. Idiopathic SE had the highest incidence; infectious/vascular etiologies were associated with more unfavorable outcomes. Progression to refractory SE in the ED had a higher incidence of death (p<0.05). Patients with an unfavorable outcome had a higher incidence of apnea during transport (p=0.01), longer hospital stays (p<0.05), need for therapeutic coma (p=0.01), longer duration of therapeutic coma (p<0.05), need for mechanical ventilation (p<0.05), and recurrent or refractory seizures during inpatient stay (p<0.05). Multivariate analysis of unfavorable outcomes of patients in SE presenting to the PICU included renal failure, cerebral edema, apnea during transport, refractory seizures, and recurrent seizures.
AB  - CONCLUSIONS: Refractory seizures in children presenting with SE are associated with worsened outcomes in the PICU.
IS  - 0317-1671
IL  - 0317-1671
DO  - https://dx.doi.org/10.1017/cjn.2015.307
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0317167115003078 [pii]
ID  - 10.1017/cjn.2015.307 [doi]
PP  - ppublish
LG  - English
EP  - 20151120
DP  - 2016 Jan
EZ  - 2015/11/21 06:00
DA  - 2016/11/01 06:00
DT  - 2015/11/21 06:00
YR  - 2016
ED  - 20161031
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26586085

<77. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26311514
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - King MA
AU  - Dorfman MV
AU  - Einav S
AU  - Niven AS
AU  - Kissoon N
AU  - Grissom CK
FA  - King, Mary A
FA  - Dorfman, Molly V
FA  - Einav, Sharon
FA  - Niven, Alex S
FA  - Kissoon, Niranjan
FA  - Grissom, Colin K
IN  - King, Mary A. 1Harborview Medical Center and Seattle Children's,Seattle,Washington.
IN  - Dorfman, Molly V. 2Seattle Children's,Seattle,Washington.
IN  - Einav, Sharon. 3Shaare Zedek Medical Center,Jerusalem,Israel.
IN  - Niven, Alex S. 4Madigan Army Medical Center,Tacoma,Washington.
IN  - Kissoon, Niranjan. 5British Columbia Children's Hospital,Vancouver,Canada.
IN  - Grissom, Colin K. 6Intermountain Medical Center,Murray,Utah.
TI  - Evacuation of Intensive Care Units During Disaster: Learning From the Hurricane Sandy Experience.
SO  - Disaster Medicine & Public Health Preparedness. 10(1):20-7, 2016 Feb
AS  - Disaster med. public health prep.. 10(1):20-7, 2016 Feb
NJ  - Disaster medicine and public health preparedness
VO  - 10
IP  - 1
PG  - 20-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101297401
IO  - Disaster Med Public Health Prep
SB  - Index Medicus
CP  - United States
MH  - Cross-Sectional Studies
MH  - *Cyclonic Storms
MH  - *Disaster Planning/mt [Methods]
MH  - Emergency Shelter/og [Organization & Administration]
MH  - Hospital Planning/mt [Methods]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Leadership
MH  - *Learning
MH  - New York City
MH  - *Patient Transfer/mt [Methods]
MH  - Surveys and Questionnaires
KW  - critical care;  disaster;  emergency preparedness;  evacuation;  hurricanes;  transportation of patients
AB  - OBJECTIVE: Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities.
AB  - METHODS: We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations.
AB  - RESULTS: Sixty-eight health care professionals from 4 evacuating hospitals completed surveys (35% ICU nurses, 21% respiratory therapists, 25% physicians-in-training, and 13% attending physicians). Only 21% had participated in an ICU evacuation drill in the past 2 years and 28% had prior training or real-life experience. Processes were inconsistent for patient prioritization, tracking, transport medications, and transport care. Respondents identified communication (43%) as the key barrier to effective evacuation. The equipment considered most helpful included flashlights (24%), transport sleds (21%), and oxygen tanks and respiratory therapy supplies (19%). An evacuation wish list included walkie-talkies/phones (26%), lighting/electricity (18%), flashlights (10%), and portable ventilators and suction (16%).
AB  - CONCLUSIONS: ICU providers who evacuated critically ill patients during Hurricane Sandy had little prior knowledge of evacuation processes or vertical evacuation experience. The weakest links in the patient evacuation process were communication and the availability of practical tools. Incorporating ICU providers into hospital evacuation planning and training, developing standard evacuation communication processes and tools, and collecting a uniform dataset among all evacuating hospitals could better inform critical care evacuation in the future.
ES  - 1938-744X
IL  - 1935-7893
DO  - https://dx.doi.org/10.1017/dmp.2015.94
PT  - Journal Article
ID  - S1935789315000944 [pii]
ID  - 10.1017/dmp.2015.94 [doi]
PP  - ppublish
LG  - English
EP  - 20150827
DP  - 2016 Feb
EZ  - 2015/08/28 06:00
DA  - 2016/10/25 06:00
DT  - 2015/08/28 06:00
YR  - 2016
ED  - 20161024
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26311514

<78. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26673843
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Moynihan K
AU  - McSharry B
AU  - Reed P
AU  - Buckley D
FA  - Moynihan, Katie
FA  - McSharry, Brent
FA  - Reed, Peter
FA  - Buckley, David
IN  - Moynihan, Katie. 1Department of Paediatric Intensive Care, Starship Children's Hospital, Auckland, New Zealand. 2Occupational and Aviation Medicine Unit, University of Otago, Dunedin, New Zealand. 3Children's Research Centre, Starship Children's Hospital, Auckland, New Zealand.
TI  - Impact of Retrieval, Distance Traveled, and Referral Center on Outcomes in Unplanned Admissions to a National PICU.
CM  - Comment in: Acta Paediatr. 2016 Nov;105(11):1335; PMID: 27444883
SO  - Pediatric Critical Care Medicine. 17(2):e34-42, 2016 Feb
AS  - Pediatr Crit Care Med. 17(2):e34-42, 2016 Feb
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 17
IP  - 2
PG  - e34-42
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child Mortality
MH  - Child, Preschool
MH  - Cohort Studies
MH  - *Critical Care/mt [Methods]
MH  - Critical Care/sn [Statistics & Numerical Data]
MH  - Critical Illness
MH  - Female
MH  - *Hospital Mortality
MH  - *Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - New Zealand/ep [Epidemiology]
MH  - *Patient Transfer
MH  - *Referral and Consultation/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Risk Factors
MH  - *Transportation of Patients
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.
AB  - DESIGN: Retrospective cohort study.
AB  - SETTING: The national PICU in New Zealand.
AB  - PATIENTS: A total of 5,609 (45% retrieved) unplanned pediatric admissions (< 15 yr) between January 1, 2004, and January 1, 2014.
AB  - INTERVENTIONS: None.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000586
PT  - Journal Article
ID  - 10.1097/PCC.0000000000000586 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Feb
EZ  - 2015/12/18 06:00
DA  - 2016/10/12 06:00
DT  - 2015/12/18 06:00
YR  - 2016
ED  - 20161011
RD  - 20170418
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26673843

<79. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24290786
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Garcia-Sanchez MJ
AU  - Fernandez-Guerrero C
AU  - Lopez-Toribio P
AU  - Bueno-Cavanillas A
AU  - Prieto-Cuellar M
AU  - Guzman-Malpica EM
AU  - Cuevas-Valenzuela P
AU  - Moreno-Abril E
AU  - Lara-Ramos P
FA  - Garcia-Sanchez, M J
FA  - Fernandez-Guerrero, C
FA  - Lopez-Toribio, P
FA  - Bueno-Cavanillas, A
FA  - Prieto-Cuellar, M
FA  - Guzman-Malpica, E M
FA  - Cuevas-Valenzuela, P
FA  - Moreno-Abril, E
FA  - Lara-Ramos, P
IN  - Garcia-Sanchez, M J. Servicio Anestesiologia, Reanimacion y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, Espana. Electronic address: mj.garciasanchez@gmail.com.
IN  - Fernandez-Guerrero, C. Servicio Anestesiologia, Reanimacion y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, Espana.
IN  - Lopez-Toribio, P. Servicio Anestesiologia, Reanimacion y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, Espana.
IN  - Bueno-Cavanillas, A. Medicina Preventiva y Salud Publica, Facultad de Medicina, Universidad de Granada, Granada, Espana.
IN  - Prieto-Cuellar, M. Servicio Anestesiologia, Reanimacion y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, Espana.
IN  - Guzman-Malpica, E M. Servicio Anestesiologia, Reanimacion y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, Espana.
IN  - Cuevas-Valenzuela, P. Servicio Anestesiologia, Reanimacion y Terapia del Dolor, AGS Sur de Granada, Granada, Espana.
IN  - Moreno-Abril, E. Servicio Anestesiologia, Reanimacion y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, Espana.
IN  - Lara-Ramos, P. Unidad de Reanimacion, Servicio Anestesiologia, Reanimacion y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, Espana.
TI  - [Quality of the anesthesiologist written record during the transfer of postoperative patients: Influence of implementing a structured communication tool]. [Spanish]
OT  - Calidad del registro escrito del medico anestesiologo durante la transferencia de pacientes postoperados: influencia de la aplicacion de una herramienta de comunicacion estructurada.
SO  - Revista Espanola de Anestesiologia y Reanimacion. 61(1):6-14, 2014 Jan
AS  - Rev Esp Anestesiol Reanim. 61(1):6-14, 2014 Jan
NJ  - Revista espanola de anestesiologia y reanimacion
VO  - 61
IP  - 1
PG  - 6-14
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - rsx, 0134516
IO  - Rev Esp Anestesiol Reanim
SB  - Index Medicus
CP  - Spain
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Anesthesiology
MH  - Child
MH  - Child, Preschool
MH  - Communication Barriers
MH  - Data Accuracy
MH  - Forms and Records Control
MH  - Humans
MH  - *Interdisciplinary Communication
MH  - *Medical Records
MH  - Middle Aged
MH  - Operating Rooms
MH  - Patient Care Team
MH  - Patient Safety
MH  - *Patient Transfer
MH  - Postoperative Period
MH  - Random Allocation
MH  - Recovery Room
MH  - Retrospective Studies
MH  - Young Adult
KW  - Adverse events;  Communication;  Comunicacion;  Cuidados postoperatorios;  Eventos adversos;  Periodo postoperatorio;  Postoperative care;  Postoperative period;  Safety;  Seguridad
AB  - OBJECTIVE: The lack of communication is a major cause of health care errors, especially during patient transfer between practitioners and/or healthcare units, when standardization of communication is a recommended practice. In our study we wanted to assess whether the application of the structured communication SBAR tool could influence the quality of the information written on the progress sheet by the anesthesiologist involved in the transfer of the patient after surgery.
AB  - MATERIAL AND METHODS: This is an observational, retrospective, randomized, quality review of the written record made by the anesthesiologist during the transfer of patients from the surgical area to the postoperative recovery unit, by applying a validated list. We evaluated three observation periods: a control period of two months in 2011 (preSBAR) and a second period of two months in 2012 (postSBAR); in the latter two groups of patients were transferred (postSBAR +) or without SBAR (postSBAR-).
AB  - RESULTS: The strength of agreement between raters obtained an intraclass correlation coefficient of 0.8459 (p <0.001). There were significant differences in the study group, with highest average score in the group with SBAR (postSBAR + group: mean +/- SD 7.56 +/- 1.20 versus postSBAR-group: 5.41 +/- 2.98, p <0.001) and depending on the anesthesiologist responsible for the intervention participated in the study (mean +/- SD: 7.00 +/- 1.99, compared to 4.81 +/- 3.24 in the non-participants, p <0.001).
AB  - CONCLUSIONS: There was an improvement in the quality of written records made in 2012 during the implementation of the SBAR, without the actual application of this instrument appearing to influence it. The anesthesiologists that were involved in new forms of patient safety were also those who made written records of highest quality.

Copyright © 2013 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana. All rights reserved.
ES  - 2340-3284
IL  - 0034-9356
DI  - S0034-9356(13)00259-4
DO  - https://dx.doi.org/10.1016/j.redar.2013.09.010
PT  - Journal Article
PT  - Observational Study
ID  - S0034-9356(13)00259-4 [pii]
ID  - 10.1016/j.redar.2013.09.010 [doi]
PP  - ppublish
PH  - 2013/04/26 [received]
PH  - 2013/08/31 [revised]
PH  - 2013/09/20 [accepted]
LG  - Spanish
EP  - 20131126
DP  - 2014 Jan
EZ  - 2013/12/03 06:00
DA  - 2016/10/12 06:00
DT  - 2013/12/03 06:00
YR  - 2014
ED  - 20161011
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24290786

<80. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25023951
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Berube KM
AU  - Fothergill-Bourbonnais F
AU  - Thomas M
AU  - Moreau D
FA  - Berube, Kristyn M
FA  - Fothergill-Bourbonnais, Frances
FA  - Thomas, Margot
FA  - Moreau, Denise
IN  - Berube, Kristyn M. MacEwan University, Edmonton, AB, Canada. Electronic address: kristyn.berube@gmail.com.
IN  - Fothergill-Bourbonnais, Frances. University of Ottawa, Ottawa, ON, Canada.
IN  - Thomas, Margot. Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
IN  - Moreau, Denise. University of Ottawa, Ottawa, ON, Canada.
TI  - Parents' experience of the transition with their child from a pediatric intensive care unit (PICU) to the hospital ward: searching for comfort across transitions.
SO  - Journal of Pediatric Nursing. 29(6):586-95, 2014 Nov-Dec
AS  - J Pediatr Nurs. 29(6):586-95, 2014 Nov-Dec
NJ  - Journal of pediatric nursing
VO  - 29
IP  - 6
PG  - 586-95
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jns, 8607529
IO  - J Pediatr Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - *Parents/px [Psychology]
MH  - *Patient Transfer
KW  - Comfort;  Family;  Family-centered care;  Parents;  Pediatric intensive care unit;  Phenomenology;  Transition experience;  Transitions
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. 

Copyright © 2014 Elsevier Inc. All rights reserved.
ES  - 1532-8449
IL  - 0882-5963
DI  - S0882-5963(14)00184-5
DO  - https://dx.doi.org/10.1016/j.pedn.2014.06.001
PT  - Journal Article
ID  - S0882-5963(14)00184-5 [pii]
ID  - 10.1016/j.pedn.2014.06.001 [doi]
PP  - ppublish
PH  - 2013/12/30 [received]
PH  - 2014/05/30 [revised]
PH  - 2014/06/12 [accepted]
LG  - English
EP  - 20140619
DP  - 2014 Nov-Dec
EZ  - 2014/07/16 06:00
DA  - 2016/10/08 06:00
DT  - 2014/07/16 06:00
YR  - 2014
ED  - 20161006
RD  - 20161230
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25023951

<81. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26724305
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Humphreys S
AU  - Totapally BR
FA  - Humphreys, Stacey
FA  - Totapally, Balagangadhar R
IN  - Humphreys, Stacey. Stacey Humphreys is a pediatric intensivist, Division of Critical Care Medicine, Palmetto Health Children's Hospital, Columbia, South Carolina. Balagangadhar R. Totapally is medical director of the pediatric intensive care unit, Division of Critical Care Medicine, Miami Children's Hospital, and a clinical professor of pediatrics, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida.
IN  - Totapally, Balagangadhar R. Stacey Humphreys is a pediatric intensivist, Division of Critical Care Medicine, Palmetto Health Children's Hospital, Columbia, South Carolina. Balagangadhar R. Totapally is medical director of the pediatric intensive care unit, Division of Critical Care Medicine, Miami Children's Hospital, and a clinical professor of pediatrics, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida. bala.totapally@mch.com.
TI  - Rapid Response Team Calls and Unplanned Transfers to the Pediatric Intensive Care Unit in a Pediatric Hospital.
SO  - American Journal of Critical Care. 25(1):e9-13, 2016 Jan
AS  - Am J Crit Care. 25(1):e9-13, 2016 Jan
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 25
IP  - 1
PG  - e9-13
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Child
MH  - Hospital Mortality
MH  - *Hospital Rapid Response Team/sn [Statistics & Numerical Data]
MH  - *Hospitals, Pediatric/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Outcome and Process Assessment (Health Care)
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Resuscitation/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Time Factors
AB  - BACKGROUND: Variability in disposition of children according to the time of rapid response calls is unknown.
AB  - OBJECTIVE: To evaluate times and disposition of rapid response alerts and outcomes for children transferred from acute care to intensive care.
AB  - 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.
AB  - 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%).
AB  - 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.

Copyright ©2016 American Association of Critical-Care Nurses.
ES  - 1937-710X
IL  - 1062-3264
DO  - https://dx.doi.org/10.4037/ajcc2016329
PT  - Journal Article
ID  - 25/1/e9 [pii]
ID  - 10.4037/ajcc2016329 [doi]
PP  - ppublish
LG  - English
DP  - 2016 Jan
EZ  - 2016/01/03 06:00
DA  - 2016/09/24 06:00
DT  - 2016/01/03 06:00
YR  - 2016
ED  - 20160923
RD  - 20160102
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26724305

<82. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27630455
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Harish MM
AU  - Janarthanan S
AU  - Siddiqui SS
AU  - Chaudhary HK
AU  - Prabu NR
AU  - Divatia JV
AU  - Kulkarni AP
FA  - Harish, M M
FA  - Janarthanan, S
FA  - Siddiqui, Suhail Sarwar
FA  - Chaudhary, Harish K
FA  - Prabu, Natesh R
FA  - Divatia, Jigeeshu V
FA  - Kulkarni, Atul Prabhakar
IN  - Harish, M M. Department of Anesthesia Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.
IN  - Janarthanan, S. Department of Anesthesia Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.
IN  - Siddiqui, Suhail Sarwar. Department of Anesthesia Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.
IN  - Chaudhary, Harish K. Department of Anesthesia Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.
IN  - Prabu, Natesh R. Department of Anesthesia Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.
IN  - Divatia, Jigeeshu V. Department of Anesthesia Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India.
IN  - Kulkarni, Atul Prabhakar. Department of Anesthesia Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.
TI  - Complications and benefits of intrahospital transport of adult Intensive Care Unit patients.
SO  - Indian Journal of Critical Care Medicine. 20(8):448-52, 2016 Aug
AS  - Indian J. Crit. Care Med.. 20(8):448-52, 2016 Aug
NJ  - Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
VO  - 20
IP  - 8
PG  - 448-52
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101208863
IO  - Indian J Crit Care Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994123
CP  - India
KW  - Complications;  critically ill;  intrahospital transport
AB  - BACKGROUND: The transport of critically ill patients for procedures or tests outside the Intensive Care Unit (ICU) is potentially hazardous; hence, the transport process must be organized and efficient. Plenty of data is available on pre- and inter-hospital transport of patients; the data on intrahospital transport of patients are limited. We audited the complications and benefits of intrahospital transport of critically ill patients in our tertiary care center over 6 months.
AB  - MATERIALS AND METHODS: One hundred and twenty adult critically ill cancer patients transported from the ICU for either diagnostic or therapeutic procedure over 6 months were included. The data collected include the destination, the accompanying person, total time spent outside the ICU, and any adverse events and adverse change in vitals.
AB  - RESULTS: Among the 120 adult patients, 5 (4.1%) required endotracheal intubation, 5 (4.1%) required intercostal drain placement, and 20 (16.7%) required cardiopulmonary resuscitation (CPR). Dislodgement of central venous catheter occurred in 2 (1.6%) patients, drain came out in 3 (2.5%) patients, orogastric tube came out in 1 (0.8%) patient, 2 (1.6%) patients self-extubated, and in one patient, tracheostomy tube was dislodged. The adverse events were more in patients who spent more than 60 min outside the ICU, particularly requirement of CPR (18 [25%] vs. 2 [4.2%], <=60 min vs. >60 min, respectively) with P < 0.05. Transport led to change in therapy in 32 (26.7%) patients.
AB  - CONCLUSION: Transport in critically ill cancer patients is more hazardous and needs adequate pretransport preparations. Transport in spite being hazardous may lead to a beneficial change in therapy in a significant number of patients.
IS  - 0972-5229
IL  - 0972-5229
DO  - https://dx.doi.org/10.4103/0972-5229.188190
PT  - Journal Article
ID  - 10.4103/0972-5229.188190 [doi]
ID  - IJCCM-20-448 [pii]
ID  - PMC4994123 [pmc]
PP  - ppublish
LG  - English
DP  - 2016 Aug
EZ  - 2016/09/16 06:00
DA  - 2016/09/16 06:01
DT  - 2016/09/16 06:00
YR  - 2016
ED  - 20160916
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27630455

<83. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26058370
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bartman T
AU  - Bapat R
AU  - Martin EM
AU  - Shepherd EG
AU  - Nelin LD
AU  - Reber KM
FA  - Bartman, Thomas
FA  - Bapat, Roopali
FA  - Martin, Elizabeth M
FA  - Shepherd, Edward G
FA  - Nelin, Leif D
FA  - Reber, Kristina M
IN  - Bartman, Thomas. Division of Neonatology, Department of Pediatrics, The Ohio State University, Columbus, Ohio.
IN  - Bapat, Roopali. Division of Neonatology, Department of Pediatrics, The Ohio State University, Columbus, Ohio.
IN  - Martin, Elizabeth M. Small Baby Program, Nationwide Children's Hospital, Columbus, Ohio.
IN  - Shepherd, Edward G. Division of Neonatology, Department of Pediatrics, The Ohio State University, Columbus, Ohio.
IN  - Nelin, Leif D. Division of Neonatology, Department of Pediatrics, The Ohio State University, Columbus, Ohio.
IN  - Reber, Kristina M. Division of Neonatology, Department of Pediatrics, The Ohio State University, Columbus, Ohio.
TI  - Apgar Score at 5 Minutes Is Associated with Mortality in Extremely Preterm Infants Even after Transfer to an All Referral NICU.
SO  - American Journal of Perinatology. 32(13):1268-72, 2015 Nov
AS  - Am J Perinatol. 32(13):1268-72, 2015 Nov
NJ  - American journal of perinatology
VO  - 32
IP  - 13
PG  - 1268-72
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - aa3, 8405212
IO  - Am J Perinatol
SB  - Index Medicus
CP  - United States
MH  - *Apgar Score
MH  - Cerebral Ventricles
MH  - Cohort Studies
MH  - Ductus Arteriosus, Patent/ep [Epidemiology]
MH  - Enterocolitis, Necrotizing/ep [Epidemiology]
MH  - Female
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - *Infant Mortality
MH  - Infant, Extremely Low Birth Weight
MH  - Infant, Extremely Premature
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Intracranial Hemorrhages/ep [Epidemiology]
MH  - Logistic Models
MH  - Male
MH  - Odds Ratio
MH  - Patient Transfer
MH  - Prognosis
MH  - Referral and Consultation
MH  - Retrospective Studies
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.
AB  - STUDY DESIGN: A retrospective analysis of 454 infants born at<27 weeks gestation.
AB  - 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.
AB  - 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.

Copyright Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
ES  - 1098-8785
IL  - 0735-1631
DO  - https://dx.doi.org/10.1055/s-0035-1554803
PT  - Journal Article
ID  - 10.1055/s-0035-1554803 [doi]
PP  - ppublish
LG  - English
EP  - 20150609
DP  - 2015 Nov
EZ  - 2015/06/11 06:00
DA  - 2016/09/13 06:00
DT  - 2015/06/11 06:00
YR  - 2015
ED  - 20160912
RD  - 20151208
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26058370

<84. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26485388
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Leng H
AU  - Wang H
AU  - Lin B
AU  - Cheng G
AU  - Wang L
FA  - Leng, Haiqing
FA  - Wang, Haiyan
FA  - Lin, Biyun
FA  - Cheng, Guoqiang
FA  - Wang, Laishuan
IN  - Leng, Haiqing. Department of Neonatology, Children's Hospital of Fudan University, Shanghai, PR China.
TI  - Reducing Transitional Hypothermia in Outborn Very Low Birth Weight Infants.
SO  - Neonatology. 109(1):31-6, 2016
AS  - Neonatology. 109(1):31-6, 2016
NJ  - Neonatology
VO  - 109
IP  - 1
PG  - 31-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101286577
IO  - Neonatology
SB  - Index Medicus
CP  - Switzerland
MH  - China
MH  - Delivery Rooms/og [Organization & Administration]
MH  - Female
MH  - Humans
MH  - *Hypothermia/th [Therapy]
MH  - Infant
MH  - *Infant Mortality
MH  - Infant, Newborn
MH  - *Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Male
MH  - Morbidity
MH  - *Outcome Assessment (Health Care)
MH  - Patient Transfer
MH  - Prospective Studies
MH  - *Quality Assurance, Health Care
AB  - BACKGROUND: Transitional hypothermia (TH) is associated with increased morbidity and mortality in very low birth weight (VLBW) infants worldwide.
AB  - OBJECTIVES: To assess the effect of a quality improvement project (QIP) on outborn TH and the associated mortality/morbidity among VLBW neonates.
AB  - METHODS: We conducted a multi-intervention QIP to reduce TH (<36degreeC) among outborn VLBW neonates. This cohort study compared a historical group (group I, n = 86) to a prospective group (group II, established after QIP implementation, n = 86). The primary outcome was axillary temperature measured in the delivery room (DR) and upon admission to the neonatal intensive care unit (NICU).
AB  - RESULTS: The baseline characteristics of the two groups were similar. After introducing the QIP, the mean DR and NICU admission temperatures of the patients rose from 35.5 to 36.1degreeC and from 34.6 to 36.2degreeC, respectively (p < 0.01), and the percentage of patients with temperatures <36degreeC in the DR and NICU decreased from 80 to 40% and from 81 to 42% (p < 0.01), respectively. Meanwhile, the percentage of patients with a normal temperature in the DR and NICU rose from 20 to 58% and from 19 to 56% (p < 0.01), respectively, which was accompanied by significantly decreased mortality (p < 0.02) and other improvements.
AB  - CONCLUSION: Implementation of a QIP resulted in a decrease in the number of moderately hypothermic VLBW neonates and a sustained improvement in normothermia rates during DR stabilization and transfer to the NICU in outborn VLBW neonates.

Copyright © 2015 S. Karger AG, Basel.
ES  - 1661-7819
IL  - 1661-7800
DO  - https://dx.doi.org/10.1159/000438743
PT  - Journal Article
ID  - 000438743 [pii]
ID  - 10.1159/000438743 [doi]
PP  - ppublish
PH  - 2015/01/15 [received]
PH  - 2015/07/15 [accepted]
LG  - English
EP  - 20151021
DP  - 2016
EZ  - 2015/10/21 06:00
DA  - 2016/09/08 06:00
DT  - 2015/10/21 06:00
YR  - 2016
ED  - 20160907
RD  - 20151121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26485388

<85. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25376912
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nanayakkara S
AU  - Weiss H
AU  - Bailey M
AU  - van Lint A
AU  - Cameron P
AU  - Pilcher D
FA  - Nanayakkara, Shane
FA  - Weiss, Heike
FA  - Bailey, Michael
FA  - van Lint, Allison
FA  - Cameron, Peter
FA  - Pilcher, David
IN  - Nanayakkara, Shane. Department of Intensive Care, The Alfred Hospital, PO Box 315, Prahran, Vic. 3181, Australia. Email: ;
IN  - Weiss, Heike. Department of Intensive Care, The Alfred Hospital, PO Box 315, Prahran, Vic. 3181, Australia. Email: ;
IN  - Bailey, Michael. Australian and New Zealand Intensive Care - Research Centre, Department of Epidemiology and Preventive Medicine, Monash Univeristy, Commercial Road, Prahran, Vic. 3004, Australia. Email:
IN  - van Lint, Allison. Australian and New Zealand Intensive Care Society, Centre for Outcome and Resource Evaluation, PO Box 164 Carlton South, Vic. 3053, Australia. Email:
IN  - Cameron, Peter. Department of Emergency Medicine, The Alfred Hospital, PO Box 315, Prahran, Vic. 3181, Australia. Email:
IN  - Pilcher, David. Department of Intensive Care, The Alfred Hospital, PO Box 315, Prahran, Vic. 3181, Australia. Email: ;
TI  - Admission time to hospital: a varying standard for a critical definition for admissions to an intensive care unit from the emergency department.
SO  - Australian Health Review. 38(5):575-9, 2014 Nov
AS  - Aust Health Rev. 38(5):575-9, 2014 Nov
NJ  - Australian health review : a publication of the Australian Hospital Association
VO  - 38
IP  - 5
PG  - 575-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9gc, 8214381
IO  - Aust Health Rev
SB  - Health Administration Journals
CP  - Australia
MH  - Australia
MH  - Databases, Factual
MH  - *Emergency Service, Hospital
MH  - Humans
MH  - *Intensive Care Units
MH  - *Patient Admission
MH  - *Patient Transfer/st [Standards]
MH  - Time Factors
AB  - OBJECTIVE: Time spent in the emergency department (ED) before admission to hospital is often considered an important key performance indicator (KPI). Throughout Australia and New Zealand, there is no standard definition of 'time of admission' for patients admitted through the ED. By using data submitted to the Australian and New Zealand Intensive Care Society Adult Patient Database, the aim was to determine the differing methods used to define hospital admission time and assess how these impact on the calculation of time spent in the ED before admission to an intensive care unit (ICU).
AB  - METHODS: Between March and December of 2010, 61 hospitals were contacted directly. Decision methods for determining time of admission to the ED were matched to 67,787 patient records. Univariate and multivariate analyses were conducted to assess the relationship between decision method and the reported time spent in the ED.
AB  - RESULTS: Four mechanisms of recording time of admission were identified, with time of triage being the most common (28/61 hospitals). Reported median time spent in the ED varied from 2.5 (IQR 0.83-5.35) to 5.1 h (2.82-8.68), depending on the decision method. After adjusting for illness severity, hospital type and location, decision method remained a significant factor in determining measurement of ED length of stay.
AB  - CONCLUSIONS: Different methods are used in Australia and New Zealand to define admission time to hospital. Professional bodies, hospitals and jurisdictions should ensure standardisation of definitions for appropriate interpretation of KPIs as well as for the interpretation of studies assessing the impact of admission time to ICU from the ED. WHAT IS KNOWN ABOUT THE TOPIC?: There are standards for the maximum time spent in the ED internationally, but these standards vary greatly across Australia. The definition of such a standard is critically important not only to patient care, but also in the assessment of hospital outcomes. Key performance indicators rely on quality data to improve decision-making. WHAT DOES THIS PAPER ADD?: This paper quantifies the variability of times measured and analyses why the variability exists. It also discusses the impact of this variability on assessment of outcomes and provides suggestions to improve standardisation. WHAT ARE THE IMPLICATIONS FOR PRACTITIONERS?: This paper provides a clearer view on standards regarding length of stay in the ICU, highlighting the importance of key performance indicators, as well as the quality of data that underlies them. This will lead to significant changes in the way we standardise and interpret data regarding length of stay.
IS  - 0156-5788
IL  - 0156-5788
DO  - https://dx.doi.org/10.1071/AH13244
PT  - Journal Article
ID  - AH13244 [pii]
ID  - 10.1071/AH13244 [doi]
PP  - ppublish
PH  - 2014/02/05 [received]
PH  - 2014/07/28 [accepted]
LG  - English
DP  - 2014 Nov
EZ  - 2014/11/08 06:00
DA  - 2016/09/07 06:00
DT  - 2014/11/08 06:00
YR  - 2014
ED  - 20160906
RD  - 20141107
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25376912

<86. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26536545
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pagel C
AU  - Ramnarayan P
AU  - Ray S
AU  - Peters MJ
FA  - Pagel, Christina
FA  - Ramnarayan, Padmanabhan
FA  - Ray, Samiran
FA  - Peters, Mark J
IN  - Pagel, Christina. 1UCL Clinical Operational Research Unit, University College London, London, United Kingdom. 2Children's Acute Transport Service, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom. 3Respiratory, Anaesthesia, and Critical Care Group, Institute of Child Health, University College London, London, United Kingdom.
TI  - A Novel Method to Identify the Start and End of the Winter Surge in Demand for Pediatric Intensive Care in Real Time.
CM  - Comment in: Pediatr Crit Care Med. 2015 Nov;16(9):880-2; PMID: 26536550
SO  - Pediatric Critical Care Medicine. 16(9):821-7, 2015 Nov
AS  - Pediatr Crit Care Med. 16(9):821-7, 2015 Nov
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 9
PG  - 821-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Algorithms
MH  - *Forecasting/mt [Methods]
MH  - *Health Services Needs and Demand/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Linear Models
MH  - London
MH  - Seasons
MH  - Surge Capacity
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
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.
AB  - 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).
AB  - SETTING: A regional specialized pediatric retrieval service based in London, United Kingdom.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000540
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/PCC.0000000000000540 [doi]
ID  - 00130478-201511000-00004 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Nov
EZ  - 2015/11/05 06:00
DA  - 2016/08/19 06:00
DT  - 2015/11/05 06:00
YR  - 2015
ED  - 20160818
RD  - 20151105
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26536545

<87. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27518522
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - MacDonald RD
AU  - Adhikari NK
AU  - Scales DC
AU  - Wax RS
AU  - Stewart TE
AU  - Ferguson ND
AU  - Marquis F
FA  - MacDonald, Russell D
FA  - Adhikari, Neill K J
FA  - Scales, Damon C
FA  - Wax, Randy S
FA  - Stewart, Thomas E
FA  - Ferguson, Niall D
FA  - Marquis, Francois
IN  - MacDonald, Russell D. Department: Critical Care Unit Institution: Maisonneuve-Rosemont Hospital Address, 5415 l'Assomption blvd, H1T 2M4, Montreal, Quebec, Canada.
IN  - Adhikari, Neill K J. Department: Critical Care Unit Institution: Maisonneuve-Rosemont Hospital Address, 5415 l'Assomption blvd, H1T 2M4, Montreal, Quebec, Canada.
IN  - Scales, Damon C. Department: Critical Care Unit Institution: Maisonneuve-Rosemont Hospital Address, 5415 l'Assomption blvd, H1T 2M4, Montreal, Quebec, Canada.
IN  - Wax, Randy S. Department: Critical Care Unit Institution: Maisonneuve-Rosemont Hospital Address, 5415 l'Assomption blvd, H1T 2M4, Montreal, Quebec, Canada.
IN  - Stewart, Thomas E. Department: Critical Care Unit Institution: Maisonneuve-Rosemont Hospital Address, 5415 l'Assomption blvd, H1T 2M4, Montreal, Quebec, Canada.
IN  - Ferguson, Niall D. Department: Critical Care Unit Institution: Maisonneuve-Rosemont Hospital Address, 5415 l'Assomption blvd, H1T 2M4, Montreal, Quebec, Canada.
IN  - Marquis, Francois. Department: Critical Care Unit Institution: Maisonneuve-Rosemont Hospital Address, 5415 l'Assomption blvd, H1T 2M4, Montreal, Quebec, Canada. f.marquis@sympatico.ca.
TI  - Outcomes of interfacility critical care adult patient transport: a systematic review.
SO  - Canadian Journal of Anaesthesia. 53(4):A417-8, 2006 Apr
AS  - Can J Anaesth. 53(4):A417-8, 2006 Apr
NJ  - Canadian journal of anaesthesia = Journal canadien d'anesthesie
VO  - 53
IP  - 4
PG  - A417-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - c8l, 8701709
IO  - Can J Anaesth
CP  - United States
IS  - 0832-610X
IL  - 0832-610X
DO  - https://dx.doi.org/10.1007/BF03022513
PT  - Journal Article
ID  - 10.1007/BF03022513 [doi]
ID  - 10.1007/BF03022513 [pii]
PP  - ppublish
LG  - English
DP  - 2006 Apr
EZ  - 2006/04/01 00:00
DA  - 2006/04/01 00:01
DT  - 2016/08/13 06:00
YR  - 2006
ED  - 20160817
RD  - 20160813
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27518522

<88. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26121461
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mariani H
AU  - Wallia A
FA  - Mariani, Hanna
FA  - Wallia, Amisha
TI  - HYPERGLYCEMIA AND HOSPITAL TRANSITIONS: STILL A LONG ROAD AHEAD.
CM  - Comment on: Endocr Pract. 2015 Sep;21(9):986-92; PMID: 26121449
SO  - Endocrine Practice. 21(9):1074-5, 2015 Sep
AS  - Endocr Pract. 21(9):1074-5, 2015 Sep
NJ  - Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
VO  - 21
IP  - 9
PG  - 1074-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 9607439, dy1
IO  - Endocr Pract
SB  - Index Medicus
CP  - United States
MH  - *Blood Glucose/an [Analysis]
MH  - Humans
MH  - *Intensive Care Units
MH  - *Patient Transfer
RN  - 0 (Blood Glucose)
IS  - 1530-891X
IL  - 1530-891X
DO  - https://dx.doi.org/10.4158/EP15796.CO
PT  - Comment
PT  - Journal Article
ID  - 10.4158/EP15796.CO [doi]
PP  - ppublish
LG  - English
EP  - 20150629
DP  - 2015 Sep
EZ  - 2015/06/30 06:00
DA  - 2016/08/17 06:00
DT  - 2015/06/30 06:00
YR  - 2015
ED  - 20160816
RD  - 20150911
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26121461

<89. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26121449
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bersoux S
AU  - Cook CB
AU  - Kongable GL
AU  - Shu J
FA  - Bersoux, Sophie
FA  - Cook, Curtiss B
FA  - Kongable, Gail L
FA  - Shu, Jianfen
TI  - RETROSPECTIVE STUDY OF GLYCEMIC CONTROL FOLLOWING TRANSITION FROM THE INTENSIVE CARE UNIT IN A NATIONAL SAMPLE OF U.S. HOSPITALS.
CM  - Comment in: Endocr Pract. 2015 Sep;21(9):1074-5; PMID: 26121461
SO  - Endocrine Practice. 21(9):986-92, 2015 Sep
AS  - Endocr Pract. 21(9):986-92, 2015 Sep
NJ  - Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
VO  - 21
IP  - 9
PG  - 986-92
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 9607439, dy1
IO  - Endocr Pract
SB  - Index Medicus
CP  - United States
MH  - *Blood Glucose/an [Analysis]
MH  - Health Facility Size
MH  - Hospitalization
MH  - Humans
MH  - Hyperglycemia/bl [Blood]
MH  - *Intensive Care Units
MH  - *Patient Transfer
MH  - Point-of-Care Systems
MH  - Retrospective Studies
MH  - United States
AB  - OBJECTIVE: Retrospective study to evaluate glycemic control outcomes after transition from the intensive care unit (ICU) to a non-ICU area in a national sample of U.S. hospitals.
AB  - METHODS: Mean point-of-care blood glucose (POC-BG) data were assessed overall and at 24 hours before and up to 72 hours after the transition. Comparisons in glucose variability (standard deviation of POC-BG data) were assessed. Impact on glycemic control was evaluated after accounting for hospital characteristics through logistic regression analysis.
AB  - RESULTS: POC-BG data were obtained from 576 hospitals. Overall mean (SD) POC-BG values in ICU versus non-ICU areas were 176 (24) versus 169 (21) mg/dL (P<.01). Mean (SD) of the ICU POC-BG data were 76 (16) versus 73 (16) mg/dL in the non-ICU data (P<.01). However, when comparing values of POC-BG in the last 24-hour ICU period with those from up to 72 hours posttransition, we found no differences, indicative of overall stable glycemic control and variability after transition. Any deterioration of glucose control following the transition was significantly associated with hospital size (P<.01): the smallest hospitals had the highest percentage of these cases. In addition, geographic region showed significant variability (P = .04), with hospitals in the Midwest and West having the highest proportion of cases in which glycemic control worsened following the transition.
AB  - CONCLUSION: Glycemic control and variability did not change after transition from the ICU, but outcomes may depend on certain hospital characteristics. Inpatient glycemic control assessment should move beyond just cross-sectional studies and consider the impact of transitioning across inpatient areas. Other statistical approaches to studying this question should be evaluated.
RN  - 0 (Blood Glucose)
IS  - 1530-891X
IL  - 1530-891X
DO  - https://dx.doi.org/10.4158/EP15650.OR
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.4158/EP15650.OR [doi]
PP  - ppublish
LG  - English
EP  - 20150629
DP  - 2015 Sep
EZ  - 2015/06/30 06:00
DA  - 2016/08/16 06:00
DT  - 2015/06/30 06:00
YR  - 2015
ED  - 20160815
RD  - 20150911
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26121449

<90. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27512173
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Deepak D
AU  - Kavitha J
AU  - Kiran S
AU  - Vidhu B
FA  - Deepak, Dwivedi
FA  - Kavitha, Jinjil
FA  - Kiran, Sheshadri
FA  - Vidhu, Bhatnagar
IN  - Deepak, Dwivedi. Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS ASVINI, Colaba, Mumbai, Maharashtra, India.
IN  - Kavitha, Jinjil. Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS ASVINI, Colaba, Mumbai, Maharashtra, India.
IN  - Kiran, Sheshadri. Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS ASVINI, Colaba, Mumbai, Maharashtra, India.
IN  - Vidhu, Bhatnagar. Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS ASVINI, Colaba, Mumbai, Maharashtra, India.
TI  - Intra-hospital transfer: Human error and safety concerns with improper setting up of a cylinder-based oxygen delivery system.
SO  - Indian Journal of Anaesthesia. 60(7):519-20, 2016 Jul
AS  - Indian J. Anaesth.. 60(7):519-20, 2016 Jul
NJ  - Indian journal of anaesthesia
VO  - 60
IP  - 7
PG  - 519-20
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0013243
IO  - Indian J Anaesth
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966361
CP  - India
IS  - 0019-5049
IL  - 0019-5049
DO  - https://dx.doi.org/10.4103/0019-5049.186015
PT  - Journal Article
ID  - 10.4103/0019-5049.186015 [doi]
ID  - IJA-60-519 [pii]
ID  - PMC4966361 [pmc]
PP  - ppublish
LG  - English
DP  - 2016 Jul
EZ  - 2016/08/12 06:00
DA  - 2016/08/12 06:01
DT  - 2016/08/12 06:00
YR  - 2016
ED  - 20160811
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27512173

<91. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27512159
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Kulshrestha A
AU  - Singh J
FA  - Kulshrestha, Ashish
FA  - Singh, Jasveer
IN  - Kulshrestha, Ashish. Department of Anaesthesia and Intensive Care, Vardan Multispecialty Hospital, Garhi Sikrod, NH-58, Meerut Road, Ghaziabad, Uttar Pradesh, India.
IN  - Singh, Jasveer. Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India.
TI  - Inter-hospital and intra-hospital patient transfer: Recent concepts. [Review]
SO  - Indian Journal of Anaesthesia. 60(7):451-7, 2016 Jul
AS  - Indian J. Anaesth.. 60(7):451-7, 2016 Jul
NJ  - Indian journal of anaesthesia
VO  - 60
IP  - 7
PG  - 451-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0013243
IO  - Indian J Anaesth
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966347
CP  - India
KW  - Air transport;  complications of patient transfer;  inter-hospital transfer;  intra-hospital;  intra-hospital transfer guidelines;  patient transfer
AB  - The intra- and inter-hospital patient transfer is an important aspect of patient care which is often undertaken to improve upon the existing management of the patient. It may involve transfer of patient within the same facility for any diagnostic procedure or transfer to another facility with more advanced care. The main aim in all such transfers is maintaining the continuity of medical care. As the transfer of sick patient may induce various physiological alterations which may adversely affect the prognosis of the patient, it should be initiated systematically and according to the evidence-based guidelines. The key elements of safe transfer involve decision to transfer and communication, pre-transfer stabilisation and preparation, choosing the appropriate mode of transfer, i.e., land transport or air transport, personnel accompanying the patient, equipment and monitoring required during the transfer, and finally, the documentation and handover of the patient at the receiving facility. These key elements should be followed in each transfer to prevent any adverse events which may severely affect the patient prognosis. The existing international guidelines are evidence based from various professional bodies in developed countries. However, in developing countries like India, with limited infrastructure, these guidelines can be modified accordingly. The most important aspect is implementation of these guidelines in Indian scenario with periodical quality assessments to improve the standard of care.
IS  - 0019-5049
IL  - 0019-5049
DO  - https://dx.doi.org/10.4103/0019-5049.186012
PT  - Journal Article
PT  - Review
ID  - 10.4103/0019-5049.186012 [doi]
ID  - IJA-60-451 [pii]
ID  - PMC4966347 [pmc]
PP  - ppublish
LG  - English
DP  - 2016 Jul
EZ  - 2016/08/12 06:00
DA  - 2016/08/12 06:01
DT  - 2016/08/12 06:00
YR  - 2016
ED  - 20160811
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27512159

<92. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27016989
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Discussion.
CM  - Comment on: J Am Coll Surg. 2016 Apr;222(4):614-21; PMID: 26920992
SO  - Journal of the American College of Surgeons. 222(4):621-3, 2016 Apr
AS  - J Am Coll Surg. 222(4):621-3, 2016 Apr
NJ  - Journal of the American College of Surgeons
VO  - 222
IP  - 4
PG  - 621-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bzb, 9431305
IO  - J. Am. Coll. Surg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Academic Medical Centers
MH  - *Critical Illness/th [Therapy]
MH  - Female
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - *Patient Transfer
MH  - *Resuscitation
MH  - *Trauma Centers
ES  - 1879-1190
IL  - 1072-7515
DI  - S1072-7515(16)00102-2
DO  - https://dx.doi.org/10.1016/j.jamcollsurg.2016.01.026
PT  - Comment
PT  - Journal Article
ID  - S1072-7515(16)00102-2 [pii]
ID  - 10.1016/j.jamcollsurg.2016.01.026 [doi]
PP  - ppublish
PH  - 2016/01/22 [received]
PH  - 2016/01/22 [accepted]
LG  - English
DP  - 2016 Apr
EZ  - 2016/03/29 06:00
DA  - 2016/08/10 06:00
DT  - 2016/03/28 06:00
YR  - 2016
ED  - 20160809
RD  - 20160328
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27016989

<93. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26306720
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vossenberg-Postma SR
AU  - Sikkema YT
AU  - Drogt-Bilaseschi I
AU  - Bruins-Lange NA
AU  - de Jager CM
AU  - van Maaren T
AU  - van der Pol V
AU  - Boerma EC
FA  - Vossenberg-Postma, Sonja R
FA  - Sikkema, Ytje T
FA  - Drogt-Bilaseschi, Ioana
FA  - Bruins-Lange, Nynke A
FA  - de Jager, Corine M
FA  - van Maaren, Theo
FA  - van der Pol, Veronica
FA  - Boerma, E Christiaan
IN  - Vossenberg-Postma, Sonja R. Elderly Care Medicine, Zorggroep Noorderbreedte, Leeuwarden, The Netherlands.
IN  - Sikkema, Ytje T. Department of Emergency Medicine, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
IN  - Drogt-Bilaseschi, Ioana. Department of Intensive Care, Medical Centre Leeuwarden, P.O. Box 888, 8901BR, Leeuwarden, The Netherlands.
IN  - Bruins-Lange, Nynke A. Department of Intensive Care, Medical Centre Leeuwarden, P.O. Box 888, 8901BR, Leeuwarden, The Netherlands.
IN  - de Jager, Corine M. Department of Intensive Care, Medical Centre Leeuwarden, P.O. Box 888, 8901BR, Leeuwarden, The Netherlands.
IN  - van Maaren, Theo. Elderly Care Medicine, Zorggroep Noorderbreedte, Leeuwarden, The Netherlands.
IN  - van der Pol, Veronica. Elderly Care Medicine, Zorggroep Noorderbreedte, Leeuwarden, The Netherlands.
IN  - Boerma, E Christiaan. Department of Intensive Care, Medical Centre Leeuwarden, P.O. Box 888, 8901BR, Leeuwarden, The Netherlands. e.boerma@chello.nl.
TI  - Direct transfer of long-stay ICU patients to a nursing-home rehabilitation unit: focus on functional dependency.
SO  - Intensive Care Medicine. 41(11):2031-2, 2015 Nov
AS  - Intensive Care Med. 41(11):2031-2, 2015 Nov
NJ  - Intensive care medicine
VO  - 41
IP  - 11
PG  - 2031-2
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - h2j, 7704851
IO  - Intensive Care Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4582074
SB  - Index Medicus
CP  - United States
MH  - Activities of Daily Living
MH  - Cognition Disorders
MH  - Controlled Before-After Studies
MH  - *Critical Illness/rh [Rehabilitation]
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Length of Stay
MH  - *Nursing Homes
MH  - Outcome and Process Assessment (Health Care)/sn [Statistics & Numerical Data]
MH  - Patient Readmission/sn [Statistics & Numerical Data]
MH  - Patient Transfer/st [Standards]
MH  - *Patient Transfer/td [Trends]
MH  - Prospective Studies
MH  - Statistics, Nonparametric
ES  - 1432-1238
IL  - 0342-4642
DO  - https://dx.doi.org/10.1007/s00134-015-4029-1
PT  - Letter
ID  - 10.1007/s00134-015-4029-1 [doi]
ID  - 10.1007/s00134-015-4029-1 [pii]
ID  - PMC4582074 [pmc]
PP  - ppublish
PH  - 2015/08/10 [accepted]
LG  - English
EP  - 20150826
DP  - 2015 Nov
EZ  - 2015/08/27 06:00
DA  - 2016/08/05 06:00
DT  - 2015/08/27 06:00
YR  - 2015
ED  - 20160804
RD  - 20151001
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26306720

<94. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26365001
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cohen RI
AU  - Kennedy H
AU  - Amitrano B
AU  - Dillon M
AU  - Guigui S
AU  - Kanner A
FA  - Cohen, Rubin I
FA  - Kennedy, Heather
FA  - Amitrano, Bernadette
FA  - Dillon, Maryanne
FA  - Guigui, Sarah
FA  - Kanner, Andrew
IN  - Cohen, Rubin I. Department of Medicine, The Long Island Jewish Medical Center, The Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY.
IN  - Kennedy, Heather. Department of Nursing, The Long Island Jewish Medical Center, The Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY.
IN  - Amitrano, Bernadette. Department of Nursing, The Long Island Jewish Medical Center, The Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY.
IN  - Dillon, Maryanne. Department of Nursing, The Long Island Jewish Medical Center, The Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY.
IN  - Guigui, Sarah. Department of Medicine, The Long Island Jewish Medical Center, The Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY.
IN  - Kanner, Andrew. Department of Nursing, The Long Island Jewish Medical Center, The Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY.
TI  - A quality improvement project to decrease emergency department and medical intensive care unit transfer times.
SO  - Journal of Critical Care. 30(6):1331-7, 2015 Dec
AS  - J Crit Care. 30(6):1331-7, 2015 Dec
NJ  - Journal of critical care
VO  - 30
IP  - 6
PG  - 1331-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - buy, 8610642
IO  - J Crit Care
SB  - Index Medicus
CP  - United States
MH  - Academic Medical Centers/og [Organization & Administration]
MH  - Critical Illness/th [Therapy]
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - New York City
MH  - *Patient Transfer/st [Standards]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Practice Patterns, Physicians'/st [Standards]
MH  - Prospective Studies
MH  - *Quality Improvement/sn [Statistics & Numerical Data]
KW  - Clinical microsystems;  MICU;  PDSA cycle;  Process change;  Quality improvement;  Transfer time
AB  - OBJECTIVE: To reduce transfer time of critically ill patients from the emergency department (ED) to the medical intensive care unit (MICU).
AB  - DESIGN: A prospective, observational study assessing preimplementation and postimplementation of quality improvement interventions in a tertiary academic medical center.
AB  - INTERVENTIONS: A team of frontline health care professional including ED, MICU, and supporting services using the clinical microsystems approach mapped out existing practice patterns, determined causes for delays, and used the Plan-Do-Study-Act to test changes. Measurements and Main Results The team identified multiple issues that contributed to delays. These included poor coordination between transport services, respiratory therapy, and nursing in transferring patients from the ED as well delays in identification and transfer of stable MICU patients. These interventions reduced transfer time from 4.2 (3.4-5.7) hours to 2.2 (1.4-3.1) hours (median [interquartile range]; P<.001). Hospital length of stay decreased from 9.9+/-9 to 8.3+/-7 days (P<.03).
AB  - CONCLUSION: A team made up of frontline health care professionals using a structured quality improvement process and implementing multifaceted, multistage interventions, reduced transfer delays, and length of stay. Added benefits included engagement among members of the 2 microsystems and a more cohesive approach to patient care.

Copyright © 2015 Elsevier Inc. All rights reserved.
ES  - 1557-8615
IL  - 0883-9441
DI  - S0883-9441(15)00408-6
DO  - https://dx.doi.org/10.1016/j.jcrc.2015.07.017
PT  - Journal Article
PT  - Observational Study
ID  - S0883-9441(15)00408-6 [pii]
ID  - 10.1016/j.jcrc.2015.07.017 [doi]
PP  - ppublish
PH  - 2015/03/11 [received]
PH  - 2015/06/19 [revised]
PH  - 2015/07/18 [accepted]
LG  - English
EP  - 20150726
DP  - 2015 Dec
EZ  - 2015/09/15 06:00
DA  - 2016/08/04 06:00
DT  - 2015/09/15 06:00
YR  - 2015
ED  - 20160803
RD  - 20151031
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26365001

<95. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27486512
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Melamed R
AU  - Boland LL
AU  - Normington JP
AU  - Prenevost RM
AU  - Hur LY
AU  - Maynard LF
AU  - McNaughton MA
AU  - Kinzy TG
AU  - Masood A
AU  - Dastrange M
AU  - Huguelet JA
FA  - Melamed, Roman
FA  - Boland, Lori L
FA  - Normington, James P
FA  - Prenevost, Rebecca M
FA  - Hur, Lindsay Y
FA  - Maynard, Leslie F
FA  - McNaughton, Molly A
FA  - Kinzy, Tyler G
FA  - Masood, Adnan
FA  - Dastrange, Mehdi
FA  - Huguelet, Joseph A
IN  - Melamed, Roman. Department of Critical Care Medicine, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN 55407 USA.
IN  - Boland, Lori L. Division of Applied Research, Allina Health, 2925 Chicago Ave South, Minneapolis, MN USA.
IN  - Normington, James P. Division of Applied Research, Allina Health, 2925 Chicago Ave South, Minneapolis, MN USA.
IN  - Prenevost, Rebecca M. Division of Applied Research, Allina Health, 2925 Chicago Ave South, Minneapolis, MN USA.
IN  - Hur, Lindsay Y. Department of Pharmacy, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN USA.
IN  - Maynard, Leslie F. Chronic Pain Team, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN USA.
IN  - McNaughton, Molly A. Chronic Pain Team, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN USA.
IN  - Kinzy, Tyler G. Division of Applied Research, Allina Health, 2925 Chicago Ave South, Minneapolis, MN USA.
IN  - Masood, Adnan. Department of Critical Care Medicine, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN 55407 USA.
IN  - Dastrange, Mehdi. Internal Medicine Residency Program, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN USA.
IN  - Huguelet, Joseph A. Internal Medicine Residency Program, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN USA.
TI  - Postoperative respiratory failure necessitating transfer to the intensive care unit in orthopedic surgery patients: risk factors, costs, and outcomes.
SO  - Perioperative Medicine. 5:19, 2016
AS  - Perioper Med (Lond). 5:19, 2016
NJ  - Perioperative medicine (London, England)
VO  - 5
PG  - 19
PI  - Journal available in: Electronic-eCollection
PI  - Citation processed from: Print
JC  - 101609072
IO  - Perioper Med (Lond)
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969722
CP  - England
KW  - Critical care medicine;  In-hospital;  Intensive care unit transfer;  Orthopedic procedure;  Respiratory failure
AB  - BACKGROUND: Postoperative pulmonary complications in orthopedic surgery patients have been associated with worse clinical outcomes. Identifying patients with respiratory risk factors requiring enhanced monitoring and management modifications is an important part of postoperative care. Patients with unanticipated respiratory decompensation requiring transfer to the intensive care unit (ICU) have not been studied in sufficient detail.
AB  - METHODS: A retrospective case-control study of elective orthopedic surgery patients (knee, hip, shoulder, or spine, n=51) who developed unanticipated respiratory failure (RF) necessitating transfer to the ICU over a 3-year period was conducted. Controls (n=153) were frequency matched to cases by gender, age, and surgical procedure. Patient and perioperative care factors, clinical outcomes, and cost of care were examined.
AB  - RESULTS: Transfer to the ICU occurred within 48 h of surgery in 73 % of the cases, 31 % required non-invasive ventilation, and 18 % required mechanical ventilation. Cases had a higher prevalence of chronic obstructive pulmonary disease (COPD), obstructive sleep apnea (OSA), and regular psychotropic medication use than controls. Cases received more intravenous opioids during the first 24 postoperative hours, were hospitalized 4 days longer, had higher in-hospital mortality, and had excess hospitalization costs of US$26,571. COPD, OSA, preoperative psychotropic medications, and anesthesia time were associated with risk of RF in a multivariate analysis.
AB  - CONCLUSIONS: Unanticipated RF after orthopedic surgery is associated with extended hospitalization, increased mortality, and higher cost of care. Hospital protocols that include risk factor assessment, enhanced monitoring, and a cautious approach to opioid use in high-risk patients may reduce the frequency of this complication.
IS  - 2047-0525
IL  - 2047-0525
DO  - https://dx.doi.org/10.1186/s13741-016-0044-1
PT  - Journal Article
ID  - 10.1186/s13741-016-0044-1 [doi]
ID  - 44 [pii]
ID  - PMC4969722 [pmc]
PP  - epublish
PH  - 2016/02/18 [received]
PH  - 2016/07/01 [accepted]
LG  - English
EP  - 20160802
DP  - 2016
EZ  - 2016/08/04 06:00
DA  - 2016/08/04 06:01
DT  - 2016/08/04 06:00
YR  - 2016
ED  - 20160803
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27486512

<96. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26285167
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hossain MM
AU  - Jones JM
AU  - Dey S
AU  - Carr GJ
AU  - Visscher MO
FA  - Hossain, Md Monir
FA  - Jones, Jennifer M
FA  - Dey, Swatee
FA  - Carr, Gregory J
FA  - Visscher, Marty O
IN  - Hossain, Md Monir. Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Electronic address: Md.Hossain@cchmc.org.
IN  - Jones, Jennifer M. Skin Sciences Program, Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Electronic address: Jennifer.Dusing@cchmc.org.
IN  - Dey, Swatee. The Procter & Gamble Company, WHBC, 6280 Center Hill Road, Baby Care B Building, Cincinnati, OH 45224, USA. Electronic address: dey.s.3@pg.com.
IN  - Carr, Gregory J. The Procter & Gamble Company, WHBC, 6280 Center Hill Road, Baby Care B Building, Cincinnati, OH 45224, USA. Electronic address: carr.gj@pg.com.
IN  - Visscher, Marty O. Skin Sciences Program, Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Department of Surgery, University of Cincinnati, Cincinnati, OH, USA. Electronic address: Marty.Visscher@gmail.com.
TI  - Quantitation of baby wipes lotion transfer to premature and neonatal skin.
SO  - Food & Chemical Toxicology. 84:106-14, 2015 Oct
AS  - Food Chem Toxicol. 84:106-14, 2015 Oct
NJ  - Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association
VO  - 84
PG  - 106-14
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - f3u, 8207483
IO  - Food Chem. Toxicol.
SB  - Index Medicus
CP  - England
MH  - Administration, Cutaneous
MH  - Adsorption
MH  - Algorithms
MH  - Bayes Theorem
MH  - *Diaper Rash/pc [Prevention & Control]
MH  - Female
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - *Models, Biological
MH  - Ohio
MH  - *Premature Birth/me [Metabolism]
MH  - *Skin/me [Metabolism]
MH  - *Skin Care
MH  - *Skin Cream/ad [Administration & Dosage]
MH  - Skin Cream/tu [Therapeutic Use]
MH  - *Term Birth/me [Metabolism]
MH  - Tissue Distribution
KW  - Baby wipes;  Bayesian statistical modeling;  Exposure;  Lotion;  Neonate;  Premature infant
AB  - Exposure to topically applied substances occurs routinely in premature and hospitalized infant care. Safety determinations are most accurate when exposures are based on appropriately designed studies to capture variations in practice patterns and population heterogeneity. Current safety assessments may not reflect actual practice resulting in overly conservative or understated default assumptions for toxicological determinations. We quantified the amount of baby wipes lotion transferred to premature and term neonatal skin as grams/kg body weight/day. We observed the soil type and number of wipes used for skin cleansing and measured lotion transfer from one wipe applied to freshly clean, dry skin. A Bayesian imputation approach was applied to compute lotion exposure and produce summary statistics. Model covariates were age and weight at evaluation, gender, soil type, soil amount, and number of diaper changes per day. Lotion transfer was measured for 66 premature and 55 term neonates with 449 and 254 evaluations, respectively. The wipes per day was 12.52 overall (all infants and soils), 12.78 for premature and 12.21 for term neonates. Lotion transfer was 0.20 g/kg/day (95th percentile) overall, 0.21 for premature and 0.19 for term neonates. The statistical and experimental methodology represents an effective strategy for determining exposure and assessing risk.

Copyright © 2015 Elsevier Ltd. All rights reserved.
ES  - 1873-6351
IL  - 0278-6915
DI  - S0278-6915(15)30036-3
DO  - https://dx.doi.org/10.1016/j.fct.2015.08.014
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0278-6915(15)30036-3 [pii]
ID  - 10.1016/j.fct.2015.08.014 [doi]
PP  - ppublish
PH  - 2015/03/05 [received]
PH  - 2015/08/06 [revised]
PH  - 2015/08/13 [accepted]
LG  - English
EP  - 20150815
DP  - 2015 Oct
EZ  - 2015/08/19 06:00
DA  - 2016/08/02 06:00
DT  - 2015/08/19 06:00
YR  - 2015
ED  - 20160801
RD  - 20151002
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26285167

<97. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27396057
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dineen F
FA  - Dineen, Fiona
TI  - Using advanced neonatal skills.
SO  - Nursing New Zealand (Wellington). 22(4):14-5, 2016 May
AS  - Nurs N Z. 22(4):14-5, 2016 May
NJ  - Nursing New Zealand (Wellington, N.Z. : 1995)
VO  - 22
IP  - 4
PG  - 14-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9507374, cdl
IO  - Nurs N Z
SB  - Nursing Journal
CP  - New Zealand
MH  - *Clinical Competence
MH  - Education, Nursing, Graduate
MH  - Humans
MH  - *Intensive Care Units, Neonatal
MH  - *Neonatal Nursing
MH  - New Zealand
MH  - Nurse Clinicians
MH  - Nurse Practitioners
MH  - *Nurse's Role
MH  - Patient Transfer
MH  - Tertiary Care Centers
MH  - Transportation of Patients
IS  - 1173-2032
IL  - 1173-2032
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2016 May
EZ  - 2016/07/12 06:00
DA  - 2016/07/29 06:00
DT  - 2016/07/12 06:00
YR  - 2016
ED  - 20160728
RD  - 20160711
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27396057

<98. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25474675
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Driscoll M
AU  - Tobis K
AU  - Gurka D
AU  - Serafin F
AU  - Carlson E
FA  - Driscoll, Molly
FA  - Tobis, Kristen
FA  - Gurka, David
FA  - Serafin, Frederick
FA  - Carlson, Elizabeth
IN  - Driscoll, Molly. Rush University Medical Center, Chicago, Illinois (Drs Gurka, Carlson and Mr Serafin), Illinois Masonic Medical Center (Dr Driscoll) Point B, Illinois Masonic Medical Center (Ms Tobis).
TI  - Breaking down the silos to decrease internal diversions and patient flow delays.
SO  - Nursing Administration Quarterly. 39(1):E1-8, 2015 Jan-Mar
AS  - Nurs Adm Q. 39(1):E1-8, 2015 Jan-Mar
NJ  - Nursing administration quarterly
VO  - 39
IP  - 1
PG  - E1-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oae, 7703976
IO  - Nurs Adm Q
SB  - Nursing Journal
CP  - United States
MH  - Hospital Bed Capacity/st [Standards]
MH  - Humans
MH  - *Intensive Care Units/sd [Supply & Distribution]
MH  - Intensive Care Units/ut [Utilization]
MH  - *Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - Pilot Projects
AB  - Hospitals strive to admit patients to the units where caregiver competencies align with the patient's condition. When the hospital's census peaks, internal diversions and the associated risks increase, which are intensified when silos exist, as segregated care negatively impacts collaboration and patient safety. In this study, a 600+-bed academic, tertiary care specialty hospital experienced an increase in internal diversions. Within the neuroscience service line, emergent neuroscience transfers from outside hospitals had been declined or internally diverted because of capacity limitations. Formalized processes for improving collaboration between health care providers related to capacity issues were required to decrease internal diversions and improve patient flow and patient safety. A pilot project was conducted on neuroscience units during a process improvement initiative. A hospital-wide internal diversion plan was developed, identifying primary and secondary placement options for all patients requiring hospitalization to support patient flow and patient safety. Forecasting tools were developed to provide units' leadership with current information on expected admissions. Daily capacity huddles were instituted to increase collaboration between patient care units. The interventions trialed during the pilot decreased internal diversions and improved patient flow. The improved collaboration resulted in an 80% decrease in declinations of emergent intensive care unit transfers from outside hospitals due to capacity limitations and a 50% decrease in the number of these patients being internally diverted to alternate intensive care units. The interventions implemented minimized internal diversions and improved patient flow. The transparency of the patient placement process led to an increased collaboration between all participants.
ES  - 1550-5103
IL  - 0363-9568
DO  - https://dx.doi.org/10.1097/NAQ.0000000000000080
PT  - Journal Article
ID  - 10.1097/NAQ.0000000000000080 [doi]
ID  - 00006216-201501000-00020 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Jan-Mar
EZ  - 2014/12/05 06:00
DA  - 2016/07/19 06:00
DT  - 2014/12/05 06:00
YR  - 2015
ED  - 20160718
RD  - 20141205
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25474675

<99. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26536563
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Longhini F
AU  - Jourdain G
AU  - De Luca D
FA  - Longhini, Federico
FA  - Jourdain, Gilles
FA  - De Luca, Daniele
IN  - Longhini, Federico. Division of Neonatal Critical Care and Transportation, FAME Dept, South Paris University Hospitals, "A.Beclere" Medical Center - APHP, Paris, France, and Anesthesia and Intensive Care, Sant'Andrea Hospital, ASL VC, Vercelli, Italy Division of Neonatal Critical Care and Transportation, FAME Dept, South Paris University Hospitals, "A.Beclere" Medical Center - APHP, Paris, France Division of Neonatal Critical Care and Transportation, FAME Dept, South Paris University Hospitals, "A.Beclere" Medical Center - APHP, Paris, France, and Institute of Anesthesiology and Critical Care, Catholic University of the Sacred Heart, Rome, Italy.
TI  - The authors reply.
CM  - Comment on: Pediatr Crit Care Med. 2015 Oct;16(8):733-8; PMID: 26132742
CM  - Comment on: Pediatr Crit Care Med. 2015 Nov;16(9):897-8; PMID: 26536562
SO  - Pediatric Critical Care Medicine. 16(9):898-9, 2015 Nov
AS  - Pediatr Crit Care Med. 16(9):898-9, 2015 Nov
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 9
PG  - 898-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Humans
MH  - *Infant, Premature
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Tertiary Care Centers/sn [Statistics & Numerical Data]
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000554
PT  - Comment
PT  - Letter
ID  - 10.1097/PCC.0000000000000554 [doi]
ID  - 00130478-201511000-00027 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Nov
EZ  - 2015/11/05 06:00
DA  - 2016/07/14 06:00
DT  - 2015/11/05 06:00
YR  - 2015
ED  - 20160713
RD  - 20151105
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26536563

<100. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26536562
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vieira RA
AU  - Ceccon ME
AU  - de Carvalho WB
FA  - Vieira, Renata Amato
FA  - Ceccon, Maria Esther Jurfest Rivero
FA  - de Carvalho, Werther Brunow
IN  - Vieira, Renata Amato. Neonatology Division, Pediatric Department, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
TI  - Transport of the Newborn: Different Realities in the World.
CM  - Comment in: Pediatr Crit Care Med. 2015 Nov;16(9):898-9; PMID: 26536563
CM  - Comment on: Pediatr Crit Care Med. 2015 Oct;16(8):733-8; PMID: 26132742
SO  - Pediatric Critical Care Medicine. 16(9):897-8, 2015 Nov
AS  - Pediatr Crit Care Med. 16(9):897-8, 2015 Nov
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 9
PG  - 897-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Humans
MH  - *Infant, Premature
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Tertiary Care Centers/sn [Statistics & Numerical Data]
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000553
PT  - Comment
PT  - Letter
ID  - 10.1097/PCC.0000000000000553 [doi]
ID  - 00130478-201511000-00026 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Nov
EZ  - 2015/11/05 06:00
DA  - 2016/07/14 06:00
DT  - 2015/11/05 06:00
YR  - 2015
ED  - 20160713
RD  - 20151105
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26536562

<101. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26427809
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Oberender F
FA  - Oberender, Felix
IN  - Oberender, Felix. Paediatric Intensive Care, The Royal Children's Hospital and Monash Medical Centre, Melbourne, VIC, Australia.
TI  - Critical Care Transport: How Do We Measure Up?.
CM  - Comment on: Pediatr Crit Care Med. 2015 Oct;16(8):711-7; PMID: 26181297
SO  - Pediatric Critical Care Medicine. 16(8):775-6, 2015 Oct
AS  - Pediatr Crit Care Med. 16(8):775-6, 2015 Oct
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 8
PG  - 775-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/st [Standards]
MH  - *Delphi Technique
MH  - Humans
MH  - *Pediatrics/st [Standards]
MH  - *Quality of Health Care/st [Standards]
MH  - *Transportation of Patients/st [Standards]
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000478
PT  - Comment
PT  - Editorial
ID  - 10.1097/PCC.0000000000000478 [doi]
ID  - 00130478-201510000-00013 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Oct
EZ  - 2015/10/03 06:00
DA  - 2016/07/14 06:00
DT  - 2015/10/03 06:00
YR  - 2015
ED  - 20160713
RD  - 20151002
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26427809

<102. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26237655
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Salib M
AU  - Hoffmann RG
AU  - Dasgupta M
AU  - Zimmerman H
AU  - Hanson S
FA  - Salib, Mina
FA  - Hoffmann, Raymond G
FA  - Dasgupta, Mahua
FA  - Zimmerman, Haydee
FA  - Hanson, Sheila
IN  - Salib, Mina. 1Critical Care Section, Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, WI. 2Department of Pediatrics at Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI. 3Section of Quantitative Health Sciences at Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI.
TI  - Changes to Workflow and Process Measures in the PICU During Transition From Semi to Full Electronic Health Record.[Erratum appears in Pediatr Crit Care Med. 2016 Jan;17(1):e28]
SO  - Pediatric Critical Care Medicine. 16(8):766-71, 2015 Oct
AS  - Pediatr Crit Care Med. 16(8):766-71, 2015 Oct
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 8
PG  - 766-71
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Electronic Health Records/sn [Statistics & Numerical Data]
MH  - Female
MH  - Hospitals, Pediatric/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - Medication Reconciliation/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pharmacy Service, Hospital/sn [Statistics & Numerical Data]
MH  - *Process Assessment (Health Care)/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Time Factors
MH  - *Workflow
AB  - OBJECTIVES: Studies showing the changes in workflow during transition from semi to full electronic medical records are lacking. This objective study is to identify the changes in workflow in the PICU during transition from semi to full electronic health record.
AB  - DESIGN: Prospective observational study. Children's Hospital of Wisconsin Institutional Review Board waived the need for approval so this study was institutional review board exempt. This study measured clinical workflow variables at a 72-bed PICU during different phases of transition to a full electronic health record, which occurred on November 4, 2012. Phases of electronic health record transition were defined as follows: pre-electronic health record (baseline data prior to transition to full electronic health record), transition phase (3wk after electronic health record), and stabilization (6 mo after electronic health record). Data were analyzed for the three phases using Mann-Whitney U test with a two-sided p value of less than 0.05 considered significant.
AB  - SETTING: Seventy-two bed PICU.
AB  - PATIENTS: All patients in the PICU were included during the study periods.
AB  - MEASUREMENTS AND MAIN RESULTS: Five hundred and sixty-four patients with 2,355 patient days were evaluated in the three phases. Duration of rounds decreased from a median of 9 minutes per patient pre--electronic health record to 7 minutes per patient post electronic health record. Time to final note decreased from 2.06 days pre--electronic health record to 0.5 days post electronic health record. Time to first medication administration after admission also decreased from 33 minutes pre--electronic health record and 7 minutes post electronic health record. Time to Time to medication reconciliation was significantly higher pre-electronic health record than post electronic health record and percent of medication reconciliation completion was significantly lower pre--electronic health record than post electronic health record and percent of medication reconciliation completion was significantly higher pre--electronic health record than. There was no significant change in time between placement of discharge order and physical transfer from the unit [corrected].changes clinical workflow in a PICU with decreased duration of rounds, time to final note, time to medication administration, and time to medication reconciliation completion. There was no change in the duration from medical to physical transfer.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000525
PT  - Journal Article
PT  - Observational Study
ID  - 10.1097/PCC.0000000000000525 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Oct
EZ  - 2015/08/04 06:00
DA  - 2016/07/13 06:00
DT  - 2015/08/04 06:00
YR  - 2015
ED  - 20160712
RD  - 20151002
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26237655

<103. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26181297
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schwartz HP
AU  - Bigham MT
AU  - Schoettker PJ
AU  - Meyer K
AU  - Trautman MS
AU  - Insoft RM
AU  - American Academy of Pediatrics Section on Transport Medicine
FA  - Schwartz, Hamilton P
FA  - Bigham, Michael T
FA  - Schoettker, Pamela J
FA  - Meyer, Keith
FA  - Trautman, Michael S
FA  - Insoft, Robert M
FA  - American Academy of Pediatrics Section on Transport Medicine
IN  - Schwartz, Hamilton P. 1Division of Emergency Medicine, Department of Pediatrics, Cincinnati Children's Hospital, University of Cincinnati School of Medicine, Cincinnati, OH. 2Division of Critical Care Medicine, Department of Pediatrics, Akron Children's Hospital, Northeast Ohio Medical University, Akron, OH. 3James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital, Cincinnati, OH. 4Division of Critical Care Medicine, Department of Pediatrics, Miami Children's Hospital, Miami, FL. 5Division of Neonatology, Department of Pediatrics, James W. Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN. 6Department of Pediatrics, Brown University Alpert School of Medicine, Providence, RI.
IR  - Moss MM
IR  - Fernandes CJ
IR  - Heiman HS
IR  - Tsarouhaus N
IR  - Douglas WP
IR  - Taylor RM
IR  - Alexander N
TI  - Quality Metrics in Neonatal and Pediatric Critical Care Transport: A National Delphi Project.
CM  - Comment in: Pediatr Crit Care Med. 2015 Oct;16(8):775-6; PMID: 26427809
SO  - Pediatric Critical Care Medicine. 16(8):711-7, 2015 Oct
AS  - Pediatr Crit Care Med. 16(8):711-7, 2015 Oct
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 8
PG  - 711-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Airway Management/st [Standards]
MH  - Benchmarking
MH  - *Critical Care/st [Standards]
MH  - *Delphi Technique
MH  - Humans
MH  - Ohio
MH  - Outcome and Process Assessment (Health Care)
MH  - Patient Care Team/st [Standards]
MH  - Patient Safety/st [Standards]
MH  - *Pediatrics/st [Standards]
MH  - Quality Indicators, Health Care
MH  - *Quality of Health Care/st [Standards]
MH  - Tertiary Care Centers
MH  - Time Factors
MH  - *Transportation of Patients/st [Standards]
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.
AB  - DESIGN: Modified Delphi technique.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000477
PT  - Journal Article
ID  - 10.1097/PCC.0000000000000477 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Oct
EZ  - 2015/07/17 06:00
DA  - 2016/07/13 06:00
DT  - 2015/07/17 06:00
YR  - 2015
ED  - 20160712
RD  - 20151002
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26181297

<104. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26132742
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Longhini F
AU  - Jourdain G
AU  - Ammar F
AU  - Mokthari M
AU  - Boithias C
AU  - Romain O
AU  - Letamendia E
AU  - Tissieres P
AU  - Chabernaud JL
AU  - De Luca D
FA  - Longhini, Federico
FA  - Jourdain, Gilles
FA  - Ammar, Fatme
FA  - Mokthari, Mostafa
FA  - Boithias, Claire
FA  - Romain, Olivier
FA  - Letamendia, Emmanuelle
FA  - Tissieres, Pierre
FA  - Chabernaud, Jean Louis
FA  - De Luca, Daniele
IN  - Longhini, Federico. 1Division of Pediatrics and Neonatal Critical Care, FAME Department, South Paris University Hospitals, "A.Beclere" Medical Center-APHP, Paris, France. 2Anesthesia and Intensive Care, Sant'Andrea Hospital, ASL VC, Vercelli, Italy. 3Division of Paediatric Critical Care and Neonatal Medicine, FAME Department, South Paris University Hospitals, "Kremlin-Bicetre" Medical Center-APHP, Paris, France.
TI  - Outcomes of Preterm Neonates Transferred Between Tertiary Perinatal Centers.
CM  - Comment in: Pediatr Crit Care Med. 2015 Nov;16(9):898-9; PMID: 26536563
CM  - Comment in: Pediatr Crit Care Med. 2015 Nov;16(9):897-8; PMID: 26536562
SO  - Pediatric Critical Care Medicine. 16(8):733-8, 2015 Oct
AS  - Pediatr Crit Care Med. 16(8):733-8, 2015 Oct
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 8
PG  - 733-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Apgar Score
MH  - Birth Weight
MH  - Cohort Studies
MH  - Female
MH  - Gestational Age
MH  - Hospital Mortality
MH  - Humans
MH  - Infant
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Length of Stay
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Respiration, Artificial
MH  - *Tertiary Care Centers/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: To verify if preterm neonates transferred between tertiary referral centers have worse outcomes than matched untransferred infants.
AB  - DESIGN: Cohort study with a historically matched control group.
AB  - SETTING: Two tertiary-level neonatal ICUs.
AB  - PATIENTS: Seventy-five neonates per group.
AB  - INTERVENTIONS: Transfer between tertiary-level neonatal ICUs carried out by a fully equipped transportation team.
AB  - 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.
AB  - CONCLUSIONS: Neonatal transfer between tertiary-level centers does not impact on clinical outcomes, if performed under optimal conditions.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000482
PT  - Journal Article
ID  - 10.1097/PCC.0000000000000482 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Oct
EZ  - 2015/07/02 06:00
DA  - 2016/07/13 06:00
DT  - 2015/07/02 06:00
YR  - 2015
ED  - 20160712
RD  - 20151002
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26132742

<105. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26743818
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sheth S
AU  - McCarthy E
AU  - Kipps AK
AU  - Wood M
AU  - Roth SJ
AU  - Sharek PJ
AU  - Shin AY
FA  - Sheth, Shreya
FA  - McCarthy, Elisa
FA  - Kipps, Alaina K
FA  - Wood, Matthew
FA  - Roth, Stephen J
FA  - Sharek, Paul J
FA  - Shin, Andrew Y
IN  - Sheth, Shreya. Division of Pediatric Cardiology, Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, California;
IN  - McCarthy, Elisa. Divisions of Pediatric Cardiology, and.
IN  - Kipps, Alaina K. Divisions of Pediatric Cardiology, and.
IN  - Wood, Matthew. Center for Quality and Clinical Effectiveness, Lucile Packard Children's Hospital, Stanford University, Palo Alto, California.
IN  - Roth, Stephen J. Divisions of Pediatric Cardiology, and.
IN  - Sharek, Paul J. Center for Quality and Clinical Effectiveness, Lucile Packard Children's Hospital, Stanford University, Palo Alto, California Pediatric Hospitalist Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California; and.
IN  - Shin, Andrew Y. Divisions of Pediatric Cardiology, and Center for Quality and Clinical Effectiveness, Lucile Packard Children's Hospital, Stanford University, Palo Alto, California drewshin@stanford.edu.
TI  - Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process.
SO  - Pediatrics. 137(2):e20150166, 2016 Feb
AS  - Pediatrics. 137(2):e20150166, 2016 Feb
NJ  - Pediatrics
VO  - 137
IP  - 2
PG  - e20150166
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Attitude of Health Personnel
MH  - Cardiology Service, Hospital/og [Organization & Administration]
MH  - *Cardiology Service, Hospital/st [Standards]
MH  - Child
MH  - Child, Preschool
MH  - *Efficiency, Organizational/st [Standards]
MH  - Female
MH  - Hospitals, Pediatric/og [Organization & Administration]
MH  - Hospitals, University/og [Organization & Administration]
MH  - Hospitals, University/st [Standards]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric/st [Standards]
MH  - Job Satisfaction
MH  - Male
MH  - *Organizational Culture
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Handoff/og [Organization & Administration]
MH  - *Patient Handoff/st [Standards]
MH  - *Patient Safety/st [Standards]
MH  - Patient Satisfaction/sn [Statistics & Numerical Data]
MH  - Patient Transfer/og [Organization & Administration]
MH  - Patient Transfer/st [Standards]
MH  - Prospective Studies
MH  - *Quality Improvement/og [Organization & Administration]
MH  - Quality Improvement/sn [Statistics & Numerical Data]
MH  - Time Factors
AB  - BACKGROUND AND OBJECTIVES: Recent publications have shown improved outcomes associated with resident-to-resident handoff processes. However, the implementation of similar handoff processes for patients moving between units and teams with expansive responsibilities presents unique challenges. We sought to determine the impact of a multidisciplinary standardized handoff process on efficiency, safety culture, and satisfaction.
AB  - METHODS: A prospective improvement initiative to standardize handoffs during patient transitions from the cardiovascular ICU to the acute care unit was implemented in a university-affiliated children's hospital.
AB  - RESULTS: Time between verbal handoff and patient transfer decreased from baseline (397 +/- 167 minutes) to the postintervention period (24 +/- 21 minutes) (P < .01). Percentage positive scores for the handoff/transitions domain of a national culture of safety survey improved (39.8% vs 15.2% and 38.8% vs 19.6%; P = .005 and 0.03, respectively). Provider satisfaction improved related to the information conveyed (34% to 41%; P = .03), time to transfer (5% to 34%; P < .01), and overall experience (3% to 24%; P < .01). Family satisfaction improved for several questions, including: "satisfaction with the information conveyed" (42% to 70%; P = .02), "opportunities to ask questions" (46% to 74%; P < .01), and "Acute Care team's knowledgeabout my child's issues" (50% to 73%; P = .04). No differences in rates of readmission, rapid response team calls, or mortality were observed.
AB  - CONCLUSIONS: Implementation of a multidisciplinary I-PASS-supported handoff process for patients transferring from the cardiovascular ICU to the acute care unit resulted in improved transfer efficiency, safety culture scores, and satisfaction of providers and families.

Copyright © 2016 by the American Academy of Pediatrics.
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2015-0166
PT  - Journal Article
ID  - peds.2015-0166 [pii]
ID  - 10.1542/peds.2015-0166 [doi]
PP  - ppublish
PH  - 2015/06/30 [accepted]
LG  - English
EP  - 20160107
DP  - 2016 Feb
EZ  - 2016/01/09 06:00
DA  - 2016/07/07 06:00
DT  - 2016/01/09 06:00
YR  - 2016
ED  - 20160706
RD  - 20160224
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26743818

<106. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26360357
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tobin JM
AU  - Nordmann GR
AU  - Kuncir EJ
FA  - Tobin, Joshua M
FA  - Nordmann, Giles R
FA  - Kuncir, Eric J
TI  - Resuscitation During Critical Care Transportation in Afghanistan.
SO  - Journal of Special Operations Medicine. 15(3):72-5, 2015
AS  - J Spec Oper Med. 15(3):72-5, 2015
NJ  - Journal of special operations medicine : a peer reviewed journal for SOF medical professionals
VO  - 15
IP  - 3
PG  - 72-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101158402
IO  - J Spec Oper Med
SB  - Index Medicus
CP  - United States
MH  - Acidosis/bl [Blood]
MH  - Adolescent
MH  - Adult
MH  - Afghan Campaign 2001-
MH  - Blood Coagulation Disorders/bl [Blood]
MH  - Blood Gas Analysis
MH  - Cardiopulmonary Resuscitation/ut [Utilization]
MH  - Catheterization, Central Venous/ut [Utilization]
MH  - Critical Care
MH  - Decompression, Surgical/ut [Utilization]
MH  - Humans
MH  - Injury Severity Score
MH  - International Normalized Ratio
MH  - Intubation, Intratracheal/ut [Utilization]
MH  - Middle Aged
MH  - *Military Personnel
MH  - Registries
MH  - *Resuscitation/ut [Utilization]
MH  - Thoracostomy/ut [Utilization]
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
MH  - United States
MH  - *War-Related Injuries/bl [Blood]
MH  - *War-Related Injuries/th [Therapy]
MH  - Young Adult
AB  - OBJECTIVE: These data describe the critical care procedures performed on, and the resuscitation markers of, critically wounded personnel in Afghanistan following point of injury (POI) transports and intratheater transports. Providing this information may help inform discussion on the design of critical care transportation platforms for future conflicts.
AB  - METHODS: The Department of Defense Trauma Registry (DoDTR) was queried for descriptive data on combat casualties with Injury Severity Score (ISS) greater than 15 who were transported in Operation Enduring Freedom (OEF) from 1 January 2010 to 31 December 2010. Both POI transportation events and interfacility transportation events were reviewed. Base deficit (BD) was evaluated as a maker of resuscitation, and international normalized ratio (INR) was evaluated as a measure of coagulopathy.
AB  - RESULTS: There were 1198 transportation events that occurred during the study period--634 (53%) transports from the POI and 564 (47%) intratheater transports. Critical care interventions were performed during 147 (12.3%) transportation events, including intubation, cricothyrotomy, double-lumen endotracheal tube placement, needle or tube thoracostomy, central venous access placement, and cardiopulmonary resuscitation. The mean BD on arrival in the emergency department was -5.4 mEq/L for POI transports and 0.68 mEq/L intratheater transports (p<.001). The mean INR on arrival in the emergency department was 1.48 for POI transports and 1.21 for intratheater transports (p<.001).
AB  - CONCLUSIONS: Critical care interventions were needed frequently during evacuation of severely injured personnel. Furthermore, many troops arrived acidotic and coagulopathic following initial transport from POI. Together, these data suggest that a platform capable of damage control resuscitation and critical care interventions may be warranted on longer transports of more critically injured patients.

Copyright 2015.
IS  - 1553-9768
IL  - 1553-9768
PT  - Journal Article
PP  - ppublish
PH  - 2015/09/01 [accepted]
LG  - English
DP  - 2015
EZ  - 2015/09/12 06:00
DA  - 2016/06/29 06:00
DT  - 2015/09/12 06:00
YR  - 2015
ED  - 20160628
RD  - 20150912
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26360357

<107. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26182960
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brigtsen AK
AU  - Jacobsen AF
AU  - Dedi L
AU  - Melby KK
AU  - Fugelseth D
AU  - Whitelaw A
FA  - Brigtsen, Anne Karin
FA  - Jacobsen, Anne Flem
FA  - Dedi, Lumnije
FA  - Melby, Kjetil K
FA  - Fugelseth, Drude
FA  - Whitelaw, Andrew
IN  - Brigtsen, Anne Karin. Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
TI  - Maternal Colonization with Group B Streptococcus Is Associated with an Increased Rate of Infants Transferred to the Neonatal Intensive Care Unit.
SO  - Neonatology. 108(3):157-63, 2015
AS  - Neonatology. 108(3):157-63, 2015
NJ  - Neonatology
VO  - 108
IP  - 3
PG  - 157-63
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101286577
IO  - Neonatology
SB  - Index Medicus
CP  - Switzerland
MH  - Adult
MH  - C-Reactive Protein/an [Analysis]
MH  - Delivery, Obstetric
MH  - *Early Diagnosis
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Logistic Models
MH  - Male
MH  - *Mothers
MH  - Norway
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - Prospective Studies
MH  - *Streptococcal Infections/ep [Epidemiology]
MH  - *Streptococcus agalactiae/ip [Isolation & Purification]
MH  - *Term Birth
AB  - BACKGROUND: Streptococcus agalactiae (group B Streptococcus, GBS) is the most common cause of early neonatal infection, but restricting the diagnosis to culture-positive infants may underestimate the burden of GBS disease. Our objective was to determine whether maternal GBS colonization was associated with an increased risk of transfer of term infants to the neonatal intensive care unit (NICU) and, if so, to estimate the incidence of probable early-onset GBS disease.
AB  - METHODS: We conducted a prospective cohort study of 1,694 term infants whose mothers had vaginal-rectal swabs collected at delivery. Data collected on each mother and infant included demographics, clinical findings and laboratory investigations. The medical staff were unaware of the maternal GBS colonization status.
AB  - RESULTS: A total of 26% of the mothers were colonized. Infants born to colonized mothers did not differ from infants born to non-colonized mothers with respect to birth weight or Apgar score. Altogether, 30 (1.8%) of the term infants were transferred to the NICU. Only 1 infant born to a colonized mother had culture-positive early-onset GBS disease. Infants born to colonized mothers were more than 3 times as likely to be transferred to the NICU compared to infants of non-colonized mothers (3.6 vs. 1.1%; OR 3.4, 95% CI 1.6-6.9, p = 0.001); 5 infants of colonized mothers had probable GBS disease with tachypnoea and raised C-reactive protein (3.0/1,000 live term births).
AB  - CONCLUSIONS: Maternal GBS colonization is associated with increased risk of transfer to the NICU in term infants. The burden of neonatal GBS disease may be greater than indicated by the number of culture-positive cases.

Copyright © 2015 S. Karger AG, Basel.
RN  - 9007-41-4 (C-Reactive Protein)
ES  - 1661-7819
IL  - 1661-7800
DO  - https://dx.doi.org/10.1159/000434716
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 000434716 [pii]
ID  - 10.1159/000434716 [doi]
PP  - ppublish
PH  - 2015/03/19 [received]
PH  - 2015/06/01 [accepted]
LG  - English
EP  - 20150711
DP  - 2015
EZ  - 2015/07/18 06:00
DA  - 2016/06/23 06:00
DT  - 2015/07/18 06:00
YR  - 2015
ED  - 20160622
RD  - 20150923
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26182960

<108. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27293828
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Shin HJ
AU  - Park CK
AU  - Kim TO
AU  - Ban HJ
AU  - Oh IJ
AU  - Kim YI
AU  - Kwon YS
AU  - Kim YC
AU  - Lim SC
FA  - Shin, Hong-Joon
FA  - Park, Cheol-Kyu
FA  - Kim, Tae-Ok
FA  - Ban, Hee-Jung
FA  - Oh, In-Jae
FA  - Kim, Yu-Il
FA  - Kwon, Yong-Soo
FA  - Kim, Young-Chul
FA  - Lim, Sung-Chul
IN  - Shin, Hong-Joon. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
IN  - Park, Cheol-Kyu. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
IN  - Kim, Tae-Ok. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
IN  - Ban, Hee-Jung. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
IN  - Oh, In-Jae. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
IN  - Kim, Yu-Il. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
IN  - Kwon, Yong-Soo. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
IN  - Kim, Young-Chul. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
IN  - Lim, Sung-Chul. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
TI  - 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.
SO  - Journal of Thoracic Disease. 8(6):1121-31, 2016 Jun
AS  - J. thorac. dis.. 8(6):1121-31, 2016 Jun
NJ  - Journal of thoracic disease
VO  - 8
IP  - 6
PG  - 1121-31
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101533916
IO  - J Thorac Dis
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4886006
CP  - China
KW  - Pulmonary disease;  chronic obstructive;  intensive care unit (ICU);  pneumonia
AB  - BACKGROUND: The rate of hospitalization due to acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is increasing. Few studies have examined the clinical, laboratory and treatment differences between patients in general wards and those who need transfer to an intensive care unit (ICU).
AB  - METHODS: We retrospectively reviewed clinical, laboratory, and treatment characteristics of 374 patients who were initially admitted to the general ward at Chonnam National University Hospital in South Korea due to AECOPD (pneumonic, 194; non-pneumonic, 180) between January 2008 and March 2015. Of these patients, 325 were managed at the medical ward during their hospitalization period (ward group), and 49 required ICU transfer (ICU group). We compared the clinical, laboratory, and treatment characteristics associated with ICU transfer between patients with AECOPD with and without pneumonia.
AB  - RESULTS: Male patients were 86.5% in the ward group and 79.6% in the ICU group. High glucose levels [median 154.5 mg/dL, interquartile range (IQR) 126.8-218.3 in ICU group vs. median 133.0, IQR 109.8-160.3 in ward group], high pneumonia severity index scores (median 100.5, IQR 85.5-118.5 vs. median 86.0, IQR 75.0-103.5), low albumin levels (median 2.9 g/dL, IQR 2.6-3.6 vs. median 3.4, IQR 3.0-3.7), and anemia (73.3% vs. 43.3%) independently increased the risk of ICU transfer in the pneumonic AECOPD group. High PaCO2 levels (median 53.1 mmHg in ICU group, IQR 38.5-84.6 vs. median 39.7, IQR 34.2-48.6 in ward group) independently increased the risk of ICU transfer in the non-pneumonic AECOPD group. Treatment with systemic corticosteroids (>=30 mg of daily prednisolone) during hospitalization in the medical ward independently reduced the risk of ICU transfer in both groups.
AB  - CONCLUSIONS: The characteristics associated with ICU transfer differed between the pneumonic and non-pneumonic AECOPD groups, and systemic corticosteroids use was associated with lower rate of ICU transfer in both groups.
IS  - 2072-1439
IL  - 2072-1439
DO  - https://dx.doi.org/10.21037/jtd.2016.04.10
PT  - Journal Article
ID  - 10.21037/jtd.2016.04.10 [doi]
ID  - jtd-08-06-1121 [pii]
ID  - PMC4886006 [pmc]
PP  - ppublish
LG  - English
DP  - 2016 Jun
EZ  - 2016/06/14 06:00
DA  - 2016/06/14 06:01
DT  - 2016/06/14 06:00
YR  - 2016
ED  - 20160613
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27293828

<109. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26026202
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Durak VA
AU  - Armagan E
AU  - Ozdemir F
AU  - Kahriman N
FA  - Durak, Vahide Aslihan
FA  - Armagan, Erol
FA  - Ozdemir, Fatma
FA  - Kahriman, Nezahat
IN  - Durak, Vahide Aslihan. Department of Emergency Medicine, Uludag University, Medical Faculty Research and Training Hospital, Bursa, Turkey. Electronic address: aslidurakis@hotmail.com.
IN  - Armagan, Erol. Department of Emergency Medicine, Uludag University, Medical Faculty Research and Training Hospital, Bursa, Turkey. Electronic address: earmagan9999@yahoo.com.
IN  - Ozdemir, Fatma. Department of Emergency Medicine, Uludag University, Medical Faculty Research and Training Hospital, Bursa, Turkey. Electronic address: drfatmaozdemir@yahoo.com.
IN  - Kahriman, Nezahat. Department of Emergency Medicine, Uludag University, Medical Faculty Research and Training Hospital, Bursa, Turkey. Electronic address: dr_nezahatduruk@hotmail.com.
TI  - Discharge of emergency patients to the clinical wards or intensive care units: An assessment of complications and possible shortcomings.
SO  - Injury. 46 Suppl 2:S53-5, 2015 Jul
AS  - Injury. 46 Suppl 2:S53-5, 2015 Jul
NJ  - Injury
VO  - 46 Suppl 2
PG  - S53-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 0226040, gon
IO  - Injury
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Catheterization, Central Venous/ae [Adverse Effects]
MH  - Child
MH  - Child, Preschool
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Health Services Research
MH  - Hemodynamics
MH  - Hospital Mortality
MH  - Humans
MH  - *Hypoxia/et [Etiology]
MH  - Infant
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment (Health Care)/og [Organization & Administration]
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Turkey
MH  - *Wounds and Injuries/co [Complications]
MH  - Wounds and Injuries/mo [Mortality]
KW  - Complication;  Emergency department;  Intrahospital transport
AB  - OBJECTIVE: We aimed to evaluate the most common complications and possible shortcomings in the emergency patients who were admitted to the clinical wards or intensive care units.
AB  - MATERIALS AND METHODS: 1000 patients were included in this study. The patients's complication rates were compared with the clinical diagnosis, age groups, the section of the emergency department initially managed the patients, the time of the shift (daytime or night), the accompanying medical staff and specific type of patient populations. Also the interventions of the complications were recorded.
AB  - RESULTS: 37.5% of the patients who were included in the study were female and 62.5% were male. The median age of the patients was 54.2 year (min:1 max:92). The vital signs that were recorded prior to transport of the patients did not interfere with the complication rates (p>0.05). Complication rates in the night were found to be higher as more admissions took place during the night shift (p<0.05). The complication rates were found higher in patients who were admitted to coronary care unit. The most frequent complication was the dislocation of the intravenous catheter. Replacing the dislocated intravenous catheter was the most frequently noted intervention. However, initiating inotropic agents to the hypotensive patients was done more frequently in the admitted clinical departments.
AB  - CONCLUSION: The overall complication rate was low in this series of patients. The majority of them can be prevented by having in house guidelines.

Copyright © 2015 Elsevier Ltd. All rights reserved.
ES  - 1879-0267
IL  - 0020-1383
DI  - S0020-1383(15)00292-2
DO  - https://dx.doi.org/10.1016/j.injury.2015.05.033
PT  - Journal Article
ID  - S0020-1383(15)00292-2 [pii]
ID  - 10.1016/j.injury.2015.05.033 [doi]
PP  - ppublish
LG  - English
EP  - 20150527
DP  - 2015 Jul
EZ  - 2015/06/01 06:00
DA  - 2016/06/09 06:00
DT  - 2015/06/01 06:00
YR  - 2015
ED  - 20160606
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26026202

<110. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26956424
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Newman RE
AU  - Bingler MA
AU  - Bauer PN
AU  - Lee BR
AU  - Mann KJ
FA  - Newman, Ross E
FA  - Bingler, Michael A
FA  - Bauer, Paul N
FA  - Lee, Brian R
FA  - Mann, Keith J
IN  - Newman, Ross E. Department of Pediatrics, Sections of General Academic Pediatrics, renewman@cmh.edu.
IN  - Bingler, Michael A. Cardiology, and.
IN  - Bauer, Paul N. Critical Care Medicine, University of Missouri-Kansas City School of Medicine, Children's Mercy Hospitals and Clinics, Kansas City, Missouri; and.
IN  - Lee, Brian R. Center for Clinical Effectiveness, Quality Improvement, Children's Mercy Hospitals and Clinics, Kansas City, Missouri.
IN  - Mann, Keith J. Department of Pediatrics, Sections of General Academic Pediatrics.
TI  - Rates of ICU Transfers After a Scheduled Night-Shift Interprofessional Huddle.
SO  - Hospital Pediatrics. 6(4):234-42, 2016 Apr
AS  - Hosp. pediatr.. 6(4):234-42, 2016 Apr
NJ  - Hospital pediatrics
VO  - 6
IP  - 4
PG  - 234-42
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 101585349
IO  - Hosp Pediatr
SB  - Index Medicus
CP  - United States
MH  - Attitude of Health Personnel
MH  - *Cardiology/mt [Methods]
MH  - Female
MH  - Humans
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Interdisciplinary Communication
MH  - Internship and Residency/mt [Methods]
MH  - Internship and Residency/sn [Statistics & Numerical Data]
MH  - *Internship and Residency
MH  - Male
MH  - Nurses/px [Psychology]
MH  - Nurses/sn [Statistics & Numerical Data]
MH  - *Nurses
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - *Patient Transfer
MH  - Pediatrics/mt [Methods]
MH  - Pediatrics/st [Standards]
MH  - *Pediatrics
MH  - Personnel Staffing and Scheduling/st [Standards]
MH  - Quality Improvement
MH  - Risk Adjustment
AB  - OBJECTIVES: To evaluate a scheduled interprofessional huddle among pediatric residents, nursing staff, and cardiologists on the number of high-risk transfers to the ICU.
AB  - METHODS: A daily, night-shift huddle intervention was initiated between the in-house pediatric residents and nursing staff covering the cardiology ward patients with the at-home attending cardiologist. Retrospective cohort chart review identified high-risk transfers from the inpatient floor to the ICU over a 24-month period (eg, inotropic support, intubation, and/or respiratory support within 1 hour of ICU transfer). Satisfaction with the intervention and the impact of the intervention on team-based communication and resident education was collected using a retrospective pre-post survey.
AB  - RESULTS: Ninety-three patients were identified as unscheduled transfers from the ward team to the ICU. Overall, 21 preintervention transfers were considered high risk, whereas only 8 patients were considered high risk after the intervention (P=.004). During the night shift, high risk transfers decreased from 8 of 17 (47%) to 3 of 21 patients (14%) (P=.03). Interprofessional communication improved with 12 of 14 nurses and 24 of 25 residents reporting effective communication after the intervention (P<.0001) compared with only 1 nurse and 15 residents reporting a positive experience before the intervention. Overall, all 3 provider groups stated an improved experience covering a high-risk cardiology patient population.
AB  - CONCLUSIONS: Implementation of an interprofessional huddle may contribute to decreasing high-risk transfers to the ICU. Initiating a daily huddle was well received and allowed for open lines of communication across all provider groups.

Copyright © 2016 by the American Academy of Pediatrics.
IS  - 2154-1663
IL  - 2154-1671
DO  - https://dx.doi.org/10.1542/hpeds.2015-0173
PT  - Journal Article
ID  - hpeds.2015-0173 [pii]
ID  - 10.1542/hpeds.2015-0173 [doi]
PP  - ppublish
LG  - English
EP  - 20160101
DP  - 2016 Apr
EZ  - 2016/03/10 06:00
DA  - 2016/06/01 06:00
DT  - 2016/03/10 06:00
YR  - 2016
ED  - 20160531
RD  - 20160402
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26956424

<111. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26958686
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gulczynska E
AU  - Gadzinowski J
FA  - Gulczynska, Ewa
FA  - Gadzinowski, Janusz
TI  - PRACTICAL ASPECTS OF THERAPEUTIC HYPOTHERMIA IN NEONATES WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY--QUESTIONS AND ANSWERS. PART I. PROVIDING NEWBORN CARE BEFORE AND DURING TRANSFER TO THE REFERENCE CENTER.
SO  - Medycyna Wieku Rozwojowego. 19(3 Pt 1):247-53, 2015 Jul-Sep
AS  - Med Wieku Rozwoj. 19(3 Pt 1):247-53, 2015 Jul-Sep
NJ  - Developmental period medicine
VO  - 19
IP  - 3 Pt 1
PG  - 247-53
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100928610, dpo, 101636421
IO  - Dev Period Med
SB  - Index Medicus
CP  - Poland
MH  - *Asphyxia Neonatorum/th [Therapy]
MH  - *Critical Care Nursing/st [Standards]
MH  - Female
MH  - Humans
MH  - *Hypothermia, Induced/st [Standards]
MH  - *Hypoxia-Ischemia, Brain/th [Therapy]
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - *Patient Transfer/mt [Methods]
MH  - *Practice Guidelines as Topic
MH  - Time Factors
AB  - The first decade of the 21st century saw the worldwide spread of therapeutic hypothermia as a beneficial therapeutic procedure in neonates with hypoxic-ischemic encephalopathy. New guidelines for the resuscitation of newborns confirm that therapeutic hypothermia should be the standard method of treatment offered to neonates with acute perinatal hypoxia. The quality of care which an asphyxiated newborn receives during and immediately after resuscitation, as well as the mode of preparation for transport, can have a significant impact on improving the outcome, but it can also result in the deterioration of neonates treated with hypothermia. Since to a considerable degree the therapeutic effect depends on the time of beginning the cooling procedure, there is no reason to unnecessarily delay treatment. For this purpose, neonatologists or pediatricians from referring hospitals who do not have the equipment for hypothermia can and even should begin the cooling process while waiting for the arrival of the neonatal transport team. In that short period a number of concerns arise regarding the optimal methods of child care and preparation for transport to the hypothermia center. The authors discuss the possibility of initiating cooling before transportation using simple, so called low-tech cooling methods, the possible risks associated with the incidence of hyperthermia, difficulties in the interpretation of the eligibility criteria, supportive therapy, and the problems connected with the communication process between the medical team and the parents. The aspects that have been analyzed should be helpful for professionals in neonatal wards, outside hypothermia centers.
IS  - 1428-345X
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 2015 Jul-Sep
EZ  - 2016/03/10 06:00
DA  - 2016/05/04 06:00
DT  - 2016/03/10 06:00
YR  - 2015
ED  - 20160503
RD  - 20160309
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26958686

<112. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22973618
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Siegel N
AU  - Bird E
FA  - Siegel, Nathan
FA  - Bird, Elizabeth
TI  - Hazards of intra-hospital transport (IHT).
CM  - Comment on: HERD. 2007 Fall;1(1):31-43; PMID: 21157716
SO  - HERD: Health Environments Research & Design Journal. 1(4):133-6, 2008
AS  - HERD. 1(4):133-6, 2008
NJ  - HERD
VO  - 1
IP  - 4
PG  - 133-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101537529
IO  - HERD
SB  - Index Medicus
CP  - United States
MH  - *Hospitals
MH  - Humans
MH  - *Patient Safety
IS  - 1937-5867
IL  - 1937-5867
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 2008
EZ  - 2008/07/01 00:00
DA  - 2016/04/26 06:00
DT  - 2012/09/15 06:00
YR  - 2008
ED  - 20160425
RD  - 20120913
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=22973618

<113. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18304015
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Perez A
AU  - Butt WW
AU  - Millar KJ
AU  - Best D
AU  - Thiruchelvam T
AU  - Cochrane AD
AU  - Bennett M
AU  - Shekerdemian LS
FA  - Perez, Armando
FA  - Butt, Warwick W
FA  - Millar, Kenneth J
FA  - Best, Derek
FA  - Thiruchelvam, Timothy
FA  - Cochrane, Andrew D
FA  - Bennett, Martin
FA  - Shekerdemian, Lara S
IN  - Perez, Armando. Department of Intensive Care, Royal Children's Hospital, Melbourne, VIC, Australia.
TI  - Long-distance transport of critically ill children on extracorporeal life support in Australia.
SO  - Critical Care & Resuscitation. 10(1):34, 2008 Mar
AS  - Crit Care Resusc. 10(1):34, 2008 Mar
NJ  - Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine
VO  - 10
IP  - 1
PG  - 34
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100888170
IO  - Crit Care Resusc
SB  - Index Medicus
CP  - Australia
MH  - Child
MH  - *Critical Illness
MH  - Extracorporeal Membrane Oxygenation/is [Instrumentation]
MH  - *Extracorporeal Membrane Oxygenation
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Retrospective Studies
MH  - Victoria
AB  - BACKGROUND: The Royal Children's Hospital, Melbourne, Victoria, provides extracorporeal life support (ECLS) for infants and children from all around Australia. Since 2003, we have offered a mobile ECLS service to retrieve critically ill children whose condition is too unstable for conventional transport. The retrieval team comprises a paediatric intensive care unit specialist, an ECLS nurse specialist, a perfusionist and a cardiac surgeon.
AB  - PATIENTS AND METHODS: Retrospective review of eight children (aged between 1 day and 8 years) who were transported on ECLS to the intensive care unit at the Royal Children's Hospital, Melbourne, between 2003 and 2007.
AB  - RESULTS: Seven patients underwent cannulation by our team in the referring ICU, and one underwent cannulation by the referring centre before our retrieval team arrived. Seven children were placed on ECMO (veno-venous in two, veno-arterial in five), and one was placed on a left ventricular assist device. Five children were retrieved from interstate ICUs by air, and three were transported from a metropolitan ICU by road. The median distance from the referral centre to Melbourne was 803 km, and the median duration of retrieval was 13 hours. Median duration of ECLS was 270 hours. Five patients survived to hospital discharge. There were no adverse outcomes related to transport.
AB  - CONCLUSIONS: This is the first report of ECLS transport in Australia. In our experience, children who would not otherwise be transportable can be safely transported long distances on ECLS, and should be offered this if appropriate resources exist. However, this approach should not replace the timely referral of patients who are likely to need ECLS.
IS  - 1441-2772
IL  - 1441-2772
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2008 Mar
EZ  - 2008/02/29 09:00
DA  - 2016/04/24 06:00
DT  - 2008/02/29 09:00
YR  - 2008
ED  - 20160423
RD  - 20080228
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18304015

<114. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21157716
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ulrich RS
AU  - Zhu X
FA  - Ulrich, Roger S
FA  - Zhu, Xuemei
IN  - Ulrich, Roger S. Roger S. Ulrich, PhD, 3137 TAMU, Texas A&M University, College Station, TX 77843-3137 (rulrich@tamu.edu).
TI  - Medical complications of intra-hospital patient transports: implications for architectural design and research.
CM  - Comment in: HERD. 2008 Summer;1(4):133-6; PMID: 22973618
SO  - HERD: Health Environments Research & Design Journal. 1(1):31-43, 2007
AS  - HERD. 1(1):31-43, 2007
NJ  - HERD
VO  - 1
IP  - 1
PG  - 31-43
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101537529
IO  - HERD
SB  - Index Medicus
CP  - United States
MH  - *Hospitals
MH  - Humans
MH  - *Patient Safety
MH  - Patient Transfer
MH  - Research
AB  - Literature on healthcare architecture and evidence-based design has rarely considered explicitly that patient outcomes may be worsened by intra-hospital transport (IHT), which is defined as transport of patients within the hospital. The article focuses on the effects of IHTs on patient complications and outcomes, and the implications of such impacts for designing safer, better hospitals. A review of 22 scientific studies indicates that IHTs are subject to a wide range of complications, many of which occur frequently and have distinctly detrimental effects on patient stability and outcomes. The research suggests that higher patient acuity and longer transport durations are associated with more frequent and serious IHT-related complications and outcome effects. It appears no rigorous research has compared different hospital designs and layouts with respect to having possibly differential effects on transport-related complications and worsened outcomes. Nonetheless, certain design implications can be extracted from the existing research literature, including the importance of minimizing transport delays due to restricted space and congestion, and creating layouts that shorten IHT times for high-acuity patients. Limited evidence raises the possibility that elevator-dependent vertical building layouts may increase susceptibility to transport delays that worsen complications. The strong evidence indicating that IHTs trigger complications and worsen outcomes suggests a powerful justification for adopting acuity-adaptable rooms and care models that substantially reduce transports. A program of studies is outlined to address gaps in knowledge.Key WordsPatient transports, transports within hospitals, patient safety, evidence-based design, hospital design, healthcare architecture, intra-hospital transport complications, acuity-adaptable care, elevators, outcomes.
IS  - 1937-5867
IL  - 1937-5867
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2007
EZ  - 2007/10/01 00:00
DA  - 2016/04/24 06:00
DT  - 2010/12/16 06:00
YR  - 2007
ED  - 20160423
RD  - 20101215
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21157716

<115. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24582644
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Granrud MD
AU  - Ludvigsen E
AU  - Andershed B
FA  - Granrud, Marie Dahlen
FA  - Ludvigsen, Elin
FA  - Andershed, Birgitta
IN  - Granrud, Marie Dahlen. Department of Nursing, Hedmark University College, Elverum, Norway; Neonatal Intensive Care Unit, Innlandet Hospital Trust, Norway.
IN  - Ludvigsen, Elin. Neonatal Intensive Care Unit, Innlandet Hospital Trust, Norway.
IN  - Andershed, Birgitta. Department of Nursing, Gjovik University College, Norway, and Department of Palliative Research Centre, Ersta Skondal University College and Ersta Hospital, Stockholm, Sweden. Electronic address: birgitta.andershed@hig.no.
TI  - Parents' experiences of their premature infants' transportation from a university hospital NICU to the NICU at two local hospitals.
SO  - Journal of Pediatric Nursing. 29(4):e11-8, 2014 Jul-Aug
AS  - J Pediatr Nurs. 29(4):e11-8, 2014 Jul-Aug
NJ  - Journal of pediatric nursing
VO  - 29
IP  - 4
PG  - e11-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jns, 8607529
IO  - J Pediatr Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adaptation, Psychological
MH  - Female
MH  - *Hospitals, Community
MH  - *Hospitals, University
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Intensive Care Units, Neonatal
MH  - Interviews as Topic
MH  - Male
MH  - Parent-Child Relations
MH  - *Parents/px [Psychology]
MH  - Qualitative Research
MH  - Stress, Psychological
MH  - Sweden
MH  - *Transportation of Patients/og [Organization & Administration]
KW  - Experience;  Parents;  Premature;  Transition;  Transportation
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. 

Copyright © 2014 Elsevier Inc. All rights reserved.
ES  - 1532-8449
IL  - 0882-5963
DI  - S0882-5963(14)00045-1
DO  - https://dx.doi.org/10.1016/j.pedn.2014.01.014
PT  - Comparative Study
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0882-5963(14)00045-1 [pii]
ID  - 10.1016/j.pedn.2014.01.014 [doi]
PP  - ppublish
PH  - 2013/04/22 [received]
PH  - 2014/01/23 [revised]
PH  - 2014/01/24 [accepted]
LG  - English
EP  - 20140207
DP  - 2014 Jul-Aug
EZ  - 2014/03/04 06:00
DA  - 2016/04/23 06:00
DT  - 2014/03/04 06:00
YR  - 2014
ED  - 20160422
RD  - 20140617
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24582644

<116. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26167501
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Boehringer B
AU  - Choate M
AU  - Hurwitz S
AU  - Tilney PV
AU  - Judge T
FA  - Boehringer, Bradley
FA  - Choate, Michael
FA  - Hurwitz, Shelley
FA  - Tilney, Peter V R
FA  - Judge, Thomas
IN  - Boehringer, Bradley. LifeFlight of Maine, 13 Main Street, Camden, ME 04843, USA ; Laurea University of Applied Sciences, Uudenmaankatu 22, 05800 Hyvinkaa, Finland.
IN  - Choate, Michael. LifeFlight of Maine, 13 Main Street, Camden, ME 04843, USA.
IN  - Hurwitz, Shelley. Brigham and Women's Biostatistics Center, 5 Francis Street, Boston, MA 02115, USA.
IN  - Tilney, Peter V R. LifeFlight of Maine, 13 Main Street, Camden, ME 04843, USA.
IN  - Judge, Thomas. LifeFlight of Maine, 13 Main Street, Camden, ME 04843, USA.
TI  - Impact of Video Laryngoscopy on Advanced Airway Management by Critical Care Transport Paramedics and Nurses Using the CMAC Pocket Monitor.
SO  - BioMed Research International. 2015:821302, 2015
AS  - Biomed Res Int. 2015:821302, 2015
NJ  - BioMed research international
VO  - 2015
PG  - 821302
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101600173
IO  - Biomed Res Int
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488088
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Allied Health Personnel
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care
MH  - Female
MH  - Humans
MH  - Infant
MH  - *Intubation, Intratracheal/mt [Methods]
MH  - *Intubation, Intratracheal/sn [Statistics & Numerical Data]
MH  - *Laryngoscopy/mt [Methods]
MH  - *Laryngoscopy/sn [Statistics & Numerical Data]
MH  - Male
MH  - Nurses
MH  - Retrospective Studies
MH  - Video Recording
MH  - Young Adult
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.
ES  - 2314-6141
DO  - https://dx.doi.org/10.1155/2015/821302
PT  - Journal Article
ID  - 10.1155/2015/821302 [doi]
ID  - PMC4488088 [pmc]
PP  - ppublish
PH  - 2014/12/19 [received]
PH  - 2015/04/09 [revised]
PH  - 2015/05/02 [accepted]
LG  - English
EP  - 20150617
DP  - 2015
EZ  - 2015/07/15 06:00
DA  - 2016/04/15 06:00
DT  - 2015/07/14 06:00
YR  - 2015
ED  - 20160414
RD  - 20150719
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26167501

<117. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25144399
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jessen MK
AU  - Mackenhauer J
AU  - Hvass AM
AU  - Heide-Jorgensen U
AU  - Christiansen CF
AU  - Kirkegaard H
FA  - Jessen, Marie K
FA  - Mackenhauer, Julie
FA  - Hvass, Anne Mette S W
FA  - Heide-Jorgensen, Uffe
FA  - Christiansen, Christian Fynbo
FA  - Kirkegaard, Hans
IN  - Jessen, Marie K. aResearch Center for Emergency Medicine bDepartment of Clinical Epidemiology cDepartment of Anaesthesiology and Intensive Care dDepartment of Infectious Diseases, Aarhus University Hospital eCONSIDER Sepsis Network, Aarhus, Denmark.
TI  - Predictors of intensive care unit transfer or death in emergency department patients with suspected infection.
SO  - European Journal of Emergency Medicine. 22(3):176-80, 2015 Jun
AS  - Eur J Emerg Med. 22(3):176-80, 2015 Jun
NJ  - European journal of emergency medicine : official journal of the European Society for Emergency Medicine
VO  - 22
IP  - 3
PG  - 176-80
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - cl2, 9442482
IO  - Eur J Emerg Med
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Case-Control Studies
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - *Infection/mo [Mortality]
MH  - Infection/th [Therapy]
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Risk Factors
MH  - Young Adult
AB  - OBJECTIVES: The aim of this study was to identify predictors of ICU transfer or death within 48h obtainable within 4h of admission in emergency department (ED) patients with suspected infection.
AB  - PATIENTS AND METHODS: This was a nested case-control study based on a prospective cohort of adult patients admitted to the ED at Aarhus University Hospital, in 2011, who had a blood culture drawn upon admission. Cases met the composite endpoint of ICU transfer or death within 4-48h of admission. We identified up to three controls for each case, matched by age and admission month. We collected data on possible predictors from medical records. Univariate and multivariate logistic regressions were performed to identify predictors.
AB  - RESULTS: A total of 1578 patients had a blood culture drawn in the ED. Among these, 61 (4%) patients were transferred to an ICU and 15 (1%) patients died within 4-48h of admission. We could obtain complete data on 59 cases, which were matched to 165 controls. Significant predictors of ICU transfer or death within 4-48h included temperature as a continuous variable, and neurologic (altered mental status), respiratory, and cardiovascular dysfunction.
AB  - CONCLUSION: Readily available clinical and laboratory variables at arrival in the ED can support identification of late deterioration leading to ICU transfer or death within 48h of admission.
ES  - 1473-5695
IL  - 0969-9546
DO  - https://dx.doi.org/10.1097/MEJ.0000000000000200
PT  - Journal Article
ID  - 10.1097/MEJ.0000000000000200 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Jun
EZ  - 2014/08/22 06:00
DA  - 2016/04/12 06:00
DT  - 2014/08/22 06:00
YR  - 2015
ED  - 20160411
RD  - 20150428
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25144399

<118. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27025033
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Korohl SO
AU  - Zherdev II
AU  - Domanskiy AM
FA  - Korohl, S O
FA  - Zherdev, I I
FA  - Domanskiy, A M
TI  - [THE PRINCIPLES OF ORGANIZATION AND TREATMENT FOR SORTING OF WOUNDED PERSONS WITH A COMBAT SURGICAL TRAUMA OF EXTREMITIES ON THE IV LEVEL OF THE MEDICAL CARE PROVISION]. [Ukrainian]
SO  - Klinicheskaia Khirurgiia. (12):48-50, 2015 Dec
AS  - Klin Khir. (12):48-50, 2015 Dec
NJ  - Klinichna khirurhiia
IP  - 12
PG  - 48-50
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - kvv, 0376360, cgj, 9516872
IO  - Klin Khir
SB  - Index Medicus
CP  - Ukraine
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Extremities/in [Injuries]
MH  - Extremities/su [Surgery]
MH  - Humans
MH  - Prognosis
MH  - *Shock, Traumatic/di [Diagnosis]
MH  - Shock, Traumatic/mo [Mortality]
MH  - Shock, Traumatic/pa [Pathology]
MH  - Shock, Traumatic/su [Surgery]
MH  - Survival Analysis
MH  - Trauma Severity Indices
MH  - *Triage/og [Organization & Administration]
MH  - *Wounds, Gunshot/di [Diagnosis]
MH  - Wounds, Gunshot/mo [Mortality]
MH  - Wounds, Gunshot/pa [Pathology]
MH  - Wounds, Gunshot/su [Surgery]
AB  - Experience of medical sorting of 434 injured persons with a gun-shot woundings of extremities in 2014-2015 yrs is adduced. The principles of organization and treatment for medical sorting of wounded persons were elaborated. Prognostic intrahospital, diagnostic and evacuation--transport sorting was introduced in wounded persons in the IV level hospital, concerning severity of traumatic shock and prognosis of their survival.
IS  - 0023-2130
IL  - 0023-2130
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Ukrainian
DP  - 2015 Dec
EZ  - 2016/03/31 06:00
DA  - 2016/04/09 06:00
DT  - 2016/03/31 06:00
YR  - 2015
ED  - 20160408
RD  - 20161018
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27025033

<119. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26508087
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chang AS
AU  - Berry A
AU  - Jones LJ
AU  - Sivasangari S
FA  - Chang, Alvin S M
FA  - Berry, Andrew
FA  - Jones, Lisa J
FA  - Sivasangari, Subramaniam
IN  - Chang, Alvin S M. Department of Neonatology, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, Singapore, 229899.
TI  - Specialist teams for neonatal transport to neonatal intensive care units for prevention of morbidity and mortality. [Review]
SO  - Cochrane Database of Systematic Reviews. (10):CD007485, 2015 Oct 28
AS  - Cochrane Database Syst Rev. (10):CD007485, 2015 Oct 28
NJ  - The Cochrane database of systematic reviews
IP  - 10
PG  - CD007485
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 100909747
IO  - Cochrane Database Syst Rev
SB  - Index Medicus
CP  - England
MH  - Humans
MH  - Infant
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - *Patient Care Team/og [Organization & Administration]
MH  - *Specialization
MH  - *Transportation of Patients/og [Organization & Administration]
AB  - BACKGROUND: Maternal antenatal transfers provide better neonatal outcomes. However, there will inevitably be some infants who require acute transport to a neonatal intensive care unit (NICU). Because of this, many institutions develop services to provide neonatal transport by specially trained health personnel. However, few studies report on relevant clinical outcomes in infants requiring transport to NICU.
AB  - OBJECTIVES: To determine the effects of specialist transport teams compared with non-specialist transport teams on the risk of neonatal mortality and morbidity among high-risk newborn infants requiring transport to neonatal intensive care.
AB  - SEARCH METHODS: We used the standard search strategy of the Cochrane Neonatal Review Group to search the Cochrane Central Register of Controlled Trials (CENTRAL 2015, Issue 7), MEDLINE (1966 to 31 July 2015), EMBASE (1980 to 31 July 2015), CINAHL (1982 to 31 July 2015), conference proceedings, and the reference lists of retrieved articles for randomised controlled trials and quasi-randomised trials.
AB  - SELECTION CRITERIA:
AB  - STUDY DESIGN: randomised, quasi-randomised or cluster randomised controlled trials.
AB  - POPULATION: neonates requiring transport to a neonatal intensive care unit.
AB  - INTERVENTION: transport by a specialist team compared to a non-specialist team.
AB  - OUTCOMES: any of the following outcomes - death; adverse events during transport leading to respiratory compromise; and condition on admission to the neonatal intensive care unit.
AB  - DATA COLLECTION AND ANALYSIS: The methodological quality of the trials was assessed using the information provided in the studies and by personal communication with the author. Data on relevant outcomes were extracted and the effect size estimated and reported as risk ratio (RR), risk difference (RD), number needed to treat for an additional beneficial outcome (NNTB) or number needed to treat for an additional harmful outcome (NNTH) and mean difference (MD) for continuous outcomes. Data from cluster randomised trials were not combined for analysis.
AB  - MAIN RESULTS: One trial met the inclusion criteria of this review but was considered ineligible owing to serious bias in the reporting of the results.
AB  - AUTHORS' CONCLUSIONS: There is no reliable evidence from randomised trials to support or refute the effects of specialist neonatal transport teams for neonatal retrieval on infant morbidity and mortality. Cluster randomised trial study designs may be best suited to provide us with answers on effectiveness and clinical outcomes.
ES  - 1469-493X
IL  - 1361-6137
DO  - https://dx.doi.org/10.1002/14651858.CD007485.pub2
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PT  - Review
ID  - 10.1002/14651858.CD007485.pub2 [doi]
PP  - epublish
GI  - Organization: *Wellcome Trust*
Country: United Kingdom
LG  - English
EP  - 20151028
DP  - 2015 Oct 28
EZ  - 2015/10/29 06:00
DA  - 2016/04/08 06:00
DT  - 2015/10/29 06:00
YR  - 2015
ED  - 20160407
RD  - 20160602
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26508087

<120. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 27053982
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Morris NA
AU  - Batra A
AU  - Biffi A
AU  - Cohen AB
FA  - Morris, Nicholas A
FA  - Batra, Ayush
FA  - Biffi, Alessandro
FA  - Cohen, Adam B
IN  - Morris, Nicholas A. Department of Neurology, Columbia University Medical Center, New York, NY, USA.
IN  - Batra, Ayush. Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA; Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.
IN  - Biffi, Alessandro. Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA; Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.
IN  - Cohen, Adam B. Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.
TI  - Transfer Delays From the Neurologic Intensive Care Unit: A Prospective Cohort Study.
SO  - The Neurohospitalist. 6(2):59-63, 2016 Apr
AS  - Neurohospitalist. 6(2):59-63, 2016 Apr
NJ  - The Neurohospitalist
VO  - 6
IP  - 2
PG  - 59-63
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 101558199
IO  - Neurohospitalist
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802774
CP  - United States
KW  - ICU throughput;  discharge;  length of stay;  neurocritical care;  neurohospitalist;  transfer delay
AB  - INTRODUCTION: Neurocritical care beds are a scarce, valuable resource. The purpose of this pilot study was to quantify discharge delays from the neurologic intensive care unit (NICU) at a tertiary-care teaching hospital and to examine the impact on overall hospital length of stay (LOS). Secondary goals were to evaluate (1) the effect of NICU delays on patient physical/occupational therapy services and (2) the accuracy of clinician estimates of NICU discharge date and hospital LOS.
AB  - METHODS: We conducted a prospective cohort study of consecutive patients discharged over 1 month from NICU. A patient was defined to have experienced a delay when deemed medically ready for NICU discharge (ie, floor transfer) but without actual NICU discharge within 8 hours of the ready time.
AB  - RESULTS: Sixty-five patients were discharged from the NICU with an average delay of 25 hours 51 minutes (median 13 hours 3 minutes), of which 60% (39 of 65) of patients were delayed at least 8 hours, while 25% (16 of 65) were delayed at least 48 hours. The primary reason for delay was lack of floor bed availability. NICU admissions that experienced a delay did not have a significantly longer hospital LOS. Clinician estimates on admission of NICU discharge date were within 24 hours for 63% of admissions.
AB  - CONCLUSION: Discharge delays from the NICU were common but did not significantly increase hospital LOS in this cohort. Delays did not have a significant impact on total physical therapy or occupational therapy duration. Clinician estimates of NICU discharge dates were relatively accurate.
IS  - 1941-8744
IL  - 1941-8744
DO  - https://dx.doi.org/10.1177/1941874415603426
PT  - Journal Article
ID  - 10.1177/1941874415603426 [doi]
ID  - 10.1177_1941874415603426 [pii]
ID  - PMC4802774 [pmc]
PP  - ppublish
LG  - English
EP  - 20150908
DP  - 2016 Apr
EZ  - 2016/04/08 06:00
DA  - 2016/04/08 06:01
DT  - 2016/04/08 06:00
YR  - 2016
ED  - 20160407
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27053982

<121. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26155820
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Buchner DL
AU  - Bagshaw SM
AU  - Dodek P
AU  - Forster AJ
AU  - Fowler RA
AU  - Lamontagne F
AU  - Turgeon AF
AU  - Potestio M
AU  - Stelfox HT
FA  - Buchner, Denise L
FA  - Bagshaw, Sean M
FA  - Dodek, Peter
FA  - Forster, Alan J
FA  - Fowler, Robert A
FA  - Lamontagne, Francois
FA  - Turgeon, Alexis F
FA  - Potestio, Melissa
FA  - Stelfox, Henry T
IN  - Buchner, Denise L. Faculty of Medicine, University of Calgary, Calgary, Canada.
IN  - Bagshaw, Sean M. Division of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
IN  - Dodek, Peter. Division of Critical Care Medicine and Center for Health Evaluation and Outcome Sciences, St. Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada.
IN  - Forster, Alan J. The Ottawa Hospital Research Institute, Department of Medicine, University of Ottawa, Ottawa, Canada.
IN  - Fowler, Robert A. Department of Medicine, Department of Critical Care Medicine, Sunnybrook Hospital, University of Toronto, Toronto, Canada.
IN  - Lamontagne, Francois. Centre de Recherche du CHU de Sherbrooke, Universite de Sherbrooke, Sherbrooke, Canada.
IN  - Turgeon, Alexis F. Department of Anesthesiology and Critical Care Medicine, CHU de Quebec Research Center, Quebec City, Canada.
IN  - Potestio, Melissa. Critical Care Strategic Clinical Network, Alberta Health Services, Calgary, Canada.
IN  - Stelfox, Henry T. Department of Critical Care Medicine, University of Calgary, Calgary, Canada.
TI  - Prospective cohort study protocol to describe the transfer of patients from intensive care units to hospital wards.
SO  - BMJ Open. 5(7):e007913, 2015 Jul 08
AS  - BMJ Open. 5(7):e007913, 2015 Jul 08
NJ  - BMJ open
VO  - 5
IP  - 7
PG  - e007913
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 101552874
IO  - BMJ Open
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499701
SB  - Index Medicus
CP  - England
MH  - Canada
MH  - Clinical Protocols
MH  - Communication
MH  - Continuity of Patient Care/st [Standards]
MH  - Data Collection
MH  - *Hospitalization
MH  - Humans
MH  - *Intensive Care Units
MH  - Interprofessional Relations/es [Ethics]
MH  - Medical Records
MH  - Patient Safety
MH  - *Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - Professional-Patient Relations
MH  - Prospective Studies
MH  - Quality Improvement
AB  - INTRODUCTION: The transfer of patient care between the intensive care unit (ICU) and the hospital ward is associated with increased risk of medical error and adverse events. This study will describe patient transfer from ICU to hospital ward by documenting (1) patient, family and provider experiences related to ICU transfer, (2) communication between stakeholders involved in ICU transfer, (3) adverse events that follow ICU transfer and (4) opportunities to improve ICU to hospital ward transfer.
AB  - METHODS: This is a mixed methods prospective observational study of ICU to hospital ward transfer practices in 10 ICUs across Canada. We will recruit 50 patients at each site (n=500) who are transferred from ICU to hospital ward, and distribute surveys to enrolled patients, family members, and healthcare providers (ICU and ward physicians and nurses) after patient transfer. A random sample of 6 consenting study participants (patients, family members, healthcare providers) from each study site (n=60) will be offered an opportunity to participate in interviews to further describe stakeholders' experience with ICU to hospital ward transfer. We will abstract information from patient health records to identify clinical data and use of transfer tools, and identify adverse events that are related to the transfer.
AB  - ETHICS AND DISSEMINATION: Research ethics board approval has been obtained at the coordinating study centre (UofC REB13-0021) and 5 study sites (UofA Pro00050646; UBC-PHC H14-01667; Sunnybrook 336-2014; QCH 14-07; Sherbrooke 14-172). Dissemination of the findings will provide a comprehensive description of transfer from ICU to hospital ward in Canada including the uptake of validated or local transfer tools, a conceptual framework of the experiences and needs of stakeholders in the ICU transfer process, a summary of adverse events experienced by patients after transfer from ICU to hospital ward, and opportunities to guide quality improvement efforts.

Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
ES  - 2044-6055
IL  - 2044-6055
DO  - https://dx.doi.org/10.1136/bmjopen-2015-007913
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
ID  - bmjopen-2015-007913 [pii]
ID  - 10.1136/bmjopen-2015-007913 [doi]
ID  - PMC4499701 [pmc]
PP  - epublish
LG  - English
EP  - 20150708
DP  - 2015 Jul 08
EZ  - 2015/07/15 06:00
DA  - 2016/03/29 06:00
DT  - 2015/07/10 06:00
YR  - 2015
ED  - 20160328
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26155820

<122. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25664667
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bigelow AM
AU  - Gothard MD
AU  - Schwartz HP
AU  - Bigham MT
FA  - Bigelow, Amee M
FA  - Gothard, M David
FA  - Schwartz, Hamilton P
FA  - Bigham, Michael T
TI  - Intubation in Pediatric/Neonatal Critical Care Transport: National Performance.
SO  - Prehospital Emergency Care. 19(3):351-7, 2015 Jul-Sep
AS  - Prehosp Emerg Care. 19(3):351-7, 2015 Jul-Sep
NJ  - Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
VO  - 19
IP  - 3
PG  - 351-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - c5i, 9703530
IO  - Prehosp Emerg Care
SB  - Index Medicus
CP  - England
MH  - *Critical Care
MH  - Humans
MH  - Infant, Newborn
MH  - *Intubation, Intratracheal/st [Standards]
MH  - Intubation, Intratracheal/ut [Utilization]
MH  - Medical Audit
MH  - Retrospective Studies
MH  - *Transportation of Patients
MH  - United States
KW  - critical care transport;  interfacility transport;  intubation
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.
AB  - 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.
AB  - 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 1(st) 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.
AB  - 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.
AB  - 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.
ES  - 1545-0066
IL  - 1090-3127
DO  - https://dx.doi.org/10.3109/10903127.2014.980481
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
ID  - 10.3109/10903127.2014.980481 [doi]
PP  - ppublish
LG  - English
EP  - 20150209
DP  - 2015 Jul-Sep
EZ  - 2015/02/11 06:00
DA  - 2016/03/29 06:00
DT  - 2015/02/10 06:00
YR  - 2015
ED  - 20160328
RD  - 20150623
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25664667

<123. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25426649
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Northway T
AU  - Krahn G
AU  - Thibault K
AU  - Yarske L
AU  - Yuskiv N
AU  - Kissoon N
AU  - Collet JP
FA  - Northway, Tracie
FA  - Krahn, Gordon
FA  - Thibault, Kristine
FA  - Yarske, Lisa
FA  - Yuskiv, Nataliya
FA  - Kissoon, Niranjan
FA  - Collet, Jean-Paul
IN  - Northway, Tracie. Critical Care Unit, BC Children's Hospital and Sunny Hill Health Centre for Children, The University of British Columbia, British Columbia Canada (Mss Northway, Thibault, and Yarske, and Mr Krahn, and Drs Kissoon and Collet); Child & Family Research Institute, Vancouver, Canada (Drs Kissoon, Yuskiv, and Collet); and Department of Pediatrics, The University of British Columbia, British Columbia, Canada (Dr Kissoon and Collet).
TI  - Surgical suite to pediatric intensive care unit handover protocol: implementation process and long-term sustainability.
SO  - Journal of Nursing Care Quality. 30(2):113-20, 2015 Apr-Jun
AS  - J Nurs Care Qual. 30(2):113-20, 2015 Apr-Jun
NJ  - Journal of nursing care quality
VO  - 30
IP  - 2
PG  - 113-20
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - a82, 9200672
IO  - J Nurs Care Qual
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Cardiac Surgical Procedures
MH  - *Cardiology Service, Hospital/og [Organization & Administration]
MH  - Child
MH  - Communication
MH  - Critical Care
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Medical Errors/pc [Prevention & Control]
MH  - Patient Care Team
MH  - Patient Handoff/st [Standards]
MH  - *Patient Handoff
MH  - *Patient Transfer/mt [Methods]
MH  - Quality Improvement/st [Standards]
AB  - The article reports the long-term sustainability of a standardized transfer protocol from cardiac surgical suite to the pediatric intensive care unit. Using rapid process improvement technique, the original mean defect rate per handover decreased from 13.2 to 0 and 0.3, 12, and 24 months postimplementation, respectively. This study stresses the importance of long-term assessment to control for possible observation biases; it also illustrates a successful implementation strategy that used video recording to engage staff in identifying solutions to the observed defects.
ES  - 1550-5065
IL  - 1057-3631
DO  - https://dx.doi.org/10.1097/NCQ.0000000000000093
PT  - Journal Article
ID  - 10.1097/NCQ.0000000000000093 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Apr-Jun
EZ  - 2014/11/27 06:00
DA  - 2016/03/29 06:00
DT  - 2014/11/27 06:00
YR  - 2015
ED  - 20160328
RD  - 20150214
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25426649

<124. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25904267
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Yasti AC
AU  - Senel E
AU  - Saydam M
AU  - Ozok G
AU  - Coruh A
AU  - Yorganci K
FA  - Yasti, Ahmet Cinar
FA  - Senel, Emrah
FA  - Saydam, Mutlu
FA  - Ozok, Geylani
FA  - Coruh, Atilla
FA  - Yorganci, Kaya
IN  - Yasti, Ahmet Cinar. Department of General Surgery, Hitit University Faculty of Medicine, Corum; Ankara Numune Training and Research Hospital, Burn Treatment Center, Ankara, Turkey. cinaryasti@gmail.com.
IN  - Senel, Emrah. Department of Pediatric Surgery, Yildirim Beyazit University Faculty of Medicine, Ankara, Turkey.
IN  - Saydam, Mutlu. Department of Esthetic, Plastic and Reconstructive Surgery and Burns Unit, Yunus Emre Governmental Hospital, Eskisehir, Turkey.
IN  - Ozok, Geylani. Department of Pediatric Surgery, Ege University Faculty of Medicine, Izmir, Turkey.
IN  - Coruh, Atilla. Department of Esthetic, Plastic and Reconstructive Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
IN  - Yorganci, Kaya. Department of General Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
TI  - Guideline and treatment algorithm for burn injuries. [Review]
SO  - Ulusal Travma ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery: TJTES. 21(2):79-89, 2015 Mar
AS  - Ulus Travma Acil Cerrahi Derg. 21(2):79-89, 2015 Mar
NJ  - Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
VO  - 21
IP  - 2
PG  - 79-89
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101274231
IO  - Ulus Travma Acil Cerrahi Derg
SB  - Index Medicus
CP  - Turkey
MH  - Algorithms
MH  - Burn Units/st [Standards]
MH  - *Burns/th [Therapy]
MH  - Humans
MH  - Patient Transfer/st [Standards]
MH  - *Practice Guidelines as Topic
MH  - Resuscitation/st [Standards]
MH  - Turkey
AB  - As in many other countries, burn injuries are a challenging healthcare problem in Turkey. Initial management of burn patients is very important for future morbidity and mortality. Therefore, the Turkish Ministry of Health prepared "National Burns Treatment Algorithm" aided by the Scientific Burns Council. The basic aim of this algorithm is to guide physicians in the treatment of burn victims until they reach an experienced burns center. The content of this algorithm is first aid, initial management, resuscitation, and transfer policy. The Council started to work on this algorithm in 2011. Various consultants, including general surgeons, pediatric surgeons, aesthetic, plastic and reconstructive surgeons, anesthesiologists, and intensive care physicians, revised the first draft and it was sent to eight education and research hospitals of the Ministry of Health, four universities, and seven non-governmental organizations. In the last quarter of 2012, the algorithm was finalized and approved by the Scientific Council, after which, it was approved by the Ministry of Health and published.
IS  - 1306-696X
DO  - https://dx.doi.org/10.5505/tjtes.2015.88261
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2015 Mar
EZ  - 2015/04/24 06:00
DA  - 2016/03/18 06:00
DT  - 2015/04/24 06:00
YR  - 2015
ED  - 20160317
RD  - 20150423
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25904267

<125. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26470686
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Raphael JL
AU  - Richardson T
AU  - Hall M
AU  - Oyeku SO
AU  - Bundy DG
AU  - Kalpatthi RV
AU  - Shah SS
AU  - Ellison AM
FA  - Raphael, Jean L
FA  - Richardson, Troy
FA  - Hall, Matt
FA  - Oyeku, Suzette O
FA  - Bundy, David G
FA  - Kalpatthi, Ram V
FA  - Shah, Samir S
FA  - Ellison, Angela M
IN  - Raphael, Jean L. Department of Pediatrics, Baylor College of Medicine, Houston, TX. Electronic address: Raphael@bcm.edu.
IN  - Richardson, Troy. Children's Hospital Association, Overland Park, KS.
IN  - Hall, Matt. Children's Hospital Association, Overland Park, KS.
IN  - Oyeku, Suzette O. Department of Pediatrics, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.
IN  - Bundy, David G. Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
IN  - Kalpatthi, Ram V. Department of Pediatrics, The Children's Mercy Hospital and Clinics, Kansas City, MO.
IN  - Shah, Samir S. Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
IN  - Ellison, Angela M. Department of Pediatrics, Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA.
TI  - Association between Hospital Volume and Within-Hospital Intensive Care Unit Transfer for Sickle Cell Disease in Children's Hospitals.
SO  - Journal of Pediatrics. 167(6):1306-13, 2015 Dec
AS  - J Pediatr. 167(6):1306-13, 2015 Dec
NJ  - The Journal of pediatrics
VO  - 167
IP  - 6
PG  - 1306-13
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jlz, 0375410
IO  - J. Pediatr.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662890
OI  - Source: NLM. NIHMS721426 [Available on 12/01/16]
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Anemia, Sickle Cell/ep [Epidemiology]
MH  - *Anemia, Sickle Cell/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality/td [Trends]
MH  - *Hospitals, Pediatric/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units
MH  - Length of Stay/td [Trends]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - United States/ep [Epidemiology]
AB  - OBJECTIVE: To assess the relationship between hospital volume and intensive care unit (ICU) transfer among hospitalized children with sickle cell disease (SCD).
AB  - 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.
AB  - 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.
AB  - 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.

Copyright © 2015 Elsevier Inc. All rights reserved.
ES  - 1097-6833
IL  - 0022-3476
DI  - S0022-3476(15)01011-2
DO  - https://dx.doi.org/10.1016/j.jpeds.2015.09.007
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, N.I.H., Extramural
ID  - S0022-3476(15)01011-2 [pii]
ID  - 10.1016/j.jpeds.2015.09.007 [doi]
ID  - PMC4662890 [pmc]
ID  - NIHMS721426 [mid]
PP  - ppublish
PH  - 2015/04/06 [received]
PH  - 2015/06/29 [revised]
PH  - 2015/09/02 [accepted]
GI  - No: K23 HL105568
Organization: (HL) *NHLBI NIH HHS*
Country: United States

GI  - No: 1K23 HL105568
Organization: (HL) *NHLBI NIH HHS*
Country: United States
LG  - English
EP  - 20151023
DP  - 2015 Dec
EZ  - 2015/10/17 06:00
DA  - 2016/03/11 06:00
DT  - 2015/10/17 06:00
YR  - 2015
ED  - 20160310
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26470686

<126. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26575660
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - van den Bergh WM
FA  - van den Bergh, Walter M
IN  - van den Bergh, Walter M. Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
TI  - The Big Difference Between Direct and Nonstop Flights Is the Intermediate Stop Along the Way to the Final Destination.
CM  - Comment on: Crit Care Med. 2015 Dec;43(12):2589-96; PMID: 26491865
SO  - Critical Care Medicine. 43(12):2685-6, 2015 Dec
AS  - Crit Care Med. 43(12):2685-6, 2015 Dec
NJ  - Critical care medicine
VO  - 43
IP  - 12
PG  - 2685-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Anti-Bacterial Agents/ad [Administration & Dosage]
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Humans
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Sepsis/dt [Drug Therapy]
RN  - 0 (Anti-Bacterial Agents)
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0000000000001343
PT  - Comment
PT  - Journal Article
ID  - 10.1097/CCM.0000000000001343 [doi]
ID  - 00003246-201512000-00025 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Dec
EZ  - 2015/11/18 06:00
DA  - 2016/03/05 06:00
DT  - 2015/11/18 06:00
YR  - 2015
ED  - 20160304
RD  - 20151120
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26575660

<127. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26929888
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Birk HS
AU  - Han SJ
AU  - Rolston JD
AU  - Rowland NC
AU  - Lau C
AU  - Theodosopoulos PV
AU  - McDermott MW
FA  - Birk, Harjus S
FA  - Han, Seunggu J
FA  - Rolston, John D
FA  - Rowland, Nathan C
FA  - Lau, Catherine
FA  - Theodosopoulos, Philip V
FA  - McDermott, Michael W
IN  - Birk, Harjus S. Department of Neurological Surgery, University of California, San Francisco ; Research Fellow, Howard Hughes Medical Institute.
IN  - Han, Seunggu J. Department of Neurological Surgery, University of California, San Francisco.
IN  - Rolston, John D. Department of Neurological Surgery, University of California, San Francisco.
IN  - Rowland, Nathan C. Department of Neurological Surgery, University of Toronto.
IN  - Lau, Catherine. Department of Neurological Surgery, University of California, San Francisco.
IN  - Theodosopoulos, Philip V. Department of Neurological Surgery, University of California, San Francisco.
IN  - McDermott, Michael W. Department of Neurological Surgery, University of California, San Francisco.
TI  - Resident-led Implementation of a Standardized Handoff System to Facilitate Transfer of Postoperative Neurosurgical Patients to the ICU.
SO  - Cureus. 8(1):e461, 2016 Jan 18
AS  - Cureus. 8(1):e461, 2016 Jan 18
NJ  - Cureus
VO  - 8
IP  - 1
PG  - e461
PI  - Journal available in: Electronic
PI  - Citation processed from: Print
JC  - 101596737
IO  - Cureus
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762767
CP  - United States
KW  - interdisciplinary communication;  perioperative care;  surgical handoff;  transfer of care
AB  - Transitions in care are pivotal moments for patient safety. Although many strategies have been suggested for handoff improvement in the healthcare realm, little focus has been placed on patient safety during the transition from the operative to the postoperative setting. Many surgical trainees have received limited instruction, if any, on how to conduct comprehensive handoffs that ensure the safe transition of care and optimize continuity of care. Therefore, structured transfers of patient care can be invaluable. Here, we describe the implementation of a standardized handoff system developed by residents in an academic neurosurgery department to communicate key perioperative data via both electronic documentation and in-person discussion as a means of reinforcement. Our results are part of a comprehensive effort to strengthen the culture of safety surrounding the care and treatment of neurosurgical patients at our institution.
IS  - 2168-8184
IL  - 2168-8184
DO  - https://dx.doi.org/10.7759/cureus.461
PT  - Journal Article
ID  - 10.7759/cureus.461 [doi]
ID  - PMC4762767 [pmc]
PP  - epublish
LG  - English
EP  - 20160118
DP  - 2016 Jan 18
EZ  - 2016/03/02 06:00
DA  - 2016/03/02 06:01
DT  - 2016/03/02 06:00
YR  - 2016
ED  - 20160301
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26929888

<128. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25947327
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brunsveld-Reinders AH
AU  - Arbous MS
AU  - Kuiper SG
AU  - de Jonge E
FA  - Brunsveld-Reinders, Anja H
FA  - Arbous, M Sesmu
FA  - Kuiper, Sander G
FA  - de Jonge, Evert
IN  - Brunsveld-Reinders, Anja H. Department of Intensive Care, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300, RC, Leiden, the Netherlands. A.H.Brunsveld-Reinders@lumc.nl.
IN  - Arbous, M Sesmu. Department of Intensive Care, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300, RC, Leiden, the Netherlands. marbous@lumc.nl.
IN  - Kuiper, Sander G. Department of Intensive Care, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300, RC, Leiden, the Netherlands. sgkuiper89@gmail.com.
IN  - de Jonge, Evert. Department of Intensive Care, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300, RC, Leiden, the Netherlands. E.de_Jonge@lumc.nl.
TI  - A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. [Review]
SO  - Critical Care (London, England). 19:214, 2015 May 07
AS  - Crit Care. 19:214, 2015 May 07
NJ  - Critical care (London, England)
VO  - 19
PG  - 214
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 9801902
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4438434
SB  - Index Medicus
CP  - England
MH  - Checklist/mt [Methods]
MH  - *Checklist/st [Standards]
MH  - *Critical Illness/th [Therapy]
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - *Patient Safety/st [Standards]
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients/st [Standards]
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.
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1466-609X
IL  - 1364-8535
DO  - https://dx.doi.org/10.1186/s13054-015-0938-1
PT  - Journal Article
PT  - Review
ID  - 10.1186/s13054-015-0938-1 [doi]
ID  - 10.1186/s13054-015-0938-1 [pii]
ID  - PMC4438434 [pmc]
PP  - epublish
PH  - 2014/12/19 [received]
PH  - 2015/04/22 [accepted]
LG  - English
EP  - 20150507
DP  - 2015 May 07
EZ  - 2015/05/08 06:00
DA  - 2016/02/13 06:00
DT  - 2015/05/08 06:00
YR  - 2015
ED  - 20160212
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25947327

<129. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26816039
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Agrawal S
AU  - Hulme SL
AU  - Hayward R
AU  - Brierley J
FA  - Agrawal, Shruti
FA  - Hulme, Sara-Louise
FA  - Hayward, Richard
FA  - Brierley, Joe
IN  - Agrawal, Shruti. Paediatric and Neonatal Intensive Care Unit, Institute of Child Health and Great Ormond Street Hospital for Children, London, UK. agraws1@gosh.nhs.uk.
IN  - Agrawal, Shruti. Paediatric and Neonatal Intensive Care Unit, Institute of Child Health and Great Ormond Street Hospital for Children, WC1N 3JH, London, UK. agraws1@gosh.nhs.uk.
IN  - Hulme, Sara-Louise. Paediatric and Neonatal Intensive Care Unit, Institute of Child Health and Great Ormond Street Hospital for Children, London, UK.
IN  - Hayward, Richard. Department of Paediatric Neurosurgery, Institute of Child Health and Great Ormond Street Hospital for Children, London, UK.
IN  - Brierley, Joe. Paediatric and Neonatal Intensive Care Unit, Institute of Child Health and Great Ormond Street Hospital for Children, London, UK.
TI  - A Portable CT Scanner in the Pediatric Intensive Care Unit Decreases Transfer-Associated Adverse Events and Staff Disruption.
SO  - European Journal of Trauma & Emergency Surgery. 36(4):346-52, 2010 Aug
AS  - Eur. j. trauma emerg. surg.. 36(4):346-52, 2010 Aug
NJ  - European journal of trauma and emergency surgery : official publication of the European Trauma Society
VO  - 36
IP  - 4
PG  - 346-52
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 101313350
IO  - Eur J Trauma Emerg Surg
CP  - Germany
KW  - Head injury;  Neurosurgery;  Pediatrics;  Portable CT imaging;  Trauma
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).
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 1863-9933
IL  - 1863-9933
DO  - https://dx.doi.org/10.1007/s00068-009-9127-8
PT  - Journal Article
ID  - 10.1007/s00068-009-9127-8 [doi]
ID  - 10.1007/s00068-009-9127-8 [pii]
PP  - ppublish
PH  - 2009/07/02 [received]
PH  - 2009/09/13 [accepted]
LG  - English
EP  - 20091102
DP  - 2010 Aug
EZ  - 2010/08/01 00:00
DA  - 2010/08/01 00:01
DT  - 2016/01/28 06:00
YR  - 2010
ED  - 20160129
RD  - 20170916
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26816039

<130. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25654677
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sutcuoglu S
AU  - Celik T
AU  - Alkan S
AU  - Ilhan O
AU  - Ozer EA
FA  - Sutcuoglu, Sumer
FA  - Celik, Tugce
FA  - Alkan, Senem
FA  - Ilhan, Ozkan
FA  - Ozer, Esra Arun
IN  - Sutcuoglu, Sumer. From the Tepecik Teaching and Research Hospital, Neonatal Intensive Care Unit, Izmir, Turkey.
TI  - Comparison of neonatal transport scoring systems and transport-related mortality score for predicting neonatal mortality risk.
SO  - Pediatric Emergency Care. 31(2):113-6, 2015 Feb
AS  - Pediatr Emerg Care. 31(2):113-6, 2015 Feb
NJ  - Pediatric emergency care
VO  - 31
IP  - 2
PG  - 113-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Newborn, Diseases/mo [Mortality]
MH  - Intensive Care Units
MH  - Male
MH  - Prognosis
MH  - Prospective Studies
MH  - Risk Assessment
MH  - *Transportation of Patients
AB  - OBJECTIVES: To predict the risk of mortality of neonates, birth weight and gestational age were previously used. However, these criteria were considered inadequate; therefore, various scoring systems have been developed in the recent years. The aim of the study was to evaluate the performance of predicting mortality by Mortality Index for Neonatal Transportation (MINT), Score for Neonatal Acute Physiology-Perinatal Extension II (SNAP-PE-II), and Transport Related Mortality Score (TREMS).
AB  - METHODS: All infants transferred to the neonatal intensive care unit between January 1 and December 31, 2011, were included. The scores of SNAP-PE-II, MINT, and TREMS of the all cases were calculated. TREMS is our proposed scoring system and it consists of 5 variables (hypoglycemia, hypoxia, hypercarbia, hypotension, and hypothermia). The scoring systems, SNAP-PE-II, MINT, and TREMS, were compared in terms of mortality risk.
AB  - RESULTS: A total of 306 newborn infants constituted the study population. The mean gestational age was 33.1 +/- 5 weeks and the mean birth weight was 2031.2 +/- 1018 g, and 183 (59%) babies were male. The sensitivity of MINT score for predicting mortality was higher than SNAP-PE-II and TREMS. However, specificity was higher in TREMS score. The negative predictive value was highest in MINT score, whereas TREMS has the highest positive predictive value.
AB  - CONCLUSIONS: The TREMS scoring system is a simple scoring system with a high specificity for predicting mortality. Further studies with larger sample size including more centers and newborn infants with diverse clinical problems are needed to assess the validity and reliability of the TREMS scoring system.
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0000000000000350
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/PEC.0000000000000350 [doi]
ID  - 00006565-201502000-00006 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Feb
EZ  - 2015/02/06 06:00
DA  - 2016/01/28 06:00
DT  - 2015/02/06 06:00
YR  - 2015
ED  - 20160127
RD  - 20150206
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25654677

<131. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26807395
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Knight PH
AU  - Maheshwari N
AU  - Hussain J
AU  - Scholl M
AU  - Hughes M
AU  - Papadimos TJ
AU  - Guo WA
AU  - Cipolla J
AU  - Stawicki SP
AU  - Latchana N
FA  - Knight, Patrick H
FA  - Maheshwari, Neelabh
FA  - Hussain, Jafar
FA  - Scholl, Michael
FA  - Hughes, Michael
FA  - Papadimos, Thomas J
FA  - Guo, Weidun Alan
FA  - Cipolla, James
FA  - Stawicki, Stanislaw P
FA  - Latchana, Nicholas
IN  - Knight, Patrick H. Temple University School of Medicine - St. Luke's University Hospital Campus, Bethlehem, Pennsylvania, USA.
IN  - Maheshwari, Neelabh. Temple University School of Medicine - St. Luke's University Hospital Campus, Bethlehem, Pennsylvania, USA.
IN  - Hussain, Jafar. Temple University School of Medicine - St. Luke's University Hospital Campus, Bethlehem, Pennsylvania, USA.
IN  - Scholl, Michael. Temple University School of Medicine - St. Luke's University Hospital Campus, Bethlehem, Pennsylvania, USA.
IN  - Hughes, Michael. Temple University School of Medicine - St. Luke's University Hospital Campus, Bethlehem, Pennsylvania, USA.
IN  - Papadimos, Thomas J. Department of Anesthesiology, The Ohio State University College of Medicine, Columbus, Ohio, USA.
IN  - Guo, Weidun Alan. Department of Surgery, Division of Trauma, Critical Care and Acute Care Surgery, The State University of New York (SUNY)-University at Buffalo, Buffalo, New York, USA.
IN  - Cipolla, James. Department of Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA.
IN  - Stawicki, Stanislaw P. Department of Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA.
IN  - Latchana, Nicholas. Department of Surgery, The Ohio State University College of Medicine, Columbus, Ohio, USA.
TI  - Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention. [Review]
SO  - International Journal of Critical Illness and Injury Science. 5(4):256-64, 2015 Oct-Dec
AS  - Int J Crit Illn Inj Sci. 5(4):256-64, 2015 Oct-Dec
NJ  - International journal of critical illness and injury science
VO  - 5
IP  - 4
PG  - 256-64
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101571136
IO  - Int J Crit Illn Inj Sci
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4705572
CP  - India
KW  - Complications;  critically ill patient population;  intrahospital patient transfers;  never events;  patient safety
AB  - Intrahospital transportation of critically ill patients is associated with significant complications. In order to reduce overall risk to the patient, such transports should well organized, efficient, and accompanied by the proper monitoring, equipment, and personnel. Protocols and guidelines for patient transfers should be utilized universally across all healthcare facilities. Care delivered during transport and at the site of diagnostic testing or procedure should be equivalent to the level of care provided in the originating environment. Here we review the most common problems encountered during transport in the hospital setting, including various associated adverse outcomes. Our objective is to make medical practitioners, nurses, and ancillary health care personnel more aware of the potential for various complications that may occur during patient movement from the intensive care unit to other locations within a healthcare facility, focusing on risk reduction and preventive strategies.
IS  - 2229-5151
IL  - 2229-5151
DO  - https://dx.doi.org/10.4103/2229-5151.170840
PT  - Journal Article
PT  - Review
ID  - 10.4103/2229-5151.170840 [doi]
ID  - IJCIIS-5-256 [pii]
ID  - PMC4705572 [pmc]
PP  - ppublish
LG  - English
DP  - 2015 Oct-Dec
EZ  - 2016/01/26 06:00
DA  - 2016/01/26 06:01
DT  - 2016/01/26 06:00
YR  - 2015
ED  - 20160125
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26807395

<132. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26734275
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Hughes Driscoll C
AU  - El Metwally D
FA  - Hughes Driscoll, Colleen
FA  - El Metwally, Dina
IN  - Hughes Driscoll, Colleen. University of Maryland Medical Center.
IN  - El Metwally, Dina. University of Maryland Medical Center.
TI  - A daily huddle facilitates patient transports from a neonatal intensive care unit.
SO  - BMJ Quality Improvement Reports. 3(1), 2014
AS  - BMJ qual. improv. rep.. 3(1), 2014
NJ  - BMJ quality improvement reports
VO  - 3
IP  - 1
PI  - Journal available in: Electronic-eCollection
PI  - Citation processed from: Print
JC  - 101629512
IO  - BMJ Qual Improv Rep
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645825
CP  - England
AB  - To improve hospital access for expectant women and newborns in the state of Maryland, a quality improvement team reviewed the patient flow characteristics of our neonatal intensive care unit. We identified inefficiencies in patient discharges, including delays in patient transports. Several patient transport delays were caused by late preparation and delivery of the patient transfer summary. Baseline data collection revealed that transfer summaries were prepared on-time by the resident or nurse practitioner only 41% of the time on average, while the same transfer summaries were signed on-time by the neonatologist 5% of the time on average. Our aim was to improve the rate of on-time transfer summaries to 50% over a four month time period. We performed two PDSA cycles based on feedback from our quality improvement team. In the first cycle, we instituted a daily huddle to increase opportunities for communication about patient transports. In the second cycle, we increased computer access for residents and nurse practitioners preparing the transfer summaries. The on-time summary preparation by residents/nurse practitioners improved to an average of 72% over a nine month period. The same summaries were signed on-time by a neonatologist 26% of the time on average over a nine month period. In conclusion, institution of a daily huddle combined with augmented computer resources significantly increased the percentage of on-time transfer summaries. Current data show a trend toward improved ability to accept patient referrals. Further data collection and analysis is needed to determine the impact of these interventions on access to hospital care for expectant women and newborns in our state.
IS  - 2050-1315
IL  - 2050-1315
DI  - u204253.w1876
DO  - https://dx.doi.org/10.1136/bmjquality.u204253.w1876
PT  - Journal Article
ID  - 10.1136/bmjquality.u204253.w1876 [doi]
ID  - bmjquality_uu204253.w1876 [pii]
ID  - PMC4645825 [pmc]
PP  - epublish
PH  - 2014/04/16 [received]
PH  - 2014/05/27 [revised]
LG  - English
EP  - 20140613
DP  - 2014
EZ  - 2014/01/01 00:00
DA  - 2014/01/01 00:01
DT  - 2016/01/07 06:00
YR  - 2014
ED  - 20160106
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26734275

<133. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26427820
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Breuer RK
AU  - Rehder KJ
FA  - Breuer, Ryan K
FA  - Rehder, Kyle J
IN  - Breuer, Ryan K. Division of Critical Care, Department of Pediatrics, Women and Children's Hospital of Buffalo, Buffalo, NY Division of Pediatric Critical Care Medicine, Department of Pediatrics, Duke Children's Hospital, Duke University Medical Center, Durham, NC.
TI  - The authors reply.
CM  - Comment on: Pediatr Crit Care Med. 2015 Mar;16(3):256-63; PMID: 25607744
CM  - Comment on: Pediatr Crit Care Med. 2015 Oct;16(8):796; PMID: 26427819
SO  - Pediatric Critical Care Medicine. 16(8):796-7, 2015 Oct
AS  - Pediatr Crit Care Med. 16(8):796-7, 2015 Oct
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 8
PG  - 796-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Humans
MH  - *Intensive Care Units, Pediatric/st [Standards]
MH  - Male
MH  - *Patient Care Team/st [Standards]
MH  - *Patient Handoff/st [Standards]
MH  - *Patient Handoff/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/st [Standards]
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000533
PT  - Comment
PT  - Letter
ID  - 10.1097/PCC.0000000000000533 [doi]
ID  - 00130478-201510000-00024 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Oct
EZ  - 2015/10/03 06:00
DA  - 2015/12/24 06:00
DT  - 2015/10/03 06:00
YR  - 2015
ED  - 20151223
RD  - 20151002
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26427820

<134. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26427819
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Krmpotic KR
FA  - Krmpotic, Kristina R
IN  - Krmpotic, Kristina R. Department of Pediatrics, Janeway Children's Health and Rehabiltation Centre, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.
TI  - Standardizing the Postoperative Handover Process in the PICU.
CM  - Comment in: Pediatr Crit Care Med. 2015 Oct;16(8):796-7; PMID: 26427820
CM  - Comment on: Pediatr Crit Care Med. 2015 Mar;16(3):256-63; PMID: 25607744
SO  - Pediatric Critical Care Medicine. 16(8):796, 2015 Oct
AS  - Pediatr Crit Care Med. 16(8):796, 2015 Oct
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 8
PG  - 796
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Humans
MH  - *Intensive Care Units, Pediatric/st [Standards]
MH  - Male
MH  - *Patient Care Team/st [Standards]
MH  - *Patient Handoff/st [Standards]
MH  - *Patient Handoff/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/st [Standards]
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000508
PT  - Comment
PT  - Letter
ID  - 10.1097/PCC.0000000000000508 [doi]
ID  - 00130478-201510000-00023 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Oct
EZ  - 2015/10/03 06:00
DA  - 2015/12/24 06:00
DT  - 2015/10/03 06:00
YR  - 2015
ED  - 20151223
RD  - 20151002
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26427819

<135. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25672275
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - van Sluisveld N
AU  - Hesselink G
AU  - van der Hoeven JG
AU  - Westert G
AU  - Wollersheim H
AU  - Zegers M
FA  - van Sluisveld, Nelleke
FA  - Hesselink, Gijs
FA  - van der Hoeven, Johannes Gerardus
FA  - Westert, Gert
FA  - Wollersheim, Hub
FA  - Zegers, Marieke
IN  - van Sluisveld, Nelleke. IQ healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, 9101, 6500 HB, Nijmegen, The Netherlands, nelleke.vansluisveld@radboudumc.nl.
TI  - Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. [Review]
SO  - Intensive Care Medicine. 41(4):589-604, 2015 Apr
AS  - Intensive Care Med. 41(4):589-604, 2015 Apr
NJ  - Intensive care medicine
VO  - 41
IP  - 4
PG  - 589-604
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - h2j, 7704851
IO  - Intensive Care Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392116
SB  - Index Medicus
CP  - United States
MH  - Communication
MH  - Critical Care/st [Standards]
MH  - Health Personnel
MH  - Hospital Units/ma [Manpower]
MH  - *Hospital Units/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Nurse's Role
MH  - *Patient Transfer/st [Standards]
AB  - PURPOSE: To systematically review and evaluate the effectiveness of interventions in order to improve the safety and efficiency of patient handover between intensive care unit (ICU) and general ward healthcare professionals at ICU discharge.
AB  - METHODS: PubMed, CINAHL, PsycINFO, EMBASE, Web of Science, and the Cochrane Library were searched for intervention studies with the aim to improve clinical handover between ICU and general ward healthcare professionals that had been published up to and including June 2013. The methods for article inclusion and data analysis were pre-specified and aligned with recommendations outlined in the PRISMA guideline. Two reviewers independently extracted data (study purpose, setting, population, method of sampling, sample size, intervention characteristics, outcome, and implementation activities) and assessed the quality of the included studies.
AB  - RESULTS: From the 6,591 citations initially extracted from the six databases, we included 11 studies in this review. Of these, six (55 %) reported statistically significant effects. Effective interventions included liaison nurses to improve communication and coordination of care and forms to facilitate timely, complete and accurate handover information. Effective interventions resulted in improved continuity of care (e.g., reduced discharge delay) and in reduced adverse events. Inconsistent effects were observed for use of care, namely, reduction of length of stay versus increase of readmissions to higher care. No statistically significant effects were found in the reduction of mortality. The overall methodological quality of the 11 studies reviewed was relatively low, with an average score of 4.5 out of 11 points.
AB  - CONCLUSIONS: This review shows that liaison nurses and handover forms are promising interventions to improve the quality of patient handover between the ICU and general ward. More robust evidence is needed on the effectiveness of interventions aiming to improve ICU handover and supportive implementation strategies.
ES  - 1432-1238
IL  - 0342-4642
DO  - https://dx.doi.org/10.1007/s00134-015-3666-8
PT  - Journal Article
PT  - Review
ID  - 10.1007/s00134-015-3666-8 [doi]
ID  - PMC4392116 [pmc]
PP  - ppublish
PH  - 2014/10/22 [received]
PH  - 2015/01/14 [accepted]
LG  - English
EP  - 20150212
DP  - 2015 Apr
EZ  - 2015/02/13 06:00
DA  - 2015/12/19 06:00
DT  - 2015/02/13 06:00
YR  - 2015
ED  - 20151217
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25672275

<136. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26198333
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McElroy LM
AU  - Macapagal KR
AU  - Collins KM
AU  - Abecassis MM
AU  - Holl JL
AU  - Ladner DP
AU  - Gordon EJ
FA  - McElroy, Lisa M
FA  - Macapagal, Kathryn R
FA  - Collins, Kelly M
FA  - Abecassis, Michael M
FA  - Holl, Jane L
FA  - Ladner, Daniela P
FA  - Gordon, Elisa J
IN  - McElroy, Lisa M. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Northwestern University Transplant Outcomes Research Collaborative, Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address: lisa.mcelroy@northwestern.edu.
IN  - Macapagal, Kathryn R. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
IN  - Collins, Kelly M. Section of Transplantation, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
IN  - Abecassis, Michael M. Northwestern University Transplant Outcomes Research Collaborative, Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
IN  - Holl, Jane L. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Northwestern University Transplant Outcomes Research Collaborative, Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
IN  - Ladner, Daniela P. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Northwestern University Transplant Outcomes Research Collaborative, Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
IN  - Gordon, Elisa J. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Northwestern University Transplant Outcomes Research Collaborative, Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
TI  - Clinician perceptions of operating room to intensive care unit handoffs and implications for patient safety: a qualitative study.
SO  - American Journal of Surgery. 210(4):629-35, 2015 Oct
AS  - Am J Surg. 210(4):629-35, 2015 Oct
NJ  - American journal of surgery
VO  - 210
IP  - 4
PG  - 629-35
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 3z4, 0370473
IO  - Am. J. Surg.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4575850
OI  - Source: NLM. NIHMS705737 [Available on 10/01/16]
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Attitude of Health Personnel
MH  - Checklist
MH  - Communication
MH  - Grounded Theory
MH  - Humans
MH  - *Intensive Care Units
MH  - Interprofessional Relations
MH  - *Operating Rooms
MH  - *Patient Handoff
MH  - *Patient Safety
MH  - *Patient Transfer
MH  - Qualitative Research
KW  - Critical care;  Patient handoff;  Patient safety;  Qualitative methods;  Quality improvement
AB  - BACKGROUND: Operating room (OR) to the intensive care unit (ICU) handoffs are known sources of medical error, yet little is known about the relationship between process failures and patient harm.
AB  - METHODS: Interviews were conducted with clinicians involved in the OR-to-ICU handoff to characterize the relationship between handoff process failures and patient harm. Qualitative analysis was used to inductively identify key themes.
AB  - RESULTS: A total of 38 interviews were conducted. Dominant themes included early communication from the OR to the ICU, team member participation in the handoff, and relationships between clinicians; clinician perspectives varied depending substantially on role within the team.
AB  - CONCLUSIONS: The findings suggest that ambiguous roles and conflicting expectations of team members during the OR-to-ICU handoff can increase risk of patient harm. Future studies should investigate early postoperative ICU care as outcome markers of handoff quality and the effect of interprofessional education on clinician adherence to interventions.

Copyright © 2015 Elsevier Inc. All rights reserved.
ES  - 1879-1883
IL  - 0002-9610
DI  - S0002-9610(15)00358-X
DO  - https://dx.doi.org/10.1016/j.amjsurg.2015.05.008
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - S0002-9610(15)00358-X [pii]
ID  - 10.1016/j.amjsurg.2015.05.008 [doi]
ID  - PMC4575850 [pmc]
ID  - NIHMS705737 [mid]
PP  - ppublish
PH  - 2015/02/10 [received]
PH  - 2015/04/05 [revised]
PH  - 2015/05/21 [accepted]
GI  - No: UL1 TR000430
Organization: (TR) *NCATS NIH HHS*
Country: United States

GI  - No: T32 HS000078
Organization: (HS) *AHRQ HHS*
Country: United States

GI  - No: 5T32HS000078-15
Organization: (HS) *AHRQ HHS*
Country: United States

GI  - No: R01 DK090129
Organization: (DK) *NIDDK NIH HHS*
Country: United States

GI  - No: T32DK077662
Organization: (DK) *NIDDK NIH HHS*
Country: United States

GI  - No: T32 DK077662
Organization: (DK) *NIDDK NIH HHS*
Country: United States
LG  - English
EP  - 20150627
DP  - 2015 Oct
EZ  - 2015/07/23 06:00
DA  - 2015/12/17 06:00
DT  - 2015/07/23 06:00
YR  - 2015
ED  - 20151215
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26198333

<137. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25746586
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Al-Kashmiri AM
AU  - Al-Shaqsi SZ
AU  - Al-Kharusi AS
AU  - Al-Tamimi LA
FA  - Al-Kashmiri, Ammar M
FA  - Al-Shaqsi, Sultan Z
FA  - Al-Kharusi, Adil S
FA  - Al-Tamimi, Laila A
IN  - Al-Kashmiri, Ammar M. Emergency Department, Khoula Hospital Muscat, Oman. Electronic address: ammar.k@moh.gov.om.
IN  - Al-Shaqsi, Sultan Z. Department of Plastic and Reconstructive Surgery, Khoula Hospital Muscat, Oman.
IN  - Al-Kharusi, Adil S. Intensive Care Department, Khoula Hospital Muscat, Oman.
IN  - Al-Tamimi, Laila A. Intensive Care Department, Nizwa Hospital, Nizwa, Oman.
TI  - Save the patient a trip. Outcome difference between conservatively treated patients with traumatic brain injury in a nonspecialized intensive care unit vs a specialized neurosurgical intensive care unit in the Sultanate of Oman.
SO  - Journal of Critical Care. 30(3):465-8, 2015 Jun
AS  - J Crit Care. 30(3):465-8, 2015 Jun
NJ  - Journal of critical care
VO  - 30
IP  - 3
PG  - 465-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - buy, 8610642
IO  - J Crit Care
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - *Brain Injuries/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Oman
MH  - *Outcome Assessment (Health Care)
MH  - *Patient Transfer
MH  - Respiration, Artificial
MH  - Retrospective Studies
MH  - Young Adult
KW  - Critical care;  Head injury;  Intensive care;  Mortality;  Sultanate of Oman;  Traumatic brain injury
AB  - UNLABELLED: Traumatic brain injury (TBI) continues to be the main cause of death among trauma patients. Accurate diagnosis and timely surgical interventions are critical steps in reducing the mortality from this disease. For patients who have no surgically reversible head injury pathology, the decision to transfer to a dedicated neurosurgical unit is usually controversial.
AB  - OBJECTIVE: To compare the outcome of patients with severe TBI treated conservatively in a specialized neurosurgical intensive care unit (ICU) and those treated conservatively at a general ICU in the Sultanate of Oman.
AB  - DESIGN: Retrospective cohort study.
AB  - METHODS: This is a retrospective study of patients with severe TBI admitted to Khoula Hospital ICU (specialized neurosurgical ICU) and Nizwa Hospital ICU (general ICU) in Oman in 2013. Surgically treated patients were excluded. Data extracted included demographics, injury details, interventions, and outcomes. The outcome variables included mortality, length of stay, length of ICU days, and ventilated days.
AB  - RESULTS: There were 100 patients with severe TBI treated conservatively at Khoula Hospital compared with 74 patients at Nizwa Hospital. Basic demographics were similar between the 2 groups. No significant difference was found in mortality, length of stay, ICU days, and ventilation days.
AB  - CONCLUSION: There is no difference in outcome between patients with TBI treated conservatively in a specialized neurosurgical ICU and those treated in a general nonspecialized ICU in Oman in 2013. Therefore, unless neurosurgical intervention is warranted or expected, patients with TBI may be managed in a general ICU, saving the risk and expense of a transfer to a specialized neurosurgical ICU.

Copyright © 2015 Elsevier Inc. All rights reserved.
ES  - 1557-8615
IL  - 0883-9441
DI  - S0883-9441(15)00073-8
DO  - https://dx.doi.org/10.1016/j.jcrc.2015.02.010
PT  - Comparative Study
PT  - Journal Article
ID  - S0883-9441(15)00073-8 [pii]
ID  - 10.1016/j.jcrc.2015.02.010 [doi]
PP  - ppublish
PH  - 2014/12/15 [received]
PH  - 2015/02/05 [revised]
PH  - 2015/02/12 [accepted]
LG  - English
EP  - 20150224
DP  - 2015 Jun
EZ  - 2015/03/10 06:00
DA  - 2015/12/15 06:00
DT  - 2015/03/10 06:00
YR  - 2015
ED  - 20151214
RD  - 20150429
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25746586

<138. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25607744
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Breuer RK
AU  - Taicher B
AU  - Turner DA
AU  - Cheifetz IM
AU  - Rehder KJ
FA  - Breuer, Ryan K
FA  - Taicher, Brad
FA  - Turner, David A
FA  - Cheifetz, Ira M
FA  - Rehder, Kyle J
IN  - Breuer, Ryan K. 1Division of Pediatric Critical Care Medicine, Department of Pediatrics, Duke Children's Hospital, Duke University Medical Center, Durham, NC. 2Division of Pediatric Anesthesia, Department of Anesthesia, Duke Children's Hospital, Duke University Medical Center, Durham, NC.
TI  - Standardizing postoperative PICU handovers improves handover metrics and patient outcomes.
CM  - Comment in: Pediatr Crit Care Med. 2015 Oct;16(8):796-7; PMID: 26427820
CM  - Comment in: Pediatr Crit Care Med. 2015 Oct;16(8):796; PMID: 26427819
SO  - Pediatric Critical Care Medicine. 16(3):256-63, 2015 Mar
AS  - Pediatr Crit Care Med. 16(3):256-63, 2015 Mar
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 16
IP  - 3
PG  - 256-63
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Analgesia/mt [Methods]
MH  - Analgesia/sn [Statistics & Numerical Data]
MH  - Anti-Bacterial Agents/ad [Administration & Dosage]
MH  - Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Child
MH  - Child, Preschool
MH  - Data Collection/mt [Methods]
MH  - Female
MH  - Hospitals, University
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric/st [Standards]
MH  - Male
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Care Team/st [Standards]
MH  - Patient Care Team/sn [Statistics & Numerical Data]
MH  - *Patient Handoff/st [Standards]
MH  - *Patient Handoff/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/st [Standards]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Postoperative Period
MH  - Practice Guidelines as Topic
MH  - Prospective Studies
AB  - OBJECTIVES: To improve handover communication and patient outcomes for postoperative admissions to a multidisciplinary PICU.
AB  - DESIGN: Prospective cohort study.
AB  - SETTING: Multidisciplinary PICU in a university hospital.
AB  - SUBJECTS: The multidisciplinary team responsible for postoperative PICU admissions and patient care, including attending, fellow, house staff physicians, and nurses from pediatric critical care medicine, surgery, and anesthesia.
AB  - INTERVENTIONS: An online survey distributed to PICU, surgery, and anesthesia providers identified existing barriers and challenges to effective postoperative PICU handovers and guided the formation of a standard protocol. Handovers for postoperative PICU admissions were then directly observed for 3 months pre- and postimplementation of the protocol, with data collected on communication, metrics, and patient outcomes. Observations and data collection, as well as the online provider survey, were repeated approximately 1 year after handover protocol implementation.
AB  - MEASUREMENTS AND MAIN RESULTS: Survey data demonstrated increases in provider ratings of handover attendance, communication, and quality after implementation of the handover protocol (p < 0.001). Surgical report errors were eliminated (p = 0.03), and the prevalence of provider attendance for the handover duration increased from 39.3% to 68.2% (p = 0.01). Following protocol implementation, fewer patients experienced antibiotic delays (34.5% to 13.9%; p = 0.03) or required hemodynamic or respiratory interventions within the first 6 hours of PICU admission (24.6% to 9.1%; p = 0.04). Patients received their first dose of analgesia (62.3 to 17.4 min; p = 0.01) and had their admission laboratory studies sent (42.3 to 32.9 min; p = 0.04) more quickly. Data collected at 12 months postimplementation demonstrated sustained reductions in analgesia timing, antibiotic delays, and handover barriers.
AB  - CONCLUSIONS: Postoperative communication and patient outcomes can be improved and sustained over time with implementation of a standardized handover protocol.
RN  - 0 (Anti-Bacterial Agents)
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000343
PT  - Journal Article
ID  - 10.1097/PCC.0000000000000343 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Mar
EZ  - 2015/01/22 06:00
DA  - 2015/12/15 06:00
DT  - 2015/01/22 06:00
YR  - 2015
ED  - 20151208
RD  - 20151223
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25607744

<139. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26338741
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Yousuf N
AU  - Shaikh SN
AU  - Soomro A
AU  - Baloch R
FA  - Yousuf, Nailla
FA  - Shaikh, Shabnam Naz
FA  - Soomro, Ahmaduddin
FA  - Baloch, Rafia
IN  - Yousuf, Nailla. Department of OB/GY, SMBBMU, Larkana, Sindh.
IN  - Shaikh, Shabnam Naz. Department of OB/GY, SMBBMU, Larkana, Sindh.
IN  - Soomro, Ahmaduddin. Department of Anaesthesia & ICU, CMC, SMBBMU, Larkana, Sindh.
IN  - Baloch, Rafia. Department of OB/GY, SMBBMU, Larkana, Sindh.
TI  - Analysis of clinical characteristics, rationale, and management of critically ill obstetric patients transferred to ICU.
SO  - JPMA - Journal of the Pakistan Medical Association. 65(9):959-62, 2015 Sep
AS  - JPMA J Pak Med Assoc. 65(9):959-62, 2015 Sep
NJ  - JPMA. The Journal of the Pakistan Medical Association
VO  - 65
IP  - 9
PG  - 959-62
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7503100, 7501162, kgi
IO  - J Pak Med Assoc
SB  - Index Medicus
CP  - Pakistan
MH  - Adolescent
MH  - Adult
MH  - *Critical Illness
MH  - Female
MH  - Humans
MH  - *Intensive Care Units/ut [Utilization]
MH  - Middle Aged
MH  - Pakistan/ep [Epidemiology]
MH  - Pregnancy
MH  - Pregnancy Complications/ep [Epidemiology]
MH  - *Pregnancy Complications/th [Therapy]
MH  - Retrospective Studies
KW  - Critically ill, Obstetric patients, ICU, Outcome.
AB  - OBJECTIVE: To evaluate the clinical and demographic characteristics, rationale for transfer of critically ill obstetric patients to intensive care unit and their management therein.
AB  - METHODS: The observational retrospective case series study was conducted at Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan, and comprised critically ill female patients transferred to intensive care unit from the department of Obstetrics and Gynaecology between August 2011 and June 2013. The data was collected on pre-designed proforma which included demographic characteristics of patients, their symptomatology and initial diagnosis, intervention in the department, continuing or subsequent complications/reasons for admission to intensive care unit, management and stay there and, finally, outcome. Data was analysed using SPSS 21.
AB  - RESULTS: The mean age of 150 patients in the study was 30.3+/-5.047years,mean parity was 2.49+/-2.207.The most common condition affecting women and leading to their transfer to intensive care was eclampsia/pre-eclampsia in 80(53.33%) followed by bleeding disorders in 25(16.65%) and septic shock in 24(16%). The mean stay in intensive care was 4.47+/-2.53 days, and 38(25.3%) patients required ventilator support, while 112(74.7%) were managed with oxygen and inotropic support. The overall maternal mortality rate was 41(27.3%), which included 19(16.9%) patients managed without ventilator, and 22 (57.8%) managed with ventilator (p<0.05).
AB  - CONCLUSIONS: Hypertensive and bleeding disorders were the main reasons for transfer of obstetric patients to intensive care unit, and maternal mortality was high among patients treated on ventilator support.
IS  - 0030-9982
IL  - 0030-9982
PT  - Journal Article
ID  - 7459 [pii]
PP  - ppublish
LG  - English
DP  - 2015 Sep
EZ  - 2015/09/05 06:00
DA  - 2015/12/15 06:00
DT  - 2015/09/05 06:00
YR  - 2015
ED  - 20151201
RD  - 20150904
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26338741

<140. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25964039
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kot J
FA  - Kot, Jacek
IN  - Kot, Jacek. National Centre for Hyperbaric Medicine Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdansk, Powstania Styczniowego 9B, 81-519 Gdynia, Poland, E-mail: jkot@gumed.edu.pl.
TI  - Staffing and training issues in critical care hyperbaric medicine. [Review]
SO  - Diving & Hyperbaric Medicine. 45(1):47-50, 2015 Mar
AS  - Diving Hyperb Med. 45(1):47-50, 2015 Mar
NJ  - Diving and hyperbaric medicine
VO  - 45
IP  - 1
PG  - 47-50
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101282742
IO  - Diving Hyperb Med
SB  - Index Medicus
CP  - Australia
MH  - Certification
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Illness/th [Therapy]
MH  - Humans
MH  - *Hyperbaric Oxygenation/st [Standards]
MH  - Intensive Care Units
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Personnel Staffing and Scheduling
MH  - Risk Assessment
MH  - Ventilators, Mechanical
KW  - Hyperbaric oxygen treatment;  education;  intensive care medicine;  qualifications;  review article;  safety;  training
AB  - The integrated chain of treatment of the most severe clinical cases that require hyperbaric oxygen therapy (HBOT) assumes that intensive care is continued while inside the hyperbaric chamber. Such an approach needs to take into account all the risks associated with transportation of the critically ill patient from the ICU to the chamber and back, changing of ventilator circuits and intravascular lines, using different medical devices in a hyperbaric environment, advanced invasive physiological monitoring as well as medical procedures (infusions, drainage, etc) during long or frequently repeated HBOT sessions. Any medical staff who take care of critically ill patients during HBOT should be certified and trained according to both emergency/intensive care and hyperbaric requirements. For any HBOT session, the number of staff needed for any HBOT session depends on both the type of chamber and the patient's status--stable, demanding or critically ill. For a critically ill patient, the standard procedure is a one-to-one patient-staff ratio inside the chamber; however, the final decision whether this is enough is taken after careful risk assessment based on the patient's condition, clinical indication for HBOT, experience of the personnel involved in that treatment and the available equipment.
IS  - 1833-3516
IL  - 1833-3516
PT  - Journal Article
PT  - Review
PP  - ppublish
PH  - 2015/01/30 [received]
PH  - 2015/02/03 [accepted]
LG  - English
DP  - 2015 Mar
EZ  - 2015/05/13 06:00
DA  - 2015/12/15 06:00
DT  - 2015/05/13 06:00
YR  - 2015
ED  - 20151124
RD  - 20150512
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25964039

<141. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25671017
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Faul M
AU  - Sasser SM
AU  - Lairet J
AU  - Mould-Millman NK
AU  - Sugerman D
FA  - Faul, Mark
FA  - Sasser, Scott M
FA  - Lairet, Julio
FA  - Mould-Millman, Nee-Kofi
FA  - Sugerman, David
IN  - Faul, Mark. Centers for Disease Control and Prevention, Atlanta, Georgia.
IN  - Sasser, Scott M. Emory University, Department of Emergency Medicine, Atlanta Georgia.
IN  - Lairet, Julio. Emory University, Department of Emergency Medicine, Atlanta Georgia.
IN  - Mould-Millman, Nee-Kofi. University of Colorado, Department of Emergency Medicine, Aurora, Colorado.
IN  - Sugerman, David. Centers for Disease Control and Prevention, Atlanta, Georgia.
TI  - Trauma center staffing, infrastructure, and patient characteristics that influence trauma center need.
SO  - The Western Journal of Emergency Medicine. 16(1):98-106, 2015 Jan
AS  - West J Emerg Med. 16(1):98-106, 2015 Jan
NJ  - The western journal of emergency medicine
VO  - 16
IP  - 1
PG  - 98-106
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101476450
IO  - West J Emerg Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307735
SB  - Index Medicus
CP  - United States
MH  - Datasets as Topic
MH  - Emergency Service, Hospital/og [Organization & Administration]
MH  - Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Emergency Service, Hospital/ut [Utilization]
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Intensive Care Units/ut [Utilization]
MH  - Linear Models
MH  - *Medically Uninsured/sn [Statistics & Numerical Data]
MH  - Needs Assessment
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Personnel Staffing and Scheduling/og [Organization & Administration]
MH  - Personnel Staffing and Scheduling/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Trauma Centers/og [Organization & Administration]
MH  - Trauma Centers/sn [Statistics & Numerical Data]
MH  - *Trauma Centers/ut [Utilization]
MH  - United States
AB  - INTRODUCTION: The most effective use of trauma center resources helps reduce morbidity and mortality, while saving costs. Identifying critical infrastructure characteristics, patient characteristics and staffing components of a trauma center associated with the proportion of patients needing major trauma care will help planners create better systems for patient care.
AB  - METHODS: We used the 2009 National Trauma Data Bank-Research Dataset to determine the proportion of critically injured patients requiring the resources of a trauma center within each Level I-IV trauma center (n=443). The outcome variable was defined as the portion of treated patients who were critically injured. We defined the need for critical trauma resources and interventions ("trauma center need") as death prior to hospital discharge, admission to the intensive care unit, or admission to the operating room from the emergency department as a result of acute traumatic injury. Generalized Linear Modeling (GLM) was used to determine how hospital infrastructure, staffing Levels, and patient characteristics contributed to trauma center need.
AB  - RESULTS: Nonprofit Level I and II trauma centers were significantly associated with higher levels of trauma center need. Trauma centers that had a higher percentage of transferred patients or a lower percentage of insured patients were associated with a higher proportion of trauma center need. Hospital infrastructure characteristics, such as bed capacity and intensive care unit capacity, were not associated with trauma center need. A GLM for Level III and IV trauma centers showed that the number of trauma surgeons on staff was associated with trauma center need.
AB  - CONCLUSION: Because the proportion of trauma center need is predominantly influenced by hospital type, transfer frequency, and insurance status, it is important for administrators to consider patient population characteristics of the catchment area when planning the construction of new trauma centers or when coordinating care within state or regional trauma systems.
ES  - 1936-9018
IL  - 1936-900X
DO  - https://dx.doi.org/10.5811/westjem.2014.10.22837
PT  - Journal Article
ID  - 10.5811/westjem.2014.10.22837 [doi]
ID  - wjem-16-98 [pii]
ID  - PMC4307735 [pmc]
PP  - ppublish
PH  - 2014/06/09 [received]
PH  - 2014/09/17 [revised]
PH  - 2014/10/01 [accepted]
LG  - English
EP  - 20141111
DP  - 2015 Jan
EZ  - 2015/02/12 06:00
DA  - 2015/11/11 06:00
DT  - 2015/02/12 06:00
YR  - 2015
ED  - 20151110
RD  - 20150213
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25671017

<142. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26390744
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Robins HM
AU  - Dai F
FA  - Robins, Holly-May
FA  - Dai, Feng
TI  - Handoffs in the Postoperative Anesthesia Care Unit: Use of a Checklist for Transfer of Care.
SO  - AANA Journal. 83(4):264-8, 2015 Aug
AS  - AANA J. 83(4):264-8, 2015 Aug
NJ  - AANA journal
VO  - 83
IP  - 4
PG  - 264-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0431420
IO  - AANA J
SB  - Nursing Journal
CP  - United States
MH  - Anesthesia Recovery Period
MH  - *Checklist
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Humans
MH  - *Operating Rooms/og [Organization & Administration]
MH  - *Patient Handoff/og [Organization & Administration]
MH  - *Patient Safety
MH  - *Recovery Room/og [Organization & Administration]
MH  - Reproducibility of Results
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.
IS  - 0094-6354
IL  - 0094-6354
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2015 Aug
EZ  - 2015/09/24 06:00
DA  - 2015/11/07 06:00
DT  - 2015/09/23 06:00
YR  - 2015
ED  - 20151106
RD  - 20150922
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26390744

<143. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26067459
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McElroy LM
AU  - Collins KM
AU  - Koller FL
AU  - Khorzad R
AU  - Abecassis MM
AU  - Holl JL
AU  - Ladner DP
FA  - McElroy, Lisa M
FA  - Collins, Kelly M
FA  - Koller, Felicitas L
FA  - Khorzad, Rebeca
FA  - Abecassis, Michael M
FA  - Holl, Jane L
FA  - Ladner, Daniela P
IN  - McElroy, Lisa M. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL; Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL. Electronic address: lisa.mcelroy@northwestern.edu.
IN  - Collins, Kelly M. Section of Transplantation, Department of Surgery, Washington University School of Medicine, St. Louis, MO.
IN  - Koller, Felicitas L. Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
IN  - Khorzad, Rebeca. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL; Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
IN  - Abecassis, Michael M. Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
IN  - Holl, Jane L. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL; Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
IN  - Ladner, Daniela P. Center for Healthcare Studies and Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL; Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
TI  - Operating room to intensive care unit handoffs and the risks of patient harm.
SO  - Surgery. 158(3):588-94, 2015 Sep
AS  - Surgery. 158(3):588-94, 2015 Sep
NJ  - Surgery
VO  - 158
IP  - 3
PG  - 588-94
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - vc3, 0417347
IO  - Surgery
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536086
OI  - Source: NLM. NIHMS698824
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Liver Transplantation
MH  - *Operating Rooms/og [Organization & Administration]
MH  - Outcome and Process Assessment (Health Care)
MH  - *Patient Handoff/og [Organization & Administration]
MH  - *Patient Harm/pc [Prevention & Control]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Risk Assessment
AB  - BACKGROUND: The goal of this study was to assess systems and processes involved in the operating room (OR) to intensive care unit (ICU) handoff in an attempt to understand the criticality of specific steps of the handoff.
AB  - METHODS: We performed a failure modes, effects, and criticality analysis (FMECA) of the OR to ICU handoff of deceased donor liver transplant recipients using in-person observations and descriptions of the handoff process from a multidisciplinary group of clinicians. For each step in the process, failures were identified along with frequency of occurrence, causes, potential effects and safeguards. A Risk Priority Number (RPN) was calculated for each failure (frequency x potential effect x safeguard; range 1-least risk to 1,000-most risk).
AB  - RESULTS: Using FMECA, we identified 37 individual steps in the OR to ICU handoff process. In total, 81 process failures were identified, 22 of which were determined to be critical and 36 of which relied on weak safeguards such as informal human verification. Process failures with the greatest risk of harm were lack of preliminary OR to ICU communication (RPN 504), team member absence during handoff communication (RPN 480), and transport equipment malfunction (Risk Priority Number 448).
AB  - CONCLUSION: Based on the analysis, recommendations were made to reduce potential for patient harm during OR to ICU handoffs. These included automated transfer of OR data to ICU clinicians, enhanced ICU team member notification processes and revision of the postoperative order sets. The FMECA revealed steps in the OR to ICU handoff that are high risk for patient harm and are currently being targeted for process improvement.

Copyright © 2015 Elsevier Inc. All rights reserved.
ES  - 1532-7361
IL  - 0039-6060
DI  - S0039-6060(15)00328-1
DO  - https://dx.doi.org/10.1016/j.surg.2015.03.061
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
ID  - S0039-6060(15)00328-1 [pii]
ID  - 10.1016/j.surg.2015.03.061 [doi]
ID  - PMC4536086 [pmc]
ID  - NIHMS698824 [mid]
PP  - ppublish
PH  - 2015/01/02 [received]
PH  - 2015/03/24 [revised]
PH  - 2015/03/25 [accepted]
GI  - No: T32 DK077662
Organization: (DK) *NIDDK NIH HHS*
Country: United States

GI  - No: 1R01DK090129
Organization: (DK) *NIDDK NIH HHS*
Country: United States

GI  - No: 5T32HS78-15
Organization: (HS) *AHRQ HHS*
Country: United States

GI  - No: T32DK77662
Organization: (DK) *NIDDK NIH HHS*
Country: United States
LG  - English
EP  - 20150609
DP  - 2015 Sep
EZ  - 2015/06/13 06:00
DA  - 2015/11/03 06:00
DT  - 2015/06/13 06:00
YR  - 2015
ED  - 20151102
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26067459

<144. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26411208
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kultursay N
AU  - Koroglu OA
AU  - Uygur O
AU  - Terek D
AU  - Tanriverdi S
AU  - Akisu M
AU  - Yalaz M
FA  - Kultursay, N
FA  - Koroglu, O A
FA  - Uygur, O
FA  - Terek, D
FA  - Tanriverdi, S
FA  - Akisu, M
FA  - Yalaz, M
TI  - Improved neonatal prognosis following restriction in the number of transferred embryos in assisted reproduction - single center yearly comparison from Turkey.
SO  - Clinical & Experimental Obstetrics & Gynecology. 42(4):442-7, 2015
AS  - Clin Exp Obstet Gynecol. 42(4):442-7, 2015
NJ  - Clinical and experimental obstetrics & gynecology
VO  - 42
IP  - 4
PG  - 442-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - db1, 7802110
IO  - Clin Exp Obstet Gynecol
SB  - Index Medicus
CP  - Canada
MH  - Adult
MH  - Birth Weight
MH  - Embryo Transfer/mt [Methods]
MH  - *Embryo Transfer/sn [Statistics & Numerical Data]
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Pregnancy
MH  - *Pregnancy Complications/ep [Epidemiology]
MH  - Pregnancy Outcome
MH  - *Pregnancy, Multiple/sn [Statistics & Numerical Data]
MH  - Reproductive Techniques, Assisted/lj [Legislation & Jurisprudence]
MH  - Turkey/ep [Epidemiology]
AB  - PURPOSE: To evaluate the impact of new legislation for assisted reproductive technology (ART) restricting the number of transferred embryos on neonatal prognosis of infants born after infertility treatments.
AB  - MATERIALS AND METHODS: Neonatal records of all live born infants in Ege University Maternity Ward were reviewed for 2006 and 2012. Neonatal outcome measures such as birth weight (BW), gestational age (GA), preterm birth (PTB), very low birth weight (VLBW), and neonatal intensive care unit (NICU) admission were evaluated.
AB  - RESULTS: Compared to 2006 percentage of newborns conceived by medically assisted reproduction (MAR) decreased from 14.6% to 5% in all live births, from 23.8% to 8.2% in NICU patients in 2012. The number of fetuses in the last pregnancy, frequency of intrauterine reductions, spontaneous pregnancy losses, antenatal bleeding, and premature delivery decreased. Percentage of multiples among MAR newborns (31.7% vs. 55.7%), twins from 51.4% to 30.9%, triplets from 4.3% to 0.8% all decreased significantly. Mean BW and gestational age increased resulting in decreased frequency of PTB and VLBW. Consequently Level 3 NICU admission rate significantly decreased from 44.3% to 22%.
AB  - CONCLUSION: The new ART legislation in Turkey resulted in decreased rate of multiple births, prematurity and related complications, and NICU admissions in MAR newborns. However the twin rates are still high. Since uncontrolled ovulation stimulation and intrauterine insemination techniques are also associated with multiple births and unfavorable neonatal outcomes, these procedures deserve close monitorization.
IS  - 0390-6663
IL  - 0390-6663
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2015
EZ  - 2015/09/29 06:00
DA  - 2015/10/31 06:00
DT  - 2015/09/29 06:00
YR  - 2015
ED  - 20151030
RD  - 20150928
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26411208

<145. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23917764
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Lima Junior NA
AU  - Bacelar SC
AU  - Japiassu AM
AU  - Cader SA
AU  - Lima RC
AU  - Dantas EH
AU  - Sancho AG
AU  - Caldeira JB
FA  - Lima Junior, Newton Almeida
FA  - Bacelar, Silvia Correa
FA  - Japiassu, Andre Miguel
FA  - Cader, Samaria Ali
FA  - Lima, Rosane Coelho Fernandes
FA  - Dantas, Estelio Henrique Martin
FA  - Sancho, Alexandre Gomes
FA  - Caldeira, Jefferson Braga
TI  - Arterial blood gas analysis in two different intra-hospital transport methods for postoperative cardiac surgery patients.
OT  - Gasometria arterial em dois diferentes metodos de transporte intra-hospitalar no pos-operatorio imediato de cirurgia cardiaca.
SO  - Revista Brasileira de Terapia Intensiva. 24(2):162-6, 2012 Jun
AS  - Rev. bras. ter. intensiva. 24(2):162-6, 2012 Jun
NJ  - Revista Brasileira de terapia intensiva
VO  - 24
IP  - 2
PG  - 162-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9506692
IO  - Rev Bras Ter Intensiva
CP  - Brazil
AB  - OBJECTIVE: To evaluate the effects on blood gases by two methods of ventilation (with transport ventilation or self-inflating manual resuscitator) during intra-hospital transport of patients after cardiac surgery.
AB  - METHODS: Observational, longitudinal, prospective, randomized study. Two samples of arterial blood were collected at the end of the surgery and another at the end of patient transport.
AB  - RESULTS: We included 23 patients: 13 in the Group with transport ventilation and 10 in the Group with self-inflating manual resuscitator. Baseline characteristics were similar between both groups, except for higher acute severity of illness in the Group with transport ventilation. We observed significant differences in comparisons of percentage variations of gasometric data: pH (transport ventilation + 4% x MR -5%, p=0.007), PaCO2 (-8% x +13%, p=0.006), PaO2 (+47% x -34%, p=0.01) and SatO2 (+0.6% x -1.7%, p=0.001).
AB  - CONCLUSION: The use of mechanical ventilation results in fewer repercussions for blood gas analysis in the intra-hospital transport of cardiac surgery patients.
ES  - 1982-4335
IL  - 0103-507X
DI  - S0103-507X2012000200011
PT  - Journal Article
ID  - S0103-507X2012000200011 [pii]
PP  - ppublish
PH  - 2011/11/14 [received]
PH  - 2012/03/28 [accepted]
LG  - English
LG  - Portuguese
DP  - 2012 Jun
EZ  - 2012/06/01 00:00
DA  - 2012/06/01 00:01
DT  - 2013/08/07 06:00
YR  - 2012
ED  - 20151026
RD  - 20130806
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23917764

<146. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25810805
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Katamea T
AU  - Mukuku O
AU  - Kamona L
AU  - Mukelenge K
AU  - Mbula O
AU  - Baledi L
AU  - Ntambwe E
AU  - Mutombo AM
AU  - Wembonyama SO
AU  - Luboya ON
FA  - Katamea, Tina
FA  - Mukuku, Olivier
FA  - Kamona, Lewis
FA  - Mukelenge, Kethye
FA  - Mbula, Otikeke
FA  - Baledi, Lambert
FA  - Ntambwe, Emile
FA  - Mutombo, Augustin Mulangu
FA  - Wembonyama, Stanis Okitotsho
FA  - Luboya, Oscar Numbi
IN  - Katamea, Tina. Faculte de Medecine, Universite de Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Mukuku, Olivier. Faculte de Medecine, Universite de Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Kamona, Lewis. Faculte de Medecine, Universite de Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Mukelenge, Kethye. Faculte de Medecine, Universite de Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Mbula, Otikeke. Centre Medical Light, Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Baledi, Lambert. Centre Medical Light, Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Ntambwe, Emile. Centre Medical Light, Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Mutombo, Augustin Mulangu. Faculte de Medecine, Universite de Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Wembonyama, Stanis Okitotsho. Faculte de Medecine, Universite de Lubumbashi, Lubumbashi, Republique Democratique du Congo.
IN  - Luboya, Oscar Numbi. Faculte de Medecine, Universite de Lubumbashi, Lubumbashi, Republique Democratique du Congo ; Ecole de Sante Publique, Universite de Lubumbashi, Lubumbashi, Republique Democratique du Congo.
TI  - [Mortality risk factors in newborns transferred to the neonatal unit of the Hospital Jason Sendwe Lubumbashi, DR Congo]. [French]
OT  - Facteurs de risque de mortalite chez les nouveaux-nes transferes au service de neonatologie de l'Hopital Jason Sendwe de Lubumbashi, Republique Democratique du Congo.
SO  - The Pan African medical journal. 19:169, 2014
AS  - Pan Afr Med J. 19:169, 2014
NJ  - The Pan African medical journal
VO  - 19
PG  - 169
PI  - Journal available in: Electronic-eCollection
PI  - Citation processed from: Internet
JC  - 101517926
IO  - Pan Afr Med J
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364683
SB  - Index Medicus
CP  - Uganda
MH  - Adult
MH  - Democratic Republic of the Congo/ep [Epidemiology]
MH  - Female
MH  - Humans
MH  - Infant
MH  - *Infant Mortality
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/ep [Epidemiology]
MH  - *Infant, Newborn, Diseases/mo [Mortality]
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Prospective Studies
MH  - Risk Factors
MH  - Young Adult
KW  - Extra-hospital transfer;  Lubumbashi;  newborn;  risk factors
ES  - 1937-8688
DO  - https://dx.doi.org/10.11604/pamj.2014.19.169.4018
PT  - Journal Article
ID  - 10.11604/pamj.2014.19.169.4018 [doi]
ID  - PAMJ-19-169 [pii]
ID  - PMC4364683 [pmc]
PP  - epublish
PH  - 2014/02/12 [received]
PH  - 2014/10/13 [accepted]
LG  - French
EP  - 20141017
DP  - 2014
EZ  - 2014/01/01 00:00
DA  - 2015/10/23 06:00
DT  - 2015/03/27 06:00
YR  - 2014
ED  - 20151022
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25810805

<147. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24811239
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Robertson ER
AU  - Morgan L
AU  - Bird S
AU  - Catchpole K
AU  - McCulloch P
FA  - Robertson, Eleanor R
FA  - Morgan, Lauren
FA  - Bird, Sarah
FA  - Catchpole, Ken
FA  - McCulloch, Peter
IN  - Robertson, Eleanor R. Quality, Reliability, Safety and Teamwork Unit, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
IN  - Morgan, Lauren. Quality, Reliability, Safety and Teamwork Unit, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
IN  - Bird, Sarah. University of Oxford Medical School, John Radcliffe Hospital, Oxford, UK.
IN  - Catchpole, Ken. Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California USA.
IN  - McCulloch, Peter. Quality, Reliability, Safety and Teamwork Unit, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
TI  - Interventions employed to improve intrahospital handover: a systematic review. [Review]
SO  - BMJ Quality & Safety. 23(7):600-7, 2014 Jul
AS  - BMJ Qual Saf. 23(7):600-7, 2014 Jul
NJ  - BMJ quality & safety
VO  - 23
IP  - 7
PG  - 600-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101546984
IO  - BMJ Qual Saf
SB  - Health Administration Journals
CP  - England
MH  - Hospitals
MH  - Humans
MH  - Outcome Assessment (Health Care)
MH  - *Patient Handoff/st [Standards]
MH  - *Patient Safety/st [Standards]
MH  - Patient Transfer/st [Standards]
MH  - Quality Improvement
MH  - Randomized Controlled Trials as Topic
KW  - Hand-off;  Implementation Science;  Quality Improvement;  Quality Improvement Methodologies;  Transitions In Care
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.
AB  - 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.
AB  - 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.
AB  - 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.

Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
ES  - 2044-5423
IL  - 2044-5415
DO  - https://dx.doi.org/10.1136/bmjqs-2013-002309
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
ID  - bmjqs-2013-002309 [pii]
ID  - 10.1136/bmjqs-2013-002309 [doi]
PP  - ppublish
GI  - No: RP-PG-0108-10020
Organization: *Department of Health*
Country: United Kingdom
LG  - English
EP  - 20140508
DP  - 2014 Jul
EZ  - 2014/05/09 06:00
DA  - 2015/10/16 06:00
DT  - 2014/05/10 06:00
YR  - 2014
ED  - 20151014
RD  - 20140613
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24811239

<148. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26330246
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fenix JB
AU  - Gillespie CW
AU  - Levin A
AU  - Dean N
FA  - Fenix, J B
FA  - Gillespie, Catherine W
FA  - Levin, Amanda
FA  - Dean, Nathan
IN  - Fenix, J B. Children's National Health System, Washington, District of Columbia; and jb.fenix@gmail.com.
IN  - Gillespie, Catherine W. Children's National Health System, Washington, District of Columbia; and George Washington School of Medicine, Washington, District of Columbia.
IN  - Levin, Amanda. Children's National Health System, Washington, District of Columbia; and George Washington School of Medicine, Washington, District of Columbia.
IN  - Dean, Nathan. Children's National Health System, Washington, District of Columbia; and George Washington School of Medicine, Washington, District of Columbia.
TI  - Comparison of Pediatric Early Warning Score to Physician Opinion for Deteriorating Patients.
SO  - Hospital Pediatrics. 5(9):474-9, 2015 Sep
AS  - Hosp. pediatr.. 5(9):474-9, 2015 Sep
NJ  - Hospital pediatrics
VO  - 5
IP  - 9
PG  - 474-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101585349
IO  - Hosp Pediatr
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Child, Preschool
MH  - *Clinical Competence/st [Standards]
MH  - Disease Progression
MH  - Early Diagnosis
MH  - Female
MH  - Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Intensive Care Units, Pediatric/st [Standards]
MH  - Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prognosis
MH  - ROC Curve
MH  - *Research Design/st [Standards]
MH  - Retrospective Studies
MH  - Risk Assessment/mt [Methods]
MH  - Risk Assessment/st [Standards]
MH  - *Risk Assessment
MH  - Severity of Illness Index
MH  - Time Factors
AB  - BACKGROUND: This study compares a Pediatric Early Warning Score (PEWS) to physician opinion in identifying patients at risk for deterioration.
AB  - METHODS: Maximum PEWS recorded during each admission was retrospectively ascertained from electronic medical record data. Physician opinion regarding risk of subsequent deterioration was determined by assignment to an institutional "senior sign-out" (SSO) list that highlights patients whom senior pediatric residents have identified as at risk. Deterioration events were defined as intubation, initiation of high flow nasal cannula, inotropes, noninvasive mechanical ventilation, or aggressive fluid resuscitation within 12 hours of transfer to the PICU. We assessed the relationships of sociodemographic variables, PEWS, and SSO assignment with subsequent deterioration events using multivariate regression analysis to control for a number of covariates.
AB  - RESULTS: There were 97 patients with nonelective transfers to the PICU who were eligible for placement on the SSO lists before transfer, 51 of whom experienced qualifying deterioration events. Maximum recorded PEWS was significantly higher for patients with a subsequent deterioration event during the first 12 hours after transfer, compared with those who were transferred but did not experience a deterioration event in the first 12 hours (mean [SD]: 3.9 [2.0] vs 2.9 [2.0]; P = .01). This association persisted even after multivariate adjustment. SSO assignment was only marginally associated with risk of deterioration among this patient population, with or without adjustment for covariates.
AB  - CONCLUSIONS: The PEWS was significantly associated with ICU deterioration, whereas physician opinion was not. Used alone or in conjunction with physician assessment, PEWS is a valuable tool for identifying patients vulnerable to acute deterioration.

Copyright © 2015 by the American Academy of Pediatrics.
IS  - 2154-1663
IL  - 2154-1671
DO  - https://dx.doi.org/10.1542/hpeds.2014-0199
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
ID  - 5/9/474 [pii]
ID  - 10.1542/hpeds.2014-0199 [doi]
PP  - ppublish
GI  - No: UL1TR000075
Organization: (TR) *NCATS NIH HHS*
Country: United States
LG  - English
DP  - 2015 Sep
EZ  - 2015/09/04 06:00
DA  - 2015/10/03 06:00
DT  - 2015/09/03 06:00
YR  - 2015
ED  - 20151002
RD  - 20150902
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26330246

<149. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25579373
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shiloh AL
AU  - Ari Eisen L
AU  - Savel RH
FA  - Shiloh, Ariel L
FA  - Ari Eisen, Lewis
FA  - Savel, Richard H
IN  - Shiloh, Ariel L. Division of Critical Care Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, NY, NY. Electronic address: arielshiloh@gmail.com.
IN  - Ari Eisen, Lewis. Division of Critical Care Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, NY, NY.
IN  - Savel, Richard H. Division of Critical Care Medicine, Department of Surgery, Albert Einstein College of Medicine, Maimonides Medical Center, NY, NY.
TI  - The unplanned intensive care unit admission.
CM  - Comment on: J Crit Care. 2015 Apr;30(2):363-8; PMID: 25465025
SO  - Journal of Critical Care. 30(2):419-20, 2015 Apr
AS  - J Crit Care. 30(2):419-20, 2015 Apr
NJ  - Journal of critical care
VO  - 30
IP  - 2
PG  - 419-20
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - buy, 8610642
IO  - J Crit Care
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - *Patient Transfer
MH  - *Referral and Consultation/og [Organization & Administration]
MH  - *Triage
ES  - 1557-8615
IL  - 0883-9441
DI  - S0883-9441(14)00500-0
DO  - https://dx.doi.org/10.1016/j.jcrc.2014.12.010
PT  - Comment
PT  - Editorial
ID  - S0883-9441(14)00500-0 [pii]
ID  - 10.1016/j.jcrc.2014.12.010 [doi]
PP  - ppublish
PH  - 2014/12/15 [received]
PH  - 2014/12/18 [accepted]
LG  - English
EP  - 20141224
DP  - 2015 Apr
EZ  - 2015/01/13 06:00
DA  - 2015/10/02 06:00
DT  - 2015/01/13 06:00
YR  - 2015
ED  - 20151001
RD  - 20150221
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25579373

<150. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25499415
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Detsky ME
AU  - Ailon J
AU  - Weinerman AS
AU  - Amaral AC
AU  - Bell CM
FA  - Detsky, Michael E
FA  - Ailon, Jonathan
FA  - Weinerman, Adina S
FA  - Amaral, Andre C
FA  - Bell, Chaim M
IN  - Detsky, Michael E. 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. Electronic address: mdetsky@mtsinai.on.ca.
IN  - Ailon, Jonathan. 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. Electronic address: ailonj@smh.ca.
IN  - Weinerman, Adina S. 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. Electronic address: weinerman@sunnybrook.ca.
IN  - Amaral, Andre C. 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. Electronic address: andrecarlos.amaral@sunnybrook.ca.
IN  - Bell, Chaim M. Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada. Electronic address: cbell@mtsinai.on.ca.
TI  - A two-site survey of clinicians to identify practices and preferences of intensive care unit transfers to general medical wards.
SO  - Journal of Critical Care. 30(2):358-62, 2015 Apr
AS  - J Crit Care. 30(2):358-62, 2015 Apr
NJ  - Journal of critical care
VO  - 30
IP  - 2
PG  - 358-62
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - buy, 8610642
IO  - J Crit Care
SB  - Index Medicus
CP  - United States
MH  - Communication
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Female
MH  - Health Care Surveys
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Interprofessional Relations
MH  - Male
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Patients' Rooms
MH  - Process Assessment (Health Care)
MH  - Surveys and Questionnaires
KW  - General medical ward;  Intensive care unit;  Process of care;  Transfers
AB  - INTRODUCTION: The transfer of patients from the intensive care unit (ICU) to the general medical ward is high risk for adverse events and health care provider dissatisfaction. We aimed to identify perceived practices, and what information is important to communicate during an ICU transfer.
AB  - METHODS: This study used a self-administered questionnaire that surveyed physicians in 2 different hospitals. These physicians provide care in either the ICU or the general medical ward. Responses were evaluated with Likert scales and frequencies.
AB  - RESULTS: A total of 121 physicians (54% response rate) completed the survey. Current practice most often includes written chart and telephone communication. Most providers (63.3%) believed that the current process is inadequate. Surprises are common (79% of respondents); and reported adverse events include medication errors (60.4%), aspiration (49.5%), and decreased level of consciousness requiring intervention (44.6%). The use of an ICU transfer tool is one potential mechanism of improving this process of care, and providers reported several items that may be useful.
AB  - CONCLUSION: Providers reported the current process of transferring patients from the ICU to the general medical ward as inadequate. We highlight data that physicians feel is important to communicate at the time of transfer.

Copyright © 2014 Elsevier Inc. All rights reserved.
ES  - 1557-8615
IL  - 0883-9441
DI  - S0883-9441(14)00433-X
DO  - https://dx.doi.org/10.1016/j.jcrc.2014.10.026
PT  - Journal Article
ID  - S0883-9441(14)00433-X [pii]
ID  - 10.1016/j.jcrc.2014.10.026 [doi]
PP  - ppublish
PH  - 2014/05/22 [received]
PH  - 2014/09/22 [revised]
PH  - 2014/10/26 [accepted]
LG  - English
EP  - 20141030
DP  - 2015 Apr
EZ  - 2014/12/17 06:00
DA  - 2015/10/01 06:00
DT  - 2014/12/16 06:00
YR  - 2015
ED  - 20150930
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25499415

<151. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25934809
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Zipkin R
AU  - Ostrom K
AU  - Olowoyeye A
AU  - Markovitz B
AU  - Schrager SM
FA  - Zipkin, Ronen
FA  - Ostrom, Kathleen
FA  - Olowoyeye, Abiola
FA  - Markovitz, Barry
FA  - Schrager, Sheree M
IN  - Zipkin, Ronen. Division of Hospital Medicine, Children's Hospital Los Angeles, Los Angeles, California rzipkin@chla.usc.edu.
IN  - Ostrom, Kathleen. Division of Hospital Medicine, Children's Hospital Los Angeles, Los Angeles, California.
IN  - Olowoyeye, Abiola. Division of Hospital Medicine, Children's Hospital Los Angeles, Los Angeles, California.
IN  - Markovitz, Barry. Division of Hospital Medicine, Children's Hospital Los Angeles, Los Angeles, California.
IN  - Schrager, Sheree M. Division of Hospital Medicine, Children's Hospital Los Angeles, Los Angeles, California.
TI  - Association Between Implementation of a Cardiovascular Step-Down Unit and Process-of-Care Outcomes in Patients With Congenital Heart Disease.
SO  - Hospital Pediatrics. 5(5):256-62, 2015 May
AS  - Hosp. pediatr.. 5(5):256-62, 2015 May
NJ  - Hospital pediatrics
VO  - 5
IP  - 5
PG  - 256-62
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101585349
IO  - Hosp Pediatr
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Child, Preschool
MH  - *Coronary Care Units/st [Standards]
MH  - Coronary Disease/co [Complications]
MH  - *Coronary Disease/th [Therapy]
MH  - Female
MH  - Heart Arrest/pc [Prevention & Control]
MH  - Hospital Rapid Response Team/ut [Utilization]
MH  - Hospitals, Pediatric/st [Standards]
MH  - Humans
MH  - Infant
MH  - Intensive Care Units, Pediatric
MH  - Length of Stay
MH  - Male
MH  - *Outcome and Process Assessment (Health Care)
MH  - Patient Transfer
MH  - Respiratory Insufficiency/pc [Prevention & Control]
MH  - Retrospective Studies
KW  - cardiopulmonary arrest;  cardiovascular care unit;  hospital stay;  outcome measures;  rapid response team
AB  - BACKGROUND: The Joint Commission's 2009 National Patient Safety Goals aimed to improve identification of and response to clinical deterioration in hospital-ward patients. Some hospitals implemented intermediate-care units for patients without intensive care-level support needs. No studies have evaluated what effect changes associated with a move to a pediatric cardiovascular step-down unit (CVSDU) has on process-of-care outcomes.
AB  - METHODS: A retrospective cohort study comparing process-of-care outcomes in units caring for children with congenital heart disease (n=1415) 1 year before (July 1, 2010-June 30, 2011) and 1 year after (August 1, 2011-July 30, 2012) implementation of a CVSDU following the move to a new hospital building. Units caring for noncardiac tracheostomy and/or ventilator-dependent patients were used as controls (n=606). Primary outcomes included length of stay (LOS) and transfers to higher levels of care. Secondary outcomes included rapid response team, cardiopulmonary arrest, and code blue rates. Mann-Whitney U and z tests were used for all analyses.
AB  - RESULTS: When compared with a medical-surgical unit, cardiac patients admitted to a CVSDU had a significantly decreased total LOS (median 7.0 vs 5.4 days, P=.03), non-ICU LOS (median 3.5 vs 3.0 days, P=.006), and rapid response team/code blue rate per 1000 non-ICU patient days (11.2 vs 7.0, P=.04). No significant differences in primary or secondary outcomes were seen within the control group.
AB  - CONCLUSIONS: Changes associated with a new CVSDU were associated with decreased LOS and lower rates of rapid response and code blue events for patients with congenital heart disease.

Copyright © 2015 by the American Academy of Pediatrics.
IS  - 2154-1663
IL  - 2154-1671
DO  - https://dx.doi.org/10.1542/hpeds.2014-0046
PT  - Journal Article
ID  - 5/5/256 [pii]
ID  - 10.1542/hpeds.2014-0046 [doi]
PP  - ppublish
LG  - English
DP  - 2015 May
EZ  - 2015/05/03 06:00
DA  - 2015/09/09 06:00
DT  - 2015/05/03 06:00
YR  - 2015
ED  - 20150908
RD  - 20150502
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25934809

<152. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25732985
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Warrick D
AU  - Gonzalez-del-Rey J
AU  - Hall D
AU  - Statile A
AU  - White C
AU  - Simmons J
AU  - Wong SP
FA  - Warrick, Denise
FA  - Gonzalez-del-Rey, Javier
FA  - Hall, Dawn
FA  - Statile, Angela
FA  - White, Christine
FA  - Simmons, Jeffrey
FA  - Wong, Sue Poynter
IN  - Warrick, Denise. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio denise.warrick@cchmc.org.
IN  - Gonzalez-del-Rey, Javier. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
IN  - Hall, Dawn. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
IN  - Statile, Angela. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
IN  - White, Christine. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
IN  - Simmons, Jeffrey. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
IN  - Wong, Sue Poynter. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
TI  - Improving resident handoffs for children transitioning from the intensive care unit.
SO  - Hospital Pediatrics. 5(3):127-33, 2015 Mar
AS  - Hosp. pediatr.. 5(3):127-33, 2015 Mar
NJ  - Hospital pediatrics
VO  - 5
IP  - 3
PG  - 127-33
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101585349
IO  - Hosp Pediatr
SB  - Index Medicus
CP  - United States
MH  - Checklist/st [Standards]
MH  - Electronic Health Records
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - Internship and Residency
MH  - Interprofessional Relations
MH  - *Patient Handoff/st [Standards]
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - *Patient Transfer
MH  - *Pediatrics/ed [Education]
MH  - Quality Improvement
MH  - Reproducibility of Results
MH  - *Safety Management/og [Organization & Administration]
MH  - Teaching
KW  - PICU;  hospital medicine;  patient handoff;  patient safety;  resident;  transfers
AB  - BACKGROUND AND OBJECTIVE: Handoffs ensure patient safety during patient care transitions in the hospital setting. At our institution, verbal handoffs communicated by resident physicians are suggested practice for patients transferring from the PICU to the hospital medicine (HM) service. Despite their importance, these verbal handoffs occurred only 76% of the time before patient arrival on HM units. Our goal was to increase the completion rate of verbal handoffs to 100% within 5 months.
AB  - METHODS: Baseline data were collected in a daily survey of HM residents. Interventions were developed and tested on small, incremental change cycles. Key interventions included education about the importance of handoffs, standardization of the handoff process, standardization of handoff documentation, and identification and mitigation of handoff documentation failures. We tracked handoff completion rates by using statistical control charts. After success with improving the completion rate of patient handoffs to the HM service, we applied our process to handoffs from the PICU to all inpatient services.
AB  - RESULTS: Median completion of verbal patient handoff increased from 76% to 100% within 6 weeks, with improvement sustained for 15 months. Physician compliance with electronic medical record documentation increased from 58% to 94% within 8 months. After spreading to all patients transferring out of the PICU, documentation of patient handoffs increased from 76% to 94% in 5 months.
AB  - CONCLUSIONS: A system using improvement science methods was successful in increasing the reliability of resident verbal patient handoffs. Consistent documentation and internal redundancy with checklists were associated with sustained improvement.

Copyright © 2015 by the American Academy of Pediatrics.
IS  - 2154-1663
IL  - 2154-1671
DO  - https://dx.doi.org/10.1542/hpeds.2014-0067
PT  - Journal Article
ID  - 5/3/127 [pii]
ID  - 10.1542/hpeds.2014-0067 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Mar
EZ  - 2015/03/04 06:00
DA  - 2015/09/01 06:00
DT  - 2015/03/04 06:00
YR  - 2015
ED  - 20150828
RD  - 20150303
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25732985

<153. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25554756
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Reese J
AU  - Deakyne SJ
AU  - Blanchard A
AU  - Bajaj L
FA  - Reese, Jennifer
FA  - Deakyne, Sara J
FA  - Blanchard, Ashley
FA  - Bajaj, Lalit
IN  - Reese, Jennifer. Sections of Hospital Medicine and jennifer.reese@childrenscolorado.org.
IN  - Deakyne, Sara J. Research Informatics, Children's Hospital Colorado, Aurora, Colorado; and.
IN  - Blanchard, Ashley. New York-Presbyterian Morgan Stanley Children's Hospital, Columbia University Medical Center, New York, New York.
IN  - Bajaj, Lalit. Emergency Medicine, Department of Pediatrics, University of Colorado, Children's Hospital Colorado, Aurora, Colorado;
TI  - Rate of preventable early unplanned intensive care unit transfer for direct admissions and emergency department admissions.
SO  - Hospital Pediatrics. 5(1):27-34, 2015 Jan
AS  - Hosp. pediatr.. 5(1):27-34, 2015 Jan
NJ  - Hospital pediatrics
VO  - 5
IP  - 1
PG  - 27-34
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101585349
IO  - Hosp Pediatr
SB  - Index Medicus
CP  - United States
MH  - Child, Preschool
MH  - Cohort Studies
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Female
MH  - Humans
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - International Classification of Diseases
MH  - Male
MH  - Patient Admission/st [Standards]
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Admission
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Patient Transfer
MH  - Quality Improvement
MH  - Retrospective Studies
MH  - Time Factors
MH  - Time-to-Treatment
MH  - Triage/mt [Methods]
MH  - Triage/st [Standards]
MH  - Triage/sn [Statistics & Numerical Data]
MH  - *Triage
MH  - United States
KW  - ICU;  direct admission;  quality improvement;  transfers
AB  - BACKGROUND AND OBJECTIVE: Appropriate patient placement at the time of admission to avoid unplanned transfers to the ICU and codes outside of the ICU is an important safety goal for many institutions. The objective of this study was to determine if the overall rate of unplanned ICU transfers within 12 hours of admission to the inpatient medical/surgical unit was higher for direct admissions compared with emergency department (ED) admissions.
AB  - METHODS: This was a retrospective cohort study of all unplanned ICU transfers within 12 hours of admission to an inpatient unit at a tertiary care children's hospital from January 2010 to December 2012. Proportions of preventable unplanned transfers from the ED and from direct admission were calculated and compared.
AB  - RESULTS: Over the study period, there were a total of 46,998 admissions; 279 unplanned ICU transfers occurred during the study period of which 101 (36%) were preventable. Preventable unplanned transfers from each portal of entry were calculated and compared with the total number of admissions from those portals. The portals of entry evaluated included admissions from our internal ED versus all outside facility transfers. The rates of early unplanned transfer (per 1000 admissions) by portal of entry were 3.50 for direct admissions and 3.18 for ED. There was no difference between direct admissions and ED admissions resulting in preventable unplanned transfers to the ICU (P=.64).
AB  - CONCLUSIONS: Rates of unplanned ICU transfers within 12 hours of admission to an inpatient unit are not higher for direct admissions compared with ED admissions. Further studies are required to determine clinical risk factors associated with unplanned ICU transfer after admission, thus allowing for more accurate initial patient placement.

Copyright © 2015 by the American Academy of Pediatrics.
IS  - 2154-1663
IL  - 2154-1671
DO  - https://dx.doi.org/10.1542/hpeds.2013-0102
PT  - Journal Article
ID  - 5/1/27 [pii]
ID  - 10.1542/hpeds.2013-0102 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Jan
EZ  - 2015/01/03 06:00
DA  - 2015/09/01 06:00
DT  - 2015/01/03 06:00
YR  - 2015
ED  - 20150828
RD  - 20150102
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25554756

<154. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22999185
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jackson PC
AU  - Foster M
AU  - Fries A
AU  - Jeffery SL
FA  - Jackson, Philippa C
FA  - Foster, Mark
FA  - Fries, Anton
FA  - Jeffery, Steven L A
IN  - Jackson, Philippa C. Hull & East Yorkshire Hospitals, Yorkshire, United Kingdom. Electronic address: drpcjackson@gmail.com.
TI  - Military trauma care in Birmingham: observational study of care requirements and resource utilisation.
SO  - Injury. 45(1):44-9, 2014 Jan
AS  - Injury. 45(1):44-9, 2014 Jan
NJ  - Injury
VO  - 45
IP  - 1
PG  - 44-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 0226040, gon
IO  - Injury
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Blast Injuries/ec [Economics]
MH  - Blast Injuries/mo [Mortality]
MH  - *Blast Injuries/su [Surgery]
MH  - Critical Care/ec [Economics]
MH  - Critical Care/og [Organization & Administration]
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - Female
MH  - Health Resources/ec [Economics]
MH  - Health Resources/ut [Utilization]
MH  - Humans
MH  - Injury Severity Score
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Military Medicine/ec [Economics]
MH  - *Military Medicine
MH  - *Military Personnel
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Trauma Severity Indices
MH  - United Kingdom/ep [Epidemiology]
MH  - Warfare
MH  - Wounds, Nonpenetrating/ec [Economics]
MH  - Wounds, Nonpenetrating/mo [Mortality]
MH  - *Wounds, Nonpenetrating/su [Surgery]
MH  - Wounds, Penetrating/ec [Economics]
MH  - Wounds, Penetrating/mo [Mortality]
MH  - *Wounds, Penetrating/su [Surgery]
KW  - CCAST;  Critical Care Air Support Team;  DMRC;  Defence Medical Rehabilitation Centre;  ICU;  IED;  IQR;  ISS;  Injury Severity Score;  Injury severity;  JMC;  JTTR;  Joint Medical Command;  Joint Theatre Trauma Registry;  LOS;  MDT;  MOF;  Military trauma;  Multidisciplinary Team;  NBI;  NISS;  New Injury Severity Score;  RAF;  RCDM;  Royal Air Force;  Royal Centre for Defence Medicine;  SIRS;  Service provision;  Surgical requirement;  TMW;  Tactical Medical Wing;  Trauma service;  UHB;  University Hospitals Birmingham;  improvised explosive device;  intensive care unit;  interquartile range;  length of stay;  multiple organ failure;  non-battle injury;  systemic inflammatory response syndrome
AB  - BACKGROUND: The Royal Centre for Defence Medicine is located at University Hospitals Birmingham (UHB). Since 2001 all UK military casualties injured on active duty have been repatriated here for their initial treatment. This service evaluation was performed to quantify the work undertaken, with the aim of providing a snapshot of a year's military trauma work in order to inform the delivery of trauma care in both the military and civilian setting.
AB  - METHODS: Military patients admitted with traumatic injuries over a 12-month period were identified and the hospital notes and electronic records reviewed. Data were collected focusing on three areas - the details of the injury, information about the in-patient admission, and surgical interventions performed.
AB  - RESULTS: A total of 388 patients were used in the analysis. Median total length of stay was 10.5 days (IQR: 4-26, range: 0-137 days), and a median 6.0 days (IQR: 3.0-11.0, range: 1-49 days) was spent on intensive care by 125 patients. Surgical intervention was required for 278 (71.6%) patients, with a median of 2.0 operations (IQR: 1.0-4.0, range: 1-27) or 170 min (IQR: 90.0-570.0, range 20-4735 min) operating time per patient. 77% of these patients had their first procedure within 24h of arrival. Improvised explosives accounted for 50.5% of injuries seen. Spearman rank correlation between New Injury Severity Score with length of stay demonstrated significant correlation (p<0.001), with a coefficient of 0.640. A model predicting length of stay based on New Injury Severity Score was devised for patients with battle injuries.
AB  - CONCLUSION: This report of 12 months work at UHB demonstrates the service commitment to these casualties, describing the burden of care and resource requirements for military trauma patients.

Copyright © 2012 Elsevier Ltd. All rights reserved.
ES  - 1879-0267
IL  - 0020-1383
DI  - S0020-1383(12)00351-8
DO  - https://dx.doi.org/10.1016/j.injury.2012.08.036
PT  - Journal Article
PT  - Observational Study
ID  - S0020-1383(12)00351-8 [pii]
ID  - 10.1016/j.injury.2012.08.036 [doi]
PP  - ppublish
PH  - 2012/01/18 [received]
PH  - 2012/08/20 [accepted]
LG  - English
EP  - 20120919
DP  - 2014 Jan
EZ  - 2012/09/25 06:00
DA  - 2015/08/05 06:00
DT  - 2012/09/25 06:00
YR  - 2014
ED  - 20150804
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=22999185

<155. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25999072
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shields J
AU  - Overstreet M
AU  - Krau SD
FA  - Shields, John
FA  - Overstreet, Maria
FA  - Krau, Stephen D
IN  - Shields, John. 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. Electronic address: john.shields@mtsa.edu.
IN  - Overstreet, Maria. 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.
IN  - Krau, Stephen D. Vanderbilt School of Nursing, 1301 Medical Center Drive, 4648 TVC, Nashville, TN 37232-5614, USA.
TI  - Nurse knowledge of intrahospital transport. [Review]
SO  - Nursing Clinics of North America. 50(2):293-314, 2015 Jun
AS  - Nurs Clin North Am. 50(2):293-314, 2015 Jun
NJ  - The Nursing clinics of North America
VO  - 50
IP  - 2
PG  - 293-314
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - o92, 0042033
IO  - Nurs. Clin. North Am.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Guideline Adherence
MH  - Humans
MH  - *Knowledge
MH  - Medical Errors/pc [Prevention & Control]
MH  - *Nursing Staff, Hospital
MH  - Patient Handoff
MH  - *Transportation of Patients
MH  - United States
KW  - Clinical handover;  Intrahospital transport (IHT);  Nurse;  Nurse anesthesia;  Patient safety
AB  - Preventable adverse events and other medical errors occur to hundreds of thousands of Americans every year. The financial burden of these preventable events is estimated to be $29 billion. According to the World Health Organization, reducing medical errors has become an international concern. Protecting patients from harm is a primary responsibility of all nurses regardless of whether the nurse works in the intensive care unit or operating room. Adherence to policies to maintain patient safety can be discerned once the level of knowledge of these policies among nurses is determined. 

Copyright © 2015 Elsevier Inc. All rights reserved.
ES  - 1558-1357
IL  - 0029-6465
DI  - S0029-6465(15)00024-9
DO  - https://dx.doi.org/10.1016/j.cnur.2015.03.005
PT  - Journal Article
PT  - Review
ID  - S0029-6465(15)00024-9 [pii]
ID  - 10.1016/j.cnur.2015.03.005 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Jun
EZ  - 2015/05/23 06:00
DA  - 2015/08/01 06:00
DT  - 2015/05/23 06:00
YR  - 2015
ED  - 20150731
RD  - 20150522
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25999072

<156. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25410548
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lane-Fall MB
AU  - Beidas RS
AU  - Pascual JL
AU  - Collard ML
AU  - Peifer HG
AU  - Chavez TJ
AU  - Barry ME
AU  - Gutsche JT
AU  - Halpern SD
AU  - Fleisher LA
AU  - Barg FK
FA  - Lane-Fall, Meghan B
FA  - Beidas, Rinad S
FA  - Pascual, Jose L
FA  - Collard, Meredith L
FA  - Peifer, Hannah G
FA  - Chavez, Tyler J
FA  - Barry, Mark E
FA  - Gutsche, Jacob T
FA  - Halpern, Scott D
FA  - Fleisher, Lee A
FA  - Barg, Frances K
IN  - Lane-Fall, Meghan B. Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 680 Dulles Building, Philadelphia, PA 19104, USA. meghan.lane-fall@uphs.upenn.edu.
TI  - Handoffs and transitions in critical care (HATRICC): protocol for a mixed methods study of operating room to intensive care unit handoffs.
SO  - BMC Surgery. 14:96, 2014 Nov 19
AS  - BMC surg.. 14:96, 2014 Nov 19
NJ  - BMC surgery
VO  - 14
PG  - 96
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 100968567
IO  - BMC Surg
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255652
SB  - Index Medicus
CP  - England
MH  - Checklist
MH  - *Clinical Protocols
MH  - *Continuity of Patient Care/st [Standards]
MH  - *Critical Care/st [Standards]
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - Medical Errors/pc [Prevention & Control]
MH  - Needs Assessment
MH  - *Operating Rooms/st [Standards]
MH  - *Patient Transfer/mt [Methods]
MH  - Perioperative Care/st [Standards]
MH  - Surveys and Questionnaires
AB  - BACKGROUND: Operating room to intensive care unit handoffs are high-risk events for critically ill patients. Studies in selected patient populations show that standardizing operating room to intensive care unit handoffs improves information exchange and decreases errors. To adapt these findings to mixed surgical populations, we propose to study the implementation of a standardized operating room to intensive care unit handoff process in two intensive care units currently without an existing standard process.
AB  - METHODS/DESIGN: The Handoffs and Transitions in Critical Care (HATRICC) study is a hybrid effectiveness- implementation trial of operating room to intensive care unit handoffs. We will use mixed methods to conduct a needs assessment of the current handoff process, adapt published handoff processes, and implement a new standardized handoff process in two academic intensive care units. Needs assessment: We will use non-participant observation to observe the current handoff process. Focus groups, interviews, and surveys of clinicians will elicit participants' impressions about the current process. Adaptation and implementation: We will adapt published standardized handoff processes using the needs assessment findings. We will use small group simulation to test the new process' feasibility. After simulation, we will incorporate the new handoff process into the clinical work of all providers in the study units.
AB  - EVALUATION: Using the same methods employed in the needs assessment phase, we will evaluate use of the new handoff process.
AB  - DATA ANALYSIS: The primary effectiveness outcome is the number of information omissions per handoff episode as compared to the pre-intervention period. Additional intervention outcomes include patient intensive care unit length of stay and intensive care unit mortality. The primary implementation outcome is acceptability of the new process. Additional implementation outcomes include feasibility, fidelity and sustainability.
AB  - DISCUSSION: The HATRICC study will examine the effectiveness and implementation of a standardized operating room to intensive care unit handoff process. Findings from this study have the potential to improve healthcare communication and outcomes for critically ill patients.
AB  - TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT02267174. Date of registration October 16, 2014.
ES  - 1471-2482
IL  - 1471-2482
DO  - https://dx.doi.org/10.1186/1471-2482-14-96
PT  - Clinical Trial
PT  - Journal Article
ID  - 1471-2482-14-96 [pii]
ID  - 10.1186/1471-2482-14-96 [doi]
ID  - PMC4255652 [pmc]
PP  - epublish
PH  - 2014/08/29 [received]
PH  - 2014/10/22 [accepted]
SI  - ClinicalTrials.gov
SA  - ClinicalTrials.gov/NCT02267174
SL  - https://clinicaltrials.gov/search/term=NCT02267174
GI  - No: K23 MH099179
Organization: (MH) *NIMH NIH HHS*
Country: United States

GI  - No: T32 HL098054
Organization: (HL) *NHLBI NIH HHS*
Country: United States
LG  - English
EP  - 20141119
DP  - 2014 Nov 19
EZ  - 2014/11/21 06:00
DA  - 2015/07/28 06:00
DT  - 2014/11/21 06:00
YR  - 2014
ED  - 20150727
RD  - 20171211
UP  - 20171212
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25410548

<157. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25330909
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Andrews SL
AU  - Lewena S
AU  - Oberender F
AU  - Babl FE
AU  - West A
AU  - Hopper SM
FA  - Andrews, Sarah L
FA  - Lewena, Stuart
FA  - Oberender, Felix
FA  - Babl, Franz E
FA  - West, Adam
FA  - Hopper, Sandy M
IN  - Andrews, Sarah L. Emergency Department, Royal Children's Hospital, Melbourne, Victoria, Australia.
TI  - Management of retrieval service patients within a paediatric emergency department.
SO  - Emergency Medicine Australasia. 26(6):596-601, 2014 Dec
AS  - Emerg Med Australas. 26(6):596-601, 2014 Dec
NJ  - Emergency medicine Australasia : EMA
VO  - 26
IP  - 6
PG  - 596-601
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101199824
IO  - Emerg Med Australas
SB  - Index Medicus
CP  - Australia
MH  - Child
MH  - Child, Preschool
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Humans
MH  - Infant
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Pediatrics/og [Organization & Administration]
MH  - Retrospective Studies
MH  - Time Factors
MH  - Victoria
KW  - critical care;  emergency service;  length of stay;  paediatrics;  patient transfer
AB  - OBJECTIVE: The Victorian Paediatric Emergency Transport Service (PETS) transports critically unwell children to tertiary paediatric hospitals. Children not directly admitted to ICU go to a tertiary ED. These patients might require prolonged and high-level care. In light of the National Emergency Access Target, we describe this cohort, clinical care needs and process measures.
AB  - METHODS: A retrospective chart review of patients retrieved by PETS to the Royal Children's Hospital (Melbourne, Australia) ED in 2012. Demographics, illness parameters and process measures were extracted. The ED length of stay (LOS) and time to ward suitability (time at which physiological parameters stabilised and high acuity treatments ceased) were related to patient and illness characteristics. Data are presented descriptively and analysed using spss.
AB  - RESULTS: In 2012, 120 patients were transported to the ED. Conditions included lower respiratory (44), neurological (28), upper respiratory (16) and trauma (14). The median ED LOS was 4.8 h (interquartile range 2.9, 7.7). On arrival, 73 (60.8%) were ward-suitable, but 51 (43%) had LOS less than 4 h. Twenty-five (20.8%) patients stayed longer than 8 h. Administrative delay (principally bed block) is responsible for the bulk of the LOS; however, 25 (20.8%) had markedly abnormal vital signs after 4 h of ED care, mainly patients with lower respiratory tract disease.
AB  - CONCLUSION: Most patients retrieved to the ED ultimately go to a ward rather than ICU and most have an ED stay in excess of National Emergency Access Target. Several retrieval associated care issues, such as timely and appropriate ward disposition, can be addressed by administrative changes.

Copyright © 2014 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
ES  - 1742-6723
IL  - 1742-6723
DO  - https://dx.doi.org/10.1111/1742-6723.12311
PT  - Journal Article
ID  - 10.1111/1742-6723.12311 [doi]
PP  - ppublish
PH  - 2014/09/08 [accepted]
LG  - English
EP  - 20141020
DP  - 2014 Dec
EZ  - 2014/10/22 06:00
DA  - 2015/07/24 06:00
DT  - 2014/10/22 06:00
YR  - 2014
ED  - 20150723
RD  - 20141202
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25330909

<158. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24702103
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wood SD
AU  - Coster S
AU  - Norman I
FA  - Wood, Sally D
FA  - Coster, Samantha
FA  - Norman, Ian
IN  - Wood, Sally D. Cardiff University Hospital Trust, UK.
TI  - 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.
SO  - Journal of Advanced Nursing. 70(12):2757-66, 2014 Dec
AS  - J Adv Nurs. 70(12):2757-66, 2014 Dec
NJ  - Journal of advanced nursing
VO  - 70
IP  - 12
PG  - 2757-66
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 7609811, h3l
IO  - J Adv Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - England
MH  - Adolescent
MH  - Adult
MH  - *After-Hours Care/sn [Statistics & Numerical Data]
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - Female
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Male
MH  - Middle Aged
MH  - *Monitoring, Physiologic/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Time Factors
MH  - United Kingdom
KW  - after-hours transfers;  critical care;  mortality;  nursing;  observation
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.
AB  - 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.
AB  - DESIGN: A prospective exploratory study.
AB  - 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.
AB  - 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.
AB  - 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.

Copyright © 2014 John Wiley & Sons Ltd.
ES  - 1365-2648
IL  - 0309-2402
DO  - https://dx.doi.org/10.1111/jan.12410
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1111/jan.12410 [doi]
PP  - ppublish
PH  - 2014/03/08 [accepted]
LG  - English
EP  - 20140407
DP  - 2014 Dec
EZ  - 2014/04/08 06:00
DA  - 2015/07/15 06:00
DT  - 2014/04/08 06:00
YR  - 2014
ED  - 20150714
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24702103

<159. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 26157650
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Santana-Cabrera L
AU  - Sanchez-Palacios M
AU  - Escot CR
AU  - Rodriguez AU
AU  - Zborovszky E
AU  - Perez JO
FA  - Santana-Cabrera, Luciano
FA  - Sanchez-Palacios, Manuel
FA  - Escot, Cristina Rodriguez
FA  - Rodriguez, Alina Uriarte
FA  - Zborovszky, Erika
FA  - Perez, Juan Ocampo
IN  - Santana-Cabrera, Luciano. Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain.
IN  - Sanchez-Palacios, Manuel. Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain.
IN  - Escot, Cristina Rodriguez. Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain.
IN  - Rodriguez, Alina Uriarte. Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain.
IN  - Zborovszky, Erika. Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain.
IN  - Perez, Juan Ocampo. Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain.
TI  - Comparative study on the prognosis of critical ill patients transferred from another island compared to those patients transferred from emergency department to intensive care unit.
SO  - International Journal of Critical Illness and Injury Science. 5(2):85-8, 2015 Apr-Jun
AS  - Int J Crit Illn Inj Sci. 5(2):85-8, 2015 Apr-Jun
NJ  - International journal of critical illness and injury science
VO  - 5
IP  - 2
PG  - 85-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101571136
IO  - Int J Crit Illn Inj Sci
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477401
CP  - India
KW  - Accessibility;  critically ill;  health services;  intensive care;  prognosis
AB  - OBJECTIVE: To compare outcomes of critically ill patients transferred from another island compared to those patients with direct admission from Emergency Department to intensive care unit (ICU).
AB  - PATIENTS AND METHODS: Retrospective study of prospectively collected data during 8 years. The population studied was all critical adult patients transferred from another island to our hospital and those directly admitted from the Emergency Department. Variables were age, sex, clinical diagnosis (coronary, medical, surgical, or trauma), acute physiology and chronic health evaluation (APACHE) II score at admission, ICU days of stay, days of mechanical ventilation and ICU mortality.
AB  - RESULTS: During the period of study, 3,115 patients coming from Emergency Department (Group 1) were admitted to our ICU and 138 were transferred from another island (Group 2). No significant statistically differences were found between both groups neither age, sex, APACHE II, ICU days, days of mechanical ventilation, and mortality rate (17.5% versus 20.3%, P = 0.43). The multivariate analysis showed that age, APACHE II score, ICU days of stay, type of patient, and days of mechanical ventilation were independent variables associated with mortality.
AB  - CONCLUSIONS: No differences were found in the global prognosis of the admitted patients transferred from another island compared to those who were admitted directly from the Emergency Department. There is no impact on mortality in transferring a patient in our study population.
IS  - 2229-5151
IL  - 2229-5151
DO  - https://dx.doi.org/10.4103/2229-5151.158393
PT  - Journal Article
ID  - 10.4103/2229-5151.158393 [doi]
ID  - IJCIIS-5-85 [pii]
ID  - PMC4477401 [pmc]
PP  - ppublish
LG  - English
DP  - 2015 Apr-Jun
EZ  - 2015/07/15 06:00
DA  - 2015/07/15 06:01
DT  - 2015/07/10 06:00
YR  - 2015
ED  - 20150709
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26157650

<160. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24045408
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Disher J
AU  - Burgum A
AU  - Desai A
AU  - Fallon C
AU  - Hart PL
AU  - Aduddell K
FA  - Disher, Jocelyn
FA  - Burgum, Angela
FA  - Desai, Anisha
FA  - Fallon, Cynthia
FA  - Hart, Patricia L
FA  - Aduddell, Kathie
IN  - Disher, Jocelyn. Jocelyn Disher, MSN RN, is Nurse Educator for Preventive Cardiology, Saint Joseph's Hospital, Atlanta, Georgia. Angela Burgum, RN, is Critical Care Float Nurse specializing in Cardiovascular ICU, Saint Joseph's Hospital, Atlanta, Georgia. Anisha Desai, BSN, RN, is Unit Nurse Educator for a Cardiovascular Step-down unit, Saint Joseph's Hospital, Atlanta, Georgia. Cynthia Fallon, BSN, RN, ONC, is Shift Nurse Manager for Outpatient Infusion, Saint Joseph's Hospital, Atlanta, Georgia. Patricia L. Hart, PhD, RN, is Assistant Professor of Nursing at Kennesaw State University, Georgia. Kathie Aduddell, EdD, RN, is Associate Professor of Nursing at Kennesaw State University, Georgia.
TI  - The effect of unit-based simulation on nurses' identification of deteriorating patients.
SO  - Journal for Nurses in Professional Development. 30(1):21-8, 2014 Jan-Feb
AS  - J. nurses prof. dev.. 30(1):21-8, 2014 Jan-Feb
NJ  - Journal for nurses in professional development
VO  - 30
IP  - 1
PG  - 21-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101603887
IO  - J Nurses Prof Dev
SB  - Nursing Journal
CP  - United States
MH  - Clinical Competence
MH  - Disease Progression
MH  - *Hospital Rapid Response Team
MH  - Humans
MH  - Intensive Care Units
MH  - *Manikins
MH  - *Nursing Assessment
MH  - *Patient Transfer
MH  - Pilot Projects
MH  - *Pulmonary Disease, Chronic Obstructive/nu [Nursing]
MH  - *Pulmonary Disease, Chronic Obstructive/pp [Physiopathology]
MH  - *Respiratory Insufficiency/nu [Nursing]
MH  - *Respiratory Insufficiency/pp [Physiopathology]
MH  - Surveys and Questionnaires
AB  - Patients are admitted to healthcare organizations with multiple, complex conditions that can lead to acute deterioration events. It is imperative that nurses are adequately trained to recognize and respond appropriately to these events to ensure positive patient outcomes. The purpose of this pilot research study was to examine the effects of a unit-based, high-fidelity simulation initiative on cardiovascular step-down unit registered nurses' identification and management of deteriorating patients.
ES  - 2169-981X
IL  - 2169-9798
DO  - https://dx.doi.org/10.1097/NND.0b013e31829e6c83
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/NND.0b013e31829e6c83 [doi]
PP  - ppublish
LG  - English
DP  - 2014 Jan-Feb
EZ  - 2013/09/21 06:00
DA  - 2015/07/07 06:00
DT  - 2013/09/19 06:00
YR  - 2014
ED  - 20150706
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24045408

<161. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25684087
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Akula VP
AU  - Joe P
AU  - Thusu K
AU  - Davis AS
AU  - Tamaresis JS
AU  - Kim S
AU  - Shimotake TK
AU  - Butler S
AU  - Honold J
AU  - Kuzniewicz M
AU  - DeSandre G
AU  - Bennett M
AU  - Gould J
AU  - Wallenstein MB
AU  - Van Meurs K
FA  - Akula, Vishnu Priya
FA  - Joe, Priscilla
FA  - Thusu, Kajori
FA  - Davis, Alexis S
FA  - Tamaresis, John S
FA  - Kim, Sunhwa
FA  - Shimotake, Thomas K
FA  - Butler, Stephen
FA  - Honold, Jose
FA  - Kuzniewicz, Michael
FA  - DeSandre, Glenn
FA  - Bennett, Mihoko
FA  - Gould, Jeffrey
FA  - Wallenstein, Matthew B
FA  - Van Meurs, Krisa
IN  - Akula, Vishnu Priya. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital Stanford, Palo Alto, CA.
IN  - Joe, Priscilla. Division of Neonatology, Children's Hospital and Research Center, Oakland, CA.
IN  - Thusu, Kajori. Division of Neonatology, Children's Hospital Central California, Madera, CA.
IN  - Davis, Alexis S. Pediatrix Medical Group, San Jose, CA.
IN  - Tamaresis, John S. Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA.
IN  - Kim, Sunhwa. Division of Neonatology, Loma Linda University Children's Hospital, Loma Linda, CA.
IN  - Shimotake, Thomas K. Division of Neonatology, University of California San Francisco (UCSF) Medical Center, San Francisco, CA.
IN  - Butler, Stephen. Division of Neonatology, Sutter Medical Center, Sacramento, CA.
IN  - Honold, Jose. Division of Neonatology, Rady Children's Hospital, San Diego, CA.
IN  - Kuzniewicz, Michael. Division of Neonatology, Kaiser Permanente, Oakland, CA.
IN  - DeSandre, Glenn. Division of Neonatology, Santa Clara Valley Medical Center, San Jose, CA.
IN  - Bennett, Mihoko. California Perinatal Quality Care Collaborative (CPQCC), Palo Alto, CA.
IN  - Gould, Jeffrey. 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.
IN  - Wallenstein, Matthew B. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital Stanford, Palo Alto, CA.
IN  - Van Meurs, Krisa. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital Stanford, Palo Alto, CA.
TI  - A randomized clinical trial of therapeutic hypothermia mode during transport for neonatal encephalopathy.
SO  - Journal of Pediatrics. 166(4):856-61.e1-2, 2015 Apr
AS  - J Pediatr. 166(4):856-61.e1-2, 2015 Apr
NJ  - The Journal of pediatrics
VO  - 166
IP  - 4
PG  - 856-61.e1-2
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jlz, 0375410
IO  - J. Pediatr.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Asphyxia Neonatorum/co [Complications]
MH  - Asphyxia Neonatorum/th [Therapy]
MH  - *Body Temperature/ph [Physiology]
MH  - Brain Diseases/et [Etiology]
MH  - *Brain Diseases/th [Therapy]
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - *Hypothermia, Induced/mt [Methods]
MH  - Infant, Newborn
MH  - *Infant, Newborn, Diseases/th [Therapy]
MH  - *Intensive Care Units, Neonatal
MH  - Male
MH  - Prognosis
MH  - *Transportation of Patients/mt [Methods]
AB  - OBJECTIVE: To determine if temperature regulation is improved during neonatal transport using a servo-regulated cooling device when compared with standard practice.
AB  - STUDY DESIGN: We performed a multicenter, randomized, nonmasked clinical trial in newborns with neonatal encephalopathy cooled during transport to 9 neonatal intensive care units in California. Newborns who met institutional criteria for therapeutic hypothermia were randomly assigned to receive cooling according to usual center practices vs device servo-regulated cooling. The primary outcome was the percentage of temperatures in target range (33degree-34degreeC) during transport. Secondary outcomes included percentage of newborns reaching target temperature any time during transport, time to target temperature, and percentage of newborns in target range 1 hour after cooling initiation.
AB  - RESULTS: One hundred newborns were enrolled: 49 to control arm and 51 to device arm. Baseline demographics did not differ with the exception of cord pH. For each subject, the percentage of temperatures in the target range was calculated. Infants cooled using the device had a higher percentage of temperatures in target range compared with control infants (median 73% [IQR 17-88] vs 0% [IQR 0-52], P < .001). More subjects reached target temperature during transport using the servo-regulated device (80% vs 49%, P <.001), and in a shorter time period (44 +/- 31 minutes vs 63 +/- 37 minutes, P = .04). Device-cooled infants reached target temperature by 1 hour with greater frequency than control infants (71% vs 20%, P < .001).
AB  - CONCLUSIONS: Cooling using a servo-regulated device provides more predictable temperature management during neonatal transport than does usual care for outborn newborns with neonatal encephalopathy.

Copyright © 2015 Elsevier Inc. All rights reserved.
ES  - 1097-6833
IL  - 0022-3476
DI  - S0022-3476(14)01230-X
DO  - https://dx.doi.org/10.1016/j.jpeds.2014.12.061
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
ID  - S0022-3476(14)01230-X [pii]
ID  - 10.1016/j.jpeds.2014.12.061 [doi]
PP  - ppublish
PH  - 2014/06/02 [received]
PH  - 2014/10/31 [revised]
PH  - 2014/12/19 [accepted]
SI  - ClinicalTrials.gov
SA  - ClinicalTrials.gov/NCT01683383
SL  - https://clinicaltrials.gov/search/term=NCT01683383
GI  - No: UL1 RR025744
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: UL1 TR000093
Organization: (TR) *NCATS NIH HHS*
Country: United States
LG  - English
EP  - 20150212
DP  - 2015 Apr
EZ  - 2015/02/17 06:00
DA  - 2015/07/03 06:00
DT  - 2015/02/17 06:00
YR  - 2015
ED  - 20150702
RD  - 20150330
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25684087

<162. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25361840
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Monk A
AU  - Tracy M
AU  - Foureur M
AU  - Grigg C
AU  - Tracy S
FA  - Monk, Amy
FA  - Tracy, Mark
FA  - Foureur, Maralyn
FA  - Grigg, Celia
FA  - Tracy, Sally
IN  - Monk, Amy. Faculty of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia.
IN  - Tracy, Mark. Centre for Newborn Care, Westmead Hospital and The University of Sydney, Sydney, New South Wales, Australia.
IN  - Foureur, Maralyn. Centre for Midwifery, Child and Family Health, Faculty of Health, The University of Technology Sydney, Sydney, Australia.
IN  - Grigg, Celia. Faculty of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia.
IN  - Tracy, Sally. Centre for Midwifery & Women's Health Nursing Research Unit, The Royal Hospital for Women and the University of Sydney, Sydney, Australia.
TI  - Evaluating Midwifery Units (EMU): a prospective cohort study of freestanding midwifery units in New South Wales, Australia.
SO  - BMJ Open. 4(10):e006252, 2014 Oct 31
AS  - BMJ Open. 4(10):e006252, 2014 Oct 31
NJ  - BMJ open
VO  - 4
IP  - 10
PG  - e006252
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 101552874
IO  - BMJ Open
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216868
SB  - Index Medicus
CP  - England
MH  - Adult
MH  - Apgar Score
MH  - *Birthing Centers
MH  - Cesarean Section/sn [Statistics & Numerical Data]
MH  - Cohort Studies
MH  - Delivery Rooms
MH  - *Delivery, Obstetric/sn [Statistics & Numerical Data]
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - Labor, Induced/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Midwifery/sn [Statistics & Numerical Data]
MH  - New South Wales
MH  - Outcome Assessment (Health Care)
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - Prospective Studies
KW  - Birthing centres, free-standing;  Cohort studies;  Delivery room;  Midwifery;  OBSTETRICS;  Pregnancy
AB  - OBJECTIVE: To compare maternal and neonatal birth outcomes and morbidities associated with the intention to give birth in two freestanding midwifery units and two tertiary-level maternity units in New South Wales, Australia.
AB  - DESIGN: Prospective cohort study.
AB  - PARTICIPANTS: 494 women who intended to give birth at freestanding midwifery units and 3157 women who intended to give birth at tertiary-level maternity units. Participants had low risk, singleton pregnancies and were at less than 28(+0) weeks gestation at the time of booking.
AB  - PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes were mode of birth, Apgar score of less than 7 at 5 min and admission to the neonatal intensive care unit or special care nursery. Secondary outcomes were onset of labour, analgesia, blood loss, management of third stage of labour, perineal trauma, transfer, neonatal resuscitation, breastfeeding, gestational age at birth, birth weight, severe morbidity and mortality.
AB  - RESULTS: Women who planned to give birth at a freestanding midwifery unit were significantly more likely to have a spontaneous vaginal birth (AOR 1.57; 95% CI 1.20 to 2.06) and significantly less likely to have a caesarean section (AOR 0.65; 95% CI 0.48 to 0.88). There was no significant difference in the AOR of 5 min Apgar scores, however, babies from the freestanding midwifery unit group were significantly less likely to be admitted to neonatal intensive care or special care nursery (AOR 0.60; 95% CI 0.39 to 0.91). Analysis of secondary outcomes indicated that planning to give birth in a freestanding midwifery unit was associated with similar or reduced odds of intrapartum interventions and similar or improved odds of indicators of neonatal well-being.
AB  - CONCLUSIONS: The results of this study support the provision of care in freestanding midwifery units as an alternative to tertiary-level maternity units for women with low risk pregnancies at the time of booking.

Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
ES  - 2044-6055
IL  - 2044-6055
DO  - https://dx.doi.org/10.1136/bmjopen-2014-006252
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - bmjopen-2014-006252 [pii]
ID  - 10.1136/bmjopen-2014-006252 [doi]
ID  - PMC4216868 [pmc]
PP  - epublish
LG  - English
EP  - 20141031
DP  - 2014 Oct 31
EZ  - 2014/11/02 06:00
DA  - 2015/07/01 06:00
DT  - 2014/11/02 06:00
YR  - 2014
ED  - 20150630
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25361840

<163. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23925447
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sagoschen I
FA  - Sagoschen, I
IN  - Sagoschen, I. Giftinformationszentrum der Lander Rheinland-Pfalz und Hessen, Universitatsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland, sagosche@uni-mainz.de.
TI  - [Dermal and inhalation poisoning. Rare guests in our intensive care units?]. [Review] [German]
OT  - Dermale und inhalative Intoxikationen. Seltene Gaste auf unseren Intensivstationen?
SO  - Medizinische Klinik, Intensivmedizin Und Notfallmedizin. 108(6):476-83, 2013 Sep
AS  - Med Klin Intensivmed Notfmed. 108(6):476-83, 2013 Sep
NJ  - Medizinische Klinik, Intensivmedizin und Notfallmedizin
VO  - 108
IP  - 6
PG  - 476-83
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101575086
IO  - Med Klin Intensivmed Notfmed
SB  - Index Medicus
CP  - Germany
MH  - Accidents, Occupational
MH  - Angiography
MH  - Burn Units
MH  - *Burns, Chemical/di [Diagnosis]
MH  - *Burns, Chemical/th [Therapy]
MH  - *Carbon Monoxide Poisoning/di [Diagnosis]
MH  - *Carbon Monoxide Poisoning/th [Therapy]
MH  - Diagnosis, Differential
MH  - Dose-Response Relationship, Drug
MH  - Extremities/bs [Blood Supply]
MH  - *Fluoride Poisoning/di [Diagnosis]
MH  - *Fluoride Poisoning/th [Therapy]
MH  - Humans
MH  - *Hydrofluoric Acid/po [Poisoning]
MH  - Hyperbaric Oxygenation
MH  - *Intensive Care Units
MH  - Patient Transfer
MH  - *Smoke Inhalation Injury/di [Diagnosis]
MH  - *Smoke Inhalation Injury/th [Therapy]
MH  - Vasoconstriction/de [Drug Effects]
AB  - Patients with dermal and inhalation poisoning are uncommon in intensive care treatment. We describe the diagnostics and specific toxicological treatment of patients with hydrofluoric acid burns. For inhalation poisoning, we focus on smoke inhalation, especially the management of cyanide and carbon monoxide poisoning. Special attention is given to the use of hyperbaric oxygenation for the treatment of carbon monoxide poisoning.
RN  - RGL5YE86CZ (Hydrofluoric Acid)
ES  - 2193-6226
IL  - 2193-6218
DO  - https://dx.doi.org/10.1007/s00063-013-0220-8
PT  - English Abstract
PT  - Journal Article
PT  - Review
ID  - 10.1007/s00063-013-0220-8 [doi]
PP  - ppublish
PH  - 2013/06/14 [received]
PH  - 2013/07/01 [accepted]
LG  - German
EP  - 20130809
DP  - 2013 Sep
EZ  - 2013/08/09 06:00
DA  - 2015/06/26 06:00
DT  - 2013/08/09 06:00
YR  - 2013
ED  - 20150625
RD  - 20170916
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23925447

<164. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25162239
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Siemers F
AU  - Fanghanel S
AU  - Bergmann PA
AU  - Tamouridis G
AU  - Stuttmann R
AU  - Stolze B
AU  - Hofmann GO
FA  - Siemers, F
FA  - Fanghanel, S
FA  - Bergmann, P A
FA  - Tamouridis, G
FA  - Stuttmann, R
FA  - Stolze, B
FA  - Hofmann, G O
IN  - Siemers, F. Plastische- und Handchirurgie/Brandverletztenzentrum, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale).
IN  - Fanghanel, S. Stabsstelle Krankenhaushygiene, BG Kliniken Bergmannstrost Halle/Saale, Halle/Saale.
IN  - Bergmann, P A. Plastische- und Handchirurgie/Brandverletztenzentrum, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale).
IN  - Tamouridis, G. Plastische- und Handchirurgie/Brandverletztenzentrum, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale).
IN  - Stuttmann, R. Klinik fur Anasthesiologie, Intensiv- und Notfallmedizin, BG Kliniken Bergmannstrost Halle/Saale, Halle/Saale.
IN  - Stolze, B. Plastische- und Handchirurgie/Brandverletztenzentrum, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale).
IN  - Hofmann, G O. Klinik fur Unfall- und Wiederherstellungschrurgie, BG Kliniken Bergmannstrost Halle/Saale, Halle/Saale.
TI  - [Management of a 4MRGN Acinetobacter baumanii outbreak in a burn unit]. [German]
OT  - Management eines Ausbruches mit 4 MRGN Acinetobacter baumannii in einem Brandverletzten-zentrum.
SO  - Handchirurgie, Mikrochirurgie, Plastische Chirurgie. 46(4):214-23, 2014 Aug
AS  - Handchir Mikrochir Plast Chir. 46(4):214-23, 2014 Aug
NJ  - Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...
VO  - 46
IP  - 4
PG  - 214-23
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - fy6, 8302815
IO  - Handchir Mikrochir Plast Chir
SB  - Index Medicus
CP  - Germany
MH  - *Acinetobacter Infections/dt [Drug Therapy]
MH  - Acinetobacter Infections/mo [Mortality]
MH  - *Acinetobacter Infections/pc [Prevention & Control]
MH  - *Acinetobacter baumannii/de [Drug Effects]
MH  - *Burn Units
MH  - Burns/co [Complications]
MH  - Burns/mo [Mortality]
MH  - Burns/su [Surgery]
MH  - Cause of Death
MH  - *Cross Infection/dt [Drug Therapy]
MH  - Cross Infection/mo [Mortality]
MH  - *Cross Infection/pc [Prevention & Control]
MH  - Disinfection/mt [Methods]
MH  - *Drug Resistance, Multiple, Bacterial
MH  - Female
MH  - Germany
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Opportunistic Infections/dt [Drug Therapy]
MH  - Opportunistic Infections/mo [Mortality]
MH  - Opportunistic Infections/pc [Prevention & Control]
MH  - Patient Transfer
MH  - Postoperative Complications/dt [Drug Therapy]
MH  - Postoperative Complications/mo [Mortality]
MH  - Postoperative Complications/pc [Prevention & Control]
MH  - Rehabilitation Centers
AB  - Patients with 4MRGN Acinetobacter baumanii infections in a burn unit represent great challenge. The structured management with 7 involved patients in such a situation is presented. After discovering the infectious trigger a management team is established. An immediate stop for further admissions was announced and all infected room areas and medical equipment were analysed for infection foci. The infected patients were transferred to regional hospitals or a rehabiltation hospital after finishing all surgical procedures. In one case, for whom further operations were needed, a transfer to a separated area of the intermediate care unit (IMC) within the hospital was arranged. The performed analysis of infection foci indicated a bronchoscopy tower to be the infection source. The outbreak was terminated after transferring all patients, final disinfection and subsequent nebulisation with 5-6% hydrogen peroxide within 18 days. 

Copyright © Georg Thieme Verlag KG Stuttgart . New York.
ES  - 1439-3980
IL  - 0722-1819
DO  - https://dx.doi.org/10.1055/s-0034-1372626
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
ID  - 10.1055/s-0034-1372626 [doi]
PP  - ppublish
LG  - German
EP  - 20140827
DP  - 2014 Aug
EZ  - 2014/08/28 06:00
DA  - 2015/06/19 06:00
DT  - 2014/08/28 06:00
YR  - 2014
ED  - 20150618
RD  - 20140828
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25162239

<165. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25124977
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kong XY
AU  - Liu XX
AU  - Hong XY
AU  - Liu J
AU  - Li QP
AU  - Feng ZC
FA  - Kong, Xiang-Yong
FA  - Liu, Xiu-Xiang
FA  - Hong, Xiao-Yang
FA  - Liu, Jing
FA  - Li, Qiu-Ping
FA  - Feng, Zhi-Chun
IN  - Kong, Xiang-Yong. Newborn Care Center, Bayi Children's Hospital, the Military General Hospital of Beijing, the People's Liberation Army, Beijing, 100700, China.
TI  - Improved outcomes of transported neonates in Beijing: the impact of strategic changes in perinatal and regional neonatal transport network services.
SO  - World Journal of Pediatrics. 10(3):251-5, 2014 Aug
AS  - World J Pediatr. 10(3):251-5, 2014 Aug
NJ  - World journal of pediatrics : WJP
VO  - 10
IP  - 3
PG  - 251-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101278599
IO  - World J Pediatr
SB  - Index Medicus
CP  - Switzerland
MH  - *Child Health Services/og [Organization & Administration]
MH  - China
MH  - Female
MH  - Health Surveys
MH  - Hospitals, University
MH  - Humans
MH  - Hypothermia/mo [Mortality]
MH  - Hypothermia/th [Therapy]
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/mo [Mortality]
MH  - *Infant, Newborn, Diseases/th [Therapy]
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Intensive Care Units, Neonatal
MH  - Outcome Assessment (Health Care)
MH  - Pregnancy
MH  - Prospective Studies
MH  - Rewarming/mo [Mortality]
MH  - Survival Analysis
MH  - *Transportation of Patients/st [Standards]
MH  - Treatment Outcome
AB  - BACKGROUND: Infants born outside perinatal centers may have compromised outcomes due to the transfer speed and efficiency to an appropriate tertiary center. This study aimed to evaluate the impact of regional coordinated changes in perinatal supports and retrieval services on the outcome of transported neonates in Beijing, China.
AB  - METHODS: Information about transported newborns between phase 1 (July 1, 2004 to June 30, 2006) and phase 2 (July 1, 2007 to June 30, 2009) was collected. The strategic changes during phase 2 included standardized neonatal transport procedures, skilled attendants, a perinatal consulting service, and preferential admission of transported neonates to the intensive care unit of the tertiary care center. Data from phase 2 (after-strategic changes) were compared with those of phase 1 (the period of pre-strategic changes) after a 12-month washout period, especially regarding the reduction in mortality and selected morbidity.
AB  - RESULTS: There was a large increase in the number of transported infants in phase 2 compared with phase 1 (2797 vs. 567 patients). The average monthly rate of increase of transported infants was 383.3% (from 24 infants per month to 116 infants per month). The mortality rate of transported neonates reduced significantly from phase 1 to phase 2 (5.11% vs. 2.82%; P=0.005), particularly for preterm infants (8.47% vs. 4.34%; P=0.006). In addition, transported neonates during phase 2 had significantly decreased morbidities.
AB  - CONCLUSIONS: Regional coordinated strategies optimizing the perinatal services and transport of outborn sick and preterm infants to tertiary care centers improved survival outcomes considerably. These findings have vital implications for health outcomes and resource planning.
ES  - 1867-0687
DO  - https://dx.doi.org/10.1007/s12519-014-0501-1
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1007/s12519-014-0501-1 [doi]
PP  - ppublish
PH  - 2013/06/20 [received]
PH  - 2013/10/11 [accepted]
LG  - English
EP  - 20140815
DP  - 2014 Aug
EZ  - 2014/08/16 06:00
DA  - 2015/06/03 06:00
DT  - 2014/08/16 06:00
YR  - 2014
ED  - 20150602
RD  - 20171110
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25124977

<166. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25607765
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stock CT
AU  - Sundt T
FA  - Stock, Cameron T
FA  - Sundt, Thoralf
IN  - Stock, Cameron T. Divisions of *Surgery-Thoracic and +Cardiac Surgery, Massachusetts General Hospital, Boston, MA.
TI  - Timeout for checklists?.
SO  - Annals of Surgery. 261(5):841-2, 2015 May
AS  - Ann Surg. 261(5):841-2, 2015 May
NJ  - Annals of surgery
VO  - 261
IP  - 5
PG  - 841-2
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 67s, 0372354
IO  - Ann. Surg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Checklist
MH  - Humans
MH  - Intensive Care Units
MH  - Operating Rooms
MH  - *Patient Transfer
MH  - *Postoperative Care/mt [Methods]
MH  - *Postoperative Care/st [Standards]
MH  - *Postoperative Complications/pc [Prevention & Control]
ES  - 1528-1140
IL  - 0003-4932
DO  - https://dx.doi.org/10.1097/SLA.0000000000001141
PT  - Journal Article
ID  - 10.1097/SLA.0000000000001141 [doi]
PP  - ppublish
LG  - English
DP  - 2015 May
EZ  - 2015/01/22 06:00
DA  - 2015/06/02 06:00
DT  - 2015/01/22 06:00
YR  - 2015
ED  - 20150601
RD  - 20150404
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25607765

<167. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25160159
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Abedian S
AU  - Kazemi H
AU  - Riazi H
AU  - Bitaraf E
FA  - Abedian, S
FA  - Kazemi, H
FA  - Riazi, H
FA  - Bitaraf, E
IN  - Abedian, S. Statistics & Information Technology Office, Ministry of Health & Medical Education, I.R. Iran.
IN  - Kazemi, H. Statistics & Information Technology Office, Ministry of Health & Medical Education, I.R. Iran.
IN  - Riazi, H. Statistics & Information Technology Office, Ministry of Health & Medical Education, I.R. Iran.
IN  - Bitaraf, E. Statistics & Information Technology Office, Ministry of Health & Medical Education, I.R. Iran.
TI  - Cross hospital bed management system.
SO  - Studies in Health Technology & Informatics. 205:126-30, 2014
AS  - Stud Health Technol Inform. 205:126-30, 2014
NJ  - Studies in health technology and informatics
VO  - 205
PG  - 126-30
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ck1, 9214582
IO  - Stud Health Technol Inform
SB  - Health Technology Assessment Journals
CP  - Netherlands
MH  - *Bed Occupancy/mt [Methods]
MH  - *Electronic Health Records/og [Organization & Administration]
MH  - *Health Care Rationing/og [Organization & Administration]
MH  - Hospital Bed Capacity
MH  - *Hospital Communication Systems/og [Organization & Administration]
MH  - *Hospital Information Systems/og [Organization & Administration]
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Systems Integration
AB  - The lack of adequate numbers of hospital beds to accommodate the injured is a main problem in public hospitals. For control of occupancy of bed, we design a dynamic system that announces status of bed when it change with admission or discharge of a patient. This system provide a wide network in country for bed management, especially for ICU and CCU beds that help us to distribute injured patient in the hospitals.
IS  - 0926-9630
IL  - 0926-9630
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2014
EZ  - 2014/08/28 06:00
DA  - 2015/05/16 06:00
DT  - 2014/08/28 06:00
YR  - 2014
ED  - 20150515
RD  - 20140827
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25160159

<168. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24957974
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pomprapa A
AU  - Schwaiberger D
AU  - Pickerodt P
AU  - Tjarks O
AU  - Lachmann B
AU  - Leonhardt S
FA  - Pomprapa, Anake
FA  - Schwaiberger, David
FA  - Pickerodt, Philipp
FA  - Tjarks, Onno
FA  - Lachmann, Burkhard
FA  - Leonhardt, Steffen
TI  - Automatic protective ventilation using the ARDSNet protocol with the additional monitoring of electrical impedance tomography.
SO  - Critical Care (London, England). 18(3):R128, 2014 Jun 23
AS  - Crit Care. 18(3):R128, 2014 Jun 23
NJ  - Critical care (London, England)
VO  - 18
IP  - 3
PG  - R128
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 9801902
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230798
SB  - Index Medicus
CP  - England
MH  - Animals
MH  - Carbon Dioxide/bl [Blood]
MH  - Electric Impedance
MH  - Female
MH  - Hydrogen-Ion Concentration
MH  - Male
MH  - *Monitoring, Physiologic/mt [Methods]
MH  - Oxygen/bl [Blood]
MH  - Pilot Projects
MH  - *Positive-Pressure Respiration/mt [Methods]
MH  - Pulmonary Ventilation
MH  - Respiratory Distress Syndrome, Adult/pp [Physiopathology]
MH  - *Respiratory Distress Syndrome, Adult/th [Therapy]
MH  - Swine
MH  - Tidal Volume
MH  - *Tomography/mt [Methods]
AB  - INTRODUCTION: Automatic ventilation for patients with respiratory failure aims at reducing mortality and can minimize the workload of clinical staff, offer standardized continuous care, and ultimately save the overall cost of therapy. We therefore developed a prototype for closed-loop ventilation using acute respiratory distress syndrome network (ARDSNet) protocol, called autoARDSNet.
AB  - METHODS: A protocol-driven ventilation using goal-oriented structural programming was implemented and used for 4 hours in seven pigs with lavage-induced acute respiratory distress syndrome (ARDS). Oxygenation, plateau pressure and pH goals were controlled during the automatic ventilation therapy using autoARDSNet. Monitoring included standard respiratory, arterial blood gas analysis and electrical impedance tomography (EIT) images. After 2-hour automatic ventilation, a disconnection of the animal from the ventilator was carried out for 10 seconds, simulating a frequent clinical scenario for routine clinical care or intra-hospital transport.
AB  - RESULTS: This pilot study of seven pigs showed stable and robust response for oxygenation, plateau pressure and pH value using the automated system. A 10-second disconnection at the patient-ventilator interface caused impaired oxygenation and severe acidosis. However, the automated protocol-driven ventilation was able to solve these problems. Additionally, regional ventilation was monitored by EIT for the evaluation of ventilation in real-time at bedside with one prominent case of pneumothorax.
AB  - CONCLUSIONS: We implemented an automatic ventilation therapy using ARDSNet protocol with seven pigs. All positive outcomes were obtained by the closed-loop ventilation therapy, which can offer a continuous standard protocol-driven algorithm to ARDS subjects.
RN  - 142M471B3J (Carbon Dioxide)
RN  - S88TT14065 (Oxygen)
ES  - 1466-609X
IL  - 1364-8535
DO  - https://dx.doi.org/10.1186/cc13937
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - cc13937 [pii]
ID  - 10.1186/cc13937 [doi]
ID  - PMC4230798 [pmc]
PP  - epublish
PH  - 2014/01/14 [received]
PH  - 2014/06/05 [accepted]
LG  - English
EP  - 20140623
DP  - 2014 Jun 23
EZ  - 2014/06/25 06:00
DA  - 2015/05/15 06:00
DT  - 2014/06/25 06:00
YR  - 2014
ED  - 20150514
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24957974

<169. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24267483
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Goldberg SA
AU  - Leatham A
AU  - Pepe PE
FA  - Goldberg, Scott A
FA  - Leatham, Auna
FA  - Pepe, Paul E
TI  - Year in review 2012: Critical Care--Out-of-hospital cardiac arrest and trauma.
SO  - Critical Care (London, England). 17(6):248, 2013 Nov 22
AS  - Crit Care. 17(6):248, 2013 Nov 22
NJ  - Critical care (London, England)
VO  - 17
IP  - 6
PG  - 248
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 9801902
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059384
SB  - Index Medicus
CP  - England
MH  - Age Factors
MH  - Cardiopulmonary Resuscitation/is [Instrumentation]
MH  - *Critical Care
MH  - *Emergency Medical Services
MH  - Fluid Therapy
MH  - Humans
MH  - Hypothermia/co [Complications]
MH  - Intubation, Intratracheal
MH  - Obesity/co [Complications]
MH  - Out-of-Hospital Cardiac Arrest/mo [Mortality]
MH  - *Out-of-Hospital Cardiac Arrest/th [Therapy]
MH  - Shock/et [Etiology]
MH  - Shock/th [Therapy]
MH  - Transportation of Patients/mt [Methods]
MH  - Wounds and Injuries/co [Complications]
MH  - *Wounds and Injuries/th [Therapy]
AB  - In 2012 Critical Care published many articles pertaining to the resuscitation of out-of-hospital cardiac arrest and trauma. In this review, we summarize several of these articles, including those regarding advances in resuscitation techniques and methods. We examine articles pertaining to prehospital endotracheal intubation, the use of specialized devices for cardiopulmonary resuscitation and policies regarding transport destinations for both cardiac arrest and trauma patients. Articles on the predictors of outcome in both pediatric and adult populations are evaluated, including articles on the effects of obesity on survival from hemorrhage and pediatric outcomes from traumatic cardiac arrest. The effects of the type and volume of resuscitation fluids for both adult and pediatric patients are discussed, as are the factors contributing to hypothermia in trauma patients.
ES  - 1466-609X
IL  - 1364-8535
DO  - https://dx.doi.org/10.1186/cc13128
PT  - Journal Article
ID  - cc13128 [pii]
ID  - 10.1186/cc13128 [doi]
ID  - PMC4059384 [pmc]
PP  - epublish
LG  - English
EP  - 20131122
DP  - 2013 Nov 22
EZ  - 2013/11/26 06:00
DA  - 2015/05/15 06:00
DT  - 2013/11/26 06:00
YR  - 2013
ED  - 20150514
RD  - 20140830
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24267483

<170. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25136751
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schierholz E
FA  - Schierholz, Elizabeth
IN  - Schierholz, Elizabeth. Rady Children's Hospital San Diego, California.
TI  - Therapeutic hypothermia on transport: providing safe and effective cooling therapy as the link between birth hospital and the neonatal intensive care unit.
SO  - Advances in Neonatal Care. 14 Suppl 5:S24-31, 2014 Oct
AS  - ADV NEONAT CARE. 14 Suppl 5:S24-31, 2014 Oct
NJ  - Advances in neonatal care : official journal of the National Association of Neonatal Nurses
VO  - 14 Suppl 5
PG  - S24-31
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101125644
IO  - Adv Neonatal Care
SB  - Index Medicus
CP  - United States
MH  - Humans
MH  - *Hypothermia, Induced/mt [Methods]
MH  - *Hypoxia-Ischemia, Brain/th [Therapy]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Transportation of Patients/mt [Methods]
AB  - Therapeutic hypothermia as a neuroprotective strategy in neonates is an established standard of care for infants with hypoxic-ischemic encephalopathy (HIE) in tertiary care neonatal intensive care units (NICUs). To maximize the neuroprotective effect in infants with HIE, hypothermia is initiated as soon as possible after birth. Many infants who would benefit from therapeutic hypothermia are not born at centers that have intensive care units or offer therapeutic hypothermia and are thus transported to a tertiary care center with a NICU, offering specialty services of therapeutic hypothermia and pediatric neurology. The neonatal transport team plays a significant role in the management of these critically ill infants. Clinical research provides data for safe and effective management of these infants during therapeutic hypothermia in the NICU; however, there are no evidence-based clinical guidelines for management before and during transport. The establishment of evidence-based guidelines for cooling before and during transport will facilitate early recognition of infants who would benefit from therapeutic hypothermia therapy, and decrease delay in initiation of therapy. Careful assessment, monitoring, and intervention by the transport team are critical to provide appropriate care and ensure safe transport of these infants.
ES  - 1536-0911
IL  - 1536-0903
DO  - https://dx.doi.org/10.1097/ANC.0000000000000121
PT  - Journal Article
ID  - 10.1097/ANC.0000000000000121 [doi]
ID  - 00149525-201410001-00005 [pii]
PP  - ppublish
LG  - English
DP  - 2014 Oct
EZ  - 2014/08/20 06:00
DA  - 2015/05/13 06:00
DT  - 2014/08/20 06:00
YR  - 2014
ED  - 20150512
RD  - 20140820
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25136751

<171. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25136750
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mullaney DM
AU  - Edwards WH
AU  - DeGrazia M
FA  - Mullaney, Dorothy M
FA  - Edwards, William H
FA  - DeGrazia, Michele
IN  - Mullaney, Dorothy M. 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).
TI  - Family-centered care during acute neonatal transport.
SO  - Advances in Neonatal Care. 14 Suppl 5:S16-23, 2014 Oct
AS  - ADV NEONAT CARE. 14 Suppl 5:S16-23, 2014 Oct
NJ  - Advances in neonatal care : official journal of the National Association of Neonatal Nurses
VO  - 14 Suppl 5
PG  - S16-23
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101125644
IO  - Adv Neonatal Care
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - *Family Nursing/mt [Methods]
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Neonatal Nursing/mt [Methods]
MH  - *Parents
MH  - *Professional-Family Relations
MH  - Quality Improvement
MH  - Surveys and Questionnaires
MH  - *Transportation of Patients/mt [Methods]
MH  - Young Adult
AB  - PURPOSE: To evaluate current transport team communication practices and identify areas for improvement from the parents' perspective. We also sought to determine whether parents perceived that they were active participants in the care of their infants during the transport process, consistent with the concepts of providing family-centered care (FCC).
AB  - SUBJECTS: Purposeful sampling of mothers and fathers (or maternally designated support person if the father was not involved) of 25 infants who were transported for acute care to a level III neonatal intensive care unit (NICU) between October 1, 2012, and September 18, 2013.
AB  - DESIGN: This quality improvement project used quantitative and qualitative analysis of a parent questionnaire.
AB  - METHODS: Mothers and fathers (or the support person) of transported infants were invited to complete a questionnaire consisting of yes/no and open-ended questions within the first 2 weeks of their infants' transport to a level III NICU. The questions were related to the communication and information parents received and their ability to participate in the transport process.
AB  - RESULTS: Twenty-seven parents completed the questionnaire. Responses to yes/no questions identified areas for improvement for the transport team. These included providing parents the opportunity to view an informational video; ensuring that mothers had the opportunity to provide colostrum or breast milk before transport; and providing an explanation to parents about their role as active participants in their infants' care. Responses to the open-ended questions indicated that approximately 40% of parents felt they had received adequate information about their infants' care during the transport and many parents (40%) cited separation from their infants as very concerning and causing distress. More than one-third (40%) of the parents specifically stated that at least 1 parent should accompany the infant during the transport. One father in this sample had been able to accompany his infant to the tertiary center.
AB  - CONCLUSIONS: The integration of FCC core concepts during an acute neonatal transport is important to parents. The orientation of parents to FCC during the transport process may facilitate communication and help them become active participants in their infants' care.
ES  - 1536-0911
IL  - 1536-0903
DO  - https://dx.doi.org/10.1097/ANC.0000000000000119
PT  - Journal Article
ID  - 10.1097/ANC.0000000000000119 [doi]
ID  - 00149525-201410001-00004 [pii]
PP  - ppublish
LG  - English
DP  - 2014 Oct
EZ  - 2014/08/20 06:00
DA  - 2015/05/13 06:00
DT  - 2014/08/20 06:00
YR  - 2014
ED  - 20150512
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25136750

<172. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24411582
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kearns RD
AU  - Holmes JH 4th
AU  - Skarote MB
AU  - Cairns CB
AU  - Strickland SC
AU  - Smith HG
AU  - Cairns BA
FA  - Kearns, Randy D
FA  - Holmes, James H 4th
FA  - Skarote, Mary Beth
FA  - Cairns, Charles B
FA  - Strickland, Samantha Cooksey
FA  - Smith, Howard G
FA  - Cairns, Bruce A
IN  - Kearns, Randy D. North Carolina Burn Disaster Program, EMS Performance Improvement Center, University of North Carolina School of Medicine, United States. Electronic address: Randy_kearns@med.unc.edu.
IN  - Holmes, James H 4th. WFBMC Burn Center, Wake Forest Baptist Health System, Wake Forest University School of Medicine, United States.
IN  - Skarote, Mary Beth. Healthcare System and Hospital Preparedness Program Coordinator, North Carolina Office of EMS, United States.
IN  - Cairns, Charles B. Department of Emergency Medicine, University of North Carolina School of Medicine, United States.
IN  - Strickland, Samantha Cooksey. ESF8 Program Manager, Bureau of Preparedness and Response, Emergency Preparedness and Community Support/Florida Department of Health, United States.
IN  - Smith, Howard G. Burn Center, Orlando Regional Medical Center, University of Central Florida College of Medicine, United States.
IN  - Cairns, Bruce A. North Carolina Jaycee Burn Center, University of North Carolina School of Medicine, United States.
TI  - Disasters; the 2010 Haitian earthquake and the evacuation of burn victims to US burn centers.
SO  - Burns. 40(6):1121-32, 2014 Sep
AS  - Burns. 40(6):1121-32, 2014 Sep
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 40
IP  - 6
PG  - 1121-32
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - *Burn Units/og [Organization & Administration]
MH  - Burns/ec [Economics]
MH  - *Burns/th [Therapy]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - *Earthquakes
MH  - Female
MH  - Haiti
MH  - Humans
MH  - International Cooperation
MH  - Male
MH  - Mass Casualty Incidents
MH  - Medicaid/ec [Economics]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Surge Capacity
MH  - United States
KW  - Burn disaster;  Burn mass casualty;  Burn surge;  Disaster plan;  EMS;  ESF-8;  Earthquake;  Florida;  Haiti;  North Carolina;  Southern Burn Disaster Plan;  US TRANSCOM
AB  - Response to the 2010 Haitian earthquake included an array of diverse yet critical actions. This paper will briefly review the evacuation of a small group of patients with burns to burn centers in the southeastern United States (US). This particular evacuation brought together for the first time plans, groups, and organizations that had previously only exercised this process. The response to the Haitian earthquake was a glimpse at what the international community working together can do to help others, and relieve suffering following a catastrophic disaster. The international response was substantial. This paper will trace one evacuation, one day for one unique group of patients with burns to burn centers in the US and review the lessons learned from this process. The patient population with burns being evacuated from Haiti was very small compared to the overall operation. Nevertheless, the outcomes included a better understanding of how a larger event could challenge the limited resources for all involved. This paper includes aspects of the patient movement, the logistics needed, and briefly discusses reimbursement for the care provided. 

Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.
ES  - 1879-1409
IL  - 0305-4179
DI  - S0305-4179(13)00440-3
DO  - https://dx.doi.org/10.1016/j.burns.2013.12.015
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
ID  - S0305-4179(13)00440-3 [pii]
ID  - 10.1016/j.burns.2013.12.015 [doi]
PP  - ppublish
PH  - 2013/05/30 [received]
PH  - 2013/12/16 [revised]
PH  - 2013/12/17 [accepted]
LG  - English
EP  - 20140108
DP  - 2014 Sep
EZ  - 2014/01/15 06:00
DA  - 2015/05/12 06:00
DT  - 2014/01/14 06:00
YR  - 2014
ED  - 20150511
RD  - 20140823
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24411582

<173. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25558851
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Patel AR
AU  - Zadravecz FJ
AU  - Young RS
AU  - Williams MV
AU  - Churpek MM
AU  - Edelson DP
FA  - Patel, Amitkumar R
FA  - Zadravecz, Frank J
FA  - Young, Robert S
FA  - Williams, Mark V
FA  - Churpek, Matthew M
FA  - Edelson, Dana P
IN  - Patel, Amitkumar R. Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
IN  - Zadravecz, Frank J. Department of Medicine, University of Chicago, Chicago, Illinois.
IN  - Young, Robert S. Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
IN  - Williams, Mark V. Center for Health Services Research, University of Kentucky, Lexington.
IN  - Churpek, Matthew M. Department of Medicine, University of Chicago, Chicago, Illinois.
IN  - Edelson, Dana P. Department of Medicine, University of Chicago, Chicago, Illinois.
TI  - The value of clinical judgment in the detection of clinical deterioration.
SO  - JAMA Internal Medicine. 175(3):456-8, 2015 Mar
AS  - JAMA Intern Med. 175(3):456-8, 2015 Mar
NJ  - JAMA internal medicine
VO  - 175
IP  - 3
PG  - 456-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101589534
IO  - JAMA Intern Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Forecasting
MH  - Heart Arrest/di [Diagnosis]
MH  - Humans
MH  - Intensive Care Units
MH  - *Patient Acuity
MH  - Patient Transfer
ES  - 2168-6114
IL  - 2168-6106
DO  - https://dx.doi.org/10.1001/jamainternmed.2014.7119
PT  - Journal Article
ID  - 2087874 [pii]
ID  - 10.1001/jamainternmed.2014.7119 [doi]
PP  - ppublish
LG  - English
DP  - 2015 Mar
EZ  - 2015/01/07 06:00
DA  - 2015/05/06 06:00
DT  - 2015/01/07 06:00
YR  - 2015
ED  - 20150504
RD  - 20151112
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25558851

<174. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25460837
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - DeFranco EA
AU  - Seske LM
AU  - Greenberg JM
AU  - Muglia LJ
FA  - DeFranco, Emily A
FA  - Seske, Laura M
FA  - Greenberg, James M
FA  - Muglia, Louis J
IN  - DeFranco, Emily A. Center for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH. Electronic address: emily.defranco@uc.edu.
IN  - Seske, Laura M. Center for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Division of Neonatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
IN  - Greenberg, James M. Center for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Division of Neonatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
IN  - Muglia, Louis J. Center for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Division of Neonatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
TI  - Influence of interpregnancy interval on neonatal morbidity.
SO  - American Journal of Obstetrics & Gynecology. 212(3):386.e1-9, 2015 Mar
AS  - Am J Obstet Gynecol. 212(3):386.e1-9, 2015 Mar
NJ  - American journal of obstetrics and gynecology
VO  - 212
IP  - 3
PG  - 386.e1-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 3ni, 0370476
IO  - Am. J. Obstet. Gynecol.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Birth Certificates
MH  - *Birth Intervals
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Newborn, Diseases/et [Etiology]
MH  - Infant, Newborn, Diseases/th [Therapy]
MH  - Intensive Care Units, Neonatal
MH  - *Intensive Care, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - Ohio
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Tertiary Care Centers
KW  - birth spacing;  birth timing;  interpregnancy interval;  neonatal morbidity
AB  - OBJECTIVE: We sought to assess the influence of birth spacing on neonatal morbidity, stratified by gestational age at birth.
AB  - STUDY DESIGN: This was a population-based retrospective cohort study using Ohio birth records, 2006 through 2011. We compared various interpregnancy interval (IPI) lengths in multiparous mothers with the rate and risk of adverse newborn outcomes. The frequency of neonatal intensive care unit admission or neonatal transport to a tertiary care facility was calculated for births occurring after IPI lengths: <6, 6 to <12, 12 to <24, 24 to <60, and >=60 months, and stratified by week of gestational age. Neonatal morbidity risk was calculated for each IPI compared to 12 to <24 months (referent), and adjusted for the concomitant influences gestational age at birth, maternal race, age, and prior preterm birth.
AB  - RESULTS: We analyzed 395,146 birth outcomes of singleton nonanomalous neonates born to multiparous mothers. The frequency and adjusted odds of neonatal morbidity were lowest following IPI of 12 to <24 months (4.1%) compared to short IPIs of <6 months (5.7%; adjusted odds ratio [adjOR], 1.40; 95% confidence interval [CI], 1.32-1.49) and 6 to <12 months (4.7%; adjOR, 1.19; 95% CI, 1.13-1.25), and long IPIs 24 to <60 months (4.6%; adjOR, 1.12; 95% CI, 1.08-1.17) and >=60 months (5.8%; adjOR, 1.34; 95% CI, 1.28-1.40), despite adjustment for important confounding factors including gestational age at birth. The lowest frequency of adverse neonatal outcomes occurred at 40-41 weeks for all IPI groups. The frequency of other individual immediate newborn morbidities were also increased following short and long IPIs compared to birth following a 12- to <24-month IPI.
AB  - CONCLUSION: IPI length is a significant contributor to neonatal morbidity, independent of gestational age at birth. Counseling women to plan an optimal amount of time between pregnancies is important for newborn health.

Copyright © 2015 Elsevier Inc. All rights reserved.
ES  - 1097-6868
IL  - 0002-9378
DI  - S0002-9378(14)02236-4
DO  - https://dx.doi.org/10.1016/j.ajog.2014.11.017
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0002-9378(14)02236-4 [pii]
ID  - 10.1016/j.ajog.2014.11.017 [doi]
PP  - ppublish
PH  - 2014/07/30 [received]
PH  - 2014/10/19 [revised]
PH  - 2014/11/11 [accepted]
GI  - No: UL1 TR000077
Organization: (TR) *NCATS NIH HHS*
Country: United States

GI  - No: UL1 TR001425
Organization: (TR) *NCATS NIH HHS*
Country: United States
LG  - English
EP  - 20141115
DP  - 2015 Mar
EZ  - 2014/12/03 06:00
DA  - 2015/04/29 06:00
DT  - 2014/12/03 06:00
YR  - 2015
ED  - 20150427
RD  - 20170111
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25460837

<175. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24138658
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Squires LS
FA  - Squires, Linda Sharee
TI  - A case study of recipient twin surviving complications of twin-to-twin transfusion syndrome.[Erratum appears in Nurs Womens Health. 2014 Feb-Mar;18(1):8]
SO  - Nursing for Women's Health. 17(5):390-8, 2013 Oct
AS  - Nurs Womens Health. 17(5):390-8, 2013 Oct
NJ  - Nursing for women's health
VO  - 17
IP  - 5
PG  - 390-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101304602
IO  - Nurs Womens Health
SB  - Nursing Journal
CP  - United States
MH  - Enterocolitis, Necrotizing/th [Therapy]
MH  - Female
MH  - Fetal Death/pc [Prevention & Control]
MH  - *Fetofetal Transfusion/co [Complications]
MH  - *Fetofetal Transfusion/th [Therapy]
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature/bl [Blood]
MH  - Infant, Premature/ph [Physiology]
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Parenteral Nutrition, Total/mt [Methods]
MH  - Parents/px [Psychology]
MH  - *Patient Transfer
MH  - Pregnancy
MH  - *Pregnancy Outcome
MH  - Respiration, Artificial/mt [Methods]
MH  - Social Support
MH  - Survival Analysis
MH  - Treatment Outcome
MH  - *Twins, Monozygotic
MH  - Young Adult
KW  - Quintero staging system;  monochorionic twin pregnancy;  prematurity;  twin-to-twin transfusion syndrome
AB  - Twin-to-twin transfusion syndrome (TTTS) has a high rate of mortality and morbidity. This article describes the clinical course of a recipient twin in a case of TTTS. The twin was on long-term respiration support and survived two resuscitations, pneumothorax, chest tube placement, blood exchange, necrotizing enterocolitis and corrective surgery. This case demonstrates that the effective use of a collaborative, multidisciplinary care approach between two hospitals can result in a newborn surviving a severe case of TTTS. 

Copyright © 2013 AWHONN.
ES  - 1751-486X
IL  - 1751-4851
DO  - https://dx.doi.org/10.1111/1751-486X.12062
PT  - Case Reports
PT  - Journal Article
ID  - 10.1111/1751-486X.12062 [doi]
ID  - S1751-4851(15)30780-7 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Oct
EZ  - 2013/10/22 06:00
DA  - 2015/04/14 06:00
DT  - 2013/10/22 06:00
YR  - 2013
ED  - 20150413
RD  - 20131021
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24138658

<176. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23920878
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vollmer AM
AU  - Skonetzki-Cheng S
AU  - Prokosch HU
FA  - Vollmer, Anne-Maria
FA  - Skonetzki-Cheng, Stefan
FA  - Prokosch, Hans-Ulrich
IN  - Vollmer, Anne-Maria. Departmant of Medical Informatics, Friedrich-Alexander University, Erlangen, Germany.
TI  - Analysis of the interface and data transfer from ICU to normal wards in a German University Hospital.
SO  - Studies in Health Technology & Informatics. 192:1104, 2013
AS  - Stud Health Technol Inform. 192:1104, 2013
NJ  - Studies in health technology and informatics
VO  - 192
PG  - 1104
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ck1, 9214582
IO  - Stud Health Technol Inform
SB  - Health Technology Assessment Journals
CP  - Netherlands
MH  - *Electronic Health Records/og [Organization & Administration]
MH  - Forms and Records Control/og [Organization & Administration]
MH  - Germany
MH  - Hospital Communication Systems/og [Organization & Administration]
MH  - *Hospitals, University/og [Organization & Administration]
MH  - *Information Storage and Retrieval/mt [Methods]
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Medical Record Linkage/mt [Methods]
MH  - *Patient Handoff/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Patients' Rooms/og [Organization & Administration]
MH  - User-Computer Interface
AB  - Typically general wards and intensive care units (ICU) have very different labor organizations, structures and IT-systems in Germany. There is a need for coordination, because of the different working arrangements. Our team investigated the interface between ICU and general ward and especially the respective information transfer in the University hospital in Erlangen (Bavaria, Germany). The research team used a combination of interviews, observations and the analysis of transfer records and forms as part of a methodical triangulation. We identified 41 topics, which are discussed or presented in writing during the handover. In a second step, we investigate the requirements of data transmission in expert interviews. A data transfer concept from the perspective of the nurses and physicians was developed and we formulated recommendations for improvements of process and communication for this interface. Finally the data transfer concept was evaluated by the respondents.
IS  - 0926-9630
IL  - 0926-9630
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2013
EZ  - 2013/08/08 06:00
DA  - 2015/04/11 06:00
DT  - 2013/08/08 06:00
YR  - 2013
ED  - 20150410
RD  - 20130807
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23920878

<177. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25672330
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Griffiths JL
AU  - Kirby NR
AU  - Waterson JA
FA  - Griffiths, Jane L
FA  - Kirby, Neil R
FA  - Waterson, James A
IN  - Griffiths, Jane L. 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.
IN  - Kirby, Neil R. Ambulance Operations Director, Dubai Corporations for Ambulance Services, Dubai, UAE.
IN  - Waterson, James A. Nurse Supervisor & Disaster Project Officer, Rashid Hospital, Dubai, UAE.
TI  - 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.
SO  - American Journal of Disaster Medicine. 9(4):273-85, 2014
AS  - Am J Disaster Med. 9(4):273-85, 2014
NJ  - American journal of disaster medicine
VO  - 9
IP  - 4
PG  - 273-85
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101291100
IO  - Am J Disaster Med
SB  - Index Medicus
CP  - United States
MH  - Critical Care
MH  - Diagnostic Imaging
MH  - *Disaster Planning
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - Humans
MH  - *Mass Casualty Incidents
MH  - *Mobile Health Units
MH  - *Motor Vehicles
MH  - Operating Rooms
MH  - Program Development
MH  - Program Evaluation
MH  - Transportation of Patients
MH  - *Triage
AB  - OBJECTIVE: Delineation of the advantages and problems related to the use of forward-site operating room-, Intensive Care Unit (ICU)-, radiography-, and mass casualty-enabled disaster vehicles for site evacuation, patient stabilization, and triage.
AB  - SETTING: The vehicles discussed have six ventilated ICU spaces, two ORs, on-site radiography, 21 intermediate acuity spaces with stretchers, and 54 seated minor acuity spaces. Each space has piped oxygen with an independent vehicle-loaded supply. The vehicles are operated by the Dubai Corporate Ambulance Services. Their support hospital is the main trauma center for the Emirate of Dubai and provides the vehicles' surgical, intensivist, anesthesia, and nursing staff. The disaster vehicles have been deployed 264 times in the last 5 years (these figures do not include deployments for drills).
AB  - INTERVENTIONS: Introducing this new service required extensive initial planning and ongoing analysis of the performance of the disaster vehicles that offer ambulance services and receiving hospitals a large array of possibilities in terms of triage, stabilization of priority I and II patients, and management of priority III patients.
AB  - PRELIMINARY RESULTS: In both drills and in disasters, the vehicles were valuable in forward triage and stabilization and in the transport of large numbers of priority III patients. This has avoided the depletion of emergency transport available for priority I and II patients.
AB  - CONCLUSIONS: The successful utilization of disaster vehicles requires seamless cooperation between the hospital staffing the vehicles and the ambulance service deploying them. They are particularly effective during preplanned deployments to high-risk situations. These vehicles also potentially provide self-sufficient refuges for forward teams in hostile environments.
IS  - 1932-149X
IL  - 1932-149X
DI  - ajdm.2014.0179
DO  - https://dx.doi.org/10.5055/ajdm.2014.0179
PT  - Journal Article
ID  - ajdm.2014.0179 [pii]
ID  - 10.5055/ajdm.2014.0179 [doi]
PP  - ppublish
LG  - English
DP  - 2014
EZ  - 2015/02/13 06:00
DA  - 2015/04/08 06:00
DT  - 2015/02/13 06:00
YR  - 2014
ED  - 20150407
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25672330

<178. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24813568
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Zhai H
AU  - Brady P
AU  - Li Q
AU  - Lingren T
AU  - Ni Y
AU  - Wheeler DS
AU  - Solti I
FA  - Zhai, Haijun
FA  - Brady, Patrick
FA  - Li, Qi
FA  - Lingren, Todd
FA  - Ni, Yizhao
FA  - Wheeler, Derek S
FA  - Solti, Imre
IN  - Zhai, Haijun. Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
IN  - Brady, Patrick. 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.
IN  - Li, Qi. Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
IN  - Lingren, Todd. Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
IN  - Ni, Yizhao. Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
IN  - Wheeler, Derek S. Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
IN  - Solti, Imre. 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.
TI  - Developing and evaluating a machine learning based algorithm to predict the need of pediatric intensive care unit transfer for newly hospitalized children.
SO  - Resuscitation. 85(8):1065-71, 2014 Aug
AS  - Resuscitation. 85(8):1065-71, 2014 Aug
NJ  - Resuscitation
VO  - 85
IP  - 8
PG  - 1065-71
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - r8q, 0332173
IO  - Resuscitation
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4087062
OI  - Source: NLM. NIHMS593922
SB  - Index Medicus
CP  - Ireland
MH  - *Algorithms
MH  - *Artificial Intelligence
MH  - Child
MH  - *Child, Hospitalized
MH  - Female
MH  - Follow-Up Studies
MH  - *Health Services Needs and Demand
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Male
MH  - *Patient Transfer
MH  - ROC Curve
MH  - Retrospective Studies
MH  - Severity of Illness Index
KW  - Clinical care;  Clinical status deterioration;  EHR;  Machine learning;  PEWS;  PICU
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).
AB  - 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.
AB  - 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.
AB  - CONCLUSION: The novel algorithm achieved higher sensitivity, specificity, and AUC than the two PEWS reported in the literature.

Copyright © 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.
ES  - 1873-1570
IL  - 0300-9572
DI  - S0300-9572(14)00477-8
DO  - https://dx.doi.org/10.1016/j.resuscitation.2014.04.009
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
ID  - S0300-9572(14)00477-8 [pii]
ID  - 10.1016/j.resuscitation.2014.04.009 [doi]
ID  - PMC4087062 [pmc]
ID  - NIHMS593922 [mid]
PP  - ppublish
PH  - 2013/09/27 [received]
PH  - 2014/02/20 [revised]
PH  - 2014/04/08 [accepted]
GI  - No: R21 HD072883
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: 1U01HG006828-01
Organization: (HG) *NHGRI NIH HHS*
Country: United States

GI  - No: R00 LM010227
Organization: (LM) *NLM NIH HHS*
Country: United States

GI  - No: U01 HG006828
Organization: (HG) *NHGRI NIH HHS*
Country: United States

GI  - No: 1R21HD072883-01
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: 5R00LM010227-05
Organization: (LM) *NLM NIH HHS*
Country: United States
LG  - English
EP  - 20140509
DP  - 2014 Aug
EZ  - 2014/05/13 06:00
DA  - 2015/04/02 06:00
DT  - 2014/05/13 06:00
YR  - 2014
ED  - 20150401
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24813568

<179. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23826830
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Johnson DW
AU  - Schmidt UH
AU  - Bittner EA
AU  - Christensen B
AU  - Levi R
AU  - Pino RM
FA  - Johnson, Daniel W
FA  - Schmidt, Ulrich H
FA  - Bittner, Edward A
FA  - Christensen, Benjamin
FA  - Levi, Retsef
FA  - Pino, Richard M
TI  - Delay of transfer from the intensive care unit: a prospective observational study of incidence, causes, and financial impact.
SO  - Critical Care (London, England). 17(4):R128, 2013 Jul 04
AS  - Crit Care. 17(4):R128, 2013 Jul 04
NJ  - Critical care (London, England)
VO  - 17
IP  - 4
PG  - R128
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 9801902
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057477
SB  - Index Medicus
CP  - England
MH  - Costs and Cost Analysis
MH  - Efficiency, Organizational
MH  - Hospital Bed Capacity
MH  - *Hospital Costs
MH  - Hospitals, University/ec [Economics]
MH  - Hospitals, University/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/ec [Economics]
MH  - Length of Stay/ec [Economics]
MH  - Massachusetts
MH  - *Patient Transfer/ec [Economics]
MH  - Prospective Studies
MH  - Time Factors
AB  - INTRODUCTION: A paucity of literature exists regarding delays in transfer out of the intensive care unit. We sought to analyze the incidence, causes, and costs of delayed transfer from a surgical intensive care unit (SICU).
AB  - METHODS: An IRB-approved prospective observational study was conducted from January 24, 2010, to July 31, 2010, of all 731 patients transferred from a 20-bed SICU at a large tertiary-care academic medical center. Data were collected on patients who were medically ready for transfer to the floor who remained in the SICU for at least 1 extra day. Reasons for delay were examined, and extra costs associated were estimated.
AB  - RESULTS: Transfer to the floor was delayed in 22% (n = 160) of the 731 patients transferred from the SICU. Delays ranged from 1 to 6 days (mean, 1.5 days; median, 2 days). The extra costs associated with delays were estimated to be $581,790 during the study period, or $21,547 per week. The most common reasons for delay in transfer were lack of available surgical-floor bed (71% (114 of 160)), lack of room appropriate for infectious contact precautions (18% (28 of 160)), change of primary service (Surgery to Medicine) (7% (11 of 160)), and lack of available patient attendant ("sitter" for mildly delirious patients) (3% (five of 160)). A positive association was found between the daily hospital census and the daily number of SICU beds occupied by patients delayed in transfer (Spearman rho = 0.27; P < 0.0001).
AB  - CONCLUSIONS: Delay in transfer from the SICU is common and costly. The most common reason for delay is insufficient availability of surgical-floor beds. Delay in transfer is associated with high hospital census. Further study of this problem is necessary.
ES  - 1466-609X
IL  - 1364-8535
DO  - https://dx.doi.org/10.1186/cc12807
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
ID  - cc12807 [pii]
ID  - 10.1186/cc12807 [doi]
ID  - PMC4057477 [pmc]
PP  - epublish
PH  - 2012/12/21 [received]
PH  - 2013/07/04 [accepted]
LG  - English
EP  - 20130704
DP  - 2013 Jul 04
EZ  - 2013/07/06 06:00
DA  - 2015/03/31 06:00
DT  - 2013/07/06 06:00
YR  - 2013
ED  - 20150330
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23826830

<180. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23811747
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Macnow T
AU  - O'Toole D
AU  - DeLaMora P
AU  - Murray M
AU  - Rivera K
AU  - Whittier S
AU  - Ross B
AU  - Jenkins S
AU  - Saiman L
AU  - Duchon J
FA  - Macnow, Theodore
FA  - O'Toole, Dana
FA  - DeLaMora, Patricia
FA  - Murray, Meghan
FA  - Rivera, Kristina
FA  - Whittier, Susan
FA  - Ross, Barbara
FA  - Jenkins, Stephen
FA  - Saiman, Lisa
FA  - Duchon, Jennifer
IN  - Macnow, Theodore. From the *Department of Pediatrics, Columbia University Medical Center; +Department of Pediatrics, Cornell University; ++Columbia University School of Nursing; Department of Pathology, Columbia University Medical Center; PDepartment of Clinical Microbiology, New York-Presbyterian Hospital, Columbia University Medical Center; ||Department of Infection Prevention and Control, New York-Presbyterian Hospital; **Department of Pathology, Weill Cornell Medical Center; and ++Department of Clinical Microbiology, NewYork-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY.
TI  - Utility of surveillance cultures for antimicrobial resistant organisms in infants transferred to the neonatal intensive care unit.
SO  - Pediatric Infectious Disease Journal. 32(12):e443-50, 2013 Dec
AS  - Pediatr Infect Dis J. 32(12):e443-50, 2013 Dec
NJ  - The Pediatric infectious disease journal
VO  - 32
IP  - 12
PG  - e443-50
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxj, 8701858
IO  - Pediatr. Infect. Dis. J.
SB  - Index Medicus
CP  - United States
MH  - Bacteriological Techniques
MH  - Carrier State/mi [Microbiology]
MH  - Drug Resistance, Bacterial
MH  - Epidemiological Monitoring
MH  - *Gram-Negative Bacteria/ip [Isolation & Purification]
MH  - Gram-Negative Bacterial Infections/mi [Microbiology]
MH  - Gram-Positive Bacterial Infections/mi [Microbiology]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Infection Control/ec [Economics]
MH  - *Infection Control/mt [Methods]
MH  - Infection Control/sn [Statistics & Numerical Data]
MH  - Intensive Care Units, Neonatal
MH  - *Methicillin-Resistant Staphylococcus aureus/ip [Isolation & Purification]
MH  - Patient Transfer
MH  - Retrospective Studies
MH  - Staphylococcal Infections/mi [Microbiology]
MH  - *Vancomycin-Resistant Enterococci/ip [Isolation & Purification]
AB  - BACKGROUND: Infections with antibiotic resistant organisms (AROs) are an important source of morbidity and mortality among infants hospitalized in the neonatal intensive care unit (NICU). To identify potential reservoirs of AROs in the NICU, active surveillance strategies have been adopted by many NICUs to detect infants colonized with AROs. However, the yield, risks, benefits and costs of different strategies have not been fully evaluated.
AB  - METHODS: We conducted a retrospective study in 2 level III NICUs from 2004 to 2010 to investigate the yield of surveillance cultures obtained from infants transferred to the NICU from other hospitals. Cultures were processed for methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci and antibiotic-resistant gram-negative rods. Risk factors, selected outcomes and laboratory costs associated with ARO colonization were assessed.
AB  - RESULTS: Among 1751 infants studied, the rate of colonization for methicillin-resistant S. aureus, vancomycin-resistant enterococci and antibiotic-resistant gram-negative rods was 3%, 1.7% and 1%, respectively. Age at transfer was the strongest predictor of ARO colonization; infants transferred at >= 7 days of life had 5.8 increased odds of ARO colonization compared with infants <7 days of age. Transferred infants who were colonized had similar rates of mortality, ARO infection and duration of hospitalization compared with those who were not colonized. The laboratory cost of surveillance cultures during the study period was $58,425.
AB  - CONCLUSIONS: The rate of colonization with AROs at transfer was low particularly in infants <7 days old. Future studies should examine the safety of targeted surveillance strategies focused on older infants.
ES  - 1532-0987
IL  - 0891-3668
DO  - https://dx.doi.org/10.1097/INF.0b013e3182a1d77f
PT  - Journal Article
ID  - 10.1097/INF.0b013e3182a1d77f [doi]
PP  - ppublish
LG  - English
DP  - 2013 Dec
EZ  - 2013/07/03 06:00
DA  - 2015/03/31 06:00
DT  - 2013/07/02 06:00
YR  - 2013
ED  - 20150330
RD  - 20140227
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23811747

<181. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25569067
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Swords DS
AU  - Hadley ED
AU  - Swett KR
AU  - Pranikoff T
FA  - Swords, Douglas S
FA  - Hadley, Edmund D
FA  - Swett, Katrina R
FA  - Pranikoff, Thomas
IN  - Swords, Douglas S. Section of Pediatric Surgery, Department of General Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
TI  - Total body surface area overestimation at referring institutions in children transferred to a burn center.
SO  - American Surgeon. 81(1):56-63, 2015 Jan
AS  - Am Surg. 81(1):56-63, 2015 Jan
NJ  - The American surgeon
VO  - 81
IP  - 1
PG  - 56-63
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 43e, 0370522
IO  - Am Surg
SB  - Index Medicus
CP  - United States
MH  - *Body Surface Area
MH  - *Burn Units
MH  - *Burns/pa [Pathology]
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - Patient Transfer
MH  - Registries
MH  - Retrospective Studies
MH  - United States
AB  - Total body surface area (TBSA) burned is a powerful descriptor of burn severity and influences the volume of resuscitation required in burn patients. The incidence and severity of TBSA overestimation by referring institutions (RIs) in children transferred to a burn center (BC) are unclear. The association between TBSA overestimation and overresuscitation is unknown as is that between TBSA overestimation and outcome. The trauma registry at a BC was queried over 7.25 years for children presenting with burns. TBSA estimate at RIs and BC, total fluid volume given before arrival at a BC, demographic variables, and clinical variables were reviewed. Nearly 20 per cent of children arrived from RIs without TBSA estimation. Nearly 50 per cent were overestimated by 5 per cent or greater TBSA and burn sizes were overestimated by up to 44 per cent TBSA. Average TBSA measured at BC was 9.5 +/- 8.3 per cent compared with 15.5 +/- 11.8 per cent as measured at RIs (P < 0.0001). Burns between 10 and 19.9 per cent TBSA were overestimated most often and by the greatest amounts. There was a statistically significant relationship between overestimation of TBSA by 5 per cent or greater and overresuscitation by 10 mL/kg or greater (P = 0.02). No patient demographic or clinical factors were associated with TBSA overestimation. Education efforts aimed at emergency department physicians regarding the importance of always calculating TBSA as well as the mechanics of TBSA estimation and calculating resuscitation volume are needed. Further studies should evaluate the association of TBSA overestimation by RIs with adverse outcomes and complications in the burned child.
ES  - 1555-9823
IL  - 0003-1348
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2015 Jan
EZ  - 2015/01/09 06:00
DA  - 2015/03/17 06:00
DT  - 2015/01/09 06:00
YR  - 2015
ED  - 20150316
RD  - 20150109
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25569067

<182. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25249189
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ehrhardt P
FA  - Ehrhardt, Peter
TI  - Perinatal outcomes.
CM  - Comment on: Arch Dis Child Fetal Neonatal Ed. 2014 May;99(3):F181-8; PMID: 24604108
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 99(6):F521, 2014 Nov
AS  - Arch Dis Child Fetal Neonatal Ed. 99(6):F521, 2014 Nov
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 99
IP  - 6
PG  - F521
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Female
MH  - *Fetal Death/ep [Epidemiology]
MH  - Humans
MH  - *Infant Mortality
MH  - *Infant, Extremely Premature
MH  - *Infant, Premature, Diseases/mo [Mortality]
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Perinatal Mortality
KW  - Mortality;  Neonatology
ES  - 1468-2052
IL  - 1359-2998
DO  - https://dx.doi.org/10.1136/archdischild-2014-307338
PT  - Comment
PT  - Letter
ID  - archdischild-2014-307338 [pii]
ID  - 10.1136/archdischild-2014-307338 [doi]
PP  - ppublish
LG  - English
EP  - 20140923
DP  - 2014 Nov
EZ  - 2014/09/25 06:00
DA  - 2015/03/17 06:00
DT  - 2014/09/25 06:00
YR  - 2014
ED  - 20150316
RD  - 20141016
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25249189

<183. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25630179
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Heightman AJ
FA  - Heightman, A J
TI  - The need for speed in care of critical pelvic wounds identified in military report.
SO  - Journal of Emergency Medical Services. 39(12):33, 2014 Dec
AS  - J Emerg Med Serv JEMS. 39(12):33, 2014 Dec
NJ  - JEMS : a journal of emergency medical services
VO  - 39
IP  - 12
PG  - 33
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8102138, irc
IO  - JEMS
SB  - Health Administration Journals
CP  - United States
MH  - Afghan Campaign 2001-
MH  - Autopsy
MH  - Cause of Death
MH  - Equipment and Supplies
MH  - Female
MH  - *Hemorrhage/mo [Mortality]
MH  - Hemorrhage/th [Therapy]
MH  - Humans
MH  - Iraq War, 2003-2011
MH  - Male
MH  - *Military Personnel
MH  - *Pelvis/in [Injuries]
MH  - Tourniquets
MH  - Transportation of Patients
MH  - *Wounds and Injuries/mo [Mortality]
MH  - Wounds and Injuries/th [Therapy]
IS  - 0197-2510
IL  - 0197-2510
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2014 Dec
EZ  - 2015/01/30 06:00
DA  - 2015/02/20 06:00
DT  - 2015/01/30 06:00
YR  - 2014
ED  - 20150219
RD  - 20150129
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25630179

<184. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24867561
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Melson J
AU  - Kane M
AU  - Mooney R
AU  - Mcwilliams J
AU  - Horton T
FA  - Melson, Jo
FA  - Kane, Michelle
FA  - Mooney, Ruth
FA  - Mcwilliams, James
FA  - Horton, Terry
IN  - Melson, Jo. Nurse Practitioner in the Stepdown Unit at Christiana Care Health System in Wilmington, DE. jmelson@christianacare.org.
IN  - Kane, Michelle. Medicine Outcomes Coordinator in the Performance Improvement Department at Christiana Care Health System in Newark, DE. mikane@christianacare.org.
IN  - Mooney, Ruth. Research Facilitator for the Christiana Care Health System in Newark, DE. rmooney@christianacare.org.
IN  - Mcwilliams, James. Nurse Practitioner with the Healthstar Physicians of Hot Springs, AR. polonius47@gmail.com.
IN  - Horton, Terry. Chief of the Division of Addiction Medicine for the Christiana Care Health System in Newark, DE. thorton@christianacare.org.
TI  - Improving alcohol withdrawal outcomes in acute care.
SO  - Permanente Journal. 18(2):e141-5, 2014
AS  - Perm. j.. 18(2):e141-5, 2014
NJ  - The Permanente journal
VO  - 18
IP  - 2
PG  - e141-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9800474
IO  - Perm J
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4022573
SB  - Index Medicus
CP  - United States
MH  - Alcohol Withdrawal Delirium/pc [Prevention & Control]
MH  - *Alcohol Withdrawal Delirium/th [Therapy]
MH  - Alcoholism
MH  - Clinical Protocols
MH  - *Critical Care/st [Standards]
MH  - *Ethanol/ae [Adverse Effects]
MH  - Follow-Up Studies
MH  - Humans
MH  - *Intensive Care Units
MH  - Mass Screening
MH  - *Patient Transfer
MH  - *Restraint, Physical
MH  - Substance Withdrawal Syndrome/th [Therapy]
MH  - Treatment Outcome
AB  - CONTEXT: Excessive alcohol consumption is the nation's third leading cause of preventable deaths. If untreated, 6% of alcohol-dependent patients experience alcohol withdrawal, with up to 10% of those experiencing delirium tremens (DT), when they stop drinking. Without routine screening, patients often experience DT without warning.
AB  - OBJECTIVE: Reduce the incidence of alcohol withdrawal advancing to DT, restraint use, and transfers to the intensive care unit (ICU) in patients with DT.
AB  - DESIGN: In October 2009, the alcohol withdrawal team instituted a care management guideline used by all disciplines, which included tools for screening, assessment, and symptom management. Data were obtained from existing datasets for three quarters before and four quarters after implementation. Follow-up data were analyzed and showed a great deal of variability in transfers to the ICU and restraint use. Percentage of patients who developed DT showed a downward trend.
AB  - MAIN OUTCOME MEASURES: Incidence of alcohol withdrawal advancing to DT and, in patients with DT, restraint use and transfers to the ICU.
AB  - RESULTS: Initial data revealed a decrease in percentage of patients with alcohol withdrawal who experienced DT (16.4%-12.9%). In patients with DT, restraint use decreased (60.4%-44.4%) and transfers to the ICU decreased (21.6%-15%). Follow-up data indicated a continued downward trend in patients with DT. Changes were not statistically significant. Restraint use and ICU transfers maintained postimplementation levels initially but returned to preimplementation levels by third quarter 2012.
AB  - CONCLUSION: Early identification of patients for potential alcohol withdrawal followed by a standardized treatment protocol using symptom-triggered dosing improved alcohol withdrawal management and outcomes.
RN  - 3K9958V90M (Ethanol)
ES  - 1552-5775
IL  - 1552-5767
DO  - https://dx.doi.org/10.7812/TPP/13-099
PT  - Journal Article
ID  - 13-099 [pii]
ID  - 10.7812/TPP/13-099 [doi]
ID  - PMC4022573 [pmc]
PP  - ppublish
LG  - English
DP  - 2014
EZ  - 2014/05/29 06:00
DA  - 2015/01/01 06:00
DT  - 2014/05/29 06:00
YR  - 2014
ED  - 20141231
RD  - 20150805
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24867561

<185. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24672286
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tsai JC
AU  - Cheng CW
AU  - Weng SJ
AU  - Huang CY
AU  - Yen DH
AU  - Chen HL
AI  - Tsai, Jeffrey Che-Hung; ORCID: https://orcid.org/0000-0002-8001-6154
AI  - Weng, Shao-Jen; ORCID: https://orcid.org/0000-0003-2230-6775
FA  - Tsai, Jeffrey Che-Hung
FA  - Cheng, Ching-Wan
FA  - Weng, Shao-Jen
FA  - Huang, Chin-Yin
FA  - Yen, David Hung-Tsang
FA  - Chen, Hsiu-Ling
IN  - Tsai, Jeffrey Che-Hung. 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.
IN  - Cheng, Ching-Wan. Department of Emergency Medicine, Cheng-Ching General Hospital, Taichung 407, Taiwan.
IN  - Weng, Shao-Jen. Department of Industrial Engineering & Enterprise Information, Tunghai University, Taichung 407, Taiwan.
IN  - Huang, Chin-Yin. Program for Health Administration, Tunghai University, Taichung 407, Taiwan.
IN  - Yen, David Hung-Tsang. Institute of Emergency and Critical Care Medicine, College of Medicine, National Yang-Ming University, Taipei 112, Taiwan.
IN  - Chen, Hsiu-Ling. 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.
TI  - Comparison of risks factors for unplanned ICU transfer after ED admission in patients with infections and those without infections.
SO  - Thescientificworldjournal. 2014:102929, 2014
AS  - ScientificWorldJournal. 2014:102929, 2014
NJ  - TheScientificWorldJournal
VO  - 2014
PG  - 102929
PI  - Journal available in: Electronic-eCollection
PI  - Citation processed from: Internet
JC  - 101131163
IO  - ScientificWorldJournal
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3929988
SB  - Index Medicus
CP  - United States
MH  - Case-Control Studies
MH  - *Emergency Service, Hospital
MH  - Humans
MH  - *Intensive Care Units
MH  - *Patient Admission
MH  - *Patient Transfer
MH  - Risk Factors
AB  - BACKGROUND: The objectives of this study were to compare the risk factors for unplanned intensive care unit (ICU) transfer after emergency department (ED) admission in patients with infections and those without infections and to explore the feasibility of using risk stratification tools for sepsis to derive a prediction system for such unplanned transfer.
AB  - METHODS: The ICU transfer group included 313 patients, while the control group included 736 patients randomly selected from those who were not transferred to the ICU. Candidate variables were analyzed for association with unplanned ICU transfer in the 1049 study patients.
AB  - RESULTS: Twenty-four variables were associated with unplanned ICU transfer. Sixteen (66.7%) of these variables displayed association in patients with infections and those without infections. These common risk factors included specific comorbidities, physiological responses, organ dysfunctions, and other serious symptoms and signs. Several common risk factors were statistically independent.
AB  - CONCLUSIONS: The risk factors for unplanned ICU transfer in patients with infections were comparable to those in patients without infections. The risk factors for unplanned ICU transfer included variables from multiple dimensions that could be organized according to the PIRO (predisposition, insult/infection, physiological response, and organ dysfunction) model, providing the basis for the development of a predictive system.
ES  - 1537-744X
IL  - 1537-744X
DO  - https://dx.doi.org/10.1155/2014/102929
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1155/2014/102929 [doi]
ID  - PMC3929988 [pmc]
PP  - epublish
PH  - 2013/08/24 [received]
PH  - 2013/10/18 [accepted]
LG  - English
EP  - 20140102
DP  - 2014
EZ  - 2014/03/29 06:00
DA  - 2014/12/30 06:00
DT  - 2014/03/28 06:00
YR  - 2014
ED  - 20141229
RD  - 20150514
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24672286

<186. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24796477
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tu H
FA  - Tu, Hsinfen
IN  - Tu, Hsinfen. Questions or comments about this article may be directed to Hsinfen Tu, RN MSN MSN-Ed, at hsinfentu@yahoo.com. She is a Staff Nurse at the Neurotrauma Intensive Care Unit, Hartford Hospital, and Clinical Instructor at Capital Community College, Hartford, CT.
TI  - Intrafacility transportation of patients with acute brain injury. [Review]
SO  - Journal of Neuroscience Nursing. 46(3):E12-6, 2014 Jun
AS  - J Neurosci Nurs. 46(3):E12-6, 2014 Jun
NJ  - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
VO  - 46
IP  - 3
PG  - E12-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ij6, 8603596
IO  - J Neurosci Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Brain Injuries/nu [Nursing]
MH  - *Brain Injuries/th [Therapy]
MH  - *Critical Illness/nu [Nursing]
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - Neuroscience Nursing/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/st [Standards]
MH  - Risk Assessment
MH  - *Risk Management/og [Organization & Administration]
AB  - Patients with acute brain injury (ABI) frequently require diagnostic and therapeutic procedures in the areas located outside of the intensive care unit. Transports can be risky for critically ill patients with ABI. Secondary brain injury can occur during the transport from causes such as ischemia, hypotension, hypoxia, hypercapnia, and cerebral edema. Preparation and implementation of preventive procedures including pretransport assessment, monitoring during transport, and posttransport examination and documentation for transports of patients with ABI deem to be necessary. The purpose of this article is to review the typical risks associated with the transports of the patients with ABI out of the intensive care unit and to propose the strategies that can be used to minimize the risks of secondary brain injury.
ES  - 1945-2810
IL  - 0888-0395
DO  - https://dx.doi.org/10.1097/JNN.0000000000000055
PT  - Journal Article
PT  - Review
ID  - 10.1097/JNN.0000000000000055 [doi]
ID  - 01376517-201406000-00012 [pii]
PP  - ppublish
LG  - English
DP  - 2014 Jun
EZ  - 2014/05/07 06:00
DA  - 2014/12/24 06:00
DT  - 2014/05/07 06:00
YR  - 2014
ED  - 20141223
RD  - 20140506
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24796477

<187. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23765706
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brown SA
AU  - Richards ME
AU  - Elwell EC
AU  - Rayburn WF
FA  - Brown, Steffen A
FA  - Richards, Michael E
FA  - Elwell, Erika C
FA  - Rayburn, William F
IN  - Brown, Steffen A. Departments of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
IN  - Richards, Michael E. Emergency Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
IN  - Elwell, Erika C. Departments of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
IN  - Rayburn, William F. Departments of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
TI  - Geographical information systems for mapping maternal ground transport to level III care neonatal centers.
SO  - American Journal of Perinatology. 31(4):287-92, 2014 Apr
AS  - Am J Perinatol. 31(4):287-92, 2014 Apr
NJ  - American journal of perinatology
VO  - 31
IP  - 4
PG  - 287-92
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - aa3, 8405212
IO  - Am J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - *Geographic Information Systems
MH  - *Geographic Mapping
MH  - *Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - *Hospitals, Community/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - *Tertiary Care Centers/sn [Statistics & Numerical Data]
MH  - Time Factors
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
MH  - United States
MH  - Young Adult
AB  - OBJECTIVE: The objective of this investigation was to determine maternal ground transport times from community hospitals to the nearest hospital offering comprehensive (level III) neonatal care within the contiguous United States.
AB  - STUDY DESIGN: This observational study combined data from the 2010 U.S. Census tract and 2010 American Hospital Association Annual Survey. Level III (full complement of care) neonatal centers were plotted using 2010 geographical information systems (GIS) mapping software (ESRI, Redland, California, United States). Locations of level I (uncomplicated care) and level II (limited complicated care) centers and residences of reproductive-aged women (18 to 39 years old) were mapped to identify maternal ground transport times to level III centers.
AB  - RESULTS: Most of the 584 level III neonatal centers were located in metropolitan areas (83.5%). The proportions of level I and level II hospitals within a 30-minute drive of a level III neonatal center were 19.8 and 47.3%, and 52.2 and 69.8% were within a 60-minute drive time. Ground transport times were shortest in the Northeast and metropolitan areas, and longest in the rural Great Plains and noncoastal West.
AB  - CONCLUSION: GIS mapping enables health providers and health policy makers to better understand maternal ground transport times to current and future regional hospitals offering level III neonatal services.

Copyright Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
ES  - 1098-8785
IL  - 0735-1631
DO  - https://dx.doi.org/10.1055/s-0033-1348029
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1055/s-0033-1348029 [doi]
PP  - ppublish
LG  - English
EP  - 20130613
DP  - 2014 Apr
EZ  - 2013/06/15 06:00
DA  - 2014/12/15 06:00
DT  - 2013/06/15 06:00
YR  - 2014
ED  - 20141204
RD  - 20140331
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=23765706

<188. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25221875
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Amaral AC
FA  - Amaral, Andre C K B
IN  - Amaral, Andre C K B. 1 Interdepartmental Division of Critical Care Medicine University of Toronto Toronto, Ontario, Canada.
TI  - The art of making predictions: statistics versus bedside evaluation.
CM  - Comment on: Am J Respir Crit Care Med. 2014 Sep 15;190(6):649-55; PMID: 25089847
SO  - American Journal of Respiratory & Critical Care Medicine. 190(6):598-9, 2014 Sep 15
AS  - Am J Respir Crit Care Med. 190(6):598-9, 2014 Sep 15
NJ  - American journal of respiratory and critical care medicine
VO  - 190
IP  - 6
PG  - 598-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9421642, bzs
IO  - Am. J. Respir. Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Electronic Health Records
MH  - Female
MH  - *Heart Arrest/mo [Mortality]
MH  - Humans
MH  - *Inpatients/sn [Statistics & Numerical Data]
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Risk Assessment/mt [Methods]
MH  - *Risk Assessment/st [Standards]
ES  - 1535-4970
IL  - 1073-449X
DO  - https://dx.doi.org/10.1164/rccm.201408-1457ED
PT  - Comment
PT  - Editorial
ID  - 10.1164/rccm.201408-1457ED [doi]
PP  - ppublish
LG  - English
DP  - 2014 Sep 15
EZ  - 2014/09/16 06:00
DA  - 2014/12/15 06:00
DT  - 2014/09/16 06:00
YR  - 2014
ED  - 20141128
RD  - 20140916
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25221875

<189. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24395001
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rahiman S
AU  - Sadasivam K
AU  - Ridout DA
AU  - Tasker RC
AU  - Ramnarayan P
FA  - Rahiman, Sarfaraz
FA  - Sadasivam, Kalaimaran
FA  - Ridout, Deborah A
FA  - Tasker, Robert C
FA  - Ramnarayan, Padmanabhan
IN  - Rahiman, Sarfaraz. 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.
TI  - Comparison of three different timeframes for pediatric index of mortality data collection in transported intensive care admissions*.
CM  - Comment in: Pediatr Crit Care Med. 2014 Mar;15(3):280-1; PMID: 24608503
SO  - Pediatric Critical Care Medicine. 15(3):e120-7, 2014 Mar
AS  - Pediatr Crit Care Med. 15(3):e120-7, 2014 Mar
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 15
IP  - 3
PG  - e120-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Child Mortality
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Female
MH  - *Hospital Mortality
MH  - *Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - ROC Curve
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Time Factors
MH  - United Kingdom
AB  - OBJECTIVE: To identify the most appropriate timeframe for Pediatric Index of Mortality-2 data collection in patients transported to PICUs by specialist teams.
AB  - DESIGN: Retrospective cohort study.
AB  - SETTING: A regional PICU transport team in London, United Kingdom.
AB  - 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.
AB  - INTERVENTIONS: None.
AB  - 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).
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0000000000000058
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/PCC.0000000000000058 [doi]
PP  - ppublish
LG  - English
DP  - 2014 Mar
EZ  - 2014/01/08 06:00
DA  - 2014/12/15 06:00
DT  - 2014/01/08 06:00
YR  - 2014
ED  - 20141125
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24395001

<190. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24495529
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tsai JC
AU  - Weng SJ
AU  - Huang CY
AU  - Yen DH
AU  - Chen HL
FA  - Tsai, Jeffrey Che-Hung
FA  - Weng, Shao-Jen
FA  - Huang, Chin-Yin
FA  - Yen, David Hung-Tsang
FA  - Chen, Hsiu-Ling
IN  - Tsai, Jeffrey Che-Hung. Department of Emergency Medicine, Cheng-Ching General Hospital, Taichung, Taiwan, ROC; Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, Taiwan, ROC; Department of Emergency Medicine, China Medical University Hospital, Taichung, Taiwan, ROC. Electronic address: erdr2181@gmail.com.
IN  - Weng, Shao-Jen. Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, Taiwan, ROC.
IN  - Huang, Chin-Yin. Program of Health Administration, Tunghai University, Taichung, Taiwan, ROC.
IN  - Yen, David Hung-Tsang. Institute of Emergency and Critical Care Medicine, College of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
IN  - Chen, Hsiu-Ling. Department of Emergency Medicine, Cheng-Ching General Hospital, Taichung, Taiwan, ROC.
TI  - Feasibility of using the predisposition, insult/infection, physiological response, and organ dysfunction concept of sepsis to predict the risk of deterioration and unplanned intensive care unit transfer after emergency department admission.
SO  - Journal of the Chinese Medical Association: JCMA. 77(3):133-41, 2014 Mar
AS  - J Chin Med Assoc. 77(3):133-41, 2014 Mar
NJ  - Journal of the Chinese Medical Association : JCMA
VO  - 77
IP  - 3
PG  - 133-41
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101174817
IO  - J Chin Med Assoc
SB  - Index Medicus
CP  - China (Republic : 1949- )
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Emergency Service, Hospital
MH  - Feasibility Studies
MH  - Female
MH  - Forecasting/mt [Methods]
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - *Patient Admission
MH  - *Patient Transfer
MH  - Risk Factors
MH  - *Sepsis/pp [Physiopathology]
KW  - emergencies;  intensive care unit;  patient transfer;  risk factors;  sepsis
AB  - BACKGROUND: Recognizing patients at risk for deterioration and in need of critical care after emergency department (ED) admission may prevent unplanned intensive care unit (ICU) transfers and decrease the number of deaths in the hospital. The objective of this research was to study if the predisposition, insult, response, and organ dysfunction (PIRO) concept of sepsis can be used to predict the risk of unplanned ICU transfer after ED admission.
AB  - METHODS: The ICU transfer group included 313 patients with unplanned transfer to the ICU within 48 hours of ED admission, and the control (non-transfer) group included 736 randomly sampled patients who were not transferred to the ICU. Two-thirds of the total 1049 patients in this study were randomly assigned to a derivation group, which was used to develop the PIRO model, and the remaining patients were assigned to a validation group.
AB  - RESULTS: Independent predictors of deterioration within 48 hours after ED admission were identified by the PIRO concept. PIRO scores were higher in the ICU transfer group than in the non-transfer group, both in the derivation group [median (mean +/- SD), 5 (5.7 +/- 3.7) vs. 2 (2.5 +/- 2.5); p < 0.001], and in the validation group [median (mean +/- SD), 6 (6.0 +/- 3.4) vs. 2 (2.4 +/- 2.6); p < 0.001]. The proportion of ICU transfer patients with a PIRO score of 0-3, 4-6, 7-9, and >=10 was 14.1%, 46.5%, 57.3%, and 83.8% in the derivation group (p < 0.001) and 12.8%, 37.3%, 68.2%, and 70.0% in the validation group (p < 0.001), respectively. The proportion of inpatient mortality in patients with a PIRO score of 0-3, 4-6, 7-9, and >=10 was 2.6%, 10.1%, 23.2%, and 45.9% in the derivation group (p < 0.001) and 3.3%, 12.0%, 18.2%, and 20.5% in the validation group (p < 0.001), respectively.
AB  - CONCLUSION: The PIRO concept of sepsis may be used in undifferentiated medical ED patients as a prediction system for unplanned ICU transfer after admission.

Copyright © 2014. Published by Elsevier B.V.
ES  - 1728-7731
IL  - 1726-4901
DI  - S1726-4901(13)00315-8
DO  - https://dx.doi.org/10.1016/j.jcma.2013.12.001
PT  - Journal Article
ID  - S1726-4901(13)00315-8 [pii]
ID  - 10.1016/j.jcma.2013.12.001 [doi]
PP  - ppublish
PH  - 2013/03/12 [received]
PH  - 2013/09/26 [accepted]
LG  - English
EP  - 20140201
DP  - 2014 Mar
EZ  - 2014/02/06 06:00
DA  - 2014/11/18 06:00
DT  - 2014/02/06 06:00
YR  - 2014
ED  - 20141117
RD  - 20140303
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24495529

<191. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25272659
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bayerer B
AU  - Frost U
AU  - Claus C
AU  - Schmidt Ch
AU  - Limmroth V
FA  - Bayerer, B
FA  - Frost, U
FA  - Claus, C
FA  - Schmidt, Ch
FA  - Limmroth, V
TI  - [The transient ischemic attack (TIA)--a valid instrument for intern process analyses in neurological departments]. [German]
OT  - Die transient ischamische Attacke (TIA)--ein valides Instrument zur internen Prozessanalyse in neurologischen Abteilungen.
SO  - Versicherungsmedizin. 66(3):137-41, 2014 Sep 01
AS  - Versicherungsmedizin. 66(3):137-41, 2014 Sep 01
NJ  - Versicherungsmedizin
VO  - 66
IP  - 3
PG  - 137-41
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - xac, 8803623
IO  - Versicherungsmedizin
SB  - Index Medicus
CP  - Germany
MH  - Clinical Competence
MH  - Diagnosis-Related Groups
MH  - Germany
MH  - Hospital Departments
MH  - Hospitals, Urban
MH  - Humans
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Internship and Residency
MH  - *Ischemic Attack, Transient/di [Diagnosis]
MH  - *Ischemic Attack, Transient/th [Therapy]
MH  - Medical Staff, Hospital/sd [Supply & Distribution]
MH  - *Neurology/ed [Education]
MH  - Neurology/ma [Manpower]
MH  - Observer Variation
MH  - Patient Transfer
MH  - *Process Assessment (Health Care)/mt [Methods]
MH  - Quality Improvement
MH  - Rehabilitation Centers/sn [Statistics & Numerical Data]
MH  - *Stroke/di [Diagnosis]
MH  - *Stroke/th [Therapy]
AB  - BACKGROUND: The aim of this study was to develop a valid tool for internal process analysis of stroke management in order to identify possible improvements.
AB  - METHOD: 939 stroke patients were classified into DRG diagnoses. Specific parameters known to influence the length of stay were analysed. Subgroup analyses were carried out in patients with TIA regarding a) differences between the neurological sections/ wards, and b) length of stay in correlation with resident level of training and the physician staffing in the particular department/ ward over the year.
AB  - RESULTS: A difference in the length of stay of 1-2 days was revealed between the neurological departments/wards. Transfer to rehabilitation centres increased the length of stay by 5 days. Length of stay correlated with the training level of residents and staffing in the department/ward. Capacity overload due to reduced staffing or high fluctuation of staff increased the length of stay significantly.
AB  - CONCLUSION: TIA patients were shown to be a homogeneous subtype of stroke patients, who can be used as a valid tool to analyse internal processes. This analysis revealed that length of stay depends on resident level of training and workload.
IS  - 0933-4548
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - German
DP  - 2014 Sep 01
EZ  - 2014/10/03 06:00
DA  - 2014/11/08 06:00
DT  - 2014/10/03 06:00
YR  - 2014
ED  - 20141107
RD  - 20161021
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25272659

<192. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24886971
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Barone G
AU  - Corsello M
AU  - Papacci P
AU  - Priolo F
AU  - Romagnoli C
AU  - Zecca E
FA  - Barone, Giovanni
FA  - Corsello, Mirta
FA  - Papacci, Patrizia
FA  - Priolo, Francesca
FA  - Romagnoli, Costantino
FA  - Zecca, Enrico
IN  - Barone, Giovanni. Division of Neonatology, Department of Pediatrics, Catholic University of the Sacred Heart, Rome, Italy. gbarone85@yahoo.it.
TI  - Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams.
SO  - Italian Journal of Pediatrics. 40:41, 2014 May 03
AS  - Ital. J. Pediatr.. 40:41, 2014 May 03
NJ  - Italian journal of pediatrics
VO  - 40
PG  - 41
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 101510759
IO  - Ital J Pediatr
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026828
SB  - Index Medicus
CP  - England
MH  - Equipment Design
MH  - Feasibility Studies
MH  - Female
MH  - Follow-Up Studies
MH  - Gestational Age
MH  - Humans
MH  - *Incubators, Infant
MH  - *Infant Equipment
MH  - *Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Infant, Premature, Diseases/th [Therapy]
MH  - *Intensive Care Units, Neonatal
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/mt [Methods]
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
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.
AB  - 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.
AB  - 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).
AB  - 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.
ES  - 1824-7288
IL  - 1720-8424
DO  - https://dx.doi.org/10.1186/1824-7288-40-41
PT  - Clinical Trial
PT  - Journal Article
ID  - 1824-7288-40-41 [pii]
ID  - 10.1186/1824-7288-40-41 [doi]
ID  - PMC4026828 [pmc]
PP  - epublish
PH  - 2014/01/08 [received]
PH  - 2014/04/29 [accepted]
LG  - English
EP  - 20140503
DP  - 2014 May 03
EZ  - 2014/06/03 06:00
DA  - 2014/10/31 06:00
DT  - 2014/06/03 06:00
YR  - 2014
ED  - 20141030
RD  - 20150805
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24886971

<193. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24810527
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Huynh TN
AU  - Kleerup EC
AU  - Raj PP
AU  - Wenger NS
FA  - Huynh, Thanh N
FA  - Kleerup, Eric C
FA  - Raj, Prince P
FA  - Wenger, Neil S
IN  - Huynh, Thanh N. 1Division of Pulmonary and Critical Care Medicine, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA. 2Emergency Room, Ronald Reagan-UCLA Medical Center, Los Angeles, CA. 3UCLA Health Ethics Center, Los Angeles, CA. 4Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA. 5RAND Health, Santa Monica, CA.
TI  - The opportunity cost of futile treatment in the ICU*.
CM  - Comment in: Crit Care Med. 2014 Sep;42(9):2127-8; PMID: 25126797
CM  - Comment in: Crit Care Med. 2015 Feb;43(2):e58-9; PMID: 25599507
CM  - Comment in: Crit Care Med. 2015 May;43(5):e151; PMID: 25876123
CM  - Comment in: Crit Care Med. 2015 May;43(5):e152; PMID: 25876124
CM  - Comment in: Crit Care Med. 2015 Feb;43(2):e59; PMID: 25599508
SO  - Critical Care Medicine. 42(9):1977-82, 2014 Sep
AS  - Crit Care Med. 42(9):1977-82, 2014 Sep
NJ  - Critical care medicine
VO  - 42
IP  - 9
PG  - 1977-82
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134705
OI  - Source: NLM. NIHMS607356
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/og [Organization & Administration]
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - Health Care Rationing/og [Organization & Administration]
MH  - Health Care Rationing/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Medical Futility
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer
MH  - Time Factors
MH  - Waiting Lists
AB  - OBJECTIVE: When used to prolong life without achieving a benefit meaningful to the patient, critical care is often considered "futile." Although futile treatment is acknowledged as a misuse of resources by many, no study has evaluated its opportunity cost, that is, how it affects care for others. Our objective was to evaluate delays in care when futile treatment is provided.
AB  - DESIGN: For 3 months, we surveyed critical care physicians in five ICUs to identify patients that clinicians identified as receiving futile treatment. We identified days when an ICU was full and contained at least one patient who was receiving futile treatment. For those days, we evaluated the number of patients waiting for ICU admission more than 4 hours in the emergency department or more than 1 day at an outside hospital.
AB  - SETTING: One health system that included a quaternary care medical center and an affiliated community hospital.
AB  - PATIENTS: Critically ill patients.
AB  - INTERVENTIONS: None.
AB  - MEASUREMENTS AND MAIN RESULTS: Boarding time in the emergency department and waiting time on the transfer list. Thirty-six critical care specialists made 6,916 assessments on 1,136 patients of whom 123 were assessed to receive futile treatment. A full ICU was less likely to contain a patient receiving futile treatment compared with an ICU with available beds (38% vs 68%, p < 0.001). On 72 (16%) days, an ICU was full and contained at least one patient receiving futile treatment. During these days, 33 patients boarded in the emergency department for more than 4 hours after admitted to the ICU team, nine patients waited more than 1 day to be transferred from an outside hospital, and 15 patients canceled the transfer request after waiting more than 1 day. Two patients died while waiting to be transferred.
AB  - CONCLUSIONS: Futile critical care was associated with delays in care to other patients.
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0000000000000402
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/CCM.0000000000000402 [doi]
ID  - PMC4134705 [pmc]
ID  - NIHMS607356 [mid]
PP  - ppublish
GI  - No: L30 RR033215
Organization: (RR) *NCRR NIH HHS*
Country: United States
LG  - English
DP  - 2014 Sep
EZ  - 2014/05/09 06:00
DA  - 2014/10/15 06:00
DT  - 2014/05/10 06:00
YR  - 2014
ED  - 20141014
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24810527

<194. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25070310
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bonafide CP
AU  - Localio AR
AU  - Song L
AU  - Roberts KE
AU  - Nadkarni VM
AU  - Priestley M
AU  - Paine CW
AU  - Zander M
AU  - Lutts M
AU  - Brady PW
AU  - Keren R
FA  - Bonafide, Christopher P
FA  - Localio, A Russell
FA  - Song, Lihai
FA  - Roberts, Kathryn E
FA  - Nadkarni, Vinay M
FA  - Priestley, Margaret
FA  - Paine, Christine W
FA  - Zander, Miriam
FA  - Lutts, Meaghan
FA  - Brady, Patrick W
FA  - Keren, Ron
IN  - Bonafide, Christopher P. Division of General Pediatrics,Departments of Pediatrics,Center for Pediatric Clinical Effectiveness,Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania; and bonafide@email.chop.edu.
IN  - Localio, A Russell. Biostatistics and Epidemiology, and.
IN  - Song, Lihai. Center for Pediatric Clinical Effectiveness.
IN  - Roberts, Kathryn E. Departments of Nursing.
IN  - Nadkarni, Vinay M. Anesthesiology and Critical Care Medicine, andAnesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania;
IN  - Priestley, Margaret. Anesthesiology and Critical Care Medicine, andAnesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania;
IN  - Paine, Christine W. Division of General Pediatrics.
IN  - Zander, Miriam. Division of General Pediatrics.
IN  - Lutts, Meaghan. Finance, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania;
IN  - Brady, Patrick W. Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
IN  - Keren, Ron. Division of General Pediatrics,Departments of Pediatrics,Center for Pediatric Clinical Effectiveness,Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania; and.
TI  - Cost-benefit analysis of a medical emergency team in a children's hospital.
CM  - Comment in: Pediatrics. 2014 Aug;134(2):375-6; PMID: 25070316
SO  - Pediatrics. 134(2):235-41, 2014 Aug
AS  - Pediatrics. 134(2):235-41, 2014 Aug
NJ  - Pediatrics
VO  - 134
IP  - 2
PG  - 235-41
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Cost Savings
MH  - Cost of Illness
MH  - Cost-Benefit Analysis
MH  - Critical Illness/ec [Economics]
MH  - Critical Illness/th [Therapy]
MH  - Female
MH  - Hospital Costs
MH  - *Hospital Rapid Response Team/ec [Economics]
MH  - *Hospitals, Pediatric/ec [Economics]
MH  - Humans
MH  - Infant
MH  - Intensive Care Units, Pediatric/ec [Economics]
MH  - Length of Stay/ec [Economics]
MH  - Male
MH  - Patient Transfer
MH  - Respiration, Artificial/ec [Economics]
KW  - Patient Protection and Affordable Care Act;  cost-benefit analysis;  health care financing;  hospital rapid response team;  intensive care units
AB  - OBJECTIVES: Medical emergency teams (METs) can reduce adverse events in hospitalized children. We aimed to model the financial costs and benefits of operating an MET and determine the annual reduction in critical deterioration (CD) events required to offset MET costs.
AB  - METHODS: We performed a single-center cohort study between July 1, 2007 and March 31, 2012 to determine the cost of CD events (unplanned transfers to the ICU with mechanical ventilation or vasopressors in the 12 hours after transfer) as compared with transfers to the ICU without CD. We then performed a cost-benefit analysis evaluating varying MET compositions and staffing models (freestanding or concurrent responsibilities) on the annual reduction in CD events needed to offset MET costs.
AB  - RESULTS: Patients who had CD cost $99,773 (95% confidence interval, $69,431 to $130,116; P < .001) more during their post-event hospital stay than transfers to the ICU that did not meet CD criteria. Annual MET operating costs ranged from $287,145 for a nurse and respiratory therapist team with concurrent responsibilities to $2,358,112 for a nurse, respiratory therapist, and ICU attending physician freestanding team. In base-case analysis, a nurse, respiratory therapist, and ICU fellow team with concurrent responsibilities cost $350,698 per year, equivalent to a reduction of 3.5 CD events.
AB  - CONCLUSIONS: CD is expensive. The costs of operating a MET can plausibly be recouped with a modest reduction in CD events. Hospitals reimbursed with bundled payments could achieve real financial savings by reducing CD with an MET.

Copyright © 2014 by the American Academy of Pediatrics.
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2014-0140
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - peds.2014-0140 [pii]
ID  - 10.1542/peds.2014-0140 [doi]
PP  - ppublish
LG  - English
DP  - 2014 Aug
EZ  - 2014/07/30 06:00
DA  - 2014/09/30 06:00
DT  - 2014/07/30 06:00
YR  - 2014
ED  - 20140929
RD  - 20140802
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25070310

<195. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25181794
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lynch TF
AU  - Kugler L
AU  - Niedziela J
FA  - Lynch, Thomas F
FA  - Kugler, Liz
FA  - Niedziela, Janine
TI  - Saving our smallest patients.
SO  - Journal of Healthcare Protection Management. 30(2):72-82, 2014
AS  - J Healthc Prot Manage. 30(2):72-82, 2014
NJ  - Journal of healthcare protection management : publication of the International Association for Hospital Security
VO  - 30
IP  - 2
PG  - 72-82
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - gb9, 8506548
IO  - J Healthc Prot Manage
SB  - Health Administration Journals
CP  - United States
MH  - *Disaster Planning
MH  - Efficiency, Organizational
MH  - *Emergencies
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Transportation of Patients/og [Organization & Administration]
AB  - The feedback from the staff that participated in the Full Scale Drill was overwhelmingly positive. Working and becoming acquainted with members from other supporting departments is critical to a successful evacuation. They enjoyed being a part of the drill and expressed that having ownership of an evacuation plan is vital in the care of our babies. This turned out to be a remarkable team building exercise on many levels. The planning team achieved its overall goal of creating a sense of control over a potentially chaotic environment and now believes that they could execute an evacuation for any reason with maximum protection for their patients. In a similar way various groups in and outside of the Medical Center have an understanding of the complexities of this patient group and what would be needed to effectively support their needs in a disaster. The NICU/CCN Evacuation Committee looks back over almost a year of hard work with tremendous satisfaction and renewed confidence.
IS  - 0891-7930
IL  - 0891-7930
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2014
EZ  - 2014/09/04 06:00
DA  - 2014/09/26 06:00
DT  - 2014/09/04 06:00
YR  - 2014
ED  - 20140925
RD  - 20140903
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25181794

<196. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25249749
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Kumari S
AU  - Kumar S
FA  - Kumari, Shweta
FA  - Kumar, Sachin
IN  - Kumari, Shweta. Department of Hospital Administration, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
IN  - Kumar, Sachin. Department of Pulmonary Medicine, Institute of Liver and Biliary Sciences (ILBS), New Delhi, India.
TI  - Patient safety and prevention of unexpected events occurring during the intra-hospital transport of critically ill ICU patients.
SO  - Indian Journal of Critical Care Medicine. 18(9):636, 2014 Sep
AS  - Indian J. Crit. Care Med.. 18(9):636, 2014 Sep
NJ  - Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
VO  - 18
IP  - 9
PG  - 636
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101208863
IO  - Indian J Crit Care Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166880
CP  - India
IS  - 0972-5229
IL  - 0972-5229
DO  - https://dx.doi.org/10.4103/0972-5229.140156
PT  - Journal Article
ID  - 10.4103/0972-5229.140156 [doi]
ID  - IJCCM-18-636a [pii]
ID  - PMC4166880 [pmc]
PP  - ppublish
LG  - English
DP  - 2014 Sep
EZ  - 2014/09/25 06:00
DA  - 2014/09/25 06:01
DT  - 2014/09/25 06:00
YR  - 2014
ED  - 20140924
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25249749

<197. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24870019
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rispoli F
AU  - Iannuzzi M
AU  - De Robertis E
AU  - Piazza O
AU  - Servillo G
AU  - Tufano R
FA  - Rispoli, Fabio
FA  - Iannuzzi, Michele
FA  - De Robertis, Edoardo
FA  - Piazza, Ornella
FA  - Servillo, Giuseppe
FA  - Tufano, Rosalba
IN  - Rispoli, Fabio. Department of Anesthesiology,Intensive Care,Hyperbaric Therapy and Pain Therapy,University of Naples Federico II,Naples,Italy.
IN  - Iannuzzi, Michele. Department of Anesthesiology,Intensive Care,Hyperbaric Therapy and Pain Therapy,University of Naples Federico II,Naples,Italy.
IN  - De Robertis, Edoardo. Department of Anesthesiology,Intensive Care,Hyperbaric Therapy and Pain Therapy,University of Naples Federico II,Naples,Italy.
IN  - Piazza, Ornella. Department of Anesthesiology,Intensive Care,Hyperbaric Therapy and Pain Therapy,University of Naples Federico II,Naples,Italy.
IN  - Servillo, Giuseppe. Department of Anesthesiology,Intensive Care,Hyperbaric Therapy and Pain Therapy,University of Naples Federico II,Naples,Italy.
IN  - Tufano, Rosalba. Department of Anesthesiology,Intensive Care,Hyperbaric Therapy and Pain Therapy,University of Naples Federico II,Naples,Italy.
TI  - Warning! fire in the ICU.
SO  - Prehospital & Disaster Medicine. 29(3):339-40, 2014 Jun
AS  - Prehospital Disaster Med. 29(3):339-40, 2014 Jun
NJ  - Prehospital and disaster medicine
VO  - 29
IP  - 3
PG  - 339-40
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bdf, 8918173
IO  - Prehosp Disaster Med
SB  - Health Technology Assessment Journals
CP  - United States
MH  - *Electric Power Supplies/ae [Adverse Effects]
MH  - Equipment Failure
MH  - *Fires
MH  - Humans
MH  - *Intensive Care Units
MH  - Italy
MH  - Occupational Exposure/ae [Adverse Effects]
MH  - Transportation of Patients
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).
IS  - 1049-023X
IL  - 1049-023X
DO  - https://dx.doi.org/10.1017/S1049023X1400048X
PT  - Journal Article
ID  - S1049023X1400048X [pii]
ID  - 10.1017/S1049023X1400048X [doi]
PP  - ppublish
LG  - English
EP  - 20140528
DP  - 2014 Jun
EZ  - 2014/05/30 06:00
DA  - 2014/09/23 06:00
DT  - 2014/05/30 06:00
YR  - 2014
ED  - 20140922
RD  - 20140807
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24870019

<198. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24183833
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Raulin-Gaignard H
AU  - Berlengi N
AU  - Gatin A
AU  - Loeb O
AU  - Borsa-Dorion A
AU  - Monin P
FA  - Raulin-Gaignard, H
FA  - Berlengi, N
FA  - Gatin, A
FA  - Loeb, O
FA  - Borsa-Dorion, A
FA  - Monin, P
IN  - Raulin-Gaignard, H. Structure d'urgences pediatriques Meurthe-et-Moselle, hopital d'enfants, CHU de Nancy, rue du Morvan, 54000 Nancy, France. Electronic address: helenerau@hotmail.fr.
TI  - [Severe allergic reaction due to a rectal enema]. [French]
OT  - Reaction allergique severe suite a un lavement.
SO  - Archives de Pediatrie. 20(12):1329-32, 2013 Dec
AS  - Arch Pediatr. 20(12):1329-32, 2013 Dec
NJ  - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
VO  - 20
IP  - 12
PG  - 1329-32
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9421356, bwh
IO  - Arch Pediatr
SB  - Index Medicus
CP  - France
MH  - Administration, Rectal
MH  - *Anaphylaxis/ci [Chemically Induced]
MH  - Anaphylaxis/di [Diagnosis]
MH  - Anaphylaxis/th [Therapy]
MH  - Child
MH  - *Constipation/th [Therapy]
MH  - *Enema/ae [Adverse Effects]
MH  - *Excipients/ae [Adverse Effects]
MH  - Humans
MH  - Hypertonic Solutions/ae [Adverse Effects]
MH  - Intensive Care Units
MH  - *Parabens/ae [Adverse Effects]
MH  - Patient Transfer
MH  - Treatment Outcome
AB  - Allergic drug reactions must always be considered when prescribing treatment, even in frequent pediatric problems such as acute abdominal pain due to constipation. We describe an original case of anaphylactic shock due to the administration of hypertonic rectal enema in a child. A 9-year-old child admitted to the emergency department for an acute complaint of abdominal pain related to constipation received an administration of a hypertonic rectal enema to allow the passage of stools. Afterwards, the child presented a life-threatening episode, requiring emergency treatment with transfer to the pediatric intensive care unit, suggesting an anaphylactic shock. The absence of any other drug or food intake, the chronology of events, and favorable outcome after treatment led to the diagnosis of a probable allergy to methylparaben, sodium parahydroxybenzoate, present as the excipient in the rectal enema. Anaphylactic shock is a serious allergic reaction, setting in rapidly, which may lead to fatal outcome. Most reactions to parabens reported concern, almost exclusively, the cutaneous application of paraben-containing topical preparations. The present observation underscores the original and undescribed risk of an allergic general reaction following the rectal administration of parabens. The indications of any prescription must be carefully observed and potential drug contraindications, considering the patient's history of allergy, should be sought.

Copyright © 2013 Elsevier Masson SAS. All rights reserved.
RN  - 0 (Excipients)
RN  - 0 (Hypertonic Solutions)
RN  - 0 (Parabens)
RN  - A2I8C7HI9T (methylparaben)
ES  - 1769-664X
IL  - 0929-693X
DI  - S0929-693X(13)00498-3
DO  - https://dx.doi.org/10.1016/j.arcped.2013.09.021
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
ID  - S0929-693X(13)00498-3 [pii]
ID  - 10.1016/j.arcped.2013.09.021 [doi]
PP  - ppublish
PH  - 2013/05/17 [received]
PH  - 2013/06/19 [revised]
PH  - 2013/09/24 [accepted]
LG  - French
EP  - 20131031
DP  - 2013 Dec
EZ  - 2013/11/05 06:00
DA  - 2014/09/10 06:00
DT  - 2013/11/05 06:00
YR  - 2013
ED  - 20140909
RD  - 20131125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24183833

<199. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24721717
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kupas DF
AU  - Wang HE
FA  - Kupas, Douglas F
FA  - Wang, Henry E
IN  - Kupas, Douglas F. Department of Emergency Medicine, Geisinger Health System, Danville, PA. Electronic address: dkupas@geisinger.edu.
IN  - Wang, Henry E. Department of Emergency Medicine, University of Alabama School of Medicine, Birmingham, AL.
TI  - Critical care paramedics -a missing component for safe interfacility transport in the United States.
CM  - Comment on: Ann Emerg Med. 2014 Jul;64(1):9-15.e2; PMID: 24412668
SO  - Annals of Emergency Medicine. 64(1):17-8, 2014 Jul
AS  - Ann Emerg Med. 64(1):17-8, 2014 Jul
NJ  - Annals of emergency medicine
VO  - 64
IP  - 1
PG  - 17-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 8002646
IO  - Ann Emerg Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Allied Health Personnel/st [Standards]
MH  - *Critical Care/st [Standards]
MH  - *Critical Illness/th [Therapy]
MH  - *Emergency Medical Services/st [Standards]
MH  - Female
MH  - Humans
MH  - Male
MH  - *Professional Competence
MH  - *Transportation of Patients/mt [Methods]
ES  - 1097-6760
IL  - 0196-0644
DI  - S0196-0644(14)00216-9
DO  - https://dx.doi.org/10.1016/j.annemergmed.2014.03.010
PT  - Comment
PT  - Editorial
ID  - S0196-0644(14)00216-9 [pii]
ID  - 10.1016/j.annemergmed.2014.03.010 [doi]
PP  - ppublish
PH  - 2014/02/06 [received]
PH  - 2014/03/12 [revised]
PH  - 2014/03/13 [accepted]
LG  - English
EP  - 20140412
DP  - 2014 Jul
EZ  - 2014/04/12 06:00
DA  - 2014/08/26 06:00
DT  - 2014/04/12 06:00
YR  - 2014
ED  - 20140825
RD  - 20140621
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24721717

<200. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23969532
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hirfanoglu IM
AU  - Unal S
AU  - Onal EE
AU  - Beken S
AU  - Turkyilmaz C
AU  - Pasaoglu H
AU  - Koc E
AU  - Ergenekon E
AU  - Atalay Y
FA  - Hirfanoglu, Ibrahim M
FA  - Unal, Sezin
FA  - Onal, E Esra
FA  - Beken, Serdar
FA  - Turkyilmaz, Canan
FA  - Pasaoglu, Hatice
FA  - Koc, Esin
FA  - Ergenekon, Ebru
FA  - Atalay, Yildiz
IN  - Hirfanoglu, Ibrahim M. *Department of Pediatrics, Division of Neonatology +Department of Biochemistry, Gazi University Medical School, Ankara, Turkey.
TI  - Analysis of serum gamma-glutamyl transferase levels in neonatal intensive care unit patients.
SO  - Journal of Pediatric Gastroenterology & Nutrition. 58(1):99-101, 2014 Jan
AS  - J Pediatr Gastroenterol Nutr. 58(1):99-101, 2014 Jan
NJ  - Journal of pediatric gastroenterology and nutrition
VO  - 58
IP  - 1
PG  - 99-101
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jl6, 8211545
IO  - J. Pediatr. Gastroenterol. Nutr.
SB  - Index Medicus
CP  - United States
MH  - Cesarean Section
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature/bl [Blood]
MH  - *Intensive Care Units, Neonatal
MH  - *Liver/en [Enzymology]
MH  - Liver Function Tests
MH  - Male
MH  - Reference Values
MH  - Retrospective Studies
MH  - Sex Factors
MH  - Turkey
MH  - *gamma-Glutamyltransferase/bl [Blood]
AB  - OBJECTIVES: Gamma-glutamyl transferase (GGT) is commonly measured in newborn infants as a sensitive liver function test; however, reference ranges are mostly based on early studies, including relatively small number of patients. The aim of this study was to emphasise recently changed GGT values because of changed newborns profile admitted to neonatal intensive care units (NICUs) and establish new cross-sectional reference ranges for the serum GGT levels in a cohort of neonates between 26 and 42 weeks' gestational age in 1 centre.
AB  - METHODS: From January 1, 2010 to December 31, 2012, liver function tests including serum GGT measurements were performed in 705 newborns who were admitted to NICUs because of different aetiologies at Gazi University School of Medicine Hospital, Ankara, Turkey. Infants with Apgar score <8 at the fifth minute, any metabolic or liver disease, cholestasis, congenital infection, culture-proven sepsis, elevated serum aminotransferases, and who were treated with phenobarbital were excluded. Clinical and laboratory data of 583 neonates were analysed retrospectively. GGT was measured by enzymatic method using the Abbott Architect C16000 autoanalyser. Mean, 2.5th, and 97.5th percentiles were used to express the reference range data.
AB  - RESULTS: Four hundred sixty-one GGT values of 200 preterm infants and 501 GGT values of 383 term infants during the first 28 days after birth were analysed. Serum GGT levels of preterm infants in the first 7 days and between 8 and 28 days after delivery were (mean+/-standard deviation; 141.81+/-88.56 U/L and 131.17+/-85.53 U/L) similar to term infants (139.90+/-86.46 U/L and 144.56+/-86.51 U/L), respectively (P=0.649 and P=0.087). Serum GGT levels were found to be significantly higher in male infants (no need of query) (145.98+/-93.68 U/L) than female infants (132.18+/-78.97 U/L) (P=0.035), and infants born vaginally (152.24+/-90.71 U/L) also had higher serum GGT activity than those born by caesarean section (135.38+/-85.37 U/L) (P=0.005).
AB  - CONCLUSIONS: A new reference range for serum GGT levels that is higher than previous reference values can identify neonates with truly abnormal results and prevent unnecessary interventions.
RN  - EC 2-3-2-2 (gamma-Glutamyltransferase)
ES  - 1536-4801
IL  - 0277-2116
DO  - https://dx.doi.org/10.1097/MPG.0b013e3182a907f2
PT  - Journal Article
ID  - 10.1097/MPG.0b013e3182a907f2 [doi]
PP  - ppublish
LG  - English
DP  - 2014 Jan
EZ  - 2013/08/24 06:00
DA  - 2014/08/19 06:00
DT  - 2013/08/24 06:00
YR  - 2014
ED  - 20140818
RD  - 20140103
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=23969532

<201. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 25097547
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Xu Y
AU  - Xu Z
AU  - Wang Y
FA  - Xu, Yuansheng
FA  - Xu, Zhijun
FA  - Wang, Yi
IN  - Xu, Yuansheng. Yuansheng Xu, MD, Department of Emergency, Hangzhou First People's Hospital, Nanjing Medical University Affiliated Hangzhou Hospital, 261 Huansha Road, Hangzhou City, Zhejiang Province, 310006, China.
IN  - Xu, Zhijun. Zhijun Xu, MD, Department of Emergency, Hangzhou First People's Hospital, Nanjing Medical University Affiliated Hangzhou Hospital, 261 Huansha Road, Hangzhou City, Zhejiang Province, 310006, China.
IN  - Wang, Yi. Yi Wang, MD, Department of Emergency, Hangzhou First People's Hospital, Nanjing Medical University Affiliated Hangzhou Hospital, 261 Huansha Road, Hangzhou City, Zhejiang Province, 310006, China.
TI  - Cardiac tamponade due to pneumopericardium.
SO  - Pakistan Journal of Medical Sciences. 30(4):924-6, 2014 Jul
AS  - Pak. j. med. sci.. 30(4):924-6, 2014 Jul
NJ  - Pakistan journal of medical sciences
VO  - 30
IP  - 4
PG  - 924-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100913117
IO  - Pak J Med Sci
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4121728
CP  - Pakistan
KW  - Barotrauma;  Cardiac tamponade;  Pneumopericardium;  Portable ventilator
AB  - Tension pneumopericardium is an uncommon complication of mechanical ventilaton. It may indeed be life-threatening for hemodynamic compromise and circulatory collapse. We present a case of tension pneumopericardium in a patient with a portable ventilator during intrahospital transport for computed tomography scan. Although timely rescue measures were performed, the patient died finally. We report the case to help us to be aware of and take precautions against this fatal condition during intrahospital patient transportation.
IS  - 1682-024X
IL  - 1681-715X
PT  - Journal Article
ID  - PMC4121728 [pmc]
PP  - ppublish
PH  - 2013/11/28 [received]
PH  - 2014/03/20 [revised]
PH  - 2014/03/25 [accepted]
LG  - English
DP  - 2014 Jul
EZ  - 2014/08/07 06:00
DA  - 2014/08/07 06:01
DT  - 2014/08/07 06:00
YR  - 2014
ED  - 20140806
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25097547

<202. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24723697
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Laing IA
FA  - Laing, Ian A
TI  - Where should extreme preterm babies be delivered? Crucial data from EPICure.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 99(3):F177-8, 2014 May
AS  - Arch Dis Child Fetal Neonatal Ed. 99(3):F177-8, 2014 May
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 99
IP  - 3
PG  - F177-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Adult
MH  - Benchmarking
MH  - Female
MH  - Humans
MH  - *Infant, Extremely Premature
MH  - Infant, Newborn
MH  - *Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Neonatal/sd [Supply & Distribution]
MH  - Male
MH  - Medical Audit
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Pregnancy
MH  - United Kingdom
KW  - Intensive Care;  Mortality;  Neonatology;  Outcomes research;  Paediatric Practice
ES  - 1468-2052
IL  - 1359-2998
DO  - https://dx.doi.org/10.1136/archdischild-2014-306020
PT  - Editorial
ID  - archdischild-2014-306020 [pii]
ID  - 10.1136/archdischild-2014-306020 [doi]
PP  - ppublish
LG  - English
DP  - 2014 May
EZ  - 2014/04/12 06:00
DA  - 2014/08/06 06:00
DT  - 2014/04/12 06:00
YR  - 2014
ED  - 20140805
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24723697

<203. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24604108
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Marlow N
AU  - Bennett C
AU  - Draper ES
AU  - Hennessy EM
AU  - Morgan AS
AU  - Costeloe KL
FA  - Marlow, N
FA  - Bennett, C
FA  - Draper, E S
FA  - Hennessy, E M
FA  - Morgan, A S
FA  - Costeloe, K L
IN  - Marlow, N. Academic Neonatology, UCL Institute for Women's Health, , London.
TI  - Perinatal outcomes for extremely preterm babies in relation to place of birth in England: the EPICure 2 study.
CM  - Comment in: Arch Dis Child Fetal Neonatal Ed. 2014 Nov;99(6):F521; PMID: 25249189
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 99(3):F181-8, 2014 May
AS  - Arch Dis Child Fetal Neonatal Ed. 99(3):F181-8, 2014 May
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 99
IP  - 3
PG  - F181-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995269
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Birth Weight
MH  - Child, Preschool
MH  - Cohort Studies
MH  - England/ep [Epidemiology]
MH  - Female
MH  - *Fetal Death/ep [Epidemiology]
MH  - Gestational Age
MH  - Hospitals, Maternity/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant Mortality/td [Trends]
MH  - *Infant Mortality
MH  - *Infant, Extremely Premature
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/mo [Mortality]
MH  - Intensive Care Units, Neonatal/cl [Classification]
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Odds Ratio
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Perinatal Mortality
MH  - Prospective Studies
KW  - Epidemiology;  Neonatology
AB  - BACKGROUND: Expertise and resources may be important determinants of outcome for extremely preterm babies. We evaluated the effect of place of birth and perinatal transfer on survival and neonatal morbidity within a prospective cohort of births between 22 and 26 weeks of gestation in England during 2006.
AB  - METHODS: We studied the whole population of 2460 births where the fetus was alive at the admission of the mother to hospital for delivery. Outcomes to discharge were compared between level 3 (most intensive) and level 2 maternity services, with and without transfers, and by activity level of level 3 neonatal unit; ORs were adjusted for gestation at birth and birthweight for gestation (adjusted ORs (aOR)).
AB  - FINDINGS: Of this national birth cohort, 56% were born in maternity services with level 3 and 34% with level 2 neonatal units; 10% were born in a setting without ongoing intensive care facilities (level 1). When compared with level 2 settings, risk of death in level 3 services was reduced (aOR 0.73 (95% CI 0.59 to 0.90)), but the proportion surviving without neonatal morbidity was similar (aOR 1.27 (0.93 to 1.74)). Analysis by intended hospital of birth confirmed reduced mortality in level 3 services. Following antenatal transfer into a level 3 setting, there were fewer intrapartum or labour ward deaths, and overall mortality was higher for those remaining in level 2 services (aOR 1.44 (1.09 to 1.90)). Among level 3 services, those with higher activity had fewer deaths overall (aOR 0.68 (0.52 to 0.89)).
AB  - INTERPRETATION: Despite national policy, only 56% of births between 22 and 26 weeks of gestation occurred in maternity services with a level 3 neonatal facility. Survival was significantly enhanced following birth in level 3 services, particularly those with high activity; this was not at the cost of increased neonatal morbidity.
ES  - 1468-2052
IL  - 1359-2998
DO  - https://dx.doi.org/10.1136/archdischild-2013-305555
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - archdischild-2013-305555 [pii]
ID  - 10.1136/archdischild-2013-305555 [doi]
ID  - PMC3995269 [pmc]
PP  - ppublish
GI  - No: G0401525
Organization: *Medical Research Council*
Country: United Kingdom
LG  - English
EP  - 20140306
DP  - 2014 May
EZ  - 2014/03/08 06:00
DA  - 2014/08/06 06:00
DT  - 2014/03/08 06:00
YR  - 2014
ED  - 20140805
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24604108

<204. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23933644
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cypress BS
FA  - Cypress, Brigitte S
IN  - Cypress, Brigitte S. Lehman College and The Graduate Center, City University of New York, NY, USA. brigitte.cypress@lehman.cuny.edu
TI  - Transfer out of intensive care: an evidence-based literature review. [Review]
SO  - DCCN - Dimensions of Critical Care Nursing. 32(5):244-61, 2013 Sep-Oct
AS  - DCCN. 32(5):244-61, 2013 Sep-Oct
NJ  - Dimensions of critical care nursing : DCCN
VO  - 32
IP  - 5
PG  - 244-61
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8211489
IO  - Dimens Crit Care Nurs
SB  - Nursing Journal
CP  - United States
MH  - Anxiety/et [Etiology]
MH  - *Critical Illness/px [Psychology]
MH  - Evidence-Based Nursing
MH  - Family/px [Psychology]
MH  - Humans
MH  - *Intensive Care Units
MH  - *Patient Discharge
MH  - *Patient Transfer
MH  - Stress, Psychological/et [Etiology]
AB  - Critical care beds are a finite resource. Transfer or discharge of patients from the intensive care unit affects the flow of patients in critical care. Effective whole hospital bed management is key to the successful management of the critical care service. However, admission to the critical care unit alone can be extremely frightening, distressing, and traumatic not only for the patients but their families as well. Although transfer to the medical floors is a positive step toward physical recovery, it can be equally traumatic, and many patients and their families exhibit stress, fear, and anxiety. The purpose of this article was to systematically review the effects of intensive care unit transfer or discharge to medical-surgical floors on adult critically ill patients, their family members and nurses.
ES  - 1538-8646
IL  - 0730-4625
DO  - https://dx.doi.org/10.1097/DCC.0b013e3182a07646
PT  - Journal Article
PT  - Review
ID  - 10.1097/DCC.0b013e3182a07646 [doi]
ID  - 00003465-201309000-00007 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Sep-Oct
EZ  - 2013/08/13 06:00
DA  - 2014/08/01 06:00
DT  - 2013/08/13 06:00
YR  - 2013
ED  - 20140731
RD  - 20130812
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23933644

<205. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24908959
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kurochkin MIu
AU  - Davydova AH
AU  - Chemerys IuO
FA  - Kurochkin, M Iu
FA  - Davydova, A H
FA  - Chemerys, Iu O
TI  - [Hemodynamics, oxygen transport and perioperative intensive care evaluation in newborns with surgical pathology]. [Ukrainian]
SO  - Likarska Sprava. (1-2):45-50, 2014 Jan-Feb
AS  - Lik Sprava. (1-2):45-50, 2014 Jan-Feb
NJ  - Likars'ka sprava
IP  - 1-2
PG  - 45-50
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9601540, ciu
IO  - Lik. Sprava
SB  - Index Medicus
CP  - Ukraine
MH  - Analgesia, Epidural
MH  - Anesthesia, General
MH  - Cardiography, Impedance
MH  - *Digestive System Abnormalities/su [Surgery]
MH  - Heart Function Tests
MH  - *Hemodynamics/ph [Physiology]
MH  - Humans
MH  - Infant, Newborn
MH  - Monitoring, Physiologic/is [Instrumentation]
MH  - *Monitoring, Physiologic/mt [Methods]
MH  - Oxygen/bl [Blood]
MH  - *Oxygen Consumption/ph [Physiology]
MH  - Perioperative Care/is [Instrumentation]
MH  - *Perioperative Care/mt [Methods]
MH  - Respiratory Function Tests
MH  - Signal Processing, Computer-Assisted
AB  - The aim of the work was to develop criteria of perioperative intensive therapy efficiency in surgical neonates by hemodynamic, acid--base status, oxygen transport and pulmonary hydration studying and evaluating. The study of hemodynamics, oxygen transport, pulmonary hydration was performed in 69 infants with surgical pathology. In 36 children neuroaxial central blockades were used on the background of general anesthesia. The criteria of preoperative preparation effectiveness--balanced oxygen regime--3-3.5 units; positive central venous pressure--3-4 sm w. c.; hourly urine output of at least 1 ml/(kg x h); transthoracic impedance is not less than 19 ohms (prevention of pulmonary edema). In group I hemodynamic variations were minimal compared with infants of the II groups that is associated with better analgesic effect of caudal-epidural blockades.
RN  - S88TT14065 (Oxygen)
IS  - 1019-5297
IL  - 1019-5297
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Ukrainian
DP  - 2014 Jan-Feb
EZ  - 2014/06/10 06:00
DA  - 2014/07/26 06:00
DT  - 2014/06/10 06:00
YR  - 2014
ED  - 20140725
RD  - 20161018
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24908959

<206. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24071907
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gould JB
AU  - Danielsen BH
AU  - Bollman L
AU  - Hackel A
AU  - Murphy B
FA  - Gould, J B
FA  - Danielsen, B H
FA  - Bollman, L
FA  - Hackel, A
FA  - Murphy, B
IN  - Gould, J B. 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.
TI  - Estimating the quality of neonatal transport in California.
SO  - Journal of Perinatology. 33(12):964-70, 2013 Dec
AS  - J Perinatol. 33(12):964-70, 2013 Dec
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 33
IP  - 12
PG  - 964-70
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - *Benchmarking/mt [Methods]
MH  - California
MH  - Canada
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Logistic Models
MH  - *Quality of Health Care/st [Standards]
MH  - ROC Curve
MH  - Risk Adjustment
MH  - *Transportation of Patients/st [Standards]
AB  - OBJECTIVE: To develop a strategy to assess the quality of neonatal transport based on change in neonatal condition during transport.
AB  - 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.
AB  - 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.
AB  - CONCLUSION: We present a practical, benchmarked, risk-adjusted, estimate of the quality of neonatal transport.
ES  - 1476-5543
IL  - 0743-8346
DO  - https://dx.doi.org/10.1038/jp.2013.57
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Studies
ID  - jp201357 [pii]
ID  - 10.1038/jp.2013.57 [doi]
PP  - ppublish
PH  - 2012/11/05 [received]
PH  - 2013/04/12 [revised]
PH  - 2013/04/18 [accepted]
LG  - English
EP  - 20130926
DP  - 2013 Dec
EZ  - 2013/09/28 06:00
DA  - 2014/07/26 06:00
DT  - 2013/09/28 06:00
YR  - 2013
ED  - 20140725
RD  - 20131126
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24071907

<207. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23828133
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Snedec N
AU  - Simoncic M
AU  - Klemenc M
AU  - Ihan A
AU  - Vidmar I
AU  - Grosek S
FA  - Snedec, Nejc
FA  - Simoncic, Milanka
FA  - Klemenc, Matjaz
FA  - Ihan, Alojz
FA  - Vidmar, Ivan
FA  - Grosek, Stefan
IN  - Snedec, Nejc. Department of Radiology, General Hospital Celje, Oblakova ulica 5, 3000, Celje, Slovenia.
TI  - Heart rate variability of transported critically ill neonates.
SO  - European Journal of Pediatrics. 172(12):1565-71, 2013 Dec
AS  - Eur J Pediatr. 172(12):1565-71, 2013 Dec
NJ  - European journal of pediatrics
VO  - 172
IP  - 12
PG  - 1565-71
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - end, 7603873
IO  - Eur. J. Pediatr.
SB  - Index Medicus
CP  - Germany
MH  - Critical Illness
MH  - Electrocardiography
MH  - Female
MH  - *Heart Rate/ph [Physiology]
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Newborn, Diseases/pp [Physiopathology]
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Prospective Studies
MH  - Respiration, Artificial
MH  - Risk Assessment
MH  - Severity of Illness Index
MH  - Statistics, Nonparametric
MH  - *Transportation of Patients
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 (p=-0.346; P<0.01) and ICU treatment (p=-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.
AB  - 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.
ES  - 1432-1076
IL  - 0340-6199
DO  - https://dx.doi.org/10.1007/s00431-013-2081-9
PT  - Journal Article
PT  - Observational Study
ID  - 10.1007/s00431-013-2081-9 [doi]
PP  - ppublish
PH  - 2013/03/25 [received]
PH  - 2013/06/18 [accepted]
LG  - English
EP  - 20130705
DP  - 2013 Dec
EZ  - 2013/07/06 06:00
DA  - 2014/07/23 06:00
DT  - 2013/07/06 06:00
YR  - 2013
ED  - 20140722
RD  - 20171006
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23828133

<208. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23876111
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Yamada T
AU  - Cho K
AU  - Morikawa M
AU  - Yamada T
AU  - Akaishi R
AU  - Ishikawa S
AU  - Minakami H
FA  - Yamada, Takahiro
FA  - Cho, Kazutoshi
FA  - Morikawa, Mamoru
FA  - Yamada, Takashi
FA  - Akaishi, Rina
FA  - Ishikawa, Satoshi
FA  - Minakami, Hisanori
IN  - Yamada, Takahiro. Department of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
TI  - Number of women requiring care at a tertiary hospital equipped with a neonatal intensive care unit at night in an area with a population of 2 million.
SO  - Journal of Obstetrics & Gynaecology Research. 39(12):1592-5, 2013 Dec
AS  - J Obstet Gynaecol Res. 39(12):1592-5, 2013 Dec
NJ  - The journal of obstetrics and gynaecology research
VO  - 39
IP  - 12
PG  - 1592-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - clg, 9612761
IO  - J. Obstet. Gynaecol. Res.
SB  - Index Medicus
CP  - Australia
MH  - Female
MH  - Humans
MH  - Intensive Care Units, Neonatal
MH  - Japan
MH  - *Night Care/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - Retrospective Studies
MH  - *Tertiary Care Centers/sn [Statistics & Numerical Data]
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
KW  - emergency;  maternal transport;  neonatal intensive care unit;  premature labor;  regionalization
AB  - AIM: Women with imminent premature labor (IPL) are transported to a tertiary hospital equipped with neonatal intensive care unit (NICU) even during the night. However, there have been no extensive studies of the occurrence rate of night IPL. The aim of this study was to determine the occurrence rate of night IPL in an area with a population of 2 million.
AB  - MATERIALS AND METHODS: A retrospective analysis was conducted using data collected by the Sapporo Obstetric System for Emergency Patients launched in October 2008, in which women, physicians, and ambulance staff who sought appropriate obstetric/gynecological facilities available in the night (19.00-06.00 hours) were informed of candidate hospitals by coordinators through telephone consultation. This system covered the Sapporo area, which has a population of 2,000,000 and 17,000 births annually. Approximately 14% and 86% of women received antenatal care at six and 35 obstetric facilities with and without NICU, respectively, in this area. Night IPL was defined as a threatened premature labor and transport to one of six tertiary hospitals with NICU between 19.00 and 06.00 hours the next morning.
AB  - RESULTS: During a 4-year period from 1 October 2008 to 30 September 2012, the Sapporo Obstetric System for Emergency Patients received 158 +/- 23 (mean +/- standard deviation) monthly telephone consultations (range 114-218 per month). The monthly number of patients with night IPL was 3.0 +/- 2.2 (range 0-9 per month).
AB  - CONCLUSIONS: The monthly number of cases of night IPL was around three among women who received antenatal care at obstetrics facilities without NICU in an area with a population of 2,000,000.

Copyright © 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology.
ES  - 1447-0756
IL  - 1341-8076
DO  - https://dx.doi.org/10.1111/jog.12113
PT  - Journal Article
ID  - 10.1111/jog.12113 [doi]
PP  - ppublish
PH  - 2012/11/28 [received]
PH  - 2013/02/27 [accepted]
LG  - English
EP  - 20130722
DP  - 2013 Dec
EZ  - 2013/07/24 06:00
DA  - 2014/07/16 06:00
DT  - 2013/07/24 06:00
YR  - 2013
ED  - 20140714
RD  - 20131204
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23876111

<209. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24186813
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Garland A
FA  - Garland, Allan
IN  - Garland, Allan. Winnipeg, Manitoba.
TI  - Response.
CM  - Comment on: Am J Crit Care. 2013 Nov;22(6):464; PMID: 24186812
CM  - Comment on: Am J Crit Care. 2013 Sep;22(5):390-7; PMID: 23996418
SO  - American Journal of Critical Care. 22(6):464, 2013 Nov
AS  - Am J Crit Care. 22(6):464, 2013 Nov
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 22
IP  - 6
PG  - 464
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Female
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Mortality
MH  - *Patient Transfer/og [Organization & Administration]
ES  - 1937-710X
IL  - 1062-3264
DO  - https://dx.doi.org/10.4037/ajcc2013593
PT  - Comment
PT  - Letter
ID  - 22/6/464-a [pii]
ID  - 10.4037/ajcc2013593 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Nov
EZ  - 2013/11/05 06:00
DA  - 2014/07/06 06:00
DT  - 2013/11/05 06:00
YR  - 2013
ED  - 20140703
RD  - 20131104
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24186813

<210. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24186812
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Baggs J
FA  - Baggs, Judith
IN  - Baggs, Judith. Portland, Oregon.
TI  - Multidisciplinary decision making needed for patient transfers.
CM  - Comment in: Am J Crit Care. 2013 Nov;22(6):464; PMID: 24186813
CM  - Comment on: Am J Crit Care. 2013 Sep;22(5):390-7; PMID: 23996418
SO  - American Journal of Critical Care. 22(6):464, 2013 Nov
AS  - Am J Crit Care. 22(6):464, 2013 Nov
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 22
IP  - 6
PG  - 464
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Female
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Mortality
MH  - *Patient Transfer/og [Organization & Administration]
ES  - 1937-710X
IL  - 1062-3264
DO  - https://dx.doi.org/10.4037/ajcc2013116
PT  - Comment
PT  - Letter
ID  - 22/6/464 [pii]
ID  - 10.4037/ajcc2013116 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Nov
EZ  - 2013/11/05 06:00
DA  - 2014/07/06 06:00
DT  - 2013/11/05 06:00
YR  - 2013
ED  - 20140703
RD  - 20131104
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24186812

<211. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24987233
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Venkategowda PM
AU  - Rao SM
AU  - Mutkule DP
AU  - Taggu AN
FA  - Venkategowda, Pradeep M
FA  - Rao, Surath M
FA  - Mutkule, Dnyaneshwar P
FA  - Taggu, Alai N
IN  - Venkategowda, Pradeep M. Departments of Critical Care Medicine, Yashoda Hospital, Hyderabad, Andhra Pradesh, India.
IN  - Rao, Surath M. Departments of Critical Care Medicine, Yashoda Hospital, Hyderabad, Andhra Pradesh, India.
IN  - Mutkule, Dnyaneshwar P. Departments of Critical Care Medicine, Yashoda Hospital, Hyderabad, Andhra Pradesh, India.
IN  - Taggu, Alai N. Departments of Critical Care Medicine, Yashoda Hospital, Hyderabad, Andhra Pradesh, India.
TI  - Unexpected events occurring during the intra-hospital transport of critically ill ICU patients.
SO  - Indian Journal of Critical Care Medicine. 18(6):354-7, 2014 Jun
AS  - Indian J. Crit. Care Med.. 18(6):354-7, 2014 Jun
NJ  - Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
VO  - 18
IP  - 6
PG  - 354-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101208863
IO  - Indian J Crit Care Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4071678
CP  - India
KW  - Adverse events;  intensivist;  intra-hospital transport;  unexpected events
AB  - BACKGROUND: Intra-hospital transport of critically ill patients is a challenging task. However, despite the improvements in intra-hospital transport practices, adverse event incidents remain high and constitute a significant risk for the transport of the critically ill ICU patients.
AB  - OBJECTIVES: To observe the number and types of unexpected-events (UEs) occurring during intra-hospital transport of critically ill ICU patients. Interventions provided along with outcome.
AB  - MATERIALS AND METHODS: This was a prospective observational study of 254 intra-hospital critically-ill ICU patients of our hospital transported for diagnostic purposes during April 2012 - March 2013. The escorting intensivist completed the data of unexpected events during transport.
AB  - RESULTS: A total of 254 patients were observed prospectively for UEs during intra-hospital transfer of critically ill patients. The overall UEs observed were 139 among 64 patients. Among the UEs which occurred, the maximum were miscellaneous causes [89 (64.00%)] like oxygen probe [38 (27.33%)] or ECG lead displacement [27 (19.42%)]. Major events like fall in spo2 >5% observed in 15 (10.79%) patients, BP variation > 20% from baseline in 22 (15.82%) patients, altered mental status in 5 (3.59%), and arrhythmias in 6 (4.31%) patients. Among 64 (100%) patients with UEs, 3 (2.15%) patients with serious adverse events have been aborted from transport.
AB  - CONCLUSION: Unexpected-events (UEs) are common during transport of critically ill ICU patients and these adverse events can be reduced when critically ill patients are accompanied by intensivist/medically qualified person during transport and following strict transport guidelines.
IS  - 0972-5229
IL  - 0972-5229
DO  - https://dx.doi.org/10.4103/0972-5229.133880
PT  - Journal Article
ID  - 10.4103/0972-5229.133880 [doi]
ID  - IJCCM-18-354 [pii]
ID  - PMC4071678 [pmc]
PP  - ppublish
LG  - English
DP  - 2014 Jun
EZ  - 2014/07/06 06:00
DA  - 2014/07/06 06:01
DT  - 2014/07/03 06:00
YR  - 2014
ED  - 20140702
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24987233

<212. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23736091
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Karakaya A
AU  - Moerman AT
AU  - Peperstraete H
AU  - Francois K
AU  - Wouters PF
AU  - de Hert SG
FA  - Karakaya, Arif
FA  - Moerman, Annelies T
FA  - Peperstraete, Harlinde
FA  - Francois, Katrien
FA  - Wouters, Patrick F
FA  - de Hert, Stefan G
IN  - Karakaya, Arif. From the Department of Anaesthesiology (AKA, ATM, PEW, SGDH), Department of Intensive Care (HP), Department of Cardiac Surgery (KF), Ghent University Hospital, Gent, Belgium.
TI  - Implementation of a structured information transfer checklist improves postoperative data transfer after congenital cardiac surgery.
SO  - European Journal of Anaesthesiology. 30(12):764-9, 2013 Dec
AS  - Eur J Anaesthesiol. 30(12):764-9, 2013 Dec
NJ  - European journal of anaesthesiology
VO  - 30
IP  - 12
PG  - 764-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ems, 8411711
IO  - Eur J Anaesthesiol
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - *Cardiac Surgical Procedures/mt [Methods]
MH  - *Checklist
MH  - Child
MH  - Child, Preschool
MH  - Continuity of Patient Care/st [Standards]
MH  - Female
MH  - *Heart Defects, Congenital/su [Surgery]
MH  - Hospital Departments
MH  - Hospitals, University
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - *Medical Errors/pc [Prevention & Control]
MH  - Patient Transfer/mt [Methods]
MH  - Postoperative Period
MH  - Prospective Studies
MH  - Time Factors
AB  - BACKGROUND: During one hospital stay, a patient can be cared for by five different units. With patient transfer from one unit to another, it is of prime importance to convey a complete picture of the patient's situation to minimise the risk of medical errors and to provide optimal patient care.
AB  - OBJECTIVE(S): This study was designed to test the hypothesis that the implementation of a standardised checklist used during verbal patient handover could improve postoperative data transfer after congenital cardiac surgery.
AB  - DESIGN: Prospective, pre/postinterventional clinical study.
AB  - SETTING: Cardiac centre of a university hospital.
AB  - PATIENTS: Forty-eight patients younger than 16 years undergoing heart surgery.
AB  - INTERVENTIONS: A standardised checklist was developed containing all data that, according to the investigators, should be communicated during the handover of a paediatric cardiac surgery patient from the operating room to the ICU.
AB  - MAIN OUTCOME MEASURES: Data transfer during the postoperative handover before and after implementation of the checklist was evaluated. Duration of handover, number of interruptions, number of irrelevant data and number of confusing pieces of information were noted. Assessment of the handover process by ICU medical and nursing staff was quantified.
AB  - RESULTS: After implementation of the information transfer checklist, the overall data transfer increased from 48 to 73% (P < 0.001). The duration of data transfer decreased from a median (range) of 6 (2 to 16) to 4 min (2 to 19) (P = 0.04). The overall handover assessment by the intensive care nursing staff improved significantly after implementation of the checklist.
AB  - CONCLUSION: Implementation of an information transfer checklist in postoperative paediatric cardiac surgery patients resulted in a more complete transfer of information, with a decrease in the handover duration.
ES  - 1365-2346
IL  - 0265-0215
DO  - https://dx.doi.org/10.1097/EJA.0b013e328361d3bb
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/EJA.0b013e328361d3bb [doi]
PP  - ppublish
LG  - English
DP  - 2013 Dec
EZ  - 2013/06/06 06:00
DA  - 2014/06/24 06:00
DT  - 2013/06/06 06:00
YR  - 2013
ED  - 20140623
RD  - 20131030
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23736091

<213. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23965838
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kerckhoffs MC
AU  - van der Sluijs AF
AU  - Binnekade JM
AU  - Dongelmans DA
FA  - Kerckhoffs, Monika C
FA  - van der Sluijs, Alexander F
FA  - Binnekade, Jan M
FA  - Dongelmans, Dave A
IN  - Kerckhoffs, Monika C. Department of Intensive Care Medicine, Academic Medical Centre, Amsterdam, TheNetherlands. M.Kerckhoffs@gmail.com
TI  - Improving patient safety in the ICU by prospective identification of missing safety barriers using the bow-tie prospective risk analysis model.
SO  - Journal of patient safety. 9(3):154-9, 2013 Sep
AS  - J Patient Saf. 9(3):154-9, 2013 Sep
NJ  - Journal of patient safety
VO  - 9
IP  - 3
PG  - 154-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101233393
IO  - J Patient Saf
SB  - Index Medicus
CP  - United States
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Intensive Care Units
MH  - Netherlands
MH  - *Patient Safety/st [Standards]
MH  - Prospective Studies
MH  - *Risk Assessment/mt [Methods]
MH  - Tertiary Care Centers
MH  - Transportation of Patients
AB  - OBJECTIVES: 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.
AB  - METHODS: 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.
AB  - RESULTS: 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 to 7 recommendations such as the need to cosign after the handover of a patient.
AB  - CONCLUSIONS: 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.
ES  - 1549-8425
IL  - 1549-8417
DO  - https://dx.doi.org/10.1097/PTS.0b013e318288a476
PT  - Journal Article
ID  - 10.1097/PTS.0b013e318288a476 [doi]
ID  - 01209203-201309000-00008 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Sep
EZ  - 2013/08/24 06:00
DA  - 2014/06/15 06:00
DT  - 2013/08/23 06:00
YR  - 2013
ED  - 20140613
RD  - 20130822
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23965838

<214. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24689421
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Carter C
FA  - Carter, Chris
IN  - Carter, Chris. Department of Health Care Education, Birmingham City University, Birmingham, Royal College of Nursing Defence Nursing Forum, RCN, London.
TI  - Managing a major incident in the critical care unit.
SO  - Nursing Standard. 28(31):39-44, 2014 Apr 2-8
AS  - Nurs Stand. 28(31):39-44, 2014 Apr 2-8
NJ  - Nursing standard (Royal College of Nursing (Great Britain) : 1987)
VO  - 28
IP  - 31
PG  - 39-44
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9012906, awh, 8508427
IO  - Nurs Stand
SB  - Nursing Journal
CP  - England
MH  - Communication
MH  - *Critical Care/og [Organization & Administration]
MH  - Humans
MH  - Inservice Training
MH  - Patient Safety
MH  - Patient Transfer
MH  - Triage
MH  - United Kingdom
AB  - This article analyses recent major incidents using a standardised structured approach and is relevant to nurses working in the critical care unit. Information on responding to a major incident is provided, and the need to support staff after an incident, especially critical care personnel, is discussed. The main themes associated with assisting critical care nurses in preparing to deal with a broad range of situations which they may be required to respond to is described and an overview of major incident training for nurses is provided.
IS  - 0029-6570
IL  - 0029-6570
DO  - https://dx.doi.org/10.7748/ns2014.04.28.31.39.e8566
PT  - Journal Article
ID  - 10.7748/ns2014.04.28.31.39.e8566 [doi]
PP  - ppublish
LG  - English
DP  - 2014 Apr 2-8
EZ  - 2014/04/03 06:00
DA  - 2014/06/03 06:00
DT  - 2014/04/03 06:00
YR  - 2014
ED  - 20140602
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24689421

<215. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23639222
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kumar P
FA  - Kumar, Pramod
IN  - Kumar, Pramod. Burns and Plastic Surgery, Kasturba Medical College, Manipal 576 104, Karnataka, India. Electronic address: pkumar86@hotmail.com.
TI  - Fire disaster following LPG tanker explosion at Chala in Kannur (Kerala, India): August 27, 2012.
SO  - Burns. 39(7):1479-87, 2013 Nov
AS  - Burns. 39(7):1479-87, 2013 Nov
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 39
IP  - 7
PG  - 1479-87
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Burn Units
MH  - Burns/et [Etiology]
MH  - Burns/mo [Mortality]
MH  - *Burns/th [Therapy]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - *Disasters/sn [Statistics & Numerical Data]
MH  - Emergency Medical Services/og [Organization & Administration]
MH  - *Explosions
MH  - Female
MH  - *Fires
MH  - Humans
MH  - India
MH  - Male
MH  - *Mass Casualty Incidents/sn [Statistics & Numerical Data]
MH  - Middle Aged
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Petroleum
MH  - Young Adult
KW  - Clinical forensic;  Disaster;  LPG;  LPG tanker burst;  Limited access dressing;  Mass burn casualty
AB  - A fire disaster following LPG tanker explosion occurred at Chala bypass, Kannur, Kerala, India on August 27, 2012. The three chambered tanker with total 16tonnes (162.57 quintal) LPG collided with a road divider and exploded thrice. A total of 41 people became victims during first blast; out of which 20 died in various hospitals. Five people remained inside the house after first blast and escaped unhurt from the zone of accident before second blast. All the victims were transferred to various hospitals; of these, six were transferred to the burns unit of the Kasturba Hospital, Manipal (320km from Chala). Five (5/6) were transferred within 1-5 days at our burns unit suffered 31-72% total body surface area (TBSA) burn, none had external injuries. One (1/6) was transferred on 20th day as a follow up case of 15% TBSA burn with 4% residual raw area and diabetes mellitus. Except one, all were managed conservatively using Limited access dressings (LAD; Negative Pressure Wound Therapy). One of the patient wound bed prepared under LAD and on 41 post burn day underwent split skin grafting under LAD. Out of the six patients admitted at the burns unit, two (2/6) admitted patients expired (one due to inhalation injury and another due to sepsis with multiple organ failure). One survivor (1/4) developed sepsis related liver dysfunction with hepatomegaly but recovered well. The total hospital stay of survivors at the burns unit varied from 8 to 60 days (mean hospital stay 36.5 days). All the victims who developed psychological symptoms were treated by psychiatrists and counselled before discharge. Three of survivors developed psychological symptoms. Two of them (2/3) developed mixed anxiety-depression disorder (ICD 10 code F41.8) and one of these two showed grief reaction too (ICD 10 code F43.23). One victim (1/3) developed non-organic insomnia (ICD 10 code F51.0) and responded to counselling. The article describes the incident, mechanism of the incident, injuries sustained, author, explanations on pattern of burn and suggestions in relation to future safety measures. 

Copyright © 2013. Published by Elsevier Ltd.
RN  - 0 (Petroleum)
ES  - 1879-1409
IL  - 0305-4179
DI  - S0305-4179(13)00106-X
DO  - https://dx.doi.org/10.1016/j.burns.2013.04.004
PT  - Journal Article
ID  - S0305-4179(13)00106-X [pii]
ID  - 10.1016/j.burns.2013.04.004 [doi]
PP  - ppublish
PH  - 2012/12/10 [received]
PH  - 2013/03/17 [revised]
PH  - 2013/04/02 [accepted]
LG  - English
EP  - 20130429
DP  - 2013 Nov
EZ  - 2013/05/04 06:00
DA  - 2014/05/29 06:00
DT  - 2013/05/04 06:00
YR  - 2013
ED  - 20140528
RD  - 20131009
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23639222

<216. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23759067
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Pasricha J
AU  - Koessler T
AU  - Harbarth S
AU  - Schrenzel J
AU  - Camus V
AU  - Cohen G
AU  - Perrier A
AU  - Pittet D
AU  - Iten A
FA  - Pasricha, Janet
FA  - Koessler, Thibaud
FA  - Harbarth, Stephan
FA  - Schrenzel, Jacques
FA  - Camus, Veronique
FA  - Cohen, Gilles
FA  - Perrier, Arnaud
FA  - Pittet, Didier
FA  - Iten, Anne
IN  - Pasricha, Janet. Infection Control Program, University of Geneva Hospitals and Medical Faculty, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland ; The Jenner Institute, University of Oxford, Oxford, UK.
IN  - Koessler, Thibaud. Department of General Internal Medicine, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
IN  - Harbarth, Stephan. Infection Control Program, University of Geneva Hospitals and Medical Faculty, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland.
IN  - Schrenzel, Jacques. Central Laboratory of Bacteriology, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
IN  - Camus, Veronique. Infection Control Program, University of Geneva Hospitals and Medical Faculty, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland.
IN  - Cohen, Gilles. Division of Medico-Economic Analysis, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
IN  - Perrier, Arnaud. Department of General Internal Medicine, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
IN  - Pittet, Didier. Infection Control Program, University of Geneva Hospitals and Medical Faculty, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland ; WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
IN  - Iten, Anne. Infection Control Program, University of Geneva Hospitals and Medical Faculty, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland ; Department of General Internal Medicine, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
TI  - Carriage of extended-spectrum beta-lactamase-producing enterobacteriacae among internal medicine patients in Switzerland.
SO  - Antimicrobial Resistance & Infection Control. 2:20, 2013
AS  - Antimicrob. resist. infect. control. 2:20, 2013
NJ  - Antimicrobial resistance and infection control
VO  - 2
PG  - 20
PI  - Journal available in: Electronic-eCollection
PI  - Citation processed from: Print
JC  - 101585411
IO  - Antimicrob Resist Infect Control
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3711782
CP  - England
KW  - Antimicrobial resistance;  Extended-spectrum beta-lactamase producing enterobacteraciae;  Infection control
AB  - BACKGROUND: The incidence of extended-spectrum beta-lactamase producing-enterobacteriacae (ESBL-E) infection is rising worldwide. We aimed to determine the prevalence and nosocomial acquisition rate of ESBL-E as well as the risk factors for ESBL-E carriage and acquisition amongst patients consecutively admitted to 13 internal medicine units at our hospital who were not previously known to be ESBL-E carriers.
AB  - FINDINGS: We screened all patients admitted or transferred to internal medicine units for ESBL-E on admission and discharge using rectal swabs. Of 1072 patients screened, 51 (4.8%) were carriers of an ESBL-E at admission. Of 473 patients who underwent admission and discharge screening, 21 (4.4%) acquired an ESBL-E. On multivariate analysis, diabetes mellitus without end-organ complications (OR 2.87 [1.09-7.08]), connective tissue disease (OR 7.22 [1.17-44.59]), and liver failure (OR 8.39 [1.55-45.45]) were independent risk factors for carriage of an ESBL-E upon admission to hospital (area under the ROC curve, 0.68). Receipt of a first- or second-generation cephalosporin (OR 9.25 [2.22-37.82]), intra-hospital transfer (OR 6.68 [1.71-26.06]), and a hospital stay >21 days (OR 25.17 [4.18-151.68]) were associated with acquisition of an ESBL-E during hospitalisation; whilst admission from home was protective (OR 0.16 [0.06-0.39]) on univariate regression. No risk profile with sufficient accuracy to predict previously unknown carriage on admission or acquisition of ESBL-E could be developed using readily available patient information.
AB  - CONCLUSIONS: ESBL-E carriage is endemic amongst internal medicine patients at our institution. We were unable to develop a clinical risk profile to accurately predict ESBL-E carriage amongst these patients.
IS  - 2047-2994
IL  - 2047-2994
DO  - https://dx.doi.org/10.1186/2047-2994-2-20
PT  - Journal Article
ID  - 10.1186/2047-2994-2-20 [doi]
ID  - 2047-2994-2-20 [pii]
ID  - PMC3711782 [pmc]
PP  - epublish
PH  - 2013/02/06 [received]
PH  - 2013/06/07 [accepted]
LG  - English
EP  - 20130612
DP  - 2013
EZ  - 2013/06/14 06:00
DA  - 2013/06/14 06:01
DT  - 2013/06/14 06:00
YR  - 2013
ED  - 20140520
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23759067

<217. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24026780
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schiestl C
AU  - Meuli M
AU  - Trop M
AU  - Neuhaus K
FA  - Schiestl, Clemens
FA  - Meuli, Martin
FA  - Trop, Marija
FA  - Neuhaus, Kathrin
IN  - Schiestl, Clemens. Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
TI  - Management of burn wounds. [Review]
SO  - European Journal of Pediatric Surgery. 23(5):341-8, 2013 Oct
AS  - Eur J Pediatr Surg. 23(5):341-8, 2013 Oct
NJ  - European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
VO  - 23
IP  - 5
PG  - 341-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - azo, 9105263
IO  - Eur J Pediatr Surg
SB  - Index Medicus
CP  - United States
MH  - Burn Units
MH  - Burns/et [Etiology]
MH  - *Burns/su [Surgery]
MH  - Burns/th [Therapy]
MH  - Child
MH  - Humans
MH  - Negative-Pressure Wound Therapy
MH  - Occlusive Dressings
MH  - Patient Transfer
MH  - Referral and Consultation
MH  - *Skin Transplantation/mt [Methods]
MH  - Skin, Artificial
AB  - Small and moderate scalds in toddlers are still the most frequent thermal injuries the pediatric surgeons have to face today. Over the last years, surgical treatment of these patients has changed in many aspects. Due to new dressing materials and new surgical treatment strategies that are particularly suitable for children, today, far better functional and aesthetic long-term results are possible. While small and moderate thermal injuries can be treated in most European pediatric surgical departments, the severely burned child must be transferred to a specialized, ideally pediatric, burn center, where a well-trained multidisciplinary team under the leadership of a (ideally pediatric) burn surgeon cares for these highly demanding patients. In future, tissue engineered full thickness skin analogues will most likely play an important role, in pediatric burn as well as postburn reconstructive surgery. 

Copyright Georg Thieme Verlag KG Stuttgart . New York.
ES  - 1439-359X
IL  - 0939-7248
DO  - https://dx.doi.org/10.1055/s-0033-1356650
PT  - Journal Article
PT  - Review
ID  - 10.1055/s-0033-1356650 [doi]
PP  - ppublish
LG  - English
EP  - 20130911
DP  - 2013 Oct
EZ  - 2013/09/13 06:00
DA  - 2014/05/03 06:00
DT  - 2013/09/13 06:00
YR  - 2013
ED  - 20140501
RD  - 20130923
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24026780

<218. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23995126
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Maguire JM
AU  - Carson SS
FA  - Maguire, Jennifer M
FA  - Carson, Shannon S
IN  - Maguire, Jennifer M. Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
TI  - Strategies to combat chronic critical illness. [Review]
SO  - Current Opinion in Critical Care. 19(5):480-7, 2013 Oct
AS  - Curr Opin Crit Care. 19(5):480-7, 2013 Oct
NJ  - Current opinion in critical care
VO  - 19
IP  - 5
PG  - 480-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9504454, d2j
IO  - Curr Opin Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018229
OI  - Source: NLM. NIHMS813758
SB  - Index Medicus
CP  - United States
MH  - *Chronic Disease/pc [Prevention & Control]
MH  - *Critical Illness
MH  - Cross Infection/pc [Prevention & Control]
MH  - Decontamination/mt [Methods]
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - Nutritional Support
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer
MH  - *Patient-Centered Care
MH  - Respiration, Artificial/ae [Adverse Effects]
MH  - Tracheostomy
AB  - PURPOSE OF REVIEW: The population of chronically critically ill patients is growing as advances in intensive care management improve survival from the acute phase of critical illness. These patients are characterized by complex medical needs and heavy resource utilization. This article reviews evidence supporting a comprehensive approach to the prevention and management of chronic critical illness (CCI).
AB  - RECENT FINDINGS: The most efficient approach to weaning patients with CCI at long-term acute care hospitals is daily unassisted breathing trials through a tracheostomy collar. However, a substantial number of patients transferred to long-term acute care hospitals pass their spontaneous weaning trials. Transfer to long-term acute care hospitals is associated with higher acute care costs and payments, but lower costs through the entire episode of illness. Universal decontamination is more effective than targeted decontamination or screening and isolation for preventing nosocomial bloodstream infections.
AB  - SUMMARY: Combating CCI begins with prevention in the acute phase of illness. Management strategies include a spectrum of ventilatory, nutritional, and rehabilitation support. Further patient-centered outcome-based research in this specific population is needed to continue to help guide optimal care.
CI  - There are no conflicts of interest.
ES  - 1531-7072
IL  - 1070-5295
DO  - https://dx.doi.org/10.1097/MCC.0b013e328364d65e
PT  - Journal Article
PT  - Review
ID  - 10.1097/MCC.0b013e328364d65e [doi]
ID  - PMC5018229 [pmc]
ID  - NIHMS813758 [mid]
PP  - ppublish
GI  - No: R01 NR012413
Organization: (NR) *NINR NIH HHS*
Country: United States

GI  - No: T32 HL007106
Organization: (HL) *NHLBI NIH HHS*
Country: United States
LG  - English
DP  - 2013 Oct
EZ  - 2013/09/03 06:00
DA  - 2014/04/25 06:00
DT  - 2013/09/03 06:00
YR  - 2013
ED  - 20140424
RD  - 20170224
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23995126

<219. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24534996
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Arabi YM
AU  - Al-Qahtani S
FA  - Arabi, Yaseen M
FA  - Al-Qahtani, Saad
IN  - Arabi, Yaseen M. Intensive Care Department, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
TI  - Appreciating the complexity of rapid response teams: not all are the same.
CM  - Comment on: Crit Care Med. 2013 Oct;41(10):2284-91; PMID: 23921274
SO  - Critical Care Medicine. 42(3):e255, 2014 Mar
AS  - Crit Care Med. 42(3):e255, 2014 Mar
NJ  - Critical care medicine
VO  - 42
IP  - 3
PG  - e255
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - *Hospital Rapid Response Team
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - *Outcome Assessment (Health Care)/mt [Methods]
MH  - *Patient Transfer
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0000000000000112
PT  - Comment
PT  - Letter
ID  - 10.1097/CCM.0000000000000112 [doi]
ID  - 00003246-201403000-00073 [pii]
PP  - ppublish
LG  - English
DP  - 2014 Mar
EZ  - 2014/02/19 06:00
DA  - 2014/04/23 06:00
DT  - 2014/02/19 06:00
YR  - 2014
ED  - 20140422
RD  - 20140218
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24534996

<220. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23375829
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vazquez Calatayud M
AU  - Portillo MC
FA  - Vazquez Calatayud, M
FA  - Portillo, M C
IN  - Vazquez Calatayud, M. Area de Investigacion, Formacion y Desarrollo Profesional en Enfermeria, Clinica Universidad de Navarra, Pamplona, Espana. mvazca@unav.es
TI  - [The transition process from the intensive care unit to the ward: a review of the literature]. [Review] [Spanish]
OT  - El proceso de transicion de la unidad de cuidados intensivos al area de hospitalizacion: una revision bibliografica.
SO  - Enfermeria Intensiva. 24(2):72-88, 2013 Apr-Jun
AS  - Enferm Intensiva. 24(2):72-88, 2013 Apr-Jun
NJ  - Enfermeria intensiva
VO  - 24
IP  - 2
PG  - 72-88
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - cej, 9517771
IO  - Enferm Intensiva
SB  - Nursing Journal
CP  - Spain
MH  - Humans
MH  - *Intensive Care Units
MH  - Patient Satisfaction
MH  - *Patient Transfer
MH  - *Patients' Rooms
AB  - UNLABELLED: The optimum transition process from the ICU to the ward is key to avoiding the appearance of anxiety in the patient and family, increase of re-admissions in the ICU with the consequent increase in costs and jeopardization to the patient's safety.
AB  - OBJECTIVE: 1) To identify, study and give a critical presentation of the existing evidence on how patients, families and nurses experience the transition from ICU to the ward; 2) to analyze the possible interventions available for the development of an optimum transition process.
AB  - METHODOLOGY: A review was made of the evidence available in the main databases. In addition, several journals specialized in Intensive Care were reviewed. Studies with a qualitative, quantitative or mixed approach and reviews on the subject with a systematic methodology or narrative reviews were included.
AB  - RESULTS: A total of 23 papers were selected for review, 10 of which were qualitative studies, 11 quantitative and two had combined methodology. <<Transfer anxiety>> was identified after the analysis of these articles as one of the recurring aspects. Discrepancies regarding who should take responsibility for the preparation of the transition process and when it should be performed were also found. In the literature reviewed, several interventions have been proposed to facilitate an optimal transition process such as developing information brochures, creating a profile of practicing nursing liaison between the ICU and the ward and ICU discharge report.
AB  - CONCLUSIONS: This review emphasizes the importance of taking into account the perspectives of patients, families and nurses to perform optimal planning of the transition of the patient from the ICU to the ward to ensure their safety.

Copyright © 2012 Elsevier Espana, S.L. y SEEIUC. All rights reserved.
ES  - 1578-1291
IL  - 1130-2399
DI  - S1130-2399(12)00100-9
DO  - https://dx.doi.org/10.1016/j.enfi.2012.12.002
PT  - English Abstract
PT  - Journal Article
PT  - Review
ID  - S1130-2399(12)00100-9 [pii]
ID  - 10.1016/j.enfi.2012.12.002 [doi]
PP  - ppublish
PH  - 2012/05/27 [received]
PH  - 2012/11/27 [revised]
PH  - 2012/12/10 [accepted]
LG  - Spanish
EP  - 20130129
DP  - 2013 Apr-Jun
EZ  - 2013/02/05 06:00
DA  - 2014/04/22 06:00
DT  - 2013/02/05 06:00
YR  - 2013
ED  - 20140421
RD  - 20161021
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23375829

<221. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24624559
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hofmann PB
AU  - Van Houten D
FA  - Hofmann, Paul B
FA  - Van Houten, Douglas
TI  - When the ICU is not the answer.
SO  - Health Progress. 95(1):39-41, 2014 Jan-Feb
AS  - Health Prog. 95(1):39-41, 2014 Jan-Feb
NJ  - Health progress (Saint Louis, Mo.)
VO  - 95
IP  - 1
PG  - 39-41
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hpr, 8500263
IO  - Health Prog
SB  - Health Administration Journals
CP  - United States
MH  - Communication
MH  - Ethics, Institutional
MH  - Guidelines as Topic
MH  - Humans
MH  - *Intensive Care Units/es [Ethics]
MH  - Intensive Care Units/st [Standards]
MH  - Intensive Care Units/ut [Utilization]
MH  - *Medical Futility/es [Ethics]
MH  - Organizational Case Studies
MH  - Patient Transfer/es [Ethics]
MH  - Patient Transfer/st [Standards]
MH  - *Patient-Centered Care/es [Ethics]
MH  - Patient-Centered Care/st [Standards]
MH  - Professional-Family Relations/es [Ethics]
MH  - Professional-Patient Relations/es [Ethics]
MH  - *Terminal Care/es [Ethics]
MH  - Terminal Care/st [Standards]
MH  - *Terminally Ill
MH  - Washington
IS  - 0882-1577
IL  - 0882-1577
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2014 Jan-Feb
EZ  - 2014/03/15 06:00
DA  - 2014/04/20 06:00
DT  - 2014/03/15 06:00
YR  - 2014
ED  - 20140418
RD  - 20140314
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24624559

<222. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24620509
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lisy K
FA  - Lisy, Karolina
TI  - The generation, transfer, and implementation of evidence in health care is critical for consistent improvement in health outcomes.
SO  - Journal of Nursing Measurement. 21(3):347-8, 2013
AS  - J Nurs Meas. 21(3):347-8, 2013
NJ  - Journal of nursing measurement
VO  - 21
IP  - 3
PG  - 347-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b6l, 9318902
IO  - J Nurs Meas
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Delivery of Health Care/og [Organization & Administration]
MH  - *Evidence-Based Nursing/og [Organization & Administration]
MH  - Humans
MH  - *Quality Assurance, Health Care/mt [Methods]
MH  - *Quality Improvement/og [Organization & Administration]
MH  - Treatment Outcome
IS  - 1061-3749
IL  - 1061-3749
PT  - Editorial
PP  - ppublish
LG  - English
DP  - 2013
EZ  - 2013/01/01 00:00
DA  - 2014/04/11 06:00
DT  - 2014/03/14 06:00
YR  - 2013
ED  - 20140410
RD  - 20140313
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24620509

<223. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23709197
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Blakeman TC
AU  - Branson RD
FA  - Blakeman, Thomas C
FA  - Branson, Richard D
IN  - Blakeman, Thomas C. Division of Trauma and Critical Care, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267-0558, USA. Thomas.Blakeman@uc.edu
TI  - Inter- and intra-hospital transport of the critically ill. [Review]
SO  - Respiratory Care. 58(6):1008-23, 2013 Jun
AS  - Respir Care. 58(6):1008-23, 2013 Jun
NJ  - Respiratory care
VO  - 58
IP  - 6
PG  - 1008-23
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - qz3, 7510357
IO  - Respir Care
SB  - Index Medicus
CP  - United States
MH  - *Critical Illness/th [Therapy]
MH  - *Equipment Failure
MH  - Humans
MH  - Patient Care Team
MH  - *Respiration, Artificial/is [Instrumentation]
MH  - Respiration, Artificial/mt [Methods]
MH  - *Transportation of Patients
MH  - *Ventilators, Mechanical
KW  - adverse events;  monitoring;  patient transport;  portable ventilators;  transport teams
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.
ES  - 1943-3654
IL  - 0020-1324
DO  - https://dx.doi.org/10.4187/respcare.02404
PT  - Journal Article
PT  - Review
ID  - 58/6/1008 [pii]
ID  - 10.4187/respcare.02404 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Jun
EZ  - 2013/05/28 06:00
DA  - 2014/04/01 06:00
DT  - 2013/05/28 06:00
YR  - 2013
ED  - 20140331
RD  - 20130527
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23709197

<224. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23512138
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schellongowski P
FA  - Schellongowski, P
IN  - Schellongowski, P. Intensivstation 13i2, Universitatsklinik fur Innere Medizin I, Medizinische Universitat Wien, Wahringer Gurtel 18-20, 1090, Wien, Osterreich. peter.schellongowski@meduniwien.ac.at
TI  - [Cancer patients in the intensive care unit. Goals of therapy, ethics, and palliation]. [Review] [German]
OT  - Der hamatologisch-onkologische Patient auf der Intensivstation. Therapieziele-Ethik-Palliation.
SO  - Medizinische Klinik, Intensivmedizin Und Notfallmedizin. 108(3):203-8, 2013 Apr
AS  - Med Klin Intensivmed Notfmed. 108(3):203-8, 2013 Apr
NJ  - Medizinische Klinik, Intensivmedizin und Notfallmedizin
VO  - 108
IP  - 3
PG  - 203-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101575086
IO  - Med Klin Intensivmed Notfmed
SB  - Index Medicus
CP  - Germany
MH  - Cooperative Behavior
MH  - *Critical Care/es [Ethics]
MH  - *Critical Care/mt [Methods]
MH  - *Ethics, Medical
MH  - *Hematologic Neoplasms/co [Complications]
MH  - Hematologic Neoplasms/mo [Mortality]
MH  - *Hematologic Neoplasms/th [Therapy]
MH  - Humans
MH  - *Intensive Care Units/es [Ethics]
MH  - Interdisciplinary Communication
MH  - *Neoplasms/co [Complications]
MH  - Neoplasms/mo [Mortality]
MH  - *Neoplasms/th [Therapy]
MH  - *Palliative Care/es [Ethics]
MH  - *Palliative Care/mt [Methods]
MH  - Patient Transfer/es [Ethics]
MH  - Prognosis
MH  - Respiration, Artificial/es [Ethics]
MH  - Respiration, Artificial/mo [Mortality]
MH  - Survival Rate
AB  - Providing critical care to cancer patients requires a high degree of practical multidisciplinary teamwork between intensivists and cancer specialists. Intensivists should have a solid basic knowledge of malignant diseases as well as of the typical complications of the underlying illness and its therapies. Hemato-oncologists should evaluate the transfer of these patients to the intensive care unit early in the course of emerging organ dysfunctions. Both parties should have a realistic impression of the short-term intensive care and long-term oncologic options and perspectives of the respective patient. Good cooperation between intensivists and cancer specialists is the basis for meaningful decisions on admission, planning of individual therapeutic aims, successful patient management, and tailored therapy, with a smooth transition into a palliative care setting whenever appropriate.
ES  - 2193-6226
IL  - 2193-6218
DO  - https://dx.doi.org/10.1007/s00063-012-0177-z
PT  - English Abstract
PT  - Journal Article
PT  - Review
ID  - 10.1007/s00063-012-0177-z [doi]
PP  - ppublish
PH  - 2013/01/20 [received]
PH  - 2013/01/24 [accepted]
LG  - German
EP  - 20130321
DP  - 2013 Apr
EZ  - 2013/03/21 06:00
DA  - 2014/03/29 06:00
DT  - 2013/03/21 06:00
YR  - 2013
ED  - 20140327
RD  - 20170916
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23512138

<225. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22948080
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Elliott M
AU  - Worrall-Carter L
AU  - Page K
FA  - Elliott, Malcolm
FA  - Worrall-Carter, Linda
FA  - Page, Karen
IN  - Elliott, Malcolm. St Vincent's Centre for Nursing Research, Melbourne, Australia. S00072102@myacu.edu.au
TI  - Factors contributing to adverse events after ICU discharge: a survey of liaison nurses.
SO  - Australian Critical Care. 26(2):76-80, 2013 May
AS  - Aust Crit Care. 26(2):76-80, 2013 May
NJ  - Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
VO  - 26
IP  - 2
PG  - 76-80
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bh0, 9207852
IO  - Aust Crit Care
SB  - Nursing Journal
CP  - Australia
MH  - Comorbidity
MH  - Critical Illness
MH  - Health Care Surveys
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units
MH  - *Outcome and Process Assessment (Health Care)
MH  - Patient Discharge
MH  - Patient Handoff/st [Standards]
MH  - *Patient Transfer
MH  - Qualitative Research
MH  - Quality of Health Care
AB  - BACKGROUND: A significant number of patients experience an adverse event when discharged from intensive care to a ward. More than half of these events may be preventable with better standards of care.
AB  - AIM: To explore the opinions of an expert group of clinicians around factors contributing to adverse events in patients discharged from ICU.
AB  - METHOD: Online survey of Australian ICU Liaison Nurses (n=39) using a validated questionnaire of 25 items.
AB  - RESULTS: The response rate was 92.8%. Key contributing factors included a lack of experienced ward staff, patient co-morbidities and the clinically challenging nature of many patients.
AB  - CONCLUSION: Modifying processes of care may decrease the risk or impact of adverse events in this high risk patient population.

Copyright © 2012 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
IS  - 1036-7314
IL  - 1036-7314
DI  - S1036-7314(12)00140-3
DO  - https://dx.doi.org/10.1016/j.aucc.2012.07.005
PT  - Journal Article
ID  - S1036-7314(12)00140-3 [pii]
ID  - 10.1016/j.aucc.2012.07.005 [doi]
PP  - ppublish
PH  - 2012/01/16 [received]
PH  - 2012/06/07 [revised]
PH  - 2012/07/03 [accepted]
LG  - English
EP  - 20120901
DP  - 2013 May
EZ  - 2012/09/06 06:00
DA  - 2014/03/22 06:00
DT  - 2012/09/06 06:00
YR  - 2013
ED  - 20140320
RD  - 20130513
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22948080

<226. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24001916
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Raynovich W
AU  - Hums J
AU  - Stuhlmiller DF
AU  - Bramble JD
AU  - Kasha T
AU  - Galt K
FA  - Raynovich, William
FA  - Hums, Jason
FA  - Stuhlmiller, David F
FA  - Bramble, James D
FA  - Kasha, Ted
FA  - Galt, Kim
IN  - Raynovich, William. Emergency Medical Services Medical Education Program, Creighton University, Omaha, NE, USA. billr@creighton.edu
TI  - Critical care transportation by paramedics: a cross-sectional survey.
SO  - Air Medical Journal. 32(5):280-8, 2013 Sep-Oct
AS  - Air Med J. 32(5):280-8, 2013 Sep-Oct
NJ  - Air medical journal
VO  - 32
IP  - 5
PG  - 280-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - *Allied Health Personnel/ed [Education]
MH  - Allied Health Personnel/st [Standards]
MH  - Allied Health Personnel/sn [Statistics & Numerical Data]
MH  - Attitude of Health Personnel
MH  - *Certification
MH  - *Clinical Competence
MH  - Critical Care/mt [Methods]
MH  - Critical Care/og [Organization & Administration]
MH  - Critical Care/sn [Statistics & Numerical Data]
MH  - *Critical Care
MH  - Cross-Sectional Studies
MH  - Health Care Surveys
MH  - Humans
MH  - Patient Care Team/og [Organization & Administration]
MH  - Registries
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
MH  - *Transportation of Patients
MH  - United States
AB  - OBJECTIVE: The purpose of this study was to gather data from paramedics practicing in the critical care transport setting to guide development of the education, training, and clinical practices for certification as a critical care paramedic.
AB  - METHODS: A paper survey of 1991 randomly selected nationally registered (NREMT) paramedics was conducted. Nine paramedics with residences in small US Pacific Island territories were not included in the survey.
AB  - RESULTS: We received 610 responses (30.6%). Respondents that stated that they provided critical care transport services reported using pediatric skills and equipment the most and intracranial pressure monitoring the least. Paramedics served as the primary provider for pediatric patients (72.5%), 12-lead electrocardiogram (66.3%), intravenous infusion pump (76.7%), mechanical ventilator (66.9%), central line management (63.1%), and chest tube management (63.3%). Paramedics served in a team member capacity most often with neonatal isolette (71.8%), intra-aortic balloon pump (79.2%), and ICP monitoring (64.9%). The majority provided ground critical care transport (249) compared to 44 rotor-wing and 6 fixed-wing. Sixteen respondents reported serving as primary providers on combinations of ground, rotor-, and fixed-wing services.
AB  - CONCLUSIONS: Paramedics reported being the primary provider on the critical care transport team and performing skills while using equipment and administering medications that exceeded their education and training as paramedic and, at times, without the benefit of any additional education or training. National appreciation of this reality should spur development of standardized education, licensing or certification, and continuing education to prepare paramedics for their role as critical care medical providers.

Copyright © 2013 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(13)00140-5
DO  - https://dx.doi.org/10.1016/j.amj.2013.05.008
PT  - Journal Article
ID  - S1067-991X(13)00140-5 [pii]
ID  - 10.1016/j.amj.2013.05.008 [doi]
PP  - ppublish
PH  - 2013/04/05 [received]
PH  - 2013/05/27 [accepted]
LG  - English
DP  - 2013 Sep-Oct
EZ  - 2013/09/05 06:00
DA  - 2014/03/19 06:00
DT  - 2013/09/05 06:00
YR  - 2013
ED  - 20140317
RD  - 20130904
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24001916

<227. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23867429
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bigham MT
AU  - Schwartz HP
AU  - Ohio Neonatal/Pediatric Transport Quality Collaborative
FA  - Bigham, Michael T
FA  - Schwartz, Hamilton P
FA  - Ohio Neonatal/Pediatric Transport Quality Collaborative
IN  - Bigham, Michael T. Department of Pediatrics, Akron Children's Hospital, Akron, OH, USA. mbigham@chmca.org
TI  - Quality metrics in neonatal and pediatric critical care transport: a consensus statement.
SO  - Pediatric Critical Care Medicine. 14(5):518-24, 2013 Jun
AS  - Pediatr Crit Care Med. 14(5):518-24, 2013 Jun
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 14
IP  - 5
PG  - 518-24
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Benchmarking/mt [Methods]
MH  - *Benchmarking/og [Organization & Administration]
MH  - Child
MH  - Child, Preschool
MH  - Consensus
MH  - Cooperative Behavior
MH  - Critical Care/mt [Methods]
MH  - *Critical Care/st [Standards]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Ohio
MH  - Patient Safety/st [Standards]
MH  - *Transportation of Patients/st [Standards]
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.
AB  - 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.
AB  - SETTING: Two-day Ohio statewide quality metrics conference.
AB  - SUBJECTS: Nineteen transport leaders and staff representing six statewide neonatal/pediatric specialty programs convened to achieve consensus.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e31828a7fc1
PT  - Consensus Development Conference
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/PCC.0b013e31828a7fc1 [doi]
ID  - 00130478-201306000-00012 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Jun
EZ  - 2013/07/23 06:00
DA  - 2014/03/15 06:00
DT  - 2013/07/23 06:00
YR  - 2013
ED  - 20140314
RD  - 20130722
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23867429

<228. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23439465
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sanchez-Pinto N
AU  - Giuliano JS
AU  - Schwartz HP
AU  - Garrett L
AU  - Gothard MD
AU  - Kantak A
AU  - Bigham MT
FA  - Sanchez-Pinto, Nelson
FA  - Giuliano, John S
FA  - Schwartz, Hamilton P
FA  - Garrett, Lynne
FA  - Gothard, M David
FA  - Kantak, Anand
FA  - Bigham, Michael T
IN  - Sanchez-Pinto, Nelson. Department of Pediatrics, Los Angeles Children's Hospital, Los Angeles, CA, USA.
TI  - The impact of postintubation chest radiograph during pediatric and neonatal critical care transport.
SO  - Pediatric Critical Care Medicine. 14(5):e213-7, 2013 Jun
AS  - Pediatr Crit Care Med. 14(5):e213-7, 2013 Jun
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 14
IP  - 5
PG  - e213-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/mt [Methods]
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intubation, Intratracheal/mt [Methods]
MH  - Male
MH  - Prospective Studies
MH  - *Radiography, Thoracic
MH  - Time Factors
MH  - *Transportation of Patients
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.
AB  - 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.
AB  - SETTING: A children's hospital-based pediatric/neonatal critical care transport team in northeastern Ohio.
AB  - PATIENTS: All pediatric/neonatal patients intubated by the transport team during the 18-month study period (January 2009-July 2010).
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3182772e13
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/PCC.0b013e3182772e13 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Jun
EZ  - 2013/02/27 06:00
DA  - 2014/03/15 06:00
DT  - 2013/02/27 06:00
YR  - 2013
ED  - 20140314
RD  - 20130722
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23439465

<229. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23769257
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Echevarria-Zuno S
AU  - Cruz-Vega F
AU  - Elizondo-Argueta S
AU  - Martinez Valdes E
AU  - Franco-Bey R
AU  - Mendez-Sanchez LM
FA  - Echevarria-Zuno, Santiago
FA  - Cruz-Vega, Felipe
FA  - Elizondo-Argueta, Sandra
FA  - Martinez Valdes, Everardo
FA  - Franco-Bey, Ruben
FA  - Mendez-Sanchez, Luis Miguel
IN  - Echevarria-Zuno, Santiago. Direccion de Prestaciones Medicas, Instituto Mexicano del Seguro Social, Mexico, DF Mexico.
TI  - [Emergency and disaster response in critical care unit in the Mexican Social Security Institute: triage and evacuation]. [Review] [Spanish]
OT  - Atencion en emergencias y desastres en las unidades de terapia intensiva del Instituto Mexicano del Seguro Social: triage y evacuacion.
SO  - Cirugia y Cirujanos. 81(3):246-55, 2013 May-Jun
AS  - Cir Cir. 81(3):246-55, 2013 May-Jun
NJ  - Cirugia y cirujanos
VO  - 81
IP  - 3
PG  - 246-55
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0372736, d9g
IO  - Cir Cir
SB  - Index Medicus
CP  - Spain
MH  - *Academies and Institutes/og [Organization & Administration]
MH  - Coma
MH  - *Disaster Planning
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - Emergency Medical Services/sd [Supply & Distribution]
MH  - Emergency Shelter/og [Organization & Administration]
MH  - Equipment and Supplies, Hospital
MH  - First Aid/is [Instrumentation]
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Intensive Care Units
MH  - Mass Casualty Incidents
MH  - Mexico
MH  - Multiple Organ Failure/pc [Prevention & Control]
MH  - Multiple Organ Failure/th [Therapy]
MH  - Patient Care Team
MH  - Pharmaceutical Preparations/sd [Supply & Distribution]
MH  - Respiration, Artificial/is [Instrumentation]
MH  - Severity of Illness Index
MH  - *Social Security/og [Organization & Administration]
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Triage/es [Ethics]
MH  - Triage/og [Organization & Administration]
MH  - *Triage
KW  - Critical Care;  Disaster;  Evacuation;  desastres;  evacuacion;  terapia intensiva;  triage
AB  - Providing medical assistance in emergencies and disaster in advance makes the need to maintain Medical Units functional despite the disturbing phenomenon that confronts the community, but conflict occurs when the Medical Unit needs support and needs to be evacuated, especially when the evacuation of patients in a Critical Care Unit is required. In world literature there is little on this topic, and what is there usually focuses on the conversion of areas and increased ability to care for mass casualties, but not about how to evacuate if necessary, and when a wrong decision can have fatal consequences. That is why the Mexican Social Security Institute gave the task of examining these problems to a working group composed of specialists of the Institute. The purpose was to evaluate and establish a method for performing a protocol in the removal of patients and considering always to safeguard both staff and patients and maintain the quality of care.
OA  - Publisher: La atencion en emergencias y desastres implica mantener las unidades medicas en funcionamiento, pese al fenomeno perturbador al que se enfrente la comunidad; sin embargo, el conflicto ocurre cuando es la unidad medica la que necesita el apoyo y requiere ser evacuada, mas aun cuando es indispensable la evacuacion de los pacientes de las unidades de terapia intensiva. En la bibliografia mundial poco hay acerca de este tema, por lo general esta enfocado a la reconversion de areas e incremento de la capacidad para atencion a saldo masivo de victimas, pero no sobre como evacuar en caso necesario, y donde una decision erronea puede traer consecuencias fatales. Por esto el Instituto Mexicano del Seguro Social encomendo a un grupo de trabajo, conformado por medicos especialistas del propio Instituto, evaluar y establecer un metodo para protocolizar la evacuacion de estos pacientes con la salvaguarda correspondiente del personal y del paciente sin que los estandares de calidad en la atencion se alteren.; Language: Spanish
RN  - 0 (Pharmaceutical Preparations)
IS  - 0009-7411
IL  - 0009-7411
PT  - English Abstract
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - Spanish
DP  - 2013 May-Jun
EZ  - 2013/06/19 06:00
DA  - 2014/02/25 06:00
DT  - 2013/06/18 06:00
YR  - 2013
ED  - 20140224
RD  - 20150313
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23769257

<230. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23154670
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - O'Reilly D
AU  - Labrecque M
AU  - O'Melia M
AU  - Bacic J
AU  - Hansen A
AU  - Soul JS
FA  - O'Reilly, D
FA  - Labrecque, M
FA  - O'Melia, M
FA  - Bacic, J
FA  - Hansen, A
FA  - Soul, J S
IN  - O'Reilly, D. Department of Pediatrics, Division of Newborn Medicine, Boston Children's Hospital, Boston, MA 02115, USA.
TI  - Passive cooling during transport of asphyxiated term newborns.
SO  - Journal of Perinatology. 33(6):435-40, 2013 Jun
AS  - J Perinatol. 33(6):435-40, 2013 Jun
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 33
IP  - 6
PG  - 435-40
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jfp, 8501884
IO  - J Perinatol
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4090084
OI  - Source: NLM. NIHMS595811
SB  - Index Medicus
CP  - United States
MH  - Apgar Score
MH  - Asphyxia Neonatorum/di [Diagnosis]
MH  - *Asphyxia Neonatorum/th [Therapy]
MH  - Birth Weight
MH  - Body Temperature
MH  - Electroencephalography
MH  - Female
MH  - Gestational Age
MH  - Humans
MH  - *Hypothermia, Induced/mt [Methods]
MH  - Hypoxia-Ischemia, Brain/pc [Prevention & Control]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Neurologic Examination
MH  - Patient Outcome Assessment
MH  - Prognosis
MH  - Retrospective Studies
MH  - *Transportation of Patients
AB  - OBJECTIVE: To evaluate the efficacy and safety of passive cooling during transport of asphyxiated newborns.
AB  - STUDY DESIGN: Retrospective medical record review of newborns with perinatal asphyxia transported for hypothermia between July 2007 and June 2010.
AB  - RESULT: Of 43 newborns transported, 27 were passively cooled without significant adverse events. Twenty (74%) passively cooled newborns arrived with temperature between 32.5 and 34.5 degreeC. One newborn arrived with a temperature <32.5, and 6 (22%) had temperatures >34.5 degreeC. Time from birth to hypothermia was significantly shorter among passively cooled newborns compared with newborns not cooled (215 vs 327 min, P<0.01), even though time from birth to admission to Boston Children's Hospital was similar (252 vs 259 min, P=0.77). Time from birth to admission was the only significant predictor of increased time to reach target temperature (P=0.001).
AB  - CONCLUSION: Exclusive passive cooling achieves significantly earlier initiation of effective hypothermia for asphyxiated newborns but should not delay transport for active cooling.
ES  - 1476-5543
IL  - 0743-8346
DO  - https://dx.doi.org/10.1038/jp.2012.138
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - jp2012138 [pii]
ID  - 10.1038/jp.2012.138 [doi]
ID  - PMC4090084 [pmc]
ID  - NIHMS595811 [mid]
PP  - ppublish
GI  - No: P30 HD018655
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: R01 NS066929
Organization: (NS) *NINDS NIH HHS*
Country: United States
LG  - English
EP  - 20121115
DP  - 2013 Jun
EZ  - 2012/11/17 06:00
DA  - 2014/02/25 06:00
DT  - 2012/11/17 06:00
YR  - 2013
ED  - 20140224
RD  - 20161025
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23154670

<231. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24479256
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tvaryanas AP
AU  - Maupin GM
FA  - Tvaryanas, Anthony P
FA  - Maupin, Genny M
IN  - Tvaryanas, Anthony P. Human Performance Integration Directorate, 711th Human Performance Wing, 2510 5th St., Bldg 840, Rm W413C, Wright-Patterson AFB, OH 45433-7913, USA. anthony.tvaryanas@wpafb.af.mil
IN  - Maupin, Genny M. Human Performance Integration Directorate, 711th Human Performance Wing, 2510 5th St., Bldg 840, Rm W413C, Wright-Patterson AFB, OH 45433-7913, USA.
TI  - Risk of incident mental health conditions among critical care air transport team members.
SO  - Aviation Space & Environmental Medicine. 85(1):30-8, 2014 Jan
AS  - Aviat Space Environ Med. 85(1):30-8, 2014 Jan
NJ  - Aviation, space, and environmental medicine
VO  - 85
IP  - 1
PG  - 30-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9ja, 7501714
IO  - Aviat Space Environ Med
SB  - Index Medicus
SB  - National Aeronautics and Space Administration (NASA) Journals
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - *Aviation
MH  - Female
MH  - *Health Personnel/px [Psychology]
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Mental Disorders/di [Diagnosis]
MH  - *Mental Disorders/ep [Epidemiology]
MH  - Middle Aged
MH  - *Military Personnel/px [Psychology]
MH  - Risk
MH  - Sex Factors
MH  - United States/ep [Epidemiology]
AB  - BACKGROUND: This study investigated whether Critical Care Air Transport Team (CCATT) members are at increased risk for incident post-deployment mental health conditions.
AB  - METHODS: We conducted a retrospective cohort study of 604 U.S. Air Force medical personnel without preexisting mental health conditions who had at least one deployment as a CCATT member during 2003-2012 as compared to a control group of 604 medical personnel, frequency matched based on job role, with at least one deployment during the same period, but without CCATT experience. Electronic health record data were used to ascertain the diagnosis of a mental health condition.
AB  - RESULTS: The incidence of post-deployment mental health conditions was 2.1 per 1000 mo for the CCATT group versus 2.2 per 1000 mo for the control group. The six most frequent diagnoses were the same in both groups: adjustment reaction not including posttraumatic stress disorder (PTSD), anxiety, major depressive disorder, specific disorders of sleep of nonorganic origin, PTSD, and depressive disorder not elsewhere classified. Women were at marginally increased risk and nurses and technicians were at twice the risk of physicians. The distribution of the time interval from end of the most recent deployment to diagnosis of incident mental health condition was positively skewed with a median greater than 6 mo.
AB  - CONCLUSIONS: CCATT members were at no increased risk for incident post-deployment mental health conditions as compared to non-CCATT medical service members. Nearly two-thirds of incident post-deployment mental health conditions were diagnosed outside the standard 6-mo medical surveillance period, a finding warranting further study.
IS  - 0095-6562
IL  - 0095-6562
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2014 Jan
EZ  - 2014/02/01 06:00
DA  - 2014/02/22 06:00
DT  - 2014/02/01 06:00
YR  - 2014
ED  - 20140220
RD  - 20140131
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24479256

<232. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24406493
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Roussak P
FA  - Roussak, Penelope
IN  - Roussak, Penelope. Staff Nurse, Rays of Sunshine Ward, Kings College Hospital, London.
TI  - Centralisation of paediatric intensive care and a 24-hour retrieval service.
SO  - British Journal of Nursing. 23(1):25-9, 2014 Jan 9-22
AS  - Br J Nurs. 23(1):25-9, 2014 Jan 9-22
NJ  - British journal of nursing (Mark Allen Publishing)
VO  - 23
IP  - 1
PG  - 25-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - big, 9212059
IO  - Br J Nurs
SB  - Nursing Journal
CP  - England
MH  - Clinical Competence
MH  - *Intensive Care Units, Pediatric
MH  - *Patient Transfer
MH  - United Kingdom
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.
IS  - 0966-0461
IL  - 0966-0461
PT  - Journal Article
ID  - 10.12968/bjon.2014.23.1.25 [doi]
PP  - ppublish
LG  - English
DP  - 2014 Jan 9-22
EZ  - 2014/01/11 06:00
DA  - 2014/02/22 06:00
DT  - 2014/01/11 06:00
YR  - 2014
ED  - 20140220
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24406493

<233. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24346545
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kuo CC
AU  - Chao CM
FA  - Kuo, Chia-Chang
FA  - Chao, Chien-Ming
IN  - Kuo, Chia-Chang. Department of Emergency Medicine, Tainan Municipal Hospital, Tainan, Taiwan Department of Intensive Care Medicine, Chi-Mei Medical Center, Liouying Tainan, Taiwan.
TI  - Do-not-resuscitate: another effect of rapid response team.
CM  - Comment on: Crit Care Med. 2013 Oct;41(10):2284-91; PMID: 23921274
SO  - Critical Care Medicine. 42(1):e79, 2014 Jan
AS  - Crit Care Med. 42(1):e79, 2014 Jan
NJ  - Critical care medicine
VO  - 42
IP  - 1
PG  - e79
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - *Hospital Rapid Response Team
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - *Outcome Assessment (Health Care)/mt [Methods]
MH  - *Patient Transfer
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/01.ccm.0000435670.37941.67
PT  - Comment
PT  - Letter
ID  - 10.1097/01.ccm.0000435670.37941.67 [doi]
ID  - 00003246-201401000-00054 [pii]
PP  - ppublish
LG  - English
DP  - 2014 Jan
EZ  - 2013/12/19 06:00
DA  - 2014/02/20 06:00
DT  - 2013/12/19 06:00
YR  - 2014
ED  - 20140219
RD  - 20131218
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24346545

<234. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23701758
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wong C
AU  - Mak M
AU  - Shivananda S
AU  - Yang J
AU  - Shah PS
AU  - Seidlitz W
AU  - Pemberton J
AU  - Fitzgerald PG
AU  - Cameron BH
AU  - Canadian Neonatal Network
FA  - Wong, Charles
FA  - Mak, Michael
FA  - Shivananda, Sandesh
FA  - Yang, Junmin
FA  - Shah, Prakeshkumar S
FA  - Seidlitz, Wendy
FA  - Pemberton, Julia
FA  - Fitzgerald, Peter G
FA  - Cameron, Brian H
FA  - Canadian Neonatal Network
IN  - Wong, Charles. McMaster Pediatric Surgery Research Collaborative, Hamilton ON, Canada.
IR  - Lee SK
IR  - Shah PS
IR  - Andrews W
IR  - Barrington K
IR  - Yee W
IR  - Bullied B
IR  - Canning R
IR  - Alvaro R
IR  - Dow K
IR  - Dunn M
IR  - Harrison A
IR  - Lee KS
IR  - Kalapesi Z
IR  - Kovacs L
IR  - da Silva O
IR  - McMillan DD
IR  - Ojah C
IR  - Peliowski A
IR  - Aziz K
IR  - Piedboeuf B
IR  - Riley P
IR  - Faucher D
IR  - Rouvinez-Bouali N
IR  - Sankaran K
IR  - Seshia M
IR  - Shivananda S
IR  - Cieslak Z
IR  - Synnes A
IR  - Bertelle V
IR  - Sorokan T
IR  - Kajetanowicz A
IR  - Nwaesei C
TI  - Outcomes of neonatal patent ductus arteriosus ligation in Canadian neonatal units with and without pediatric cardiac surgery programs.
SO  - Journal of Pediatric Surgery. 48(5):909-14, 2013 May
AS  - J Pediatr Surg. 48(5):909-14, 2013 May
NJ  - Journal of pediatric surgery
VO  - 48
IP  - 5
PG  - 909-14
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmj, 0052631
IO  - J. Pediatr. Surg.
SB  - Index Medicus
CP  - United States
MH  - Abnormalities, Multiple/ep [Epidemiology]
MH  - Anti-Inflammatory Agents, Non-Steroidal/tu [Therapeutic Use]
MH  - Brain Diseases/dg [Diagnostic Imaging]
MH  - Brain Diseases/ep [Epidemiology]
MH  - Brain Diseases/et [Etiology]
MH  - Canada
MH  - Cardiology Service, Hospital/og [Organization & Administration]
MH  - Combined Modality Therapy
MH  - Databases, Factual
MH  - Ductus Arteriosus, Patent/dt [Drug Therapy]
MH  - Ductus Arteriosus, Patent/mo [Mortality]
MH  - *Ductus Arteriosus, Patent/su [Surgery]
MH  - Female
MH  - *Hospital Departments/og [Organization & Administration]
MH  - Hospital Mortality
MH  - Humans
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Infant, Premature, Diseases/mo [Mortality]
MH  - *Infant, Premature, Diseases/su [Surgery]
MH  - Infant, Small for Gestational Age
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Ligation
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pediatrics/og [Organization & Administration]
MH  - Postoperative Complications/dg [Diagnostic Imaging]
MH  - Postoperative Complications/ep [Epidemiology]
MH  - Postoperative Complications/et [Etiology]
MH  - Retrospective Studies
MH  - Sepsis/ep [Epidemiology]
MH  - Sepsis/et [Etiology]
MH  - Severity of Illness Index
MH  - Surgery Department, Hospital/og [Organization & Administration]
MH  - Tertiary Care Centers/og [Organization & Administration]
MH  - *Tertiary Care Centers/sn [Statistics & Numerical Data]
MH  - Treatment Outcome
MH  - Ultrasonography
AB  - BACKGROUND/PURPOSE: Preterm infants needing patent ductus arteriosus (PDA) ligation are transferred to a pediatric cardiac center (CC) unless the operation can be done locally by a pediatric surgeon at a non-cardiac center (NCC). We compared infant outcomes after PDA ligation at CC and NCC.
AB  - METHODS: We analyzed 990 preterm infants who had PDA ligation between 2005 and 2009 using the Canadian Neonatal Network database. In-hospital mortality and major morbidities were compared between CC (n=18) and NCC (n=9).
AB  - RESULTS: SNAP-II-adjusted mortality rates were similar (CC=8.7% vs NCC=10.7%, P=.32). Significant cranial ultrasound abnormalities (CC=24.1% vs NCC=32.1%, P<.01) and culture-proven sepsis (CC=39.7% vs NCC=54.8%, P<.01) were more frequent in infants treated at NCC. Infants transferred to CC had higher rates of cranial ultrasound abnormalities (transferred 31.6% vs non-transferred 20.4%, P<.01). NSAIDs prior to PDA ligation were used more often at NCC (CC 36.6% vs NCC 75.6%, P<.001).
AB  - CONCLUSIONS: Mortality rates after PDA ligation were similar at CC and NCC, but cranial ultrasound abnormalities and sepsis rates were higher at NCC. Higher morbidity may be associated with different PDA management strategies, including NSAID use or infant transfer. Further studies are needed to investigate the reasons for these differences in morbidity.

Copyright © 2013 Elsevier Inc. All rights reserved.
RN  - 0 (Anti-Inflammatory Agents, Non-Steroidal)
ES  - 1531-5037
IL  - 0022-3468
DI  - S0022-3468(13)00094-8
DO  - https://dx.doi.org/10.1016/j.jpedsurg.2013.02.004
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0022-3468(13)00094-8 [pii]
ID  - 10.1016/j.jpedsurg.2013.02.004 [doi]
PP  - ppublish
PH  - 2013/01/19 [received]
PH  - 2013/02/03 [accepted]
GI  - Organization: *Canadian Institutes of Health Research*
Country: Canada
LG  - English
DP  - 2013 May
EZ  - 2013/05/25 06:00
DA  - 2014/02/20 06:00
DT  - 2013/05/25 06:00
YR  - 2013
ED  - 20140219
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23701758

<235. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23701759
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hutchings K
AU  - Vasquez A
AU  - Price D
AU  - Cameron BH
AU  - Awan S
AU  - Miller GG
FA  - Hutchings, Katherine
FA  - Vasquez, Andrea
FA  - Price, David
FA  - Cameron, Brian H
FA  - Awan, Saeed
FA  - Miller, Grant G
IN  - Hutchings, Katherine. Department of Surgery, Janeway Children's Hospital, St. John's Newfoundland, NL, Canada, A1B 3V6.
TI  - Outcomes following neonatal patent ductus arteriosus ligation done by pediatric surgeons: a retrospective cohort analysis.
SO  - Journal of Pediatric Surgery. 48(5):915-8, 2013 May
AS  - J Pediatr Surg. 48(5):915-8, 2013 May
NJ  - Journal of pediatric surgery
VO  - 48
IP  - 5
PG  - 915-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmj, 0052631
IO  - J. Pediatr. Surg.
SB  - Index Medicus
CP  - United States
MH  - Blood Transfusion/ut [Utilization]
MH  - Canada/ep [Epidemiology]
MH  - Comorbidity
MH  - Ductus Arteriosus, Patent/dt [Drug Therapy]
MH  - Ductus Arteriosus, Patent/mo [Mortality]
MH  - *Ductus Arteriosus, Patent/su [Surgery]
MH  - Female
MH  - Follow-Up Studies
MH  - General Surgery/ed [Education]
MH  - *General Surgery
MH  - Gestational Age
MH  - Hospital Mortality
MH  - Hospitals, Pediatric/og [Organization & Administration]
MH  - Hospitals, Pediatric/sn [Statistics & Numerical Data]
MH  - Hospitals, Teaching/og [Organization & Administration]
MH  - Hospitals, Teaching/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Infant, Premature, Diseases/mo [Mortality]
MH  - *Infant, Premature, Diseases/su [Surgery]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Intraoperative Complications/ep [Epidemiology]
MH  - Ligation/ed [Education]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pediatrics/ed [Education]
MH  - *Pediatrics
MH  - Postoperative Complications/ep [Epidemiology]
MH  - Respiration, Artificial/ut [Utilization]
MH  - Retrospective Studies
MH  - Tertiary Care Centers/og [Organization & Administration]
MH  - *Tertiary Care Centers/sn [Statistics & Numerical Data]
MH  - Treatment Outcome
AB  - PURPOSE: Patent Ductus Arteriosus (PDA) ligation in premature infants is an urgent procedure performed by some but not all pediatric surgeons. Proficiency in PDA ligation is not a requirement of Canadian pediatric surgery training. Our purpose was to determine the outcomes of neonatal PDA ligation done by pediatric surgeons.
AB  - METHODS: We performed a retrospective review of premature infants who underwent PDA ligation by pediatric surgeons in 3 Canadian centers from 2005 to 2009. Outcomes were compared to published controls.
AB  - RESULTS: The review identified 98 patients with a mean corrected GA and weight at repair of 29 weeks and 1122 g, respectively. There were no intraoperative deaths. The 30-day and inhospital mortality rates were 1% and 5%. Mortality and morbidity were comparable to the published outcomes.
AB  - CONCLUSIONS: This study documents that a significant number of preterm infant PDA ligations are safely done by pediatric surgeons. To meet the Canadian needs for this service by pediatric surgeons, proficiency in PDA ligation should be considered important in pediatric surgery training programs.

Copyright © 2013 Elsevier Inc. All rights reserved.
ES  - 1531-5037
IL  - 0022-3468
DI  - S0022-3468(13)00093-6
DO  - https://dx.doi.org/10.1016/j.jpedsurg.2013.02.003
PT  - Journal Article
PT  - Multicenter Study
ID  - S0022-3468(13)00093-6 [pii]
ID  - 10.1016/j.jpedsurg.2013.02.003 [doi]
PP  - ppublish
PH  - 2013/01/20 [received]
PH  - 2013/02/03 [accepted]
LG  - English
DP  - 2013 May
EZ  - 2013/05/25 06:00
DA  - 2014/02/20 06:00
DT  - 2013/05/25 06:00
YR  - 2013
ED  - 20140219
RD  - 20130524
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23701759

<236. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24328766
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bruce CR
AU  - Fetter JE
AU  - Blumenthal-Barby JS
FA  - Bruce, Courtenay R
FA  - Fetter, John E
FA  - Blumenthal-Barby, J S
IN  - Bruce, Courtenay R. 1 Center for Medical Ethics and Health Policy Baylor College of Medicine Houston, Texas and Houston Methodist Hospital System Houston Methodist Hospital System Biomedical Ethics Program Houston, Texas.
TI  - Cascade effects in critical care medicine: a call for practice changes.
SO  - American Journal of Respiratory & Critical Care Medicine. 188(12):1384-5, 2013 Dec 15
AS  - Am J Respir Crit Care Med. 188(12):1384-5, 2013 Dec 15
NJ  - American journal of respiratory and critical care medicine
VO  - 188
IP  - 12
PG  - 1384-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9421642, bzs
IO  - Am. J. Respir. Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Critical Care/ec [Economics]
MH  - *Critical Care/es [Ethics]
MH  - Critical Care/mt [Methods]
MH  - Health Care Costs
MH  - Humans
MH  - Interprofessional Relations/es [Ethics]
MH  - Patient Care Team/es [Ethics]
MH  - *Patient Participation
MH  - *Patient Preference
MH  - Patient Transfer/es [Ethics]
MH  - United States
MH  - Unnecessary Procedures/ec [Economics]
MH  - *Unnecessary Procedures/es [Ethics]
ES  - 1535-4970
IL  - 1073-449X
DO  - https://dx.doi.org/10.1164/rccm.201309-1606ED
PT  - Editorial
PT  - Research Support, Non-U.S. Gov't
PT  - Video-Audio Media
ID  - 10.1164/rccm.201309-1606ED [doi]
PP  - ppublish
LG  - English
DP  - 2013 Dec 15
EZ  - 2013/12/18 06:00
DA  - 2014/02/11 06:00
DT  - 2013/12/17 06:00
YR  - 2013
ED  - 20140210
RD  - 20131216
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24328766

<237. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23359729
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vitacca M
AU  - Nava S
FA  - Vitacca, Michele
FA  - Nava, Stefano
TI  - Incomplete network for survivors of catastrophic illness after release from ICUs.
CM  - Comment on: Respir Care. 2013 Feb;58(2):250-6; PMID: 22709565
SO  - Respiratory Care. 58(2):383-5, 2013 Feb
AS  - Respir Care. 58(2):383-5, 2013 Feb
NJ  - Respiratory care
VO  - 58
IP  - 2
PG  - 383-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - qz3, 7510357
IO  - Respir Care
SB  - Index Medicus
CP  - United States
MH  - *Acinetobacter Infections/ep [Epidemiology]
MH  - *Carrier State/ep [Epidemiology]
MH  - Female
MH  - Humans
MH  - Male
MH  - *Patient Transfer
MH  - *Respiration, Artificial
MH  - *Severity of Illness Index
ES  - 1943-3654
IL  - 0020-1324
DO  - https://dx.doi.org/10.4187/respcare.02262
PT  - Comment
PT  - Editorial
ID  - 58/2/383 [pii]
ID  - 10.4187/respcare.02262 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Feb
EZ  - 2013/01/30 06:00
DA  - 2014/01/28 06:00
DT  - 2013/01/30 06:00
YR  - 2013
ED  - 20140127
RD  - 20130129
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23359729

<238. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24218920
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dhollande N
AU  - Vigani S
AU  - Angot N
AU  - Sirabella J
FA  - Dhollande, Noemie
FA  - Vigani, Severine
FA  - Angot, Nathalie
FA  - Sirabella, Julien
IN  - Dhollande, Noemie. Service de reanimation traumatologique, CHU Nord Marseille, AP-HM, Chemin des Bourrely 13915 Marseille cedex 20, France. noemie.dhollande@ap-hm.fr
TI  - [Care for multi-trauma patients, from the transfer to the operating theatre to intensive care]. [French]
OT  - Les soins au patient polytraumatise du depart au bloc a la reanimation.
SO  - Soins; La Revue de Reference Infirmiere. (778):38-40, 2013 Sep
AS  - Soins. (778):38-40, 2013 Sep
NJ  - Soins; la revue de reference infirmiere
IP  - 778
PG  - 38-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - uuj, 20910580r
IO  - Soins
SB  - Nursing Journal
CP  - France
MH  - *Cooperative Behavior
MH  - France
MH  - Glasgow Coma Scale
MH  - Humans
MH  - *Intensive Care Units
MH  - *Interdisciplinary Communication
MH  - *Multiple Trauma/nu [Nursing]
MH  - *Multiple Trauma/su [Surgery]
MH  - Nursing Diagnosis
MH  - Pain Measurement/nu [Nursing]
MH  - *Patient Transfer/mt [Methods]
MH  - Postoperative Complications/di [Diagnosis]
MH  - *Postoperative Complications/nu [Nursing]
MH  - Resuscitation/mt [Methods]
MH  - Risk Factors
MH  - Vital Signs
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.
IS  - 0038-0814
IL  - 0038-0814
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - French
DP  - 2013 Sep
EZ  - 2013/11/14 06:00
DA  - 2014/01/24 06:00
DT  - 2013/11/14 06:00
YR  - 2013
ED  - 20140123
RD  - 20131113
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24218920

<239. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23816215
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Erler C
AU  - Edwards NE
AU  - Ritchey S
AU  - Pesut DJ
AU  - Sands L
AU  - Wu J
FA  - Erler, Cheryl
FA  - Edwards, Nancy E
FA  - Ritchey, Steve
FA  - Pesut, Daniel J
FA  - Sands, Laura
FA  - Wu, Jingwei
IN  - Erler, Cheryl. School of Nursing, Indiana University, Indianapolis, IN 46202, USA. cerler@iupui.edu
TI  - Perceived patient safety culture in a critical care transport program.
SO  - Air Medical Journal. 32(4):208-15, 2013 Jul-Aug
AS  - Air Med J. 32(4):208-15, 2013 Jul-Aug
NJ  - Air medical journal
VO  - 32
IP  - 4
PG  - 208-15
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - *Attitude of Health Personnel
MH  - *Critical Care
MH  - Cross-Sectional Studies
MH  - Humans
MH  - *Organizational Culture
MH  - *Patient Safety
MH  - Perception
MH  - Safety Management
MH  - Surveys and Questionnaires
MH  - *Transportation of Patients
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.
AB  - 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.
AB  - 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).
AB  - 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.

Copyright © 2013 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(12)00338-0
DO  - https://dx.doi.org/10.1016/j.amj.2012.11.002
PT  - Journal Article
ID  - S1067-991X(12)00338-0 [pii]
ID  - 10.1016/j.amj.2012.11.002 [doi]
PP  - ppublish
PH  - 2012/05/30 [received]
PH  - 2012/09/25 [revised]
PH  - 2012/11/09 [accepted]
LG  - English
DP  - 2013 Jul-Aug
EZ  - 2013/07/03 06:00
DA  - 2014/01/24 06:00
DT  - 2013/07/03 06:00
YR  - 2013
ED  - 20140123
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23816215

<240. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24257394
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ehrenfeld JM
AU  - Dexter F
AU  - Rothman BS
AU  - Minton BS
AU  - Johnson D
AU  - Sandberg WS
AU  - Epstein RH
FA  - Ehrenfeld, Jesse M
FA  - Dexter, Franklin
FA  - Rothman, Brian S
FA  - Minton, Betty Sue
FA  - Johnson, Diane
FA  - Sandberg, Warren S
FA  - Epstein, Richard H
IN  - Ehrenfeld, Jesse M. From the Departments of *Anesthesiology and +Bioinformatics and Surgery, Vanderbilt University, Nashville, Tennessee; ++Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa; Department of Nursing, Vanderbilt University Medical Center; PDepartments of Anesthesiology, Bioinformatics, and Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; and ||Department of Anesthesiology, Jefferson Medical College, Philadelphia, Pennsylvania.
TI  - Lack of utility of a decision support system to mitigate delays in admission from the operating room to the postanesthesia care unit.
SO  - Anesthesia & Analgesia. 117(6):1444-52, 2013 Dec
AS  - Anesth Analg. 117(6):1444-52, 2013 Dec
NJ  - Anesthesia and analgesia
VO  - 117
IP  - 6
PG  - 1444-52
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4r8, 1310650
IO  - Anesth. Analg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Anesthesia Department, Hospital/og [Organization & Administration]
MH  - *Anesthesia Recovery Period
MH  - Appointments and Schedules
MH  - Bed Occupancy
MH  - Crowding
MH  - *Decision Support Techniques
MH  - Efficiency, Organizational
MH  - Humans
MH  - Operating Room Information Systems
MH  - *Operating Rooms/og [Organization & Administration]
MH  - *Patient Admission
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Personnel Staffing and Scheduling/og [Organization & Administration]
MH  - *Postanesthesia Nursing/og [Organization & Administration]
MH  - *Recovery Room/og [Organization & Administration]
MH  - Retrospective Studies
MH  - Tennessee
MH  - Tertiary Care Centers
MH  - Time Factors
MH  - Workload
AB  - BACKGROUND: When the phase I postanesthesia care unit (PACU) is at capacity, completed cases need to be held in the operating room (OR), causing a "PACU delay." Statistical methods based on historical data can optimize PACU staffing to achieve the least possible labor cost at a given service level. A decision support process to alert PACU charge nurses that the PACU is at or near maximum census might be effective in lessening the incidence of delays and reducing over-utilized OR time, but only if alerts are timely (i.e., neither too late nor too early to act upon) and the PACU slot can be cleared quickly. We evaluated the maximum potential benefit of such a system, using assumptions deliberately biased toward showing utility.
AB  - METHODS: We extracted 3 years of electronic PACU data from a tertiary care medical center. At this hospital, PACU admissions were limited by neither inadequate PACU staffing nor insufficient PACU beds. We developed a model decision support system that simulated alerts to the PACU charge nurse. PACU census levels were reconstructed from the data at a 1-minute level of resolution and used to evaluate if subsequent delays would have been prevented by such alerts. The model assumed there was always a patient ready for discharge and an available hospital bed. The time from each alert until the maximum census was exceeded ("alert lead time") was determined. Alerts were judged to have utility if the alert lead time fell between various intervals from 15 or 30 minutes to 60, 75, or 90 minutes after triggering. In addition, utility for reducing over-utilized OR time was assessed using the model by determining if 2 patients arrived from 5 to 15 minutes of each other when the PACU census was at 1 patient less than the maximum census.
AB  - RESULTS: At most, 23% of alerts arrived 30 to 60 minutes prior to the admission that resulted in the PACU exceeding the specified maximum capacity. When the notification window was extended to 15 to 90 minutes, the maximum utility was <50%. At most, 45% of alerts potentially would have resulted in reassigning the last available PACU slot to 1 OR versus another within 15 minutes of the original assignment.
AB  - CONCLUSIONS: Despite multiple biases that favored effectiveness, the maximum potential benefit of a decision support system to mitigate PACU delays on the day on the surgery was below the 70% minimum threshold for utility of automated decision support messages, previously established via meta-analysis. Neither reduction in PACU delays nor reassigning promised PACU slots based on reducing over-utilized OR time were realized sufficiently to warrant further development of the system. Based on these results, the only evidence-based method of reducing PACU delays is to adjust PACU staffing and staff scheduling using computational algorithms to match the historical workload (e.g., as developed in 2001).
ES  - 1526-7598
IL  - 0003-2999
DO  - https://dx.doi.org/10.1213/ANE.0b013e3182a8b0bd
PT  - Evaluation Studies
PT  - Journal Article
ID  - 10.1213/ANE.0b013e3182a8b0bd [doi]
ID  - 00000539-201312000-00026 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Dec
EZ  - 2013/11/22 06:00
DA  - 2014/01/17 06:00
DT  - 2013/11/22 06:00
YR  - 2013
ED  - 20140116
RD  - 20131122
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24257394

<241. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23837430
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Weiss MJ
AU  - Bhanji F
AU  - Fontela PS
AU  - Razack SI
FA  - Weiss, Matthew J
FA  - Bhanji, Farhan
FA  - Fontela, Patricia S
FA  - Razack, Saleem I
IN  - Weiss, Matthew J. Division of Pediatric Critical Care, McGill University, Montreal, Quebec, Canada. matthew-john.weiss@mail.chuq.qc.ca
TI  - A preliminary study of the impact of a handover cognitive aid on clinical reasoning and information transfer.
SO  - Medical Education. 47(8):832-41, 2013 Aug
AS  - Med Educ. 47(8):832-41, 2013 Aug
NJ  - Medical education
VO  - 47
IP  - 8
PG  - 832-41
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - mz3, 7605655
IO  - Med Educ
SB  - Index Medicus
CP  - England
MH  - Attitude of Health Personnel
MH  - Canada
MH  - Child
MH  - *Clinical Competence/st [Standards]
MH  - Communication
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - *Patient Handoff/st [Standards]
MH  - Patient Transfer/st [Standards]
MH  - Regression Analysis
MH  - *Students, Medical/px [Psychology]
AB  - OBJECTIVES: To assess the impact of a written cognitive aid on expressed clinical reasoning and quantity and the accuracy of information transfer during resident doctor handover.
AB  - METHODS: This study was a randomised controlled trial in an academic paediatric intensive care unit (PICU) of 20 handover events (10 events per group) from residents in their first PICU rotation using a written handover cognitive aid (intervention) or standard practice (control). Before rounds, an investigator generated a reference standard of the handover event by completing a handover aid. Resident handovers were then audio-recorded and transcribed by a blinded research assistant. The content of this transcript was inserted into a blank handover aid. A blinded content expert scored the quantity and accuracy of the information in this aid according to predetermined criteria and these information scores (ISs) were compared with the reference standard. The same expert also blindly scored the transcripts in five domains of clinical reasoning and effectiveness: (i) effective summary of events; (ii) expressed understanding of the care plan; (iii) presentation clarity; (iv) organisation; (v) overall handover effectiveness. Differences between intervention and control groups were assessed using the Mann-Whitney test and multivariate linear regression.
AB  - RESULTS: The intervention group had total ISs that more closely approximated the reference standard (81% versus 61%; p < 0.01). The intervention group had significantly higher clinical reasoning scores when compared by total score (21.1 versus 15.9 points; p = 0.01) and in each of the five domains. No difference was observed in the duration of handover between groups (7.4 versus 7.7 minutes; p = 0.97).
AB  - CONCLUSIONS: Using a novel scoring system, our simple handover cognitive aid was shown to improve information transfer and resident expression of clinical reasoning without prolonging the handover duration.

Copyright © 2013 John Wiley & Sons Ltd.
ES  - 1365-2923
IL  - 0308-0110
DO  - https://dx.doi.org/10.1111/medu.12212
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1111/medu.12212 [doi]
PP  - ppublish
PH  - 2012/02/28 [received]
PH  - 2012/04/16 [revised]
PH  - 2012/11/19 [revised]
PH  - 2013/02/27 [accepted]
LG  - English
DP  - 2013 Aug
EZ  - 2013/07/11 06:00
DA  - 2014/01/15 06:00
DT  - 2013/07/11 06:00
YR  - 2013
ED  - 20140114
RD  - 20130710
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23837430

<242. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23377159
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kaplow R
FA  - Kaplow, Roberta
IN  - Kaplow, Roberta. Emory University Hospital, Atlanta, GA, USA. roberta.kaplow@emoryhealthcare.org
TI  - Safety of patients transferred from the operating room to the intensive care unit.
SO  - Critical Care Nurse. 33(1):68-70, 2013 Feb
AS  - Crit Care Nurse. 33(1):68-70, 2013 Feb
NJ  - Critical care nurse
VO  - 33
IP  - 1
PG  - 68-70
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dt8, 8207799
IO  - Crit Care Nurse
SB  - Nursing Journal
CP  - United States
MH  - *Intensive Care Units
MH  - *Operating Rooms
MH  - *Patient Transfer/mt [Methods]
MH  - Safety
ES  - 1940-8250
IL  - 0279-5442
DO  - https://dx.doi.org/10.4037/ccn2013866
PT  - Journal Article
ID  - 33/1/68 [pii]
ID  - 10.4037/ccn2013866 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Feb
EZ  - 2013/02/05 06:00
DA  - 2013/12/18 06:00
DT  - 2013/02/05 06:00
YR  - 2013
ED  - 20131212
RD  - 20130204
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23377159

<243. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23205527
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fayeye O
AU  - Ushewokunze S
AU  - Stickley J
AU  - Reynolds F
AU  - Solanki G
AU  - Rodrigues D
AU  - Walsh AR
AU  - Kay A
FA  - Fayeye, O
FA  - Ushewokunze, S
FA  - Stickley, J
FA  - Reynolds, F
FA  - Solanki, G
FA  - Rodrigues, D
FA  - Walsh, A R
FA  - Kay, A
IN  - Fayeye, O. Department of Paediatric Neurosurgery, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK.
TI  - Does direct admission from an emergency department with on-site neurosurgical services facilitate time critical surgical intervention following a traumatic brain injury in children?.
SO  - British Journal of Neurosurgery. 27(3):326-9, 2013 Jun
AS  - Br J Neurosurg. 27(3):326-9, 2013 Jun
NJ  - British journal of neurosurgery
VO  - 27
IP  - 3
PG  - 326-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - ahz, 8800054
IO  - Br J Neurosurg
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Brain Hemorrhage, Traumatic/su [Surgery]
MH  - *Brain Injuries/su [Surgery]
MH  - Child
MH  - Child, Preschool
MH  - *Craniotomy/sn [Statistics & Numerical Data]
MH  - Critical Care/sn [Statistics & Numerical Data]
MH  - Emergency Treatment/sn [Statistics & Numerical Data]
MH  - England
MH  - Female
MH  - Humans
MH  - Infant
MH  - Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Surgery Department, Hospital/sd [Supply & Distribution]
MH  - *Time-to-Treatment
MH  - Trauma Centers/sn [Statistics & Numerical Data]
AB  - OBJECTIVES: To compare the proportion of trauma craniotomies performed within 4 hours of presentation to emergency departments (ED) with and without on-site neurosurgery.
AB  - DESIGN: A retrospective cohort analysis of data collected prospectively between January 2005 and April 2010 from patients with traumatic brain injury who were admitted to the paediatric intensive care unit (PICU) following traumatic brain injury.
AB  - METHODS: Times for admission to ED, PICU and theatre were obtained through analysis of prospectively collected data management systems. Emergency department admission to neurosurgical theatre lag time was calculated using Microsoft Excel. Statistical analysis was performed using R (version 2.11.0). Subjects. Fifty-seven cases were identified. Twenty patients were admitted directly from ED to an on-site neurosurgical unit. The remaining 37 were transferred from regional EDs.
AB  - RESULTS: Thirty-one craniotomies were performed. Thirteen in-patients admitted directly to hospital with neurosurgery on site. Eighteen in patients admitted at the local hospital and then transferred to the neurosurgical unit. Thirteen of Thirty-one (42%) craniotomies were performed within 4 hours. In the on-site group 10 of 13 (77%) craniotomies were performed within 4 hours compared to 3 of 18 (17%) in those transferred from regional ED (p = 0.001232) (Fisher exact test). Eleven patients were transferred directly from ED to neurosurgical theatre for emergency craniotomies. Within this subgroup, seven patients came from the cohort of admissions to a hospital with on-site neurosurgery. The remaining four patients were transferred from regional ED. There were eight extradural haematomas, one subdural haematoma and two intraparenchymal haemorrhages. The mean time from ED presentation to theatre was 1.68 hours and 5.46 hours for the on-site and regional transfer groups, respectively. There were no mortalities.
AB  - CONCLUSIONS: Forty-two per cent of trauma craniotomies are performed within 4 hours. However, presentation to an ED with on-site neurosurgical services significantly facilitates time critical surgery in children following a traumatic brain injury.
ES  - 1360-046X
IL  - 0268-8697
DO  - https://dx.doi.org/10.3109/02688697.2012.743965
PT  - Comparative Study
PT  - Journal Article
ID  - 10.3109/02688697.2012.743965 [doi]
PP  - ppublish
LG  - English
EP  - 20121204
DP  - 2013 Jun
EZ  - 2012/12/05 06:00
DA  - 2013/12/16 06:00
DT  - 2012/12/05 06:00
YR  - 2013
ED  - 20131205
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23205527

<244. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23773192
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mosher SL
FA  - Mosher, Sara L
IN  - Mosher, Sara L. St. Charles Medical Center in Bend, OR, USA. slmosher@ stcharleshealthcare.org
TI  - The art of supporting families faced with neonatal transport.
SO  - Nursing for Women's Health. 17(3):198-209, 2013 Jun-Jul
AS  - Nurs Womens Health. 17(3):198-209, 2013 Jun-Jul
NJ  - Nursing for women's health
VO  - 17
IP  - 3
PG  - 198-209
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101304602
IO  - Nurs Womens Health
SB  - Nursing Journal
CP  - United States
MH  - Adaptation, Psychological
MH  - Health Personnel
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Parents/px [Psychology]
MH  - Patient Education as Topic
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Professional Role
MH  - *Professional-Family Relations
MH  - *Social Support
MH  - Time Factors
AB  - When newborns and their families are separated due to neonatal transport, it's critical to support families to ensure emotional and physical well-being of both babies and parents. Care providers at both sending and receiving facilities play an equally important role in providing education, information and support to families separated from newborns. A family-centered care approach in neonatal transport is truly a multidisciplinary, multiunit and multisystem approach.

Copyright © 2013 AWHONN.
ES  - 1751-486X
IL  - 1751-4851
DO  - https://dx.doi.org/10.1111/1751-486X.12033
PT  - Journal Article
ID  - 10.1111/1751-486X.12033 [doi]
ID  - S1751-4851(15)30757-1 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Jun-Jul
EZ  - 2013/06/19 06:00
DA  - 2013/12/16 06:00
DT  - 2013/06/19 06:00
YR  - 2013
ED  - 20131126
RD  - 20130618
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23773192

<245. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 24060772
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vagts DA
AU  - Mutz CW
FA  - Vagts, Dierk A
FA  - Mutz, Christian W
IN  - Vagts, Dierk A. Department of Anesthesiology and Intensive Care Medicine, Emergency Medicine, Pain Therapy, Palliative Care, Hetzelstift Neustadt Weinstrasse, Neustadt Weinstrasse, Germany.
TI  - Rapid response teams--is reducing mortality the only goal or can being too fast be detrimental for patients?.
CM  - Comment on: Crit Care Med. 2013 Oct;41(10):2284-91; PMID: 23921274
SO  - Critical Care Medicine. 41(10):2436-7, 2013 Oct
AS  - Crit Care Med. 41(10):2436-7, 2013 Oct
NJ  - Critical care medicine
VO  - 41
IP  - 10
PG  - 2436-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - *Hospital Rapid Response Team
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - *Outcome Assessment (Health Care)/mt [Methods]
MH  - *Patient Transfer
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31829a6c5a
PT  - Comment
PT  - Editorial
ID  - 10.1097/CCM.0b013e31829a6c5a [doi]
ID  - 00003246-201310000-00022 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Oct
EZ  - 2013/09/26 06:00
DA  - 2013/12/16 06:00
DT  - 2013/09/25 06:00
YR  - 2013
ED  - 20131122
RD  - 20130924
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24060772

<246. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23273307
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jaynes CL
AU  - Werman HA
AU  - White LJ
FA  - Jaynes, Cathy L
FA  - Werman, Howard A
FA  - White, Lynn J
IN  - Jaynes, Cathy L. The Center for Medical Transport Research, Columbus, OH 43235-2712, USA. cathy.jaynes@tcmtr.org
TI  - A blueprint for critical care transport research.
SO  - Air Medical Journal. 32(1):30-5, 2013 Jan-Feb
AS  - Air Med J. 32(1):30-5, 2013 Jan-Feb
NJ  - Air medical journal
VO  - 32
IP  - 1
PG  - 30-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - *Critical Care
MH  - Delphi Technique
MH  - Health Services Research
MH  - Humans
MH  - *Research
MH  - *Transportation of Patients
MH  - United States
AB  - 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.
AB  - PURPOSE: Identify and characterize areas of research needed to direct the development of evidence-based guidelines
AB  - 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.
AB  - 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.
AB  - 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.

Copyright © 2013 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(12)00335-5
DO  - https://dx.doi.org/10.1016/j.amj.2012.11.001
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S1067-991X(12)00335-5 [pii]
ID  - 10.1016/j.amj.2012.11.001 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Jan-Feb
EZ  - 2013/01/01 06:00
DA  - 2013/12/16 06:00
DT  - 2013/01/01 06:00
YR  - 2013
ED  - 20131122
RD  - 20121231
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23273307

<247. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23273306
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Newman M
AU  - Petersen P
AU  - Wojdyla K
FA  - Newman, Monica
FA  - Petersen, Pat
FA  - Wojdyla, Karen
IN  - Newman, Monica. International Association of Flight and Critical Care Paramedics.
TI  - 21st Critical Care Transport Medicine Conference: we're going to Austin-live music capital of the world!.
SO  - Air Medical Journal. 32(1):28-9, 2013 Jan-Feb
AS  - Air Med J. 32(1):28-9, 2013 Jan-Feb
NJ  - Air medical journal
VO  - 32
IP  - 1
PG  - 28-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - *Critical Care
MH  - Humans
MH  - Texas
MH  - *Transportation of Patients
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(12)00321-5
DO  - https://dx.doi.org/10.1016/j.amj.2012.10.007
PT  - Congresses
ID  - S1067-991X(12)00321-5 [pii]
ID  - 10.1016/j.amj.2012.10.007 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Jan-Feb
EZ  - 2013/01/01 06:00
DA  - 2013/12/16 06:00
DT  - 2013/01/01 06:00
YR  - 2013
ED  - 20131122
RD  - 20121231
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23273306

<248. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23458648
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gupta N
AU  - Harrop E
AU  - Lapwood S
AU  - Shefler A
FA  - Gupta, Neelam
FA  - Harrop, Emily
FA  - Lapwood, Susie
FA  - Shefler, Alison
IN  - Gupta, Neelam. Pediatric Intensive Care Unit, John Radcliffe Hospital, Oxford, United Kingdom. neelam27@doctors.org.uk
TI  - Journey from pediatric intensive care to palliative care.
SO  - Journal of Palliative Medicine. 16(4):397-401, 2013 Apr
AS  - J Palliat Med. 16(4):397-401, 2013 Apr
NJ  - Journal of palliative medicine
VO  - 16
IP  - 4
PG  - 397-401
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - d0c, 9808462
IO  - J Palliat Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Databases, Factual
MH  - Hospices
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric
MH  - *Palliative Care
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer
MH  - Referral and Consultation/og [Organization & Administration]
MH  - Retrospective Studies
MH  - Terminal Care
MH  - United Kingdom
AB  - BACKGROUND: Approximately two-thirds of patients who die in the pediatric intensive care unit (PICU) do so following withdrawal of intensive care treatment. Most often when intensive care treatment is withdrawn, the child remains in the PICU for end-of-life care.
AB  - OBJECTIVES: This study aimed to examine the process of referral over a 6-year period of children from a PICU to children's hospices for end-of-life care.
AB  - METHODS: This study carried out a retrospective review of all children referred from a large tertiary-level United Kingdom PICU to children's hospices over a 6-year period. Information was collected both from the PICU and from the hospices involved.
AB  - RESULTS: A total of 12 children were transferred over the 6-year period. Discussions about limitation of treatment occurred after an average of 9 days of ventilation, with time from initial referral to transfer taking an additional 4 days such that the mean stay on the PICU prior to transfer was 13 days. Two-thirds of families had prior contact with the palliative care team involved. One-third of the patients were transported to the hospice while still dependent on mechanical invasive ventilatory support. All children were extubated by a PICU consultant within 90 minutes of arrival at the hospice. Overall, eight children died soon after transfer, with four children surviving beyond 2 weeks after transfer.
AB  - CONCLUSION: This study suggests that there is a feasible alternative location for withdrawal of intensive care and/or compassionate extubation. The study found that one-third of children transferred to hospice for end-of-life care survived the initial withdrawal of intensive therapy; hence, parallel planning should be discussed prior to transfer to hospice. Information gained from this study has contributed toward the creation of a national care pathway to support extubation within a children's palliative care framework.
ES  - 1557-7740
IL  - 1557-7740
DO  - https://dx.doi.org/10.1089/jpm.2012.0448
PT  - Journal Article
ID  - 10.1089/jpm.2012.0448 [doi]
PP  - ppublish
LG  - English
EP  - 20130304
DP  - 2013 Apr
EZ  - 2013/03/06 06:00
DA  - 2013/11/15 06:00
DT  - 2013/03/06 06:00
YR  - 2013
ED  - 20131114
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23458648

<249. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23116868
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Greene MJ
FA  - Greene, Michael J
IN  - Greene, Michael J. Fitch & Associates, LLC, in Platte City, MO, USA. mgreene@fitchassoc.com
TI  - 2012 critical care transport workplace and salary survey.
SO  - Air Medical Journal. 31(6):276-80, 2012 Nov-Dec
AS  - Air Med J. 31(6):276-80, 2012 Nov-Dec
NJ  - Air medical journal
VO  - 31
IP  - 6
PG  - 276-80
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - *Critical Care/ec [Economics]
MH  - Critical Care/og [Organization & Administration]
MH  - Data Collection
MH  - *Health Personnel/ec [Economics]
MH  - Health Personnel/og [Organization & Administration]
MH  - Humans
MH  - Occupational Health
MH  - Safety Management/og [Organization & Administration]
MH  - Salaries and Fringe Benefits
MH  - *Transportation of Patients/ec [Economics]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Workplace/ec [Economics]
MH  - Workplace/og [Organization & Administration]
AB  - Critical care transport (CCT) is provided in a unique and challenging out-of-hospital environment. The workplace and salaries for CCT staff are similarly unique and distinct within the health care industry. An industry-specific workplace and salary survey was conducted under Federal Safe Harbor guidelines to update information for 2012. As safety is a key concern for CCT workers and organizations, the survey elicited industry best practices under safety management system (SMS) categories.

Copyright © 2012 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
ES  - 1532-6497
IL  - 1067-991X
DI  - S1067-991X(12)00272-6
DO  - https://dx.doi.org/10.1016/j.amj.2012.09.004
PT  - Journal Article
ID  - S1067-991X(12)00272-6 [pii]
ID  - 10.1016/j.amj.2012.09.004 [doi]
PP  - ppublish
LG  - English
DP  - 2012 Nov-Dec
EZ  - 2012/11/03 06:00
DA  - 2013/11/13 06:00
DT  - 2012/11/03 06:00
YR  - 2012
ED  - 20131112
RD  - 20121102
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23116868

<250. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23587454
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Catchpole KR
AU  - Gangi A
AU  - Blocker RC
AU  - Ley EJ
AU  - Blaha J
AU  - Gewertz BL
AU  - Wiegmann DA
FA  - Catchpole, Ken R
FA  - Gangi, Alexandra
FA  - Blocker, Renaldo C
FA  - Ley, Eric J
FA  - Blaha, Jennifer
FA  - Gewertz, Bruce L
FA  - Wiegmann, Douglas A
IN  - Catchpole, Ken R. Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA. ken.catchpole@safersurgery.co.uk
TI  - Flow disruptions in trauma care handoffs.
SO  - Journal of Surgical Research. 184(1):586-91, 2013 Sep
AS  - J Surg Res. 184(1):586-91, 2013 Sep
NJ  - The Journal of surgical research
VO  - 184
IP  - 1
PG  - 586-91
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - k7b, 0376340
IO  - J. Surg. Res.
SB  - Index Medicus
CP  - United States
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - Operating Rooms/og [Organization & Administration]
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Handoff/og [Organization & Administration]
MH  - Retrospective Studies
MH  - Risk Factors
MH  - *Task Performance and Analysis
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Wounds and Injuries/ep [Epidemiology]
MH  - *Wounds and Injuries/th [Therapy]
KW  - Disruptions;  Error;  Handoff;  Human factors;  Safety;  Transition;  Trauma
AB  - BACKGROUND: Effective handoffs of care are critical for maintaining patient safety and avoiding communication problems. Using the flow disruption observation technique, we examined transitions of care along the trauma pathway. We hypothesized that more transitions would lead to more disruptions, and that different pathways would have different numbers of disruptions.
AB  - METHODS: We trained observers to identify flow disruptions, and then followed 181 patients from arrival in the emergency department (ED) to the completion of care using a specially formatted PC tablet. We mapped each patient's journey and recorded and classified flow disruptions during transition periods into seven categories.
AB  - RESULTS: Mapping the transitions of care shows that approximately four of five patients were assessed in the ED, transferred to imaging for further diagnostics, and then returned to the ED. There was a mean of 2.2 +/- 0.09 transitions per patient, a mean of 0.66 +/- 0.15 flow disruptions per patient, and 0.31 +/- 0.07 flow disruptions per transition. Most of these (53%) were related to coordination problems. Although disruptions did not rise with more transitions, patients who went directly to the operating room or needed direct admission to intensive care unit were significantly more likely (P=0.0028) to experience flow disruptions than those who took other, less expedited pathways.
AB  - CONCLUSIONS: Transitions in trauma care are vulnerable to systems problems and human errors. Coordination problems predominate as the cause. Sicker, time-pressured, and more at-risk patients are more likely to experience problems. Safety practices used in motor racing and other industries might be applied to address these problems.

Copyright © 2013 Elsevier Inc. All rights reserved.
ES  - 1095-8673
IL  - 0022-4804
DI  - S0022-4804(13)00115-7
DO  - https://dx.doi.org/10.1016/j.jss.2013.02.038
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
ID  - S0022-4804(13)00115-7 [pii]
ID  - 10.1016/j.jss.2013.02.038 [doi]
PP  - ppublish
PH  - 2013/01/03 [received]
PH  - 2013/02/15 [revised]
PH  - 2013/02/19 [accepted]
LG  - English
EP  - 20130313
DP  - 2013 Sep
EZ  - 2013/04/17 06:00
DA  - 2013/11/08 06:00
DT  - 2013/04/17 06:00
YR  - 2013
ED  - 20131107
RD  - 20130902
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23587454

<251. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23475935
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stark MJ
AU  - Keir AK
AU  - Andersen CC
FA  - Stark, Michael J
FA  - Keir, Amy K
FA  - Andersen, Chad C
IN  - Stark, Michael J. Department of Neonatal Medicine, Women's and Children's Hospital, Adelaide, South Australia, Australia. Michael.stark@adelaide.edu.au
TI  - Does non-transferrin bound iron contribute to transfusion related immune-modulation in preterms?.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 98(5):F424-9, 2013 Sep
AS  - Arch Dis Child Fetal Neonatal Ed. 98(5):F424-9, 2013 Sep
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 98
IP  - 5
PG  - F424-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Enzyme-Linked Immunosorbent Assay
MH  - *Erythrocyte Transfusion/ae [Adverse Effects]
MH  - Female
MH  - Humans
MH  - *Immunomodulation/ph [Physiology]
MH  - Infant
MH  - *Infant, Extremely Premature/bl [Blood]
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/bl [Blood]
MH  - Intensive Care Units, Neonatal
MH  - Interleukins/bl [Blood]
MH  - *Iron/bl [Blood]
MH  - Male
MH  - *Malondialdehyde/bl [Blood]
MH  - Oxidative Stress
MH  - Prospective Studies
MH  - Reactive Oxygen Species
MH  - *Transferrin/me [Metabolism]
KW  - Haematology;  Immunology;  Neonatology
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.
AB  - DESIGN: Prospective observational study.
AB  - 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.
AB  - 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.
AB  - 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-1beta, IL-6, IL8 or TNFalpha.
AB  - 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.
RN  - 0 (Interleukins)
RN  - 0 (Reactive Oxygen Species)
RN  - 0 (Transferrin)
RN  - 4Y8F71G49Q (Malondialdehyde)
RN  - E1UOL152H7 (Iron)
ES  - 1468-2052
IL  - 1359-2998
DO  - https://dx.doi.org/10.1136/archdischild-2012-303353
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - archdischild-2012-303353 [pii]
ID  - 10.1136/archdischild-2012-303353 [doi]
PP  - ppublish
LG  - English
EP  - 20130309
DP  - 2013 Sep
EZ  - 2013/03/12 06:00
DA  - 2013/11/08 06:00
DT  - 2013/03/12 06:00
YR  - 2013
ED  - 20131107
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23475935

<252. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23499393
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Desebbe O
AU  - Rosamel P
AU  - Henaine R
AU  - Vergnat M
AU  - Farhat F
AU  - Dubien PY
AU  - Bastien O
FA  - Desebbe, O
FA  - Rosamel, P
FA  - Henaine, R
FA  - Vergnat, M
FA  - Farhat, F
FA  - Dubien, P Y
FA  - Bastien, O
IN  - Desebbe, O. Service d'anesthesie-reanimation, hopital cardiovasculaire et pneumologique Louis-Pradel, hospices civils de Lyon, 28, avenue du Doyen-Lepine, 69677 Bron cedex, France.
TI  - [Interhospital transport with extracorporeal life support: results and perspectives after 5 years experience]. [French]
OT  - Transport interhospitalier sous extracorporeal life support : resultats et perspectives apres cinq ans d'experience.
SO  - Annales Francaises d Anesthesie et de Reanimation. 32(4):225-30, 2013 Apr
AS  - Ann Fr Anesth Reanim. 32(4):225-30, 2013 Apr
NJ  - Annales francaises d'anesthesie et de reanimation
VO  - 32
IP  - 4
PG  - 225-30
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 4zt, 8213275
IO  - Ann Fr Anesth Reanim
SB  - Index Medicus
CP  - France
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Blood Pressure/ph [Physiology]
MH  - Emergency Service, Hospital/ma [Manpower]
MH  - Extracorporeal Membrane Oxygenation/mt [Methods]
MH  - *Extracorporeal Membrane Oxygenation
MH  - Feasibility Studies
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Infant
MH  - Influenza A Virus, H1N1 Subtype
MH  - Influenza, Human/th [Therapy]
MH  - Male
MH  - Middle Aged
MH  - Mobile Health Units/ma [Manpower]
MH  - Multiple Organ Failure/th [Therapy]
MH  - Oxygen/bl [Blood]
MH  - *Patient Transfer
MH  - Respiration, Artificial
MH  - Respiratory Insufficiency/th [Therapy]
MH  - Resuscitation
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Safety
MH  - Shock, Cardiogenic/th [Therapy]
MH  - Survival Rate
MH  - Time Factors
MH  - Young Adult
AB  - OBJECTIVE: Describing the experience of a referral center for interhospital patients transport treated with extracorporeal circulatory or respiratory support (ECLS), the difficulties encountered and the results obtained.
AB  - STUDY DESIGN: Retrospective and observational study.
AB  - PATIENTS AND METHODS: All patients with respiratory or circulatory failure accepted for extracorporeal assistance for which routine medical transport was life threatening.
AB  - STATISTICAL ANALYSIS: A descriptive analysis was performed (median and interquartile deviation). Comparison of biological data was performed using a non-parametric Wilcoxon test and 5 years overall survival was determined by a Kaplan-Meier analysis.
AB  - RESULTS: Over a 55-month period, 29 patients were selected for transportation under ECMO or ECLS. Indication was respiratory failure in 38 % of cases, hemodynamic instability in 52 % of cases and combined symptoms in 10 % of cases. Average duration of transportation was 40 km (9-64 km). No complication related to transport was observed. Incidence of intrahospital death was 57 %. There was no correlation between death and indication of ECLS. Five-year survival was 55 % and 39 % for venovenous and arteriovenous ECLS, respectively.
AB  - CONCLUSION: In our experience, interhospital transport of patients under ECMO is feasible in satisfactory conditions of safety with trained team and standard procedures.

Copyright © 2013 Societe francaise d'anesthesie et de reanimation (Sfar). Published by Elsevier SAS. All rights reserved.
RN  - S88TT14065 (Oxygen)
ES  - 1769-6623
IL  - 0750-7658
DI  - S0750-7658(13)00056-7
DO  - https://dx.doi.org/10.1016/j.annfar.2013.02.006
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
ID  - S0750-7658(13)00056-7 [pii]
ID  - 10.1016/j.annfar.2013.02.006 [doi]
PP  - ppublish
PH  - 2011/08/08 [received]
PH  - 2013/02/04 [accepted]
LG  - French
EP  - 20130315
DP  - 2013 Apr
EZ  - 2013/03/19 06:00
DA  - 2013/11/06 06:00
DT  - 2013/03/19 06:00
YR  - 2013
ED  - 20131105
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23499393

<253. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23404473
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schulz-Stubner S
AU  - Schmidt-Warnecke A
AU  - Hwang JH
FA  - Schulz-Stubner, Sebastian
FA  - Schmidt-Warnecke, Antje
FA  - Hwang, Jae-Hyuk
TI  - VRE transmission via the reusable breathing circuit of a transport ventilator: outbreak analysis and experimental study of surface disinfection.
SO  - Intensive Care Medicine. 39(5):975-6, 2013 May
AS  - Intensive Care Med. 39(5):975-6, 2013 May
NJ  - Intensive care medicine
VO  - 39
IP  - 5
PG  - 975-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - *Cross Infection/mi [Microbiology]
MH  - *Disease Outbreaks
MH  - *Disinfectants/ad [Administration & Dosage]
MH  - *Disinfection/mt [Methods]
MH  - *Enterococcus faecium/ip [Isolation & Purification]
MH  - Equipment Contamination
MH  - Germany
MH  - *Gram-Positive Bacterial Infections/mi [Microbiology]
MH  - *Gram-Positive Bacterial Infections/tm [Transmission]
MH  - Humans
MH  - Intensive Care Units
MH  - *Vancomycin Resistance
MH  - *Ventilators, Mechanical/mi [Microbiology]
RN  - 0 (Disinfectants)
ES  - 1432-1238
IL  - 0342-4642
DO  - https://dx.doi.org/10.1007/s00134-013-2842-y
PT  - Letter
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1007/s00134-013-2842-y [doi]
PP  - ppublish
PH  - 2013/01/14 [accepted]
LG  - English
EP  - 20130212
DP  - 2013 May
EZ  - 2013/02/14 06:00
DA  - 2013/11/06 06:00
DT  - 2013/02/14 06:00
YR  - 2013
ED  - 20131105
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23404473

<254. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23528500
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sahyoun C
AU  - Fleegler E
AU  - Kleinman M
AU  - Monuteaux MC
AU  - Bachur R
FA  - Sahyoun, Cyril
FA  - Fleegler, Eric
FA  - Kleinman, Monica
FA  - Monuteaux, Michael C
FA  - Bachur, Richard
IN  - Sahyoun, Cyril. Division of Emergency Medicine, Department of Anesthesia, Boston Children's Hospital, Boston, MA, USA. cs2476@columbia.edu
TI  - Early identification of children at risk for critical care: standardizing communication for inter-emergency department transfers.
SO  - Pediatric Emergency Care. 29(4):419-24, 2013 Apr
AS  - Pediatr Emerg Care. 29(4):419-24, 2013 Apr
NJ  - Pediatric emergency care
VO  - 29
IP  - 4
PG  - 419-24
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Child, Preschool
MH  - *Critical Care
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Hospital Departments
MH  - Humans
MH  - Infant
MH  - Intensive Care Units
MH  - *Interdisciplinary Communication
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Predictive Value of Tests
MH  - *Referral and Consultation/sn [Statistics & Numerical Data]
MH  - Respiratory Tract Diseases/di [Diagnosis]
MH  - *Respiratory Tract Diseases/th [Therapy]
MH  - Retrospective Studies
MH  - Risk
MH  - *Risk Assessment/mt [Methods]
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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0b013e318289d7c1
PT  - Journal Article
ID  - 10.1097/PEC.0b013e318289d7c1 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Apr
EZ  - 2013/03/27 06:00
DA  - 2013/10/31 06:00
DT  - 2013/03/27 06:00
YR  - 2013
ED  - 20131030
RD  - 20130405
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23528500

<255. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23589010
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Faisst M
AU  - Willenbrock U
AU  - Rust DS
AU  - Lonnecker S
AU  - Stuhr M
FA  - Faisst, Maik
FA  - Willenbrock, Ute
FA  - Rust, Dirk-Stefan
FA  - Lonnecker, Stefan
FA  - Stuhr, Markus
IN  - Faisst, Maik. Abteilung fur Anasthesie, Intensiv- und Rettungsmedizin, Zentrum fur Schmerztherapie des Berufsgenossenschaftlichen Unfallkrankenhauses Hamburg. m.faisst@buk-hamburg.de
TI  - [Bicycle accident on the way to school--an interactive case report]. [German]
OT  - Kasuistik interaktiv--Fahrradunfall auf dem Schulweg.
SO  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. 48(3):156-61, 2013 Mar
AS  - Anasthesiol Intensivmed Notfallmed Schmerzther. 48(3):156-61, 2013 Mar
NJ  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
VO  - 48
IP  - 3
PG  - 156-61
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9109478, a4c
IO  - Anasthesiol Intensivmed Notfallmed Schmerzther
SB  - Index Medicus
CP  - Germany
MH  - *Accidents, Traffic
MH  - Adolescent
MH  - *Bicycling/in [Injuries]
MH  - Blood Pressure/ph [Physiology]
MH  - Brain Injuries/co [Complications]
MH  - Brain Injuries/rh [Rehabilitation]
MH  - Brain Injuries/th [Therapy]
MH  - Critical Care
MH  - Decompression, Surgical
MH  - *Emergency Medical Services
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Monitoring, Physiologic
MH  - Transportation of Patients
MH  - Treatment Outcome
AB  - We report on the case of a multiply injured 14-year-old girl with severe open brain trauma, prehospital cardiopulmonary rescuscitation and immediate decompressive craniectomy. Despite the extremely poor prognosis, a very good outcome has been achieved. We discuss the influence of the time management on the outcome.

Copyright © Georg Thieme Verlag Stuttgart . New York.
ES  - 1439-1074
IL  - 0939-2661
DO  - https://dx.doi.org/10.1055/s-0033-1342899
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
ID  - 10.1055/s-0033-1342899 [doi]
PP  - ppublish
LG  - German
EP  - 20130415
DP  - 2013 Mar
EZ  - 2013/04/17 06:00
DA  - 2013/10/29 06:00
DT  - 2013/04/17 06:00
YR  - 2013
ED  - 20131028
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23589010

<256. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23023554
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lee SK
AU  - Aziz K
AU  - Dunn M
AU  - Clarke M
AU  - Kovacs L
AU  - Ojah C
AU  - Ye XY
AU  - Canadian Neonatal Network
FA  - Lee, Shoo K
FA  - Aziz, Khalid
FA  - Dunn, Michael
FA  - Clarke, Maxine
FA  - Kovacs, Lajos
FA  - Ojah, Cecil
FA  - Ye, Xiang Y
FA  - Canadian Neonatal Network
IN  - Lee, Shoo K. Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada. sklee@mtsinai.on.ca
IR  - Lee SK
IR  - Shah P
IR  - Andrews W
IR  - Lefebvre F
IR  - Yee W
IR  - Bullied B
IR  - Canning R
IR  - Cronin G
IR  - Dow K
IR  - Dunn M
IR  - Ferland S
IR  - Harrison A
IR  - James A
IR  - Kalapesi Z
IR  - Kovacs L
IR  - Lachapelle J
IR  - Lee DS
IR  - McMillan DD
IR  - Ojah C
IR  - Peliowski A
IR  - Piedboeuf B
IR  - Riley P
IR  - Faucher D
IR  - Rouvinez-Bouali N
IR  - Sankaran K
IR  - Seshia M
IR  - Shivananda S
IR  - Sorokan T
IR  - Synnes A
IR  - Walti H
IR  - Chan P
IR  - De La Rue SA
IR  - Warre R
IR  - Ye XY
IR  - Yoon W
TI  - Transport Risk Index of Physiologic Stability, version II (TRIPS-II): a simple and practical neonatal illness severity score.
SO  - American Journal of Perinatology. 30(5):395-400, 2013 May
AS  - Am J Perinatol. 30(5):395-400, 2013 May
NJ  - American journal of perinatology
VO  - 30
IP  - 5
PG  - 395-400
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - aa3, 8405212
IO  - Am J Perinatol
SB  - Index Medicus
CP  - United States
MH  - *Blood Pressure
MH  - *Body Temperature
MH  - Female
MH  - *Hospital Mortality
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal
MH  - Lethargy
MH  - Male
MH  - Multivariate Analysis
MH  - Oximetry
MH  - Prognosis
MH  - Prospective Studies
MH  - ROC Curve
MH  - Reproducibility of Results
MH  - *Respiratory Distress Syndrome, Newborn/di [Diagnosis]
MH  - *Severity of Illness Index
AB  - OBJECTIVE: Derive and validate a practical assessment of infant illness severity at admission to neonatal intensive care units (NICUs).
AB  - STUDY DESIGN: Prospective study involving 17,075 infants admitted to 15 NICUs in 2006 to 2008. Logistic regression was used to derive a prediction model for mortality comprising four empirically weighted items (temperature, blood pressure, respiratory status, response to noxious stimuli). This Transport Risk Index of Physiologic Stability, version II (TRIPS-II) was then validated for prediction of 7-day and total NICU mortality.
AB  - RESULTS: TRIPS-II discriminated 7-day (receiver operating curve [ROC] area, 0.90) and total NICU mortality (ROC area, 0.87) from survival. Furthermore, there was a direct association between changes in TRIPS-II at 12 and 24 hours and mortality. There was good calibration across the full range of TRIPS-II scores and the gestational age at birth, and addition of TRIPS-II improved performance of prediction models that use gestational age and baseline population risk variables.
AB  - CONCLUSION: TRIPS-II is a validated benchmarking tool for assessing infant illness severity at admission and for up to 24 hours after.

Copyright Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
RS  - Respiratory Distress Syndrome In Premature Infants
ES  - 1098-8785
IL  - 0735-1631
DO  - https://dx.doi.org/10.1055/s-0032-1326983
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1055/s-0032-1326983 [doi]
PP  - ppublish
GI  - No: MOP-53115
Organization: *Canadian Institutes of Health Research*
Country: Canada
LG  - English
EP  - 20120921
DP  - 2013 May
EZ  - 2012/10/02 06:00
DA  - 2013/10/22 06:00
DT  - 2012/10/02 06:00
YR  - 2013
ED  - 20131021
RD  - 20130514
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23023554

<257. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23821698
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stroud MH
AU  - Trautman MS
AU  - Meyer K
AU  - Moss MM
AU  - Schwartz HP
AU  - Bigham MT
AU  - Tsarouhas N
AU  - Douglas WP
AU  - Romito J
AU  - Hauft S
AU  - Meyer MT
AU  - Insoft R
FA  - Stroud, Michael H
FA  - Trautman, Michael S
FA  - Meyer, Keith
FA  - Moss, M Michele
FA  - Schwartz, Hamilton P
FA  - Bigham, Michael T
FA  - Tsarouhas, Nicholas
FA  - Douglas, Webra Price
FA  - Romito, Janice
FA  - Hauft, Sherrie
FA  - Meyer, Michael T
FA  - Insoft, Robert
IN  - Stroud, Michael H. Department of Pediatrics, Section of Critical Care Medicine, University of Arkansas for Medical Sciences, USA. stroudmichaelh@uams.edu
TI  - Pediatric and neonatal interfacility transport: results from a national consensus conference.
SO  - Pediatrics. 132(2):359-66, 2013 Aug
AS  - Pediatrics. 132(2):359-66, 2013 Aug
NJ  - Pediatrics
VO  - 132
IP  - 2
PG  - 359-66
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Accreditation
MH  - Benchmarking
MH  - Biomedical Research
MH  - Child
MH  - Cooperative Behavior
MH  - Disaster Planning/og [Organization & Administration]
MH  - Emergency Medical Services/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - Inservice Training/og [Organization & Administration]
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Interdisciplinary Communication
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Personnel Staffing and Scheduling/og [Organization & Administration]
MH  - Physician Executives
MH  - Referral and Consultation/og [Organization & Administration]
MH  - Safety Management
MH  - Tertiary Care Centers
MH  - *Transportation of Patients/og [Organization & Administration]
KW  - EMTALA;  accreditation;  benchmarking;  interfacility transport;  transport medicine;  transport research
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.
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2013-0529
PT  - Consensus Development Conference
PT  - Journal Article
ID  - peds.2013-0529 [pii]
ID  - 10.1542/peds.2013-0529 [doi]
PP  - ppublish
LG  - English
EP  - 20130701
DP  - 2013 Aug
EZ  - 2013/07/04 06:00
DA  - 2013/10/18 06:00
DT  - 2013/07/04 06:00
YR  - 2013
ED  - 20131017
RD  - 20130802
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23821698

<258. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23863242
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nuckols TK
FA  - Nuckols, Teryl K
TI  - Reducing the risks of intrahospital transport among critically ill patients*.
CM  - Comment on: Crit Care Med. 2013 Aug;41(8):1919-28; PMID: 23863225
SO  - Critical Care Medicine. 41(8):2044-5, 2013 Aug
AS  - Crit Care Med. 41(8):2044-5, 2013 Aug
NJ  - Critical care medicine
VO  - 41
IP  - 8
PG  - 2044-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Illness
MH  - Female
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - *Patient Transfer
MH  - *Respiration, Artificial
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31828fd714
PT  - Comment
PT  - Editorial
ID  - 10.1097/CCM.0b013e31828fd714 [doi]
ID  - 00003246-201308000-00033 [pii]
PP  - ppublish
GI  - No: K08 HS017954
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
DP  - 2013 Aug
EZ  - 2013/07/19 06:00
DA  - 2013/09/28 06:00
DT  - 2013/07/19 06:00
YR  - 2013
ED  - 20130927
RD  - 20170721
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23863242

<259. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23863225
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schwebel C
AU  - Clec'h C
AU  - Magne S
AU  - Minet C
AU  - Garrouste-Orgeas M
AU  - Bonadona A
AU  - Dumenil AS
AU  - Jamali S
AU  - Kallel H
AU  - Goldgran-Toledano D
AU  - Marcotte G
AU  - Azoulay E
AU  - Darmon M
AU  - Ruckly S
AU  - Souweine B
AU  - Timsit JF
AU  - OUTCOMEREA Study Group
FA  - Schwebel, Carole
FA  - Clec'h, Christophe
FA  - Magne, Sylvie
FA  - Minet, Clemence
FA  - Garrouste-Orgeas, Maite
FA  - Bonadona, Agnes
FA  - Dumenil, Anne-Sylvie
FA  - Jamali, Samir
FA  - Kallel, Hatem
FA  - Goldgran-Toledano, Dany
FA  - Marcotte, Guillaume
FA  - Azoulay, Elie
FA  - Darmon, Michael
FA  - Ruckly, Stephane
FA  - Souweine, Bertrand
FA  - Timsit, Jean-Francois
FA  - OUTCOMEREA Study Group
IN  - Schwebel, Carole. Medical ICU, Albert Michallon Teaching Hospital, University Joseph Fourier, Grenoble, France. cschwebel@chu-grenoble.fr
IR  - Timsit JF
IR  - Azoulay E
IR  - Cohen Y
IR  - Garrouste-Orgeas M
IR  - Soufir L
IR  - Zahar JR
IR  - Adrie C
IR  - Clec'h C
IR  - Alberti C
IR  - Francais A
IR  - Vesin A
IR  - Lecorre F
IR  - Nakache D
IR  - Vannieuwenhuyze A
IR  - Allaouchiche B
IR  - Ara-Somohano C
IR  - Bonadona A
IR  - Bornstain C
IR  - Boyer A
IR  - Cheval C
IR  - Colin JP
IR  - Dumenil AS
IR  - Descorps-Declere A
IR  - Fosse JP
IR  - Hamidfar-Roy R
IR  - Jamali S
IR  - Khallel H
IR  - Laplace C
IR  - Lautrette A
IR  - Lazard T
IR  - Le Miere E
IR  - Marcotte G
IR  - Montesino L
IR  - Mourvillier B
IR  - Misset B
IR  - Moreau D
IR  - Pigne E
IR  - Souweine B
IR  - Schwebel C
IR  - Troche G
IR  - Thuong M
IR  - Thierry G
IR  - Toledano D
IR  - Vantalon E
IR  - Tournegros C
IR  - Ferrand L
IR  - Kaddour N
IR  - Berthe B
IR  - Bekkhouche S
IR  - Anselme S
IR  - Mellouk K
TI  - Safety of intrahospital transport in ventilated critically ill patients: a multicenter cohort study*.
CM  - Comment in: Crit Care Med. 2013 Aug;41(8):2044-5; PMID: 23863242
SO  - Critical Care Medicine. 41(8):1919-28, 2013 Aug
AS  - Crit Care Med. 41(8):1919-28, 2013 Aug
NJ  - Critical care medicine
VO  - 41
IP  - 8
PG  - 1919-28
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - *Critical Illness
MH  - Databases, Factual
MH  - Female
MH  - France/ep [Epidemiology]
MH  - Humans
MH  - Hyperglycemia/ep [Epidemiology]
MH  - Hypernatremia/ep [Epidemiology]
MH  - Hypoglycemia/ep [Epidemiology]
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Patient Transfer
MH  - Pneumonia, Ventilator-Associated/ep [Epidemiology]
MH  - Pneumothorax/ep [Epidemiology]
MH  - Propensity Score
MH  - Pulmonary Atelectasis/ep [Epidemiology]
MH  - *Respiration, Artificial
MH  - Young Adult
AB  - OBJECTIVES: To describe intrahospital transport complications in critically ill patients receiving invasive mechanical ventilation.
AB  - DESIGN: Prospective multicenter cohort study.
AB  - SETTING: Twelve French ICUs belonging to the OUTCOMEREA study group.
AB  - 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.
AB  - INTERVENTIONS: None.
AB  - 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.
AB  - 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.
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31828a3bbd
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/CCM.0b013e31828a3bbd [doi]
ID  - 00003246-201308000-00012 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Aug
EZ  - 2013/07/19 06:00
DA  - 2013/09/28 06:00
DT  - 2013/07/19 06:00
YR  - 2013
ED  - 20130927
RD  - 20130718
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23863225

<260. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23648568
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wanderer JP
AU  - Leffert LR
AU  - Mhyre JM
AU  - Kuklina EV
AU  - Callaghan WM
AU  - Bateman BT
FA  - Wanderer, Jonathan P
FA  - Leffert, Lisa R
FA  - Mhyre, Jill M
FA  - Kuklina, Elena V
FA  - Callaghan, William M
FA  - Bateman, Brian T
IN  - Wanderer, Jonathan P. Department of Anesthesia, Vanderbilt University, Nashville, TN, USA. jonathan.p.wanderer@vanderbilt.edu
TI  - Epidemiology of obstetric-related ICU admissions in Maryland: 1999-2008*.
CM  - Comment in: Crit Care Med. 2013 Aug;41(8):2031-2; PMID: 23863234
SO  - Critical Care Medicine. 41(8):1844-52, 2013 Aug
AS  - Crit Care Med. 41(8):1844-52, 2013 Aug
NJ  - Critical care medicine
VO  - 41
IP  - 8
PG  - 1844-52
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716838
OI  - Source: NLM. NIHMS451464
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Abortion, Induced/sn [Statistics & Numerical Data]
MH  - Adolescent
MH  - Adult
MH  - African Continental Ancestry Group/sn [Statistics & Numerical Data]
MH  - Anesthesia, Obstetrical
MH  - Cerebrovascular Disorders/ep [Epidemiology]
MH  - Emergency Service, Hospital
MH  - Female
MH  - Heart Diseases/ep [Epidemiology]
MH  - Humans
MH  - Infection/ep [Epidemiology]
MH  - *Intensive Care Units/ut [Utilization]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Liver Failure/ep [Epidemiology]
MH  - Maryland/ep [Epidemiology]
MH  - Maternal Age
MH  - Medicaid/sn [Statistics & Numerical Data]
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Admission/td [Trends]
MH  - Patient Transfer
MH  - Pregnancy
MH  - *Pregnancy Complications/ep [Epidemiology]
MH  - Pregnancy, Ectopic/ep [Epidemiology]
MH  - *Puerperal Disorders/ep [Epidemiology]
MH  - Pulmonary Embolism/ep [Epidemiology]
MH  - Respiratory Insufficiency/ep [Epidemiology]
MH  - United States
MH  - Wounds and Injuries/ep [Epidemiology]
MH  - Young Adult
AB  - OBJECTIVE: To define the prevalence, indications, and temporal trends in obstetric-related ICU admissions.
AB  - DESIGN: Descriptive analysis of utilization patterns.
AB  - SETTING: All hospitals within the state of Maryland.
AB  - PATIENTS: All antepartum, delivery, and postpartum patients who were hospitalized between 1999 and 2008.
AB  - INTERVENTIONS: None.
AB  - MEASUREMENTS AND MAIN RESULTS: We identified 2,927 ICU admissions from 765,598 admissions for antepartum, delivery, or postpartum conditions using appropriate International Classification of Diseases, 9th Revision, Clinical Modification codes. The overall rate of ICU utilization was 419.1 per 100,000 deliveries, with rates of 162.5, 202.6, and 54.0 per 100,000 deliveries for the antepartum, delivery, and postpartum periods, respectively. The leading diagnoses associated with ICU admission were pregnancy-related hypertensive disease (present in 29.9% of admissions), hemorrhage (18.8%), cardiomyopathy or other cardiac disease (18.3%), genitourinary infection (11.5%), complications from ectopic pregnancies and abortions (10.3%), nongenitourinary infection (10.1%), sepsis (7.1%), cerebrovascular disease (5.8%), and pulmonary embolism (3.7%). We assessed for changes in the most common diagnoses in the ICU population over time and found rising rates of sepsis (10.1 per 100,000 deliveries to 16.6 per 100,000 deliveries, p = 0.003) and trauma (9.2 per 100,000 deliveries to 13.6 per 100,000 deliveries, p = 0.026) with decreasing rates of anesthetic complications (11.3 per 100,000 to 4.7 per 100,000, p = 0.006). The overall frequency of obstetric-related ICU admission and the rates for other indications remained relatively stable.
AB  - CONCLUSIONS: Between 1999 and 2008, 419.1 per 100,000 deliveries in Maryland were complicated by ICU admission. Hospitals providing obstetric services should plan for appropriate critical care management and/or transfer of women with severe morbidities during pregnancy.
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31828a3e24
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/CCM.0b013e31828a3e24 [doi]
ID  - PMC3716838 [pmc]
ID  - NIHMS451464 [mid]
PP  - ppublish
GI  - No: T32 GM007592
Organization: (GM) *NIGMS NIH HHS*
Country: United States

GI  - No: GM007592
Organization: (GM) *NIGMS NIH HHS*
Country: United States
LG  - English
DP  - 2013 Aug
EZ  - 2013/05/08 06:00
DA  - 2013/09/28 06:00
DT  - 2013/05/08 06:00
YR  - 2013
ED  - 20130927
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23648568

<261. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20930627
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McMahon BA
AU  - Koyner JL
AU  - Murray PT
FA  - McMahon, Blaithin A
FA  - Koyner, Jay L
FA  - Murray, Patrick T
IN  - McMahon, Blaithin A. University College Dublin School of Medicine and Medical Science, Catherine McAuley Centre, Nelson Street, Dublin, Ireland.
TI  - Urinary glutathione S-transferases in the pathogenesis and diagnostic evaluation of acute kidney injury following cardiac surgery: a critical review. [Review]
SO  - Current Opinion in Critical Care. 16(6):550-5, 2010 Dec
AS  - Curr Opin Crit Care. 16(6):550-5, 2010 Dec
NJ  - Current opinion in critical care
VO  - 16
IP  - 6
PG  - 550-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9504454, d2j
IO  - Curr Opin Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363992
OI  - Source: NLM. NIHMS670030
SB  - Index Medicus
CP  - United States
MH  - *Acute Kidney Injury/di [Diagnosis]
MH  - Acute Kidney Injury/et [Etiology]
MH  - *Acute Kidney Injury/ur [Urine]
MH  - Biomarkers/ur [Urine]
MH  - *Cardiac Surgical Procedures/ae [Adverse Effects]
MH  - Cardiopulmonary Bypass/ae [Adverse Effects]
MH  - *Critical Care
MH  - Glutathione Transferase/me [Metabolism]
MH  - *Glutathione Transferase/ur [Urine]
MH  - Humans
MH  - Intensive Care Units
MH  - Kidney Tubules/pa [Pathology]
MH  - Organ Dysfunction Scores
MH  - Postoperative Complications/di [Diagnosis]
MH  - Sensitivity and Specificity
AB  - PURPOSE OF REVIEW: A focused review of the nature, source, physiological role and rapidly expanding evidence for glutathione S-transferase (GST) subtypes pi and alpha as biomarkers of acute kidney injury (AKI) in patients undergoing cardiac surgery. Expanded insights into the site-specific expression of the GSTs in defined parts of the nephron during renal damage are presented, with particular emphasis on the pathogenesis of cardiac surgery and cardiopulmonary bypass (CPB)-associated AKI and the role of GSTs in oxygen radical disposal.
AB  - RECENT FINDINGS: Recent developments have highlighted a potential role of urinary alpha-GST and pi-GST in the diagnostic evaluation of cardiac surgery-associated AKI. Both urinary alpha-GST and pi-GST are detected in the postoperative period. pi-GST performed best at predicting AKI severity at the time of the initial diagnosis of AKI. alpha-GST was able to predict the future development of both stage 1 and stage 3 AKI.
AB  - SUMMARY: The current data from a small number of patients suggest a potential role of urinary GSTs in the clinical diagnostic evaluation of AKI following cardiac surgery. The performance of the GSTs for the early diagnosis of AKI needs to be validated in larger multicentre studies and in other patient populations at increased risk of AKI (e.g. patients with acute transplant rejection, septic patients). Comparison with other emerging AKI biomarkers is required to continue the development of pi-GST and alpha-GST. Finally, additional studies examining the pathophysiological role of the GSTs in minimizing oxygen free radical exposure in the renal tubules during CPB may shed further light into their role as promising biomarkers of cardiac surgery-associated AKI.
RN  - 0 (Biomarkers)
RN  - EC 2-5-1-18 (Glutathione Transferase)
ES  - 1531-7072
IL  - 1070-5295
DO  - https://dx.doi.org/10.1097/MCC.0b013e32833fdd9a
PT  - Journal Article
PT  - Review
ID  - 10.1097/MCC.0b013e32833fdd9a [doi]
ID  - PMC4363992 [pmc]
ID  - NIHMS670030 [mid]
PP  - ppublish
GI  - No: K23 DK081616
Organization: (DK) *NIDDK NIH HHS*
Country: United States
LG  - English
DP  - 2010 Dec
EZ  - 2010/10/12 06:00
DA  - 2013/09/26 06:00
DT  - 2010/10/09 06:00
YR  - 2010
ED  - 20130925
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20930627

<262. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23596369
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nicholas B
FA  - Nicholas, Bonnie
IN  - Nicholas, Bonnie. Thunder Bay Regional Health Sciences Centre in Ontario, Canada. nicholab@tbh.net
TI  - Televisitation: virtual transportation of family to the bedside in an acute care setting.
SO  - Permanente Journal. 17(1):50-2, 2013
AS  - Perm. j.. 17(1):50-2, 2013
NJ  - The Permanente journal
VO  - 17
IP  - 1
PG  - 50-2
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9800474
IO  - Perm J
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627798
SB  - Index Medicus
CP  - United States
MH  - Humans
MH  - *Intensive Care Units
MH  - Ontario
MH  - Patient Satisfaction
MH  - Professional-Family Relations
MH  - Videoconferencing/ec [Economics]
MH  - *Videoconferencing/og [Organization & Administration]
MH  - *Visitors to Patients
AB  - Televisitation is the virtual transportation of a patient's family to the bedside, regardless of the patient's location within an acute care setting. This innovation in the Telemedicine Program at Thunder Bay Regional Health Sciences Centre (TBRHSC) in Ontario, Canada, embraces the concept of patient- and family-centered care and has been identified as a leading practice by Accreditation Canada. The need to find creative ways to link patients to their family and friend supports hundreds of miles away was identified more than ten years ago. The important relationship between health outcomes and the psychosocial needs of patients and families has been recognized more recently. TBRHSC's patient- and family-centered model of care focuses on connecting patients with their families. First Nations renal patients with family in remote communities were some of the earliest users of videoconferencing technology for this purpose.
ES  - 1552-5775
IL  - 1552-5767
DO  - https://dx.doi.org/10.7812/TPP/12-013
PT  - Journal Article
ID  - 10.7812/TPP/12-013 [doi]
ID  - permj17_1p050 [pii]
ID  - PMC3627798 [pmc]
PP  - ppublish
LG  - English
DP  - 2013
EZ  - 2013/04/19 06:00
DA  - 2013/09/24 06:00
DT  - 2013/04/19 06:00
YR  - 2013
ED  - 20130923
RD  - 20150427
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23596369

<263. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23402526
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Morriss FH Jr
FA  - Morriss, Frank H Jr
IN  - Morriss, Frank H Jr. Department of Pediatrics, Roy J. and Lucille A. Carver College of Medicine, The University of Iowa, Iowa City, IA.
TI  - Increased risk of death among uninsured neonates.
CM  - Comment in: Health Serv Res. 2013 Aug;48(4):1227-31; PMID: 23826625
SO  - Health Services Research. 48(4):1232-55, 2013 Aug
AS  - Health Serv Res. 48(4):1232-55, 2013 Aug
NJ  - Health services research
VO  - 48
IP  - 4
PG  - 1232-55
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - g2l, 0053006
IO  - Health Serv Res
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3725523
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - *Healthcare Disparities/sn [Statistics & Numerical Data]
MH  - Hospital Charges/sn [Statistics & Numerical Data]
MH  - *Hospital Mortality
MH  - Humans
MH  - *Infant Mortality
MH  - Infant, Newborn
MH  - Insurance Coverage/sn [Statistics & Numerical Data]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Male
MH  - *Medically Uninsured/sn [Statistics & Numerical Data]
MH  - Multivariate Analysis
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Resource Allocation/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Risk Factors
MH  - United States/ep [Epidemiology]
KW  - Death;  insurance;  neonate
AB  - OBJECTIVE: To estimate the contribution of health insurance status to the risk of death among hospitalized neonates.
AB  - DATA SOURCES: Kids' Inpatient Databases (KID) for 2003, 2006, and 2009.
AB  - STUDY DESIGN: KID 2006 subpopulation of neonatal discharges was analyzed by weighted frequency distribution and multivariable logistic regression analyses for the outcome of death, adjusted for insurance status and other variables. Multivariable linear regression analyses were conducted for the outcomes mean adjusted length of stay and hospital charges. The death analysis was repeated with KID 2003 and 2009.
AB  - PRINCIPAL FINDINGS: Of 4,318,121 estimated discharges in 2006, 5.4 percent were uninsured. There were 17,892 deaths; 9.5 percent were uninsured. The largest risks of death were five clinical conditions with adjusted odds ratios (AOR) of 13.7-3.1. Lack of insurance had an AOR of 2.6 (95 percent CI: 2.4, 2.8), greater than many clinical conditions; AOR estimates in alternate models were 2.1-2.7. Compared with insureds, uninsureds were less likely to have been admitted in transfer, more likely to have died in rural hospitals and to have received fewer resources. Similar death outcome results were observed for 2003 and 2009.
AB  - CONCLUSIONS: Uninsured neonates had decreased care and increased risk of dying.

Copyright © Health Research and Educational Trust.
ES  - 1475-6773
IL  - 0017-9124
DO  - https://dx.doi.org/10.1111/1475-6773.12042
PT  - Journal Article
ID  - 10.1111/1475-6773.12042 [doi]
ID  - PMC3725523 [pmc]
PP  - ppublish
LG  - English
EP  - 20130213
DP  - 2013 Aug
EZ  - 2013/02/14 06:00
DA  - 2013/09/17 06:00
DT  - 2013/02/14 06:00
YR  - 2013
ED  - 20130916
RD  - 20160304
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23402526

<264. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23536026
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - White RD
AU  - Smith JA
AU  - Shepley MM
AU  - Committee to Establish Recommended Standards for Newborn ICU Design
FA  - White, R D
FA  - Smith, J A
FA  - Shepley, M M
FA  - Committee to Establish Recommended Standards for Newborn ICU Design
IN  - White, R D. Regional Newborn Program Memorial Hospital, South Bend, IN, USA. Robert_White@pediatrix.com
IR  - Browne J
IR  - Erickson D
IR  - Gregory S
IR  - Johnson BH
IR  - Cicco R
IR  - Fernandez OB
IR  - Harrell JW
IR  - Kenner C
IR  - Dunn MS
IR  - Graven SN
IR  - Jaeger CB
IR  - King JD
IR  - Kolberg KJ
IR  - Martin GL
IR  - Shackelford DP Jr
IR  - Smith JA
IR  - Little GA
IR  - Philbin MK
IR  - McCuskey Shepley M
IR  - White RD
IR  - Marshall-Baker A
IR  - Rea MS
IR  - Smith C
IR  - Wilson Orr L
TI  - Recommended standards for newborn ICU design, eighth edition.
SO  - Journal of Perinatology. 33 Suppl 1:S2-16, 2013 Apr
AS  - J Perinatol. 33 Suppl 1:S2-16, 2013 Apr
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 33 Suppl 1
PG  - S2-16
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Hand Disinfection/st [Standards]
MH  - *Hospital Design and Construction/st [Standards]
MH  - *Intensive Care Units, Neonatal
MH  - Interior Design and Furnishings/st [Standards]
MH  - Laundry Service, Hospital/st [Standards]
MH  - Lighting
MH  - Operating Rooms/st [Standards]
MH  - Transportation of Patients
MH  - Ventilation/st [Standards]
AB  - This is the eighth edition of the Recommended Standards for Newborn ICU Design. It contains substantive changes in recommendations for patient room size and feeding preparation areas, and a number of refinements of previous Recommended Standards with respect to family space, hand hygiene, lighting and other aspects of the newborn intensive care unit (NICU) design.
ES  - 1476-5543
IL  - 0743-8346
DO  - https://dx.doi.org/10.1038/jp.2013.10
PT  - Guideline
PT  - Journal Article
ID  - jp201310 [pii]
ID  - 10.1038/jp.2013.10 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Apr
EZ  - 2013/04/03 06:00
DA  - 2013/09/14 06:00
DT  - 2013/03/29 06:00
YR  - 2013
ED  - 20130913
RD  - 20130328
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23536026

<265. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23183553
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Korzeniewski SJ
AU  - Kleyn M
AU  - Young WI
AU  - Chaiworapongsa T
AU  - Schwartz AG
AU  - Romero R
FA  - Korzeniewski, Steven J
FA  - Kleyn, Mary
FA  - Young, William I
FA  - Chaiworapongsa, Tinnakorn
FA  - Schwartz, Alyse G
FA  - Romero, Roberto
IN  - Korzeniewski, Steven J. Perinatal Epidemiology Unit, Perinatology Research Branch (NICHD/NIH), and Department of Obstetrics & Gynecology, Wayne State University School of Medicine, Detroit, MI 48201, USA. sKorzeni@med.wayne.edu
TI  - Screening for congenital hypothyroidism in newborns transferred to neonatal intensive care.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 98(4):F310-5, 2013 Jul
AS  - Arch Dis Child Fetal Neonatal Ed. 98(4):F310-5, 2013 Jul
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 98
IP  - 4
PG  - F310-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4136805
OI  - Source: NLM. NIHMS612072
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Cohort Studies
MH  - *Congenital Hypothyroidism/di [Diagnosis]
MH  - Congenital Hypothyroidism/me [Metabolism]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Michigan
MH  - *Neonatal Screening/mt [Methods]
MH  - Practice Guidelines as Topic
MH  - Predictive Value of Tests
MH  - Retrospective Studies
MH  - *Thyrotropin/bl [Blood]
MH  - Thyrotropin/me [Metabolism]
MH  - Time Factors
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).
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
RN  - 9002-71-5 (Thyrotropin)
ES  - 1468-2052
IL  - 1359-2998
DO  - https://dx.doi.org/10.1136/archdischild-2012-302192
PT  - Journal Article
PT  - Research Support, N.I.H., Intramural
ID  - archdischild-2012-302192 [pii]
ID  - 10.1136/archdischild-2012-302192 [doi]
ID  - PMC4136805 [pmc]
ID  - NIHMS612072 [mid]
PP  - ppublish
GI  - No: ZIA HD002400-22
Organization: *Intramural NIH HHS*
Country: United States
LG  - English
EP  - 20121126
DP  - 2013 Jul
EZ  - 2012/11/28 06:00
DA  - 2013/08/16 06:00
DT  - 2012/11/28 06:00
YR  - 2013
ED  - 20130815
RD  - 20161025
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23183553

<266. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23822056
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Panknin HT
FA  - Panknin, Hardy-Thorsten
IN  - Panknin, Hardy-Thorsten. ht.panknin@berlin.de
TI  - [Neonatal intensive care units: structural design effects patient care and coworker satisfaction]. [German]
OT  - Neonatologische Intensivstationen: Bauliche Struktur beeinflusst Patientenversorgung und Mitarbeiterzufriedenheit.
SO  - Kinderkrankenschwester. 32(6):228-9, 2013 Jun
AS  - Kinderkrankenschwester. 32(6):228-9, 2013 Jun
NJ  - Kinderkrankenschwester : Organ der Sektion Kinderkrankenpflege
VO  - 32
IP  - 6
PG  - 228-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - awq, 8305989
IO  - Kinderkrankenschwester
SB  - Nursing Journal
CP  - Germany
MH  - Consumer Behavior
MH  - Germany
MH  - *Hospital Design and Construction/mt [Methods]
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/nu [Nursing]
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Interior Design and Furnishings
MH  - *Job Satisfaction
MH  - Length of Stay
MH  - *Neonatal Nursing
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Quality of Health Care/og [Organization & Administration]
MH  - Rooming-in Care/og [Organization & Administration]
IS  - 0723-2276
IL  - 0723-2276
PT  - Journal Article
PP  - ppublish
LG  - German
DP  - 2013 Jun
EZ  - 2013/07/05 06:00
DA  - 2013/08/07 06:00
DT  - 2013/07/05 06:00
YR  - 2013
ED  - 20130806
RD  - 20161020
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23822056

<267. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23808263
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chemykh AS
FA  - Chemykh, A S
TI  - [Modes of mechanical ventilation during transferring the patient to spontaneous breathing]. [Russian]
SO  - Anesteziologiia i Reanimatologiia. (1):74-6, 2013 Jan-Feb
AS  - Anesteziol Reanimatol. (1):74-6, 2013 Jan-Feb
NJ  - Anesteziologiia i reanimatologiia
IP  - 1
PG  - 74-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4st, 7705399
IO  - Anesteziol Reanimatol
SB  - Index Medicus
CP  - Russia (Federation)
MH  - Humans
MH  - *Intensive Care Units
MH  - Respiration, Artificial/ae [Adverse Effects]
MH  - *Respiration, Artificial/mt [Methods]
MH  - Respiratory Function Tests
MH  - Resuscitation
MH  - Time Factors
MH  - *Ventilator Weaning/mt [Methods]
AB  - Mechanical ventilation (MV) has become a general treatment in the intensive care unit in recent years. Mechanical ventilation is a resuscitation treatment; however MV causes many implications therefore it is to be finished as soon as the patient's condition begins improve. Modern transferring the patient to spontaneous breathing decreases implications number. Significant part of mechanical ventilation time (40%) is a time of weaning from mechanical ventilation. Weaning from MV is an economical, clinical and ethical problem. Many ventilation modes have introduced in clinical practice through the microprocessor technologies development. Supporting ventilation modes help to avoid some adverse effects of mechanical ventilation. The article deals with historical approaches development their advantages and limitations.
IS  - 0201-7563
IL  - 0201-7563
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Russian
DP  - 2013 Jan-Feb
EZ  - 2013/07/03 06:00
DA  - 2013/07/23 06:00
DT  - 2013/07/02 06:00
YR  - 2013
ED  - 20130722
RD  - 20130701
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23808263

<268. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23474676
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cooper AB
AU  - Sibbald R
AU  - Scales DC
AU  - Rozmovits L
AU  - Sinuff T
FA  - Cooper, Andrew B
FA  - Sibbald, Robert
FA  - Scales, Damon C
FA  - Rozmovits, Linda
FA  - Sinuff, Tasnim
IN  - Cooper, Andrew B. Department of Critical Care Medicine, William Osler Health System, Brampton, Ontario, Canada. andrew.cooper@williamoslerhs.ca
TI  - Scarcity: the context of rationing in an Ontario ICU.
CM  - Comment in: Crit Care Med. 2013 Jun;41(6):1583-4; PMID: 23685584
SO  - Critical Care Medicine. 41(6):1476-82, 2013 Jun
AS  - Crit Care Med. 41(6):1476-82, 2013 Jun
NJ  - Critical care medicine
VO  - 41
IP  - 6
PG  - 1476-82
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Health Care Rationing/og [Organization & Administration]
MH  - *Hospitals, University/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Length of Stay
MH  - Ontario
MH  - Patient Discharge
MH  - Patient Transfer
MH  - *Perception
AB  - OBJECTIVES: Clinicians' perceptions of scarcity influence rationing of critical care resources, which may lead to serious adverse outcomes for patients who are denied access. We sought to better understand the phenomenon of scarcity in the critical care setting.
AB  - DESIGN: Qualitative research methods. We used purposeful sampling to recruit ICU clinicians who were frequently involved in decisions to allocate ICU resources. Thematic analysis was performed to identify concepts related to the phenomenon of scarcity.
AB  - SETTING: An ICU of a university-affiliated hospital in Toronto, Canada, between October and December 2007.
AB  - SUBJECTS: We conducted 22 interviews with 12 ICU physicians, 4 ICU fellows, 2 ICU nursing team leaders, and 4 ICU resource nurses.
AB  - MAIN RESULTS: The perception of scarcity arose from a complex interaction of factors within the institution including: 1) practices of non-ICU physicians (e.g., failure to specify end-of-life treatment plans or to secure an ICU bed prior to elective high-risk surgery), 2) family demands for life support and clinicians' perception of a lack of legal support if they opposed these, and 3) inability to transfer patients to non-ICU care settings in a timely manner. Implications of scarcity included: 1) diversions of critically ill patients, 2) premature patient transfers, 3) temporary delivery of critical care in non-ICU locations (e.g., emergency department, postanesthesia care unit), and 4) interprofessional conflicts.
AB  - CONCLUSIONS: ICU clinicians' perceptions of scarcity may lead to rationing of critical care resources. We found that nonmedical factors strongly influenced prioritization activity, both for admission and discharge. Although scarcity of ICU beds might be mitigated by process improvements such as patient flow or proactive communication, our findings highlight the importance of a fair process for inevitable limit setting at the bedside.
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31827cab6a
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/CCM.0b013e31827cab6a [doi]
PP  - ppublish
GI  - Organization: *Canadian Institutes of Health Research*
Country: Canada
LG  - English
DP  - 2013 Jun
EZ  - 2013/03/12 06:00
DA  - 2013/07/23 06:00
DT  - 2013/03/12 06:00
YR  - 2013
ED  - 20130722
RD  - 20130520
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23474676

<269. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22527078
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shaw GM
AU  - Chase JG
FA  - Shaw, G M
FA  - Chase, J G
TI  - Does "treatment failure bias" impact comparisons of ICUs?.
CM  - Comment on: Intensive Care Med. 2012 May;38(5):830-7; PMID: 22398756
SO  - Intensive Care Medicine. 38(8):1412, 2012 Aug
AS  - Intensive Care Med. 38(8):1412, 2012 Aug
NJ  - Intensive care medicine
VO  - 38
IP  - 8
PG  - 1412
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - *Decision Making
MH  - Female
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - *Outcome Assessment (Health Care)/mt [Methods]
MH  - *Patient Transfer
ES  - 1432-1238
IL  - 0342-4642
DO  - https://dx.doi.org/10.1007/s00134-012-2562-8
PT  - Comment
PT  - Letter
ID  - 10.1007/s00134-012-2562-8 [doi]
PP  - ppublish
PH  - 2012/03/19 [accepted]
LG  - English
EP  - 20120414
DP  - 2012 Aug
EZ  - 2012/04/25 06:00
DA  - 2013/07/09 06:00
DT  - 2012/04/25 06:00
YR  - 2012
ED  - 20130708
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22527078

<270. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23257081
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Petinaux B
AU  - Yadav K
FA  - Petinaux, Bruno
FA  - Yadav, Kabir
IN  - Petinaux, Bruno. Department of Emergency Medicine, The George Washington University, Washington, DC 20037, USA. bpetinaux@mfa.gwu.edu
TI  - Patient-driven resource planning of a health care facility evacuation.
SO  - Prehospital & Disaster Medicine. 28(2):120-6, 2013 Apr
AS  - Prehospital Disaster Med. 28(2):120-6, 2013 Apr
NJ  - Prehospital and disaster medicine
VO  - 28
IP  - 2
PG  - 120-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bdf, 8918173
IO  - Prehosp Disaster Med
SB  - Health Technology Assessment Journals
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Attitude of Health Personnel
MH  - Child
MH  - Child, Preschool
MH  - Continuity of Patient Care
MH  - Cross-Sectional Studies
MH  - *Disaster Planning
MH  - Female
MH  - *Hospitals
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - Mobility Limitation
MH  - Operating Rooms
MH  - *Patient Care Management
MH  - *Transportation of Patients
MH  - United States
AB  - INTRODUCTION: The evacuation of a health care facility is a complex undertaking, especially if done in an immediate fashion, ie, within minutes. Patient factors, such as continuous medical care needs, mobility, and comprehension, will affect the efficiency of the evacuation and translate into evacuation resource needs. Prior evacuation resource estimates are 30 years old.
AB  - METHODS: Utilizing a cross-sectional survey of charge nurses of the clinical units in an urban, academic, adult trauma health care facility (HCF), the evacuation needs of hospitalized patients were assessed periodically over a two-year period.
AB  - RESULTS: Survey data were collected on 2,050 patients. Units with patients having low continuous medical care needs during an emergency evacuation were the postpartum, psychiatry, rehabilitation medicine, surgical, and preoperative anesthesia care units, the Emergency Department, and Labor and Delivery Department (with the exception of patients in Stage II labor). Units with patients having high continuous medical care needs during an evacuation included the neonatal and adult intensive care units, special procedures unit, and operating and post-anesthesia care units. With the exception of the neonate group, 908 (47%) of the patients would be able to walk out of the facility, 492 (25.5%) would require a wheelchair, and 530 (27.5%) would require a stretcher to exit the HCF. A total of 1,639 patients (84.9%) were deemed able to comprehend the need to evacuate and to follow directions; the remainder were sedated, blind, or deaf. The charge nurses also determined that 17 (6.9%) of the 248 adult intensive care unit patients were too ill to survive an evacuation, and that in 10 (16.4%) of the 61 ongoing surgery cases, stopping the case was not considered to be safe.
AB  - CONCLUSION: Heath care facilities can utilize the results of this study to model their anticipated resource requirements for an emergency evacuation. This will permit the Incident Management Team to mobilize the necessary resources both within the facility and the community to provide for the safest evacuation of patients.
IS  - 1049-023X
IL  - 1049-023X
DO  - https://dx.doi.org/10.1017/S1049023X12001793
PT  - Journal Article
ID  - S1049023X12001793 [pii]
ID  - 10.1017/S1049023X12001793 [doi]
PP  - ppublish
LG  - English
EP  - 20121221
DP  - 2013 Apr
EZ  - 2012/12/22 06:00
DA  - 2013/07/03 06:00
DT  - 2012/12/22 06:00
YR  - 2013
ED  - 20130702
RD  - 20130326
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23257081

<271. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23570207
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Marcin JP
AU  - Nesbitt TS
AU  - Struve S
AU  - Traugott C
AU  - Dimand RJ
FA  - Marcin, James P
FA  - Nesbitt, Thomas S
FA  - Struve, Steven
FA  - Traugott, Craig
FA  - Dimand, Robert J
IN  - Marcin, James P. Department of Pediatrics, University of California, Davis Children's Hospital, Davis, California 95817, USA. jpmarcin@ucdavis.edu
TI  - Financial benefits of a pediatric intensive care unit-based telemedicine program to a rural adult intensive care unit: impact of keeping acutely ill and injured children in their local community.
SO  - Telemedicine Journal & E-Health. 10 Suppl 2:S-1-5, 2004
AS  - Telemed J E Health. 10 Suppl 2:S-1-5, 2004
NJ  - Telemedicine journal and e-health : the official journal of the American Telemedicine Association
VO  - 10 Suppl 2
PG  - S-1-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dyh, 100959949
IO  - Telemed J E Health
SB  - Index Medicus
SB  - Health Technology Assessment Journals
CP  - United States
MH  - Child
MH  - Child, Preschool
MH  - *Cost Savings/ec [Economics]
MH  - *Hospital Costs
MH  - Hospitals, Community/ec [Economics]
MH  - *Hospitals, Rural
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric/ec [Economics]
MH  - Referral and Consultation
MH  - *Telemedicine/ec [Economics]
MH  - Transportation of Patients/ec [Economics]
MH  - Transportation of Patients/ut [Utilization]
AB  - The objective of this research was to examine the fiscal impact of telemedicine consultations for acutely ill and injured children in a rural setting using pediatric intensive care unit (ICU) telemedicine. One hundred seventy-nine acutely ill and injured infants and children were cared for in the Mercy Redding ICU from April 2000 to April 2002. Data were gathered from these patients, including 47 patients who received 70 pediatric ICU telemedicine consultations during the same time period. Transport and hospital costs avoided were calculated for patients who received telemedicine consultations (Group 1) and for those not transferred due to the availability telemedicine consultations (Group 2), estimated to be one-half of the 179 patients (Group 2). The revenue generated in the rural ICU based on the ability to keep these patients was also determined. An estimated annual cost savings of $172,000 and $300,000 for transport and inpatient care was demonstrated for Group 1 and Group 2, respectively. Additionally, this program resulted in generating $186,000 and $279,000 of inpatient revenue annually for the two groups at the rural hospital. The cost of this program was approximately $120,000 per year. Given the substantial financial savings, support for underserved rural programs, and significant funds kept in the rural community, this may serve as a viable model for providing care to acutely ill and injured infants and children.
IS  - 1530-5627
IL  - 1530-5627
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 2004
EZ  - 2004/01/01 00:00
DA  - 2013/07/03 06:00
DT  - 2013/04/11 06:00
YR  - 2004
ED  - 20130702
RD  - 20130410
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=23570207

<272. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23552174
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Silich SJ
AU  - Wetz RV
AU  - Riebling N
AU  - Coleman C
AU  - Khoueiry G
AU  - Abi Rafeh N
AU  - Bagon E
AU  - Szerszen A
FA  - Silich, Stephan J
FA  - Wetz, Robert V
FA  - Riebling, Nancy
FA  - Coleman, Christine
FA  - Khoueiry, Georges
FA  - Abi Rafeh, Nidal
FA  - Bagon, Emma
FA  - Szerszen, Anita
IN  - Silich, Stephan J. Six Sigma Certified Blackbelt for Staten Island University Hospital in Staten Island, New York, USA. ssilich@siuh.edu
TI  - Using Six Sigma methodology to reduce patient transfer times from floor to critical-care beds.
SO  - Journal for Healthcare Quality. 34(1):44-54, 2012 Jan-Feb
AS  - J Healthc Qual. 34(1):44-54, 2012 Jan-Feb
NJ  - Journal for healthcare quality : official publication of the National Association for Healthcare Quality
VO  - 34
IP  - 1
PG  - 44-54
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bbo, 9202994
IO  - J Healthc Qual
SB  - Health Administration Journals
CP  - United States
MH  - Critical Illness/th [Therapy]
MH  - Efficiency, Organizational
MH  - Hospital Mortality
MH  - Hospitals, Teaching
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Interdisciplinary Communication
MH  - Length of Stay
MH  - New York City
MH  - Organizational Case Studies
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Patient Transfer/st [Standards]
MH  - Process Assessment (Health Care)
MH  - *Quality Improvement/og [Organization & Administration]
MH  - Time Factors
MH  - *Total Quality Management/og [Organization & Administration]
MH  - Total Quality Management/st [Standards]
AB  - INTRODUCTION: In response to concerns regarding delays in transferring critically ill patients to intensive care units (ICU), a quality improvement project, using the Six Sigma process, was undertaken to correct issues leading to transfer delay.
AB  - OBJECTIVE: To test the efficacy of a Six Sigma intervention to reduce transfer time and establish a patient transfer process that would effectively enhance communication between hospital caregivers and improve the continuum of care for patients.
AB  - METHODS: The project was conducted at a 714-bed tertiary care hospital in Staten Island, New York. A Six Sigma multidisciplinary team was assembled to assess areas that needed improvement, manage the intervention, and analyze the results.
AB  - RESULTS: The Six Sigma process identified eight key steps in the transfer of patients from general medical floors to critical care areas. Preintervention data and a root-cause analysis helped to establish the goal transfer-time limits of 3 h for any individual transfer and 90 min for the average of all transfers.
AB  - CONCLUSIONS: The Six Sigma approach is a problem-solving methodology that resulted in almost a 60% reduction in patient transfer time from a general medical floor to a critical care area. The Six Sigma process is a feasible method for implementing healthcare related quality of care projects, especially those that are complex.

Copyright © 2011 National Association for Healthcare Quality.
ES  - 1945-1474
IL  - 1062-2551
DO  - https://dx.doi.org/10.1111/j.1945-1474.2011.00184.x
PT  - Journal Article
ID  - 10.1111/j.1945-1474.2011.00184.x [doi]
PP  - ppublish
LG  - English
DP  - 2012 Jan-Feb
EZ  - 2012/01/01 00:00
DA  - 2013/07/03 06:00
DT  - 2013/04/05 06:00
YR  - 2012
ED  - 20130701
RD  - 20140731
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23552174

<273. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23471451
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Matranga D
AU  - Marsala MG
AU  - Vadala M
AU  - Morici M
AU  - Restivo V
AU  - Ferrara C
AU  - Vitale F
AU  - Firenze A
FA  - Matranga, D
FA  - Marsala, M G L
FA  - Vadala, M
FA  - Morici, M
FA  - Restivo, V
FA  - Ferrara, C
FA  - Vitale, F
FA  - Firenze, A
IN  - Matranga, D. Sciences for Health Promotion and Mother and Children Health Department, University of Palermo, Italy.
TI  - Risk assessment in ginecology and obstetrics in Sicily: an approach based on Wolff's Criteria.
SO  - Annali di Igiene. 25(2):137-44, 2013 Mar-Apr
AS  - Ann Ig. 25(2):137-44, 2013 Mar-Apr
NJ  - Annali di igiene : medicina preventiva e di comunita
VO  - 25
IP  - 2
PG  - 137-44
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9002865, and
IO  - Ann Ig
SB  - Index Medicus
CP  - Italy
MH  - Ambulatory Care/sn [Statistics & Numerical Data]
MH  - Case-Control Studies
MH  - Delivery, Obstetric/sn [Statistics & Numerical Data]
MH  - Emergencies/ep [Epidemiology]
MH  - Female
MH  - Genital Neoplasms, Female/ep [Epidemiology]
MH  - Gynecologic Surgical Procedures/ut [Utilization]
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units/ut [Utilization]
MH  - Italy
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - *Obstetrics and Gynecology Department, Hospital/sn [Statistics & Numerical Data]
MH  - *Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Readmission/sn [Statistics & Numerical Data]
MH  - Patient Safety/st [Standards]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - Prevalence
MH  - Quality Improvement
MH  - Reoperation/sn [Statistics & Numerical Data]
MH  - *Risk Assessment/mt [Methods]
MH  - Risk Assessment/st [Standards]
MH  - Risk Factors
MH  - Risk Management/st [Standards]
AB  - OBJECTIVES: To apply Wolff's Criteria to hospital discharge records (HDR) in order to detect adverse events worthy of further study.
AB  - METHODS: Gynecology and Obstetrics Units of three Sicilian hospitals were considered and HDR regarding ordinary and day hospital admissions in 2008 were collected. A matched case-control study was designed, by random selection of 10 controls at maximum for each case. Matching was performed on the variables age and speciality of admission (gynecology or obstetrics).
AB  - RESULTS: Out of a total of 7011 HDR examined, 114 cases were identified with Wolff's Criteria. Multivariate analysis confirmed a statistically significant association with the origin of admission, diagnosis at the acceptance and length of stay: there was a decreased risk of Wolff's event in patients having urgent admission compared to elective (OR = 0.47, 95% CI = [0.28-0.78]), an increased risk in patients reporting tumor (OR = 5:41, 95 % CI [1.89-15.47]) and other causes (OR = 2.16, 95% CI [1.10-4.24]) compared to delivery diagnosis at acceptance and in patients whose length of stay was more than 6 days (OR = 23.17, 95% CI = [12.56-42.7]) compared to less or equal than 3 days
AB  - CONCLUSION: Wolff's Criteria can be applied for the analysis of clinical risk in hospitals with different structural characteristics, on condition that the HDR database is complete and good quality.
IS  - 1120-9135
IL  - 1120-9135
DO  - https://dx.doi.org/10.7416/ai.2013.1915
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2013 Mar-Apr
EZ  - 2013/03/09 06:00
DA  - 2013/06/28 06:00
DT  - 2013/03/09 06:00
YR  - 2013
ED  - 20130626
RD  - 20130308
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23471451

<274. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23639656
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Marcin JP
FA  - Marcin, James P
IN  - Marcin, James P. Department of Pediatrics, University of California Davis Children's Hospital, Sacramento, CA 95817, USA. jpmarcin@ucdavis.edu
TI  - Telemedicine in the pediatric intensive care unit. [Review]
SO  - Pediatric Clinics of North America. 60(3):581-92, 2013 Jun
AS  - Pediatr Clin North Am. 60(3):581-92, 2013 Jun
NJ  - Pediatric clinics of North America
VO  - 60
IP  - 3
PG  - 581-92
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - oum, 0401126
IO  - Pediatr. Clin. North Am.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Critical Care/mt [Methods]
MH  - *Critical Illness/th [Therapy]
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Telemedicine
MH  - Transportation of Patients
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.

Copyright © 2013 Elsevier Inc. All rights reserved.
ES  - 1557-8240
IL  - 0031-3955
DI  - S0031-3955(13)00016-3
DO  - https://dx.doi.org/10.1016/j.pcl.2013.02.002
PT  - Journal Article
PT  - Review
ID  - S0031-3955(13)00016-3 [pii]
ID  - 10.1016/j.pcl.2013.02.002 [doi]
PP  - ppublish
LG  - English
EP  - 20130306
DP  - 2013 Jun
EZ  - 2013/05/04 06:00
DA  - 2013/06/19 06:00
DT  - 2013/05/04 06:00
YR  - 2013
ED  - 20130618
RD  - 20130503
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23639656

<275. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23295556
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Landelle C
AU  - Legrand P
AU  - Lesprit P
AU  - Cizeau F
AU  - Ducellier D
AU  - Gouot C
AU  - Brehaut P
AU  - Soing-Altrach S
AU  - Girou E
AU  - Brun-Buisson C
FA  - Landelle, Caroline
FA  - Legrand, Patrick
FA  - Lesprit, Philippe
FA  - Cizeau, Florence
FA  - Ducellier, David
FA  - Gouot, Cyril
FA  - Brehaut, Paula
FA  - Soing-Altrach, Sophan
FA  - Girou, Emmanuelle
FA  - Brun-Buisson, Christian
IN  - Landelle, Caroline. Unite de Controle, Epidemiologie et Prevention de l'Infection, Centre Hospitalier Universitaire Albert Chenevier-Henri Mondor, Assistance Publique-Hopitaux de Paris, Universite Paris 12, Creteil, France. caroline.landelle@gmail.com
TI  - Protracted outbreak of multidrug-resistant Acinetobacter baumannii after intercontinental transfer of colonized patients.
CM  - Comment in: Infect Control Hosp Epidemiol. 2013 Feb;34(2):125-6; PMID: 23295557
SO  - Infection Control & Hospital Epidemiology. 34(2):119-24, 2013 Feb
AS  - Infect Control Hosp Epidemiol. 34(2):119-24, 2013 Feb
NJ  - Infection control and hospital epidemiology
VO  - 34
IP  - 2
PG  - 119-24
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - ich, 8804099
IO  - Infect Control Hosp Epidemiol
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Acinetobacter Infections/dt [Drug Therapy]
MH  - *Acinetobacter Infections/ep [Epidemiology]
MH  - Acinetobacter Infections/tm [Transmission]
MH  - *Acinetobacter baumannii/de [Drug Effects]
MH  - Acinetobacter baumannii/ip [Isolation & Purification]
MH  - Carrier State/mi [Microbiology]
MH  - Contact Tracing
MH  - Cross Infection/dt [Drug Therapy]
MH  - *Cross Infection/ep [Epidemiology]
MH  - Cross Infection/tm [Transmission]
MH  - *Disease Outbreaks
MH  - *Drug Resistance, Multiple, Bacterial
MH  - France/ep [Epidemiology]
MH  - Hospitals, University
MH  - Humans
MH  - Incidence
MH  - Intensive Care Units
MH  - Internationality
MH  - Patient Transfer
MH  - Travel
AB  - OBJECTIVE: To describe the course and management of a protracted outbreak after intercontinental transfer of 2 patients colonized with multidrug-resistant Acinetobacter baumannii (MDRAB).
AB  - DESIGN: An 18-month outbreak investigation.
AB  - SETTING: An 860-bed university hospital in France.
AB  - PATIENTS: Case patients (ie, carriers) were those colonized or infected with an MDRAB isolate.
AB  - METHODS: During the epidemic period, all intensive care unit (ICU) patients and contacts of carriers who were transferred to wards were screened for MDRAB carriage. Contact precautions, environmental screening, and auditing of healthcare worker (HCW) practices were implemented; rooms were cleaned with hydrogen peroxide mist disinfection. One ICU, in which most of the cases occurred, was closed on 4 occasions for thorough cleaning and disinfection.
AB  - RESULTS: The 2 index case patients were identified as 2 patients who carried the same MDRAB strain and who were admitted to the hospital after repatriation from Tahiti 5 months apart. During an 18-month period, a total of 84 secondary cases occurred. Reintroduction of MDRAB into the ICUs occurred from patients previously colonized or from healthcare personnel. Termination of the outbreak was only achieved when all carriers from wards or the ICU were cohorted to an isolation unit with dedicated healthcare personnel.
AB  - CONCLUSIONS: Intercontinental transfer of carriers of MDRAB can result in extensive outbreaks and serious disruption of the hospital's organization. Transmission from carriers most likely occurred via the hands of HCWs, poor cleaning protocols, airborne spread, and contaminated water from sink traps. This protracted outbreak was controlled only after implementation of an extensive control program and eventual cohorting of all carriers in an isolation unit with dedicated healthcare personnel.
ES  - 1559-6834
IL  - 0899-823X
DO  - https://dx.doi.org/10.1086/669093
PT  - Journal Article
ID  - 10.1086/669093 [doi]
PP  - ppublish
LG  - English
EP  - 20121219
DP  - 2013 Feb
EZ  - 2013/01/09 06:00
DA  - 2013/06/19 06:00
DT  - 2013/01/09 06:00
YR  - 2013
ED  - 20130618
RD  - 20150127
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23295556

<276. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23283279
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Femino M
AU  - Young S
AU  - Smith VC
FA  - Femino, Meg
FA  - Young, Susan
FA  - Smith, Vincent C
IN  - Femino, Meg. Division of Emergency Management, Department of Health Care Quality, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA. mfemino@bidmc.harvard.edu
TI  - Hospital-based emergency preparedness: evacuation of the neonatal intensive care unit-the smallest and most vulnerable population.
SO  - Pediatric Emergency Care. 29(1):107-13, 2013 Jan
AS  - Pediatr Emerg Care. 29(1):107-13, 2013 Jan
NJ  - Pediatric emergency care
VO  - 29
IP  - 1
PG  - 107-13
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - *Disaster Planning
MH  - *Hospital Planning
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Manikins
MH  - Retrospective Studies
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - Vulnerable Populations
AB  - OBJECTIVE: The objective of this study was to report an experience with a full-scale neonatal intensive care unit evacuation exercise.
AB  - 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 (e.g., police, public health, and fire departments).
AB  - 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.
AB  - 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.
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0b013e31827b8bc5
PT  - Journal Article
ID  - 10.1097/PEC.0b013e31827b8bc5 [doi]
ID  - 00006565-201301000-00027 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Jan
EZ  - 2013/01/04 06:00
DA  - 2013/06/15 06:00
DT  - 2013/01/04 06:00
YR  - 2013
ED  - 20130614
RD  - 20130103
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23283279

<277. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22326110
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Droogh JM
AU  - Smit M
AU  - Hut J
AU  - de Vos R
AU  - Ligtenberg JJ
AU  - Zijlstra JG
FA  - Droogh, Joep M
FA  - Smit, Marije
FA  - Hut, Jakob
FA  - de Vos, Ronald
FA  - Ligtenberg, Jack J M
FA  - Zijlstra, Jan G
IN  - Droogh, Joep M. Department of Critical Care, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands. j.m.droogh@umcg.nl
TI  - Inter-hospital transport of critically ill patients; expect surprises.
SO  - Critical Care (London, England). 16(1):R26, 2012 Feb 12
AS  - Crit Care. 16(1):R26, 2012 Feb 12
NJ  - Critical care (London, England)
VO  - 16
IP  - 1
PG  - R26
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 9801902
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3396270
SB  - Index Medicus
CP  - England
MH  - Critical Illness/th [Therapy]
MH  - *Critical Illness
MH  - *Emergency Medical Services/mt [Methods]
MH  - Emergency Medical Services/st [Standards]
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - *Intensive Care Units
MH  - Mobile Health Units/st [Standards]
MH  - *Mobile Health Units
MH  - *Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - Professional Competence/st [Standards]
MH  - Retrospective Studies
MH  - *Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/st [Standards]
AB  - INTRODUCTION: Inter-hospital transport of critically ill patients is increasing. When performed by specialized retrieval teams there are less adverse events compared to transport by ambulance. These transports are performed with technical equipment also used in an Intensive Care Unit (ICU). As a consequence technical problems may arise and have to be dealt with on the road. In this study, all technical problems encountered while transporting patients with our mobile intensive care unit service (MICU) were evaluated.
AB  - METHODS: From March 2009 until August 2011 all transports were reviewed for technical problems. The cause, solution and, where relevant, its influence on protocol were stated.
AB  - RESULTS: In this period of 30 months, 353 patients were transported. In total 55 technical problems were encountered. We provide examples of how they influenced transport and how they may be resolved.
AB  - CONCLUSION: The use of technical equipment is part of intensive care medicine. Wherever this kind of equipment is used, technical problems will occur. During inter-hospital transports, without extra personnel or technical assistance, the transport team is dependent on its own ability to resolve these problems. Therefore, we emphasize the importance of having some technical understanding of the equipment used and the importance of training to anticipate, prevent and resolve technical problems. Being an outstanding intensivist on the ICU does not necessarily mean being qualified for transporting the critically ill as well. Although these are lessons derived from inter-hospital transport, they may also apply to intra-hospital transport.
ES  - 1466-609X
IL  - 1364-8535
DO  - https://dx.doi.org/10.1186/cc11191
PT  - Journal Article
ID  - cc11191 [pii]
ID  - 10.1186/cc11191 [doi]
ID  - PMC3396270 [pmc]
PP  - epublish
PH  - 2012/01/09 [received]
PH  - 2012/01/16 [revised]
PH  - 2012/02/12 [accepted]
LG  - English
EP  - 20120212
DP  - 2012 Feb 12
EZ  - 2012/02/14 06:00
DA  - 2013/06/12 06:00
DT  - 2012/02/14 06:00
YR  - 2012
ED  - 20130611
RD  - 20150225
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22326110

<278. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22931859
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vlayen A
AU  - Marquet K
AU  - Schrooten W
AU  - Vleugels A
AU  - Hellings J
AU  - De Troy E
AU  - Weekers F
AU  - Claes N
FA  - Vlayen, Annemie
FA  - Marquet, Kristel
FA  - Schrooten, Ward
FA  - Vleugels, Arthur
FA  - Hellings, Johan
FA  - De Troy, Elke
FA  - Weekers, Frank
FA  - Claes, Neree
IN  - Vlayen, Annemie. Hasselt University, Faculty of Medicine, Patient Safety Group, Agoralaan Building D, Room D58, Diepenbeek 3590, Belgium. annemie.vlayen@uhasselt.be
TI  - Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals.
SO  - BMC Research Notes. 5:468, 2012 Aug 29
AS  - BMC Res Notes. 5:468, 2012 Aug 29
NJ  - BMC research notes
VO  - 5
PG  - 468
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 101462768
IO  - BMC Res Notes
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542154
SB  - Index Medicus
CP  - England
MH  - Belgium/ep [Epidemiology]
MH  - Cluster Analysis
MH  - Disability Evaluation
MH  - Hospitals
MH  - Humans
MH  - Iatrogenic Disease/ep [Epidemiology]
MH  - *Iatrogenic Disease/pc [Prevention & Control]
MH  - Incidence
MH  - Intensive Care Units
MH  - Length of Stay
MH  - Medical Audit
MH  - Medical Errors/mo [Mortality]
MH  - *Medical Errors/pc [Prevention & Control]
MH  - Medical Records
MH  - *Outcome and Process Assessment (Health Care)
MH  - Patient Admission
MH  - Patient Safety
MH  - *Patient Transfer
MH  - *Research Design
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Time Factors
AB  - BACKGROUND: Adverse events are unintended patient injuries that arise from healthcare management resulting in disability, prolonged hospital stay or death. Adverse events that require intensive care admission imply a considerable financial burden to the healthcare system. The epidemiology of adverse events in Belgian hospitals has never been assessed systematically.
AB  - FINDINGS: A multistage retrospective review study of patients requiring a transfer to a higher level of care will be conducted in six hospitals in the province of Limburg. Patient records are reviewed starting from January 2012 by a clinical team consisting of a research nurse, a physician and a clinical pharmacist. Besides the incidence and the level of causation and preventability, also the type of adverse events and their consequences (patient harm, mortality and length of stay) will be assessed. Moreover, the adequacy of the patient records and quality/usefulness of the method of medical record review will be evaluated.
AB  - DISCUSSION: This paper describes the rationale for a retrospective review study of adverse events that necessitate a higher level of care. More specifically, we are particularly interested in increasing our understanding in the preventability and root causes of these events in order to implement improvement strategies. Attention is paid to the strengths and limitations of the study design.
ES  - 1756-0500
IL  - 1756-0500
DO  - https://dx.doi.org/10.1186/1756-0500-5-468
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
ID  - 1756-0500-5-468 [pii]
ID  - 10.1186/1756-0500-5-468 [doi]
ID  - PMC3542154 [pmc]
PP  - epublish
PH  - 2011/12/22 [received]
PH  - 2012/08/02 [accepted]
LG  - English
EP  - 20120829
DP  - 2012 Aug 29
EZ  - 2012/08/31 06:00
DA  - 2013/06/01 06:00
DT  - 2012/08/31 06:00
YR  - 2012
ED  - 20130530
RD  - 20150223
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22931859

<279. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22965326
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nyquist P
FA  - Nyquist, Paul
TI  - Where should critically ill neurologic brain hemorrhage patients go and can transfer harm them?.
SO  - Neurocritical Care. 17(3):309-11, 2012 Dec
AS  - Neurocrit Care. 17(3):309-11, 2012 Dec
NJ  - Neurocritical care
VO  - 17
IP  - 3
PG  - 309-11
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101156086
IO  - Neurocrit Care
SB  - Index Medicus
CP  - United States
MH  - Acute Disease
MH  - *Critical Illness/mo [Mortality]
MH  - *Critical Illness/th [Therapy]
MH  - Emergency Medical Services/og [Organization & Administration]
MH  - *Emergency Medical Services/st [Standards]
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/st [Standards]
MH  - *Intracranial Hemorrhages/mo [Mortality]
MH  - *Intracranial Hemorrhages/th [Therapy]
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/st [Standards]
ES  - 1556-0961
IL  - 1541-6933
DO  - https://dx.doi.org/10.1007/s12028-012-9778-x
PT  - Editorial
ID  - 10.1007/s12028-012-9778-x [doi]
PP  - ppublish
LG  - English
DP  - 2012 Dec
EZ  - 2012/09/12 06:00
DA  - 2013/05/23 06:00
DT  - 2012/09/12 06:00
YR  - 2012
ED  - 20130522
RD  - 20171108
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22965326

<280. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23194167
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Doorenbos A
AU  - Lindhorst T
AU  - Starks H
AU  - Aisenberg E
AU  - Curtis JR
AU  - Hays R
FA  - Doorenbos, Ardith
FA  - Lindhorst, Taryn
FA  - Starks, Helene
FA  - Aisenberg, Eugene
FA  - Curtis, J Randall
FA  - Hays, Ross
IN  - Doorenbos, Ardith. Department of Biobehavioral Nursing & Health Systems, School of Nursing, University of Washington, Seattle, Washington, USA. doorenbo@u.washington.edu
TI  - Palliative care in the pediatric ICU: challenges and opportunities for family-centered practice.
SO  - Journal Of Social Work In End-Of-Life & Palliative Care. 8(4):297-315, 2012
AS  - J Soc Work End Life Palliat Care. 8(4):297-315, 2012
NJ  - Journal of social work in end-of-life & palliative care
VO  - 8
IP  - 4
PG  - 297-315
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101235219
IO  - J Soc Work End Life Palliat Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647033
OI  - Source: NLM. NIHMS447240
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Palliative Care/og [Organization & Administration]
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer
MH  - *Patient-Centered Care/og [Organization & Administration]
MH  - Pediatrics/og [Organization & Administration]
MH  - Professional Role
MH  - *Professional-Family Relations
MH  - Terminal Care/og [Organization & Administration]
MH  - United States
AB  - The culture of pediatric intensive care units (PICUs) is focused on curative or life-prolonging treatments for seriously ill children. We present empirically-based approaches to family-centered palliative care that can be applied in PICUs. Palliative care in these settings is framed by larger issues related to the context of care in PICUs, the stressors experienced by families, and challenges to palliative care philosophy within this environment. Innovations from research on family-centered communication practices in adult ICU settings provide a framework for development of palliative care in PICUs and suggest avenues for social work support of critically ill children and their families.
ES  - 1552-4264
IL  - 1552-4264
DO  - https://dx.doi.org/10.1080/15524256.2012.732461
PT  - Journal Article
ID  - 10.1080/15524256.2012.732461 [doi]
ID  - PMC3647033 [pmc]
ID  - NIHMS447240 [mid]
PP  - ppublish
GI  - No: R01 NR011179
Organization: (NR) *NINR NIH HHS*
Country: United States

GI  - No: R24 HD042828
Organization: (HD) *NICHD NIH HHS*
Country: United States
LG  - English
DP  - 2012
EZ  - 2012/12/01 06:00
DA  - 2013/05/17 06:00
DT  - 2012/12/01 06:00
YR  - 2012
ED  - 20130516
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23194167

<281. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23163992
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nasr A
AU  - Langer JC
AU  - Canadian Paediatric Surgery Network
FA  - Nasr, Ahmed
FA  - Langer, Jacob C
FA  - Canadian Paediatric Surgery Network
IN  - Nasr, Ahmed. Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.
TI  - Influence of location of delivery on outcome in neonates with gastroschisis.
SO  - Journal of Pediatric Surgery. 47(11):2022-5, 2012 Nov
AS  - J Pediatr Surg. 47(11):2022-5, 2012 Nov
NJ  - Journal of pediatric surgery
VO  - 47
IP  - 11
PG  - 2022-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmj, 0052631
IO  - J. Pediatr. Surg.
SB  - Index Medicus
CP  - United States
MH  - Gastroschisis/co [Complications]
MH  - Gastroschisis/di [Diagnosis]
MH  - *Gastroschisis/th [Therapy]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Linear Models
MH  - Logistic Models
MH  - Multivariate Analysis
MH  - *Patient Transfer
MH  - Prenatal Diagnosis
MH  - Retrospective Studies
MH  - *Tertiary Care Centers
MH  - Treatment Outcome
AB  - BACKGROUND: It is not clear in the literature whether infants with a prenatal diagnosis of gastroschisis should be delivered in a perinatal center with level 3 neonatal intensive care unit (NICU) and surgical facilities ("inborn") or if they could be safely delivered in a more local hospital and then transferred to a perinatal center ("outborn"). Our goal was to determine the impact of delivery site on outcomes for neonates diagnosed as having gastroschisis.
AB  - METHODS: Data were obtained from the Canadian Pediatric Surgery Network, covering the years 2005 to 2008 for 18 pediatric surgical centers. Inborn was defined as birth in a hospital with a NICU or connected to a NICU by a bridge or tunnel. Outborn was defined as requiring transfer by ambulance or flight. A P value less than .05 was considered significant.
AB  - RESULTS: Of 395 infants with prenatally diagnosed gastroschisis, 237 were inborn and 158 were outborn. Univariate analysis demonstrated no significant difference between groups with respect to gestational age, birth weight, days on total parenteral nutrition, or length of hospital stay. There was a significant difference with regard to Score for Neonatal Acute Physiology-Version II, complication rates, comorbidities, and age at final closure. Logistic regression showed that location of delivery was a significant independent predictor for incidence of complications, as were Score for Neonatal Acute Physiology-Version II, comorbidities, and presence of bowel atresia or necrosis. The odds ratio of developing a complication when outborn was 1.6 (P = .05).
AB  - CONCLUSIONS: Delivery outside a perinatal center is a significant predictor of complications for infants born with gastroschisis.

Copyright © 2012 Elsevier Inc. All rights reserved.
ES  - 1531-5037
IL  - 0022-3468
DI  - S0022-3468(12)00550-7
DO  - https://dx.doi.org/10.1016/j.jpedsurg.2012.07.037
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0022-3468(12)00550-7 [pii]
ID  - 10.1016/j.jpedsurg.2012.07.037 [doi]
PP  - ppublish
PH  - 2012/03/27 [received]
PH  - 2012/07/10 [revised]
PH  - 2012/07/12 [accepted]
LG  - English
DP  - 2012 Nov
EZ  - 2012/11/21 06:00
DA  - 2013/05/04 06:00
DT  - 2012/11/21 06:00
YR  - 2012
ED  - 20130503
RD  - 20121120
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23163992

<282. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22076416
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dukhovny D
AU  - Dukhovny S
AU  - Pursley DM
AU  - Escobar GJ
AU  - McCormick MC
AU  - Mao WY
AU  - Zupancic JA
FA  - Dukhovny, D
FA  - Dukhovny, S
FA  - Pursley, D M
FA  - Escobar, G J
FA  - McCormick, M C
FA  - Mao, W Y
FA  - Zupancic, J A F
IN  - Dukhovny, D. Division of Newborn Medicine, Harvard Medical School, Boston, MA, USA. ddukhovn@bidmc.harvard.edu
TI  - The impact of maternal characteristics on the moderately premature infant: an antenatal maternal transport clinical prediction rule.[Erratum appears in J Perinatol. 2013 May;33(5):413]
SO  - Journal of Perinatology. 32(7):532-8, 2012 Jul
AS  - J Perinatol. 32(7):532-8, 2012 Jul
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 32
IP  - 7
PG  - 532-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jfp, 8501884
IO  - J Perinatol
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573135
OI  - Source: NLM. NIHMS430508
SB  - Index Medicus
CP  - United States
MH  - Adrenal Cortex Hormones/tu [Therapeutic Use]
MH  - Female
MH  - Gestational Age
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Infant, Premature, Diseases/th [Therapy]
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - *Patient Transfer
MH  - Pregnancy
MH  - *Premature Birth
MH  - *Prenatal Care
MH  - Pulmonary Surfactants/tu [Therapeutic Use]
AB  - OBJECTIVE: Moderately premature infants, defined here as those born between 300/7 and 346/7 weeks gestation, comprise 3.9% of all births in the United States and 32% of all preterm births. Although long-term outcomes for these infants are better than for less mature infants, morbidity and mortality are still substantially increased in comparison with infants born at term. There is an added survival benefit resulting from birth at a tertiary neonatal care center, and although many of these infants require tertiary level care, delivery at lower level hospitals and subsequent neonatal transfer are still common. Our primary aim was to determine the impact of maternal characteristics and antenatal medical management on the early neonatal course of the moderately premature infant. The secondary aim was to create a clinical prediction rule to determine which infants require intubation and mechanical ventilation in the first 24 h of life. Such a prediction rule could inform the decision to transfer maternal-fetal patients before delivery to a facility with a Level III neonatal intensive care unit (NICU), where optimal care could be provided without the requirement for a neonatal transfer.
AB  - STUDY DESIGN: Data for this analysis came from the cohort of infants in the Moderately Premature Infant Project (MPIP) database, a multicenter cohort study of 850 infants born at gestational age 300/7 and 346/7 weeks, with birth weight between 591 to 3540 g. [corrected], who were discharged to home alive. We built a logistic regression model to identify maternal characteristics associated with need for tertiary care, as measured by administration of surfactant. Using statistically significant covariates from this model, we then created a numerical decision rule to predict need for tertiary care.
AB  - RESULT: In multivariate modeling, four factors were associated with reduction in the need for tertiary care, including non-White race (odds ratio (OR)=0.5, (0.3, 0.7)), older gestational age, female gender (OR=0.6 (0.4, 0.8)) and use of antenatal corticosteroids (OR=0.5, (0.3, 0.8)). The clinical prediction rule to discriminate between infants who received surfactant, versus those who did not, had an area under the curve of 0.77 (0.73, 0.8).
AB  - CONCLUSION: Four antenatal risk factors are associated with a requirement for Level III NICU care as defined by the need for surfactant administration. Future analyses will examine a broader spectrum of antenatal characteristics and revalidate the prediction rule in an independent cohort.
RN  - 0 (Adrenal Cortex Hormones)
RN  - 0 (Pulmonary Surfactants)
ES  - 1476-5543
IL  - 0743-8346
DO  - https://dx.doi.org/10.1038/jp.2011.155
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - jp2011155 [pii]
ID  - 10.1038/jp.2011.155 [doi]
ID  - PMC3573135 [pmc]
ID  - NIHMS430508 [mid]
PP  - ppublish
GI  - No: R01 HS010131
Organization: (HS) *AHRQ HHS*
Country: United States

GI  - No: T32 HS000063
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
EP  - 20111110
DP  - 2012 Jul
EZ  - 2011/11/15 06:00
DA  - 2013/05/04 06:00
DT  - 2011/11/15 06:00
YR  - 2012
ED  - 20130503
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22076416

<283. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21960126
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Finan E
AU  - Bismilla Z
AU  - Campbell C
AU  - Leblanc V
AU  - Jefferies A
AU  - Whyte HE
FA  - Finan, E
FA  - Bismilla, Z
FA  - Campbell, C
FA  - Leblanc, V
FA  - Jefferies, A
FA  - Whyte, H E
IN  - Finan, E. Department of Paediatrics, Mount Sinai Hospital, Toronto, ON, Canada. efinan@mtsinai.on.ca
TI  - Improved procedural performance following a simulation training session may not be transferable to the clinical environment.
SO  - Journal of Perinatology. 32(7):539-44, 2012 Jul
AS  - J Perinatol. 32(7):539-44, 2012 Jul
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 32
IP  - 7
PG  - 539-44
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - *Clinical Competence
MH  - Educational Measurement
MH  - Humans
MH  - *Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Internship and Residency
MH  - *Intubation, Intratracheal
MH  - Manikins
MH  - *Pediatrics/ed [Education]
MH  - *Resuscitation/ed [Education]
AB  - OBJECTIVE: Neonatal intubation is a life-saving procedural skill required by pediatricians. Trainees receive insufficient clinical exposure to develop this competency. Traditional training comprises a Neonatal Resuscitation Program (NRP) complemented by clinical experience. More recently, simulation is being used in procedural skills training. The objective of this study is to examine the impact of a simulation session, which teaches the skill of neonatal intubation by comparing pre- and post-intervention performance, and examining transferability of skill acquisition to the clinical setting.
AB  - STUDY DESIGN: First-year pediatric residents with NRP training, but no previous neonatal experience, attended a 2-h intubation education session conducted by two experienced respiratory therapists. Individual components of the skill were taught, followed by practice on a high-fidelity infant mannequin with concurrent feedback. Skills were assessed using a validated neonatal intubation checklist (CL) and a five-point global rating scale (GRS), pre- and immediately post-intervention, using the mannequin. Clinical intubations performed in the subsequent 8-week neonatal intensive-care unit (NICU) rotation were evaluated by documenting success rates, time taken to intubate, and CL and GRS scores. Performance was also compared with similar data collected on intubations performed by a historical cohort of first-year residents who did not receive the training intervention. Data were analyzed using descriptive statistics, Student's t-test and chi (2)-test as appropriate, and analysis of variance.
AB  - RESULT: Thirteen residents participated in the educational session. Mean pre-intervention CL score was 65.4 +/- 18% (s.d.) and GRS was 3 +/- 0.7 (s.d.). Performance improved following the intervention with post-training CL score of 93 +/- 5% (P<0.0001) and GRS of 3.92 +/- 0.4 (P=0.0003). These trainees performed 40 intubations during their subsequent NICU rotation, with a success rate of 67.5% compared with 63.15% in the cohort group (NS). However, mean CL score for the study trainees during the NICU rotation was 64.6 +/- 20%, significantly lower than their post-training CL score (P<0.001), and significantly lower than the historical cohort score of 82.5 +/- 15.4% (P=0.001). In the intervention group, there were no significant differences between the pre-intervention and real-life CL scores of 65 +/- 18% and 64.63 %, respectively, and the pre-intervention and real-life GRS of 3.0 +/- 0.7 and 2.95 +/- 0.86, respectively.
AB  - CONCLUSION: Trainees showed significant improvement in intubation skills immediately post intervention, but this did not translate into improved-clinical performance, with performance returning to baseline. In fact, significantly higher CL scores were demonstrated by the cohort group. These data suggest that improved performance in the simulation environment may not be transferable to the clinical setting. They also support the evidence that although concurrent feedback may lead to improved performance immediately post training intervention, this does not result in improved skill retention overall.
ES  - 1476-5543
IL  - 0743-8346
DO  - https://dx.doi.org/10.1038/jp.2011.141
PT  - Journal Article
ID  - jp2011141 [pii]
ID  - 10.1038/jp.2011.141 [doi]
PP  - ppublish
LG  - English
EP  - 20110929
DP  - 2012 Jul
EZ  - 2011/10/01 06:00
DA  - 2013/05/04 06:00
DT  - 2011/10/01 06:00
YR  - 2012
ED  - 20130503
RD  - 20120628
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21960126

<284. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23587445
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Parmentier-Decrucq E
AU  - Poissy J
AU  - Favory R
AU  - Nseir S
AU  - Onimus T
AU  - Guerry MJ
AU  - Durocher A
AU  - Mathieu D
FA  - Parmentier-Decrucq, Erika
FA  - Poissy, Julien
FA  - Favory, Raphael
FA  - Nseir, Saad
FA  - Onimus, Thierry
FA  - Guerry, Mary-Jane
FA  - Durocher, Alain
FA  - Mathieu, Daniel
IN  - Parmentier-Decrucq, Erika. Service d'Urgence Respiratoire, Reanimation Medicale et Medecine Hyperbare, Universite de Lille II et Centre Hospitalier et Universitaire de Lille, Lille 59037, France. erika.parmentier@chru-lille.fr.
TI  - Adverse events during intrahospital transport of critically ill patients: incidence and risk factors.
SO  - Annals of Intensive Care. 3(1):10, 2013 Apr 12
AS  - Ann Intensive Care. 3(1):10, 2013 Apr 12
NJ  - Annals of intensive care
VO  - 3
IP  - 1
PG  - 10
PI  - Journal available in: Electronic
PI  - Citation processed from: Print
JC  - 101562873
IO  - Ann Intensive Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639083
CP  - Germany
AB  - BACKGROUND: Transport of critically ill patients for diagnostic or therapeutic procedures is at risk of complications. Adverse events during transport are common and may have significant consequences for the patient. The objective of the study was to collect prospectively adverse events that occurred during intrahospital transports of critically ill patients and to determine their risk factors.
AB  - METHODS: This prospective, observational study of intrahospital transport of consecutively admitted patients with mechanical ventilation was conducted in a 38-bed intensive care unit in a university hospital from May 2009 to March 2010.
AB  - RESULTS: Of 262 transports observed (184 patients), 120 (45.8%) were associated with adverse events. Risk factors were ventilation with positive end-expiratory pressure >6 cmH2O, sedation before transport, and fluid loading for intrahospital transports. Within these intrahospital transports with adverse events, 68 (26% of all intrahospital transports) were associated with an adverse event affecting the patient. Identified risk factors were: positive end-expiratory pressure >6 cmH2O, and treatment modification before transport. In 44 cases (16.8% of all intrahospital transports), adverse event was considered serious for the patient. In our study, adverse events did not statistically increase ventilator-associated pneumonia, time spent on mechanical ventilation, or length of stay in the intensive care unit.
AB  - CONCLUSIONS: This study confirms that the intrahospital transports of critically ill patients leads to a significant number of adverse events. Although in our study adverse events have not had major consequences on the patient stay, efforts should be made to decrease their incidence.
IS  - 2110-5820
IL  - 2110-5820
DO  - https://dx.doi.org/10.1186/2110-5820-3-10
PT  - Journal Article
ID  - 2110-5820-3-10 [pii]
ID  - 10.1186/2110-5820-3-10 [doi]
ID  - PMC3639083 [pmc]
PP  - epublish
PH  - 2012/10/25 [received]
PH  - 2013/03/07 [accepted]
LG  - English
EP  - 20130412
DP  - 2013 Apr 12
EZ  - 2013/04/17 06:00
DA  - 2013/04/17 06:01
DT  - 2013/04/17 06:00
YR  - 2013
ED  - 20130501
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23587445

<285. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22897216
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jones AR
AU  - Kuschel C
AU  - Jacobs S
AU  - Doyle LW
FA  - Jones, Alicia Rose
FA  - Kuschel, Carl
FA  - Jacobs, Susan
FA  - Doyle, Lex W
IN  - Jones, Alicia Rose. The Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia.
TI  - Reduction in late-onset sepsis on relocating a neonatal intensive care nursery.
SO  - Journal of Paediatrics & Child Health. 48(10):891-5, 2012 Oct
AS  - J Paediatr Child Health. 48(10):891-5, 2012 Oct
NJ  - Journal of paediatrics and child health
VO  - 48
IP  - 10
PG  - 891-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Cross Infection/di [Diagnosis]
MH  - Cross Infection/ep [Epidemiology]
MH  - Cross Infection/et [Etiology]
MH  - *Cross Infection/pc [Prevention & Control]
MH  - *Health Facility Environment
MH  - *Health Facility Moving
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Infant, Premature, Diseases/di [Diagnosis]
MH  - Infant, Premature, Diseases/ep [Epidemiology]
MH  - Infant, Premature, Diseases/et [Etiology]
MH  - *Infant, Premature, Diseases/pc [Prevention & Control]
MH  - Infant, Very Low Birth Weight
MH  - *Infection Control/mt [Methods]
MH  - *Intensive Care Units, Neonatal
MH  - Logistic Models
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Sepsis/di [Diagnosis]
MH  - Sepsis/ep [Epidemiology]
MH  - Sepsis/et [Etiology]
MH  - *Sepsis/pc [Prevention & Control]
MH  - Severity of Illness Index
MH  - Victoria
AB  - AIMS: The aims of this study were to compare rates of late-onset sepsis (LOS) in very preterm or very low birthweight infants before and after relocation to a new nursery and to determine risk factors for LOS.
AB  - METHODS: The study was undertaken at The Royal Women's Hospital, Melbourne, which relocated to a new site in June 2008. Infants with birthweight <1500 g or <32 weeks' gestation, born between July and December 2007 (n= 149) and July and December 2008 (n= 152) were included. Each septic episode was identified from blood cultures taken from patients >48 h after birth and was categorised as definite, probable, uncertain or no sepsis.
AB  - RESULTS: Overall, 117 infants had 218 septic episodes. The proportion of infants with clinical LOS decreased from 29.5% in 2007 to 22.4% in 2008 after the relocation, although this was not statistically significant. There was a significant (P < 0.05) reduction in the severity (definite LOS = most severe) of sepsis in 2008 compared with 2007, and in rates of coagulase-negative staphylococcal LOS. Significant risk factors for LOS were: lower birthweight (g; mean -351, 95% confidence interval (CI) -446, -256); lower gestational age (weeks; mean -2.3, 95% CI -2.8, -1.7) and presence of a percutaneous inserted central catheter (odds ratio (OR) 2.56, 95% CI 1.03, 6.67).
AB  - CONCLUSIONS: There was a significant reduction in the severity of LOS in very preterm and/or very low birthweight infants that correlated with the relocation from the old to new nursery. Smaller and more immature infants with percutaneous central catheters were more at risk.

Copyright © 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
ES  - 1440-1754
IL  - 1034-4810
DO  - https://dx.doi.org/10.1111/j.1440-1754.2012.02524.x
PT  - Comparative Study
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1111/j.1440-1754.2012.02524.x [doi]
PP  - ppublish
LG  - English
EP  - 20120816
DP  - 2012 Oct
EZ  - 2012/08/18 06:00
DA  - 2013/04/23 06:00
DT  - 2012/08/18 06:00
YR  - 2012
ED  - 20130422
RD  - 20121025
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22897216

<286. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23102814
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Zarrilli, R
FA  - Di Popolo, A
FA  - Bagattini, M
FA  - Giannouli, M
FA  - Martino, D
FA  - Barchitta, M
FA  - Quattrocchi, A
FA  - Iula, V D
FA  - de Luca, C
FA  - Scarcella, A
FA  - Triassi, M
FA  - Agodi, A
IN  - Zarrilli, R. Department of Preventive Medical Sciences, Hygiene Section, University 'Federico II', Naples, Italy. rafzarri@unina.it
TI  - Clonal spread and patient risk factors for acquisition of extensively drug-resistant Acinetobacter baumannii in a neonatal intensive care unit in Italy.
SO  - Journal of Hospital Infection. 82(4):260-5, 2012 Dec
AS  - J Hosp Infect. 82(4):260-5, 2012 Dec
NJ  - The Journal of hospital infection
VO  - 82
IP  - 4
PG  - 260-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - id6, 8007166
IO  - J. Hosp. Infect.
SB  - Index Medicus
CP  - England
MH  - *Acinetobacter Infections/ep [Epidemiology]
MH  - Acinetobacter Infections/mi [Microbiology]
MH  - *Acinetobacter Infections/tm [Transmission]
MH  - *Acinetobacter baumannii/cl [Classification]
MH  - Acinetobacter baumannii/ge [Genetics]
MH  - Acinetobacter baumannii/ip [Isolation & Purification]
MH  - Adult
MH  - Case-Control Studies
MH  - *Drug Resistance, Multiple, Bacterial
MH  - Electrophoresis, Gel, Pulsed-Field
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Infection Control/mt [Methods]
MH  - *Intensive Care, Neonatal
MH  - Italy/ep [Epidemiology]
MH  - Male
MH  - Molecular Epidemiology
MH  - *Molecular Typing
MH  - Risk Factors
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.
AB  - 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.
AB  - 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.
AB  - 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.

Copyright © 2012 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
ES  - 1532-2939
IL  - 0195-6701
DI  - S0195-6701(12)00319-2
DO  - https://dx.doi.org/10.1016/j.jhin.2012.08.018
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0195-6701(12)00319-2 [pii]
ID  - 10.1016/j.jhin.2012.08.018 [doi]
PP  - ppublish
PH  - 2012/04/26 [received]
PH  - 2012/08/23 [accepted]
LG  - English
EP  - 20121024
DP  - 2012 Dec
EZ  - 2012/10/30 06:00
DA  - 2013/04/18 06:00
DT  - 2012/10/30 06:00
YR  - 2012
ED  - 20130417
RD  - 20121119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23102814

<287. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23296428
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Olsen SL
AU  - Dejonge M
AU  - Kline A
AU  - Liptsen E
AU  - Song D
AU  - Anderson B
AU  - Mathur A
FA  - Olsen, Steven L
FA  - Dejonge, Mitchell
FA  - Kline, Alex
FA  - Liptsen, Ellina
FA  - Song, Dongli
FA  - Anderson, Betsi
FA  - Mathur, Amit
IN  - Olsen, Steven L. Children's Mercy Hospitals & Clinics, Section of Neonatology, 2401 Gillham Rd, Kansas City, MO 64108, USA. slolsen@cmh.edu
TI  - Optimizing therapeutic hypothermia for neonatal encephalopathy.
SO  - Pediatrics. 131(2):e591-603, 2013 Feb
AS  - Pediatrics. 131(2):e591-603, 2013 Feb
NJ  - Pediatrics
VO  - 131
IP  - 2
PG  - e591-603
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Cooperative Behavior
MH  - Developmental Disabilities/et [Etiology]
MH  - Developmental Disabilities/mo [Mortality]
MH  - Developmental Disabilities/pc [Prevention & Control]
MH  - Electroencephalography/mt [Methods]
MH  - Electroencephalography/st [Standards]
MH  - *Evidence-Based Medicine/mt [Methods]
MH  - *Evidence-Based Medicine/st [Standards]
MH  - Feasibility Studies
MH  - Health Plan Implementation/og [Organization & Administration]
MH  - Humans
MH  - *Hypothermia, Induced/mt [Methods]
MH  - *Hypothermia, Induced/st [Standards]
MH  - Hypoxia-Ischemia, Brain/di [Diagnosis]
MH  - Hypoxia-Ischemia, Brain/mo [Mortality]
MH  - *Hypoxia-Ischemia, Brain/th [Therapy]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - Interdisciplinary Communication
MH  - Monitoring, Physiologic/mt [Methods]
MH  - Monitoring, Physiologic/st [Standards]
MH  - Pilot Projects
MH  - *Quality Improvement/og [Organization & Administration]
MH  - Referral and Consultation/og [Organization & Administration]
MH  - Signal Processing, Computer-Assisted
MH  - Survival Rate
MH  - Transportation of Patients/og [Organization & Administration]
MH  - United States
AB  - OBJECTIVE: Therapeutic hypothermia (TH) for neonatal encephalopathy is becoming widely available in clinical practice. The goal of this collaborative was to create and implement an evidence-based standard-of-care approach to neonatal encephalopathy, deliver consistent care, and optimize outcomes.
AB  - METHODS: The quality improvement process identified and used the Model for Improvement as a framework for improvement efforts. This was a Vermont Oxford Network Collaborative focused on optimizing TH in the treatment of neonatal encephalopathy. By using an evidence-based approach, Potentially Better Practices were developed by the topic expert, modified by the collaborative, and implemented at each hospital. These included the following: timely identification of at-risk infants, coordination with referring hospitals to ensure TH was available within 6 hours after birth, staff education for both local and referring hospitals, nonsedated MRI, incorporating amplitude-integrated EEG into a TH protocol, and ensuring standard neurodevelopmental follow-up of infants. Each center used these practices to develop a matrix for implementation.
AB  - RESULTS: Local self-assessments directed the implementation and adaptation of the Potentially Better Practices at each center. Resources, based on common identified barriers, were developed and shared among the group.
AB  - CONCLUSIONS: The implementation of a TH program to improve the consistency of care for patients in NICUs is feasible using standard-quality improvement methodology. The successful introduction of new interventions such as TH to the NICU culture requires a collaborative multidisciplinary team, use of a systematic quality improvement process, and perseverance.
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2012-0891
PT  - Journal Article
ID  - peds.2012-0891 [pii]
ID  - 10.1542/peds.2012-0891 [doi]
PP  - ppublish
LG  - English
EP  - 20130106
DP  - 2013 Feb
EZ  - 2013/01/09 06:00
DA  - 2013/04/12 06:00
DT  - 2013/01/09 06:00
YR  - 2013
ED  - 20130411
RD  - 20130204
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23296428

<288. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22883031
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Coordination Group for Present Situation of Neonatal Subspecialty in the Mainland of China
FA  - Coordination Group for Present Situation of Neonatal Subspecialty in the Mainland of China
IR  - Feng ZC
TI  - [Present situation of neonatal subspecialty in the mainland of China: a survey based on 109 hospitals]. [Chinese]
SO  - Zhonghua Erke Zazhi. 50(5):326-30, 2012 May
AS  - Zhonghua Er Ke Za Zhi. 50(5):326-30, 2012 May
NJ  - Zhonghua er ke za zhi = Chinese journal of pediatrics
VO  - 50
IP  - 5
PG  - 326-30
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0417427
IO  - Zhonghua Er Ke Za Zhi
SB  - Index Medicus
CP  - China
MH  - *Bed Occupancy/sn [Statistics & Numerical Data]
MH  - China
MH  - Data Collection
MH  - First Aid/is [Instrumentation]
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Intensive Care, Neonatal/og [Organization & Administration]
MH  - *Medical Staff, Hospital/sn [Statistics & Numerical Data]
MH  - *Neonatology
MH  - Surveys and Questionnaires
MH  - Transportation of Patients
AB  - OBJECTIVE: To investigate the present situation of neonatal subspecialty in the mainland of China, and provide reference data for further development and standardization of neonatal discipline in China.
AB  - METHODS: Data of neonatal subspecialty of 109 hospitals in the mainland of China acquired by questionnaire were collected and analyzed.
AB  - RESULTS: Of the 109 hospitals that located in 22 provinces, municipalities and autonomous regions, 68 (62.4%) had independent neonatology departments, and 41 (37.6%) had neonatal subspecialty groups affiliated to pediatric departments. The average number of neonatal beds was 35.95 (range from 6 to 300, median 30) per unit, compared with a number of 45.21 per unit in grade III-A general hospitals (range from 6 to 300, median 30). In all the 109 hospitals, the general beds to physicians ratio and beds to nurses ratio were 1:3.24 and 1:1.42, respectively. Each unit was in average equipped with 4.50 infant radiant warmers, 23.83 neonatal incubators, 3 normal frequency ventilators and 2.55 CPAP ventilators. All 22 clinical technologies, including ECMO, had been carried out, but only the new resuscitation technique has been carried out in each of these hospitals, and there were still eight technologies that were carried out in less than 50% hospitals. Totally 139 084 infants were treated in 109 hospitals in 2008, with the average number of 1276 patients per unit (range from 32 to 5500, median 1160). The average survival rate and mortality rate during hospitalization were 95.31% and 1.43%, respectively, while the survival rate of very low birth weight premature infants and extremely low birth weight premature infants were 82.43% and 41.30%, respectively. Transport service was provided in 62 (56.9%) hospitals, with the average transport number of 330 infants per hospital, accounting for 20.28% of the total admission.
AB  - CONCLUSION: The survey shows that neonatal subspecialty in the mainland of China already has a considerable size, however, the development is not balanced. The system of classification of neonatal units and standards of ward construction suitable for China should be set up as soon as possible.
IS  - 0578-1310
IL  - 0578-1310
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Chinese
DP  - 2012 May
EZ  - 2012/08/14 06:00
DA  - 2013/03/15 06:00
DT  - 2012/08/14 06:00
YR  - 2012
ED  - 20130314
RD  - 20160607
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22883031

<289. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22541844
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Weissman O
AU  - Peleg K
AU  - Trivizki O
AU  - Givon A
AU  - Harats M
AU  - Stavrou D
AU  - Farber N
AU  - Remer E
AU  - ITG
AU  - Haik J
FA  - Weissman, Oren
FA  - Peleg, Kobi
FA  - Trivizki, Omer
FA  - Givon, Adi
FA  - Harats, Moti
FA  - Stavrou, Demetris
FA  - Farber, Nimrod
FA  - Remer, Eric
FA  - ITG
FA  - Haik, Josef
IN  - Weissman, Oren. Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel-Hashomer, Affiliated to Sackler School of Medicine, Tel-Aviv University, Israel. orenweissman@gmail.com
TI  - Are there predicting factors for burn patients that transfer to a rehabilitation center upon completion of acute care?.
SO  - Burns. 38(7):992-7, 2012 Nov
AS  - Burns. 38(7):992-7, 2012 Nov
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 38
IP  - 7
PG  - 992-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Burn Units
MH  - *Burns/rh [Rehabilitation]
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Israel
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Selection
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Rehabilitation Centers
MH  - Retrospective Studies
MH  - Smoke Inhalation Injury
MH  - Surgical Procedures, Operative/sn [Statistics & Numerical Data]
AB  - INTRODUCTION: Choosing the right burn patient that transfers to a rehabilitation facility following acute hospitalization is a difficult decision. In our study we characterize demographic, injury and hospitalization related variables that predict a burn patient's transfer to a rehabilitation facility.
AB  - METHODS: We analyzed the data of 974 burn patients with burns of the second degree and deeper, spanning 20% TBSA (total body surface area) or more, that were admitted to all 5 hospitals that operate a burn unit in Israel, between the years 1998 and 2005.
AB  - RESULTS: The results of the multivariate logistical regression model in which the predicted variable is discharge to rehabilitation showed that the most predictive variables were inhalation injury, surgical procedures and hospitalization period. Execution of a surgical procedure was the most influential factor over discharge to rehabilitation (odds ratio=6.202) followed by inhalation injury (OR=4.706) and finally, the hospitalization period (OR=1.026) (an increase of 1.026 times in the likelihood to be sent to rehabilitation with any additional day of hospitalization).
AB  - DISCUSSION: In this study we examined patients who were sent to a rehabilitation facility upon completion of their acute care in an attempt to evaluate common initial clinical variables that assist in making an educated decision regarding the patient rehabilitation transfer. This is one of the first attempts at examining and revealing evidence based parameters that might determine the correct burn patient to send to rehabilitation after his hospitalization.

Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.
ES  - 1879-1409
IL  - 0305-4179
DO  - https://dx.doi.org/10.1016/j.burns.2012.02.007
PT  - Journal Article
PT  - Multicenter Study
ID  - S0305-4179(12)00049-6 [pii]
ID  - 10.1016/j.burns.2012.02.007 [doi]
PP  - ppublish
PH  - 2011/09/20 [received]
PH  - 2012/01/19 [revised]
PH  - 2012/02/04 [accepted]
LG  - English
EP  - 20120426
DP  - 2012 Nov
EZ  - 2012/05/01 06:00
DA  - 2013/02/28 06:00
DT  - 2012/05/01 06:00
YR  - 2012
ED  - 20130227
RD  - 20120911
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22541844

<290. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23221867
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kodali BS
FA  - Kodali, Bhavani Shankar
TI  - Capnography outside the operating rooms. [Review]
CM  - Comment in: Anesthesiology. 2013 Aug;119(2):489; PMID: 23880994
CM  - Comment in: Anesthesiology. 2013 Aug;119(2):489-90; PMID: 23880995
SO  - Anesthesiology. 118(1):192-201, 2013 Jan
AS  - Anesthesiology. 118(1):192-201, 2013 Jan
NJ  - Anesthesiology
VO  - 118
IP  - 1
PG  - 192-201
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4sg, 1300217
IO  - Anesthesiology
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Anesthesiology/mt [Methods]
MH  - *Capnography/mt [Methods]
MH  - Capnography/st [Standards]
MH  - Capnography/td [Trends]
MH  - Cardiopulmonary Resuscitation/mt [Methods]
MH  - *Critical Care/mt [Methods]
MH  - *Emergency Medical Services/mt [Methods]
MH  - Hospital Departments
MH  - Humans
MH  - Intensive Care Units
MH  - Monitoring, Physiologic/mt [Methods]
MH  - Operating Rooms
MH  - Patient Safety
MH  - Patient Transfer
MH  - *Postoperative Care/mt [Methods]
MH  - Societies, Medical
ES  - 1528-1175
IL  - 0003-3022
DO  - https://dx.doi.org/10.1097/ALN.0b013e318278c8b6
PT  - Editorial
PT  - Research Support, Non-U.S. Gov't
PT  - Review
ID  - 10.1097/ALN.0b013e318278c8b6 [doi]
PP  - ppublish
LG  - English
DP  - 2013 Jan
EZ  - 2012/12/12 06:00
DA  - 2013/02/26 06:00
DT  - 2012/12/11 06:00
YR  - 2013
ED  - 20130225
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23221867

<291. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22195052
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Abraham J
AU  - Nguyen V
AU  - Almoosa KF
AU  - Patel B
AU  - Patel VL
FA  - Abraham, Joanna
FA  - Nguyen, Vickie
FA  - Almoosa, Khalid F
FA  - Patel, Bela
FA  - Patel, Vimla L
IN  - Abraham, Joanna. Center for Cognitive Informatics and Decision Making, School of Biomedical Informatics, UTHealth, Houston, TX, USA.
TI  - Falling through the cracks: information breakdowns in critical care handoff communication.
SO  - AMIA ... Annual Symposium Proceedings/AMIA Symposium. 2011:28-37, 2011
AS  - AMIA Annu Symp Proc. 2011:28-37, 2011
NJ  - AMIA ... Annual Symposium proceedings. AMIA Symposium
VO  - 2011
PG  - 28-37
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101209213
IO  - AMIA Annu Symp Proc
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3243259
SB  - Index Medicus
CP  - United States
MH  - Academic Medical Centers/og [Organization & Administration]
MH  - *Communication
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Medical Errors/pc [Prevention & Control]
MH  - Medical Errors/sn [Statistics & Numerical Data]
MH  - Models, Organizational
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Texas
MH  - Workflow
AB  - Handoffs have been recognized as a major healthcare challenge primarily due to the breakdowns in communication that occur during transitions in care. Consequently, they are characterized as being "remarkably haphazard". To investigate the information breakdowns in group handoff communication, we conducted a study at a large academic hospital in Texas. We used multifaceted qualitative methods such as observations, shadowing of care providers and their work activities, audio-recording of handoffs, and care provider interviews to examine the handoff communication workflow, with particular emphasis on investigating the sources of information breakdowns. Using a mixed inductive-deductive analysis approach, we identified two critical sources for information breakdowns - lack of standardization in handoff communication events and unsuccessful completion of pre-turnover coordination activities. We propose strategic solutions that can effectively help mitigate the handoff communication breakdowns.
ES  - 1942-597X
IL  - 1559-4076
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - PMC3243259 [pmc]
PP  - ppublish
GI  - No: T32 HS017586
Organization: (HS) *AHRQ HHS*
Country: United States

GI  - No: 1 T32 HS017586-02
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
EP  - 20111022
DP  - 2011
EZ  - 2011/12/24 06:00
DA  - 2013/02/26 06:00
DT  - 2011/12/24 06:00
YR  - 2011
ED  - 20130225
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22195052

<292. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20558488
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Deho A
AU  - Lutman D
AU  - Montgomery M
AU  - Petros A
AU  - Ramnarayan P
FA  - Deho, Anna
FA  - Lutman, Daniel
FA  - Montgomery, Mary
FA  - Petros, Andy
FA  - Ramnarayan, Padmanabhan
IN  - Deho, Anna. Children's Acute Transport Service, Great Ormond Street Hospital, London, UK.
TI  - Emergency management of children with acute severe asthma requiring transfer to intensive care.
SO  - Emergency Medicine Journal. 27(11):834-7, 2010 Nov
AS  - Emerg Med J. 27(11):834-7, 2010 Nov
NJ  - Emergency medicine journal : EMJ
VO  - 27
IP  - 11
PG  - 834-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - b0u, 100963089
IO  - Emerg Med J
SB  - Index Medicus
CP  - England
MH  - Acute Disease
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Confounding Factors (Epidemiology)
MH  - Emergency Treatment/ae [Adverse Effects]
MH  - *Emergency Treatment/mt [Methods]
MH  - Female
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Intubation, Intratracheal/ae [Adverse Effects]
MH  - London
MH  - Male
MH  - Multivariate Analysis
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer/st [Standards]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Patient Transfer
MH  - *Respiration, Artificial/ae [Adverse Effects]
MH  - Retrospective Studies
MH  - *Status Asthmaticus/th [Therapy]
AB  - PURPOSE: Children presenting to emergency departments (ED) with acute severe asthma unresponsive to initial medical therapy may require endotracheal intubation and mechanical ventilation. There is little data on complications during the acute management of children with life-threatening asthma, particularly at hospitals where specialist paediatric staff are lacking. It was hypothesised that a better understanding of complications, particularly associated with intubation and mechanical ventilation, would improve acute management in ED, aid quality improvement initiatives at district general hospitals (DGH) and form the basis for educational interventions from regional paediatric critical care units.
AB  - METHODS: A retrospective case note review was performed for all children referred to a regional intensive care retrieval service with status asthmaticus over a 2-year period. Initial treatment, patient-related factors, indication for endotracheal intubation and the type and occurrence of adverse events during acute management at the DGH were studied. Bivariate and multivariate analyses were undertaken to identify factors associated with the occurrence of complications.
AB  - RESULTS: 51 (85%) of the 60 children transferred to a paediatric intensive care unit for acute severe asthma required intubation. 36 (70.5%) experienced one or more complications during intubation and in the early phase of mechanical ventilation. The most common complications were hypotension (requiring fluid resuscitation and/or inotropic support) and severe bronchospasm with acute hypercarbia. The indication for intubation significantly affected the chances of a complication occurring during stabilisation.
AB  - CONCLUSIONS: There is considerable morbidity in asthmatic children who are referred to paediatric intensive care. The majority of complications may be anticipated and prevented resulting in improved management at DGH.
ES  - 1472-0213
IL  - 1472-0205
DO  - https://dx.doi.org/10.1136/emj.2009.082149
PT  - Journal Article
ID  - emj.2009.082149 [pii]
ID  - 10.1136/emj.2009.082149 [doi]
PP  - ppublish
LG  - English
EP  - 20100617
DP  - 2010 Nov
EZ  - 2010/06/19 06:00
DA  - 2013/02/22 06:00
DT  - 2010/06/19 06:00
YR  - 2010
ED  - 20130221
RD  - 20101025
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20558488

<293. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23263317
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kearns R
AU  - Holmes J 4th
AU  - Cairns B
FA  - Kearns, Randy
FA  - Holmes, James 4th
FA  - Cairns, Bruce
IN  - Kearns, Randy. Southern Region, American Burn Association, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599, USA. Randy_kearns@med.unc.edu
TI  - Burn disaster preparedness and the southern region of the United States.
SO  - Southern Medical Journal. 106(1):69-73, 2013 Jan
AS  - South Med J. 106(1):69-73, 2013 Jan
NJ  - Southern medical journal
VO  - 106
IP  - 1
PG  - 69-73
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - uvh, 0404522
IO  - South. Med. J.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Burn Units/og [Organization & Administration]
MH  - Burn Units/sd [Supply & Distribution]
MH  - *Burns
MH  - *Disaster Planning
MH  - Hospital Bed Capacity
MH  - Humans
MH  - Mass Casualty Incidents
MH  - Patient Transfer/og [Organization & Administration]
MH  - Regional Health Planning/og [Organization & Administration]
MH  - Southeastern United States
MH  - Southwestern United States
MH  - *Surge Capacity/og [Organization & Administration]
AB  - Disasters with significant numbers of burn-injured patients create incredible challenges for disaster planners. Although not unique to burn care, high-intensity areas of specialty such as burns, pediatrics, and trauma quickly become scarce resources in a disaster.All disasters are local, but regional support is critical in burn disaster planning. On a day-to-day basis, burn bed capacity can be problematic. A review of the literature and our experiences, including mathematical modeling and real events, reaffirm how rapidly we can overwhelm our resources.This review includes the Southern Burn Plan, created by the burn centers of the American Burn Association's Southern Region, should there be a need for additional hospital burn beds (capacity) and burn care (capability) in response to a disaster. This article also explores planning and preparedness developments and describes options to improve our efforts, including training and education.It is incumbent upon everyone in the healthcare profession to become comfortable managing burn-injured patients until the patients can be moved to a burn center. Understanding the regional capacity, capability, and when a surge of patients may require the practice of altered standards of care is essential for those involved in medical disaster preparedness.
ES  - 1541-8243
IL  - 0038-4348
DO  - https://dx.doi.org/10.1097/SMJ.0b013e31827c4d94
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/SMJ.0b013e31827c4d94 [doi]
ID  - 00007611-201301000-00015 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Jan
EZ  - 2012/12/25 06:00
DA  - 2013/02/21 06:00
DT  - 2012/12/25 06:00
YR  - 2013
ED  - 20130220
RD  - 20121224
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23263317

<294. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23263312
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Iserson KV
FA  - Iserson, Kenneth V
IN  - Iserson, Kenneth V. University of Arizona and the AZ-1 Disaster Medical Assistance Team, Tucson, AZ, USA. kvi@u.arizona.edu
TI  - Vertical hospital evacuations: a new method.
SO  - Southern Medical Journal. 106(1):37-42, 2013 Jan
AS  - South Med J. 106(1):37-42, 2013 Jan
NJ  - Southern medical journal
VO  - 106
IP  - 1
PG  - 37-42
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - uvh, 0404522
IO  - South. Med. J.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Beds
MH  - *Disaster Planning
MH  - Hospitals
MH  - Humans
MH  - Intensive Care Units
MH  - *Moving and Lifting Patients/mt [Methods]
MH  - *Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - United States
AB  - Rarely are hospitals forced to evacuate their nonambulatory patients; however, when a disaster occurs, evacuating nonambulatory patients, particularly from multilevel facilities, represents a major logistical hurdle. Hospital disaster plans often rely on outside agencies and limited equipment to perform vertical evacuations. This article describes a novel method using readily available materials (patient mattresses and bedsheets) to effect a rapid, safe vertical evacuation. This method also can be used in nonhealthcare facilities for less-than-fully ambulatory individuals.
ES  - 1541-8243
IL  - 0038-4348
DO  - https://dx.doi.org/10.1097/SMJ.0b013e31827caef4
PT  - Journal Article
ID  - 10.1097/SMJ.0b013e31827caef4 [doi]
ID  - 00007611-201301000-00010 [pii]
PP  - ppublish
LG  - English
DP  - 2013 Jan
EZ  - 2012/12/25 06:00
DA  - 2013/02/21 06:00
DT  - 2012/12/25 06:00
YR  - 2013
ED  - 20130220
RD  - 20121224
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23263312

<295. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23091180
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ray JG
AU  - Urquia ML
AU  - Berger H
AU  - Vermeulen MJ
FA  - Ray, Joel G
FA  - Urquia, Marcelo L
FA  - Berger, Howard
FA  - Vermeulen, Marian J
IN  - Ray, Joel G. rayj@smh.ca
TI  - Maternal and neonatal separation and mortality associated with concurrent admissions to intensive care units.
SO  - CMAJ Canadian Medical Association Journal. 184(18):E956-62, 2012 Dec 11
AS  - CMAJ. 184(18):E956-62, 2012 Dec 11
NJ  - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
VO  - 184
IP  - 18
PG  - E956-62
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9711805
IO  - CMAJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519169
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - Canada
MH  - Adult
MH  - Asphyxia Neonatorum/ep [Epidemiology]
MH  - Cesarean Section/sn [Statistics & Numerical Data]
MH  - Congenital Abnormalities/ep [Epidemiology]
MH  - Extraction, Obstetrical/sn [Statistics & Numerical Data]
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Infant
MH  - *Infant Mortality
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Infant, Premature, Diseases/ep [Epidemiology]
MH  - *Intensive Care Units
MH  - *Intensive Care Units, Neonatal
MH  - Kidney Diseases/ep [Epidemiology]
MH  - Length of Stay
MH  - *Maternal Mortality
MH  - Obstetrical Forceps
MH  - Ontario/ep [Epidemiology]
MH  - Parity
MH  - *Patient Admission
MH  - Patient Transfer
MH  - Postpartum Hemorrhage/ep [Epidemiology]
MH  - Pre-Eclampsia/ep [Epidemiology]
MH  - Pregnancy
MH  - Premature Birth/ep [Epidemiology]
MH  - Proportional Hazards Models
MH  - Retrospective Studies
MH  - Risk Factors
AB  - BACKGROUND: Concurrent admission of a mother and her newborn to separate intensive care units (herein referred to as co-ICU admission), possibly in different centres, can magnify family discord and stress. We examined the prevalence and predictors of mother-infant separation and mortality associated with co-ICU admissions.
AB  - METHODS: We completed a population-based study of all 1 023 978 singleton live births in Ontario between Apr. 1, 2002, and Mar. 31, 2010. We included data for maternal-infant pairs that had co-ICU admission (n = 1216), maternal ICU admission only (n = 897), neonatal ICU (NICU) admission only (n = 123 236) or no ICU admission (n = 898 629). The primary outcome measure was mother-infant separation because of interfacility transfer.
AB  - RESULTS: The prevalence of co-ICU admissions was 1.2 per 1000 live births and was higher than maternal ICU admissions (0.9 per 1000). Maternal-newborn separation due to interfacility transfer was 30.8 (95% confidence interval [CI] 26.9-35.3) times more common in the co-ICU group than in the no-ICU group and exceeded the prevalence in the maternal ICU group and NICU group. Short-term infant mortality (< 28 days after birth) was higher in the co-ICU group (18.1 per 1000 live births; maternal age-adjusted hazard ratio [HR] 27.8, 95% CI 18.2-42.6) than in the NICU group (7.6 per 1000; age-adjusted HR 11.5, 95% CI 10.4-12.7), relative to 0.7 per 1000 in the no-ICU group. Short-term maternal mortality (< 42 days after delivery) was also higher in the co-ICU group (15.6 per 1000; age-adjusted HR 328.7, 95% CI 191.2-565.2) than in the maternal ICU group (6.7 per 1000; age-adjusted HR 140.0, 95% CI 59.5-329.2) or the NICU group (0.2 per 1000; age-adjusted HR 4.6, 95% CI 2.8-7.4).
AB  - INTERPRETATION: Mother-infant pairs in the co-ICU group had the highest prevalence of separation due to interfacility transfer and the highest mortality compared with those in the maternal ICU and NICU groups.
ES  - 1488-2329
IL  - 0820-3946
DO  - https://dx.doi.org/10.1503/cmaj.121283
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - cmaj.121283 [pii]
ID  - 10.1503/cmaj.121283 [doi]
ID  - PMC3519169 [pmc]
PP  - ppublish
LG  - English
EP  - 20121022
DP  - 2012 Dec 11
EZ  - 2012/10/24 06:00
DA  - 2013/02/13 06:00
DT  - 2012/10/24 06:00
YR  - 2012
ED  - 20130212
RD  - 20150222
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23091180

<296. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23147974
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wolff M
AU  - Schinasi DA
AU  - Lavelle J
AU  - Boorstein N
AU  - Zorc JJ
FA  - Wolff, Margaret
FA  - Schinasi, Dana Aronson
FA  - Lavelle, Jane
FA  - Boorstein, Naomi
FA  - Zorc, Joseph John
IN  - Wolff, Margaret. Department of Emergency Medicine, University of Michigan, Ann Arbor, MI 48109, USA. wolffm@med.umich.edu
TI  - Management of neonates with hyperbilirubinemia: improving timeliness of care using a clinical pathway.
SO  - Pediatrics. 130(6):e1688-94, 2012 Dec
AS  - Pediatrics. 130(6):e1688-94, 2012 Dec
NJ  - Pediatrics
VO  - 130
IP  - 6
PG  - e1688-94
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Bilirubin/bl [Blood]
MH  - *Critical Pathways
MH  - Early Medical Intervention
MH  - Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Jaundice, Neonatal/bl [Blood]
MH  - *Jaundice, Neonatal/nu [Nursing]
MH  - Kernicterus/bl [Blood]
MH  - Kernicterus/nu [Nursing]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Nursing Assessment
MH  - Patient Transfer
MH  - *Phototherapy
MH  - *Time and Motion Studies
MH  - Triage
AB  - BACKGROUND: Neonatal hyperbilirubinemia is a common reason for neonates to present to the emergency department (ED). Although clinical practice guidelines provide recommendations for evaluation and therapy, few studies have evaluated ways to apply them effectively in the ED setting. The primary objective of this study was to compare time to phototherapy in neonates presenting to the ED with jaundice before and after implementation of a nursing-initiated clinical pathway. Secondary outcomes included time to bilirubin result and ED length of stay in neonates.
AB  - METHODS: We performed a retrospective historical control study comparing neonates presenting to the ED with jaundice during 9-month periods before and after initiation of the pathway. Charts were abstracted for times of assessment and treatment and final disposition.
AB  - RESULTS: Three hundred neonates were included in this study: 149 before and 151 after pathway implementation. Median time to phototherapy (historical control: 128 minutes vs postintervention group: 52 minutes; P < .001), median time to bilirubin result (157 vs 99; P < .001), and median ED length of stay (268 minutes vs 195 minutes; P < .001) were shorter for neonates treated after the implementation of the clinical pathway. No complications were reported during the study period.
AB  - CONCLUSIONS: After implementation of a clinical pathway for the management of neonates with jaundice in the ED, we observed a reduction in time to phototherapy, time to bilirubin measurement, and overall length of stay.
RN  - RFM9X3LJ49 (Bilirubin)
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2012-1156
PT  - Comparative Study
PT  - Journal Article
ID  - peds.2012-1156 [pii]
ID  - 10.1542/peds.2012-1156 [doi]
PP  - ppublish
LG  - English
EP  - 20121112
DP  - 2012 Dec
EZ  - 2012/11/14 06:00
DA  - 2013/02/05 06:00
DT  - 2012/11/14 06:00
YR  - 2012
ED  - 20130204
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23147974

<297. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22849980
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mondrup F
AU  - Skjelsager K
AU  - Madsen KR
FA  - Mondrup, Frederik
FA  - Skjelsager, Karen
FA  - Madsen, Kristian Rorbaek
IN  - Mondrup, Frederik. Anaestesiologisk Afdeling, Naestved Sygehus, 4700 Naestved, Denmark. frederik.mondrup@gmail.com
TI  - Inadequate follow-up after tracheostomy and intensive care.
SO  - Danish Medical Journal. 59(8):A4481, 2012 Aug
AS  - Dan Med J. 59(8):A4481, 2012 Aug
NJ  - Danish medical journal
VO  - 59
IP  - 8
PG  - A4481
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101576205
IO  - Dan Med J
SB  - Index Medicus
CP  - Denmark
MH  - Clinical Competence
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - *Continuity of Patient Care/st [Standards]
MH  - Cross-Sectional Studies
MH  - Denmark
MH  - *Device Removal/st [Standards]
MH  - Hospitalization
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - Patient Care Planning/st [Standards]
MH  - Patient Safety
MH  - Patient Transfer
MH  - Practice Guidelines as Topic
MH  - *Process Assessment (Health Care)
MH  - Surveys and Questionnaires
MH  - Tracheostomy/ae [Adverse Effects]
MH  - Tracheostomy/ed [Education]
MH  - *Tracheostomy/st [Standards]
AB  - INTRODUCTION: When patients are transferred from intensive care units (ICUs) to general wards with a tracheostomy in situ, there is a risk of suboptimal care and increased morbidity. The aim of this study was to elucidate the management of patients with a tracheostomy in situ at discharge from the ICU to the ward.
AB  - MATERIAL AND METHODS: We performed an electronic questionnaire survey among heads of unit at registered Danish ICUs.
AB  - RESULTS: A total of 34 out of 43 ICUs responded. 56% of the ICUs do not document individual plans for decannulation in the patient's chart. 91% of the ICUs do not perform daily follow-up of tracheotomised patients on the ward. No guidelines for decannulation on the ward were found, and only 6% have a guideline for accidental decannulation. Furthermore, as little as 47% of the ICUs report any formalized education or training of staff nurses in the management of tracheotomised patients.
AB  - CONCLUSION: Guidelines relevant to patients discharged from Danish ICUs with a tracheal cannula in situ are scarce; few ICUs employ individualized plans for tracheostomy management and decannulation; there is largely no daily intensivist-led post-ICU follow-up, and formal staff education in tracheostomy management on the ward is scarce. Altogether these factors create a potential for adverse events and increased morbidity in this high-risk, high-cost patient population. Possibly individualized plans for tracheotomised patients as well as intensivist-led follow-up on the ward can improve patient outcome and safety and this should be confirmed in a future study.
AB  - FUNDING: not relevant.
AB  - TRIAL REGISTRATION: not relevant.
ES  - 2245-1919
IL  - 2245-1919
PT  - Journal Article
ID  - A4481 [pii]
PP  - ppublish
LG  - English
DP  - 2012 Aug
EZ  - 2012/08/02 06:00
DA  - 2013/02/05 06:00
DT  - 2012/08/02 06:00
YR  - 2012
ED  - 20130204
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22849980

<298. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23214022
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Syrkin AL
AU  - Sazonova IuS
FA  - Syrkin, A L
FA  - Sazonova, Iu S
TI  - [Pages of the past: hospitalization and regime for patients with myocardial infarction]. [Russian]
SO  - Klinicheskaia Meditsina. 90(9):79-80, 2012
AS  - Klin Med (Mosk). 90(9):79-80, 2012
NJ  - Klinicheskaia meditsina
VO  - 90
IP  - 9
PG  - 79-80
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - kw2, 2985204r
IO  - Klin Med (Mosk)
SB  - Index Medicus
CP  - Russia (Federation)
MH  - Coronary Care Units/hi [History]
MH  - Coronary Care Units/mt [Methods]
MH  - *Coronary Care Units
MH  - Disease Management
MH  - Emergency Medical Services/hi [History]
MH  - History, 20th Century
MH  - Hospitalization/td [Trends]
MH  - Humans
MH  - Myocardial Infarction/hi [History]
MH  - Myocardial Infarction/th [Therapy]
MH  - *Myocardial Infarction
MH  - Transportation of Patients/hi [History]
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients
IS  - 0023-2149
IL  - 0023-2149
PT  - Historical Article
PT  - Journal Article
PP  - ppublish
LG  - Russian
DP  - 2012
EZ  - 2012/12/12 06:00
DA  - 2013/01/17 06:00
DT  - 2012/12/11 06:00
YR  - 2012
ED  - 20130116
RD  - 20121207
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23214022

<299. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23153874
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rossi PJ
AU  - Edmiston CE Jr
FA  - Rossi, Peter J
FA  - Edmiston, Charles E Jr
IN  - Rossi, Peter J. Division of Vascular Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA. prossi@mcw.edu
TI  - Patient safety in the critical care environment. [Review]
SO  - Surgical Clinics of North America. 92(6):1369-86, 2012 Dec
AS  - Surg Clin North Am. 92(6):1369-86, 2012 Dec
NJ  - The Surgical clinics of North America
VO  - 92
IP  - 6
PG  - 1369-86
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - van, 0074243
IO  - Surg. Clin. North Am.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Communicable Disease Control
MH  - Critical Care/st [Standards]
MH  - *Critical Care
MH  - Cross Infection/ec [Economics]
MH  - Cross Infection/et [Etiology]
MH  - *Cross Infection/pc [Prevention & Control]
MH  - Diagnostic Imaging
MH  - Equipment Safety
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - *Medical Errors
MH  - *Patient Safety
MH  - Personnel Staffing and Scheduling
MH  - *Risk Management
MH  - Transportation of Patients
MH  - United States
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.

Copyright © 2012. Published by Elsevier Inc.
ES  - 1558-3171
IL  - 0039-6109
DI  - S0039-6109(12)00157-0
DO  - https://dx.doi.org/10.1016/j.suc.2012.08.007
PT  - Journal Article
PT  - Review
ID  - S0039-6109(12)00157-0 [pii]
ID  - 10.1016/j.suc.2012.08.007 [doi]
PP  - ppublish
LG  - English
EP  - 20121006
DP  - 2012 Dec
EZ  - 2012/11/17 06:00
DA  - 2013/01/15 06:00
DT  - 2012/11/17 06:00
YR  - 2012
ED  - 20130114
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23153874

<300. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23089103
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - American College of Emergency Physicians
FA  - American College of Emergency Physicians
TI  - Interfacility transportation of the critical care patient and its medical direction. Policy statement.
SO  - Annals of Emergency Medicine. 60(5):677, 2012 Nov
AS  - Ann Emerg Med. 60(5):677, 2012 Nov
NJ  - Annals of emergency medicine
VO  - 60
IP  - 5
PG  - 677
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8002646
IO  - Ann Emerg Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Critical Care/ma [Manpower]
MH  - *Critical Care/st [Standards]
MH  - Emergency Medicine/ma [Manpower]
MH  - Emergency Medicine/st [Standards]
MH  - Humans
MH  - *Physicians
MH  - Transportation of Patients/ma [Manpower]
MH  - *Transportation of Patients/st [Standards]
ES  - 1097-6760
IL  - 0196-0644
DI  - S0196-0644(12)01422-9
DO  - https://dx.doi.org/10.1016/j.annemergmed.2012.08.023
PT  - Journal Article
ID  - S0196-0644(12)01422-9 [pii]
ID  - 10.1016/j.annemergmed.2012.08.023 [doi]
PP  - ppublish
PH  - 2012/08/21 [received]
PH  - 2012/08/21 [revised]
PH  - 2012/08/21 [accepted]
LG  - English
DP  - 2012 Nov
EZ  - 2012/10/24 06:00
DA  - 2013/01/05 06:00
DT  - 2012/10/24 06:00
YR  - 2012
ED  - 20130104
RD  - 20121023
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23089103

<301. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 23281545
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Powell T
AU  - Hanfling D
AU  - Gostin LO
FA  - Powell, Tia
FA  - Hanfling, Dan
FA  - Gostin, Lawrence O
IN  - Powell, Tia. Montefiore Einstein Center for Bioethics, Albert Einstein College of Medicine, Bronx, New York, USA.
TI  - Emergency preparedness and public health: the lessons of Hurricane Sandy.
CM  - Comment in: JAMA. 2013 Apr 17;309(15):1585-6; PMID: 23592100
CM  - Comment in: JAMA. 2013 Apr 17;309(15):1586; PMID: 23592101
SO  - JAMA. 308(24):2569-70, 2012 Dec 26
AS  - JAMA. 308(24):2569-70, 2012 Dec 26
NJ  - JAMA
VO  - 308
IP  - 24
PG  - 2569-70
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 7501160
IO  - JAMA
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Civil Defense/st [Standards]
MH  - Civil Defense/td [Trends]
MH  - *Cyclonic Storms
MH  - Decision Making
MH  - *Disaster Planning/st [Standards]
MH  - Electric Power Supplies
MH  - *Guidelines as Topic
MH  - *Health Facilities
MH  - Hospitals/st [Standards]
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal
MH  - New York City
MH  - *Patient Transfer
MH  - Public Health
MH  - Risk
ES  - 1538-3598
IL  - 0098-7484
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2012 Dec 26
EZ  - 2013/01/03 06:00
DA  - 2013/01/03 06:01
DT  - 2013/01/03 06:00
YR  - 2012
ED  - 20130102
RD  - 20161017
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23281545

<302. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22824085
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brooke J
AU  - Hasan N
AU  - Slark J
AU  - Sharma P
FA  - Brooke, Joanne
FA  - Hasan, Nazeeha
FA  - Slark, Julia
FA  - Sharma, Pankaj
IN  - Brooke, Joanne. University of Greenwich, G308, Southwood Site, Avery Hill Road, Eltham, London, UK. j.m.brooke@greenwich.ac.uk
TI  - Efficacy of information interventions in reducing transfer anxiety from a critical care setting to a general ward: a systematic review and meta-analysis. [Review]
SO  - Journal of Critical Care. 27(4):425.e9-15, 2012 Aug
AS  - J Crit Care. 27(4):425.e9-15, 2012 Aug
NJ  - Journal of critical care
VO  - 27
IP  - 4
PG  - 425.e9-15
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - buy, 8610642
IO  - J Crit Care
SB  - Index Medicus
CP  - United States
MH  - *Anxiety/pc [Prevention & Control]
MH  - *Critical Care/og [Organization & Administration]
MH  - *Health Education/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Randomized Controlled Trials as Topic
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.

Copyright © 2012 Elsevier Inc. All rights reserved.
ES  - 1557-8615
IL  - 0883-9441
DO  - https://dx.doi.org/10.1016/j.jcrc.2012.01.009
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
ID  - S0883-9441(12)00022-6 [pii]
ID  - 10.1016/j.jcrc.2012.01.009 [doi]
PP  - ppublish
PH  - 2011/10/28 [received]
PH  - 2012/01/16 [revised]
PH  - 2012/01/22 [accepted]
LG  - English
DP  - 2012 Aug
EZ  - 2012/07/25 06:00
DA  - 2012/12/19 06:00
DT  - 2012/07/25 06:00
YR  - 2012
ED  - 20121218
RD  - 20120724
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22824085

<303. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22859323
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Goldsmit G
AU  - Rabasa C
AU  - Rodriguez S
AU  - Aguirre Y
AU  - Valdes M
AU  - Pretz D
AU  - Carmona D
AU  - Lopez Tornow S
AU  - Farina D
FA  - Goldsmit, Gustavo
FA  - Rabasa, Cecilia
FA  - Rodriguez, Susana
FA  - Aguirre, Yanina
FA  - Valdes, Martin
FA  - Pretz, Damian
FA  - Carmona, Daniela
FA  - Lopez Tornow, Susana
FA  - Farina, Diana
IN  - Goldsmit, Gustavo. Neonatal Intensive Care Unit, Hospital de Pediatria SAMIC Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina. gusgold@ciudad.com.ar
TI  - Risk factors associated to clinical deterioration during the transport of sick newborn infants.
SO  - Archivos Argentinos de Pediatria. 110(4):304-9, 2012 Aug
AS  - Arch Argent Pediatr. 110(4):304-9, 2012 Aug
NJ  - Archivos argentinos de pediatria
VO  - 110
IP  - 4
PG  - 304-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 6q4, 0372460
IO  - Arch Argent Pediatr
SB  - Index Medicus
CP  - Argentina
MH  - Argentina
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - *Infant, Newborn
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - *Patient Transfer
MH  - Referral and Consultation
MH  - Risk Factors
AB  - Adequate neonatal transport is a key component in the care of newborn infants that require transfer. Objective. To determine the characteristics and risk of clinical deterioration during neonatal transport. Material and Methods. This was an observational and prospective study that consecutively included newborn infants transferred to the Neonatal Intensive Care Unit (NICU) of the Hospital Garrahan. The TRIPS (Transport Risk Index of Physiology Stability) risk score was measured pre- and post-transport. A diagnosis of clinical deterioration was made when the post-transport TRIPS score was higher than the pre-transport score. Newborns characteristics, transport distance, newborns status upon admission, need for immediate cardiorespiratory support (ICRS), and death before the 7th day and at discharge were recorded. Bivariate and multivariate analyses were used to assess the associations with clinical deterioration . Results. A total of 160 transferred newborn infants were enrolled, gestational age (GA) was 35 +/- 3 weeks; birth weight (BW) 2482 +/- 904 g and median age 2 days. Most were referred due to cardiorespiratory (50%) or surgical (34%) illnesses. Of them, 91 (57%) had clinical deterioration and 46% hypothermia. Forty nine neonates required ICRS and 28 died (twelve before 7 days after admittance). Variables assessed were not associated with the risk of clinical deterioration. Mortality was higher in the group with clinical deterioration (OR: 3.34; 95% CI: 1.2-8.7), even when severity of the clinical picture was considered (OR A: 3; 95% CI: 1.2-8.3). Clinical deterioration during transport was associated with the need for ICRS (OR: 2.4; 95% CI: 1.2-5). Conclusions. In our experience transferred newborn infants often suffered loss of stability or clinical deterioration, regardless of their characteristics, and this was related to a higher mortality. Therefore, it is critical to optimize care strategies during all neonatal transports.
ES  - 1668-3501
IL  - 0325-0075
DI  - S0325-00752012000400006
DO  - https://dx.doi.org/10.1590/S0325-00752012000400006
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0325-00752012000400006 [pii]
ID  - 10.5546/aap.2012.304 [doi]
PP  - ppublish
PH  - 2012/01/25 [received]
PH  - 2012/03/23 [accepted]
LG  - English
LG  - Spanish
DP  - 2012 Aug
EZ  - 2012/08/04 06:00
DA  - 2012/12/13 06:00
DT  - 2012/08/04 06:00
YR  - 2012
ED  - 20121212
RD  - 20120803
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22859323

<304. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22406252
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tellett L
AU  - Pyle L
AU  - Coombs M
FA  - Tellett, Lynda
FA  - Pyle, Lynne
FA  - Coombs, Maureen
IN  - Tellett, Lynda. E Level Cardiac Unit, Southampton General Hospital, Southampton SO16 6YD, United Kingdom. Lynda.Tellett@suht.swest.nhs.uk
TI  - End of life in intensive care: is transfer home an alternative?.
SO  - Intensive & Critical Care Nursing. 28(4):234-41, 2012 Aug
AS  - Intensive Crit Care Nurs. 28(4):234-41, 2012 Aug
NJ  - Intensive & critical care nursing
VO  - 28
IP  - 4
PG  - 234-41
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Heart Defects, Congenital
MH  - *Home Care Services
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - Patient Care Planning
MH  - *Patient Preference
MH  - *Patient Transfer
MH  - Professional-Family Relations
MH  - *Terminal Care
MH  - United Kingdom
AB  - The past decade has witnessed an increased focus on improving the quality of end of life care internationally. This has resulted in the development of specific health policy work streams to support patient choice and improve standards of care and patient experience. One concept well explored in areas outside of critical care is that of home care at the end of life. This paper seeks to challenge assumptions and practices about the options for transferring the critically ill patient home at end of life. As a piece of collaborative writing from a bereaved family member and critical care nursing team, this paper explores care given to one gentleman at the end of his life. In this, his journey is detailed, the decisions made are outlined and the experience for him and his family are examined with a retrospective narrative account from his wife that is woven throughout the paper. In this paper, we are not asserting that transfer home at end of life is desirable or feasible for all critically ill patients. We are challenging practitioners to consider when and how the initiative of transferring critically ill patients home at end of life, may occur.

Copyright © 2012 Elsevier Ltd. All rights reserved.
ES  - 1532-4036
IL  - 0964-3397
DO  - https://dx.doi.org/10.1016/j.iccn.2012.01.006
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0964-3397(12)00007-9 [pii]
ID  - 10.1016/j.iccn.2012.01.006 [doi]
PP  - ppublish
PH  - 2011/10/06 [received]
PH  - 2012/01/10 [revised]
PH  - 2012/01/20 [accepted]
LG  - English
EP  - 20120307
DP  - 2012 Aug
EZ  - 2012/03/13 06:00
DA  - 2012/12/12 06:00
DT  - 2012/03/13 06:00
YR  - 2012
ED  - 20121207
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22406252

<305. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22386583
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Haggstrom M
AU  - Asplund K
AU  - Kristiansen L
FA  - Haggstrom, Marie
FA  - Asplund, Kenneth
FA  - Kristiansen, Lisbeth
IN  - Haggstrom, Marie. Department of Health Sciences, Mid Sweden University, SE-85170 Sundsvall, Sweden. marie.haggstrom@miun.se
TI  - How can nurses facilitate patient's transitions from intensive care?: a grounded theory of nursing.
SO  - Intensive & Critical Care Nursing. 28(4):224-33, 2012 Aug
AS  - Intensive Crit Care Nurs. 28(4):224-33, 2012 Aug
NJ  - Intensive & critical care nursing
VO  - 28
IP  - 4
PG  - 224-33
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Aftercare
MH  - *Continuity of Patient Care
MH  - Humans
MH  - Intensive Care Units
MH  - Narration
MH  - *Nurse's Role
MH  - Nurse-Patient Relations
MH  - Observation
MH  - *Patient Care Planning
MH  - *Patient Discharge
MH  - *Patient Transfer
MH  - *Patient-Centered Care
MH  - Social Support
MH  - Sweden
AB  - 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.
AB  - METHODS: Group interviews, individual interviews and participant observations were conducted with nurses in two hospitals in Sweden and were analysed using grounded theory.
AB  - 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.
AB  - 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.

Copyright © 2012 Elsevier Ltd. All rights reserved.
ES  - 1532-4036
IL  - 0964-3397
DO  - https://dx.doi.org/10.1016/j.iccn.2012.01.002
PT  - Journal Article
PT  - Multicenter Study
ID  - S0964-3397(12)00003-1 [pii]
ID  - 10.1016/j.iccn.2012.01.002 [doi]
PP  - ppublish
PH  - 2011/05/18 [received]
PH  - 2011/12/06 [revised]
PH  - 2012/01/03 [accepted]
LG  - English
EP  - 20120303
DP  - 2012 Aug
EZ  - 2012/03/06 06:00
DA  - 2012/12/12 06:00
DT  - 2012/03/06 06:00
YR  - 2012
ED  - 20121207
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22386583

<306. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22617124
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Guzoglu N
AU  - Kanmaz HG
AU  - Dilli D
AU  - Uras N
AU  - Erdeve O
AU  - Dilmen U
FA  - Guzoglu, Nilufer
FA  - Kanmaz, H Gozde
FA  - Dilli, Dilek
FA  - Uras, Nurdan
FA  - Erdeve, Omer
FA  - Dilmen, Ugur
IN  - Guzoglu, Nilufer. 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
TI  - 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.
SO  - Human Reproduction. 27(8):2384-8, 2012 Aug
AS  - Hum Reprod. 27(8):2384-8, 2012 Aug
NJ  - Human reproduction (Oxford, England)
VO  - 27
IP  - 8
PG  - 2384-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - hrp, 8701199
IO  - Hum. Reprod.
SB  - Index Medicus
CP  - England
MH  - Adult
MH  - Anemia/pc [Prevention & Control]
MH  - Birth Rate
MH  - Birth Weight
MH  - Enterocolitis, Necrotizing/pc [Prevention & Control]
MH  - Female
MH  - Gestational Age
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Multiple Birth Offspring
MH  - Pneumonia/pc [Prevention & Control]
MH  - *Reproductive Techniques, Assisted/lj [Legislation & Jurisprudence]
MH  - Respiration, Artificial/ut [Utilization]
MH  - Respiratory Distress Syndrome, Newborn/pc [Prevention & Control]
MH  - Sepsis/pc [Prevention & Control]
MH  - *Single Embryo Transfer/mt [Methods]
MH  - Turkey
AB  - OBJECTIVES AND AIM: IVF has become an efficient and widely used treatment for infertile couples, however, it is responsible for an increasing number of multifetal pregnancies and adverse neonatal outcomes. This study aimed to assess a health service utilization in one neonatal intensive care unit (NICU), as a response to the 2010 Turkish reproductive regulation requiring single embryo transfer (SET).
AB  - METHODS: All assisted reproductive technology (ART) pregnancies delivered at Zekai Tahir Burak Maternity Teaching Hospital between February 2010 and October 2011 were included in this study. Subjects were divided into two groups: Group 1 consisted of infants conceived before the ART regulation, and born between February 2010 and October 2010, and Group 2 consisted of infants conceived after the ART regulation, and born between November 2010 and October 2011.
AB  - RESULTS: Upon comparing the study groups, we observed a significant decrease in the incidence of multiple births in Group 2. The mean gestational age and mean birthweight were significantly higher in Group 2. The rates of prematurity and low birthweight, very low birthweight and extremely low birthweight infants were significantly lower in Group 2. Similarly, the rates of NICU admission, respiratory distress syndrome, necrotizing enterocolitis anemia and pneumonia/sepsis, and the need for respiratory support (mechanical ventilation and nasal continuous positive airway pressure) were significantly lower in Group 2.
AB  - CONCLUSIONS: According to our data, NICU utilization was reduced and the early post-natal outcomes of the babies were improved after the new Turkish regulation on ART imposing SET. However, multicenter studies are needed to generalize our results to the whole country.
ES  - 1460-2350
IL  - 0268-1161
DO  - https://dx.doi.org/10.1093/humrep/des171
PT  - Journal Article
ID  - des171 [pii]
ID  - 10.1093/humrep/des171 [doi]
PP  - ppublish
LG  - English
EP  - 20120522
DP  - 2012 Aug
EZ  - 2012/05/24 06:00
DA  - 2012/12/10 06:00
DT  - 2012/05/24 06:00
YR  - 2012
ED  - 20121206
RD  - 20141113
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22617124

<307. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22677097
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bergs J
AU  - Gillet JB
FA  - Bergs, Jochen
FA  - Gillet, Jean-Bernard
TI  - Comment on "Under-triage as a significant factor affecting transfer time between the emergency department and the intensive care unit".
CM  - Comment on: J Emerg Nurs. 2011 Sep;37(5):491-6; PMID: 21549418
SO  - Journal of Emergency Nursing. 38(4):320-1; author reply 321, 2012 Jul
AS  - J Emerg Nurs. 38(4):320-1; author reply 321, 2012 Jul
NJ  - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association
VO  - 38
IP  - 4
PG  - 320-1; author reply 321
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 7605913
IO  - J Emerg Nurs
SB  - Nursing Journal
CP  - United States
MH  - *Emergency Service, Hospital/ut [Utilization]
MH  - Female
MH  - Humans
MH  - *Intensive Care Units/ut [Utilization]
MH  - Male
MH  - *Patient Transfer/td [Trends]
MH  - *Sepsis/th [Therapy]
MH  - *Triage
ES  - 1527-2966
IL  - 0099-1767
DO  - https://dx.doi.org/10.1016/j.jen.2011.09.022
PT  - Comment
PT  - Letter
ID  - S0099-1767(11)00491-0 [pii]
ID  - 10.1016/j.jen.2011.09.022 [doi]
PP  - ppublish
PH  - 2011/09/22 [received]
PH  - 2011/09/25 [accepted]
LG  - English
EP  - 20120605
DP  - 2012 Jul
EZ  - 2012/06/09 06:00
DA  - 2012/12/10 06:00
DT  - 2012/06/09 06:00
YR  - 2012
ED  - 20121130
RD  - 20120709
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22677097

<308. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21161906
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sadler BL
AU  - DuBose J
AU  - Zimring C
FA  - Sadler, Blair L
FA  - DuBose, Jennifer
FA  - Zimring, Craig
IN  - Sadler, Blair L. Rady Children's Hospital, San Diego, LaJolla, CA 92037, USA. bsadler@chsd.org
TI  - The business case for building better hospitals through evidence-based design.
SO  - HERD: Health Environments Research & Design Journal. 1(3):22-39, 2008
AS  - HERD. 1(3):22-39, 2008
NJ  - HERD
VO  - 1
IP  - 3
PG  - 22-39
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101537529
IO  - HERD
SB  - Index Medicus
CP  - United States
MH  - Commerce
MH  - Cost Control
MH  - *Evidence-Based Practice
MH  - *Financial Management, Hospital
MH  - Health Facility Environment
MH  - *Hospital Design and Construction/ec [Economics]
MH  - Humans
MH  - Leadership
MH  - Medical Errors/ec [Economics]
MH  - Medical Errors/pc [Prevention & Control]
MH  - Organizational Case Studies
MH  - *Patient Safety
MH  - Patient Satisfaction
MH  - *Quality Improvement
MH  - Reimbursement, Incentive
MH  - United States
AB  - PURPOSE: After establishing the connection between building well-designed evidence-based facilities and improved safety and quality for patients, families, and staff, this article presents the compelling business case for doing so. It demonstrates why ongoing operating savings and initial capital costs must be analyzed and describes specific steps to ensure that design innovations are implemented effectively.
AB  - BACKGROUND: Hospital leaders and boards are now beginning to face a new reality: They can no longer tolerate preventable hospital-acquired conditions such as infections, falls, and injuries to staff or unnecessary intra-hospital patient transfers that can increase errors. Nor can they subject patients and families to noisy, confusing environments that increase anxiety and stress. They must effectively deploy all reasonable quality improvement techniques available. To be optimally effective, a variety of tactics must be combined and implemented in an integrated way. Hospital leadership must understand the clear connection between building well-designed healing environments and improved healthcare safety and quality for patients, families, and staff, as well as the compelling business case for doing so. Emerging pay-for-performance (P4P) methodologies that reward hospitals for quality and refuse to pay hospitals for the harm they cause (e.g., infections and falls) further strengthen this business case.
AB  - RECOMMENDATIONS: When planning to build a new hospital or to renovate an existing facility, healthcare leaders should address a key question: Will the proposed project incorporate all relevant and proven evidence-based design innovations to optimize patient safety, quality, and satisfaction as well as workforce safety, satisfaction, productivity, and energy efficiency? When conducting a business case analysis for a new project, hospital leaders should consider ongoing operating savings and the market share impact of evidence-based design interventions as well as initial capital costs. They should consider taking the 10 steps recommended to ensure an optimal, cost-effective hospital environment. A return-on-investment (ROI) framework is put forward for the use of individual organizations.
IS  - 1937-5867
IL  - 1937-5867
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2008
EZ  - 2008/04/01 00:00
DA  - 2012/10/12 06:00
DT  - 2010/12/17 06:00
YR  - 2008
ED  - 20121010
RD  - 20101216
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21161906

<309. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22691690
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Demaret P
AU  - Pettersen G
AU  - Hubert P
AU  - Teira P
AU  - Emeriaud G
FA  - Demaret, Pierre
FA  - Pettersen, Geraldine
FA  - Hubert, Philippe
FA  - Teira, Pierre
FA  - Emeriaud, Guillaume
IN  - Demaret, Pierre. Division of pediatric critical care medicine, Department of Pediatrics, Sainte-Justine Hospital, Chemin de la Cote-Sainte-Catherine, Montreal, H2J3V6, Canada. demaret.pierre@gmail.com.
TI  - The critically-ill pediatric hemato-oncology patient: epidemiology, management, and strategy of transfer to the pediatric intensive care unit.
SO  - Annals of Intensive Care. 2(1):14, 2012 Jun 12
AS  - Ann Intensive Care. 2(1):14, 2012 Jun 12
NJ  - Annals of intensive care
VO  - 2
IP  - 1
PG  - 14
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 101562873
IO  - Ann Intensive Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3423066
CP  - Germany
AB  - Cancer is a leading cause of death in children. In the past decades, there has been a marked increase in overall survival of children with cancer. However, children whose treatment includes hematopoietic stem cell transplantation still represent a subpopulation with a higher risk of mortality. These improvements in mortality are accompanied by an increase in complications, such as respiratory and cardiovascular insufficiencies as well as neurological problems that may require an admission to the pediatric intensive care unit where most supportive therapies can be provided. It has been shown that ventilatory and cardiovascular support along with renal replacement therapy can benefit pediatric hemato-oncology patients if promptly established. Even if admissions of these patients are not considered futile anymore, they still raise sensitive questions, including ethical issues. To support the discussion and potentially facilitate the decision-making process, we propose an algorithm that takes into account the reason for admission (surgical versus medical) and the hemato-oncological prognosis. The algorithm then leads to different types of admission: full-support admission, "pediatric intensive care unit trial" admission, intensive care with adapted level of support, and palliative intensive care. Throughout the process, maintaining a dialogue between the treating physicians, the paramedical staff, the child, and his parents is of paramount importance to optimize the care of these children with complex disease and evolving medical status.
ES  - 2110-5820
IL  - 2110-5820
DO  - https://dx.doi.org/10.1186/2110-5820-2-14
PT  - Journal Article
ID  - 2110-5820-2-14 [pii]
ID  - 10.1186/2110-5820-2-14 [doi]
ID  - PMC3423066 [pmc]
PP  - epublish
PH  - 2012/01/16 [received]
PH  - 2012/06/12 [accepted]
LG  - English
EP  - 20120612
DP  - 2012 Jun 12
EZ  - 2012/06/14 06:00
DA  - 2012/06/14 06:01
DT  - 2012/06/14 06:00
YR  - 2012
ED  - 20121002
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22691690

<310. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22304940
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Quenot JP
AU  - Milesi C
AU  - Cravoisy A
AU  - Capellier G
AU  - Mimoz O
AU  - Fourcade O
AU  - Gueugniaud PY
FA  - Quenot, Jean-Pierre
FA  - Milesi, Christophe
FA  - Cravoisy, Aurely
FA  - Capellier, Gilles
FA  - Mimoz, Olivier
FA  - Fourcade, Olivier
FA  - Gueugniaud, Pierre-Yves
IN  - Quenot, Jean-Pierre. Service de Reanimation Medicale, CHU Bocage Central Gabriel, 14 rue Paul Gaffarel, 21 079 Dijon, France. jean-pierre.quenot@chu-dijon.fr.
TI  - Intrahospital transport of critically ill patients (excluding newborns) recommendations of the Societe de Reanimation de Langue Francaise (SRLF), the Societe Francaise d'Anesthesie et de Reanimation (SFAR), and the Societe Francaise de Medecine d'Urgence (SFMU).
SO  - Annals of Intensive Care. 2(1):1, 2012 Feb 03
AS  - Ann Intensive Care. 2(1):1, 2012 Feb 03
NJ  - Annals of intensive care
VO  - 2
IP  - 1
PG  - 1
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 101562873
IO  - Ann Intensive Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395853
CP  - Germany
AB  - Critically ill adult patients often require multiple examinations in the hospital and need transport from one department to another, or even between hospitals. However, to date, no guidelines exist regarding optimum practices for transport of these fragile patients. We present recommendations for intrahospital transport of critically ill patients, excluding newborns, developed by an expert group of the French-Language Society of Intensive Care (Societe de Reanimation de Langue Francaise (SRLF), the Societe Francaise d'Anesthesie et de Reanimation (SFAR), and the Societe Francaise de Medecine d'Urgence (SFMU). The recommendations cover five fields of application: epidemiology of adverse events; equipment, monitoring, and maintenance; preparation of patient before transport; human resources and training for caregivers involved in transport processes; and guidelines for planning, structure, and traceability of transport processes.
ES  - 2110-5820
IL  - 2110-5820
DO  - https://dx.doi.org/10.1186/2110-5820-2-1
PT  - Journal Article
ID  - 2110-5820-2-1 [pii]
ID  - 10.1186/2110-5820-2-1 [doi]
ID  - PMC3395853 [pmc]
PP  - epublish
PH  - 2011/12/02 [received]
PH  - 2012/02/03 [accepted]
LG  - English
EP  - 20120203
DP  - 2012 Feb 03
EZ  - 2012/02/07 06:00
DA  - 2012/02/07 06:01
DT  - 2012/02/07 06:00
YR  - 2012
ED  - 20121002
RD  - 20121109
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22304940

<311. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22710219
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bhakta RT
AU  - Stockwell DC
FA  - Bhakta, Rupal T
FA  - Stockwell, David C
TI  - Transitions of care in the pediatric cardiac intensive care unit*.
CM  - Comment on: Crit Care Med. 2012 Jul;40(7):2109-15; PMID: 22710203
SO  - Critical Care Medicine. 40(7):2245-6, 2012 Jul
AS  - Crit Care Med. 40(7):2245-6, 2012 Jul
NJ  - Critical care medicine
VO  - 40
IP  - 7
PG  - 2245-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Female
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - *Outcome Assessment (Health Care)
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Postoperative Complications/pc [Prevention & Control]
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e318256b951
PT  - Comment
PT  - Editorial
ID  - 10.1097/CCM.0b013e318256b951 [doi]
ID  - 00003246-201207000-00042 [pii]
PP  - ppublish
LG  - English
DP  - 2012 Jul
EZ  - 2012/06/20 06:00
DA  - 2012/09/26 06:00
DT  - 2012/06/20 06:00
YR  - 2012
ED  - 20120925
RD  - 20120619
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22710219

<312. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22710216
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jensen JU
AU  - Bestle M
AU  - Lundgren J
FA  - Jensen, Jens-Ulrik
FA  - Bestle, Morten
FA  - Lundgren, Jens
TI  - Refinement of prompts for rapid response teams*.
CM  - Comment on: Crit Care Med. 2012 Jul;40(7):2090-5; PMID: 22564964
SO  - Critical Care Medicine. 40(7):2241-2, 2012 Jul
AS  - Crit Care Med. 40(7):2241-2, 2012 Jul
NJ  - Critical care medicine
VO  - 40
IP  - 7
PG  - 2241-2
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Calcitonin/bl [Blood]
MH  - Female
MH  - *Hospital Rapid Response Team
MH  - Humans
MH  - *Infection/di [Diagnosis]
MH  - *Intensive Care Units
MH  - Male
MH  - *Patient Transfer
MH  - *Protein Precursors/bl [Blood]
RN  - 0 (Protein Precursors)
RN  - 9007-12-9 (Calcitonin)
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31825457a5
PT  - Editorial
PT  - Comment
ID  - 10.1097/CCM.0b013e31825457a5 [doi]
ID  - 00003246-201207000-00039 [pii]
PP  - ppublish
LG  - English
DP  - 2012 Jul
EZ  - 2012/06/20 06:00
DA  - 2012/09/26 06:00
DT  - 2012/06/20 06:00
YR  - 2012
ED  - 20120925
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22710216

<313. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22710203
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Agarwal HS
AU  - Saville BR
AU  - Slayton JM
AU  - Donahue BS
AU  - Daves S
AU  - Christian KG
AU  - Bichell DP
AU  - Harris ZL
FA  - Agarwal, Hemant S
FA  - Saville, Benjamin R
FA  - Slayton, Jennifer M
FA  - Donahue, Brian S
FA  - Daves, Suanne
FA  - Christian, Karla G
FA  - Bichell, David P
FA  - Harris, Zena L
IN  - Agarwal, Hemant S. Department of Pediatrics, Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, TN, USA. Hemant.Agarwal@Vanderbilt.edu
TI  - Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance*.
CM  - Comment in: Crit Care Med. 2012 Jul;40(7):2245-6; PMID: 22710219
SO  - Critical Care Medicine. 40(7):2109-15, 2012 Jul
AS  - Crit Care Med. 40(7):2109-15, 2012 Jul
NJ  - Critical care medicine
VO  - 40
IP  - 7
PG  - 2109-15
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Academic Medical Centers
MH  - Cardiac Surgical Procedures
MH  - Child
MH  - Child, Preschool
MH  - Communication
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Female
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - *Outcome Assessment (Health Care)
MH  - Patient Care Team
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Postoperative Complications/pc [Prevention & Control]
MH  - Prospective Studies
MH  - Quality Assurance, Health Care
MH  - Quality Improvement
MH  - Surveys and Questionnaires
AB  - OBJECTIVE: To determine whether structured handover tool from operating room to pediatric cardiac intensive care unit following cardiac surgery is associated with a reduction in the loss of information transfer and an improvement in the quality of communication exchange. In addition, whether this tool is associated with a decrease in postoperative complications and an improvement in patient outcomes in the first 24 hrs of pediatric cardiac intensive care unit stay.
AB  - DESIGN: Prospective observational clinical study.
AB  - SETTING: Pediatric cardiac intensive care unit of an academic medical center.
AB  - PATIENTS: Pediatric cardiac surgery patients over a 3-yr period. Evaluation of communication and patients studied for two time periods: verbal handover (July 2007-June 2009) and structured handover (July 2009-June 2010).
AB  - INTERVENTIONS: None.
AB  - MEASUREMENTS AND MAIN RESULTS: Two anonymous surveys administered to the entire clinical team of the pediatric cardiac intensive care unit evaluated loss of information transfer for each of the two handover processes. Quality of structured handover tool was evaluated by Likert scale responses in the second survey. Patient complications including cardiopulmonary resuscitation, mediastinal reexploration, placement on extracorporeal membrane oxygenation, development of severe metabolic acidosis, and number of early extubations in the first 24-hr pediatric cardiac intensive care unit stay were compared for the two time periods. Survey results showed the general opinion that the structured handover tool was of excellent quality to enhance communication (Likert scale: 4.4 +/- 0.7). In addition, the tool was associated with a significant reduction (p < .001) in loss of information for every category of patient clinical care including patient, preoperative, anesthesia, operative, and postoperative details and laboratory values. Patient data revealed significant decrease (p < .05) for three of the four major complications studied and a significant increase (p < .04) in the number of early extubations following introduction of our standardized handover tool.
AB  - CONCLUSIONS: In this setting, a standardized handover tool is associated with a decrease in the loss of patient information, an improvement in the quality of communication during postoperative transfer, a decrease in postoperative complications, and an improvement in 24-hr patient outcomes.
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e3182514bab
PT  - Journal Article
ID  - 10.1097/CCM.0b013e3182514bab [doi]
ID  - 00003246-201207000-00014 [pii]
PP  - ppublish
LG  - English
DP  - 2012 Jul
EZ  - 2012/06/20 06:00
DA  - 2012/09/26 06:00
DT  - 2012/06/20 06:00
YR  - 2012
ED  - 20120925
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22710203

<314. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22143969
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Akula VP
AU  - Davis AS
AU  - Gould JB
AU  - Van Meurs K
FA  - Akula, Vishnu Priya
FA  - Davis, Alexis S
FA  - Gould, Jeffery B
FA  - Van Meurs, Krisa
IN  - Akula, Vishnu Priya. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California 94304, USA. Priya88@stanford.edu
TI  - Therapeutic hypothermia during neonatal transport: current practices in California.
SO  - American Journal of Perinatology. 29(5):319-26, 2012 May
AS  - Am J Perinatol. 29(5):319-26, 2012 May
NJ  - American journal of perinatology
VO  - 29
IP  - 5
PG  - 319-26
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - aa3, 8405212
IO  - Am J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Arrhythmias, Cardiac/ep [Epidemiology]
MH  - Body Temperature
MH  - California
MH  - Humans
MH  - Hypothermia, Induced/mt [Methods]
MH  - *Hypothermia, Induced/sn [Statistics & Numerical Data]
MH  - *Hypoxia-Ischemia, Brain/th [Therapy]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Intensive Care, Neonatal
MH  - Monitoring, Physiologic/mt [Methods]
MH  - Surveys and Questionnaires
MH  - *Transportation of Patients
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.

Copyright Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
ES  - 1098-8785
IL  - 0735-1631
DO  - https://dx.doi.org/10.1055/s-0031-1295661
PT  - Journal Article
ID  - 10.1055/s-0031-1295661 [doi]
PP  - ppublish
LG  - English
EP  - 20111205
DP  - 2012 May
EZ  - 2011/12/07 06:00
DA  - 2012/09/26 06:00
DT  - 2011/12/07 06:00
YR  - 2012
ED  - 20120925
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22143969

<315. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21133976
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hope T
AU  - McMillan J
AU  - Hill E
FA  - Hope, Tony
FA  - McMillan, John
FA  - Hill, Elaine
IN  - Hope, Tony. University of Oxford, UK.
TI  - Intensive care triage: priority should be independent of whether patients are already receiving intensive care.
SO  - Bioethics. 26(5):259-66, 2012 Jun
AS  - Bioethics. 26(5):259-66, 2012 Jun
NJ  - Bioethics
VO  - 26
IP  - 5
PG  - 259-66
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 8704792
IO  - Bioethics
SB  - Bioethics Journals
SB  - Index Medicus
CP  - England
MH  - *Critical Care/es [Ethics]
MH  - *Health Care Rationing/es [Ethics]
MH  - Humans
MH  - *Intensive Care Units/es [Ethics]
MH  - Patient Admission
MH  - Patient Transfer/es [Ethics]
MH  - *Social Justice
MH  - *Triage/es [Ethics]
MH  - United States
AB  - 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.

Copyright © 2010 Blackwell Publishing Ltd.
ES  - 1467-8519
IL  - 0269-9702
DO  - https://dx.doi.org/10.1111/j.1467-8519.2010.01852.x
PT  - Journal Article
ID  - 10.1111/j.1467-8519.2010.01852.x [doi]
PP  - ppublish
LG  - English
EP  - 20101207
DP  - 2012 Jun
EZ  - 2010/12/08 06:00
DA  - 2012/09/21 06:00
DT  - 2010/12/08 06:00
YR  - 2012
ED  - 20120920
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21133976

<316. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22167517
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Paley MN
AU  - Hart AR
AU  - Lait M
AU  - Griffiths PD
FA  - Paley, M N J
FA  - Hart, A R
FA  - Lait, M
FA  - Griffiths, P D
IN  - Paley, M N J. Academic Radiology, University of Sheffield, Sheffield, UK. m.n.paley@shef.ac.uk
TI  - An MR-compatible neonatal incubator.
SO  - British Journal of Radiology. 85(1015):952-8, 2012 Jul
AS  - Br J Radiol. 85(1015):952-8, 2012 Jul
NJ  - The British journal of radiology
VO  - 85
IP  - 1015
PG  - 952-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - b28, 0373125
IO  - Br J Radiol
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3474074
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Artifacts
MH  - Equipment Design
MH  - Equipment Safety
MH  - Female
MH  - Humans
MH  - *Incubators, Infant
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/di [Diagnosis]
MH  - Infant, Newborn, Diseases/th [Therapy]
MH  - Infant, Premature, Diseases/di [Diagnosis]
MH  - Infant, Premature, Diseases/th [Therapy]
MH  - Intensive Care Units, Neonatal
MH  - *Magnetic Resonance Imaging/mt [Methods]
MH  - Male
MH  - *Patient Transfer/mt [Methods]
MH  - Quality Control
MH  - Risk Assessment
AB  - OBJECTIVES: To develop a neonatal MR-compatible incubator for transporting babies between a neonatal intensive care unit and an MRI unit that is within the same hospital but geographically separate.
AB  - METHODS: The system was strapped to a standard MR-compatible patient trolley, which provides space for resuscitation outside the incubator. A constant-temperature exothermic heat pad was used to maintain temperature together with a logging fluoro-optic temperature monitor and alarm system. The system has been designed to accommodate standard knee-sized coils from the major MR manufacturers. The original incubator was constructed from carbon fibre, but this required modification to prevent radiofrequency shading artefacts due to the conducting properties of the carbon fibre. A high-tensile polyester material was used, which combined light weight with high impact strength. The system could be moved onto the patient bed with the coils and infant in place by one technologist.
AB  - RESULTS: Studies in eight neonatal patients produced high quality 1.5 T MR images with low motion artefacts. The incubator should also be compatible with imaging in 3 T MR systems, although further work is required to establish this. Images were acquired using both rapid and high-resolution sequences, including three-dimensional volumes, proton spectra and diffusion weighting.
AB  - CONCLUSION: The incubator provides a safe, quiet environment for neonates during transport and imaging, at low cost.
ES  - 1748-880X
IL  - 0007-1285
DO  - https://dx.doi.org/10.1259/bjr/30017508
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 30017508 [pii]
ID  - 10.1259/bjr/30017508 [doi]
ID  - PMC3474074 [pmc]
PP  - ppublish
LG  - English
EP  - 20111213
DP  - 2012 Jul
EZ  - 2011/12/15 06:00
DA  - 2012/09/13 06:00
DT  - 2011/12/15 06:00
YR  - 2012
ED  - 20120912
RD  - 20150129
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22167517

<317. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22221505
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Haddadin A
AU  - Tantawy H
AU  - Barash PG
FA  - Haddadin, Ala
FA  - Tantawy, Hossam
FA  - Barash, Paul G
TI  - Hands-on...handoff.
CM  - Comment on: J Cardiothorac Vasc Anesth. 2012 Feb;26(1):11-6; PMID: 21889365
SO  - Journal of Cardiothoracic & Vascular Anesthesia. 26(1):1-2, 2012 Feb
AS  - J Cardiothorac Vasc Anesth. 26(1):1-2, 2012 Feb
NJ  - Journal of cardiothoracic and vascular anesthesia
VO  - 26
IP  - 1
PG  - 1-2
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - a6i, 9110208
IO  - J. Cardiothorac. Vasc. Anesth.
SB  - Index Medicus
CP  - United States
MH  - *Continuity of Patient Care/st [Standards]
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - *Operating Rooms/st [Standards]
MH  - *Patient Transfer/st [Standards]
MH  - *Perioperative Care/st [Standards]
ES  - 1532-8422
IL  - 1053-0770
DO  - https://dx.doi.org/10.1053/j.jvca.2011.10.001
PT  - Comment
PT  - Editorial
ID  - S1053-0770(11)00704-X [pii]
ID  - 10.1053/j.jvca.2011.10.001 [doi]
PP  - ppublish
PH  - 2011/10/06 [received]
LG  - English
DP  - 2012 Feb
EZ  - 2012/01/10 06:00
DA  - 2012/09/11 06:00
DT  - 2012/01/07 06:00
YR  - 2012
ED  - 20120910
RD  - 20120106
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22221505

<318. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21889365
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Petrovic MA
AU  - Aboumatar H
AU  - Baumgartner WA
AU  - Ulatowski JA
AU  - Moyer J
AU  - Chang TY
AU  - Camp MS
AU  - Kowalski J
AU  - Senger CM
AU  - Martinez EA
FA  - Petrovic, Michelle A
FA  - Aboumatar, Hanan
FA  - Baumgartner, William A
FA  - Ulatowski, John A
FA  - Moyer, Jenny
FA  - Chang, Tracy Y
FA  - Camp, Melissa S
FA  - Kowalski, Janet
FA  - Senger, Carolyn M
FA  - Martinez, Elizabeth A
IN  - Petrovic, Michelle A. Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. rpetrov@jhmi.edu
TI  - Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
CM  - Comment in: J Cardiothorac Vasc Anesth. 2012 Feb;26(1):1-2; PMID: 22221505
SO  - Journal of Cardiothoracic & Vascular Anesthesia. 26(1):11-6, 2012 Feb
AS  - J Cardiothorac Vasc Anesth. 26(1):11-6, 2012 Feb
NJ  - Journal of cardiothoracic and vascular anesthesia
VO  - 26
IP  - 1
PG  - 11-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - a6i, 9110208
IO  - J. Cardiothorac. Vasc. Anesth.
SB  - Index Medicus
CP  - United States
MH  - *Continuity of Patient Care/st [Standards]
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - Operating Rooms/mt [Methods]
MH  - *Operating Rooms/st [Standards]
MH  - Patient Transfer/mt [Methods]
MH  - *Patient Transfer/st [Standards]
MH  - Perioperative Care/mt [Methods]
MH  - *Perioperative Care/st [Standards]
MH  - Pilot Projects
MH  - Prospective Studies
AB  - OBJECTIVES: Perioperative handoffs are a particularly high-risk period given patients' postprocedural physiology, their physical transport through the hospital, and the triad transfer of personnel, information, and technology. The authors piloted a new perioperative handoff process to guide patient transfers from the cardiac operating room (OR) to the cardiac surgical intensive care unit (CSICU). The aim of the study was to evaluate the impact of a standardized handoff process on patient care and provider satisfaction.
AB  - DESIGN: A prospective, unblinded intervention study.
AB  - SETTING: A CSICU in a teaching hospital.
AB  - PARTICIPANTS: Two hundred thirty-eight health care practitioners during the transfer of care of 60 patients.
AB  - INTERVENTIONS: The implementation of a standardized handoff protocol and checklist.
AB  - MEASUREMENTS AND MAIN RESULTS: After the protocol's implementation, the presence of all handoff core team members at the bedside increased from 0% at baseline to 68% after intervention. The percentage of missed information in the surgery report decreased from 26% to 16% (p = 0.03), but the percentage of missed information in the anesthesia report showed no significant change (19% to 17%, p > 0.05). Handoff satisfaction scores among intensive care unit (ICU) nurses increased from 61% to 81%. On average, the duration of handoff increased by 1 minute.
AB  - CONCLUSIONS: A standardized handoff protocol that guides the transfer of care from the OR team to the CSICU team can reduce the risk of missed information and improve satisfaction among perioperative providers.

Copyright © 2012 Elsevier Inc. All rights reserved.
ES  - 1532-8422
IL  - 1053-0770
DO  - https://dx.doi.org/10.1053/j.jvca.2011.07.009
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - S1053-0770(11)00528-3 [pii]
ID  - 10.1053/j.jvca.2011.07.009 [doi]
PP  - ppublish
PH  - 2011/05/05 [received]
GI  - No: HS013904-02
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
EP  - 20110901
DP  - 2012 Feb
EZ  - 2011/09/06 06:00
DA  - 2012/09/11 06:00
DT  - 2011/09/06 06:00
YR  - 2012
ED  - 20120910
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21889365

<319. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22561276
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Krishnaiah A
AU  - Soothill J
AU  - Wade A
AU  - Mok QQ
AU  - Ramnarayan P
FA  - Krishnaiah, Anil
FA  - Soothill, James
FA  - Wade, Angie
FA  - Mok, Quen Q
FA  - Ramnarayan, Padmanabhan
IN  - Krishnaiah, Anil. Paediatric Intensive Care Unit, Children's Acute Transport Service, Great Ormond Street Hospital, London, UK.
TI  - Central venous catheter-associated bloodstream infections in a pediatric intensive care unit: effect of the location of catheter insertion.
SO  - Pediatric Critical Care Medicine. 13(3):e176-80, 2012 May
AS  - Pediatr Crit Care Med. 13(3):e176-80, 2012 May
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 13
IP  - 3
PG  - e176-80
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Bacteremia/ep [Epidemiology]
MH  - *Bacteremia/et [Etiology]
MH  - Catheter-Related Infections/ep [Epidemiology]
MH  - *Catheter-Related Infections/et [Etiology]
MH  - *Catheterization, Central Venous/ae [Adverse Effects]
MH  - Catheterization, Central Venous/mt [Methods]
MH  - Child
MH  - Child, Preschool
MH  - Cross Infection/ep [Epidemiology]
MH  - *Cross Infection/et [Etiology]
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - Multivariate Analysis
MH  - *Patient Transfer
MH  - Proportional Hazards Models
MH  - Retrospective Studies
MH  - Risk Factors
AB  - OBJECTIVE: To compare the rate of central venous catheter-associated bloodstream infections between pediatric intensive care unit admissions where central venous catheters were inserted within the same hospital (internal central venous catheters) and those where central venous catheters were inserted before transfer from other hospitals (external central venous catheters).
AB  - DESIGN: Retrospective analysis of prospectively collected data.
AB  - SETTING: A tertiary care pediatric intensive care unit in London, UK.
AB  - PATIENTS: Consecutive pediatric intensive care unit admissions between May 2007 and March 2009.
AB  - INTERVENTIONS: None.
AB  - MEASUREMENTS AND MAIN RESULTS: Catheter-associated bloodstream infections were identified using a widely accepted surveillance definition. The rate and time to occurrence of catheter-associated bloodstream infection were compared between internal and external nontunneled central venous catheters. A multilevel Cox-regression model was used to study the association between location of central venous catheter insertion and time to catheter-associated bloodstream infection. In total, 382 central venous catheters were studied (245 internal; 137 external) accounting for a total of 1,737 central venous catheter days. There was a higher catheter-associated bloodstream infection incidence density among external central venous catheters (23.1 [95% confidence interval 11.0-35.2] vs. 9.7 [95% confidence interval 3.9-15.5] per 1,000 catheter-days). Multivariable analyses demonstrated higher infection risk with external central venous catheters (hazard ratio 2.65 [95% confidence interval 1.18-5.96]) despite adjustment for confounding variables.
AB  - CONCLUSIONS: The rate of catheter-associated bloodstream infections in the pediatric intensive care unit is significantly affected by external insertion of the central venous catheter. Future interventions to reduce nosocomial infections on pediatric intensive care units will need to be specifically targeted at this high-risk patient group.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3182389548
PT  - Comparative Study
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/PCC.0b013e3182389548 [doi]
ID  - 00130478-201205000-00023 [pii]
PP  - ppublish
LG  - English
DP  - 2012 May
EZ  - 2012/05/09 06:00
DA  - 2012/09/01 06:00
DT  - 2012/05/08 06:00
YR  - 2012
ED  - 20120831
RD  - 20120507
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22561276

<320. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22543067
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Segall N
AU  - Bonifacio AS
AU  - Schroeder RA
AU  - Barbeito A
AU  - Rogers D
AU  - Thornlow DK
AU  - Emery J
AU  - Kellum S
AU  - Wright MC
AU  - Mark JB
AU  - Durham VA Patient Safety Center of Inquiry
FA  - Segall, Noa
FA  - Bonifacio, Alberto S
FA  - Schroeder, Rebecca A
FA  - Barbeito, Atilio
FA  - Rogers, Dawn
FA  - Thornlow, Deirdre K
FA  - Emery, James
FA  - Kellum, Sally
FA  - Wright, Melanie C
FA  - Mark, Jonathan B
FA  - Durham VA Patient Safety Center of Inquiry
IN  - Segall, Noa. Department of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC 27710, USA. noa.segall@duke.edu
IR  - Atkins B
IR  - Barbeito A
IR  - Bonifacio A
IR  - Burton R
IR  - Emery J
IR  - Hobbs G
IR  - Holtschneider M
IR  - Jennings O
IR  - Kellum S
IR  - Mark J
IR  - Perfect S
IR  - Rogers D
IR  - Schroeder R
IR  - Schwartz T
IR  - Segall N
IR  - Sitkin S
IR  - Taekman J
IR  - Thornlow D
IR  - Wright M
TI  - Can we make postoperative patient handovers safer? A systematic review of the literature. [Review]
SO  - Anesthesia & Analgesia. 115(1):102-15, 2012 Jul
AS  - Anesth Analg. 115(1):102-15, 2012 Jul
NJ  - Anesthesia and analgesia
VO  - 115
IP  - 1
PG  - 102-15
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 4r8, 1310650
IO  - Anesth. Analg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Anesthesia Recovery Period
MH  - Checklist
MH  - Clinical Protocols
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - Continuity of Patient Care/st [Standards]
MH  - *Continuity of Patient Care
MH  - Guideline Adherence
MH  - Humans
MH  - Intensive Care Units
MH  - Interdisciplinary Communication
MH  - *Medical Errors/pc [Prevention & Control]
MH  - Operating Rooms
MH  - Patient Care Team
MH  - Patient Safety/st [Standards]
MH  - *Patient Safety
MH  - Patient Transfer/og [Organization & Administration]
MH  - Patient Transfer/st [Standards]
MH  - *Patient Transfer
MH  - Postoperative Care/st [Standards]
MH  - *Postoperative Care
MH  - Practice Guidelines as Topic
MH  - Practice Patterns, Physicians'
MH  - Quality Indicators, Health Care
AB  - Postoperative patient handovers are fraught with technical and communication errors and may negatively impact patient safety. We systematically reviewed the literature on handover of care from the operating room to postanesthesia or intensive care units and summarized process and communication recommendations based on these findings. From >500 papers, we identified 31 dealing with postoperative handovers. Twenty-four included recommendations for structuring the handover process or information transfer. Several recommendations were broadly supported, including (1) standardize processes (e.g., through the use of checklists and protocols); (2) complete urgent clinical tasks before the information transfer; (3) allow only patient-specific discussions during verbal handovers; (4) require that all relevant team members be present; and (5) provide training in team skills and communication. Only 4 of the studies developed an intervention and formally assessed its impact on different process measures. All 4 interventions improved metrics of effectiveness, efficiency, and perceived teamwork. Most of the papers were cross-sectional studies that identified barriers to safe, effective postoperative handovers including the incomplete transfer of information and other communication issues, inconsistent or incomplete teams, absent or inefficient execution of clinical tasks, and poor standardization. An association between poor-quality handovers and adverse events was also demonstrated. More innovative research is needed to define optimal patient handovers and to determine the effect of handover quality on patient outcomes.
ES  - 1526-7598
IL  - 0003-2999
DO  - https://dx.doi.org/10.1213/ANE.0b013e318253af4b
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PT  - Review
ID  - ANE.0b013e318253af4b [pii]
ID  - 10.1213/ANE.0b013e318253af4b [doi]
PP  - ppublish
LG  - English
EP  - 20120427
DP  - 2012 Jul
EZ  - 2012/05/01 06:00
DA  - 2012/09/01 06:00
DT  - 2012/05/01 06:00
YR  - 2012
ED  - 20120831
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22543067

<321. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21705956
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Helder OK
AU  - Verweij JC
AU  - van Staa A
FA  - Helder, Onno K
FA  - Verweij, Jos C M
FA  - van Staa, AnneLoes
IN  - Helder, Onno K. Division of Neonatology, Department of Pediatrics, Erasmus MC University Medical Center, Rotterdam, The Netherlands. o.helder@erasmusmc.nl
TI  - Transition from neonatal intensive care unit to special care nurseries: experiences of parents and nurses.
SO  - Pediatric Critical Care Medicine. 13(3):305-11, 2012 May
AS  - Pediatr Crit Care Med. 13(3):305-11, 2012 May
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 13
IP  - 3
PG  - 305-11
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Attitude of Health Personnel
MH  - Attitude to Health
MH  - Continuity of Patient Care
MH  - Female
MH  - Health Care Surveys
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Interviews as Topic
MH  - Male
MH  - Needs Assessment
MH  - *Neonatal Nursing
MH  - Netherlands
MH  - *Nurseries, Hospital
MH  - *Nurses/px [Psychology]
MH  - *Parents/px [Psychology]
MH  - *Patient Transfer
MH  - *Professional-Family Relations
MH  - Qualitative Research
AB  - OBJECTIVES: To explore parents' and nurses' experiences with the transition of infants from the neonatal intensive care unit to a special care nursery.
AB  - DESIGN: Qualitative explorative study in two phases.
AB  - SETTING: Level IIID neonatal intensive care unit in a university hospital and special care nurseries (level II) in five community hospitals in the Netherlands.
AB  - PARTICIPANTS: Twenty-one pairs of parents and 18 critical care nurses.
AB  - METHODS AND MAIN RESULTS: Semistructured interviews were used. Thematic analysis and comparison of themes across participants were performed. Trust was a central theme for parents. Three subthemes, related to the chronological stages of transition, were identified: gaining trust; betrayal of trust; and rebuilding confidence. Trust was associated with five other themes: professional attitude; information management; coordination of transfer; different environments; and parent participation. Although nurses at an early stage repeatedly mentioned a possible transition to community hospitals, the actual announcement took many parents by surprise. Parents felt excluded during the actual transfer and most questioned its necessity. In the special care nursery, parents found it difficult to adjust to new routines and to gain trust in new caregivers, but eventually their worries dissolved. In contrast to neonatal intensive care unit nurses, special care nursery nurses quite understood the impact of transition on parents.
AB  - CONCLUSIONS: Both parents and nurses considered present transitional arrangements to be inadequate. Nurses should provide more effective discharge planning and transitional care. A positive labeling of the transition as a first step to home discharge for the newborn seems appropriate. Parents need to be better-informed and should be involved in the planning process.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3182257a39
PT  - Journal Article
ID  - 10.1097/PCC.0b013e3182257a39 [doi]
PP  - ppublish
LG  - English
DP  - 2012 May
EZ  - 2011/06/28 06:00
DA  - 2012/09/01 06:00
DT  - 2011/06/28 06:00
YR  - 2012
ED  - 20120831
RD  - 20120507
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21705956

<322. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22089039
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Carmichael HA
AU  - Robertson E
AU  - Austin J
AU  - McCruden D
AU  - Messow CM
AU  - Belcher PR
FA  - Carmichael, H A
FA  - Robertson, E
FA  - Austin, J
FA  - McCruden, D
FA  - Messow, C M
FA  - Belcher, P R
IN  - Carmichael, H A. Vale of Leven Hospital, Main Street, Alexandria, Dunbartonshire G83 0UA, Scotland, UK. hughcarmichael@hotmail.com
TI  - A new approach to scoring systems to improve identification of acute medical admissions that will require critical care.
SO  - Scottish Medical Journal. 56(4):195-202, 2011 Nov
AS  - Scott Med J. 56(4):195-202, 2011 Nov
NJ  - Scottish medical journal
VO  - 56
IP  - 4
PG  - 195-202
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ujk, 2983335r
IO  - Scott Med J
SB  - Index Medicus
CP  - Scotland
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Blood Gas Analysis
MH  - Child
MH  - *Critical Care
MH  - *Emergency Service, Hospital
MH  - Female
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Patient Admission
MH  - Patient Transfer
MH  - Prospective Studies
MH  - ROC Curve
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Sensitivity and Specificity
MH  - *Triage/mt [Methods]
MH  - Young Adult
AB  - Removal of the intensive care unit (ICU) at the Vale of Leven Hospital mandated the identification and transfer out of those acute medical admissions with a high risk of requiring ICU. The aim of the study was to develop triaging tools that identified such patients and compare them with other scoring systems. The methodology included a retrospective analysis of physiological and arterial gas measurements from 1976 acute medical admissions produced PREEMPT-1 (PRE-critical Emergency Medical Patient Triage). A simpler one for ambulance use (PREAMBLE-1 [PRE-Admission Medical Blue-Light Emergency]) was produced by the addition of peripheral oxygen saturation to a modification of MEWS (Modified Early Warning Score). Prospective application of these tools produced a larger database of 4447 acute admissions from which logistic regression models produced PREEMPT-2 and PREAMBLE-2, which were then compared with the original systems and seven other early warning scoring systems. Results showed that in patients with arterial gases, the area under the receiver operator characteristic curve was significantly higher in PREEMPT-2 (89.1%) and PREAMBLE-2 (84.4%) than all other scoring systems. Similarly, in all patients, it was higher in PREAMBLE-2 (92.4%) than PREAMBLE-1 (88.1%) and the other scoring systems. In conclusion, risk of requiring ICU can be more accurately predicted using PREEMPT-2 and PREAMBLE-2, as described here, than by other early warning scoring systems developed over recent years.
IS  - 0036-9330
IL  - 0036-9330
DO  - https://dx.doi.org/10.1258/smj.2011.011157
PT  - Comparative Study
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 56/4/195 [pii]
ID  - 10.1258/smj.2011.011157 [doi]
PP  - ppublish
LG  - English
DP  - 2011 Nov
EZ  - 2011/11/18 06:00
DA  - 2012/08/29 06:00
DT  - 2011/11/18 06:00
YR  - 2011
ED  - 20120828
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22089039

<323. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22155825
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Arpin C
AU  - Thabet L
AU  - Yassine H
AU  - Messadi AA
AU  - Boukadida J
AU  - Dubois V
AU  - Coulange-Mayonnove L
AU  - Andre C
AU  - Quentin C
FA  - Arpin, C
FA  - Thabet, L
FA  - Yassine, H
FA  - Messadi, A A
FA  - Boukadida, J
FA  - Dubois, V
FA  - Coulange-Mayonnove, L
FA  - Andre, C
FA  - Quentin, C
IN  - Arpin, C. Univ. Bordeaux, Microbiologie Fondamentale et Pathogenicite, UMR 5234, Bordeaux, France. corinne.arpin@bacterio.u-bordeaux2.fr
TI  - Evolution of an incompatibility group IncA/C plasmid harboring blaCMY-16 and qnrA6 genes and its transfer through three clones of Providencia stuartii during a two-year outbreak in a Tunisian burn unit.
SO  - Antimicrobial Agents & Chemotherapy. 56(3):1342-9, 2012 Mar
AS  - Antimicrob Agents Chemother. 56(3):1342-9, 2012 Mar
NJ  - Antimicrobial agents and chemotherapy
VO  - 56
IP  - 3
PG  - 1342-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 6hk, c98, 0315061, 0116415
IO  - Antimicrob. Agents Chemother.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3294913
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Anti-Bacterial Agents/ad [Administration & Dosage]
MH  - Bacterial Typing Techniques
MH  - Burn Units
MH  - Cephalosporins/ad [Administration & Dosage]
MH  - Child
MH  - DNA Restriction Enzymes/me [Metabolism]
MH  - *Disease Outbreaks
MH  - *Drug Resistance, Multiple, Bacterial/ge [Genetics]
MH  - Enterobacteriaceae Infections/dt [Drug Therapy]
MH  - *Enterobacteriaceae Infections/ep [Epidemiology]
MH  - Enterobacteriaceae Infections/mi [Microbiology]
MH  - Female
MH  - Gene Transfer, Horizontal
MH  - Gentamicins/ad [Administration & Dosage]
MH  - Humans
MH  - Integrons/ge [Genetics]
MH  - Male
MH  - Middle Aged
MH  - Mutagenesis, Insertional
MH  - Plasmids
MH  - Providencia/de [Drug Effects]
MH  - *Providencia/ge [Genetics]
MH  - Providencia/ip [Isolation & Purification]
MH  - Sequence Deletion
MH  - Tunisia/ep [Epidemiology]
MH  - *beta-Lactamases/ge [Genetics]
AB  - During a 2-year period in 2005 and 2006, 64 multidrug-resistant Providencia stuartii isolates, including 58 strains from 58 patients and 6 strains obtained from the same tracheal aspirator, were collected in a burn unit of a Tunisian hospital. They divided into four antibiotypes (ATB1 to ATB4) and three SmaI pulsotypes (PsA to PsC), including 49 strains belonging to clone PsA (48 of ATB1 and 1 of ATB4), 11 strains to clone PsB (7 of ATB2 and 4 of ATB3), and 4 strains to clone PsC (ATB3). All strains, except for the PsA/ATB4 isolate, were highly resistant to broad-spectrum cephalosporins due to the production of the plasmid-mediated CMY-16 beta-lactamase. In addition, the 15 strains of ATB2 and ATB3 exhibited decreased quinolone susceptibility associated with QnrA6. Most strains (ATB1 and ATB3) were gentamicin resistant, related to an AAC(6')-Ib' enzyme. All these genes were located on a conjugative plasmid belonging to the incompatibility group IncA/C(2) of 195, 175, or 100 kb. Despite differences in size and in number of resistance determinants, they derived from the same plasmid, as demonstrated by similar profiles in plasmid restriction analysis and strictly homologous sequences of repAIncA/C(2), unusual antibiotic resistance genes (e.g., aphA-6), and their genetic environments. Further investigation suggested that deletions, acquisition of the ISCR1 insertion sequence, and integron cassette mobility accounted for these variations. Thus, this outbreak was due to both the spread of three clonal strains and the dissemination of a single IncA/C(2) plasmid which underwent a remarkable evolution during the epidemic period.
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Cephalosporins)
RN  - 0 (Gentamicins)
RN  - EC 3-1-21 (DNA Restriction Enzymes)
RN  - EC 3-5-2-6 (beta-Lactamases)
ES  - 1098-6596
IL  - 0066-4804
DO  - https://dx.doi.org/10.1128/AAC.05267-11
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - AAC.05267-11 [pii]
ID  - 10.1128/AAC.05267-11 [doi]
ID  - PMC3294913 [pmc]
PP  - ppublish
LG  - English
EP  - 20111212
DP  - 2012 Mar
EZ  - 2011/12/14 06:00
DA  - 2012/08/25 06:00
DT  - 2011/12/14 06:00
YR  - 2012
ED  - 20120824
RD  - 20150129
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22155825

<324. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22211183
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Unnikrishnan KP
AU  - Patnaik D
AU  - Iwashyna TJ
FA  - Unnikrishnan, K P
FA  - Patnaik, Debprakash
FA  - Iwashyna, Theodore J
IN  - Unnikrishnan, K P. University of Michigan, Ann Arbor, MI 48109, kpuk@umich.edu.
TI  - Spatio-temporal Structure of US Critical Care Transfer Network.
SO  - AMIA Summits on Translational Science Proceedings. 2011:74-8, 2011
AS  - AMIA Summits Transl Sci Proc. 2011:74-8, 2011
NJ  - AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science
VO  - 2011
PG  - 74-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101539486
IO  - AMIA Jt Summits Transl Sci Proc
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3248748
CP  - United States
KW  - Critical care;  Medicare claims;  administrative data;  alerts;  cascades;  data mining;  transfer networks
AB  - Most Americans are in Intensive Care Units (ICUs) at some point during their lives. There is wide variation in the outcome quality of ICUs and so, thousands of patients who die each year in ICUs may have survived if they were at the appropriate hospital. In spite of a policy agenda from IOM calling for effective transfer of patients to more capable hospitals to improve outcomes, there appear to be substantial inefficiencies in the existing system. In particular, patients recurrently transfer to secondary hospitals rather than to a most-preferred option. We present data mining schemes and significance tests to discover these inefficient cascades. We analyze critical care transfer data in Medicare across nearly 5,000 hospitals in the United States over 10 years and present evidence that these transfers to secondary hospitals repeatedly cascade across multiple transfers, and that some hospitals seem to be involved in many cascades.
ES  - 2153-4063
PT  - Journal Article
ID  - PMC3248748 [pmc]
PP  - ppublish
GI  - No: K08 HL091249
Organization: (HL) *NHLBI NIH HHS*
Country: United States

GI  - No: U54 DA021519
Organization: (DA) *NIDA NIH HHS*
Country: United States

GI  - No: UL1 RR024986
Organization: (RR) *NCRR NIH HHS*
Country: United States
LG  - English
EP  - 20110307
DP  - 2011
EZ  - 2012/01/03 06:00
DA  - 2012/01/03 06:01
DT  - 2012/01/03 06:00
YR  - 2011
ED  - 20120823
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22211183

<325. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22157421
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Skaletzky SM
AU  - Raszynski A
AU  - Totapally BR
FA  - Skaletzky, Sharon M
FA  - Raszynski, Andre
FA  - Totapally, Balagangadhar R
IN  - Skaletzky, Sharon M. Miami Children's Hospital, Miami, FL 33155, USA.
TI  - Validation of a modified pediatric early warning system score: a retrospective case-control study.
SO  - Clinical Pediatrics. 51(5):431-5, 2012 May
AS  - Clin Pediatr (Phila). 51(5):431-5, 2012 May
NJ  - Clinical pediatrics
VO  - 51
IP  - 5
PG  - 431-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - dhe, 0372606, 8407647
IO  - Clin Pediatr (Phila)
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Cardiopulmonary Resuscitation
MH  - Case-Control Studies
MH  - Child
MH  - Child, Preschool
MH  - *Decision Support Techniques
MH  - Female
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer
MH  - ROC Curve
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Sensitivity and Specificity
MH  - *Severity of Illness Index
AB  - The Pediatric Early Warning System (PEWS) score may be useful for detection of deterioration in clinical condition. In this retrospective study, the cases were patients transferred to the pediatric intensive care unit (PICU), and controls were those not transferred to the PICU. The maximum PEWS score in both groups were analyzed using Mann-Whitney U test and receiver operating characteristic curve (ROC). The study population included 100 cases and 250 controls. There was no difference in the age of cases and controls (6.3 vs 6.3 years). The length of hospital stay (18.09 +/- 32 vs 3.93 +/- 2.9 days; P < .001) and the maximum PEWS score (2.95 +/- 1.5 vs 1.4 +/- 0.8) were significantly higher for the cases (P < .0001). The PEWS score area under the ROC was 0.81 (95% confidence interval = 0.75-0.86). The sensitivity and specificity for a score 2.5 were 62% and 89%, respectively. The use of the modified PEWS score can help identify patients on wards who are at risk for deterioration.
ES  - 1938-2707
IL  - 0009-9228
DO  - https://dx.doi.org/10.1177/0009922811430342
PT  - Journal Article
PT  - Validation Studies
ID  - 0009922811430342 [pii]
ID  - 10.1177/0009922811430342 [doi]
PP  - ppublish
LG  - English
EP  - 20111208
DP  - 2012 May
EZ  - 2011/12/14 06:00
DA  - 2012/08/07 06:00
DT  - 2011/12/14 06:00
YR  - 2012
ED  - 20120806
RD  - 20120413
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22157421

<326. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22564514
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bell N
AU  - Simons R
AU  - Hameed SM
AU  - Schuurman N
AU  - Wheeler S
FA  - Bell, Nathaniel
FA  - Simons, Richard
FA  - Hameed, S Morad
FA  - Schuurman, Nadine
FA  - Wheeler, Stephen
IN  - Bell, Nathaniel. Department of Surgery, University of British Columbia, Vancouver, BC. nathaniel.bell@vch.ca
TI  - Does direct transport to provincial burn centres improve outcomes? A spatial epidemiology of severe burn injury in British Columbia, 2001-2006.
SO  - Canadian Journal of Surgery. 55(2):110-6, 2012 Apr
AS  - Can J Surg. 55(2):110-6, 2012 Apr
NJ  - Canadian journal of surgery. Journal canadien de chirurgie
VO  - 55
IP  - 2
PG  - 110-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ckj, 0372715
IO  - Can J Surg
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310766
SB  - Index Medicus
CP  - Canada
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - British Columbia/ep [Epidemiology]
MH  - *Burn Units/ut [Utilization]
MH  - Burns/di [Diagnosis]
MH  - *Burns/ep [Epidemiology]
MH  - *Burns/th [Therapy]
MH  - Cohort Studies
MH  - Combined Modality Therapy
MH  - Confidence Intervals
MH  - Critical Illness/th [Therapy]
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - Emergency Service, Hospital
MH  - Emergency Treatment
MH  - Female
MH  - Follow-Up Studies
MH  - *Hospital Mortality/td [Trends]
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Poisson Distribution
MH  - Registries
MH  - Resuscitation/mt [Methods]
MH  - Resuscitation/mo [Mortality]
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Survival Analysis
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
MH  - Treatment Outcome
MH  - Young Adult
AB  - BACKGROUND: In Canada and the United States, research has shown that injured patients initially treated at smaller emergency departments before transfer to larger regional facilities are more likely to require longer stays in hospital or suffer greater mortality. It remains unknown whether transport status is an independent predictor of adverse health events among persons requiring care from provincial burn centres.
AB  - METHODS: We obtained case records from the British Columbia Trauma Registry for adult patients (age >= 18 yr) referred or transported directly to the Vancouver General Hospital and Royal Jubilee Hospital burn centres between Jan. 1, 2001, and Mar. 31, 2006. Prehospital and in-transit deaths and deaths in other facilities were identified using the provincial Coroner Service database. Place of injury was identified through data linkage with census records. We performed bivariate analysis for continuous and discrete variables. Relative risk (RR) of prehospital and in-hospital mortality and hospital stay by transport status were analyzed using a Poisson regression model.
AB  - RESULTS: After controlling for patient and injury characteristics, indirect referral did not influence RR of in-facility death (RR 1.32, 95% confidence interval [CI] 0.54- 3.22) or hospital stay (RR 0.96, 95% CI 0.65-1.42). Rural populations experienced an increased risk of total mortality (RR 1.22, 95% CI 1.00-1.48).
AB  - CONCLUSION: Transfer status is not a significant indicator of RR of death or hospital stay among patients who received care at primary care facilities before transport to regional burn centres. However, significant differences in prehospital mortality show that improvements in rural mortality can still be made.
ES  - 1488-2310
IL  - 0008-428X
DO  - https://dx.doi.org/10.1503/cjs.014708
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1503/cjs.014708 [pii]
ID  - 10.1503/cjs.014708 [doi]
ID  - PMC3310766 [pmc]
PP  - ppublish
GI  - Organization: *Canadian Institutes of Health Research*
Country: Canada
LG  - English
DP  - 2012 Apr
EZ  - 2012/05/09 06:00
DA  - 2012/07/04 06:00
DT  - 2012/05/09 06:00
YR  - 2012
ED  - 20120703
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22564514

<327. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22211700
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Craig R
AU  - Moxey L
AU  - Young D
AU  - Spenceley NS
AU  - Davidson MG
FA  - Craig, Rona
FA  - Moxey, Linda
FA  - Young, David
FA  - Spenceley, Neil S
FA  - Davidson, Mark G
IN  - Craig, Rona. Department of Psychology, University of Glasgow, Glasgow, UK.
TI  - Strengthening handover communication in pediatric cardiac intensive care.
SO  - Paediatric Anaesthesia. 22(4):393-9, 2012 Apr
AS  - Paediatr Anaesth. 22(4):393-9, 2012 Apr
NJ  - Paediatric anaesthesia
VO  - 22
IP  - 4
PG  - 393-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - cg8, 9206575
IO  - Paediatr Anaesth
SB  - Index Medicus
CP  - France
MH  - Adolescent
MH  - *Cardiology/og [Organization & Administration]
MH  - Child
MH  - Child, Preschool
MH  - *Communication
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - *Critical Care/mt [Methods]
MH  - Data Collection
MH  - Electrocardiography
MH  - Female
MH  - *Heart Diseases/th [Therapy]
MH  - Heart Function Tests
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Information Systems
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Male
MH  - Medical Errors/pc [Prevention & Control]
MH  - Patient Care Team
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Prospective Studies
MH  - Severity of Illness Index
AB  - OBJECTIVE: To evaluate knowledge transfer and perceptions using a structured handover process for the postoperative pediatric cardiac patient being admitted to intensive care. The hypothesis being that knowledge transfer could be optimized by the implementation of this handover structure.
AB  - AIM: To investigate the effects of the implementation of a structured handover in the intensive care unit, including preadmission cardiac reports and operating room information.
AB  - BACKGROUND: Patient handover following pediatric cardiac surgery involves a multidisciplinary team and a potentially unstable patient, which may create multiple cognitive demands for the treating team. This may lead to an increased risk of information error with potentially significant sequelae for the patient.
AB  - METHODS: A prospective interventional study in a tertiary pediatric hospital providing both general and cardiac intensive care in the United Kingdom was undertaken in the postoperative cardiac group. Twenty-one preintervention and 22 postintervention handovers were observed by a trained independent observer. Three phases of the handover, prepatient readiness, prehandover readiness, and information conveyed, were assessed as well as attentiveness, organization of the team, and flow of information during the handover. The duration and number of interruptions were also recorded. Staff perceptions of the handover were also assessed.
AB  - RESULTS: All three phases of the handover were significantly improved with the handover intervention. The observer scores were also significantly improved as were the perceptions of the staff following the implementation of the handover tool. There was no significant increase in the duration of the handover.
AB  - CONCLUSIONS: Communication between the operating room and intensive care staff, regarding postoperative pediatric cardiac patients, significantly improved with the implementation of a structured handover.

Copyright © 2011 Blackwell Publishing Ltd.
ES  - 1460-9592
IL  - 1155-5645
DO  - https://dx.doi.org/10.1111/j.1460-9592.2011.03758.x
PT  - Journal Article
ID  - 10.1111/j.1460-9592.2011.03758.x [doi]
PP  - ppublish
LG  - English
EP  - 20111228
DP  - 2012 Apr
EZ  - 2012/01/04 06:00
DA  - 2012/06/30 06:00
DT  - 2012/01/04 06:00
YR  - 2012
ED  - 20120629
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22211700

<328. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22142947
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Collins SA
AU  - Mamykina L
AU  - Jordan D
AU  - Stein DM
AU  - Shine A
AU  - Reyfman P
AU  - Kaufman D
FA  - Collins, Sarah A
FA  - Mamykina, Lena
FA  - Jordan, Desmond
FA  - Stein, Dan M
FA  - Shine, Alisabeth
FA  - Reyfman, Paul
FA  - Kaufman, David
IN  - Collins, Sarah A. Nurse Informatician, Clinical Informatics R&D, Partners Healthcare Systems, 93 Worcester St., Wellesley, MA 02481, USA. sacollins@partners.org
TI  - In search of common ground in handoff documentation in an Intensive Care Unit.
SO  - Journal of Biomedical Informatics. 45(2):307-15, 2012 Apr
AS  - J Biomed Inform. 45(2):307-15, 2012 Apr
NJ  - Journal of biomedical informatics
VO  - 45
IP  - 2
PG  - 307-15
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 100970413, d2m
IO  - J Biomed Inform
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3306473
OI  - Source: NLM. NIHMS341753
SB  - Index Medicus
CP  - United States
MH  - Communication
MH  - *Continuity of Patient Care
MH  - *Documentation/mt [Methods]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Nurses
MH  - *Patient Transfer
AB  - OBJECTIVE: Handoff is an intra-disciplinary process, yet the flow of critical handoff information spans multiple disciplines. Understanding this information flow is important for the development of computer-based tools that supports the communication and coordination of patient care in a multi-disciplinary and highly specialized critical care setting. We aimed to understand the structure, functionality, and content of nurses' and physicians' handoff artifacts.
AB  - DESIGN: We analyzed 22 nurses' and physicians' handoff artifacts from a Cardiothoracic Intensive Care Unit (CTICU) at a large urban medical center. We combined artifact analysis with semantic coding based on our published Interdisciplinary Handoff Information Coding (IHIC) framework for a novel two-step data analysis approach.
AB  - RESULTS: We found a high degree of structure and overlap in the content of nursing and physician artifacts. Our findings demonstrated a non-technical, yet sophisticated, system with a high degree of structure for the organization and communication of patient data that functions to coordinate the work of multiple disciplines in a highly specialized unit of patient care.
AB  - LIMITATIONS: This study took place in one CTICU. Further work is needed to determine the generalizability of the results.
AB  - CONCLUSIONS: Our findings indicate that the development of semi-structured patient-centered interdisciplinary handoff tools with discipline specific views customized for specialty settings may effectively support handoff communication and patient safety.

Copyright A© 2011 Elsevier Inc. All rights reserved.
ES  - 1532-0480
IL  - 1532-0464
DO  - https://dx.doi.org/10.1016/j.jbi.2011.11.007
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
ID  - S1532-0464(11)00195-X [pii]
ID  - 10.1016/j.jbi.2011.11.007 [doi]
ID  - PMC3306473 [pmc]
ID  - NIHMS341753 [mid]
PP  - ppublish
PH  - 2011/08/15 [received]
PH  - 2011/10/20 [revised]
PH  - 2011/11/17 [accepted]
GI  - No: T15 LM007079
Organization: (LM) *NLM NIH HHS*
Country: United States

GI  - No: T15 LM007079-18
Organization: (LM) *NLM NIH HHS*
Country: United States

GI  - No: T15 LM 007079
Organization: (LM) *NLM NIH HHS*
Country: United States
LG  - English
EP  - 20111128
DP  - 2012 Apr
EZ  - 2011/12/07 06:00
DA  - 2012/06/01 06:00
DT  - 2011/12/07 06:00
YR  - 2012
ED  - 20120531
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22142947

<329. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22094355
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Abraham J
AU  - Kannampallil TG
AU  - Patel VL
FA  - Abraham, Joanna
FA  - Kannampallil, Thomas G
FA  - Patel, Vimla L
IN  - Abraham, Joanna. Center for Cognitive Informatics and Decision Making, School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX 77030, USA.
TI  - Bridging gaps in handoffs: a continuity of care based approach.
SO  - Journal of Biomedical Informatics. 45(2):240-54, 2012 Apr
AS  - J Biomed Inform. 45(2):240-54, 2012 Apr
NJ  - Journal of biomedical informatics
VO  - 45
IP  - 2
PG  - 240-54
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 100970413, d2m
IO  - J Biomed Inform
SB  - Index Medicus
CP  - United States
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Decision Making
MH  - Health Personnel
MH  - Humans
MH  - Intensive Care Units
MH  - Medical Errors/pc [Prevention & Control]
MH  - Medical Records Systems, Computerized
MH  - *Patient Transfer/st [Standards]
AB  - Handoff among healthcare providers has been recognized as a major source of medical errors. Most prior research has often focused on the communication aspects of handoff, with limited emphasis on the overall handoff process, especially from a clinician workflow perspective. Such a workflow perspective that is based on the continuity of care model provides a framework required to identify and support an interconnected trajectory of care events affecting handoff communication. To this end, we propose a new methodology, referred to as the clinician-centered approach that allows us to investigate and represent the entire clinician workflow prior to, during and, after handoff communication. This representation of clinician activities supports a comprehensive analysis of the interdependencies in the handoff process across the care continuum, as opposed to a single discrete, information sharing activity. The clinician-centered approach is supported by multifaceted methods for data collection such as observations, shadowing of clinicians, audio recording of handoff communication, semi-structured interviews and artifact identification and collection. The analysis followed a two-stage mixed inductive-deductive method. The iterative development of clinician-centered approach was realized using a multi-faceted study conducted in the Medical Intensive Care Unit (MICU) of an academic hospital. Using the clinician-centered approach, we (a) identify the nature, inherent characteristics and the interdependencies between three phases of the handoff process and (b) develop a descriptive framework of handoff communication in critical care that captures the non-linear, recursive and interactive nature of collaboration and decision-making. The results reported in this paper serve as a "proof of concept" of our approach, emphasizing the importance of capturing a coordinated and uninterrupted succession of clinician information management and transfer activities in relation to patient care events.

Copyright A© 2011 Elsevier Inc. All rights reserved.
ES  - 1532-0480
IL  - 1532-0464
DO  - https://dx.doi.org/10.1016/j.jbi.2011.10.011
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - S1532-0464(11)00177-8 [pii]
ID  - 10.1016/j.jbi.2011.10.011 [doi]
PP  - ppublish
PH  - 2011/07/28 [received]
PH  - 2011/10/29 [revised]
PH  - 2011/10/30 [accepted]
GI  - No: 1 T32 HS017586-02
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
EP  - 20111110
DP  - 2012 Apr
EZ  - 2011/11/19 06:00
DA  - 2012/06/01 06:00
DT  - 2011/11/19 06:00
YR  - 2012
ED  - 20120531
RD  - 20120316
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22094355

<330. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22244402
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nakayama DK
AU  - Lester SS
AU  - Rich DR
AU  - Weidner BC
AU  - Glenn JB
AU  - Shaker IJ
FA  - Nakayama, Don K
FA  - Lester, Sally S
FA  - Rich, Darla R
FA  - Weidner, Bryan C
FA  - Glenn, Joshua B
FA  - Shaker, Issam J
IN  - Nakayama, Don K. Department of Surgery, Mercer University School of Medicine and Medical Center of Central Georgia, Macon, GA 31201, USA. Nakayama.Don@mccg.org
TI  - Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.
SO  - Journal of Pediatric Surgery. 47(1):112-8, 2012 Jan
AS  - J Pediatr Surg. 47(1):112-8, 2012 Jan
NJ  - Journal of pediatric surgery
VO  - 47
IP  - 1
PG  - 112-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmj, 0052631
IO  - J. Pediatr. Surg.
SB  - Index Medicus
CP  - United States
MH  - *Checklist
MH  - Child
MH  - Humans
MH  - *Patient Transfer/st [Standards]
MH  - *Quality Improvement/st [Standards]
MH  - *Surgical Procedures, Operative
AB  - BACKGROUND: Intrahospital transfers are necessary but hazardous aspects of pediatric surgical care. Plan-Do-Study-Act processes identify risks during hospitalization and improve care systems and patient safety.
AB  - METHODS: A multidisciplinary team developed a checklist that documented patient data and handoffs for all intrahospital transfers involving pediatric surgical inpatients. The checklist summarized major clinical events and provided concurrent summaries by 3-month quarters (Q) over 1 year.
AB  - RESULTS: There were 903 intrahospital transfers involving 583 inpatients undergoing surgery. Total handoffs were documented in 436 (75% of 583), with greater than 1 handoff in 202 (46% of 436). Documented problems occurred in 31 transfers (3.4%), the most during Q1 (19/191; 9.9%). Incidence fell to 3.5% (9/260) in Q2, 0.4% (1/243) in Q3, and 1.0% (2/209) in Q4 (P < .001). Patient care issues (14/31; 45%) were most common, followed by documentation (10, 32%) and process problems (7, 23%). The quality improvement team was able to resolve patient instability during transport (5 in Q1, none in Q3, Q4) and poor pain control (3 in Q2, 1 in Q3, Q4). Of the patients, 3.2% had identified problems with patient care during intrahospital transfer.
AB  - CONCLUSIONS: Plan-Do-Study-Act review emphasizes ongoing process analysis by multidisciplinary teams. Checklists reinforce communication and provide feedback on whether system goals are being achieved.

Copyright © 2012 Elsevier Inc. All rights reserved.
ES  - 1531-5037
IL  - 0022-3468
DO  - https://dx.doi.org/10.1016/j.jpedsurg.2011.10.030
PT  - Journal Article
ID  - S0022-3468(11)00900-6 [pii]
ID  - 10.1016/j.jpedsurg.2011.10.030 [doi]
PP  - ppublish
PH  - 2011/09/28 [received]
PH  - 2011/10/06 [accepted]
LG  - English
DP  - 2012 Jan
EZ  - 2012/01/17 06:00
DA  - 2012/05/15 06:00
DT  - 2012/01/17 06:00
YR  - 2012
ED  - 20120514
RD  - 20120116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22244402

<331. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22222663
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Catchpole K
FA  - Catchpole, Ken
TI  - Learning from other industries.
CM  - Comment on: Pediatr Crit Care Med. 2011 May;12(3):361-2; PMID: 21637149
SO  - Pediatric Critical Care Medicine. 13(1):123-4; author reply 124-5, 2012 Jan
AS  - Pediatr Crit Care Med. 13(1):123-4; author reply 124-5, 2012 Jan
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 13
IP  - 1
PG  - 123-4; author reply 124-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Cardiac Surgical Procedures
MH  - *Checklist
MH  - *Clinical Protocols/st [Standards]
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Medical Errors/pc [Prevention & Control]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/st [Standards]
MH  - *Postoperative Care/st [Standards]
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e31822f15c4
PT  - Comment
PT  - Letter
ID  - 10.1097/PCC.0b013e31822f15c4 [doi]
ID  - 00130478-201201000-00048 [pii]
PP  - ppublish
LG  - English
DP  - 2012 Jan
EZ  - 2012/01/10 06:00
DA  - 2012/05/10 06:00
DT  - 2012/01/07 06:00
YR  - 2012
ED  - 20120509
RD  - 20120106
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22222663

<332. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21873285
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - van Manen M
FA  - van Manen, Michael
IN  - van Manen, Michael. John Dossetor Health Ethics Centre, University of Alberta, Edmonton, Alberta, Canada. michaelv@ualberta.ca
TI  - Carrying: parental experience of the hospital transfer of their baby.
SO  - Qualitative Health Research. 22(2):199-211, 2012 Feb
AS  - Qual Health Res. 22(2):199-211, 2012 Feb
NJ  - Qualitative health research
VO  - 22
IP  - 2
PG  - 199-211
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9202144, bqc
IO  - Qual Health Res
SB  - Health Technology Assessment Journals
CP  - United States
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - *Parent-Child Relations
MH  - *Parents/px [Psychology]
MH  - *Patient Transfer
AB  - Some hospital practices that are routine for hospital staff may carry unintended significance for patients and their families. The transfer of neonatal infants between hospitals and hospital environments is one such practice that may be covered by perfectly acceptable rules and regulations but that, at times, gives rise to unsuspected anxieties, pain, and worries in the parent. In this phenomenological study, I explored meaning aspects of the phenomenon transfer to reveal a lived experience of carrying--a carrying across from here to there; a carrying between changing places; a carrying contact of parent-child in-touchness that is enabled or compromised in this experience; a carrying with care; and a carrying as a search for place as home. The concluding recommendations speak to the need for understanding the experiences of hospitalized babies' parents, and speak to the tactful sensitivities required of the health care team during the transfer of child and family.
IS  - 1049-7323
IL  - 1049-7323
DO  - https://dx.doi.org/10.1177/1049732311420447
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 1049732311420447 [pii]
ID  - 10.1177/1049732311420447 [doi]
PP  - ppublish
LG  - English
EP  - 20110826
DP  - 2012 Feb
EZ  - 2011/08/30 06:00
DA  - 2012/05/09 06:00
DT  - 2011/08/30 06:00
YR  - 2012
ED  - 20120507
RD  - 20120111
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21873285

<333. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22123405
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Diehl-Svrjcek BC
AU  - Price-Douglas W
AU  - Flagg J
FA  - Diehl-Svrjcek, Beth C
FA  - Price-Douglas, Webra
FA  - Flagg, Joanne
IN  - Diehl-Svrjcek, Beth C. Maryland Regional Neonatal Transport Program, The Johns Hopkins Hospital, Baltimore, Maryland, USA. Bdiehls1@jhmi.edu
TI  - Neonatal glucose testing via prompted intervention during the pretransport phase of care.
SO  - Advances in Neonatal Care. 11(5):340-8, 2011 Oct
AS  - ADV NEONAT CARE. 11(5):340-8, 2011 Oct
NJ  - Advances in neonatal care : official journal of the National Association of Neonatal Nurses
VO  - 11
IP  - 5
PG  - 340-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101125644
IO  - Adv Neonatal Care
SB  - Index Medicus
CP  - United States
MH  - Academic Medical Centers
MH  - Baltimore
MH  - *Glucose Tolerance Test/ut [Utilization]
MH  - *Guideline Adherence/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Hypoglycemia/di [Diagnosis]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Intensive Care, Neonatal/mt [Methods]
MH  - *Intensive Care, Neonatal/st [Standards]
MH  - Maryland
MH  - Neonatal Nursing/ed [Education]
MH  - Neonatology/ed [Education]
MH  - Patient Transfer
MH  - Practice Guidelines as Topic
AB  - Neonatal hypoglycemia is a common metabolic problem. Critically ill neonates require effective glucose metabolism to survive and thrive. Timely and urgent transport of these neonates from a level I/II nursery to a level III NICU is often needed related to complex medical and nursing care requirements. The stabilization phase prior to transport can be chaotic, resulting in a less than optimal frequency of glucose testing. Inadequate testing may result in undetected hypoglycemia that can lead to lifelong and serious neurodevelopmental sequela. The internationally utilized S.T.A.B.L.E. curriculum, which guides postresuscitation/pretransport stabilization, has an evaluative component known as the Pretransport Stabilization Self-Assessment Tool (PSSAT). This tool allows the referral hospital staff and transport team to track glucose levels during the pretransport phase of care at 3 distinct points in time. Utilization of the PSSAT has been shown to successfully prompt glucose testing that is reflective of the S.T.A.B.L.E. curriculum.
ES  - 1536-0911
IL  - 1536-0903
DO  - https://dx.doi.org/10.1097/ANC.0b013e31822c94bd
PT  - Journal Article
PT  - Multicenter Study
ID  - 10.1097/ANC.0b013e31822c94bd [doi]
ID  - 00149525-201110000-00010 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Oct
EZ  - 2011/11/30 06:00
DA  - 2012/05/02 06:00
DT  - 2011/11/30 06:00
YR  - 2011
ED  - 20120501
RD  - 20111129
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22123405

<334. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22100623
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rayeh-Pelardy F
AU  - Mimoz O
FA  - Rayeh-Pelardy, F
FA  - Mimoz, O
TI  - [Intra-hospital transport: from aeronautic to medicine]. [French]
OT  - Transports intrahospitaliers : de l'aeronautique a la medecine.
CM  - Comment on: Ann Fr Anesth Reanim. 2011 Dec;30(12):e83-7, 952-6; PMID: 22100622
SO  - Annales Francaises d Anesthesie et de Reanimation. 30(12):875-6, 2011 Dec
AS  - Ann Fr Anesth Reanim. 30(12):875-6, 2011 Dec
NJ  - Annales francaises d'anesthesie et de reanimation
VO  - 30
IP  - 12
PG  - 875-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 4zt, 8213275
IO  - Ann Fr Anesth Reanim
SB  - Index Medicus
CP  - France
MH  - *Critical Illness
MH  - Humans
MH  - *Transportation of Patients/st [Standards]
ES  - 1769-6623
IL  - 0750-7658
DO  - https://dx.doi.org/10.1016/j.annfar.2011.10.015
PT  - Comment
PT  - Editorial
ID  - S0750-7658(11)00403-5 [pii]
ID  - 10.1016/j.annfar.2011.10.015 [doi]
PP  - ppublish
LG  - French
EP  - 20111117
DP  - 2011 Dec
EZ  - 2011/11/22 06:00
DA  - 2012/05/02 06:00
DT  - 2011/11/22 06:00
YR  - 2011
ED  - 20120501
RD  - 20111213
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22100623

<335. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22100622
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Quenot JP
AU  - Milesi C
AU  - Cravoisy A
AU  - Capellier G
AU  - Mimoz O
AU  - Fourcade O
AU  - Gueugniaud PY
AU  - Societe de Reanimation de Langue Francaise
AU  - Societe Francaise d'anesthesie et de reanimation
AU  - Societe francaise de medecine d'urgence
FA  - Quenot, J-P
FA  - Milesi, C
FA  - Cravoisy, A
FA  - Capellier, G
FA  - Mimoz, O
FA  - Fourcade, O
FA  - Gueugniaud, P-Y
FA  - Societe de Reanimation de Langue Francaise
FA  - Societe Francaise d'anesthesie et de reanimation
FA  - Societe francaise de medecine d'urgence
IN  - Quenot, J-P. Service de reanimation medicale, CHU Bocage-Central-Gabriel, 14, rue Paul-Gaffarel, 21079 Dijon, France. jean-pierre.quenot@chu-dijon.fr
IR  - Gervais C
IR  - M Richard JC
IR  - Ledroit C
IR  - Nace L
IR  - Naud J
IR  - Legoff S
IR  - Touabi K
IR  - Ouattara A
IR  - Geeraerts T
IR  - Templier F
IR  - Tazarourte K
IR  - Roupie E
IR  - Ricard-Hibon A
IR  - Farges C
TI  - Intrahospital transport of critically ill patients (excluding newborns).
CM  - Comment in: Ann Fr Anesth Reanim. 2011 Dec;30(12):875-6; PMID: 22100623
SO  - Annales Francaises d Anesthesie et de Reanimation. 30(12):e83-7, 952-6, 2011 Dec
AS  - Ann Fr Anesth Reanim. 30(12):e83-7, 952-6, 2011 Dec
NJ  - Annales francaises d'anesthesie et de reanimation
VO  - 30
IP  - 12
PG  - e83-7, 952-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 4zt, 8213275
IO  - Ann Fr Anesth Reanim
SB  - Index Medicus
CP  - France
MH  - *Critical Illness
MH  - Humans
MH  - Monitoring, Physiologic
MH  - *Transportation of Patients/st [Standards]
ES  - 1769-6623
IL  - 0750-7658
DO  - https://dx.doi.org/10.1016/j.annfar.2011.09.007
PT  - Journal Article
PT  - Practice Guideline
ID  - S0750-7658(11)00391-1 [pii]
ID  - 10.1016/j.annfar.2011.09.007 [doi]
PP  - ppublish
PH  - 2011/09/03 [received]
PH  - 2011/09/27 [accepted]
LG  - English
LG  - French
EP  - 20111117
DP  - 2011 Dec
EZ  - 2011/11/22 06:00
DA  - 2012/05/02 06:00
DT  - 2011/11/22 06:00
YR  - 2011
ED  - 20120501
RD  - 20111213
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22100622

<336. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22233877
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ilan R
AU  - LeBaron CD
AU  - Christianson MK
AU  - Heyland DK
AU  - Day A
AU  - Cohen MD
FA  - Ilan, Roy
FA  - LeBaron, Curtis D
FA  - Christianson, Marlys K
FA  - Heyland, Daren K
FA  - Day, Andrew
FA  - Cohen, Michael D
IN  - Ilan, Roy. Department of Medicine and Critical Care Program, Queen's University, Kingston General Hospital, Etherington Hall, Kingston, ON, Canada, K7L 3N6. ilanr@kgh.kari.net
TI  - Handover patterns: an observational study of critical care physicians.
SO  - BMC Health Services Research. 12:11, 2012 Jan 10
AS  - BMC Health Serv Res. 12:11, 2012 Jan 10
NJ  - BMC health services research
VO  - 12
PG  - 11
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 101088677
IO  - BMC Health Serv Res
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3280171
SB  - Index Medicus
CP  - England
MH  - Academic Medical Centers
MH  - *Communication
MH  - *Continuity of Patient Care/st [Standards]
MH  - *Critical Care
MH  - Health Services Research
MH  - Humans
MH  - Intensive Care Units
MH  - Ontario
MH  - *Patient Transfer/st [Standards]
MH  - *Practice Patterns, Physicians'/st [Standards]
MH  - Prospective Studies
MH  - Time Factors
MH  - Video Recording
AB  - BACKGROUND: Handover (or 'handoff') is the exchange of information between health professionals that accompanies the transfer of patient care. This process can result in adverse events. Handover 'best practices', with emphasis on standardization, have been widely promoted. However, these recommendations are based mostly on expert opinion and research on medical trainees. By examining handover communication of experienced physicians, we aim to inform future research, education and quality improvement. Thus, our objective is to describe handover communication patterns used by attending critical care physicians in an academic centre and to compare them with currently popular, standardized schemes for handover communication.
AB  - METHODS: Prospective, observational study using video recording in an academic intensive care unit in Ontario, Canada. Forty individual patient handovers were randomly selected out of 10 end-of-week handover sessions of attending physicians. Two coders independently reviewed handover transcripts documenting elements of three communication schemes: SBAR (Situation, Background, Assessment, Recommendations); SOAP (Subjective, Objective, Assessment, Plan); and a standard medical admission note. Frequency and extent of questions asked by incoming physicians were measured as well. Analysis consisted of descriptive statistics.
AB  - RESULTS: Mean (+/- standard deviation) duration of patient-specific handovers was 2 min 58 sec (+/- 57 sec). The majority of handovers' content consisted of recent and current patient status. The remainder included physicians' interpretations and advice. Questions posed by the incoming physicians accounted for 5.8% (+/- 3.9%) of the handovers' content. Elements of all three standardized communication schemes appeared repeatedly throughout the handover dialogs with no consistent pattern. For example, blocks of SOAP's Assessment appeared 5.2 (+/- 3.0) times in patient handovers; they followed Objective blocks in only 45.9% of the opportunities and preceded Plan in just 21.8%. Certain communication elements were occasionally absent. For example, SBAR's Recommendation and admission note information about the patient's Past Medical History were absent from 22 (55.0%) and 20 (50.0%), respectively, of patient handovers.
AB  - CONCLUSIONS: Clinical handover practice of faculty-level critical care physicians did not conform to any of the three predefined structuring schemes. Further research is needed to examine whether alternative approaches to handover communication can be identified and to identify features of high-quality handover communication.
ES  - 1472-6963
IL  - 1472-6963
DO  - https://dx.doi.org/10.1186/1472-6963-12-11
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 1472-6963-12-11 [pii]
ID  - 10.1186/1472-6963-12-11 [doi]
ID  - PMC3280171 [pmc]
PP  - epublish
PH  - 2011/05/11 [received]
PH  - 2012/01/10 [accepted]
LG  - English
EP  - 20120110
DP  - 2012 Jan 10
EZ  - 2012/01/12 06:00
DA  - 2012/04/12 06:00
DT  - 2012/01/12 06:00
YR  - 2012
ED  - 20120411
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22233877

<337. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22129553
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Checchia PA
AU  - Laussen PC
FA  - Checchia, Paul A
FA  - Laussen, Peter C
TI  - The cardiac intensive care unit perspective on hemodynamic monitoring of oxygen transport balance.
SO  - Pediatric Critical Care Medicine. 12(4 Suppl):S69-71, 2011 Jul
AS  - Pediatr Crit Care Med. 12(4 Suppl):S69-71, 2011 Jul
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 12
IP  - 4 Suppl
PG  - S69-71
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Biological Transport
MH  - *Cardiac Output/ph [Physiology]
MH  - Child, Preschool
MH  - *Consensus
MH  - Evidence-Based Practice
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Monitoring, Physiologic/mt [Methods]
MH  - *Oxygen/pk [Pharmacokinetics]
MH  - Oxygen Consumption/ph [Physiology]
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.
RN  - S88TT14065 (Oxygen)
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3182211d3d
PT  - Editorial
ID  - 10.1097/PCC.0b013e3182211d3d [doi]
ID  - 00130478-201107001-00012 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Jul
EZ  - 2012/01/04 06:00
DA  - 2012/04/12 06:00
DT  - 2011/12/02 06:00
YR  - 2011
ED  - 20120411
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22129553

<338. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22129548
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Domico M
AU  - Checchia PA
FA  - Domico, Michelle
FA  - Checchia, Paul A
IN  - Domico, Michelle. Children's Hospital of Orange County, Orange, CA, USA.
TI  - Biomonitors of cardiac injury and performance: B-type natriuretic peptide and troponin as monitors of hemodynamics and oxygen transport balance. [Review]
SO  - Pediatric Critical Care Medicine. 12(4 Suppl):S33-42, 2011 Jul
AS  - Pediatr Crit Care Med. 12(4 Suppl):S33-42, 2011 Jul
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 12
IP  - 4 Suppl
PG  - S33-42
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Biological Transport
MH  - Biomarkers/bl [Blood]
MH  - Evidence-Based Medicine
MH  - Heart Injuries/bl [Blood]
MH  - *Heart Injuries/di [Diagnosis]
MH  - *Hemodynamics/ph [Physiology]
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - *Natriuretic Peptide, Brain/bl [Blood]
MH  - *Oxygen/pk [Pharmacokinetics]
MH  - Postoperative Care
MH  - *Troponin/bl [Blood]
AB  - UNLABELLED: Serum biomarkers, such as B-type natriuretic peptide and troponin, are frequently measured in the cardiac intensive care unit. A review of the evidence supporting monitoring of these biomarkers is presented.
AB  - DESIGN: A search of MEDLINE, PubMed, and the Cochrane Database was conducted to find literature regarding the use of B-type natriuretic peptide and troponin in the cardiac intensive care setting. Adult and pediatric data were considered.
AB  - RESULTS AND CONCLUSION: Both B-type natriuretic peptide and troponin have demonstrated utility in the intensive care setting but there is no conclusive evidence at this time that either biomarker can be used to guide inpatient management of children with cardiac disease. Although B-type natriuretic peptide and troponin concentrations can alert clinicians to myocardial stress, injury, or hemodynamic alterations, the levels can also be elevated in a variety of clinical scenarios, including sepsis. Observational studies have demonstrated that perioperative measurement of these biomarkers can predict postoperative mortality and complications.
AB  - RECOMMENDATION AND LEVEL OF EVIDENCE: (class IIb, level of evidence B): The use of B-type natriuretic peptide and/or troponin measurements in the evaluation of hemodynamics and postoperative outcome in pediatric cardiac patients may be beneficial.
RN  - 0 (Biomarkers)
RN  - 0 (Troponin)
RN  - 114471-18-0 (Natriuretic Peptide, Brain)
RN  - S88TT14065 (Oxygen)
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e318221178d
PT  - Journal Article
PT  - Review
ID  - 10.1097/PCC.0b013e318221178d [doi]
ID  - 00130478-201107001-00006 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Jul
EZ  - 2012/01/04 06:00
DA  - 2012/04/12 06:00
DT  - 2011/12/02 06:00
YR  - 2011
ED  - 20120411
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22129548

<339. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22129543
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Checchia PA
AU  - Bronicki RA
FA  - Checchia, Paul A
FA  - Bronicki, Ronald A
IN  - Checchia, Paul A. St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO, USA.
TI  - The Pediatric Cardiac Intensive Care Society evidence-based review and consensus statement on monitoring of hemodynamics and oxygen transport balance.
SO  - Pediatric Critical Care Medicine. 12(4 Suppl):S1, 2011 Jul
AS  - Pediatr Crit Care Med. 12(4 Suppl):S1, 2011 Jul
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 12
IP  - 4 Suppl
PG  - S1
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Biological Transport
MH  - *Consensus
MH  - *Evidence-Based Medicine
MH  - *Hemodynamics/ph [Physiology]
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Monitoring, Physiologic/mt [Methods]
MH  - *Oxygen/pk [Pharmacokinetics]
MH  - Practice Guidelines as Topic
MH  - Societies, Medical
RN  - S88TT14065 (Oxygen)
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e318220e64f
PT  - Introductory Journal Article
ID  - 10.1097/PCC.0b013e318220e64f [doi]
ID  - 00130478-201107001-00001 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Jul
EZ  - 2012/01/04 06:00
DA  - 2012/04/12 06:00
DT  - 2011/12/02 06:00
YR  - 2011
ED  - 20120411
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22129543

<340. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21857798
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wong HR
AU  - Dalton HJ
FA  - Wong, Hector R
FA  - Dalton, Heidi J
TI  - The PICU perspective on monitoring hemodynamics and oxygen transport.
CM  - Comment in: Pediatr Crit Care Med. 2012 Mar;13(2):250-1; PMID: 22391851
SO  - Pediatric Critical Care Medicine. 12(4 Suppl):S66-8, 2011 Jul
AS  - Pediatr Crit Care Med. 12(4 Suppl):S66-8, 2011 Jul
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 12
IP  - 4 Suppl
PG  - S66-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158001
OI  - Source: NLM. NIHMS299184
SB  - Index Medicus
CP  - United States
MH  - Biological Transport
MH  - Child, Preschool
MH  - *Hemodynamics/ph [Physiology]
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric
MH  - *Monitoring, Physiologic/mt [Methods]
MH  - *Oxygen/pk [Pharmacokinetics]
MH  - Oxygen Consumption/ph [Physiology]
MH  - Shock/pp [Physiopathology]
KW  - hemodynamic monitoring;  oxygenation;  pediatric intensive care unit;  shock
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.
RN  - S88TT14065 (Oxygen)
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3182211c60
PT  - Editorial
ID  - 10.1097/PCC.0b013e3182211c60 [doi]
ID  - PMC3158001 [pmc]
ID  - NIHMS299184 [mid]
PP  - ppublish
GI  - No: R01 GM064619
Organization: (GM) *NIGMS NIH HHS*
Country: United States

GI  - No: R01 GM064619-06
Organization: (GM) *NIGMS NIH HHS*
Country: United States

GI  - No: RC1 HL100474
Organization: (HL) *NHLBI NIH HHS*
Country: United States

GI  - No: RC1 HL100474-02
Organization: (HL) *NHLBI NIH HHS*
Country: United States
LG  - English
DP  - 2011 Jul
EZ  - 2011/08/23 06:00
DA  - 2012/04/12 06:00
DT  - 2011/08/23 06:00
YR  - 2011
ED  - 20120411
RD  - 20161215
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21857798

<341. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21123316
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vieira AL
AU  - dos Santos AM
AU  - Okuyama MK
AU  - Miyoshi MH
AU  - de Almeida MF
AU  - Guinsburg R
FA  - Vieira, Anna L P
FA  - dos Santos, Amelia M N
FA  - Okuyama, Mariana K
FA  - Miyoshi, Milton H
FA  - de Almeida, Maria F B
FA  - Guinsburg, Ruth
IN  - Vieira, Anna L P. Disciplina de Pediatria Neonatal, Departamento de Pediatria, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil.
TI  - Factors associated with clinical complications during intra-hospital transports in a neonatal unit in Brazil.
SO  - Journal of Tropical Pediatrics. 57(5):368-74, 2011 Oct
AS  - J Trop Pediatr. 57(5):368-74, 2011 Oct
NJ  - Journal of tropical pediatrics
VO  - 57
IP  - 5
PG  - 368-74
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - kaw, 8010948
IO  - J. Trop. Pediatr.
SB  - Index Medicus
CP  - England
MH  - Age Factors
MH  - Body Temperature
MH  - Brazil
MH  - Equipment Failure
MH  - Female
MH  - Gestational Age
MH  - Hospitals, University
MH  - Humans
MH  - *Iatrogenic Disease
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Infant, Premature, Diseases/th [Therapy]
MH  - *Infant, Premature, Diseases
MH  - Intensive Care Units, Neonatal
MH  - *Intensive Care, Neonatal/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Male
MH  - Monitoring, Physiologic
MH  - Retrospective Studies
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: Analyze factors associated with clinical complications during intra-hospital transport of neonatal intensive care unit (NICU) patients.
AB  - METHODS: Prospective study of 641 infants submitted to 1197 intra-hospital transports at a public university NICU. Factors associated with clinical complications during intra-hospital transports were studied by multiple logistic regression analysis.
AB  - RESULTS: Included infants had a mean gestational age of 35.1 +/- 3.8 weeks and a birth weight of 2328 +/- 906 g. Underline diseases were: malformations (71.9%), infections (7.6%), respiratory distress (4.1%) and others (16.4%). Patients were transported for surgical procedures (22.6%), magnetic resonance (10.6%), tomography imaging (20.9%), contrasted exams (18.2%), ultrasound (10.4%) and others (17.3%). Clinical complications occurred in 327 (27.3%) transports and were associated (odds ratio; 95% CI) with: central nervous system malformations (1.6; 95% CI 1.0-2.0); use of supplemental oxygen (4.0; 95% CI 2.8-5.6); mechanical ventilation (5.0; 95% CI 3.5-7.5); transport for surgeries (4.0; 95% CI 1.1-14.0) and duration of the transport longer than 120 min (1.6; 95% CI 1.1-2.4).
AB  - CONCLUSIONS: Intra-hospital transports are associated with increased risk of clinical complications.
ES  - 1465-3664
IL  - 0142-6338
DO  - https://dx.doi.org/10.1093/tropej/fmq111
PT  - Journal Article
ID  - fmq111 [pii]
ID  - 10.1093/tropej/fmq111 [doi]
PP  - ppublish
LG  - English
EP  - 20101201
DP  - 2011 Oct
EZ  - 2010/12/03 06:00
DA  - 2012/04/11 06:00
DT  - 2010/12/03 06:00
YR  - 2011
ED  - 20120410
RD  - 20111003
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21123316

<342. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22076451
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wiebelhaus P
AU  - Hansen SL
FA  - Wiebelhaus, P
FA  - Hansen, S L
IN  - Wiebelhaus, P. St. Elizabeth Regional Burn & Wound Care Center, Lincoln, Neb., USA.
TI  - Managing burn emergencies.
SO  - DCCN - Dimensions of Critical Care Nursing. 20(4):2-6; quiz 7-8, 2001 Jul-Aug
AS  - DCCN. 20(4):2-6; quiz 7-8, 2001 Jul-Aug
NJ  - Dimensions of critical care nursing : DCCN
VO  - 20
IP  - 4
PG  - 2-6; quiz 7-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8211489
IO  - Dimens Crit Care Nurs
SB  - Nursing Journal
CP  - United States
MH  - Adult
MH  - Burn Units
MH  - Burns/di [Diagnosis]
MH  - *Burns/nu [Nursing]
MH  - Burns/th [Therapy]
MH  - Child
MH  - Emergencies
MH  - Fluid Therapy
MH  - Humans
MH  - Nursing Assessment
MH  - Pain Management
MH  - Patient Transfer
MH  - United States
AB  - Nursing interventions in the first crucial hours after a burn injury can improve the patient's chances of survival and a good recovery. This article describes how to rapidly assess and intervene, in the field and in the hospital.
ES  - 1538-8646
IL  - 0730-4625
PT  - Journal Article
ID  - 00003465-200107000-00001 [pii]
PP  - ppublish
LG  - English
DP  - 2001 Jul-Aug
EZ  - 2001/07/01 00:00
DA  - 2012/03/27 06:00
DT  - 2011/11/15 06:00
YR  - 2001
ED  - 20120325
RD  - 20111114
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=22076451

<343. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22312820
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cannon JW
AU  - Zonies DH
AU  - Benfield RJ
AU  - Elster EA
AU  - Wanek SM
FA  - Cannon, Jeremy W
FA  - Zonies, David H
FA  - Benfield, Rodd J
FA  - Elster, Eric A
FA  - Wanek, Sandra M
IN  - Cannon, Jeremy W. Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
TI  - Advanced en-route critical care during combat operations.
SO  - Bulletin of the American College of Surgeons. 96(5):21-9, 2011 May
AS  - Bull Am Coll Surg. 96(5):21-9, 2011 May
NJ  - Bulletin of the American College of Surgeons
VO  - 96
IP  - 5
PG  - 21-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bdc, 7507024, 750724
IO  - Bull Am Coll Surg
SB  - Health Administration Journals
CP  - United States
MH  - *General Surgery
MH  - Humans
MH  - Military Medicine
MH  - *Transportation of Patients
MH  - *Warfare
IS  - 0002-8045
IL  - 0002-8045
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2011 May
EZ  - 2012/02/09 06:00
DA  - 2012/03/21 06:00
DT  - 2012/02/09 06:00
YR  - 2011
ED  - 20120320
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22312820

<344. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22067880
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Current world literature.
SO  - Current Opinion in Critical Care. 17(6):666-71, 2011 Dec
AS  - Curr Opin Crit Care. 17(6):666-71, 2011 Dec
NJ  - Current opinion in critical care
VO  - 17
IP  - 6
PG  - 666-71
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9504454, d2j
IO  - Curr Opin Crit Care
SB  - Index Medicus
CP  - United States
MH  - *Acute Kidney Injury/ep [Epidemiology]
MH  - Acute Kidney Injury/th [Therapy]
MH  - *Burns
MH  - Critical Care
MH  - Critical Illness
MH  - Humans
MH  - *Hypertension
MH  - Intensive Care Units
MH  - Patient Transfer
MH  - Wounds and Injuries
ES  - 1531-7072
IL  - 1070-5295
DO  - https://dx.doi.org/10.1097/MCC.0b013e32834e116d
PT  - Bibliography
ID  - 10.1097/MCC.0b013e32834e116d [doi]
ID  - 00075198-201112000-00020 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Dec
EZ  - 2011/11/10 06:00
DA  - 2012/03/21 06:00
DT  - 2011/11/10 06:00
YR  - 2011
ED  - 20120320
RD  - 20111109
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22067880

<345. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21771765
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ramnarayan P
AU  - Polke E
FA  - Ramnarayan, Padmanabhan
FA  - Polke, Eithne
IN  - Ramnarayan, Padmanabhan. Consultant, Children's Acute Transport Service, Great Ormond Street Hospital NHS Trust, 44-B, Bedford Row, London WC1R 4LL, UK. ramnap@gosh.nhs.uk
TI  - The state of paediatric intensive care retrieval in Britain. [Review]
SO  - Archives of Disease in Childhood. 97(2):145-9, 2012 Feb
AS  - Arch Dis Child. 97(2):145-9, 2012 Feb
NJ  - Archives of disease in childhood
VO  - 97
IP  - 2
PG  - 145-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 6xg, 0372434
IO  - Arch. Dis. Child.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - Critical Care/og [Organization & Administration]
MH  - *Critical Care/td [Trends]
MH  - Critical Illness
MH  - Humans
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric/td [Trends]
MH  - Models, Organizational
MH  - Regional Medical Programs/og [Organization & Administration]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - *Transportation of Patients/td [Trends]
MH  - United Kingdom
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.
ES  - 1468-2044
IL  - 0003-9888
DO  - https://dx.doi.org/10.1136/adc.2010.204503
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
ID  - adc.2010.204503 [pii]
ID  - 10.1136/adc.2010.204503 [doi]
PP  - ppublish
LG  - English
EP  - 20110718
DP  - 2012 Feb
EZ  - 2011/07/21 06:00
DA  - 2012/03/16 06:00
DT  - 2011/07/21 06:00
YR  - 2012
ED  - 20120315
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21771765

<346. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22122436
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Krcmery V
FA  - Krcmery, Vladimir
IN  - Krcmery, Vladimir. St Elizabeth University College of Health & Social Sciences, Namestie 1 maja No 1, 811 01 Bratislava, Slovakia. vladimir.krcmery@szu.sk
TI  - Are subinhibitory concentrations of antibiotics the only culprit of antibiotic resistance?.
CM  - Comment on: PLoS Pathog. 2011 Jul;7(7):e1002158; PMID: 21811410
SO  - Future Microbiology. 6(12):1391-4, 2011 Dec
AS  - Future Microbiol. 6(12):1391-4, 2011 Dec
NJ  - Future microbiology
VO  - 6
IP  - 12
PG  - 1391-4
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101278120
IO  - Future Microbiol
CP  - England
AB  - Evaluation of: Gullberg E, Cao S, Berg OG et al. Selection of resistant bacteria at very low antibiotic concentrations. PLoS Pathog. 7(7), e1002158 (2011). Subinhibitory concentrations of antibiotics and antifungals promote resistance. Antibiotic consumption including hospital use, and country use, including patients self-medications is one of the major drivers of antibiotic or antifungal resistance. However, consumption of antibiotics should be distinguished between the hospital and community. Hospital consumption, poor hospital hygiene and intrahospital transfer have been determined as major risk factors for development of resistance. The correlation between resistance and consumption in the community is not so clear. Therefore consumption of antibiotics and antifungals alone cannot explain the selection of resistant bacterial and fungal mutants and other factors have to be investigated.
ES  - 1746-0921
IL  - 1746-0913
DO  - https://dx.doi.org/10.2217/fmb.11.129
PT  - Comment
PT  - Journal Article
ID  - 10.2217/fmb.11.129 [doi]
PP  - ppublish
LG  - English
DP  - 2011 Dec
EZ  - 2011/11/30 06:00
DA  - 2011/11/30 06:01
DT  - 2011/11/30 06:00
YR  - 2011
ED  - 20120313
RD  - 20111129
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22122436

<347. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22210782
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Churpek MM
AU  - Hall JB
FA  - Churpek, Matthew M
FA  - Hall, Jesse B
TI  - Measuring and rewarding quality in the ICU: the yardstick is not as straight as we wish.
CM  - Comment on: Am J Respir Crit Care Med. 2012 Jan 1;185(1):53-7; PMID: 21940788
SO  - American Journal of Respiratory & Critical Care Medicine. 185(1):3-4, 2012 Jan 01
AS  - Am J Respir Crit Care Med. 185(1):3-4, 2012 Jan 01
NJ  - American journal of respiratory and critical care medicine
VO  - 185
IP  - 1
PG  - 3-4
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9421642, bzs
IO  - Am. J. Respir. Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - *Hospital Mortality
MH  - *Hospitals, Chronic Disease/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Respiration, Artificial
ES  - 1535-4970
IL  - 1073-449X
DO  - https://dx.doi.org/10.1164/rccm.201110-1813ED
PT  - Comment
PT  - Editorial
ID  - 185/1/3 [pii]
ID  - 10.1164/rccm.201110-1813ED [doi]
PP  - ppublish
LG  - English
DP  - 2012 Jan 01
EZ  - 2012/01/03 06:00
DA  - 2012/03/06 06:00
DT  - 2012/01/03 06:00
YR  - 2012
ED  - 20120305
RD  - 20160302
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22210782

<348. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22064577
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Van Dell T
FA  - Van Dell, Tracey
IN  - Van Dell, Tracey. American Association of Critical-Care Nurses, Aliso Viejo, CA 92656, USA. tracey.vandell@aacn.org
TI  - Patient- and family-centered care in the neonatal intensive care unit in our own words: one family's story.
SO  - AACN Advanced Critical Care. 22(4):298-300, 2011 Oct-Dec
AS  - AACN Adv Crit Care. 22(4):298-300, 2011 Oct-Dec
NJ  - AACN advanced critical care
VO  - 22
IP  - 4
PG  - 298-300
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101269322
IO  - AACN Adv Crit Care
SB  - Nursing Journal
CP  - United States
MH  - *Family
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Patient Transfer
MH  - *Patient-Centered Care/og [Organization & Administration]
ES  - 1559-7776
IL  - 1559-7768
DO  - https://dx.doi.org/10.1097/NCI.0b013e31822ca54b
PT  - Journal Article
ID  - 10.1097/NCI.0b013e31822ca54b [doi]
ID  - 01256961-201110000-00003 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Oct-Dec
EZ  - 2011/11/09 06:00
DA  - 2012/03/01 06:00
DT  - 2011/11/09 06:00
YR  - 2011
ED  - 20120228
RD  - 20111108
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22064577

<349. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21908802
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kim SW
AU  - Maturo S
AU  - Dwyer D
AU  - Monash B
AU  - Yager PH
AU  - Zanger K
AU  - Hartnick CJ
FA  - Kim, Sang W
FA  - Maturo, Stephen
FA  - Dwyer, Danielle
FA  - Monash, Bradley
FA  - Yager, Phoebe H
FA  - Zanger, Kerstin
FA  - Hartnick, Christopher J
IN  - Kim, Sang W. Massachusetts Eye and Ear Infirmary, Department of Otolaryngology, Boston, Massachusetts, USA.
TI  - Interdisciplinary development and implementation of communication checklist for postoperative management of pediatric airway patients.
SO  - Otolaryngology - Head & Neck Surgery. 146(1):129-34, 2012 Jan
AS  - Otolaryngol Head Neck Surg. 146(1):129-34, 2012 Jan
NJ  - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
VO  - 146
IP  - 1
PG  - 129-34
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 7909794, 8508176, on7, on8
IO  - Otolaryngol Head Neck Surg
SB  - Index Medicus
CP  - England
MH  - *Checklist
MH  - Child
MH  - *Delivery of Health Care/og [Organization & Administration]
MH  - *Disease Management
MH  - Follow-Up Studies
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Interdisciplinary Communication
MH  - Massachusetts
MH  - Patient Transfer
MH  - *Postoperative Care/mt [Methods]
MH  - Postoperative Period
MH  - Prospective Studies
MH  - *Respiratory Tract Diseases/su [Surgery]
MH  - Safety Management/td [Trends]
AB  - OBJECTIVE: The authors describe their multidisciplinary experience in applying the Institute of Health Improvement methodology to develop a protocol and checklist to reduce communication error during transfer of care for postoperative pediatric surgical airway patients. Preliminary outcome data following implementation of the protocol and checklist are also presented.
AB  - STUDY DESIGN: Prospective study from July 1, 2009, to February 1, 2011.
AB  - SETTING: Tertiary care center. Subjects. One hundred twenty-six pediatric airway patients who required coordinated care between Massachusetts Eye and Ear Infirmary and Massachusetts General Hospital.
AB  - METHODS: Two sentinel events involving airway emergencies demonstrated a critical need for a standardized, comprehensive instrument that would ensure safe transfer of care. After development and implementation of the protocol and checklist, an initial pilot period on the first set of 9 pediatric airway patients was reassessed. Subsequent prospective 11-month follow-up data of 93 pediatric airway patients were collected and analyzed.
AB  - RESULTS: A multidisciplinary pediatric team developed and implemented a formalized, postoperative checklist and transfer protocol. After implementation of the checklist and transfer protocol, prospective analysis showed no adverse events from miscommunication during transfer of care over the subsequent 11-month period involving 93 pediatric airway patients.
AB  - CONCLUSION: There has been very little written in the quality and safety patient literature about coordinating effective transfer of care between the pediatric surgical and medical subspecialty realms. After design and implementation of a simple, electronically based transfer-of-care checklist and protocol, the number of postsurgical pediatric airway information transfer and communication errors decreased significantly.
ES  - 1097-6817
IL  - 0194-5998
DO  - https://dx.doi.org/10.1177/0194599811421745
PT  - Comparative Study
PT  - Journal Article
ID  - 0194599811421745 [pii]
ID  - 10.1177/0194599811421745 [doi]
PP  - ppublish
LG  - English
EP  - 20110909
DP  - 2012 Jan
EZ  - 2011/09/13 06:00
DA  - 2012/02/22 06:00
DT  - 2011/09/13 06:00
YR  - 2012
ED  - 20120221
RD  - 20111226
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21908802

<350. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22016020
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - St-Louis L
AU  - Brault D
FA  - St-Louis, Lyne
FA  - Brault, Diane
IN  - St-Louis, Lyne. Critical Care and Cardiac Surgery, Jewish General Hospital, Intensive Care Unit, 3755 Chemin de la Cote Ste-Catherine, Montreal, Quebec, Canada. lstlouis@nurs.jgh.mcgill.ca
TI  - A clinical nurse specialist intervention to facilitate safe transfer from ICU.
SO  - Clinical Nurse Specialist. 25(6):321-6, 2011 Nov-Dec
AS  - Clin Nurse Spec. 25(6):321-6, 2011 Nov-Dec
NJ  - Clinical nurse specialist CNS
VO  - 25
IP  - 6
PG  - 321-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - cll, 8709115
IO  - Clin Nurse Spec
SB  - Nursing Journal
CP  - United States
MH  - Humans
MH  - *Intensive Care Units
MH  - *Nurse Clinicians
MH  - Nursing Methodology Research
MH  - Organizational Innovation
MH  - *Patient Safety
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Quality of Health Care
AB  - PURPOSE/OBJECTIVES: The purpose of this article was to describe an innovative quality initiative implemented by the clinical nurses specialist in medicine to facilitate the transition process between the intensive care unit and the medical wards.
AB  - BACKGROUND/RATIONALE: Safely transferring patients with complex health conditions from an area of high technology and increased monitoring, like the intensive care unit, to an area with lower nurse-to-patient ratio is an intricate process. The care of these patients, once transferred, also requires varying levels of expertise. As indicated in the nursing literature, this type of transition is often associated with high stress levels for the patient and family, as well as for the healthcare providers. To maximize patient safety and ensure optimal care for this patient population, well-defined mechanisms must be put in place.
AB  - DESCRIPTION OF THE PROJECT/INNOVATION: The introduction of a formal assessment, consultation, and follow-up process conducted by a clinical nurse specialist (CNS).
AB  - OUTCOMES: On average, 150 patients are assessed each year by the CNS. Among these patients, 15% are considered at high risk for complications upon transfer to the unit. INTERPRETATION/CONCLUSION/IMPLICATIONS: A systematic evaluation of patients by the CNS, before their transfer from the ICU to a medical unit, has been proven beneficial in ensuring a comprehensive patient care plan. Patients and families have verbalized that this intervention is helpful. Staff members have indicated that this safety initiative is useful in planning patient transfers. The next step would be to formally measure patient, family, and staff satisfaction with this initiative.
ES  - 1538-9782
IL  - 0887-6274
DO  - https://dx.doi.org/10.1097/NUR.0b013e318233eaab
PT  - Journal Article
ID  - 10.1097/NUR.0b013e318233eaab [doi]
ID  - 00002800-201111000-00012 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Nov-Dec
EZ  - 2011/10/22 06:00
DA  - 2012/02/18 06:00
DT  - 2011/10/22 06:00
YR  - 2011
ED  - 20120217
RD  - 20131106
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22016020

<351. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21942610
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Martinelli S
AU  - Vergani P
AU  - Zanini R
AU  - Bellu R
AU  - Farina C
AU  - Tagliabue P
FA  - Martinelli, Stefano
FA  - Vergani, Patrizia
FA  - Zanini, Rinaldo
FA  - Bellu, Roberto
FA  - Farina, Clotilde
FA  - Tagliabue, Paolo
IN  - Martinelli, Stefano. Neonatology and Neonatal Intensive Care Unit, Niguarda Ca' Granda Hospital, Milan, Italy. stefano.martinelli@ospedaleniguarda.it
TI  - Transport as a system: reorganization of perinatal assistance in Northern Lombardy.
SO  - Journal of Maternal-Fetal & Neonatal Medicine. 24 Suppl 1:122-5, 2011 Oct
AS  - J Matern Fetal Neonatal Med. 24 Suppl 1:122-5, 2011 Oct
NJ  - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
VO  - 24 Suppl 1
PG  - 122-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101136916
IO  - J. Matern. Fetal. Neonatal. Med.
SB  - Index Medicus
CP  - England
MH  - Beds/sd [Supply & Distribution]
MH  - Female
MH  - Health Plan Implementation
MH  - *Health Services Accessibility/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Italy
MH  - Medical Assistance/og [Organization & Administration]
MH  - Medical Records Systems, Computerized
MH  - Obstetrics/mt [Methods]
MH  - Obstetrics/og [Organization & Administration]
MH  - Perinatal Care/mt [Methods]
MH  - *Perinatal Care/og [Organization & Administration]
MH  - Pilot Projects
MH  - Pregnancy
MH  - Pregnant Women
MH  - Program Evaluation
MH  - *Transportation/mt [Methods]
AB  - The organization of perinatal care has been a pivotal mean for improvement in neonatal survivals. Despite the excellent standard of assistance in Lombardy, Obstetrics and Neonatal Units of MBBM Foundation-Monza, Manzoni Hospital-Lecco and Niguarda Hospital-Milan put forward a pilot project proposing reorganization of perinatal care in the northern part of Lombardy. The main goals of the project are implementation of maternal transport system and use of neonatal back transport as a system to increase the availability of intensive care beds. The project's fundamental steps and critical points will be discussed.
ES  - 1476-4954
IL  - 1476-4954
DO  - https://dx.doi.org/10.3109/14767058.2011.607670
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.3109/14767058.2011.607670 [doi]
PP  - ppublish
LG  - English
DP  - 2011 Oct
EZ  - 2011/09/29 06:00
DA  - 2012/02/03 06:00
DT  - 2011/09/28 06:00
YR  - 2011
ED  - 20120202
RD  - 20110928
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21942610

<352. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21942601
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Biban P
AU  - Spaggiari S
FA  - Biban, Paolo
FA  - Spaggiari, Stefania
IN  - Biban, Paolo. Neonatal and Paediatric Intensive Care Unit, Department of Paediatrics, Major City Hospital, Azienda Ospedaliera Universitaria Integrata, Verona, Italy. paolo.biban@ospedaleuniverona.it
TI  - "Cohabitation" between NICU and PICU.
SO  - Journal of Maternal-Fetal & Neonatal Medicine. 24 Suppl 1:91-3, 2011 Oct
AS  - J Matern Fetal Neonatal Med. 24 Suppl 1:91-3, 2011 Oct
NJ  - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
VO  - 24 Suppl 1
PG  - 91-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101136916
IO  - J. Matern. Fetal. Neonatal. Med.
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Age Factors
MH  - Child
MH  - Child Care/mt [Methods]
MH  - Child Care/og [Organization & Administration]
MH  - Child, Preschool
MH  - *Critical Illness/th [Therapy]
MH  - Humans
MH  - Infant
MH  - Infant Care/mt [Methods]
MH  - Infant Care/og [Organization & Administration]
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric/ut [Utilization]
MH  - Interdisciplinary Communication
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
AB  - Neonatal and paediatric intensive care are usually provided in distinct units, characterized by highly specialized staffs dedicated either to critically ill newborns (NICUs) or to critically ill children (PICUs). However, such a model may be not suitable or even applicable to all medical organisations or to different local needs. Actually, in Europe there are several PICUs which routinely provide care also to neonatal patients, including extremely preterm infants. Conversely, there are many NICUs which occasionally, or systematically, admit also young infants and toddlers. Whilst many aspects of modern neonatal care do resemble those routinely used in the paediatric intensive care setting, several clinical issues are unique to each respective sector and cannot be easily translated to the other one. In order to guarantee the best quality of care, NICU doctors and nurses should acquire adequate competence and skills, by means of focused multidisciplinary training programmes, as well as extensive exposure to a wide paediatric case mix.
ES  - 1476-4954
IL  - 1476-4954
DO  - https://dx.doi.org/10.3109/14767058.2011.607561
PT  - Journal Article
ID  - 10.3109/14767058.2011.607561 [doi]
PP  - ppublish
LG  - English
DP  - 2011 Oct
EZ  - 2011/09/29 06:00
DA  - 2012/02/03 06:00
DT  - 2011/09/28 06:00
YR  - 2011
ED  - 20120202
RD  - 20110928
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21942601

<353. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21549418
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Yurkova I
AU  - Wolf L
FA  - Yurkova, Irina
FA  - Wolf, Lisa
IN  - Yurkova, Irina. Hadley at Elaine Rehabilitation Center, Hadley, MA, USA.
TI  - Under-triage as a significant factor affecting transfer time between the emergency department and the intensive care unit.
CM  - Comment in: J Emerg Nurs. 2012 Jul;38(4):320-1; author reply 321; PMID: 22677097
SO  - Journal of Emergency Nursing. 37(5):491-6, 2011 Sep
AS  - J Emerg Nurs. 37(5):491-6, 2011 Sep
NJ  - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association
VO  - 37
IP  - 5
PG  - 491-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 7605913
IO  - J Emerg Nurs
SB  - Nursing Journal
CP  - United States
MH  - Age Factors
MH  - Critical Illness/mo [Mortality]
MH  - Critical Illness/th [Therapy]
MH  - *Emergency Service, Hospital/ut [Utilization]
MH  - Emergency Treatment/st [Standards]
MH  - Emergency Treatment/td [Trends]
MH  - Evaluation Studies as Topic
MH  - Female
MH  - Hospital Mortality/td [Trends]
MH  - Hospitals, Community
MH  - Humans
MH  - *Intensive Care Units/ut [Utilization]
MH  - Male
MH  - Needs Assessment
MH  - Patient Transfer/st [Standards]
MH  - *Patient Transfer/td [Trends]
MH  - Risk Factors
MH  - Sepsis/di [Diagnosis]
MH  - *Sepsis/th [Therapy]
MH  - Sex Factors
MH  - Time Factors
MH  - Treatment Outcome
MH  - *Triage
MH  - United States
AB  - INTRODUCTION: The purpose of the study was to identify factors that affect transfer times between the emergency department and the intensive care unit (ICU) in a community hospital. Patients who are transferred from the emergency department to the ICU are usually in critical condition and in need of prompt treatment by qualified personnel. As a result of delayed transfers, a patient may experience complications, such as increased mortality rates and longer hospital stays.
AB  - METHODS: A quantitative descriptive correlational design was used in this study. Data were collected from the charts of 75 patients who were transferred from the emergency department to the ICU of a 142-bed community hospital in the eastern United States. "Delayed patients" were identified as those who were transferred after more than 4 hours.
AB  - RESULTS: Forty-four patients (58.7%) spent more than 4 hours in the emergency department. Nineteen out of 25 patients (76%) with an Emergency Severity Index designation of 3 were identified as delayed. Delayed status and an Emergency Severity Index designation of 3 showed a significant correlation (r = -.339, P = .004). Eleven patients (64.7%) diagnosed with sepsis were delayed, compared with 6 who were not delayed. A total of 70.4% of female patients were delayed, compared with 52.1% of male patients.
AB  - DISCUSSION: This study provides a more comprehensive view of the factors involved in delayed patient transfer and provides data needed for effective interventions to be developed. The results suggest significant problems with the under-triage of critically ill patients, specifically patients with sepsis. Future research should include a larger group of subjects and a multifactorial analysis.

Copyright © 2011 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.
ES  - 1527-2966
IL  - 0099-1767
DO  - https://dx.doi.org/10.1016/j.jen.2011.01.016
PT  - Comparative Study
PT  - Journal Article
ID  - S0099-1767(11)00081-X [pii]
ID  - 10.1016/j.jen.2011.01.016 [doi]
PP  - ppublish
PH  - 2010/09/10 [received]
PH  - 2010/12/28 [revised]
PH  - 2011/01/28 [accepted]
LG  - English
EP  - 20110505
DP  - 2011 Sep
EZ  - 2011/05/10 06:00
DA  - 2012/01/19 06:00
DT  - 2011/05/10 06:00
YR  - 2011
ED  - 20120118
RD  - 20120906
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21549418

<354. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21952602
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hamze-Sinno R
AU  - Abdoul H
AU  - Neve M
AU  - Tsapis M
AU  - Jones P
AU  - Dauger S
FA  - Hamze-Sinno, R
FA  - Abdoul, H
FA  - Neve, M
FA  - Tsapis, M
FA  - Jones, P
FA  - Dauger, S
TI  - Can we easily anticipate on admission pediatric patient transfers from intermediate to intensive care?.
CM  - Comment on: Crit Care Med. 2004 May;32(5):1215-8; PMID: 15190975
SO  - Minerva Anestesiologica. 77(10):1022-3, 2011 Oct
AS  - Minerva Anestesiol. 77(10):1022-3, 2011 Oct
NJ  - Minerva anestesiologica
VO  - 77
IP  - 10
PG  - 1022-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - n26, 0375272
IO  - Minerva Anestesiol
SB  - Index Medicus
CP  - Italy
MH  - *Critical Care/st [Standards]
MH  - Humans
MH  - *Patient Admission/st [Standards]
MH  - *Patient Discharge/st [Standards]
MH  - *Pediatrics/st [Standards]
MH  - *Subacute Care/st [Standards]
ES  - 1827-1596
IL  - 0375-9393
PT  - Comment
PT  - Journal Article
ID  - R02117027 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Oct
EZ  - 2011/09/29 06:00
DA  - 2012/01/17 06:00
DT  - 2011/09/29 06:00
YR  - 2011
ED  - 20120116
RD  - 20120405
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21952602

<355. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21546863
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bender J
AU  - Shields R
AU  - Kennally K
FA  - Bender, Jesse
FA  - Shields, Robin
FA  - Kennally, Karen
IN  - Bender, Jesse. Department of Pediatrics, Women & Infants' Hospital, Providence, RI 02905, USA. gbender@wihri.org
TI  - Transportable enhanced simulation technologies for pre-implementation limited operations testing: neonatal intensive care unit.
SO  - Simulation in Healthcare: The Journal of The Society for Medical Simulation. 6(4):204-12, 2011 Aug
AS  - Simul. healthc.. 6(4):204-12, 2011 Aug
NJ  - Simulation in healthcare : journal of the Society for Simulation in Healthcare
VO  - 6
IP  - 4
PG  - 204-12
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101264408
IO  - Simul Healthc
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Education
MH  - Female
MH  - Health Care Surveys
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - *Interdisciplinary Communication
MH  - Male
MH  - Middle Aged
MH  - *Quality Assurance, Health Care/mt [Methods]
MH  - Safety Management
MH  - Young Adult
AB  - INTRODUCTION: Transition of a Neonatal Intensive Care Unit (NICU) to a new physical plant incurs many challenges. These are amplified when the culture of care is changing from traditional cohort-based care to the single-family room model. Altered healthcare delivery systems can be tested in situ with TESTPILOT: Transportable Enhanced Simulation Technologies for Pre-Implementation Limited Operations Testing. The aims of the study included promoting translation of existing processes and identifying staff orientation material. We hypothesized that (1) numerous process gaps would be discovered and resolved, and (2) participants would feel better prepared.
AB  - METHODS: A functional neonatal intensive care unit was modeled before its opening. Scenarios were developed, volunteers recruited, and rooms supplied with equipment. Participants performed usual duties in two 30-minute in situ simulations followed by facilitated debriefings. As latent safety hazards were identified, they were corrected and retested in subsequent simulations. Staff was surveyed for perceived preparedness.
AB  - RESULTS: Ninety-six multidisciplinary participants identified 164 latent safety hazards in verbal and written communication, facilities, supplies, staffing, and training, 93% of which were resolved at transition. Staff preparedness varied but showed improving communication, workflow patterns, and awareness of equipment and supply locations. The majority stated that this simulation experience changed their practice.
AB  - CONCLUSIONS: Simulation is very effective for identifying process gaps before major institutional change. TESTPILOT generated iterative workflow enhancements and staff orientation toward improving patient care at transition and beyond. The extensive coordination required to implement such large-scale simulations is well worth the benefit for systems refinement and patient safety.
ES  - 1559-713X
IL  - 1559-2332
DO  - https://dx.doi.org/10.1097/SIH.0b013e3182183c0b
PT  - Journal Article
ID  - 10.1097/SIH.0b013e3182183c0b [doi]
PP  - ppublish
LG  - English
DP  - 2011 Aug
EZ  - 2011/05/07 06:00
DA  - 2011/12/31 06:00
DT  - 2011/05/07 06:00
YR  - 2011
ED  - 20111230
RD  - 20110805
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21546863

<356. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21655749
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vieira AL
AU  - Santos AM
AU  - Okuyama MK
AU  - Miyoshi MH
AU  - Almeida MF
AU  - Guinsburg R
FA  - Vieira, Anna Luiza Pires
FA  - Santos, Amelia Miyashiro Nunes dos
FA  - Okuyama, Mariana Kobayashi
FA  - Miyoshi, Milton Harumi
FA  - Almeida, Maria Fernanda Branco de
FA  - Guinsburg, Ruth
IN  - Vieira, Anna Luiza Pires. Department of Pediatrics, Neonatal Division of Medicine, Federal University of Sao Paulo, SP, Brazil.
TI  - Predictive score for clinical complications during intra-hospital transports of infants treated in a neonatal unit.
SO  - Clinics (Sao Paulo, Brazil). 66(4):573-7, 2011
AS  - Clinics. 66(4):573-7, 2011
NJ  - Clinics (Sao Paulo, Brazil)
VO  - 66
IP  - 4
PG  - 573-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101244734, 16240140r
IO  - Clinics (Sao Paulo)
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093786
SB  - Index Medicus
CP  - Brazil
MH  - Epidemiologic Methods
MH  - Female
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Nervous System Malformations/co [Complications]
MH  - Risk Assessment/mt [Methods]
MH  - *Transportation of Patients/st [Standards]
AB  - OBJECTIVE: To develop and validate a predictive score for clinical complications during intra-hospital transport of infants treated in neonatal units.
AB  - METHODS: This was a cross-sectional study nested in a prospective cohort of infants transported within a public university hospital from January 2001 to December 2008. Transports during even (n=301) and odd (n = 394) years were compared to develop and validate a predictive score. The points attributed to each score variable were derived from multiple logistic regression analysis. The predictive performance and the score calibration were analyzed by a receiver operating characteristic (ROC) curve and Hosmer-Lemeshow test, respectively.
AB  - RESULTS: Infants with a mean gestational age of 35 +/- 4 weeks and a birth weight of 2457 +/- 841 g were studied. In the derivation cohort, clinical complications occurred in 74 (24.6%) transports. Logistic regression analysis identified five variables associated with these complications and assigned corresponding point values: gestation at birth [<28 weeks (6 pts); 28-34 weeks (3 pts); >34 weeks (2 pts)]; pre-transport temperature [<36.3degreeCor >37degreeC(3pts); 36.3-37.0degreeC (2 pts)]; underlying pathological condition [CNS malformation (4 pts); other (2 pts)]; transport destination [surgery (5 pts); magnetic resonance or computed tomography imaging (3 pts); other (2 pts)]; and pre-transport respiratory support [mechanical ventilation (8 pts); supplemental oxygen (7 pts); no oxygen (2 pts)]. For the derivation and validation cohorts, the areas under the ROC curve were 0.770 and 0.712, respectively. Expected and observed frequencies of complications were similar between the two cohorts.
AB  - CONCLUSION: The predictive score developed and validated in this study presented adequate discriminative power and calibration. This score can help identify infants at risk of clinical complications during intra-hospital transports.
ES  - 1980-5322
IL  - 1807-5932
DI  - S1807-59322011000400009
PT  - Journal Article
PT  - Validation Studies
ID  - S1807-59322011000400009 [pii]
ID  - PMC3093786 [pmc]
PP  - ppublish
PH  - 2010/12/03 [received]
PH  - 2011/01/01 [accepted]
LG  - English
DP  - 2011
EZ  - 2011/06/10 06:00
DA  - 2011/12/29 06:00
DT  - 2011/06/10 06:00
YR  - 2011
ED  - 20111228
RD  - 20150204
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21655749

<357. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21742533
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Clerc J
AU  - Doret M
AU  - Decullier E
AU  - Claris O
AU  - Picaud JC
AU  - Dupuis O
FA  - Clerc, J
FA  - Doret, M
FA  - Decullier, E
FA  - Claris, O
FA  - Picaud, J-C
FA  - Dupuis, O
IN  - Clerc, J. Service de gynecologie-obstetrique, centre hospitalier Lyon Sud, 165 chemin du Grand-Revoyet, Pierre-Benite cedex, France. jessica.clerc@free.fr
TI  - [Is it possible to prevent preterm births outside of level-3 maternity wards? Experience of Greater Lyon perinatal network]. [French]
OT  - Les naissances des grands prematures en dehors des maternites de type III sont-elles evitables? Experience du reseau Grand Lyon.
SO  - Gynecologie, Obstetrique & Fertilite. 39(7-8):412-7, 2011 Jul-Aug
AS  - Gynecol Obstet Fertil. 39(7-8):412-7, 2011 Jul-Aug
NJ  - Gynecologie, obstetrique & fertilite
VO  - 39
IP  - 7-8
PG  - 412-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - dlb, 100936305
IO  - Gynecol Obstet Fertil
SB  - Index Medicus
CP  - France
MH  - Female
MH  - France/ep [Epidemiology]
MH  - Hospitals, Maternity
MH  - Hospitals, University
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - *Pregnancy Complications/pc [Prevention & Control]
MH  - Pregnancy Outcome
MH  - Pregnancy Trimester, Second
MH  - Pregnancy, High-Risk
MH  - Pregnancy, Triplet/sn [Statistics & Numerical Data]
MH  - Pregnancy, Twin/sn [Statistics & Numerical Data]
MH  - Premature Birth/mo [Mortality]
MH  - *Premature Birth/pc [Prevention & Control]
MH  - Retrospective Studies
AB  - OBJECTIVE: The main objective of this study was to calculate the percentage of preterm births before 28 weeks gestational age (weeks GA) outside level-3 maternity wards and determine how many could have been prevented.
AB  - METHODS: This was an observational, multicenter, retrospective cohort study, which included all the deliveries that occurred between 24 and 27 weeks GA + 6 days in the Greater Lyon perinatal network (France) occurring between first of March 2008 and first of March 2009. In utero transfers (IUTs) and newborn transfers (NBTs) which were carried out outside the network, medical abortions, and foetal deaths in utero were excluded. The duration between patient's arrival in the level 1 and 2 maternity and birth was compared at the 97(th) percentile of the mother's transfer time in level-3 maternity. Births that occurred outside of level-3 maternity wards were considered avoidable each time the first duration was more than the second.
AB  - RESULTS: During the study period, 113 infants were born alive between 24 and 27 weeks GA+6 days in the network. They were all included in the study. Ninety were born in a level-3 maternity ward and 23 were born in level-1 and 2 maternity wards (20%). There were 35 requests for IUT and 28 were carried out (80%). In 65% of non-level 3 births, no IUT was requested. In 17% of cases, an IUT request could have prevented births in level 1/2 maternity wards. If twin pregnancies had been transferred to a level-3 maternity ward, 26% of non-level 3 births would have been avoided. If all high-risk pregnancies had been transferred to a level-3 maternity ward, 40% of non-level 3 births would have been avoided.
AB  - DISCUSSION AND CONCLUSION: Any time a pregnant woman is hospitalized in a type 1/2 maternity ward before 28 weeks GA, doctors should consider an in utero transfer to a level-3 maternity ward. It may be possible to lower the birth-rate of non-level 3 births by a targeted increase in in utero transfers and by transferring high-risk pregnancies to a level-3 maternity ward.

Copyright © 2011 Elsevier Masson SAS. All rights reserved.
ES  - 1769-6682
IL  - 1297-9589
DO  - https://dx.doi.org/10.1016/j.gyobfe.2011.02.020
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
PT  - Multicenter Study
ID  - S1297-9589(11)00174-3 [pii]
ID  - 10.1016/j.gyobfe.2011.02.020 [doi]
PP  - ppublish
PH  - 2010/08/16 [received]
PH  - 2011/02/28 [accepted]
LG  - French
EP  - 20110713
DP  - 2011 Jul-Aug
EZ  - 2011/07/12 06:00
DA  - 2011/12/24 06:00
DT  - 2011/07/12 06:00
YR  - 2011
ED  - 20111223
RD  - 20110729
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21742533

<358. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21362040
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - O'Reilly KM
AU  - Tooley J
AU  - Winterbottom S
FA  - O'Reilly, Kathleen M
FA  - Tooley, James
FA  - Winterbottom, Sharon
IN  - O'Reilly, Kathleen M. Neonatal Unit, St Michael's Hospital, Bristol, UK. koreilly@nhs.net
TI  - Therapeutic hypothermia during neonatal transport.
SO  - Acta Paediatrica. 100(8):1084-6; discussion e49, 2011 Aug
AS  - Acta Paediatr. 100(8):1084-6; discussion e49, 2011 Aug
NJ  - Acta paediatrica (Oslo, Norway : 1992)
VO  - 100
IP  - 8
PG  - 1084-6; discussion e49
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bgc, 9205968
IO  - Acta Paediatr.
SB  - Index Medicus
CP  - Norway
MH  - Asphyxia Neonatorum/co [Complications]
MH  - *Asphyxia Neonatorum/th [Therapy]
MH  - Body Temperature
MH  - Humans
MH  - Hypothermia, Induced/is [Instrumentation]
MH  - Hypothermia, Induced/mt [Methods]
MH  - *Hypothermia, Induced
MH  - Hypoxia-Ischemia, Brain/pc [Prevention & Control]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Transportation of Patients
AB  - AIM: To compare the effectiveness of different cooling methods used during neonatal transport in maintaining target temperature.
AB  - METHODS: Retrospective review of transport data for all infants centralized for therapeutic hypothermia between April 2008 and October 2009.
AB  - RESULTS: A total of 46 infants were retrieved for therapeutic hypothermia during the study period. During transport, 10 infants were passively cooled, 17 infants were actively cooled with adjuncts and 19 infants were actively cooled with a purpose-built cooling machine. On arrival at the tertiary unit, 84% of infants who were actively cooled with a purpose-built cooling machine had temperatures within the therapeutic range compared with 47% of infants who were actively cooled with adjuncts and 20% of infants who were passively cooled.
AB  - CONCLUSION: Passive cooling and cooling with adjuncts often fail to achieve temperatures within the desired therapeutic range. Therapeutic hypothermia during transport can be reliably achieved using a purpose-built cooling machine. We recommend that cooling during transport should only be undertaken using a purpose-built cooling machine.

Copyright © 2011 The Author(s)/Acta Paediatrica © 2011 Foundation Acta Paediatrica.
ES  - 1651-2227
IL  - 0803-5253
DO  - https://dx.doi.org/10.1111/j.1651-2227.2011.02249.x
PT  - Journal Article
ID  - 10.1111/j.1651-2227.2011.02249.x [doi]
PP  - ppublish
LG  - English
EP  - 20110408
DP  - 2011 Aug
EZ  - 2011/03/03 06:00
DA  - 2011/12/13 00:00
DT  - 2011/03/03 06:00
YR  - 2011
ED  - 20111207
RD  - 20110706
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21362040

<359. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 22049809
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McNicholas JJ
AU  - Henning JD
FA  - McNicholas, J J K
FA  - Henning, J D
IN  - McNicholas, J J K. MDHU Portsmouth, Queen Alexandra Hospital, Cosham, Portsmouth. james.mcnicholas@porthosp.nhs.uk
TI  - Major military trauma: decision making in the ICU.
SO  - Journal of the Royal Army Medical Corps. 157(3 Suppl 1):S284-8, 2011 Sep
AS  - J R Army Med Corps. 157(3 Suppl 1):S284-8, 2011 Sep
NJ  - Journal of the Royal Army Medical Corps
VO  - 157
IP  - 3 Suppl 1
PG  - S284-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jv6, 7505627
IO  - J R Army Med Corps
SB  - Index Medicus
CP  - England
MH  - Analgesia/mt [Methods]
MH  - Blood Coagulation Disorders/th [Therapy]
MH  - Carbon Dioxide
MH  - Critical Care
MH  - *Decision Making
MH  - Ethics, Medical
MH  - Extracorporeal Circulation
MH  - Humans
MH  - Hypnotics and Sedatives/ad [Administration & Dosage]
MH  - Intensive Care Units/ma [Manpower]
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Patient Admission
MH  - Patient Discharge
MH  - Patient Transfer
MH  - Warfare
MH  - *Wounds and Injuries/th [Therapy]
AB  - The management of trauma in the field intensive care unit has evolved in recent years. Key issues in current practice and organisation are discussed, with particular attention to areas where civilian and military practice differs. Possible future improvements are explored.
RN  - 0 (Hypnotics and Sedatives)
RN  - 142M471B3J (Carbon Dioxide)
IS  - 0035-8665
IL  - 0035-8665
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2011 Sep
EZ  - 2011/11/05 06:00
DA  - 2011/12/13 00:00
DT  - 2011/11/05 06:00
YR  - 2011
ED  - 20111206
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22049809

<360. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21811613
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ghosh A
AU  - Dowd SE
AU  - Zurek L
FA  - Ghosh, Anuradha
FA  - Dowd, Scot E
FA  - Zurek, Ludek
IN  - Ghosh, Anuradha. Department of Diagnostic Medicine and Pathobiology, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, United States of America.
TI  - Dogs leaving the ICU carry a very large multi-drug resistant enterococcal population with capacity for biofilm formation and horizontal gene transfer.
SO  - PLoS ONE [Electronic Resource]. 6(7):e22451, 2011
AS  - PLoS ONE. 6(7):e22451, 2011
NJ  - PloS one
VO  - 6
IP  - 7
PG  - e22451
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101285081
IO  - PLoS ONE
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139645
SB  - Index Medicus
CP  - United States
MH  - Animals
MH  - Anti-Bacterial Agents/pd [Pharmacology]
MH  - Biodiversity
MH  - Biofilms/de [Drug Effects]
MH  - *Biofilms/gd [Growth & Development]
MH  - Clone Cells
MH  - Cluster Analysis
MH  - Conjugation, Genetic/de [Drug Effects]
MH  - Dog Diseases/mi [Microbiology]
MH  - Dogs
MH  - Drug Resistance, Multiple, Bacterial/de [Drug Effects]
MH  - *Drug Resistance, Multiple, Bacterial
MH  - Electrophoresis, Gel, Pulsed-Field
MH  - Enterococcus/de [Drug Effects]
MH  - *Enterococcus/ge [Genetics]
MH  - Enterococcus/py [Pathogenicity]
MH  - *Enterococcus/ph [Physiology]
MH  - Feces/mi [Microbiology]
MH  - Gene Transfer, Horizontal/de [Drug Effects]
MH  - *Gene Transfer, Horizontal/ge [Genetics]
MH  - Gram-Positive Bacterial Infections/mi [Microbiology]
MH  - *Gram-Positive Bacterial Infections/ve [Veterinary]
MH  - Humans
MH  - *Intensive Care Units
MH  - Microbial Sensitivity Tests
MH  - Sequence Analysis, DNA
MH  - Species Specificity
MH  - Virulence Factors/me [Metabolism]
AB  - The enterococcal community from feces of seven dogs treated with antibiotics for 2-9 days in the veterinary intensive care unit (ICU) was characterized. Both, culture-based approach and culture-independent 16S rDNA amplicon 454 pyrosequencing, revealed an abnormally large enterococcal community: 1.4+/-0.8x10(8) CFU gram(-1) of feces and 48.9+/-11.5% of the total 16,228 sequences, respectively. The diversity of the overall microbial community was very low which likely reflects a high selective antibiotic pressure. The enterococcal diversity based on 210 isolates was also low as represented by Enterococcus faecium (54.6%) and Enterococcus faecalis (45.4%). E. faecium was frequently resistant to enrofloxacin (97.3%), ampicillin (96.5%), tetracycline (84.1%), doxycycline (60.2%), erythromycin (53.1%), gentamicin (48.7%), streptomycin (42.5%), and nitrofurantoin (26.5%). In E. faecalis, resistance was common to tetracycline (59.6%), erythromycin (56.4%), doxycycline (53.2%), and enrofloxacin (31.9%). No resistance was detected to vancomycin, tigecycline, linezolid, and quinupristin/dalfopristin in either species. Many isolates carried virulence traits including gelatinase, aggregation substance, cytolysin, and enterococcal surface protein. All E. faecalis strains were biofilm formers in vitro and this phenotype correlated with the presence of gelE and/or esp. In vitro intra-species conjugation assays demonstrated that E. faecium were capable of transferring tetracycline, doxycycline, streptomycin, gentamicin, and erythromycin resistance traits to human clinical strains. Multi-locus variable number tandem repeat analysis (MLVA) and pulsed-field gel electrophoresis (PFGE) of E. faecium strains showed very low genotypic diversity. Interestingly, three E. faecium clones were shared among four dogs suggesting their nosocomial origin. Furthermore, multi-locus sequence typing (MLST) of nine representative MLVA types revealed that six sequence types (STs) originating from five dogs were identical or closely related to STs of human clinical isolates and isolates from hospital outbreaks. It is recommended to restrict close physical contact between pets released from the ICU and their owners to avoid potential health risks.
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Virulence Factors)
ES  - 1932-6203
IL  - 1932-6203
DO  - https://dx.doi.org/10.1371/journal.pone.0022451
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1371/journal.pone.0022451 [doi]
ID  - PONE-D-11-03008 [pii]
ID  - PMC3139645 [pmc]
PP  - ppublish
PH  - 2011/02/10 [received]
PH  - 2011/06/28 [accepted]
LG  - English
EP  - 20110719
DP  - 2011
EZ  - 2011/08/04 06:00
DA  - 2011/12/13 00:00
DT  - 2011/08/04 06:00
YR  - 2011
ED  - 20111205
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21811613

<361. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21930539
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Basnet S
AU  - Adhikari N
AU  - Koirala J
FA  - Basnet, Sangita
FA  - Adhikari, Neelam
FA  - Koirala, Janak
IN  - Basnet, Sangita. Division of Pediatric Critical Care, Department of Pediatrics, Southern Illinois University School of Medicine, Springfield, Illinois 62794-9676, USA. sbasnet@siumed.edu
TI  - Challenges in setting up pediatric and neonatal intensive care units in a resource-limited country.
SO  - Pediatrics. 128(4):e986-92, 2011 Oct
AS  - Pediatrics. 128(4):e986-92, 2011 Oct
NJ  - Pediatrics
VO  - 128
IP  - 4
PG  - e986-92
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - *Developing Countries
MH  - Education, Nursing, Continuing
MH  - Electricity
MH  - Equipment and Supplies, Hospital/ec [Economics]
MH  - Equipment and Supplies, Hospital/sd [Supply & Distribution]
MH  - Health Care Rationing
MH  - *Health Planning
MH  - Hospital Volunteers
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Pediatric/ec [Economics]
MH  - Intensive Care Units, Pediatric/ma [Manpower]
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Nepal
MH  - Outcome Assessment (Health Care)
MH  - Personnel Selection
MH  - Transportation of Patients
MH  - Water Supply
AB  - In collaboration with a host country and international medical volunteers, a PICU and an NICU were conceptualized and realized in the developing country of Nepal. We present here the challenges that were encountered during and after the establishment of these units. The decision to develop an ICU with reasonable goals in a developing country has to be made with careful assessments of need of that patient population and ethical principles guiding appropriate use of limited resources. Considerations during unit design include space allocation, limited supply of electricity, oxygen source, and clean-water availability. Budgetary challenges might place overall sustainability at stake, which can also lead to attrition of trained manpower and affect the quality of care. Those working in the PICU in resource-poor nations perpetually face the challenges of lack of expert support (subspecialists), diagnostic facilities (laboratory and radiology), and appropriate medications and equipment. Increasing transfer of severely ill patients from other health facilities can lead to space constraints, and lack of appropriate transportation for these critically ill patients increases the severity of illness, which leads to increased mortality rates. The staff in these units must make difficult decisions on effective triage of admissions to the units on the basis of individual cases, futility of care, availability of resources, and financial ability of the family.
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2010-3657
PT  - Journal Article
ID  - peds.2010-3657 [pii]
ID  - 10.1542/peds.2010-3657 [doi]
PP  - ppublish
LG  - English
EP  - 20110919
DP  - 2011 Oct
EZ  - 2011/09/21 06:00
DA  - 2011/12/13 00:00
DT  - 2011/09/21 06:00
YR  - 2011
ED  - 20111130
RD  - 20111003
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21930539

<362. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21660536
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lautrette A
AU  - Schwebel C
AU  - Gruson D
AU  - Talbot RW
AU  - Timsit JF
AU  - Souweine B
FA  - Lautrette, Alexandre
FA  - Schwebel, Carole
FA  - Gruson, Didier
FA  - Talbot, R W
FA  - Timsit, Jean-Francois
FA  - Souweine, Bertrand
IN  - Lautrette, Alexandre. Medical ICU, Pole REUNNIRH, CHU Gabriel Montpied Teaching Hospital of Clermont-Ferrand, Universite d'Auvergne-Clermont Ferrand 1, 58 Rue Montalembert, 63003 Clermont-Ferrand, France. alautrette@chu-clermontferrand.fr
TI  - Transfer of take-home messages in graduate ICU education.
SO  - Intensive Care Medicine. 37(8):1323-30, 2011 Aug
AS  - Intensive Care Med. 37(8):1323-30, 2011 Aug
NJ  - Intensive care medicine
VO  - 37
IP  - 8
PG  - 1323-30
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/mt [Methods]
MH  - *Education, Medical, Graduate/mt [Methods]
MH  - France
MH  - Humans
MH  - Intensive Care Units
MH  - *Learning
MH  - Prospective Studies
MH  - *Teaching/mt [Methods]
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.
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1432-1238
IL  - 0342-4642
DO  - https://dx.doi.org/10.1007/s00134-011-2256-7
PT  - Journal Article
ID  - 10.1007/s00134-011-2256-7 [doi]
PP  - ppublish
PH  - 2010/11/05 [received]
PH  - 2011/03/30 [accepted]
LG  - English
EP  - 20110610
DP  - 2011 Aug
EZ  - 2011/06/11 06:00
DA  - 2011/12/13 00:00
DT  - 2011/06/11 06:00
YR  - 2011
ED  - 20111128
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21660536

<363. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21624716
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Purdue GF
AU  - Arnoldo BD
AU  - Hunt JL
FA  - Purdue, Gary F
FA  - Arnoldo, Brett D
FA  - Hunt, John L
IN  - Purdue, Gary F. Division Burns/Trauma/Critical Care, Department of Surgery, Burn Center, Parkland Memorial Hospital, University of Texas SW Medical Center, Dallas, TX 75390-9158, USA. brett.arnoldo@utsouthwestern.edu
TI  - Acute assessment and management of burn injuries.
SO  - Physical Medicine & Rehabilitation Clinics of North America. 22(2):201-12, v, 2011 May
AS  - Phys Med Rehabil Clin N Am. 22(2):201-12, v, 2011 May
NJ  - Physical medicine and rehabilitation clinics of North America
VO  - 22
IP  - 2
PG  - 201-12, v
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9102787, cx9
IO  - Phys Med Rehabil Clin N Am
SB  - Index Medicus
CP  - United States
MH  - Administration, Topical
MH  - Adult
MH  - Anti-Bacterial Agents/ad [Administration & Dosage]
MH  - Biological Dressings
MH  - Body Surface Area
MH  - Burn Units
MH  - *Burns/di [Diagnosis]
MH  - Burns/pa [Pathology]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Compartment Syndromes/di [Diagnosis]
MH  - Compartment Syndromes/su [Surgery]
MH  - Fluid Therapy
MH  - Humans
MH  - Infant
MH  - Middle Aged
MH  - Nutrition Therapy
MH  - Patient Transfer
MH  - Skin Transplantation
MH  - Temperature
MH  - Trauma Severity Indices
AB  - Burns are ubiquitous injuries in modern society, with virtually all adults having sustained a burn at some point in their lives. The skin is the largest organ of the body, basically functioning to protect self from non-self. Burn injury to the skin is painful, resource-intensive, and often associated with scarring, contracture formation, and long-term disability. Larger burns are associated with morbidity and mortality disproportionate to their initial appearance. Electrical and chemical burns are less common injuries but are often associated with significant morbidity.

Copyright © 2011 Elsevier Inc. All rights reserved.
RN  - 0 (Anti-Bacterial Agents)
ES  - 1558-1381
IL  - 1047-9651
DO  - https://dx.doi.org/10.1016/j.pmr.2011.01.004
PT  - Journal Article
ID  - S1047-9651(11)00016-7 [pii]
ID  - 10.1016/j.pmr.2011.01.004 [doi]
PP  - ppublish
LG  - English
DP  - 2011 May
EZ  - 2011/06/01 06:00
DA  - 2011/12/13 00:00
DT  - 2011/06/01 06:00
YR  - 2011
ED  - 20111122
RD  - 20110531
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21624716

<364. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21926492
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schmidt U
AU  - Hess D
AU  - Bittner E
FA  - Schmidt, Ulrich
FA  - Hess, Dean
FA  - Bittner, Edward
TI  - To decannulate or not to decannulate: a combination of readiness for the floor and floor readiness?.
CM  - Comment on: Crit Care Med. 2011 Oct;39(10):2240-5; PMID: 21670665
SO  - Critical Care Medicine. 39(10):2360-1, 2011 Oct
AS  - Crit Care Med. 39(10):2360-1, 2011 Oct
NJ  - Critical care medicine
VO  - 39
IP  - 10
PG  - 2360-1
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Humans
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Respiration, Artificial/mo [Mortality]
MH  - *Tracheostomy/sn [Statistics & Numerical Data]
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e318226618a
PT  - Comment
PT  - Editorial
ID  - 10.1097/CCM.0b013e318226618a [doi]
ID  - 00003246-201110000-00025 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Oct
EZ  - 2011/09/20 06:00
DA  - 2011/12/13 00:00
DT  - 2011/09/20 06:00
YR  - 2011
ED  - 20111118
RD  - 20110919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21926492

<365. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21916863
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shonfeld A
AU  - Riyat A
AU  - Kotecha A
AU  - Sacks M
FA  - Shonfeld, A
FA  - Riyat, A
FA  - Kotecha, A
FA  - Sacks, M
TI  - Critical care transfers: using audit to make a difference.
CM  - Comment on: Anaesthesia. 2011 May;66(5):337-40; PMID: 21453383
SO  - Anaesthesia. 66(10):946-7, 2011 Oct
AS  - Anaesthesia. 66(10):946-7, 2011 Oct
NJ  - Anaesthesia
VO  - 66
IP  - 10
PG  - 946-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Critical Care/td [Trends]
MH  - Humans
MH  - *Patient Transfer/td [Trends]
ES  - 1365-2044
IL  - 0003-2409
DO  - https://dx.doi.org/10.1111/j.1365-2044.2011.06879.x
PT  - Comment
PT  - Letter
ID  - 10.1111/j.1365-2044.2011.06879.x [doi]
PP  - ppublish
LG  - English
DP  - 2011 Oct
EZ  - 2011/09/16 06:00
DA  - 2011/11/16 06:00
DT  - 2011/09/16 06:00
YR  - 2011
ED  - 20111115
RD  - 20110915
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21916863

<366. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21916862
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Inglis A
AU  - Cadamy A
AU  - Price R
AU  - Rutherford G
FA  - Inglis, A
FA  - Cadamy, A
FA  - Price, R
FA  - Rutherford, G
TI  - Critical care transfers.
CM  - Comment on: Anaesthesia. 2011 May;66(5):337-40; PMID: 21453383
SO  - Anaesthesia. 66(10):945-6, 2011 Oct
AS  - Anaesthesia. 66(10):945-6, 2011 Oct
NJ  - Anaesthesia
VO  - 66
IP  - 10
PG  - 945-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Critical Care/td [Trends]
MH  - Humans
MH  - *Patient Transfer/td [Trends]
ES  - 1365-2044
IL  - 0003-2409
DO  - https://dx.doi.org/10.1111/j.1365-2044.2011.06842.x
PT  - Comment
PT  - Letter
ID  - 10.1111/j.1365-2044.2011.06842.x [doi]
PP  - ppublish
LG  - English
DP  - 2011 Oct
EZ  - 2011/09/16 06:00
DA  - 2011/11/16 06:00
DT  - 2011/09/16 06:00
YR  - 2011
ED  - 20111115
RD  - 20110915
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21916862

<367. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21503381
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hanashiro M
AU  - Franco AO
AU  - Ferraro AA
AU  - Troster EJ
FA  - Hanashiro, Milton
FA  - Franco, Antonio O C
FA  - Ferraro, Alexandre A
FA  - Troster, Eduardo J
IN  - Hanashiro, Milton. Hospital das Clinicas, Universidade de Sao Paulo, Sao Paulo, SP, Brazil. miltonhanashiro@uol.com.br
TI  - Care alternatives for pediatric chronic mechanical ventilation.
SO  - Jornal de Pediatria. 87(2):145-9, 2011 Mar-Apr
AS  - J Pediatr (Rio J). 87(2):145-9, 2011 Mar-Apr
NJ  - Jornal de pediatria
VO  - 87
IP  - 2
PG  - 145-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmf, 2985188r
IO  - J Pediatr (Rio J)
SB  - Index Medicus
CP  - Brazil
MH  - Child
MH  - Female
MH  - *Home Care Services/sn [Statistics & Numerical Data]
MH  - *Hospital Bed Capacity/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Kaplan-Meier Estimate
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Respiration, Artificial/mt [Methods]
MH  - Respiration, Artificial/mo [Mortality]
MH  - *Respiratory Care Units/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
AB  - OBJECTIVE: To determine the impact of transferring a pediatric population to mechanical ventilator dependency units (MVDUs) or to home mechanical ventilation (HMV) on bed availability in the pediatric intensive care unit (ICU).
AB  - METHODS: This is a longitudinal, retrospective study of hospitalized children who required prolonged mechanical ventilation at the MVDU located at the Hospital Auxiliar de Suzano, a secondary public hospital in Sao Paulo, Brazil. We calculated the number of days patients spent at MVDU and on HMV, and analyzed their survival rates with Kaplan-Meier estimator.
AB  - RESULTS: Forty-one patients were admitted to the MVDU in 7.3 years. Median length of stay in this unit was 239 days (interquartile range = 102-479). Of these patients, 22 came from the ICU, where their transfer made available 8,643 bed-days (a mean of 14 new patients per month). HMV of eight patients made 4,022 bed-days available in the hospital in 4 years (a mean of 12 new patients per month in the ICU). Survival rates of patients at home were not significantly different from those observed in hospitalized patients.
AB  - CONCLUSIONS: A hospital unit for mechanical ventilator-dependent patients and HMV can improve bed availability in ICUs. Survival rates of patients who receive HMV are not significantly different from those of patients who remain hospitalized.
ES  - 1678-4782
IL  - 0021-7557
DO  - https://dx.doi.org/10.2223/JPED.2072
PT  - Journal Article
ID  - doi:10.2223/JPED.2072 [doi]
PP  - ppublish
PH  - 2010/08/25 [received]
PH  - 2010/12/01 [accepted]
LG  - English
LG  - Portuguese
DP  - 2011 Mar-Apr
EZ  - 2011/04/20 06:00
DA  - 2011/11/16 06:00
DT  - 2011/04/20 06:00
YR  - 2011
ED  - 20111115
RD  - 20110419
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21503381

<368. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21256064
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Noa Hernandez JE
AU  - Carrera Gonzalez E
AU  - Cuba Romero JM
AU  - Cardenas de Banos L
FA  - Noa Hernandez, J E
FA  - Carrera Gonzalez, E
FA  - Cuba Romero, J M
FA  - Cardenas de Banos, L
IN  - Noa Hernandez, J E. Unidad de Cuidados Intensivos, Hospital Universitario Dr. Miguel Enriquez, Ciudad de Habana, Cuba. jonoa@infomed.sld.cu
TI  - [Intrahospital transportation of the seriously ill patient. The need for an action guideline]. [Review] [Spanish]
OT  - Transporte intrahospitalario del paciente grave. Necesidad de una guia de actuacion.
SO  - Enfermeria Intensiva. 22(2):74-7, 2011 Apr-Jun
AS  - Enferm Intensiva. 22(2):74-7, 2011 Apr-Jun
NJ  - Enfermeria intensiva
VO  - 22
IP  - 2
PG  - 74-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - cej, 9517771
IO  - Enferm Intensiva
SB  - Nursing Journal
CP  - Spain
MH  - Humans
MH  - Practice Guidelines as Topic
MH  - *Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients/st [Standards]
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.

Copyright © 2010 Elsevier Espana, S.L. y SEEIUC. All rights reserved.
ES  - 1578-1291
IL  - 1130-2399
DO  - https://dx.doi.org/10.1016/j.enfi.2010.08.002
PT  - English Abstract
PT  - Journal Article
PT  - Review
ID  - S1130-2399(10)00103-3 [pii]
ID  - 10.1016/j.enfi.2010.08.002 [doi]
PP  - ppublish
PH  - 2010/02/18 [received]
PH  - 2010/08/31 [accepted]
LG  - Spanish
EP  - 20110120
DP  - 2011 Apr-Jun
EZ  - 2011/01/25 06:00
DA  - 2011/11/16 06:00
DT  - 2011/01/25 06:00
YR  - 2011
ED  - 20111115
RD  - 20161021
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21256064

<369. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21637149
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chang AC
FA  - Chang, Anthony C
TI  - Quality and safety in the pediatric cardiac intensive care unit: it is time to leave the pit stop and the cockpit and perfect the handover.
CM  - Comment in: Pediatr Crit Care Med. 2012 Jan;13(1):123-4; author reply 124-5; PMID: 22222663
CM  - Comment on: Pediatr Crit Care Med. 2011 May;12(3):304-8; PMID: 21057370
CM  - Comment on: Pediatr Crit Care Med. 2011 May;12(3):309-13; PMID: 20975613
SO  - Pediatric Critical Care Medicine. 12(3):361-2, 2011 May
AS  - Pediatr Crit Care Med. 12(3):361-2, 2011 May
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 12
IP  - 3
PG  - 361-2
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Cardiac Surgical Procedures
MH  - *Checklist
MH  - *Clinical Protocols/st [Standards]
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Medical Errors/pc [Prevention & Control]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/st [Standards]
MH  - *Postoperative Care/st [Standards]
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e318216d617
PT  - Comment
PT  - Editorial
ID  - 10.1097/PCC.0b013e318216d617 [doi]
ID  - 00130478-201105000-00033 [pii]
PP  - ppublish
LG  - English
DP  - 2011 May
EZ  - 2011/06/04 06:00
DA  - 2011/11/09 06:00
DT  - 2011/06/04 06:00
YR  - 2011
ED  - 20111108
RD  - 20120209
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21637149

<370. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21057370
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Joy BF
AU  - Elliott E
AU  - Hardy C
AU  - Sullivan C
AU  - Backer CL
AU  - Kane JM
FA  - Joy, Brian F
FA  - Elliott, Emily
FA  - Hardy, Courtney
FA  - Sullivan, Christine
FA  - Backer, Carl L
FA  - Kane, Jason M
IN  - Joy, Brian F. Division of Pediatric Critical Care, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA. bjoy@childrensmemorial.org
TI  - Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.
CM  - Comment in: Pediatr Crit Care Med. 2011 May;12(3):361-2; PMID: 21637149
SO  - Pediatric Critical Care Medicine. 12(3):304-8, 2011 May
AS  - Pediatr Crit Care Med. 12(3):304-8, 2011 May
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 12
IP  - 3
PG  - 304-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Cardiac Surgical Procedures
MH  - Child
MH  - *Clinical Protocols/st [Standards]
MH  - Continuity of Patient Care
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Medical Errors/pc [Prevention & Control]
MH  - Observation
MH  - Operating Rooms
MH  - *Patient Transfer/st [Standards]
MH  - Prospective Studies
MH  - Safety Management
AB  - OBJECTIVES: To determine whether the implementation of a standardized handover protocol could reduce the number of errors occurring during patient transitions from the operating room to the intensive care unit.
AB  - DESIGN: Prospective, interventional study.
AB  - SETTING: Pediatric cardiac intensive care unit.
AB  - SUBJECTS: Seventy-nine patient handovers in patients transitioning from the operating room to the cardiac intensive care unit after congenital cardiac surgery.
AB  - INTERVENTIONS: A preintervention assessment of patient handovers was obtained by direct observation using a standardized checklist. A teamwork-driven handover process and protocol was developed using traditional and novel quality-improvement techniques. The postimplementation observational assessment of handovers was performed using the same preintervention assessment tool. Preintervention and postintervention data metrics were analyzed and compared.
AB  - MEASUREMENTS AND MAIN RESULTS: Forty-one and 38 observations were performed in the preintervention and postintervention periods, respectively. Protocol implementation improved key areas of the handover process. Technical errors per handover were reduced from 6.24 to 1.52 (p < .0001), and critical verbal handoff information omissions were reduced from 6.33 to 2.38 (p < .0001) per handover. There was no change in duration of either the verbal handoff briefing or the overall handover process. Caregivers noted improvement in teamwork and handoff content received after the intervention.
AB  - CONCLUSIONS: A formal, structured handover process for pediatric patients transitioning to the intensive care unit after cardiac surgery can reduce medical errors that occur during the admission process and improve teamwork among caregivers.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3181fe25a1
PT  - Journal Article
ID  - 10.1097/PCC.0b013e3181fe25a1 [doi]
PP  - ppublish
LG  - English
DP  - 2011 May
EZ  - 2010/11/09 06:00
DA  - 2011/11/09 06:00
DT  - 2010/11/09 06:00
YR  - 2011
ED  - 20111108
RD  - 20110603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21057370

<371. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20975613
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Zavalkoff SR
AU  - Razack SI
AU  - Lavoie J
AU  - Dancea AB
FA  - Zavalkoff, Samara R
FA  - Razack, Saleem I
FA  - Lavoie, Josee
FA  - Dancea, Adrian B
IN  - Zavalkoff, Samara R. Department of Pediatrics, McGill University, Division of Pediatric Critical Care Medicine, Montreal Children's Hospital, Montreal, Quebec, Canada. samara.zavalkoff@mcgill.ca
TI  - Handover after pediatric heart surgery: a simple tool improves information exchange.
CM  - Comment in: Pediatr Crit Care Med. 2011 May;12(3):361-2; PMID: 21637149
SO  - Pediatric Critical Care Medicine. 12(3):309-13, 2011 May
AS  - Pediatr Crit Care Med. 12(3):309-13, 2011 May
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 12
IP  - 3
PG  - 309-13
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Cardiac Surgical Procedures
MH  - *Checklist
MH  - Child
MH  - Continuity of Patient Care
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Operating Rooms
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Patient Transfer/st [Standards]
MH  - *Postoperative Care/st [Standards]
MH  - Prospective Studies
MH  - Quality of Health Care
AB  - OBJECTIVE: To improve the quality of handover of complex patients after pediatric cardiac surgery through the use of a simple handover tool.
AB  - DESIGN: Prospective, pre-/postinterventional.
AB  - SETTING: A tertiary care, pediatric intensive care unit in North America.
AB  - SUBJECTS: Thirty-three consenting healthcare providers from pediatric cardiac anesthesia, critical care, and cardiothoracic surgery participating in 31 handovers.
AB  - INTERVENTION: A fill-in-the-blank, one-page tool was developed to guide the information transmitted by the surgeon and anesthesiologist to the pediatric intensive care unit team during handover of postcardiac surgery patients.
AB  - MEASUREMENTS AND MAIN RESULTS: Total handover score, four subscores, handover duration, and postoperative high-risk events were measured before and after introducing the tool into clinical practice. The patients in both the pre- and postintervention groups were similar at baseline. The total handover score (maximum 43 points) improved significantly after the implementation of the handover tool (28.2 of 43 +/- 4.6 points vs. 33.5 of 43 +/- 3.7 points, p = .002). There was also a significant improvement in the medical (8.3 +/- 2.6 vs. 10.3 +/- 2.1 points, p = .024) and surgical (7.5 +/- 1.4 vs. 9.3 +/- 1.6 points, p = .002) intraoperative information subscores. Use of the tool did not prolong handover duration (8.3 +/- 4.6 vs. 11.1 +/- 3.9 mins, p = .1). There was a trend toward more patients being free from high-risk events in the postintervention group (31.2% vs. 6.7%), but this did not reach statistical significance (p = .1).
AB  - CONCLUSIONS: Use of a simple tool during handover of pediatric postcardiac surgery patients resulted in a more complete exchange of critical information with no significant prolongation of the handover duration.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3181fe27b6
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/PCC.0b013e3181fe27b6 [doi]
PP  - ppublish
LG  - English
DP  - 2011 May
EZ  - 2010/10/27 06:00
DA  - 2011/11/09 06:00
DT  - 2010/10/27 06:00
YR  - 2011
ED  - 20111108
RD  - 20110603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20975613

<372. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21835753
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Conlon KM
AU  - Martin S
FA  - Conlon, Kathe M
FA  - Martin, Shawn
IN  - Conlon, Kathe M. Saint Barnabas Health Care System, West Orange, NJ, USA. kconlon@sbhcs.com
TI  - 'Just send them all to a burn centre': managing burn resources in a mass casualty incident.
SO  - Journal of Business Continuity & Emergency Planning. 5(2):150-60, 2011 Jun
AS  - J Bus Contin Emer Plan. 5(2):150-60, 2011 Jun
NJ  - Journal of business continuity & emergency planning
VO  - 5
IP  - 2
PG  - 150-60
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101509784
IO  - J Bus Contin Emer Plan
SB  - Index Medicus
CP  - England
MH  - *Burn Units/og [Organization & Administration]
MH  - Disaster Planning
MH  - *Mass Casualty Incidents
MH  - Transportation of Patients
MH  - Triage
MH  - United States
AB  - Burn experts estimate that 20-30 per cent of injuries from mass casualty events result in serious burns, many requiring specialised care only available at burn centres. Yet, in the USA there are less then 1,850 burn beds available to provide such a level and quality of care. To address this concern, burn centres are beginning to put into practice new mass casualty triage and transport guidelines that must coordinate with local, regional and federal response plans, while still adhering to an accepted standard of care. This presentation describes how one US burn centre developed and implemented a Homeland Security Exercise and Evaluation Program (HSEEP) designed mass casualty incident (MCI) exercise focused on coordinating 'the right patient to the right facility at the right time', based upon acuity and bed availability. Discussion will enable planners to identify methodologies adaptable for incorporation into catastrophic emergency management operations within their regions.
IS  - 1749-9216
IL  - 1749-9216
PT  - Journal Article
ID  - N64373P530161106 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Jun
EZ  - 2011/08/13 06:00
DA  - 2011/11/04 06:00
DT  - 2011/08/13 06:00
YR  - 2011
ED  - 20111103
RD  - 20110812
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21835753

<373. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21807717
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Barkemeyer BM
FA  - Barkemeyer, Brian M
IN  - Barkemeyer, Brian M. Division of Neonatology, Department of Pediatrics, LouisianaState University Health Sciences Center, New Orleans, Louisiana 70118, USA. bbarke@lsuhsc.edu
TI  - NICU care in the aftermath of Hurricane Katrina: 5 years of changes.
SO  - Pediatrics. 128 Suppl 1:S8-11, 2011 Aug
AS  - Pediatrics. 128 Suppl 1:S8-11, 2011 Aug
NJ  - Pediatrics
VO  - 128 Suppl 1
PG  - S8-11
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Cyclonic Storms
MH  - Disaster Planning
MH  - *Disasters
MH  - Housing
MH  - Humans
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Internship and Residency
MH  - Louisiana
MH  - Obstetrics
MH  - Physicians
MH  - Population Dynamics
MH  - Social Support
MH  - Transportation of Patients
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2010-3724E
PT  - Journal Article
ID  - 128/Supplement_1/S8 [pii]
ID  - 10.1542/peds.2010-3724E [doi]
PP  - ppublish
LG  - English
DP  - 2011 Aug
EZ  - 2011/08/10 06:00
DA  - 2011/10/25 06:00
DT  - 2011/08/03 06:00
YR  - 2011
ED  - 20111024
RD  - 20111104
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21807717

<374. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21646961
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Crowe S
AU  - Tan K
FA  - Crowe, Suzanne
FA  - Tan, Karen
TI  - Factors that influence stabilization times in children requiring transport.
CM  - Comment on: Pediatr Crit Care Med. 2010 Jul;11(4):451-6; PMID: 20453701
SO  - Pediatric Critical Care Medicine. 12(2):242; author reply 242-3, 2011 Mar
AS  - Pediatr Crit Care Med. 12(2):242; author reply 242-3, 2011 Mar
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 12
IP  - 2
PG  - 242; author reply 242-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Clinical Competence
MH  - *Critical Care/mt [Methods]
MH  - *Critical Illness
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Patient Care Team
MH  - Referral and Consultation
MH  - Time Factors
MH  - *Transportation of Patients
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3181fe44cb
PT  - Comment
PT  - Letter
ID  - 10.1097/PCC.0b013e3181fe44cb [doi]
ID  - 00130478-201103000-00032 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Mar
EZ  - 2011/06/08 06:00
DA  - 2011/10/06 06:00
DT  - 2011/06/08 06:00
YR  - 2011
ED  - 20111005
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21646961

<375. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21316303
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Navarro LR
AU  - Pekelharing-Berghuis M
AU  - de Waal WJ
AU  - Thijsen SF
FA  - Navarro, L R
FA  - Pekelharing-Berghuis, M
FA  - de Waal, W J
FA  - Thijsen, S F
IN  - Navarro, L R. Department of Pediatrics, Diakonessenhuis, Utrecht, The Netherlands.
TI  - Bacterial colonization patterns in neonates transferred from neonatal intensive care units.
SO  - International Journal of Hygiene & Environmental Health. 214(2):167-71, 2011 Mar
AS  - Int J Hyg Environ Health. 214(2):167-71, 2011 Mar
NJ  - International journal of hygiene and environmental health
VO  - 214
IP  - 2
PG  - 167-71
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - do6, 100898843
IO  - Int J Hyg Environ Health
SB  - Index Medicus
CP  - Germany
MH  - Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - *Bacteria/gd [Growth & Development]
MH  - Bacterial Infections/dt [Drug Therapy]
MH  - Bacterial Infections/ep [Epidemiology]
MH  - *Bacterial Infections/pc [Prevention & Control]
MH  - Birth Weight
MH  - Colony Count, Microbial
MH  - Cross Infection/dt [Drug Therapy]
MH  - Cross Infection/ep [Epidemiology]
MH  - *Cross Infection/pc [Prevention & Control]
MH  - *Disease Outbreaks
MH  - *Drug Resistance, Microbial
MH  - Enterobacter cloacae
MH  - Female
MH  - Gestational Age
MH  - Humans
MH  - Incidence
MH  - Infant, Newborn
MH  - *Infection Control/mt [Methods]
MH  - *Intensive Care Units, Neonatal
MH  - Length of Stay
MH  - Male
MH  - Risk Factors
AB  - After an outbreak with Enterobacter cloacae we decided to routinely nurse all neonates in isolation who were transferred from a neonatal intensive care unit (NICU) to the neonatal unit of the Diakonessenhuis until cultures for MRSA and antibiotic-resistant gram-negative bacteria were negative. The goal of this study was to determine (1) the colonization patterns with (antibiotic-resistant) bacteria; (2) whether there is a trend in time and (3) to identify predictors for colonization. Neonates from 2001 till 2006 transferred from a NICU to our neonatal unit were included. Patients were monitored for infections. In total 287 neonates were included. The average birth weight was 1990 g and gestational age 33 weeks and 3 days. Only one patient was colonized with a highly resistant microorganism (HRMO) and no MRSA was isolated. A NICU-stay longer than one week was the only independent risk factor for bacterial colonization. Twenty-six percent of neonates were colonized with bacteria resistant to amoxicillin/clavulanate. Five neonates (1.7%) developed a bacterial infection after transfer, none of them caused by an antibiotic-resistant microorganism present at transfer. No significant trends in time were found. In conclusion, we found a low prevalence of HRMO and a low incidence of bacterial infections in neonates after transfer from a NICU. There was no significant increase in time in the prevalence of colonization with (resistant) bacteria. A NICU-stay longer than a week was an independent predictor for colonization with bacteria. Based on these observations we have ended standard culturing and nursing in isolation of these patients.

Copyright © 2011 Elsevier GmbH. All rights reserved.
RN  - 0 (Anti-Bacterial Agents)
ES  - 1618-131X
IL  - 1438-4639
DO  - https://dx.doi.org/10.1016/j.ijheh.2011.01.001
PT  - Journal Article
ID  - S1438-4639(11)00002-2 [pii]
ID  - 10.1016/j.ijheh.2011.01.001 [doi]
PP  - ppublish
PH  - 2010/03/08 [received]
PH  - 2010/12/10 [revised]
PH  - 2011/01/15 [accepted]
LG  - English
DP  - 2011 Mar
EZ  - 2011/02/15 06:00
DA  - 2011/10/04 06:00
DT  - 2011/02/15 06:00
YR  - 2011
ED  - 20111003
RD  - 20110401
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21316303

<376. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21616232
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nasr A
AU  - Langer JC
AU  - Canadian Pediatric Surgery Network
FA  - Nasr, Ahmed
FA  - Langer, Jacob C
FA  - Canadian Pediatric Surgery Network
IN  - Nasr, Ahmed. Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada M5G1X8.
TI  - Influence of location of delivery on outcome in neonates with congenital diaphragmatic hernia.
SO  - Journal of Pediatric Surgery. 46(5):814-6, 2011 May
AS  - J Pediatr Surg. 46(5):814-6, 2011 May
NJ  - Journal of pediatric surgery
VO  - 46
IP  - 5
PG  - 814-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmj, 0052631
IO  - J. Pediatr. Surg.
SB  - Index Medicus
CP  - United States
MH  - Canada/ep [Epidemiology]
MH  - Cohort Studies
MH  - Comorbidity
MH  - Databases, Factual
MH  - *Delivery, Obstetric/sn [Statistics & Numerical Data]
MH  - Drug Utilization/sn [Statistics & Numerical Data]
MH  - Extracorporeal Membrane Oxygenation/ut [Utilization]
MH  - Health Services Accessibility
MH  - Hernia, Diaphragmatic/co [Complications]
MH  - Hernia, Diaphragmatic/em [Embryology]
MH  - Hernia, Diaphragmatic/mo [Mortality]
MH  - Hernia, Diaphragmatic/su [Surgery]
MH  - *Hernias, Diaphragmatic, Congenital
MH  - High-Frequency Ventilation/ut [Utilization]
MH  - Humans
MH  - Hypertension, Pulmonary/et [Etiology]
MH  - Hypertension, Pulmonary/th [Therapy]
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Odds Ratio
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prenatal Diagnosis
MH  - Referral and Consultation/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Selection Bias
MH  - Severity of Illness Index
MH  - Treatment Outcome
MH  - Vasoconstrictor Agents/tu [Therapeutic Use]
AB  - BACKGROUND: Although it is often recommended that infants with antenatally diagnosed congenital diaphragmatic hernia (CDH) be delivered in a perinatal center, this practice has not been scientifically validated.
AB  - METHODS: Data were obtained from The Canadian Pediatric Surgery Network, covering 16 pediatric surgical centers over a 4-year period. Inborn was defined as birth in a hospital with a neonatal intensive care unit or connected to a neonatal intensive care unit by a bridge or tunnel. Outborn was defined as requiring transfer by ambulance or flight. Primary outcome variable was mortality.
AB  - RESULTS: Of 140 infants with antenatally diagnosed CDH, 75 were inborn and 65 were outborn. Univariate analysis demonstrated no significant difference between groups with respect to gestational age, birth weight, days to surgery, primary repair, need for ventilation, use of pressors or extracorporeal membrane oxygenation, or incidence of comorbidities. Severity of illness, as reflected by the Score for Neonatal Acute Physiology II (SNAP II), was significantly higher among inborn infants (21 [interquartile range, 7-32] vs 5 [interquartile range, 9-12]; P = .0001). Logistic regression analysis, controlling for severity of illness, revealed that location of delivery was a significant independent predictor for mortality, with an odds ratio of dying when outborn of 2.8 (P = .04).
AB  - CONCLUSIONS: Outborn delivery is a significant predictor of mortality for infants with antenatally diagnosed CDH.

Copyright © 2011 Elsevier Inc. All rights reserved.
RN  - 0 (Vasoconstrictor Agents)
ES  - 1531-5037
IL  - 0022-3468
DO  - https://dx.doi.org/10.1016/j.jpedsurg.2011.02.007
PT  - Comparative Study
PT  - Journal Article
ID  - S0022-3468(11)00119-9 [pii]
ID  - 10.1016/j.jpedsurg.2011.02.007 [doi]
PP  - ppublish
PH  - 2011/01/24 [received]
PH  - 2011/02/11 [accepted]
LG  - English
DP  - 2011 May
EZ  - 2011/05/28 06:00
DA  - 2011/10/01 06:00
DT  - 2011/05/28 06:00
YR  - 2011
ED  - 20110930
RD  - 20141120
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21616232

<377. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20483831
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chang SY
AU  - Merwin SL
AU  - Fein J
AU  - Fein AM
FA  - Chang, Steven Y
FA  - Merwin, Sara L
FA  - Fein, Jeffrey
FA  - Fein, Alan M
TI  - Regional ICU care: the future is now.
CM  - Comment on: J Intensive Care Med. 2010 May-Jun;25(3):149-55; PMID: 20097666
SO  - Journal of Intensive Care Medicine. 25(3):179-81, 2010 May-Jun
AS  - J Intensive Care Med. 25(3):179-81, 2010 May-Jun
NJ  - Journal of intensive care medicine
VO  - 25
IP  - 3
PG  - 179-81
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - bhs, 8610344
IO  - J Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Attitude of Health Personnel
MH  - Cost-Benefit Analysis
MH  - *Critical Care/ec [Economics]
MH  - Critical Care/mt [Methods]
MH  - Critical Care/st [Standards]
MH  - Health Manpower/ec [Economics]
MH  - Health Resources
MH  - Humans
MH  - *Intensive Care Units/td [Trends]
MH  - Models, Organizational
MH  - Patient Transfer/ec [Economics]
MH  - Patient Transfer/st [Standards]
MH  - *Regional Medical Programs
MH  - Safety Management
MH  - Telemedicine
MH  - United States
ES  - 1525-1489
IL  - 0885-0666
DO  - https://dx.doi.org/10.1177/0885066610362634
PT  - Comment
PT  - Editorial
ID  - 25/3/179 [pii]
ID  - 10.1177/0885066610362634 [doi]
PP  - ppublish
LG  - English
DP  - 2010 May-Jun
EZ  - 2010/05/21 06:00
DA  - 2011/09/29 06:00
DT  - 2010/05/21 06:00
YR  - 2010
ED  - 20110926
RD  - 20100520
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20483831

<378. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20097667
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lundy JB
AU  - Swift CB
AU  - McFarland CC
AU  - Mahoney P
AU  - Perkins RM
AU  - Holcomb JB
FA  - Lundy, Jonathan B
FA  - Swift, Christian B
FA  - McFarland, Craig C
FA  - Mahoney, Peter
FA  - Perkins, Robert M
FA  - Holcomb, John B
IN  - Lundy, Jonathan B. Department of Trauma/Surgical Critical Care, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA. Jonathan.lundy@amedd.army.mil
TI  - A descriptive analysis of patients admitted to the intensive care unit of the 10th Combat Support Hospital deployed in Ibn Sina, Baghdad, Iraq, from October 19, 2005, to October 19, 2006.
SO  - Journal of Intensive Care Medicine. 25(3):156-62, 2010 May-Jun
AS  - J Intensive Care Med. 25(3):156-62, 2010 May-Jun
NJ  - Journal of intensive care medicine
VO  - 25
IP  - 3
PG  - 156-62
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bhs, 8610344
IO  - J Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - Equipment and Supplies, Hospital
MH  - Hospital Bed Capacity, 100 to 299
MH  - *Hospitals, Military/ut [Utilization]
MH  - Humans
MH  - Intensive Care Units/lj [Legislation & Jurisprudence]
MH  - Intensive Care Units/ma [Manpower]
MH  - *Intensive Care Units/ut [Utilization]
MH  - Iraq/ep [Epidemiology]
MH  - Iraq War, 2003-2011
MH  - Military Medicine/ma [Manpower]
MH  - *Military Medicine
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Admission/td [Trends]
MH  - Patient Transfer
MH  - Pharmacy Service, Hospital
MH  - United States
MH  - Wounds and Injuries/di [Diagnosis]
MH  - *Wounds and Injuries/ep [Epidemiology]
MH  - Wounds and Injuries/th [Therapy]
AB  - BACKGROUND: Although a review of the 1-month experience of a British intensive care unit (ICU) deployed in 2003 to Iraq outlining its care of 47 patients exists, a descriptive study outlining patient characteristics, workload, and outcomes of an ICU during a long-term deployment to Operation Iraqi Freedom is lacking in the medical literature.
AB  - METHODS: Between October 19, 2005, and October 19, 2006, the 10th Combat Support Hospital (CSH) deployed in an ICU to Ibn Sina Hospital in Baghdad, Iraq. Staff prospectively collected patient admission data from November 1, 2005, to August 31, 2006, in handwritten logbooks. This information included nationality (United States/Iraqi/other), military versus civilian, mechanism of injury or nontrauma admission diagnosis, ICU length of stay (LOS), and outcome. These data were retrospectively reviewed for the purpose of reporting the experience of the 10th CSH ICU during its deployment.
AB  - RESULTS: The 10th CSH ICU admitted 875 patients during the study period. This represented 27% of all hospital admissions (n = 3289). Categories of patients admitted to the ICU included United States military, US contractor, Iraqi military, Iraqi civilian, non-US contractor, coalition military personnel, and security internee. Three patients were unable to be classified due to missing information. The most common patient category of admission was Iraqi civilian (n = 472, 53.9%). Noncoalition (Iraqi civilian, Iraqi military, non-US contractors, and other noncoalition military) admissions made up 76.9% (n = 673) of all admissions. US military (n = 165) and US contractors (n = 31) made up 22.4% of all ICU admissions. Trauma-related admissions were the most common diagnoses (n = 730, 83.4%). Other admission diagnostic categories included medical (n = 125, 14.3%) and postoperative (n = 5, 0.6%) patients. A total of 15 patients (1.7%) were unable to be categorized based on diagnosis due to missing information. The most common medical diagnosis requiring ICU admission was related to cardiovascular disease (n = 51, 40.8%). Seven of the admissions to the ICU were pediatric patients (0.8%). US military personnel traumatically injured suffered significantly more explosion injuries and burns than their Iraqi military and other noncoalition military counterparts. The ICU LOS was significantly shorter in US military and US contractor patients compared to all other groups, likely a result of expeditious air evacuation to a higher level of care. This air evacuation of US personnel combined with the fact that Iraqi patients were transferred to local civilian hospitals prior to the completion of intensive care stay limited follow-up. Despite a lack of meaningful follow-up, the observed ICU all-cause mortality was 5.0% (n = 44).
AB  - CONCLUSIONS: The primary mission of a US military ICU deployed in support of combat operations is the care of its injured troops. However, the 10th CSH deployed in an urban region of Iraq in a mature theater of operations and its ICU more commonly cared for non-US patients during combat medical operations. These patients included pediatric patients as well as admissions for nontrauma illnesses. This mission was accomplished by nurses and physicians faced with unique challenges and resulted in an acceptable ICU mortality rate.
ES  - 1525-1489
IL  - 0885-0666
DO  - https://dx.doi.org/10.1177/0885066609359588
PT  - Journal Article
ID  - 0885066609359588 [pii]
ID  - 10.1177/0885066609359588 [doi]
PP  - ppublish
LG  - English
EP  - 20100121
DP  - 2010 May-Jun
EZ  - 2010/01/26 06:00
DA  - 2011/09/29 06:00
DT  - 2010/01/26 06:00
YR  - 2010
ED  - 20110926
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20097667

<379. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21427596
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tourtier JP
AU  - Raynaud L
AU  - Gall O
AU  - Murat I
FA  - Tourtier, Jean-Pierre
FA  - Raynaud, Laurent
FA  - Gall, Olivier
FA  - Murat, Isabelle
IN  - Tourtier, Jean-Pierre. Departement d'Anesthesie-Reanimation, Hopital d'Instruction des Armees du Val de Grace, France.
TI  - Disposition of children with burns in emergency departments in Ile de France.
SO  - Journal of Burn Care & Research. 32(3):405-9, 2011 May-Jun
AS  - J Burn Care Res. 32(3):405-9, 2011 May-Jun
NJ  - Journal of burn care & research : official publication of the American Burn Association
VO  - 32
IP  - 3
PG  - 405-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101262774
IO  - J Burn Care Res
SB  - Index Medicus
CP  - United States
MH  - Age Factors
MH  - Burn Units/ut [Utilization]
MH  - Burns/di [Diagnosis]
MH  - *Burns/ep [Epidemiology]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - *Emergency Service, Hospital/ut [Utilization]
MH  - Emergency Treatment
MH  - Female
MH  - Follow-Up Studies
MH  - France
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - Needs Assessment
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Quality Improvement
MH  - Risk Assessment
MH  - Surveys and Questionnaires
AB  - The majority of burn injuries are managed by emergency departments (EDs), which are the pivotal axis in patient assessment. The aim of this study was to investigate the discharge destination of children with burn injuries presenting to EDs in Ile de France. Therefore, a postal questionnaire was sent to 91 EDs. The number of children with burns and their discharge status after passing through the ED in 2005, as well as the clinical positions of practitioners involved, the discharge destination of children, and the conditions resulting in a transfer to a burn center were assessed. Forty-six EDs replied to the questionnaire. Pediatric burns corresponded to 0.63% of pediatric visits in EDs. The rates of admission (7.8%) and transfer (1.9%) were low. Larger EDs had a higher admission rate and a lower rate of transfer. The need for advice from a burn center remained constant as well as the transfer rate to a burn center (both around 14%), irrespective of the size of the ED. Reasons for transfer agreed with data in the literature. More than 3200 children were registered with burns in half of the region's EDs during 2005. The majority of burns were not severe, as demonstrated by the low number of admissions and transfers, and most children were cared for locally in nonspecialized settings. Nevertheless, the relationship between burn centers and all EDs, not just the large one, needs to be strengthened to improve the quality of care given to these children.
ES  - 1559-0488
IL  - 1559-047X
DO  - https://dx.doi.org/10.1097/BCR.0b013e318217f942
PT  - Journal Article
ID  - 10.1097/BCR.0b013e318217f942 [doi]
PP  - ppublish
LG  - English
DP  - 2011 May-Jun
EZ  - 2011/03/24 06:00
DA  - 2011/09/20 06:00
DT  - 2011/03/24 06:00
YR  - 2011
ED  - 20110919
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21427596

<380. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21689575
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - American College of Emergency Physicians (ACEP)
FA  - American College of Emergency Physicians (ACEP)
TI  - Boarding of admitted and intensive care patients in the emergency department. Policy statement.
SO  - Annals of Emergency Medicine. 58(1):110, 2011 Jul
AS  - Ann Emerg Med. 58(1):110, 2011 Jul
NJ  - Annals of emergency medicine
VO  - 58
IP  - 1
PG  - 110
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8002646
IO  - Ann Emerg Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/st [Standards]
MH  - *Emergency Service, Hospital/st [Standards]
MH  - Humans
MH  - Inpatients
MH  - Patient Admission/st [Standards]
MH  - Patient Transfer/st [Standards]
ES  - 1097-6760
IL  - 0196-0644
DO  - https://dx.doi.org/10.1016/j.annemergmed.2011.04.027
PT  - Journal Article
ID  - S0196-0644(11)00458-6 [pii]
ID  - 10.1016/j.annemergmed.2011.04.027 [doi]
PP  - ppublish
PH  - 2011/04/21 [received]
PH  - 2011/04/21 [revised]
PH  - 2011/04/21 [accepted]
LG  - English
DP  - 2011 Jul
EZ  - 2011/06/22 06:00
DA  - 2011/08/25 06:00
DT  - 2011/06/22 06:00
YR  - 2011
ED  - 20110824
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21689575

<381. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20594460
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Liu DW
FA  - Liu, Da-wei
TI  - [The transport of critically ill patients by specialized team: a mobile ICU]. [Chinese]
SO  - Zhongguo Wei Zhong Bing Ji Jiu Yi Xue/Chinese Critical Care Medicine/Zhongguo Weizhongbing Jijiuyixue. 22(6):321-2, 2010 Jun
AS  - Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 22(6):321-2, 2010 Jun
NJ  - Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
VO  - 22
IP  - 6
PG  - 321-2
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9887521
IO  - Zhongguo Wei Zhong Bing Ji Jiu Yi Xue
SB  - Index Medicus
CP  - China
MH  - Critical Illness
MH  - Humans
MH  - *Intensive Care Units/ma [Manpower]
MH  - *Patient Care Team
MH  - *Transportation of Patients
IS  - 1003-0603
IL  - 1003-0603
PT  - Editorial
PP  - ppublish
LG  - Chinese
DP  - 2010 Jun
EZ  - 2010/07/03 06:00
DA  - 2011/08/16 06:00
DT  - 2010/07/03 06:00
YR  - 2010
ED  - 20110815
RD  - 20100702
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20594460

<382. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21419521
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Colmenero M
FA  - Colmenero, M
TI  - [The ritual of the lack of beds]. [Spanish]
OT  - El ritual de la falta de camas.
CM  - Comment in: Med Intensiva. 2011 Dec;35(9):589; PMID: 21917359
CM  - Comment on: Med Intensiva. 2011 Apr;35(3):143-9; PMID: 21419522
SO  - Medicina Intensiva. 35(3):139-42, 2011 Apr
AS  - MED. INTENSIVA. 35(3):139-42, 2011 Apr
NJ  - Medicina intensiva
VO  - 35
IP  - 3
PG  - 139-42
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9207689
IO  - Med Intensiva
SB  - Index Medicus
CP  - Spain
MH  - Bed Occupancy
MH  - Burnout, Professional
MH  - Critical Illness/mo [Mortality]
MH  - Emergency Service, Hospital
MH  - *Health Services Accessibility
MH  - *Hospital Bed Capacity
MH  - Humans
MH  - *Intensive Care Units/sd [Supply & Distribution]
MH  - Length of Stay
MH  - Patient Admission
MH  - Patient Discharge
MH  - Patient Transfer/es [Ethics]
MH  - Refusal to Treat/es [Ethics]
MH  - Spain
MH  - Triage/es [Ethics]
MH  - Waiting Lists
ES  - 1578-6749
IL  - 0210-5691
DO  - https://dx.doi.org/10.1016/j.medin.2011.01.015
PT  - Comment
PT  - Editorial
ID  - S0210-5691(11)00025-8 [pii]
ID  - 10.1016/j.medin.2011.01.015 [doi]
PP  - ppublish
PH  - 2011/01/22 [received]
PH  - 2011/01/31 [accepted]
LG  - Spanish
EP  - 20110317
DP  - 2011 Apr
EZ  - 2011/03/23 06:00
DA  - 2011/08/10 06:00
DT  - 2011/03/23 06:00
YR  - 2011
ED  - 20110809
RD  - 20161021
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21419521

<383. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21170826
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Karagol BS
AU  - Zenciroglu A
AU  - Ipek MS
AU  - Kundak AA
AU  - Okumus N
FA  - Karagol, Belma Saygili
FA  - Zenciroglu, Aysegul
FA  - Ipek, Mehmet Sah
FA  - Kundak, Ahmet Afsin
FA  - Okumus, Nurullah
IN  - Karagol, Belma Saygili. Division of Neonatology, Sami Ulus Maternity, Children's Education and Research Hospital, Ankara, Turkey. belmakaragol@yahoo.com
TI  - Impact of land-based neonatal transport on outcomes in transient tachypnea of the newborn.
SO  - American Journal of Perinatology. 28(4):331-6, 2011 Apr
AS  - Am J Perinatol. 28(4):331-6, 2011 Apr
NJ  - American journal of perinatology
VO  - 28
IP  - 4
PG  - 331-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - aa3, 8405212
IO  - Am J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Blood Gas Analysis
MH  - Continuous Positive Airway Pressure
MH  - Female
MH  - *Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Incidence
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Oxygen/ad [Administration & Dosage]
MH  - *Patient Transfer
MH  - Pneumothorax/ep [Epidemiology]
MH  - *Pneumothorax/et [Etiology]
MH  - Regression Analysis
MH  - Respiratory Distress Syndrome, Newborn/co [Complications]
MH  - *Respiratory Distress Syndrome, Newborn/th [Therapy]
MH  - Retrospective Studies
MH  - *Rural Population/sn [Statistics & Numerical Data]
MH  - Severity of Illness Index
MH  - Time Factors
MH  - *Urban Population/sn [Statistics & Numerical Data]
AB  - We sought to determine the effect of neonatal transport on the incidence of adverse events of transient tachypnea of the newborn (TTN) in term neonates. A retrospective study was performed of neonates who had TTN and were admitted to Neonatal Intensive Care Unit (NICU) of Sami Ulus Maternity, Children's Education and Research Hospital by land-based transport. Data from 208 newborns with TTN were evaluated, and clinical and laboratory findings were compared between patients who were transported from within the city (group 1) or from outside of the city (group 2). In the present study, long-distance land-based neonatal transport increased the adverse effects of TTN in newborns. Arterial blood gas parameters of the neonates in both groups before transport were similar, and these parameters and Downes' scores were comparable in both groups, implying that patients from outside the city had greater respiratory insufficiency than those from inside the city at admission to NICU. Respiratory support in the NICU and pulmonary air leak syndrome ratios were found to be significantly higher in the group from outside the city. Long-distance land-based transport in neonates with TTN increases the severity of illness. Furthermore, adverse events and the outcome of such infants depend on the effectiveness of the neonatal transport system.

Copyright © Thieme Medical Publishers.
RN  - 0 (Anti-Bacterial Agents)
RN  - S88TT14065 (Oxygen)
ES  - 1098-8785
IL  - 0735-1631
DO  - https://dx.doi.org/10.1055/s-0030-1270115
PT  - Journal Article
ID  - 10.1055/s-0030-1270115 [doi]
PP  - ppublish
LG  - English
EP  - 20101217
DP  - 2011 Apr
EZ  - 2010/12/21 06:00
DA  - 2011/08/09 06:00
DT  - 2010/12/21 06:00
YR  - 2011
ED  - 20110808
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21170826

<384. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21744722
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stonebraker K
FA  - Stonebraker, Keenan
TI  - Intra-hospital transport: University of Michigan SWAT Team takes the ICU to the patient.
SO  - Michigan Nurse. 84(3):10-2, 2011 May-Jun
AS  - Mich Nurse. 84(3):10-2, 2011 May-Jun
NJ  - The Michigan nurse
VO  - 84
IP  - 3
PG  - 10-2
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - mx6, 1260337
IO  - Mich Nurse
SB  - Nursing Journal
CP  - United States
MH  - *Continuity of Patient Care
MH  - Humans
MH  - *Intensive Care Units
MH  - Michigan
MH  - *Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer
IS  - 0026-2366
IL  - 0026-2366
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2011 May-Jun
EZ  - 2011/07/13 06:00
DA  - 2011/08/06 06:00
DT  - 2011/07/13 06:00
YR  - 2011
ED  - 20110805
RD  - 20110712
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21744722

<385. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21646883
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rochefort CM
AU  - Lamothe L
FA  - Rochefort, Christian M
FA  - Lamothe, Lise
IN  - Rochefort, Christian M. Clinical and Health Informatics Research Group, McGill University Health Centre, Montreal, Quebec, Canada. Christian.Rochefort@mcgill.ca
TI  - Forcing the system: a configuration analysis of a regionalized neonatal-perinatal health network.
SO  - Health Care Management Review. 36(3):241-51, 2011 Jul-Sep
AS  - Health Care Manage Rev. 36(3):241-51, 2011 Jul-Sep
NJ  - Health care management review
VO  - 36
IP  - 3
PG  - 241-51
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - g11, 7611530
IO  - Health Care Manage Rev
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - *Community Networks/og [Organization & Administration]
MH  - Evidence-Based Practice/mt [Methods]
MH  - Female
MH  - *Health Services Accessibility/og [Organization & Administration]
MH  - Health Services Needs and Demand
MH  - Hospital Administration
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Models, Organizational
MH  - Organizational Case Studies
MH  - Patient Admission
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Perinatal Care/og [Organization & Administration]
MH  - Pregnancy
MH  - Quality Assurance, Health Care
MH  - Quebec
AB  - BACKGROUND: : Health care transformations often involve the development of networks to ensure smooth and safe patient flows throughout the care continuum. However, more empirical information is needed on the workings of health networks and on how their structures, processes, and systems influence access to high-quality patient care.
AB  - PURPOSE: : Using Miller's concept of configuration, we describe the workings of a health network specialized in the provision of neonatal-perinatal care, a specialty where accessibility issues are quite problematic. We aimed to generate evidence that will assist policy makers, network managers, and clinicians in facilitating access to high-quality neonatal-perinatal care.
AB  - METHODOLOGY/APPROACH: : From late 2007 to early 2008, we conducted a case study of all (N = 7) neonatal intensive care units (NICUs) in the province of Quebec (Canada). We performed field work into two purposefully selected NICUs. This involved 450 hours of nonparticipant observation and 56 semistructured interviews with various actors. Data from these sources were triangulated with data collected during informal interviews with key actors from the other five NICUs in the province and from administrative databases.
AB  - FINDINGS: : We found that the elements of this health network are pulled together by a core orchestrating theme: "Forcing the system." Indeed, in attempting to fulfill the network mission of providing access to high-quality neonatal-perinatal care, clinicians and managers must implement various strategies to compensate for the misfit of the configuration. Although these strategies are successful in providing access to neonatal-perinatal care, they, however, have adverse effects that are paradoxically in contradiction with the network's core mission.
AB  - PRACTICE IMPLICATIONS: : This configuration analysis enabled us to identify a set of modifiable elements that contribute to the misfit of the configuration and its suboptimal functioning. The comprehensiveness of the configuration approach was proven useful for the analysis of such a complex organizational form.
ES  - 1550-5030
IL  - 0361-6274
DO  - https://dx.doi.org/10.1097/HMR.0b013e3182104e34
PT  - Journal Article
PT  - Validation Studies
ID  - 10.1097/HMR.0b013e3182104e34 [doi]
ID  - 00004010-201107000-00004 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Jul-Sep
EZ  - 2011/06/08 06:00
DA  - 2011/08/05 06:00
DT  - 2011/06/08 06:00
YR  - 2011
ED  - 20110804
RD  - 20110607
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21646883

<386. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21706987
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ong MS
AU  - Coiera E
FA  - Ong, Mei-Sing
FA  - Coiera, Enrico
IN  - Ong, Mei-Sing. Centre for Health Informatics, University of New South Wales, Sydney, Australia. m.ong@unsw.edu.au
TI  - A systematic review of failures in handoff communication during intrahospital transfers. [Review]
SO  - Joint Commission Journal on Quality & Patient Safety. 37(6):274-84, 2011 Jun
AS  - Jt Comm J Qual Patient Saf. 37(6):274-84, 2011 Jun
NJ  - Joint Commission journal on quality and patient safety
VO  - 37
IP  - 6
PG  - 274-84
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101238023
IO  - Jt Comm J Qual Patient Saf
SB  - Index Medicus
CP  - Netherlands
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Continuity of Patient Care/st [Standards]
MH  - Humans
MH  - Information Dissemination
MH  - *Interdisciplinary Communication
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Patient Transfer/st [Standards]
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 1553-7250
IL  - 1553-7250
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
ID  - S1553-7250(11)37035-3 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Jun
EZ  - 2011/06/29 06:00
DA  - 2011/07/29 06:00
DT  - 2011/06/29 06:00
YR  - 2011
ED  - 20110728
RD  - 20170317
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21706987

<387. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21407005
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Leininger-Hogan S
FA  - Leininger-Hogan, Susan
IN  - Leininger-Hogan, Susan. Performance Improvement Department, Allegheny General Hospital, 320 E N Avenue, Pittsburgh, PA 15212, USA. sleining@wpahs.org
TI  - Pneumonia management in the intensive care setting.
SO  - Critical Care Nursing Quarterly. 34(2):110-5, 2011 Apr-Jun
AS  - Crit Care Nurs Q. 34(2):110-5, 2011 Apr-Jun
NJ  - Critical care nursing quarterly
VO  - 34
IP  - 2
PG  - 110-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ccn, 8704517
IO  - Crit Care Nurs Q
SB  - Nursing Journal
CP  - United States
MH  - Continuity of Patient Care
MH  - *Guideline Adherence
MH  - Humans
MH  - Intensive Care Units
MH  - *Nurse Practitioners
MH  - Patient Transfer/og [Organization & Administration]
MH  - Pennsylvania
MH  - *Pneumonia/nu [Nursing]
MH  - Professional Staff Committees
MH  - *Quality Improvement
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.
ES  - 1550-5111
IL  - 0887-9303
DO  - https://dx.doi.org/10.1097/CNQ.0b013e318210ecb7
PT  - Journal Article
ID  - 10.1097/CNQ.0b013e318210ecb7 [doi]
ID  - 00002727-201104000-00004 [pii]
PP  - ppublish
LG  - English
DP  - 2011 Apr-Jun
EZ  - 2011/03/17 06:00
DA  - 2011/07/23 06:00
DT  - 2011/03/17 06:00
YR  - 2011
ED  - 20110722
RD  - 20110316
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21407005

<388. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21286445
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Kim JB
AU  - Jung HJ
AU  - Lee JM
AU  - Im KS
AU  - Kim DJ
FA  - Kim, Jong Bun
FA  - Jung, Hyun-Ju
FA  - Lee, Jae Myeong
FA  - Im, Kyong Shil
FA  - Kim, Duk Joo
IN  - Kim, Jong Bun. Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
TI  - Barotrauma developed during intra-hospital transfer -A case report-.
SO  - Korean Journal of Anesthesiology. 59 Suppl:S218-21, 2010 Dec
AS  - Korean Journal Anesthesiol. 59 Suppl:S218-21, 2010 Dec
NJ  - Korean journal of anesthesiology
VO  - 59 Suppl
PG  - S218-21
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101502451
IO  - Korean J Anesthesiol
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3030041
CP  - Korea (South)
KW  - Barotrauma;  Transfer;  Ventilation
AB  - A 74-year-old male patient receiving ventilatory support due to aspiration pneumonia developed bilateral pneumothorax, pneumopericardium, pneumomediastinum, pneumo-retroperitoneum, and subcutaneous emphysema, after manual ventilation while being transferred from the intensive care unit (ICU) to the operating room (OR). These complications were assumed to be secondary to inappropriate manual ventilation of the intubated patient. In addition, it is likely that the possible migration of an already marginally acceptable endotracheal tube (ETT) position during transport was the cause of these complications. Finally, aggravation of a latent pneumothorax might have contributed to these complications.
ES  - 2005-7563
IL  - 2005-6419
DO  - https://dx.doi.org/10.4097/kjae.2010.59.S.S218
PT  - Journal Article
ID  - 10.4097/kjae.2010.59.S.S218 [doi]
ID  - PMC3030041 [pmc]
PP  - ppublish
PH  - 2010/02/26 [received]
PH  - 2010/04/06 [revised]
PH  - 2010/04/20 [accepted]
LG  - English
EP  - 20101231
DP  - 2010 Dec
EZ  - 2011/02/03 06:00
DA  - 2011/02/03 06:01
DT  - 2011/02/03 06:00
YR  - 2010
ED  - 20110714
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21286445

<389. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20944814
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - PubMed-not-MEDLINE
AU  - Bae HJ
AU  - Kim DH
AU  - Yoo NT
AU  - Choi JH
AU  - Huh JT
AU  - Cha JK
AU  - Kim SK
AU  - Choi JS
AU  - Kim JW
FA  - Bae, Hyo-Jin
FA  - Kim, Dae-Hyun
FA  - Yoo, Nam-Tae
FA  - Choi, Jae Hyung
FA  - Huh, Jae-Taeck
FA  - Cha, Jae-Kwan
FA  - Kim, Sung Kwun
FA  - Choi, Jeom Sig
FA  - Kim, Jae Woo
IN  - Bae, Hyo-Jin. Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, Korea.
TI  - Prehospital notification from the emergency medical service reduces the transfer and intra-hospital processing times for acute stroke patients.
SO  - Journal of Clinical Neurology. 6(3):138-42, 2010 Sep
AS  - J Clin Neurol. 6(3):138-42, 2010 Sep
NJ  - Journal of clinical neurology (Seoul, Korea)
VO  - 6
IP  - 3
PG  - 138-42
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101252374
IO  - J Clin Neurol
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2950918
CP  - Korea (South)
KW  - prehospital notification;  stroke;  stroke care system;  thrombolysis
AB  - BACKGROUND AND PURPOSE: There is little information available about the effects of Emergency Medical Service (EMS) hospital notification on transfer and intrahospital processing times in cases of acute ischemic stroke.
AB  - METHODS: This study retrospectively investigated the real transfer and imaging processing times for cases of suspected acute stroke (AS) with EMS notification of a requirement for intravenous (IV) tissue-type plasminogen activator (t-PA) and for cases without notification. Also we compared the intra-hospital processing times for receiving t-PA between patients with and without EMS prehospital notification.
AB  - RESULTS: Between December 2008 and August 2009, the EMS transported 102 patients with suspected AS to our stroke center. During the same period, 33 patients received IV t-PA without prehospital notification from the EMS. The mean real transfer time after the EMS call was 56.0+/-32.0 min. Patients with a transfer distance of more than 40 km could not be transported to our center within 60 min. Among the 102 patients, 55 were transferred via the EMS to our emergency room for IV t-PA. The positive predictive value for stroke (90.9% vs. 68.1%, p=0.005) was much higher and the real transfer time was much faster in patients with an EMS t-PA call (47.7+/-23.1 min, p=0.004) than in those without one (56.3+/-32.4 min). The door-to-imaging time (17.8+/-11.0 min vs. 26.9+/-11.5 min, p=0.01) and door-to-needle time (29.7+/-9.6 min vs. 42.1+/-18.1 min, p=0.01) were significantly shorter in the 18 patients for whom there was prehospital notification and who ultimately received t-PA than in those for whom there was no prehospital notification.
AB  - CONCLUSIONS: Our results indicate that prehospital notification could enable the rapid dispatch of AS patients needing IV t-PA to a stroke centre. In addition, it could reduce intrahospital delays, particularly, imaging processing times.
ES  - 2005-5013
IL  - 1738-6586
DO  - https://dx.doi.org/10.3988/jcn.2010.6.3.138
PT  - Journal Article
ID  - 10.3988/jcn.2010.6.3.138 [doi]
ID  - PMC2950918 [pmc]
PP  - ppublish
PH  - 2010/01/13 [received]
PH  - 2010/06/01 [revised]
PH  - 2010/06/01 [accepted]
LG  - English
EP  - 20101001
DP  - 2010 Sep
EZ  - 2010/10/15 06:00
DA  - 2010/10/15 06:01
DT  - 2010/10/15 06:00
YR  - 2010
ED  - 20110714
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=20944814

<390. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21255150
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hauser SE
AU  - Fan WQ
AU  - Kiang K
FA  - Hauser, Simon E P
FA  - Fan, Wei Qi
FA  - Kiang, Karen
TI  - Neonatal stability following transfer from tertiary centres.
SO  - Journal of Paediatrics & Child Health. 47(1-2):67, 2011 Jan
AS  - J Paediatr Child Health. 47(1-2):67, 2011 Jan
NJ  - Journal of paediatrics and child health
VO  - 47
IP  - 1-2
PG  - 67
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Clinical Audit
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - *Patient Transfer/st [Standards]
MH  - Victoria
ES  - 1440-1754
IL  - 1034-4810
DO  - https://dx.doi.org/10.1111/j.1440-1754.2010.01966.x
PT  - Letter
ID  - 10.1111/j.1440-1754.2010.01966.x [doi]
PP  - ppublish
LG  - English
DP  - 2011 Jan
EZ  - 2011/01/25 06:00
DA  - 2011/06/15 06:00
DT  - 2011/01/25 06:00
YR  - 2011
ED  - 20110614
RD  - 20110124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21255150

<391. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21371304
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Beauchene C
AU  - Laudinet N
AU  - Choukri F
AU  - Rousset JL
AU  - Benhamadouche S
AU  - Larbre J
AU  - Chaouat M
AU  - Benbunan M
AU  - Mimoun M
AU  - Lajonchere JP
AU  - Bergeron V
AU  - Derouin F
FA  - Beauchene, Christian
FA  - Laudinet, Nicolas
FA  - Choukri, Firas
FA  - Rousset, Jean-Luc
FA  - Benhamadouche, Sofiane
FA  - Larbre, Juliette
FA  - Chaouat, Marc
FA  - Benbunan, Marc
FA  - Mimoun, Maurice
FA  - Lajonchere, Jean-Patrick
FA  - Bergeron, Vance
FA  - Derouin, Francis
IN  - Beauchene, Christian. Laboratory of Parasitology-Mycology, Saint-Louis hospital, Assistance Publique-Hopitaux de Paris, and University Paris, Diderot, France.
TI  - Accumulation and transport of microbial-size particles in a pressure protected model burn unit: CFD simulations and experimental evidence.
SO  - BMC Infectious Diseases. 11:58, 2011 Mar 03
AS  - BMC Infect Dis. 11:58, 2011 Mar 03
NJ  - BMC infectious diseases
VO  - 11
PG  - 58
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - 100968551
IO  - BMC Infect. Dis.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056797
SB  - Index Medicus
CP  - England
MH  - *Air Microbiology
MH  - Air Pressure
MH  - *Biomedical Engineering/mt [Methods]
MH  - *Burn Units
MH  - Computer Simulation
MH  - France
MH  - Humans
MH  - *Particulate Matter/an [Analysis]
MH  - Risk Assessment
AB  - BACKGROUND: Controlling airborne contamination is of major importance in burn units because of the high susceptibility of burned patients to infections and the unique environmental conditions that can accentuate the infection risk. In particular the required elevated temperatures in the patient room can create thermal convection flows which can transport airborne contaminates throughout the unit. In order to estimate this risk and optimize the design of an intensive care room intended to host severely burned patients, we have relied on a computational fluid dynamic methodology (CFD).
AB  - METHODS: The study was carried out in 4 steps: i) patient room design, ii) CFD simulations of patient room design to model air flows throughout the patient room, adjacent anterooms and the corridor, iii) construction of a prototype room and subsequent experimental studies to characterize its performance iv) qualitative comparison of the tendencies between CFD prediction and experimental results. The Electricite De France (EDF) open-source software Code_Saturne (http://www.code-saturne.org) was used and CFD simulations were conducted with an hexahedral mesh containing about 300 000 computational cells. The computational domain included the treatment room and two anterooms including equipment, staff and patient. Experiments with inert aerosol particles followed by time-resolved particle counting were conducted in the prototype room for comparison with the CFD observations.
AB  - RESULTS: We found that thermal convection can create contaminated zones near the ceiling of the room, which can subsequently lead to contaminate transfer in adjacent rooms. Experimental confirmation of these phenomena agreed well with CFD predictions and showed that particles greater than one micron (i.e. bacterial or fungal spore sizes) can be influenced by these thermally induced flows. When the temperature difference between rooms was 7degreeC, a significant contamination transfer was observed to enter into the positive pressure room when the access door was opened, while 2degreeC had little effect. Based on these findings the constructed burn unit was outfitted with supplemental air exhaust ducts over the doors to compensate for the thermal convective flows.
AB  - CONCLUSIONS: CFD simulations proved to be a particularly useful tool for the design and optimization of a burn unit treatment room. Our results, which have been confirmed qualitatively by experimental investigation, stressed that airborne transfer of microbial size particles via thermal convection flows are able to bypass the protective overpressure in the patient room, which can represent a potential risk of cross contamination between rooms in protected environments.
RN  - 0 (Particulate Matter)
ES  - 1471-2334
IL  - 1471-2334
DO  - https://dx.doi.org/10.1186/1471-2334-11-58
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 1471-2334-11-58 [pii]
ID  - 10.1186/1471-2334-11-58 [doi]
ID  - PMC3056797 [pmc]
PP  - epublish
PH  - 2010/06/17 [received]
PH  - 2011/03/03 [accepted]
LG  - English
EP  - 20110303
DP  - 2011 Mar 03
EZ  - 2011/03/05 06:00
DA  - 2011/06/08 06:00
DT  - 2011/03/05 06:00
YR  - 2011
ED  - 20110607
RD  - 20150204
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21371304

<392. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21453383
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Handy JM
FA  - Handy, J M
TI  - Critical care transfers: the lack of information and systemic shortcomings continue....
CM  - Comment in: Anaesthesia. 2011 Oct;66(10):946-7; PMID: 21916863
CM  - Comment in: Anaesthesia. 2011 Oct;66(10):945-6; PMID: 21916862
CM  - Comment in: Anaesthesia. 2011 Oct;66(10):946; PMID: 21916864
SO  - Anaesthesia. 66(5):337-40, 2011 May
AS  - Anaesthesia. 66(5):337-40, 2011 May
NJ  - Anaesthesia
VO  - 66
IP  - 5
PG  - 337-40
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Critical Care/og [Organization & Administration]
MH  - *Critical Care/td [Trends]
MH  - Data Collection
MH  - Delivery of Health Care/og [Organization & Administration]
MH  - Delivery of Health Care/td [Trends]
MH  - Humans
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Patient Transfer/td [Trends]
MH  - State Medicine/og [Organization & Administration]
MH  - State Medicine/td [Trends]
MH  - United Kingdom
ES  - 1365-2044
IL  - 0003-2409
DO  - https://dx.doi.org/10.1111/j.1365-2044.2011.06751.x
PT  - Editorial
ID  - 10.1111/j.1365-2044.2011.06751.x [doi]
PP  - ppublish
LG  - English
EP  - 20110331
DP  - 2011 May
EZ  - 2011/04/02 06:00
DA  - 2011/06/07 06:00
DT  - 2011/04/02 06:00
YR  - 2011
ED  - 20110606
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21453383

<393. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21443153
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Spasojevic S
AU  - Stojanovic V
AU  - Savic R
AU  - Doronjski A
FA  - Spasojevic, Slobodan
FA  - Stojanovic, Vesna
FA  - Savic, Radojica
FA  - Doronjski, Aleksandra
IN  - Spasojevic, Slobodan. Institute of Child and Youth Healthcare of Vojvodina, Novi Sad. sspas@ptt.rs
TI  - Intracranial haemorrhage after transport of premature newborns.
SO  - Medicinski Pregled. 63(7-8):454-8, 2010 Jul-Aug
AS  - Med Pregl. 63(7-8):454-8, 2010 Jul-Aug
NJ  - Medicinski pregled
VO  - 63
IP  - 7-8
PG  - 454-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0134461, 2985249r, m8u
IO  - Med. Pregl.
SB  - Index Medicus
CP  - Serbia
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/et [Etiology]
MH  - *Intensive Care Units, Neonatal
MH  - *Intracranial Hemorrhages/et [Etiology]
MH  - Male
MH  - Risk Factors
MH  - *Transportation of Patients
AB  - Intracranial hemorrhage remains an important factor of premature newborns' morbidity. Its incidence is significantly influenced by adequate perinatal care and safe neonatal transport. Risk factors for the development of intracranial hemorrhage in premature newborns after neonatal transport were analyzed in the retrospective transversal clinical study. Out of 150 study subjects, 60% (n = 90/150) had intracranial hemorrhage with a statistically significant difference in relation to Apgar score, gestational age, birth weight, age at the moment of transport and the prophylactic use of surfactant. In this group, grades I/II intracranial hemorrhage were detected in 77% (n = 69/90), while grades III/IV intracranial hemorrhage were diagnosed in 23% (n = 21/90). A statistically significant difference was observed in relation to gestational age, birth weight, antenatal use of tocolytics and steroids, delivery mode and age in the time of transport between these groups. All patients were transferred to Intensive Care Unit, the duration of transport was less than 5 minutes in 71% 9n = 107/150), whereas longer transport was recorded in 29% (n = 43/150). In the group of longer transport, prophylactic surfactant was less frequently used with a higher incidence of grades III/IV intracranial hemorrhage. In order to prevent the development of intracranial hemorrhage in premature newborns, the most important measures are the antenatal use of steroids and postnatal prophylactic use of surfactant.
IS  - 0025-8105
IL  - 0025-8105
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2010 Jul-Aug
EZ  - 2011/03/30 06:00
DA  - 2011/05/28 06:00
DT  - 2011/03/30 06:00
YR  - 2010
ED  - 20110527
RD  - 20110329
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21443153

<394. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21290577
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bapoje SR
AU  - Gaudiani JL
AU  - Narayanan V
AU  - Albert RK
FA  - Bapoje, Srinivas R
FA  - Gaudiani, Jennifer L
FA  - Narayanan, Vignesh
FA  - Albert, Richard K
IN  - Bapoje, Srinivas R. Department of Internal Medicine, Division of Hospital Medicine, Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado 80204, USA. srinivas.bapoje@dhha.org
TI  - Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.
SO  - Journal of Hospital Medicine (Online). 6(2):68-72, 2011 Feb
AS  - J Hosp Med. 6(2):68-72, 2011 Feb
NJ  - Journal of hospital medicine
VO  - 6
IP  - 2
PG  - 68-72
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101271025
IO  - J Hosp Med
SB  - Index Medicus
CP  - United States
MH  - Acute Disease
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Colorado
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - Health Status Indicators
MH  - Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Intensive Care Units/ut [Utilization]
MH  - Male
MH  - *Medical Errors/pc [Prevention & Control]
MH  - Middle Aged
MH  - *Patient Transfer/mt [Methods]
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - United States
MH  - Young Adult
AB  - BACKGROUND: Unplanned intensive care unit (ICU) transfers may result from errors in care but the frequency of their occurrence, and whether these transfers might be prevented, has not been investigated.
AB  - OBJECTIVE: To determine why unplanned transfers occur, what fraction results from errors in care, whether they are preceded by changes in clinical status and if so, whether earlier or different responses might prevent the transfers.
AB  - DESIGN: Retrospective study.
AB  - SETTING: University-affiliated hospital.
AB  - PATIENTS: All patients 18 to 89 years with unplanned transfers to the medical ICU from June 1, 2005 to May 30, 2006.
AB  - INTERVENTION: None.
AB  - MEASUREMENTS: Demographics, admission and transfer diagnoses, clinical triggers preceding the transfer, mortality, judgment by three reviewers about cause of transfer and whether it could have been prevented.
AB  - RESULTS: A total of 152 patients had unplanned transfers. The most common reasons were worsening of the problem for which the patient was admitted (48%) and development of a new problem (39%). Errors in care accounted for 29 transfers (19%), 15 of which were due to incorrect triage at the time of admission, and 14 due to iatrogenic errors. Of the 14 iatrogenic errors, the investigators determined that eight transfers might have been prevented by an earlier intervention. Agreement among the three reviewers was moderate to almost perfect (kappa 0.55-0.90).
AB  - CONCLUSIONS: Although 19% of unplanned transfers to medical ICUs are associated with errors in care, almost 80% of these seem to be preventable. Most of the preventable errors resulted from inappropriate admission triage.

Copyright © 2010 Society of Hospital Medicine.
ES  - 1553-5606
IL  - 1553-5592
DO  - https://dx.doi.org/10.1002/jhm.812
PT  - Journal Article
ID  - 10.1002/jhm.812 [doi]
PP  - ppublish
PH  - 2010/01/28 [received]
PH  - 2010/04/07 [revised]
PH  - 2010/05/17 [accepted]
LG  - English
EP  - 20101213
DP  - 2011 Feb
EZ  - 2011/02/04 06:00
DA  - 2011/05/27 06:00
DT  - 2011/02/04 06:00
YR  - 2011
ED  - 20110526
RD  - 20150220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21290577

<395. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21146313
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Turk E
AU  - Karagulle E
AU  - Aydogan C
AU  - Oguz H
AU  - Tarim A
AU  - Karakayali H
AU  - Haberal M
FA  - Turk, Emin
FA  - Karagulle, Erdal
FA  - Aydogan, Cem
FA  - Oguz, Hakan
FA  - Tarim, Akin
FA  - Karakayali, Hamdi
FA  - Haberal, Mehmet
IN  - Turk, Emin. Baskent University Faculty of Medicine, Department of General Surgery and Burn and Fire Disasters Institute, Ankara, Turkey. erenka2000@hotmail.com
TI  - Use of telemedicine and telephone consultation in decision-making and follow-up of burn patients: Initial experience from two burn units.
SO  - Burns. 37(3):415-9, 2011 May
AS  - Burns. 37(3):415-9, 2011 May
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 37
IP  - 3
PG  - 415-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Burn Units/og [Organization & Administration]
MH  - Burns/di [Diagnosis]
MH  - Burns/mo [Mortality]
MH  - *Burns/rh [Rehabilitation]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - *Decision Making
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Remote Consultation/mt [Methods]
MH  - *Telemedicine/mt [Methods]
MH  - *Telephone
MH  - Turkey
MH  - Young Adult
AB  - OBJECTIVE: This study investigated the use of telemedicine in decision-making and follow-up of burn patients.
AB  - METHODS: The Konya Burn Unit was established in July 2003, and up to December 2009, 187 patients were admitted to this unit, all of them were consulted-via audiovisual transmission of data (telemedicine)-to the same burn surgeon at the Ankara Burn Referral Center of our hospital network. Three basic systems are currently used: live interactive video, store-and-forward images, and telephone. The demographic data and burn criteria of the patients were investigated. Changes in the number of televisits and patient management were analyzed.
AB  - RESULTS: During the 66-month timeframe, 525 televisits were performed on 187 patients. There were 126 males (67.4%) and 61 females (32.6%). The mean total burn surface area (percentage of total burn surface area burned) was 23.3 +/- 17.8% (range, 3-95%). Nine of the 187 patients (4.8%) died owing to multiorgan failure and sepsis. As a result of these televisits, 21 patients (11.2%) were transferred to our referral center. The number of dead and transferred patients decreased during the study.
AB  - CONCLUSIONS: Telemedicine is appropriate and cost-effective for treatment and follow-up of patients in burn units with personnel with limited experience.

Copyright © 2010 Elsevier Ltd and ISBI. All rights reserved.
ES  - 1879-1409
IL  - 0305-4179
DO  - https://dx.doi.org/10.1016/j.burns.2010.10.004
PT  - Journal Article
ID  - S0305-4179(10)00275-5 [pii]
ID  - 10.1016/j.burns.2010.10.004 [doi]
PP  - ppublish
PH  - 2010/05/20 [received]
PH  - 2010/10/12 [revised]
PH  - 2010/10/13 [accepted]
LG  - English
EP  - 20101213
DP  - 2011 May
EZ  - 2010/12/15 06:00
DA  - 2011/05/20 06:00
DT  - 2010/12/15 06:00
YR  - 2011
ED  - 20110519
RD  - 20110314
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21146313

<396. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20946566
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Davies J
AU  - Bickell F
AU  - Tibby SM
FA  - Davies, Joanna
FA  - Bickell, Fiona
FA  - Tibby, Shane M
IN  - Davies, Joanna. Paediatric Intensive Care, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK. joanna.davies@gstt.nhs.uk
TI  - Attitudes of paediatric intensive care nurses to development of a nurse practitioner role for critical care transport.
SO  - Journal of Advanced Nursing. 67(2):317-26, 2011 Feb
AS  - J Adv Nurs. 67(2):317-26, 2011 Feb
NJ  - Journal of advanced nursing
VO  - 67
IP  - 2
PG  - 317-26
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 7609811, h3l
IO  - J Adv Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - England
MH  - Advanced Practice Nursing
MH  - *Attitude of Health Personnel
MH  - Child
MH  - Clinical Competence
MH  - *Critical Care
MH  - Female
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Interprofessional Relations
MH  - Male
MH  - *Nurse Practitioners/px [Psychology]
MH  - *Nurse's Role/px [Psychology]
MH  - Organizational Culture
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Pediatric Nursing
MH  - Qualitative Research
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - United Kingdom
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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.

Copyright © 2010 Blackwell Publishing Ltd.
ES  - 1365-2648
IL  - 0309-2402
DO  - https://dx.doi.org/10.1111/j.1365-2648.2010.05454.x
PT  - Journal Article
ID  - 10.1111/j.1365-2648.2010.05454.x [doi]
PP  - ppublish
LG  - English
EP  - 20101015
DP  - 2011 Feb
EZ  - 2010/10/16 06:00
DA  - 2011/05/20 06:00
DT  - 2010/10/16 06:00
YR  - 2011
ED  - 20110519
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20946566

<397. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21558511
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Voelker R
FA  - Voelker, Rebecca
TI  - Researchers in Canada call for policy to mandate single-embryo transfer in IVF.
SO  - JAMA. 305(18):1848, 2011 May 11
AS  - JAMA. 305(18):1848, 2011 May 11
NJ  - JAMA
VO  - 305
IP  - 18
PG  - 1848
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 7501160
IO  - JAMA
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Cost Savings
MH  - Embryo Transfer/mt [Methods]
MH  - *Embryo Transfer/st [Standards]
MH  - Female
MH  - Fertilization in Vitro/mt [Methods]
MH  - *Fertilization in Vitro/st [Standards]
MH  - Health Care Costs
MH  - Humans
MH  - Iatrogenic Disease
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/ec [Economics]
MH  - Infant, Newborn, Diseases/et [Etiology]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Intracranial Hemorrhages/et [Etiology]
MH  - Pregnancy
MH  - Pregnancy Complications
MH  - *Pregnancy, Multiple
MH  - *Public Policy
MH  - Quebec
ES  - 1538-3598
IL  - 0098-7484
DO  - https://dx.doi.org/10.1001/jama.2011.602
PT  - News
ID  - 305/18/1848 [pii]
ID  - 10.1001/jama.2011.602 [doi]
PP  - ppublish
LG  - English
DP  - 2011 May 11
EZ  - 2011/05/12 06:00
DA  - 2011/05/13 06:00
DT  - 2011/05/12 06:00
YR  - 2011
ED  - 20110512
RD  - 20161017
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21558511

<398. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20427308
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lyons MN
AU  - Standley TD
AU  - Gupta AK
FA  - Lyons, M N
FA  - Standley, T D A
FA  - Gupta, A K
IN  - Lyons, M N. Postgraduate Medical Centre, The Clinical School, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK. melinda_lyons@hotmail.com
TI  - Quality improvement of doctors' shift-change handover in neuro-critical care.
SO  - Quality & Safety in Health Care. 19(6):e62, 2010 Dec
AS  - Qual Saf Health Care. 19(6):e62, 2010 Dec
NJ  - Quality & safety in health care
VO  - 19
IP  - 6
PG  - e62
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101136980
IO  - Qual Saf Health Care
SB  - Health Administration Journals
CP  - England
MH  - Checklist
MH  - *Critical Care/ma [Manpower]
MH  - Humans
MH  - Interviews as Topic
MH  - Medical Audit
MH  - *Nervous System Diseases
MH  - Observation
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Physician's Role
MH  - Prospective Studies
MH  - *Quality Assurance, Health Care/mt [Methods]
MH  - United Kingdom
AB  - BACKGROUND: Clinical handover is a necessary process for the continuation of safe patient care; however, deficiencies in the handover process can introduce error. While the number of handover studies increases, few have validated implemented improvements with repeated audit.
AB  - OBJECTIVE: To improve the morning handover round on a busy critical care unit and assess sustainability of improvement through repeated audit.
AB  - DESIGN/METHODS: A quality improvement process based on prospective observational assessment of the doctor's shift-change handover was carried out, assessing the content of clinical information and effects of distractions, location and timing. The effect of a training session for the junior doctors with the introduction of a standardised handover protocol was assessed.
AB  - RESULTS: The content of clinical information improved after the training session with introduction of a standardised protocol, but returned to baseline with a new cohort of untrained doctors. Distractions were associated with increased handover times for individual patients and for total handover time. Overall, handover time was shortest in the coffee room compared with ward and lecture theatre handovers. Individual patient handover time was positively correlated with clinical content scores. Four indices of critical illness all positively correlated with increased handover time.
AB  - CONCLUSIONS: Early specific training is vital for quality clinical handover. Distractions during handover cause inefficiency and can adversely affect information transfer. Changing handover location according to local environment can yield improved efficiency, structure and ease of management. Adequate time must be allocated for clinical handover especially when dealing with very sick and complex patients.
ES  - 1475-3901
IL  - 1475-3898
DO  - https://dx.doi.org/10.1136/qshc.2008.028977
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - qshc.2008.028977 [pii]
ID  - 10.1136/qshc.2008.028977 [doi]
PP  - ppublish
LG  - English
EP  - 20100427
DP  - 2010 Dec
EZ  - 2010/04/30 06:00
DA  - 2011/04/07 06:00
DT  - 2010/04/30 06:00
YR  - 2010
ED  - 20110406
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20427308

<399. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21123229
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bambi S
FA  - Bambi, Stefano
TI  - The risk of intrahospital transport to patients.
CM  - Comment on: Crit Care Nurse. 2010 Aug;30(4):18-32; quiz 33; PMID: 20436033
SO  - Critical Care Nurse. 30(6):14; author reply 14-6, 2010 Dec
AS  - Crit Care Nurse. 30(6):14; author reply 14-6, 2010 Dec
NJ  - Critical care nurse
VO  - 30
IP  - 6
PG  - 14; author reply 14-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dt8, 8207799
IO  - Crit Care Nurse
SB  - Nursing Journal
CP  - United States
MH  - Bias
MH  - Cause of Death
MH  - *Critical Care/mt [Methods]
MH  - Humans
MH  - *Nursing Research/og [Organization & Administration]
MH  - Radiography/mo [Mortality]
MH  - Research Design
MH  - Risk Factors
MH  - *Safety Management/og [Organization & Administration]
MH  - *Transportation of Patients/og [Organization & Administration]
ES  - 1940-8250
IL  - 0279-5442
DO  - https://dx.doi.org/10.4037/ccn2010483
PT  - Letter
PT  - Comment
ID  - 30/6/14 [pii]
ID  - 10.4037/ccn2010483 [doi]
PP  - ppublish
LG  - English
DP  - 2010 Dec
EZ  - 2010/12/03 06:00
DA  - 2011/04/02 06:00
DT  - 2010/12/03 06:00
YR  - 2010
ED  - 20110401
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21123229

<400. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21199074
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kibler J
AU  - Lee M
FA  - Kibler, Judith
FA  - Lee, Maria
IN  - Kibler, Judith. Kaiser Permanente-Orange County, USA.
TI  - Improving patient transfer between the Intensive Care Unit and the Medical/Surgical floor of a 200-bed hospital in southern California.
SO  - Journal for Healthcare Quality. 33(1):68-76, 2011 Jan-Feb
AS  - J Healthc Qual. 33(1):68-76, 2011 Jan-Feb
NJ  - Journal for healthcare quality : official publication of the National Association for Healthcare Quality
VO  - 33
IP  - 1
PG  - 68-76
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bbo, 9202994
IO  - J Healthc Qual
SB  - Health Administration Journals
CP  - United States
MH  - California
MH  - Humans
MH  - *Intensive Care Units
MH  - *Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer
MH  - Time Factors
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.

Copyright © 2010 National Association for Healthcare Quality.
IS  - 1062-2551
IL  - 1062-2551
DO  - https://dx.doi.org/10.1111/j.1945-1474.2010.00101.x
PT  - Journal Article
ID  - 10.1111/j.1945-1474.2010.00101.x [doi]
PP  - ppublish
LG  - English
DP  - 2011 Jan-Feb
EZ  - 2011/01/05 06:00
DA  - 2011/03/25 06:00
DT  - 2011/01/05 06:00
YR  - 2011
ED  - 20110324
RD  - 20110104
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21199074

<401. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21102174
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schierholz E
AU  - Walker SR
FA  - Schierholz, Elizabeth
FA  - Walker, Susan R
IN  - Schierholz, Elizabeth. AirLife Denver Neonatal Transport Team, Englewood, Colorado 80113, USA. elizabeth.schierholz@heathonecares.com
TI  - Responding to traumatic birth: subgaleal hemorrhage, assessment, and management during transport.
SO  - Advances in Neonatal Care. 10(6):311-5, 2010 Dec
AS  - ADV NEONAT CARE. 10(6):311-5, 2010 Dec
NJ  - Advances in neonatal care : official journal of the National Association of Neonatal Nurses
VO  - 10
IP  - 6
PG  - 311-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101125644
IO  - Adv Neonatal Care
SB  - Index Medicus
CP  - United States
MH  - Birth Injuries/et [Etiology]
MH  - *Birth Injuries/th [Therapy]
MH  - Cerebral Hemorrhage, Traumatic/et [Etiology]
MH  - *Cerebral Hemorrhage, Traumatic/th [Therapy]
MH  - Critical Illness
MH  - Hemorrhage/et [Etiology]
MH  - *Hemorrhage/th [Therapy]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Neonatal Nursing/mt [Methods]
MH  - *Patient Transfer/mt [Methods]
MH  - Scalp
MH  - Vacuum Extraction, Obstetrical/ae [Adverse Effects]
AB  - Subgaleal hemorrhage is an uncommon but often fatal complication of a traumatic birth. Careful assessment and monitoring of the infant following birth are necessary to ensure prompt intervention, referral, and improved outcomes. Additional care, planning, and communication are especially important in the transport environment.
ES  - 1536-0911
IL  - 1536-0903
DO  - https://dx.doi.org/10.1097/ANC.0b013e3181fe9a49
PT  - Case Reports
PT  - Journal Article
ID  - 10.1097/ANC.0b013e3181fe9a49 [doi]
ID  - 00149525-201012000-00009 [pii]
PP  - ppublish
LG  - English
DP  - 2010 Dec
EZ  - 2010/11/26 06:00
DA  - 2011/03/15 06:00
DT  - 2010/11/25 06:00
YR  - 2010
ED  - 20110314
RD  - 20101124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21102174

<402. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20683230
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Higgins RA
FA  - Higgins, R A
IN  - Higgins, R A. California Army National Guard, Mather, C Company, 1st Battalion, 168th Aviation Regiment, 3754 Femoyer St, CA 95655, USA. ruben.a.higgins@us.army.mil
TI  - MEDEVAC: critical care transport from the battlefield.
SO  - AACN Advanced Critical Care. 21(3):288-97, 2010 Jul-Sep
AS  - AACN Adv Crit Care. 21(3):288-97, 2010 Jul-Sep
NJ  - AACN advanced critical care
VO  - 21
IP  - 3
PG  - 288-97
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101269322
IO  - AACN Adv Crit Care
SB  - Nursing Journal
CP  - United States
MH  - Afghan Campaign 2001-
MH  - Afghanistan
MH  - *Critical Care/og [Organization & Administration]
MH  - Delivery of Health Care/og [Organization & Administration]
MH  - Humans
MH  - *Military Medicine/og [Organization & Administration]
MH  - *Military Nursing/og [Organization & Administration]
MH  - *Military Personnel
MH  - *Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - United States
MH  - Wounds and Injuries/nu [Nursing]
MH  - *Wounds and Injuries/th [Therapy]
AB  - In current military operations, the survival rates of critically injured casualties are unprecedented. An often hidden aspect of casualty care is safe transport from the point of injury to a field hospital and subsequently on to higher levels of care. This en route critical care, which is provided by flight medics under the most austere and rigorous conditions, is a crucial link in the care continuum. This article introduces the role and capabilities of US Army MEDEVAC and reflects the author's recent experience in Afghanistan as a flight medic. This article provides an assessment of the operational issues, medical capabilities, and transport experiences to provide a real-world view of critical care transport from the battlefield. The MEDEVAC helicopter environment is one of the most difficult, if not the most demanding, critical care environments. This overview brings to light a small but important piece of the care continuum.
ES  - 1559-7776
IL  - 1559-7768
DO  - https://dx.doi.org/10.1097/NCI.0b013e3181e6741f
PT  - Case Reports
PT  - Journal Article
ID  - 10.1097/NCI.0b013e3181e6741f [doi]
ID  - 01256961-201007000-00010 [pii]
PP  - ppublish
LG  - English
DP  - 2010 Jul-Sep
EZ  - 2010/08/05 06:00
DA  - 2011/03/08 06:00
DT  - 2010/08/05 06:00
YR  - 2010
ED  - 20110307
RD  - 20100804
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20683230

<403. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20233896
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fraser LK
AU  - Fleming T
AU  - Miller M
AU  - Draper ES
AU  - McKinney PA
AU  - Parslow RC
AU  - Paediatric Intensive Care Audit Network
FA  - Fraser, Lorna K
FA  - Fleming, Thomas
FA  - Miller, Michael
FA  - Draper, Elizabeth S
FA  - McKinney, Patricia A
FA  - Parslow, Roger C
FA  - Paediatric Intensive Care Audit Network
IN  - Fraser, Lorna K. Paediatric Epidemiology Group, Centre for Epidemiology and Biostatistics, University of Leeds, UK.
IR  - Barnes P
IR  - Black N
IR  - Booth W
IR  - Child BB
IR  - Chapple J
IR  - Chaudhry B
IR  - Chisakuta A
IR  - Darowski M
IR  - Durkin N
IR  - Jenkins I
IR  - Kerr S
IR  - Laing H
IR  - Langfield I
IR  - Scott LL
IR  - Marsh M
IR  - McFadzean J
IR  - McFaul R
IR  - Morris K
IR  - Nicholl J
IR  - O'Donnell R
IR  - Pearson G
IR  - Peters M
IR  - Ralph T
IR  - Reekie L
IR  - Rowan K
IR  - Rowe S
IR  - Sammut D
IR  - Smith J
IR  - Stack C
IR  - Tanner S
IR  - Tasker R
IR  - Wozniak E
TI  - Palliative care discharge from paediatric intensive care units in Great Britain.
SO  - Palliative Medicine. 24(6):608-15, 2010 Sep
AS  - Palliat Med. 24(6):608-15, 2010 Sep
NJ  - Palliative medicine
VO  - 24
IP  - 6
PG  - 608-15
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - byq, 8704926
IO  - Palliat Med
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Ethnic Groups
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Intensive Care Units, Pediatric/ut [Utilization]
MH  - *Intensive Care Units, Pediatric
MH  - Length of Stay
MH  - Male
MH  - Odds Ratio
MH  - Palliative Care/sn [Statistics & Numerical Data]
MH  - Palliative Care/ut [Utilization]
MH  - *Palliative Care
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - *Patient Discharge
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Patient Transfer
MH  - United Kingdom
AB  - We aim to describe the demographics and clinical characteristics of children discharged to palliative care from 31 paediatric intensive care units in Great Britain, using a cohort of admissions and discharges from the database of paediatric intensive care units (Paediatric Intensive Care Audit Network (PICANet)). The patients included in this study were children discharged alive from paediatric intensive care units (n = 68882) between 1 January 2004 and 31 December 2008. The main outcome measure was Odds Ratios for discharge of children from paediatric intensive care units to palliative care and their referral destination. We found that palliative care status was recorded for 68,090 live discharges from paediatric intensive care units, with 492 (0.7%) discharges to palliative care, a proportion that varied by Strategic Health Authority (range 0 to 1.1). The odds of discharge to palliative care were increased by expected probability of death (log odds of mortality) associated with an oncology, neurology or respiratory diagnosis. South Asian children referred to palliative care were less likely to receive this care in a hospice (OR 0.18, 95% CI 0.04,0.83) and more likely to receive it in a hospital setting (OR 2.57, 95% CI 1.16,5.71). We conclude that children admitted to paediatric intensive care units have a very low rate of discharge to palliative care. Specific demographic and clinical variables are associated with referral to palliative care.
ES  - 1477-030X
IL  - 0269-2163
DO  - https://dx.doi.org/10.1177/0269216310364200
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
ID  - 0269216310364200 [pii]
ID  - 10.1177/0269216310364200 [doi]
PP  - ppublish
LG  - English
EP  - 20100316
DP  - 2010 Sep
EZ  - 2010/03/18 06:00
DA  - 2011/02/26 06:00
DT  - 2010/03/18 06:00
YR  - 2010
ED  - 20110225
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20233896

<404. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21262173
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Frost M
AU  - Stenkaer S
AU  - Kellenberger S
AU  - Ehlers L
FA  - Frost, Majbritt
FA  - Stenkaer, Susanne
FA  - Kellenberger, Simone
FA  - Ehlers, Lars
IN  - Frost, Majbritt. Aarhus Universitet, Denmark.
TI  - [Mobile CT at neurointensive sections--it is possible]. [Danish]
OT  - Mobil CT pa neurointensive afsnit er muligt.
SO  - Ugeskrift for Laeger. 173(4):277-9, 2011 Jan 24
AS  - Ugeskr Laeger. 173(4):277-9, 2011 Jan 24
NJ  - Ugeskrift for laeger
VO  - 173
IP  - 4
PG  - 277-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0141730, wm8
IO  - Ugeskr. Laeg.
SB  - Index Medicus
CP  - Denmark
MH  - Brain Injuries/dg [Diagnostic Imaging]
MH  - Critical Care
MH  - Humans
MH  - Patient Transfer
MH  - *Point-of-Care Systems
MH  - Prognosis
MH  - Radiation Dosage
MH  - Risk Factors
MH  - Tomography, X-Ray Computed/ec [Economics]
MH  - *Tomography, X-Ray Computed/is [Instrumentation]
MH  - Trauma Centers
AB  - Intrahospital transportation can be complicated and hazardous. Mobile computerized tomography (CT) of the head performed at the neurointensive care unit is a new technique that minimizes the need for transportation of unstable patients. Even small changes in physiological parameters can be detrimental for these patients and cause secondary injury and thus affect their prognoses. The portable CT scanner in the neurointensive care unit holds great potential, but the high price level may limit its use.
ES  - 1603-6824
IL  - 0041-5782
PT  - Journal Article
ID  - VP09090420 [pii]
PP  - ppublish
LG  - Danish
DP  - 2011 Jan 24
EZ  - 2011/01/26 06:00
DA  - 2011/02/23 06:00
DT  - 2011/01/26 06:00
YR  - 2011
ED  - 20110222
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21262173

<405. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21139519
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Odell M
AU  - Gerber K
AU  - Gager M
FA  - Odell, Mandy
FA  - Gerber, Karin
FA  - Gager, Melanie
IN  - Odell, Mandy. Royal Berkshire NHS Foundation Trust, Reading.
TI  - Call 4 Concern: patient and relative activated critical care outreach.
SO  - British Journal of Nursing. 19(22):1390-5, 2010 Dec 9-2011 Jan 13
AS  - Br J Nurs. 19(22):1390-5, 2010 Dec 9-2011 Jan 13
NJ  - British journal of nursing (Mark Allen Publishing)
VO  - 19
IP  - 22
PG  - 1390-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - big, 9212059
IO  - Br J Nurs
SB  - Nursing Journal
CP  - England
MH  - Attitude of Health Personnel
MH  - *Critical Care/og [Organization & Administration]
MH  - England
MH  - *Family/px [Psychology]
MH  - Feasibility Studies
MH  - Feedback, Psychological
MH  - *Hospital Rapid Response Team/og [Organization & Administration]
MH  - *Hotlines/og [Organization & Administration]
MH  - Humans
MH  - *Inpatients/px [Psychology]
MH  - Nursing Methodology Research
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - Patient Acceptance of Health Care/px [Psychology]
MH  - Patient Transfer
MH  - Program Evaluation
MH  - Referral and Consultation/og [Organization & Administration]
MH  - Workload/sn [Statistics & Numerical Data]
AB  - Patients can experience unexpected deterioration in their physiological condition that can lead to critical illness, cardiac arrest, admission to the intensive care unit and death. While ward staff can identify deterioration through monitoring physiological signs, these signs can be missed, interpreted incorrectly or mismanaged. Rapid response systems using early warning scores can fail if staff do not follow protocols or do not notice or manage deterioration adequately. Nurses often notice deterioration intuitively because of their knowledge of individual patients. Patients and their relatives have the greatest knowledge of patients, and can often pick up subtle signs physiological deterioration before this is identified by staff or monitoring systems. However, this ability has been largely overlooked. Call 4 Concern (C4C) is a scheme where patients and relatives can call critical care teams directly if they are concerned about a patient's condition- it is believed to be the first of its kind in the UK. A C4C feasibility project ran for six months, covering patients being transferred from the intensive care unit to general wards. C4C has the potential to prevent clinical deterioration and is valued by patients and relatives. Concerns of ward staff could be managed through project management. As it is relatively new, this field offers further opportunities for research.
IS  - 0966-0461
IL  - 0966-0461
PT  - Evaluation Studies
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2010 Dec 9-2011 Jan 13
EZ  - 2010/12/09 06:00
DA  - 2011/02/04 06:00
DT  - 2010/12/09 06:00
YR  - 2010-2011
ED  - 20110203
RD  - 20101208
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21139519

<406. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20441694
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kong XY
AU  - Gao X
AU  - Yin XJ
AU  - Hong XY
AU  - Fang HS
AU  - Wang ZZ
AU  - Li AH
AU  - Luo FP
AU  - Feng ZC
FA  - Kong, Xiang-yong
FA  - Gao, Xin
FA  - Yin, Xiao-juan
FA  - Hong, Xiao-yang
FA  - Fang, Huan-sheng
FA  - Wang, Zi-zhen
FA  - Li, Ai-hua
FA  - Luo, Fen-ping
FA  - Feng, Zhi-chun
IN  - Kong, Xiang-yong. Department of Neonatal Intensive Care Unit, Bayi Children's Hospital Affiliated to the Beijing Military Command General Hospital, People's Liberation Army, Beijing 100700, China.
TI  - [Establishment of regional active neonatal transport network]. [Chinese]
SO  - Zhonghua Erke Zazhi. 48(1):4-8, 2010 Jan
AS  - Zhonghua Er Ke Za Zhi. 48(1):4-8, 2010 Jan
NJ  - Zhonghua er ke za zhi = Chinese journal of pediatrics
VO  - 48
IP  - 1
PG  - 4-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0417427
IO  - Zhonghua Er Ke Za Zhi
SB  - Index Medicus
CP  - China
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - Transportation of Patients/st [Standards]
MH  - *Transportation of Patients
AB  - OBJECTIVE: To evaluate the clinical function and significance of establishing a regional active neonatal transport network (ANTN) in Beijing.
AB  - METHOD: The authors retrospectively studied intensive care and the role of ANTN system in management of critically ill neonates and compared the outcome of newborn infants transported to our NICU before and after we established standardized NICU and ANTN system (phase 1: July 2004 to June 2006 vs phase 2: July 2006 to May 2008).
AB  - RESULT: The number of neonatal transport significantly increased from 587 during phase 1 to 2797 during phase 2. Success rate of transport and the total cure rate in phase 2 were 97.85% and 91.99% respectively, which were significantly higher than those in phase 1 (94.36% and 88.69%, respectively, P < 0.01). The neonatal mortality significantly decreased in phase 2 compared with that in phase 1 (2.29% vs 4.31%, P < 0.01). The capacity of our NICU was enlarged following the development of ANTN. There are 200 beds for level 3 infants in phase 2, but there were only 20 beds in phase 1. Significantly less patients in the phase 2 had hypothermia, acidosis and the blood glucose instability than those in phase 1 (P < 0.01, 0.05, 0.01 and 0.05, respectively). The proportion of preterm infants transported to our NICU were higher in phase 2 compared with that in phase 1, especially infants whose gestational age was below 32 weeks. The proportions of asphyxia and respiratory distress syndrome were lower in phase 2 than that in phase 1, but the total cure rates of these two diseases had no significant changes between the two phases. The most important finding was that the improvement of outcome of premature infants and those with asphyxia and aspiration syndrome was noted following the development of ANTN.
AB  - CONCLUSION: Establishing regional ANTN for a tertiary hospital is very important to elevate the total level in management of critically ill newborn infants. It plays a very important role in reducing mortality and improving total outcomes of newborn infants. There are still some problems remained to solve after four years practice in order to optimize the ANTN to meet needs of the development of neonatology.
IS  - 0578-1310
IL  - 0578-1310
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - Chinese
DP  - 2010 Jan
EZ  - 2010/05/06 06:00
DA  - 2011/02/04 06:00
DT  - 2010/05/06 06:00
YR  - 2010
ED  - 20110203
RD  - 20160607
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20441694

<407. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20938618
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McLachan CS
AU  - Taylor CB
AU  - Li Y
AU  - Willenberg L
AU  - Matthews S
AU  - Glass P
AU  - Myburgh J
FA  - McLachan, C S
FA  - Taylor, C B
FA  - Li, Y
FA  - Willenberg, L
FA  - Matthews, S
FA  - Glass, P
FA  - Myburgh, J
TI  - Severe falciparum malaria patients transferred "late" to a high level ICU in India represents a difficult research capture point to comment on predictors of mortality and related organ dysfunction.
CM  - Comment on: Singapore Med J. 2010 Mar;51(3):226-9; PMID: 20428736
SO  - Singapore Medical Journal. 51(9):752-3; author reply 754-5, 2010 Sep
AS  - Singapore Med J. 51(9):752-3; author reply 754-5, 2010 Sep
NJ  - Singapore medical journal
VO  - 51
IP  - 9
PG  - 752-3; author reply 754-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - uri, 0404516
IO  - Singapore Med J
SB  - Index Medicus
CP  - Singapore
MH  - Data Interpretation, Statistical
MH  - Hospitals
MH  - Humans
MH  - Incidence
MH  - India
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Length of Stay
MH  - *Malaria, Falciparum/co [Complications]
MH  - Malaria, Falciparum/ep [Epidemiology]
MH  - Malaria, Falciparum/mo [Mortality]
MH  - *Multiple Organ Failure/et [Etiology]
MH  - Outcome Assessment (Health Care)
MH  - Renal Insufficiency/mo [Mortality]
IS  - 0037-5675
IL  - 0037-5675
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 2010 Sep
EZ  - 2010/10/13 06:00
DA  - 2011/02/03 06:00
DT  - 2010/10/13 06:00
YR  - 2010
ED  - 20110202
RD  - 20101012
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20938618

<408. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 21042245
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Keeling P
AU  - Scales K
AU  - Keeling S
AU  - Borthwick M
FA  - Keeling, Peter
FA  - Scales, Katie
FA  - Keeling, Susan
FA  - Borthwick, Mark
IN  - Keeling, Peter. Department of Anaesthetics, Frimley Park Hospital NHS Foundation Trust.
TI  - Towards IV drug standardization in critical care.
SO  - British Journal of Nursing. 19(19):S30-3, 2010 Oct 28-Nov 10
AS  - Br J Nurs. 19(19):S30-3, 2010 Oct 28-Nov 10
NJ  - British journal of nursing (Mark Allen Publishing)
VO  - 19
IP  - 19
PG  - S30-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - big, 9212059
IO  - Br J Nurs
SB  - Nursing Journal
CP  - England
MH  - Continuity of Patient Care
MH  - *Critical Care/st [Standards]
MH  - Drug Industry
MH  - Drug Therapy/nu [Nursing]
MH  - *Drug Therapy/st [Standards]
MH  - Health Care Surveys
MH  - Humans
MH  - Infection Control
MH  - Infusions, Intravenous/nu [Nursing]
MH  - *Infusions, Intravenous/st [Standards]
MH  - Injections, Intravenous/nu [Nursing]
MH  - *Injections, Intravenous/st [Standards]
MH  - Medication Errors/pc [Prevention & Control]
MH  - Patient Transfer
MH  - *Practice Guidelines as Topic
MH  - Practice Patterns, Physicians'/st [Standards]
MH  - Safety Management
MH  - United Kingdom
AB  - Local infusion practice within critical care has evolved over time, and one example of this is the wide variation in concentrations of drug infusions within critical care. While there are many similarities between critical care units, there are also many differences. Often drug infusions are used outside their product licence and, because of the diversity in practice, manufacturers are unlikely to license multiple preparations of even the most commonly used infusions. Critical care nurses spend many hours every day preparing and administering intravenous infusions. Much time could be saved if the infusions were available as a ready-to-use solution. This would also reduce the risk of errors that occur during the preparation and administration of medication infusions. This article describes a national project to achieve consensus on the strengths of drug infusions used within UK critical care units. Having agreed on standard solutions, it is hoped that manufacturers will seek licences for commonly used infusions and work towards mass production of these products. Off the shelf, ready-to-use infusions of commonly used medications could become a reality.
IS  - 0966-0461
IL  - 0966-0461
PT  - Journal Article
ID  - 10.12968/bjon.2010.19.Sup9.79313 [doi]
PP  - ppublish
LG  - English
DP  - 2010 Oct 28-Nov 10
EZ  - 2010/11/03 06:00
DA  - 2011/01/07 06:00
DT  - 2010/11/03 06:00
YR  - 2010
ED  - 20110106
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21042245

<409. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20470381
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fanara B
AU  - Manzon C
AU  - Barbot O
AU  - Desmettre T
AU  - Capellier G
FA  - Fanara, Benoit
FA  - Manzon, Cyril
FA  - Barbot, Olivier
FA  - Desmettre, Thibaut
FA  - Capellier, Gilles
IN  - Fanara, Benoit. Department of Emergency Medicine, Jean Minjoz University Hospital, 25030 Besancon, France. fan.ben@netcourrier.com
TI  - Recommendations for the intra-hospital transport of critically ill patients. [Review]
SO  - Critical Care (London, England). 14(3):R87, 2010
AS  - Crit Care. 14(3):R87, 2010
NJ  - Critical care (London, England)
VO  - 14
IP  - 3
PG  - R87
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9801902
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911721
SB  - Index Medicus
CP  - England
MH  - *Checklist
MH  - *Critical Illness
MH  - Humans
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Patient Transfer/st [Standards]
MH  - Review Literature as Topic
MH  - Risk Factors
MH  - Risk Management
AB  - INTRODUCTION: This study was conducted to provide Intensive Care Units and Emergency Departments with a set of practical procedures (check-lists) for managing critically-ill adult patients in order to avoid complications during intra-hospital transport (IHT).
AB  - METHODS: Digital research was carried out via the MEDLINE, EMBASE, CINAHL and HEALTHSTAR databases using the following key words: transferring, transport, intrahospital or intra-hospital, and critically ill patient. The reference bibliographies of each of the selected articles between 1998 and 2009 were also studied.
AB  - RESULTS: This review focuses on the analysis and overcoming of IHT-related risks, the associated adverse events, and their nature and incidence. The suggested preventive measures are also reviewed. A check-list for quick execution of IHT is then put forward and justified.
AB  - CONCLUSIONS: Despite improvements in IHT practices, significant risks are still involved. Basic training, good clinical sense and a risk-benefit analysis are currently the only deciding factors. A critically ill patient, prepared and accompanied by an inexperienced team, is a risky combination. The development of adapted equipment and the widespread use of check-lists and proper training programmes would increase the safety of IHT and reduce the risks in the long-term. Further investigation is required in order to evaluate the protective role of such preventive measures.
ES  - 1466-609X
IL  - 1364-8535
DO  - https://dx.doi.org/10.1186/cc9018
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
ID  - cc9018 [pii]
ID  - 10.1186/cc9018 [doi]
ID  - PMC2911721 [pmc]
PP  - ppublish
PH  - 2009/11/20 [received]
PH  - 2010/03/08 [revised]
PH  - 2010/05/14 [accepted]
LG  - English
EP  - 20100514
DP  - 2010
EZ  - 2010/05/18 06:00
DA  - 2011/01/07 06:00
DT  - 2010/05/18 06:00
YR  - 2010
ED  - 20110106
RD  - 20141203
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20470381

<410. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20716262
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lawton BA
AU  - Wilson LF
AU  - Dinsdale RA
AU  - Rose SB
AU  - Brown SA
AU  - Tait J
AU  - Coles CL
AU  - McCaw A
FA  - Lawton, Beverley A
FA  - Wilson, Leona F
FA  - Dinsdale, Richard A
FA  - Rose, Sally B
FA  - Brown, Selina A
FA  - Tait, John
FA  - Coles, Carolyn L
FA  - McCaw, Amanda
IN  - Lawton, Beverley A. Women's Health Research Centre, University of Otago, Wellington, New Zealand. bev.lawton@otago.ac.nz
TI  - Audit of severe acute maternal morbidity describing reasons for transfer and potential preventability of admissions to ICU.
SO  - Australian & New Zealand Journal of Obstetrics & Gynaecology. 50(4):346-51, 2010 Aug
AS  - Aust N Z J Obstet Gynaecol. 50(4):346-51, 2010 Aug
NJ  - The Australian & New Zealand journal of obstetrics & gynaecology
VO  - 50
IP  - 4
PG  - 346-51
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9i0, 0001027
IO  - Aust N Z J Obstet Gynaecol
SB  - Index Medicus
CP  - Australia
MH  - *Acute Disease/ep [Epidemiology]
MH  - Adolescent
MH  - Adult
MH  - *Clinical Audit/sn [Statistics & Numerical Data]
MH  - Disseminated Intravascular Coagulation/ep [Epidemiology]
MH  - Disseminated Intravascular Coagulation/pc [Prevention & Control]
MH  - Female
MH  - *Hemorrhage/ep [Epidemiology]
MH  - Hemorrhage/pc [Prevention & Control]
MH  - Humans
MH  - Hypotension/ep [Epidemiology]
MH  - Hypotension/pc [Prevention & Control]
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Medical Records
MH  - Middle Aged
MH  - Morbidity
MH  - New Zealand/ep [Epidemiology]
MH  - Pregnancy
MH  - *Pregnancy Complications/ep [Epidemiology]
MH  - *Pregnancy Complications/pc [Prevention & Control]
MH  - Pregnancy Outcome
MH  - Prenatal Care
MH  - Retrospective Studies
MH  - Young Adult
AB  - BACKGROUND: Maternal mortality is a rare event in the developed world. Assessment of severe acute maternal morbidity (SAMM) is therefore an appropriate measure of the quality of maternity care.
AB  - AIMS: The aim of the study was to conduct a retrospective audit of SAMM cases (pregnant women admitted to a New Zealand Intensive Care Unit) to describe clinical, socio-demographic characteristics, pregnancy outcomes and preventability.
AB  - METHODS: Severe acute maternal morbidity cases were reviewed by a multidisciplinary panel to determine reasons for admission to ICU, to classify organ-system dysfunction and to determine whether the SAMM case was preventable or not. Inclusion criteria were: admission to ICU between 2005 and 2007 during pregnancy or within 42 days of delivery.
AB  - RESULTS: Twenty-nine SAMM cases were reviewed, of which 10 (35%) were deemed preventable. The most common reasons for transfer to ICU were: the need for invasive vascular monitoring, hypotension and disseminated intravascular coagulation. The most frequent types of preventable events were: inadequate diagnosis/recognition of high-risk status, inappropriate treatment, communication problems and inadequate documentation. All five SAMM cases of septicaemia were deemed preventable. Of the ten preventable cases, three were Maori (50% of the Maori in total audit), four were Pacific (67% of the Pacific in total audit) and three were women of 'other' ethnicities (17.6%, 3 of 17 in the audit).
AB  - CONCLUSIONS: An audit of SAMM cases describing reasons for transfer to ICU and preventability is feasible. We recommend that a prospective national SAMM audit process be introduced in New Zealand as a quality of care measure.
ES  - 1479-828X
IL  - 0004-8666
DO  - https://dx.doi.org/10.1111/j.1479-828X.2010.01200.x
PT  - Journal Article
ID  - AJO1200 [pii]
ID  - 10.1111/j.1479-828X.2010.01200.x [doi]
PP  - ppublish
LG  - English
DP  - 2010 Aug
EZ  - 2010/08/19 06:00
DA  - 2010/12/17 06:00
DT  - 2010/08/19 06:00
YR  - 2010
ED  - 20101216
RD  - 20100818
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20716262

<411. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20657338
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Walls TA
AU  - Chamberlain JM
AU  - Strohm-Farber J
AU  - Klein BL
FA  - Walls, Theresa A
FA  - Chamberlain, James M
FA  - Strohm-Farber, Jessica
FA  - Klein, Bruce L
IN  - Walls, Theresa A. Children's National Medical Center, Washington, DC 20010, USA.
TI  - Improving pretransport care of pediatric emergency patients: an assessment of referring hospital care.
SO  - Pediatric Emergency Care. 26(8):567-70, 2010 Aug
AS  - Pediatr Emerg Care. 26(8):567-70, 2010 Aug
NJ  - Pediatric emergency care
VO  - 26
IP  - 8
PG  - 567-70
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Academic Medical Centers
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Critical Illness/th [Therapy]
MH  - Female
MH  - *Hospitals, Pediatric/st [Standards]
MH  - Hospitals, Urban
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric/st [Standards]
MH  - Male
MH  - *Outcome Assessment (Health Care)
MH  - Prospective Studies
MH  - *Referral and Consultation/td [Trends]
MH  - *Transportation of Patients/st [Standards]
MH  - United States
MH  - Young Adult
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.
AB  - 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.
AB  - 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).
AB  - CONCLUSIONS: Using a simple survey, we identified opportunities for improvement in the management of pediatric emergency patients by referring hospitals in 22% of cases.
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0b013e3181ea71f8
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/PEC.0b013e3181ea71f8 [doi]
PP  - ppublish
LG  - English
DP  - 2010 Aug
EZ  - 2010/07/27 06:00
DA  - 2010/12/17 06:00
DT  - 2010/07/27 06:00
YR  - 2010
ED  - 20101216
RD  - 20100809
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20657338

<412. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20980907
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Huber C
FA  - Huber, Charlotte
IN  - Huber, Charlotte. Pennsylvania Patient Safety Reporting System in Plymouth Meeting, PA, USA. chuber@ecri.org
TI  - Safe intrahospital transport of non-ICU patients.
SO  - American Journal of Nursing. 110(11):66-9, 2010 Nov
AS  - Am. j. nurs.. 110(11):66-9, 2010 Nov
NJ  - The American journal of nursing
VO  - 110
IP  - 11
PG  - 66-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 3mw, 0372646
IO  - Am J Nurs
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Humans
MH  - *Interdisciplinary Communication
MH  - Patient Care Team/st [Standards]
MH  - Pennsylvania
MH  - Risk Reduction Behavior
MH  - *Safety Management
MH  - *Transportation of Patients/st [Standards]
AB  - The Pennsylvania Patient Safety Reporting System is a confidential, statewide Internet reporting system to which all Pennsylvania hospitals, outpatient-surgery facilities, and birthing centers, as well as some abortion facilities, must file information on medical errors.Safety Monitor is a column from Pennsylvania's Patient Safety Authority, the authority that informs nurses on issues that can affect patient safety and presents strategies they can easily integrate into practice. For more information on the authority, visit www.patientsafetyauthority.org. For the original article discussed in this column or for other articles on patient safety, click on "Patient Safety Advisories" and then "Advisory Library" in the left-hand navigation menu.
ES  - 1538-7488
IL  - 0002-936X
DO  - https://dx.doi.org/10.1097/01.NAJ.0000390531.14314.1c
PT  - Journal Article
ID  - 10.1097/01.NAJ.0000390531.14314.1c [doi]
ID  - 00000446-201011000-00035 [pii]
PP  - ppublish
LG  - English
DP  - 2010 Nov
EZ  - 2010/10/29 06:00
DA  - 2010/12/14 06:00
DT  - 2010/10/29 06:00
YR  - 2010
ED  - 20101202
RD  - 20101028
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20980907

<413. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20436033
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Day D
FA  - Day, Darcy
IN  - Day, Darcy. The Queens Medical Center in Honolulu, Hawaii 96813, USA. daday@queens.org
TI  - Keeping patients safe during intrahospital transport. [Review]
CM  - Comment in: Crit Care Nurse. 2010 Dec;30(6):14; author reply 14-6; PMID: 21123229
SO  - Critical Care Nurse. 30(4):18-32; quiz 33, 2010 Aug
AS  - Crit Care Nurse. 30(4):18-32; quiz 33, 2010 Aug
NJ  - Critical care nurse
VO  - 30
IP  - 4
PG  - 18-32; quiz 33
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - dt8, 8207799
IO  - Crit Care Nurse
SB  - Nursing Journal
CP  - United States
MH  - *Continuity of Patient Care
MH  - Humans
MH  - Intensive Care Units
MH  - Monitoring, Physiologic/is [Instrumentation]
MH  - Monitoring, Physiologic/nu [Nursing]
MH  - Nursing Assessment
MH  - Practice Guidelines as Topic
MH  - Respiration, Artificial/nu [Nursing]
MH  - *Safety Management
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - *Transportation of Patients
ES  - 1940-8250
IL  - 0279-5442
DO  - https://dx.doi.org/10.4037/ccn2010446
PT  - Journal Article
PT  - Review
ID  - ccn2010446 [pii]
ID  - 10.4037/ccn2010446 [doi]
PP  - ppublish
LG  - English
EP  - 20100430
DP  - 2010 Aug
EZ  - 2010/05/04 06:00
DA  - 2010/12/14 06:00
DT  - 2010/05/04 06:00
YR  - 2010
ED  - 20101124
RD  - 20110401
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20436033

<414. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20954525
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Herring S
FA  - Herring, Sasha
IN  - Herring, Sasha. Evelina Children's Hospital, London.
TI  - Going it alone: the beginning of a nurse-led retrieval service.
SO  - Paediatric Nursing. 22(7):22-4, 2010 Sep
AS  - Paediatr Nurs. 22(7):22-4, 2010 Sep
NJ  - Paediatric nursing
VO  - 22
IP  - 7
PG  - 22-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b6g, 9013329
IO  - Paediatr Nurs
SB  - Nursing Journal
CP  - England
MH  - Child
MH  - Efficiency, Organizational
MH  - England
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - *Nurse Practitioners
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Pediatric Nursing
MH  - *Practice Patterns, Nurses'
MH  - Program Development
AB  - Training for experienced paediatric intensive care nurses to work as retrieval nurse practitioners is being offered by the South Thames Retrieval Service. To date, nine such practitioners have been assessed as competent to practise independently and in their first three and a half years of practice have transferred 366 critically ill children. Potential obstacles included: limitations to prescribing, resistance to nurses performing a traditional medical role and adaptation in the paediatric intensive care unit environment. Continuing evaluation is essential to ensure a high standard of care.
IS  - 0962-9513
IL  - 0962-9513
PT  - Journal Article
ID  - 10.7748/paed2010.09.22.7.22.c7949 [doi]
PP  - ppublish
LG  - English
DP  - 2010 Sep
EZ  - 2010/10/20 06:00
DA  - 2010/11/10 06:00
DT  - 2010/10/20 06:00
YR  - 2010
ED  - 20101109
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20954525

<415. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20949739
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Flores-Franco RA
FA  - Flores-Franco, Rene Agustin
TI  - Improvised chest tube valve for intra-hospital patient transportation.
CM  - Comment on: Indian J Chest Dis Allied Sci. 2009 Oct-Dec;51(4):225-31; PMID: 20073374
SO  - Indian Journal of Chest Diseases & Allied Sciences. 52(3):175; author reply 175-6, 2010 Jul-Sep
AS  - Indian J Chest Dis Allied Sci. 52(3):175; author reply 175-6, 2010 Jul-Sep
NJ  - The Indian journal of chest diseases & allied sciences
VO  - 52
IP  - 3
PG  - 175; author reply 175-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - gi2, 7612044
IO  - Indian J Chest Dis Allied Sci
SB  - Index Medicus
CP  - India
MH  - *Chest Tubes
MH  - *Drainage
MH  - Equipment Design
MH  - Humans
MH  - *Transportation of Patients
IS  - 0377-9343
IL  - 0377-9343
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 2010 Jul-Sep
EZ  - 2010/10/19 06:00
DA  - 2010/11/03 06:00
DT  - 2010/10/19 06:00
YR  - 2010
ED  - 20101102
RD  - 20101018
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20949739

<416. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20622634
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wolf GK
AU  - Frakes MA
AU  - Gallagher M
AU  - Allan CK
AU  - Wedel SK
FA  - Wolf, Gerhard K
FA  - Frakes, Michael A
FA  - Gallagher, Michael
FA  - Allan, Catherine K
FA  - Wedel, Suzanne K
IN  - Wolf, Gerhard K. Division of Critical Care Medicine, Department of Anesthesia, Children's Hospital Boston, MA 02115, USA. gerhard.wolf@childrens.harvard.edu
TI  - Management of suspected myocarditis during critical-care transport.
SO  - Pediatric Emergency Care. 26(7):512-7, 2010 Jul
AS  - Pediatr Emerg Care. 26(7):512-7, 2010 Jul
NJ  - Pediatric emergency care
VO  - 26
IP  - 7
PG  - 512-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Acute Disease
MH  - Adolescent
MH  - Arrhythmias, Cardiac/di [Diagnosis]
MH  - Arrhythmias, Cardiac/ep [Epidemiology]
MH  - Child
MH  - Critical Care
MH  - Electrocardiography
MH  - Humans
MH  - Lyme Disease/co [Complications]
MH  - Lyme Disease/di [Diagnosis]
MH  - Male
MH  - Myocarditis/ep [Epidemiology]
MH  - Myocarditis/mi [Microbiology]
MH  - *Myocarditis/th [Therapy]
MH  - *Patient Transfer
AB  - Myocarditis and malignant dysrhythmias are unusual presentations in pediatric patients. We report a series of 4 patients with myocarditis and arrhythmia who presented to community emergency departments and were transported to a pediatric tertiary-care center. Three of the patients required extracorporeal life support. We discuss considerations for stabilization and transport: airway and ventilation, hemodynamic support, induction and sedation medication choices, transport decisions, and the traits of an ideal receiving center.
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0b013e3181e5bfe1
PT  - Case Reports
PT  - Journal Article
ID  - 10.1097/PEC.0b013e3181e5bfe1 [doi]
ID  - 00006565-201007000-00013 [pii]
PP  - ppublish
LG  - English
DP  - 2010 Jul
EZ  - 2010/07/14 06:00
DA  - 2010/10/27 06:00
DT  - 2010/07/13 06:00
YR  - 2010
ED  - 20101026
RD  - 20100712
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20622634

<417. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19666940
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lampariello S
AU  - Clement M
AU  - Aralihond AP
AU  - Lutman D
AU  - Montgomery MA
AU  - Petros AJ
AU  - Ramnarayan P
FA  - Lampariello, S
FA  - Clement, M
FA  - Aralihond, A P
FA  - Lutman, D
FA  - Montgomery, M A
FA  - Petros, A J
FA  - Ramnarayan, P
IN  - Lampariello, S. Nottingham University Hospital, UK.
TI  - Stabilisation of critically ill children at the district general hospital prior to intensive care retrieval: a snapshot of current practice.
SO  - Archives of Disease in Childhood. 95(9):681-5, 2010 Sep
AS  - Arch Dis Child. 95(9):681-5, 2010 Sep
NJ  - Archives of disease in childhood
VO  - 95
IP  - 9
PG  - 681-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 6xg, 0372434
IO  - Arch. Dis. Child.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/mt [Methods]
MH  - Critical Care/og [Organization & Administration]
MH  - *Critical Illness/th [Therapy]
MH  - Emergencies
MH  - England
MH  - *Hospitals, District
MH  - *Hospitals, General
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intubation, Intratracheal
MH  - Patient Care Team
MH  - Patient Transfer
MH  - *Professional Practice/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Referral and Consultation
MH  - Respiration, Artificial
AB  - OBJECTIVE: To describe current practice during stabilisation of children presenting with critical illness to the district general hospital (DGH), preceding retrieval to intensive care.
AB  - DESIGN: Observational study using prospectively collected transport data.
AB  - SETTING: A centralised intensive care retrieval service in England and referring DGHs.
AB  - PATIENTS: Emergency transports to intensive care during 2-month epochs from 4 consecutive years (2005-2008).
AB  - INTERVENTIONS: None.
AB  - MAIN OUTCOME MEASURES: Proportion of key airway, breathing, and circulatory and neurological stabilisation procedures, such as endotracheal intubation, mechanical ventilation, vascular access, and initiation of inotropic agents, performed by referring hospital staff prior to the arrival of the retrieval team.
AB  - RESULTS: 706 emergency retrievals were examined over a 4-year period. The median age of transported children was 10 months (IQR, 18 days to 43 months). DGH staff performed the majority of endotracheal intubations (93.7%, CI 91.3% to 95.5%), initiated mechanical ventilation in 76.9% of cases (CI 73.0% to 80.4%), inserted central venous catheters frequently (67.4%, CI 61.7% to 72.6%), and initiated inotropic agents in 43.7% (CI 36.6% to 51.1%). The retrieval team was more likely to perform interventions such as reintubation for air leak, repositioning of misplaced tracheal tubes, and administration of osmotic agents for raised intracranial pressure. The performance of one or more interventions by the retrieval team was associated with severity of illness, rather than patient age, diagnostic group, or team response time (OR 3.62, 95% CI 1.47 to 8.92).
AB  - CONCLUSIONS: DGH staff appropriately performs the majority of initial stabilisation procedures in critically ill children prior to retrieval. This practice has not changed significantly for the past 4 years, attesting to the crucial role played by district hospital staff in a centralised model of paediatric intensive care.
ES  - 1468-2044
IL  - 0003-9888
DO  - https://dx.doi.org/10.1136/adc.2008.151266
PT  - Journal Article
ID  - adc.2008.151266 [pii]
ID  - 10.1136/adc.2008.151266 [doi]
PP  - ppublish
LG  - English
EP  - 20090809
DP  - 2010 Sep
EZ  - 2009/08/12 09:00
DA  - 2010/10/22 06:00
DT  - 2009/08/12 09:00
YR  - 2010
ED  - 20101021
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19666940

<418. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20864837
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rampil IJ
AU  - Rampil LS
FA  - Rampil, Ira J
FA  - Rampil, Linda S
TI  - Where is the impact?.
CM  - Comment on: Anesthesiology. 2010 Feb;112(2):282-7; PMID: 20098128
SO  - Anesthesiology. 113(4):995; author reply 995-6, 2010 Oct
AS  - Anesthesiology. 113(4):995; author reply 995-6, 2010 Oct
NJ  - Anesthesiology
VO  - 113
IP  - 4
PG  - 995; author reply 995-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4sg, 1300217
IO  - Anesthesiology
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Critical Care
MH  - Humans
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Monitoring, Physiologic/mt [Methods]
MH  - *Oximetry
MH  - Oxygen/bl [Blood]
MH  - Patient Transfer
MH  - Postoperative Period
RN  - S88TT14065 (Oxygen)
ES  - 1528-1175
IL  - 0003-3022
DO  - https://dx.doi.org/10.1097/ALN.0b013e3181eff877
PT  - Comment
PT  - Letter
ID  - 10.1097/ALN.0b013e3181eff877 [doi]
ID  - 00000542-201010000-00035 [pii]
PP  - ppublish
LG  - English
DP  - 2010 Oct
EZ  - 2010/09/25 06:00
DA  - 2010/10/14 06:00
DT  - 2010/09/25 06:00
YR  - 2010
ED  - 20101013
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20864837

<419. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20404781
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cross KP
AU  - Cammack VH
AU  - Calhoun AW
AU  - Gracely EJ
AU  - Kim IK
AU  - Stevenson MD
AU  - Woods CR
FA  - Cross, Keith P
FA  - Cammack, Veronica H
FA  - Calhoun, Aaron W
FA  - Gracely, Edward J
FA  - Kim, In K
FA  - Stevenson, Michelle D
FA  - Woods, Charles R
IN  - Cross, Keith P. Department of Pediatrics, Kosair Children's Hospital, University of Louisville, 570 S Floyd St, Ste 300, Louisville, KY 40202, USA. keith.cross@louisville.edu
TI  - Premature departure from the pediatric emergency department: a cohort analysis of process- and patient-related factors.
SO  - Pediatric Emergency Care. 26(5):349-56, 2010 May
AS  - Pediatr Emerg Care. 26(5):349-56, 2010 May
NJ  - Pediatric emergency care
VO  - 26
IP  - 5
PG  - 349-56
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Emergency Service, Hospital
MH  - Follow-Up Studies
MH  - *Health Services Accessibility/og [Organization & Administration]
MH  - *Hospitals, Pediatric/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - *Patient Dropouts
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Time Factors
MH  - *Triage/og [Organization & Administration]
AB  - OBJECTIVE: Previous literature suggests that process-related factors (eg, time of day, patient volume) and patient-related factors (eg, acuity, socioeconomic status) are associated with premature departure from emergency departments. We sought to evaluate the relationship of these and other factors with premature departure in a large, unselected cohort of pediatric emergency department patients.
AB  - METHODS: This study was a retrospective cohort analysis of visits to a single tertiary site during a 1-year period. Patients' zip codes determined assignment of census-based socioeconomic metrics. Multivariate regression identified factors associated with premature departure. Sensitivity and subset analyses were performed. Return visits within 48 hours after premature departure were also reviewed.
AB  - RESULTS: There were 46,417 visits, of which 2164 were premature departures. In multivariate analysis, independent predictors of premature departures were arrival time, arrival month, arrival day of week, patient acuity, concurrent premature departures, arrival rate, arrival period average length of stay, and poverty rate. Aside from patient acuity and poverty rate, no patient-related factors were significant in multivariate analysis. These results were robust in sensitivity analysis across different multivariate models. Among premature departures, there were 120 return visits (5.5%), of which 15 were admitted (0.7%). There were no deaths. Acuity was similar between initial and subsequent visits.
AB  - CONCLUSIONS: Process-related factors and individual patient acuity have the strongest influence on premature departure from the pediatric emergency department. Health care organizations concerned with premature departure should focus efforts on improving pediatric emergency process flow.
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0b013e3181db2042
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/PEC.0b013e3181db2042 [doi]
PP  - ppublish
GI  - No: UL1 TR000077
Organization: (TR) *NCATS NIH HHS*
Country: United States
LG  - English
DP  - 2010 May
EZ  - 2010/04/21 06:00
DA  - 2010/09/24 06:00
DT  - 2010/04/21 06:00
YR  - 2010
ED  - 20100923
RD  - 20161025
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20404781

<420. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19847186
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fairchild K
AU  - Sokora D
AU  - Scott J
AU  - Zanelli S
FA  - Fairchild, K
FA  - Sokora, D
FA  - Scott, J
FA  - Zanelli, S
IN  - Fairchild, K. Department of Pediatrics, University of Virginia, Charlottesville, VA 22908, USA. kdf2n@virginia.edu
TI  - Therapeutic hypothermia on neonatal transport: 4-year experience in a single NICU.
SO  - Journal of Perinatology. 30(5):324-9, 2010 May
AS  - J Perinatol. 30(5):324-9, 2010 May
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 30
IP  - 5
PG  - 324-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jfp, 8501884
IO  - J Perinatol
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864418
SB  - Index Medicus
CP  - United States
MH  - Asphyxia Neonatorum/di [Diagnosis]
MH  - Asphyxia Neonatorum/et [Etiology]
MH  - Asphyxia Neonatorum/th [Therapy]
MH  - Cohort Studies
MH  - Humans
MH  - *Hypothermia, Induced
MH  - Hypoxia-Ischemia, Brain/di [Diagnosis]
MH  - Hypoxia-Ischemia, Brain/et [Etiology]
MH  - *Hypoxia-Ischemia, Brain/th [Therapy]
MH  - Infant, Newborn
MH  - *Intensive Care, Neonatal
MH  - *Referral and Consultation
MH  - Retrospective Studies
MH  - *Transportation of Patients
MH  - Treatment Outcome
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.
AB  - STUDY DESIGN: Retrospective review of all cases of therapeutic hypothermia at a single neonatal intensive care unit from 2005 to 2009.
AB  - 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 degrees 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.
AB  - CONCLUSION: We discuss the important aspects of our program, including the education of referring and receiving clinicians and avoidance of overcooling.
ES  - 1476-5543
IL  - 0743-8346
DO  - https://dx.doi.org/10.1038/jp.2009.168
PT  - Journal Article
ID  - jp2009168 [pii]
ID  - 10.1038/jp.2009.168 [doi]
ID  - PMC2864418 [pmc]
PP  - ppublish
LG  - English
EP  - 20091022
DP  - 2010 May
EZ  - 2009/10/23 06:00
DA  - 2010/09/15 06:00
DT  - 2009/10/23 06:00
YR  - 2010
ED  - 20100914
RD  - 20141207
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19847186

<421. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20507218
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Thomas, Stephen
FA  - Judge, Tom
FA  - Lowell, Mark J
FA  - MacDonald, Russell D
FA  - Madden, John
FA  - Pickett, Kimberly
FA  - Werman, Howard A
FA  - Shear, Melissa L
FA  - Patel, Pina
FA  - Starr, Greg
FA  - Chesney, Michael
FA  - Domeier, Robert
FA  - Frantz, Pam
FA  - Funk, Deb
FA  - Greenberg, Robert D
IN  - Thomas, Stephen. Department of Emergency Medicine, University of Oklahoma School of Community Medicine, Tulsa, Oklahoma 74135, USA. stephen-thomas@ouhsc.edu
TI  - Airway management success and hypoxemia rates in air and ground critical care transport: a prospective multicenter study.
SO  - Prehospital Emergency Care. 14(3):283, 2010 Jul-Sep
AS  - Prehosp Emerg Care. 14(3):283, 2010 Jul-Sep
NJ  - Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
VO  - 14
IP  - 3
PG  - 283
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - c5i, 9703530
IO  - Prehosp Emerg Care
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Airway Obstruction/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Hypoxia/ep [Epidemiology]
MH  - *Hypoxia/pp [Physiopathology]
MH  - Infant
MH  - Infant, Newborn
MH  - *Intubation, Intratracheal/st [Standards]
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment (Health Care)
MH  - Prospective Studies
MH  - *Transportation of Patients/mt [Methods]
MH  - United States
MH  - Young Adult
AB  - OBJECTIVE: To assess critical care transport (CCT) crews' endotracheal intubation (ETI) attempts, success rates, and peri-ETI oxygenation.
AB  - 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 [SpO(2)] 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.
AB  - 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 SpO(2) 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).
AB  - CONCLUSIONS: CCT crews' ETI success rates were very high, and even when ETI required multiple attempts, airway management was rarely associated with SpO(2) 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.
ES  - 1545-0066
IL  - 1090-3127
DO  - https://dx.doi.org/10.3109/10903127.2010.481758
PT  - Journal Article
PT  - Multicenter Study
ID  - 10.3109/10903127.2010.481758 [doi]
PP  - ppublish
LG  - English
DP  - 2010 Jul-Sep
EZ  - 2010/05/29 06:00
DA  - 2010/09/14 06:00
DT  - 2010/05/29 06:00
YR  - 2010
ED  - 20100913
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20507218

<422. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20178510
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Benavente-Fernandez I
AU  - Lubian-Lopez PS
AU  - Zuazo-Ojeda MA
AU  - Jimenez-Gomez G
AU  - Lechuga-Sancho AM
FA  - Benavente-Fernandez, I
FA  - Lubian-Lopez, P S
FA  - Zuazo-Ojeda, M A
FA  - Jimenez-Gomez, G
FA  - Lechuga-Sancho, A M
IN  - Benavente-Fernandez, I. Department of Neonatology, Hospital Universitario Puerta del Mar, Cadiz, Spain.
TI  - Safety of magnetic resonance imaging in preterm infants.
SO  - Acta Paediatrica. 99(6):850-3, 2010 Jun
AS  - Acta Paediatr. 99(6):850-3, 2010 Jun
NJ  - Acta paediatrica (Oslo, Norway : 1992)
VO  - 99
IP  - 6
PG  - 850-3
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bgc, 9205968
IO  - Acta Paediatr.
SB  - Index Medicus
CP  - Norway
MH  - Brain/ph [Physiology]
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature/ph [Physiology]
MH  - *Infant, Premature
MH  - Infant, Very Low Birth Weight/ph [Physiology]
MH  - *Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal
MH  - *Magnetic Resonance Imaging/ae [Adverse Effects]
MH  - Magnetic Resonance Imaging/mt [Methods]
MH  - Male
MH  - Patient Transfer/mt [Methods]
MH  - Prospective Studies
MH  - *Safety
AB  - AIM: As we progress in our knowledge of preterm brain injury, cohort studies are focusing in neuroimaging preterm infants in the first days of life. Magnetic resonance (MR) is the most powerful neuroimaging modality and valuable in understanding perinatal brain injury. The main purpose of the study is to evaluate the safety of MR imaging in very low birth weight (VLBW) infants at our hospital settings where the scanner is located at some distance from the neonatal intensive care unit (NICU).
AB  - SUBJECTS AND METHODS: This is a prospective study of 33 VLBW infants who underwent early MR imaging (MRI), within 10 days after birth and term corrected age MRI. The study period included June to December 2008.
AB  - RESULTS: A total of 46 MRI were performed on 33 preterm infants. The mean total time the infants stayed in the bore of the magnet was 13.04 min. No incidences occurred during transfer or during the scans, and no significant changes were found in heart rate, oxygen saturation and temperature.
AB  - CONCLUSIONS: At our hospital settings, the process of transport and MR imaging have been proven to be safe and not to disturb any of the variables measured. MRI should not be restricted to centres with neonatal MR system or MR-compatible incubator, as long as the process is coordinated and supervised by a multidisciplinary team.
ES  - 1651-2227
IL  - 0803-5253
DO  - https://dx.doi.org/10.1111/j.1651-2227.2010.01708.x
PT  - Evaluation Studies
PT  - Journal Article
ID  - APA1708 [pii]
ID  - 10.1111/j.1651-2227.2010.01708.x [doi]
PP  - ppublish
LG  - English
EP  - 20100219
DP  - 2010 Jun
EZ  - 2010/02/25 06:00
DA  - 2010/08/18 06:00
DT  - 2010/02/25 06:00
YR  - 2010
ED  - 20100817
RD  - 20100617
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20178510

<423. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19825893
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - O'Mahony S
AU  - McHenry J
AU  - Blank AE
AU  - Snow D
AU  - Eti Karakas S
AU  - Santoro G
AU  - Selwyn P
AU  - Kvetan V
FA  - O'Mahony, Sean
FA  - McHenry, Janet
FA  - Blank, Arthur E
FA  - Snow, Daniel
FA  - Eti Karakas, Serife
FA  - Santoro, Gabriella
FA  - Selwyn, Peter
FA  - Kvetan, Vladimir
IN  - O'Mahony, Sean. Palliative Care Service, Montefiore Medical Center, Albert Einstein College of Medicine, 3347 Steuben Avenue, 2nd Floor, Bronx, New York, NY 10467, USA. somahony@montefiore.org
TI  - Preliminary report of the integration of a palliative care team into an intensive care unit.
SO  - Palliative Medicine. 24(2):154-65, 2010 Mar
AS  - Palliat Med. 24(2):154-65, 2010 Mar
NJ  - Palliative medicine
VO  - 24
IP  - 2
PG  - 154-65
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - byq, 8704926
IO  - Palliat Med
SB  - Index Medicus
CP  - England
MH  - Decision Making
MH  - Ethnic Groups
MH  - Family/px [Psychology]
MH  - Hospice Care/ut [Utilization]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/st [Standards]
MH  - Length of Stay
MH  - New York City
MH  - *Palliative Care/st [Standards]
MH  - Palliative Care/ut [Utilization]
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer
MH  - Resuscitation Orders
MH  - Surveys and Questionnaires
MH  - Terminal Care/px [Psychology]
MH  - *Terminal Care/st [Standards]
MH  - Terminally Ill/px [Psychology]
MH  - *Terminally Ill
AB  - Nearly half of Americans who die in hospitals spend time in the intensive care unit (ICU) in the last 3 days of life. Minority patients who die in the ICU are less likely to formalize advance directives and surviving family members report lower satisfaction with the provision of information and sensitivity to their cultural traditions at the end-of-life. This is a descriptive report of a convenience sample of 157 consecutive patients served by a palliative care team which was integrated into the operations of an ICU at Montefiore Medical Center in the Bronx, New York, from August 2005 until August 2007. The team included an advance practice nurse (APN) and social worker. A separate case-control study was conducted comparing the length of hospital stay for persons who died in the ICU during the final 6 months of the project, prior to and post-palliative care consultation for 22 patients at the hospital campus where the project team was located versus 24 patients at the other campus. Pharmaco-economic data were evaluated for 22 persons who died with and 43 who died without a palliative care consultation at the intervention campus ICU to evaluate whether the project intervention was associated with an increase in the use of pain medications or alterations in the use of potentially non-beneficial life-prolonging treatments in persons dying in the ICU. Data was abstracted from the medical record with a standardized chart abstraction instrument by an unblinded research assistant. Interviews were conducted with a sample of family members and ICU nurses rating the quality of end-of-life care in the ICU with the Quality of Dying and Death in the ICU instrument (ICUQODD), and a family focus group was also conducted. Forty percent of patients were Caucasian, 35% were African American or Afro-Caribbean, 22% Hispanic and 3% were Asian or other. Exploration of the patients' and families' needs identified significant spiritual needs in 62.4% of cases. Education on the death process was provided to 85% of families by the project team. Twenty-nine percent of patients were disconnected from mechanical ventilators following consultation with the Palliative Care Service (PCS), 15.9% of patients discontinued the use of inotropic support, 15.3% stopped artificial nutrition, 6.4% stopped dialysis and 2.5% discontinued artificial hydration. Recommendations on pain management were made for 51% of the project's patients and symptom management for 52% of patients. The project was associated with an increase in the rate of the formalization of advance directives. Thirty-three percent of the patients who received PCS consultations had 'do not resuscitate' orders in place prior to consultation and 83.4% had 'do not resuscitate' orders after the intervention. The project team referred 80 (51%) of the project patients to hospice and 55 (35%) patients were enrolled on hospice, primarily at the medical center. The mean time from admission to palliative care consultation at the project site was 2.8 days versus 15.5 days at the other campus (p = 0.0184). Median survival times from admission to the medical center were not significantly different when stratified by palliative care consultation status: 12 days for the control group (95% CI 8-18) and 13.5 days for the intervention group (95% CI 8-20). Median charges for the use of opioid medications were higher (p = 0.01) for the intervention group but lower for use of laboratory (p = 0.004) and radiology tests (p = 0.027). We conclude that the integration of palliative care experts into the operation of critical care units is of benefit to patients, families and critical care clinicians. Preliminary evidence suggest that such models may be associated with improved quality of life, higher rates of formalization of advance directives and utilization of hospices, as well as lower use of certain non-beneficial life-prolonging treatments for critically ill patients who are at the end of life.
ES  - 1477-030X
IL  - 0269-2163
DO  - https://dx.doi.org/10.1177/0269216309346540
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 0269216309346540 [pii]
ID  - 10.1177/0269216309346540 [doi]
PP  - ppublish
LG  - English
EP  - 20091013
DP  - 2010 Mar
EZ  - 2009/10/15 06:00
DA  - 2010/08/11 06:00
DT  - 2009/10/15 06:00
YR  - 2010
ED  - 20100810
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19825893

<424. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19718056
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gilli K
AU  - Remberger M
AU  - Hjelmqvist H
AU  - Ringden O
AU  - Mattsson J
FA  - Gilli, K
FA  - Remberger, M
FA  - Hjelmqvist, H
FA  - Ringden, O
FA  - Mattsson, J
IN  - Gilli, K. Department for Anaesthesiology and Intensive Care Medicine, Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
TI  - Sequential Organ Failure Assessment predicts the outcome of SCT recipients admitted to intensive care unit.
SO  - Bone Marrow Transplantation. 45(4):682-8, 2010 Apr
AS  - Bone Marrow Transplant. 45(4):682-8, 2010 Apr
NJ  - Bone marrow transplantation
VO  - 45
IP  - 4
PG  - 682-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bon, 8702459
IO  - Bone Marrow Transplant.
SB  - Index Medicus
CP  - England
MH  - APACHE
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - *Multiple Organ Failure/di [Diagnosis]
MH  - Patient Transfer
MH  - *Severity of Illness Index
MH  - *Stem Cell Transplantation/ae [Adverse Effects]
MH  - Survival Analysis
MH  - Transplantation, Homologous/ae [Adverse Effects]
MH  - Young Adult
AB  - We analyzed all patients undergoing allogeneic stem cell transplantation (ASCT) and transferred to the intensive care unit (ICU) from January 1995 to December 2005. During this period, 661 patients underwent ASCT at our center. A total of 91 patients were admitted to the ICU. Median time from ASCT to ICU admission was 69 days (-24 to 1572) and median stay at the ICU was 4 (1-60) days. The survival after transfer to the ICU at day 100 and at 1 year was 22 and 16%, respectively. Median Sequential Organ Failure Assessment (SOFA) score was 10 (1-17). Patients with SOFA score <8 (n=18) had a 44% survival compared with 17% with SOFA score 8-11 (n=30) and no survival with SOFA score >11 (n=20) (P=0.0002). None of the 14 retransplanted patients survived compared with 31% among patients after first ASCT (P=0.006). Patients receiving TBI had a lower survival compared with patients treated with chemotherapy only (14 vs 45%, P=0.02). Patients needing vasopressor support had a worse survival, 15 vs 41%, compared with patients without vasopressor treatment (P=0.01). In multivariate analysis of death, SOFA score was the only significant factor (P<0.001). In conclusion, SOFA score predicted prognosis in ASCT patients treated at the ICU.
ES  - 1476-5365
IL  - 0268-3369
DO  - https://dx.doi.org/10.1038/bmt.2009.220
PT  - Journal Article
ID  - bmt2009220 [pii]
ID  - 10.1038/bmt.2009.220 [doi]
PP  - ppublish
LG  - English
EP  - 20090831
DP  - 2010 Apr
EZ  - 2009/09/01 06:00
DA  - 2010/08/06 06:00
DT  - 2009/09/01 09:00
YR  - 2010
ED  - 20100805
RD  - 20100407
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19718056

<425. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19553024
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nasser S
AU  - Mabrouk A
AU  - Wafa AM
FA  - Nasser, Salah
FA  - Mabrouk, Amr
FA  - Wafa, Ahmed M Aboul
IN  - Nasser, Salah. Burn Unit, Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo 11241, Egypt.
TI  - Twelve years epidemiological study of paediatric burns in Ain Shams University, Burn Unit, Cairo, Egypt.
SO  - Burns. 35(8):e8-11, 2009 Dec
AS  - Burns. 35(8):e8-11, 2009 Dec
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 35
IP  - 8
PG  - e8-11
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Age Distribution
MH  - Burn Units
MH  - *Burns/ep [Epidemiology]
MH  - Burns/et [Etiology]
MH  - Burns/pa [Pathology]
MH  - Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Egypt/ep [Epidemiology]
MH  - Female
MH  - First Aid/mt [Methods]
MH  - Humans
MH  - Infant
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Patient Transfer/mt [Methods]
MH  - Retrospective Studies
MH  - Sex Distribution
ES  - 1879-1409
IL  - 0305-4179
DO  - https://dx.doi.org/10.1016/j.burns.2009.04.011
PT  - Journal Article
ID  - S0305-4179(09)00123-5 [pii]
ID  - 10.1016/j.burns.2009.04.011 [doi]
PP  - ppublish
PH  - 2008/11/30 [received]
PH  - 2009/02/17 [revised]
PH  - 2009/04/01 [accepted]
LG  - English
EP  - 20090623
DP  - 2009 Dec
EZ  - 2009/06/26 09:00
DA  - 2010/07/30 06:00
DT  - 2009/06/26 09:00
YR  - 2009
ED  - 20100729
RD  - 20091109
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19553024

<426. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20586177
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Critical path network. Bay Medical improves ED throughput via ICU.
SO  - Hospital Case Management. 18(7):105-6, 2010 Jul
AS  - Hosp Case Manag. 18(7):105-6, 2010 Jul
NJ  - Hospital case management : the monthly update on hospital-based care planning and critical paths
VO  - 18
IP  - 7
PG  - 105-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ch2, 9603097
IO  - Hosp Case Manag
SB  - Health Administration Journals
CP  - United States
MH  - *Efficiency, Organizational
MH  - *Emergency Service, Hospital
MH  - Florida
MH  - *Intensive Care Units
MH  - Organizational Case Studies
MH  - *Patient Transfer/st [Standards]
IS  - 1087-0652
IL  - 1087-0652
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2010 Jul
EZ  - 2010/07/01 06:00
DA  - 2010/07/28 06:00
DT  - 2010/07/01 06:00
YR  - 2010
ED  - 20100727
RD  - 20100630
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20586177

<427. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19593245
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Prodhan, Parthak
FA  - Fiser, Richard T
FA  - Cenac, Sophia
FA  - Bhutta, Adnan T
FA  - Fontenot, Eudice
FA  - Moss, Michelle
FA  - Schexnayder, Stephen
FA  - Seib, Paul
FA  - Chipman, Carl
FA  - Weygandt, Lauren
FA  - Imamura, Michiaki
FA  - Jaquiss, Robert D B
FA  - Dyamenahalli, Umesh
IN  - Prodhan, Parthak. Arkansas Children's Hospital, Little Rock, AR, USA. prodhanparthak@uams.edu
TI  - Intrahospital transport of children on extracorporeal membrane oxygenation: indications, process, interventions, and effectiveness.
SO  - Pediatric Critical Care Medicine. 11(2):227-33, 2010 Mar
AS  - Pediatr Crit Care Med. 11(2):227-33, 2010 Mar
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 11
IP  - 2
PG  - 227-33
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3039026
OI  - Source: NLM. NIHMS228117
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Cardiac Catheterization
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - *Decision Making
MH  - Echocardiography
MH  - *Extracorporeal Membrane Oxygenation
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - *Patient Transfer
MH  - Program Evaluation
MH  - Retrospective Studies
MH  - Tomography, X-Ray Computed
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.
AB  - DESIGN: Retrospective cohort analysis.
AB  - SETTING: Cardiac intensive care unit in a tertiary care children's hospital.
AB  - PATIENTS: All patients on extracorporeal membrane oxygenation who required intrahospital transport between January 1996 and March 2007 were included and analyzed.
AB  - 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.
AB  - 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.
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/PCC.0b013e3181b063b2
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
ID  - 10.1097/PCC.0b013e3181b063b2 [doi]
ID  - PMC3039026 [pmc]
ID  - NIHMS228117 [mid]
PP  - ppublish
GI  - No: U10 HD050009
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD050009-01
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: 5 U10 HD050009
Organization: (HD) *NICHD NIH HHS*
Country: United States
LG  - English
DP  - 2010 Mar
EZ  - 2009/07/14 09:00
DA  - 2010/06/30 06:00
DT  - 2009/07/14 09:00
YR  - 2010
ED  - 20100629
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19593245

<428. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20213420
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sprung CL
AU  - Kesecioglu J
AU  - European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster
FA  - Sprung, Charles L
FA  - Kesecioglu, Jozef
FA  - European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster
IN  - Sprung, Charles L. Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel. charles.sprung@ekmd.huji.ac.il
IR  - Christian MD
IR  - Camargo R
IR  - Ceraso D
IR  - Azoulay E
IR  - Duguet A
IR  - Guery B
IR  - Reinhart K
IR  - Adini B
IR  - Barlavie Y
IR  - Benin-Goren O
IR  - Cohen R
IR  - Klein M
IR  - Leoniv Y
IR  - Margalit G
IR  - Rubinovitch B
IR  - Sonnenblick M
IR  - Sprung CL
IR  - Steinberg A
IR  - Weissman C
IR  - Wolff D
IR  - Kesecioglu J
IR  - de Jong M
IR  - Moreno R
IR  - An Y
IR  - Du B
IR  - Joynt GM
IR  - Colvin J
IR  - Loo S
IR  - Richards G
IR  - Artigas A
IR  - Pugin J
IR  - Amundson D
IR  - Devereaux A
IR  - Beigel J
IR  - Danis M
IR  - Farmer C
IR  - Hick JL
IR  - Maki D
IR  - Masur H
IR  - Rubinson L
IR  - Sandrock C
IR  - Talmor D
IR  - Truog R
IR  - Zimmerman J
IR  - Brett S
IR  - Montgomery H
IR  - Rhodes A
IR  - Sanderson F
IR  - Taylor B
IR  - Sprung CL
IR  - Adini B
IR  - Azoulay E
IR  - Christian MD
IR  - Cohen R
IR  - de Jong M
IR  - Montgomery H
IR  - Rubinson L
IR  - Sandrock C
IR  - Sonnenblick M
IR  - Talmor D
TI  - Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
SO  - Intensive Care Medicine. 36 Suppl 1:S38-44, 2010 Apr
AS  - Intensive Care Med. 36 Suppl 1:S38-44, 2010 Apr
NJ  - Intensive care medicine
VO  - 36 Suppl 1
PG  - S38-44
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - *Disaster Planning
MH  - *Disease Outbreaks
MH  - *Equipment and Supplies, Hospital/st [Standards]
MH  - Equipment and Supplies, Hospital/sd [Supply & Distribution]
MH  - Hospital Administration/ma [Manpower]
MH  - Hospital Communication Systems
MH  - Humans
MH  - *Influenza A Virus, H1N1 Subtype
MH  - *Influenza, Human/ep [Epidemiology]
MH  - *Influenza, Human/th [Therapy]
MH  - Influenza, Human/vi [Virology]
MH  - Inservice Training/mt [Methods]
MH  - Interinstitutional Relations
MH  - Mass Casualty Incidents
MH  - Needs Assessment
MH  - Patient Transfer/st [Standards]
MH  - Pharmacy Service, Hospital/og [Organization & Administration]
MH  - *Pharmacy Service, Hospital/st [Standards]
MH  - Regional Health Planning/mt [Methods]
MH  - Regional Health Planning/og [Organization & Administration]
MH  - Regional Health Planning/st [Standards]
MH  - Surge Capacity
AB  - PURPOSE: To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on essential equipment, pharmaceuticals and supplies.
AB  - METHODS: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including essential equipment, pharmaceuticals and supplies.
AB  - RESULTS: Key recommendations include: (1) ensure that adequate essential medical equipment, pharmaceuticals and important supplies are available during a disaster; (2) develop a communication and coordination system between health care facilities and local/regional/state/country governmental authorities for the provision of additional support; (3) determine the required resources, order and stockpile adequate resources, and judiciously distribute them; (4) acquire additional mechanical ventilators that are portable, provide adequate gas exchange for a range of clinical conditions, function with low-flow oxygen and without high pressure, and are safe for patients and staff; (5) provide advanced ventilatory support and rescue therapies including high levels of inspired oxygen and positive end-expiratory pressure, volume and pressure control ventilation, inhaled nitric oxide, high-frequency ventilation, prone positioning ventilation and extracorporeal membrane oxygenation; (6) triage scarce resources including equipment, pharmaceuticals and supplies based on those who are likely to benefit most or on a 'first come, first served' basis.
AB  - CONCLUSIONS: Judicious planning and adoption of protocols for providing adequate equipment, pharmaceuticals and supplies are necessary to optimize outcomes during a pandemic.
ES  - 1432-1238
IL  - 0342-4642
DO  - https://dx.doi.org/10.1007/s00134-010-1763-2
PT  - Guideline
PT  - Journal Article
ID  - 10.1007/s00134-010-1763-2 [doi]
PP  - ppublish
LG  - English
DP  - 2010 Apr
EZ  - 2010/03/23 06:00
DA  - 2010/06/24 06:00
DT  - 2010/03/10 06:00
YR  - 2010
ED  - 20100623
RD  - 20170922
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20213420

<429. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20089403
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jarden RJ
AU  - Quirke S
FA  - Jarden, Rebecca J
FA  - Quirke, Sara
IN  - Jarden, Rebecca J. Intensive Care Unit, Wellington Hospital, Capital & Coast District Health Board, Wellington, New Zealand. rebecca.jarden@ccdhb.org.nz
TI  - Improving safety and documentation in intrahospital transport: development of an intrahospital transport tool for critically ill patients.
SO  - Intensive & Critical Care Nursing. 26(2):101-7, 2010 Apr
AS  - Intensive Crit Care Nurs. 26(2):101-7, 2010 Apr
NJ  - Intensive & critical care nursing
VO  - 26
IP  - 2
PG  - 101-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - *Critical Illness
MH  - Documentation
MH  - *Forms and Records Control
MH  - Humans
MH  - Intensive Care Units
MH  - New Zealand
MH  - Nursing Assessment
MH  - Nursing Records
MH  - *Practice Guidelines as Topic
MH  - *Safety Management
MH  - *Transportation of Patients
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.

Copyright 2010 Elsevier Ltd. All rights reserved.
ES  - 1532-4036
IL  - 0964-3397
DO  - https://dx.doi.org/10.1016/j.iccn.2009.12.007
PT  - Journal Article
ID  - S0964-3397(09)00126-8 [pii]
ID  - 10.1016/j.iccn.2009.12.007 [doi]
PP  - ppublish
PH  - 2009/08/05 [received]
PH  - 2009/12/13 [revised]
PH  - 2009/12/17 [accepted]
LG  - English
EP  - 20100120
DP  - 2010 Apr
EZ  - 2010/01/22 06:00
DA  - 2010/06/09 06:00
DT  - 2010/01/22 06:00
YR  - 2010
ED  - 20100608
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20089403

<430. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20449975
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Bay Medical improves ED throughput via ICU.
SO  - Hospital Peer Review. 35(5):57-9, 2010 May
AS  - Hosp Peer Rev. 35(5):57-9, 2010 May
NJ  - Hospital peer review
VO  - 35
IP  - 5
PG  - 57-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7706036, gd0, 7706036
IO  - Hosp Peer Rev
SB  - Health Administration Journals
CP  - United States
MH  - *Efficiency, Organizational
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Florida
MH  - *Hospitals, Community
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Organizational Case Studies
MH  - Patient Satisfaction
MH  - *Patient Transfer/st [Standards]
IS  - 0149-2632
IL  - 0149-2632
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2010 May
EZ  - 2010/05/11 06:00
DA  - 2010/06/02 06:00
DT  - 2010/05/11 06:00
YR  - 2010
ED  - 20100601
RD  - 20100510
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20449975

<431. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20386274
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Cryer, H Gill
FA  - Hiatt, Jonathan R
FA  - Eckstein, Marc
FA  - Chidester, Cathy
FA  - Raby, Stephanie
FA  - Ernst, Timothy G
FA  - Margulies, Dan
FA  - Putnam, Brant
FA  - Demetriades, Demetrios
FA  - Gaspard, Donald
FA  - Singh, Rambir
FA  - Saad, Shawki
FA  - Samuel, Christojohn
FA  - Upperman, Jeffery S
IN  - Cryer, H Gill. Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, California 90095-1711, USA. hcryer@mednet.ucla.edu
TI  - Improved trauma system multicasualty incident response: comparison of two train crash disasters.
SO  - Journal of Trauma-Injury Infection & Critical Care. 68(4):783-9, 2010 Apr
AS  - J Trauma. 68(4):783-9, 2010 Apr
NJ  - The Journal of trauma
VO  - 68
IP  - 4
PG  - 783-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - kaf, 0376373
IO  - J Trauma
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Accidents/sn [Statistics & Numerical Data]
MH  - Disaster Planning
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - Emergency Medical Services/st [Standards]
MH  - Health Services Needs and Demand
MH  - Hospitals, Community/ut [Utilization]
MH  - Humans
MH  - Injury Severity Score
MH  - Intensive Care Units/ut [Utilization]
MH  - Los Angeles
MH  - *Railroads
MH  - *Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/st [Standards]
MH  - *Trauma Centers/ut [Utilization]
MH  - Triage
MH  - *Wounds and Injuries/th [Therapy]
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.
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1529-8809
IL  - 0022-5282
DO  - https://dx.doi.org/10.1097/TA.0b013e3181d03b8c
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/TA.0b013e3181d03b8c [doi]
ID  - 00005373-201004000-00005 [pii]
PP  - ppublish
LG  - English
DP  - 2010 Apr
EZ  - 2010/04/14 06:00
DA  - 2010/05/07 06:00
DT  - 2010/04/14 06:00
YR  - 2010
ED  - 20100506
RD  - 20100413
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20386274

<432. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20080016
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Manaouil C
AU  - Montpellier D
AU  - Sannier O
AU  - Defouilloy C
AU  - Radji M
AU  - Jarde O
AU  - Dupont H
FA  - Manaouil, C
FA  - Montpellier, D
FA  - Sannier, O
FA  - Defouilloy, C
FA  - Radji, M
FA  - Jarde, O
FA  - Dupont, H
IN  - Manaouil, C. Service de medecine legale et sociale, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 01, France. manaouil.cecile@chu-amiens.fr
TI  - [Intensive care anaesthesia practice in the prison environment. Can a prisoner benefit from ambulatory anaesthesia]. [French]
OT  - Pratique de l'anesthesie reanimation en milieu penitentiaire. Un detenu peut-il beneficier d'une anesthesie ambulatoire ?
SO  - Annales Francaises d Anesthesie et de Reanimation. 29(1):39-44, 2010 Jan
AS  - Ann Fr Anesth Reanim. 29(1):39-44, 2010 Jan
NJ  - Annales francaises d'anesthesie et de reanimation
VO  - 29
IP  - 1
PG  - 39-44
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 4zt, 8213275
IO  - Ann Fr Anesth Reanim
SB  - Index Medicus
CP  - France
MH  - Aftercare/og [Organization & Administration]
MH  - *Ambulatory Surgical Procedures
MH  - *Anesthesia/mt [Methods]
MH  - *Critical Care
MH  - France
MH  - Hospitals, Teaching/og [Organization & Administration]
MH  - Humans
MH  - Patient Rights/lj [Legislation & Jurisprudence]
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Prisoners
MH  - Prisons/lj [Legislation & Jurisprudence]
MH  - *Prisons/og [Organization & Administration]
MH  - *Security Measures/og [Organization & Administration]
MH  - Telephone/sd [Supply & Distribution]
AB  - Ambulatory anaesthesia is an anesthesia allowing the return of the patient home the same day. Even if the ambulatory hospitalization can, in theory, be applied to a prisoner as to every patient, caution is essential in such approach. Every anaesthetist reanimator doctor practicing in public hospitals may give care to patient prisoners while he is far from dominating all features of the prison world and while he must put down his therapeutic indications. The ambulatory anaesthesia in prison environment does not guarantee full security for the patient. Procedures could be set up between hospital complexes, caretakers practicing within penal middle (Unit of Consultation and Ambulatory Care [UCAC]) the prison service and hospital, the prefecture, to identify possible ambulatory interventions for a patient prisoner and to set up all guarantees of patient follow-up care in his return in prison environment. The development of interregional secure hospital units (ISHU) within teaching hospitals, allows an easier realization of interventions to the prisoners, but exists only in seven teaching hospitals in France.

Copyright 2009 Elsevier Masson SAS. All rights reserved.
ES  - 1769-6623
IL  - 0750-7658
DO  - https://dx.doi.org/10.1016/j.annfar.2009.11.007
PT  - English Abstract
PT  - Journal Article
ID  - S0750-7658(09)00645-5 [pii]
ID  - 10.1016/j.annfar.2009.11.007 [doi]
PP  - ppublish
PH  - 2008/08/22 [received]
PH  - 2009/11/13 [accepted]
LG  - French
EP  - 20100115
DP  - 2010 Jan
EZ  - 2010/01/19 06:00
DA  - 2010/05/07 06:00
DT  - 2010/01/19 06:00
YR  - 2010
ED  - 20100506
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20080016

<433. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20335385
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kahn JM
AU  - Scales DC
AU  - Au DH
AU  - Carson SS
AU  - Curtis JR
AU  - Dudley RA
AU  - Iwashyna TJ
AU  - Krishnan JA
AU  - Maurer JR
AU  - Mularski R
AU  - Popovich J Jr
AU  - Rubenfeld GD
AU  - Sinuff T
AU  - Heffner JE
AU  - American Thoracic Society Pay-for-Performance Working Group
FA  - Kahn, Jeremy M
FA  - Scales, Damon C
FA  - Au, David H
FA  - Carson, Shannon S
FA  - Curtis, J Randall
FA  - Dudley, R Adams
FA  - Iwashyna, Theodore J
FA  - Krishnan, Jerry A
FA  - Maurer, Janet R
FA  - Mularski, Richard
FA  - Popovich, John Jr
FA  - Rubenfeld, Gordon D
FA  - Sinuff, Tasnim
FA  - Heffner, John E
FA  - American Thoracic Society Pay-for-Performance Working Group
IR  - Kahn JM
IR  - Scales DC
IR  - Au DH
IR  - Carson SS
IR  - Curtis JR
IR  - Dudley RA
IR  - Iwashyna TJ
IR  - Krishnan JA
IR  - Maurer JR
IR  - Mularski R
IR  - Popovich J Jr
IR  - Rubenfeld GD
IR  - Heffner JE
IR  - Apter A
IR  - Ernst A
IR  - Ewart GW
IR  - Fan V
IR  - Halbower AC
IR  - Libby LS
IR  - Lindell KO
TI  - An official American Thoracic Society policy statement: pay-for-performance in pulmonary, critical care, and sleep medicine.[Erratum appears in Am J Respir Crit Care Med. 2010 Dec 1;182(11):1456 Note: Sinuff, Tasnim [added]]
SO  - American Journal of Respiratory & Critical Care Medicine. 181(7):752-61, 2010 Apr 01
AS  - Am J Respir Crit Care Med. 181(7):752-61, 2010 Apr 01
NJ  - American journal of respiratory and critical care medicine
VO  - 181
IP  - 7
PG  - 752-61
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9421642, bzs
IO  - Am. J. Respir. Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/ec [Economics]
MH  - Healthcare Disparities
MH  - Humans
MH  - *Organizational Policy
MH  - Patient Transfer
MH  - Practice Guidelines as Topic
MH  - Public Health/ec [Economics]
MH  - *Pulmonary Medicine/ec [Economics]
MH  - Quality Assurance, Health Care/ec [Economics]
MH  - Quality Indicators, Health Care
MH  - *Reimbursement, Incentive
MH  - Respiratory Tract Diseases/ec [Economics]
MH  - Respiratory Tract Diseases/th [Therapy]
MH  - *Sleep Medicine Specialty/ec [Economics]
MH  - Societies, Medical
MH  - United States
AB  - RATIONALE: Pay-for-performance is a model for health care financing that seeks to link reimbursement to quality. The American Thoracic Society and its members have a significant stake in the development of pay-for-performance programs.
AB  - OBJECTIVES: To develop an official ATS policy statement addressing the role of pay-for-performance in pulmonary, critical care and sleep medicine.
AB  - METHODS: The statement was developed by the ATS Health Policy Committee using an iterative consensus process including an expert workshop and review by ATS committees and assemblies.
AB  - MEASUREMENTS AND MAIN RESULTS: Pay-for-performance is increasingly utilized by health care purchasers including the United States government. Published studies generally show that programs result in small but measurable gains in quality, although the data are heterogeneous. Pay-for-performance may result in several negative consequences, including the potential to increase costs, worsen health outcomes, and widen health disparities, among others. Future research should be directed at developing reliable and valid performance measures, increasing the efficacy of pay-for-performance programs, minimizing negative unintended consequences, and examining issues of costs and cost-effectiveness. The ATS and its members can play a key role in the design and evaluation of these programs by advancing the science of performance measurement, regularly developing quality metrics alongside clinical practice guidelines, and working with payors to make performance improvement a routine part of clinical practice.
AB  - CONCLUSIONS: Pay-for-performance programs will expand in the coming years. Pulmonary, critical care and sleep practitioners can use these programs as an opportunity to partner with purchasers to improve health care quality.
ES  - 1535-4970
IL  - 1073-449X
DO  - https://dx.doi.org/10.1164/rccm.200903-0450ST
PT  - Journal Article
ID  - 181/7/752 [pii]
ID  - 10.1164/rccm.200903-0450ST [doi]
PP  - ppublish
LG  - English
DP  - 2010 Apr 01
EZ  - 2010/03/26 06:00
DA  - 2010/05/06 06:00
DT  - 2010/03/26 06:00
YR  - 2010
ED  - 20100505
RD  - 20101220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20335385

<434. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20369398
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McMillan J
AU  - Hope T
FA  - McMillan, John
FA  - Hope, Tony
TI  - Justice-based obligations in intensive care.
SO  - Lancet. 375(9721):1156-7, 2010 Apr 03
AS  - Lancet. 375(9721):1156-7, 2010 Apr 03
NJ  - Lancet (London, England)
VO  - 375
IP  - 9721
PG  - 1156-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 2985213r, l0s, 0053266
IO  - Lancet
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Ethics, Medical
MH  - Humans
MH  - *Intensive Care Units
MH  - Patient Admission
MH  - Patient Transfer
MH  - Prognosis
MH  - *Resource Allocation/es [Ethics]
ES  - 1474-547X
IL  - 0140-6736
PT  - News
ID  - S0140-6736(10)60503-X [pii]
PP  - ppublish
LG  - English
DP  - 2010 Apr 03
EZ  - 2010/04/07 06:00
DA  - 2010/04/23 06:00
DT  - 2010/04/07 06:00
YR  - 2010
ED  - 20100422
RD  - 20170920
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20369398

<435. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19776649
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shivananda S
AU  - Kirsh J
AU  - Whyte HE
AU  - Muthalally K
AU  - McNamara PJ
FA  - Shivananda, Sandesh
FA  - Kirsh, Joel
FA  - Whyte, Hilary E
FA  - Muthalally, Koshy
FA  - McNamara, Patrick J
IN  - Shivananda, Sandesh. Acute Care Transport Services, University of Toronto, Toronto, Ont., Canada.
TI  - Impact of oxygen saturation targets and oxygen therapy during the transport of neonates with clinically suspected congenital heart disease.
CM  - Comment in: Neonatology. 2010;97(2):163-4; PMID: 19776650
SO  - Neonatology. 97(2):154-62, 2010
AS  - Neonatology. 97(2):154-62, 2010
NJ  - Neonatology
VO  - 97
IP  - 2
PG  - 154-62
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 101286577
IO  - Neonatology
SB  - Index Medicus
CP  - Switzerland
MH  - Acidosis, Lactic/ep [Epidemiology]
MH  - Acidosis, Lactic/pc [Prevention & Control]
MH  - *Heart Defects, Congenital/bl [Blood]
MH  - Heart Defects, Congenital/ep [Epidemiology]
MH  - *Heart Defects, Congenital/th [Therapy]
MH  - Hospitals, Community
MH  - Humans
MH  - Hypertension, Pulmonary/bl [Blood]
MH  - Hypertension, Pulmonary/th [Therapy]
MH  - Hypoxia/ep [Epidemiology]
MH  - Hypoxia/pc [Prevention & Control]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Oxygen/bl [Blood]
MH  - *Oxygen Inhalation Therapy/mt [Methods]
MH  - Predictive Value of Tests
MH  - Respiration, Artificial
MH  - Retrospective Studies
MH  - Risk Factors
MH  - *Transportation of Patients
AB  - BACKGROUND: Although guidelines for mechanical ventilation, cardiovascular support and intravenous prostaglandin are well established, there is a lack of consensus regarding SpO(2) targets and safety of oxygen administration during transport of neonates with suspected congenital heart disease (CHD). In many centers, an SpO(2) range of 75-85% is targeted but there is no published evidence of the clinical consequences of this approach.
AB  - OBJECTIVE: To determine the effect of average SpO(2) range and oxygen administration during neonatal transport on clinical markers of cardiovascular instability.
AB  - METHODS: A retrospective study was conducted on neonates with suspected CHD who presented at community hospitals. Based on average SpO(2) during transport, neonates were categorized into three distinct groups: group I (SpO(2) <75%), group II (SpO(2) 75-85%), group III (SpO(2) >85%). The severity and proportion of neonates with hypoxemia, metabolic and lactic acidosis on arrival at level III NICU were compared. A comparison was also made between oxygen requirement and indicators of cardiorespiratory instability.
AB  - RESULTS: Seventy-five neonates were studied and 14 (19%), 38 (50%) and 23 (31%) neonates were allocated to groups I, II and III, respectively. Therapeutic interventions during the transport stabilization process included oxygen (n = 53, 71%), mechanical ventilation (n = 56, 75%) and prostaglandin E1 (n = 63, 84%). The severity or proportion of neonates with hypoxemia, elevated lactate or metabolic acidosis was similar between the groups. Neonates receiving an oxygen requirement of FiO(2) >70% had lower arterial SpO(2) on arrival. A provisional diagnosis of CHD and/or PPHN (p = 0.01) and neonates receiving inotropes (p = 0.005) were independent risk factors for cardiovascular instability.
AB  - CONCLUSION: If congenital heart disease is strongly suspected oxygen should be cautiously weaned to maintain a minimum SpO(2) >75%. Neonates receiving >70% oxygen are at greatest risk of metabolic acidosis or critical hypoxemia and may benefit from expedited transfer to a cardiac center.

Copyright 2009 S. Karger AG, Basel.
RN  - S88TT14065 (Oxygen)
ES  - 1661-7819
IL  - 1661-7800
DO  - https://dx.doi.org/10.1159/000239769
PT  - Journal Article
ID  - 000239769 [pii]
ID  - 10.1159/000239769 [doi]
PP  - ppublish
PH  - 2008/11/19 [received]
PH  - 2009/01/30 [accepted]
LG  - English
EP  - 20090922
DP  - 2010
EZ  - 2009/09/25 06:00
DA  - 2010/04/23 06:00
DT  - 2009/09/25 06:00
YR  - 2010
ED  - 20100422
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19776649

<436. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19577418
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shivananda S
AU  - Kirsh J
AU  - Whyte HE
AU  - Muthalally K
AU  - McNamara PJ
FA  - Shivananda, Sandesh
FA  - Kirsh, Joel
FA  - Whyte, Hilary E
FA  - Muthalally, Koshy
FA  - McNamara, Patrick J
IN  - Shivananda, Sandesh. The Hospital for Sick Children Research Institute, Acute Care Transport Services, University of Toronto, Toronto, Canada M5G 1X8.
TI  - Accuracy of clinical diagnosis and decision to commence intravenous prostaglandin E1 in neonates presenting with hypoxemia in a transport setting.
SO  - Journal of Critical Care. 25(1):174.e1-9, 2010 Mar
AS  - J Crit Care. 25(1):174.e1-9, 2010 Mar
NJ  - Journal of critical care
VO  - 25
IP  - 1
PG  - 174.e1-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - buy, 8610642
IO  - J Crit Care
SB  - Index Medicus
CP  - United States
MH  - *Alprostadil/tu [Therapeutic Use]
MH  - *Clinical Competence
MH  - Cohort Studies
MH  - Diagnosis, Differential
MH  - Echocardiography
MH  - Heart Defects, Congenital/co [Complications]
MH  - *Heart Defects, Congenital/di [Diagnosis]
MH  - Heart Defects, Congenital/dt [Drug Therapy]
MH  - Humans
MH  - Hypoxia/dt [Drug Therapy]
MH  - *Hypoxia/et [Etiology]
MH  - Infant, Newborn
MH  - Infusions, Intravenous
MH  - Intensive Care Units, Neonatal
MH  - *Patient Care Team/og [Organization & Administration]
MH  - *Persistent Fetal Circulation Syndrome/di [Diagnosis]
MH  - Retrospective Studies
MH  - *Transportation of Patients
AB  - BACKGROUND: Setting goals for monitoring and initiating life-saving interventions such as prostaglandins (prostaglandin E(1) [PGE(1)]) during transport stabilization are dependent on establishing an accurate clinical diagnosis.
AB  - OBJECTIVE: The aim of this study was to determine the accuracy of clinical diagnosis of suspected congenital heart disease (CHD) and the decision to initiate PGE(1) in neonates presenting with hypoxemia.
AB  - METHODS: A retrospective cohort study (2002-2004) on hypoxemic neonates who were transported to an outborn neonatal intensive care unit (NICU) was conducted. Provisional diagnosis established by the transport team was categorized as suspected CHD (group 1), suspected persistent pulmonary hypertension of the newborn (group 2), and suspected CHD and/or persistent pulmonary hypertension of the newborn (group 3) based on history, physical examination, laboratory test, chest radiograph, and initial response to treatment. A definitive diagnosis was established on arrival to NICU by echocardiography.
AB  - RESULTS: A total of 115 neonates were included in the study. The mean gestational age at birth, median age at admission to NICU, and the mean stabilization time were 38.2 (2.4) weeks, 1 (1-26) days, and 217 (108) hours, respectively. The interventions provided during transport stabilization included mechanical ventilation (n = 86, 75%), PGE(1) (n = 70, 61%), inotropes (n = 41, 36%), and fluid bolus (n = 50, 43%). The accuracy of a provisional diagnosis of CHD by transport team was 87.7% and the positive predictive value was 88.1%. Sixty neonates (88%) received PGE(1) appropriately. Eight neonates (12%) with duct-dependent CHD (n = 68) did not receive PGE(1) and were considered as missed opportunities. Ventilated neonates in groups 1 and 3 were identified as the groups that can potentially benefit from more liberal use of PGE(1) and without any adverse effects.
AB  - CONCLUSION: Although the accuracy of a diagnosis of CHD and the decision to initiate PGE(1) was high, 12% of neonates with a duct-dependent CHD were transported without commencement of PGE(1). Lower thresholds for PGE(1) administration to hypoxemic neonates may potentially improve preoperative stabilization and minimize neonatal morbidity.

Copyright 2010 Elsevier Inc. All rights reserved.
RN  - F5TD010360 (Alprostadil)
ES  - 1557-8615
IL  - 0883-9441
DO  - https://dx.doi.org/10.1016/j.jcrc.2009.04.005
PT  - Journal Article
ID  - S0883-9441(09)00086-0 [pii]
ID  - 10.1016/j.jcrc.2009.04.005 [doi]
PP  - ppublish
PH  - 2008/10/15 [received]
PH  - 2009/03/23 [revised]
PH  - 2009/04/09 [accepted]
LG  - English
EP  - 20090703
DP  - 2010 Mar
EZ  - 2009/07/07 09:00
DA  - 2010/04/21 06:00
DT  - 2009/07/07 09:00
YR  - 2010
ED  - 20100420
RD  - 20161125
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19577418

<437. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19756333
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sawatzki T
AU  - Bauer K
AU  - Stufler M
AU  - Spies C
AU  - Schuster M
FA  - Sawatzki, T
FA  - Bauer, K
FA  - Stufler, M
FA  - Spies, C
FA  - Schuster, M
IN  - Sawatzki, T. Klinik fur Anasthesiologie mit Schwerpunkt operative Intensivmedizin, Charite - Universitatsmedizin Berlin, Campus Virchow Klinikum und Campus Charite Mitte, Chariteplatz 1, 10117, Berlin.
TI  - [Splitting of supplemental revenues in intensive care medicine]. [German]
OT  - Erloszuordnung von Zusatzentgelten in der Intensivmedizin.
SO  - Anaesthesist. 58(10):1035-40, 2009 Oct
AS  - Anaesthesist. 58(10):1035-40, 2009 Oct
NJ  - Der Anaesthesist
VO  - 58
IP  - 10
PG  - 1035-40
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4my, 0370525
IO  - Anaesthesist
SB  - Index Medicus
CP  - Germany
MH  - Anesthesia Department, Hospital/ec [Economics]
MH  - *Critical Care/ec [Economics]
MH  - Diagnosis-Related Groups
MH  - Financial Management, Hospital
MH  - Germany
MH  - *Hospital Departments/ec [Economics]
MH  - Hospital Departments/sn [Statistics & Numerical Data]
MH  - Hospitals, University
MH  - Humans
MH  - *Insurance, Health, Reimbursement/ec [Economics]
MH  - Insurance, Health, Reimbursement/sn [Statistics & Numerical Data]
MH  - *Intensive Care Units/ec [Economics]
MH  - Length of Stay
MH  - *Patient Transfer/ec [Economics]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
AB  - In patient care several clinical departments are often involved in the treatment of a single case. Due to this shared work and internal patient transfer between departments the respective departments have to share the single reimbursement sum which is granted for each hospital case in the German DRG system. The intensive care unit in particular, at least if maintained as an independent department, has a high rate of internal transfers and most of the patients will be transferred back to the original department prior to discharge from hospital. Different models have been suggested regarding the splitting of DRG reimbursement between clinical departments, however, no research has been done on the splitting of supplemental revenues. The allocation of supplemental revenues is especially complex for revenues generated over many days of hospital care or for clustered revenues. In most cases the supplemental revenues are simply allocated to the department from which the patient is ultimately discharged. This would lead to a significant economic risk for the intensive care unit, as a considerable proportion of medical services which are eligible for triggering supplemental revenues are applied there. In this study all cases treated in two intensive care units in a university hospital in 2007 were analyzed in which supplemental revenue-related medical services were performed over a longer period of time or graduated according to different amounts. In a total of 385 cases, 691 supplemental revenues were analyzed. Three different methods of supplemental revenues allocation were analyzed regarding the financial impact on the intensive care unit: allocation to the department from which the patient is discharged, allocation according to the length of stay in a particular department (in this case the intensive care unit) and allocation based on actually documented medical services eligible for supplemental revenues. The supplemental revenues take up a considerable share of the total reimbursement for intensive care. Based on the first 2 allocation methods the intensive care unit would receive 20% less supplemental revenues compared to the third allocation method, which supposedly reflects best the actual costs.
ES  - 1432-055X
IL  - 0003-2417
DO  - https://dx.doi.org/10.1007/s00101-009-1617-x
PT  - English Abstract
PT  - Journal Article
ID  - 10.1007/s00101-009-1617-x [doi]
PP  - ppublish
LG  - German
DP  - 2009 Oct
EZ  - 2009/09/17 06:00
DA  - 2010/04/09 06:00
DT  - 2009/09/17 06:00
YR  - 2009
ED  - 20100408
RD  - 20170916
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19756333

<438. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20104707
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jauss M
AU  - Grond M
FA  - Jauss, Marek
FA  - Grond, Martin
IN  - Jauss, Marek. Neurologische Universitatsklinik Giessen. marek.jauss@neuro.med.uni-giessen.de
TI  - [Emergency treatment of cerebral infarction by the family physician]. [Review] [0 refs] [German]
OT  - Notfalltherapie des Hausarztes bei Hirninfarkt. Sind Sie fur den Notruf Schlaganfall gertustet?
SO  - MMW Fortschritte der Medizin. Spec no. 2:5-8; quiz 9, 2006 May 15
AS  - MMW Fortschr Med. Spec no. 2:5-8; quiz 9, 2006 May 15
NJ  - MMW Fortschritte der Medizin
VO  - Spec no. 2
PG  - 5-8; quiz 9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dhp, 100893959
IO  - MMW Fortschr Med
SB  - Index Medicus
CP  - Germany
MH  - Cerebral Infarction/di [Diagnosis]
MH  - Cerebral Infarction/dt [Drug Therapy]
MH  - Cerebral Infarction/pc [Prevention & Control]
MH  - *Cerebral Infarction/th [Therapy]
MH  - Emergency Treatment
MH  - Family Practice
MH  - Hospitalization
MH  - Humans
MH  - Intensive Care Units
MH  - Risk Factors
MH  - Secondary Prevention
MH  - Stroke/di [Diagnosis]
MH  - Stroke/th [Therapy]
MH  - Thrombolytic Therapy
MH  - Transportation of Patients
AB  - The emergency treatment chain of procedures for an acute stroke begins and ends with the family physician who assumes important duties and responsibilities. The physician should be already familiar with the local treatment possibilities and suitable hospitals for cerebral infarction. High risk patients and their family members should know the symptoms of a stroke and the necessity of swift action. In an emergency, the first attending physician stabilizes the vital functions of the patient and documents the chronological appearance of the symptoms and concomitant diseases. The physician organizes the transport of the patient to an appropriate hospital, ideally one with a stroke unit, where further therapy and diagnostics are performed. Finally, the family physician controls and monitors the secondary prophylaxis. [References: 0]
IS  - 1438-3276
IL  - 1438-3276
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - German
DP  - 2006 May 15
EZ  - 2006/05/15 00:00
DA  - 2010/03/20 06:00
DT  - 2010/01/29 06:00
YR  - 2006
ED  - 20100319
RD  - 20100128
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20104707

<439. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20105577
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Berman L
AU  - Rosenthal MS
AU  - Moss RL
FA  - Berman, Loren
FA  - Rosenthal, Marjorie S
FA  - Moss, R Lawrence
IN  - Berman, Loren. Department of Surgery, Yale University School of Medicine, CT 06520-8062, USA.
TI  - The paradoxical effect of medical insurance on delivery of surgical care for infants with congenital anomalies.
SO  - Journal of Pediatric Surgery. 45(1):38-43; discussion 44, 2010 Jan
AS  - J Pediatr Surg. 45(1):38-43; discussion 44, 2010 Jan
NJ  - Journal of pediatric surgery
VO  - 45
IP  - 1
PG  - 38-43; discussion 44
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmj, 0052631
IO  - J. Pediatr. Surg.
SB  - Index Medicus
CP  - United States
MH  - Abdominal Wall/ab [Abnormalities]
MH  - Abdominal Wall/su [Surgery]
MH  - Congenital Abnormalities/ec [Economics]
MH  - *Congenital Abnormalities/su [Surgery]
MH  - Economics, Hospital
MH  - Female
MH  - Health Care Costs/sn [Statistics & Numerical Data]
MH  - *Health Services Accessibility/ec [Economics]
MH  - Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - *Hospitalization/ec [Economics]
MH  - Hospitalization/sn [Statistics & Numerical Data]
MH  - Hospitals, Pediatric/ec [Economics]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Insurance Coverage/sn [Statistics & Numerical Data]
MH  - Insurance, Health/ec [Economics]
MH  - *Insurance, Health
MH  - Intensive Care Units, Neonatal/ec [Economics]
MH  - Male
MH  - Medicaid/ec [Economics]
MH  - Medically Uninsured/sn [Statistics & Numerical Data]
MH  - Patient Transfer/ec [Economics]
MH  - Reimbursement, Incentive/ec [Economics]
MH  - Socioeconomic Factors
MH  - United States
AB  - OBJECTIVE: Caring for neonates with major congenital anomalies has significant financial implications for the treating institution, which can be positive or negative depending on whether the patient has insurance. We hypothesized that insured affected neonates born in non-children's hospitals would be more likely to be treated on site, whereas uninsured neonates would be more likely to be transferred.
AB  - PATIENTS AND METHODS: We used the Kids' Inpatient Database to study neonates with congenital anomalies who were born in US non-children's hospitals. We performed bivariate analysis using the chi(2) test and adjusted for covariates with multiple logistic regression.
AB  - RESULTS: Uninsured patients were 2.57 (95% confidence interval, 1.83-3.62) times more likely to be transferred compared with patients with private insurance or Medicaid, after adjusting for patient and hospital characteristics. This trend increased over time between 1997 and 2006.
AB  - CONCLUSIONS: The current reimbursement structure in the United States incentivizes non-children's hospitals to retain insured patients with congenital anomalies and transfer uninsured patients with these same anomalies. This places a disproportionate financial burden on children's hospitals while paradoxically causing insured infants to be cared for at hospitals that may not be best equipped to provide complex care.

Copyright 2010 Elsevier Inc. All rights reserved.
ES  - 1531-5037
IL  - 0022-3468
DO  - https://dx.doi.org/10.1016/j.jpedsurg.2009.10.006
PT  - Journal Article
ID  - S0022-3468(09)00788-X [pii]
ID  - 10.1016/j.jpedsurg.2009.10.006 [doi]
PP  - ppublish
PH  - 2009/09/23 [received]
PH  - 2009/10/06 [accepted]
LG  - English
DP  - 2010 Jan
EZ  - 2010/01/29 06:00
DA  - 2010/03/13 06:00
DT  - 2010/01/29 06:00
YR  - 2010
ED  - 20100312
RD  - 20100128
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20105577

<440. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20113667
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lei YF
AU  - Hao CW
AU  - Peng HB
AU  - Li KJ
AU  - Liu JW
AU  - Cai ZP
FA  - Lei, Ye-Fei
FA  - Hao, Chong-Wei
FA  - Peng, Hua-Bao
FA  - Li, Kang-Jie
FA  - Liu, Jian-Wei
FA  - Cai, Ze-Peng
TI  - [Role of PICU establishment in the regional emergency network for critically ill children in the local hospital]. [Chinese]
SO  - Zhongguo Dangdai Erke Zazhi. 11(11):937-8, 2009 Nov
AS  - Zhongguo Dang Dai Er Ke Za Zhi. 11(11):937-8, 2009 Nov
NJ  - Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
VO  - 11
IP  - 11
PG  - 937-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100909956
IO  - Zhongguo Dang Dai Er Ke Za Zhi
SB  - Index Medicus
CP  - China
MH  - Critical Care
MH  - *Critical Illness
MH  - *Emergencies
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - Retrospective Studies
MH  - Transportation of Patients
IS  - 1008-8830
IL  - 1008-8830
PT  - Journal Article
ID  - 1008-8830(2009)11-0937-02 [pii]
PP  - ppublish
LG  - Chinese
DP  - 2009 Nov
EZ  - 2010/02/02 06:00
DA  - 2010/03/03 06:00
DT  - 2010/02/02 06:00
YR  - 2009
ED  - 20100302
RD  - 20100201
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20113667

<441. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 20081415
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Peleg K
AU  - Savitsky B
AU  - Israeli Trauma Group
FA  - Peleg, Kobi
FA  - Savitsky, Bella
FA  - Israeli Trauma Group
IN  - Peleg, Kobi. 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
TI  - Terrorism-related injuries versus road traffic accident-related trauma: 5 years of experience in Israel.
SO  - Disaster Medicine & Public Health Preparedness. 3(4):196-200, 2009 Dec
AS  - Disaster med. public health prep.. 3(4):196-200, 2009 Dec
NJ  - Disaster medicine and public health preparedness
VO  - 3
IP  - 4
PG  - 196-200
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101297401
IO  - Disaster Med Public Health Prep
SB  - Index Medicus
CP  - United States
MH  - Accidents, Traffic/mo [Mortality]
MH  - *Accidents, Traffic/sn [Statistics & Numerical Data]
MH  - Age Distribution
MH  - *Blast Injuries/ep [Epidemiology]
MH  - Blast Injuries/et [Etiology]
MH  - Blast Injuries/mo [Mortality]
MH  - Explosive Agents/ae [Adverse Effects]
MH  - Female
MH  - Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Injury Severity Score
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Israel/ep [Epidemiology]
MH  - Male
MH  - Registries
MH  - Retrospective Studies
MH  - *Terrorism/sn [Statistics & Numerical Data]
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
AB  - BACKGROUND: Terrorism victims comprise the minority among trauma injured people, but this small population imposes a burden on the health care system. Thirty percent of the population injured in terrorist activities experienced severe trauma (injury severity score > or =16), more than half of them need a surgical procedure, and 25% of the population affected by terrorism had been admitted to intensive care. Furthermore, compared with patients with non-terrorism-related trauma, victims of terrorism often arrive in bulk, as part of a mass casualty event. This poses a sudden load on hospital resources and requires special organization and preparedness. The present study compared terrorism-related and road accident-related injuries and examined clinical characteristics of both groups of patients.
AB  - METHODS: This study is a retrospective study of all patients injured through terrorist acts and road traffic accidents from September 29, 2000 to December 31, 2005, and recorded in the Israel Trauma Registry. Data on the nature of injuries, treatment, and outcome were obtained from the registry. Medical diagnoses were extracted from the registry and classified based on International Classification of Diseases coding. Diagnoses were grouped to body regions, based on the Barell Injury Diagnosis Matrix.
AB  - RESULTS: The study includes 2197 patients with terrorism-related injuries and 30,176 patients injured in road traffic accidents. All in all, 27% of terrorism-related casualties suffered severe to critical injuries, comparing to 17% among road traffic accident-related victims. Glasgow Coma Scale scores </=8, measured in the emergency department, were among 12.3% of terrorism victims, in contrast with 7.4% among people injured on the roads. The terrorism victims had a significantly higher rate of use of intensive care facilities (24.2% vs 12.4%). The overall inpatient death rate was 6.0% among terrorism victims and 2.4% among those injured in road traffic accidents.
AB  - CONCLUSIONS: Casualties from terrorist events are more severely injured and require more resources relative to casualties from road traffic accidents.
RN  - 0 (Explosive Agents)
ES  - 1938-744X
IL  - 1935-7893
DO  - https://dx.doi.org/10.1097/DMP.0b013e3181c12734
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/DMP.0b013e3181c12734 [doi]
ID  - 01273293-200912000-00005 [pii]
PP  - ppublish
LG  - English
DP  - 2009 Dec
EZ  - 2010/01/19 06:00
DA  - 2010/02/24 06:00
DT  - 2010/01/19 06:00
YR  - 2009
ED  - 20100223
RD  - 20100118
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20081415

<442. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19678740
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nehra V
AU  - Pici M
AU  - Visintainer P
AU  - Kase JS
FA  - Nehra, Vedika
FA  - Pici, Maria
FA  - Visintainer, Paul
FA  - Kase, Jordan S
IN  - Nehra, Vedika. School of Medicine, New York Medical College, Valhalla, NY, USA.
TI  - Indicators of compliance for developmental follow-up of infants discharged from a regional NICU.
SO  - Journal of Perinatal Medicine. 37(6):677-81, 2009
AS  - J Perinat Med. 37(6):677-81, 2009
NJ  - Journal of perinatal medicine
VO  - 37
IP  - 6
PG  - 677-81
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmm, 0361031
IO  - J Perinat Med
SB  - Index Medicus
CP  - Germany
MH  - Adult
MH  - Appointments and Schedules
MH  - *Child Development
MH  - Cohort Studies
MH  - *Continuity of Patient Care
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Intensive Care Units, Neonatal
MH  - Maternal Age
MH  - New York
MH  - Patient Compliance/px [Psychology]
MH  - Patient Compliance/sn [Statistics & Numerical Data]
MH  - *Patient Compliance
MH  - Patient Discharge
MH  - Patient Transfer
MH  - Pregnancy
MH  - Pregnancy Complications
MH  - Professional-Patient Relations
MH  - Referral and Consultation
MH  - Retrospective Studies
MH  - Substance-Related Disorders/co [Complications]
MH  - Young Adult
AB  - AIM: To identify factors associated with compliance of scheduled outpatient developmental follow-up appointments in an effort to better ensure future care.
AB  - METHODS: This retrospective observational cohort study looked at patients born between January 7(th) 2006 and June 30(th) 2007 and discharged from a regional neonatal intensive care unit (RNICU). Discharge summaries were reviewed to attain information regarding 16 patient descriptives and 12 patient morbidities. Data were recorded and analyzed utilizing the statistical software SPSS 11.5.
AB  - RESULTS: Children of older mothers were more likely to attend follow-up (compliant: 30 years vs. non-compliant: 27 years). Factors which significantly improved compliance with follow-up care were patient contact after discharge (compliant: 65% vs. non-compliant: 35%) and early intervention referral (compliant: 64% vs. non-compliant: 36%). Factors which significantly hindered compliance were maternal drug use during pregnancy (compliant: 11.8% vs. non-compliant: 88%), and patient transfer to outside NICUs [(transferred out: compliant: 3 (10.3%), non-compliant 25 (89.3%)].
AB  - CONCLUSIONS: Several factors associated with compliance have been identified. Direct patient contact after discharge positively correlated with improved follow-up attendance. The severity of patient disease in the NICU did not impact follow-up rates. As a result close attention needs to be paid to factors which influence compliance with outpatient follow-up for developmental screening.
ES  - 1619-3997
IL  - 0300-5577
DO  - https://dx.doi.org/10.1515/JPM.2009.135
PT  - Journal Article
ID  - 10.1515/JPM.2009.135 [doi]
PP  - ppublish
LG  - English
DP  - 2009
EZ  - 2009/08/15 09:00
DA  - 2010/02/06 06:00
DT  - 2009/08/15 09:00
YR  - 2009
ED  - 20100205
RD  - 20091113
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19678740

<443. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19591569
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Antonucci R
AU  - Porcella A
AU  - Fanos V
FA  - Antonucci, Roberto
FA  - Porcella, Annalisa
FA  - Fanos, Vassilios
IN  - Antonucci, Roberto. Neonatal Intensive Care Unit, Department of Pediatrics and Clinical Medicine, University of Cagliari, Cagliari, Italy. r.antonucci@unica.it
TI  - The infant incubator in the neonatal intensive care unit: unresolved issues and future developments. [Review] [104 refs]
SO  - Journal of Perinatal Medicine. 37(6):587-98, 2009
AS  - J Perinat Med. 37(6):587-98, 2009
NJ  - Journal of perinatal medicine
VO  - 37
IP  - 6
PG  - 587-98
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmm, 0361031
IO  - J Perinat Med
SB  - Index Medicus
CP  - Germany
MH  - Body Temperature Regulation
MH  - Developing Countries
MH  - Electromagnetic Fields/ae [Adverse Effects]
MH  - Environment, Controlled
MH  - Equipment Design/td [Trends]
MH  - Humans
MH  - Humidity
MH  - Incubators, Infant/ae [Adverse Effects]
MH  - Incubators, Infant/td [Trends]
MH  - *Incubators, Infant
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/td [Trends]
MH  - *Intensive Care Units, Neonatal
MH  - Lighting/ae [Adverse Effects]
MH  - Lighting/td [Trends]
MH  - Noise/ae [Adverse Effects]
MH  - Noise/pc [Prevention & Control]
MH  - Temperament
MH  - Transportation of Patients
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. [References: 104]
ES  - 1619-3997
IL  - 0300-5577
DO  - https://dx.doi.org/10.1515/JPM.2009.109
PT  - Journal Article
PT  - Review
ID  - 10.1515/JPM.2009.109 [doi]
PP  - ppublish
LG  - English
DP  - 2009
EZ  - 2009/07/14 09:00
DA  - 2010/02/06 06:00
DT  - 2009/07/14 09:00
YR  - 2009
ED  - 20100205
RD  - 20091113
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19591569

<444. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19678918
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Singh JM
AU  - MacDonald RD
FA  - Singh, Jeffrey M
FA  - MacDonald, Russell D
IN  - Singh, Jeffrey M. 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
TI  - Pro/con debate: do the benefits of regionalized critical care delivery outweigh the risks of interfacility patient transport?. [Review] [73 refs]
SO  - Critical Care (London, England). 13(4):219, 2009
AS  - Crit Care. 13(4):219, 2009
NJ  - Critical care (London, England)
VO  - 13
IP  - 4
PG  - 219
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9801902
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2750128
SB  - Index Medicus
CP  - England
MH  - Critical Care/ec [Economics]
MH  - *Critical Care/og [Organization & Administration]
MH  - *Health Services Accessibility/og [Organization & Administration]
MH  - Humans
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Regional Health Planning
MH  - Risk Assessment
AB  - You are providing input in planning for critical care services to a large regional health authority. You are considering concentrating some critical care services into high-volume regional centres of excellence, as has been done in other fields of medicine. In your region, this would require several centres with differing levels of expertise that are geographically separated. Given there are inherent risks and time delays associated with interfacility patient transport, you debate whether these potential risks outweigh the benefits of regional centres of excellence. [References: 73]
ES  - 1466-609X
IL  - 1364-8535
DO  - https://dx.doi.org/10.1186/cc7883
PT  - Journal Article
PT  - Review
ID  - cc7883 [pii]
ID  - 10.1186/cc7883 [doi]
ID  - PMC2750128 [pmc]
PP  - ppublish
LG  - English
EP  - 20090810
DP  - 2009
EZ  - 2009/08/15 09:00
DA  - 2010/01/29 06:00
DT  - 2009/08/15 09:00
YR  - 2009
ED  - 20100128
RD  - 20170220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19678918

<445. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17627837
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Leslie GD
FA  - Leslie, Gavin D
TI  - Living in a Glasshouse... embracing care issues beyond ICU.
SO  - Australian Critical Care. 20(3):85-6, 2007 Aug
AS  - Aust Crit Care. 20(3):85-6, 2007 Aug
NJ  - Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
VO  - 20
IP  - 3
PG  - 85-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - bh0, 9207852
IO  - Aust Crit Care
SB  - Nursing Journal
CP  - Australia
MH  - Australia
MH  - *Continuity of Patient Care
MH  - *Critical Care
MH  - Humans
MH  - Intensive Care Units
MH  - *Patient Transfer
IS  - 1036-7314
IL  - 1036-7314
PT  - Editorial
ID  - S1036-7314(07)00084-7 [pii]
ID  - 10.1016/j.aucc.2007.06.002 [doi]
PP  - ppublish
LG  - English
EP  - 20070712
DP  - 2007 Aug
EZ  - 2007/07/14 09:00
DA  - 2010/01/26 06:00
DT  - 2007/07/14 09:00
YR  - 2007
ED  - 20100125
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17627837

<446. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19782432
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Gadepalli, R
FA  - Dhawan, B
FA  - Kapil, A
FA  - Sreenivas, V
FA  - Jais, M
FA  - Gaind, R
FA  - Chaudhry, R
FA  - Samantaray, J C
FA  - Udo, E E
IN  - Gadepalli, R. Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India. b_neha2002@yahoo.co.in
TI  - Clinical and molecular characteristics of nosocomial meticillin-resistant Staphylococcus aureus skin and soft tissue isolates from three Indian hospitals.
SO  - Journal of Hospital Infection. 73(3):253-63, 2009 Nov
AS  - J Hosp Infect. 73(3):253-63, 2009 Nov
NJ  - The Journal of hospital infection
VO  - 73
IP  - 3
PG  - 253-63
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - id6, 8007166
IO  - J. Hosp. Infect.
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - Anti-Bacterial Agents/pd [Pharmacology]
MH  - Bacterial Proteins/ge [Genetics]
MH  - Bacterial Typing Techniques
MH  - Child
MH  - Cross Infection/ep [Epidemiology]
MH  - Cross Infection/mi [Microbiology]
MH  - *Cross Infection
MH  - Electrophoresis, Gel, Pulsed-Field
MH  - Female
MH  - *Hospitals/sn [Statistics & Numerical Data]
MH  - Humans
MH  - India/ep [Epidemiology]
MH  - Male
MH  - Methicillin-Resistant Staphylococcus aureus/cl [Classification]
MH  - Methicillin-Resistant Staphylococcus aureus/ge [Genetics]
MH  - Methicillin-Resistant Staphylococcus aureus/ip [Isolation & Purification]
MH  - Methicillin-Resistant Staphylococcus aureus/py [Pathogenicity]
MH  - *Methicillin-Resistant Staphylococcus aureus
MH  - Microbial Sensitivity Tests
MH  - Middle Aged
MH  - Risk Factors
MH  - Sequence Analysis, DNA
MH  - Soft Tissue Infections/ep [Epidemiology]
MH  - Soft Tissue Infections/mi [Microbiology]
MH  - *Soft Tissue Infections
MH  - Staphylococcal Skin Infections/ep [Epidemiology]
MH  - Staphylococcal Skin Infections/mi [Microbiology]
MH  - *Staphylococcal Skin Infections
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 >or=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.
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Bacterial Proteins)
ES  - 1532-2939
IL  - 0195-6701
DO  - https://dx.doi.org/10.1016/j.jhin.2009.07.021
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0195-6701(09)00316-8 [pii]
ID  - 10.1016/j.jhin.2009.07.021 [doi]
PP  - ppublish
PH  - 2008/12/19 [received]
PH  - 2009/07/05 [accepted]
LG  - English
EP  - 20090925
DP  - 2009 Nov
EZ  - 2009/09/29 06:00
DA  - 2010/01/13 06:00
DT  - 2009/09/29 06:00
YR  - 2009
ED  - 20100112
RD  - 20091019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19782432

<447. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19799032
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Liu TX
AU  - Xue XD
AU  - Wei LH
AU  - Zhang YM
FA  - Liu, Tian-Xiang
FA  - Xue, Xiao-Dong
FA  - Wei, Lian-Hua
FA  - Zhang, Yong-Ming
IN  - Liu, Tian-Xiang. The first Clinical Medical College of Lanzhou University, Lanzhou 730000, China.
TI  - [Study of plasmid-mediated 16S rRNA methylase genes and drug-resistant transferability of Acinetobacter baumannii isolated from burn ward]. [Chinese]
SO  - Zhonghua Shao Shang Za Zhi. 25(2):98-102, 2009 Apr
AS  - Zhonghua Shao Shang Za Zhi. 25(2):98-102, 2009 Apr
NJ  - Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns
VO  - 25
IP  - 2
PG  - 98-102
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100959418
IO  - Zhonghua Shao Shang Za Zhi
SB  - Index Medicus
CP  - China
MH  - Acinetobacter baumannii/en [Enzymology]
MH  - *Acinetobacter baumannii/ge [Genetics]
MH  - Acinetobacter baumannii/ip [Isolation & Purification]
MH  - Burn Units
MH  - *Burns/mi [Microbiology]
MH  - *Drug Resistance, Bacterial/ge [Genetics]
MH  - Genes, Bacterial
MH  - Genes, rRNA
MH  - Humans
MH  - *Methyltransferases/ge [Genetics]
MH  - Plasmids
AB  - OBJECTIVE: To investigate the drug-resistance of Acinetobacter baumannii (Ab) isolated from patients in burn ward, and study the incidence of 16S rRNA methylase genes mediated high-level aminoglycoside drug-resistance and its mechanism of transfer.
AB  - METHODS: A total of 40 Ab clinical isolates were collected from burn ward in Gansu Province People's Hospital from May 2006 to Dec. 2007. The sensitivity of Ab for 20 antibiotics were determinated by K-B agar diffusion. The minimal inhibitory concentrations (MIC) of amikacin, gentamicin, tobramycin, netilmicin, isepamicin and kanamycin against Ab strains were determinated by agar dilution. Five kinds of 16S rRNA methylase genes including armA, rmtA, rmtB, rmtC, rmtD were amplified by PCR, the positive PCR-products were purified and sequenced, and the plasmid were extracted by alkaline lysis. The transferability of drug-resistance were determinated by conjugation and plasmid transformation tests.
AB  - RESULTS: The drug-resistance rates of Ab against six aminoglycosides antibiotics was 72.5%, 72.5%, 70.0%, 67.5%, 70.0%, 70.0%, respectively. Twenty five strains were resistant to six aminoglycosides antibiotics (62.5%), among which 10 isolates were armA-positive (40.0%); rmtA, rmtB, rmtC and rmtD-positive isolates were not found. Ten transformants and 10 conjugates showed high-level resistance against aminoglycosides antibiotics, all of which the value of MIC > or = 256 microg/mL carried armA gene.
AB  - CONCLUSIONS: The drug-resistance of Ab clinical isolates have high drug-resistance. 16S rRNA methylases gene exists in Ab and locates in plasmid chromosome.
RN  - EC 2-1-1 (Methyltransferases)
RN  - EC 2-1-1-230 (rRNA (adenosine-O-2'-)methyltransferase)
IS  - 1009-2587
IL  - 1009-2587
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - Chinese
DP  - 2009 Apr
EZ  - 2009/10/06 06:00
DA  - 2010/01/06 06:00
DT  - 2009/10/06 06:00
YR  - 2009
ED  - 20100105
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19799032

<448. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19851135
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Luna CM
AU  - Sarquis S
FA  - Luna, Carlos M
FA  - Sarquis, Sergio
TI  - Why do nice people get bad pneumonia? "Be quick or be dead" (Iron Maiden).
CM  - Comment on: Crit Care Med. 2009 Nov;37(11):2867-74; PMID: 19770748
SO  - Critical Care Medicine. 37(11):2979-80, 2009 Nov
AS  - Crit Care Med. 37(11):2979-80, 2009 Nov
NJ  - Critical care medicine
VO  - 37
IP  - 11
PG  - 2979-80
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Community-Acquired Infections/mo [Mortality]
MH  - *Emergency Service, Hospital
MH  - Humans
MH  - *Intensive Care Units
MH  - Patient Admission
MH  - *Patient Transfer
MH  - *Pneumonia/mo [Mortality]
MH  - Research Design
MH  - Severity of Illness Index
MH  - Time Factors
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e3181aff91a
PT  - Comment
PT  - Editorial
ID  - 10.1097/CCM.0b013e3181aff91a [doi]
ID  - 00003246-200911000-00017 [pii]
PP  - ppublish
LG  - English
DP  - 2009 Nov
EZ  - 2009/10/24 06:00
DA  - 2009/12/16 06:00
DT  - 2009/10/24 06:00
YR  - 2009
ED  - 20091123
RD  - 20091023
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19851135

<449. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19505937
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Castelhano-Carlos MJ
AU  - Baumans V
FA  - Castelhano-Carlos, M J
FA  - Baumans, V
IN  - Castelhano-Carlos, M J. Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal. mjoao@ecsaude.uminho.pt
TI  - The impact of light, noise, cage cleaning and in-house transport on welfare and stress of laboratory rats. [Review] [163 refs]
SO  - Laboratory Animals. 43(4):311-27, 2009 Oct
AS  - Lab Anim. 43(4):311-27, 2009 Oct
NJ  - Laboratory animals
VO  - 43
IP  - 4
PG  - 311-27
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - kyq, 0112725
IO  - Lab. Anim.
SB  - Index Medicus
CP  - England
MH  - *Animal Husbandry/mt [Methods]
MH  - *Animal Welfare
MH  - Animals
MH  - *Animals, Laboratory/ph [Physiology]
MH  - Animals, Laboratory/px [Psychology]
MH  - *Environment
MH  - Humans
MH  - Light
MH  - Noise
MH  - Rats
MH  - *Stress, Physiological/ph [Physiology]
MH  - *Transportation
AB  - Human interaction and physical environmental factors are part of the stimuli presented to laboratory animals everyday, influencing their behaviour and physiology and contributing to their welfare. Certain environmental conditions and routine procedures in the animal facility might induce stress responses and when the animal is unable to maintain its homeostasis in the presence of a particular stressor, the animal's wellbeing is threatened. This review article summarizes several published studies on the impact of environmental factors such as light, noise, cage cleaning and in-house transport on welfare and stress of laboratory rats. The behaviour and physiological responses of laboratory rats to different environmental housing conditions and routine procedures are reviewed. Recommendations on the welfare of laboratory rats and refinements in experimental design are discussed and how these can influence and improve the quality of scientific data. [References: 163]
IS  - 0023-6772
IL  - 0023-6772
DO  - https://dx.doi.org/10.1258/la.2009.0080098
PT  - Journal Article
PT  - Review
ID  - la.2009.0080098 [pii]
ID  - 10.1258/la.2009.0080098 [doi]
PP  - ppublish
LG  - English
EP  - 20090608
DP  - 2009 Oct
EZ  - 2009/06/10 09:00
DA  - 2009/12/16 06:00
DT  - 2009/06/10 09:00
YR  - 2009
ED  - 20091123
RD  - 20090921
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19505937

<450. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19517615
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dziadz'ko AM
AU  - Rummo OO
AU  - Santotskii EO
FA  - Dziadz'ko, A M
FA  - Rummo, O O
FA  - Santotskii, E O
TI  - [Organization of anesthetic management and postoperative intensive care at Hannover Higher Medical School]. [Russian]
SO  - Anesteziologiia i Reanimatologiia. (2):70-4, 2009 Mar-Apr
AS  - Anesteziol Reanimatol. (2):70-4, 2009 Mar-Apr
NJ  - Anesteziologiia i reanimatologiia
IP  - 2
PG  - 70-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4st, 7705399
IO  - Anesteziol Reanimatol
SB  - Index Medicus
CP  - Russia (Federation)
MH  - *Anesthesia/mt [Methods]
MH  - Critical Care/mt [Methods]
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/st [Standards]
MH  - Germany
MH  - Patient Transfer
MH  - Postoperative Care/is [Instrumentation]
MH  - *Postoperative Care/mt [Methods]
MH  - Postoperative Care/st [Standards]
IS  - 0201-7563
IL  - 0201-7563
PT  - Journal Article
PP  - ppublish
LG  - Russian
DP  - 2009 Mar-Apr
EZ  - 2009/06/12 09:00
DA  - 2009/11/17 06:00
DT  - 2009/06/12 09:00
YR  - 2009
ED  - 20091116
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19517615

<451. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19622915
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mears G
AU  - Glickman SW
AU  - Moore F
AU  - Cairns CB
FA  - Mears, Greg
FA  - Glickman, Seth W
FA  - Moore, Fionna
FA  - Cairns, Charles B
IN  - Mears, Greg. EMS Performance Improvement Center, Department of Emergency Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
TI  - Data based integration of critical illness and injury patient care from EMS to emergency department to intensive care unit. [Review] [31 refs]
SO  - Current Opinion in Critical Care. 15(4):284-9, 2009 Aug
AS  - Curr Opin Crit Care. 15(4):284-9, 2009 Aug
NJ  - Current opinion in critical care
VO  - 15
IP  - 4
PG  - 284-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9504454, d2j
IO  - Curr Opin Crit Care
SB  - Index Medicus
CP  - United States
MH  - *Continuity of Patient Care
MH  - *Critical Illness
MH  - *Databases as Topic
MH  - *Delivery of Health Care, Integrated
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
AB  - PURPOSE OF REVIEW: Describe the challenges and opportunities for an integrated emergency care data system for the delivery and care of critical illness and injury.
AB  - RECENT FINDINGS: Standardized data comparable across geographies and settings of care has been a critical challenge for emergency care data systems. Emergency medical services (EMS), emergency department (ED), ICU and hospital care are integrated units of service in critical illness and injury care. The applicability of available evidence and outcome measures to these units of service needs to be determined. A recently developed fully integrated, emergency care data system for quality improvement of EMS service delivery and patient care has been linked to ED, ICU and in-hospital data systems for myocardial infarction, trauma and stroke. The data system also provides a platform for linking EMS with emergency physicians, other healthcare providers, and public health agencies responsible for planning, disease surveillance, and disaster preparedness.
AB  - SUMMARY: Given its time-sensitive nature, new data systems and analytic methods will be required to examine the impact of emergency care. The linkage of emergency care data systems to outcomes based systems could create an ideal environment to improve patient morbidity and mortality in critical illness and injury. [References: 31]
ES  - 1531-7072
IL  - 1070-5295
DO  - https://dx.doi.org/10.1097/MCC.0b013e32832e457b
PT  - Journal Article
PT  - Review
ID  - 10.1097/MCC.0b013e32832e457b [doi]
ID  - 00075198-200908000-00003 [pii]
PP  - ppublish
LG  - English
DP  - 2009 Aug
EZ  - 2009/07/23 09:00
DA  - 2009/11/05 06:00
DT  - 2009/07/23 09:00
YR  - 2009
ED  - 20091104
RD  - 20090722
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19622915

<452. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19245372
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pines JM
AU  - Russell Localio A
AU  - Hollander JE
FA  - Pines, Jesse M
FA  - Russell Localio, A
FA  - Hollander, Judd E
IN  - Pines, Jesse M. Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA. pinesjes@uphs.upenn.edu
TI  - Racial disparities in emergency department length of stay for admitted patients in the United States.
SO  - Academic Emergency Medicine. 16(5):403-10, 2009 May
AS  - Acad Emerg Med. 16(5):403-10, 2009 May
NJ  - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
VO  - 16
IP  - 5
PG  - 403-10
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - ce1, 9418450
IO  - Acad Emerg Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - African Americans/sn [Statistics & Numerical Data]
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Crowding
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - *Healthcare Disparities/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment (Health Care)
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Sex Factors
MH  - Time Factors
MH  - United States
MH  - Young Adult
AB  - OBJECTIVES: Recent studies have demonstrated the adverse effects of prolonged emergency department (ED) boarding times on outcomes. The authors sought to examine racial disparities across U.S. hospitals in ED length of stay (LOS) for admitted patients, which may serve as a proxy for boarding time in data sets where the actual time of admission is unavailable. Specifically, the study estimated both the within- and among-hospital effects of black versus non-black race on LOS for admitted patients.
AB  - METHODS: The authors studied 14,516 intensive care unit (ICU) and non-ICU admissions in 408 EDs in the National Hospital Ambulatory Medical Care Survey (NHAMCS; 2003-2005). The main outcomes were ED LOS (triage to transfer to inpatient bed) and proportion of patients with prolonged LOS (>6 hours). The effects of black versus non-black race on LOS were decomposed to distinguish racial disparities between patients at the same hospital (within-hospital component) and between hospitals that serve higher proportions of black patients (among-hospital component).
AB  - RESULTS: In the unadjusted analyses, ED LOS was significantly longer for black patients admitted to ICU beds (367 minutes vs. 290 minutes) and non-ICU beds (397 minutes vs. 345 minutes). For admissions to ICU beds, the within-hospital estimates suggested that blacks were at higher risk for ED LOS of >6 hours (odds ratio [OR] = 1.42, 95% confidence interval [CI] = 1.01 to 2.01), while the among-hospital differences were not significant (OR = 1.08 for each 10% increase in the proportion of black patients, 95% CI = 0.96 to 1.23). By contrast, for non-ICU admissions, the within-hospital racial disparities were not significant (OR = 1.12, 95% CI = 0.94 to 1.23), but the among-hospital differences were significant (OR = 1.13, 95% CI = 1.04 to 1.22) per 10% point increase in the percentage of blacks admitted to a hospital.
AB  - CONCLUSIONS: Black patients who are admitted to the hospital through the ED have longer ED LOS compared to non-blacks, indicating that racial disparities may exist across U.S. hospitals. The disparity for non-ICU patients might be accounted for by among-hospital differences, where hospitals with a higher proportion of blacks have longer waits. The disparity for ICU patients is better explained by within-hospital differences, where blacks have longer wait times than non-blacks in the same hospital. However, there may be additional unmeasured clinical or socioeconomic factors that explain these results.
ES  - 1553-2712
IL  - 1069-6563
DO  - https://dx.doi.org/10.1111/j.1553-2712.2009.00381.x
PT  - Journal Article
ID  - ACEM381 [pii]
ID  - 10.1111/j.1553-2712.2009.00381.x [doi]
PP  - ppublish
LG  - English
EP  - 20090224
DP  - 2009 May
EZ  - 2009/02/28 09:00
DA  - 2009/10/22 06:00
DT  - 2009/02/28 09:00
YR  - 2009
ED  - 20091021
RD  - 20090820
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19245372

<453. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19592865
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lundgren-Laine H
AU  - Suominen H
AU  - Kontio E
AU  - Salantera S
FA  - Lundgren-Laine, Helja
FA  - Suominen, Hanna
FA  - Kontio, Elina
FA  - Salantera, Sanna
IN  - Lundgren-Laine, Helja. Department of Nursing Science, University of Turku, Turku, Finland. helja.lundgren-laine@utu.fi
TI  - Intensive care admission and discharge - critical decision-making points.
SO  - Studies in Health Technology & Informatics. 146:358-61, 2009
AS  - Stud Health Technol Inform. 146:358-61, 2009
NJ  - Studies in health technology and informatics
VO  - 146
PG  - 358-61
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ck1, 9214582
IO  - Stud Health Technol Inform
SB  - Health Technology Assessment Journals
CP  - Netherlands
MH  - *Decision Making
MH  - Finland
MH  - Humans
MH  - *Intensive Care Units
MH  - Nurse Administrators
MH  - *Patient Admission
MH  - *Patient Transfer/og [Organization & Administration]
AB  - Delivery of intensive care has many critical points impacting the outcomes of critically ill patients. Two important key events in intensive care are patients' admission and discharge procedures. The decision making of intensive care experts should be supported in these two points, in order to attain good quality and safe care. We hypothesize that in the future this decision-making process can be effectively supported with information technology. To reveal the complex decision-making, we studied the decision-making processes and information needs of intensive care charge nurses during patients' admission and discharge procedures. We identified several interconnected decision-making steps during these procedures.
IS  - 0926-9630
IL  - 0926-9630
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 2009
EZ  - 2009/07/14 09:00
DA  - 2009/10/03 06:00
DT  - 2009/07/14 09:00
YR  - 2009
ED  - 20091002
RD  - 20090713
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19592865

<454. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19564289
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Donohue PK
AU  - Hussey-Gardner B
AU  - Sulpar LJ
AU  - Fox R
AU  - Aucott SW
FA  - Donohue, Pamela K
FA  - Hussey-Gardner, Brenda
FA  - Sulpar, Leslie J
FA  - Fox, Renee
FA  - Aucott, Susan W
IN  - Donohue, Pamela K. Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. pdonohu2@jhmi.edu
TI  - Convalescent care of infants in the neonatal intensive care unit in community hospitals: risk or benefit?.
SO  - Pediatrics. 124(1):105-11, 2009 Jul
AS  - Pediatrics. 124(1):105-11, 2009 Jul
NJ  - Pediatrics
VO  - 124
IP  - 1
PG  - 105-11
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Baltimore
MH  - *Convalescence
MH  - Hospitalization/ec [Economics]
MH  - *Hospitals, Community
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal
MH  - Logistic Models
MH  - Nurseries, Hospital
MH  - *Patient Transfer
MH  - Poverty
MH  - Urban Population
AB  - OBJECTIVE: To compare very low birth weight (VLBW) infants transported to a community hospital (CH) before discharge with infants who received convalescent care in a regional-referral NICU (RR-NICU) on 4 parameters: health indicators at the time of hospital discharge, health care use during the 4 months after discharge to home, parent satisfaction with hospital care, and cost of hospitalization.
AB  - PATIENTS AND METHODS: VLBW infants cared for in 2 RR-NICUs during 2004-2006 were enrolled in the study. One RR-NICU transfers infants to a CH for convalescent care and the other discharges infants directly home. Infants were followed prospectively. Information was gathered from medical charts, parent interviews, and hospital business offices.
AB  - RESULTS: A total of 255 VLBW infants were enrolled in the study, and 148 were transferred to 15 CHs. Nineteen percent of transferred infants were readmitted to a higher level of care before discharge from the hospital. Preventative health measures and screening examinations were more frequently missed, readmission within 2 weeks of discharge from the hospital was more frequent, parents were less satisfied with hospital care, and duration of hospitalization was 12 days longer, although not statistically different, if infants were transferred to a CH for convalescence rather than discharged from the RR-NICU. Total hospital charges did not differ significantly between the groups.
AB  - CONCLUSION: Transfer of infants to a CH from an RR-NICU for convalescent care has become routine but may place infants at risk. Our study indicates room for improvement by both CHs and RR-NICUs in the care of transferred VLBW infants.
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2008-0880
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
ID  - 124/1/105 [pii]
ID  - 10.1542/peds.2008-0880 [doi]
PP  - ppublish
LG  - English
DP  - 2009 Jul
EZ  - 2009/07/01 09:00
DA  - 2009/09/23 06:00
DT  - 2009/07/01 09:00
YR  - 2009
ED  - 20090922
RD  - 20090630
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19564289

<455. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18812403
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Edwards ED
AU  - Powell CV
AU  - Mason BW
AU  - Oliver A
FA  - Edwards, E D
FA  - Powell, C V E
FA  - Mason, B W
FA  - Oliver, A
IN  - Edwards, E D. Department of Paediatrics, Singleton Hospital, Swansea SA2 8QA, UK. Dawn.Edwards@swansea-tr.nhs.wales.uk
TI  - Prospective cohort study to test the predictability of the Cardiff and Vale paediatric early warning system.
SO  - Archives of Disease in Childhood. 94(8):602-6, 2009 Aug
AS  - Arch Dis Child. 94(8):602-6, 2009 Aug
NJ  - Archives of disease in childhood
VO  - 94
IP  - 8
PG  - 602-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 6xg, 0372434
IO  - Arch. Dis. Child.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Critical Illness
MH  - *Emergency Service, Hospital/st [Standards]
MH  - Epidemiologic Methods
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Medical Audit/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: To develop and test the predictability of a paediatric early warning score to identify children at risk of developing critical illness.
AB  - DESIGN: Prospective cohort study.
AB  - SETTING: Admissions to all paediatric wards at the University Hospital of Wales.
AB  - OUTCOME MEASURES: Respiratory arrest, cardiac arrest, paediatric high-dependency unit admission, paediatric intensive care unit admission and death.
AB  - RESULTS: Data were collected on 1000 patients. A single abnormal observation determined by the Cardiff and Vale paediatric early warning system (C&VPEWS) had a 89.0% sensitivity (95% CI 80.5 to 94.1), 63.9% specificity (95% CI 63.8 to 63.9), 2.2% positive predictive value (95% CI 2.0 to 2.3) and a 99.8% negative predictive value (95% CI 99.7 to 99.9) for identifying children who subsequently had an adverse outcome. The area under the receiver operating characteristic curve for the C&VPEWS score was 0.86 (95% CI 0.82 to 0.91).
AB  - CONCLUSION: Identifying children likely to develop critical illness can be difficult. The assessment tool developed from the advanced paediatric life support guidelines on identifying sick children appears to be sensitive but not specific. If the C&VPEWS was used as a trigger to activate a rapid response team to assess the child, the majority of calls would be unnecessary.
ES  - 1468-2044
IL  - 0003-9888
DO  - https://dx.doi.org/10.1136/adc.2008.142026
PT  - Journal Article
ID  - adc.2008.142026 [pii]
ID  - 10.1136/adc.2008.142026 [doi]
PP  - ppublish
LG  - English
EP  - 20080923
DP  - 2009 Aug
EZ  - 2008/09/25 09:00
DA  - 2009/09/03 06:00
DT  - 2008/09/25 09:00
YR  - 2009
ED  - 20090902
RD  - 20090724
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18812403

<456. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19262424
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hung GR
AU  - Kissoon N
FA  - Hung, Geoffrey R
FA  - Kissoon, Niranjan
IN  - Hung, Geoffrey R. Division of Emergency Medicine, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada. ghung@cw.bc.ca
TI  - 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.
SO  - Pediatric Emergency Care. 25(3):160-3, 2009 Mar
AS  - Pediatr Emerg Care. 25(3):160-3, 2009 Mar
NJ  - Pediatric emergency care
VO  - 25
IP  - 3
PG  - 160-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - British Columbia
MH  - Child
MH  - *Computer Simulation
MH  - Hospital Units/og [Organization & Administration]
MH  - *Hospitalization/sn [Statistics & Numerical Data]
MH  - *Hospitals, Pediatric/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Selection
MH  - *Patient Transfer/og [Organization & Administration]
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.
AB  - 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.
AB  - 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%.
AB  - 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.
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0b013e31819a7e20
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/PEC.0b013e31819a7e20 [doi]
PP  - ppublish
LG  - English
DP  - 2009 Mar
EZ  - 2009/03/06 09:00
DA  - 2009/08/28 09:00
DT  - 2009/03/06 09:00
YR  - 2009
ED  - 20090827
RD  - 20090317
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19262424

<457. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19404225
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Claudet I
AU  - Bounes V
AU  - Federici S
AU  - Laporte E
AU  - Pajot C
AU  - Micheau P
AU  - Grouteau E
FA  - Claudet, Isabelle
FA  - Bounes, Vincent
FA  - Federici, Sonia
FA  - Laporte, Eve
FA  - Pajot, Christine
FA  - Micheau, Pascale
FA  - Grouteau, Erick
IN  - Claudet, Isabelle. Pediatric Emergency Department, Children Hospital, Toulouse, France. claudet.i@chu-toulouse.fr
TI  - Epidemiology of admissions in a pediatric resuscitation room.
SO  - Pediatric Emergency Care. 25(5):312-6, 2009 May
AS  - Pediatr Emerg Care. 25(5):312-6, 2009 May
NJ  - Pediatric emergency care
VO  - 25
IP  - 5
PG  - 312-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Cardiovascular Diseases/ep [Epidemiology]
MH  - Child
MH  - Child, Preschool
MH  - *Diagnosis-Related Groups
MH  - Emergency Medicine/ed [Education]
MH  - Female
MH  - France
MH  - Health Services Needs and Demand
MH  - Hospital Mortality
MH  - Hospitals, University/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - Nervous System Diseases/ep [Epidemiology]
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Respiration Disorders/ep [Epidemiology]
MH  - *Resuscitation/ut [Utilization]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
MH  - Wounds and Injuries/ep [Epidemiology]
AB  - OBJECTIVE: Describe the epidemiology of a pediatric resuscitation room (PRR).
AB  - 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.
AB  - 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).
AB  - 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.
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0b013e3181a341ac
PT  - Journal Article
ID  - 10.1097/PEC.0b013e3181a341ac [doi]
PP  - ppublish
LG  - English
DP  - 2009 May
EZ  - 2009/05/01 09:00
DA  - 2009/08/14 09:00
DT  - 2009/05/01 09:00
YR  - 2009
ED  - 20090813
RD  - 20090515
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19404225

<458. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19268805
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Grenvik A
AU  - Pinsky MR
FA  - Grenvik, Ake
FA  - Pinsky, Michael R
IN  - Grenvik, Ake. Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA 15261, USA. grenvik@comcast.net
TI  - Evolution of the intensive care unit as a clinical center and critical care medicine as a discipline.
SO  - Critical Care Clinics. 25(1):239-50, x, 2009 Jan
AS  - Crit Care Clin. 25(1):239-50, x, 2009 Jan
NJ  - Critical care clinics
VO  - 25
IP  - 1
PG  - 239-50, x
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ccc, 8507720
IO  - Crit Care Clin
SB  - Index Medicus
CP  - United States
MH  - Allied Health Occupations/hi [History]
MH  - Biomedical Research/hi [History]
MH  - Certification/hi [History]
MH  - Congresses as Topic/hi [History]
MH  - *Critical Care/hi [History]
MH  - Critical Care/og [Organization & Administration]
MH  - Education, Medical, Graduate/hi [History]
MH  - Education, Medical, Graduate/mt [Methods]
MH  - Europe
MH  - Evidence-Based Medicine/hi [History]
MH  - History, 16th Century
MH  - History, 19th Century
MH  - History, 20th Century
MH  - History, 21st Century
MH  - Humans
MH  - *Intensive Care Units/hi [History]
MH  - Military Medicine/hi [History]
MH  - Periodicals as Topic/hi [History]
MH  - Poliomyelitis/co [Complications]
MH  - Poliomyelitis/hi [History]
MH  - Poliomyelitis/th [Therapy]
MH  - Respiration, Artificial/hi [History]
MH  - Respiration, Artificial/is [Instrumentation]
MH  - Respiration, Artificial/mt [Methods]
MH  - Respiratory Insufficiency/et [Etiology]
MH  - Respiratory Insufficiency/hi [History]
MH  - Respiratory Insufficiency/th [Therapy]
MH  - Respiratory Therapy/hi [History]
MH  - Societies, Medical/hi [History]
MH  - Specialties, Nursing/hi [History]
MH  - Transportation of Patients/hi [History]
MH  - Transportation of Patients/mt [Methods]
MH  - United States
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.
ES  - 1557-8232
IL  - 0749-0704
DO  - https://dx.doi.org/10.1016/j.ccc.2008.11.001
PT  - Historical Article
PT  - Journal Article
ID  - S0749-0704(08)00076-6 [pii]
ID  - 10.1016/j.ccc.2008.11.001 [doi]
PP  - ppublish
LG  - English
DP  - 2009 Jan
EZ  - 2009/03/10 09:00
DA  - 2009/07/31 09:00
DT  - 2009/03/10 09:00
YR  - 2009
ED  - 20090730
RD  - 20090309
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19268805

<459. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19268793
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Allison CE
AU  - Trunkey DD
FA  - Allison, Carrie E
FA  - Trunkey, Donald D
IN  - Allison, Carrie E. Department of Surgery, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. hinkc@ohsu.edu
TI  - Battlefield trauma, traumatic shock and consequences: war-related advances in critical care.
SO  - Critical Care Clinics. 25(1):31-45, vii, 2009 Jan
AS  - Crit Care Clin. 25(1):31-45, vii, 2009 Jan
NJ  - Critical care clinics
VO  - 25
IP  - 1
PG  - 31-45, vii
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ccc, 8507720
IO  - Crit Care Clin
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/hi [History]
MH  - Critical Care/mt [Methods]
MH  - Critical Care/og [Organization & Administration]
MH  - Global Health
MH  - History, 15th Century
MH  - History, 19th Century
MH  - History, 20th Century
MH  - History, 21st Century
MH  - History, Ancient
MH  - History, Medieval
MH  - Humans
MH  - *Military Medicine/hi [History]
MH  - Military Medicine/mt [Methods]
MH  - Military Medicine/og [Organization & Administration]
MH  - Shock, Traumatic/hi [History]
MH  - Shock, Traumatic/th [Therapy]
MH  - Transportation of Patients/hi [History]
MH  - Trauma Centers/hi [History]
MH  - *Wounds and Injuries/hi [History]
MH  - Wounds and Injuries/th [Therapy]
MH  - Wounds, Nonpenetrating/hi [History]
MH  - Wounds, Nonpenetrating/th [Therapy]
MH  - Wounds, Penetrating/hi [History]
MH  - Wounds, Penetrating/th [Therapy]
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.
ES  - 1557-8232
IL  - 0749-0704
DO  - https://dx.doi.org/10.1016/j.ccc.2008.10.001
PT  - Historical Article
PT  - Journal Article
ID  - S0749-0704(08)00071-7 [pii]
ID  - 10.1016/j.ccc.2008.10.001 [doi]
PP  - ppublish
LG  - English
DP  - 2009 Jan
EZ  - 2009/03/10 09:00
DA  - 2009/07/31 09:00
DT  - 2009/03/10 09:00
YR  - 2009
ED  - 20090730
RD  - 20141120
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19268793

<460. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19356201
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tucker KM
AU  - Brewer TL
AU  - Baker RB
AU  - Demeritt B
AU  - Vossmeyer MT
FA  - Tucker, Karen M
FA  - Brewer, Tracy L
FA  - Baker, Rachel B
FA  - Demeritt, Brenda
FA  - Vossmeyer, Michael T
IN  - Tucker, Karen M. Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. karen.tucker@cchmc.org
TI  - Prospective evaluation of a pediatric inpatient early warning scoring system.
SO  - Journal for Specialists in Pediatric Nursing: JSPN. 14(2):79-85, 2009 Apr
AS  - J Spec Pediatr Nurs. 14(2):79-85, 2009 Apr
NJ  - Journal for specialists in pediatric nursing : JSPN
VO  - 14
IP  - 2
PG  - 79-85
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101142025
IO  - J Spec Pediatr Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Algorithms
MH  - Child
MH  - Child, Preschool
MH  - Early Diagnosis
MH  - *Heart Arrest/pc [Prevention & Control]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - *Nursing Assessment/mt [Methods]
MH  - Patient Transfer
MH  - Prospective Studies
MH  - Reproducibility of Results
MH  - *Respiratory Insufficiency/pc [Prevention & Control]
MH  - Sensitivity and Specificity
MH  - *Severity of Illness Index
AB  - PURPOSE: The present study evaluated the use of the Pediatric Early Warning Score (PEWS) for detecting clinical deterioration among hospitalized children.
AB  - 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.
AB  - 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).
AB  - IMPLICATIONS: The PEWS tool was found to be a reliable and valid scoring system to identify children at risk for clinical deterioration.
ES  - 1744-6155
IL  - 1539-0136
DO  - https://dx.doi.org/10.1111/j.1744-6155.2008.00178.x
PT  - Evaluation Studies
PT  - Journal Article
ID  - JSPN178 [pii]
ID  - 10.1111/j.1744-6155.2008.00178.x [doi]
PP  - ppublish
LG  - English
DP  - 2009 Apr
EZ  - 2009/04/10 09:00
DA  - 2009/07/22 09:00
DT  - 2009/04/10 09:00
YR  - 2009
ED  - 20090721
RD  - 20090409
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19356201

<461. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19499862
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Piagnerelli M
AU  - Van Nuffelen M
AU  - Maetens Y
AU  - Lheureux P
AU  - Vincent JL
FA  - Piagnerelli, M
FA  - Van Nuffelen, M
FA  - Maetens, Y
FA  - Lheureux, P
FA  - Vincent, J L
IN  - Piagnerelli, M. Department of Intensive Care, Erasme Hospital, Universite Libre de Bruxelles, Brussels, Belgium.
TI  - A 'shock room' for early management of the acutely ill.
SO  - Anaesthesia & Intensive Care. 37(3):426-31, 2009 May
AS  - Anaesth Intensive Care. 37(3):426-31, 2009 May
NJ  - Anaesthesia and intensive care
VO  - 37
IP  - 3
PG  - 426-31
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4m5, 0342017
IO  - Anaesth Intensive Care
SB  - Index Medicus
CP  - Australia
MH  - Acute Disease
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - Critical Illness/mo [Mortality]
MH  - *Critical Illness/th [Therapy]
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - *Emergency Treatment/mt [Methods]
MH  - Female
MH  - Hospital Mortality
MH  - Hospitals, University/og [Organization & Administration]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units/og [Organization & Administration]
MH  - Male
MH  - Middle Aged
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Shock/th [Therapy]
MH  - Young Adult
AB  - Our 850-bed, academic, tertiary care hospital uses a four-bed dedicated 'shock room' situated between the Departments of Emergency Medicine and Intensive Care to stabilise all acutely ill patients from outside or inside the hospital before transfer to the intensive care unit or other department. Admitted patients stay a maximum of four hours in the shock room. In this article we describe our experiences using this shock room by detailing the demographic data, including time and source of admission, diagnosis and outcome, for the 2514 patients admitted to the shock room in 2006. The most common reasons for admission were cardiac (33%) and neurological (21%) diagnoses. After diagnosis and initial treatment, 54% of patients were transferred to an intensive care unit or a coronary care unit; 2.5% of patients died in the shock room. The shock room provides a useful area of collaboration between emergency department and intensive care unit staff and enables acutely ill patients to be assessed and treated rapidly to optimise outcomes.
IS  - 0310-057X
IL  - 0310-057X
PT  - Journal Article
ID  - 20080520 [pii]
PP  - ppublish
LG  - English
DP  - 2009 May
EZ  - 2009/06/09 09:00
DA  - 2009/07/01 09:00
DT  - 2009/06/09 09:00
YR  - 2009
ED  - 20090630
RD  - 20090608
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19499862

<462. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19186027
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sabbah-Briffaut E
AU  - Bourzoufi K
AU  - Fourrier F
AU  - Subtil D
AU  - Houfflin-Debarge V
AU  - Deruelle P
FA  - Sabbah-Briffaut, Ethel
FA  - Bourzoufi, Karim
FA  - Fourrier, Francois
FA  - Subtil, Damien
FA  - Houfflin-Debarge, Veronique
FA  - Deruelle, Philippe
IN  - Sabbah-Briffaut, Ethel. Pole d'Obstetrique, Hopital Jeanne-de-Flandre, CHRU de Lille, F-59037 Lille Cedex, France. ethelsabbah@yahoo.fr
TI  - [Morbidity and mortality of patients with preeclampsia or HELLP syndrome transferred in intensive care]. [French]
OT  - Morbidite et mortalite des patientes ayant eu une preeclampsie ou un HELLP syndrome transferees en reanimation.
SO  - Presse Medicale. 38(6):872-80, 2009 Jun
AS  - Presse Med. 38(6):872-80, 2009 Jun
NJ  - Presse medicale (Paris, France : 1983)
VO  - 38
IP  - 6
PG  - 872-80
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 8302490, pmt
IO  - Presse Med
SB  - Index Medicus
CP  - France
MH  - Adult
MH  - *Critical Care/og [Organization & Administration]
MH  - Female
MH  - France/ep [Epidemiology]
MH  - Gestational Age
MH  - HELLP Syndrome/ep [Epidemiology]
MH  - HELLP Syndrome/th [Therapy]
MH  - *HELLP Syndrome
MH  - *Hospital Mortality
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Maternal Age
MH  - Morbidity
MH  - Outcome Assessment (Health Care)
MH  - Parity
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pre-Eclampsia/ep [Epidemiology]
MH  - Pre-Eclampsia/th [Therapy]
MH  - *Pre-Eclampsia
MH  - Pregnancy
MH  - *Pregnancy Outcome/ep [Epidemiology]
MH  - Prognosis
MH  - Retrospective Studies
MH  - Severity of Illness Index
AB  - CONTEXT: During pregnancy, the two leading causes of admission in intensive care are preeclampsia and obstetric haemorrhage. However, there are few studies about preeclamptic patients admitted in intensive care. Our purpose was to determine the outcome of pregnancies with preeclampsia and/or HELLP syndrome admitted in intensive care.
AB  - METHODS: We performed a retrospective study between March 1996 and April 2005 in a level III maternity. 533 patients were managed with preeclampsia and/or HELLP syndrome during this period. We compared patients admitted in intensive care with patients who did not require admission in intensive care.
AB  - RESULTS: Sixty six patients (12,4%) with preeclampsia and/or HELLP were admitted in intensive care. Severe HELLP syndrome, eclampsia, neurological troubles and acute pulmonary oedema were the four leading causes of admission. The mean duration of admission was 3, 2+/-2,9 days. Mean age of the patients (28, 2+/-5,8 vs. 29,0+/-5,8 years, NS) and number of primiparous (71, 2% vs 66,6%, NS) were similar between the two groups. The mean gestational age of delivery was reduced when patients were needed admission in intensive care (29,8+/-3,9 weeks of gestation versus 32,5+/-4,4, p<0,001). 77, 3% of babies survived in the intensive care group compared with 90,4% in the other group (p<0,01).
AB  - CONCLUSION: The short-term outcome of patients admitted in intensive care for preeclampsia or HELLP syndrome is generally good. However, neonatal morbidity and mortality remained important when women needed management in intensive care.
ES  - 2213-0276
IL  - 0755-4982
DO  - https://dx.doi.org/10.1016/j.lpm.2008.12.021
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
ID  - S0755-4982(09)00014-1 [pii]
ID  - 10.1016/j.lpm.2008.12.021 [doi]
PP  - ppublish
PH  - 2008/04/10 [received]
PH  - 2008/11/26 [revised]
PH  - 2008/12/15 [accepted]
LG  - French
EP  - 20090130
DP  - 2009 Jun
EZ  - 2009/02/03 09:00
DA  - 2009/06/20 09:00
DT  - 2009/02/03 09:00
YR  - 2009
ED  - 20090619
RD  - 20161209
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19186027

<463. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19416567
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Baskett TF
AU  - O'Connell CM
FA  - Baskett, Thomas F
FA  - O'Connell, Colleen M
IN  - Baskett, Thomas F. Department of Obstetrics and Gynaecology and Perinatal Epidemiology Research Unit Dalhousie University, Halifax NS.
IN  - O'Connell, Colleen M. Department of Obstetrics and Gynaecology and Perinatal Epidemiology Research Unit Dalhousie University, Halifax NS.
TI  - Maternal critical care in obstetrics.
SO  - Journal of Obstetrics & Gynaecology Canada: JOGC. 31(3):218-221, 2009 Mar
AS  - J Obstet Gynaecol Can. 31(3):218-221, 2009 Mar
NJ  - Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
VO  - 31
IP  - 3
PG  - 218-221
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101126664
IO  - J Obstet Gynaecol Can
SB  - Index Medicus
CP  - Netherlands
MH  - Critical Care
MH  - Female
MH  - Humans
MH  - *Intensive Care Units
MH  - Nova Scotia/ep [Epidemiology]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - *Pregnancy Complications/ep [Epidemiology]
MH  - *Puerperal Disorders/ep [Epidemiology]
AB  - OBJECTIVE: To determine the factors leading to maternal critical care in a tertiary obstetric hospital and the associated trends.
AB  - METHODS: We conducted a review of the medical records of all women who required transfer for critical care from a free-standing obstetric unit to a general hospital over a 24-year period (1982-2005).
AB  - RESULTS: During the 24-year period there were five maternal deaths directly associated with 122,001 deliveries (4.1/100,000) and, in addition, 117 women were transferred to the general hospital for critical care (1.0/1000). The death-to-transfer ratio was 1 in 23. Of the women transferred, 93/117 (79.5%) required intensive care and 24/117 (20.5%) needed specialized medical or surgical services not available in the obstetric unit. Of the women transferred, 16/117 (13.7%) were antepartum, and 101/117 (86.3%) were postpartum. Hemorrhage and hypertensive disorders combined to make up 56.4% of all maternal transfers. Women with a multiple pregnancy were more likely to require transfer than those with a singleton pregnancy (RR 3.34; 95% CI 1.4-7.59, P=0.01).
AB  - CONCLUSION: The majority of maternal transfers for critical care occur postpartum, and in more than half of the cases the reason for transfer is hemorrhage or hypertensive disease. Women with a multiple pregnancy had a significantly greater rate of transfer than those with a singleton, and women with a triplet pregnancy had a greater rate than those with twins. There was a non-significant increase in the number of maternal transfers over the study period.
IS  - 1701-2163
IL  - 1701-2163
DI  - S1701-2163(16)34119-6
DO  - https://dx.doi.org/10.1016/S1701-2163(16)34119-6
PT  - Journal Article
ID  - S1701-2163(16)34119-6 [pii]
ID  - 10.1016/S1701-2163(16)34119-6 [doi]
PP  - ppublish
LG  - English
DP  - 2009 Mar
EZ  - 2009/05/07 09:00
DA  - 2009/06/19 09:00
DT  - 2009/05/07 09:00
YR  - 2009
ED  - 20090618
RD  - 20171001
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19416567

<464. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19416564
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rowe T
FA  - Rowe, Timothy
TI  - Change in progress.
CM  - Comment in: J Obstet Gynaecol Can. 2009 Aug;31(8):701; PMID: 19777682
SO  - Journal of Obstetrics & Gynaecology Canada: JOGC. 31(3):205-206, 2009 Mar
AS  - J Obstet Gynaecol Can. 31(3):205-206, 2009 Mar
NJ  - Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
VO  - 31
IP  - 3
PG  - 205-206
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101126664
IO  - J Obstet Gynaecol Can
SB  - Index Medicus
CP  - Netherlands
MH  - Abortifacient Agents, Nonsteroidal/tu [Therapeutic Use]
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Methotrexate/tu [Therapeutic Use]
MH  - Minors
MH  - Models, Organizational
MH  - *Patient Transfer
MH  - Pregnancy
MH  - *Pregnancy, Ectopic/dt [Drug Therapy]
MH  - *Ultrasonography, Prenatal/td [Trends]
MH  - *Urinary Incontinence/th [Therapy]
RN  - 0 (Abortifacient Agents, Nonsteroidal)
RN  - YL5FZ2Y5U1 (Methotrexate)
IS  - 1701-2163
IL  - 1701-2163
DI  - S1701-2163(16)34116-0
DO  - https://dx.doi.org/10.1016/S1701-2163(16)34116-0
PT  - Editorial
PT  - Introductory Journal Article
ID  - S1701-2163(16)34116-0 [pii]
ID  - 10.1016/S1701-2163(16)34116-0 [doi]
PP  - ppublish
LG  - English
LG  - French
DP  - 2009 Mar
EZ  - 2009/05/07 09:00
DA  - 2009/06/19 09:00
DT  - 2009/05/07 09:00
YR  - 2009
ED  - 20090618
RD  - 20171001
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19416564

<465. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19138531
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lin F
AU  - Chaboyer W
AU  - Wallis M
FA  - Lin, Frances
FA  - Chaboyer, Wendy
FA  - Wallis, Marianne
IN  - Lin, Frances. School of Nursing and Midwifery, Griffith Health, Griffith University, Gold Coast Campus, QLD 4222, Australia. F.Lin@griffith.edu.au
TI  - A literature review of organisational, individual and teamwork factors contributing to the ICU discharge process. [Review] [67 refs]
SO  - Australian Critical Care. 22(1):29-43, 2009 Feb
AS  - Aust Crit Care. 22(1):29-43, 2009 Feb
NJ  - Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
VO  - 22
IP  - 1
PG  - 29-43
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bh0, 9207852
IO  - Aust Crit Care
SB  - Nursing Journal
CP  - Australia
MH  - Efficiency, Organizational
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Organizational Policy
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Discharge
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Risk Management
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.
AB  - 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.
AB  - 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.
AB  - 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. [References: 67]
IS  - 1036-7314
IL  - 1036-7314
DO  - https://dx.doi.org/10.1016/j.aucc.2008.11.001
PT  - Journal Article
PT  - Review
ID  - S1036-7314(08)00171-9 [pii]
ID  - 10.1016/j.aucc.2008.11.001 [doi]
PP  - ppublish
PH  - 2008/06/20 [received]
PH  - 2008/09/12 [revised]
PH  - 2008/11/27 [accepted]
LG  - English
EP  - 20090110
DP  - 2009 Feb
EZ  - 2009/01/14 09:00
DA  - 2009/06/11 09:00
DT  - 2009/01/14 09:00
YR  - 2009
ED  - 20090610
RD  - 20090630
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19138531

<466. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19136157
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dauman R
AU  - Roussey M
AU  - Belot V
AU  - Denoyelle F
AU  - Roman S
AU  - Gavilan-Cellie I
AU  - Ruzza-Surroca I
AU  - Calmels MN
AU  - Lina-Granade G
AU  - Houssin E
AU  - Charlemagne A
AU  - Garabedian N
FA  - Dauman, Rene
FA  - Roussey, Michel
FA  - Belot, Veronique
FA  - Denoyelle, Francoise
FA  - Roman, Stephane
FA  - Gavilan-Cellie, Isabelle
FA  - Ruzza-Surroca, Isabelle
FA  - Calmels, Marie-Noelle
FA  - Lina-Granade, Genevieve
FA  - Houssin, Elise
FA  - Charlemagne, Agnes
FA  - Garabedian, Noel
IN  - Dauman, Rene. CHU de Bordeaux, Universite de Bordeaux, Service ORL, Unite medicale d'Audiologie, 33076 Bordeaux, France. rene.dauman@chu-bordeaux.fr
TI  - Screening to detect permanent childhood hearing impairment in neonates transferred from the newborn nursery.
SO  - International Journal of Pediatric Otorhinolaryngology. 73(3):457-65, 2009 Mar
AS  - Int J Pediatr Otorhinolaryngol. 73(3):457-65, 2009 Mar
NJ  - International journal of pediatric otorhinolaryngology
VO  - 73
IP  - 3
PG  - 457-65
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - gs2, 8003603
IO  - Int. J. Pediatr. Otorhinolaryngol.
SB  - Index Medicus
CP  - Ireland
MH  - Evoked Potentials, Auditory, Brain Stem
MH  - Hearing Loss/cn [Congenital]
MH  - *Hearing Loss/di [Diagnosis]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Neonatal Screening
MH  - Nurseries, Hospital
MH  - Patient Discharge
AB  - OBJECTIVES: The focus of this report is hearing screening of newborns transferred from the regular nursery to a specialized area. The purpose of the study undertaken was: (1) to determine whether screening coverage in this population was achieved; (2) to establish whether the linkage between neonatal screening and the diagnostic follow-up was carried out correctly; (3) to better determine the incidence of permanent childhood hearing impairment (PCHI) in this at-risk population.
AB  - METHODS: Six population centres averaging 12,000 births annually participated (Bordeaux, Lille, Paris, Marseille, Toulouse and Lyon). Automated auditory brainstem response (AABR) (Natus ALGO 3i) screening was performed in two stages: i.e. infants with initial "positive" results were screened a second time using the same technique. Of the 117,103 babies born during the study period, 4972 neonates were "transferred" and comprised the population for this report (4.2% of the total births).
AB  - RESULTS AND DISCUSSION: Screening results for 4972 "transferred" neonates were compared with those of non-transferred neonates (N=112,131). Screening coverage of eligible infants was significantly lower (75.4%) in "transferred" neonates (3750 infants screened) compared to 97.5% coverage of non-transferred neonates (109,349 infants screened). The rate of positive results after the first stage AABR was higher in the "transferred" population (11.1%) than in the non-transferred population (6.5%). Of the 415 "transferred" newborns with initial positive screens, 91.3% were rechecked as stipulated in the project protocol. The second pre-discharge AABR ascertained that in half of the cases auditory function had normalized in the day. Of the 183 "transferred" infants whose result remained suspect at the conclusion of both stages of the neonatal screen (4.9% of the tested population), only 70.5% returned to the audiology centre for diagnostic follow-up. The incidence of bilateral PCHI was markedly higher (4/1000) in "transferred" infants than in the non-transferred population (1.08/1000).
AB  - CONCLUSIONS: The difficulty of obtaining universal screening coverage in "transferred" infants was, unfortunately, verified in this prospective, multicentre study. Further, the diversity of our "transferred" population was not much greater than that revealed by careful analysis of published hearing screening studies in neonatal intensive care unit (NICU) infants. The influence of risk factors and their more or less complex combinations is apparent.
ES  - 1872-8464
IL  - 0165-5876
DO  - https://dx.doi.org/10.1016/j.ijporl.2008.12.001
PT  - Journal Article
PT  - Multicenter Study
ID  - S0165-5876(08)00584-3 [pii]
ID  - 10.1016/j.ijporl.2008.12.001 [doi]
PP  - ppublish
PH  - 2008/08/15 [received]
PH  - 2008/12/02 [revised]
PH  - 2008/12/02 [accepted]
LG  - English
EP  - 20090110
DP  - 2009 Mar
EZ  - 2009/01/13 09:00
DA  - 2009/06/10 09:00
DT  - 2009/01/13 09:00
YR  - 2009
ED  - 20090609
RD  - 20090202
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19136157

<467. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19373045
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Zimmerman JE
FA  - Zimmerman, Jack E
TI  - Intensive care unit occupancy: making room for more patients.
CM  - Comment on: Crit Care Med. 2009 May;37(5):1545-57; PMID: 19325466
SO  - Critical Care Medicine. 37(5):1794-5, 2009 May
AS  - Crit Care Med. 37(5):1794-5, 2009 May
NJ  - Critical care medicine
VO  - 37
IP  - 5
PG  - 1794-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Bed Occupancy/sn [Statistics & Numerical Data]
MH  - Critical Care/mt [Methods]
MH  - Critical Care/sn [Statistics & Numerical Data]
MH  - Female
MH  - Hospital Bed Capacity
MH  - Humans
MH  - *Intensive Care Units/ut [Utilization]
MH  - Male
MH  - Needs Assessment
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Sensitivity and Specificity
MH  - Total Quality Management
MH  - Workload
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e3181a0956a
PT  - Comment
PT  - Editorial
ID  - 10.1097/CCM.0b013e3181a0956a [doi]
ID  - 00003246-200905000-00036 [pii]
PP  - ppublish
LG  - English
DP  - 2009 May
EZ  - 2009/04/18 09:00
DA  - 2009/05/06 09:00
DT  - 2009/04/18 09:00
YR  - 2009
ED  - 20090505
RD  - 20090417
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19373045

<468. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19261111
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hosono S
AU  - Ohno T
AU  - Kimoto H
AU  - Shimizu M
AU  - Takahashi S
AU  - Harada K
FA  - Hosono, Shigeharu
FA  - Ohno, Tsutomu
FA  - Kimoto, Hirofumi
FA  - Shimizu, Masaki
FA  - Takahashi, Shigeru
FA  - Harada, Kensuke
IN  - Hosono, Shigeharu. Division of Neonatology Saitama Children's Medical Center, Saitama, Japan. hosonos@med.nihon-u.ac.jp
TI  - Predictive factors for survival for out-born infants born between 23 and 24 weeks of gestation in the post-surfactant era: fourteen years' experience in a single neonatal care unit, 1987-2000.
SO  - Pediatrics International. 50(5):640-3, 2008 Oct
AS  - Pediatr Int. 50(5):640-3, 2008 Oct
NJ  - Pediatrics international : official journal of the Japan Pediatric Society
VO  - 50
IP  - 5
PG  - 640-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - db6, 100886002
IO  - Pediatr Int
SB  - Index Medicus
CP  - Australia
MH  - Birth Weight
MH  - Cause of Death
MH  - Female
MH  - Gestational Age
MH  - Humans
MH  - Infant, Extremely Low Birth Weight
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Infant, Premature, Diseases/bl [Blood]
MH  - Infant, Premature, Diseases/di [Diagnosis]
MH  - *Infant, Premature, Diseases/dt [Drug Therapy]
MH  - *Infant, Premature, Diseases/mo [Mortality]
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Intensive Care, Neonatal/mt [Methods]
MH  - *Intensive Care, Neonatal/sn [Statistics & Numerical Data]
MH  - Japan
MH  - Male
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Transfer
MH  - Predictive Value of Tests
MH  - *Pulmonary Surfactants/tu [Therapeutic Use]
MH  - Pulmonary Ventilation
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Survival Analysis
MH  - Treatment Outcome
AB  - BACKGROUND: The purpose of the present paper was to identify the predictive factors for survival for out-born infants born between 23 and 24 weeks of gestation.
AB  - METHODS: Ninety-two infants born between 23 and 24 weeks' gestation who were admitted to a level III neonatal intensive care unit from 1987 to 2000, were retrospectively studied. Survival was defined as discharge from the neonatal intensive care unit. Logistic regression was done to determine which clinical factors were most predictive of survival. The independent variables that were entered into the models were determined by preliminary univariate analysis.
AB  - RESULTS: Ninety-two infants were enrolled in the present study, 49 of whom survived in the surfactant era. The four variables that were found to be most predictive for survival on logistic regression were systolic blood pressure at 6 h (odds ratio [OR], 1.3; 95% confidence interval [CI]: 1.11-1.44 1 mmHg), ventilatory index < 0.047 (OR, 4.8; 95%CI: 1.07-21.65), initial hemoglobin value (OR, 1.6; 95%CI: 1.09-2.34/1 g/dL), and base excess at 6 h (OR, 2.1; 95%CI: 1.08-1.84/5 mEq/L).
AB  - CONCLUSIONS: A total of 53.2% of infants delivered between 23 and 24 weeks of gestation survived at discharge after introduction of surfactant replacement therapy. Early cardiopulmonary adaptation and initial hemoglobin value are key factors for survival in infants born at 23-24 weeks of gestation.
RN  - 0 (Pulmonary Surfactants)
ES  - 1442-200X
IL  - 1328-8067
DO  - https://dx.doi.org/10.1111/j.1442-200X.2008.02640.x
PT  - Journal Article
ID  - PED2640 [pii]
ID  - 10.1111/j.1442-200X.2008.02640.x [doi]
PP  - ppublish
LG  - English
DP  - 2008 Oct
EZ  - 2009/03/06 09:00
DA  - 2009/05/02 09:00
DT  - 2009/03/06 09:00
YR  - 2008
ED  - 20090501
RD  - 20160511
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19261111

<469. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19238894
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kolker A
FA  - Kolker, Alexander
IN  - Kolker, Alexander. Froedtert Hospital, Milwaukee, WI, USA. alexanderkolker@yahoo.com
TI  - Process modeling of ICU patient flow: effect of daily load leveling of elective surgeries on ICU diversion.
SO  - Journal of Medical Systems. 33(1):27-40, 2009 Feb
AS  - J Med Syst. 33(1):27-40, 2009 Feb
NJ  - Journal of medical systems
VO  - 33
IP  - 1
PG  - 27-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - izm, 7806056
IO  - J Med Syst
SB  - Index Medicus
CP  - United States
MH  - Computer Simulation
MH  - *Elective Surgical Procedures/sn [Statistics & Numerical Data]
MH  - Emergency Service, Hospital
MH  - Hospital Bed Capacity
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Models, Organizational
MH  - Patient Admission
MH  - Patient Transfer
MH  - Personnel Staffing and Scheduling
MH  - Resource Allocation
AB  - Despite the considerable number of publications on ICU patient flow and analysis of its variability, a basic and practically important question remained unanswered: what maximum number of elective surgeries per day should be scheduled (along with the competing demand from emergency surgeries) in order to reduce diversion in an ICU with fixed bed capacity to an acceptable low level, or prevent it at all? The goal of this work was to develop a methodology to answer this question. An ICU patient flow simulation model was developed to establish a quantitative link between the daily load leveling of elective surgeries (elective schedule smoothing) and ICU diversion. It was demonstrated that by scheduling not more than four elective surgeries per day ICU diversion due to 'no ICU beds' would be practically eliminated. However this would require bumping 'extra' daily surgeries to the block time day of another week which could be up to 2 months apart. Because not all patients could wait that long for their elective surgery, another more practical scenario was tested that would also result in a very low ICU diversion: bumping 'extra' daily elective surgeries within less than 2 weeks apart, scheduling not more than five elective surgeries per day, and strict adherence to the ICU admission/ discharge criteria.
IS  - 0148-5598
IL  - 0148-5598
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2009 Feb
EZ  - 2009/02/26 09:00
DA  - 2009/04/22 09:00
DT  - 2009/02/26 09:00
YR  - 2009
ED  - 20090421
RD  - 20171027
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19238894

<470. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18632999
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Huang T
AU  - Moon-Grady AJ
AU  - Traugott C
AU  - Marcin J
FA  - Huang, Tannie
FA  - Moon-Grady, Anita J
FA  - Traugott, Craig
FA  - Marcin, James
IN  - Huang, Tannie. University of California Davis Children's Hospital, Sacramento, California, USA.
TI  - The availability of telecardiology consultations and transfer patterns from a remote neonatal intensive care unit.
SO  - Journal of Telemedicine & Telecare. 14(5):244-8, 2008
AS  - J Telemed Telecare. 14(5):244-8, 2008
NJ  - Journal of telemedicine and telecare
VO  - 14
IP  - 5
PG  - 244-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9506702, cpj
IO  - J Telemed Telecare
SB  - Index Medicus
CP  - England
MH  - California
MH  - Cardiology Service, Hospital/sn [Statistics & Numerical Data]
MH  - Health Services Accessibility
MH  - *Heart Defects, Congenital/dg [Diagnostic Imaging]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Teleradiology/mt [Methods]
MH  - Ultrasonography
MH  - Unnecessary Procedures/sn [Statistics & Numerical Data]
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.
ES  - 1758-1109
IL  - 1357-633X
DO  - https://dx.doi.org/10.1258/jtt.2008.080102
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 14/5/244 [pii]
ID  - 10.1258/jtt.2008.080102 [doi]
PP  - ppublish
LG  - English
DP  - 2008
EZ  - 2008/07/18 09:00
DA  - 2009/04/18 09:00
DT  - 2008/07/18 09:00
YR  - 2008
ED  - 20090417
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18632999

<471. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19156389
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Low M
AU  - Jaschinski U
FA  - Low, M
FA  - Jaschinski, U
IN  - Low, M. Klinik fur Anasthesiologie und Operative Intensivmedizin, Klinikum Augsburg, Stenglinstr. 2, 86156 Augsburg, Deutschland. markus.loew@klinikum-augsburg.de
TI  - [Intrahospital transport of critically ill patients]. [Review] [3 refs] [German]
OT  - Innerklinischer Transport des kritisch kranken Patienten.
SO  - Anaesthesist. 58(1):95-105; quiz 106-7, 2009 Jan
AS  - Anaesthesist. 58(1):95-105; quiz 106-7, 2009 Jan
NJ  - Der Anaesthesist
VO  - 58
IP  - 1
PG  - 95-105; quiz 106-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4my, 0370525
IO  - Anaesthesist
SB  - Index Medicus
CP  - Germany
MH  - Animals
MH  - Critical Care/ma [Manpower]
MH  - Critical Care/st [Standards]
MH  - *Critical Care
MH  - *Critical Illness
MH  - Emergency Medical Services
MH  - Humans
MH  - Infection/co [Complications]
MH  - Tomography, X-Ray Computed
MH  - *Transportation of Patients
MH  - Wounds and Injuries/th [Therapy]
AB  - Transport of critically ill patients from the ICU for diagnostic and therapeutic purposes (e.g. CT, endoscopy, radiological catheter-assisted interventions) is a challenge and has steadily increased over the years. After risk-benefit analysis careful planning is the first step in minimizing the risk of complications. Knowledge and skillful handling of the transport equipment is mandatory to avoid life-threatening incidents as monitoring and therapy have to be continued during the transport. Proper education and experience in critical care medicine are additional characteristics of the transport team. When these prerequisites are fulfilled a "non-transportable" patient is just as unlikely as a "non-anesthetizable" patient. [References: 3]
ES  - 1432-055X
IL  - 0003-2417
DO  - https://dx.doi.org/10.1007/s00101-008-1499-3
PT  - English Abstract
PT  - Journal Article
PT  - Review
ID  - 10.1007/s00101-008-1499-3 [doi]
PP  - ppublish
LG  - German
DP  - 2009 Jan
EZ  - 2009/01/22 09:00
DA  - 2009/04/11 09:00
DT  - 2009/01/22 09:00
YR  - 2009
ED  - 20090410
RD  - 20170916
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19156389

<472. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19265091
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Iwashyna TJ
AU  - Christie JD
AU  - Kahn JM
AU  - Asch DA
FA  - Iwashyna, Theodore J
FA  - Christie, Jason D
FA  - Kahn, Jeremy M
FA  - Asch, David A
IN  - Iwashyna, Theodore J. Division of Pulmonary and Critical Care, Department of Medicine, University of Michigan, Ann Arbor, MI. Electronic address: tiwashyn@umich.edu.
IN  - Christie, Jason D. Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, Philadelphia, PA.
IN  - Kahn, Jeremy M. Department of Medicine and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
IN  - Asch, David A. Department of Medicine and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
TI  - Uncharted paths: hospital networks in critical care.
SO  - Chest. 135(3):827-833, 2009 Mar
AS  - Chest. 135(3):827-833, 2009 Mar
NJ  - Chest
VO  - 135
IP  - 3
PG  - 827-833
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0231335, d1c
IO  - Chest
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2692049
OI  - Source: NLM. NIHMS106452
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Illness/th [Therapy]
MH  - Health Facility Closure
MH  - Hospital Mortality
MH  - *Hospitals/cl [Classification]
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - *Patient Transfer
MH  - *Quality of Health Care
MH  - *Regional Medical Programs
AB  - Wide variation between hospitals in the quality of critical care lead to many potentially avoidable deaths. Regionalization of critical care is a possible solution; regionalization has been implemented for trauma and neonatal intensive care, and it is under active discussion for medical and cardiac critical care. However, regionalization is only one possible approach to reorganizing critical care services. This commentary introduces the technique of network analysis as a framework for the following: (1) understanding how critically ill patients move between hospitals, (2) defining the roles hospitals play in regional care delivery, and (3) suggesting systematic improvements that may benefit population health. We examined transfers of critically ill Medicare patients in Connecticut in 2005 as a model system. We found that patients are systematically transferred to more capable hospitals. However, we find the standard distinction of hospitals into either "secondary hospitals" or "tertiary hospitals" poorly explains observed transfer patterns; instead, hospitals show a continuum of roles. We further examine the implications of the network pattern in a simulation of quarantine of a hospital to incoming transfers, as occurred during the severe acute respiratory syndrome epidemic. Network perspectives offer new ways to study systems to care for critically ill patients and provide additional tools for addressing pragmatic problems in triage and bed management, regionalization, quality improvement, and disaster preparedness.
ES  - 1931-3543
IL  - 0012-3692
DI  - S0012-3692(09)60210-5
DO  - https://dx.doi.org/10.1378/chest.08-1052
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
ID  - S0012-3692(09)60210-5 [pii]
ID  - 10.1378/chest.08-1052 [doi]
ID  - PMC2692049 [pmc]
ID  - NIHMS106452 [mid]
PP  - ppublish
GI  - No: 5T32 HL 007891
Organization: (HL) *NHLBI NIH HHS*
Country: United States

GI  - No: 1K08 HL 091249-01
Organization: (HL) *NHLBI NIH HHS*
Country: United States

GI  - No: T32 HL007891
Organization: (HL) *NHLBI NIH HHS*
Country: United States

GI  - No: K08 HL091249
Organization: (HL) *NHLBI NIH HHS*
Country: United States

GI  - No: K08 HL091249-01
Organization: (HL) *NHLBI NIH HHS*
Country: United States
LG  - English
DP  - 2009 Mar
EZ  - 2009/03/07 09:00
DA  - 2009/04/10 09:00
DT  - 2009/03/07 09:00
YR  - 2009
ED  - 20090409
RD  - 20170529
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19265091

<473. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18675595
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Barrett NA
AU  - Yentis SM
FA  - Barrett, N A
FA  - Yentis, S M
IN  - Barrett, N A. Guy's and St Thomas' Hospitals, Lambeth Palace Road, London SE1 7EH, UK. nicholas.barrett@gstt.nhs.uk
TI  - Outreach in obstetric critical care. [Review] [65 refs]
SO  - Best Practice & Research in Clinical Obstetrics & Gynaecology. 22(5):885-98, 2008 Oct
AS  - Best Pract Res Clin Obstet Gynaecol. 22(5):885-98, 2008 Oct
NJ  - Best practice & research. Clinical obstetrics & gynaecology
VO  - 22
IP  - 5
PG  - 885-98
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 100890322, dhz, d44, 101121582
IO  - Best Pract Res Clin Obstet Gynaecol
SB  - Index Medicus
CP  - Netherlands
MH  - *Critical Care/og [Organization & Administration]
MH  - Female
MH  - Humans
MH  - Models, Organizational
MH  - Monitoring, Physiologic/is [Instrumentation]
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Pregnancy
MH  - *Pregnancy Complications/th [Therapy]
MH  - Severity of Illness Index
MH  - Time Factors
AB  - The present chapter considers the evolving role of critical care outreach in the general hospital setting and applied to obstetric patients, the mechanics of transferring critically ill obstetric patients to critical care and radiology areas, the scoring systems in use in critical care, and the difficulties in applying these scoring systems to obstetric patients. [References: 65]
ES  - 1532-1932
IL  - 1521-6934
DO  - https://dx.doi.org/10.1016/j.bpobgyn.2008.06.008
PT  - Journal Article
PT  - Review
ID  - S1521-6934(08)00086-2 [pii]
ID  - 10.1016/j.bpobgyn.2008.06.008 [doi]
PP  - ppublish
LG  - English
EP  - 20080803
DP  - 2008 Oct
EZ  - 2008/08/05 09:00
DA  - 2009/04/08 09:00
DT  - 2008/08/05 09:00
YR  - 2008
ED  - 20090407
RD  - 20080908
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18675595

<474. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19218016
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Uren B
AU  - Lowell MJ
AU  - Silbergleit R
FA  - Uren, Bradley
FA  - Lowell, Mark J
FA  - Silbergleit, Robert
IN  - Uren, Bradley. Department of Emergency Medicine and Survival Flight, University of Michigan, Ann Arbor, MI, USA. bguren@umich.edu
TI  - Critical care transport of patients who have acute neurological emergencies. [Review] [21 refs]
SO  - Emergency Medicine Clinics of North America. 27(1):17-26, vii, 2009 Feb
AS  - Emerg Med Clin North Am. 27(1):17-26, vii, 2009 Feb
NJ  - Emergency medicine clinics of North America
VO  - 27
IP  - 1
PG  - 17-26, vii
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - egd, 8219565
IO  - Emerg. Med. Clin. North Am.
SB  - Index Medicus
CP  - United States
MH  - *Brain Injuries/th [Therapy]
MH  - Carbon Dioxide/an [Analysis]
MH  - Coma/th [Therapy]
MH  - *Critical Care
MH  - Emergencies
MH  - Emergency Medical Services
MH  - Fibrinolytic Agents/tu [Therapeutic Use]
MH  - Humans
MH  - Hypothermia, Induced
MH  - Monitoring, Physiologic
MH  - *Stroke/th [Therapy]
MH  - Tissue Plasminogen Activator/tu [Therapeutic Use]
MH  - Transportation of Patients/ec [Economics]
MH  - *Transportation of Patients
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. [References: 21]
RN  - 0 (Fibrinolytic Agents)
RN  - 142M471B3J (Carbon Dioxide)
RN  - EC 3-4-21-68 (Tissue Plasminogen Activator)
ES  - 1558-0539
IL  - 0733-8627
DO  - https://dx.doi.org/10.1016/j.emc.2008.09.001
PT  - Journal Article
PT  - Review
ID  - S0733-8627(08)00094-1 [pii]
ID  - 10.1016/j.emc.2008.09.001 [doi]
PP  - ppublish
LG  - English
DP  - 2009 Feb
EZ  - 2009/02/17 09:00
DA  - 2009/04/01 09:00
DT  - 2009/02/17 09:00
YR  - 2009
ED  - 20090331
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19218016

<475. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19040950
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chwals WJ
AU  - Robinson AV
AU  - Sivit CJ
AU  - Alaedeen D
AU  - Fitzenrider E
AU  - Cizmar L
FA  - Chwals, Walter J
FA  - Robinson, Ann V
FA  - Sivit, Carlos J
FA  - Alaedeen, Diya
FA  - Fitzenrider, Ellen
FA  - Cizmar, Laura
IN  - Chwals, Walter J. Division of Pediatric Surgery, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA. walter.chwals@case.edu
TI  - Computed tomography before transfer to a level I pediatric trauma center risks duplication with associated increased radiation exposure.
SO  - Journal of Pediatric Surgery. 43(12):2268-72, 2008 Dec
AS  - J Pediatr Surg. 43(12):2268-72, 2008 Dec
NJ  - Journal of pediatric surgery
VO  - 43
IP  - 12
PG  - 2268-72
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - jmj, 0052631
IO  - J. Pediatr. Surg.
SB  - Index Medicus
CP  - United States
MH  - *Abdominal Injuries/dg [Diagnostic Imaging]
MH  - Abdominal Injuries/ep [Epidemiology]
MH  - Child
MH  - Child, Preschool
MH  - Compact Disks
MH  - *Craniocerebral Trauma/dg [Diagnostic Imaging]
MH  - Craniocerebral Trauma/ep [Epidemiology]
MH  - Equipment Failure
MH  - Female
MH  - Forms and Records Control
MH  - Glasgow Coma Scale
MH  - Hospitals, Community/sn [Statistics & Numerical Data]
MH  - *Hospitals, Community
MH  - Hospitals, Pediatric/sn [Statistics & Numerical Data]
MH  - *Hospitals, Pediatric
MH  - Humans
MH  - Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Patient Transfer
MH  - Radiation Dosage
MH  - Radiology Information Systems
MH  - Retrospective Studies
MH  - Tomography, X-Ray Computed/ae [Adverse Effects]
MH  - Tomography, X-Ray Computed/st [Standards]
MH  - *Tomography, X-Ray Computed/ut [Utilization]
MH  - Trauma Centers/sn [Statistics & Numerical Data]
MH  - *Trauma Centers
MH  - Trauma Severity Indices
MH  - *Unnecessary Procedures
AB  - INTRODUCTION: Community hospitals commonly obtain computed tomographic (CT) imaging of pediatric trauma patients before triaging to a level I pediatric trauma center (PTC). This practice potentially increases radiation exposure when imaging must be duplicated after transfer.
AB  - METHODS: A retrospective review of our level 1 PTC registry from January 1, 2004, to December 31, 2006, was conducted. Level I and II trauma patients were grouped based on whether they had undergone outside CT examination (head and/or abdomen) at a referring hospital (group 1) or received initial CT examination at our institution (group 2). Subgroups were analyzed based on whether duplicate CT examination was required at our PTC (Fischer's Exact test).
AB  - RESULTS: A duplicate CT scan (within 4 hours of transfer) was required in 91% (30/33) of group 1 transfer patients, whereas no group 2 patient required a duplicate scan (0/55; P < .0001). There was no significant difference within the groups for weight, age, or intensive care unit length of stay.
AB  - CONCLUSION: A significant number of pediatric trauma patients who receive CT scans at referring hospitals before transfer to our level I PTC require duplicate scans of the same anatomical field(s) after transfer, exposing them to increase potential clinical risk and cost.
ES  - 1531-5037
IL  - 0022-3468
DO  - https://dx.doi.org/10.1016/j.jpedsurg.2008.08.061
PT  - Journal Article
ID  - S0022-3468(08)00760-4 [pii]
ID  - 10.1016/j.jpedsurg.2008.08.061 [doi]
PP  - ppublish
PH  - 2008/08/27 [received]
PH  - 2008/08/29 [accepted]
LG  - English
DP  - 2008 Dec
EZ  - 2008/12/02 09:00
DA  - 2009/03/26 09:00
DT  - 2008/12/02 09:00
YR  - 2008
ED  - 20090325
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19040950

<476. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19199183
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - El Solh AA
FA  - El Solh, Ali A
IN  - El Solh, Ali A. Western New York Respiratory Research Center, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York 14215-1199, USA. solh@buffalo.edu
TI  - Nursing home-acquired pneumonia. [Review] [87 refs]
SO  - Seminars in Respiratory & Critical Care Medicine. 30(1):16-25, 2009 Feb
AS  - SEMIN. RESPIR. CRIT. CARE MED.. 30(1):16-25, 2009 Feb
NJ  - Seminars in respiratory and critical care medicine
VO  - 30
IP  - 1
PG  - 16-25
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9431858
IO  - Semin Respir Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Advance Directives
MH  - Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Community-Acquired Infections/di [Diagnosis]
MH  - Community-Acquired Infections/dt [Drug Therapy]
MH  - Community-Acquired Infections/mi [Microbiology]
MH  - Community-Acquired Infections/pc [Prevention & Control]
MH  - Cross Infection/di [Diagnosis]
MH  - Cross Infection/dt [Drug Therapy]
MH  - Cross Infection/mi [Microbiology]
MH  - *Cross Infection/pc [Prevention & Control]
MH  - Drug Resistance, Multiple, Bacterial
MH  - Hospitalization
MH  - Humans
MH  - Intensive Care Units
MH  - *Nursing Homes
MH  - Patient Transfer
MH  - Pneumonia/di [Diagnosis]
MH  - Pneumonia/dt [Drug Therapy]
MH  - Pneumonia/mi [Microbiology]
MH  - *Pneumonia/pc [Prevention & Control]
MH  - Risk Factors
MH  - Vaccination
AB  - Nursing home-acquired pneumonia (NHAP) was first described in 1978. Since then there has been much written regarding NHAP and its management despite the lack of well-designed studies in this patient population. The most characteristic features of patients with NHAP are the atypical presentation, which may lead to delay in diagnosis and therapy. The microbial etiology of pneumonia encompasses a wide spectrum that spans microbes recovered from patients with community-acquired pneumonia to organisms considered specific only to nosocomial settings. Decision to transfer a nursing home patient to an acute care facility depends on a host of factors, which include the level of staffing available at the nursing home, patients' advance directives, and complexity of treatment. The presence of risk factors for multidrug-resistant pathogens dictates approach to therapy. Prevention remains the cornerstone of reducing the incidence of disease. Despite the advance in medical services, mortality from NHAP remains high. [References: 87]
RN  - 0 (Anti-Bacterial Agents)
ES  - 1098-9048
IL  - 1069-3424
DO  - https://dx.doi.org/10.1055/s-0028-1119805
PT  - Journal Article
PT  - Review
ID  - 10.1055/s-0028-1119805 [doi]
PP  - ppublish
LG  - English
EP  - 20090206
DP  - 2009 Feb
EZ  - 2009/02/10 09:00
DA  - 2009/03/17 09:00
DT  - 2009/02/10 09:00
YR  - 2009
ED  - 20090316
RD  - 20090209
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19199183

<477. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19117537
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Leslie GD
FA  - Leslie, Gavin D
TI  - Knowledge transfer and practice change.
CM  - Comment on: Aust Crit Care. 2008 Nov;21(4):200-15; PMID: 18922699
SO  - Australian Critical Care. 21(4):175-6, 2008 Nov
AS  - Aust Crit Care. 21(4):175-6, 2008 Nov
NJ  - Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
VO  - 21
IP  - 4
PG  - 175-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bh0, 9207852
IO  - Aust Crit Care
SB  - Nursing Journal
CP  - Australia
MH  - Australia
MH  - *Critical Care
MH  - Humans
MH  - Intensive Care Units
MH  - *Nursing Care
MH  - *Technology Transfer
IS  - 1036-7314
IL  - 1036-7314
DO  - https://dx.doi.org/10.1016/j.aucc.2008.10.001
PT  - Comment
PT  - Editorial
ID  - S1036-7314(08)00142-2 [pii]
ID  - 10.1016/j.aucc.2008.10.001 [doi]
PP  - ppublish
LG  - English
DP  - 2008 Nov
EZ  - 2009/01/02 09:00
DA  - 2009/03/06 09:00
DT  - 2009/01/02 09:00
YR  - 2008
ED  - 20090305
RD  - 20090101
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19117537

<478. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19116393
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Morris PE
FA  - Morris, Peter E
TI  - Assessing ICU transfers at night: a call to reduce mortality and readmission risk.
SO  - American Journal of Critical Care. 18(1):6-8, 2009 Jan
AS  - Am J Crit Care. 18(1):6-8, 2009 Jan
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 18
IP  - 1
PG  - 6-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units
MH  - *Night Care
MH  - *Patient Readmission
MH  - *Patient Transfer/st [Standards]
MH  - Personnel Staffing and Scheduling
MH  - Personnel, Hospital/sd [Supply & Distribution]
MH  - Risk Factors
MH  - Time Factors
IS  - 1062-3264
IL  - 1062-3264
DO  - https://dx.doi.org/10.4037/ajcc2009944
PT  - Editorial
ID  - 18/1/6 [pii]
ID  - 10.4037/ajcc2009944 [doi]
PP  - ppublish
LG  - English
DP  - 2009 Jan
EZ  - 2009/01/01 09:00
DA  - 2009/02/27 09:00
DT  - 2009/01/01 09:00
YR  - 2009
ED  - 20090226
RD  - 20081231
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19116393

<479. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18657975
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Linton S
AU  - Grant C
AU  - Pellegrini J
FA  - Linton, Sophie
FA  - Grant, Chelsea
FA  - Pellegrini, Juliet
IN  - Linton, Sophie. PICU Liaison Nurse, c/o Intensive Care Unit, Royal Children's Hospital, Flemington Road, Parkville 3052, Australia. sophie.linton@rch.org.au
TI  - Supporting families through discharge from PICU to the ward: the development and evaluation of a discharge information brochure for families.
SO  - Intensive & Critical Care Nursing. 24(6):329-37, 2008 Dec
AS  - Intensive Crit Care Nurs. 24(6):329-37, 2008 Dec
NJ  - Intensive & critical care nursing
VO  - 24
IP  - 6
PG  - 329-37
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Anxiety/et [Etiology]
MH  - Anxiety/pc [Prevention & Control]
MH  - *Attitude to Health
MH  - Communication
MH  - Comprehension
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Needs Assessment
MH  - Nurse Clinicians/og [Organization & Administration]
MH  - Nurse Clinicians/px [Psychology]
MH  - Nurse's Role
MH  - Nursing Evaluation Research
MH  - Pamphlets
MH  - Parents/ed [Education]
MH  - Parents/px [Psychology]
MH  - *Parents
MH  - *Patient Transfer
MH  - Professional-Patient Relations
MH  - Social Support
MH  - Surveys and Questionnaires
MH  - *Teaching Materials/st [Standards]
MH  - Victoria
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.
AB  - 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.
AB  - 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.
IS  - 0964-3397
IL  - 0964-3397
DO  - https://dx.doi.org/10.1016/j.iccn.2008.06.002
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0964-3397(08)00068-2 [pii]
ID  - 10.1016/j.iccn.2008.06.002 [doi]
PP  - ppublish
PH  - 2008/02/17 [received]
PH  - 2008/06/08 [revised]
PH  - 2008/06/15 [accepted]
LG  - English
EP  - 20080726
DP  - 2008 Dec
EZ  - 2008/07/29 09:00
DA  - 2009/02/13 09:00
DT  - 2008/07/29 09:00
YR  - 2008
ED  - 20090212
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18657975

<480. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18554911
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pirret AM
FA  - Pirret, Alison M
IN  - Pirret, Alison M. Department of Intensive Care Medicine, Middlemore Hospital, New Zealand. Pirret@xtra.co.nz
TI  - The role and effectiveness of a nurse practitioner led critical care outreach service.
SO  - Intensive & Critical Care Nursing. 24(6):375-82, 2008 Dec
AS  - Intensive Crit Care Nurs. 24(6):375-82, 2008 Dec
NJ  - Intensive & critical care nursing
VO  - 24
IP  - 6
PG  - 375-82
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - APACHE
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Critical Care/og [Organization & Administration]
MH  - Emergencies/ep [Epidemiology]
MH  - *Emergencies/nu [Nursing]
MH  - Hospital Mortality
MH  - Humans
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Middle Aged
MH  - New Zealand/ep [Epidemiology]
MH  - Nurse Practitioners/ed [Education]
MH  - *Nurse Practitioners/og [Organization & Administration]
MH  - *Nurse's Role
MH  - Nursing Evaluation Research
MH  - Outcome Assessment (Health Care)
MH  - Patient Readmission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Professional Autonomy
MH  - Referral and Consultation
AB  - Research measuring the effectiveness of critical care outreach (CCOR) has been mixed. The objective of this paper is to describe the role and effectiveness of a nurse practitioner (NP) led critical care outreach service (CCORS). Using a comparative study design, data on the number of intensive care unit (ICU) readmissions <72h were analysed 12 months prior to, and 12 months following implementation of the service. Data was also collected on length of stay and APACHE II scores of ICU readmissions <72h, ICU patient acuity, ICU readmission mortality, and ward medical emergency team (MET) and cardiac arrest calls. Data on NP referrals were collected to identify NP activities. Data analysis was completed using descriptive statistics and run and control charts. There were 133 NP referrals, which resulted in 525 patient visits. The most common interventions completed by the NP during visits included requesting of diagnostic tests and prescribing. Following introduction of the NP CCORS, there was a sustained reduction in ICU readmissions <72h. In conclusion, a NP led CCORS has a positive effect on patient outcomes and supports development of further NP positions.
IS  - 0964-3397
IL  - 0964-3397
DO  - https://dx.doi.org/10.1016/j.iccn.2008.04.007
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0964-3397(08)00050-5 [pii]
ID  - 10.1016/j.iccn.2008.04.007 [doi]
PP  - ppublish
PH  - 2007/12/20 [received]
PH  - 2008/04/07 [revised]
PH  - 2008/04/16 [accepted]
LG  - English
EP  - 20080612
DP  - 2008 Dec
EZ  - 2008/06/17 09:00
DA  - 2009/02/13 09:00
DT  - 2008/06/17 09:00
YR  - 2008
ED  - 20090212
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18554911

<481. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19084150
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Marschall J
FA  - Marschall, Jonas
IN  - Marschall, Jonas. Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO 63110, USA. jmarscha@im.wustl.edu
TI  - Catheter-associated bloodstream infections: looking outside of the ICU.
SO  - American Journal of Infection Control. 36(10):S172.e5-8, 2008 Dec
AS  - Am J Infect Control. 36(10):S172.e5-8, 2008 Dec
NJ  - American journal of infection control
VO  - 36
IP  - 10
PG  - S172.e5-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4t6, 8004854
IO  - Am J Infect Control
SB  - Index Medicus
CP  - United States
MH  - *Bacteremia/ep [Epidemiology]
MH  - Bacteremia/mi [Microbiology]
MH  - Candidiasis/mi [Microbiology]
MH  - *Catheter-Related Infections/ep [Epidemiology]
MH  - Catheter-Related Infections/mi [Microbiology]
MH  - *Catheters, Indwelling/ae [Adverse Effects]
MH  - Catheters, Indwelling/mi [Microbiology]
MH  - Catheters, Indwelling/sn [Statistics & Numerical Data]
MH  - Confidence Intervals
MH  - *Cross Infection/ep [Epidemiology]
MH  - Cross Infection/mi [Microbiology]
MH  - Hospital Mortality
MH  - Hospital Units/sn [Statistics & Numerical Data]
MH  - Hospitals, Teaching
MH  - Humans
MH  - Infection Control
MH  - Intensive Care Units
MH  - Patient Transfer
MH  - Population Surveillance
MH  - Prospective Studies
MH  - Risk Factors
MH  - United States/ep [Epidemiology]
AB  - BACKGROUND: Current recommendations for the prevention of central venous catheter-associated bloodstream infections (CA-BSIs) are mostly based on data from intensive care units (ICUs). The rates of CA-BSIs appear to be higher in non-ICU wards. Until this year, no published data were available on non-ICU CA-BSIs in the United States. This article is a summary of a talk given at an industry-sponsored conference on CA-BSIs. It summarizes an original article of ours previously published in a peer-reviewed journal.
AB  - OBJECTIVE: The objective of this study was to determine the rate of CA-BSIs in non-ICU medical patients by developing a prospective surveillance program in a major tertiary care hospital. All positive blood cultures electronically detected from April 1, 2002, to April 30, 2003, were reviewed and clinical data collected by chart review.
AB  - DEFINITIONS: Catheter utilization ratio = total number of days with a central venous catheter (CVC)/total number of patient-days; catheter-associated BSIs = defined by Centers for Disease Control and Prevention criteria, eg, a patient had to have a catheter at least 48 hours before detection of infection; CA-BSI rate = CA-BSIs/1000 catheter-days.
AB  - RESULTS: The 13-month study included 7337 catheter-days and 33,174 patient-days. The overall catheter-utilization ratio was 0.22 (range, 0.19-0.25). Of 42 cases of CA-BSIs, gram-positive organisms were recovered in 24 (57%); gram-negative bacteria in 7 (17%); and Candida spp in 6 (14%). The CA-BSI rate was 5.7 (95% confidence interval: 3.4-8.0) and varied from 4.3 to 8.0. There were no significant differences in CA-BSI rates among the wards (chi(2) for linear trend, 0.42; P = .52). The overall rate of CA-BSIs decreased steadily during the study period, from 7.8 during the first 6 months to 3.9 during the following 7 months, representing a rate ratio of 0.5 (95% confidence interval: 0.27-0.93).
AB  - CONCLUSION: Benchmark data for hospital infections in the non-ICU setting are starting to become available and efforts to improve care may have greater impact here than in the ICU. Upon patient transfer out of the ICU, it should be determined whether the catheter can be removed. Educational measures targeted at non-ICU wards are warranted. First results of computer-assisted methods to facilitate surveillance of larger number of patients are promising. The Healthcare Infection Control Practices Advisory Committee recommends that CA-BSIs be publicly reported. CA-BSIs in non-ICU patients could soon be part of a mandatory reporting.
ES  - 1527-3296
IL  - 0196-6553
DO  - https://dx.doi.org/10.1016/j.ajic.2008.10.005
PT  - Journal Article
ID  - S0196-6553(08)00790-6 [pii]
ID  - 10.1016/j.ajic.2008.10.005 [doi]
PP  - ppublish
LG  - English
DP  - 2008 Dec
EZ  - 2008/12/17 09:00
DA  - 2009/01/29 09:00
DT  - 2008/12/17 09:00
YR  - 2008
ED  - 20090128
RD  - 20090814
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19084150

<482. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19041533
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Frakes MA
AU  - Lord WR
AU  - Kociszewski C
AU  - Wedel SK
FA  - Frakes, Michael A
FA  - Lord, Wendy R
FA  - Kociszewski, Christine
FA  - Wedel, Suzanne K
IN  - Frakes, Michael A. LIFE STAR/Hartford Hospital, PO Box 5037, Hartford, CT 06102-5037, USA.
TI  - Factors associated with unoffered trauma analgesia in critical care transport.
SO  - American Journal of Emergency Medicine. 27(1):49-54, 2009 Jan
AS  - Am J Emerg Med. 27(1):49-54, 2009 Jan
NJ  - The American journal of emergency medicine
VO  - 27
IP  - 1
PG  - 49-54
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - aa2, 8309942
IO  - Am J Emerg Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Analgesia
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/mt [Methods]
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Pain/dt [Drug Therapy]
MH  - Pain/et [Etiology]
MH  - Retrospective Studies
MH  - Transportation of Patients
MH  - *Wounds and Injuries/co [Complications]
MH  - Young Adult
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.
AB  - 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.
AB  - 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<or=.001). Three factors were associated with absence of analgesic administration: initial pain level (OR for administration, 0.13; 95% CI, 0.04-0.40), pain scale documentation (OR, 0.31; 95% CI, 0.15-0.60), and transport program (OR, 0.36; 95% CI, 0.17-0.74). No clinical factor was associated with analgesia effectiveness in treated patients.
AB  - CONCLUSION: The identified factors may represent opportunities for CCT teams to optimize analgesic treatment.
ES  - 1532-8171
IL  - 0735-6757
DO  - https://dx.doi.org/10.1016/j.ajem.2008.01.005
PT  - Journal Article
ID  - S0735-6757(08)00023-5 [pii]
ID  - 10.1016/j.ajem.2008.01.005 [doi]
PP  - ppublish
PH  - 2007/07/16 [received]
PH  - 2008/01/15 [revised]
PH  - 2008/01/16 [accepted]
LG  - English
DP  - 2009 Jan
EZ  - 2008/12/02 09:00
DA  - 2009/01/03 09:00
DT  - 2008/12/02 09:00
YR  - 2009
ED  - 20090102
RD  - 20081201
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19041533

<483. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 19040477
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Berglund C
AU  - Soderquist B
FA  - Berglund, C
FA  - Soderquist, B
IN  - Berglund, C. Department of Clinical Microbiology, Orebro University Hospital, Orebro, Sweden. carolina.berglund@aleris.se
TI  - The origin of a methicillin-resistant Staphylococcus aureus isolate at a neonatal ward in Sweden-possible horizontal transfer of a staphylococcal cassette chromosome mec between methicillin-resistant Staphylococcus haemolyticus and Staphylococcus aureus.
SO  - Clinical Microbiology & Infection. 14(11):1048-56, 2008 Nov
AS  - Clin Microbiol Infect. 14(11):1048-56, 2008 Nov
NJ  - Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
VO  - 14
IP  - 11
PG  - 1048-56
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dy9, 9516420
IO  - Clin. Microbiol. Infect.
SB  - Index Medicus
CP  - England
MH  - DNA Fingerprinting
MH  - DNA, Bacterial/ch [Chemistry]
MH  - DNA, Bacterial/ge [Genetics]
MH  - Disease Outbreaks
MH  - *Gene Transfer, Horizontal
MH  - Genotype
MH  - Humans
MH  - Intensive Care Units, Neonatal
MH  - *Methicillin Resistance
MH  - Methicillin-Resistant Staphylococcus aureus/cl [Classification]
MH  - *Methicillin-Resistant Staphylococcus aureus/ge [Genetics]
MH  - *Methicillin-Resistant Staphylococcus aureus/ip [Isolation & Purification]
MH  - Molecular Sequence Data
MH  - Sequence Analysis, DNA
MH  - Staphylococcal Infections/ep [Epidemiology]
MH  - *Staphylococcal Infections/mi [Microbiology]
MH  - *Staphylococcus haemolyticus/ge [Genetics]
MH  - Sweden/ep [Epidemiology]
AB  - The first methicillin-resistant Staphylococcus aureus (MRSA) strain originated when a staphylococcal cassette chromosome mec (SCCmec) with the gene mecA was integrated into the chromosome of a susceptible S. aureus cell. The SCCmec elements are common among the coagulase-negative staphylococci, e.g. Staphylococcus haemolyticus, and these are considered to be potential SCCmec donors when new clones of MRSA arise. An outbreak of MRSA occurred at a neonatal intensive-care unit, and the isolates were all of sequence type (ST) 45, as characterized by multilocus sequence typing, but were not typeable with respect to SCCmec types I, II, III or IV. During the same time period, methicillin-resistant S. haemolyticus (MRSH) isolates identified in blood cultures at the same ward were found to be genotypically homogenous by pulsed-field gel electrophoresis, and did not carry a type I, II, III or IV SCCmec either. Thus, the hypothesis was raised that an SCCmec of MRSH had been transferred to a methicillin-susceptible S. aureus strain and thereby created a new clone of MRSA that caused the outbreak. This study showed that MRSA from the outbreak carried a ccrC and a class C mec complex that was also found among MRSH isolates. Partial sequencing of the mec complexes showed more than 99% homology, indicative of a common type V SCCmec. This finding may provide evidence for a recent horizontal transfer of an SCCmec from MRSH to an identified potential recipient, an ST45 methicillin-susceptible S. aureus strain, thereby creating a new clone of MRSA that caused the outbreak.
RN  - 0 (DNA, Bacterial)
ES  - 1469-0691
IL  - 1198-743X
DO  - https://dx.doi.org/10.1111/j.1469-0691.2008.02090.x
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S1198-743X(14)61816-4 [pii]
ID  - 10.1111/j.1469-0691.2008.02090.x [doi]
PP  - ppublish
SI  - GENBANK
SA  - GENBANK/AB437289
SA  - GENBANK/AB437290
LG  - English
DP  - 2008 Nov
EZ  - 2008/12/02 09:00
DA  - 2009/01/03 09:00
DT  - 2008/12/02 09:00
YR  - 2008
ED  - 20090102
RD  - 20081201
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19040477

<484. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18604144
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Son YJ
AU  - Hong SK
AU  - Jun EY
FA  - Son, Youn Jung
FA  - Hong, Sung Kyung
FA  - Jun, Eun Young
IN  - Son, Youn Jung. Department of Nursing, Soonchunhyang University, Cheonan, Korea.
TI  - [Concept analysis of relocation stress: focusing on patients transferred from intensive care unit to general ward]. [Korean]
SO  - Daehan Ganho Haghoeji. 38(3):353-62, 2008 Jun
AS  - Taehan Kanho Hakhoe Chi. 38(3):353-62, 2008 Jun
NJ  - Taehan Kanho Hakhoe chi
VO  - 38
IP  - 3
PG  - 353-62
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101191388
IO  - Taehan Kanho Hakhoe Chi
SB  - Index Medicus
SB  - Nursing Journal
CP  - Korea (South)
MH  - Adaptation, Psychological
MH  - Caregivers
MH  - Concept Formation
MH  - Humans
MH  - *Intensive Care Units
MH  - *Patient Transfer
MH  - Patients' Rooms
MH  - *Stress, Psychological
AB  - PURPOSE: This study was conducted to analyze and clarify the meaning of the concept for relocation stress -focusing on patients transferred from an intensive care unit to a general ward.
AB  - METHODS: This study used Walker and Avant's process of concept analysis.
AB  - RESULTS: Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control.
AB  - CONCLUSION: Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.
IS  - 1598-2874
IL  - 1598-2874
PT  - English Abstract
PT  - Journal Article
ID  - 200806353 [pii]
PP  - ppublish
LG  - Korean
DP  - 2008 Jun
EZ  - 2008/07/08 09:00
DA  - 2009/01/01 09:00
DT  - 2008/07/08 09:00
YR  - 2008
ED  - 20081231
RD  - 20080708
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18604144

<485. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17417623
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lyon F
AU  - Dabbs T
AU  - O'Meara M
FA  - Lyon, F
FA  - Dabbs, T
FA  - O'Meara, M
IN  - Lyon, F. Department of Ophthalmology, St James's University Hospital, Leeds, UK.
TI  - Ketamine sedation during the treatment of retinopathy of prematurity.
CM  - Comment in: Eye (Lond). 2008 Nov;22(11):1450; PMID: 18704125
SO  - Eye. 22(5):684-6, 2008 May
AS  - Eye. 22(5):684-6, 2008 May
NJ  - Eye (London, England)
VO  - 22
IP  - 5
PG  - 684-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - eye, 8703986
IO  - Eye (Lond)
SB  - Index Medicus
CP  - England
MH  - Anesthetics, Dissociative/ae [Adverse Effects]
MH  - *Anesthetics, Dissociative
MH  - Child, Preschool
MH  - *Conscious Sedation/mt [Methods]
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Ketamine/ae [Adverse Effects]
MH  - *Ketamine
MH  - Male
MH  - Pulmonary Ventilation
MH  - Retinal Diseases/su [Surgery]
MH  - *Retinopathy of Prematurity/su [Surgery]
AB  - AIMS: To report the use of ketamine sedation as an alternative anaesthetic method for babies undergoing treatment for retinopathy of prematurity (ROP).
AB  - METHODS: All babies who underwent treatment for ROP over a 2-year period were included in this study. The babies preoperative weight, medical condition, and ventilation status was recorded. Data were collected on their ventilation status pre-, intra-, and postprocedure. Any change in their cardiac or respiratory status during or in the subsequent 3 days following the treatment was noted.
AB  - RESULTS: Eleven babies, 22 eyes, required treatment over this period. The procedure was well tolerated with only three babies having intraoperative complications, which all resolved spontaneously. Two babies had postoperative complications requiring additional ventilation. In no case was the procedure abandoned owing to anaesthetic complications.
AB  - CONCLUSIONS: The use of ketamine sedation allows the laser to be performed in a ward setting and avoids the potential risk of general anaesthesia and inter- and intra-hospital transfer. It has been found to produce few intra- or postoperative complications for the infant, while providing satisfactory conditions for the treatment of ROP.
RN  - 0 (Anesthetics, Dissociative)
RN  - 690G0D6V8H (Ketamine)
IS  - 0950-222X
IL  - 0950-222X
PT  - Journal Article
ID  - 6702717 [pii]
ID  - 10.1038/sj.eye.6702717 [doi]
PP  - ppublish
LG  - English
EP  - 20070406
DP  - 2008 May
EZ  - 2007/04/10 09:00
DA  - 2008/12/17 09:00
DT  - 2007/04/10 09:00
YR  - 2008
ED  - 20081216
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=17417623

<486. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18803628
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Thomas AN
AU  - Galvin I
FA  - Thomas, A N
FA  - Galvin, I
IN  - Thomas, A N. Intensive Care Unit, Hope Hospital, Salford, UK. tony.thomas@srft.nhs.uk
TI  - Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency.
SO  - Anaesthesia. 63(11):1193-7, 2008 Nov
AS  - Anaesthesia. 63(11):1193-7, 2008 Nov
NJ  - Anaesthesia
VO  - 63
IP  - 11
PG  - 1193-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Critical Care/st [Standards]
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - England
MH  - Equipment Failure/sn [Statistics & Numerical Data]
MH  - Equipment Safety/st [Standards]
MH  - *Equipment Safety/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Patient Transfer
MH  - Product Surveillance, Postmarketing/mt [Methods]
MH  - Safety Management/mt [Methods]
MH  - State Medicine/st [Standards]
MH  - State Medicine/sn [Statistics & Numerical Data]
MH  - Wales
AB  - We reviewed all patient safety incidents reported to the UK National Patient Safety Agency between August 2006 and February 2007 from intensive care or high dependency units. Incidents involving equipment were then categorised. A total of 12 084 incidents were submitted from 151 organisations (median (range) 40 (1-634) per organisation). Of these, 1021 incidents were associated with use of equipment, most commonly involving syringe pumps/infusion devices (185 incidents), ventilators (164 incidents), haemofilters (107 incidents) and monitoring equipment (70 incidents). Twenty-nine incidents were associated with more than temporary harm to patients. Failure or faulty equipment was described in 537 incidents (26% with some harm) and incorrect setting or use was described in 358 incidents; these were more likely to be associated with harm (39%; p = 0.001). We suggest changes to improve the reporting of incidents and to improve equipment safety.
ES  - 1365-2044
IL  - 0003-2409
DO  - https://dx.doi.org/10.1111/j.1365-2044.2008.05607.x
PT  - Journal Article
ID  - ANA5607 [pii]
ID  - 10.1111/j.1365-2044.2008.05607.x [doi]
PP  - ppublish
LG  - English
DP  - 2008 Nov
EZ  - 2008/09/23 09:00
DA  - 2008/12/17 09:00
DT  - 2008/09/23 09:00
YR  - 2008
ED  - 20081210
RD  - 20081126
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18803628

<487. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18664902
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bernard M
AU  - Mathews PR
FA  - Bernard, Marirose
FA  - Mathews, Pamela R
IN  - Bernard, Marirose. Women's & Infants' Services, Memorial Medical Center. mbern1@lsuhsc.edu
TI  - Evacuation of a maternal-newborn area during Hurricane Katrina.
SO  - MCN, American Journal of Maternal Child Nursing. 33(4):213-23, 2008 Jul-Aug
AS  - MCN Am J Matern Child Nurs. 33(4):213-23, 2008 Jul-Aug
NJ  - MCN. The American journal of maternal child nursing
VO  - 33
IP  - 4
PG  - 213-23
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ma3, 7605941
IO  - MCN Am J Matern Child Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Aircraft
MH  - Attitude of Health Personnel
MH  - Communication
MH  - *Cyclonic Storms
MH  - *Disaster Planning/og [Organization & Administration]
MH  - Hospitals, Religious
MH  - Humans
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Intensive Care, Neonatal/og [Organization & Administration]
MH  - Leadership
MH  - Louisiana
MH  - Needs Assessment/og [Organization & Administration]
MH  - *Neonatal Nursing/og [Organization & Administration]
MH  - Nurse's Role
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - Patient Advocacy
MH  - Personnel Staffing and Scheduling
MH  - Planning Techniques
MH  - Safety Management/og [Organization & Administration]
MH  - *Transportation of Patients/og [Organization & Administration]
AB  - On August 29, 2005, Hurricane Katrina made landfall and inflicted devastation across the Gulf Coast. The catastrophic hurricane and flooding from failed levees in New Orleans made this event the most destructive natural and man-made disaster to occur in the United States' history (White House, 2006). Such a massive disaster challenged survival for everyone in its path, including patients and healthcare professionals. This hurricane challenged the usual standards of care and disaster management strategies well beyond what we had ever prepared for or experienced. The city of New Orleans was under 8 to 12 feet of water. Memorial Medical Center, located in one of the lowest sections of the city, quickly became isolated from everyone and everything. The challenges that nurses faced during the 6 days after the disaster were arduous and multifaceted. Nurses had no choice but to be creative and flexible and improvise by using what limited resources were available. Nurses were not able to provide care in the typical patient care environment because patients were relocated to multiple areas of the hospital, the ER ramp, and the parking garage to await evacuation. The temperature soared to 110 degrees F, and evacuation efforts were chaotic and disorganized. This article describes the heroic efforts of a strong and cohesive nursing team in caring for our patients and providing for the evacuation of 16 critically ill newborns from the Level 3 regional neonatal intensive care unit and 5 well newborns and their mothers.
ES  - 1539-0683
IL  - 0361-929X
DO  - https://dx.doi.org/10.1097/01.NMC.0000326075.03999.11
PT  - Journal Article
ID  - 10.1097/01.NMC.0000326075.03999.11 [doi]
ID  - 00005721-200807000-00006 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jul-Aug
EZ  - 2008/07/31 09:00
DA  - 2008/12/17 09:00
DT  - 2008/07/31 09:00
YR  - 2008
ED  - 20081202
RD  - 20091119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18664902

<488. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18664900
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schultz R
AU  - Pouletsos C
AU  - Combs A
FA  - Schultz, Ronni
FA  - Pouletsos, Cheryl
FA  - Combs, Adriann
IN  - Schultz, Ronni. Women and Children/Mental Health Services, Stony Brook University Medical Center, Stony Brook, NY, USA. Ronni.Schultz@stonybrook.edu
TI  - Considerations for emergencies & disasters in the neonatal intensive care unit. [Review] [13 refs]
SO  - MCN, American Journal of Maternal Child Nursing. 33(4):204-10; quiz 211-2, 2008 Jul-Aug
AS  - MCN Am J Matern Child Nurs. 33(4):204-10; quiz 211-2, 2008 Jul-Aug
NJ  - MCN. The American journal of maternal child nursing
VO  - 33
IP  - 4
PG  - 204-10; quiz 211-2
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ma3, 7605941
IO  - MCN Am J Matern Child Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Communication
MH  - Cooperative Behavior
MH  - *Disaster Planning/og [Organization & Administration]
MH  - *Emergencies/nu [Nursing]
MH  - Guidelines as Topic
MH  - Health Resources/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Intensive Care, Neonatal/og [Organization & Administration]
MH  - Interdepartmental Relations
MH  - *Neonatal Nursing/og [Organization & Administration]
MH  - Nurse's Role
MH  - Parents/ed [Education]
MH  - Parents/px [Psychology]
MH  - Professional-Family Relations
MH  - Program Development
MH  - Safety Management/og [Organization & Administration]
MH  - Social Support
MH  - Transportation of Patients/og [Organization & Administration]
MH  - United States
MH  - United States Occupational Safety and Health Administration
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. [References: 13]
ES  - 1539-0683
IL  - 0361-929X
DO  - https://dx.doi.org/10.1097/01.NMC.0000326073.19246.4c
PT  - Journal Article
PT  - Review
ID  - 10.1097/01.NMC.0000326073.19246.4c [doi]
ID  - 00005721-200807000-00004 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jul-Aug
EZ  - 2008/07/31 09:00
DA  - 2008/12/17 09:00
DT  - 2008/07/31 09:00
YR  - 2008
ED  - 20081202
RD  - 20080730
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18664900

<489. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18856029
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - van Eyck J
AU  - Bloemenkamp KW
AU  - Bolte AC
AU  - Duvekot JJ
AU  - Heringa MP
AU  - Lotgering FK
AU  - Oei SG
AU  - Offermans JP
AU  - Schaap AH
AU  - Sollie-Szarynska KM
FA  - van Eyck, J
FA  - Bloemenkamp, K W M
FA  - Bolte, A C
FA  - Duvekot, J J
FA  - Heringa, M P
FA  - Lotgering, F K
FA  - Oei, S G
FA  - Offermans, J P M
FA  - Schaap, A H P
FA  - Sollie-Szarynska, K M
IN  - van Eyck, J. Isala klinieken, locatie Sophia, afd. Gynaecologie en Verloskunde, Dr.Van Heesweg 2, 8025 AB Zwolle. jvaneyck@wxs.nl
TI  - [Tertiary obstetric care: the aims of the planning decree on perinatal care of 2001 have not yet been achieved]. [Dutch]
OT  - Derdelijns verloskundige zorg: doelstellingen van het 'planningsbesluit bijzondere perinatologische zorg' uit 2001 nog niet gehaald.
SO  - Nederlands Tijdschrift voor Geneeskunde. 152(39):2121-5, 2008 Sep 27
AS  - Ned Tijdschr Geneeskd. 152(39):2121-5, 2008 Sep 27
NJ  - Nederlands tijdschrift voor geneeskunde
VO  - 152
IP  - 39
PG  - 2121-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - nuk, 0400770
IO  - Ned Tijdschr Geneeskd
SB  - Index Medicus
CP  - Netherlands
MH  - Bed Occupancy/sn [Statistics & Numerical Data]
MH  - Female
MH  - Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - Health Services Needs and Demand
MH  - Hospital Bed Capacity
MH  - Humans
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - Intensive Care Units, Neonatal/ut [Utilization]
MH  - *Intensive Care Units, Neonatal
MH  - *Maternal-Child Health Centers/st [Standards]
MH  - Midwifery
MH  - Netherlands
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Perinatal Care/st [Standards]
MH  - Pregnancy
MH  - *Quality of Health Care
MH  - Retrospective Studies
AB  - OBJECTIVE: To compare the actual situation in tertiary perinatal care in the Netherlands with the objectives laid down in the 2001 decree on perinatal care by the Dutch Ministry of Health, Welfare and Sport.
AB  - DESIGN: Descriptive, retrospective.
AB  - METHOD: Data on tertiary perinatal care, the transfer or refusal of women with very endangered pregnancies and the personnel of obstetric high care (OHC) units in 2006 were compared with the targets laid down in the planning decree on perinatal care and in a report by the Dutch Health Council from 2000. Parameters of tertiary perinatal care output were the number of admissions, and the number of beds in OHC units and neonatal intensive care units (NICU).
AB  - RESULTS: In 2006, 128 of the 250 beds intended for OHC had been obtained. The degree of capacity utilisation was 94%, while the norm is 80%. 312 women were transferred due to lack of capacity of OHC units and NICU. The number of staff, specialised physicians as well as nurses, was considerably lower than the planned capacity. But training for obstetric perinatologists and OHC nurses was given.
AB  - CONCLUSION: The targets for the number of beds for tertiary obstetric care and associated medical personnel have not been achieved as yet. As a consequence, the number of transfers is still too high. The funding of OHC units is not attuned to the complexity of tertiary perinatal care. Closer supervision of the execution of the planning decree and an adequate financing system are needed to achieve the objectives of the planning decree in the next 3 years.
IS  - 0028-2162
IL  - 0028-2162
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Dutch
DP  - 2008 Sep 27
EZ  - 2008/10/17 09:00
DA  - 2008/11/14 09:00
DT  - 2008/10/17 09:00
YR  - 2008
ED  - 20081113
RD  - 20081016
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18856029

<490. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18577544
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wright SE
AU  - Baudouin SV
AU  - Kaudeer N
AU  - Shrestha S
AU  - Malone J
AU  - Burn L
AU  - Kanagasundaram NS
FA  - Wright, S E
FA  - Baudouin, S V
FA  - Kaudeer, N
FA  - Shrestha, S
FA  - Malone, J
FA  - Burn, L
FA  - Kanagasundaram, N S
IN  - Wright, S E. Department of Anaesthesia, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, UK. s.e.wright@dsl.pipex.com
TI  - Patient flow from critical care to renal services: a year-long survey in a critical care network.
SO  - Qjm. 101(8):643-8, 2008 Aug
AS  - QJM. 101(8):643-8, 2008 Aug
NJ  - QJM : monthly journal of the Association of Physicians
VO  - 101
IP  - 8
PG  - 643-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9438285, B4V
IO  - QJM
SB  - Index Medicus
CP  - England
MH  - Acute Kidney Injury/ec [Economics]
MH  - *Acute Kidney Injury/th [Therapy]
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cost-Benefit Analysis
MH  - Critical Care/ec [Economics]
MH  - *Critical Care/st [Standards]
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - Length of Stay/ec [Economics]
MH  - Male
MH  - Middle Aged
MH  - Patient Transfer/ec [Economics]
MH  - Prospective Studies
MH  - Renal Replacement Therapy/ec [Economics]
MH  - *Renal Replacement Therapy/is [Instrumentation]
MH  - Time Factors
MH  - United Kingdom
AB  - BACKGROUND: The NSF for Renal Services stresses the importance of collaboration between renal services and critical care networks in managing patients with acute renal failure in the most clinically appropriate setting. Anecdotal evidence in our region suggested that some patients were remaining on critical care inappropriately because of a lack of capacity for step-down care in local renal units.
AB  - AIM: To determine the number of extra days patients spend on critical care receiving single-organ renal support before transfer to a renal unit.
AB  - DESIGN: Prospective, multi-centre, service evaluation.
AB  - METHODS: Prospective data were collected over a one-year period by either daily telephone calls or bedside review. Follow-up data were retrieved from electronic and patient records.
AB  - RESULTS: Five hundred and forty-two patients received renal replacement therapy (RRT) in critical care. With 68 (12.5%) patients already receiving RRT for end-stage renal failure, this gave an incidence of new RRT on critical care of 234 per million population per year. The median duration of RRT on critical care was 4 days (range 1-30). One hundred and twenty-seven patients (23%) were discharged from critical care still requiring RRT. A period of single-organ renal support (median 2 days, range 1-8) was provided to 74 of these patients (58%) using 113 critical care bed days.
AB  - DISCUSSION: Over half of patients receiving RRT on discharge from critical care in our network received a short period of single-organ renal support before step-down. This may represent either delayed discharge from critical care or a potential opportunity for care in an alternative high-dependency facility.
ES  - 1460-2393
IL  - 1460-2393
DO  - https://dx.doi.org/10.1093/qjmed/hcn071
PT  - Evaluation Studies
PT  - Journal Article
PT  - Multicenter Study
ID  - hcn071 [pii]
ID  - 10.1093/qjmed/hcn071 [doi]
PP  - ppublish
LG  - English
EP  - 20080624
DP  - 2008 Aug
EZ  - 2008/06/26 09:00
DA  - 2008/11/11 09:00
DT  - 2008/06/26 09:00
YR  - 2008
ED  - 20081110
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18577544

<491. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18472264
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ball C
FA  - Ball, Carol
TI  - Improving rehabilitation following transfer from ICU. [Review] [15 refs]
CM  - Comment on: Intensive Crit Care Nurs. 2005 Jun;21(3):160-71; PMID: 15907668
SO  - Intensive & Critical Care Nursing. 24(4):209-10, 2008 Aug
AS  - Intensive Crit Care Nurs. 24(4):209-10, 2008 Aug
NJ  - Intensive & critical care nursing
VO  - 24
IP  - 4
PG  - 209-10
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - *Aftercare/og [Organization & Administration]
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - *Critical Illness/rh [Rehabilitation]
MH  - Humans
MH  - Needs Assessment
MH  - Nurse's Role
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Total Quality Management/og [Organization & Administration]
IS  - 0964-3397
IL  - 0964-3397
DO  - https://dx.doi.org/10.1016/j.iccn.2008.04.001
PT  - Comment
PT  - Editorial
PT  - Review
ID  - S0964-3397(08)00035-9 [pii]
ID  - 10.1016/j.iccn.2008.04.001 [doi]
PP  - ppublish
PH  - 2008/03/30 [received]
PH  - 2008/04/01 [accepted]
LG  - English
EP  - 20080509
DP  - 2008 Aug
EZ  - 2008/05/13 09:00
DA  - 2008/11/01 09:00
DT  - 2008/05/13 09:00
YR  - 2008
ED  - 20081031
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18472264

<492. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18563167
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Enweronu-Laryea CC
AU  - Nkyekyer K
AU  - Rodrigues OP
FA  - Enweronu-Laryea, C C
FA  - Nkyekyer, K
FA  - Rodrigues, O P
IN  - Enweronu-Laryea, C C. Department of Child Health, University of Ghana Medical School, Accra, Ghana. chikalaryea@yahoo.com
TI  - The impact of improved neonatal intensive care facilities on referral pattern and outcome at a teaching hospital in Ghana.
SO  - Journal of Perinatology. 28(8):561-5, 2008 Aug
AS  - J Perinatol. 28(8):561-5, 2008 Aug
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 28
IP  - 8
PG  - 561-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Asphyxia Neonatorum
MH  - Cohort Studies
MH  - Ghana
MH  - Hospitals, Teaching
MH  - Humans
MH  - *Infant, Extremely Low Birth Weight
MH  - Infant, Newborn
MH  - *Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal
MH  - *Patient Transfer
MH  - Referral and Consultation
MH  - Retrospective Studies
MH  - Survival Analysis
AB  - OBJECTIVE: Evaluate the impact of improved neonatal intensive care facilities on survival and referral patterns at a teaching hospital in Ghana.
AB  - STUDY DESIGN: Retrospective cohort comparing birth weight-specific survival and referral pattern of newborns requiring intensive care before and after improvement of facilities.
AB  - RESULT: Improved survival of newborns <2500 g especially those 1000-1499 g (OR=1.74 (CI 1.38-2.20; P<0.00001) for inborn, OR=2.16 (CI 1.36-3.44; P=0.0006) for out-born). Birth asphyxia, the major indication for >or=2500 g newborn referrals, was associated with reduced survival (OR=0.56 (95% CI 0.40 to 0.78; P=0.0004)). There was fourfold increased referral of out-born >or=2500 g.
AB  - CONCLUSION: Improved facilities significantly improved survival of newborns <2500 g, but was of no benefit for newborns >or=2500 g. A scaling-up approach with investments that improve emergency obstetric services, referral systems, human resources and neonatal resuscitation practices will save more newborn lives.
ES  - 1476-5543
IL  - 0743-8346
DO  - https://dx.doi.org/10.1038/jp.2008.61
PT  - Journal Article
ID  - jp200861 [pii]
ID  - 10.1038/jp.2008.61 [doi]
PP  - ppublish
LG  - English
EP  - 20080619
DP  - 2008 Aug
EZ  - 2008/06/20 09:00
DA  - 2008/10/24 09:00
DT  - 2008/06/20 09:00
YR  - 2008
ED  - 20081023
RD  - 20080731
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18563167

<493. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18821887
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Saravanakumar K
AU  - Davies L
AU  - Lewis M
AU  - Cooper GM
FA  - Saravanakumar, K
FA  - Davies, L
FA  - Lewis, M
FA  - Cooper, G M
IN  - Saravanakumar, K. Department of Anaesthesia, Ground floor, Phase 2, Aberdeen Royal Infirmary, Aberdeen, UK. saravanakumark@abdn.ac.uk
TI  - High dependency care in an obstetric setting in the UK.
SO  - Anaesthesia. 63(10):1081-6, 2008 Oct
AS  - Anaesthesia. 63(10):1081-6, 2008 Oct
NJ  - Anaesthesia
VO  - 63
IP  - 10
PG  - 1081-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Critical Care/og [Organization & Administration]
MH  - Critical Care/td [Trends]
MH  - *Critical Care/ut [Utilization]
MH  - England
MH  - Epidemiologic Methods
MH  - Female
MH  - Humans
MH  - Infant Care/mt [Methods]
MH  - Infant, Newborn
MH  - Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/td [Trends]
MH  - Intensive Care Units/ut [Utilization]
MH  - Length of Stay
MH  - Monitoring, Physiologic/mt [Methods]
MH  - Obstetric Labor Complications/th [Therapy]
MH  - *Obstetrics/og [Organization & Administration]
MH  - Obstetrics/td [Trends]
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Admission/td [Trends]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Postpartum Hemorrhage/th [Therapy]
MH  - Pre-Eclampsia/th [Therapy]
MH  - Pregnancy
MH  - *Pregnancy Complications/th [Therapy]
AB  - Our objective was to establish the utilisation and pattern of high dependency care in a tertiary referral obstetric unit. Data of pregnant or recently pregnant women admitted to the obstetric high dependency unit from 1984 to 2007 were included to evaluate the admission rate. Four years' information of an ongoing prospective audit was collated to identify the indications for admission, maternal monitoring, transfers to intensive care unit, and location of the baby. The overall high dependency unit admission rate is 2.67%, but increased to 5.01% in the most recent 4 years. Massive obstetric haemorrhage is now the most common reason for admission. Invasive monitoring was undertaken in 30% of women. Two-thirds of neonates (66.3%) stayed with their critically ill mothers in the high dependency unit. Transfer to the intensive care unit was needed in 1.4 per 1000 deliveries conducted. We conclude that obstetric high dependency care provides holistic care from midwives, obstetricians and anaesthetists while retaining the opportunity of early bonding with babies for critically ill mothers.
ES  - 1365-2044
IL  - 0003-2409
DO  - https://dx.doi.org/10.1111/j.1365-2044.2008.05581.x
PT  - Journal Article
ID  - ANA5581 [pii]
ID  - 10.1111/j.1365-2044.2008.05581.x [doi]
PP  - ppublish
LG  - English
DP  - 2008 Oct
EZ  - 2008/09/30 09:00
DA  - 2008/10/10 09:00
DT  - 2008/09/30 09:00
YR  - 2008
ED  - 20081009
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18821887

<494. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18331551
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bouchut JC
AU  - Teyssedre S
FA  - Bouchut, Jean-Christophe
FA  - Teyssedre, Sonia
TI  - Lessons from transporting newborn infants with known or suspected congenital heart disease.
SO  - Paediatric Anaesthesia. 18(7):679-81, 2008 Jul
AS  - Paediatr Anaesth. 18(7):679-81, 2008 Jul
NJ  - Paediatric anaesthesia
VO  - 18
IP  - 7
PG  - 679-81
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - cg8, 9206575
IO  - Paediatr Anaesth
SB  - Index Medicus
CP  - France
MH  - Alprostadil/ad [Administration & Dosage]
MH  - Female
MH  - France
MH  - *Heart Defects, Congenital/co [Complications]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units
MH  - Intubation, Intratracheal
MH  - Male
MH  - Medical Audit/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/mt [Methods]
MH  - Perinatal Care/mt [Methods]
MH  - Pregnancy
MH  - Prenatal Diagnosis
MH  - Retrospective Studies
MH  - Time Factors
MH  - *Transportation of Patients/mt [Methods]
MH  - Vasodilator Agents/ad [Administration & Dosage]
RN  - 0 (Vasodilator Agents)
RN  - F5TD010360 (Alprostadil)
ES  - 1460-9592
IL  - 1155-5645
DO  - https://dx.doi.org/10.1111/j.1460-9592.2008.02519.x
PT  - Letter
ID  - PAN2519 [pii]
ID  - 10.1111/j.1460-9592.2008.02519.x [doi]
PP  - ppublish
LG  - English
EP  - 20080307
DP  - 2008 Jul
EZ  - 2008/03/12 09:00
DA  - 2008/10/10 09:00
DT  - 2008/03/12 09:00
YR  - 2008
ED  - 20081009
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18331551

<495. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18398286
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mallick MS
AU  - Jado AM
AU  - Al-Bassam AR
FA  - Mallick, Mohammad Saquib
FA  - Jado, Abdul Monem
FA  - Al-Bassam, Abdul Rahman
IN  - Mallick, Mohammad Saquib. Pediatric Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia.
TI  - Surgical procedures performed in the neonatal intensive care unit on critically ill neonates: feasibility and safety.
SO  - Annals of Saudi Medicine. 28(2):105-8, 2008 Mar-Apr
AS  - Ann Saudi Med. 28(2):105-8, 2008 Mar-Apr
NJ  - Annals of Saudi medicine
VO  - 28
IP  - 2
PG  - 105-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - asm, 8507355
IO  - Ann Saudi Med
SB  - Index Medicus
CP  - Saudi Arabia
MH  - *Critical Illness
MH  - Gestational Age
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Newborn, Diseases/su [Surgery]
MH  - Infant, Premature
MH  - Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal
MH  - Postoperative Complications/et [Etiology]
MH  - Preoperative Care/mt [Methods]
MH  - Retrospective Studies
MH  - Transportation of Patients
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.
AB  - 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 performed, complications and outcome. Operations were performed at bedside in the NICU in critically ill, unstable 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.
AB  - 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 others. 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.
AB  - 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.
IS  - 0256-4947
IL  - 0256-4947
PT  - Journal Article
ID  - 07-612 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Mar-Apr
EZ  - 2008/04/10 09:00
DA  - 2008/09/24 09:00
DT  - 2008/04/10 09:00
YR  - 2008
ED  - 20080923
RD  - 20080409
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18398286

<496. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18590249
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Nurse testified she was with pt. at time of cardiac arrest.
SO  - Nursing Law's Regan Report. 48(12):1, 2008 May
AS  - Nurs Law Regan Rep. 48(12):1, 2008 May
NJ  - Nursing law's Regan report
VO  - 48
IP  - 12
PG  - 1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100936959
IO  - Nurs Law Regan Rep
SB  - Nursing Journal
CP  - United States
MH  - Cardiopulmonary Resuscitation/nu [Nursing]
MH  - Compensation and Redress/lj [Legislation & Jurisprudence]
MH  - *Coronary Care Units/lj [Legislation & Jurisprudence]
MH  - *Heart Arrest/pc [Prevention & Control]
MH  - Humans
MH  - Illinois
MH  - *Malpractice/lj [Legislation & Jurisprudence]
MH  - Medical Staff, Hospital/lj [Legislation & Jurisprudence]
MH  - *Nursing Staff, Hospital/lj [Legislation & Jurisprudence]
MH  - *Patient Transfer/lj [Legislation & Jurisprudence]
IS  - 1528-848X
IL  - 1528-848X
PT  - Journal Article
PT  - Legal Cases
PP  - ppublish
LG  - English
DP  - 2008 May
EZ  - 2008/07/02 09:00
DA  - 2008/09/16 09:00
DT  - 2008/07/02 09:00
YR  - 2008
ED  - 20080912
RD  - 20080701
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18590249

<497. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18761850
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Petersen JA
AU  - Bunkenborg G
AU  - Lund C
FA  - Petersen, John Asger
FA  - Bunkenborg, Gitte
FA  - Lund, Claus
IN  - Petersen, John Asger. Hvidovre Hospital, Anaestesi- og Intensivafdeling 532. petersen_john_asger@hotmail.com
TI  - [Medical emergency teams]. [Danish]
OT  - Mobilt akutteam.
CM  - Comment in: Ugeskr Laeger. 2008 Sep 29;170(40):3157; author reply 3158; PMID: 18843816
SO  - Ugeskrift for Laeger. 170(35):2661-3, 2008 Aug 25
AS  - Ugeskr Laeger. 170(35):2661-3, 2008 Aug 25
NJ  - Ugeskrift for laeger
VO  - 170
IP  - 35
PG  - 2661-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0141730, wm8
IO  - Ugeskr. Laeg.
SB  - Index Medicus
CP  - Denmark
MH  - Critical Illness/mo [Mortality]
MH  - Critical Illness/th [Therapy]
MH  - Denmark/ep [Epidemiology]
MH  - Emergency Service, Hospital/ma [Manpower]
MH  - Emergency Service, Hospital/og [Organization & Administration]
MH  - *Emergency Service, Hospital
MH  - Evidence-Based Medicine
MH  - Heart Arrest/mo [Mortality]
MH  - Heart Arrest/th [Therapy]
MH  - *Hospital Mortality
MH  - Humans
MH  - Intensive Care Units
MH  - Outcome Assessment (Health Care)
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Care Team
MH  - Patient Transfer
AB  - The aim of medical emergency teams (MET) is to identify and treat deteriorating patients on general wards, and to avoid cardiac arrest, unplanned intensive care unit admission and death. The effectiveness of METs has yet to be proven, as the only two randomised, controlled trials on the subject show conflicting results. Despite the lack of evidence, METs are gaining popularity and are being implemented in Danish hospitals as part of Operation Life.
ES  - 1603-6824
IL  - 0041-5782
PT  - English Abstract
PT  - Journal Article
ID  - VP06070117 [pii]
PP  - ppublish
LG  - Danish
DP  - 2008 Aug 25
EZ  - 2008/09/03 09:00
DA  - 2008/09/10 09:00
DT  - 2008/09/03 09:00
YR  - 2008
ED  - 20080909
RD  - 20081022
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18761850

<498. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18725855
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stukel TA
AU  - Schull MJ
AU  - Guttmann A
AU  - Alter DA
AU  - Li P
AU  - Vermeulen MJ
AU  - Manuel DG
AU  - Zwarenstein M
FA  - Stukel, Therese A
FA  - Schull, Michael J
FA  - Guttmann, Astrid
FA  - Alter, David A
FA  - Li, Ping
FA  - Vermeulen, Marian J
FA  - Manuel, Douglas G
FA  - Zwarenstein, Merrick
IN  - Stukel, Therese A. Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada. stukel@ices.on.ca
TI  - Health impact of hospital restrictions on seriously ill hospitalized patients: lessons from the Toronto SARS outbreak.
SO  - Medical Care. 46(9):991-7, 2008 Sep
AS  - Med Care. 46(9):991-7, 2008 Sep
NJ  - Medical care
VO  - 46
IP  - 9
PG  - 991-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0230027, lsm
IO  - Med Care
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - *Cross Infection/pc [Prevention & Control]
MH  - Cross Infection/tm [Transmission]
MH  - *Disease Outbreaks/pc [Prevention & Control]
MH  - Female
MH  - *Health Policy
MH  - *Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - Health Services Research/sn [Statistics & Numerical Data]
MH  - *Hospital Mortality/td [Trends]
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal/ut [Utilization]
MH  - Longitudinal Studies
MH  - Lung Neoplasms/mo [Mortality]
MH  - Lung Neoplasms/th [Therapy]
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/mo [Mortality]
MH  - Myocardial Revascularization/ut [Utilization]
MH  - Ontario
MH  - Outcome Assessment (Health Care)/sn [Statistics & Numerical Data]
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Readmission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/ut [Utilization]
MH  - Pulmonary Embolism/mo [Mortality]
MH  - Pulmonary Embolism/th [Therapy]
MH  - *Severe Acute Respiratory Syndrome/pc [Prevention & Control]
MH  - Severe Acute Respiratory Syndrome/tm [Transmission]
MH  - Utilization Review/sn [Statistics & Numerical Data]
AB  - BACKGROUND: Restrictions on non-urgent hospital care imposed to control the 2003 Toronto severe acute respiratory syndrome outbreak led to substantial disruptions in hospital clinical practice, admission, and transfer patterns.
AB  - OBJECTIVES: We assessed whether there were unintended health consequences to seriously ill hospitalized patients. STUDY DESIGN, SETTING, AND POPULATION: Population-based longitudinal cohort study of patients residing in Toronto or an urban control region with an incident admission for 1 of 7 serious conditions in the 3 years before, or the 4 months during or after restrictions.
AB  - OUTCOME MEASURES: Short-term mortality, overall readmissions, cardiac readmissions for acute myocardial infarction patients, serious complications for very low birth weight babies, and quality of care measures, comparing adjusted rates across time periods within regions.
AB  - RESULTS: Mortality, readmission, and complication rates did not change for any condition during or after severe acute respiratory syndrome restrictions. Although rates of invasive cardiac procedures for acute myocardial infarction patients decreased 11-37% in Toronto, rates of nonfatal cardiac outcomes did not change.
AB  - CONCLUSIONS: Restrictions on non-urgent hospital utilization and hospital transfers may be a safe public health strategy to employ to control nosocomial outbreaks or provide hospital surge capacity for up to several months, in large, well-developed healthcare systems with good availability of community-based care.
ES  - 1537-1948
IL  - 0025-7079
DO  - https://dx.doi.org/10.1097/MLR.0b013e3181792525
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/MLR.0b013e3181792525 [doi]
ID  - 00005650-200809000-00015 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Sep
EZ  - 2008/08/30 09:00
DA  - 2008/09/05 09:00
DT  - 2008/08/30 09:00
YR  - 2008
ED  - 20080904
RD  - 20080826
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18725855

<499. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18592067
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Browning Carmo K
AU  - Terrey A
FA  - Browning Carmo, Kathryn
FA  - Terrey, Andrew
IN  - Browning Carmo, Kathryn. NSW Newborn and Paediatric Emergency Transport Service, Grace Centre for Newborn Care, Children's Hospital at Westmead, New South Wales. kathryc4@chw.edu.au
TI  - Stabilising the newborn for transfer - basic principles. [Review] [14 refs]
SO  - Australian Family Physician. 37(7):510-4, 2008 Jul
AS  - Aust Fam Physician. 37(7):510-4, 2008 Jul
NJ  - Australian family physician
VO  - 37
IP  - 7
PG  - 510-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9ec, 0326701
IO  - Aust Fam Physician
SB  - Index Medicus
CP  - Australia
MH  - Australia
MH  - *Clinical Competence/st [Standards]
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - *Patient Transfer/og [Organization & Administration]
AB  - BACKGROUND: Rural general practitioners involved in obstetric service delivery may have occasion to support the sick or premature newborn requiring transfer. This should be achievable for short periods of time in most rural hospitals.
AB  - OBJECTIVE: This article discusses the planning priorities, and the equipment and skills required for care of the sick or premature newborn.
AB  - DISCUSSION: With careful planning, attention to detail, and maintenance of clinical skills and equipment, newborn intensive care can be provided in most hospitals for brief periods while awaiting the arrival of the retrieval team. [References: 14]
IS  - 0300-8495
IL  - 0300-8495
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2008 Jul
EZ  - 2008/07/02 09:00
DA  - 2008/09/03 09:00
DT  - 2008/07/02 09:00
YR  - 2008
ED  - 20080902
RD  - 20080701
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18592067

<500. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18664792
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brasel K
FA  - Brasel, Karen
TI  - Can we safely discharge patients from the intensive care unit after hours?.
CM  - Comment on: Crit Care Med. 2008 Aug;36(8):2232-7; PMID: 18664778
SO  - Critical Care Medicine. 36(8):2443-4, 2008 Aug
AS  - Crit Care Med. 36(8):2443-4, 2008 Aug
NJ  - Critical care medicine
VO  - 36
IP  - 8
PG  - 2443-4
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Bed Occupancy/sn [Statistics & Numerical Data]
MH  - *Hospital Bed Capacity
MH  - Humans
MH  - *Intensive Care Units
MH  - Length of Stay
MH  - *Patient Discharge/st [Standards]
MH  - *Patient Transfer
MH  - Time Factors
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e3181810546
PT  - Comment
PT  - Editorial
ID  - 10.1097/CCM.0b013e3181810546 [doi]
ID  - 00003246-200808000-00034 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Aug
EZ  - 2008/07/31 09:00
DA  - 2008/08/30 09:00
DT  - 2008/07/31 09:00
YR  - 2008
ED  - 20080825
RD  - 20080730
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18664792

<501. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18496077
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Taylor RM
AU  - Price-Douglas W
FA  - Taylor, Renee McCraine
FA  - Price-Douglas, Webra
IN  - Taylor, Renee McCraine. Ochsner Medical Center, New Orleans, Louisiana, USA.
TI  - The S.T.A.B.L.E. Program: postresuscitation/pretransport stabilization care of sick infants.
SO  - Journal of Perinatal & Neonatal Nursing. 22(2):159-65, 2008 Apr-Jun
AS  - J Perinat Neonatal Nurs. 22(2):159-65, 2008 Apr-Jun
NJ  - The Journal of perinatal & neonatal nursing
VO  - 22
IP  - 2
PG  - 159-65
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jpn, 8801387
IO  - J Perinat Neonatal Nurs
SB  - Nursing Journal
CP  - United States
MH  - Curriculum
MH  - *Education, Continuing/mt [Methods]
MH  - Education, Continuing/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Intensive Care, Neonatal
MH  - Patient Care Team
MH  - *Resuscitation
MH  - *Transportation of Patients
MH  - United States
AB  - The S.T.A.B.L.E. Program is the first neonatal continuing education program to focus exclusively on the post-resuscitation/pre-transport stabilization care of sick infants. Neonatal Resuscitation Program provides the requisite education for healthcare providers to safely and systematically resuscitate neonates. However, those infants who require resuscitation also require ongoing care to decrease the risk of morbidity and mortality. The S.T.A.B.L.E. Program provides all members of the neonatal healthcare team with the knowledge needed to render necessary care to infants who are under post-resuscitation or pre-transport stabilization care. Utilizing an organized approach, the S.T.A.B.L.E. Program facilitates the care process by prompting healthcare providers to focus on specific areas of care. This article provides an overview of (1) the history of the S.T.A.B.L.E. Program, (2) the philosophy and goals of the program, (3) a course overview of individual modules, (4) acceptance and recognition of the program in the healthcare community, (5) the target audience, and (6) administration of the course.
IS  - 0893-2190
IL  - 0893-2190
DO  - https://dx.doi.org/10.1097/01.JPN.0000319104.05346.b4
PT  - Journal Article
ID  - 10.1097/01.JPN.0000319104.05346.b4 [doi]
ID  - 00005237-200804000-00015 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Apr-Jun
EZ  - 2008/05/23 09:00
DA  - 2008/08/21 09:00
DT  - 2008/05/23 09:00
YR  - 2008
ED  - 20080820
RD  - 20080522
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18496077

<502. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18496075
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Orlando S
AU  - Bernard ML
AU  - Mathews P
FA  - Orlando, Susan
FA  - Bernard, Marirose L
FA  - Mathews, Pamela
IN  - Orlando, Susan. LSU Health Sciences Center School of Nursing, New Orleans, Louisiana 70112, USA. sorlan@lsuhsc.edu
TI  - Neonatal nursing care issues following a natural disaster: lessons learned from the Katrina experience.
SO  - Journal of Perinatal & Neonatal Nursing. 22(2):147-53, 2008 Apr-Jun
AS  - J Perinat Neonatal Nurs. 22(2):147-53, 2008 Apr-Jun
NJ  - The Journal of perinatal & neonatal nursing
VO  - 22
IP  - 2
PG  - 147-53
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jpn, 8801387
IO  - J Perinat Neonatal Nurs
SB  - Nursing Journal
CP  - United States
MH  - *Disaster Planning
MH  - *Disasters
MH  - Humans
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Intensive Care Units, Neonatal
MH  - Intensive Care, Neonatal/mt [Methods]
MH  - Louisiana
MH  - Neonatal Nursing/mt [Methods]
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - *Transportation of Patients
AB  - The massive evacuation of sick and at-risk infants from a large metropolitan area following a natural disaster provides many lessons for neonatal nurses. Planning and education are of utmost importance, and disaster education and training are essential for all nurses. Unit-specific disaster plans can serve as a guide for nurses but the real test occurs during and after the event. Nurses must learn to adapt neonatal care to the rapidly changing environment during a disaster. Supporting high-risk infants without the aid of technology requires a back-to-the-basics approach. The ability to maintain communication and facilitate transportation of neonates out of a disaster area is essential. Nurses must also consider their own well-being in the aftermath of a disaster. Planning for future disasters should include lessons learned from the past events. This article addresses nursing care issues and lessons learned from the events that unfolded in the New Orleans area neonatal units during and after Hurricane Katrina, and guidance in support of disaster education for neonatal nurses.
IS  - 0893-2190
IL  - 0893-2190
DO  - https://dx.doi.org/10.1097/01.JPN.0000319102.20593.12
PT  - Journal Article
ID  - 10.1097/01.JPN.0000319102.20593.12 [doi]
ID  - 00005237-200804000-00013 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Apr-Jun
EZ  - 2008/05/23 09:00
DA  - 2008/08/21 09:00
DT  - 2008/05/23 09:00
YR  - 2008
ED  - 20080820
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18496075

<503. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18628218
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Berkenstadt H
AU  - Haviv Y
AU  - Tuval A
AU  - Shemesh Y
AU  - Megrill A
AU  - Perry A
AU  - Rubin O
AU  - Ziv A
FA  - Berkenstadt, Haim
FA  - Haviv, Yael
FA  - Tuval, Atalia
FA  - Shemesh, Yael
FA  - Megrill, Alexander
FA  - Perry, Amir
FA  - Rubin, Orit
FA  - Ziv, Amitai
IN  - Berkenstadt, Haim. The Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer Ramat Gan 52621, Israel. berken@netvision.net.il
TI  - Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.
CM  - Comment in: Chest. 2008 Jul;134(1):9-12; PMID: 18628215
SO  - Chest. 134(1):158-62, 2008 Jul
AS  - Chest. 134(1):158-62, 2008 Jul
NJ  - Chest
VO  - 134
IP  - 1
PG  - 158-62
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0231335, d1c
IO  - Chest
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Continuity of Patient Care/st [Standards]
MH  - Critical Care/mt [Methods]
MH  - *Critical Care/st [Standards]
MH  - *Hospital Communication Systems/st [Standards]
MH  - Humans
MH  - Medical Errors/pc [Prevention & Control]
MH  - *Medical Staff, Hospital/ed [Education]
MH  - Outcome Assessment (Health Care)/mt [Methods]
MH  - Outcome Assessment (Health Care)/st [Standards]
MH  - *Patient Care Team/st [Standards]
MH  - *Patient Simulation
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - Retrospective Studies
MH  - Risk Management/mt [Methods]
MH  - *Risk Management/st [Standards]
AB  - BACKGROUND: A patient admitted to the medical step-down unit experienced severe hypoglycemia due to an infusion of a higher-than-ordered insulin dose. The event could have been prevented if the insulin syringe pump was checked during the nursing shift handoff.
AB  - METHODS: Risk management exploration included direct observations of nursing shift handoffs, which highlighted common deficiencies in the process. This led to the development and implementation of a handoff protocol and the incorporation of handoff training into a simulation-based teamwork and communication workshop. A second round of observations took place 6 to 8 weeks following training.
AB  - RESULTS: The intervention demonstrated an increase in the incidence of nurses communicating crucial information during handoffs, including patient name, events that had occurred during the previous shift, and treatment goals for the next shift. However, there was no change in the incidence of checking the monitor alarms and the mechanical ventilator.
AB  - CONCLUSIONS: Simulation-based training can be incorporated into the risk management process and can contribute to patient safety practice.
IS  - 0012-3692
IL  - 0012-3692
DO  - https://dx.doi.org/10.1378/chest.08-0914
PT  - Journal Article
ID  - S0012-3692(08)60161-0 [pii]
ID  - 10.1378/chest.08-0914 [doi]
PP  - ppublish
LG  - English
DP  - 2008 Jul
EZ  - 2008/07/17 09:00
DA  - 2008/08/16 09:00
DT  - 2008/07/17 09:00
YR  - 2008
ED  - 20080815
RD  - 20080716
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18628218

<504. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18569197
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Giangiulio M
AU  - Aurilio L
AU  - Baker P
AU  - Brienza B
AU  - Moss E
AU  - Twinem N
FA  - Giangiulio, Martha
FA  - Aurilio, Lisa
FA  - Baker, Pam
FA  - Brienza, Beth
FA  - Moss, Ellie
FA  - Twinem, Nicole
IN  - Giangiulio, Martha. Akron Children's Hospital, Akron, Ohio 44308, USA. Mgiangiulio@chmca.org
TI  - Initiation and evaluation of an Admission, Discharge, Transfer (ADT) Nursing Program in a pediatric setting.
SO  - Issues in Comprehensive Pediatric Nursing. 31(2):61-70, 2008 Apr-Jun
AS  - Issues Compr Pediatr Nurs. 31(2):61-70, 2008 Apr-Jun
NJ  - Issues in comprehensive pediatric nursing
VO  - 31
IP  - 2
PG  - 61-70
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - g94, 7702326
IO  - Issues Compr Pediatr Nurs
SB  - Nursing Journal
CP  - England
MH  - Attitude of Health Personnel
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Efficiency, Organizational
MH  - Emergency Service, Hospital/og [Organization & Administration]
MH  - Hospitals, Pediatric/og [Organization & Administration]
MH  - Humans
MH  - Job Satisfaction
MH  - Nurse's Role/px [Psychology]
MH  - *Nurse's Role
MH  - Nursing Administration Research
MH  - Nursing Evaluation Research
MH  - Nursing Methodology Research
MH  - *Nursing Staff, Hospital/og [Organization & Administration]
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - Ohio
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Admission
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - *Patient Discharge
MH  - Patient Satisfaction
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Pediatric Nursing/og [Organization & Administration]
MH  - Program Development
MH  - Program Evaluation
MH  - Recovery Room/og [Organization & Administration]
MH  - Time Factors
MH  - Total Quality Management/og [Organization & Administration]
AB  - Finding ways to improve patient throughput through efficient use of nursing time led one pediatric medical center to develop an Admission, Discharge, Transfer (ADT) Nursing Program that included specialized nurses devoted to nursing activities that normally disrupt continuity of care on patient units. It was found that the ADT nurses improved patient throughput. Additionally, a nursing-staff satisfaction survey found that 93% of nursing staff felt that the ADT program made a worthwhile contribution to decreasing the workload of nurses, and all nurses answering felt that the ADT program assisted in providing high-quality care and services.
ES  - 1521-043X
IL  - 0146-0862
DO  - https://dx.doi.org/10.1080/01460860802023117
PT  - Evaluation Studies
PT  - Journal Article
ID  - 793485868 [pii]
ID  - 10.1080/01460860802023117 [doi]
PP  - ppublish
LG  - English
DP  - 2008 Apr-Jun
EZ  - 2008/06/24 09:00
DA  - 2008/08/15 09:00
DT  - 2008/06/24 09:00
YR  - 2008
ED  - 20080814
RD  - 20080623
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18569197

<505. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18594267
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Fang, Raymond
FA  - Pruitt, Valerie M
FA  - Dorlac, Gina R
FA  - Silvey, Stephen V
FA  - Osborn, Erik C
FA  - Allan, Patrick F
FA  - Flaherty, Stephen F
FA  - Perello, Michelle M
FA  - Wanek, Sandra M
FA  - Dorlac, Warren C
IN  - Fang, Raymond. Landstuhl Regional Medical Center, Landstuhl, Germany. Raymond.Fang@amedd.army.mil
TI  - Critical care at Landstuhl Regional Medical Center.
SO  - Critical Care Medicine. 36(7 Suppl):S383-7, 2008 Jul
AS  - Crit Care Med. 36(7 Suppl):S383-7, 2008 Jul
NJ  - Critical care medicine
VO  - 36
IP  - 7 Suppl
PG  - S383-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Afghanistan
MH  - *Critical Care/og [Organization & Administration]
MH  - Enteral Nutrition
MH  - Germany
MH  - *Hospitals, Military/og [Organization & Administration]
MH  - Humans
MH  - Infection Control
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Iraq
MH  - Iraq War, 2003-2011
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Military Medicine/ed [Education]
MH  - *Military Medicine/og [Organization & Administration]
MH  - Organizational Innovation
MH  - Outcome and Process Assessment (Health Care)
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Care Team/og [Organization & Administration]
MH  - Spinal Injuries/pc [Prevention & Control]
MH  - Terrorism
MH  - Thromboembolism/di [Diagnosis]
MH  - Thromboembolism/et [Etiology]
MH  - Thromboembolism/pc [Prevention & Control]
MH  - Total Quality Management
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - *Trauma Centers/og [Organization & Administration]
MH  - United States
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.
AB  - 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.
AB  - 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.
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31817e3213
PT  - Journal Article
ID  - 10.1097/CCM.0b013e31817e3213 [doi]
ID  - 00003246-200807001-00019 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jul
EZ  - 2008/07/18 09:00
DA  - 2008/08/14 09:00
DT  - 2008/07/18 09:00
YR  - 2008
ED  - 20080813
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18594267

<506. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18594264
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chung KK
AU  - Perkins RM
AU  - Oliver JD 3rd
FA  - Chung, Kevin K
FA  - Perkins, Robert M
FA  - Oliver, James D 3rd
IN  - Chung, Kevin K. Critical Care, U.S. Army Institute of Surgical Research, Fort Sam Houston, TX, USA. kevin.chung@us.army.mil
TI  - Renal replacement therapy in support of combat operations. [Review] [20 refs]
SO  - Critical Care Medicine. 36(7 Suppl):S365-9, 2008 Jul
AS  - Crit Care Med. 36(7 Suppl):S365-9, 2008 Jul
NJ  - Critical care medicine
VO  - 36
IP  - 7 Suppl
PG  - S365-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Acute Kidney Injury/ep [Epidemiology]
MH  - Acute Kidney Injury/et [Etiology]
MH  - *Acute Kidney Injury/th [Therapy]
MH  - Afghanistan
MH  - Burn Units
MH  - Cause of Death
MH  - Crush Syndrome/co [Complications]
MH  - Forecasting
MH  - Germany
MH  - Health Services Needs and Demand
MH  - Hospitals, Military
MH  - Humans
MH  - Incidence
MH  - Iraq
MH  - Iraq War, 2003-2011
MH  - Korean War
MH  - *Military Medicine/og [Organization & Administration]
MH  - *Renal Replacement Therapy/mt [Methods]
MH  - Renal Replacement Therapy/td [Trends]
MH  - Risk Factors
MH  - Transportation of Patients/og [Organization & Administration]
MH  - United States/ep [Epidemiology]
MH  - Vietnam Conflict
AB  - BACKGROUND: Renal replacement therapy has been used by the U.S. Army at the combat support hospital echelon of care since the Korean conflict. Although there has been a general decline in the incidence of wartime acute kidney injury, the mortality associated with acute kidney injury and the use of renal replacement therapy remain unchanged, in the range of 60% to 80%. The U.S. Army official doctrine is that field dialysis is provided through a specialized Hospital Augmentation Team; however, this team has not been deployed to either Iraq or Afghanistan as a result of the ability to rapidly evacuate most cases requiring renal replacement therapy. The history of wartime renal replacement therapy is reviewed along with the general epidemiology of battlefield acute kidney injury and renal replacement therapy.
AB  - DISCUSSION: Recent literature documents cases of renal replacement therapy performed in and out of theater in support of the current operations. In-theater renal replacement therapy has been provided through a variety of modalities, including conventional hemodialysis, peritoneal dialysis, and both continuous venovenous and continuous arteriovenous hemodialysis. Out of theater, casualties have received both intermittent and continuous hemodialysis at Landstuhl Regional Medical Center and Walter Reed Army Medical Center, whereas patients sustaining burns have undergone aggressive continuous venovenous hemofiltration or hemodiafiltration at Brooke Army Medical Center.
AB  - SUMMARY: Acute kidney injury requiring renal replacement therapy in wartime casualties is an uncommon occurrence but one with extremely high mortality. Future doctrine should be prepared for contingencies in which the incidence may be increased as a result of mass crush injury casualties or prolonged evacuation times. [References: 20]
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31817e302a
PT  - Journal Article
PT  - Review
ID  - 10.1097/CCM.0b013e31817e302a [doi]
ID  - 00003246-200807001-00016 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jul
EZ  - 2008/07/18 09:00
DA  - 2008/08/14 09:00
DT  - 2008/07/18 09:00
YR  - 2008
ED  - 20080813
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18594264

<507. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18594259
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - White CE
AU  - Renz EM
FA  - White, Christopher E
FA  - Renz, Evan M
IN  - White, Christopher E. U.S. Army Institute of Surgical Research, Fort Sam Houston, TX, USA. christopher.white@amedd.army.mil
TI  - Advances in surgical care: management of severe burn injury. [Review] [18 refs]
SO  - Critical Care Medicine. 36(7 Suppl):S318-24, 2008 Jul
AS  - Crit Care Med. 36(7 Suppl):S318-24, 2008 Jul
NJ  - Critical care medicine
VO  - 36
IP  - 7 Suppl
PG  - S318-24
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Burn Units/og [Organization & Administration]
MH  - Burns/co [Complications]
MH  - Burns/di [Diagnosis]
MH  - Burns/mo [Mortality]
MH  - *Burns/th [Therapy]
MH  - *Critical Care/og [Organization & Administration]
MH  - Debridement
MH  - First Aid
MH  - Fluid Therapy/mt [Methods]
MH  - Hospitals, Military/og [Organization & Administration]
MH  - Humans
MH  - Hypothermia/et [Etiology]
MH  - Iraq War, 2003-2011
MH  - *Military Medicine/og [Organization & Administration]
MH  - Outcome Assessment (Health Care)
MH  - Patient Care Team/og [Organization & Administration]
MH  - Practice Guidelines as Topic
MH  - Resuscitation/mt [Methods]
MH  - Skin Care/mt [Methods]
MH  - Texas/ep [Epidemiology]
MH  - Time Factors
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Trauma Severity Indices
MH  - Triage/og [Organization & Administration]
MH  - United States/ep [Epidemiology]
AB  - BACKGROUND: Management of combat casualties with severe burns and associated traumatic injuries requires a coordinated interaction of surgical, critical care, and evacuation assets. These patients present enormous challenges to the entire medical system as a result of the severity of injury combined with the great distance required for transport to definitive care.
AB  - OBJECTIVE: The objective of this study was to review and highlight some of the advances in burn critical care experienced during recent combat operations. This review focuses on initial resuscitation, respiratory support, care of the burn wound, and long range evacuation.
AB  - DATA SOURCE: The authors conducted a search of the MEDLINE database and manual review of published articles and abstracts from national and international meetings in addition to Institute of Surgical Research Burn Center registry.
AB  - CONCLUSIONS: Fluid resuscitation during the first 24 to 48 hrs after injury remains a significant challenge for all who manage burn casualties. Guidelines have been developed in an effort to standardize fluid resuscitation during this time. These guidelines along with the standardization of burn wound care and continued provider education have resulted in decreased morbidity and mortality in severely burned patients returning from war zones. This system of care for severely burned patients facilitates the transfer of the burn casualty between healthcare providers and facilities and is now being integrated into the catchment area for the Institute of Surgical Research Burn Center. [References: 18]
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31817e2d64
PT  - Journal Article
PT  - Review
ID  - 10.1097/CCM.0b013e31817e2d64 [doi]
ID  - 00003246-200807001-00011 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jul
EZ  - 2008/07/18 09:00
DA  - 2008/08/14 09:00
DT  - 2008/07/18 09:00
YR  - 2008
ED  - 20080813
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18594259

<508. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18594256
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Smith KK
FA  - Smith, Kimberly K
IN  - Smith, Kimberly K. U.S. Army Institute of Surgical Research, Fort Sam Houston, TX, USA. kimberly.k.smith@amedd.army.mil
TI  - Critical care nursing in an austere environment.
SO  - Critical Care Medicine. 36(7 Suppl):S297-303, 2008 Jul
AS  - Crit Care Med. 36(7 Suppl):S297-303, 2008 Jul
NJ  - Critical care medicine
VO  - 36
IP  - 7 Suppl
PG  - S297-303
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Attitude of Health Personnel
MH  - Clinical Competence
MH  - *Critical Care/og [Organization & Administration]
MH  - Health Facility Environment/og [Organization & Administration]
MH  - Hospitals, Military/og [Organization & Administration]
MH  - Humans
MH  - Infection Control
MH  - Iraq/ep [Epidemiology]
MH  - Iraq War, 2003-2011
MH  - *Medically Underserved Area
MH  - Military Nursing/ed [Education]
MH  - *Military Nursing/og [Organization & Administration]
MH  - Nurse's Role/px [Psychology]
MH  - Nursing Evaluation Research
MH  - Nursing Methodology Research
MH  - Nursing Staff/ed [Education]
MH  - Nursing Staff/og [Organization & Administration]
MH  - *Nursing Staff/px [Psychology]
MH  - Personnel Staffing and Scheduling/og [Organization & Administration]
MH  - Practice Guidelines as Topic
MH  - Quality Indicators, Health Care
MH  - Retrospective Studies
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Trauma Centers/og [Organization & Administration]
MH  - United States/ep [Epidemiology]
MH  - Wounds and Injuries/ep [Epidemiology]
MH  - Wounds and Injuries/et [Etiology]
MH  - *Wounds and Injuries/th [Therapy]
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.
AB  - 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.
AB  - 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.
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31817daa01
PT  - Journal Article
ID  - 10.1097/CCM.0b013e31817daa01 [doi]
ID  - 00003246-200807001-00008 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jul
EZ  - 2008/07/18 09:00
DA  - 2008/08/14 09:00
DT  - 2008/07/18 09:00
YR  - 2008
ED  - 20080813
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18594256

<509. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18594254
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Venticinque SG
AU  - Grathwohl KW
FA  - Venticinque, Steven G
FA  - Grathwohl, Kurt W
IN  - Venticinque, Steven G. Department of Anesthesiology (SGV), University of Texas Health Science Center, San Antonio, TX, USA. steven.venticinque@va.gov
TI  - Critical care in the austere environment: providing exceptional care in unusual places. [Review] [55 refs]
SO  - Critical Care Medicine. 36(7 Suppl):S284-92, 2008 Jul
AS  - Crit Care Med. 36(7 Suppl):S284-92, 2008 Jul
NJ  - Critical care medicine
VO  - 36
IP  - 7 Suppl
PG  - S284-92
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Afghanistan
MH  - *Critical Care/og [Organization & Administration]
MH  - Disaster Planning/og [Organization & Administration]
MH  - *Health Facility Environment/og [Organization & Administration]
MH  - *Hospitals, Packaged/og [Organization & Administration]
MH  - Humans
MH  - Iraq
MH  - Iraq War, 2003-2011
MH  - Mass Casualty Incidents/pc [Prevention & Control]
MH  - *Medically Underserved Area
MH  - *Military Medicine/og [Organization & Administration]
MH  - Mobile Health Units/og [Organization & Administration]
MH  - Occupational Diseases/pc [Prevention & Control]
MH  - Oxygen Inhalation Therapy/mt [Methods]
MH  - Patient Care Team/og [Organization & Administration]
MH  - Point-of-Care Systems/og [Organization & Administration]
MH  - Quality Assurance, Health Care/og [Organization & Administration]
MH  - Resource Allocation/og [Organization & Administration]
MH  - Resuscitation/mt [Methods]
MH  - Stress Disorders, Post-Traumatic/pc [Prevention & Control]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Triage/og [Organization & Administration]
MH  - United States
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.
AB  - 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.
AB  - SUMMARY: Adherence to sound, evidence-based, routine practice, within bounds of the circumstances, must underscore everything. [References: 55]
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31817da8ec
PT  - Journal Article
PT  - Review
ID  - 10.1097/CCM.0b013e31817da8ec [doi]
ID  - 00003246-200807001-00006 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jul
EZ  - 2008/07/18 09:00
DA  - 2008/08/14 09:00
DT  - 2008/07/18 09:00
YR  - 2008
ED  - 20080813
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18594254

<510. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18594253
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Grathwohl KW
AU  - Venticinque SG
FA  - Grathwohl, Kurt W
FA  - Venticinque, Steven G
IN  - Grathwohl, Kurt W. Department of Anesthesia and Operative Services, University of Texas Health Sciences Center, San Antonio, TX, USA. kurt.grathwohl@amedd.army.mil
TI  - Organizational characteristics of the austere intensive care unit: the evolution of military trauma and critical care medicine; applications for civilian medical care systems. [Review] [34 refs]
SO  - Critical Care Medicine. 36(7 Suppl):S275-83, 2008 Jul
AS  - Crit Care Med. 36(7 Suppl):S275-83, 2008 Jul
NJ  - Critical care medicine
VO  - 36
IP  - 7 Suppl
PG  - S275-83
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Afghanistan
MH  - Benchmarking
MH  - *Critical Care/og [Organization & Administration]
MH  - Disaster Planning
MH  - Health Planning Guidelines
MH  - Health Services Needs and Demand
MH  - Hospitals, Military/og [Organization & Administration]
MH  - Hospitals, Packaged/og [Organization & Administration]
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - Iraq
MH  - Iraq War, 2003-2011
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Mass Casualty Incidents/pc [Prevention & Control]
MH  - *Military Medicine/og [Organization & Administration]
MH  - Mobile Health Units/og [Organization & Administration]
MH  - Models, Organizational
MH  - Multiple Trauma/di [Diagnosis]
MH  - Multiple Trauma/mo [Mortality]
MH  - *Multiple Trauma/th [Therapy]
MH  - Organizational Innovation
MH  - Organizational Objectives
MH  - Outcome Assessment (Health Care)/og [Organization & Administration]
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - United States
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. [References: 34]
ES  - 1530-0293
IL  - 0090-3493
DO  - https://dx.doi.org/10.1097/CCM.0b013e31817da825
PT  - Journal Article
PT  - Review
ID  - 10.1097/CCM.0b013e31817da825 [doi]
ID  - 00003246-200807001-00005 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jul
EZ  - 2008/07/18 09:00
DA  - 2008/08/14 09:00
DT  - 2008/07/18 09:00
YR  - 2008
ED  - 20080813
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18594253

<511. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18655931
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - American College of Emergency Physicians
FA  - American College of Emergency Physicians
TI  - Boarding of admitted and intensive care patients in the emergency department.
SO  - Annals of Emergency Medicine. 52(2):188-9, 2008 Aug
AS  - Ann Emerg Med. 52(2):188-9, 2008 Aug
NJ  - Annals of emergency medicine
VO  - 52
IP  - 2
PG  - 188-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8002646
IO  - Ann Emerg Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Bed Occupancy
MH  - Critical Care
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Organizational Policy
MH  - Patient Transfer
MH  - Societies, Medical
MH  - United States
ES  - 1097-6760
IL  - 0196-0644
DO  - https://dx.doi.org/10.1016/j.annemergmed.2008.05.030
PT  - Journal Article
ID  - S0196-0644(08)00845-7 [pii]
ID  - 10.1016/j.annemergmed.2008.05.030 [doi]
PP  - ppublish
PH  - 2008/05/13 [received]
PH  - 2008/05/13 [revised]
PH  - 2008/05/13 [accepted]
LG  - English
DP  - 2008 Aug
EZ  - 2008/07/29 09:00
DA  - 2008/08/09 09:00
DT  - 2008/07/29 09:00
YR  - 2008
ED  - 20080808
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18655931

<512. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18645323
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Guo Y
AU  - Persyn L
AU  - Palmer JL
AU  - Bruera E
FA  - Guo, Ying
FA  - Persyn, Lisa
FA  - Palmer, J Lynn
FA  - Bruera, Eduardo
IN  - Guo, Ying. Department of Palliative Care and Rehabilitation Medicine, University of Texas-M.D. Anderson Cancer Center, Houston, Texas 77030, USA.
TI  - Incidence of and risk factors for transferring cancer patients from rehabilitation to acute care units.
SO  - American Journal of Physical Medicine & Rehabilitation. 87(8):647-53, 2008 Aug
AS  - Am J Phys Med Rehabil. 87(8):647-53, 2008 Aug
NJ  - American journal of physical medicine & rehabilitation
VO  - 87
IP  - 8
PG  - 647-53
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8803677, ajo
IO  - Am J Phys Med Rehabil
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Cancer Care Facilities
MH  - Catheterization
MH  - Creatinine/an [Analysis]
MH  - Female
MH  - Hospital Mortality
MH  - Hospitalization
MH  - Humans
MH  - Incidence
MH  - *Intensive Care Units
MH  - Intubation, Gastrointestinal
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Neoplasms/co [Complications]
MH  - *Neoplasms/ep [Epidemiology]
MH  - *Patient Transfer
MH  - *Rehabilitation Centers
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Serum Albumin/an [Analysis]
AB  - OBJECTIVES: The aim of this study was to examine the clinical factors associated with transfer from an acute inpatient rehabilitation service to an inpatient oncology service.
AB  - DESIGN: Retrospective chart review in an inpatient rehabilitation unit within a tertiary cancer center. Participants included consecutive patients admitted to an acute inpatient rehabilitation unit (n = 98). The average age of these patients was 60 yrs old (range from 18 to 86). Main outcomes measures included the frequency of transfer and reason for transfer.
AB  - RESULTS: Thirty-five percent (34/98) of patients were transferred back to the oncology service during acute rehabilitation, among them, 12% was for planned cancer treatment and 88% for worsening medical conditions. Age, sex, tumor diagnosis, presence of metastatic lesion, and most abnormal laboratory values at rehabilitation admission were not significant factors for transferring. Significant factors for transfers were low albumin (P = 0.04), elevated creatinine levels (P = 0.01), tube feeding (P = 0.03), and a Foley catheter (P = 0.02). Those patients who were transferred back to the oncology service were more likely to die during hospitalization (15%, 5/33) and less likely to be discharged to home (52%, 17/33) compared with patients who were not transferred (2% death, 1/62; 90% home, 56/62, P < 0.0001).
AB  - CONCLUSIONS: Transferring back to the acute oncology service is 35% among patients undergoing acute cancer rehabilitation.
RN  - 0 (Serum Albumin)
RN  - AYI8EX34EU (Creatinine)
ES  - 1537-7385
IL  - 0894-9115
DO  - https://dx.doi.org/10.1097/PHM.0b013e31817fb94e
PT  - Journal Article
ID  - 10.1097/PHM.0b013e31817fb94e [doi]
ID  - 00002060-200808000-00006 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Aug
EZ  - 2008/07/23 09:00
DA  - 2008/08/06 09:00
DT  - 2008/07/23 09:00
YR  - 2008
ED  - 20080805
RD  - 20161018
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18645323

<513. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18450676
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Frady RJ
FA  - Frady, Rebecca J
TI  - Giving and receiving report is critical.
CM  - Comment on: Am J Crit Care. 2008 Mar;17(2):95-7; PMID: 18310641
SO  - American Journal of Critical Care. 17(3):193, 2008 May
AS  - Am J Crit Care. 17(3):193, 2008 May
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 17
IP  - 3
PG  - 193
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Communication
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units
MH  - *Nursing Staff, Hospital/og [Organization & Administration]
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer/og [Organization & Administration]
IS  - 1062-3264
IL  - 1062-3264
PT  - Comment
PT  - Letter
ID  - 17/3/193 [pii]
PP  - ppublish
LG  - English
DP  - 2008 May
EZ  - 2008/05/03 09:00
DA  - 2008/07/18 09:00
DT  - 2008/05/03 09:00
YR  - 2008
ED  - 20080717
RD  - 20080502
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18450676

<514. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18496121
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Deis JN
AU  - Abramo TJ
AU  - Crawley L
FA  - Deis, Jamie N
FA  - Abramo, Thomas J
FA  - Crawley, Lee
IN  - Deis, Jamie N. Department of Emergency Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN 73232-4700, USA. jamie.deis@vanderbilt.edu
TI  - Noninvasive respiratory support. [Review] [73 refs]
CM  - Comment in: Pediatr Emerg Care. 2009 Jan;25(1):59-60; PMID: 19148020
SO  - Pediatric Emergency Care. 24(5):331-8; quiz 339, 2008 May
AS  - Pediatr Emerg Care. 24(5):331-8; quiz 339, 2008 May
NJ  - Pediatric emergency care
VO  - 24
IP  - 5
PG  - 331-8; quiz 339
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Continuous Positive Airway Pressure/is [Instrumentation]
MH  - *Continuous Positive Airway Pressure/mt [Methods]
MH  - *Emergency Service, Hospital
MH  - Humans
MH  - *Intensive Care Units
MH  - *Intermittent Positive-Pressure Ventilation/mt [Methods]
MH  - *Lung Diseases/th [Therapy]
MH  - *Pediatrics
MH  - Respiratory Therapy/is [Instrumentation]
MH  - Respiratory Therapy/mt [Methods]
MH  - Respiratory Therapy/td [Trends]
MH  - *Respiratory Therapy
MH  - Transportation of Patients
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. [References: 73]
ES  - 1535-1815
IL  - 0749-5161
DO  - https://dx.doi.org/10.1097/PEC.0b013e31816ffbe8
PT  - Journal Article
PT  - Review
ID  - 10.1097/PEC.0b013e31816ffbe8 [doi]
ID  - 00006565-200805000-00014 [pii]
PP  - ppublish
LG  - English
DP  - 2008 May
EZ  - 2008/05/23 09:00
DA  - 2008/07/04 09:00
DT  - 2008/05/23 09:00
YR  - 2008
ED  - 20080703
RD  - 20090416
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18496121

<515. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18185125
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Parshuram CS
FA  - Parshuram, Christopher S
TI  - Risk-adjusted intensive care unit outcomes and admission from our backyard.
CM  - Comment on: Pediatr Crit Care Med. 2008 Jan;9(1):20-5; PMID: 18477909
SO  - Pediatric Critical Care Medicine. 9(1):118-9, 2008 Jan
AS  - Pediatr Crit Care Med. 9(1):118-9, 2008 Jan
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 9
IP  - 1
PG  - 118-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Odds Ratio
MH  - *Outcome Assessment (Health Care)/mt [Methods]
MH  - *Patient Admission
MH  - *Patient Transfer
MH  - *Risk Adjustment
MH  - Severity of Illness Index
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/01.PCC.0000298651.33662.2D
PT  - Comment
PT  - Editorial
ID  - 10.1097/01.PCC.0000298651.33662.2D [doi]
ID  - 00130478-200801000-00025 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jan
EZ  - 2008/01/11 09:00
DA  - 2008/06/27 09:00
DT  - 2008/01/11 09:00
YR  - 2008
ED  - 20080626
RD  - 20080110
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18185125

<516. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18185124
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kissoon N
FA  - Kissoon, Niranjan
TI  - Pediatric critical care transport: diagnostic uncertainty--no worries, resource limitation--worry.
CM  - Comment on: Pediatr Crit Care Med 2008; 9:15-19. Pediatric interhospital transport: Diagnostic discordance and hospital mortality.
CM  - Comment on: Pediatr Crit Care Med. 2008 Jan;9(1):15-9; PMID: 18477908
SO  - Pediatric Critical Care Medicine. 9(1):116-7, 2008 Jan
AS  - Pediatr Crit Care Med. 9(1):116-7, 2008 Jan
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 9
IP  - 1
PG  - 116-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Critical Care/og [Organization & Administration]
MH  - *Critical Care
MH  - Diagnosis
MH  - *Health Resources/sd [Supply & Distribution]
MH  - Humans
MH  - *Patient Transfer
MH  - *Pediatrics
MH  - Referral and Consultation/og [Organization & Administration]
MH  - *Uncertainty
IS  - 1529-7535
IL  - 1529-7535
DO  - https://dx.doi.org/10.1097/01.PCC.0000298649.43544.6C
PT  - Comment
PT  - Editorial
ID  - 10.1097/01.PCC.0000298649.43544.6C [doi]
ID  - 00130478-200801000-00024 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jan
EZ  - 2008/01/11 09:00
DA  - 2008/06/27 09:00
DT  - 2008/01/11 09:00
YR  - 2008
ED  - 20080626
RD  - 20080110
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18185124

<517. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18391155
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Suarez JI
AU  - Kent TA
FA  - Suarez, Jose I
FA  - Kent, Thomas A
TI  - The time is right to improve organization of stroke care.
CM  - Comment on: Neurology. 2008 Apr 8;70(15):1238-43; PMID: 18322264
SO  - Neurology. 70(15):1232-3, 2008 Apr 08
AS  - Neurology. 70(15):1232-3, 2008 Apr 08
NJ  - Neurology
VO  - 70
IP  - 15
PG  - 1232-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0401060, nz0
IO  - Neurology
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Early Diagnosis
MH  - Emergency Medical Services/og [Organization & Administration]
MH  - *Emergency Medical Services/st [Standards]
MH  - Emergency Medical Services/sn [Statistics & Numerical Data]
MH  - *Emergency Service, Hospital/st [Standards]
MH  - Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Emergency Service, Hospital/td [Trends]
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - *Intensive Care Units/st [Standards]
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Medicine/st [Standards]
MH  - Medicine/sn [Statistics & Numerical Data]
MH  - Medicine/td [Trends]
MH  - Outcome Assessment (Health Care)
MH  - Specialization
MH  - *Stroke/dt [Drug Therapy]
MH  - *Stroke/nu [Nursing]
MH  - Stroke Rehabilitation
MH  - Thrombolytic Therapy/st [Standards]
MH  - Thrombolytic Therapy/sn [Statistics & Numerical Data]
MH  - Time Factors
MH  - Transportation of Patients/st [Standards]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
MH  - Treatment Outcome
ES  - 1526-632X
IL  - 0028-3878
DO  - https://dx.doi.org/10.1212/01.wnl.0000308954.29309.c2
PT  - Editorial
PT  - Comment
ID  - 70/15/1232 [pii]
ID  - 10.1212/01.wnl.0000308954.29309.c2 [doi]
PP  - ppublish
LG  - English
DP  - 2008 Apr 08
EZ  - 2008/04/09 09:00
DA  - 2008/05/16 09:00
DT  - 2008/04/09 09:00
YR  - 2008
ED  - 20080515
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18391155

<518. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18184102
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shah S
AU  - Rothberger A
AU  - Caprio M
AU  - Mally P
AU  - Hendricks-Munoz K
FA  - Shah, Shetal
FA  - Rothberger, Adina
FA  - Caprio, Martha
FA  - Mally, Pradeep
FA  - Hendricks-Munoz, Karen
IN  - Shah, Shetal. Division of Neonatology, Department of Pediatrics, State University of New York at Stonybrook School of Medicine, Stonybrook, NY, USA.
TI  - Quantification of impulse experienced by neonates during inter- and intra-hospital transport measured by biophysical accelerometery.
SO  - Journal of Perinatal Medicine. 36(1):87-92, 2008
AS  - J Perinat Med. 36(1):87-92, 2008
NJ  - Journal of perinatal medicine
VO  - 36
IP  - 1
PG  - 87-92
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jmm, 0361031
IO  - J Perinat Med
SB  - Index Medicus
CP  - Germany
MH  - Beds
MH  - *Biomechanical Phenomena/mt [Methods]
MH  - Biophysical Phenomena
MH  - Biophysics
MH  - Equipment Design
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal
MH  - Manikins
MH  - *Monitoring, Ambulatory/mt [Methods]
MH  - Motion
MH  - *Patient Transfer
MH  - *Transportation of Patients
MH  - Wounds and Injuries/pc [Prevention & Control]
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 0300-5577
IL  - 0300-5577
DO  - https://dx.doi.org/10.1515/JPM.2008.009
PT  - Journal Article
ID  - 10.1515/JPM.2008.009 [doi]
PP  - ppublish
LG  - English
DP  - 2008
EZ  - 2008/01/11 09:00
DA  - 2008/05/14 09:00
DT  - 2008/01/11 09:00
YR  - 2008
ED  - 20080513
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18184102

<519. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18287900
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sosa ME
FA  - Sosa, Mary Ellen Burke
IN  - Sosa, Mary Ellen Burke. Perinatal Resources, Rumford, Rhode Island, USA. maryellensosa@yahoo.com
TI  - The pregnant trauma patient in the intensive care unit: collaborative care to ensure safety and prevent injury. [Review] [23 refs]
SO  - Journal of Perinatal & Neonatal Nursing. 22(1):33-8, 2008 Jan-Mar
AS  - J Perinat Neonatal Nurs. 22(1):33-8, 2008 Jan-Mar
NJ  - The Journal of perinatal & neonatal nursing
VO  - 22
IP  - 1
PG  - 33-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jpn, 8801387
IO  - J Perinat Neonatal Nurs
SB  - Nursing Journal
CP  - United States
MH  - Cardiopulmonary Resuscitation
MH  - Cesarean Section
MH  - Clinical Competence
MH  - Communication
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - *Cooperative Behavior
MH  - *Critical Care/og [Organization & Administration]
MH  - Emergency Treatment
MH  - Female
MH  - Fetal Monitoring
MH  - Humans
MH  - Interprofessional Relations
MH  - Neonatal Nursing/og [Organization & Administration]
MH  - Nurse's Role
MH  - Nursing Assessment
MH  - Patient Care Planning/og [Organization & Administration]
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer
MH  - *Perinatal Care/og [Organization & Administration]
MH  - Pregnancy
MH  - *Pregnancy Complications/th [Therapy]
MH  - *Safety Management/og [Organization & Administration]
MH  - *Wounds and Injuries/th [Therapy]
AB  - The pregnant woman who has experienced trauma will need to be transferred to an appropriate setting once she is stabilized. Nursing has evolved into many specialty areas with specific sets of skills developed to care for women in these areas. The trauma team and the intensive care unit team will most likely be uncomfortable with the pregnant woman. The perinatal team may be uncomfortable with the injuries or illness that brought the woman to the trauma unit. Together the combined knowledge of all teams can provide for safe care of the woman and fetus and prevent injury occurring to them. Collaborative care is part of the overall plan of care, which follows a formal plan already established by the leadership teams of the 2 units. The purpose of this article is to review collaborative care in the intensive care unit and to provide an overview of the nursing skill sets necessary to care for the pregnant trauma woman. [References: 23]
IS  - 0893-2190
IL  - 0893-2190
DO  - https://dx.doi.org/10.1097/01.JPN.0000311873.53699.7e
PT  - Journal Article
PT  - Review
ID  - 10.1097/01.JPN.0000311873.53699.7e [doi]
ID  - 00005237-200801000-00010 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Jan-Mar
EZ  - 2008/02/22 09:00
DA  - 2008/05/03 09:00
DT  - 2008/02/22 09:00
YR  - 2008
ED  - 20080502
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18287900

<520. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18094704
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dweck N
AU  - Augustine M
AU  - Pandya D
AU  - Valdes-Greene R
AU  - Visintainer P
AU  - Brumberg HL
FA  - Dweck, N
FA  - Augustine, M
FA  - Pandya, D
FA  - Valdes-Greene, R
FA  - Visintainer, P
FA  - Brumberg, H L
IN  - Dweck, N. Department of Pediatrics, Division of Newborn Medicine, Maria Fareri Children's Hospital at Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA.
TI  - NICU lactation consultant increases percentage of outborn versus inborn babies receiving human milk.[Erratum appears in J Perinatol. 2008 Apr;28(4):316]
SO  - Journal of Perinatology. 28(2):136-40, 2008 Feb
AS  - J Perinatol. 28(2):136-40, 2008 Feb
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 28
IP  - 2
PG  - 136-40
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Breast Feeding/px [Psychology]
MH  - *Breast Feeding/sn [Statistics & Numerical Data]
MH  - *Counseling
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Mothers/px [Psychology]
MH  - Multivariate Analysis
MH  - New York
MH  - Patient Discharge
MH  - *Patient Education as Topic
MH  - Patient Transfer
MH  - Referral and Consultation
MH  - Retrospective Studies
AB  - OBJECTIVE: To determine the effect of a dedicated lactation consultant (LC) on the percentage of neonates receiving any human milk in the neonatal intensive care unit (NICU) and at discharge over time.
AB  - STUDY DESIGN: Retrospective chart review of three time periods of 3 months each; Time period 1 (before LC hire), Time period 2 (T2; after LC arrival) and Time period 3 (subsequent period after T2).
AB  - RESULT: Percentage of infants receiving any HM during hospital stay and at discharge increased significantly over time after LC hire and with LC experience. Outborn (OB) infants receiving any HM in the NICU and at discharge increased over time, but there was no significant change for inborn infants, as the proportion receiving any HM remained consistently high over time.
AB  - CONCLUSION: Addition of a dedicated LC to the NICU increased the percentage of neonates receiving any HM, specifically in the OB population.
IS  - 0743-8346
IL  - 0743-8346
PT  - Comparative Study
PT  - Evaluation Studies
PT  - Journal Article
ID  - 7211888 [pii]
ID  - 10.1038/sj.jp.7211888 [doi]
PP  - ppublish
LG  - English
EP  - 20071220
DP  - 2008 Feb
EZ  - 2007/12/21 09:00
DA  - 2008/05/03 09:00
DT  - 2007/12/21 09:00
YR  - 2008
ED  - 20080502
RD  - 20080505
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18094704

<521. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18381519
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gregory CJ
AU  - Nasrollahzadeh F
AU  - Dharmar M
AU  - Parsapour K
AU  - Marcin JP
FA  - Gregory, Christopher J
FA  - Nasrollahzadeh, Farid
FA  - Dharmar, Madan
FA  - Parsapour, Kourosh
FA  - Marcin, James P
IN  - Gregory, Christopher J. Department of Pediatrics, University of California Davis Children's Hospital, USA. christopher.gregory@ucdmc.ucdavis.edu
TI  - Comparison of critically ill and injured children transferred from referring hospitals versus in-house admissions.
SO  - Pediatrics. 121(4):e906-11, 2008 Apr
AS  - Pediatrics. 121(4):e906-11, 2008 Apr
NJ  - Pediatrics
VO  - 121
IP  - 4
PG  - e906-11
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - California
MH  - Child
MH  - Child, Hospitalized/sn [Statistics & Numerical Data]
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Critical Care/st [Standards]
MH  - Critical Care/td [Trends]
MH  - Critical Illness/mo [Mortality]
MH  - *Critical Illness/th [Therapy]
MH  - Emergency Service, Hospital
MH  - Female
MH  - *Hospital Mortality/td [Trends]
MH  - Hospital Units
MH  - Hospitals, University
MH  - Humans
MH  - Infant
MH  - Injury Severity Score
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - Patient Admission
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Probability
MH  - Quality of Health Care
MH  - Referral and Consultation
MH  - Registries
MH  - Risk Adjustment
MH  - Statistics, Nonparametric
MH  - Survival Analysis
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
MH  - Wounds and Injuries/di [Diagnosis]
MH  - Wounds and Injuries/mo [Mortality]
MH  - *Wounds and Injuries/th [Therapy]
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.
AB  - 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.
AB  - 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).
AB  - 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.
ES  - 1098-4275
IL  - 0031-4005
DO  - https://dx.doi.org/10.1542/peds.2007-2089
PT  - Comparative Study
PT  - Journal Article
ID  - 121/4/e906 [pii]
ID  - 10.1542/peds.2007-2089 [doi]
PP  - ppublish
LG  - English
DP  - 2008 Apr
EZ  - 2008/04/03 09:00
DA  - 2008/05/01 09:00
DT  - 2008/04/03 09:00
YR  - 2008
ED  - 20080430
RD  - 20080402
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18381519

<522. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18310641
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dracup K
AU  - Morris PE
FA  - Dracup, Kathleen
FA  - Morris, Peter E
TI  - Passing the torch: the challenge of handoffs.
CM  - Comment in: Am J Crit Care. 2008 May;17(3):193; PMID: 18450676
SO  - American Journal of Critical Care. 17(2):95-7, 2008 Mar
AS  - Am J Crit Care. 17(2):95-7, 2008 Mar
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 17
IP  - 2
PG  - 95-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Communication
MH  - *Continuity of Patient Care
MH  - Humans
MH  - Intensive Care Units
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Safety Management
MH  - United States
IS  - 1062-3264
IL  - 1062-3264
PT  - Editorial
ID  - 17/2/95 [pii]
PP  - ppublish
LG  - English
DP  - 2008 Mar
EZ  - 2008/03/04 09:00
DA  - 2008/04/30 09:00
DT  - 2008/03/04 09:00
YR  - 2008
ED  - 20080429
RD  - 20080717
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18310641

<523. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18206583
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kenny DJ
AU  - Hull MS
FA  - Kenny, Deborah J
FA  - Hull, Mary S
IN  - Kenny, Deborah J. Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. deb.kenny@us.army.mil
TI  - Critical care nurses' experiences caring for the casualties of war evacuated from the front line: lessons learned and needs identified.
SO  - Critical Care Nursing Clinics of North America. 20(1):41-9, vi, 2008 Mar
AS  - Crit Care Nurs Clin North Am. 20(1):41-9, vi, 2008 Mar
NJ  - Critical care nursing clinics of North America
VO  - 20
IP  - 1
PG  - 41-9, vi
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Adaptation, Psychological
MH  - Adolescent
MH  - Adult
MH  - Afghanistan
MH  - *Attitude of Health Personnel
MH  - Burnout, Professional/pc [Prevention & Control]
MH  - Burnout, Professional/px [Psychology]
MH  - *Burnout, Professional
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/px [Psychology]
MH  - Europe
MH  - Grief
MH  - Humans
MH  - Iraq War, 2003-2011
MH  - *Military Nursing/og [Organization & Administration]
MH  - *Needs Assessment/og [Organization & Administration]
MH  - Nurse's Role/px [Psychology]
MH  - Nursing Methodology Research
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - Occupational Health
MH  - Personnel Staffing and Scheduling/og [Organization & Administration]
MH  - Risk Factors
MH  - Self Care/mt [Methods]
MH  - Self Care/px [Psychology]
MH  - Social Support
MH  - Surveys and Questionnaires
MH  - Transportation of Patients
MH  - United States
MH  - Workload/px [Psychology]
AB  - Nursing in a critical care environment is stressful, particularly when patients are young, previously healthy soldiers who have experienced multiple severe, life-threatening injuries. These injuries not only devastate the injured soldiers and their families, but also significantly impact the nurses caring for these patients. This article discusses some stressors identified by critical care nurses in two military medical treatment facilities where the most severely injured soldiers undergo definitive care, and examines the evolution of the concept of compassion fatigue, its symptoms, and methods of coping. Examples of how the nurses currently working with these young soldiers manage their own stressors are discussed and suggestions for successful coping strategies are provided.
IS  - 0899-5885
IL  - 0899-5885
DO  - https://dx.doi.org/10.1016/j.ccell.2007.10.013
PT  - Journal Article
ID  - S0899-5885(07)00088-3 [pii]
ID  - 10.1016/j.ccell.2007.10.013 [doi]
PP  - ppublish
LG  - English
DP  - 2008 Mar
EZ  - 2008/01/22 09:00
DA  - 2008/04/09 09:00
DT  - 2008/01/22 09:00
YR  - 2008
ED  - 20080408
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18206583

<524. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18173861
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hotchkin DL
AU  - Rubinson L
FA  - Hotchkin, David L
FA  - Rubinson, Lewis
IN  - Hotchkin, David L. Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, USA. rubinson@u.washington.edu
TI  - Modified critical care and treatment space considerations for mass casualty critical illness and injury.
SO  - Respiratory Care. 53(1):67-74; discussion 74-7, 2008 Jan
AS  - Respir Care. 53(1):67-74; discussion 74-7, 2008 Jan
NJ  - Respiratory care
VO  - 53
IP  - 1
PG  - 67-74; discussion 74-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - qz3, 7510357
IO  - Respir Care
SB  - Index Medicus
CP  - United States
MH  - Continuity of Patient Care
MH  - *Critical Care/mt [Methods]
MH  - Critical Care/og [Organization & Administration]
MH  - Critical Care/st [Standards]
MH  - Critical Illness/cl [Classification]
MH  - Critical Illness/th [Therapy]
MH  - *Disaster Planning
MH  - *Emergency Medical Services/sd [Supply & Distribution]
MH  - Hospitals, Packaged/sd [Supply & Distribution]
MH  - Humans
MH  - *Mass Casualty Incidents
MH  - Patient Transfer/og [Organization & Administration]
MH  - Triage
AB  - Mass critical care events are increasingly likely, yet the resource challenges to augment everyday, unrestricted critical care for a surge of disaster victims are insurmountable for nearly all communities. In light of these limitations, an expert panel defined a circumscribed set of key critical care interventions that they believed could be offered to many additional people and yet would also continue to offer substantial life-sustaining benefits for nonmoribund critically ill and injured people. They proposed Emergency Mass Critical Care, which is based on the set of key interventions and includes recommendations for necessary surge medical equipment, treatment space characteristics, and staffing competencies for mass critical care response. To date, Emergency Mass Critical Care is untested, and the real benefits of implementation remain uncertain. Nonetheless, Emergency Mass Critical Care currently remains the only comprehensive construct for mass critical care preparedness and response. This paper reviews current concepts to provide life-sustaining care for hundreds or thousands of people outside of traditional critical care sites.
IS  - 0020-1324
IL  - 0020-1324
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2008 Jan
EZ  - 2008/01/05 09:00
DA  - 2008/02/29 09:00
DT  - 2008/01/05 09:00
YR  - 2008
ED  - 20080228
RD  - 20080104
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18173861

<525. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18036472
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Biddle A
FA  - Biddle, Amy
IN  - Biddle, Amy. Pediatric Intensive Care Unit, Children's Hospital of Pittsburgh, Pittsburgh, PA 15213, USA. amy.biddle@chp.edu
TI  - Pediatric intensive care unit admission tool: a colorful approach.
SO  - Journal of Pediatric Nursing. 22(6):507-9, 2007 Dec
AS  - J Pediatr Nurs. 22(6):507-9, 2007 Dec
NJ  - Journal of pediatric nursing
VO  - 22
IP  - 6
PG  - 507-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jns, 8607529
IO  - J Pediatr Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Child
MH  - Color
MH  - Decision Making, Organizational
MH  - Hospital Bed Capacity/sn [Statistics & Numerical Data]
MH  - *Hospital Bed Capacity
MH  - *Hospital Communication Systems/og [Organization & Administration]
MH  - Hospitals, Pediatric
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Leadership
MH  - Needs Assessment
MH  - Nursing Administration Research
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - Organizational Culture
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Admission
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Discharge
MH  - Patient Transfer/og [Organization & Administration]
MH  - Pennsylvania
MH  - Personnel Staffing and Scheduling/og [Organization & Administration]
MH  - Planning Techniques
MH  - Program Development
MH  - Program Evaluation
MH  - Safety Management
MH  - Severity of Illness Index
AB  - This article discusses the development, implementation, and utilization of our institution's Pediatric Intensive Care Unit (PICU) Color-Coded Admission Status Tool. Rather than the historical method of identifying a maximum number of staffed beds, a tool was developed to color code the PICU's admission status. Previous methods had been ineffective and led to confusion between the PICU leadership team and the administration. The tool includes the previously missing components of staffing and acuity, which are essential in determining admission capability. The PICU tool has three colored levels: green indicates open for admissions; yellow, admission alert resulting from available beds or because staffing is not equal to the projected patient numbers or required acuity; and red, admissions on hold because only one trauma or arrest bed is available or staffing is not equal to the projected acuity. Yellow and red designations require specific actions and the medical director's approval. The tool has been highly successful and significantly impacted nursing with the inclusion of the essential component of nurse staffing necessary in determining bed availability.
IS  - 0882-5963
IL  - 0882-5963
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0882-5963(07)00181-9 [pii]
ID  - 10.1016/j.pedn.2007.04.005 [doi]
PP  - ppublish
PH  - 2007/01/14 [received]
PH  - 2007/04/03 [revised]
PH  - 2007/04/03 [accepted]
LG  - English
DP  - 2007 Dec
EZ  - 2007/11/27 09:00
DA  - 2008/02/22 09:00
DT  - 2007/11/27 09:00
YR  - 2007
ED  - 20080221
RD  - 20071126
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18036472

<526. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18075371
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Carlson DE
AU  - Chiu WC
AU  - Johnson SB
AU  - Scalea TM
FA  - Carlson, Drew E
FA  - Chiu, William C
FA  - Johnson, Steven B
FA  - Scalea, Thomas M
TI  - Barriers to the optimal resuscitation of patients with severe sepsis? Transfer to a level I critical care center!.
CM  - Comment on: Crit Care Med. 2007 Nov;35(11):2525-32; PMID: 18075366
SO  - Critical Care Medicine. 35(11):2644-5, 2007 Nov
AS  - Crit Care Med. 35(11):2644-5, 2007 Nov
NJ  - Critical care medicine
VO  - 35
IP  - 11
PG  - 2644-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Clinical Protocols
MH  - Critical Care
MH  - Humans
MH  - Patient Transfer
MH  - *Resuscitation/st [Standards]
MH  - *Sepsis/th [Therapy]
MH  - Severity of Illness Index
IS  - 0090-3493
IL  - 0090-3493
PT  - Comment
PT  - Editorial
ID  - 10.1097/01.CCM.0000288080.93937.9D [doi]
ID  - 00003246-200711000-00028 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Nov
EZ  - 2007/12/14 09:00
DA  - 2008/02/19 09:00
DT  - 2007/12/14 09:00
YR  - 2007
ED  - 20080215
RD  - 20071217
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18075371

<527. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18006884
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kahn JM
AU  - Linde-Zwirble WT
AU  - Wunsch H
AU  - Barnato AE
AU  - Iwashyna TJ
AU  - Roberts MS
AU  - Lave JR
AU  - Angus DC
FA  - Kahn, Jeremy M
FA  - Linde-Zwirble, Walter T
FA  - Wunsch, Hannah
FA  - Barnato, Amber E
FA  - Iwashyna, Theodore J
FA  - Roberts, Mark S
FA  - Lave, Judith R
FA  - Angus, Derek C
IN  - Kahn, Jeremy M. Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania School of Medicine, 723 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA. jmkahn@mail.med.upenn.edu
TI  - Potential value of regionalized intensive care for mechanically ventilated medical patients.
SO  - American Journal of Respiratory & Critical Care Medicine. 177(3):285-91, 2008 Feb 01
AS  - Am J Respir Crit Care Med. 177(3):285-91, 2008 Feb 01
NJ  - American journal of respiratory and critical care medicine
VO  - 177
IP  - 3
PG  - 285-91
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9421642, bzs
IO  - Am. J. Respir. Crit. Care Med.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2218846
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Cohort Studies
MH  - *Critical Care
MH  - Hospital Mortality
MH  - *Hospitals/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Monte Carlo Method
MH  - Patient Transfer
MH  - *Referral and Consultation
MH  - Regional Health Planning/sn [Statistics & Numerical Data]
MH  - Respiration, Artificial/mo [Mortality]
MH  - *Respiration, Artificial/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - United States
AB  - RATIONALE: Regionalization has been proposed as a method to improve outcomes for medical patients receiving mechanical ventilation in the intensive care unit.
AB  - OBJECTIVES: To determine the number of patients who would be affected by regionalization and the potential mortality reduction under a regionalized system of care.
AB  - METHODS: We performed a retrospective cohort study with Monte Carlo simulation, using 2001 state discharge data from eight states representing 42% of the U.S. population. Adult medical patients undergoing invasive mechanical ventilation were identified. Patient location and hospital mortality rates were obtained from the discharge data; estimates of the relative risk reduction in hospital mortality for high-volume hospitals compared with low-volume hospitals were obtained from the published literature and applied to the cohort.
AB  - MEASUREMENTS AND MAIN RESULTS: Of 180,976 adult medical patients who underwent mechanical ventilation at 1,170 nonfederal hospitals, 83,050 (46%) received mechanical ventilation at 887 (76%) hospitals with low annual volumes (fewer than 275 patients per year). Using published risk estimates, approximately 4,720 lives per year (95% range, 2,522-6,744) could potentially be saved in the 8 states by routinely transferring patients from low- to high-volume hospitals, representing a number needed to treat of 15.7. The median distance that patients would need to travel to reach a high-volume hospital was 8.5 miles (interquartile range, 4.0-21.2 mi).
AB  - CONCLUSIONS: Regionalization of intensive care could potentially improve survival for patients undergoing mechanical ventilation. Transfer distances are modest for most patients.
ES  - 1535-4970
IL  - 1073-449X
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
ID  - 200708-1214OC [pii]
ID  - 10.1164/rccm.200708-1214OC [doi]
ID  - PMC2218846 [pmc]
PP  - ppublish
GI  - No: K23HL082650
Organization: (HL) *NHLBI NIH HHS*
Country: United States
LG  - English
EP  - 20071115
DP  - 2008 Feb 01
EZ  - 2007/11/17 09:00
DA  - 2008/02/08 09:00
DT  - 2007/11/17 09:00
YR  - 2008
ED  - 20080207
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18006884

<528. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18097210
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Price-Douglas W
AU  - Diehl-Svrjcek B
FA  - Price-Douglas, Webra
FA  - Diehl-Svrjcek, Beth
IN  - Price-Douglas, Webra. Maryland Regional Neonatal Transport Program, The Johns Hopkins Hospital, Baltimore MD 21287, USA. wpdougla@jhmi.edu
TI  - Epidermolysis bullosa: a case study in transport, treatment, and care. [Review] [9 refs]
SO  - Advances in Neonatal Care. 7(6):289-94, 2007 Dec
AS  - ADV NEONAT CARE. 7(6):289-94, 2007 Dec
NJ  - Advances in neonatal care : official journal of the National Association of Neonatal Nurses
VO  - 7
IP  - 6
PG  - 289-94
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101125644
IO  - Adv Neonatal Care
SB  - Index Medicus
CP  - United States
MH  - Epidermolysis Bullosa/di [Diagnosis]
MH  - Epidermolysis Bullosa/nu [Nursing]
MH  - Epidermolysis Bullosa/pp [Physiopathology]
MH  - Epidermolysis Bullosa/th [Therapy]
MH  - *Epidermolysis Bullosa
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Transportation of Patients
AB  - There are skin rashes, lesions, and disorders in the neonatal period that require emergent assessment and consultation. A neonate presented with epidermolysis bullosa and provided an opportunity for learning about this condition and various dermatologic resources, primarily DermAtlas. The neonate with suspected epidermolysis bullosa that is delivered in a community setting usually requires transport to a neonatal intensive care unit with pediatric subspecialty care. A case study involving the transport of a neonate with this condition is reviewed, followed by a discussion of the etiology, incidence, pathogenesis, diagnosis, and nursing care before and during transport and parental considerations. The resources available in the neonatal community, primarily DermAtlas, for the identification of epidermolysis bullosa and other dermatological conditions is explored. [References: 9]
IS  - 1536-0903
IL  - 1536-0903
PT  - Case Reports
PT  - Journal Article
PT  - Review
ID  - 10.1097/01.ANC.0000304967.46708.ea [doi]
ID  - 00149525-200712000-00008 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Dec
EZ  - 2007/12/22 09:00
DA  - 2008/02/06 09:00
DT  - 2007/12/22 09:00
YR  - 2007
ED  - 20080205
RD  - 20071221
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18097210

<529. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18084991
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Austin JD
FA  - Austin, J D
IN  - Austin, J D. Paediatric Intensive Care Unit, Starship Hospital, Auckland, New Zealand.
TI  - Critically ill children in non-paediatric intensive care units: a survey, review and proposal for practice.
CM  - Comment in: Anaesth Intensive Care. 2008 May;36(3):454-5; PMID: 18564810
SO  - Anaesthesia & Intensive Care. 35(6):961-7, 2007 Dec
AS  - Anaesth Intensive Care. 35(6):961-7, 2007 Dec
NJ  - Anaesthesia and intensive care
VO  - 35
IP  - 6
PG  - 961-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4m5, 0342017
IO  - Anaesth Intensive Care
SB  - Index Medicus
CP  - Australia
MH  - Attitude of Health Personnel
MH  - Australia
MH  - *Critical Care/mt [Methods]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - New Zealand
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Pediatric Nursing
MH  - Registries
MH  - Telemedicine
AB  - Despite strong arguments in favour of centralising care of critically ill children to paediatric intensive care units, around 2000 children per year are cared for in non-paediatric intensive care units in Australia and New Zealand. This paper reports a survey of consultants from 13 such units that admitted over 50 children in 2002 and 2003, to find out what factors affect the decision to keep critically ill children locally or transfer them to a paediatric intensive care unit and what infrastructure existed to support local care of these children. The results of this survey form the basis for a proposal to improve care of critically ill children in the non-paediatric intensive care units. The four key elements of this proposal are: the use of protocols, routine consultation with the regional paediatric intensive care unit, the use of telemedicine, and enhancing skills and experience of local staff Evidence supporting these measures as well as the evidence for centralising care of critically ill children is reviewed.
IS  - 0310-057X
IL  - 0310-057X
PT  - Journal Article
PT  - Multicenter Study
ID  - 2007179 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Dec
EZ  - 2007/12/19 09:00
DA  - 2008/02/06 09:00
DT  - 2007/12/19 09:00
YR  - 2007
ED  - 20080205
RD  - 20080925
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18084991

<530. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17535178
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Buckmaster AG
AU  - Wright IM
AU  - Arnolda G
AU  - Henderson-Smart DJ
FA  - Buckmaster, Adam G
FA  - Wright, Ian M R
FA  - Arnolda, Gaston
FA  - Henderson-Smart, David J
IN  - Buckmaster, Adam G. Northern Sydney Central Coast Area Health Service, Gosford Hospital, Gosford, NSW, Australia. abuckmaster@nsccahs.health.nsw.gov.au
TI  - Practice variation in initial management and transfer thresholds for infants with respiratory distress in Australian hospitals. Who should write the guidelines?.
SO  - Journal of Paediatrics & Child Health. 43(6):469-75, 2007 Jun
AS  - J Paediatr Child Health. 43(6):469-75, 2007 Jun
NJ  - Journal of paediatrics and child health
VO  - 43
IP  - 6
PG  - 469-75
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Australia
MH  - *Decision Making
MH  - Female
MH  - Hospitals
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Intensive Care, Neonatal
MH  - Male
MH  - Nurseries, Hospital
MH  - *Oxygen Inhalation Therapy
MH  - *Patient Transfer
MH  - *Pediatrics/st [Standards]
MH  - *Practice Guidelines as Topic/st [Standards]
MH  - Research Design
MH  - *Respiratory Distress Syndrome, Newborn/th [Therapy]
MH  - Surveys and Questionnaires
MH  - Time Factors
AB  - AIM: In Australian hospitals: (i) to identify current practices in the initial oxygen management of infants with respiratory distress; (ii) to identify factors important in deciding to transfer an infant; and (iii) to identify thresholds for transfer.
AB  - METHODS: All Australian hospitals with: >200 registered deliveries, a special care unit (SCU) or neonatal intensive care unit (NICU), and at least one paediatrician were surveyed in 2004 (n=176). The questionnaire sought information on the initial oxygen management and factors important in deciding to transfer. Three scenarios were also used to identify thresholds for pH, carbon dioxide and oxygen levels at which transfer should occur. Responses from SCU were compared with those from NICU.
AB  - RESULTS: 15/19 (79%) NICUs and 118/157 (75%) SCUs responded. Initial oxygen management varies widely among SCUs and NICUs. NICUs set significantly lower saturation (SaO(2)) targets in two of the three scenarios. NICUs are statistically significantly more likely to regard 'Medical Staff Experience' and 'Time to Nearest NICU' as important compared with SCUs (P<0.05). NICUs would 'Probably' and 'Definitely Transfer' infants at significantly lower oxygen levels in all three cases (P<0.05). SCUs are significantly less likely to transfer babies with pH of <7.25 compared with NICUs. There was no difference between the centres for CO(2) level.
AB  - CONCLUSION: The wide variation that exists between nurseries in the initial management of infants with respiratory distress and in the thresholds for transfer strongly suggests the need for the development of practice guidelines.
IS  - 1034-4810
IL  - 1034-4810
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - JPC1113 [pii]
ID  - 10.1111/j.1440-1754.2007.01113.x [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/31 09:00
DA  - 2008/01/30 09:00
DT  - 2007/05/31 09:00
YR  - 2007
ED  - 20080129
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17535178

<531. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 18072402
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Harding-Goldson HE
AU  - Crandon IW
AU  - McDonald AH
AU  - Augier R
AU  - Fearon-Boothe D
AU  - Rhoden A
AU  - Meeks-Aitken N
FA  - Harding-Goldson, H E
FA  - Crandon, I W
FA  - McDonald, A H
FA  - Augier, R
FA  - Fearon-Boothe, D
FA  - Rhoden, A
FA  - Meeks-Aitken, N
IN  - Harding-Goldson, H E. Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies. hyacinth.harding-goldson@uwimona.edu.jm
TI  - Surgical and intensive care needs of head-injured patients transferred to the University Hospital of the West Indies.
SO  - West Indian Medical Journal. 56(3):230-3, 2007 Jun
AS  - West Indian Med J. 56(3):230-3, 2007 Jun
NJ  - The West Indian medical journal
VO  - 56
IP  - 3
PG  - 230-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - xn4, 0417410
IO  - West Indian Med J
SB  - Index Medicus
CP  - Jamaica
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - Craniocerebral Trauma/ep [Epidemiology]
MH  - *Craniocerebral Trauma/su [Surgery]
MH  - Cross-Sectional Studies
MH  - Female
MH  - *Health Services Needs and Demand/sn [Statistics & Numerical Data]
MH  - Health Status Indicators
MH  - *Hospitals, University/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units
MH  - Jamaica/ep [Epidemiology]
MH  - Male
MH  - Middle Aged
MH  - *Patient Transfer
MH  - Prognosis
MH  - Registries
MH  - *Surgery Department, Hospital
MH  - West Indies/ep [Epidemiology]
MH  - Wounds and Injuries/ep [Epidemiology]
MH  - *Wounds and Injuries/su [Surgery]
AB  - A cross-sectional, descriptive study utilizing data collected in the 'Trauma Registry' of the Department of Surgery, Radiology, Anaesthesia and Intensive Care at the University Hospital of the West Indies (UHWI) was undertaken to document injury severity, surgical requirements and intensive care needs of head-injured patients transferred to the UHWI over a three-year period Of 144 patients studied, the majority (71%) were young males. Overall, injury tended to be mild Twenty-three patients (16.0%) had severe head injury and 27 patients (18.8%) were admitted to the intensive care unit. Concussion with (33%) or without (36%) skull fracture was the commonest neurological admission diagnosis. Associated non-neurological injuries in 33% were primarily fractures. Fifty-six patients (39%) required surgical intervention. Craniotomies and open reduction and internal fixation of fractures were the commonest procedures. The majority of patients (79.2%) were discharged home; 56 (39%) made a good Glasgow outcome score recovery. Seventeen patients (11.8%) died in hospital. As most of the transferred patients with head injuries in this study had only mild injury, most commonly concussions, and their prognosis was good, we recommend that appropriate educational and training programmes and transfer policies be implemented to minimize inappropriate transfers.
IS  - 0043-3144
IL  - 0043-3144
PT  - Journal Article
ID  - 582 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/12/13 09:00
DA  - 2008/01/18 09:00
DT  - 2007/12/13 09:00
YR  - 2007
ED  - 20080117
RD  - 20080310
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18072402

<532. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17883659
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tume L
FA  - Tume, Lyvonne
IN  - Tume, Lyvonne. Royal Liverpool Children's Hospital (Alder Hey), Eaton Road, Liverpool, UK. lyvonne.tume@rlc.nhs.uk
TI  - The deterioration of children in ward areas in a specialist children's hospital.
SO  - Nursing in Critical Care. 12(1):12-9, 2007 Jan-Feb
AS  - Nurs Crit Care. 12(1):12-9, 2007 Jan-Feb
NJ  - Nursing in critical care
VO  - 12
IP  - 1
PG  - 12-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9808649, c3k
IO  - Nurs Crit Care
SB  - Nursing Journal
CP  - England
MH  - Adolescent
MH  - Age Factors
MH  - Child
MH  - *Child, Hospitalized
MH  - Child, Preschool
MH  - *Critical Care/mt [Methods]
MH  - *Critical Illness
MH  - Disease Progression
MH  - Female
MH  - *Health Status Indicators
MH  - Hospital Units
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - *Medical Audit
MH  - Patient Transfer/st [Standards]
MH  - Patient Transfer/td [Trends]
MH  - Risk Assessment
MH  - United Kingdom
AB  - Research in adult patients, in the last decade, has highlighted suboptimal care and failures in the recognition of sick adults in ward areas. In addition, many of these patients (at least 50%) demonstrated documented evidence, on observation charts, of clinical deterioration in the 24-48 h preceding cardiopulmonary arrest or emergency intensive care unit admission. However, there is little published data on whether these findings apply to children (0-17 years). The aim of the study was to examine the extent of inpatient deterioration and critical care unit admission within a children's hospital based in the North West of England, during a 4-month period. The design included a prospective chart review of clinical observations. As noted in adult patients, there is considerable documented evidence (in terms of abnormal vital signs) of physiological deterioration in the 24 h preceding intensive care or high-dependency unit admission. The use of a Paediatric Early Warning (PEW) tool could potentially have identified 87% of these children of being 'at risk' of deterioration. It is recommended that a PEW tool be incorporated into the routine paediatric ward observation charts and practice to identify children 'at risk' of deterioration.
ES  - 1478-5153
IL  - 1362-1017
PT  - Journal Article
ID  - NCR195 [pii]
ID  - 10.1111/j.1478-5153.2006.00195.x [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jan-Feb
EZ  - 2007/09/22 09:00
DA  - 2008/01/05 09:00
DT  - 2007/09/22 09:00
YR  - 2007
ED  - 20080104
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17883659

<533. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17883631
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Davies J
AU  - Lynch F
FA  - Davies, Jo
FA  - Lynch, Fiona
IN  - Davies, Jo. South Thames Retrieval Service, PICU, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK. joanna.davies@gstt.nhs.uk
TI  - Pushing boundaries in paediatric intensive care: training as a paediatric retrieval nurse practitioner. [Review] [20 refs]
SO  - Nursing in Critical Care. 12(2):74-80, 2007 Mar-Apr
AS  - Nurs Crit Care. 12(2):74-80, 2007 Mar-Apr
NJ  - Nursing in critical care
VO  - 12
IP  - 2
PG  - 74-80
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9808649, c3k
IO  - Nurs Crit Care
SB  - Nursing Journal
CP  - England
MH  - Child
MH  - *Education, Nursing/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Nurse Practitioners/ed [Education]
MH  - *Patient Transfer
MH  - Program Development
MH  - United Kingdom
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. [References: 20]
ES  - 1478-5153
IL  - 1362-1017
PT  - Journal Article
PT  - Review
ID  - NCR200 [pii]
ID  - 10.1111/j.1478-5153.2006.00200.x [doi]
PP  - ppublish
LG  - English
DP  - 2007 Mar-Apr
EZ  - 2007/09/22 09:00
DA  - 2007/12/19 09:00
DT  - 2007/09/22 09:00
YR  - 2007
ED  - 20071218
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17883631

<534. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17983360
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McFetridge B
AU  - Gillespie M
AU  - Goode D
AU  - Melby V
FA  - McFetridge, Brian
FA  - Gillespie, Mark
FA  - Goode, Deborah
FA  - Melby, Vidar
IN  - McFetridge, Brian. School of Nursing, University of Ulster, Magee Campus, Londonderry, UK. b.mcfetridge@ulster.ac.uk
TI  - An exploration of the handover process of critically ill patients between nursing staff from the emergency department and the intensive care unit.
SO  - Nursing in Critical Care. 12(6):261-9, 2007 Nov-Dec
AS  - Nurs Crit Care. 12(6):261-9, 2007 Nov-Dec
NJ  - Nursing in critical care
VO  - 12
IP  - 6
PG  - 261-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9808649, c3k
IO  - Nurs Crit Care
SB  - Nursing Journal
CP  - England
MH  - Communication
MH  - Continuity of Patient Care
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Focus Groups
MH  - Guideline Adherence
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Interprofessional Relations
MH  - Northern Ireland
MH  - Nurse's Role
MH  - *Nursing Staff, Hospital/og [Organization & Administration]
MH  - Organizational Policy
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Risk Management/og [Organization & Administration]
AB  - The transfer of information between nurses from emergency departments (EDs) and critical care units is essential to achieve a continuity of effective, individualized and safe patient care. There has been much written in the nursing literature pertaining to the function and process of patient handover in general nursing practice; however, no studies were found pertaining to this handover process between nurses in the ED environment and those in the critical care environment. The aim was to explore the process of patient handover between ED and intensive care unit (ICU) nurses when transferring a patient from ED to the ICU. This study used a multi-method design that combined documentation review, semistructured individual interviews and focus group interviews. A multi-method approach combining individual interviews, focus group interviews and documentation review was used in this study. The respondents were selected from the ED and ICU of two acute hospitals within Northern Ireland. A total of 12 respondents were selected for individual interviews, three nurses from ED and ICU, respectively, from each acute hospital. Two focus groups interviews were carried out, each consisting of four ED and four ICU nurses, respectively. Qualitative analysis of the data revealed that there was no structured and consistent approach to how handovers actually occurred. Nurses from both ED and ICU lacked clarity as to when the actual handover process began. Nurses from both settings recognized the importance of the information given and received during handover and deemed it to have an important role in influencing quality and continuity of care. Nurses from both departments would benefit from a structured framework or aide memoir to guide the handover process. Collaborative work between the nursing teams in both departments would further enhance understanding of each others' roles and expectations.
ES  - 1478-5153
IL  - 1362-1017
PT  - Journal Article
PT  - Multicenter Study
ID  - NCR244 [pii]
ID  - 10.1111/j.1478-5153.2007.00244.x [doi]
PP  - ppublish
LG  - English
DP  - 2007 Nov-Dec
EZ  - 2007/11/07 09:00
DA  - 2007/12/12 09:00
DT  - 2007/11/07 09:00
YR  - 2007
ED  - 20071211
RD  - 20071106
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17983360

<535. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17605600
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rudiger M
AU  - Ifflander S
AU  - Reichert J
AU  - Batzel C
AU  - Reiter G
AU  - Wauer RR
FA  - Rudiger, Mario
FA  - Ifflander, Sascha
FA  - Reichert, Jorg
FA  - Batzel, Carolin
FA  - Reiter, Gernot
FA  - Wauer, Roland R
IN  - Rudiger, Mario. Department for Pediatrics, Medical University Innsbruck, Padiatrie IV-Neonatologie, Austria. mario.ruediger@uibk.ac.at
TI  - Which information will be given to parents of preterm infants--a comparison of estimates and local data.
SO  - Journal of Perinatal Medicine. 35(5):436-42, 2007
AS  - J Perinat Med. 35(5):436-42, 2007
NJ  - Journal of perinatal medicine
VO  - 35
IP  - 5
PG  - 436-42
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jmm, 0361031
IO  - J Perinat Med
SB  - Index Medicus
CP  - Germany
MH  - Austria/ep [Epidemiology]
MH  - *Disclosure/st [Standards]
MH  - Germany/ep [Epidemiology]
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/ep [Epidemiology]
MH  - Infant, Premature, Diseases/th [Therapy]
MH  - *Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Morbidity
MH  - Nursing Staff, Hospital
MH  - Nutritional Support/sn [Statistics & Numerical Data]
MH  - Parents
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Physicians
MH  - Respiration, Artificial/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: Parents of preterm infants require information on morbidity and duration of common interventions performed in the NICU. Since locally achieved data are often not available, information is mainly based on educated guesses of health care professionals. The present study compares estimates of neonatal nurses or medical doctors (MDs) in two separate NICUs with local data.
AB  - METHODS: Health care professionals were asked to estimate morbidity and duration of medical interventions of two groups of very low birth weight infants. For comparison, local data were obtained from infant charts and the Vermont Oxford Neonatal Network data base.
AB  - RESULTS: Incidence of BPD was underestimated by MDs and overestimated by nurses for low birth weight group (500-750 g) and overestimated by nurses for 1250- 1500 g infants. Incidence of IVH was significantly overestimated by nurses for both groups. Duration of ventilatory support was underestimated for infants of a gestational age of 24-27 weeks and overestimated for the age group of 31-32 weeks. Length of stay in NICU was underestimated for infants at gestational age of 24-27 weeks, but not for the 32-33 weeks group.
AB  - CONCLUSIONS: Information based on estimates made by health care professionals may be misleading. Data differ significantly among different NICUs, thus, local data should be obtained by each NICU and used to inform parents appropriately.
IS  - 0300-5577
IL  - 0300-5577
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
ID  - 10.1515/JPM.2007.074 [doi]
PP  - ppublish
LG  - English
DP  - 2007
EZ  - 2007/07/04 09:00
DA  - 2007/12/12 09:00
DT  - 2007/07/04 09:00
YR  - 2007
ED  - 20071211
RD  - 20070809
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17605600

<536. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17218560
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Scheinhorn DJ
AU  - Hassenpflug MS
AU  - Votto JJ
AU  - Chao DC
AU  - Epstein SK
AU  - Doig GS
AU  - Knight EB
AU  - Petrak RA
AU  - Ventilation Outcomes Study Group
FA  - Scheinhorn, David J
FA  - Hassenpflug, Meg Stearn
FA  - Votto, John J
FA  - Chao, David C
FA  - Epstein, Scott K
FA  - Doig, Gordon S
FA  - Knight, E Bert
FA  - Petrak, Richard A
FA  - Ventilation Outcomes Study Group
IN  - Scheinhorn, David J. Barlow Respiratory Hospital and Research Center, 2000 Stadium Way, Los Angeles, CA 90026, USA.
TI  - Post-ICU mechanical ventilation at 23 long-term care hospitals: a multicenter outcomes study.
CM  - Comment in: J Am Geriatr Soc. 2009 Oct;57(10):1932-3; PMID: 19702613
CM  - Comment in: Chest. 2007 Jan;131(1):2-5; PMID: 17218547
SO  - Chest. 131(1):85-93, 2007 Jan
AS  - Chest. 131(1):85-93, 2007 Jan
NJ  - Chest
VO  - 131
IP  - 1
PG  - 85-93
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0231335, d1c
IO  - Chest
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Critical Care
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Length of Stay
MH  - *Long-Term Care
MH  - Male
MH  - Middle Aged
MH  - *Patient Transfer
MH  - Treatment Outcome
MH  - United States
MH  - Ventilator Weaning/ae [Adverse Effects]
MH  - *Ventilator Weaning
AB  - STUDY OBJECTIVES: This multicenter study was undertaken to characterize the population of ventilator-dependent patients admitted to long-term care hospitals (LTCHs) with weaning programs, and to report treatments, complications, weaning outcome, discharge disposition, and survival in these patients.
AB  - DESIGN: Observational study with concurrent data collection.
AB  - SETTING: Twenty-three LTCHs in the United States.
AB  - PATIENTS: Consecutive ventilator-dependent patients admitted over a 1-year period: March 1, 2002, to February 28, 2003.
AB  - RESULTS: A total of 1,419 patients were enrolled in the Ventilation Outcomes Study. Median age of patients was 71.8 years (range, 18 to 97.7 years). Patients averaged 6.9 procedures and treatments during the LTCH hospitalization; median length of stay was 40 days (range, 1 to 365 days). Seven of the 10 most frequent complications treated at the LTCH were infections; congestive heart failure and diabetes mellitus were the most common comorbidities requiring treatment. Outcomes of weaning attempts, scored at LTCH discharge, were 54.1% weaned, 20.9% ventilator dependent, and 25.0% deceased. Median time to wean (n = 766) was 15 days (range, 7 to 30 days). Discharge disposition included 28.8% to home, 49.2% to rehabilitation and extended-care facilities, and 19.5% to short-stay acute hospitals. Nearly one third of patients were known to be alive 12 months after admission to the LTCH.
AB  - CONCLUSIONS: Patients admitted to LTCHs for weaning attempts were elderly, with acute-on-chronic diseases, and continued to require considerable medical interventions and treatments. The frequency and type of complications were not surprising following prolonged and aggressive ICU interventions. In the continuum of critical care medicine, more than half of ventilator-dependent survivors of catastrophic illness transferred from the ICU were successfully weaned from prolonged mechanical ventilation in the setting of an LTCH.
IS  - 0012-3692
IL  - 0012-3692
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
ID  - S0012-3692(15)49884-8 [pii]
ID  - 10.1378/chest.06-1081 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jan
EZ  - 2007/01/16 09:00
DA  - 2007/11/06 09:00
DT  - 2007/01/16 09:00
YR  - 2007
ED  - 20071105
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17218560

<537. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17218559
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Scheinhorn DJ
AU  - Hassenpflug MS
AU  - Votto JJ
AU  - Chao DC
AU  - Epstein SK
AU  - Doig GS
AU  - Knight EB
AU  - Petrak RA
AU  - Ventilation Outcomes Study Group
FA  - Scheinhorn, David J
FA  - Hassenpflug, Meg Stearn
FA  - Votto, John J
FA  - Chao, David C
FA  - Epstein, Scott K
FA  - Doig, Gordon S
FA  - Knight, E Bert
FA  - Petrak, Richard A
FA  - Ventilation Outcomes Study Group
IN  - Scheinhorn, David J. Barlow Respiratory Hospital and Research Center, 2000 Stadium Way, Los Angeles, CA 90026, USA.
TI  - Ventilator-dependent survivors of catastrophic illness transferred to 23 long-term care hospitals for weaning from prolonged mechanical ventilation.
CM  - Comment in: Chest. 2007 Jan;131(1):2-5; PMID: 17218547
SO  - Chest. 131(1):76-84, 2007 Jan
AS  - Chest. 131(1):76-84, 2007 Jan
NJ  - Chest
VO  - 131
IP  - 1
PG  - 76-84
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0231335, d1c
IO  - Chest
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Critical Care
MH  - Critical Illness/mo [Mortality]
MH  - *Critical Illness
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - *Long-Term Care
MH  - Male
MH  - Middle Aged
MH  - *Patient Transfer
MH  - United States
MH  - *Ventilator Weaning
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.
AB  - DESIGN: Observational study with concurrent data collection. Characteristics of the LTCHs were also surveyed.
AB  - SETTING: Twenty-three LTCHs in the United States.
AB  - PATIENTS: Consecutive ventilator-dependent patients admitted over a 1-year period: March 1, 2002, to February 28, 2003.
AB  - 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.
AB  - 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.
IS  - 0012-3692
IL  - 0012-3692
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
ID  - S0012-3692(15)49883-6 [pii]
ID  - 10.1378/chest.06-1079 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jan
EZ  - 2007/01/16 09:00
DA  - 2007/11/06 09:00
DT  - 2007/01/16 09:00
YR  - 2007
ED  - 20071105
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17218559

<538. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17218558
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kahn JM
AU  - Kramer AA
AU  - Rubenfeld GD
FA  - Kahn, Jeremy M
FA  - Kramer, Andrew A
FA  - Rubenfeld, Gordon D
IN  - Kahn, Jeremy M. Division of Pulmonary & Critical Care, Harborview Medical Center, University of Washington, Seattle WA, USA. jkahn@cceb.med.upenn.edu
TI  - Transferring critically ill patients out of hospital improves the standardized mortality ratio: a simulation study.
SO  - Chest. 131(1):68-75, 2007 Jan
AS  - Chest. 131(1):68-75, 2007 Jan
NJ  - Chest
VO  - 131
IP  - 1
PG  - 68-75
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0231335, d1c
IO  - Chest
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Algorithms
MH  - Cohort Studies
MH  - *Critical Illness/mo [Mortality]
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Monte Carlo Method
MH  - *Patient Transfer
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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 0012-3692
IL  - 0012-3692
PT  - Journal Article
ID  - S0012-3692(15)49882-4 [pii]
ID  - 10.1378/chest.06-0741 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jan
EZ  - 2007/01/16 09:00
DA  - 2007/11/06 09:00
DT  - 2007/01/16 09:00
YR  - 2007
ED  - 20071105
RD  - 20070112
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17218558

<539. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17671822
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lahner D
AU  - Nikolic A
AU  - Marhofer P
AU  - Koinig H
AU  - Germann P
AU  - Weinstabl C
AU  - Krenn CG
FA  - Lahner, Daniel
FA  - Nikolic, Ajsa
FA  - Marhofer, Peter
FA  - Koinig, Herbert
FA  - Germann, Peter
FA  - Weinstabl, Christian
FA  - Krenn, Claus G
IN  - Lahner, Daniel. Department of Anesthesiology and General Intensive Care, Medical University of Vienna, Wahringer Gurtel 18-20, Vienna, Austria. daniel.lahner@meduniwien.ac.at
TI  - Incidence of complications in intrahospital transport of critically ill patients--experience in an Austrian university hospital.
SO  - Wiener Klinische Wochenschrift. 119(13-14):412-6, 2007
AS  - Wien Klin Wochenschr. 119(13-14):412-6, 2007
NJ  - Wiener klinische Wochenschrift
VO  - 119
IP  - 13-14
PG  - 412-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - xop, 21620870r
IO  - Wien. Klin. Wochenschr.
SB  - Index Medicus
CP  - Austria
MH  - APACHE
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Austria
MH  - Beds
MH  - Child
MH  - Child, Preschool
MH  - Critical Care/mt [Methods]
MH  - Critical Illness/mo [Mortality]
MH  - *Critical Illness/th [Therapy]
MH  - Female
MH  - Hospital Mortality
MH  - Hospitals, University
MH  - Humans
MH  - Infant
MH  - Life Support Care/mt [Methods]
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic/mt [Methods]
MH  - Prospective Studies
MH  - Respiration, Artificial/mt [Methods]
MH  - Risk Factors
MH  - Task Performance and Analysis
MH  - *Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
AB  - BACKGROUND: During the past decade, considerable changes and advances have been made in intrahospital transport of critically ill patients. Despite the fact that intrahospital transport is nowadays regarded an extension of the intensive care continuum, it still poses a risk for the patient.
AB  - MATERIALS AND METHODS: This prospective, observational study was designed to determine the occurrence rate of transport-related complications in the altered setting of intrahospital transports and to identify possible confounding sources of increased risk. In an eight-month period, adults and infants from anesthesiologic intensive care units were analyzed.
AB  - RESULTS: A total of 226 patients underwent 452 intrahospital transports. The overall rate of critical incidents was low (4.2%) and no direct association between mortality and intrahospital transport was observed. In addition to the known risk factors of ventilatory support with positive end-expiratory pressure and requirement for catecholamine support, the necessity for intrahospital transport in the acute vs. elective situation was found to significantly increase the risk of complications.
AB  - CONCLUSIONS: We conclude that advances in the management of intrahospital transport of critically ill patients have led to an overall decrease of complications. However, an undeniable risk remains, especially in relation to disease severity and the urgency of such transports.
IS  - 0043-5325
IL  - 0043-5325
PT  - Journal Article
ID  - 10.1007/s00508-007-0813-4 [doi]
PP  - ppublish
PH  - 2006/01/25 [received]
PH  - 2007/03/21 [accepted]
LG  - English
DP  - 2007
EZ  - 2007/08/03 09:00
DA  - 2007/11/01 09:00
DT  - 2007/08/03 09:00
YR  - 2007
ED  - 20071031
RD  - 20171010
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17671822

<540. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17721151
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Carey MG
FA  - Carey, Mary G
IN  - Carey, Mary G. School of Nursing, State University of New York at Buffalo, Buffalo, NY, USA. mgcarey@buffalo.edu
TI  - Smoked out: emergency evacuation of an ICU.
SO  - American Journal of Nursing. 107(9):54-7, 2007 Sep
AS  - Am. j. nurs.. 107(9):54-7, 2007 Sep
NJ  - The American journal of nursing
VO  - 107
IP  - 9
PG  - 54-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 3mw, 0372646
IO  - Am J Nurs
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Disaster Planning
MH  - *Fires
MH  - Humans
MH  - *Intensive Care Units
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - *Transportation of Patients
IS  - 0002-936X
IL  - 0002-936X
PT  - Journal Article
ID  - 10.1097/01.NAJ.0000287511.31006.bd [doi]
ID  - 00000446-200709000-00032 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Sep
EZ  - 2007/08/28 09:00
DA  - 2007/10/20 09:00
DT  - 2007/08/28 09:00
YR  - 2007
ED  - 20071019
RD  - 20070827
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17721151

<541. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17666302
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dexter F
FA  - Dexter, Franklin
IN  - Dexter, Franklin. Division of Management Consulting, Department of Anesthesia and Health Management & Policy, University of Iowa, Iowa City, IA 52242, USA. franklin-dexter@uiowa.edu
TI  - Measuring the frequency of delays in admission into the PACU.
SO  - Journal of PeriAnesthesia Nursing. 22(4):293-4, 2007 Aug
AS  - J Perianesth Nurs. 22(4):293-4, 2007 Aug
NJ  - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
VO  - 22
IP  - 4
PG  - 293-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9610507, CKX
IO  - J. Perianesth. Nurs.
SB  - Nursing Journal
CP  - United States
MH  - Confidence Intervals
MH  - *Data Collection/mt [Methods]
MH  - *Data Interpretation, Statistical
MH  - Database Management Systems/og [Organization & Administration]
MH  - Humans
MH  - *Nursing Administration Research/mt [Methods]
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Postanesthesia Nursing
MH  - *Recovery Room/sn [Statistics & Numerical Data]
MH  - Time Factors
IS  - 1089-9472
IL  - 1089-9472
PT  - Journal Article
ID  - S1089-9472(07)00155-4 [pii]
ID  - 10.1016/j.jopan.2007.05.001 [doi]
PP  - ppublish
PH  - 2007/04/10 [received]
PH  - 2007/05/01 [accepted]
LG  - English
DP  - 2007 Aug
EZ  - 2007/08/02 09:00
DA  - 2007/10/12 09:00
DT  - 2007/08/02 09:00
YR  - 2007
ED  - 20071011
RD  - 20161020
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17666302

<542. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15722846
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McLenon M
FA  - McLenon, Melissa
IN  - McLenon, Melissa. Surgical Critical Care at Washington Hospital Center in Washington, DC, USA. macmel@cablespeed.com
TI  - Use of a specialized transport team for intrahospital transport of critically ill patients. [Review] [18 refs]
SO  - DCCN - Dimensions of Critical Care Nursing. 23(5):225-9, 2004 Sep-Oct
AS  - DCCN. 23(5):225-9, 2004 Sep-Oct
NJ  - Dimensions of critical care nursing : DCCN
VO  - 23
IP  - 5
PG  - 225-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8211489
IO  - Dimens Crit Care Nurs
SB  - Nursing Journal
CP  - United States
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Illness/th [Therapy]
MH  - Evidence-Based Medicine
MH  - Humans
MH  - Monitoring, Physiologic/mt [Methods]
MH  - Monitoring, Physiologic/nu [Nursing]
MH  - Nursing Assessment
MH  - Nursing Evaluation Research
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Professional Role
MH  - *Transportation of Patients/og [Organization & Administration]
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. [References: 18]
IS  - 0730-4625
IL  - 0730-4625
PT  - Journal Article
PT  - Review
ID  - 00003465-200409000-00008 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Sep-Oct
EZ  - 2005/02/22 09:00
DA  - 2007/10/12 09:00
DT  - 2005/02/22 09:00
YR  - 2004
ED  - 20071011
RD  - 20050221
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15722846

<543. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17577082
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Boutilier S
FA  - Boutilier, Stacey
IN  - Boutilier, Stacey. University of South Florida, College of Nursing, Tampa, FL 33612, USA.
TI  - Leaving critical care: facilitating a smooth transition. [Review] [27 refs]
SO  - DCCN - Dimensions of Critical Care Nursing. 26(4):137-42; quiz 143-4, 2007 Jul-Aug
AS  - DCCN. 26(4):137-42; quiz 143-4, 2007 Jul-Aug
NJ  - Dimensions of critical care nursing : DCCN
VO  - 26
IP  - 4
PG  - 137-42; quiz 143-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8211489
IO  - Dimens Crit Care Nurs
SB  - Nursing Journal
CP  - United States
MH  - Attitude of Health Personnel
MH  - Attitude to Health
MH  - *Communication
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/px [Psychology]
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Medical Errors/mt [Methods]
MH  - Medical Errors/pc [Prevention & Control]
MH  - Nurse's Role
MH  - Nursing Records
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - *Patient Care Planning/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Safety Management/og [Organization & Administration]
MH  - Total Quality Management/og [Organization & Administration]
MH  - Transportation of Patients
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. [References: 27]
IS  - 0730-4625
IL  - 0730-4625
PT  - Journal Article
PT  - Review
ID  - 10.1097/01.DCC.0000278762.46972.df [doi]
ID  - 00003465-200707000-00001 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Jul-Aug
EZ  - 2007/06/20 09:00
DA  - 2007/10/06 09:00
DT  - 2007/06/20 09:00
YR  - 2007
ED  - 20071005
RD  - 20070619
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17577082

<544. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17276065
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Caffin CL
AU  - Linton S
AU  - Pellegrini J
FA  - Caffin, Chelsea L
FA  - Linton, Sophie
FA  - Pellegrini, Juliet
IN  - Caffin, Chelsea L. PICU Liaison Nurse, Royal Children's Hospital, Flemington Road, Parkville 3052, Australia. chelsea.caffin@rch.org.au
TI  - Introduction of a liaison nurse role in a tertiary paediatric ICU.
SO  - Intensive & Critical Care Nursing. 23(4):226-33, 2007 Aug
AS  - Intensive Crit Care Nurs. 23(4):226-33, 2007 Aug
NJ  - Intensive & critical care nursing
VO  - 23
IP  - 4
PG  - 226-33
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Attitude of Health Personnel
MH  - Attitude to Health
MH  - Child
MH  - Child, Preschool
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/px [Psychology]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - *Nurse Clinicians/og [Organization & Administration]
MH  - Nurse Clinicians/px [Psychology]
MH  - *Nurse's Role
MH  - Nursing Audit
MH  - Nursing Evaluation Research
MH  - Nursing Methodology Research
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - Parents/px [Psychology]
MH  - Patient Readmission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Pediatric Nursing/og [Organization & Administration]
MH  - Victoria
AB  - INTRODUCTION: The Royal Children's Hospital in Melbourne is the only dedicated paediatric hospital in Victoria (population 5 million). The role of the PICU liaison nurse (LN) has been developed to bridge the gap between PICU and the wards within the hospital with the aim of reducing the number of readmissions to the PICU within 48h of discharge.
AB  - RESULTS: The year of the PICU LN trial (July 2004-June 2005), 1388 patients were discharged from PICU. Sixty-seven patients had unplanned readmission within 48h. This readmission rate (4.8%) is lower than the readmission rate (5.4%) during the year prior to the implementation of the PICU LN. Staff and parents were surveyed at the end of the 12-month trial to evaluate the introduction of the LN role. The response from the surveys was very positive, 98.5% of staff believed the PICU LN to be beneficial and to have made a valuable impact on PICU-ward transfers. Ninety-nine percent of surveyed parents agreed that the LN role is a good idea.
AB  - CONCLUSION: The PICU LN role at RCH has shown many positive outcomes including improved communication, ward education, improved patient outcomes and decreased readmission rates to ICU.
IS  - 0964-3397
IL  - 0964-3397
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0964-3397(06)00146-7 [pii]
ID  - 10.1016/j.iccn.2006.12.001 [doi]
PP  - ppublish
PH  - 2006/06/13 [received]
PH  - 2006/11/07 [revised]
PH  - 2006/12/08 [accepted]
LG  - English
EP  - 20070202
DP  - 2007 Aug
EZ  - 2007/02/06 09:00
DA  - 2007/10/06 09:00
DT  - 2007/02/06 09:00
YR  - 2007
ED  - 20071005
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17276065

<545. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17605448
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kirkby S
AU  - Greenspan JS
AU  - Kornhauser M
AU  - Schneiderman R
FA  - Kirkby, Sharon
FA  - Greenspan, Jay S
FA  - Kornhauser, Michael
FA  - Schneiderman, Roy
IN  - Kirkby, Sharon. ParadigmHealth, 1261 Knollwood Drive, West Chester, PA 19380, USA. sharon.kirby@paradigmhealth.com
TI  - Clinical outcomes and cost of the moderately preterm infant.
SO  - Advances in Neonatal Care. 7(2):80-7, 2007 Apr
AS  - ADV NEONAT CARE. 7(2):80-7, 2007 Apr
NJ  - Advances in neonatal care : official journal of the National Association of Neonatal Nurses
VO  - 7
IP  - 2
PG  - 80-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101125644
IO  - Adv Neonatal Care
SB  - Index Medicus
CP  - United States
MH  - *Health Care Costs/sn [Statistics & Numerical Data]
MH  - *Hospitalization/ec [Economics]
MH  - Hospitalization/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Incidence
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Infant, Premature, Diseases/ec [Economics]
MH  - Infant, Premature, Diseases/ep [Epidemiology]
MH  - *Intensive Care Units, Neonatal/ec [Economics]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Intensive Care, Neonatal/ec [Economics]
MH  - Intensive Care, Neonatal/sn [Statistics & Numerical Data]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Outcome Assessment (Health Care)
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - United States/ep [Epidemiology]
AB  - PURPOSE: The purpose of this study is to define the incidence of admission and morbidities and the economic impact of moderately preterm infants in the neonatal intensive care unit (NICU).
AB  - DESIGN: A retrospective descriptive study.
AB  - SUBJECTS: All infants born between 32 to 34 weeks' gestational age (GA) (n=4932) followed by ParadigmHealth, a care management company, from January 2001 through June 2004 were evaluated. Infants with major congenital anomalies were excluded. This sample represented 453 NICUs in 24 states in the United States.
AB  - METHODS: Retrospective data analysis. Infants born between 32 and 34 weeks' GA were studied (n=4932). This subset of patients in the NICU was compared to the entire population in the database (n=19,923) for incidence and cost comparison. Infants were followed for 2 weeks after hospital discharge.
AB  - MAIN OUTCOME MEASURES: Demographics, feeding characteristics, respiratory needs, complications, discharge needs, and patient costs.
AB  - RESULTS: The 4932 infants admitted to the NICU with gestational ages of 32 to 34 weeks represented 24.8% of the 19,923 admissions during this time period. This cohort experienced low mortality (0.5%) and had an average length of stay (LOS) of 17.6 days. The average cost per case was $31,000, representing 21.6% of total NICU costs. Fifty-four percent of infants experienced respiratory compromise, requiring ventilation, continuous positive airway pressure, or oxygen during their hospital course. Fifty-six percent required intravenous nutrition, and 19% of these patients were discharged home with ongoing medical needs and the use of durable medical equipment.
AB  - CONCLUSIONS: Although morbidities with long-term consequences were rare, there is a significant burden on the infant, family, and healthcare team for patients 32 to 34 weeks' GA. It is important to understand the characteristics of this group of infants and explore ways of optimizing care to minimize this burden.
IS  - 1536-0903
IL  - 1536-0903
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 2007 Apr
EZ  - 2007/07/04 09:00
DA  - 2007/08/24 09:00
DT  - 2007/07/04 09:00
YR  - 2007
ED  - 20070823
RD  - 20070703
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17605448

<546. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17543807
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dexter F
FA  - Dexter, Franklin
IN  - Dexter, Franklin. Department of Anesthesia, University of Iowa, IA 52242, USA. franklin-dexter@uiowa.edu
TI  - Bed management displays to optimize patient flow from the OR to the PACU.
SO  - Journal of PeriAnesthesia Nursing. 22(3):218-9, 2007 Jun
AS  - J Perianesth Nurs. 22(3):218-9, 2007 Jun
NJ  - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
VO  - 22
IP  - 3
PG  - 218-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9610507, CKX
IO  - J. Perianesth. Nurs.
SB  - Nursing Journal
CP  - United States
MH  - Bed Occupancy
MH  - Efficiency, Organizational
MH  - Humans
MH  - *Management Information Systems
MH  - Operating Rooms/ma [Manpower]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Personnel Staffing and Scheduling
MH  - *Postanesthesia Nursing/ma [Manpower]
MH  - Postanesthesia Nursing/og [Organization & Administration]
MH  - *Recovery Room/og [Organization & Administration]
MH  - United States
IS  - 1089-9472
IL  - 1089-9472
PT  - Journal Article
ID  - S1089-9472(07)00115-3 [pii]
ID  - 10.1016/j.jopan.2007.03.010 [doi]
PP  - ppublish
PH  - 2007/03/13 [received]
PH  - 2007/03/18 [accepted]
LG  - English
DP  - 2007 Jun
EZ  - 2007/06/05 09:00
DA  - 2007/08/11 09:00
DT  - 2007/06/05 09:00
YR  - 2007
ED  - 20070810
RD  - 20161020
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17543807

<547. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17556960
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Johannigman JA
FA  - Johannigman, Jay A
IN  - Johannigman, Jay A. jay.johannigman@uc.edu
TI  - Critical care aeromedical teams (Ccatt): then, now and what's next. [Review] [0 refs]
SO  - Journal of Trauma-Injury Infection & Critical Care. 62(6 Suppl):S35, 2007 Jun
AS  - J Trauma. 62(6 Suppl):S35, 2007 Jun
NJ  - The Journal of trauma
VO  - 62
IP  - 6 Suppl
PG  - S35
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - kaf, 0376373
IO  - J Trauma
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/og [Organization & Administration]
MH  - Humans
MH  - Iraq
MH  - *Military Personnel
MH  - *Patient Care Team/og [Organization & Administration]
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - United States
MH  - *Warfare
MH  - Wounds and Injuries/et [Etiology]
MH  - *Wounds and Injuries/th [Therapy]
ES  - 1529-8809
IL  - 0022-5282
PT  - Journal Article
PT  - Review
ID  - 10.1097/TA.0b013e31806540f3 [doi]
ID  - 00005373-200706001-00028 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/07/13 09:00
DA  - 2007/08/02 09:00
DT  - 2007/07/13 09:00
YR  - 2007
ED  - 20070801
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17556960

<548. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17512478
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Muir M
AU  - Heese GA
AU  - McLean D
AU  - Bodnar S
AU  - Rock BL
FA  - Muir, Marylou
FA  - Heese, Gail Archer
FA  - McLean, Daria
FA  - Bodnar, Sheila
FA  - Rock, Betty Lou
IN  - Muir, Marylou. Winnipeg Regional Health Authority (WRHA), Occupational and Environmental Safety & Health Unit, Health Sciences Centre Site, 820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada. mmuir@hsc.mb.ca
TI  - Handling of the bariatric patient in critical care: a case study of lessons learned. [Review] [19 refs]
SO  - Critical Care Nursing Clinics of North America. 19(2):223-40, 2007 Jun
AS  - Crit Care Nurs Clin North Am. 19(2):223-40, 2007 Jun
NJ  - Critical care nursing clinics of North America
VO  - 19
IP  - 2
PG  - 223-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Algorithms
MH  - *Bariatric Surgery/nu [Nursing]
MH  - Bed Rest/nu [Nursing]
MH  - *Critical Care/og [Organization & Administration]
MH  - Decision Trees
MH  - Ergonomics/mt [Methods]
MH  - Female
MH  - Humans
MH  - Lifting/ae [Adverse Effects]
MH  - *Lifting
MH  - Male
MH  - Manitoba
MH  - Manuals as Topic
MH  - Nursing Assessment
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - *Obesity, Morbid/nu [Nursing]
MH  - Obesity, Morbid/su [Surgery]
MH  - *Occupational Health
MH  - Organizational Policy
MH  - Perioperative Care/nu [Nursing]
MH  - Perioperative Care/og [Organization & Administration]
MH  - Practice Guidelines as Topic
MH  - Problem Solving
MH  - *Safety Management/og [Organization & Administration]
MH  - Transportation of Patients/mt [Methods]
AB  - Bariatric admissions across the United States (US) are increasing at an alarming rate. The obesity epidemic costs the US health care system $70 billion per year. Many bariatric surgical and medical patients are admitted to critical care units. The mortality risks for these patients compared with non-bariatric patients is up to 2:1. Managing these patients is a challenge to health care nursing personnel. Patient size, care required, equipment technology, availability, and environmental space can increase risk for injury for nursing personnel and patients. The Health Sciences Center in Winnipeg shares a case study of an admission of a 697-lb patient, reviewing lessons learned, techniques, equipment, and difficulties. [References: 19]
IS  - 0899-5885
IL  - 0899-5885
PT  - Journal Article
PT  - Review
ID  - S0899-5885(07)00011-1 [pii]
ID  - 10.1016/j.ccell.2007.02.010 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/22 09:00
DA  - 2007/07/21 09:00
DT  - 2007/05/22 09:00
YR  - 2007
ED  - 20070720
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17512478

<549. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17512476
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Knibbe HJ
AU  - Knibbe NE
AU  - Klaassen AJ
FA  - Knibbe, Hanneke J J
FA  - Knibbe, Nico E
FA  - Klaassen, Annemarie J W M
IN  - Knibbe, Hanneke J J. LOCOmotion, Research in Health Care, Brinkerpad 29, 6721 WJ Bennekom, The Netherlands. j.j.knibbe@wxs.nl
TI  - Safe patient handling program in critical care using peer leaders: lessons learned in the Netherlands.
SO  - Critical Care Nursing Clinics of North America. 19(2):205-11, 2007 Jun
AS  - Crit Care Nurs Clin North Am. 19(2):205-11, 2007 Jun
NJ  - Critical care nursing clinics of North America
VO  - 19
IP  - 2
PG  - 205-11
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Absenteeism
MH  - Acute Disease/nu [Nursing]
MH  - Attitude of Health Personnel
MH  - *Critical Care/og [Organization & Administration]
MH  - Education, Nursing, Continuing
MH  - Ergonomics/mt [Methods]
MH  - Ergonomics/px [Psychology]
MH  - Guidelines as Topic
MH  - Humans
MH  - Interpersonal Relations
MH  - *Leadership
MH  - Lifting/ae [Adverse Effects]
MH  - Netherlands
MH  - Nursing Evaluation Research
MH  - Nursing Staff, Hospital/ed [Education]
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - *Occupational Health
MH  - Peer Group
MH  - Program Development
MH  - Program Evaluation
MH  - Risk Assessment
MH  - *Safety Management/og [Organization & Administration]
MH  - Transportation of Patients/mt [Methods]
MH  - Workload
AB  - Occupational back pain remains a serious problem for nurses. In Dutch health care, ergonomic changes are stimulated through convenants. For acute and critical care, a covenant was drawn up and guidelines for nursing practice developed and implemented. Because of the diverse and rapidly changing nature of ergonomic problems, the process has to be specific. A strong emphasis thus was placed on self-management and empowerment of nurses. One or two nurses were appointed per ward as peer leaders, called ergocoaches. They received additional training and were given responsibility for safe work practices. This article reports on progress made to date, viewed as work in progress.
IS  - 0899-5885
IL  - 0899-5885
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0899-5885(07)00010-X [pii]
ID  - 10.1016/j.ccell.2007.02.009 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/22 09:00
DA  - 2007/07/21 09:00
DT  - 2007/05/22 09:00
YR  - 2007
ED  - 20070720
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17512476

<550. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17512474
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Garg A
AU  - Milholland S
AU  - Deckow-Schaefer G
AU  - Kapellusch JM
FA  - Garg, Arun
FA  - Milholland, Suzanna
FA  - Deckow-Schaefer, Gwen
FA  - Kapellusch, Jay M
IN  - Garg, Arun. Center for Ergonomics Industrial & Manufacturing Engineering, University of Wisconsin-Milwaukee, P.O. Box 784, Milwaukee, WI 53211, USA. arun@uwm.edu
TI  - Justification for a minimal lift program in critical care. [Review] [84 refs]
SO  - Critical Care Nursing Clinics of North America. 19(2):187-96, 2007 Jun
AS  - Crit Care Nurs Clin North Am. 19(2):187-96, 2007 Jun
NJ  - Critical care nursing clinics of North America
VO  - 19
IP  - 2
PG  - 187-96
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Biomechanical Phenomena
MH  - Causality
MH  - *Critical Care/og [Organization & Administration]
MH  - Humans
MH  - Lifting/ae [Adverse Effects]
MH  - *Lifting
MH  - Musculoskeletal Diseases/ep [Epidemiology]
MH  - Musculoskeletal Diseases/et [Etiology]
MH  - Musculoskeletal Diseases/pc [Prevention & Control]
MH  - Nurse's Role
MH  - Nursing Staff, Hospital/ed [Education]
MH  - *Nursing Staff, Hospital/og [Organization & Administration]
MH  - Occupational Diseases/ep [Epidemiology]
MH  - Occupational Diseases/et [Etiology]
MH  - Occupational Diseases/pc [Prevention & Control]
MH  - Occupational Health/sn [Statistics & Numerical Data]
MH  - *Occupational Health
MH  - Personnel Staffing and Scheduling
MH  - *Safety Management/og [Organization & Administration]
MH  - Transportation of Patients/mt [Methods]
MH  - United States/ep [Epidemiology]
MH  - Workload
MH  - Workplace/og [Organization & Administration]
AB  - This chapter reviews literature pertaining to patient-handling tasks spanning the areas of epidemiology, biomechanics, perceived stresses, education and training programs, and introduction of mechanical patient lifting devices. All findings agree that patient handling is inherently dangerous and has been attributed to the majority of injuries incurred by nursing personnel; however, most studies have been performed in hospitals or long term care settings, but have not been specific to the area of critical care. The critical care environment poses unique challenges for nursing personnel and therefore, to ergonomists. [References: 84]
IS  - 0899-5885
IL  - 0899-5885
PT  - Journal Article
PT  - Review
ID  - S0899-5885(07)00003-2 [pii]
ID  - 10.1016/j.ccell.2007.02.002 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/22 09:00
DA  - 2007/07/21 09:00
DT  - 2007/05/22 09:00
YR  - 2007
ED  - 20070720
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17512474

<551. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17512473
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Baptiste A
FA  - Baptiste, Andrea
IN  - Baptiste, Andrea. Patient Safety Center of Inquiry, James A. Haley VAMC, Tampa, FL 33612, USA. andrea.baptiste@va.gov
TI  - Technology solutions for high-risk tasks in critical care.
SO  - Critical Care Nursing Clinics of North America. 19(2):177-86, 2007 Jun
AS  - Crit Care Nurs Clin North Am. 19(2):177-86, 2007 Jun
NJ  - Critical care nursing clinics of North America
VO  - 19
IP  - 2
PG  - 177-86
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Activities of Daily Living
MH  - Baths/nu [Nursing]
MH  - Bed Rest/nu [Nursing]
MH  - *Critical Care/mt [Methods]
MH  - Evidence-Based Medicine
MH  - Humans
MH  - Lifting/ae [Adverse Effects]
MH  - *Lifting
MH  - Nurse's Role
MH  - Nursing Evaluation Research
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - Occupational Health
MH  - Posture
MH  - Risk Assessment
MH  - Risk Factors
MH  - Safety Management/mt [Methods]
MH  - Skin Care/nu [Nursing]
MH  - *Technology Assessment, Biomedical
MH  - *Transportation of Patients/mt [Methods]
AB  - There are several high-risk nursing tasks in the critical care environment discussed in this article. These tasks include lateral transfers, repositioning patients up or side to side in bed, bed-to-chair or -wheelchair transfers, pericare of bariatric patients, toileting in bed, sustained limb holding for dressing wounds, and patient transport. Although many, if not all, of these tasks currently are performed manually, there are technological solutions available that undoubtedly can reduce the risks for caregiver and patient injuries. These solutions should be implemented in critical care to promote the safety of all involved in patient care.
IS  - 0899-5885
IL  - 0899-5885
PT  - Journal Article
ID  - S0899-5885(07)00012-3 [pii]
ID  - 10.1016/j.ccell.2007.02.011 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/22 09:00
DA  - 2007/07/21 09:00
DT  - 2007/05/22 09:00
YR  - 2007
ED  - 20070720
RD  - 20070521
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17512473

<552. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17512469
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Waters TR
AU  - Nelson A
AU  - Proctor C
FA  - Waters, Thomas R
FA  - Nelson, Audrey
FA  - Proctor, Caren
IN  - Waters, Thomas R. Division of Applied Research and Technology, National Institute for Occupational Safety and Health, 4676 Columbia Parkway (MS-C24), Cincinnati, OH 45226, USA. trw1@cdc.gov
TI  - Patient handling tasks with high risk for musculoskeletal disorders in critical care. [Review] [21 refs]
SO  - Critical Care Nursing Clinics of North America. 19(2):131-43, 2007 Jun
AS  - Crit Care Nurs Clin North Am. 19(2):131-43, 2007 Jun
NJ  - Critical care nursing clinics of North America
VO  - 19
IP  - 2
PG  - 131-43
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Algorithms
MH  - Bed Rest/nu [Nursing]
MH  - Biomechanical Phenomena
MH  - Body Weight
MH  - *Critical Care/og [Organization & Administration]
MH  - Decision Trees
MH  - Ergonomics
MH  - Humans
MH  - *Lifting/ae [Adverse Effects]
MH  - Musculoskeletal Diseases/ep [Epidemiology]
MH  - Musculoskeletal Diseases/et [Etiology]
MH  - *Musculoskeletal Diseases/pc [Prevention & Control]
MH  - Nurse's Role
MH  - *Nursing Staff, Hospital/og [Organization & Administration]
MH  - Occupational Diseases/ep [Epidemiology]
MH  - Occupational Diseases/et [Etiology]
MH  - *Occupational Diseases/pc [Prevention & Control]
MH  - Occupational Health
MH  - Risk Assessment
MH  - Risk Factors
MH  - Safety Management/og [Organization & Administration]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - United States/ep [Epidemiology]
MH  - Weight-Bearing
MH  - Workload/sn [Statistics & Numerical Data]
AB  - Critical care nurses are at high risk for development of work-related musculoskeletal disorders (WMSDs). Many patient handling tasks in critical care require physical demands that may result in excessive internal forces, increasing the risk for WMSDs. There are solutions for performing these tasks safely, using technology. This article describes risk factors associated with high-risk patient handling tasks and presents solutions for reducing risk for WMSDs. Studies show that implementing a safe patient handling and movement program that incorporates new technology can pay for itself in a short period of time and provide long-term benefit for health care facilities and nursing staff. [References: 21]
IS  - 0899-5885
IL  - 0899-5885
PT  - Journal Article
PT  - Review
ID  - S0899-5885(07)00009-3 [pii]
ID  - 10.1016/j.ccell.2007.02.008 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/22 09:00
DA  - 2007/07/21 09:00
DT  - 2007/05/22 09:00
YR  - 2007
ED  - 20070720
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17512469

<553. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17512472
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hignett S
AU  - Lu J
FA  - Hignett, Sue
FA  - Lu, Jun
IN  - Hignett, Sue. Healthcare Ergonomics and Patient Safety research Unit (HEPSU), Department of Human Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK. s.m.hignett@lboro.ac.uk
TI  - Evaluation of critical care space requirements for three frequent and high-risk tasks.
SO  - Critical Care Nursing Clinics of North America. 19(2):167-75, 2007 Jun
AS  - Crit Care Nurs Clin North Am. 19(2):167-75, 2007 Jun
NJ  - Critical care nursing clinics of North America
VO  - 19
IP  - 2
PG  - 167-75
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Activities of Daily Living
MH  - Baths/nu [Nursing]
MH  - Critical Care/og [Organization & Administration]
MH  - England
MH  - Ergonomics/mt [Methods]
MH  - *Ergonomics
MH  - Guidelines as Topic
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Interior Design and Furnishings/st [Standards]
MH  - Job Description
MH  - Lifting
MH  - Needs Assessment
MH  - Nurse's Role
MH  - Nursing Evaluation Research
MH  - *Nursing Staff, Hospital/og [Organization & Administration]
MH  - Occupational Health
MH  - *Patients' Rooms/og [Organization & Administration]
MH  - Resuscitation
MH  - *Risk Assessment/og [Organization & Administration]
MH  - Safety Management/og [Organization & Administration]
MH  - Time and Motion Studies
MH  - Transportation of Patients
MH  - Videotape Recording
AB  - Spatial requirements for clinical tasks have been recommended from many sources over the past 15 years, but little empiric evidence is offered to support recommendations. This article describes a series of functional space experiments using clinical scenarios to test the spatial requirements for a bed space in a critical care setting. The analysis found that an average of 23.26 m(2) was needed for a bed-to-bed transfer followed by 22.87 m(2) for a resuscitation task. The overall average space requirement for the three tasks for a patient and caregiver zone (ergonomic envelope) was 22.83 m(2), excluding family and hygiene zones and in-room storage.
IS  - 0899-5885
IL  - 0899-5885
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0899-5885(07)00005-6 [pii]
ID  - 10.1016/j.ccell.2007.02.004 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/22 09:00
DA  - 2007/07/21 09:00
DT  - 2007/05/22 09:00
YR  - 2007
ED  - 20070720
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17512472

<554. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17583168
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jenkins J
FA  - Jenkins, Jamie
TI  - Eliminating common PACU delays.
SO  - Journal of Healthcare Information Management. 21(2):53-8, 2007
AS  - J Healthc Inf Manag. 21(2):53-8, 2007
NJ  - Journal of healthcare information management : JHIM
VO  - 21
IP  - 2
PG  - 53-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9815773, c87, 9815773
IO  - J Healthc Inf Manag
SB  - Health Administration Journals
CP  - United States
MH  - Bed Occupancy
MH  - Continuity of Patient Care
MH  - *Decision Support Techniques
MH  - Efficiency, Organizational
MH  - Humans
MH  - Institutional Management Teams
MH  - Nursing Informatics
MH  - *Operating Room Information Systems
MH  - *Operating Rooms/og [Organization & Administration]
MH  - Operating Rooms/ut [Utilization]
MH  - Organizational Case Studies
MH  - Patient Escort Service
MH  - Patient Transfer
MH  - *Process Assessment (Health Care)
MH  - *Recovery Room/og [Organization & Administration]
MH  - Recovery Room/ut [Utilization]
MH  - Southeastern United States
MH  - Systems Analysis
MH  - Systems Integration
MH  - Time and Motion Studies
AB  - This article discusses how one hospital identified patient flow delays in its PACU By using lean methods focused on eliminating waste, the team was able to improve patient flow. Lean thinking required the team to keep issues that were important to patients at top of mind. The improvements not only saved staff time, but they also helped the department prepare for the addition of six beds by focusing on methods to eliminate delays. The team, assigned by the vice president of surgical services, included a process engineer two decision support analysts, the PACU charge nurse, the nursing manager and ad hoc department nurses. The team recommended and implemented changes to improve operational effectiveness.
IS  - 1099-811X
IL  - 1099-811X
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2007
EZ  - 2007/06/23 09:00
DA  - 2007/07/20 09:00
DT  - 2007/06/23 09:00
YR  - 2007
ED  - 20070719
RD  - 20070622
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17583168

<555. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17535981
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Papson JP
AU  - Russell KL
AU  - Taylor DM
FA  - Papson, Jonathan P N
FA  - Russell, Kassandra L
FA  - Taylor, David McD
IN  - Papson, Jonathan P N. Emergency Department, Royal Melbourne Hospital, Victoria, Australia. jonathan.papson@mh.org.au
TI  - Unexpected events during the intrahospital transport of critically ill patients.
SO  - Academic Emergency Medicine. 14(6):574-7, 2007 Jun
AS  - Acad Emerg Med. 14(6):574-7, 2007 Jun
NJ  - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
VO  - 14
IP  - 6
PG  - 574-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - ce1, 9418450
IO  - Acad Emerg Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Confidence Intervals
MH  - *Critical Illness
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Outcome and Process Assessment (Health Care)
MH  - *Patient Transfer
MH  - Prospective Studies
AB  - OBJECTIVES: To examine unexpected events (UEs) that occur during the intrahospital transport of critically ill emergency department patients.
AB  - 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).
AB  - 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.
AB  - 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.
ES  - 1553-2712
IL  - 1069-6563
PT  - Journal Article
ID  - j.aem.2007.02.034 [pii]
ID  - 10.1197/j.aem.2007.02.034 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/31 09:00
DA  - 2007/07/20 09:00
DT  - 2007/05/31 09:00
YR  - 2007
ED  - 20070719
RD  - 20070530
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17535981

<556. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17474955
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Catchpole KR
AU  - de Leval MR
AU  - McEwan A
AU  - Pigott N
AU  - Elliott MJ
AU  - McQuillan A
AU  - MacDonald C
AU  - Goldman AJ
FA  - Catchpole, Ken R
FA  - de Leval, Marc R
FA  - McEwan, Angus
FA  - Pigott, Nick
FA  - Elliott, Martin J
FA  - McQuillan, Annette
FA  - MacDonald, Carol
FA  - Goldman, Allan J
IN  - Catchpole, Ken R. Nuffield Department of Surgery, University of Oxford, Oxford, UK. ken.catchpole@nds.ox.ac.uk
TI  - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.
SO  - Paediatric Anaesthesia. 17(5):470-8, 2007 May
AS  - Paediatr Anaesth. 17(5):470-8, 2007 May
NJ  - Paediatric anaesthesia
VO  - 17
IP  - 5
PG  - 470-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cg8, 9206575
IO  - Paediatr Anaesth
SB  - Index Medicus
CP  - France
MH  - Adolescent
MH  - Aviation
MH  - *Cardiac Surgical Procedures
MH  - Child
MH  - Child, Preschool
MH  - *Continuity of Patient Care/st [Standards]
MH  - Heart Defects, Congenital/su [Surgery]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Interdisciplinary Communication
MH  - Medical Errors/pc [Prevention & Control]
MH  - Medical Errors/sn [Statistics & Numerical Data]
MH  - *Models, Organizational
MH  - *Patient Care Management/st [Standards]
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer/st [Standards]
MH  - Pilot Projects
MH  - Prospective Studies
MH  - Time Factors
MH  - *Total Quality Management/og [Organization & Administration]
AB  - BACKGROUND: We aimed to improve the quality and safety of handover of patients from surgery to intensive care using the analogy of a Formula 1 pit stop and expertise from aviation.
AB  - METHODS: A prospective intervention study measured the change in performance before and after the implementation of a new handover protocol that was developed through detailed discussions with a Formula 1 racing team and aviation training captains. Fifty (23 before and 27 after) postsurgery patient handovers were observed. Technical errors and information omissions were measured using checklists, and teamwork was scored using a Likert scale. Duration of the handover was also measured.
AB  - RESULTS: The mean number of technical errors was reduced from 5.42 (95% CI +/-1.24) to 3.15 (95% CI +/-0.71), the mean number of information handover omissions was reduced from 2.09 (95% CI +/-1.14) to 1.07 (95% CI +/-0.55), and duration of handover was reduced from 10.8 min (95% CI +/-1.6) to 9.4 min (95% CI +/-1.29). Nine out of twenty-three (39%) precondition patients had more than one error in both technical and information handover prior to the new protocol, compared with three out of twnety-seven (11.5%) with the new handover. Regression analysis showed that the number of technical errors were significantly reduced with the new handover (t = -3.63, P < 0.001), and an interaction suggested that teamwork (t = 3.04, P = 0.004) had a different effect with the new handover protocol.
AB  - CONCLUSIONS: The introduction of the new handover protocol lead to improvements in all aspects of the handover. Expertise from other industries can be extrapolated to improve patient safety, and in particular, areas of medicine involving the handover of patients or information.
IS  - 1155-5645
IL  - 1155-5645
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - PAN2239 [pii]
ID  - 10.1111/j.1460-9592.2006.02239.x [doi]
PP  - ppublish
LG  - English
DP  - 2007 May
EZ  - 2007/05/04 09:00
DA  - 2007/07/18 09:00
DT  - 2007/05/04 09:00
YR  - 2007
ED  - 20070717
RD  - 20070503
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17474955

<557. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17521062
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - O'Neill N
AU  - Howlett AA
FA  - O'Neill, Nancy
FA  - Howlett, Alexandra A
IN  - O'Neill, Nancy. IWK Health Centre, Halifax, Nova Scotia, Canada. nancy.oneill@iwk.nshealth.ca
TI  - Evaluation of the impact of the S.T.A.B.L.E. Program on the pretransport care of the neonate.
SO  - Neonatal Network - Journal of Neonatal Nursing. 26(3):153-9, 2007 May-Jun
AS  - Neonat Netw. 26(3):153-9, 2007 May-Jun
NJ  - Neonatal network : NN
VO  - 26
IP  - 3
PG  - 153-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8503921
IO  - Neonatal Netw
SB  - Nursing Journal
CP  - United States
MH  - Consumer Behavior
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Inservice Training
MH  - *Intensive Care Units, Neonatal
MH  - Male
MH  - *Neonatal Nursing/ed [Education]
MH  - Nova Scotia
MH  - *Outcome Assessment (Health Care)
MH  - Program Evaluation
MH  - Retrospective Studies
MH  - Survival Rate
MH  - *Transportation of Patients
AB  - PURPOSE: To determine whether the S.T.A.B.L.E. Program increases health care providers' confidence and clinical abilities in pretransport stabilization and to assess the care of transported neonates before and after S.T.A.B.L.E. Program education.
AB  - DESIGN: A descriptive design was used to evaluate health care providers ' confidence about pretransport stabilization and to assess infant outcomes before and after S.T.A.B.L.E. education.
AB  - SAMPLE: Sixty-four participants in the S.T.A.B.L.E. Program in Nova Scotia participated in this study over a 13-month period. Thestudy evaluated the charts of all neonates transported tothe IWK Health Centre over two one-year periods, before and after the S.T.A.B.L.E. Program.
AB  - MAIN OUTCOME VARIABLE: Perceived confidence and incorporation of S.T.A.B.L.E. Program principles among regional health care provide:rs and neonatal stability at time of transfer were measured.
AB  - RESULTS: Ninety-six percent of participants indicated that the course was relevant and useful. Ninety percent indicated that they felt more confident about their ability to provide neonatal pretransport stabilization, and 86.5 percent reported adoptionof the S.T.A.B.L.E. Program principles into their practice. There were no differences in infant outcomes between the pre- and post-S.T.A.B.L.E. time periods.
IS  - 0730-0832
IL  - 0730-0832
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1891/0730-0832.26.3.153 [doi]
PP  - ppublish
LG  - English
DP  - 2007 May-Jun
EZ  - 2007/05/25 09:00
DA  - 2007/07/06 09:00
DT  - 2007/05/25 09:00
YR  - 2007
ED  - 20070705
RD  - 20141120
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17521062

<558. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17522535
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gregory CJ
AU  - Marcin JP
FA  - Gregory, Christopher J
FA  - Marcin, James P
TI  - Golden hours wasted: the human cost of intensive care unit and emergency department inefficiency.
CM  - Comment on: Crit Care Med. 2007 Jun;35(6):1477-83; PMID: 17440421
SO  - Critical Care Medicine. 35(6):1614-5, 2007 Jun
AS  - Crit Care Med. 35(6):1614-5, 2007 Jun
NJ  - Critical care medicine
VO  - 35
IP  - 6
PG  - 1614-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Age Factors
MH  - *Critical Illness/mo [Mortality]
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Length of Stay
MH  - *Outcome Assessment (Health Care)/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
IS  - 0090-3493
IL  - 0090-3493
PT  - Comment
PT  - Editorial
ID  - 10.1097/01.CCM.0000266826.34532.FD [doi]
ID  - 00003246-200706000-00025 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/25 09:00
DA  - 2007/07/03 09:00
DT  - 2007/05/25 09:00
YR  - 2007
ED  - 20070702
RD  - 20070524
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17522535

<559. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17522534
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bekes C
FA  - Bekes, Carolyn
TI  - Transfer surcharge.
CM  - Comment on: Crit Care Med. 2007 Jun;35(6):1470-6; PMID: 17440423
SO  - Critical Care Medicine. 35(6):1612-3, 2007 Jun
AS  - Crit Care Med. 35(6):1612-3, 2007 Jun
NJ  - Critical care medicine
VO  - 35
IP  - 6
PG  - 1612-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - *Health Care Costs/sn [Statistics & Numerical Data]
MH  - *Hospital Mortality
MH  - Hospitals, University/og [Organization & Administration]
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - *Outcome Assessment (Health Care)/og [Organization & Administration]
MH  - Patient Transfer/ec [Economics]
MH  - *Patient Transfer/og [Organization & Administration]
IS  - 0090-3493
IL  - 0090-3493
PT  - Comment
PT  - Editorial
ID  - 10.1097/01.CCM.0000266828.74601.46 [doi]
ID  - 00003246-200706000-00024 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Jun
EZ  - 2007/05/25 09:00
DA  - 2007/07/03 09:00
DT  - 2007/05/25 09:00
YR  - 2007
ED  - 20070702
RD  - 20070524
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17522534

<560. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17417977
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cheifetz IM
AU  - Myers TR
FA  - Cheifetz, Ira M
FA  - Myers, Timothy R
IN  - Cheifetz, Ira M. Department of Pediatric Critical Care Medicine, Duke Children's Hospital, Durham, NC 27710, USA. cheif002@mc.duke.edu
TI  - Respiratory therapies in the critical care setting. Should every mechanically ventilated patient be monitored with capnography from intubation to extubation?. [Review] [94 refs]
SO  - Respiratory Care. 52(4):423-38; discussion 438-42, 2007 Apr
AS  - Respir Care. 52(4):423-38; discussion 438-42, 2007 Apr
NJ  - Respiratory care
VO  - 52
IP  - 4
PG  - 423-38; discussion 438-42
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - qz3, 7510357
IO  - Respir Care
SB  - Index Medicus
CP  - United States
MH  - *Capnography
MH  - Carbon Dioxide/me [Metabolism]
MH  - Cardiovascular Physiological Phenomena
MH  - *Critical Care
MH  - Heart Defects, Congenital/pp [Physiopathology]
MH  - Humans
MH  - Intubation, Intratracheal
MH  - *Monitoring, Physiologic
MH  - Obesity/pp [Physiopathology]
MH  - Oximetry
MH  - Posture
MH  - *Respiration, Artificial
MH  - Respiratory Distress Syndrome, Adult/pp [Physiopathology]
MH  - Respiratory Function Tests
MH  - Respiratory Insufficiency/pp [Physiopathology]
MH  - Transportation of Patients
MH  - Wounds and Injuries/pp [Physiopathology]
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. [References: 94]
RN  - 142M471B3J (Carbon Dioxide)
IS  - 0020-1324
IL  - 0020-1324
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2007 Apr
EZ  - 2007/04/10 09:00
DA  - 2007/06/20 09:00
DT  - 2007/04/10 09:00
YR  - 2007
ED  - 20070619
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17417977

<561. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17505269
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rawlins JM
AU  - Khan AA
AU  - Shenton AF
AU  - Sharpe DT
FA  - Rawlins, Jeremy M
FA  - Khan, Arshid A
FA  - Shenton, Anthony F
FA  - Sharpe, David T
IN  - Rawlins, Jeremy M. Plastic Surgery and Burns Research Unit, University of Bradford, Bradford, UK. J.M.Rawlins@Bradford.ac.uk
TI  - Epidemiology and outcome analysis of 208 children with burns attending an emergency department.
SO  - Pediatric Emergency Care. 23(5):289-93, 2007 May
AS  - Pediatr Emerg Care. 23(5):289-93, 2007 May
NJ  - Pediatric emergency care
VO  - 23
IP  - 5
PG  - 289-93
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Accidents/sn [Statistics & Numerical Data]
MH  - Adolescent
MH  - Analgesia/sn [Statistics & Numerical Data]
MH  - Burn Units/sn [Statistics & Numerical Data]
MH  - *Burns/ep [Epidemiology]
MH  - Burns/pc [Prevention & Control]
MH  - Burns/su [Surgery]
MH  - Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Debridement
MH  - *Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - England/ep [Epidemiology]
MH  - Ethnic Groups/sn [Statistics & Numerical Data]
MH  - Female
MH  - First Aid/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Referral and Consultation/sn [Statistics & Numerical Data]
MH  - Seasons
MH  - Skin Transplantation
MH  - Socioeconomic Factors
MH  - Surgery, Plastic/ut [Utilization]
MH  - Treatment Outcome
AB  - OBJECTIVE: The purpose of this study was to prospectively study all burns attending a single inner city emergency department (ED) to establish epidemiological burn patterns and final outcomes for thermal injuries affecting children.
AB  - DESIGN AND SETTING: A 12-month prospective study of all burns involving children (ages, 0-16 years) presenting to a single ED serving approximately 500,000 people.
AB  - RESULTS: Two hundred eight children with burns attended the ED. The average patient age was 5 years, with most cases involving infants and young children. Fifty one percent of injuries were scalds, and 36% were contact burns. Burn size varied from 1% body surface area to 23% body surface area. First aid had not been administered in one third of cases before attendance, and 87% of patients had received no analgesia. Final outcomes were as follows: 5% of patients were discharged from the ED with no further follow-up. Twenty three percent of patients were instructed to attend their general practitioner for follow-up, and 58% were instructed to attend the ED clinic for review. Four percent of patients were reviewed in the plastic surgery dressing clinic, 7% were admitted to the plastic surgery ward, and 3% of patients were transferred to a burn center. In total, 3% of patients required burn excision and skin grafting for their burns. There were no deaths.
AB  - CONCLUSIONS: Many pediatric burns are appropriately managed in the ED without the need for burn center care. Although the mortality from burn injury in children may have fallen in recent decades, problems persist in terms of small burns that can be associated with long-standing morbidity. Education and prevention programs are still required at all levels to help address the problem of childhood burns.
ES  - 1535-1815
IL  - 0749-5161
PT  - Journal Article
ID  - 10.1097/01.pec.0000248698.42175.2b [doi]
ID  - 00006565-200705000-00003 [pii]
PP  - ppublish
LG  - English
DP  - 2007 May
EZ  - 2007/05/17 09:00
DA  - 2007/06/15 09:00
DT  - 2007/05/17 09:00
YR  - 2007
ED  - 20070613
RD  - 20070516
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17505269

<562. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17397367
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Freeman VA
AU  - Walsh J
AU  - Rudolf M
AU  - Slifkin RT
AU  - Skinner AC
FA  - Freeman, Victoria A
FA  - Walsh, Joan
FA  - Rudolf, Matthew
FA  - Slifkin, Rebecca T
FA  - Skinner, Asheley Cockrell
IN  - Freeman, Victoria A. North Carolina Rural Health Research and Policy Analysis Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7590, USA. freeman@mail.schsr.unc.edu
TI  - Intensive care in critical access hospitals.
SO  - Journal of Rural Health. 23(2):116-23, 2007
AS  - J Rural Health. 23(2):116-23, 2007
NJ  - The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
VO  - 23
IP  - 2
PG  - 116-23
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jx4, 8508122
IO  - J Rural Health
SB  - Index Medicus
CP  - England
MH  - Acute Disease
MH  - Emergency Service, Hospital/og [Organization & Administration]
MH  - *Emergency Service, Hospital/ut [Utilization]
MH  - Health Care Surveys
MH  - Health Facility Closure
MH  - Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - *Health Services Accessibility
MH  - Hospitals, Rural/og [Organization & Administration]
MH  - *Hospitals, Rural/ut [Utilization]
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - *Intensive Care Units/ut [Utilization]
MH  - Interviews as Topic
MH  - Length of Stay
MH  - Patient Transfer
MH  - United States
AB  - CONTEXT: Although critical access hospitals (CAHs) have limitations on number of acute care beds and average length of stay, some of them provide intensive care unit (ICU) services.
AB  - PURPOSE: To describe the facilities, equipment, and staffing used by CAHs for intensive care, the types of patients receiving ICU care, and the perceived impact of closing the ICU on CAH staff and the local community.
AB  - METHODS: A semistructured interview of directors of nursing at CAHs that provide intensive care services.
AB  - RESULTS: Two thirds of CAHs that provide intensive care do so in a distinct unit. Most have continuous or computerized electrocardiography and ventilators. Other ICU equipment common in larger hospitals was reported less frequently. Nurse:patient ratio ranged from 1:1 to 1:3, and some or all nursing staff have advanced cardiac life support certification. Most CAHs admit patients to the ICU daily or weekly, primarily treating cardiac, respiratory, gastrointestinal, endocrine, and drug- or alcohol-related conditions. ICUs are also used for postsurgical recovery. Respondents felt that closure of the ICU would be burdensome to patients and families, result in lost revenue, negatively impact staff, and affect the community's perception of the hospital.
AB  - CONCLUSIONS: Intensive care services provided by CAHs fall along a continuum, ranging from care in a unit that resembles a scaled-down version of ICUs in larger hospitals to care in closely monitored medical-surgical beds. Nurse to patient ratio, not technology, is arguably the defining characteristic of intensive care in CAHs. Respondents believe these services to be important to the well-being of the hospital and of the community.
IS  - 0890-765X
IL  - 0890-765X
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - JRH78 [pii]
ID  - 10.1111/j.1748-0361.2007.00078.x [doi]
PP  - ppublish
GI  - No: U1CRH00027-04-02
Organization: *PHS HHS*
Country: United States
LG  - English
DP  - 2007
EZ  - 2007/04/03 09:00
DA  - 2007/06/06 09:00
DT  - 2007/04/03 09:00
YR  - 2007
ED  - 20070605
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17397367

<563. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17403821
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lainwala S
AU  - Perritt R
AU  - Poole K
AU  - Vohr B
AU  - National Institute of Child Health and Human Development Neonatal Research Network
FA  - Lainwala, Shabnam
FA  - Perritt, Rebecca
FA  - Poole, Kenneth
FA  - Vohr, Betty
FA  - National Institute of Child Health and Human Development Neonatal Research Network
IN  - Lainwala, Shabnam. Department of Pediatrics, Women and Infants Hospital, 101 Dudley St, Providence, RI 02905, USA. slainwala@wihri.org
TI  - Neurodevelopmental and growth outcomes of extremely low birth weight infants who are transferred from neonatal intensive care units to level I or II nurseries.
CM  - Comment in: Pediatrics. 2007 Aug;120(2):455-6; author reply 456-7; PMID: 17671080
SO  - Pediatrics. 119(5):e1079-87, 2007 May
AS  - Pediatrics. 119(5):e1079-87, 2007 May
NJ  - Pediatrics
VO  - 119
IP  - 5
PG  - e1079-87
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Child Development/ph [Physiology]
MH  - *Child Development
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Infant
MH  - *Infant, Extremely Low Birth Weight/gd [Growth & Development]
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Male
MH  - Mortality
MH  - *Nurseries, Hospital
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Retrospective Studies
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.
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1098-4275
IL  - 0031-4005
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
ID  - peds.2006-0899 [pii]
ID  - 10.1542/peds.2006-0899 [doi]
PP  - ppublish
GI  - No: M01 RR00039
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR00044
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR00070
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR00750
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR00997
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR01032
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR02172
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR02635
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR06022
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: M01 RR08084
Organization: (RR) *NCRR NIH HHS*
Country: United States

GI  - No: U10 HD 19897
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD21364
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD21373
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD21385
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD21397
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD21415
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD27851
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD27853
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD27856
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD27871
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD27880
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD27881
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD27904
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD34167
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD34216
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD36790
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD40461
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD40492
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD40498
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD40521
Organization: (HD) *NICHD NIH HHS*
Country: United States

GI  - No: U10 HD40689
Organization: (HD) *NICHD NIH HHS*
Country: United States
LG  - English
EP  - 20070402
DP  - 2007 May
EZ  - 2007/04/04 09:00
DA  - 2007/05/30 09:00
DT  - 2007/04/04 09:00
YR  - 2007
ED  - 20070529
RD  - 20071114
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17403821

<564. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17436655
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hernandez-Gancedo C
AU  - Pestana D
AU  - Criado A
FA  - Hernandez-Gancedo, C
FA  - Pestana, D
FA  - Criado, A
IN  - Hernandez-Gancedo, C. Servicio de Anestesiologia, Reanimacion y Unidad del Dolor, Hospital General Universitario La Paz, Madrid. mhgancedo@hotmail.com
TI  - [Bispectral index monitoring during intrahospital transport]. [Spanish]
OT  - Monitorizacion del indice biespectral en el transporte intrahospitalario.
SO  - Revista Espanola de Anestesiologia y Reanimacion. 54(3):169-72, 2007 Mar
AS  - Rev Esp Anestesiol Reanim. 54(3):169-72, 2007 Mar
NJ  - Revista espanola de anestesiologia y reanimacion
VO  - 54
IP  - 3
PG  - 169-72
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - rsx, 0134516
IO  - Rev Esp Anestesiol Reanim
SB  - Index Medicus
CP  - Spain
MH  - Atracurium/ad [Administration & Dosage]
MH  - Atracurium/aa [Analogs & Derivatives]
MH  - Atracurium/pd [Pharmacology]
MH  - Atracurium/tu [Therapeutic Use]
MH  - Blood Pressure/de [Drug Effects]
MH  - Conscious Sedation
MH  - Critical Care/mt [Methods]
MH  - Critical Care/sn [Statistics & Numerical Data]
MH  - *Electroencephalography/mt [Methods]
MH  - *Electromyography/mt [Methods]
MH  - Heart Rate/de [Drug Effects]
MH  - Humans
MH  - Hypnotics and Sedatives/ad [Administration & Dosage]
MH  - Hypnotics and Sedatives/pd [Pharmacology]
MH  - *Hypnotics and Sedatives/tu [Therapeutic Use]
MH  - Intensive Care Units
MH  - Midazolam/ad [Administration & Dosage]
MH  - Midazolam/pd [Pharmacology]
MH  - Midazolam/tu [Therapeutic Use]
MH  - *Monitoring, Physiologic/mt [Methods]
MH  - Monitoring, Physiologic/sn [Statistics & Numerical Data]
MH  - Neuromuscular Blocking Agents/ad [Administration & Dosage]
MH  - Neuromuscular Blocking Agents/pd [Pharmacology]
MH  - Neuromuscular Blocking Agents/tu [Therapeutic Use]
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Respiration, Artificial
MH  - Time Factors
AB  - BACKGROUND AND OBJECTIVE: Risk of morbidity and mortality increases for critically ill patients during transfers within the hospital. Such patients often require sedation, and suboptimal sedation is associated with hypertension, tachycardia, and ventilator dyssynchrony. The aim of this study was to assess level of sedation as indicated by monitoring of the bispectral (BIS) index during intrahospital transport of critical patients.
AB  - PATIENTS AND METHODS: Thirty patients who required transport to the critical care unit within the hospital were studied prospectively. We recorded time in transport, the agent used for sedation and the dosage, the BIS index, mean arterial pressure (MAP), and heart rate before starting transport and upon arrival at the critical care unit. The data were recorded by an observer who was not assigned to patient care.
AB  - RESULTS: The mean (SD) transport time was 13.9 (4.2) minutes. Midazolam was used in 26 patients and propofol in 4. Ten patients were given a bolus dose of cisatracurium before transfer started. Significant increases were observed in the BIS index (from 47 to 78, (P < .001), MAP (from 73 to 91 mmHg, P < .001), and heart rate (from 72 to 97 beats/min, P < .001) between the moment of starting transport and arrival at the critical care unit. Changes in the BIS index correlated significantly with changes in heart rate (r = 0.418, P = .024) but not with changes in MAP (r = 0.249, P = .19).
AB  - CONCLUSIONS: Monitoring the BIS index during intrahospital transport of sedated, mechanically ventilated patients may be useful for detecting inadequate sedation.
RN  - 0 (Hypnotics and Sedatives)
RN  - 0 (Neuromuscular Blocking Agents)
RN  - 2GQ1IRY63P (Atracurium)
RN  - QX62KLI41N (cisatracurium)
RN  - R60L0SM5BC (Midazolam)
IS  - 0034-9356
IL  - 0034-9356
PT  - Journal Article
PP  - ppublish
LG  - Spanish
DP  - 2007 Mar
EZ  - 2007/04/18 09:00
DA  - 2007/05/26 09:00
DT  - 2007/04/18 09:00
YR  - 2007
ED  - 20070524
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17436655

<565. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17506162
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fisher KA
FA  - Fisher, Kenneth A
TI  - Communicating about dying in the ICU.
CM  - Comment on: N Engl J Med. 2007 Feb 1;356(5):469-78; PMID: 17267907
SO  - New England Journal of Medicine. 356(19):2004; author reply 2004-5, 2007 May 10
AS  - N Engl J Med. 356(19):2004; author reply 2004-5, 2007 May 10
NJ  - The New England journal of medicine
VO  - 356
IP  - 19
PG  - 2004; author reply 2004-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0255562, now
IO  - N. Engl. J. Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Intensive Care Units
MH  - Patient Transfer
MH  - *Terminally Ill
MH  - Unnecessary Procedures
MH  - *Withholding Treatment
ES  - 1533-4406
IL  - 0028-4793
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 2007 May 10
EZ  - 2007/05/17 09:00
DA  - 2007/05/18 09:00
DT  - 2007/05/17 09:00
YR  - 2007
ED  - 20070517
RD  - 20070514
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17506162

<566. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17415106
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schmid A
AU  - Hoffman L
AU  - Happ MB
AU  - Wolf GA
AU  - DeVita M
FA  - Schmid, Andrea
FA  - Hoffman, Leslie
FA  - Happ, Mary Beth
FA  - Wolf, Gail A
FA  - DeVita, Michael
IN  - Schmid, Andrea. Patient Care Services, University of Pittsburgh Medical Center, PA 15213, USA. schmida@upmc.edu
TI  - Failure to rescue: a literature review. [Review] [23 refs]
SO  - Journal of Nursing Administration. 37(4):188-98, 2007 Apr
AS  - J Nurs Adm. 37(4):188-98, 2007 Apr
NJ  - The Journal of nursing administration
VO  - 37
IP  - 4
PG  - 188-98
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jel, 1263116
IO  - J Nurs Adm
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Data Collection
MH  - Data Interpretation, Statistical
MH  - *Emergencies/nu [Nursing]
MH  - Heart Arrest/di [Diagnosis]
MH  - Heart Arrest/mo [Mortality]
MH  - Heart Arrest/nu [Nursing]
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units
MH  - Nurse Administrators/og [Organization & Administration]
MH  - Nurse Administrators/px [Psychology]
MH  - Nurse's Role
MH  - *Nursing Administration Research/og [Organization & Administration]
MH  - Nursing Staff, Hospital/ed [Education]
MH  - *Nursing Staff, Hospital/og [Organization & Administration]
MH  - *Outcome Assessment (Health Care)/og [Organization & Administration]
MH  - Patient Transfer
MH  - *Personnel Staffing and Scheduling/og [Organization & Administration]
MH  - Professional Autonomy
MH  - Quality Indicators, Health Care/og [Organization & Administration]
MH  - Research Design
MH  - *Resuscitation/nu [Nursing]
MH  - Workload
AB  - Rapid response teams have been advocated as an intervention to reduce failure to rescue events. Such teams can improve nurse autonomy and control to rescue patients deteriorating in a medical surgical setting. The purpose of this review is to enhance nurse executives' understanding of failure to rescue as a nurse sensitive outcome, tested interventions, and implications for future research. The emergence of failure to rescue as an outcome measure will be initially discussed. Research regarding the relationship between failure to rescue and registered nurse staffing as well as research examining the potential to reduce failure-to-rescue events will be explored. [References: 23]
IS  - 0002-0443
IL  - 0002-0443
PT  - Journal Article
PT  - Review
ID  - 10.1097/01.NNA.0000266838.23814.65 [doi]
ID  - 00005110-200704000-00009 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Apr
EZ  - 2007/04/07 09:00
DA  - 2007/05/12 09:00
DT  - 2007/04/07 09:00
YR  - 2007
ED  - 20070511
RD  - 20070406
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17415106

<567. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17081856
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Haberal M
FA  - Haberal, Mehmet
IN  - Haberal, Mehmet. Baskent University, Faculty of Med., 1 Cad No. 77, Bahcelievler, Ankara 06490, Turkey. rektorluk@baskent-ank.edu.tr
TI  - Guidelines for dealing with disasters involving large numbers of extensive burns.
CM  - Comment in: Burns. 2007 Sep;33(6):806; PMID: 17614207
SO  - Burns. 32(8):933-9, 2006 Dec
AS  - Burns. 32(8):933-9, 2006 Dec
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 32
IP  - 8
PG  - 933-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - *Burn Units/og [Organization & Administration]
MH  - *Burns/th [Therapy]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - *Disasters
MH  - Emergency Treatment/mt [Methods]
MH  - First Aid
MH  - Humans
MH  - Transportation of Patients
MH  - Triage
IS  - 0305-4179
IL  - 0305-4179
PT  - Journal Article
PT  - Practice Guideline
ID  - S0305-4179(06)00276-2 [pii]
ID  - 10.1016/j.burns.2006.08.026 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Dec
EZ  - 2006/11/04 09:00
DA  - 2007/04/28 09:00
DT  - 2006/11/04 09:00
YR  - 2006
ED  - 20070427
RD  - 20080325
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17081856

<568. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17011131
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Klein MB
AU  - Nathens AB
AU  - Heimbach DM
AU  - Gibran NS
FA  - Klein, Matthew B
FA  - Nathens, Avery B
FA  - Heimbach, David M
FA  - Gibran, Nicole S
IN  - Klein, Matthew B. Burn Center, Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA 98121, USA. mbklein@u.washington.edu
TI  - An outcome analysis of patients transferred to a regional burn center: transfer status does not impact survival.
SO  - Burns. 32(8):940-5, 2006 Dec
AS  - Burns. 32(8):940-5, 2006 Dec
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 32
IP  - 8
PG  - 940-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Burn Units
MH  - Burns/mo [Mortality]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Epidemiologic Methods
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Middle Aged
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Referral and Consultation/og [Organization & Administration]
MH  - Survival Analysis
MH  - Washington/ep [Epidemiology]
AB  - BACKGROUND: Optimal burn care is provided at specialized burn centers. Given the geographic location of these centers, many burn patients receive initial treatment at local emergency departments prior to transfer. The purpose of this study was to determine whether patients transferred from other facilities have worse outcomes than those admitted directly from the field.
AB  - STUDY DESIGN: A retrospective cohort study was performed comparing the outcomes of patients admitted to our burn center directly from the field with patients requiring transfer from a preliminary care facility. The outcomes of interest were mortality, length of stay, length of stay/TBSA burned, number of operations and hospital charges. Poisson regression or Cox proportional hazards model was used to evaluate differences in outcomes after adjusting for potential confounders.
AB  - RESULTS: From 2000 to 2003 a total of 1877 patients were admitted to our burn center and 953 (51%) were transferred from a preliminary care facility. No difference (p<0.05) was found in length of stay, number of operations, hospital charges and mortality between the two cohorts.
AB  - CONCLUSIONS: This study demonstrates that patients transferred to a regional burn center from local hospitals have equivalent mortality, length of stay and hospital charges as those admitted directly from the field.
IS  - 0305-4179
IL  - 0305-4179
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, Non-P.H.S.
ID  - S0305-4179(06)00118-5 [pii]
ID  - 10.1016/j.burns.2006.04.001 [doi]
PP  - ppublish
PH  - 2006/02/25 [received]
PH  - 2006/04/04 [accepted]
GI  - No: K12 HD049100
Organization: (HD) *NICHD NIH HHS*
Country: United States
LG  - English
EP  - 20060929
DP  - 2006 Dec
EZ  - 2006/10/03 09:00
DA  - 2007/04/28 09:00
DT  - 2006/10/03 09:00
YR  - 2006
ED  - 20070427
RD  - 20071203
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17011131

<569. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15933318
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jenkins J
AU  - Alderdice F
AU  - McCall E
AU  - Neonatal Intensive Care Outcomes Research and Evaluation (NICORE) Group
FA  - Jenkins, J
FA  - Alderdice, F
FA  - McCall, E
FA  - Neonatal Intensive Care Outcomes Research and Evaluation (NICORE) Group
IN  - Jenkins, J. Department of Child Health, Queen's University Belfast, Institute of Clinical Science, Belfast, UK. j.jenkins@qub.ac.uk
TI  - Improvement in neonatal intensive care in Northern Ireland through sharing of audit data.
SO  - Quality & Safety in Health Care. 14(3):202-6, 2005 Jun
AS  - Qual Saf Health Care. 14(3):202-6, 2005 Jun
NJ  - Quality & safety in health care
VO  - 14
IP  - 3
PG  - 202-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 101136980
IO  - Qual Saf Health Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1744012
SB  - Health Administration Journals
CP  - England
MH  - Body Temperature Regulation
MH  - Data Collection
MH  - Humans
MH  - Infant, Newborn
MH  - *Information Dissemination
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - *Interinstitutional Relations
MH  - *Medical Audit
MH  - Northern Ireland
MH  - Patient Transfer
MH  - Quality Assurance, Health Care/td [Trends]
MH  - *Quality Indicators, Health Care
MH  - Steroids/ad [Administration & Dosage]
MH  - Surface-Active Agents/ad [Administration & Dosage]
AB  - PROBLEM: Ten percent of infants born will require admission to a neonatal facility. Coordinated activity to monitor and improve the quality of care for this high risk, high cost group of infants is considered a high priority. At the time of initiation of this project no system for collection and analysis of neonatal data existed in Northern Ireland.
AB  - DESIGN: In 1994 an ongoing prospective centralised data collection system was implemented to facilitate quality improvement and research in neonatal care. We aim to ascertain if there has been a demonstrable improvement in the quality of care provided since the initiation of this system.
AB  - SETTING: All nine Northern Ireland neonatal intensive care units returned prospectively collected socioeconomic, obstetric and neonatal episode data.
AB  - KEY MEASURES FOR IMPROVEMENT: Achievement of the agreed quality indicators relating to transfer patterns, thermoregulation, antenatal steroid administration, and timing of administration of surfactant during the period 1 April 1999 to 31 March 2000 were compared with data for the period 1 April 1994 to 31 March 1996.
AB  - STRATEGIES FOR CHANGE: Monitoring included audit and annual feedback of timely clear and relevant data where results were provided confidentially as standardised reports, together with anonymised comparisons with other similar sized units. Draft recommendations were made at regional level and units were asked to adopt finalized consensus guidelines at the local level and to implement changes to clinical practice.
AB  - EFFECTS OF CHANGE: The proportion of transfers taking place in utero increased from 26% to 42% and antenatal steroid administration from 68% to 82%. Normothermia on first admission improved from 66% to 71% for inborn infants. The proportion of infants receiving surfactant where the first dose was given within an hour of birth increased from 13% to 66%.
AB  - LESSONS LEARNT: A multi-professional regional care network can facilitate the development of agreed standards and a culture of regular evaluation leading to quality improvement.
RN  - 0 (Steroids)
RN  - 0 (Surface-Active Agents)
ES  - 1475-3901
IL  - 1475-3898
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 14/3/202 [pii]
ID  - 10.1136/qshc.2004.010371 [doi]
ID  - PMC1744012 [pmc]
PP  - ppublish
LG  - English
DP  - 2005 Jun
EZ  - 2005/06/04 09:00
DA  - 2007/04/20 09:00
DT  - 2005/06/04 09:00
YR  - 2005
ED  - 20070419
RD  - 20140606
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15933318

<570. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17337670
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bu'Lock FA
FA  - Bu'Lock, Frances A
IN  - Bu'Lock, Frances A. Congenital and Paediatric Cardiology Service, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK. frances.bu'lock@uhl-tr.nhs.uk
TI  - Transporting babies with known heart disease; who, what and where?. [Review] [9 refs]
CM  - Comment on: Arch Dis Child Fetal Neonatal Ed. 2007 Mar;92(2):F117-9; PMID: 16905574
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 92(2):F80-1, 2007 Mar
AS  - Arch Dis Child Fetal Neonatal Ed. 92(2):F80-1, 2007 Mar
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 92
IP  - 2
PG  - F80-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2675475
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Heart Defects, Congenital/di [Diagnosis]
MH  - *Heart Defects, Congenital/th [Therapy]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Patient Transfer
MH  - *Perinatal Care/mt [Methods]
MH  - Prenatal Diagnosis
MH  - Prostaglandins/ad [Administration & Dosage]
MH  - United Kingdom
RN  - 0 (Prostaglandins)
IS  - 1359-2998
IL  - 1359-2998
PT  - Journal Article
PT  - Review
PT  - Comment
ID  - 92/2/F80 [pii]
ID  - 10.1136/adc.2006.101626 [doi]
ID  - PMC2675475 [pmc]
PP  - ppublish
LG  - English
DP  - 2007 Mar
EZ  - 2007/03/06 09:00
DA  - 2007/04/10 09:00
DT  - 2007/03/06 09:00
YR  - 2007
ED  - 20070409
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17337670

<571. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17300545
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wu CJ
AU  - Coyer F
FA  - Wu, Chiung-Jung Jo
FA  - Coyer, Fiona
IN  - Wu, Chiung-Jung Jo. School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia. c3.wu@qut.edu.au
TI  - Reconsidering the transfer of patients from the intensive care unit to the ward: a case study approach.
SO  - Nursing & Health Sciences. 9(1):48-53, 2007 Mar
AS  - Nurs Health Sci. 9(1):48-53, 2007 Mar
NJ  - Nursing & health sciences
VO  - 9
IP  - 1
PG  - 48-53
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dov, 100891857
IO  - Nurs Health Sci
SB  - Index Medicus
SB  - Nursing Journal
CP  - Australia
MH  - Aftercare
MH  - Clinical Competence
MH  - Continuity of Patient Care
MH  - Critical Care/og [Organization & Administration]
MH  - Evaluation Studies as Topic
MH  - Evidence-Based Medicine
MH  - Health Services Research
MH  - Holistic Health
MH  - Hospital Units/og [Organization & Administration]
MH  - *Hospital Units
MH  - Hospitals, Teaching
MH  - Hospitals, Urban
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - *Intensive Care Units
MH  - Needs Assessment
MH  - Organizational Case Studies
MH  - *Outcome and Process Assessment (Health Care)/og [Organization & Administration]
MH  - Patient Discharge
MH  - Patient Readmission
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Practice Patterns, Physicians'/og [Organization & Administration]
MH  - Queensland
MH  - Safety Management
MH  - Time Management
MH  - Total Quality Management/og [Organization & Administration]
AB  - Evidence indicates that the poorly managed transfer of a patient from the intensive care unit (ICU) to the ward can lead to physical and psychological complications for the patient, and often require ICU readmission and rehospitalization. Reviewing this patient transfer process to improve the quality of care would be a positive step towards enhancing patients' recovery and providing skills to staff. The aim of this paper is to review case studies of transferring ICU patients to general wards in order to identify the shortcomings of this process. A literature review was conducted to evaluate current practices in the ICU transfer process. The results of this paper have clinical implications, suggest approaches to improve support for patients and their carers, and provide strategies to improve the transfer procedure.
IS  - 1441-0745
IL  - 1441-0745
PT  - Journal Article
ID  - NHS294 [pii]
ID  - 10.1111/j.1442-2018.2007.00294.x [doi]
PP  - ppublish
LG  - English
DP  - 2007 Mar
EZ  - 2007/02/16 09:00
DA  - 2007/04/07 09:00
DT  - 2007/02/16 09:00
YR  - 2007
ED  - 20070406
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17300545

<572. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17351405
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - King BR
AU  - King TM
AU  - Foster RL
AU  - McCans KM
FA  - King, Brent R
FA  - King, Terri M
FA  - Foster, Robin L
FA  - McCans, Kathryn M
IN  - King, Brent R. Department of Emergency Medicine, The University of Texas Medical School at Houston, Houston, TX 77030, USA. brent.king@uth.tmc.edu
TI  - Pediatric and neonatal transport teams with and without a physician: a comparison of outcomes and interventions.
SO  - Pediatric Emergency Care. 23(2):77-82, 2007 Feb
AS  - Pediatr Emerg Care. 23(2):77-82, 2007 Feb
NJ  - Pediatric emergency care
VO  - 23
IP  - 2
PG  - 77-82
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Female
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - Nurse Clinicians
MH  - Nurse's Role
MH  - Nursing, Team/og [Organization & Administration]
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Pediatric Nursing
MH  - Physician's Role
MH  - *Total Quality Management
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - United States
AB  - OBJECTIVE: To determine whether a transport team composed of advanced practice nurses could function as effectively as a physician-nurse team, as measured by patient outcome.
AB  - DESIGN: Observational cohort study.
AB  - SETTING: The interfacility transport team at a tertiary care children's hospital.
AB  - PATIENTS AND OTHER PARTICIPANTS: Fourteen transport nurses and 539 patients.
AB  - METHODS: A transport team was studied during a previously planned change in composition from a physician-nurse team to a nurse-nurse team. Data were recorded by transport nurses and by subsequent review of the medical record during two 4-month periods, 1 before and 1 after the team change. Pediatric risk of mortality scores (a marker for degree of illness) were assigned for the periods before, during, and after transport. Transport time intervals, demographic data, and patient outcomes were also recorded. Data were assessed using frequency tables for discrete variables, as well as mean and standard deviation for continuous variables. For identification of group differences, chi test was used.
AB  - MAIN OUTCOME MEASURES: Mortality, transport-related morbidity, overall transport times and interval times, and outcome of procedures performed by transport nurses.
AB  - RESULTS: Five hundred thirty-nine data sheets were received: 228 before (group 1) and 311 after (group 2) the team change. Physicians attended 128 (56.1%) group 1 transports and 15 (4.82%) group 2 transports. There were no significant differences in mean pediatric risk of mortality scores between group 1 and group 2 patients. Mortality was equivalent. Group 2 transport times were significantly shorter than group 1 times. Transport nurses performed 8 intubations; all were successful.
AB  - CONCLUSIONS: Outcomes for the 2 types of teams were equivalent. Nonphysician teams responded more quickly and spent less time at the referring facility.
ES  - 1535-1815
IL  - 0749-5161
PT  - Comparative Study
PT  - Journal Article
ID  - 10.1097/PEC.0b013e318030083d [doi]
ID  - 00006565-200702000-00002 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Feb
EZ  - 2007/03/14 09:00
DA  - 2007/03/31 09:00
DT  - 2007/03/14 09:00
YR  - 2007
ED  - 20070330
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17351405

<573. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17319567
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hegarty J
AU  - Burton A
FA  - Hegarty, Josephine
FA  - Burton, Aileen
IN  - Hegarty, Josephine. Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Ireland.
TI  - Post anaesthetic care units in the Republic of Ireland: a survey of discharge criteria.
SO  - Journal of Perioperative Practice. 17(2):58-66, 2007 Feb
AS  - J Perioper Pract. 17(2):58-66, 2007 Feb
NJ  - Journal of perioperative practice
VO  - 17
IP  - 2
PG  - 58-66
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101271023
IO  - J Perioper Pract
SB  - Nursing Journal
CP  - England
MH  - Anesthesiology/og [Organization & Administration]
MH  - Clinical Protocols
MH  - Decision Making, Organizational
MH  - Documentation
MH  - Hospitals, Public
MH  - Humans
MH  - Ireland
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Nurse's Role
MH  - *Nursing Assessment/og [Organization & Administration]
MH  - Nursing Audit
MH  - Nursing Evaluation Research
MH  - Nursing Records
MH  - Outcome Assessment (Health Care)
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - *Patient Discharge
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Postanesthesia Nursing/og [Organization & Administration]
MH  - Professional Autonomy
MH  - *Recovery Room/og [Organization & Administration]
MH  - Surveys and Questionnaires
MH  - Time Factors
AB  - Discharge readiness of patients from the post anaesthetic care unit (PACU) is often determined by specific discharge criteria. This quantitative, descriptive national study aimed to survey discharge criteria used in the PACU. Data from 45 hospitals nationally with a response rate of 77.8% (n = 35) was gathered. Specific discharge criteria were used by 71.4% (n = 25) of the PACUs in the determination of fitness of patients for discharge from the PACU.
IS  - 1750-4589
IL  - 1750-4589
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2007 Feb
EZ  - 2007/02/27 09:00
DA  - 2007/03/31 09:00
DT  - 2007/02/27 09:00
YR  - 2007
ED  - 20070330
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17319567

<574. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17332223
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kuch BA
AU  - Munoz R
AU  - Orr RA
AU  - Watson RS
FA  - Kuch, Bradley A
FA  - Munoz, Ricardo
FA  - Orr, Richard A
FA  - Watson, R Scott
TI  - Unplanned transport events and severity of illness: are we conveying the whole picture?.
CM  - Comment on: Pediatrics. 2006 Sep;118(3):1070-7; PMID: 16951000
SO  - Pediatrics. 119(3):648-9; author reply 649-50, 2007 Mar
AS  - Pediatrics. 119(3):648-9; author reply 649-50, 2007 Mar
NJ  - Pediatrics
VO  - 119
IP  - 3
PG  - 648-9; author reply 649-50
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Heart Defects, Congenital/th [Therapy]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Respiration, Artificial/ut [Utilization]
MH  - Severity of Illness Index
MH  - *Transportation of Patients
ES  - 1098-4275
IL  - 0031-4005
PT  - Comment
PT  - Letter
ID  - 119/3/648 [pii]
ID  - 10.1542/peds.2006-3254 [doi]
PP  - ppublish
LG  - English
DP  - 2007 Mar
EZ  - 2007/03/03 09:00
DA  - 2007/03/28 09:00
DT  - 2007/03/03 09:00
YR  - 2007
ED  - 20070327
RD  - 20070302
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17332223

<575. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17211209
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sagraves SG
AU  - Phade SV
AU  - Spain T
AU  - Bard MR
AU  - Goettler CE
AU  - Schenarts PJ
AU  - Toschlog EA
AU  - Newell MA
AU  - Claims BA
AU  - Peck MD
AU  - Rotondo MF
FA  - Sagraves, Scott G
FA  - Phade, Sachin V
FA  - Spain, Tamara
FA  - Bard, Michael R
FA  - Goettler, Claudia E
FA  - Schenarts, Paul J
FA  - Toschlog, Eric A
FA  - Newell, Mark A
FA  - Claims, Bruce A
FA  - Peck, Michael D
FA  - Rotondo, Michael F
IN  - Sagraves, Scott G. Brody School of Medicine, East Carolina University, Greenville, North Carolina 27834, USA.
TI  - A collaborative systems approach to rural burn care.
SO  - Journal of Burn Care & Research. 28(1):111-4, 2007 Jan-Feb
AS  - J Burn Care Res. 28(1):111-4, 2007 Jan-Feb
NJ  - Journal of burn care & research : official publication of the American Burn Association
VO  - 28
IP  - 1
PG  - 111-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101262774
IO  - J Burn Care Res
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anti-Infective Agents, Local/tu [Therapeutic Use]
MH  - Appointments and Schedules
MH  - *Burn Units/og [Organization & Administration]
MH  - Burns/co [Complications]
MH  - *Burns/ep [Epidemiology]
MH  - Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - *Cooperative Behavior
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Narcotics/tu [Therapeutic Use]
MH  - Outpatient Clinics, Hospital
MH  - Patient Transfer
MH  - Remote Consultation/og [Organization & Administration]
MH  - Retrospective Studies
MH  - *Rural Health Services/og [Organization & Administration]
MH  - Skin Transplantation/sn [Statistics & Numerical Data]
MH  - *Trauma Centers/og [Organization & Administration]
MH  - United States/ep [Epidemiology]
AB  - A collaborative systems approach was created between the regional verified burn center (BC) and the rural verified Level 1 trauma center (TC) to treat minor burns. This study assesses the feasibility of providing outpatient burn care at the TC. A retrospective review was performed from January 2000 to June 2005 of burn patients seen at the TC. Seven trauma/critical care surgeons and a dedicated burn nurse staffed the clinic twice a week. Burn surgeons from the BC provided consultation via email and telephone links and served as the regional resource. In the TC clinic, 314 injuries occurred in 311 patients. 196 patients were male with an average age of 34.5 +/- 1.1 years. The mean burn TBSA was 2.9 +/- 0.2%. Fourteen patients (4%) required skin grafts. Patients averaged 3.5 +/- 0.1 clinic visits over a mean follow-up period of 42.9 +/- 7.4 days from initial injury. There were 1252 scheduled appointments during the study period. Silver sulfadiazine or triple antibiotic ointment was applied in the majority of the cases. Thirty-one patients (9.9%) were documented to have complications, most of which were local wound infections. Long-term sequelae (scarring, chronic pain, and contractures) occurred in 13.4% of patients. Clinical success in outpatient burn care can be achieved at a non burn center with dedicated personnel. The successful collaboration between the BC and TC can unload some minor burn care from the burn center, while providing good clinical care to the local rural population.
RN  - 0 (Anti-Infective Agents, Local)
RN  - 0 (Narcotics)
IS  - 1559-047X
IL  - 1559-047X
PT  - Journal Article
ID  - 10.1097/BCR.0B013E31802C893B [doi]
ID  - 01253092-200701000-00017 [pii]
PP  - ppublish
LG  - English
DP  - 2007 Jan-Feb
EZ  - 2007/01/11 09:00
DA  - 2007/03/21 09:00
DT  - 2007/01/11 09:00
YR  - 2007
ED  - 20070320
RD  - 20070109
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17211209

<576. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17285882
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hynes P
FA  - Hynes, Patricia
IN  - Hynes, Patricia. ICU, Mount Sinai Hospital, Toronto.
TI  - Reflections on critical care emergency preparedness: the necessity of planned education and leadership training for nurses. [Review] [11 refs]
SO  - Dynamics (Pembroke, Ont.). 17(4):19-22, 2006
AS  - Dynamics. 17(4):19-22, 2006
NJ  - Dynamics (Pembroke, Ont.)
VO  - 17
IP  - 4
PG  - 19-22
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100955578, dph, 100955578
IO  - Dynamics
SB  - Nursing Journal
CP  - Canada
MH  - Canada/ep [Epidemiology]
MH  - Clinical Competence/st [Standards]
MH  - Computer-Assisted Instruction
MH  - *Critical Care/og [Organization & Administration]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - Disease Outbreaks/pc [Prevention & Control]
MH  - Disease Outbreaks/sn [Statistics & Numerical Data]
MH  - *Education, Nursing, Continuing/og [Organization & Administration]
MH  - Emergencies/ep [Epidemiology]
MH  - *Emergencies/nu [Nursing]
MH  - Guidelines as Topic
MH  - Health Services Accessibility
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Infection Control/og [Organization & Administration]
MH  - Influenza, Human/ep [Epidemiology]
MH  - Influenza, Human/pc [Prevention & Control]
MH  - *Leadership
MH  - Nurse's Role
MH  - Patient Admission
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Selection
MH  - Patient Transfer
MH  - Severe Acute Respiratory Syndrome/ep [Epidemiology]
MH  - Severe Acute Respiratory Syndrome/pc [Prevention & Control]
AB  - ICU nurses who are involved in pandemic planning must advocate for the education and training they need to assume clinical leadership roles in emergency situations such as an infectious disease outbreak. Although many ICU nurses do advance to become clinical leaders, preparation is often inadequate and sometimes absent. This article focuses on two aspects of preparedness: the further development and integration of leadership competencies into day-to-day practice, and education and training using a computerized simulator. [References: 11]
IS  - 1497-3715
IL  - 1497-3715
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2006
EZ  - 2007/02/09 09:00
DA  - 2007/03/17 09:00
DT  - 2007/02/09 09:00
YR  - 2006
ED  - 20070316
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17285882

<577. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17328259
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Durham SR
AU  - Liu KC
AU  - Selden NR
FA  - Durham, Susan R
FA  - Liu, Kenneth C
FA  - Selden, Nathan R
IN  - Durham, Susan R. Department of Neurological Surgery, Division of Pediatric Neurosurgery, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, Oregon, USA. srd@hitchcock.org
TI  - Utility of serial computed tomography imaging in pediatric patients with head trauma.
SO  - Journal of Neurosurgery. 105(5 Suppl):365-9, 2006 Nov
AS  - J Neurosurg. 105(5 Suppl):365-9, 2006 Nov
NJ  - Journal of neurosurgery
VO  - 105
IP  - 5 Suppl
PG  - 365-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jd3, 0253357
IO  - J. Neurosurg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Brain Edema/dg [Diagnostic Imaging]
MH  - Brain Edema/et [Etiology]
MH  - Brain Edema/su [Surgery]
MH  - Cerebral Hemorrhage/dg [Diagnostic Imaging]
MH  - Cerebral Hemorrhage/et [Etiology]
MH  - Cerebral Hemorrhage/su [Surgery]
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Craniocerebral Trauma/co [Complications]
MH  - *Craniocerebral Trauma/dg [Diagnostic Imaging]
MH  - Craniocerebral Trauma/su [Surgery]
MH  - Disease Progression
MH  - Female
MH  - Hematoma, Epidural, Cranial/dg [Diagnostic Imaging]
MH  - Hematoma, Epidural, Cranial/et [Etiology]
MH  - Hematoma, Epidural, Cranial/su [Surgery]
MH  - Hematoma, Subdural, Intracranial/dg [Diagnostic Imaging]
MH  - Hematoma, Subdural, Intracranial/et [Etiology]
MH  - Hematoma, Subdural, Intracranial/su [Surgery]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Neurosurgical Procedures
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Time Factors
MH  - *Tomography, X-Ray Computed
AB  - OBJECT: The purpose of this study was to evaluate the risk of progression of traumatic intracranial lesions in children by comparing initial and subsequent computed tomography (CT) scans. Reserving repeated CT imaging for patients who harbor higher-risk lesions may reduce overall radiation exposure, the need for sedative agents, and cost.
AB  - METHODS: The authors performed a retrospective cohort study in 268 patients younger than 18 years of age who underwent repeated CT scanning within 24 hours of their initial CT scanning procedure. The risk of progression between the initial and repeated CT scanning sessions and the need for delayed neurosurgical intervention were determined for each lesion type. In 54 patients (20.1%) the normal findings on the initial CT study did not change on subsequent imaging. In 61 (28.5%) of the 214 patients in whom abnormal findings were present on the initial scan, progression was demonstrated. Patients with epidural hematoma (EDH; odds ratio [OR] 12.29), subdural hematoma (SDH; OR 3.18), cerebral edema (OR 9.34), and intraparenchymal hemorrhage (IPH; OR 18.3) were found to be at a significantly increased risk for progression and to require delayed neurosurgical intervention (OR 11.91). No significantly increased risk was found for patients with subarachnoid hemorrhage (SAH), intraventricular hemorrhage (IVH), diffuse axonal injury (DAI), or skull fracture.
AB  - CONCLUSIONS: Repeated CT imaging in children with high-risk lesions such as EDH, SDH, cerebral edema, and IPH is recommended. However, in children with low-risk lesions, such as SAH, IVH, DAI, and isolated skull fractures but no sign of clinical deterioration, repeated imaging may be less likely to alter the clinical management scheme. The limited benefits of undertaking repeated imaging in these patients should be weighed against the risks of radiation exposure, sedation, intrahospital transportation, and patient monitoring.
IS  - 0022-3085
IL  - 0022-3085
PT  - Journal Article
ID  - 10.3171/ped.2006.105.5.365 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Nov
EZ  - 2007/03/03 09:00
DA  - 2007/03/14 09:00
DT  - 2007/03/03 09:00
YR  - 2006
ED  - 20070313
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17328259

<578. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17091104
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pollack MM
FA  - Pollack, Murray M
TI  - Level II pediatric intensive care units.
CM  - Comment on: Pediatr Crit Care Med. 2006 Nov;7(6):536-40; PMID: 17006392
SO  - Pediatric Critical Care Medicine. 7(6):606-7, 2006 Nov
AS  - Pediatr Crit Care Med. 7(6):606-7, 2006 Nov
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 7
IP  - 6
PG  - 606-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - *Health Services Accessibility
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units, Pediatric/cl [Classification]
MH  - Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Rural Health Services/cl [Classification]
MH  - Rural Health Services/sn [Statistics & Numerical Data]
MH  - Treatment Outcome
IS  - 1529-7535
IL  - 1529-7535
PT  - Comment
PT  - Editorial
ID  - 10.1097/01.PCC.0000244097.63986.C1 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Nov
EZ  - 2006/11/09 09:00
DA  - 2007/03/01 09:00
DT  - 2006/11/09 09:00
YR  - 2006
ED  - 20070228
RD  - 20061122
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17091104

<579. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17183043
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dunn MJ
AU  - Gwinnutt CL
AU  - Gray AJ
FA  - Dunn, M J G
FA  - Gwinnutt, C L
FA  - Gray, A J
IN  - Dunn, M J G. The Royal Infirmary of Edinburgh, Edinburgh, UK.
TI  - Critical care in the emergency department: patient transfer.
SO  - Emergency Medicine Journal. 24(1):40-4, 2007 Jan
AS  - Emerg Med J. 24(1):40-4, 2007 Jan
NJ  - Emergency medicine journal : EMJ
VO  - 24
IP  - 1
PG  - 40-4
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - b0u, 100963089
IO  - Emerg Med J
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2658153
SB  - Index Medicus
CP  - England
MH  - *Critical Care/mt [Methods]
MH  - Emergencies
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Humans
MH  - Patient Admission
MH  - *Transportation of Patients
ES  - 1472-0213
IL  - 1472-0205
PT  - Journal Article
ID  - 24/1/40 [pii]
ID  - 10.1136/emj.2006.042044 [doi]
ID  - PMC2658153 [pmc]
PP  - ppublish
LG  - English
DP  - 2007 Jan
EZ  - 2006/12/22 09:00
DA  - 2007/02/27 09:00
DT  - 2006/12/22 09:00
YR  - 2007
ED  - 20070226
RD  - 20140907
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17183043

<580. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17258581
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Li J
AU  - Zhang G
AU  - McCrindle BW
AU  - Holtby H
AU  - Humpl T
AU  - Cai S
AU  - Caldarone CA
AU  - Redington AN
AU  - Van Arsdell GS
FA  - Li, Jia
FA  - Zhang, Gencheng
FA  - McCrindle, Brian W
FA  - Holtby, Helen
FA  - Humpl, Tilman
FA  - Cai, Sally
FA  - Caldarone, Christopher A
FA  - Redington, Andrew N
FA  - Van Arsdell, Glen S
IN  - Li, Jia. Cardiac Program, the Hospital for Sick Children, Toronto, Ontario, Canada.
TI  - Profiles of hemodynamics and oxygen transport derived by using continuous measured oxygen consumption after the Norwood procedure.
SO  - Journal of Thoracic & Cardiovascular Surgery. 133(2):441-8, 2007 Feb
AS  - J Thorac Cardiovasc Surg. 133(2):441-8, 2007 Feb
NJ  - The Journal of thoracic and cardiovascular surgery
VO  - 133
IP  - 2
PG  - 441-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - k9j, 0376343
IO  - J. Thorac. Cardiovasc. Surg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Cardiac Surgical Procedures/mt [Methods]
MH  - Cardiac Surgical Procedures/mo [Mortality]
MH  - Cohort Studies
MH  - Follow-Up Studies
MH  - Humans
MH  - Hypoplastic Left Heart Syndrome/di [Diagnosis]
MH  - Hypoplastic Left Heart Syndrome/mo [Mortality]
MH  - *Hypoplastic Left Heart Syndrome/pp [Physiopathology]
MH  - *Hypoplastic Left Heart Syndrome/su [Surgery]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Linear Models
MH  - Male
MH  - Monitoring, Physiologic/mt [Methods]
MH  - Oximetry
MH  - *Oxygen/bl [Blood]
MH  - *Oxygen Consumption
MH  - Postoperative Care/mt [Methods]
MH  - Pulmonary Gas Exchange
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Sensitivity and Specificity
MH  - Spectroscopy, Near-Infrared
MH  - Survival Rate
MH  - Vascular Resistance
AB  - OBJECTIVES: The lack of accurate measurement of hemodynamics and oxygen transport has limited our understanding of Norwood physiology and postoperative management. We used measured oxygen consumption to characterize hemodynamics and oxygen transport after the classic Norwood procedure.
AB  - METHODS: Fourteen neonates had continuous respiratory mass spectrometry to measure oxygen consumption (VO2). Arterial, superior vena caval, and pulmonary venous saturations were measured at 2- to 4-hour intervals for 72 hours postoperatively. Systemic (Qs) and pulmonary (Qp) blood flows, systemic vascular resistance (SVR) and pulmonary vascular resistance inclusive of the Blalock-Taussig shunt (BT-PVR), systemic oxygen delivery (DO2), and the oxygen extraction ratio (ERO2) were calculated.
AB  - RESULTS: Qs and DO2 were low during the first 12 hours (1.8 +/- 0.6 L x min(-1) x m(-2) and 281 +/- 86 mL x min(-1) x m(-2) at the 12th hour, respectively) and increased over the study period (P < .05 for both). VO2 decreased markedly during the first 24 hours (101 +/- 26 to 86 +/- 16 mL x min(-1) x m(-2), P < .0001). Consequently, ERO2 decreased significantly over the study, most rapidly during the first 24 hours (0.44 +/- 0.11 to 0.28 +/- 0.09, P < .0001). There was a close correlation of DO2 to SVR and to Qs (P < .0001 for both). There was no correlation of DO2 to BT-PVR (P = .14) or to Qp (P = .67). DO2 was closely correlated with hemoglobin value (P < .0001), weakly correlated with PaO2 (P = .0002), and not correlated with arterial oxygen saturation (P = .32).
AB  - CONCLUSIONS: There is wide variability of hemodynamics and oxygen transport after the Norwood procedure. The decrease in VO2 during the first 24 hours is the main contributor to improving the balance of oxygen transport. DO2 is most closely correlated to SVR and hemoglobin and weakly correlated to PaO2. It is not correlated to Qp. Postoperative management strategies to decrease VO2 and maintain a high hemoglobin level and a low SVR appear to be rational.
RN  - S88TT14065 (Oxygen)
ES  - 1097-685X
IL  - 0022-5223
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0022-5223(06)01769-7 [pii]
ID  - 10.1016/j.jtcvs.2006.09.033 [doi]
PP  - ppublish
PH  - 2006/05/05 [received]
PH  - 2006/08/11 [revised]
PH  - 2006/09/06 [accepted]
LG  - English
DP  - 2007 Feb
EZ  - 2007/01/30 09:00
DA  - 2007/02/24 09:00
DT  - 2007/01/30 09:00
YR  - 2007
ED  - 20070223
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17258581

<581. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17129963
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - De Carvalho Guerra Abecasis F
AU  - Gomes A
FA  - De Carvalho Guerra Abecasis, Francisco
FA  - Gomes, Antonio
IN  - De Carvalho Guerra Abecasis, Francisco. Department of Paediatrics, Hospital Garcia de Orta, Almada, Portugal. francisco@abecasis.org
TI  - Rooming-in for preterm infants: how far should we go? Five-year experience at a tertiary hospital.
SO  - Acta Paediatrica. 95(12):1567-70, 2006 Dec
AS  - Acta Paediatr. 95(12):1567-70, 2006 Dec
NJ  - Acta paediatrica (Oslo, Norway : 1992)
VO  - 95
IP  - 12
PG  - 1567-70
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bgc, 9205968
IO  - Acta Paediatr.
SB  - Index Medicus
CP  - Norway
MH  - Birth Weight
MH  - Gestational Age
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Length of Stay
MH  - Medical Records
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - *Rooming-in Care/sn [Statistics & Numerical Data]
AB  - AIM: To determine the rate of rooming-in among preterm infants born in a tertiary hospital.
AB  - METHODS: We reviewed the records of all preterm infants born at our hospital during a 5-y period, 2000 to 2004.
AB  - RESULTS: Of the 18 953 neonates born at our institution during this time, 1356 (7.2%) were <37 wk gestational age. Considering only preterm infants with birthweight > or =1500 g, 806 (74.1%) stayed with their mothers and 282 (25.9%) were admitted to the NICU. Of all the preterm infants that initially stayed with their mothers, 42 (5.2%) needed to be transferred to the NICU. When we stratified these preterm infants according to birthweight, we found that 29% of those <1750 g were transferred to the NICU, compared to only 5% of those > or =1750 g.
AB  - CONCLUSION: Our study supports the idea that the majority of preterm infants, especially those with birthweight > or =1750 g, can safely remain near their mothers at all times during hospital stay, with both clinical and financial benefits. Neonates with birthweight <1750 g should be evaluated carefully to decide whether rooming-in is the best option. Rooming-in should be encouraged in preterm infants.
IS  - 0803-5253
IL  - 0803-5253
PT  - Journal Article
ID  - Q685776815367772 [pii]
ID  - 10.1080/08035250600771441 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Dec
EZ  - 2006/11/30 09:00
DA  - 2007/02/17 09:00
DT  - 2006/11/30 09:00
YR  - 2006
ED  - 20070216
RD  - 20061128
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17129963

<582. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17165489
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Leslie GD
FA  - Leslie, Gavin D
TI  - "Stay, just a little bit longer...".
SO  - Australian Critical Care. 19(4):119, 2006 Nov
AS  - Aust Crit Care. 19(4):119, 2006 Nov
NJ  - Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
VO  - 19
IP  - 4
PG  - 119
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bh0, 9207852
IO  - Aust Crit Care
SB  - Nursing Journal
CP  - Australia
MH  - *After-Hours Care/og [Organization & Administration]
MH  - Australia
MH  - Bed Occupancy
MH  - Health Services Needs and Demand
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Patient Discharge
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Progressive Patient Care/og [Organization & Administration]
MH  - *Safety Management/og [Organization & Administration]
IS  - 1036-7314
IL  - 1036-7314
PT  - Editorial
PP  - ppublish
LG  - English
DP  - 2006 Nov
EZ  - 2006/12/15 09:00
DA  - 2007/02/16 09:00
DT  - 2006/12/15 09:00
YR  - 2006
ED  - 20070215
RD  - 20061214
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17165489

<583. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16915525
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Eveillard M
AU  - Lancien E
AU  - deLassence A
AU  - Branger C
AU  - Barnaud G
AU  - Benlolo JA
AU  - Joly-Guillou ML
FA  - Eveillard, Matthieu
FA  - Lancien, Evelyne
FA  - deLassence, Arnaud
FA  - Branger, Catherine
FA  - Barnaud, Guilene
FA  - Benlolo, Jocelyne-Anne
FA  - Joly-Guillou, Marie-Laure
IN  - Eveillard, Matthieu. Department of Microbiology and Hygiene, Intensive care unit, Hopital Louis Mourier AP-HP, 178 rue des Renouillers, F-92700, Colombes, France. mathieu.eveillard@lmr.ap-hop-paris.fr
TI  - Impact of the reinforcement of a methicillin-resistant Staphylococcus aureus control programme: a 3-year evaluation by several indicators in a French university hospital.
SO  - European Journal of Epidemiology. 21(7):551-8, 2006
AS  - Eur J Epidemiol. 21(7):551-8, 2006
NJ  - European journal of epidemiology
VO  - 21
IP  - 7
PG  - 551-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - ere, 8508062
IO  - Eur. J. Epidemiol.
SB  - Index Medicus
CP  - Netherlands
MH  - Anti-Bacterial Agents/pd [Pharmacology]
MH  - Cross Infection/ep [Epidemiology]
MH  - Cross Infection/mi [Microbiology]
MH  - *Cross Infection/pc [Prevention & Control]
MH  - France/ep [Epidemiology]
MH  - *Hospitals, University/og [Organization & Administration]
MH  - Humans
MH  - *Infection Control/og [Organization & Administration]
MH  - Methicillin/pd [Pharmacology]
MH  - *Methicillin Resistance
MH  - Program Evaluation
MH  - Retrospective Studies
MH  - Risk Adjustment
MH  - Sentinel Surveillance
MH  - *Staphylococcal Infections/pc [Prevention & Control]
MH  - *Staphylococcus aureus/de [Drug Effects]
AB  - Our objective was to evaluate the impact of the reinforcement of a methicillin-resistant Staphylococcus aureus (MRSA) control programme and to assess the impact of risk adjustment on the interpretation of data. A stepwise, retrospective analysis of 3-year prospectively collected data was performed in a 600-bed French teaching hospital in the Parisian area. A reinforcement of a pre-existing programme for limiting the spread of MRSA was implemented in 2002 and 2003 by increasing the frequency of the feedback of surveillance data, by using alcohol-based disinfectants, and by increasing patient screening. Different indicators were used to follow the change over time of MRSA transmission: the proportion of MRSA acquired in our hospital, the incidence of newly acquired MRSA/1,000 patient-days (PD) (incidence of newly acquired MRSA), the incidence of newly acquired MRSA isolated in at least one clinical specimen/1,000 PD (incidence of newly acquired clinical MRSA), and a risk-adjusted indicator, the incidence of newly acquired-MRSA isolated in at least one clinical specimen/1,000 PD of carriers identified at admission (incidence related to the risk of acquisition). The change over time of these indicators was studied with the chi-square test for trend. During the study, all indicators decreased significantly, with a mean drop of 0.07/1,000 PD for the incidence of newly acquired clinical MRSA, and a mean drop of 3.0/1,000 PD for the incidence related to the risk of acquisition. The proportion of MRSA acquired in our hospital decreased from 49.3% in 2002 to 24.1% in 2004. Concurrently, between 2002 and 2004, the number of patients screened on admission to hospital or at the time of intra-hospital transfer increased by 31% and the consumption of waterless alcohol-based hand disinfectants increased by 244%. The decreasing trend of all indicators emphasizes the effectiveness of the reinforcement of our MRSA control programme. From 2002 to 2004, the trend of the indicator related to the risk of acquisition over time is similar to those of other indicators. Further studies should be useful to assess if risk-adjustment is absolutely necessary when tracking rates within a single institution.
RN  - 0 (Anti-Bacterial Agents)
RN  - Q91FH1328A (Methicillin)
IS  - 0393-2990
IL  - 0393-2990
PT  - Evaluation Studies
PT  - Journal Article
ID  - 10.1007/s10654-006-9024-y [doi]
PP  - ppublish
PH  - 2006/06/06 [accepted]
LG  - English
EP  - 20060817
DP  - 2006
EZ  - 2006/08/18 09:00
DA  - 2007/02/14 09:00
DT  - 2006/08/18 09:00
YR  - 2006
ED  - 20070213
RD  - 20171019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16915525

<584. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16998390
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gallagher JJ
AU  - Jaco M
AU  - Marvin J
AU  - Herndon DN
FA  - Gallagher, James J
FA  - Jaco, Mary
FA  - Marvin, Janet
FA  - Herndon, David N
IN  - Gallagher, James J. The University of Texas Medical Branch and Shriners Hospitals for Children, Galveston, Texas 77550, USA.
TI  - Can burn centers evacuate in response to disasters?.
SO  - Journal of Burn Care & Research. 27(5):596-9, 2006 Sep-Oct
AS  - J Burn Care Res. 27(5):596-9, 2006 Sep-Oct
NJ  - Journal of burn care & research : official publication of the American Burn Association
VO  - 27
IP  - 5
PG  - 596-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101262774
IO  - J Burn Care Res
SB  - Index Medicus
CP  - United States
MH  - *Burn Units/og [Organization & Administration]
MH  - Costs and Cost Analysis
MH  - *Disaster Planning/og [Organization & Administration]
MH  - *Disasters
MH  - Humans
MH  - Texas
MH  - *Transportation of Patients/og [Organization & Administration]
AB  - On August 29, 2005, the Gulf Coast was hit by Hurricane Katrina, a category 4 storm. The storm was responsible for more than 1000 deaths and the displacement of hundreds of thousands of people. Hospitals in the city of New Orleans evacuated because of the complete collapse of infrastructure. This event influenced the decisions and actions taken to protect patients, families, and staff of a 30-bed pediatric burn center in the projected path of a second catastrophic hurricane 3 weeks later. Approximately 80 hours before projected landfall, the local government announced that a mandatory evacuation of the community surrounding the burn center would occur. A coordinated decision was made by administration, nursing, and medical staff to cancel upcoming clinics and elective surgery and to evacuate all 14 inpatients, 52 outpatients, and 66 guardians to other facilities. The evacuation plan was successfully completed in 32 hours. The eye wall of the hurricane passed 65 miles east of the burn center. No significant damage to the physical plant was noted. Repopulation of the hospital by patients and acceptance of new acute burn referrals began approximately 40 hours after the local government permitted the population to return to the area. No morbidity or mortality was attributed to the evacuation. Emergent evacuation of threatened burn centers can be safely accomplished with adequate prior planning of evacuation sites, and modes of transportation. An established communication command center plays a key role in this process.
IS  - 1559-047X
IL  - 1559-047X
PT  - Journal Article
ID  - 10.1097/01.BCR.0000235462.17349.03 [doi]
ID  - 01253092-200609000-00008 [pii]
PP  - ppublish
LG  - English
DP  - 2006 Sep-Oct
EZ  - 2006/09/26 09:00
DA  - 2007/01/20 09:00
DT  - 2006/09/26 09:00
YR  - 2006
ED  - 20070119
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16998390

<585. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17175623
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Richard J
AU  - Osmond MH
AU  - Nesbitt L
AU  - Stiell IG
FA  - Richard, Julie
FA  - Osmond, Martin H
FA  - Nesbitt, Lisa
FA  - Stiell, Ian G
IN  - Richard, Julie. Faculty of Medicine, University of Ottawa, Ottawa, ON.
TI  - Management and outcomes of pediatric patients transported by emergency medical services in a Canadian prehospital system.
SO  - CJEM Canadian Journal of Emergency Medical Care. 8(1):6-12, 2006 Jan
AS  - CJEM, Can. j. emerg. med. care. 8(1):6-12, 2006 Jan
NJ  - CJEM
VO  - 8
IP  - 1
PG  - 6-12
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100893237
IO  - CJEM
SB  - Index Medicus
CP  - England
MH  - Advanced Cardiac Life Support/sn [Statistics & Numerical Data]
MH  - Blood Glucose/an [Analysis]
MH  - Blood Pressure
MH  - Canada/ep [Epidemiology]
MH  - Cervical Vertebrae/in [Injuries]
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Heart Rate
MH  - Humans
MH  - Immobilization/is [Instrumentation]
MH  - Intensive Care Units
MH  - Intubation, Intratracheal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Monitoring, Physiologic
MH  - Oxygen/ad [Administration & Dosage]
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Respiration, Artificial/is [Instrumentation]
MH  - Respiration, Artificial/sn [Statistics & Numerical Data]
MH  - Respiratory Insufficiency/ep [Epidemiology]
MH  - Seizures/ep [Epidemiology]
MH  - Suction/sn [Statistics & Numerical Data]
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
MH  - Wounds and Injuries/ep [Epidemiology]
AB  - OBJECTIVES: There is uncertainty around the types of interventions that are provided by emergency medical services (EMS) to children during prehospital transport. We describe the patient characteristics, events, interventions provided and outcomes of a cohort of children transported by EMS.
AB  - METHODS: This prospective cohort study was conducted in a city of 750 000 people with a 2-tiered EMS system. All children <16 years of age who were attended by EMS during a 6-month period were enrolled. Data were extracted from ambulance call reports and hospital charts, and analyzed using descriptive statistics.
AB  - RESULTS: During the study period there were 1377 pediatric EMS calls. Mean age was 8.2 years (standard deviation 5.4), and the most Common diagnoses were trauma (44.9%), seizure (11.8%) and respiratory distress (8.8%). The ambulance return code was Urgent in 7%, Prompt in 57%, Deferrable in 8% and Not Transported in 28%. Fifty-six percent received either an Advanced Life Support or Basic Life Support prehospital intervention. Common procedures included cardiac monitoring (20.0%), oxygen administration (19.8%), blood glucose monitoring (16.3%), spine board (12.2%), limb immobilization (11.1%) and cervical collar (10.0%). Uncommon procedures included administering medications intravenously (IV) (1.4%), bag-valve-mask ventilation (0.3%) and endotracheal intubation (0.1%). Seventy-eight percent of attempted IV lines were successful. Only 9.0% of EMS-transported children were admitted to hospital, and 2.2% were admitted to the intensive care unit.
AB  - CONCLUSIONS: This first study of Canadian pediatric prehospital interventions shows a high rate of non-transport, and a low rate of Urgent transports and hospital admissions for children. Very few children receive prehospital airway management, ventilation or IV medications; consequently EMS personnel have little opportunity to maintain these pediatric skills in the field.
RN  - 0 (Blood Glucose)
RN  - S88TT14065 (Oxygen)
IS  - 1481-8035
IL  - 1481-8035
PT  - Journal Article
ID  - 466EFC71444C4B45A25C2A8EEC5435F6 [pii]
PP  - ppublish
LG  - English
DP  - 2006 Jan
EZ  - 2006/12/21 09:00
DA  - 2007/01/11 09:00
DT  - 2006/12/21 09:00
YR  - 2006
ED  - 20070109
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17175623

<586. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17163003
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Scherf RF
AU  - Reid KW
FA  - Scherf, Rosalyn F
FA  - Reid, Karen White
IN  - Scherf, Rosalyn F. South Florida Pediatric Home Care, Inc, USA. rscherf@att.net
TI  - Going home: what NICU nurses need to know about home care. [Review] [11 refs]
SO  - Neonatal Network - Journal of Neonatal Nursing. 25(6):421-5, 2006 Nov-Dec
AS  - Neonat Netw. 25(6):421-5, 2006 Nov-Dec
NJ  - Neonatal network : NN
VO  - 25
IP  - 6
PG  - 421-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8503921
IO  - Neonatal Netw
SB  - Nursing Journal
CP  - United States
MH  - Aftercare/og [Organization & Administration]
MH  - Case Management/og [Organization & Administration]
MH  - Community Health Nursing/og [Organization & Administration]
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - *Home Care Services/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Intensive Care Units, Neonatal
MH  - *Intensive Care, Neonatal/og [Organization & Administration]
MH  - Male
MH  - *Neonatal Nursing/og [Organization & Administration]
MH  - Nurse's Role
MH  - Nursing Assessment
MH  - Parents/ed [Education]
MH  - Parents/px [Psychology]
MH  - Patient Care Planning/og [Organization & Administration]
MH  - *Patient Discharge
MH  - Patient Transfer
AB  - Pediatric home health care enables patients to be at home with their families in settings that bring them joy, comfort, and the security we all feel when we are at home. There is also a feeling, no matter how small, that the parents have some control over what is happening to their child. Infants with multiple needs require in-depth discharge planning. There are the physical and health concerns of the preterm infant and the potential complications that he could still develop. Parent teaching is vital for the successful transition from hopital to home. When the neonatal discharge nurse is aware of what difficulties the parents and the patient might face at home, her teaching can be tailored to meer the specific needs of these vulnerable, complicated infants. This article discusses the discharge planning process, which begins upon admission to the neonatal intensive care unit, as well as common problems encountered by many premature infants discharged home. [References: 11]
IS  - 0730-0832
IL  - 0730-0832
PT  - Case Reports
PT  - Journal Article
PT  - Review
ID  - 10.1891/0730-0832.25.6.421 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Nov-Dec
EZ  - 2006/12/14 09:00
DA  - 2006/12/30 09:00
DT  - 2006/12/14 09:00
YR  - 2006
ED  - 20061229
RD  - 20061213
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17163003

<587. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17087174
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Esmail R
AU  - Banack D
AU  - Cummings C
AU  - Duffett-Martin J
AU  - Rimmer K
AU  - Shultz J
AU  - Thurber T
AU  - Hulme T
AU  - Patient Safety and Adverse Events Team
FA  - Esmail, Rosmin
FA  - Banack, Deborah
FA  - Cummings, Cheryl
FA  - Duffett-Martin, Judy
FA  - Rimmer, Karen
FA  - Shultz, Jonas
FA  - Thurber, Teresa
FA  - Hulme, Terrance
FA  - Patient Safety and Adverse Events Team
IN  - Esmail, Rosmin. Calgary Health Region, Foothills Medical Centre, AB. rosmin.esmail@calgaryhealthregion.ca
TI  - Is your patient ready for transport? Developing an ICU patient transport decision scorecard.
SO  - Healthcare Quarterly. 9 Spec No:80-6, 2006
AS  - Healthc Q. 9 Spec No:80-6, 2006
NJ  - Healthcare quarterly (Toronto, Ont.)
VO  - 9 Spec No
PG  - 80-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101208192
IO  - Healthc Q
SB  - Health Administration Journals
CP  - Canada
MH  - Alberta
MH  - *Decision Making
MH  - Humans
MH  - *Intensive Care Units
MH  - Organizational Case Studies
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Program Development
MH  - *Safety Management
AB  - Transport of patients from the intensive care unit (ICU) to another area of the hospital can pose serious risks if the patient has not been assessed prior to transport. Recently, the Department of Critical Care Medicine, Calgary Health Region, experienced two adverse events during transport. A subgroup of the Department's Patient Safety and Adverse Events team developed an ICU patient transport decision scorecard. This tool was tested through Plan-Do-Study-Act cycles and further revised using human factors principles. Staff, especially novice nurses, found the tool extremely useful in determining patient preparedness for transport.
IS  - 1710-2774
IL  - 1710-2774
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2006
EZ  - 2006/11/08 09:00
DA  - 2006/12/15 09:00
DT  - 2006/11/08 09:00
YR  - 2006
ED  - 20061214
RD  - 20140804
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17087174

<588. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17153870
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Andersson C
AU  - Olsson M
AU  - Hvarfner A
AU  - Engstrom M
FA  - Andersson, Camilla
FA  - Olsson, Magnus
FA  - Hvarfner, Andreas
FA  - Engstrom, Martin
IN  - Andersson, Camilla. Universitetssjukhuset i Lund.
TI  - [Fewer heart arrest cases and better occupational environment with the mobile medical emergency team. The MET method has undisputed advantages according to a pilot project]. [Swedish]
OT  - Mobil intensivvardsgrupp gav farre hjartstopp och battre arbetsmiljo. MIG-metoden har klara fordelar, visar pilotprojekt.
SO  - Lakartidningen. 103(46):3613-6, 2006 Nov 15-21
AS  - Lakartidningen. 103(46):3613-6, 2006 Nov 15-21
NJ  - Lakartidningen
VO  - 103
IP  - 46
PG  - 3613-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - l0n, 0027707
IO  - Lakartidningen
SB  - Index Medicus
CP  - Sweden
MH  - Heart Arrest/di [Diagnosis]
MH  - Heart Arrest/mo [Mortality]
MH  - *Heart Arrest/pc [Prevention & Control]
MH  - Hospital Mortality
MH  - Hospitals, University/ma [Manpower]
MH  - Hospitals, University/og [Organization & Administration]
MH  - Humans
MH  - Intensive Care Units/ma [Manpower]
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Monitoring, Physiologic
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer
MH  - Pilot Projects
MH  - Risk Assessment/mt [Methods]
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
MH  - Sweden/ep [Epidemiology]
IS  - 0023-7205
IL  - 0023-7205
PT  - Journal Article
PP  - ppublish
LG  - Swedish
DP  - 2006 Nov 15-21
EZ  - 2006/12/13 09:00
DA  - 2006/12/14 09:00
DT  - 2006/12/13 09:00
YR  - 2006
ED  - 20061213
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17153870

<589. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17057138
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gillman L
AU  - Leslie G
AU  - Williams T
AU  - Fawcett K
AU  - Bell R
AU  - McGibbon V
FA  - Gillman, L
FA  - Leslie, G
FA  - Williams, T
FA  - Fawcett, K
FA  - Bell, R
FA  - McGibbon, V
IN  - Gillman, L. Royal Perth Hospital and Edith Cowan University, Perth, WA 6001, Australia. Lucia.gillman@health.wa.gov.au
TI  - Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit.
SO  - Emergency Medicine Journal. 23(11):858-61, 2006 Nov
AS  - Emerg Med J. 23(11):858-61, 2006 Nov
NJ  - Emergency medicine journal : EMJ
VO  - 23
IP  - 11
PG  - 858-61
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - b0u, 100963089
IO  - Emerg Med J
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464383
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Bed Occupancy
MH  - *Critical Care/mt [Methods]
MH  - *Emergency Service, Hospital
MH  - Equipment Failure
MH  - Female
MH  - Heart Arrest/th [Therapy]
MH  - Humans
MH  - Hypothermia/th [Therapy]
MH  - *Intensive Care Units
MH  - Male
MH  - Medical Audit
MH  - Middle Aged
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Respiratory Insufficiency/th [Therapy]
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.
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1472-0213
IL  - 1472-0205
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 23/11/858 [pii]
ID  - 10.1136/emj.2006.037697 [doi]
ID  - PMC2464383 [pmc]
PP  - ppublish
LG  - English
DP  - 2006 Nov
EZ  - 2006/10/24 09:00
DA  - 2006/12/14 09:00
DT  - 2006/10/24 09:00
YR  - 2006
ED  - 20061213
RD  - 20140907
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17057138

<590. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 17009569
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Silverwood S
AU  - Haddock M
FA  - Silverwood, Shirley
FA  - Haddock, Maureen
IN  - Silverwood, Shirley. Richmond Health Services, British Columbia.
TI  - Reduction of musculoskeletal injuries in intensive care nurses using ceiling-mounted patient lifts.
SO  - Dynamics (Pembroke, Ont.). 17(3):19-21, 2006
AS  - Dynamics. 17(3):19-21, 2006
NJ  - Dynamics (Pembroke, Ont.)
VO  - 17
IP  - 3
PG  - 19-21
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100955578, dph, 100955578
IO  - Dynamics
SB  - Nursing Journal
CP  - Canada
MH  - Absenteeism
MH  - *Attitude of Health Personnel
MH  - Bed Rest/nu [Nursing]
MH  - British Columbia/ep [Epidemiology]
MH  - Critical Care/og [Organization & Administration]
MH  - Equipment Design
MH  - Ergonomics
MH  - Fatigue/et [Etiology]
MH  - Fatigue/pc [Prevention & Control]
MH  - Frustration
MH  - Humans
MH  - Job Satisfaction
MH  - Lifting/ae [Adverse Effects]
MH  - *Lifting
MH  - Longitudinal Studies
MH  - Musculoskeletal Diseases/ep [Epidemiology]
MH  - Musculoskeletal Diseases/et [Etiology]
MH  - *Musculoskeletal Diseases/pc [Prevention & Control]
MH  - Nurse's Role
MH  - Nursing Evaluation Research
MH  - Nursing Methodology Research
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - Occupational Diseases/ep [Epidemiology]
MH  - Occupational Diseases/et [Etiology]
MH  - *Occupational Diseases/pc [Prevention & Control]
MH  - Occupational Health
MH  - Pain/et [Etiology]
MH  - Pain/pc [Prevention & Control]
MH  - Posture
MH  - *Transportation of Patients/mt [Methods]
MH  - Workload
MH  - Workplace/og [Organization & Administration]
MH  - Workplace/px [Psychology]
AB  - The musculoskeletal injury (MSI) rate in the Richmond Hospital Intensive Care Unit (ICU) increased significantly in 2000 and 2001 by 130%. As part of a quality initiative program, the problem was identified, assessed, and a plan was developed that involved the installation of ceiling-mounted patient lifts (CMPL) and the incorporation of a patient positioning sling. The evaluation process included a survey given to the ICU nursing staff prior to the implementation of the CMPL and repeated three, six, and 18 months after implementation. The survey included questions about discomfort, fatigue, and frustration levels before and after a 12-hour shift, as well as any medical interventions such as use of medications, physician visits, physiotherapy, and massage therapy for work-related issues. The use of the lifts contributed to lower scores in fatigue, pain and frustration in addition to a reduction in medical visits. The results also demonstrated a significant reduction in work-related time loss claims while promoting a positive workplace environment.
IS  - 1497-3715
IL  - 1497-3715
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2006
EZ  - 2006/10/03 09:00
DA  - 2006/11/04 09:00
DT  - 2006/10/03 09:00
YR  - 2006
ED  - 20061103
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17009569

<591. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16883738
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schnabel K
FA  - Schnabel, Karin
IN  - Schnabel, Karin. Zentrum fur Kinderheilkunde und Jugendmedizin, Klinik I, Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt am Main. karin.schnabel@kgu.de
TI  - ["Giraffe OmniBed--a bed for all? Warm heat therapy device has multiple applications]. [German]
OT  - "Giraffe OmniBed"-ein Bett fur alle? Warmetherapiegerat ist vielseitig einsetzbar.
SO  - Pflege Zeitschrift. 59(7):414-7, 2006 Jul
AS  - Pflege Z. 59(7):414-7, 2006 Jul
NJ  - Pflege Zeitschrift
VO  - 59
IP  - 7
PG  - 414-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9430463, bz0
IO  - Pflege Z
SB  - Nursing Journal
CP  - Germany
MH  - Attitude of Health Personnel
MH  - *Beds
MH  - Body Temperature Regulation
MH  - Equipment Design
MH  - Germany
MH  - *Heating/is [Instrumentation]
MH  - Hospitals, University
MH  - Humans
MH  - *Incubators, Infant
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/nu [Nursing]
MH  - *Intensive Care Units, Neonatal
MH  - Neonatal Nursing
MH  - *Patient Transfer/mt [Methods]
MH  - Technology Assessment, Biomedical
IS  - 0945-1129
IL  - 0945-1129
PT  - Journal Article
PT  - Multicenter Study
PP  - ppublish
LG  - German
DP  - 2006 Jul
EZ  - 2006/08/04 09:00
DA  - 2006/10/28 09:00
DT  - 2006/08/04 09:00
YR  - 2006
ED  - 20061027
RD  - 20060803
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16883738

<592. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16755488
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Al-Tawfiq JA
FA  - Al-Tawfiq, Jaffar A
IN  - Al-Tawfiq, Jaffar A. Internal Medicine Services Division, Dhahran Health Center, Saudi Aramco, Dhahran, Saudi Arabia. jaffar.tawfiq@aramco.com
TI  - Father-to-infant transmission of community-acquired methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit.
SO  - Infection Control & Hospital Epidemiology. 27(6):636-7, 2006 Jun
AS  - Infect Control Hosp Epidemiol. 27(6):636-7, 2006 Jun
NJ  - Infection control and hospital epidemiology
VO  - 27
IP  - 6
PG  - 636-7
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - ich, 8804099
IO  - Infect Control Hosp Epidemiol
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Community-Acquired Infections/mi [Microbiology]
MH  - Community-Acquired Infections/tm [Transmission]
MH  - Fathers
MH  - Female
MH  - Heart Arrest/et [Etiology]
MH  - Heart Arrest/th [Therapy]
MH  - Humans
MH  - Hypoxia-Ischemia, Brain/co [Complications]
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Methicillin Resistance
MH  - Patient Transfer
MH  - Respiration, Artificial
MH  - Staphylococcal Infections/mi [Microbiology]
MH  - *Staphylococcal Infections/tm [Transmission]
MH  - *Staphylococcus aureus/ip [Isolation & Purification]
AB  - Methicillin-resistant Staphylococcus aureus (MRSA) is increasingly being recognized as a cause of community-acquired infection. Its transmission in neonatal intensive care units (NICUs) has reportedly been linked to a few cases of community-acquired MRSA (CA-MRSA) infection. Here, I describe a case of CA-MRSA transmission from a father to his child in a NICU. Recognition that CA-MRSA may be transmitted in a hospital setting raises important issues for MRSA infection control and treatment options.
IS  - 0899-823X
IL  - 0899-823X
PT  - Journal Article
ID  - ICHE2004250 [pii]
ID  - 10.1086/505097 [doi]
PP  - ppublish
PH  - 2004/09/21 [received]
PH  - 2005/01/17 [accepted]
LG  - English
EP  - 20060525
DP  - 2006 Jun
EZ  - 2006/06/07 09:00
DA  - 2006/10/25 09:00
DT  - 2006/06/07 09:00
YR  - 2006
ED  - 20061024
RD  - 20150127
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16755488

<593. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16565689
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Taricco M
AU  - De Tanti A
AU  - Boldrini P
AU  - Gatta G
FA  - Taricco, M
FA  - De Tanti, A
FA  - Boldrini, P
FA  - Gatta, G
IN  - Taricco, M. Functional Recovery and Rehabilitation Unit, G. Salvini Hospital, Passirana di Rho (Milan), Italy. mataari@tin.it.
TI  - 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). [80 refs]
SO  - Europa Medicophysica. 42(1):73-84, 2006 Mar
AS  - EUR. MEDICOPHYS.. 42(1):73-84, 2006 Mar
NJ  - Europa medicophysica
VO  - 42
IP  - 1
PG  - 73-84
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0071035
IO  - Eura Medicophys
SB  - Index Medicus
CP  - Italy
MH  - Acute Disease
MH  - Brain Injuries/cl [Classification]
MH  - Brain Injuries/ep [Epidemiology]
MH  - *Brain Injuries/rh [Rehabilitation]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Italy/ep [Epidemiology]
MH  - *Patient Transfer
MH  - Referral and Consultation
MH  - *Rehabilitation Centers/og [Organization & Administration]
IS  - 0014-2573
IL  - 0014-2573
PT  - Consensus Development Conference
PT  - Journal Article
PT  - Practice Guideline
ID  - R33061654 [pii]
PP  - ppublish
LG  - English
DP  - 2006 Mar
EZ  - 2006/03/28 09:00
DA  - 2006/10/21 09:00
DT  - 2006/03/28 09:00
YR  - 2006
ED  - 20061020
RD  - 20091111
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16565689

<594. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16782338
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chaboyer W
FA  - Chaboyer, Wendy
TI  - Intensive care and beyond: improving the transitional experiences for critically ill patients and their families. [Review] [23 refs]
SO  - Intensive & Critical Care Nursing. 22(4):187-93, 2006 Aug
AS  - Intensive Crit Care Nurs. 22(4):187-93, 2006 Aug
NJ  - Intensive & critical care nursing
VO  - 22
IP  - 4
PG  - 187-93
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Adaptation, Psychological
MH  - Aftercare
MH  - Anxiety/pc [Prevention & Control]
MH  - Anxiety/px [Psychology]
MH  - Attitude of Health Personnel
MH  - *Attitude to Health
MH  - Caregivers/px [Psychology]
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - Cost of Illness
MH  - Critical Care/og [Organization & Administration]
MH  - *Critical Care/px [Psychology]
MH  - Critical Illness/nu [Nursing]
MH  - *Critical Illness/px [Psychology]
MH  - *Family/px [Psychology]
MH  - Humans
MH  - Life Change Events
MH  - *Nurse Clinicians/og [Organization & Administration]
MH  - Nurse's Role
MH  - *Patient Transfer
MH  - Survivors/px [Psychology]
MH  - Total Quality Management/og [Organization & Administration]
IS  - 0964-3397
IL  - 0964-3397
PT  - Editorial
PT  - Review
ID  - S0964-3397(06)00069-3 [pii]
ID  - 10.1016/j.iccn.2006.05.001 [doi]
PP  - ppublish
LG  - English
EP  - 20060619
DP  - 2006 Aug
EZ  - 2006/06/20 09:00
DA  - 2006/10/20 09:00
DT  - 2006/06/20 09:00
YR  - 2006
ED  - 20061019
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16782338

<595. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16951000
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Yeager SB
AU  - Horbar JD
AU  - Greco KM
AU  - Duff J
AU  - Thiagarajan RR
AU  - Laussen PC
FA  - Yeager, Scott B
FA  - Horbar, Jeffrey D
FA  - Greco, Karla M
FA  - Duff, Julianna
FA  - Thiagarajan, Ravi R
FA  - Laussen, Peter C
IN  - Yeager, Scott B. Department of Pediatrics, University of Vermont School of Medicine, Burlington, Vermont 05401, USA. scott.yeager@vtmednet.org
TI  - Pretransport and posttransport characteristics and outcomes of neonates who were admitted to a cardiac intensive care unit.
CM  - Comment in: Pediatrics. 2007 Mar;119(3):648-9; author reply 649-50; PMID: 17332223
SO  - Pediatrics. 118(3):1070-7, 2006 Sep
AS  - Pediatrics. 118(3):1070-7, 2006 Sep
NJ  - Pediatrics
VO  - 118
IP  - 3
PG  - 1070-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - *Heart Defects, Congenital
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Length of Stay
MH  - Male
MH  - Patient Admission
MH  - Respiration, Artificial/ut [Utilization]
MH  - Retrospective Studies
MH  - *Transportation of Patients
MH  - Treatment Outcome
AB  - OBJECTIVE: The objective for this study was to characterize the impact and the safety of transporting neonates with known or suspected cardiac abnormalities.
AB  - 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.
AB  - 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.
AB  - CONCLUSIONS: Although we did not encounter major transport complications, opportunities exist to optimize arrival status and improve surveillance and documentation.
ES  - 1098-4275
IL  - 0031-4005
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 118/3/1070 [pii]
ID  - 10.1542/peds.2006-0719 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Sep
EZ  - 2006/09/05 09:00
DA  - 2006/09/30 09:00
DT  - 2006/09/05 09:00
YR  - 2006
ED  - 20060929
RD  - 20070327
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16951000

<596. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16922097
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hainsworth T
FA  - Hainsworth, Terry
TI  - The development of critical care outreach nursing services.
SO  - Nursing Times. 102(32):25-6, 2006 Aug 8-14
AS  - Nurs Times. 102(32):25-6, 2006 Aug 8-14
NJ  - Nursing times
VO  - 102
IP  - 32
PG  - 25-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0423236, o9u
IO  - Nurs Times
SB  - Nursing Journal
CP  - England
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - Forecasting
MH  - Health Services Needs and Demand
MH  - *Hospital Units/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Interdepartmental Relations
MH  - Nursing Audit
MH  - Nursing Evaluation Research
MH  - *Nursing Service, Hospital/og [Organization & Administration]
MH  - Nursing Staff, Hospital/ed [Education]
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - Patient Transfer
MH  - Program Development
MH  - Quality of Health Care/og [Organization & Administration]
MH  - Severity of Illness Index
MH  - State Medicine/og [Organization & Administration]
MH  - United Kingdom
AB  - Critical care patients are among the sickest in hospital and require extensive facilities and equipment, and skilled care. This article outlines the rationale behind the development of critical care outreach services and discusses evaluation of the service.
IS  - 0954-7762
IL  - 0954-7762
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2006 Aug 8-14
EZ  - 2006/08/23 09:00
DA  - 2006/09/29 09:00
DT  - 2006/08/23 09:00
YR  - 2006
ED  - 20060928
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16922097

<597. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16622820
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Akalin H
AU  - Ozakin C
AU  - Gedikoglu S
FA  - Akalin, Halis
FA  - Ozakin, Cuneyt
FA  - Gedikoglu, Suna
IN  - Akalin, Halis. Department of Microbiology and Infectious Diseases, School of Medicine, Uludag University, Bursa, Turkey. halis@uludag.edu.tr
TI  - Epidemiology of Acinetobacter baumannii in a university hospital in Turkey.
SO  - Infection Control & Hospital Epidemiology. 27(4):404-8, 2006 Apr
AS  - Infect Control Hosp Epidemiol. 27(4):404-8, 2006 Apr
NJ  - Infection control and hospital epidemiology
VO  - 27
IP  - 4
PG  - 404-8
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - ich, 8804099
IO  - Infect Control Hosp Epidemiol
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Acinetobacter Infections/ep [Epidemiology]
MH  - Acinetobacter baumannii/de [Drug Effects]
MH  - *Acinetobacter baumannii/ge [Genetics]
MH  - *Acinetobacter baumannii/ip [Isolation & Purification]
MH  - Air Microbiology
MH  - Anti-Bacterial Agents/pd [Pharmacology]
MH  - *Cross Infection/ep [Epidemiology]
MH  - Cross Infection/et [Etiology]
MH  - Cross Infection/mi [Microbiology]
MH  - Genes, Bacterial
MH  - Genotype
MH  - Hospitals, University
MH  - Humans
MH  - Intensive Care Units
MH  - Patient Transfer
MH  - Polymerase Chain Reaction/mt [Methods]
MH  - Turkey/ep [Epidemiology]
AB  - OBJECTIVE: Molecular epidemiologic surveillance of Acinetobacter baumannii by polymerase chain reaction-randomly amplified polymorphic DNA analysis in a university hospital for 3 consecutive study periods.
AB  - RESULTS: Twelve different Acinetobacter baumannii genotypes (A-L) were detected. Although only 2 genotypes were detected during the first period and genotype A appeared to be the most common genotype, genotype D was included in these genotypes during the second study period. Genotype A completely disappeared during the third period. Although the presence of genotype C and the genotype D continued during the third period, 9 new genotypes were detected during this period. Genotype A appeared to be the most common genotype in the hospital (detected in 19 different clinics). The distribution of genotypes in clinical samples correlated with patient traffic between them. Some genotypes were found in both clinical and environmental samples. Seventeen different antibiotypes were detected, according to antibiotic susceptibility profiles.
AB  - CONCLUSIONS: Environmental contamination, airborne transmission, patient transfer, and cross-contamination play important roles in epidemics caused by A. baumannii in our hospital. The distribution of genotypes can change over time, so antibiotyping is not appropriate for the epidemiological analysis of A. baumanii infection.
RN  - 0 (Anti-Bacterial Agents)
IS  - 0899-823X
IL  - 0899-823X
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - ICHE2004348 [pii]
ID  - 10.1086/503349 [doi]
PP  - ppublish
PH  - 2004/12/28 [received]
PH  - 2005/05/13 [accepted]
LG  - English
EP  - 20060330
DP  - 2006 Apr
EZ  - 2006/04/20 09:00
DA  - 2006/09/28 09:00
DT  - 2006/04/20 09:00
YR  - 2006
ED  - 20060927
RD  - 20150127
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16622820

<598. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16895249
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Plowright, Catherine
FA  - Fraser, Jayne
FA  - Smith, Sally
FA  - Buras-Rees, Stefa
FA  - Dennington, Louise
FA  - King, Debbie
FA  - MacLellan, Claire
FA  - Seymour, Paul
FA  - Scott, Glyn
FA  - Brindle, Ann
IN  - Plowright, Catherine. Medway NHS Trust.
TI  - Perceptions of critical care outreach within a network.
SO  - Nursing Times. 102(29):36-40, 2006 Jul 18-24
AS  - Nurs Times. 102(29):36-40, 2006 Jul 18-24
NJ  - Nursing times
VO  - 102
IP  - 29
PG  - 36-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0423236, o9u
IO  - Nurs Times
SB  - Nursing Journal
CP  - England
MH  - *Attitude of Health Personnel
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - Education, Nursing, Continuing/og [Organization & Administration]
MH  - England
MH  - Hospitals, District
MH  - Hospitals, General
MH  - Humans
MH  - Interprofessional Relations
MH  - Needs Assessment
MH  - Nursing Audit
MH  - Nursing Education Research
MH  - Nursing Methodology Research
MH  - Nursing Staff, Hospital/ed [Education]
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - *Patient Transfer/st [Standards]
MH  - Program Evaluation
MH  - Qualitative Research
MH  - Social Support
MH  - Surveys and Questionnaires
AB  - AIM: The purpose of this study was to establish healthcare professionals' perceptions of critical care outreach.
AB  - METHOD: A multi-site survey approach was used to collect qualitative data.
AB  - 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.
AB  - CONCLUSION: Overall, outreach was considered by healthcare professionals to enhance patient care and improve practice.
IS  - 0954-7762
IL  - 0954-7762
PT  - Evaluation Studies
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2006 Jul 18-24
EZ  - 2006/08/10 09:00
DA  - 2006/09/01 09:00
DT  - 2006/08/10 09:00
YR  - 2006
ED  - 20060831
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16895249

<599. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16873299
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Carayannopoulos MO
AU  - Wilhite TR
AU  - Reddy L
AU  - Landt M
AU  - Smith CH
AU  - Dietzen DJ
FA  - Carayannopoulos, Mary O
FA  - Wilhite, Timothy R
FA  - Reddy, Lakshmi
FA  - Landt, Michael
FA  - Smith, Carl H
FA  - Dietzen, Dennis J
TI  - Equimolar ammonia interference in potassium measurement on the Osmetech OPTI Critical Care Analyzer.
CM  - Comment in: Clin Chem. 2006 Nov;52(11):2116-7; PMID: 17068173
SO  - Clinical Chemistry. 52(8):1603-4, 2006 Aug
AS  - Clin Chem. 52(8):1603-4, 2006 Aug
NJ  - Clinical chemistry
VO  - 52
IP  - 8
PG  - 1603-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dbz, 9421549
IO  - Clin. Chem.
SB  - Index Medicus
CP  - United States
MH  - *Ammonia/bl [Blood]
MH  - Critical Care
MH  - False Positive Reactions
MH  - Humans
MH  - Infant
MH  - Methylmalonic Acid/bl [Blood]
MH  - Point-of-Care Systems
MH  - *Potassium/bl [Blood]
MH  - Transportation of Patients
RN  - 7664-41-7 (Ammonia)
RN  - 8LL8S712J7 (Methylmalonic Acid)
RN  - RWP5GA015D (Potassium)
IS  - 0009-9147
IL  - 0009-9147
PT  - Case Reports
PT  - Letter
ID  - 52/8/1603 [pii]
ID  - 10.1373/clinchem.2006.069658 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Aug
EZ  - 2006/07/29 09:00
DA  - 2006/08/30 09:00
DT  - 2006/07/29 09:00
YR  - 2006
ED  - 20060829
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16873299

<600. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16889163
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Arad I
AU  - Baras M
AU  - Bar-Oz B
AU  - Gofin R
FA  - Arad, Ilan
FA  - Baras, Mario
FA  - Bar-Oz, Benjamin
FA  - Gofin, Rosa
IN  - Arad, Ilan. Department of Neonatology, Hadassah University Hospitals (Ein Kerem Campus), Jerusalem, Israel. arad@hadassah.org.il
TI  - Neonatal transport of very low birth weight infants in Jerusalem, revisited.
SO  - Israel Medical Association Journal: Imaj. 8(7):477-82, 2006 Jul
AS  - Isr Med Assoc J. 8(7):477-82, 2006 Jul
NJ  - The Israel Medical Association journal : IMAJ
VO  - 8
IP  - 7
PG  - 477-82
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dk6, 100930740
IO  - Isr. Med. Assoc. J.
SB  - Index Medicus
CP  - Israel
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/cl [Classification]
MH  - Infant, Premature, Diseases/dt [Drug Therapy]
MH  - Infant, Premature, Diseases/mo [Mortality]
MH  - Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal
MH  - Israel
MH  - Logistic Models
MH  - Maternal Age
MH  - Multicenter Studies as Topic
MH  - *Patient Transfer
MH  - Perinatal Care
MH  - Pulmonary Surfactants/tu [Therapeutic Use]
MH  - Severity of Illness Index
AB  - BACKGROUND: Maternal transport, rather than neonatal transport, to tertiary care centers is generally advocated. Since a substantial number of premature deliveries still occur in hospitals with level I and level II nurseries, it is imperative to find means to improve their outcome.
AB  - OBJECTIVES: To compare the neonatal outcome (survival, intraventricular hemorrhage and bronchopulmonary dysplasia) of inborn and outborn very low birth weight infants, accounting for sociodemographic, obstetric and perinatal variables, with reference to earlier published data.
AB  - METHODS: We compared 129 premature infants with birth weights of 750-1250 g delivered between 1996 and 2000 in a hospital providing neonatal intensive care to 99 premature babies delivered in a referring hospital. In the statistical analysis, variables with a statistical significant association with the outcome variables and dissimilar distribution in the two hospitals were identified and entered together with the hospital of birth as explanatory variables in a logistic regression.
AB  - RESULTS: Accounting for the covariates, the odds ratios (outborns relative to inborns) were 0.31 (95% confidence interval = 0.11-0.86, P = 0.03) for mortality, 1.37 (95% CI = 0.64-2.96, P = 0.42) for severe intraventricular hemorrhage, and 0.86 (95% CI = 0.38-1.97, P = 0.78) for bronchopulmonary dysplasia. The odds ratio for survival without severe intraventricular hemorrhage was 1.10 (95% CI = 0.55-2.20, P = 0.78). Comparing the current results with earlier (1990-94) published data from the same institution showed that mortality decreased in both the outborn and inborn infants (OR = 0.23, 95% CI = 0.09-0.58, P = 0.002 and 0.46; 95% CI = 0.20-1.04, P = 0.06, respectively), but no significant change in the incidence of severe intraventricular hemorrhage or brochopulmonary dysplasia was observed. Increased survival was observed also in these infants receiving surfactant, more so among the outborn. The latter finding could be attributed to the early, pre-transport surfactant administration, implemented only in the current study.
AB  - CONCLUSIONS: Our data suggest that very low birth weight outborn infants may share an outcome comparable with that of inborn babies, if adequate perinatal care including surfactant administration is provided prior to transportation to a tertiary center.
RN  - 0 (Pulmonary Surfactants)
IS  - 1565-1088
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2006 Jul
EZ  - 2006/08/08 09:00
DA  - 2006/08/23 09:00
DT  - 2006/08/08 09:00
YR  - 2006
ED  - 20060822
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16889163

<601. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16733846
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Otsuki M
AU  - Hirota M
AU  - Arata S
AU  - Koizumi M
AU  - Kawa S
AU  - Kamisawa T
AU  - Takeda K
AU  - Mayumi T
AU  - Kitagawa M
AU  - Ito T
AU  - Inui K
AU  - Shimosegawa T
AU  - Tanaka S
AU  - Kataoka K
AU  - Saisho H
AU  - Okazaki K
AU  - Kuroda Y
AU  - Sawabu N
AU  - Takeyama Y
AU  - Research Committee of Intractable Diseases of the Pancreas
FA  - Otsuki, Makoto
FA  - Hirota, Masahiko
FA  - Arata, Shinju
FA  - Koizumi, Masaru
FA  - Kawa, Shigeyuki
FA  - Kamisawa, Terumi
FA  - Takeda, Kazunori
FA  - Mayumi, Toshihiko
FA  - Kitagawa, Motoji
FA  - Ito, Tetsuhide
FA  - Inui, Kazuo
FA  - Shimosegawa, Tooru
FA  - Tanaka, Shigeki
FA  - Kataoka, Keisho
FA  - Saisho, Hiromitsu
FA  - Okazaki, Kazuichi
FA  - Kuroda, Yosikazu
FA  - Sawabu, Norio
FA  - Takeyama, Yoshifumi
FA  - Research Committee of Intractable Diseases of the Pancreas
IN  - Otsuki, Makoto. Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyushu, Japan. mac-otsk@med.uoeh-u.ac.jp
TI  - Consensus of primary care in acute pancreatitis in Japan.
SO  - World Journal of Gastroenterology. 12(21):3314-23, 2006 Jun 07
AS  - World J Gastroenterol. 12(21):3314-23, 2006 Jun 07
NJ  - World journal of gastroenterology
VO  - 12
IP  - 21
PG  - 3314-23
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100883448
IO  - World J. Gastroenterol.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4087886
SB  - Index Medicus
CP  - United States
MH  - Acute Disease
MH  - *Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Fluid Therapy
MH  - Hemodiafiltration/mt [Methods]
MH  - Hospitalization
MH  - Humans
MH  - Intensive Care Units
MH  - Japan
MH  - *Pancreatitis/di [Diagnosis]
MH  - *Pancreatitis/th [Therapy]
MH  - Patient Transfer
MH  - *Protease Inhibitors/tu [Therapeutic Use]
AB  - The incidence of acute pancreatitis in Japan is increasing and ranges from 187 to 347 cases per million populations. Case fatality was 0.2% for mild to moderate, and 9.0% for severe acute pancreatitis in Japan in 2003. Experts in pancreatitis in Japan made this document focusing on the practical aspects in the early management of patients with acute pancreatitis. The correct diagnosis of acute pancreatitis and severity stratification should be made in all patients using the criteria for the diagnosis of acute pancreatitis and the multifactor scoring system proposed by the Research Committee of Intractable Diseases of the Pancreas as early as possible. All patients diagnosed with acute pancreatitis should be managed in the hospital. Monitoring of blood pressure, pulse and respiratory rate, body temperature, hourly urinary volume, and blood oxygen saturation level is essential in the management of such patients. Early vigorous intravenous hydration is of foremost importance to stabilize circulatory dynamics. Adequate pain relief with opiates is also important. In severe acute pancreatitis, prophylactic intravenous administration of antibiotics at an early stage is recommended. Administration of protease inhibitors should be initiated as soon as the diagnosis of acute pancreatitis is confirmed. A combination of enteral feeding with parenteral nutrition from early stage is recommended if there are no clear signs and symptoms of ileus and gastrointestinal bleeding. Patients with severe acute pancreatitis should be transferred to ICU as early as possible to perform special measures such as continuous regional arterial infusion of protease inhibitors and antibiotics, and continuous hemodiafiltration. The Japanese Government covers medical care expense for severe acute pancreatitis as one of the projects of Research on Measures for Intractable Diseases.
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Protease Inhibitors)
IS  - 1007-9327
IL  - 1007-9327
PT  - Guideline
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - PMC4087886 [pmc]
PP  - ppublish
LG  - English
DP  - 2006 Jun 07
EZ  - 2006/05/31 09:00
DA  - 2006/08/15 09:00
DT  - 2006/05/31 09:00
YR  - 2006
ED  - 20060814
RD  - 20151022
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16733846

<602. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16818577
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Del Beccaro MA
AU  - Jeffries HE
AU  - Eisenberg MA
AU  - Harry ED
FA  - Del Beccaro, Mark A
FA  - Jeffries, Howard E
FA  - Eisenberg, Matthew A
FA  - Harry, Eric D
IN  - Del Beccaro, Mark A. Children's Hospital and Regional Medical Center, Mail Stop B5520, 4800 Sandpoint Way NE, Seattle, Washington 98105, USA. mark.delbeccaro@seattlechildrens.org
TI  - Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.
SO  - Pediatrics. 118(1):290-5, 2006 Jul
AS  - Pediatrics. 118(1):290-5, 2006 Jul
NJ  - Pediatrics
VO  - 118
IP  - 1
PG  - 290-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Decision Support Systems, Clinical
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Length of Stay
MH  - *Medical Order Entry Systems
MH  - *Outcome and Process Assessment (Health Care)
MH  - Patient Transfer
MH  - Risk Adjustment
MH  - Risk Assessment
MH  - Washington/ep [Epidemiology]
AB  - OBJECTIVE: Our goal was to determine if there were any changes in risk-adjusted mortality after the implementation of a computerized provider order entry system in our PICU.
AB  - METHODS: Study was undertaken in a tertiary care PICU with 20 beds and 1100 annual admissions. Demographic, admission source, primary diagnosis, crude mortality, and Pediatric Risk of Mortality III risk-adjusted mortality were abstracted retrospectively on all admissions from the PICUEs database for the period October 1, 2002, to December 31, 2004. This time period reflects the 13 months before and 13 months after computerized provider order entry implementation. Pediatric Risk of Mortality III mortality risk adjustment was used to determine standardized mortality ratios.
AB  - RESULTS: During the study period, 2533 patients were admitted to the PICU, of which 284 were transported from another facility. The 13-month preimplementation mortality rate was 4.22%, and the 13-month postimplementation mortality rate was 3.46%, representing a nonsignificant reduction in the risk of mortality in the postimplementation period. The standardized mortality ratio was 0.98 vs 0.77, respectively, and the mortality rate for the transported patients was 9.6% vs 6.29%. This yields a nonsignificant mortality risk reduction in the postimplementation period. The standardized mortality ratio was 1.10 preimplementation versus 0.70 postimplementation. Analysis of the 13-month preimplementation versus 5-month postimplementation periods showed a non-statistically significant trend in reduction of mortality for all PICU patients and for transported patients.
AB  - CONCLUSIONS: Implementation of a computerized provider order entry system, even in the early months after implementation, was not associated with an increase in mortality. Our experience suggests that careful design, build, implementation, and support can mitigate the risk of implementing new technology even in an ICU setting.
ES  - 1098-4275
IL  - 0031-4005
PT  - Journal Article
ID  - 118/1/290 [pii]
ID  - 10.1542/peds.2006-0367 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Jul
EZ  - 2006/07/05 09:00
DA  - 2006/08/10 09:00
DT  - 2006/07/05 09:00
YR  - 2006
ED  - 20060809
RD  - 20060704
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16818577

<603. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16449257
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Profit J
AU  - Zupancic JA
AU  - McCormick MC
AU  - Richardson DK
AU  - Escobar GJ
AU  - Tucker J
AU  - Tarnow-Mordi W
AU  - Parry G
FA  - Profit, J
FA  - Zupancic, J A F
FA  - McCormick, M C
FA  - Richardson, D K
FA  - Escobar, G J
FA  - Tucker, J
FA  - Tarnow-Mordi, W
FA  - Parry, G
IN  - Profit, J. Harvard Newborn Medicine Program, Children's Hospital Boston and Beth Israel Deaconess Medical Center, Boston, MA 02115, USA. profit@bcm.edu
TI  - Moderately premature infants at Kaiser Permanente Medical Care Program in California are discharged home earlier than their peers in Massachusetts and the United Kingdom.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 91(4):F245-50, 2006 Jul
AS  - Arch Dis Child Fetal Neonatal Ed. 91(4):F245-50, 2006 Jul
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 91
IP  - 4
PG  - F245-50
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672723
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - California
MH  - Female
MH  - Gestational Age
MH  - Health Services Research
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Massachusetts
MH  - *Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Social Class
MH  - United Kingdom
AB  - OBJECTIVE: To compare gestational age at discharge between infants born at 30-34(+6) weeks gestational age who were admitted to neonatal intensive care units (NICUs) in California, Massachusetts, and the United Kingdom.
AB  - DESIGN: Prospective observational cohort study.
AB  - SETTING: Fifty four United Kingdom, five California, and five Massachusetts NICUs.
AB  - SUBJECTS: A total of 4359 infants who survived to discharge home after admission to an NICU.
AB  - MAIN OUTCOME MEASURES: Gestational age at discharge home.
AB  - RESULTS: The mean (SD) postmenstrual age at discharge of the infants in California, Massachusetts, and the United Kingdom were 35.9 (1.3), 36.3 (1.3), and 36.3 (1.9) weeks respectively (p = 0.001). Compared with the United Kingdom, adjusted discharge of infants occurred 3.9 (95% confidence interval (CI) 1.4 to 6.5) days earlier in California, and 0.9 (95% CI -1.2 to 3.0) days earlier in Massachusetts.
AB  - CONCLUSIONS: Infants of 30-34(+6) weeks gestation at birth admitted and cared for in hospitals in California have a shorter length of stay than those in the United Kingdom. Certain characteristics of the integrated healthcare approach pursued by the health maintenance organisation of the NICUs in California may foster earlier discharge. The California system may provide opportunities for identifying practices for reducing the length of stay of moderately premature infants.
IS  - 1359-2998
IL  - 1359-2998
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - adc.2005.075093 [pii]
ID  - 10.1136/adc.2005.075093 [doi]
ID  - PMC2672723 [pmc]
PP  - ppublish
GI  - No: R01 HS010131
Organization: (HS) *AHRQ HHS*
Country: United States

GI  - No: T32 HS000063
Organization: (HS) *AHRQ HHS*
Country: United States

GI  - No: R01 HS10131
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
EP  - 20060131
DP  - 2006 Jul
EZ  - 2006/02/02 09:00
DA  - 2006/08/10 09:00
DT  - 2006/02/02 09:00
YR  - 2006
ED  - 20060809
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16449257

<604. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15142724
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Adedeji A
FA  - Adedeji, A
TI  - Whom did you meet on your travels?.
SO  - Journal of Hospital Infection. 57(1):94-5, 2004 May
AS  - J Hosp Infect. 57(1):94-5, 2004 May
NJ  - The Journal of hospital infection
VO  - 57
IP  - 1
PG  - 94-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - id6, 8007166
IO  - J. Hosp. Infect.
SB  - Index Medicus
CP  - England
MH  - Cluster Analysis
MH  - Cross Infection/ep [Epidemiology]
MH  - Cross Infection/mi [Microbiology]
MH  - *Cross Infection/tm [Transmission]
MH  - England/ep [Epidemiology]
MH  - Escherichia coli Infections/ep [Epidemiology]
MH  - *Escherichia coli Infections/tm [Transmission]
MH  - *Escherichia coli O157/ip [Isolation & Purification]
MH  - Hospitals, Public
MH  - Humans
MH  - Intensive Care Units
MH  - Male
MH  - *Patient Transfer
MH  - Postoperative Care
MH  - Risk Assessment
IS  - 0195-6701
IL  - 0195-6701
PT  - Case Reports
PT  - Letter
ID  - 10.1016/S0195-6701(03)00261-5 [doi]
ID  - S0195670103002615 [pii]
PP  - ppublish
LG  - English
DP  - 2004 May
EZ  - 2004/05/15 05:00
DA  - 2006/07/26 09:00
DT  - 2004/05/15 05:00
YR  - 2004
ED  - 20060725
RD  - 20040514
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15142724

<605. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16755893
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mackintosh M
FA  - Mackintosh, Margaret
IN  - Mackintosh, Margaret. Cardiothoracic Intensive Care, Freeman Hospital, Newcastle upon Tyne. magron169@onetel.com
TI  - Transporting critically ill patients: new opportunities for nurses.
SO  - Nursing Standard. 20(36):46-8, 2006 May 17-23
AS  - Nurs Stand. 20(36):46-8, 2006 May 17-23
NJ  - Nursing standard (Royal College of Nursing (Great Britain) : 1987)
VO  - 20
IP  - 36
PG  - 46-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9012906, awh, 8508427
IO  - Nurs Stand
SB  - Nursing Journal
CP  - England
MH  - *Critical Illness
MH  - Humans
MH  - National Health Programs
MH  - Nurse's Role
MH  - Social Change
MH  - *Transportation of Patients
MH  - United Kingdom
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.
IS  - 0029-6570
IL  - 0029-6570
PT  - Journal Article
ID  - 10.7748/ns2006.05.20.36.46.c4153 [doi]
PP  - ppublish
LG  - English
DP  - 2006 May 17-23
EZ  - 2006/06/08 09:00
DA  - 2006/07/21 09:00
DT  - 2006/06/08 09:00
YR  - 2006
ED  - 20060720
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16755893

<606. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16635698
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Frakes MA
AU  - Lord WR
AU  - Kociszewski C
AU  - Wedel SK
FA  - Frakes, Michael A
FA  - Lord, Wendy R
FA  - Kociszewski, Christine
FA  - Wedel, Suzanne K
IN  - Frakes, Michael A. LIFE STAR/Hartford Hospital, Hartford, CT 06102-5037, USA. mfrakes@harthosp.org
TI  - Efficacy of fentanyl analgesia for trauma in critical care transport.
SO  - American Journal of Emergency Medicine. 24(3):286-9, 2006 May
AS  - Am J Emerg Med. 24(3):286-9, 2006 May
NJ  - The American journal of emergency medicine
VO  - 24
IP  - 3
PG  - 286-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aa2, 8309942
IO  - Am J Emerg Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - *Analgesia/mt [Methods]
MH  - *Analgesics, Opioid/tu [Therapeutic Use]
MH  - Analysis of Variance
MH  - Child
MH  - *Critical Care/mt [Methods]
MH  - Female
MH  - *Fentanyl/tu [Therapeutic Use]
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - Retrospective Studies
MH  - *Transportation of Patients
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.
AB  - 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.
AB  - 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).
AB  - 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.
RN  - 0 (Analgesics, Opioid)
RN  - UF599785JZ (Fentanyl)
IS  - 0735-6757
IL  - 0735-6757
PT  - Journal Article
ID  - S0735-6757(05)00443-2 [pii]
ID  - 10.1016/j.ajem.2005.11.021 [doi]
PP  - ppublish
PH  - 2005/10/20 [received]
PH  - 2005/11/27 [revised]
PH  - 2005/11/28 [accepted]
LG  - English
DP  - 2006 May
EZ  - 2006/04/26 09:00
DA  - 2006/07/14 09:00
DT  - 2006/04/26 09:00
YR  - 2006
ED  - 20060713
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16635698

<607. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16273112
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Naeem N
AU  - Reed MD
AU  - Creger RJ
AU  - Youngner SJ
AU  - Lazarus HM
FA  - Naeem, N
FA  - Reed, M D
FA  - Creger, R J
FA  - Youngner, S J
FA  - Lazarus, H M
IN  - Naeem, N. Department of Medicine, Division of Hematology-Oncology, Cleveland, OH, USA.
TI  - Transfer of the hematopoietic stem cell transplant patient to the intensive care unit: does it really matter?. [Review] [68 refs]
SO  - Bone Marrow Transplantation. 37(2):119-33, 2006 Jan
AS  - Bone Marrow Transplant. 37(2):119-33, 2006 Jan
NJ  - Bone marrow transplantation
VO  - 37
IP  - 2
PG  - 119-33
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bon, 8702459
IO  - Bone Marrow Transplant.
SB  - Index Medicus
CP  - England
MH  - Age Factors
MH  - Critical Care/mt [Methods]
MH  - Disease-Free Survival
MH  - Hematopoietic Stem Cell Transplantation/ae [Adverse Effects]
MH  - Hematopoietic Stem Cell Transplantation/mt [Methods]
MH  - Hematopoietic Stem Cell Transplantation/mo [Mortality]
MH  - *Hematopoietic Stem Cell Transplantation
MH  - Humans
MH  - *Intensive Care Units
MH  - Multicenter Studies as Topic
MH  - Research Design
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Selection Bias
MH  - Transplantation, Autologous
MH  - Transplantation, Homologous
MH  - Treatment Outcome
AB  - We critically reviewed published English language literature and concluded that from 1998 onward the survival of hematopoietic stem cell transplant (SCT) patients who experienced intensive care unit (ICU) transfer has improved. The factors associated with increased mortality during ICU stay included increased patient age, allogeneic transplant, intubation/mechanical ventilation, multiorgan system failure (MOSF), presumed/documented infection, graft-versus-host disease, and higher APACHE and O-PRISM score at ICU transfer. This encouraging outcome trend reflects evolving advances such as use of recombinant hematopoietic growth factors, use of mobilized blood cells rather than marrow, protective strategies for acute lung injury and early goal-directed therapy for sepsis syndrome. Patient selection bias (which patients were transferred and which were not sent to an ICU) also plays a role in ICU survival rates. New strategies to improve upon SCT patient outcome include use of a scoring system to predict mortality, better therapies for MOSF and integration of ICU components and multispecialist involvement earlier in the clinical course to prevent severe complications such as respiratory failure. SCT recipients comprise a heterogeneous group; to further advance this field, prospective multicenter trials involving larger populations from many centers are needed to reduce the biases of retrospective and single-center reports. [References: 68]
IS  - 0268-3369
IL  - 0268-3369
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Review
ID  - 1705222 [pii]
ID  - 10.1038/sj.bmt.1705222 [doi]
PP  - ppublish
GI  - No: HD31323-12
Organization: (HD) *NICHD NIH HHS*
Country: United States
LG  - English
DP  - 2006 Jan
EZ  - 2005/11/08 09:00
DA  - 2006/06/23 09:00
DT  - 2005/11/08 09:00
YR  - 2006
ED  - 20060622
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16273112

<608. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16679250
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Thompson CB
AU  - Panacek EA
FA  - Thompson, Cheryl Bagley
FA  - Panacek, Edward A
IN  - Thompson, Cheryl Bagley. Health Informatics Program, University of Nebraska Medical Center, College of Nursing, Omaha, USA. cbthompson@unmc.edu
TI  - Clinical research and critical care transport: how to get started.
SO  - Air Medical Journal. 25(3):107-11, 2006 May-Jun
AS  - Air Med J. 25(3):107-11, 2006 May-Jun
NJ  - Air medical journal
VO  - 25
IP  - 3
PG  - 107-11
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - *Biomedical Research/og [Organization & Administration]
MH  - *Emergency Medical Services
MH  - Humans
MH  - *Transportation of Patients
MH  - United States
IS  - 1067-991X
IL  - 1067-991X
PT  - Journal Article
ID  - S1067-991X(06)00016-2 [pii]
ID  - 10.1016/j.amj.2006.02.004 [doi]
PP  - ppublish
LG  - English
DP  - 2006 May-Jun
EZ  - 2006/05/09 09:00
DA  - 2006/06/21 09:00
DT  - 2006/05/09 09:00
YR  - 2006
ED  - 20060620
RD  - 20060508
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16679250

<609. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16446600
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Eisenhut M
AU  - Wallace H
AU  - Barton P
AU  - Gaillard E
AU  - Newland P
AU  - Diver M
AU  - Southern KW
FA  - Eisenhut, Michael
FA  - Wallace, Helen
FA  - Barton, Paul
FA  - Gaillard, Erol
FA  - Newland, Paul
FA  - Diver, Michael
FA  - Southern, Kevin W
IN  - Eisenhut, Michael. Institute of Child Health, University of Liverpool, UK. michael_eisenhut@yahoo.com
TI  - Pulmonary edema in meningococcal septicemia associated with reduced epithelial chloride transport.
CM  - Comment in: Pathology. 2007 Dec;39(6):612-3; PMID: 18027275
CM  - Comment in: Pediatr Crit Care Med. 2006 May;7(3):289-90; PMID: 16682896
SO  - Pediatric Critical Care Medicine. 7(2):119-24, 2006 Mar
AS  - Pediatr Crit Care Med. 7(2):119-24, 2006 Mar
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 7
IP  - 2
PG  - 119-24
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - Aldosterone/ph [Physiology]
MH  - *Bacteremia/co [Complications]
MH  - Child, Preschool
MH  - *Chlorides/me [Metabolism]
MH  - Female
MH  - Humans
MH  - Hydrocortisone/ph [Physiology]
MH  - Intensive Care Units, Pediatric
MH  - Ion Transport
MH  - Kidney/me [Metabolism]
MH  - Male
MH  - *Meningococcal Infections/co [Complications]
MH  - Prospective Studies
MH  - *Pulmonary Edema/et [Etiology]
MH  - *Pulmonary Edema/me [Metabolism]
MH  - Pulmonary Edema/pa [Pathology]
MH  - Respiration, Artificial
MH  - *Respiratory Mucosa/me [Metabolism]
MH  - Salivary Glands/me [Metabolism]
MH  - Sodium/me [Metabolism]
MH  - Sweat/me [Metabolism]
MH  - Thyroxine/ph [Physiology]
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.
AB  - DESIGN: Prospective observational study.
AB  - SETTING: The 24-bed pediatric intensive care unit and pediatric wards of Royal Liverpool Children's Hospital.
AB  - 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.
AB  - 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.
AB  - 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.
RN  - 0 (Chlorides)
RN  - 4964P6T9RB (Aldosterone)
RN  - 9NEZ333N27 (Sodium)
RN  - Q51BO43MG4 (Thyroxine)
RN  - WI4X0X7BPJ (Hydrocortisone)
IS  - 1529-7535
IL  - 1529-7535
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/01.PCC.0000200944.98424.E0 [doi]
ID  - 00130478-900000000-00004 [pii]
PP  - ppublish
LG  - English
DP  - 2006 Mar
EZ  - 2006/02/01 09:00
DA  - 2006/06/21 09:00
DT  - 2006/02/01 09:00
YR  - 2006
ED  - 20060620
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16446600

<610. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16501137
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wiegand DL
FA  - Wiegand, Debra Lynn-McHale
IN  - Wiegand, Debra Lynn-McHale. University of Pennsylvania, Philadelphia, PA, USA.
TI  - Withdrawal of life-sustaining therapy after sudden, unexpected life-threatening illness or injury: interactions between patients' families, healthcare providers, and the healthcare system.
SO  - American Journal of Critical Care. 15(2):178-87, 2006 Mar
AS  - Am J Crit Care. 15(2):178-87, 2006 Mar
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 15
IP  - 2
PG  - 178-87
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Attitude of Health Personnel
MH  - Continuity of Patient Care
MH  - *Delivery of Health Care/st [Standards]
MH  - Humans
MH  - Intensive Care Units
MH  - *Life Support Care
MH  - Patient Care Team
MH  - Patient Transfer
MH  - Privacy
MH  - *Professional-Family Relations
MH  - Social Support
MH  - *Withholding Treatment
AB  - BACKGROUND: Withdrawal of life-sustaining therapy in intensive care units is increasing. Patients' families are intimately involved in this process because the patients are usually unable to participate. Little is known about family members' interactions with healthcare providers and the healthcare system during this process.
AB  - OBJECTIVE: To describe the interactions between patients' family members, healthcare providers, and the healthcare system during withdrawal of life-sustaining therapy after a sudden, unexpected illness or injury.
AB  - METHODS: The investigation was part of a larger interpretative phenomenological study. Nineteen families (56 family members) who participated in the process of withdrawal of life-sustaining therapy for a family member were interviewed and observed. An inductive approach to data analysis was used to discover units of meaning, clusters, and categories.
AB  - RESULTS: The families' experiences involved a variety of dimensions, including issues with healthcare providers (bonds and consistency with nurses and physicians, physicians' presence, information, coordination of care, family meetings, sensitivity to time, and preparation for the dying process) and issues with the healthcare system (parking, struggles with finding privacy, and transfers of patients).
AB  - CONCLUSIONS: Patients' families need information, guidance, and support as the families participate in the process of withdrawal of life-sustaining therapy. The results of this study have important implications for clinical practice and future research.
IS  - 1062-3264
IL  - 1062-3264
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
ID  - 15/2/178 [pii]
PP  - ppublish
GI  - No: F31 NR007558
Organization: (NR) *NINR NIH HHS*
Country: United States

GI  - No: F31-NR07558
Organization: (NR) *NINR NIH HHS*
Country: United States

GI  - No: T32-NR08346
Organization: (NR) *NINR NIH HHS*
Country: United States
LG  - English
DP  - 2006 Mar
EZ  - 2006/02/28 09:00
DA  - 2006/06/16 09:00
DT  - 2006/02/28 09:00
YR  - 2006
ED  - 20060615
RD  - 20161019
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16501137

<611. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16735271
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Spedale SB
FA  - Spedale, Steven B
IN  - Spedale, Steven B. Infamedics, Baton Rouge, Louisiana, USA. steve.spedale@infamedics.com
TI  - Opening our doors for all newborns: caring for displaced neonates: intrastate.
SO  - Pediatrics. 117(5 Pt 3):S389-95, 2006 May
AS  - Pediatrics. 117(5 Pt 3):S389-95, 2006 May
NJ  - Pediatrics
VO  - 117
IP  - 5 Pt 3
PG  - S389-95
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Disaster Planning
MH  - *Disasters
MH  - *Hospitals, Maternity/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - Information Dissemination
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Louisiana
MH  - Mass Media
MH  - Neonatology/mt [Methods]
MH  - *Neonatology/og [Organization & Administration]
MH  - *Patient Care Management
MH  - *Referral and Consultation/og [Organization & Administration]
MH  - Rescue Work/og [Organization & Administration]
MH  - Telecommunications
MH  - *Transportation of Patients/mt [Methods]
MH  - Triage
ES  - 1098-4275
IL  - 0031-4005
PT  - Journal Article
ID  - 117/5/S2/S389 [pii]
ID  - 10.1542/peds.2006-0099J [doi]
PP  - ppublish
LG  - English
DP  - 2006 May
EZ  - 2006/06/01 09:00
DA  - 2006/06/06 09:00
DT  - 2006/06/01 09:00
YR  - 2006
ED  - 20060605
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16735271

<612. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16735270
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mani SD
FA  - Mani, Sandhya D
IN  - Mani, Sandhya D. Department of Internal Medicine/Pediatrics, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA. smani@lsuhsc.edu
TI  - On call for the duration: code gray: a resident's personal account from Children's Hospital of New Orleans.
SO  - Pediatrics. 117(5 Pt 3):S386-8, 2006 May
AS  - Pediatrics. 117(5 Pt 3):S386-8, 2006 May
NJ  - Pediatrics
VO  - 117
IP  - 5 Pt 3
PG  - S386-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Disaster Planning/og [Organization & Administration]
MH  - *Disasters
MH  - *Hospitals, Pediatric/og [Organization & Administration]
MH  - Humans
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Louisiana
MH  - *Patient Care Management
MH  - Telecommunications
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - *Transportation of Patients
MH  - Water Supply
ES  - 1098-4275
IL  - 0031-4005
PT  - Journal Article
ID  - 117/5/S2/S386 [pii]
ID  - 10.1542/peds.2006-0099I [doi]
PP  - ppublish
LG  - English
DP  - 2006 May
EZ  - 2006/06/01 09:00
DA  - 2006/06/06 09:00
DT  - 2006/06/01 09:00
YR  - 2006
ED  - 20060605
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16735270

<613. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16735268
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ginsberg HG
FA  - Ginsberg, Harley G
IN  - Ginsberg, Harley G. Neonatal Intensive Care Unit, Alton Ochsner Foundation Hospital, New Orleans, LA 70121, USA. hginsberg@ochsner.org
TI  - Sweating it out in a level III regional NICU: disaster preparation and lessons learned at the Ochsner Foundation Hospital.
SO  - Pediatrics. 117(5 Pt 3):S375-80, 2006 May
AS  - Pediatrics. 117(5 Pt 3):S375-80, 2006 May
NJ  - Pediatrics
VO  - 117
IP  - 5 Pt 3
PG  - S375-80
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Disaster Planning/mt [Methods]
MH  - Disaster Planning/og [Organization & Administration]
MH  - *Disasters
MH  - Electric Power Supplies
MH  - *Hospitals, Teaching/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Louisiana
MH  - Neonatology
MH  - *Patient Care Management
MH  - Telecommunications
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients
MH  - Triage
MH  - Water Supply
ES  - 1098-4275
IL  - 0031-4005
PT  - Journal Article
ID  - 117/5/S2/S375 [pii]
ID  - 10.1542/peds.2006-0099G [doi]
PP  - ppublish
LG  - English
DP  - 2006 May
EZ  - 2006/06/01 09:00
DA  - 2006/06/06 09:00
DT  - 2006/06/01 09:00
YR  - 2006
ED  - 20060605
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16735268

<614. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16735267
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Barkemeyer BM
FA  - Barkemeyer, Brian M
IN  - Barkemeyer, Brian M. Division of Neonatology, Department of Pediatrics, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA. bbarke@lsuhsc.edu
TI  - Practicing neonatology in a blackout: the University Hospital NICU in the midst of Hurricane Katrina: caring for children without power or water.
SO  - Pediatrics. 117(5 Pt 3):S369-74, 2006 May
AS  - Pediatrics. 117(5 Pt 3):S369-74, 2006 May
NJ  - Pediatrics
VO  - 117
IP  - 5 Pt 3
PG  - S369-74
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Disasters
MH  - Electric Power Supplies
MH  - High-Frequency Ventilation
MH  - Hospitals, University/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Louisiana
MH  - *Neonatology
MH  - *Patient Care Management
MH  - Telecommunications
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients
MH  - Triage
MH  - Water Supply
ES  - 1098-4275
IL  - 0031-4005
PT  - Journal Article
ID  - 117/5/S2/S369 [pii]
ID  - 10.1542/peds.2006-0099F [doi]
PP  - ppublish
LG  - English
DP  - 2006 May
EZ  - 2006/06/01 09:00
DA  - 2006/06/06 09:00
DT  - 2006/06/01 09:00
YR  - 2006
ED  - 20060605
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16735267

<615. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16647945
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Meyer MA
AU  - Sokal SM
AU  - Sandberg W
AU  - Chang Y
AU  - Daily B
AU  - Berger DL
FA  - Meyer, Mark A
FA  - Sokal, Suzanne M
FA  - Sandberg, Warren
FA  - Chang, Yuchiao
FA  - Daily, Bethany
FA  - Berger, David L
IN  - Meyer, Mark A. Laboratory of Computer Science, Massachusetts General Hospital, Boston, Massachusetts 02114, USA. mameyer@partners.org
TI  - INCOMING!--A web tracking application for PACU and post-surgical patients.
SO  - Journal of Surgical Research. 132(2):153-8, 2006 May 15
AS  - J Surg Res. 132(2):153-8, 2006 May 15
NJ  - The Journal of surgical research
VO  - 132
IP  - 2
PG  - 153-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - k7b, 0376340
IO  - J. Surg. Res.
SB  - Index Medicus
CP  - United States
MH  - Computer Systems
MH  - *Hospital Information Systems
MH  - Hospital Units
MH  - Patient Care Management/mt [Methods]
MH  - Patient Care Management/og [Organization & Administration]
MH  - Patient Discharge
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Postanesthesia Nursing
MH  - *Postoperative Care
MH  - Recovery Room
AB  - BACKGROUND: Capacity constraints necessitate improving hospital efficiency. An integrated real time system facilitating patient flow between the post-anesthesia care unit (PACU) and surgical ward would ease PACU workload by reducing the effort of discharging patients.
AB  - METHODS: We developed INCOMING!, a web-based platform that monitors patient progress from the operating room to the PACU. INCOMING! integrates available data, automatically determining when a patient enters the PACU. An automated paging system alerts clinical unit managers to 'pull' their patients from the PACU after a set recovery period. General surgery patients were included in the INCOMING! system in late 2004 with paging added in mid-March 2005. Mean PACU length of stay was calculated for the intervention group (general surgery patients with INCOMING!) and compared to a control group (general surgery patients without INCOMING!) and an orthopedic surgery group before and after paging.
AB  - RESULTS: The system successfully gathers data and generates automated pages when events occur. After paging, there was a significant difference between the orthopedic surgery control group and the general surgery intervention group (235 min versus 185 min, P = 0.001). The mean PACU LOS decreased in the INCOMING! intervention group by 26 min while the mean LOS increased by 28 min in the general surgery control group (P = 0.27).
AB  - CONCLUSION: Pilot implementation demonstrates that INCOMING! performs the desired integration and automatic notification. Given the minimal cost and potential large gains from a wider deployment, we plan to implement the system for all PACU patients and all post-PACU care units.
IS  - 0022-4804
IL  - 0022-4804
PT  - Journal Article
ID  - S0022-4804(06)00111-9 [pii]
ID  - 10.1016/j.jss.2006.02.055 [doi]
PP  - ppublish
PH  - 2006/01/09 [received]
PH  - 2006/02/27 [revised]
PH  - 2006/02/28 [accepted]
LG  - English
DP  - 2006 May 15
EZ  - 2006/05/02 09:00
DA  - 2006/06/06 09:00
DT  - 2006/05/02 09:00
YR  - 2006
ED  - 20060605
RD  - 20060501
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16647945

<616. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16550938
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - The best hospitals are getting better while others continue to struggle.
SO  - Performance Improvement Advisor. 10(2):21-4, 13, 2006 Feb
AS  - Perform Improv Advis. 10(2):21-4, 13, 2006 Feb
NJ  - Performance improvement advisor
VO  - 10
IP  - 2
PG  - 21-4, 13
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101174588
IO  - Perform Improv Advis
SB  - Health Administration Journals
CP  - United States
MH  - Benchmarking
MH  - *Hospital Mortality
MH  - *Hospitals/st [Standards]
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - Medical Records Systems, Computerized
MH  - Medicare/st [Standards]
MH  - Patient Care Team/st [Standards]
MH  - Patient Transfer
MH  - Postoperative Complications/ep [Epidemiology]
MH  - Postoperative Complications/pc [Prevention & Control]
MH  - *Quality Assurance, Health Care
MH  - United States
AB  - Two recent studies by HealthGrades show that hospitals are improving their quality of care in a number of procedures and disease states and that patients are less likely to die at a quality rated hospital. The bad news is that while the best are getting better, the lowest rated hospitals are just not able to climb out of the bottom.
IS  - 1543-6160
IL  - 1543-6160
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2006 Feb
EZ  - 2006/03/23 09:00
DA  - 2006/06/01 09:00
DT  - 2006/03/23 09:00
YR  - 2006
ED  - 20060531
RD  - 20060322
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16550938

<617. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16584367
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tobin AE
AU  - Santamaria JD
FA  - Tobin, Antony E
FA  - Santamaria, John D
IN  - Tobin, Antony E. Intensive Care Unit, St Vincent's Hospital, Melbourne, VIC.
TI  - After-hours discharges from intensive care are associated with increased mortality.
SO  - Medical Journal of Australia. 184(7):334-7, 2006 Apr 03
AS  - Med J Aust. 184(7):334-7, 2006 Apr 03
NJ  - The Medical journal of Australia
VO  - 184
IP  - 7
PG  - 334-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0400714, m26
IO  - Med. J. Aust.
SB  - Index Medicus
CP  - Australia
MH  - Adolescent
MH  - Adult
MH  - *After-Hours Care/sn [Statistics & Numerical Data]
MH  - Age Distribution
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Surgical Procedures/sn [Statistics & Numerical Data]
MH  - Cohort Studies
MH  - Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - Female
MH  - *Hospital Mortality/td [Trends]
MH  - Humans
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - *Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Sex Distribution
MH  - Time Factors
MH  - Victoria/ep [Epidemiology]
AB  - OBJECTIVE: To investigate the change in pattern of discharge of patients from an intensive care unit (ICU) to hospital wards and to determine the impact of discharge time on subsequent hospital mortality.
AB  - DESIGN AND PARTICIPANTS: A retrospective cohort study of 10 903 patients discharged alive from a single ICU between 1 January 1992 and 31 December 2002.
AB  - MAIN OUTCOME MEASURE: In-hospital mortality.
AB  - RESULTS: Of the 10 903 patients discharged alive from the ICU, 486 (4.5%) died in hospital wards. When discharge times were categorised according to nursing shift (morning, 07:00-14:59; afternoon, 15:00-21:59; and night, 22:00-06:59), patients were more likely to be discharged on an afternoon shift (odds ratio, 3.63; 95% CI, 3.05-4.30) or night shift (4.52; 95% CI, 3.15-6.64) in 2000-2002 compared with 1992-1994. In a multiple logistic model, hospital mortality after discharge from the ICU was increased by higher APACHE II score (1.14; 95% CI, 1.12-1.16); admission to ICU from the operating room (1.47; 95% CI, 1.11-1.95) and from the general ward (1.75; 95% CI, 1.37-2.23); and discharge during the afternoon (1.36; 95% CI, 1.08-1.70) and night shifts (1.63; 95% CI, 1.03-2.57).
AB  - CONCLUSION: Over an 11-year period, more patients are being discharged from the ICU in the afternoon and night suggesting increasing pressure on ICU beds. Patients discharged on these shifts have an increased risk of death.
IS  - 0025-729X
IL  - 0025-729X
PT  - Journal Article
ID  - tob10605_fm [pii]
PP  - ppublish
PH  - 2005/07/27 [received]
PH  - 2006/02/14 [accepted]
LG  - English
DP  - 2006 Apr 03
EZ  - 2006/04/06 09:00
DA  - 2006/05/12 09:00
DT  - 2006/04/06 09:00
YR  - 2006
ED  - 20060511
RD  - 20060404
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16584367

<618. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16585352
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jacobs BR
AU  - Brilli RJ
AU  - Hart KW
FA  - Jacobs, Brian R
FA  - Brilli, Richard J
FA  - Hart, Kim Ward
TI  - Perceived increase in mortality after process and policy changes implemented with computerized physician order entry.
CM  - Comment on: Pediatrics. 2005 Dec;116(6):1506-12; PMID: 16322178
SO  - Pediatrics. 117(4):1451-2; author reply 1455-6, 2006 Apr
AS  - Pediatrics. 117(4):1451-2; author reply 1455-6, 2006 Apr
NJ  - Pediatrics
VO  - 117
IP  - 4
PG  - 1451-2; author reply 1455-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - *Child Mortality
MH  - Hospital Information Systems/og [Organization & Administration]
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Medical Order Entry Systems/og [Organization & Administration]
MH  - Outcome and Process Assessment (Health Care)
MH  - *Patient Transfer/og [Organization & Administration]
ES  - 1098-4275
IL  - 0031-4005
PT  - Comment
PT  - Letter
ID  - 117/4/1451 [pii]
ID  - 10.1542/peds.2005-3116 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Apr
EZ  - 2006/04/06 09:00
DA  - 2006/05/11 09:00
DT  - 2006/04/06 09:00
YR  - 2006
ED  - 20060510
RD  - 20060404
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16585352

<619. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16585351
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Longhurst C
AU  - Sharek P
AU  - Hahn J
AU  - Sullivan J
AU  - Classen D
FA  - Longhurst, Chris
FA  - Sharek, Paul
FA  - Hahn, Jin
FA  - Sullivan, Jill
FA  - Classen, David
TI  - Perceived increase in mortality after process and policy changes implemented with computerized physician order entry.
CM  - Comment on: Pediatrics. 2005 Dec;116(6):1506-12; PMID: 16322178
SO  - Pediatrics. 117(4):1450-1; author reply 1455-6, 2006 Apr
AS  - Pediatrics. 117(4):1450-1; author reply 1455-6, 2006 Apr
NJ  - Pediatrics
VO  - 117
IP  - 4
PG  - 1450-1; author reply 1455-6
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - *Child Mortality
MH  - Hospital Information Systems/og [Organization & Administration]
MH  - *Hospital Mortality
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - *Medical Order Entry Systems/og [Organization & Administration]
MH  - Outcome and Process Assessment (Health Care)
MH  - *Patient Transfer/og [Organization & Administration]
ES  - 1098-4275
IL  - 0031-4005
PT  - Comment
PT  - Letter
ID  - 117/4/1450-a [pii]
ID  - 10.1542/peds.2005-3048 [doi]
PP  - ppublish
LG  - English
DP  - 2006 Apr
EZ  - 2006/04/06 09:00
DA  - 2006/05/11 09:00
DT  - 2006/04/06 09:00
YR  - 2006
ED  - 20060510
RD  - 20060404
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16585351

<620. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16494169
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Beh T
FA  - Beh, T
TI  - A design fault of the Drager Cato anaesthesia workstation.
SO  - Anaesthesia & Intensive Care. 34(1):125; discussion 125-6, 2006 Feb
AS  - Anaesth Intensive Care. 34(1):125; discussion 125-6, 2006 Feb
NJ  - Anaesthesia and intensive care
VO  - 34
IP  - 1
PG  - 125; discussion 125-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4m5, 0342017
IO  - Anaesth Intensive Care
SB  - Index Medicus
CP  - Australia
MH  - *Anesthesia, Closed-Circuit/ae [Adverse Effects]
MH  - *Anesthesia, Closed-Circuit/is [Instrumentation]
MH  - Equipment Design
MH  - *Equipment Failure
MH  - Follow-Up Studies
MH  - *Hernia, Diaphragmatic/su [Surgery]
MH  - Hernias, Diaphragmatic, Congenital
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Intubation, Intratracheal/ae [Adverse Effects]
MH  - *Intubation, Intratracheal/mt [Methods]
MH  - Monitoring, Physiologic
MH  - Operating Rooms
MH  - Patient Transfer
MH  - Risk Assessment
IS  - 0310-057X
IL  - 0310-057X
PT  - Case Reports
PT  - Letter
ID  - 2005325 [pii]
PP  - ppublish
LG  - English
DP  - 2006 Feb
EZ  - 2006/02/24 09:00
DA  - 2006/05/04 09:00
DT  - 2006/02/24 09:00
YR  - 2006
ED  - 20060502
RD  - 20141120
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16494169

<621. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16555757
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Endacott R
AU  - Chaboyer W
FA  - Endacott, Ruth
FA  - Chaboyer, Wendy
IN  - Endacott, Ruth. School of Nursing & Midwifery, La Trobe University, Victoria 3086, Australia. ruth.endacott@plymouth.ac.uk
TI  - The nursing role in ICU outreach: an international exploratory study.
SO  - Nursing in Critical Care. 11(2):94-102, 2006 Mar-Apr
AS  - Nurs Crit Care. 11(2):94-102, 2006 Mar-Apr
NJ  - Nursing in critical care
VO  - 11
IP  - 2
PG  - 94-102
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9808649, c3k
IO  - Nurs Crit Care
SB  - Nursing Journal
CP  - England
MH  - Aftercare/og [Organization & Administration]
MH  - Attitude of Health Personnel
MH  - Australia
MH  - Communication
MH  - Cross-Cultural Comparison
MH  - England
MH  - Health Knowledge, Attitudes, Practice
MH  - *Hospital Units/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Interdepartmental Relations
MH  - *Interprofessional Relations
MH  - Job Description
MH  - Models, Nursing
MH  - Narration
MH  - *Nurse Clinicians/og [Organization & Administration]
MH  - Nurse Clinicians/px [Psychology]
MH  - *Nurse's Role/px [Psychology]
MH  - Nursing Methodology Research
MH  - Nursing Staff, Hospital/ed [Education]
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - Nursing Theory
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Social Support
MH  - Surveys and Questionnaires
AB  - It is widely acknowledged that many critically ill patients are managed outside of designated critical care units. One strategy adopted in Australia and England to assess and manage risk in these patients is the intensive care unit (ICU) outreach or liaison nurse service. This article examines how ICU outreach/liaison roles in Australia and England operate in the context of Manley's theoretical framework for advanced nursing practice. Descriptive case study design using semi-structured interviews and job descriptions as sources of evidence. Findings of interviews with six Australian ICU Liaison nurses are already published; this study replicated the Australian study with four ICU Consultant Nurses in England and mapped interview and job description data from both countries onto Manley's conceptual framework for advanced practice/consultant nurse. Four themes emerged from the English data: patient interventions, support for ward staff, liaison between ward and ICU staff and hospital-wide impact. The first three of these comprised the core service common to the roles in both countries. Manley's four subroles (expert practitioner, consultant, educator and researcher) were present across both countries. However, the interview and job description data demonstrated that there were lower expectations in Australia that the roles would lead to staff development and build capacity across the hospital system. Similarly, formal education for ward staff such as ALERT and CRiSP courses were more developed in UK. Our data demonstrate that the role undertaken in England and Australia is sufficiently comparable to use as a research intervention in international studies across the two countries. However, the macro service level differs. Job descriptions across both countries emphasized the need to influence hospital policy; however, the ICU consultant nurses in England might be considered better placed to achieve this through role title and access to the hospital executive. In both countries, the roles would benefit from systematic evaluation of the impact on outcomes. This is particularly important for longer-term integration of the role in the health services in both countries.
IS  - 1362-1017
IL  - 1362-1017
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 2006 Mar-Apr
EZ  - 2006/03/25 09:00
DA  - 2006/04/28 09:00
DT  - 2006/03/25 09:00
YR  - 2006
ED  - 20060425
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16555757

<622. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16492517
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - American College of Emergency Physicians
FA  - American College of Emergency Physicians
TI  - Interfacility transportation of the critical care patient and its medical direction.
SO  - Annals of Emergency Medicine. 47(3):305, 2006 Mar
AS  - Ann Emerg Med. 47(3):305, 2006 Mar
NJ  - Annals of emergency medicine
VO  - 47
IP  - 3
PG  - 305
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 8002646
IO  - Ann Emerg Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/st [Standards]
MH  - Humans
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Transfer/st [Standards]
MH  - Physician Executives
MH  - United States
ES  - 1097-6760
IL  - 0196-0644
PT  - Editorial
PT  - Practice Guideline
ID  - S0196-0644(05)01946-3 [pii]
ID  - 10.1016/j.annemergmed.2005.11.006 [doi]
PP  - ppublish
PH  - 2005/11/08 [received]
PH  - 2005/11/08 [revised]
PH  - 2005/11/08 [accepted]
LG  - English
DP  - 2006 Mar
EZ  - 2006/02/24 09:00
DA  - 2006/04/01 09:00
DT  - 2006/02/24 09:00
YR  - 2006
ED  - 20060331
RD  - 20060222
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16492517

<623. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16447533
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bergen T
FA  - Bergen, Tania
IN  - Bergen, Tania. Saskatoon City Hospital, Saskatoon, SK.
TI  - The role of the critical care nurse in improving quality of life in ICU survivors. [Review] [37 refs]
SO  - Dynamics (Pembroke, Ont.). 16(4):22-9, 2005
AS  - Dynamics. 16(4):22-9, 2005
NJ  - Dynamics (Pembroke, Ont.)
VO  - 16
IP  - 4
PG  - 22-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100955578, dph, 100955578
IO  - Dynamics
SB  - Nursing Journal
CP  - Canada
MH  - Activities of Daily Living
MH  - Adaptation, Psychological
MH  - Aftercare
MH  - Anxiety/nu [Nursing]
MH  - Attitude to Health
MH  - Conscious Sedation/nu [Nursing]
MH  - Continuity of Patient Care
MH  - Critical Care/mt [Methods]
MH  - Critical Care/px [Psychology]
MH  - *Critical Care
MH  - Health Services Needs and Demand
MH  - Humans
MH  - *Nurse's Role/px [Psychology]
MH  - Nursing Evaluation Research
MH  - Nursing Methodology Research
MH  - Pain/pc [Prevention & Control]
MH  - Patient Care Planning/og [Organization & Administration]
MH  - Patient Discharge
MH  - Patient Transfer
MH  - *Quality of Life/px [Psychology]
MH  - Sleep Deprivation/nu [Nursing]
MH  - *Survivors/px [Psychology]
MH  - Total Quality Management/og [Organization & Administration]
AB  - In ICU survivors, QOL is a dynamic term that identifies to what extent a critical illness has affected one's life. As an outcome measure, QOL has been studied in ICU survivors over the last few years. Researchers suggest that QOL is poor following ICU admission, and identify specific QOL issues that ICU survivors deal with, mostly related to physical functioning. The critical care nurse's role is to better QOL by improving the ICU survivor's transition into the post-ICU period through improved mobility, good management of sedation, pain, sleep and, most importantly, discharge planning. [References: 37]
IS  - 1497-3715
IL  - 1497-3715
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2005
EZ  - 2006/02/02 09:00
DA  - 2006/03/03 09:00
DT  - 2006/02/02 09:00
YR  - 2005
ED  - 20060302
RD  - 20060201
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16447533

<624. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16102967
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gustad LT
AU  - Chaboyer W
AU  - Wallis M
FA  - Gustad, Lise T
FA  - Chaboyer, Wendy
FA  - Wallis, Marianne
IN  - Gustad, Lise T. Rikshospitalet University Hospital, Department of Anaesthesiology, Intensive Care Units, 0027 Oslo, Norway. lise.tuset.gustad@rikshospitalet.no
TI  - Performance of the Faces Anxiety Scale in patients transferred from the ICU.
SO  - Intensive & Critical Care Nursing. 21(6):355-60, 2005 Dec
AS  - Intensive Crit Care Nurs. 21(6):355-60, 2005 Dec
NJ  - Intensive & critical care nursing
VO  - 21
IP  - 6
PG  - 355-60
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anxiety/cl [Classification]
MH  - *Anxiety/di [Diagnosis]
MH  - Anxiety/et [Etiology]
MH  - Anxiety/px [Psychology]
MH  - *Critical Illness/px [Psychology]
MH  - *Facial Expression
MH  - Female
MH  - Hospitals, Teaching
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Nursing Assessment/mt [Methods]
MH  - Nursing Assessment/st [Standards]
MH  - Nursing Evaluation Research
MH  - *Patient Transfer
MH  - *Psychiatric Status Rating Scales/st [Standards]
MH  - Psychometrics
MH  - Queensland
MH  - Severity of Illness Index
MH  - Statistics, Nonparametric
MH  - Surveys and Questionnaires/st [Standards]
AB  - Intensive Care Unit (ICU) patients are often not able to respond to long self-report instruments, therefore, in order to assess anxiety accurately, a short and easy to use measure is required. The Faces Anxiety Scale (FAS) developed by McKinley et al. [McKinley S, Coote K, Stein-Parbury J. Development and testing of a faces scale for the assessment of anxiety in critically ill patients. J Adv Nurs 2003;41(1):73-9.] has promised to be such an instrument. This study assessed the construct validity of the FAS against the well validated anxiety subscale of the Hospital Anxiety and Depression Scale (HADS), in an ICU population ready for transfer to the ward. The study was a part of a larger study of transfer anxiety. The FAS showed good correlation with the anxiety sub-scale of the HADS which strengthened over time. The FAS was easy and quick to use and seemed to measure anxiety in ICU patients that were ready to move to the wards, however, further testing in a larger sample and with sicker ICU patients is required.
IS  - 0964-3397
IL  - 0964-3397
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Studies
ID  - S0964-3397(05)00077-7 [pii]
ID  - 10.1016/j.iccn.2005.06.006 [doi]
PP  - ppublish
PH  - 2004/11/18 [received]
PH  - 2005/06/23 [revised]
PH  - 2005/06/27 [accepted]
LG  - English
EP  - 20050815
DP  - 2005 Dec
EZ  - 2005/08/17 09:00
DA  - 2006/02/25 09:00
DT  - 2005/08/17 09:00
YR  - 2005
ED  - 20060224
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16102967

<625. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16361906
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McGuffie AC
AU  - Graham CA
AU  - Beard D
AU  - Henry JM
AU  - Fitzpatrick MO
AU  - Wilkie SC
AU  - Kerr GW
AU  - Parke TR
FA  - McGuffie, A Crawford
FA  - Graham, Colin A
FA  - Beard, Diana
FA  - Henry, Jennifer M
FA  - Fitzpatrick, Michael O
FA  - Wilkie, Stewart C
FA  - Kerr, Gary W
FA  - Parke, Timothy R J
IN  - McGuffie, A Crawford. Crosshouse Hospital, Kilmarnock, Scotland. Crawford.McGuffie@aaaht.scot.nhs.uk
TI  - Scottish urban versus rural trauma outcome study.
SO  - Journal of Trauma-Injury Infection & Critical Care. 59(3):632-8, 2005 Sep
AS  - J Trauma. 59(3):632-8, 2005 Sep
NJ  - The Journal of trauma
VO  - 59
IP  - 3
PG  - 632-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - kaf, 0376373
IO  - J Trauma
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Catchment Area (Health)
MH  - Emergency Medical Services/og [Organization & Administration]
MH  - *Emergency Medical Services/ut [Utilization]
MH  - Female
MH  - *Health Services Accessibility
MH  - Humans
MH  - Intensive Care Units/ut [Utilization]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Male
MH  - Multivariate Analysis
MH  - *Outcome Assessment (Health Care)
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - *Rural Health Services
MH  - Scotland/ep [Epidemiology]
MH  - Survival Rate
MH  - Time Factors
MH  - Trauma Severity Indices
MH  - *Urban Health Services
MH  - Wounds and Injuries/ep [Epidemiology]
MH  - Wounds and Injuries/mo [Mortality]
MH  - *Wounds and Injuries/th [Therapy]
AB  - BACKGROUND: Outcome following trauma and health care access are important components of health care planning. Resources are limited and quality information is required. We set the objective of comparing the outcomes for patients suffering significant trauma in urban and rural environments in Scotland.
AB  - METHOD: The study was designed as a 2 year prospective observational study set in the west of Scotland, which has a population of 2.58 million persons. Primary outcome measures were defined as the total number of inpatient days, total number of intensive care unit days, and mortality. The participants were patients suffering moderate (ISS 9-15) and major (ISS>15) trauma within the region. The statistical analysis consisted of chi square test for categorical data and Mann Whitney U test for comparison of medians.
AB  - RESULTS: There were 3,962 urban (85%) and 674 rural patients (15%). Urban patients were older (50 versus 46 years, p = 0.02), were largely male (62% versus 57%, p = 0.02), and suffered more penetrating traumas (9.9% versus 1.9%, p < 0.001). All prehospital times are significantly longer for rural patients (p < 0.001), include more air ambulance transfers (p < 0.001), and are characterized by greater paramedic presence (p < 0.001). Excluding neurosurgical and spinal injuries transfers, there was a higher proportion of transfers in the rural major trauma group (p = 0.002). There were more serious head injuries in the urban group (p = 0.04), and also a higher proportion of urban patients with head injuries transferred to the regional neurosurgical unit (p = 0.037). There were no differences in length of total inpatient stay (median 8 days, p = 0.7), total length of stay in the intensive care unit (median two days, p = 0.4), or mortality (324 deaths, moderate trauma, p = 0.13; major trauma, p = 0.8).
AB  - CONCLUSION: Long prehospital times in the rural environment were not associated with differences in mortality or length of stay in moderately and severely injured patients in the west of Scotland. This may lend support to a policy of rationalization of trauma services in Scotland.
IS  - 0022-5282
IL  - 0022-5282
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
ID  - 00005373-200509000-00012 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Sep
EZ  - 2005/12/20 09:00
DA  - 2006/02/24 09:00
DT  - 2005/12/20 09:00
YR  - 2005
ED  - 20060223
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16361906

<626. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15566602
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stacey J
AU  - Venn R
FA  - Stacey, Jon
FA  - Venn, Richard
IN  - Stacey, Jon. Department of Critical Care, Worthing General Hospital, Lyndhurst Road, Worthing, UK. jonathan_stacey@hotmail.com
TI  - Recently published papers: clunk-click every trip, smile, but don't stop for a drink on the way. [Review] [11 refs]
SO  - Critical Care (London, England). 8(6):408-10, 2004 Dec
AS  - Crit Care. 8(6):408-10, 2004 Dec
NJ  - Critical care (London, England)
VO  - 8
IP  - 6
PG  - 408-10
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Internet
JC  - 9801902
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1065081
SB  - Index Medicus
CP  - England
MH  - APACHE
MH  - Decision Making
MH  - Equipment Failure
MH  - Humans
MH  - Immobilization/ae [Adverse Effects]
MH  - *Intensive Care Units/ut [Utilization]
MH  - Liver Cirrhosis
MH  - *Patient Transfer/st [Standards]
MH  - Prognosis
MH  - Respiration, Artificial
MH  - Respiratory Distress Syndrome, Adult
MH  - Risk Assessment
AB  - Reviews of the risks associated with intrahospital transfer and prolonged spinal immobilization made uncomfortable reading in August. Studies on the timing of tracheotomy and a potential role for exogenous surfactant will have done little to allay controversy. We are reminded of the neutrality of the Swiss, and gain valuable insight into prognostic tools in mechanically ventilated patients with cirrhotic liver disease. [References: 11]
ES  - 1466-609X
IL  - 1364-8535
PT  - Journal Article
PT  - Review
ID  - cc3002 [pii]
ID  - 10.1186/cc3002 [doi]
ID  - PMC1065081 [pmc]
PP  - ppublish
LG  - English
EP  - 20041104
DP  - 2004 Dec
EZ  - 2004/11/30 09:00
DA  - 2006/01/31 09:00
DT  - 2004/11/30 09:00
YR  - 2004
ED  - 20060130
RD  - 20140608
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15566602

<627. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16085952
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hui YW
FA  - Hui, Y W
TI  - Use of Pediatric Index of Mortality (PIM) and the Pediatric Risk of Mortality (PRISM) III-24 for prediction of mortality.
CM  - Comment on: Hong Kong Med J. 2005 Apr;11(2):97-103; PMID: 15815062
SO  - Hong Kong Medical Journal. 11(4):313-4; author reply 314, 2005 Aug
AS  - HONG KONG MED. J.. 11(4):313-4; author reply 314, 2005 Aug
NJ  - Hong Kong medical journal = Xianggang yi xue za zhi
VO  - 11
IP  - 4
PG  - 313-4; author reply 314
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dnz, 9512509
IO  - Hong Kong Med J
SB  - Index Medicus
CP  - China
MH  - Child
MH  - Diagnosis, Differential
MH  - Early Diagnosis
MH  - Health Status Indicators
MH  - *Hospital Mortality
MH  - Hospitals, Pediatric/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Intensive Care Units, Pediatric/st [Standards]
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Risk Assessment
MH  - Risk Factors
MH  - Severity of Illness Index
IS  - 1024-2708
IL  - 1024-2708
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 2005 Aug
EZ  - 2005/08/09 09:00
DA  - 2006/01/27 09:00
DT  - 2005/08/09 09:00
YR  - 2005
ED  - 20060126
RD  - 20161020
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16085952

<628. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16365340
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dawkins KD
AU  - Gershlick T
AU  - de Belder M
AU  - Chauhan A
AU  - Venn G
AU  - Schofield P
AU  - Smith D
AU  - Watkins J
AU  - Gray HH
AU  - Joint Working Group on Percutaneous Coronary Intervention of the British Cardiovascular Intervention Society and the British Cardiac Society
FA  - Dawkins, K D
FA  - Gershlick, T
FA  - de Belder, M
FA  - Chauhan, A
FA  - Venn, G
FA  - Schofield, P
FA  - Smith, D
FA  - Watkins, J
FA  - Gray, H H
FA  - Joint Working Group on Percutaneous Coronary Intervention of the British Cardiovascular Intervention Society and the British Cardiac Society
IN  - Dawkins, K D. British Cardiovascular Intervention Society, London, UK. keith@dawkins.org
TI  - Percutaneous coronary intervention: recommendations for good practice and training.
SO  - Heart. 91 Suppl 6:vi1-27, 2005 Dec
AS  - Heart. 91 Suppl 6:vi1-27, 2005 Dec
NJ  - Heart (British Cardiac Society)
VO  - 91 Suppl 6
PG  - vi1-27
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9602087
IO  - Heart
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1876395
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Angioplasty, Balloon, Coronary/ed [Education]
MH  - Angioplasty, Balloon, Coronary/is [Instrumentation]
MH  - *Angioplasty, Balloon, Coronary/st [Standards]
MH  - Brachytherapy/mt [Methods]
MH  - Cardiac Catheterization/mt [Methods]
MH  - Cardiac Catheterization/st [Standards]
MH  - *Cardiology/ed [Education]
MH  - Chemotherapy, Adjuvant
MH  - *Clinical Competence/st [Standards]
MH  - Coronary Artery Bypass/mt [Methods]
MH  - Coronary Artery Disease/su [Surgery]
MH  - *Coronary Artery Disease/th [Therapy]
MH  - Coronary Care Units
MH  - Curriculum
MH  - Drug Implants
MH  - Education, Medical, Graduate/mt [Methods]
MH  - Evidence-Based Medicine
MH  - Forecasting
MH  - Humans
MH  - Informed Consent
MH  - Medical Laboratory Science/td [Trends]
MH  - Myocardial Infarction/th [Therapy]
MH  - Patient Care Planning
MH  - Patient Transfer
MH  - Peer Review
MH  - Personnel Selection
MH  - Platelet Glycoprotein GPIIb-IIIa Complex/ai [Antagonists & Inhibitors]
MH  - Stents/sn [Statistics & Numerical Data]
MH  - Teaching/mt [Methods]
MH  - Teaching/st [Standards]
AB  - Cardiologists undertaking percutaneous coronary intervention (PCI) are excited by the combination of patient and physician satisfaction and technological advance occurring on the background of the necessary manual dexterity. Progress and applicability of percutaneous techniques since their inception in 1977 have been remarkable; a sound evidence base coupled with the enthusiasm and ingenuity of the medical device industry has resulted in a sea change in the treatment of coronary heart disease (CHD), which continues to evolve at breakneck speed. This is the third set of guidelines produced by the British Cardiovascular Intervention Society and the British Cardiac Society. Following the last set of guidelines published in 2000, we have seen PCI activity in the UK increase from 33,652 to 62,780 (87% in four years) such that the PCI to coronary artery bypass grafting ratio has increased to 2.5:1. The impact of drug eluting stents has been profound, and the Department of Health is investigating the feasibility of primary PCI for acute myocardial infarction. Nevertheless, the changes in the structure of National Health Service funding are likely to focus our attention on cost effective treatments and will require physician engagement and sensitive handling if we are to continue the rapid and appropriate growth in our chosen field. It is important with this burgeoning development now occurring on a broad front (in both regional centres and district general hospitals) that we maintain our vigilance on audit and outcome measures so that standards are maintained for both operators and institutions alike. This set of guidelines includes new sections on training, informed consent, and a core evidence base, which we hope you will find useful and informative.
RN  - 0 (Drug Implants)
RN  - 0 (Platelet Glycoprotein GPIIb-IIIa Complex)
ES  - 1468-201X
IL  - 1355-6037
PT  - Journal Article
PT  - Practice Guideline
ID  - 91/suppl_6/vi1 [pii]
ID  - 10.1136/hrt.2005.061457 [doi]
ID  - PMC1876395 [pmc]
PP  - ppublish
LG  - English
DP  - 2005 Dec
EZ  - 2005/12/21 09:00
DA  - 2006/01/18 09:00
DT  - 2005/12/21 09:00
YR  - 2005
ED  - 20060117
RD  - 20140910
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16365340

<629. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16222344
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Attar MA
AU  - Lang SW
AU  - Gates MR
AU  - Iatrow AM
AU  - Bratton SL
FA  - Attar, Mohammad A
FA  - Lang, Sylvia W
FA  - Gates, Molly R
FA  - Iatrow, Ann M
FA  - Bratton, Susan L
IN  - Attar, Mohammad A. Department of Pediatrics and Communicable Diseases, University of Michigan, MI 48109-0254, USA.
TI  - Back transport of neonates: effect on hospital length of stay.
SO  - Journal of Perinatology. 25(11):731-6, 2005 Nov
AS  - J Perinatol. 25(11):731-6, 2005 Nov
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 25
IP  - 11
PG  - 731-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Birth Weight
MH  - Convalescence
MH  - *Hospitals, Community/ut [Utilization]
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Michigan
MH  - *Nurseries, Hospital/ut [Utilization]
MH  - *Outcome and Process Assessment (Health Care)
MH  - Parenteral Nutrition, Total
MH  - *Patient Readmission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Regional Medical Programs
MH  - Respiration, Artificial
MH  - Retrospective Studies
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.
AB  - OBJECTIVE: This study evaluates the practice of neonatal back transport for growth and the duration of total hospitalization.
AB  - 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).
AB  - 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 <or=1500 g (very low birth weight (VLBW)), BT (n=25) infants had similar birth weight (median; 1160 vs 1215 g, p=0.9) compared to those discharged home from the RC (n=24) and did not have a statistically different total LOS (median; 50 vs 56 days, p=0.1). Almost all infants who had major surgeries, treatment for retinopathy of prematurity, seizures, or had severe intra-ventricular hemorrhages were discharged home from the RC. The rates of hospital readmissions or emergency room visits acutely after their discharge to home from the RC or the community hospital were similar.
AB  - CONCLUSIONS: BT Infants differed based on clinical features compared to premature infants discharged from the RC. VLBW infants, back transported for growth, had similar total LOS compared to similar weight infants discharged home from the RC.

Copyright Journal of Perinatology (2005) 25, 731-736. doi:10.1038/sj.jp.7211391; published online 13 October 2005.
IS  - 0743-8346
IL  - 0743-8346
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 7211391 [pii]
ID  - 10.1038/sj.jp.7211391 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Nov
EZ  - 2005/10/14 09:00
DA  - 2006/01/18 09:00
DT  - 2005/10/14 09:00
YR  - 2005
ED  - 20060117
RD  - 20100323
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16222344

<630. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16255334
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Beard H
FA  - Beard, Helen
IN  - Beard, Helen. High Dependency Unit, West Suffolk Hospital NHS Trust, Hardwick Lane, Bury St Edmunds, Suffolk. helen.beard@wsh.nhs.uk
TI  - Does intermediate care minimize relocation stress for patients leaving the ICU?. [Review] [25 refs]
SO  - Nursing in Critical Care. 10(6):272-8, 2005 Nov-Dec
AS  - Nurs Crit Care. 10(6):272-8, 2005 Nov-Dec
NJ  - Nursing in critical care
VO  - 10
IP  - 6
PG  - 272-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9808649, c3k
IO  - Nurs Crit Care
SB  - Nursing Journal
CP  - England
MH  - Adaptation, Psychological
MH  - Attitude of Health Personnel
MH  - Attitude to Health
MH  - Continuity of Patient Care
MH  - Critical Care/og [Organization & Administration]
MH  - *Critical Care/px [Psychology]
MH  - Fear
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Internal-External Control
MH  - Monitoring, Physiologic/nu [Nursing]
MH  - Monitoring, Physiologic/px [Psychology]
MH  - Nurse's Role
MH  - Nursing Research
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - Patient Care Planning
MH  - Patient Education as Topic
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Progressive Patient Care/og [Organization & Administration]
MH  - Risk Factors
MH  - Stress, Psychological/et [Etiology]
MH  - Stress, Psychological/nu [Nursing]
MH  - *Stress, Psychological/pc [Prevention & Control]
MH  - Subacute Care/og [Organization & Administration]
MH  - *Subacute Care/px [Psychology]
MH  - Workload
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. [References: 25]
IS  - 1362-1017
IL  - 1362-1017
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2005 Nov-Dec
EZ  - 2005/11/01 09:00
DA  - 2006/01/07 09:00
DT  - 2005/11/01 09:00
YR  - 2005
ED  - 20060106
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16255334

<631. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16182127
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pirret AM
AU  - Sherring CL
AU  - Tai JA
AU  - Galbraith NE
AU  - Patel R
AU  - Skinner SM
FA  - Pirret, Alison M
FA  - Sherring, Claire L
FA  - Tai, Judith A
FA  - Galbraith, Nadine E
FA  - Patel, Reena
FA  - Skinner, Sarah M
IN  - Pirret, Alison M. Department of Intensive Care, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland, New Zealand. pirret@xtra.co.nz
TI  - Local experience with the use of nasal bubble CPAP in infants with bronchiolitis admitted to a combined adult/paediatric intensive care unit.
SO  - Intensive & Critical Care Nursing. 21(5):314-9, 2005 Oct
AS  - Intensive Crit Care Nurs. 21(5):314-9, 2005 Oct
NJ  - Intensive & critical care nursing
VO  - 21
IP  - 5
PG  - 314-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Acute Disease
MH  - Bronchiolitis/pp [Physiopathology]
MH  - *Bronchiolitis/th [Therapy]
MH  - Continuous Positive Airway Pressure/is [Instrumentation]
MH  - *Continuous Positive Airway Pressure/mt [Methods]
MH  - Continuous Positive Airway Pressure/nu [Nursing]
MH  - Equipment Design
MH  - Family/px [Psychology]
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Intensive Care, Neonatal/mt [Methods]
MH  - Male
MH  - Monitoring, Physiologic/nu [Nursing]
MH  - New Zealand
MH  - Nurse's Role
MH  - Nursing Assessment
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Pediatric Nursing/mt [Methods]
MH  - Seasons
MH  - Treatment Outcome
MH  - Visitors to Patients/px [Psychology]
AB  - Bronchiolitis is an acute inflammatory disease of the lower small airways predominantly occurring in infants younger than 1 year of age. As a result of the respiratory distress associated with bronchiolitis, infants frequently require admission to an intensive care unit for respiratory support. Thirty-five infants diagnosed with bronchiolitis were admitted to a combined adult/paediatric tertiary intensive care unit over a 2-year period for nasal bubble continuous positive airway pressure (CPAP). Following this therapy, 20 (57.14%) of these infants could be transferred to the medical ward of the onsite paediatric hospital. The remainder required transfer to the national paediatric intensive care unit (PICU) for ongoing observation and/or positive pressure ventilation. Nasal bubble CPAP is a simple therapy that can be easily set up at the bedside. The use of nasal bubble CPAP enabled infants to remain in their geographical area, thus improving family visiting access and reducing the demand for paediatric beds in the national PICU.
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
ID  - S0964-3397(05)00076-5 [pii]
ID  - 10.1016/j.iccn.2005.06.009 [doi]
PP  - ppublish
PH  - 2005/03/16 [received]
PH  - 2005/06/13 [revised]
PH  - 2005/06/16 [accepted]
LG  - English
DP  - 2005 Oct
EZ  - 2005/09/27 09:00
DA  - 2006/01/07 09:00
DT  - 2005/09/27 09:00
YR  - 2005
ED  - 20060106
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16182127

<632. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16294092
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gabbe BJ
AU  - Cameron PA
AU  - Wolfe R
AU  - Simpson P
AU  - Smith KL
AU  - McNeil JJ
FA  - Gabbe, Belinda J
FA  - Cameron, Peter A
FA  - Wolfe, Rory
FA  - Simpson, Pam
FA  - Smith, Karen L
FA  - McNeil, John J
IN  - Gabbe, Belinda J. Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia. belinda.gabbe@med.monash.edu.au
TI  - Prehospital prediction of intensive care unit stay and mortality in blunt trauma patients.
SO  - Journal of Trauma-Injury Infection & Critical Care. 59(2):458-65, 2005 Aug
AS  - J Trauma. 59(2):458-65, 2005 Aug
NJ  - The Journal of trauma
VO  - 59
IP  - 2
PG  - 458-65
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - kaf, 0376373
IO  - J Trauma
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Decision Support Techniques
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units/ut [Utilization]
MH  - *Length of Stay
MH  - Outcome Assessment (Health Care)
MH  - *Patient Transfer/st [Standards]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Practice Guidelines as Topic
MH  - Prognosis
MH  - Regional Medical Programs
MH  - Registries
MH  - *Triage/st [Standards]
MH  - Victoria/ep [Epidemiology]
MH  - *Wounds, Nonpenetrating/mo [Mortality]
AB  - BACKGROUND: The success of a trauma system relies on transfer of patients from the field to the most appropriate hospital for definitive care. However, no consensus has been reached regarding the best criteria or triage tool for identifying patients injured seriously enough to warrant transfer to a trauma center.
AB  - METHODS: Predictors of mortality and intensive care unit stay were identified and prediction models developed in a design data set. The performance of these models was evaluated in a test data set and compared with current trauma triage guidelines, derived from the American College of Surgeons model.
AB  - RESULTS: The newly developed prediction models performed comparably with the current trauma triage guidelines.
AB  - CONCLUSION: Although the performance of newly developed triage models was promising, their performance did not exceed that of the current trauma triage guidelines. In particular, the anatomic injury criteria appeared to be the key component of the current trauma triage guidelines.
IS  - 0022-5282
IL  - 0022-5282
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 00005373-200508000-00030 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Aug
EZ  - 2005/11/19 09:00
DA  - 2005/12/21 09:00
DT  - 2005/11/19 09:00
YR  - 2005
ED  - 20051220
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16294092

<633. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15935561
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Welling L
AU  - van Harten SM
AU  - Patka P
AU  - Bierens JJ
AU  - Boers M
AU  - Luitse JS
AU  - Mackie DP
AU  - Trouwborst A
AU  - Gouma DJ
AU  - Kreis RW
FA  - Welling, L
FA  - van Harten, S M
FA  - Patka, P
FA  - Bierens, J J L M
FA  - Boers, M
FA  - Luitse, J S K
FA  - Mackie, D P
FA  - Trouwborst, A
FA  - Gouma, D J
FA  - Kreis, R W
IN  - Welling, L. Department of Surgery, Academic Medical Center, P.O. box 22660, 1100 DD, Amsterdam, the Netherlands. l.welling@amc.uva.nl
TI  - The cafe fire on New Year's Eve in Volendam, the Netherlands: description of events.
SO  - Burns. 31(5):548-54, 2005 Aug
AS  - Burns. 31(5):548-54, 2005 Aug
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 31
IP  - 5
PG  - 548-54
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Burn Units/sn [Statistics & Numerical Data]
MH  - Burns/ep [Epidemiology]
MH  - *Burns/th [Therapy]
MH  - Emergency Medical Services/sn [Statistics & Numerical Data]
MH  - Emergency Treatment
MH  - Female
MH  - *Fires/sn [Statistics & Numerical Data]
MH  - Hospitals/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Male
MH  - Netherlands
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Smoke Inhalation Injury/ep [Epidemiology]
MH  - Smoke Inhalation Injury/th [Therapy]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
MH  - Triage/og [Organization & Administration]
AB  - AIM OF STUDY: The cafe fire at Volendam occurred shortly after midnight on the first of January 2001 and resulted in one of the worst mass burn incidents in recent Dutch history. The aim of this study was to provide insight into medical and organisational requirements of a major burns incident.
AB  - METHODS: Shortly after the fire, two university hospitals and a burn center in the region of the accident developed a plan for evaluation of medical care given during and after this major burn incident. A multidisciplinary research group investigated the management of victims at the scene, in the emergency departments (ED) and during admission in the hospitals. All 245 casualties were included in this study.
AB  - RESULTS: A brief severe fire occurred in a crowded cafe with around 350 young visitors on a small embankment of a relatively isolated town, resulting in a unusually high number of severely injured burn victims. Four died immediately. The ensuing rescue effort was hampered by poor access and chaotic circumstances. At the scene of the incident, mobile medical teams ensured orderly transport and treatment priority for the injured. There were 245 victims with a median total body surface area burned of 12%. Inhalation injury was present in 96 patients. A total of 182 victims were admitted, with 112 to intensive care. Ten patients died in the hospital. Seventy-eight patients were secondarily transported, many to specialised centers in the Netherlands and abroad. In total, 36 hospitals in three countries participated.
AB  - CONCLUSION: An incident with high numbers of burn victims poses a challenge to any health care system. The difficult circumstances at the site demonstrated the need for robust organisational structures. The primary and secondary distribution of patients required coordination, general hospitals were able to provide initial medical care to these major burn casualties.
IS  - 0305-4179
IL  - 0305-4179
PT  - Journal Article
ID  - S0305-4179(05)00037-9 [pii]
ID  - 10.1016/j.burns.2005.01.009 [doi]
PP  - ppublish
PH  - 2004/11/10 [received]
PH  - 2005/01/11 [accepted]
LG  - English
DP  - 2005 Aug
EZ  - 2005/06/07 09:00
DA  - 2005/12/15 09:00
DT  - 2005/06/07 09:00
YR  - 2005
ED  - 20051213
RD  - 20050704
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15935561

<634. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16256716
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lupton BA
AU  - Pendray MR
FA  - Lupton, Brian A
FA  - Pendray, Margaret R
IN  - Lupton, Brian A. Children's and Women's Health Centre of British Columbia, Division of Neonatology, Room 1R11, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada. blupton@cw.bc.ca
TI  - Regionalized neonatal emergency transport.
SO  - Seminars in Neonatology. 9(2):125-33, 2004 Apr
AS  - Semin Neonatol. 9(2):125-33, 2004 Apr
NJ  - Seminars in neonatology : SN
VO  - 9
IP  - 2
PG  - 125-33
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9606001, dmm
IO  - Semin Neonatol
SB  - Index Medicus
CP  - Netherlands
MH  - British Columbia
MH  - Documentation
MH  - Hospitals, Community
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Intensive Care, Neonatal/og [Organization & Administration]
MH  - Quality Assurance, Health Care
MH  - Referral and Consultation
MH  - *Regional Medical Programs/og [Organization & Administration]
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - Triage
AB  - This article reviews the components that facilitate an effective neonatal emergency transport network, and discusses the human resources required for safe transport, including a section focused on the option of an expanded role for the paramedic. In addition, the topics of transport equipment, communications, quality assurance, data management, family support and education are addressed in the context of a neonatal transport programme. Finally, elements involved in the organization of neonatal transport and transport issues pertaining to networking of neonatal medical care are highlighted and illustrated with reference to local experience in British Columbia.
IS  - 1084-2756
IL  - 1084-2756
PT  - Journal Article
ID  - S1084-2756(03)00130-1 [pii]
ID  - 10.1016/j.siny.2003.08.007 [doi]
PP  - ppublish
LG  - English
DP  - 2004 Apr
EZ  - 2005/11/01 09:00
DA  - 2005/12/13 09:00
DT  - 2005/11/01 09:00
YR  - 2004
ED  - 20051122
RD  - 20051031
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16256716

<635. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16256713
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Zeitlin J
AU  - Papiernik E
AU  - Breart G
AU  - EUROPET Group
FA  - Zeitlin, Jennifer
FA  - Papiernik, Emile
FA  - Breart, Gerard
FA  - EUROPET Group
IN  - Zeitlin, Jennifer. INSERM U149, Epidemiological Research Unit on Perinatal and Women's Health, 123 boulevard Port-Royal, Paris, France. Zeitlin@cochin.inserm.fr
TI  - Regionalization of perinatal care in Europe. [Review] [50 refs]
SO  - Seminars in Neonatology. 9(2):99-110, 2004 Apr
AS  - Semin Neonatol. 9(2):99-110, 2004 Apr
NJ  - Seminars in neonatology : SN
VO  - 9
IP  - 2
PG  - 99-110
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9606001, dmm
IO  - Semin Neonatol
SB  - Index Medicus
CP  - Netherlands
MH  - Europe
MH  - Female
MH  - Health Policy
MH  - Health Services Accessibility
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Intensive Care, Neonatal/og [Organization & Administration]
MH  - Patient Transfer
MH  - *Perinatal Care/og [Organization & Administration]
MH  - Pregnancy
MH  - *Regional Medical Programs/og [Organization & Administration]
MH  - Societies, Medical
AB  - This review describes European health policies related to the place of birth of very preterm babies, and the organizational context in which these policies were enacted using data from two European studies. It also compiles available information on the place of birth of very preterm babies from the published literature. In Europe, there is significant diversity in approaches to the provision of intensive care services for the small proportion of pregnant women and babies that need it, both in terms of health policies and the supply and characteristics of maternity and neonatal units. These diverse models in countries with similar levels of development and medical technology could offer an opportunity to understand how different organizational characteristics affect access to care, health outcomes and resource use. [References: 50]
IS  - 1084-2756
IL  - 1084-2756
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
ID  - S1084-2756(03)00128-3 [pii]
ID  - 10.1016/j.siny.2003.08.004 [doi]
PP  - ppublish
LG  - English
DP  - 2004 Apr
EZ  - 2005/11/01 09:00
DA  - 2005/12/13 09:00
DT  - 2005/11/01 09:00
YR  - 2004
ED  - 20051122
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16256713

<636. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16167528
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Babalova M
AU  - Blahova J
AU  - Kralikova K
AU  - Krcmery V Sr
AU  - Menkyna R
AU  - Bartonikova N
AU  - Skalickova R
FA  - Babalova, M
FA  - Blahova, J
FA  - Kralikova, K
FA  - Krcmery, V Sr
FA  - Menkyna, R
FA  - Bartonikova, N
FA  - Skalickova, R
TI  - Unexpected reservoir of Klebsiella pneumoniae strains with transferable multiple drug resistance causing clinical sepsis in newborns.
SO  - Journal of Chemotherapy. 17(4):454-5, 2005 Aug
AS  - J Chemother. 17(4):454-5, 2005 Aug
NJ  - Journal of chemotherapy (Florence, Italy)
VO  - 17
IP  - 4
PG  - 454-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jcy, 8907348
IO  - J Chemother
SB  - Index Medicus
CP  - England
MH  - *Anti-Bacterial Agents/pd [Pharmacology]
MH  - Bacteremia/di [Diagnosis]
MH  - *Bacteremia/dt [Drug Therapy]
MH  - Bacteremia/ep [Epidemiology]
MH  - Cross Infection/di [Diagnosis]
MH  - *Cross Infection/dt [Drug Therapy]
MH  - Drug Resistance, Multiple, Bacterial
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Klebsiella Infections/di [Diagnosis]
MH  - *Klebsiella Infections/dt [Drug Therapy]
MH  - Klebsiella Infections/ep [Epidemiology]
MH  - *Klebsiella pneumoniae/de [Drug Effects]
MH  - Klebsiella pneumoniae/ip [Isolation & Purification]
MH  - Male
MH  - Microbial Sensitivity Tests
MH  - Risk Assessment
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
RN  - 0 (Anti-Bacterial Agents)
IS  - 1120-009X
IL  - 1120-009X
PT  - Comparative Study
PT  - Letter
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1179/joc.2005.17.4.454 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Aug
EZ  - 2005/09/20 09:00
DA  - 2005/10/28 09:00
DT  - 2005/09/20 09:00
YR  - 2005
ED  - 20051027
RD  - 20090804
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16167528

<637. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16145160
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Naiemi NA
AU  - Duim B
AU  - Savelkoul PH
AU  - Spanjaard L
AU  - de Jonge E
AU  - Bart A
AU  - Vandenbroucke-Grauls CM
AU  - de Jong MD
FA  - Naiemi, Nashwan Al
FA  - Duim, Birgitta
FA  - Savelkoul, Paul H M
FA  - Spanjaard, Lodewijk
FA  - de Jonge, Evert
FA  - Bart, Aldert
FA  - Vandenbroucke-Grauls, Christina M
FA  - de Jong, Menno D
IN  - Naiemi, Nashwan Al. Academic Medical Center, Department of Medical Microbiology, Amsterdam, The Netherlands.
TI  - Widespread transfer of resistance genes between bacterial species in an intensive care unit: implications for hospital epidemiology.
SO  - Journal of Clinical Microbiology. 43(9):4862-4, 2005 Sep
AS  - J Clin Microbiol. 43(9):4862-4, 2005 Sep
NJ  - Journal of clinical microbiology
VO  - 43
IP  - 9
PG  - 4862-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hsh, 7505564
IO  - J. Clin. Microbiol.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1234139
SB  - Index Medicus
CP  - United States
MH  - Acinetobacter Infections/ep [Epidemiology]
MH  - Acinetobacter Infections/mi [Microbiology]
MH  - *Acinetobacter baumannii/de [Drug Effects]
MH  - Acinetobacter baumannii/ge [Genetics]
MH  - Aminoglycosides/pd [Pharmacology]
MH  - Anti-Bacterial Agents/pd [Pharmacology]
MH  - Conjugation, Genetic
MH  - Cross Infection/ep [Epidemiology]
MH  - Cross Infection/mi [Microbiology]
MH  - Disease Outbreaks
MH  - *Drug Resistance, Multiple, Bacterial/ge [Genetics]
MH  - *Enterobacter cloacae/de [Drug Effects]
MH  - Enterobacter cloacae/ge [Genetics]
MH  - Enterobacteriaceae Infections/ep [Epidemiology]
MH  - Enterobacteriaceae Infections/mi [Microbiology]
MH  - *Gene Transfer, Horizontal
MH  - Hospitals
MH  - Humans
MH  - *Intensive Care Units
MH  - Microbial Sensitivity Tests
MH  - Plasmids
MH  - beta-Lactamases/ge [Genetics]
MH  - beta-Lactamases/me [Metabolism]
AB  - A transferable plasmid encoding SHV-12 extended-spectrum beta-lactamase, TEM-116, and aminoglycoside resistance was responsible for two sequential clonal outbreaks of Enterobacter cloacae and Acinetobacter baumannii bacteria. A similar plasmid was present among isolates of four different bacterial species. Recognition of plasmid transfer is crucial for control of outbreaks of multidrug-resistant nosocomial pathogens.
RN  - 0 (Aminoglycosides)
RN  - 0 (Anti-Bacterial Agents)
RN  - EC 3-5-2 (beta-lactamase SHV-12)
RN  - EC 3-5-2-6 (beta-Lactamases)
IS  - 0095-1137
IL  - 0095-1137
PT  - Journal Article
ID  - 43/9/4862 [pii]
ID  - 10.1128/JCM.43.9.4862-4864.2005 [doi]
ID  - PMC1234139 [pmc]
PP  - ppublish
LG  - English
DP  - 2005 Sep
EZ  - 2005/09/08 09:00
DA  - 2005/10/26 09:00
DT  - 2005/09/08 09:00
YR  - 2005
ED  - 20051025
RD  - 20140605
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16145160

<638. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15865826
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rackham OJ
AU  - Thorburn K
AU  - Kerr SJ
FA  - Rackham, Oliver J
FA  - Thorburn, Kentigern
FA  - Kerr, Steve J
IN  - Rackham, Oliver J. Paediatric Intensive Care Unit, Alder Hey Hospital, Royal Liverpool Children's Hospital, Liverpool, United Kingdom. ojrackham@doctors.org.uk
TI  - The potential impact of prophylaxis against bronchiolitis due to the respiratory syncytial virus in children with congenital cardiac malformations.
SO  - Cardiology in the Young. 15(3):251-5, 2005 Jun
AS  - Cardiol Young. 15(3):251-5, 2005 Jun
NJ  - Cardiology in the young
VO  - 15
IP  - 3
PG  - 251-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9200019, C4T
IO  - Cardiol Young
SB  - Index Medicus
CP  - England
MH  - Antibodies, Monoclonal/ec [Economics]
MH  - *Antibodies, Monoclonal/tu [Therapeutic Use]
MH  - Antibodies, Monoclonal, Humanized
MH  - Bronchiolitis/ec [Economics]
MH  - Bronchiolitis/pc [Prevention & Control]
MH  - *Bronchiolitis/vi [Virology]
MH  - Cost Savings
MH  - Cost-Benefit Analysis
MH  - Drug Costs
MH  - England
MH  - *Heart Defects, Congenital/co [Complications]
MH  - Hospital Units/ec [Economics]
MH  - Hospitalization/ec [Economics]
MH  - Humans
MH  - Infant
MH  - Intensive Care Units, Pediatric/ec [Economics]
MH  - Length of Stay/ec [Economics]
MH  - Palivizumab
MH  - Patient Admission/ec [Economics]
MH  - Patient Transfer/ec [Economics]
MH  - Respiratory Syncytial Virus Infections/ec [Economics]
MH  - *Respiratory Syncytial Virus Infections/pc [Prevention & Control]
MH  - *Respiratory Syncytial Viruses/im [Immunology]
MH  - Risk Factors
AB  - AIMS: To determine the number of infants in the Mersey and North West regions with congenital cardiac disease for whom palivizumab may be appropriate, and to examine the potential impact of introducing prophylaxis with palivizumab on these patients and their economic management.
AB  - METHODS: We identified those infants deemed to be at high risk, matching the population recently studied by the Cardiac Synagis Group, from the database of the cardiology department of the hospital. The number of patients under the care of the paediatric cardiologists admitted to Alder Hey Hospital with respiratory syncytial viral bronchiolitis over the last three seasons was identified from hospital coding records, and the database of the cardiology department.
AB  - RESULTS: There are 131 patients at high risk each year. Of these, over the last three "bronchiolitis seasons", 39 infants have been admitted to the hospital with bronchiolitis due to the respiratory syncytial virus. This represents a hospitalisation rate of 10 per cent, as was seen in the study of the Cardiac Synagis Group. Using a monthly dose of 15 milligrams per kilogram for five doses, the cost per patient is 2,650 pounds sterling for the season. To treat the 131 patients seen at Alder Hey, therefore, would cost 346,800 pounds each year. Applying the reductions in hospitalisation identified in the study by the Cardiac Synagis Group to our population would produce an expected reduction in patients hospitalised from 13 to 7 per year, reducing the total length of stay in our hospital wards from 169 to 76 days, and in the paediatric intensive care unit from 93 to 21 days. This amounts to a potential saving of 190,800 pounds per year. Reducing transfers to more distant paediatric intensive care units for referrals refused because of lack of beds could save an additional 50,000 pounds.
AB  - DISCUSSION: We estimate the net cost of introducing palivizumab for this population to be 106,000 pounds per year. There would, of course, be additional costs involved in setting up this service, as well as additional savings and benefits. This cost is comparable with other new biologic therapies now routinely used in the United Kingdom, such as etanercept for juvenile arthritis. There are, currently, no other obvious therapies that have the potential to reduce admissions to hospital and intensive care during the winter months, when beds are at their most scarce.
RN  - 0 (Antibodies, Monoclonal)
RN  - 0 (Antibodies, Monoclonal, Humanized)
RN  - DQ448MW7KS (Palivizumab)
IS  - 1047-9511
IL  - 1047-9511
PT  - Journal Article
ID  - S1047951105000533 [pii]
ID  - 10.1017/S1047951105000533 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Jun
EZ  - 2005/05/04 09:00
DA  - 2005/10/21 09:00
DT  - 2005/05/04 09:00
YR  - 2005
ED  - 20051020
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15865826

<639. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16008149
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - De Luca G
AU  - Suryapranata H
AU  - de Boer MJ
FA  - De Luca, Giuseppe
FA  - Suryapranata, Harry
FA  - de Boer, Menko-Jan
IN  - De Luca, Giuseppe. Department of Cardiology, Isala Klinieken, De Weezenlanden Hospital, Zwolle, The Netherlands. g.deluca@diagram-zwolle.nl
TI  - The Zwolle global experience on primary percutaneous coronary intervention. [Review] [55 refs]
SO  - Italian Heart Journal: Official Journal of the Italian Federation of Cardiology. 6(6):453-8, 2005 Jun
AS  - Ital Heart J. 6(6):453-8, 2005 Jun
NJ  - Italian heart journal : official journal of the Italian Federation of Cardiology
VO  - 6
IP  - 6
PG  - 453-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dk4, 100909716
IO  - Ital Heart J
SB  - Index Medicus
CP  - Italy
MH  - *Angioplasty, Balloon, Coronary/mt [Methods]
MH  - Coronary Angiography
MH  - Coronary Care Units
MH  - Electrocardiography
MH  - Fibrinolytic Agents/tu [Therapeutic Use]
MH  - Humans
MH  - Myocardial Infarction/dg [Diagnostic Imaging]
MH  - Myocardial Infarction/pp [Physiopathology]
MH  - *Myocardial Infarction/th [Therapy]
MH  - Risk Assessment
MH  - *Thrombolytic Therapy/mt [Methods]
MH  - Thrombolytic Therapy/st [Standards]
MH  - Time Factors
MH  - *Transportation of Patients/mt [Methods]
AB  - Timely restoration of antegrade blood flow in the infarct-related artery of patients with ST-segment elevation myocardial infarction (STEMI) results in myocardial salvage and improved survival. We describe the Zwolle approach with regard to prehospital phase, the first 15 min in hospital, initial pharmacological therapy, angiography, angioplasty, risk stratification, rehabilitation and secondary prevention. Confirmation of the diagnosis by 12-lead electrocardiography by either general practitioners or ambulance paramedics allows substantial reduction in the time-delay to first balloon inflation, as the hospital and the catheterization laboratory can be prepared in advance, and the emergency room and the coronary care unit with their unavoidable delays can be skipped on the way to acute angiography. In our setting all patients with STEMI are treated at the time of diagnosis (before or during transportation) with heparin (5000 IU) and aspirin (500 mg) intravenously, with additional oral bolus (300 mg) of clopidogrel and additional 5000 IU heparin at the time of angiography. Our attitude is that an optimal balloon angioplasty result should never be jeopardized just for somewhat lower rate of target vessel revascularization during the first year after the acute event. In particular, attention should be paid to side branches, which may be of more clinical relevance in this setting than with elective angioplasty. Additional mechanical devices, such as distal protection devices and/or thrombosuction, should be mostly used when relevant thrombotic material is visible, with concomitant higher risk of distal embolization, particularly in high-risk patients. Finally, the use of the Zwolle risk score may help to identify low-risk patients who could be safely discharged within 36-48 hours after primary angioplasty, with a significant reduction in the costs of hospitalization. [References: 55]
RN  - 0 (Fibrinolytic Agents)
IS  - 1129-471X
IL  - 1129-471X
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2005 Jun
EZ  - 2005/07/13 09:00
DA  - 2005/10/14 09:00
DT  - 2005/07/13 09:00
YR  - 2005
ED  - 20051013
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16008149

<640. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 16159491
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sunesen KG
AU  - Pallesen J
AU  - Kofoed-Nielsen J
AU  - Christensen EF
FA  - Sunesen, Kare Gotschalck
FA  - Pallesen, Jan
FA  - Kofoed-Nielsen, Jacob
FA  - Christensen, Erika Frischknecht
IN  - Sunesen, Kare Gotschalck. Vestre Ringgade 234 st. tv, DK-8000 Arhus C. jan@studmed.dk.
TI  - [From accident to trauma center--the lapse of time for patients with severe head injuries]. [Danish]
OT  - Fra ulykke til traumecenter--tidsforlob for patienter med alvorlig hovedskade.
SO  - Ugeskrift for Laeger. 167(36):3397-400, 2005 Sep 05
AS  - Ugeskr Laeger. 167(36):3397-400, 2005 Sep 05
NJ  - Ugeskrift for laeger
VO  - 167
IP  - 36
PG  - 3397-400
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0141730, wm8
IO  - Ugeskr. Laeg.
SB  - Index Medicus
CP  - Denmark
MH  - Craniocerebral Trauma/di [Diagnosis]
MH  - Craniocerebral Trauma/mo [Mortality]
MH  - Craniocerebral Trauma/th [Therapy]
MH  - *Craniocerebral Trauma
MH  - Denmark
MH  - Glasgow Coma Scale
MH  - Hematoma, Subdural/di [Diagnosis]
MH  - Hematoma, Subdural/th [Therapy]
MH  - Humans
MH  - Injury Severity Score
MH  - Intensive Care Units
MH  - Neurosurgical Procedures
MH  - *Patient Transfer
MH  - Prognosis
MH  - Retrospective Studies
MH  - Subarachnoid Hemorrhage, Traumatic/di [Diagnosis]
MH  - Subarachnoid Hemorrhage, Traumatic/th [Therapy]
MH  - Time Factors
MH  - *Transportation of Patients
MH  - *Trauma Centers
AB  - INTRODUCTION: Early neurosurgical intervention and specialised neurointensive care have been shown to decrease morbidity and mortality in cases of severe head injury. This makes quick or direct transfer to a trauma centre essential. The aim of this study was to investigate the time from the time of the accident required for secondarily transferred patients with head injury to arrive at the trauma centre in Aarhus.
AB  - MATERIALS AND METHODS: This was a descriptive study based on consecutive data on patients secondarily transferred to Aarhus Trauma Centre in 2003. Only patients with head injury admitted to the neurosurgical intensive care unit were included. The time of the accident was defined as the time of dispatch of the ambulance.
AB  - RESULTS: A total of 89 patients were transferred secondarily to the trauma centre in Aarhus 2003; 43 of these had head injury. The median Glasgow Coma Score was 6.5 (3-15). The median time from accident to arrival at the trauma centre was 3 hours and 50 minutes (44 minutes to 20 hours, 4 minutes), and 42% of the patients arrived later than 4 hours after the injury. The distance from the primary hospital to the trauma centre was between 1.9 and 172 kilometers, and there was no association between distance and time.
AB  - DISCUSSION: The time from accident to arrival at the trauma centre was long, considering the severity of the injuries and the short distances involved. Direct transfer from the site of accident to the trauma centre would almost certainly improve the time. This study gives a reference value for the Danish trauma system.
ES  - 1603-6824
IL  - 0041-5782
PT  - English Abstract
PT  - Journal Article
ID  - VP45580 [pii]
PP  - ppublish
LG  - Danish
DP  - 2005 Sep 05
EZ  - 2005/09/15 09:00
DA  - 2005/09/16 09:00
DT  - 2005/09/15 09:00
YR  - 2005
ED  - 20050915
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16159491

<641. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15946928
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Van Waning NR
AU  - Kleiber C
AU  - Freyenberger B
FA  - Van Waning, Natalie R
FA  - Kleiber, Charmaine
FA  - Freyenberger, Barbara
IN  - Van Waning, Natalie R. University of Iowa Hospital and Clinics, Iowa City, Iowa, USA.
TI  - Development and implementation of a protocol for transfers out of the pediatric intensive care unit.
SO  - Critical Care Nurse. 25(3):50-5, 2005 Jun
AS  - Crit Care Nurse. 25(3):50-5, 2005 Jun
NJ  - Critical care nurse
VO  - 25
IP  - 3
PG  - 50-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dt8, 8207799
IO  - Crit Care Nurse
SB  - Nursing Journal
CP  - United States
MH  - Attitude to Health
MH  - Child
MH  - Child, Hospitalized/px [Psychology]
MH  - *Clinical Protocols/st [Standards]
MH  - Communication
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/px [Psychology]
MH  - Evidence-Based Medicine
MH  - Family/px [Psychology]
MH  - Humans
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Needs Assessment
MH  - Nurse's Role
MH  - Nurse-Patient Relations
MH  - Nursing Audit
MH  - Nursing Evaluation Research
MH  - Nursing Methodology Research
MH  - Patient Education as Topic/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Pediatric Nursing/og [Organization & Administration]
MH  - Program Evaluation
MH  - Surveys and Questionnaires
MH  - Teaching Materials
IS  - 0279-5442
IL  - 0279-5442
PT  - Evaluation Studies
PT  - Journal Article
ID  - 25/3/50 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Jun
EZ  - 2005/06/11 09:00
DA  - 2005/09/01 09:00
DT  - 2005/06/11 09:00
YR  - 2005
ED  - 20050830
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15946928

<642. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15946925
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chaboyer W
AU  - James H
AU  - Kendall M
FA  - Chaboyer, Wendy
FA  - James, Heather
FA  - Kendall, Melissa
IN  - Chaboyer, Wendy. Research Centre for Clinical Practice Innovation, Griffith University, Gold Coast, Australia.
TI  - Transitional care after the intensive care unit: current trends and future directions. [Review] [83 refs]
SO  - Critical Care Nurse. 25(3):16-8, 20-2, 24-6 passim; quiz 29, 2005 Jun
AS  - Crit Care Nurse. 25(3):16-8, 20-2, 24-6 passim; quiz 29, 2005 Jun
NJ  - Critical care nurse
VO  - 25
IP  - 3
PG  - 16-8, 20-2, 24-6 passim; quiz 29
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dt8, 8207799
IO  - Crit Care Nurse
SB  - Nursing Journal
CP  - United States
MH  - Ambulatory Care/og [Organization & Administration]
MH  - Australia
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/px [Psychology]
MH  - Forecasting
MH  - Humans
MH  - Models, Nursing
MH  - Needs Assessment
MH  - Nurse Clinicians/og [Organization & Administration]
MH  - Nurse's Role
MH  - Nursing Theory
MH  - Patient Discharge/td [Trends]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Progressive Patient Care/og [Organization & Administration]
MH  - *Subacute Care/og [Organization & Administration]
MH  - Subacute Care/px [Psychology]
MH  - United Kingdom
MH  - United States
IS  - 0279-5442
IL  - 0279-5442
PT  - Journal Article
PT  - Review
ID  - 25/3/16 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Jun
EZ  - 2005/06/11 09:00
DA  - 2005/09/01 09:00
DT  - 2005/06/11 09:00
YR  - 2005
ED  - 20050830
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15946925

<643. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15907668
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Strahan EH
AU  - Brown RJ
FA  - Strahan, Eunice H E
FA  - Brown, Robert J
IN  - Strahan, Eunice H E. Regional Intensive Care Unit, The Royal Hospitals Trust, Grosvenor Road, Belfast, Co Antrim BT12 6BA, UK. eunicestrahan@aol.com
TI  - A qualitative study of the experiences of patients following transfer from intensive care.
CM  - Comment in: Intensive Crit Care Nurs. 2008 Aug;24(4):209-10; PMID: 18472264
SO  - Intensive & Critical Care Nursing. 21(3):160-71, 2005 Jun
AS  - Intensive Crit Care Nurs. 21(3):160-71, 2005 Jun
NJ  - Intensive & critical care nursing
VO  - 21
IP  - 3
PG  - 160-71
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Activities of Daily Living
MH  - Adaptation, Psychological
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Attitude to Health
MH  - Communication
MH  - *Critical Care/px [Psychology]
MH  - Emotions
MH  - Fatigue/et [Etiology]
MH  - Female
MH  - Health Facility Environment
MH  - Health Services Needs and Demand
MH  - Humans
MH  - *Inpatients/px [Psychology]
MH  - Male
MH  - Middle Aged
MH  - Nursing Assessment
MH  - Nursing Methodology Research
MH  - Patient Education as Topic
MH  - *Patient Transfer
MH  - Qualitative Research
MH  - Risk Factors
MH  - Sleep Wake Disorders/et [Etiology]
MH  - Stress, Psychological/et [Etiology]
MH  - Surveys and Questionnaires
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 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.
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
ID  - S0964-3397(04)00123-5 [pii]
ID  - 10.1016/j.iccn.2004.10.005 [doi]
PP  - ppublish
PH  - 2003/06/24 [received]
PH  - 2004/09/09 [revised]
PH  - 2004/10/05 [accepted]
LG  - English
EP  - 20041208
DP  - 2005 Jun
EZ  - 2005/05/24 09:00
DA  - 2005/08/19 09:00
DT  - 2005/05/24 09:00
YR  - 2005
ED  - 20050818
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15907668

<644. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15756122
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jordan MH
AU  - Mozingo DW
AU  - Gibran NS
AU  - Barillo DJ
AU  - Purdue GF
FA  - Jordan, Marion H
FA  - Mozingo, David W
FA  - Gibran, Nicole S
FA  - Barillo, David J
FA  - Purdue, Gary F
IN  - Jordan, Marion H. Committee on Organization and Delivery of Burn Care and Ad Hoc Disaster Response Planning Committee, American Burn Association, Chicago, Illinois, USA.
TI  - Plenary Session II: American Burn Association Disaster Readiness Plan.
SO  - Journal of Burn Care & Rehabilitation. 26(2):183-91, 2005 Mar-Apr
AS  - J Burn Care Rehabil. 26(2):183-91, 2005 Mar-Apr
NJ  - The Journal of burn care & rehabilitation
VO  - 26
IP  - 2
PG  - 183-91
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - *Burn Units/og [Organization & Administration]
MH  - *Burns/th [Therapy]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - Humans
MH  - Patient Transfer
MH  - Regional Medical Programs
MH  - Societies, Medical
MH  - Triage
MH  - United States
MH  - United States Government Agencies
IS  - 0273-8481
IL  - 0273-8481
PT  - Congresses
ID  - 00004630-200503000-00017 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Mar-Apr
EZ  - 2005/03/10 09:00
DA  - 2005/07/27 09:00
DT  - 2005/03/10 09:00
YR  - 2005
ED  - 20050726
RD  - 20050309
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15756122

<645. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15756119
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Greenfield E
AU  - Winfree J
FA  - Greenfield, Elisabeth
FA  - Winfree, Juanita
IN  - Greenfield, Elisabeth. Army Nurse Corps, San Antonio, Texas, USA.
TI  - Nursing's role in the planning, preparation, and response to burn disaster or mass casualty events.
SO  - Journal of Burn Care & Rehabilitation. 26(2):166-9, 2005 Mar-Apr
AS  - J Burn Care Rehabil. 26(2):166-9, 2005 Mar-Apr
NJ  - The Journal of burn care & rehabilitation
VO  - 26
IP  - 2
PG  - 166-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - *Accidents, Aviation
MH  - *Burn Units/og [Organization & Administration]
MH  - Burn Units/ut [Utilization]
MH  - *Burns/nu [Nursing]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - Emergency Treatment/is [Instrumentation]
MH  - Equipment and Supplies, Hospital/sd [Supply & Distribution]
MH  - Humans
MH  - Iraq
MH  - Military Nursing/ed [Education]
MH  - *Military Nursing/og [Organization & Administration]
MH  - Military Personnel
MH  - North Carolina
MH  - *Nurse's Role
MH  - Organizational Case Studies
MH  - Patient Transfer
MH  - Texas
MH  - United States
IS  - 0273-8481
IL  - 0273-8481
PT  - Journal Article
ID  - 00004630-200503000-00014 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Mar-Apr
EZ  - 2005/03/10 09:00
DA  - 2005/07/27 09:00
DT  - 2005/03/10 09:00
YR  - 2005
ED  - 20050726
RD  - 20050309
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15756119

<646. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15756117
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cancio LC
AU  - Horvath EE
AU  - Barillo DJ
AU  - Kopchinski BJ
AU  - Charter KR
AU  - Montalvo AE
AU  - Buescher TM
AU  - Brengman ML
AU  - Brandt MM
AU  - Holcomb JB
FA  - Cancio, Leopoldo C
FA  - Horvath, E Eric
FA  - Barillo, David J
FA  - Kopchinski, Bernard J
FA  - Charter, Keith R
FA  - Montalvo, Alfredo E
FA  - Buescher, Teresa M
FA  - Brengman, Matthew L
FA  - Brandt, Mary-Margaret
FA  - Holcomb, John B
IN  - Cancio, Leopoldo C. US Army Institute of Surgical Research, Fort Sam Houston, Texas 78234-6315, USA.
TI  - Burn support for Operation Iraqi Freedom and related operations, 2003 to 2004.
SO  - Journal of Burn Care & Rehabilitation. 26(2):151-61, 2005 Mar-Apr
AS  - J Burn Care Rehabil. 26(2):151-61, 2005 Mar-Apr
NJ  - The Journal of burn care & rehabilitation
VO  - 26
IP  - 2
PG  - 151-61
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - *Burn Units/og [Organization & Administration]
MH  - Burn Units/ut [Utilization]
MH  - Burns/et [Etiology]
MH  - *Burns/th [Therapy]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - *Hospitals, Military/og [Organization & Administration]
MH  - Hospitals, Military/ut [Utilization]
MH  - Hospitals, Packaged/og [Organization & Administration]
MH  - Hospitals, Packaged/ut [Utilization]
MH  - Humans
MH  - Iraq
MH  - Military Medicine/mt [Methods]
MH  - *Military Medicine/og [Organization & Administration]
MH  - Organizational Case Studies
MH  - Patient Care Team
MH  - Patient Transfer
MH  - Ships
MH  - Time Factors
MH  - Triage
MH  - United States
MH  - *Warfare
AB  - Thermal injury historically constitutes approximately 5% to 20% of conventional warfare casualties. This article reviews medical planning for burn care during war in Iraq and experience with burns during the war at the US Army Burn Center; aboard the USNS Comfort hospital ship; and at Combat Support Hospitals in Iraq and in Afghanistan. Two burn surgeons were deployed to the military hospital in Landstuhl, Germany, and to the Gulf Region to assist with triage and patient care. During March 2003 to May 2004, 109 burn casualties from the war have been hospitalized at the US Army Burn Center in San Antonio, Texas, and US Army Burn Flight Teams have moved 51 critically ill burn casualties to the Burn Center. Ten Iraqi burn patients underwent surgery and were hospitalized for up to 1 month aboard the Comfort, including six with massive wounds. Eighty-six burn casualties were hospitalized at the 28th Combat Support Hospital for up to 53 days. This experience highlights the importance of anticipating the burn care needs of both combatants and the local civilian population during war.
IS  - 0273-8481
IL  - 0273-8481
PT  - Journal Article
ID  - 00004630-200503000-00012 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Mar-Apr
EZ  - 2005/03/10 09:00
DA  - 2005/07/27 09:00
DT  - 2005/03/10 09:00
YR  - 2005
ED  - 20050726
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15756117

<647. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15756116
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cairns BA
AU  - Stiffler A
AU  - Price F
AU  - Peck MD
AU  - Meyer AA
FA  - Cairns, Bruce A
FA  - Stiffler, Arvilla
FA  - Price, Fred
FA  - Peck, Michael D
FA  - Meyer, Anthony A
IN  - Cairns, Bruce A. North Carolina Jaycee Burn Center and Department of Surgery, University of North Carolina, Chapel Hill, North Carolina 27514, USA.
TI  - Managing a combined burn trauma disaster in the post-9/11 world: lessons learned from the 2003 West Pharmaceutical plant explosion.
SO  - Journal of Burn Care & Rehabilitation. 26(2):144-50, 2005 Mar-Apr
AS  - J Burn Care Rehabil. 26(2):144-50, 2005 Mar-Apr
NJ  - The Journal of burn care & rehabilitation
VO  - 26
IP  - 2
PG  - 144-50
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - *Burn Units/og [Organization & Administration]
MH  - Burn Units/ut [Utilization]
MH  - Burns/mo [Mortality]
MH  - *Burns/th [Therapy]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - *Drug Industry
MH  - Emergency Medical Service Communication Systems
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - *Explosions
MH  - Humans
MH  - North Carolina/ep [Epidemiology]
MH  - Organizational Case Studies
MH  - Patient Transfer
MH  - Regional Medical Programs
MH  - September 11 Terrorist Attacks
MH  - Time Factors
MH  - *Trauma Centers/og [Organization & Administration]
MH  - Trauma Centers/ut [Utilization]
MH  - Triage
AB  - At 1:37 pm on January 29, 2003, an explosion occurred at the West Pharmaceutical chemical plant in Kinston, North Carolina. The explosion killed three people at the scene and resulted in more than 30 admissions to area hospitals. The disaster resulted in 10 critically ill burn patients, who were all intubated with inhalation injuries, many with combined burn and trauma injuries. All 10 critically injured patients were admitted to a tertiary care facility 100 miles away with both a Level I trauma center and a verified burn center. Ultimately, 7 of 10 patients survived (a mortality rate of 30%), and none were transferred to another trauma or burn center. This article analyzes the unique challenges that combined burn and trauma patients present during a disaster, critically examines the response to this disaster, describes lessons learned, and presents recommendations that may improve the response to such disasters in the future.
IS  - 0273-8481
IL  - 0273-8481
PT  - Journal Article
ID  - 00004630-200503000-00011 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Mar-Apr
EZ  - 2005/03/10 09:00
DA  - 2005/07/27 09:00
DT  - 2005/03/10 09:00
YR  - 2005
ED  - 20050726
RD  - 20050309
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15756116

<648. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15756115
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Harrington DT
AU  - Biffl WL
AU  - Cioffi WG
FA  - Harrington, David T
FA  - Biffl, Walter L
FA  - Cioffi, William G
IN  - Harrington, David T. Brown Medical School/Rhode Island Hospital, Providence, Rhode Island 02903, USA.
TI  - The station nightclub fire.
SO  - Journal of Burn Care & Rehabilitation. 26(2):141-3, 2005 Mar-Apr
AS  - J Burn Care Rehabil. 26(2):141-3, 2005 Mar-Apr
NJ  - The Journal of burn care & rehabilitation
VO  - 26
IP  - 2
PG  - 141-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - Boston
MH  - Burn Units/ut [Utilization]
MH  - Burns/cl [Classification]
MH  - Burns/su [Surgery]
MH  - *Burns/th [Therapy]
MH  - Cooperative Behavior
MH  - Decision Making
MH  - *Disaster Planning/og [Organization & Administration]
MH  - Disaster Planning/st [Standards]
MH  - Emergency Medical Service Communication Systems
MH  - *Fires
MH  - Humans
MH  - Organizational Case Studies
MH  - *Patient Transfer
MH  - Regional Medical Programs
MH  - Rhode Island
MH  - *Trauma Centers/og [Organization & Administration]
MH  - Trauma Centers/ut [Utilization]
MH  - *Triage
IS  - 0273-8481
IL  - 0273-8481
PT  - Journal Article
ID  - 00004630-200503000-00010 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Mar-Apr
EZ  - 2005/03/10 09:00
DA  - 2005/07/27 09:00
DT  - 2005/03/10 09:00
YR  - 2005
ED  - 20050726
RD  - 20050309
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15756115

<649. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15756114
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mozingo DW
AU  - Barillo DJ
AU  - Holcomb JB
FA  - Mozingo, David W
FA  - Barillo, David J
FA  - Holcomb, John B
IN  - Mozingo, David W. US Army Institute of Surgical Research, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
TI  - The Pope Air Force Base aircraft crash and burn disaster.
SO  - Journal of Burn Care & Rehabilitation. 26(2):132-40, 2005 Mar-Apr
AS  - J Burn Care Rehabil. 26(2):132-40, 2005 Mar-Apr
NJ  - The Journal of burn care & rehabilitation
VO  - 26
IP  - 2
PG  - 132-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - *Accidents, Aviation
MH  - Aircraft
MH  - *Burn Units/ut [Utilization]
MH  - Burns/rh [Rehabilitation]
MH  - Burns/su [Surgery]
MH  - *Burns/th [Therapy]
MH  - *Disaster Planning/og [Organization & Administration]
MH  - Explosions
MH  - *Hospitals, Military/og [Organization & Administration]
MH  - Hospitals, Military/ut [Utilization]
MH  - Humans
MH  - Military Medicine
MH  - *Military Personnel
MH  - North Carolina
MH  - Organizational Case Studies
MH  - *Patient Transfer
MH  - Triage
AB  - This report describes the initial hospital and burn center management of a mass casualty incident resulting from an aircraft crash and fire. One hundred thirty soldiers were injured, including 10 immediate fatalities. Womack Army Medical Center at Fort Bragg, North Carolina, managed the casualties and began receiving patients 15 minutes after the crash. As a result of repetitive training that included at least two mass casualty drills each year, the triage area and emergency department were cleared of all patients within 2 hours. Fifty patients were transferred to burn centers, including 43 patients to the US Army Institute of Surgical Research. This constitutes the largest single mass casualty incident experienced in the 57-year history of the Institute. All patients of the US Army Institute of Surgical Research survived to hospital discharge, and 34 returned to duty 3 months after the crash. The scenario of an on-ground aircraft explosion and fire approximates what might be seen as a result of an aircraft hijacking, bombing, or intentional crash. Lessons learned from this incident have utility in the planning of future response to such disasters.
IS  - 0273-8481
IL  - 0273-8481
PT  - Journal Article
ID  - 00004630-200503000-00009 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Mar-Apr
EZ  - 2005/03/10 09:00
DA  - 2005/07/27 09:00
DT  - 2005/03/10 09:00
YR  - 2005
ED  - 20050726
RD  - 20050309
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15756114

<650. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15919645
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Andersen HR
AU  - Terkelsen CJ
AU  - Thuesen L
AU  - Krusell LR
AU  - Kristensen SD
AU  - Botker HE
AU  - Lassen JF
AU  - Nielsen TT
FA  - Andersen, H R
FA  - Terkelsen, C J
FA  - Thuesen, L
FA  - Krusell, L R
FA  - Kristensen, S D
FA  - Botker, H E
FA  - Lassen, J F
FA  - Nielsen, T T
IN  - Andersen, H R. Department of Cardiology B, Skejby University Hospital, DK-8200 Aarhus N, Denmark. henning.rud.andersen@iekf.au.dk
TI  - Myocardial infarction centres: the way forward. [Review] [35 refs]
SO  - Heart. 91 Suppl 3:iii12-5, 2005 Jun
AS  - Heart. 91 Suppl 3:iii12-5, 2005 Jun
NJ  - Heart (British Cardiac Society)
VO  - 91 Suppl 3
PG  - iii12-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 9602087
IO  - Heart
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1876360
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Coronary Care Units/og [Organization & Administration]
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - Emergency Treatment/mt [Methods]
MH  - Humans
MH  - *Myocardial Infarction/th [Therapy]
MH  - Patient Transfer/og [Organization & Administration]
MH  - Time Factors
AB  - In the era of primary PCI, a strategy of admitting patients to the nearest hospital should be obsolete. Instead, a prehospital diagnostic strategy should be implemented in order to: (1) refer patients directly to interventional centres, thereby eliminating delay at local hospitals; (2) alert the interventional centre, thereby reducing door to balloon times; (3) initiate adjunctive medication in the prehospital phase. [References: 35]
ES  - 1468-201X
IL  - 1355-6037
PT  - Journal Article
PT  - Review
ID  - 91/suppl_3/iii12 [pii]
ID  - 10.1136/hrt.2004.058537 [doi]
ID  - PMC1876360 [pmc]
PP  - ppublish
LG  - English
DP  - 2005 Jun
EZ  - 2005/05/28 09:00
DA  - 2005/07/20 09:00
DT  - 2005/05/28 09:00
YR  - 2005
ED  - 20050719
RD  - 20140606
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15919645

<651. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15636659
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fiorito BA
AU  - Mirza F
AU  - Doran TM
AU  - Oberle AN
AU  - Cruz EC
AU  - Wendtland CL
AU  - Abd-Allah SA
FA  - Fiorito, Brad A
FA  - Mirza, Farrukh
FA  - Doran, Theresa M
FA  - Oberle, Anita N
FA  - Cruz, Eleanor C Vince
FA  - Wendtland, Cherry L
FA  - Abd-Allah, Shamel A
IN  - Fiorito, Brad A. Division of Pediatric Critical Care, Loma Linda University School of Medicine, Loma Linda, CA, USA.
TI  - Intraosseous access in the setting of pediatric critical care transport.
SO  - Pediatric Critical Care Medicine. 6(1):50-3, 2005 Jan
AS  - Pediatr Crit Care Med. 6(1):50-3, 2005 Jan
NJ  - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
VO  - 6
IP  - 1
PG  - 50-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100954653
IO  - Pediatr Crit Care Med
SB  - Index Medicus
CP  - United States
MH  - California
MH  - Cardiotonic Agents/ad [Administration & Dosage]
MH  - Catheters, Indwelling
MH  - Child
MH  - Child, Preschool
MH  - Critical Care/mt [Methods]
MH  - *Critical Care/st [Standards]
MH  - Emergency Medical Technicians/ed [Education]
MH  - Emergency Medical Technicians/st [Standards]
MH  - Emergency Treatment/mt [Methods]
MH  - *Emergency Treatment/st [Standards]
MH  - Humans
MH  - Infant
MH  - Infusions, Intraosseous/mt [Methods]
MH  - *Infusions, Intraosseous/st [Standards]
MH  - Intensive Care Units, Pediatric
MH  - *Medical Audit
MH  - Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - Pediatrics/ed [Education]
MH  - Pediatrics/st [Standards]
MH  - Retrospective Studies
MH  - *Transportation of Patients/st [Standards]
AB  - OBJECTIVE: To demonstrate safety and efficacy of intraosseous needle placement among health care provider groups in the setting of pediatric critical care transport.
AB  - DESIGN: Retrospective chart review.
AB  - SETTING: Pediatric critical care transports to a pediatric intensive care unit.
AB  - 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.
AB  - INTERVENTIONS: Intraosseous access placed for emergent vascular access.
AB  - 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.
AB  - 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.
RN  - 0 (Cardiotonic Agents)
IS  - 1529-7535
IL  - 1529-7535
PT  - Comparative Study
PT  - Journal Article
ID  - 01.PCC.0000149137.96577.A6 [pii]
ID  - 10.1097/01.PCC.0000149137.96577.A6 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Jan
EZ  - 2005/01/08 09:00
DA  - 2005/07/15 09:00
DT  - 2005/01/08 09:00
YR  - 2005
ED  - 20050714
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15636659

<652. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15976230
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schuster M
AU  - Standl T
AU  - Reissmann H
AU  - Kuntz L
AU  - Am Esch JS
FA  - Schuster, Martin
FA  - Standl, Thomas
FA  - Reissmann, Hajo
FA  - Kuntz, Ludwig
FA  - Am Esch, Jochen Schulte
IN  - Schuster, Martin. Department of Anesthesiology, University Hospital Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. m.schuster@uke.uni-hamburg.dk
TI  - Reduction of anesthesia process times after the introduction of an internal transfer pricing system for anesthesia services.
SO  - Anesthesia & Analgesia. 101(1):187-94, table of contents, 2005 Jul
AS  - Anesth Analg. 101(1):187-94, table of contents, 2005 Jul
NJ  - Anesthesia and analgesia
VO  - 101
IP  - 1
PG  - 187-94, table of contents
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4r8, 1310650
IO  - Anesth. Analg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Anesthesia/ec [Economics]
MH  - *Anesthesia Department, Hospital/ec [Economics]
MH  - *Anesthesia Department, Hospital/og [Organization & Administration]
MH  - Hospital Records
MH  - Humans
MH  - Personnel Staffing and Scheduling
MH  - Recovery Room/ec [Economics]
MH  - Recovery Room/og [Organization & Administration]
AB  - To improve operating room workflow, an internal transfer pricing system (ITPS) for anesthesia services was introduced in our hospital in 2001. The basic principle of the ITPS is that the department of anesthesia receives reimbursement only for the surgically controlled time, not for anesthesia-controlled time (ACT). A reduction in anesthesia process times is therefore beneficial for the anesthesia department. In this study, we analyzed the ACT (with its parts: preparation before induction, induction, extubation, and recovery room transfer) for 3 yr before and 3 yr after the introduction of the ITPS in 55,776 cases. Furthermore, the anesthesia cases were subsegmented into 10 different anesthesia techniques, and the process times were studied. The average total ACT was reduced from 40.4 +/- 23.5 min in 1998 to 34.3 +/- 21.7 min in 2003. The main effect came from reductions in anesthesia preparation time and recovery room transfer time, whereas induction and extubation time changed little. A significant reduction in average ACT was seen in 7 of 10 analyzed anesthesia techniques, ranging from 4 to 18 min. We conclude that transfer pricing of anesthesia services based on the surgically controlled time can be a successful approach to reduce anesthesia process times.
IS  - 0003-2999
IL  - 0003-2999
PT  - Journal Article
ID  - 101/1/187 [pii]
ID  - 10.1213/01.ANE.0000154187.47998.60 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Jul
EZ  - 2005/06/25 09:00
DA  - 2005/07/13 09:00
DT  - 2005/06/25 09:00
YR  - 2005
ED  - 20050712
RD  - 20050624
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15976230

<653. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15839240
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hall EO
FA  - Hall, Elisabeth O C
IN  - Hall, Elisabeth O C. Department of Nursing Science, Aarhus University, Aarhus, Denmark. eh@nursingscience.au.dk
TI  - Danish parents' experiences when their new born or critically ill small child is transferred to the PICU-a qualitative study.
SO  - Nursing in Critical Care. 10(2):90-7, 2005 Mar-Apr
AS  - Nurs Crit Care. 10(2):90-7, 2005 Mar-Apr
NJ  - Nursing in critical care
VO  - 10
IP  - 2
PG  - 90-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9808649, c3k
IO  - Nurs Crit Care
SB  - Nursing Journal
CP  - England
MH  - Adult
MH  - Denmark
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Pediatric
MH  - *Life Change Events
MH  - Male
MH  - Nurse-Patient Relations
MH  - *Parents/px [Psychology]
MH  - *Patient Transfer
MH  - Professional-Family Relations
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.
IS  - 1362-1017
IL  - 1362-1017
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2005 Mar-Apr
EZ  - 2005/04/21 09:00
DA  - 2005/07/01 09:00
DT  - 2005/04/21 09:00
YR  - 2005
ED  - 20050630
RD  - 20050420
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15839240

<654. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15869134
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tekin A
AU  - Namias N
AU  - O'Keeffe T
AU  - Pizano L
AU  - Lynn M
AU  - Prater-Varas R
AU  - Quintana OD
AU  - Borges L
AU  - Ishii M
AU  - Lee S
AU  - Lopez P
AU  - Lessner-Eisenberg S
AU  - Alvarez A
AU  - Ellison T
AU  - Sapnas K
AU  - Lefton J
AU  - Ward CG
FA  - Tekin, Akin
FA  - Namias, Nicholas
FA  - O'Keeffe, Terence
FA  - Pizano, Louis
FA  - Lynn, Mauricio
FA  - Prater-Varas, Robin
FA  - Quintana, Olga Delia
FA  - Borges, Leda
FA  - Ishii, Mary
FA  - Lee, Seong
FA  - Lopez, Peter
FA  - Lessner-Eisenberg, Sharon
FA  - Alvarez, Angel
FA  - Ellison, Tom
FA  - Sapnas, Katherine
FA  - Lefton, Jennifer
FA  - Ward, Charles Gillon
IN  - Tekin, Akin. University of Miami/Jackson Memorial Burn Center, Miami, Florida, USA.
TI  - A burn mass casualty event due to boiler room explosion on a cruise ship: preparedness and outcomes.
SO  - American Surgeon. 71(3):210-5, 2005 Mar
AS  - Am Surg. 71(3):210-5, 2005 Mar
NJ  - The American surgeon
VO  - 71
IP  - 3
PG  - 210-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 43e, 0370522
IO  - Am Surg
SB  - Index Medicus
CP  - United States
MH  - Body Surface Area
MH  - Burn Units
MH  - Burns/di [Diagnosis]
MH  - Burns/mo [Mortality]
MH  - *Burns/th [Therapy]
MH  - *Disaster Planning/st [Standards]
MH  - Emergency Medical Services
MH  - *Explosions
MH  - Female
MH  - First Aid/st [Standards]
MH  - Florida
MH  - Follow-Up Studies
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Practice Guidelines as Topic
MH  - Risk Assessment
MH  - Ships
MH  - Survival Rate
MH  - *Triage
AB  - The purpose of this study was to review our experience with a mass casualty incident resulting from a boiler room steam explosion aboard a cruise ship. Experience with major, moderate, and minor burns, steam inhalation, mass casualty response systems, and psychological sequelae will be discussed. Fifteen cruise ship employees were brought to the burn center after a boiler room explosion on a cruise ship. Eleven were triaged to the trauma resuscitation area and four to the surgical emergency room. Seven patients were intubated for respiratory distress or airway protection. Six patients had >80 per cent burns with steam inhalation, and all of these died. One of the 6 patients had 99 per cent burns with steam inhalation and died after withdrawal of support within the first several hours. All patients with major burns required escharotomy on arrival to trauma resuscitation. One patient died in the operating room, despite decompression by laparotomy for abdominal compartment syndrome and pericardiotomy via thoracotomy for cardiac tamponade. Four patients required crystalloid, 20,000 mls/m2-27,000 ml/m2 body surface area (BSA) in the first 48 hours to maintain blood pressure and urine output. Three of these four patients subsequently developed abdominal compartment syndrome and died in the first few days. The fourth patient of this group died after 26 days due to sepsis. Five patients had 13-20 per cent bums and four patients had less than 10 per cent burns. Two of the patients with 20 per cent burns developed edema of the vocal cords with mild hoarseness. They improved and recovered without intubation. The facility was prepared for the mass casualty event; having just completed a mass casualty drill several days earlier. Twenty-six beds were made available in 50 minutes for anticipated casualties. Fifteen physicians reported immediately to the trauma resuscitation area to assist in initial stabilization. The event occurred at shift change; thus, adequate support personnel were instantaneously to hand. Our mass casualty preparation proved useful in managing this event. Most of the patients who survived showed signs of post-traumatic stress syndrome, which was diagnosed and treated by the burn center psychology team. Despite our efforts at treating large burns (>80%) with steam inhalation, mortality was 100 per cent. Fluid requirements far exceeded those predicted by the Parkland (Baxter) formula. Abdominal compartment syndrome proved to be a significant complication of this fluid resuscitation. A coordinated effort by the facility and preparation for mass casualty events are needed to respond to such events.
IS  - 0003-1348
IL  - 0003-1348
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2005 Mar
EZ  - 2005/05/05 09:00
DA  - 2005/06/09 09:00
DT  - 2005/05/05 09:00
YR  - 2005
ED  - 20050608
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15869134

<655. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15839225
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kokhno VN
AU  - Shmakov AN
AU  - Levin OB
AU  - Iudanov AV
AU  - Iagupov DP
FA  - Kokhno, V N
FA  - Shmakov, A N
FA  - Levin, O B
FA  - Iudanov, A V
FA  - Iagupov, D P
TI  - [Criteria for tactic decision in critically ill neonatal infants]. [Russian]
SO  - Anesteziologiia i Reanimatologiia. (1):44-6, 2005 Jan-Feb
AS  - Anesteziol Reanimatol. (1):44-6, 2005 Jan-Feb
NJ  - Anesteziologiia i reanimatologiia
IP  - 1
PG  - 44-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4st, 7705399
IO  - Anesteziol Reanimatol
SB  - Index Medicus
CP  - Russia (Federation)
MH  - Critical Illness/mo [Mortality]
MH  - Critical Illness/th [Therapy]
MH  - *Critical Illness
MH  - *Decision Making
MH  - Female
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Rural Population
MH  - Russia
MH  - Transportation of Patients
IS  - 0201-7563
IL  - 0201-7563
PT  - Journal Article
PP  - ppublish
LG  - Russian
DP  - 2005 Jan-Feb
EZ  - 2005/04/21 09:00
DA  - 2005/06/07 09:00
DT  - 2005/04/21 09:00
YR  - 2005
ED  - 20050606
RD  - 20050420
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15839225

<656. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15891375
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Masur H
AU  - Murray P
FA  - Masur, Henry
FA  - Murray, Patrick
TI  - Tsunami disaster and infection: Beware what pathogens the transport delivers to your intensive care unit!.
CM  - Comment on: Crit Care Med. 2005 May;33(5):1136-40; PMID: 15891349
SO  - Critical Care Medicine. 33(5):1179-80, 2005 May
AS  - Crit Care Med. 33(5):1179-80, 2005 May
NJ  - Critical care medicine
VO  - 33
IP  - 5
PG  - 1179-80
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Bacterial Infections/et [Etiology]
MH  - Bacterial Infections/tm [Transmission]
MH  - *Cross Infection/tm [Transmission]
MH  - *Disasters
MH  - Germany
MH  - Humans
MH  - *Intensive Care Units
MH  - *Wound Infection/et [Etiology]
IS  - 0090-3493
IL  - 0090-3493
PT  - Comment
PT  - Editorial
ID  - 00003246-200505000-00062 [pii]
PP  - ppublish
LG  - English
DP  - 2005 May
EZ  - 2005/05/14 09:00
DA  - 2005/06/01 09:00
DT  - 2005/05/14 09:00
YR  - 2005
ED  - 20050531
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15891375

<657. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15851387
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Matukaitis J
AU  - Stillman P
AU  - Wykpisz E
AU  - Ewen E
FA  - Matukaitis, Joanne
FA  - Stillman, Paula
FA  - Wykpisz, Elizabeth
FA  - Ewen, Edward
IN  - Matukaitis, Joanne. Patient Care Services, Critical Care, Newark, DE 19713, USA. jmatukaitis@christianacare.org
TI  - Appropriate admissions to the appropriate unit: a decision tree approach. [Review] [5 refs]
SO  - American Journal of Medical Quality. 20(2):90-7, 2005 Mar-Apr
AS  - Am J Med Qual. 20(2):90-7, 2005 Mar-Apr
NJ  - American journal of medical quality : the official journal of the American College of Medical Quality
VO  - 20
IP  - 2
PG  - 90-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bl2, 9300756
IO  - Am J Med Qual
SB  - Index Medicus
CP  - United States
MH  - *Decision Trees
MH  - *Economics, Nursing
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Intermediate Care Facilities/ec [Economics]
MH  - Intermediate Care Facilities/sn [Statistics & Numerical Data]
MH  - *Intermediate Care Facilities
MH  - Length of Stay
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer/ec [Economics]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Patient Transfer
MH  - Time Factors
AB  - An intermediate care decision tree tool was developed to meet the demand for intermediate care beds. Concurrently, a charging process was developed to support the acuity adaptable model of care, allowing the patient to remain in the same bed from admission to discharge, regardless of level of care required, adjusting nurse-to-patient ratios as acuity changes. Since beginning this pilot, 96% to 100% of the patients admitted to intermediate care from the emergency department met the criteria. Wait time from request to admission was reduced from 5.5 hours to 2.5 hours. A reduction in nursing costs was noted. The average number of patients waiting daily in the emergency department for an intermediate care bed has been reduced by approximately 80%. A significant difference in length of stay was not noted. [References: 5]
IS  - 1062-8606
IL  - 1062-8606
PT  - Journal Article
PT  - Review
ID  - 20/2/90 [pii]
ID  - 10.1177/1062860604274382 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Mar-Apr
EZ  - 2005/04/27 09:00
DA  - 2005/05/11 09:00
DT  - 2005/04/27 09:00
YR  - 2005
ED  - 20050510
RD  - 20061013
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15851387

<658. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15818121
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Puri VK
FA  - Puri, Vinod K
TI  - Scoring systems: is a fix needed?.
CM  - Comment on: Crit Care Med. 2005 Apr;33(4):705-10; PMID: 15818092
SO  - Critical Care Medicine. 33(4):894-5, 2005 Apr
AS  - Crit Care Med. 33(4):894-5, 2005 Apr
NJ  - Critical care medicine
VO  - 33
IP  - 4
PG  - 894-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - France
MH  - *Health Status Indicators
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Outcome Assessment (Health Care)/mt [Methods]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Survival Analysis
IS  - 0090-3493
IL  - 0090-3493
PT  - Comment
PT  - Editorial
ID  - 00003246-200504000-00030 [pii]
PP  - ppublish
LG  - English
DP  - 2005 Apr
EZ  - 2005/04/09 09:00
DA  - 2005/05/11 09:00
DT  - 2005/04/09 09:00
YR  - 2005
ED  - 20050510
RD  - 20050408
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15818121

<659. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15496873
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Attar MA
AU  - Gates MR
AU  - Iatrow AM
AU  - Lang SW
AU  - Bratton SL
FA  - Attar, Mohammad A
FA  - Gates, Molly R
FA  - Iatrow, Ann M
FA  - Lang, Sylvia W
FA  - Bratton, Susan L
IN  - Attar, Mohammad A. Department of Pediatrics and Communicable Diseases, University of Michigan, MI 48109, USA.
TI  - Barriers to screening infants for retinopathy of prematurity after discharge or transfer from a neonatal intensive care unit.
SO  - Journal of Perinatology. 25(1):36-40, 2005 Jan
AS  - J Perinatol. 25(1):36-40, 2005 Jan
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 25
IP  - 1
PG  - 36-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Cohort Studies
MH  - Hospitals, Community
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Intensive Care Units, Neonatal
MH  - *Neonatal Screening/mt [Methods]
MH  - Nurseries, Hospital
MH  - Patient Compliance
MH  - *Patient Discharge
MH  - *Patient Transfer
MH  - *Retinopathy of Prematurity/di [Diagnosis]
MH  - Retrospective Studies
AB  - OBJECTIVE: To assess neonatal intensive care unit (NICU) practices affecting screening and follow-up for retinopathy of prematurity (ROP).
AB  - METHODS: Retrospective study of infants at risk for ROP, eligible for back transport, admitted to a regional NICU from January 1, 1999 until May 31, 2002. Patients failed to receive needed follow-up for ROP after discharge or transfer from a NICU, if we could not verify their ROP screening follow-up within 1 month.
AB  - RESULTS: A total of 74 infants were identified to need follow-up eye care. Infants who did not receive the follow-up care had greater mean gestational age (mean SD; 30.7+/-2.3 vs 29.6+/-2.5 weeks, p=0.05) and birth weights (mean SD; 1581+/-366 vs 1360+/-508 g, p=0.007), compared to infants who received the recommended care. Infants transported back to the community hospital were significantly more likely to miss follow-up eye care compared to infants discharged from the regional center (relative risk 2.81, 95% confidence interval (CI) (1.09 to 7.20)). Infants not screened for ROP in the NICU had greater risk for missing follow-up care compared to infants who had their first retinal examination in the NICU (relative risk 4.25, 95% CI (1.42 to 12.73)).
AB  - CONCLUSIONS: Infants transferred back or discharged from the NICU before ROP screening represent a high-risk group for not receiving follow-up eye care.
IS  - 0743-8346
IL  - 0743-8346
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
ID  - 7211203 [pii]
ID  - 10.1038/sj.jp.7211203 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Jan
EZ  - 2004/10/22 09:00
DA  - 2005/05/06 09:00
DT  - 2004/10/22 09:00
YR  - 2005
ED  - 20050505
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15496873

<660. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15823371
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brun-Buisson C
AU  - Girou E
FA  - Brun-Buisson, Christian
FA  - Girou, Emmanuelle
TI  - Isolation of patients with MRSA infection.
CM  - Comment on: Lancet. 2005 Jan 22-28;365(9456):295-304; PMID: 15664224
SO  - Lancet. 365(9467):1303; author reply 1304-5, 2005 Apr 9-15
AS  - Lancet. 365(9467):1303; author reply 1304-5, 2005 Apr 9-15
NJ  - Lancet (London, England)
VO  - 365
IP  - 9467
PG  - 1303; author reply 1304-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 2985213r, l0s, 0053266
IO  - Lancet
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Cross Infection/pc [Prevention & Control]
MH  - Humans
MH  - *Infection Control
MH  - *Intensive Care Units
MH  - *Methicillin Resistance
MH  - *Patient Isolation
MH  - *Staphylococcal Infections/pc [Prevention & Control]
MH  - Staphylococcal Infections/tm [Transmission]
MH  - Staphylococcus aureus/de [Drug Effects]
MH  - Transportation of Patients
ES  - 1474-547X
IL  - 0140-6736
PT  - Comment
PT  - Letter
ID  - S0140-6736(05)61018-5 [pii]
ID  - 10.1016/S0140-6736(05)61018-5 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Apr 9-15
EZ  - 2005/04/13 09:00
DA  - 2005/05/04 09:00
DT  - 2005/04/13 09:00
YR  - 2005
ED  - 20050503
RD  - 20150616
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15823371

<661. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15823370
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lessing MP
AU  - Loveland RC
FA  - Lessing, M P A
FA  - Loveland, R C
TI  - Isolation of patients with MRSA infection.
CM  - Comment on: Lancet. 2005 Jan 22-28;365(9456):295-304; PMID: 15664224
SO  - Lancet. 365(9467):1303; author reply 1304-5, 2005 Apr 9-15
AS  - Lancet. 365(9467):1303; author reply 1304-5, 2005 Apr 9-15
NJ  - Lancet (London, England)
VO  - 365
IP  - 9467
PG  - 1303; author reply 1304-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 2985213r, l0s, 0053266
IO  - Lancet
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Cross Infection/pc [Prevention & Control]
MH  - Humans
MH  - *Infection Control
MH  - *Intensive Care Units
MH  - *Methicillin Resistance
MH  - *Patient Isolation
MH  - *Staphylococcal Infections/pc [Prevention & Control]
MH  - Staphylococcal Infections/tm [Transmission]
MH  - Staphylococcus aureus/de [Drug Effects]
MH  - Transportation of Patients
ES  - 1474-547X
IL  - 0140-6736
PT  - Comment
PT  - Letter
ID  - S0140-6736(05)61017-3 [pii]
ID  - 10.1016/S0140-6736(05)61017-3 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Apr 9-15
EZ  - 2005/04/13 09:00
DA  - 2005/05/04 09:00
DT  - 2005/04/13 09:00
YR  - 2005
ED  - 20050503
RD  - 20150616
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15823370

<662. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15322665
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fernandes AM
AU  - Mansur AJ
AU  - Caneo LF
AU  - Lourenco DD
AU  - Piccioni MA
AU  - Franchi SM
AU  - Afiune CM
AU  - Gadioli JW
AU  - Oliveira Sde A
AU  - Ramires JA
FA  - Fernandes, Alfredo Manoel da Silva
FA  - Mansur, Alfredo Jose
FA  - Caneo, Luis Fernando
FA  - Lourenco, Domingos Dias
FA  - Piccioni, Marilde Albuquerque
FA  - Franchi, Sonia Mieken
FA  - Afiune, Cristina Machado C
FA  - Gadioli, Jorge Wiliam
FA  - Oliveira, Sergio de Almeida
FA  - Ramires, Jose Antonio Franchini
IN  - Fernandes, Alfredo Manoel da Silva. Instituto do Coracao, Hospital das Clinicas, FMUSP, Sao Paulo, SP, Brazil. alfredo.fernandes@hcnet.usp.br
TI  - The reduction in hospital stay and costs in the care of patients with congenital heart diseases undergoing fast-track cardiac surgery.
SO  - Arquivos Brasileiros de Cardiologia. 83(1):27-34; 18-26, 2004 Jul
AS  - Arq Bras Cardiol. 83(1):27-34; 18-26, 2004 Jul
NJ  - Arquivos brasileiros de cardiologia
VO  - 83
IP  - 1
PG  - 27-34; 18-26
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 8pm, 0421031
IO  - Arq. Bras. Cardiol.
SB  - Index Medicus
CP  - Brazil
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - Clinical Protocols
MH  - Female
MH  - *Heart Defects, Congenital/su [Surgery]
MH  - Humans
MH  - Infant
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Middle Aged
MH  - *Myocardial Ischemia/su [Surgery]
MH  - Patient Transfer
MH  - *Postoperative Care/ec [Economics]
MH  - Postoperative Complications
MH  - *Recovery Room/ec [Economics]
MH  - Risk
MH  - Treatment Outcome
AB  - OBJECTIVE: To assess the care provided to patients with congenital heart diseases and ischemic heart diseases undergoing cardiac surgery according to the fast-track recovery protocol compared with those undergoing the conventional procedure.
AB  - METHODS: The transfer of patients from one hospital unit to another was assessed for 175 patients, 107 (61%) men and 68 (39%) women, with ages ranging from 0.3 to 81 years.
AB  - RESULTS: The discharge rate from the different hospital units per unit of time of the patients with congenital heart diseases treated according to the fast-track recovery protocol compared with that of patients conventionally treated was as follows: a) 11.3 times faster than the discharge rate of patients treated according to the conventional protocol, in regard to the time spent in the operating room; b) 6.3 times faster in regard to the duration of the surgical intervention; c) 6.8 times faster in regard to the duration of anesthesia; d) 1.5 times faster in regard to the duration of perfusion; e) 2.8 times faster in regard to the stay in the postoperative recovery I unit; f) 6.7 times faster in regard to hospital stay (time period between hospital admission and hospital discharge); g) 2.8 times faster in regard to the stay in the preoperative unit; h) 2.1 times faster in regard to the stay in the admission unit after discharge from postoperative recovery; i) associated with reduced costs. The difference was not significant for patients with ischemic heart disease.
AB  - CONCLUSION: A reduction in the length of hospital stay and costs for the care of patients undergoing cardiac surgery according to the fast-track protocol was observed.
IS  - 0066-782X
IL  - 0066-782X
PT  - Journal Article
ID  - /S0066-782X2004001300003 [doi]
ID  - S0066-782X2004001300003 [pii]
PP  - ppublish
LG  - English
LG  - Portuguese
EP  - 20040818
DP  - 2004 Jul
EZ  - 2004/08/24 05:00
DA  - 2005/05/04 09:00
DT  - 2004/08/24 05:00
YR  - 2004
ED  - 20050503
RD  - 20040823
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15322665

<663. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15776642
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ndiaye O
AU  - Diallo D
AU  - Diouf S
AU  - Diagne I
AU  - Sylla A
AU  - Sall MG
AU  - Ba M
AU  - Kuakuvi N
FA  - Ndiaye, O
FA  - Diallo, D
FA  - Diouf, S
FA  - Diagne, I
FA  - Sylla, A
FA  - Sall, M G
FA  - Ba, M
FA  - Kuakuvi, N
IN  - Ndiaye, O. Chaire de pediatrie de l'universite Cheikh Anta Diop de Dakar (UCAD), Senegal. ondiaye@refer.sn
TI  - [Neonatal mortality associated with transfer of low birth weight newborns. Assessment of a neonatal care unit of Dakar]. [French]
OT  - Mortalite neonatale associee au transfert des nouveau-nes de petit poids. Bilan d'une unite de neonatologie de Dakar.
SO  - Dakar Medical. 48(1):7-11, 2003
AS  - Dakar Med. 48(1):7-11, 2003
NJ  - Dakar medical
VO  - 48
IP  - 1
PG  - 7-11
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - eam, 7907630
IO  - Dakar Med
SB  - Index Medicus
CP  - Senegal
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Humans
MH  - *Infant Mortality/td [Trends]
MH  - *Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - *Patient Transfer
MH  - Retrospective Studies
MH  - Senegal
AB  - The aim of this study is to assess mortality rate of low birth weight newborns admitted to a neonatal care unit of Dakar after transfer. This retrospective study include all newborns weighing less than 2500 g transferred to Abass Ndao neonatal care unit between January 1st,1998 and December 31, 1999. Maternal, newborns and transfer related parameters were studied. Data of 180 new-borns were recorded from a sample of 247 babies transferred. The mean weight of these babies were 1452.5 +/- 432 g. An ambulance was used for transport in only 10% of cases. The median time of admission after birth was 3 hours. Median delay of admission and methods of transfer, maternal age and parity, apgar score at 1st and 5th minute were comparable between the newborns deceased and survivors (p > 0.05). To reduce mortality associated with newborns transfer, we insist on a better organisation of neonatal transport in under developed countries by promoting obstetricians and paediatricians collaboration and prevention of low birth weight.
IS  - 0049-1101
IL  - 0049-1101
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - French
DP  - 2003
EZ  - 2005/03/22 09:00
DA  - 2005/05/04 09:00
DT  - 2005/03/22 09:00
YR  - 2003
ED  - 20050503
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15776642

<664. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15649616
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gibran NS
AU  - Klein MB
AU  - Engrav LH
AU  - Heimbach DM
FA  - Gibran, Nicole S
FA  - Klein, Matthew B
FA  - Engrav, Loren H
FA  - Heimbach, David M
IN  - Gibran, Nicole S. Department of Surgery, Harborview Medical Center, Seattle, WA 98104, USA. nicoleg@u.washington.edu
TI  - UW Burn Center. A model for regional delivery of burn care.
SO  - Burns. 31 Suppl 1:S36-9, 2005 Jan
AS  - Burns. 31 Suppl 1:S36-9, 2005 Jan
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 31 Suppl 1
PG  - S36-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - *Burn Units/og [Organization & Administration]
MH  - Burns/mo [Mortality]
MH  - *Burns/th [Therapy]
MH  - Child, Preschool
MH  - *Delivery of Health Care/mt [Methods]
MH  - Female
MH  - Health Education/mt [Methods]
MH  - Humans
MH  - Male
MH  - Models, Organizational
MH  - Patient Care Team
MH  - Transportation of Patients/mt [Methods]
MH  - Washington/ep [Epidemiology]
IS  - 0305-4179
IL  - 0305-4179
PT  - Journal Article
ID  - S0305-4179(04)00284-0 [pii]
ID  - 10.1016/j.burns.2004.10.003 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Jan
EZ  - 2005/01/15 09:00
DA  - 2005/04/23 09:00
DT  - 2005/01/15 09:00
YR  - 2005
ED  - 20050422
RD  - 20050114
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15649616

<665. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15681211
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ball C
FA  - Ball, C
TI  - Ensuring a successful discharge from intensive care.
SO  - Intensive & Critical Care Nursing. 21(1):1-4, 2005 Feb
AS  - Intensive Crit Care Nurs. 21(1):1-4, 2005 Feb
NJ  - Intensive & critical care nursing
VO  - 21
IP  - 1
PG  - 1-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - *Critical Care/mt [Methods]
MH  - Europe
MH  - Humans
MH  - *Patient Care Planning
MH  - *Patient Discharge
MH  - *Patient Transfer
IS  - 0964-3397
IL  - 0964-3397
PT  - Editorial
ID  - S0964-3397(04)00148-X [pii]
ID  - 10.1016/j.iccn.2004.11.004 [doi]
PP  - ppublish
LG  - English
DP  - 2005 Feb
EZ  - 2005/02/01 09:00
DA  - 2005/04/19 09:00
DT  - 2005/02/01 09:00
YR  - 2005
ED  - 20050418
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15681211

<666. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15717667
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jacquemain K
FA  - Jacquemain, Karine
TI  - [Witness: experience in the field]. [French]
OT  - Temoignage: une experience de terrain.
SO  - Revue de L'Infirmiere. (106 Suppl):7-8, 2004 Dec
AS  - Rev Infirm. (106 Suppl):7-8, 2004 Dec
NJ  - Revue de l'infirmiere
IP  - 106 Suppl
PG  - 7-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 1267175, s7t
IO  - Rev Infirm
SB  - Nursing Journal
CP  - France
MH  - *Attitude of Health Personnel
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Job Satisfaction
MH  - *Neonatal Nursing/og [Organization & Administration]
MH  - Nurse's Role
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - Parents/px [Psychology]
MH  - Professional-Family Relations
MH  - Transportation of Patients/mt [Methods]
IS  - 1293-8505
IL  - 1293-8505
PT  - Interview
PP  - ppublish
LG  - French
DP  - 2004 Dec
EZ  - 2005/02/19 09:00
DA  - 2005/04/01 09:00
DT  - 2005/02/19 09:00
YR  - 2004
ED  - 20050331
RD  - 20050418
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15717667

<667. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15570333
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dzendrowskyj P
AU  - Shaw G
AU  - Johnston L
FA  - Dzendrowskyj, Peter
FA  - Shaw, Geoff
FA  - Johnston, Lucy
IN  - Dzendrowskyj, Peter. Department of Intensive Care Medicine, Middlemore Hospital, Otahuhu, Auckland, New Zealand. Pdzendro@middlemore.co.nz
TI  - Effects of nursing industrial action on relatives of Intensive Care Unit patients: a 16-month follow-up.
SO  - New Zealand Medical Journal. 117(1205):U1150, 2004 Nov 05
AS  - N Z Med J. 117(1205):U1150, 2004 Nov 05
NJ  - The New Zealand medical journal
VO  - 117
IP  - 1205
PG  - U1150
PI  - Journal available in: Electronic
PI  - Citation processed from: Internet
JC  - obq, 0401067
IO  - N. Z. Med. J.
SB  - Index Medicus
CP  - New Zealand
MH  - Anger
MH  - *Attitude to Health
MH  - Case-Control Studies
MH  - *Family/px [Psychology]
MH  - Humans
MH  - *Intensive Care Units/ma [Manpower]
MH  - New Zealand
MH  - Nursing Staff, Hospital
MH  - Patient Transfer
MH  - *Professional-Family Relations
MH  - *Strikes, Employee
MH  - Surveys and Questionnaires
MH  - Visitors to Patients/px [Psychology]
AB  - AIMS: In December 2001, nursing industrial action occurred at Christchurch Hospital. This study assesses the effect industrial action had on relatives of those Intensive Care Unit (ICU) patients involved.
AB  - METHOD: A written questionnaire was sent to the relatives of the 17 patients on Intensive Care around the time of the strike; 11 of these patients had needed to be transferred to out of region hospitals for continuing care, whilst the others remained in the intensive care unit. Comparisons were made with a control group of 26 next-of-kin.
AB  - RESULTS: Compared with relatives of patients not involved in the strike, relatives involved during the strike were significantly more angry (p<0.007) and less trusting that the patients had received the best possible care (p<0.05). Compared to the control group, they were also more negative in their continuing view of the healthcare system (p<0.05). Those relatives involved in air transfers were more distressed (p<0.05), angry (p<0.001), and less trusting than those not involved in a transfer (p<0.005).
AB  - CONCLUSION: The study shows that industrial action caused measurable distress and anxiety to the relatives involved some 16 months after the strike, especially in patients who were transferred. A persistent negative perception of the healthcare system in New Zealand could be demonstrated in this group.
ES  - 1175-8716
IL  - 0028-8446
PT  - Journal Article
PP  - epublish
LG  - English
EP  - 20041105
DP  - 2004 Nov 05
EZ  - 2004/12/01 09:00
DA  - 2005/03/23 09:00
DT  - 2004/12/01 09:00
YR  - 2004
ED  - 20050322
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15570333

<668. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15590230
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Caldicott CV
AU  - Dunn KA
AU  - Frankel RM
FA  - Caldicott, Catherine V
FA  - Dunn, Kathleen A
FA  - Frankel, Richard M
IN  - Caldicott, Catherine V. Center for Bioethics and Humanities, SUNY Upstate Medical University, 725 Irving Avenue, Suite 406, Syracuse, NY 13210, USA. caldicoc@upstate.edu
TI  - Can patients tell when they are unwanted? "Turfing" in residency training.
SO  - Patient Education & Counseling. 56(1):104-11, 2005 Jan
AS  - Patient Educ Couns. 56(1):104-11, 2005 Jan
NJ  - Patient education and counseling
VO  - 56
IP  - 1
PG  - 104-11
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - pec, 8406280
IO  - Patient Educ Couns
SB  - Nursing Journal
CP  - Ireland
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anger
MH  - *Attitude of Health Personnel
MH  - *Attitude to Health
MH  - Communication
MH  - Female
MH  - Focus Groups
MH  - Frustration
MH  - Hospitals, University
MH  - Humans
MH  - *Inpatients/px [Psychology]
MH  - Interprofessional Relations
MH  - Male
MH  - Middle Aged
MH  - Motivation
MH  - New England
MH  - *Patient Transfer
MH  - *Physician-Patient Relations
MH  - Qualitative Research
MH  - Social Desirability
MH  - Surveys and Questionnaires
MH  - Triage
MH  - Wit and Humor as Topic
AB  - OBJECTIVES: When a physician believes that the troubles of caring for a patient outweigh the rewards, he or she can move--"turf", the unwanted patient from his or her own to another physician's territory. Physicians receiving such patients can feel burdened by, and resentful about, caring for those who are "turfed" to them by other physicians, yet little is known about the effects such "turf battles" have on patient care. This study aims to discover if "turfed" patients (TPs) experience their hospitalizations differently from patients whose admissions are perceived more favorably by their physicians.
AB  - DESIGN: Semi-structured, in-depth interviews.
AB  - POPULATION: Twenty Six English-speaking patients on a medical service in a tertiary care university hospital.
AB  - OUTCOMES: Hospitalization experiences based on qualitative thematic analysis of interview audiotapes and transcripts.
AB  - RESULTS: The experience of patients perceived as "turfs" differed from patients deemed more appropriately admitted in two areas: mode of admission and tone of interview themes. TPs were admitted via the emergency department or intra-hospital transfer; unlike the "appropriate" patients (APs), none came from outside hospitals. Although patients in both groups voiced many similar themes, nearly all TP interview themes were unfavorable. AP interviewees, by comparison expressed both favorable and unfavorable themes. TPs were direct and explicit about their anger and frustration, while APs mixed humor with complaints.
AB  - CONCLUSIONS: "Turfed" patients may have different care experiences from those of patients deemed appropriate for a medical service. Inter-specialty barriers to collegiality and relationship-centered care shape physicians' perceptions of patient appropriateness and desirability and merit further large-scale exploration.
IS  - 0738-3991
IL  - 0738-3991
PT  - Journal Article
ID  - S0738399104000333 [pii]
ID  - 10.1016/j.pec.2003.12.014 [doi]
PP  - ppublish
PH  - 2003/06/10 [received]
PH  - 2003/12/11 [revised]
PH  - 2003/12/14 [accepted]
LG  - English
DP  - 2005 Jan
EZ  - 2004/12/14 09:00
DA  - 2005/03/18 09:00
DT  - 2004/12/14 09:00
YR  - 2005
ED  - 20050317
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15590230

<669. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15682993
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stubbs J
AU  - Barrett D
FA  - Stubbs, Jane
FA  - Barrett, David
IN  - Stubbs, Jane. West Midlands South CHD Collaborative.
TI  - Treatment of coronary heart disease.
SO  - Professional Nurse. 20(5):28-30, 2005 Jan
AS  - Prof Nurse. 20(5):28-30, 2005 Jan
NJ  - Professional nurse (London, England)
VO  - 20
IP  - 5
PG  - 28-30
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8612884, pzx
IO  - Prof Nurse
SB  - Nursing Journal
CP  - England
MH  - *Angioplasty, Balloon, Coronary
MH  - Bed Occupancy
MH  - Benchmarking
MH  - Coronary Care Units/og [Organization & Administration]
MH  - *Coronary Disease/th [Therapy]
MH  - Eligibility Determination
MH  - Health Policy
MH  - Health Services Research
MH  - Humans
MH  - Organizational Innovation
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Selection
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Program Evaluation
MH  - Referral and Consultation/og [Organization & Administration]
MH  - State Medicine
MH  - Time Factors
MH  - United Kingdom
MH  - Waiting Lists
IS  - 0266-8130
IL  - 0266-8130
PT  - Evaluation Studies
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2005 Jan
EZ  - 2005/02/03 09:00
DA  - 2005/03/05 09:00
DT  - 2005/02/03 09:00
YR  - 2005
ED  - 20050304
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15682993

<670. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15567676
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brokalaki H
AU  - Matziou V
AU  - Zyga S
AU  - Kapella M
AU  - Tsaras K
AU  - Brokalaki E
AU  - Myrianthefs P
FA  - Brokalaki, Hero
FA  - Matziou, Vassiliki
FA  - Zyga, Sophia
FA  - Kapella, Maria
FA  - Tsaras, Konstantinos
FA  - Brokalaki, Eirene
FA  - Myrianthefs, Pavlos
IN  - Brokalaki, Hero. Nursing Faculty, National and Kapodistrian University of Athens, 123 Papadiamandopoulou Str., GR-11528, Greece. heropan@nurs.uoa.gr
TI  - Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece.
SO  - Intensive & Critical Care Nursing. 20(6):352-7, 2004 Dec
AS  - Intensive Crit Care Nurs. 20(6):352-7, 2004 Dec
NJ  - Intensive & critical care nursing
VO  - 20
IP  - 6
PG  - 352-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Clinical Competence/st [Standards]
MH  - Disinfection
MH  - Greece
MH  - Guideline Adherence/sn [Statistics & Numerical Data]
MH  - Hospitals, General
MH  - Hospitals, Pediatric
MH  - Hospitals, State
MH  - Hospitals, Urban
MH  - Humans
MH  - Infection Control
MH  - *Medical Errors/nu [Nursing]
MH  - Medical Errors/pc [Prevention & Control]
MH  - *Medical Errors/sn [Statistics & Numerical Data]
MH  - Needs Assessment
MH  - Nurse's Role
MH  - Nursing Audit
MH  - Nursing Evaluation Research
MH  - Nursing Staff, Hospital/ed [Education]
MH  - Nursing Staff, Hospital/st [Standards]
MH  - *Oxygen Inhalation Therapy/ae [Adverse Effects]
MH  - *Oxygen Inhalation Therapy/nu [Nursing]
MH  - Oxygen Inhalation Therapy/st [Standards]
MH  - Oxygen Inhalation Therapy/sn [Statistics & Numerical Data]
MH  - Patient Selection
MH  - Practice Guidelines as Topic
MH  - Prescriptions/st [Standards]
MH  - Prescriptions/sn [Statistics & Numerical Data]
MH  - Professional Autonomy
MH  - Surveys and Questionnaires
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.
IS  - 0964-3397
IL  - 0964-3397
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0964-3397(04)00082-5 [pii]
ID  - 10.1016/j.iccn.2004.07.003 [doi]
PP  - ppublish
PH  - 2004/07/05 [accepted]
LG  - English
DP  - 2004 Dec
EZ  - 2004/11/30 09:00
DA  - 2005/03/02 09:00
DT  - 2004/11/30 09:00
YR  - 2004
ED  - 20050301
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15567676

<671. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15208225
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tasker RC
AU  - Gupta S
AU  - White DK
FA  - Tasker, R C
FA  - Gupta, S
FA  - White, D K
IN  - Tasker, R C. Paediatric Intensive Care Unit, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK. rct31@cam.ac.uk
TI  - Severe head injury in children: geographical range of an emergency neurosurgical practice.
SO  - Emergency Medicine Journal. 21(4):433-7, 2004 Jul
AS  - Emerg Med J. 21(4):433-7, 2004 Jul
NJ  - Emergency medicine journal : EMJ
VO  - 21
IP  - 4
PG  - 433-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - b0u, 100963089
IO  - Emerg Med J
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726385
SB  - Index Medicus
CP  - England
MH  - Catchment Area (Health)/sn [Statistics & Numerical Data]
MH  - *Catchment Area (Health)
MH  - Child
MH  - Child, Preschool
MH  - *Craniocerebral Trauma/su [Surgery]
MH  - Emergencies
MH  - England
MH  - Female
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - Time Factors
MH  - Trauma Centers
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.
AB  - DESIGN: Prospective observational study of admissions to a regional paediatric intensive care unit (PICU).
AB  - 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.
AB  - PATIENTS: 69 severely head injured children (52 boys and 17 girls, aged 8.4 (3.6 to 12.5) years).
AB  - 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).
AB  - 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.
AB  - 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.
ES  - 1472-0213
IL  - 1472-0205
PT  - Journal Article
ID  - 21/4/433 [pii]
ID  - PMC1726385 [pmc]
PP  - ppublish
LG  - English
DP  - 2004 Jul
EZ  - 2004/06/23 05:00
DA  - 2005/02/23 09:00
DT  - 2004/06/23 05:00
YR  - 2004
ED  - 20050222
RD  - 20170219
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15208225

<672. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15466067
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Broughton SJ
AU  - Berry A
AU  - Jacobe S
AU  - Cheeseman P
AU  - Tarnow-Mordi WO
AU  - Greenough A
AU  - Neonatal Intensive Care Unit Study Group
FA  - Broughton, Simon J
FA  - Berry, Andrew
FA  - Jacobe, Stephen
FA  - Cheeseman, Paul
FA  - Tarnow-Mordi, William O
FA  - Greenough, Anne
FA  - Neonatal Intensive Care Unit Study Group
IN  - Broughton, Simon J. Department of Child Health, Guy's, King's, and St. Thomas' School of Medicine, King's College, London, United Kingdom.
TI  - The mortality index for neonatal transportation score: a new mortality prediction model for retrieved neonates.
SO  - Pediatrics. 114(4):e424-8, 2004 Oct
AS  - Pediatrics. 114(4):e424-8, 2004 Oct
NJ  - Pediatrics
VO  - 114
IP  - 4
PG  - e424-8
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Analysis of Variance
MH  - Databases, Factual
MH  - Humans
MH  - *Infant Mortality
MH  - *Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Logistic Models
MH  - New South Wales
MH  - Prognosis
MH  - ROC Curve
MH  - Referral and Consultation
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
MH  - *Transportation of Patients
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.
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1098-4275
IL  - 0031-4005
PT  - Journal Article
ID  - 114/4/e424 [pii]
ID  - 10.1542/peds.2003-0960-L [doi]
PP  - ppublish
LG  - English
DP  - 2004 Oct
EZ  - 2004/10/07 09:00
DA  - 2005/02/16 09:00
DT  - 2004/10/07 09:00
YR  - 2004
ED  - 20050214
RD  - 20041006
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15466067

<673. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15540068
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hogan DL
AU  - Logan J
FA  - Hogan, Debora L
FA  - Logan, Jo
IN  - Hogan, Debora L. Neonatal Intensive Care Unit, Children's Hospital of Eastern Ontario, and the University of Ottawa, Ottawa, Ontario, Canada. hogan@cheo.on.ca.
TI  - The Ottawa Model of Research Use: a guide to clinical innovation in the NICU.
SO  - Clinical Nurse Specialist. 18(5):255-61, 2004 Sep-Oct
AS  - Clin Nurse Spec. 18(5):255-61, 2004 Sep-Oct
NJ  - Clinical nurse specialist CNS
VO  - 18
IP  - 5
PG  - 255-61
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cll, 8709115
IO  - Clin Nurse Spec
SB  - Nursing Journal
CP  - United States
MH  - Attitude of Health Personnel
MH  - Clinical Nursing Research/ed [Education]
MH  - *Clinical Nursing Research/st [Standards]
MH  - *Diffusion of Innovation
MH  - Evidence-Based Medicine
MH  - Family/px [Psychology]
MH  - *Family Nursing/st [Standards]
MH  - Focus Groups
MH  - Guidelines as Topic
MH  - Health Knowledge, Attitudes, Practice
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Information Dissemination
MH  - Intensive Care Units, Neonatal
MH  - *Intensive Care, Neonatal/st [Standards]
MH  - *Models, Nursing
MH  - Neonatal Nursing/ed [Education]
MH  - Neonatal Nursing/st [Standards]
MH  - Nurse Clinicians/ed [Education]
MH  - Nurse Clinicians/og [Organization & Administration]
MH  - Nurse Clinicians/px [Psychology]
MH  - Nurse's Role
MH  - *Nursing Assessment/st [Standards]
MH  - Nursing Methodology Research
MH  - Nursing Theory
MH  - Ontario
MH  - Total Quality Management/og [Organization & Administration]
MH  - Transportation of Patients/st [Standards]
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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 0887-6274
IL  - 0887-6274
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2004 Sep-Oct
EZ  - 2004/11/13 09:00
DA  - 2005/02/03 09:00
DT  - 2004/11/13 09:00
YR  - 2004
ED  - 20050201
RD  - 20110825
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15540068

<674. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15535498
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Duke GJ
AU  - Green JV
AU  - Briedis JH
FA  - Duke, G J
FA  - Green, J V
FA  - Briedis, J H
IN  - Duke, G J. Intensive Care Department, The Northern Hospital, Epping, Victoria.
TI  - Night-shift discharge from intensive care unit increases the mortality-risk of ICU survivors.
SO  - Anaesthesia & Intensive Care. 32(5):697-701, 2004 Oct
AS  - Anaesth Intensive Care. 32(5):697-701, 2004 Oct
NJ  - Anaesthesia and intensive care
VO  - 32
IP  - 5
PG  - 697-701
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4m5, 0342017
IO  - Anaesth Intensive Care
SB  - Index Medicus
CP  - Australia
MH  - APACHE
MH  - *Cause of Death
MH  - Cohort Studies
MH  - Confidence Intervals
MH  - Critical Care/mt [Methods]
MH  - Female
MH  - *Hospital Mortality/td [Trends]
MH  - Humans
MH  - Intensive Care Units
MH  - Logistic Models
MH  - Male
MH  - *Night Care/st [Standards]
MH  - Night Care/td [Trends]
MH  - Patient Discharge
MH  - *Patient Transfer/st [Standards]
MH  - Patient Transfer/td [Trends]
MH  - Predictive Value of Tests
MH  - Probability
MH  - Prospective Studies
MH  - Risk Assessment
AB  - UNLABELLED: Intensive Care (ICU) survivors discharged from ICU to the general ward at night have a higher mortality. We sought to clarify which factors, including night-shift discharge, influence outcome following ICU discharge in a metropolitan hospital, using a cohort study of critically-ill patients between 1/1/1999-30/4/2003. Patients were excluded from analysis if they (a) died in ICU, (b) were transferred to another hospital, (c) had an ICU length of stay <8 hours, or (d) age <16 years. Logistic regression was used to derive a predictive model based on the following variables: patient demographics, severity of illness following ICU admission (APACHE II mortality-risk, p(m)), final diagnosis, discharge timing including premature or delayed (>4 hours) ICU discharge, and "limitation of medical treatment" orders. The outcome measures were patient status at hospital discharge and ICU readmission rate. Of the 1870 ICU survivors, 92 (4.9%) died after discharge from ICU. Patients discharged to the ward during the night-shift (2200-0730 hours) had a higher APACHE II score and crude mortality. The difference in APACHE II p(m) did not reach statistical significance. No significant calendar or seasonal pattern was identified. Logistic regression identified night-shift discharge (RR=1.7; 95% CI 1.03-2.9; P=0.03), limited medical treatment order (RR=5.1; 95% CI 2.2-12) and admission APACHE II p(m) (RR=3.3; 95% CI 1.3-7.6) as independent predictors of patient outcome following ICU transfer to the ward.
AB  - CONCLUSION: At the time of ICU discharge to the ward three factors are predictive of hospital outcome: timing of ICU discharge, limited medical treatment orders and initial illness severity.
IS  - 0310-057X
IL  - 0310-057X
PT  - Comparative Study
PT  - Journal Article
ID  - 2004018 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Oct
EZ  - 2004/11/13 09:00
DA  - 2005/01/28 09:00
DT  - 2004/11/13 09:00
YR  - 2004
ED  - 20050127
RD  - 20140729
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15535498

<675. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15330305
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Filipovic N
AU  - Surbatovic M
AU  - Stankovic N
AU  - Jovanovic K
FA  - Filipovic, Nikola
FA  - Surbatovic, Maja
FA  - Stankovic, Nebojsa
FA  - Jovanovic, Krsta
IN  - Filipovic, Nikola. Vojnomedicinska akademija, Klinika za anesteziologiju i intenzivnu terapiju, Beograd. anes@EUnet.yu
TI  - [Interhospital and intrahospital transport of the critically and injured ill patients]. [Serbian]
OT  - Interhospitalni i intrahospitalni transport kriticno povredenih i obolelih.
SO  - Vojnosanitetski Pregled. 61(3):311-4, 2004 May-Jun
AS  - Vojnosanit Pregl. 61(3):311-4, 2004 May-Jun
NJ  - Vojnosanitetski pregled
VO  - 61
IP  - 3
PG  - 311-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - xhm, 21530700r
IO  - Vojnosanit Pregl
SB  - Index Medicus
CP  - Serbia
MH  - Adolescent
MH  - Adult
MH  - *Critical Illness
MH  - Humans
MH  - Middle Aged
MH  - Monitoring, Physiologic
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients
MH  - *Wounds and Injuries
IS  - 0042-8450
IL  - 0042-8450
PT  - Journal Article
PP  - ppublish
LG  - Serbian
DP  - 2004 May-Jun
EZ  - 2004/08/28 05:00
DA  - 2004/12/31 09:00
DT  - 2004/08/28 05:00
YR  - 2004
ED  - 20041230
RD  - 20150612
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15330305

<676. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15337932
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Holleran R
FA  - Holleran, Renee
IN  - Holleran, Renee. Emergency Department, University of Utah Hospitals and Clinics, Salt Lake City, UT, USA.
TI  - Critical care education matrix revisited.
SO  - Air Medical Journal. 23(5):15-7, 2004 Sep-Oct
AS  - Air Med J. 23(5):15-7, 2004 Sep-Oct
NJ  - Air medical journal
VO  - 23
IP  - 5
PG  - 15-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bs3, 9312325
IO  - Air Med. J.
SB  - Health Administration Journals
CP  - United States
MH  - *Accreditation
MH  - *Cardiopulmonary Resuscitation/ed [Education]
MH  - Cardiopulmonary Resuscitation/st [Standards]
MH  - Clinical Competence
MH  - Competency-Based Education
MH  - *Critical Care/st [Standards]
MH  - Curriculum
MH  - Education, Continuing
MH  - *Emergency Medical Technicians/ed [Education]
MH  - *Emergency Nursing/ed [Education]
MH  - Humans
MH  - Patient Care Team/st [Standards]
MH  - *Transportation of Patients/st [Standards]
MH  - United States
IS  - 1067-991X
IL  - 1067-991X
PT  - Journal Article
ID  - 10.1016/j.amj.2004.06.005 [doi]
ID  - S1067991x04001439 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Sep-Oct
EZ  - 2004/09/01 05:00
DA  - 2004/12/16 09:00
DT  - 2004/09/01 05:00
YR  - 2004
ED  - 20041214
RD  - 20040831
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15337932

<677. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15197442
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shirley PJ
AU  - Bion JF
FA  - Shirley, Peter J
FA  - Bion, Julian F
TI  - Intra-hospital transport of critically ill patients: minimising risk.
CM  - Comment on: Intensive Care Med. 2004 Aug;30(8):1579-85; PMID: 14991102
SO  - Intensive Care Medicine. 30(8):1508-10, 2004 Aug
AS  - Intensive Care Med. 30(8):1508-10, 2004 Aug
NJ  - Intensive care medicine
VO  - 30
IP  - 8
PG  - 1508-10
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/mt [Methods]
MH  - *Critical Illness
MH  - Humans
MH  - Risk Factors
MH  - *Transportation of Patients
IS  - 0342-4642
IL  - 0342-4642
PT  - Comment
PT  - Editorial
ID  - 10.1007/s00134-004-2293-6 [doi]
PP  - ppublish
PH  - 2004/03/16 [received]
PH  - 2004/03/23 [accepted]
LG  - English
EP  - 20040609
DP  - 2004 Aug
EZ  - 2004/06/16 05:00
DA  - 2004/12/16 09:00
DT  - 2004/06/16 05:00
YR  - 2004
ED  - 20041214
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15197442

<678. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14991102
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Beckmann U
AU  - Gillies DM
AU  - Berenholtz SM
AU  - Wu AW
AU  - Pronovost P
FA  - Beckmann, Ursula
FA  - Gillies, Donna M
FA  - Berenholtz, Sean M
FA  - Wu, Albert W
FA  - Pronovost, Peter
IN  - Beckmann, Ursula. Division of Anaesthesia, Intensive Care and Pain Management, John Hunter Hospital, Locked Bag 1, Newcastle Regional Mail Centre, 2300, Newcastle, New South Wales, Australia. mdub@alinga.newcastle.edu.au
TI  - Incidents relating to the intra-hospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care.
CM  - Comment in: Intensive Care Med. 2004 Aug;30(8):1508-10; PMID: 15197442
SO  - Intensive Care Medicine. 30(8):1579-85, 2004 Aug
AS  - Intensive Care Med. 30(8):1579-85, 2004 Aug
NJ  - Intensive care medicine
VO  - 30
IP  - 8
PG  - 1579-85
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Australia
MH  - *Critical Care/mt [Methods]
MH  - *Critical Illness
MH  - Cross-Sectional Studies
MH  - Equipment Failure
MH  - Humans
MH  - Intensive Care Units
MH  - *Outcome and Process Assessment (Health Care)
MH  - Risk Factors
MH  - Risk Management
MH  - *Transportation of Patients
AB  - OBJECTIVE: Transportation of critically ill patients within the hospital poses important risks. We sought to identify causes, outcomes and contributing factors associated with intra-hospital transport.
AB  - DESIGN: Cross-sectional case review.
AB  - SETTING: Incident reports submitted to the Australian Incident Monitoring Study in Intensive Care (AIMS-ICU).
AB  - MEASUREMENT AND MAIN RESULTS: Between 1993 and 1999, 176 reports were submitted describing 191 incidents. Seventy-five reports (39%) identified equipment problems, relating prominently to battery/power supply, transport ventilator and monitor function, access to patient elevators and intubation equipment. Hundred sixteen reports (61%) identified patient/staff management issues including poor communication, inadequate monitoring, incorrect set-up of equipment, artificial airway malpositioning and incorrect positioning of patients. Serious adverse outcomes occurred in 55 reports (31%) including major physiological derangement (15%), patient/relative dissatisfaction (7%), prolonged hospital stay (4%), physical/psychological injury (3%) and death (2%). Of 900 contributing factors identified, 46% were system-based and 54% human-based. Communication problems, inadequate protocols, in-servicing/training and equipment were prominent equipment-related incidents. Errors of problem recognition and judgement, failure to follow protocols, inadequate patient preparation, haste and inattention were common management-related incidents. Rechecking the patient and equipment, skilled assistance and prior experience were important factors limiting harm.
AB  - CONCLUSIONS: Intra-hospital transport poses an important risk to ICU patients. The adequate provision of highly qualified staff, specially designed and well maintained equipment, as well as continuous monitoring are essential to avoid/mitigate these incidents. Professional societies and local units should adopt guidelines/protocols for intra-hospital transportation. Monitoring of incidents should aid in the continuous improvement in patient safety.
IS  - 0342-4642
IL  - 0342-4642
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - 10.1007/s00134-004-2177-9 [doi]
PP  - ppublish
PH  - 2003/05/14 [received]
PH  - 2004/01/06 [accepted]
GI  - No: K23HL70058-01
Organization: (HL) *NHLBI NIH HHS*
Country: United States

GI  - No: U18HS11902-02
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
EP  - 20040226
DP  - 2004 Aug
EZ  - 2004/03/03 05:00
DA  - 2004/12/16 09:00
DT  - 2004/03/03 05:00
YR  - 2004
ED  - 20041214
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14991102

<679. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15450616
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Arino M
AU  - Barrington JP
AU  - Morrison AL
AU  - Gillies D
FA  - Arino, Melanie
FA  - Barrington, Jane P
FA  - Morrison, Anne L
FA  - Gillies, Donna
IN  - Arino, Melanie. Helen McMillan Paediatric Intensive Care Unit, The Children's Hospital at Westmead, Sydney, Australia.
TI  - Management of the changeover of inotrope infusions in children.
SO  - Intensive & Critical Care Nursing. 20(5):275-80, 2004 Oct
AS  - Intensive Crit Care Nurs. 20(5):275-80, 2004 Oct
NJ  - Intensive & critical care nursing
VO  - 20
IP  - 5
PG  - 275-80
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Cardiac Surgical Procedures/ae [Adverse Effects]
MH  - Cardiac Surgical Procedures/nu [Nursing]
MH  - *Cardiotonic Agents/ad [Administration & Dosage]
MH  - Child
MH  - Child, Preschool
MH  - Clinical Nursing Research
MH  - Dopamine/ad [Administration & Dosage]
MH  - Drug Monitoring
MH  - Epinephrine/ad [Administration & Dosage]
MH  - Female
MH  - Hospitals, Pediatric
MH  - Hospitals, University
MH  - Humans
MH  - Infusions, Intravenous/is [Instrumentation]
MH  - Infusions, Intravenous/mt [Methods]
MH  - *Infusions, Intravenous/nu [Nursing]
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - New South Wales
MH  - Norepinephrine/ad [Administration & Dosage]
MH  - Nursing Evaluation Research
MH  - *Patient Transfer
MH  - *Pediatric Nursing/mt [Methods]
MH  - Pediatric Nursing/st [Standards]
MH  - *Postoperative Care/mt [Methods]
MH  - Postoperative Care/nu [Nursing]
MH  - Postoperative Care/st [Standards]
MH  - Risk Factors
MH  - Time Factors
AB  - UNLABELLED: Inotropes are drugs that can assist the critically ill patient's heart to function more effectively by increasing contractility. Inotrope infusions are run continuously and fresh infusions are required on a regular basis. The two methods of changeover commonly used are the quick-change and the double-pump methods. Haemodynamic compromise can occur to some degree with both methods. Evidence regarding the most effective method is limited to individual experience and anecdote. Therefore, the aim of this project was to determine the best method of changing inotropic infusions in children.
AB  - METHODS: Thirty children receiving inotropes post-cardiac surgery admitted to PICU were included in the study. There were two methods of changing over inotropes in this study: Method 1, quick-change and Method 2, double infusion. A rescue bolus of 0.1 ml of the changeover inotrope was given for drops in mean arterial pressure (MAP) > or = 20% during the changeover period.
AB  - RESULTS: Repeated measures analysis for MAP demonstrated no significant difference in the mean percentage change from baseline during the 30-min changeover period. Quick-change: -0.297 (95% CI: -6.43 to 0.5) and double-pump: 3.73 (95% CI: -2.81 to 10.27) (P = 0.078).
AB  - CONCLUSIONS: There was no statistically or clinically significant difference detected in changes to MAP. A rescue bolus was required on only one occasion during quick-change over for a reduction in MAP of > or = 20% in the quick-change group. Therefore, a quick-change method can be considered more effective as it reduces the time required for changeover and the risk of tolerance to higher levels of inotrope, while maintaining haemodynamic stability in children after cardiac surgery.
RN  - 0 (Cardiotonic Agents)
RN  - VTD58H1Z2X (Dopamine)
RN  - X4W3ENH1CV (Norepinephrine)
RN  - YKH834O4BH (Epinephrine)
IS  - 0964-3397
IL  - 0964-3397
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
ID  - 10.1016/j.iccn.2004.06.003 [doi]
ID  - S0964-3397(04)00066-7 [pii]
PP  - ppublish
PH  - 2004/06/14 [accepted]
LG  - English
DP  - 2004 Oct
EZ  - 2004/09/29 05:00
DA  - 2004/12/16 09:00
DT  - 2004/09/29 05:00
YR  - 2004
ED  - 20041119
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15450616

<680. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15288876
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mitchell ML
AU  - Courtney M
FA  - Mitchell, Marion L
FA  - Courtney, Mary
IN  - Mitchell, Marion L. School of Nursing, Griffith University, Australia. marion.mitchell@griffith.edu.au
TI  - Reducing family members' anxiety and uncertainty in illness around transfer from intensive care: an intervention study.
SO  - Intensive & Critical Care Nursing. 20(4):223-31, 2004 Aug
AS  - Intensive Crit Care Nurs. 20(4):223-31, 2004 Aug
NJ  - Intensive & critical care nursing
VO  - 20
IP  - 4
PG  - 223-31
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Analysis of Variance
MH  - *Anxiety/pc [Prevention & Control]
MH  - Australia
MH  - *Family/px [Psychology]
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - *Pamphlets
MH  - *Patient Transfer
MH  - *Social Support
AB  - INTRODUCTION: This intervention study examines anxiety and uncertainty in illness in families transferring from intensive care to a general ward.
AB  - 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.
AB  - 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).
AB  - 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.
IS  - 0964-3397
IL  - 0964-3397
PT  - Clinical Trial
PT  - Controlled Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1016/j.iccn.2004.05.008 [doi]
ID  - S0964339704000606 [pii]
PP  - ppublish
PH  - 2004/05/18 [accepted]
LG  - English
DP  - 2004 Aug
EZ  - 2004/08/04 05:00
DA  - 2004/10/16 09:00
DT  - 2004/08/04 05:00
YR  - 2004
ED  - 20041015
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15288876

<681. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14562430
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Reed H
FA  - Reed, Helen
IN  - Reed, Helen. Freeman Hospital, Newcastle upon Tyne.
TI  - Criteria for the safe discharge of patients from the recovery room.
SO  - Nursing Times. 99(38):22-4, 2003 Sep 23-29
AS  - Nurs Times. 99(38):22-4, 2003 Sep 23-29
NJ  - Nursing times
VO  - 99
IP  - 38
PG  - 22-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0423236, o9u
IO  - Nurs Times
SB  - Nursing Journal
CP  - England
MH  - Anesthesia Recovery Period
MH  - Body Temperature
MH  - Consciousness/ph [Physiology]
MH  - Humans
MH  - Length of Stay
MH  - Nausea/th [Therapy]
MH  - Pain/pc [Prevention & Control]
MH  - *Patient Discharge/st [Standards]
MH  - Patient Transfer
MH  - Postoperative Care/st [Standards]
MH  - Practice Guidelines as Topic
MH  - *Quality of Health Care
MH  - *Recovery Room/st [Standards]
MH  - Respiration
MH  - Safety
MH  - Vomiting/th [Therapy]
MH  - Water-Electrolyte Balance/ph [Physiology]
AB  - Guidelines need to be in place to help nurses in the recovery room make appropriate and safe decisions when discharging patients to a surgical ward. Consciousness level, respiration, circulation, pain control, homeostasis and wound care should all be considered. Criteria from the Freeman Hospital provides practical guidance.
IS  - 0954-7762
IL  - 0954-7762
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003 Sep 23-29
EZ  - 2003/10/18 05:00
DA  - 2004/10/07 09:00
DT  - 2003/10/18 05:00
YR  - 2003
ED  - 20041006
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14562430

<682. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15283102
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McKee M
FA  - McKee, Milissa
IN  - McKee, Milissa. Department of Surgery, Yale University School of Medicine, New Haven, CT, USA. Milissa.mckee@yale.edu
TI  - Operating on critically ill neonates: the OR or the NICU. [Review] [18 refs]
SO  - Seminars in Perinatology. 28(3):234-9, 2004 Jun
AS  - Semin Perinatol. 28(3):234-9, 2004 Jun
NJ  - Seminars in perinatology
VO  - 28
IP  - 3
PG  - 234-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - uop, 7801132
IO  - Semin. Perinatol.
SB  - Index Medicus
CP  - United States
MH  - *Critical Illness
MH  - Ductus Arteriosus, Patent/su [Surgery]
MH  - Enterocolitis, Necrotizing/su [Surgery]
MH  - Gastroschisis/su [Surgery]
MH  - General Surgery/is [Instrumentation]
MH  - *General Surgery/mt [Methods]
MH  - Humans
MH  - *Infant, Newborn
MH  - *Infant, Premature
MH  - *Intensive Care, Neonatal/mt [Methods]
MH  - *Neonatology/mt [Methods]
MH  - *Operating Rooms
MH  - Transportation of Patients
AB  - Advances in neonatal care have resulted in the survival of smaller infants with more complicated medical problems. From a surgical standpoint this has required novel approaches to patient care. Surgical care has evolved in many respects. Procedures performed on premature infants range from elective, minor procedures to major, emergent lifesaving interventions. The emergent nature of these surgical interventions has led to controversies in management. Certain conditions require surgical procedures that are commonly performed at the bedside by pediatric surgical specialists. Under other circumstances, the specific details of management are less uniform with wide variability in approach by different practitioners. The rationale in these cases is primarily driven by personal preference with a paucity of supportive data in the published literature to either support or contradict individual opinion. Nevertheless, the role of bedside procedures appears to be expanding. If these procedures are to be undertaken, significant planning is required to ensure a good outcome for the patient. Prospective data are needed determine which patients may benefit from this approach. [References: 18]
IS  - 0146-0005
IL  - 0146-0005
PT  - Comparative Study
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2004 Jun
EZ  - 2004/07/31 05:00
DA  - 2004/10/06 09:00
DT  - 2004/07/31 05:00
YR  - 2004
ED  - 20041005
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15283102

<683. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15085165
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wall SN
AU  - Handler AS
AU  - Park CG
FA  - Wall, Stephen N
FA  - Handler, Arden S
FA  - Park, Chang Gi
IN  - Wall, Stephen N. Department of Pediatrics, Chicago Children's Hospital, Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
TI  - Hospital factors and nontransfer of small babies: a marker of deregionalized perinatal care?.
SO  - Journal of Perinatology. 24(6):351-9, 2004 Jun
AS  - J Perinatol. 24(6):351-9, 2004 Jun
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 24
IP  - 6
PG  - 351-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Delivery, Obstetric/mt [Methods]
MH  - Economics, Hospital
MH  - Educational Status
MH  - Ethnic Groups
MH  - Hospitals/cl [Classification]
MH  - *Hospitals/sn [Statistics & Numerical Data]
MH  - Hospitals, Teaching
MH  - Humans
MH  - Illinois
MH  - Infant, Newborn
MH  - *Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal
MH  - Maternal Age
MH  - Medicaid
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Perinatal Care/og [Organization & Administration]
MH  - Prenatal Care
MH  - *Regional Medical Programs/og [Organization & Administration]
AB  - OBJECTIVES: Our purpose was to examine the contribution of hospital factors (e.g., reimbursement sources, teaching status) to the rate of nontransfer of <1250 g infants born in nontertiary hospitals in Illinois. We chose nontransfer as a marker of the extent to which there have been structural changes in the regionalized perinatal care system in Illinois.
AB  - STUDY DESIGN: Using data from live birth certificates (1989-1996), from the American Hospital Association's Annual Survey of Hospitals (1990 to 1996), and Illinois hospital discharge records (1992 to 1996), we simultaneously assessed the effect of hospital and individual factors on nontransfer of infants <1250 g (n=2904).
AB  - RESULTS: When adjusted for individual risk factors, several hospital factors were associated with nontransfer. These include birth in a Level II+hospital (odds ratios(OR) 3.75; 95% CI 2.29, 5.29), high Medicaid revenues (OR 1.97; 95% CI 1.58, 2.47), high HMO revenues (OR 1.39; 95% CI 1.11, 2.28), and status as a teaching hospital (OR 1.63; 95% CI 1.30, 2.09).
AB  - CONCLUSIONS: This study suggests that there should be careful consideration of the role of hospital factors in perinatal deregionalization in order to preserve the improvements in maternal and infant outcomes associated with regionalized perinatal care.
IS  - 0743-8346
IL  - 0743-8346
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1038/sj.jp.7211101 [doi]
ID  - 7211101 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Jun
EZ  - 2004/04/16 05:00
DA  - 2004/10/01 05:00
DT  - 2004/04/16 05:00
YR  - 2004
ED  - 20040930
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15085165

<684. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12877722
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mitchell ML
AU  - Courtney M
AU  - Coyer F
FA  - Mitchell, Marion L
FA  - Courtney, Mary
FA  - Coyer, Fiona
IN  - Mitchell, Marion L. School of Nursing, Griffith University, Logan Campus, Meadowbrook, Queensland 4131, Australia. marion.mitchell@mailbox.gu.edu.au
TI  - Understanding uncertainty and minimizing families' anxiety at the time of transfer from intensive care.
SO  - Nursing & Health Sciences. 5(3):207-17, 2003 Sep
AS  - Nurs Health Sci. 5(3):207-17, 2003 Sep
NJ  - Nursing & health sciences
VO  - 5
IP  - 3
PG  - 207-17
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dov, 100891857
IO  - Nurs Health Sci
SB  - Nursing Journal
CP  - Australia
MH  - *Anxiety
MH  - Communication
MH  - *Critical Care/px [Psychology]
MH  - Critical Illness/px [Psychology]
MH  - Emotions
MH  - *Family/px [Psychology]
MH  - Humans
MH  - *Intensive Care Units
MH  - *Patient Transfer
MH  - *Professional-Family Relations
MH  - Stress, Physiological/px [Psychology]
MH  - Surveys and Questionnaires
MH  - *Uncertainty
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.
IS  - 1441-0745
IL  - 1441-0745
PT  - Journal Article
ID  - 155 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Sep
EZ  - 2003/07/25 05:00
DA  - 2004/10/01 05:00
DT  - 2003/07/25 05:00
YR  - 2003
ED  - 20040930
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12877722

<685. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15301387
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Peper JA
AU  - Bijlmer RP
AU  - Bos AP
FA  - Peper, J A K
FA  - Bijlmer, R P G M
FA  - Bos, A P
IN  - Peper, J A K. Emma Kinderziekenhuis, Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Intensive Care voor Kinderen, Meibergdreef 9, 1105 AZ Amsterdam. j.a.peper@amc.uva.nl
TI  - [The transport of severely ill children in the Amsterdam region; 1995-2001]. [Dutch]
OT  - Het transport van ernstig zieke kinderen in de regio Amsterdam; 1995-2001.
SO  - Nederlands Tijdschrift voor Geneeskunde. 148(25):1239-42, 2004 Jun 19
AS  - Ned Tijdschr Geneeskd. 148(25):1239-42, 2004 Jun 19
NJ  - Nederlands tijdschrift voor geneeskunde
VO  - 148
IP  - 25
PG  - 1239-42
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - nuk, 0400770
IO  - Ned Tijdschr Geneeskd
SB  - Index Medicus
CP  - Netherlands
MH  - *Critical Illness/th [Therapy]
MH  - Female
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - Morbidity
MH  - Netherlands
MH  - Patient Care Team
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Transportation of Patients/st [Standards]
MH  - *Transportation of Patients
AB  - OBJECTIVE: To inventory experiences of the transport of critically ill children in the Amsterdam region.
AB  - DESIGN: Retrospective, observational.
AB  - METHOD: Data were collected from the 1299 children who were transported to our paediatric intensive-care unit from 1 January 1995 until 31 December 2001. Severity of illness was scored and mortality risk calculated. Data on 535 children who were retrieved by our intensive-care team were compared to those from the 764 who were attended by the referring team. The impact on the outcome of distance and duration of transports from both inside and outside the Amsterdam region was analyzed.
AB  - RESULTS: Two thirds of the transports took place during the evening and night. The median age of the children was 7.5 months. Main indication for admission was respiratory or circulatory insufficiency. During the stabilizing procedure before retrieval, one or more interventions were conducted by our team in 368 (69%) of the 535 retrieved children. 940 children were transported within our region. There were no significant differences between retrieval and non-retrieval groups with respect to length of stay, length of ventilation and mortality. In patients from outside our region the mortality in the retrieval group was higher than in the non-retrieval group.
AB  - CONCLUSION: Retrieval by a specialized team did not always contribute to a favourable outcome. However, from both a logistical and a medical point of view, a retrieval system seems warranted in order to guarantee a higher level of care. There is a need for more clarity regarding the indications for retrieval by an intensive-care team.
IS  - 0028-2162
IL  - 0028-2162
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Dutch
DP  - 2004 Jun 19
EZ  - 2004/08/11 05:00
DA  - 2004/09/03 05:00
DT  - 2004/08/11 05:00
YR  - 2004
ED  - 20040902
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15301387

<686. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15118881
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Berardino M
AU  - Morrone O
AU  - Sciacca PF
AU  - Rosato R
AU  - Ciccone G
AU  - Massaro F
FA  - Berardino, M
FA  - Morrone, O
FA  - Sciacca, P F
FA  - Rosato, R
FA  - Ciccone, G
FA  - Massaro, F
IN  - Berardino, M. Neuroanesthesia and ICU, Neuroscience Dept., San Giovanni Battista Hospital, Turin, Italy. maurizio_berardino@fastwebnet.it
TI  - Discharge criteria from intensive care unit in brain injured patients.
SO  - Acta Neurochirurgica. 146(5):453-6, 2004 May
AS  - Acta Neurochir (Wien). 146(5):453-6, 2004 May
NJ  - Acta neurochirurgica
VO  - 146
IP  - 5
PG  - 453-6
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 0151000
IO  - Acta Neurochir (Wien)
SB  - Index Medicus
CP  - Austria
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Brain Injuries/co [Complications]
MH  - Follow-Up Studies
MH  - Humans
MH  - *Intensive Care Units
MH  - Length of Stay
MH  - Middle Aged
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Risk Factors
MH  - Time Factors
MH  - Trauma Severity Indices
AB  - OBJECTIVE: We investigated the value of information on clinical features and intensity of treatment activity in the Intensive Care Unit (ICU) in predicting the need for further interventions after a patient is discharged from the Intensive Care Unit. Our aim was to assess if this could aid in making decisions about transfer to an Immediate Care Unit (sub-ICU).
AB  - METHODS: We studied 39 patients with acute brain damage (traumatic or vascular causes). They ranged in age from 15 to 75 years and none had an associated spinal cord injury. The SAPS II, Glasgow Coma Scale (GCS), length of stay in ICU, duration of hospital stay and daily NEMS scores were recorded for each patient. We recorded the activities performed after transfer to an sICU, including complications that required active "life-saving" treatment. The role of each factor was assessed by using the odds ratio (OR), and with linear logistic regression.
AB  - FINDINGS: 8 of the 39 patients developed a complication in the Sub-ICU. A linear logistic regression analysis demonstrated that the principal features having significant predictive value were:a) age, with an increase in risk of over 10 times for patients that were older than 50 (p=0.011);b) SAPS II scores > or = 50 points, with 24 times an increase in risk (p=0.002); and c) a GCS score < or =5 points, with an increase in risk of almost 7 times (p=0.024).
AB  - INTERPRETATION: Complications in Sub-ICU are less likely in patients younger than 50 and who have SAPS II and GCS scores within predetermined limits. These indices can help in making decisions about discharge of a patient from ICU to Sub-ICU.

Copyright 2004 Springer-Verlag
IS  - 0001-6268
IL  - 0001-6268
PT  - Journal Article
ID  - 10.1007/s00701-003-0176-1 [doi]
PP  - ppublish
LG  - English
EP  - 20040325
DP  - 2004 May
EZ  - 2004/05/01 05:00
DA  - 2004/09/03 05:00
DT  - 2004/05/01 05:00
YR  - 2004
ED  - 20040902
RD  - 20091111
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15118881

<687. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14727017
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Goh AY
AU  - El-Amin Abdel-Latif M
FA  - Goh, Adrian Y
FA  - El-Amin Abdel-Latif, Mohammed
TI  - Transport of critically ill children in a resource-limited setting: alternatives to a specialized retrieval team.
CM  - Comment on: Intensive Care Med. 2003 Sep;29(9):1414-6; PMID: 14560763
SO  - Intensive Care Medicine. 30(2):339, 2004 Feb
AS  - Intensive Care Med. 30(2):339, 2004 Feb
NJ  - Intensive care medicine
VO  - 30
IP  - 2
PG  - 339
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Critical Care
MH  - Critical Illness/mo [Mortality]
MH  - *Critical Illness/th [Therapy]
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Malaysia
MH  - *Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
IS  - 0342-4642
IL  - 0342-4642
PT  - Comment
PT  - Letter
ID  - 10.1007/s00134-003-2112-5 [doi]
PP  - ppublish
PH  - 2003/11/03 [received]
PH  - 2003/11/25 [accepted]
LG  - English
EP  - 20040116
DP  - 2004 Feb
EZ  - 2004/01/17 05:00
DA  - 2004/08/13 05:00
DT  - 2004/01/17 05:00
YR  - 2004
ED  - 20040812
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14727017

<688. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15121967
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jaimovich DG
AU  - American Academy of Pediatrics Committee on Hospital Care and Section on Critical Care
FA  - Jaimovich, David G
FA  - American Academy of Pediatrics Committee on Hospital Care and Section on Critical Care
TI  - Admission and discharge guidelines for the pediatric patient requiring intermediate care.
SO  - Pediatrics. 113(5):1430-3, 2004 May
AS  - Pediatrics. 113(5):1430-3, 2004 May
NJ  - Pediatrics
VO  - 113
IP  - 5
PG  - 1430-3
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Critical Care
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - *Patient Admission/st [Standards]
MH  - *Patient Care/st [Standards]
MH  - *Patient Discharge/st [Standards]
MH  - Patient Transfer/st [Standards]
MH  - Progressive Patient Care/og [Organization & Administration]
MH  - *Progressive Patient Care/st [Standards]
AB  - During the past 3 decades, the specialty of pediatric critical care medicine has grown rapidly, leading to a number of pediatric intensive care units opening across the country. Many patients who are admitted to the hospital require a higher level of care than routine inpatient general pediatric care, yet not to the degree of intensity of pediatric critical care; therefore, an intermediate care level has been developed in institutions providing multidisciplinary subspecialty pediatric care. These patients may require frequent monitoring of vital signs and nursing interventions, but usually they do not require invasive monitoring. The admission of the pediatric intermediate care patient is guided by physiologic parameters depending on the respective organ system involved relative to an institution's resources and capacity to care for a patient in a general care environment. This report provides admission and discharge guidelines for intermediate pediatric care. Intermediate care promotes greater flexibility in patient triage and provides a cost-effective alternative to admission to a pediatric intensive care unit. This level of care may enhance the efficiency of care and make health care more affordable for patients receiving intermediate care.
ES  - 1098-4275
IL  - 0031-4005
PT  - Guideline
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2004 May
EZ  - 2004/05/04 05:00
DA  - 2004/08/10 05:00
DT  - 2004/05/04 05:00
YR  - 2004
ED  - 20040809
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15121967

<689. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15217632
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Velmahos GC
AU  - Demetriades D
AU  - Ghilardi M
AU  - Rhee P
AU  - Petrone P
AU  - Chan LS
FA  - Velmahos, George C
FA  - Demetriades, Demetrios
FA  - Ghilardi, Mariano
FA  - Rhee, Peter
FA  - Petrone, Patrizio
FA  - Chan, Linda S
IN  - Velmahos, George C. Department of Surgery, Division of Trauma and Critical Care, University of Southern California, Los Angeles, CA, USA.
TI  - Life support for trauma and transport: a mobile ICU for safe in-hospital transport of critically injured patients.
SO  - Journal of the American College of Surgeons. 199(1):62-8, 2004 Jul
AS  - J Am Coll Surg. 199(1):62-8, 2004 Jul
NJ  - Journal of the American College of Surgeons
VO  - 199
IP  - 1
PG  - 62-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bzb, 9431305
IO  - J. Am. Coll. Surg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Beds
MH  - Female
MH  - Health Care Rationing
MH  - Hospitals
MH  - Humans
MH  - Life Support Care/is [Instrumentation]
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic/is [Instrumentation]
MH  - *Patient Care/is [Instrumentation]
MH  - *Point-of-Care Systems
MH  - Prospective Studies
MH  - *Transportation of Patients/mt [Methods]
MH  - *Wounds and Injuries/th [Therapy]
AB  - BACKGROUND: In-hospital transport of newly injured patients is complicated by inadequate monitoring and adverse events. LSTAT (Life Support for Trauma and Transport, Integrated Medical Systems Inc) is a platform with multiple integrated systems (ventilator, defibrillator, suction, hemodynamic monitors, infusion and invasive monitoring channels, capnography, blood analysis, and electrocardiography) that allow seamless monitoring and effective life-saving interventions during transport. The platform functions as a mobile ICU and has preliminarily been tested with success in combat settings. This is the first evaluation of LSTAT in the civilian transport arena.
AB  - STUDY DESIGN: Major trauma patients requiring trauma team activation, who were transported from the Emergency Department through different hospital departments (usually CT or angiography) to the ICU or operating room were included prospectively (December 2002 through April 2003). Patients were monitored and transported either by conventional means (conventional group) or by LSTAT (LSTAT group). Primary outcomes related to resource consumption and process of care; secondary outcomes related to clinical events. A questionnaire was completed by the surgeons participating in transports to document perceptions and preferences about means of in-hospital transport.
AB  - RESULTS: Of 178 patients enrolled, 85 (48%) were in the LSTAT and 93 (52%) in the conventional groups. The two groups were similar except for age and mechanism of injury. Time of hand-bagging, preparation for transport, and return of blood results was significantly shorter in the LSTAT than in the conventional group (p < 0.001 for all). Significantly fewer LSTAT than conventional transports required more than one escorting physician (p < 0.001). Significantly more surveyed surgeons preferred LSTAT to conventional methods to transfer patients. There were no differences in adverse events, hospital stay, or mortality between the two groups.
AB  - CONCLUSIONS: LSTAT emerges as a safe and convenient method of in-hospital transport. It allows uninterrupted monitoring, immediate response to physiologic changes, and reduction in human resource consumption. Process of care is improved. LSTAT's potential to improve clinical outcomes needs to be tested in different environments, including the prehospital setting.
IS  - 1072-7515
IL  - 1072-7515
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1016/j.jamcollsurg.2004.02.022 [doi]
ID  - S1072-7515(04)00287-X [pii]
PP  - ppublish
PH  - 2003/11/12 [received]
PH  - 2004/02/20 [revised]
PH  - 2004/02/24 [accepted]
LG  - English
DP  - 2004 Jul
EZ  - 2004/06/26 05:00
DA  - 2004/08/04 05:00
DT  - 2004/06/26 05:00
YR  - 2004
ED  - 20040803
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15217632

<690. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15157931
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Green A
AU  - Edmonds L
FA  - Green, Anna
FA  - Edmonds, Liz
IN  - Green, Anna. Western Hospital, Gordon Street, Footscray, Vic. 3011, Australia. anna.green@wh.org.au
TI  - Bridging the gap between the intensive care unit and general wards-the ICU Liaison Nurse.
SO  - Intensive & Critical Care Nursing. 20(3):133-43, 2004 Jun
AS  - Intensive Crit Care Nurs. 20(3):133-43, 2004 Jun
NJ  - Intensive & critical care nursing
VO  - 20
IP  - 3
PG  - 133-43
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Australia
MH  - Hospital Units/og [Organization & Administration]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Interdepartmental Relations
MH  - *Interprofessional Relations
MH  - *Nurse Practitioners
MH  - Organizational Innovation
MH  - *Patient Transfer/og [Organization & Administration]
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.
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
ID  - 10.1016/j.iccn.2004.02.007 [doi]
ID  - S0964339704000242 [pii]
PP  - ppublish
PH  - 2004/02/23 [accepted]
LG  - English
DP  - 2004 Jun
EZ  - 2004/05/26 05:00
DA  - 2004/07/31 05:00
DT  - 2004/05/26 05:00
YR  - 2004
ED  - 20040730
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15157931

<691. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15078373
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cunliffe M
AU  - McArthur L
AU  - Dooley F
FA  - Cunliffe, M
FA  - McArthur, L
FA  - Dooley, F
IN  - Cunliffe, M. Clinical Nurse Specialist in Pain, Royal Liverpool Children's Hospital - Alder Hey, Eaton Road, Liverpool, UK. mary@cunliffe7714.freeserve.co.uk
TI  - Managing sedation withdrawal in children who undergo prolonged PICU admission after discharge to the ward. [Review] [24 refs]
SO  - Paediatric Anaesthesia. 14(4):293-8, 2004 Apr
AS  - Paediatr Anaesth. 14(4):293-8, 2004 Apr
NJ  - Paediatric anaesthesia
VO  - 14
IP  - 4
PG  - 293-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cg8, 9206575
IO  - Paediatr Anaesth
SB  - Index Medicus
CP  - France
MH  - Analgesics/ae [Adverse Effects]
MH  - Analgesics/tu [Therapeutic Use]
MH  - Child
MH  - Chloral Hydrate/ad [Administration & Dosage]
MH  - Chloral Hydrate/ae [Adverse Effects]
MH  - Clinical Protocols
MH  - *Critical Care
MH  - Follow-Up Studies
MH  - *Hospital Units
MH  - Humans
MH  - *Hypnotics and Sedatives/ad [Administration & Dosage]
MH  - Hypnotics and Sedatives/ae [Adverse Effects]
MH  - Infant
MH  - *Length of Stay
MH  - Male
MH  - Midazolam/ad [Administration & Dosage]
MH  - Midazolam/ae [Adverse Effects]
MH  - Pain Clinics
MH  - Patient Care Planning
MH  - *Patient Transfer
MH  - *Substance Withdrawal Syndrome/pc [Prevention & Control]
MH  - Time Factors
MH  - Writing
AB  - Children who undergo a prolonged stay within the intensive care unit require adequate sedation and analgesia. During the recovery phase there will need to be a period of sedation withdrawal to prevent occurrence of an abstinence syndrome. We present a strategy developed within our hospital for managing this process which uses the resource of the Pain Service, along with guidelines to help prevent the development of withdrawal, and a plan for managing any signs of abstinence which occur. [References: 24]
RN  - 0 (Analgesics)
RN  - 0 (Hypnotics and Sedatives)
RN  - 418M5916WG (Chloral Hydrate)
RN  - R60L0SM5BC (Midazolam)
IS  - 1155-5645
IL  - 1155-5645
PT  - Case Reports
PT  - Journal Article
PT  - Review
ID  - 10.1046/j.1460-9592.2003.01219.x [doi]
ID  - PAN1219 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Apr
EZ  - 2004/04/14 05:00
DA  - 2004/07/23 05:00
DT  - 2004/04/14 05:00
YR  - 2004
ED  - 20040722
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15078373

<692. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15156416
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hossfeld B
AU  - Rohowsky B
AU  - Rodig E
AU  - Lampl L
FA  - Hossfeld, B
FA  - Rohowsky, B
FA  - Rodig, E
FA  - Lampl, L
IN  - Hossfeld, B. Bundeswehrkrankenhaus Ulm, Abt. fur Anasthesiologie und Intensivmedizin. bjoern.hossfeld@extern.uni-ulm.de
TI  - [Intensive care within the context of military long-distance transport]. [German]
OT  - Intensivtherapie im militarischen Langstreckentransport.
SO  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. 39(5):256-64, 2004 May
AS  - Anasthesiol Intensivmed Notfallmed Schmerzther. 39(5):256-64, 2004 May
NJ  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
VO  - 39
IP  - 5
PG  - 256-64
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9109478, a4c
IO  - Anasthesiol Intensivmed Notfallmed Schmerzther
SB  - Index Medicus
CP  - Germany
MH  - Aircraft
MH  - Critical Care/mt [Methods]
MH  - *Critical Care/st [Standards]
MH  - Germany
MH  - Humans
MH  - *Military Personnel
MH  - Quality Assurance, Health Care
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients/st [Standards]
AB  - Due to the changed task spectrum of the German Federal Armed Forces with participation in international deployments for UN and NATO the concept of Aeromedical Evacuation (MedEvac) gained a new quality for the Air Force as well as for the Medical Corps. The transport of mostly severely injured or critically ill patients requires both, medical equipment which has to be permanently adapted to the national standard, and qualified intensive-care-personnel. At present, the aircrafts used for such deployments are four C-160 Transall, one CL-601 Challenger and two Airbus A310, which, if necessary, can be equipped with one or more intensive-care "patient transportation units" (PTU). Contrary to the two other aircrafts, the CL-601 Challenger is only equipped for the intensive-care transport of one individual patient. The PTU corresponds to the technical equipment of the intensive care unit of a level-1-trauma centre and ensures an intensive-care therapy on highest level also during longer transportation. The work with this equipment, the characteristics of the long-distance air transport and the special situation of the military deployment causes special demands on the qualifications of the assigned personnel. Primarily planned for the repatriation of injured or ill soldiers, in the mean time, this concept is also essential for the medevac of civilian victims after mass casualties worldwide.
IS  - 0939-2661
IL  - 0939-2661
PT  - English Abstract
PT  - Journal Article
ID  - 10.1055/s-2004-814463 [doi]
PP  - ppublish
LG  - German
DP  - 2004 May
EZ  - 2004/05/25 05:00
DA  - 2004/07/14 05:00
DT  - 2004/05/25 05:00
YR  - 2004
ED  - 20040713
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15156416

<693. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14691893
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Levin PD
AU  - Worner TM
AU  - Sviri S
AU  - Goodman SV
AU  - Weiss YG
AU  - Einav S
AU  - Weissman C
AU  - Sprung CL
FA  - Levin, Phillip D
FA  - Worner, Theresa M
FA  - Sviri, Sigal
FA  - Goodman, Sergey V
FA  - Weiss, Yoram G
FA  - Einav, Sharon
FA  - Weissman, Charles
FA  - Sprung, Charles L
IN  - Levin, Phillip D. Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Hospital, Jerusalem, Israel.
TI  - Intensive care outflow limitation--frequency, etiology, and impact.
SO  - Journal of Critical Care. 18(4):206-11, 2003 Dec
AS  - J Crit Care. 18(4):206-11, 2003 Dec
NJ  - Journal of critical care
VO  - 18
IP  - 4
PG  - 206-11
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - buy, 8610642
IO  - J Crit Care
SB  - Index Medicus
CP  - United States
MH  - Bed Occupancy/ec [Economics]
MH  - Bed Occupancy/sn [Statistics & Numerical Data]
MH  - Decision Making
MH  - Female
MH  - Hospital Bed Capacity, 500 and over
MH  - Hospitals, University
MH  - Hospitals, Urban
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/ut [Utilization]
MH  - *Intensive Care Units
MH  - Length of Stay/ec [Economics]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Patient Transfer/ec [Economics]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Prospective Studies
AB  - OBJECTIVE: To assess the frequency, causes, and effect of unsuccessful discharge decisions from the ICU.
AB  - SETTING: An 11-bed general intensive care unit of a 750-bed urban university hospital, tertiary referral center and level one trauma center.
AB  - DESIGN: A prospective, observational study.
AB  - PATIENTS: All ICU patients judged appropriate for discharge by the ICU attending physician.
AB  - MEASUREMENTS AND RESULTS: A total of 856 attempted discharges in 706 patients were analyzed over 16 months. Of these, 703 (82%) were successful within 24 hours. Of the remaining 153 unsuccessful discharges, 51 (33%) were deferred because of medical deterioration, 32 (21%) at the request of the ward physicians or nurses and 70 (46%) because of administrative difficulties (lack of ward bed space or disagreement over admitting service). When compared to patients successfully discharged on the first attempt, those whose discharge was deferred had a significantly longer ICU admission prior to the first discharge attempt (median 4d v 3d, P =.009), and a higher proportion required intermediate care (48% v 26%, P <.001). Both these factors were independently associated with unsuccessful discharge in a logistic regression analysis (OR 1.04, 95%CI 1.02, 1.06, P =.0001, OR 2.05 95%CI 1.30, 3.26, P =.002, respectively). Deferred discharges accounted for 153 days of ICU care (2.6% of the total) and were associated with ICU overflow on 118 days (2% of all ICU days).
AB  - CONCLUSION: ICU outflow limitation occurs in up to 1 in 6 discharges. It can be due to medical deterioration, level of care issues or administrative problems, and may lead to inefficient use of ICU resources.
IS  - 0883-9441
IL  - 0883-9441
PT  - Journal Article
ID  - S0883944103001102 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Dec
EZ  - 2003/12/24 05:00
DA  - 2004/07/02 05:00
DT  - 2003/12/24 05:00
YR  - 2003
ED  - 20040701
RD  - 20140728
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14691893

<694. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14691892
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pronovost P
AU  - Weast B
AU  - Schwarz M
AU  - Wyskiel RM
AU  - Prow D
AU  - Milanovich SN
AU  - Berenholtz S
AU  - Dorman T
AU  - Lipsett P
FA  - Pronovost, Peter
FA  - Weast, Brad
FA  - Schwarz, Mandalyn
FA  - Wyskiel, Rhonda M
FA  - Prow, Donna
FA  - Milanovich, Shelley N
FA  - Berenholtz, Sean
FA  - Dorman, Todd
FA  - Lipsett, Pamela
IN  - Pronovost, Peter. Department of Anesthesiology and Critical Care Medicine Surgery and Health Policy and Management, The Johns Hopkins University, Baltimore, MD 21231, USA. ppronovo@jhmi.edu
TI  - Medication reconciliation: a practical tool to reduce the risk of medication errors.
SO  - Journal of Critical Care. 18(4):201-5, 2003 Dec
AS  - J Crit Care. 18(4):201-5, 2003 Dec
NJ  - Journal of critical care
VO  - 18
IP  - 4
PG  - 201-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - buy, 8610642
IO  - J Crit Care
SB  - Index Medicus
CP  - United States
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - Hospitals, University
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - *Medication Errors/mt [Methods]
MH  - *Medication Errors/pc [Prevention & Control]
MH  - Medication Systems, Hospital/og [Organization & Administration]
MH  - Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Quality Assurance, Health Care/mt [Methods]
AB  - Preventable adverse drug events are associated with one out of five injuries or deaths. Estimates reveal that 46% of medication errors occur on admission or discharge from a clinical unit/hospital when patient orders are written. This study was performed to reduce medication errors in patient's discharge orders through a reconciliation process in an adult surgical intensive care unit (ICU). A discharge survey was implemented as part of the medication reconciliation process. The admitting nurse initiated the survey within 24 hours of ICU admission and the charge nurse completed the survey on discharge. Baseline data were obtained through a random sampling of 10% of discharges in first 2 weeks of the study (July 2001-May 2002). Medical and anesthesia records were reviewed, allergies and home medications verified with patient/family and findings compared with orders at time of ICU discharge. Baseline data revealed that 31 of 33 (94%) patients had orders changed. By week 24, nearly all medication errors in discharge orders were eliminated. In conclusion, use of the discharge survey in this medication reconciliation process resulted in a dramatic drop in medications errors for patients discharged from an ICU. The survey is now a part of our electronic medical record and used in 4 adult ICUs and 2 medicine floors.
IS  - 0883-9441
IL  - 0883-9441
PT  - Journal Article
ID  - S0883944103001084 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Dec
EZ  - 2003/12/24 05:00
DA  - 2004/07/02 05:00
DT  - 2003/12/24 05:00
YR  - 2003
ED  - 20040701
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14691892

<695. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15190975
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jaimovich DG
AU  - Committee on Hospital Care and Section on Critical Care
FA  - Jaimovich, David G
FA  - Committee on Hospital Care and Section on Critical Care
IN  - Jaimovich, David G. Hope Children's Hospital, Oak Lawn, IL, USA.
TI  - Admission and discharge guidelines for the pediatric patient requiring intermediate care.
CM  - Comment in: Minerva Anestesiol. 2011 Oct;77(10):1022-3; PMID: 21952602
SO  - Critical Care Medicine. 32(5):1215-8, 2004 May
AS  - Crit Care Med. 32(5):1215-8, 2004 May
NJ  - Critical care medicine
VO  - 32
IP  - 5
PG  - 1215-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Cardiovascular Diseases/di [Diagnosis]
MH  - Cardiovascular Diseases/th [Therapy]
MH  - Child
MH  - Cost-Benefit Analysis
MH  - Critical Care/ec [Economics]
MH  - *Critical Care/st [Standards]
MH  - Economics, Medical
MH  - Efficiency, Organizational
MH  - Endocrine System Diseases/di [Diagnosis]
MH  - Endocrine System Diseases/th [Therapy]
MH  - Gastrointestinal Diseases/di [Diagnosis]
MH  - Gastrointestinal Diseases/th [Therapy]
MH  - Hematologic Diseases/di [Diagnosis]
MH  - Hematologic Diseases/th [Therapy]
MH  - Humans
MH  - Intensive Care Units, Pediatric/ec [Economics]
MH  - Intensive Care Units, Pediatric/st [Standards]
MH  - Intensive Care Units, Pediatric/ut [Utilization]
MH  - Kidney Diseases/di [Diagnosis]
MH  - Kidney Diseases/th [Therapy]
MH  - Medicine/st [Standards]
MH  - Needs Assessment
MH  - Nervous System Diseases/di [Diagnosis]
MH  - Nervous System Diseases/th [Therapy]
MH  - Patient Admission/ec [Economics]
MH  - *Patient Admission/st [Standards]
MH  - Patient Discharge/ec [Economics]
MH  - *Patient Discharge/st [Standards]
MH  - Patient Selection
MH  - Patient Transfer/ec [Economics]
MH  - Patient Transfer/st [Standards]
MH  - Pediatrics/ec [Economics]
MH  - *Pediatrics/st [Standards]
MH  - Progressive Patient Care/ec [Economics]
MH  - Progressive Patient Care/st [Standards]
MH  - Respiratory Tract Diseases/di [Diagnosis]
MH  - Respiratory Tract Diseases/th [Therapy]
MH  - Specialization
MH  - Subacute Care/ec [Economics]
MH  - *Subacute Care/st [Standards]
MH  - Surgical Procedures, Operative
MH  - Triage/ec [Economics]
MH  - Triage/st [Standards]
AB  - During the past three decades, the specialty of pediatric critical care medicine has grown rapidly, leading to a number of pediatric intensive care units being opened across the country. Many patients who are admitted to the hospital require a higher level of care than the routine inpatient general pediatric care, yet not to the degree of intensity as pediatric critical care; therefore, an intermediate care level has been developed in institutions providing multiple disciplinary subspecialty pediatric care. These patients may require frequent monitoring of vital signs and nursing interventions but usually do not require invasive monitoring. The admission of the pediatric intermediate care patient is guided by physiologic parameters depending on the respective organ system involved relative to the institution's resources and capacity in caring for a patient in a general care environment. This report provides admission and discharge guidelines for intermediate pediatric care. Intermediate care promotes greater flexibility in patient triage and provides a cost-effective alternative to admission to a pediatric intensive care unit. This level of care may enhance the efficiency of care and improve the healthcare affordability for patients receiving intermediate care.
IS  - 0090-3493
IL  - 0090-3493
PT  - Guideline
PT  - Journal Article
PT  - Practice Guideline
PP  - ppublish
LG  - English
DP  - 2004 May
EZ  - 2004/06/12 05:00
DA  - 2004/06/26 05:00
DT  - 2004/06/12 05:00
YR  - 2004
ED  - 20040625
RD  - 20111101
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15190975

<696. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15190974
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bekes CE
AU  - Dellinger RP
AU  - Brooks D
AU  - Edmondson R
AU  - Olivia CT
AU  - Parrillo JE
FA  - Bekes, Carolyn E
FA  - Dellinger, R Phillip
FA  - Brooks, Daniel
FA  - Edmondson, Robert
FA  - Olivia, Christopher T
FA  - Parrillo, Joseph E
IN  - Bekes, Carolyn E. Robert Wood Johnson Medical School, Camden, NJ, USA.
TI  - Critical care medicine as a distinct product line with substantial financial profitability: the role of business planning.
SO  - Critical Care Medicine. 32(5):1207-14, 2004 May
AS  - Crit Care Med. 32(5):1207-14, 2004 May
NJ  - Critical care medicine
VO  - 32
IP  - 5
PG  - 1207-14
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Academic Medical Centers/og [Organization & Administration]
MH  - Budgets/og [Organization & Administration]
MH  - Capital Expenditures/sn [Statistics & Numerical Data]
MH  - Commerce/og [Organization & Administration]
MH  - Cost Control
MH  - *Critical Care/og [Organization & Administration]
MH  - Data Interpretation, Statistical
MH  - Emergency Service, Hospital/og [Organization & Administration]
MH  - *Financial Management, Hospital/og [Organization & Administration]
MH  - Forecasting
MH  - Health Services Research
MH  - *Hospital Planning/og [Organization & Administration]
MH  - Humans
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - *Medicine/og [Organization & Administration]
MH  - Models, Econometric
MH  - Models, Organizational
MH  - New Jersey
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Transfer/og [Organization & Administration]
MH  - Personnel Staffing and Scheduling/og [Organization & Administration]
MH  - Personnel, Hospital/sd [Supply & Distribution]
MH  - Planning Techniques
MH  - *Product Line Management/og [Organization & Administration]
MH  - Program Development
MH  - Referral and Consultation/og [Organization & Administration]
MH  - *Specialization
AB  - OBJECTIVE: As academic health centers face increasing financial pressures, they have adopted a more businesslike approach to planning, particularly for discrete "product" or clinical service lines. Since critical care typically has been viewed as a service provided by a hospital, and not a product line, business plans have not historically been developed to expand and promote critical care. The major focus when examining the finances of critical care has been cost reduction, not business development. We hypothesized that a critical care business plan can be developed and analyzed like other more typical product lines and that such a critical care product line can be profitable for an institution.
AB  - DESIGN: In-depth analysis of critical care including business planning for critical care services.
AB  - SETTING: Regional academic health center in southern New Jersey.
AB  - SUBJECTS: None.
AB  - INTERVENTIONS: As part of an overall business planning process directed by the Board of Trustees, the critical care product line was identified by isolating revenue, expenses, and profitability associated with critical care patients.
AB  - MEASUREMENTS AND MAIN RESULTS: We were able to identify the major sources ("value chain") of critical care patients: the emergency room, patients who are admitted for other problems but spend time in a critical care unit, and patients transferred to our intensive care units from other hospitals. The greatest opportunity to expand the product line comes from increasing the referrals from other hospitals. A methodology was developed to identify the revenue and expenses associated with critical care, based on the analysis of past experience. With this model, we were able to demonstrate a positive contribution margin of dollar 7 million per year related to patients transferred to the institution primarily for critical care services. This can be seen as the profit related to the product line segment of critical care. There was an additional positive contribution margin of dollar 5.8 million attributed to the critical care portion of the hospital stay of patients admitted primarily through other product lines or the emergency room. This can be seen as the profit related to the "hospital service" segment of critical care. This represented a total contribution margin of dollar 12.8 million, approximately 24% of the institution's entire contribution margin. This information was subsequently used to develop strategic plans to promote this product line.
AB  - CONCLUSIONS: We were able to define the critical care product line, and we were able to demonstrate profitability through an analysis of revenue and expenses related to critical care services. Our experience suggests that the concept of critical care as a product line, in addition to a hospital service, may lead to a useful analysis of this new discipline. This plan provided a rational foundation for development of the operating and capital budgets for the health system.
IS  - 0090-3493
IL  - 0090-3493
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2004 May
EZ  - 2004/06/12 05:00
DA  - 2004/06/26 05:00
DT  - 2004/06/12 05:00
YR  - 2004
ED  - 20040625
RD  - 20091119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15190974

<697. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15179997
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Farley T
FA  - Farley, Tim
IN  - Farley, Tim. Duke University Health System, Durham, NC, USA.
TI  - Putting cardiac surgery patients on the "fast track".
SO  - Nursing. 34(3):19, 2004 Mar
AS  - Nursing. 34(3):19, 2004 Mar
NJ  - Nursing
VO  - 34
IP  - 3
PG  - 19
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - oa3, 7600137
IO  - Nursing
SB  - Nursing Journal
CP  - United States
MH  - *Cardiac Surgical Procedures/nu [Nursing]
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Nursing Assessment/og [Organization & Administration]
MH  - Organizational Policy
MH  - *Patient Selection
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Practice Guidelines as Topic
MH  - Time Factors
IS  - 0360-4039
IL  - 0360-4039
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2004 Mar
EZ  - 2004/06/08 05:00
DA  - 2004/06/18 05:00
DT  - 2004/06/08 05:00
YR  - 2004
ED  - 20040617
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15179997

<698. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15029740
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Szymankiewicz M
FA  - Szymankiewicz, Marta
IN  - Szymankiewicz, Marta. Katedry i Kliniki Neonatologii AM im. Karola Marcinkowskiego w Poznaniu.
TI  - [Thermoregulation and maintenance of appropriate temperature in newborns]. [Review] [29 refs] [Polish]
OT  - Termoregulacja i utrzymanie prawidlowej cieploty ciala noworodkow.
SO  - Ginekologia Polska. 74(11):1487-97, 2003 Nov
AS  - Ginekol Pol. 74(11):1487-97, 2003 Nov
NJ  - Ginekologia polska
VO  - 74
IP  - 11
PG  - 1487-97
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - fr3, 0374641
IO  - Ginekol. Pol.
SB  - Index Medicus
CP  - Poland
MH  - *Body Temperature
MH  - Body Temperature Regulation/ph [Physiology]
MH  - *Body Temperature Regulation
MH  - Delivery Rooms/st [Standards]
MH  - Hot Temperature/tu [Therapeutic Use]
MH  - Humans
MH  - Hypothermia/cn [Congenital]
MH  - Hypothermia/th [Therapy]
MH  - *Hypothermia
MH  - *Infant Care/mt [Methods]
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - *Intensive Care, Neonatal/mt [Methods]
MH  - Risk Factors
MH  - Transportation of Patients/st [Standards]
AB  - Hypothermia is one of the most important factors having an influence on morbidity of the newborns. Physiology of neonatal thermoregulation and thermogenesis is described as well as range of methods used for preventing heat loss and maintaining neutral temperature. An article presents the main reasons of limited thermogenesis in prematures, ways of heat loss and consequences resulting from decreased or increased newborns temperature. Special attention was put on routine care of infants within delivery room, intensive care units, during neonatal transportation and on procedures necessary to avoid hypothermia or overheating of preterm infants. [References: 29]
IS  - 0017-0011
IL  - 0017-0011
PT  - English Abstract
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - Polish
DP  - 2003 Nov
EZ  - 2004/03/20 05:00
DA  - 2004/05/28 05:00
DT  - 2004/03/20 05:00
YR  - 2003
ED  - 20040527
RD  - 20170303
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15029740

<699. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15102724
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gill AB
AU  - Bottomley L
AU  - Chatfield S
AU  - Wood C
FA  - Gill, A B
FA  - Bottomley, L
FA  - Chatfield, S
FA  - Wood, C
IN  - Gill, A B. Peter Congdon Neonatal Unit, Leeds General Infirmary, Leeds, UK. bryan.gill@leedsth.nhs.uk
TI  - Perinatal transport: problems in neonatal intensive care capacity.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 89(3):F220-3, 2004 May
AS  - Arch Dis Child Fetal Neonatal Ed. 89(3):F220-3, 2004 May
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 89
IP  - 3
PG  - F220-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1721688
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - England
MH  - Female
MH  - Hospital Bed Capacity
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - Medical Audit
MH  - Needs Assessment
MH  - Outcome Assessment (Health Care)
MH  - Pregnancy
MH  - Transportation of Patients/st [Standards]
MH  - *Transportation of Patients/ut [Utilization]
MH  - *Utilization Review
MH  - Workload
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.
AB  - 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.
AB  - PATIENTS: Expectant mothers (in utero transfers) and neonates (ex utero transfers).
AB  - INTERVENTIONS: None
AB  - 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).
AB  - 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.
AB  - 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.
IS  - 1359-2998
IL  - 1359-2998
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - PMC1721688 [pmc]
PP  - ppublish
LG  - English
DP  - 2004 May
EZ  - 2004/04/23 05:00
DA  - 2004/05/20 05:00
DT  - 2004/04/23 05:00
YR  - 2004
ED  - 20040519
RD  - 20140609
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15102724

<700. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15102723
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fenton AC
AU  - Leslie A
AU  - Skeoch CH
FA  - Fenton, A C
FA  - Leslie, A
FA  - Skeoch, C H
IN  - Fenton, A C. Newcastle Neonatal Service, Ward 35, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK. a.c.fenton@ncl.ac.uk
TI  - Optimising neonatal transfer. [Review] [29 refs]
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 89(3):F215-9, 2004 May
AS  - Arch Dis Child Fetal Neonatal Ed. 89(3):F215-9, 2004 May
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 89
IP  - 3
PG  - F215-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1721683
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Hospital Bed Capacity
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - Patient Care Team
MH  - Referral and Consultation
MH  - Transportation of Patients/og [Organization & Administration]
MH  - *Transportation of Patients/st [Standards]
MH  - United Kingdom
MH  - Workload
AB  - Services for neonatal intensive care in the United Kingdom have evolved in a largely unplanned fashion. Units of different sizes provide various amounts of intensive care, and, with a few exceptions, there is little or no formal regional or subregional organisation. Chronic underresourcing and the salvaging of ever more complex infants have resulted in tertiary neonatal intensive care units operating at full capacity most of the time, a situation compounded by a chronic national shortage of nursing staff. These factors have in turn resulted in an increase in requirements for emergency perinatal transfers. [References: 29]
IS  - 1359-2998
IL  - 1359-2998
PT  - Journal Article
PT  - Review
ID  - PMC1721683 [pmc]
PP  - ppublish
LG  - English
DP  - 2004 May
EZ  - 2004/04/23 05:00
DA  - 2004/05/20 05:00
DT  - 2004/04/23 05:00
YR  - 2004
ED  - 20040519
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15102723

<701. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15102722
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cornette L
FA  - Cornette, L
IN  - Cornette, L. Yorkshire Region Neonatal Transport Service, Peter Congdon Neonatal Unit, Leeds General Infirmary, Leeds, UK. luc.cornette@lth.nhs.uk
TI  - Contemporary neonatal transport: problems and solutions.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 89(3):F212-4, 2004 May
AS  - Arch Dis Child Fetal Neonatal Ed. 89(3):F212-4, 2004 May
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 89
IP  - 3
PG  - F212-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1721672
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Hospitals, District
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Neonatology/mt [Methods]
MH  - *Neonatology/og [Organization & Administration]
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - United Kingdom
IS  - 1359-2998
IL  - 1359-2998
PT  - Journal Article
ID  - PMC1721672 [pmc]
PP  - ppublish
LG  - English
DP  - 2004 May
EZ  - 2004/04/23 05:00
DA  - 2004/05/20 05:00
DT  - 2004/04/23 05:00
YR  - 2004
ED  - 20040519
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15102722

<702. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15009342
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Paul F
AU  - Hendry C
AU  - Cabrelli L
FA  - Paul, Fiona
FA  - Hendry, Charles
FA  - Cabrelli, Louise
IN  - Paul, Fiona. Ninewells Hospital, Dundee, UK. fiona.paul@tuht.scot.nhs.uk
TI  - Meeting patient and relatives' information needs upon transfer from an intensive care unit: the development and evaluation of an information booklet.
SO  - Journal of Clinical Nursing. 13(3):396-405, 2004 Mar
AS  - J Clin Nurs. 13(3):396-405, 2004 Mar
NJ  - Journal of clinical nursing
VO  - 13
IP  - 3
PG  - 396-405
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bzz, 9207302
IO  - J Clin Nurs
SB  - Nursing Journal
CP  - England
MH  - *Family/px [Psychology]
MH  - Health Services Needs and Demand
MH  - Humans
MH  - *Intensive Care Units
MH  - Pamphlets
MH  - *Patient Education as Topic
MH  - *Patient Transfer
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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 0962-1067
IL  - 0962-1067
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 876 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Mar
EZ  - 2004/03/11 05:00
DA  - 2004/05/14 05:00
DT  - 2004/03/11 05:00
YR  - 2004
ED  - 20040513
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15009342

<703. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15096357
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - van Zanten AR
AU  - Polderman KH
FA  - van Zanten, Arthur R H
FA  - Polderman, Kees H
TI  - Organizational changes in a single intensive care unit affect benchmarking.
CM  - Comment on: Ann Intern Med. 2003 Jun 3;138(11):882-90; PMID: 12779298
SO  - Annals of Internal Medicine. 140(8):674-5, 2004 Apr 20
AS  - Ann Intern Med. 140(8):674-5, 2004 Apr 20
NJ  - Annals of internal medicine
VO  - 140
IP  - 8
PG  - 674-5
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0372351
IO  - Ann. Intern. Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Benchmarking
MH  - *Critical Illness
MH  - *Hospitals, University/og [Organization & Administration]
MH  - *Hospitals, University/st [Standards]
MH  - Humans
MH  - *Outcome Assessment (Health Care)
MH  - *Patient Transfer
ES  - 1539-3704
IL  - 0003-4819
PT  - Comment
PT  - Letter
ID  - 140/8/674 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Apr 20
EZ  - 2004/04/21 05:00
DA  - 2004/05/05 05:00
DT  - 2004/04/21 05:00
YR  - 2004
ED  - 20040504
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15096357

<704. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 15090948
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nates JL
FA  - Nates, Joseph L
IN  - Nates, Joseph L. Vivian L. Smith Center for Neurologic Research and the Department of Neurosurgery and Anesthesiology/Critical Care, The University of Texas, Houston, TX, USA. jlnates@mdanderson.org
TI  - Combined external and internal hospital disaster: impact and response in a Houston trauma center intensive care unit. [Review] [38 refs]
CM  - Comment in: Crit Care Med. 2004 Mar;32(3):884-5; PMID: 15090982
SO  - Critical Care Medicine. 32(3):686-90, 2004 Mar
AS  - Crit Care Med. 32(3):686-90, 2004 Mar
NJ  - Critical care medicine
VO  - 32
IP  - 3
PG  - 686-90
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Communications Media
MH  - *Disaster Planning
MH  - *Disasters
MH  - Electric Power Supplies
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Organizational Case Studies
MH  - Patient Transfer
MH  - Texas
MH  - *Trauma Centers/og [Organization & Administration]
AB  - OBJECTIVE: To increase awareness of specific risks to healthcare systems during a natural or civil disaster. We describe the catastrophic disruption of essential services and the point-by-point response to the crisis in a major medical center.
AB  - DESIGN: Case report, review of the literature, and discussion.
AB  - SETTING: A 28-bed intensive care unit in a level I trauma center in the largest medical center in the world.
AB  - CASE: In June 2001, tropical storm Allison caused >3 feet of rainfall and catastrophic flooding in Houston, TX. Memorial Hermann Hospital, one of only two level I trauma centers in the community, lost electrical power, communications systems, running water, and internal transportation. All essential hospital services were rendered nonfunctional. Life-saving equipment such as ventilators, infusion pumps, and monitors became useless. Patients were triaged to other medical facilities based on acuity using ground and air ambulances. No patients died as result of the internal disaster.
AB  - CONCLUSION: Adequate training, teamwork, communication, coordination with other healthcare professionals, and strong leadership are essential during a crisis. Electricity is vital when delivering care in today's healthcare system, which depends on advanced technology. It is imperative that hospitals take the necessary measures to preserve electrical power at all times. Hospitals should have battery-operated internal and external communication systems readily available in the event of a widespread disaster and communication outage. Critical services such as pharmacy, laboratories, blood bank, and central supply rooms should be located at sites more secure than the ground floors, and these services should be prepared for more extensive performances. Contingency plans to maintain protected water supplies and available emergency kits with batteries, flashlights, two-way radios, and a nonelectronic emergency system for patient identification are also very important. Rapid adaptation to unexpected adverse conditions is critical to the successful implementation of any disaster plan. [References: 38]
IS  - 0090-3493
IL  - 0090-3493
PT  - Journal Article
PT  - Review
ID  - 00003246-200403000-00011 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Mar
EZ  - 2004/04/20 05:00
DA  - 2004/05/01 05:00
DT  - 2004/04/20 05:00
YR  - 2004
ED  - 20040430
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15090948

<705. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14676488
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Claudet I
AU  - Baunin C
AU  - Laporte-Turpin E
AU  - Marcoux MO
AU  - Grouteau E
AU  - Cahuzac JP
FA  - Claudet, I
FA  - Baunin, C
FA  - Laporte-Turpin, E
FA  - Marcoux, M O
FA  - Grouteau, E
FA  - Cahuzac, J P
IN  - Claudet, I. Department of Pediatric Emergency, Children Hospital, Toulouse, France. claudet.i@chu-toulouse.fr
TI  - Long-term effects on tibial growth after intraosseous infusion: a prospective, radiographic analysis.
SO  - Pediatric Emergency Care. 19(6):397-401, 2003 Dec
AS  - Pediatr Emerg Care. 19(6):397-401, 2003 Dec
NJ  - Pediatric emergency care
VO  - 19
IP  - 6
PG  - 397-401
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Age Determination by Skeleton
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Emergencies
MH  - Emergency Service, Hospital
MH  - Female
MH  - Follow-Up Studies
MH  - Growth Plate/dg [Diagnostic Imaging]
MH  - Growth Plate/gd [Growth & Development]
MH  - Humans
MH  - Infant
MH  - *Infusions, Intraosseous/ae [Adverse Effects]
MH  - Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - Osteomyelitis/et [Etiology]
MH  - Prospective Studies
MH  - Salter-Harris Fractures
MH  - Single-Blind Method
MH  - Tibia/dg [Diagnostic Imaging]
MH  - Tibia/gd [Growth & Development]
MH  - *Tibia/in [Injuries]
MH  - Transportation of Patients
MH  - Wound Healing
AB  - BACKGROUND: Evaluate, by radiographic analysis, tibial growth after an intraosseous infusion (IOI) in a pediatric population.
AB  - METHODS: We performed a prospective simple blind study, between January 1, 1994, and July 1, 2001, which included pediatric patients who needed an intraosseous trocar in emergency situations. During the follow-up, roentgenographs were performed. On each radiologic view, different measurements were carried out: anterior and lateral tibial length, anterior and lateral width at 2 diaphyseal levels. We compared the anterior length values to those published in the Anderson et al tables. When only one tibia was punctured, the mean measurements were compared with the control leg measurements using a paired t test.
AB  - RESULTS: The initial population included 78 patients. Of these 78 subjects, 42 died, 10 families could not be contacted, and one refused to participate. Two children were excluded because they had other conditions that could influence tibial growth. The study included 23 children. The puncture site was the proximal tibia. The mean age was 18.6 months at the time of IOI, the mean time of infusion was 5 hours, and the mean perfused volume was 225 mL. The mean radiologic follow-up time was 29.2 months. When compared with the Anderson et al tables, all the anterior length values were within the 95% confidence interval. For the other measurements, the statistical analysis showed no significant difference between punctured and control legs.
AB  - CONCLUSION: There is no long-term effect on tibial growth after an IOI when the IO trocar is properly placed.
ES  - 1535-1815
IL  - 0749-5161
PT  - Journal Article
ID  - 00006565-200312000-00004 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Dec
EZ  - 2003/12/17 05:00
DA  - 2004/04/30 05:00
DT  - 2003/12/17 05:00
YR  - 2003
ED  - 20040429
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14676488

<706. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14758307
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Harrison TH
AU  - Thomas SH
AU  - Wedel SK
FA  - Harrison, Timothy H
FA  - Thomas, Stephen H
FA  - Wedel, Suzanne K
IN  - Harrison, Timothy H. Boston MedFlight Critical Care Transport Service, Boston, MA, USA.
TI  - Success rates of pediatric intubation by a non-physician-staffed critical care transport service.
SO  - Pediatric Emergency Care. 20(2):101-7, 2004 Feb
AS  - Pediatr Emerg Care. 20(2):101-7, 2004 Feb
NJ  - Pediatric emergency care
VO  - 20
IP  - 2
PG  - 101-7
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Child, Preschool
MH  - Critical Care
MH  - *Emergency Medical Technicians
MH  - Humans
MH  - Infant
MH  - *Intubation, Intratracheal
MH  - Logistic Models
MH  - Outcome Assessment (Health Care)
MH  - Retrospective Studies
MH  - *Transportation of Patients
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).
AB  - 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).
AB  - 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).
AB  - 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.
ES  - 1535-1815
IL  - 0749-5161
PT  - Journal Article
ID  - 00006565-200402000-00005 [pii]
PP  - ppublish
LG  - English
DP  - 2004 Feb
EZ  - 2004/02/06 05:00
DA  - 2004/04/20 05:00
DT  - 2004/02/06 05:00
YR  - 2004
ED  - 20040419
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14758307

<707. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14735646
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hendrich AL
AU  - Fay J
AU  - Sorrells AK
FA  - Hendrich, Ann L
FA  - Fay, Joy
FA  - Sorrells, Amy K
IN  - Hendrich, Ann L. Methodist Hospital, Clarian Health Partners, Inc, Indianapolis, Ind., USA.
TI  - Effects of acuity-adaptable rooms on flow of patients and delivery of care.
SO  - American Journal of Critical Care. 13(1):35-45, 2004 Jan
AS  - Am J Crit Care. 13(1):35-45, 2004 Jan
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 13
IP  - 1
PG  - 35-45
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Coronary Care Units/og [Organization & Administration]
MH  - *Hospital Design and Construction/mt [Methods]
MH  - Humans
MH  - *Nursing Care
MH  - *Patient Satisfaction
MH  - Patient Transfer
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.
AB  - OBJECTIVE: To test whether use of acuity-adaptable rooms helps solve problems with transfers of patients, satisfaction levels, and medical errors.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 1062-3264
IL  - 1062-3264
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 2004 Jan
EZ  - 2004/01/23 05:00
DA  - 2004/04/14 05:00
DT  - 2004/01/23 05:00
YR  - 2004
ED  - 20040413
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14735646

<708. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14964607
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Doring BL
AU  - Kerr ME
AU  - Lovasik DA
AU  - Thayer T
FA  - Doring, B L
FA  - Kerr, M E
FA  - Lovasik, D A
FA  - Thayer, T
IN  - Doring, B L. Vanderbilt University Medical Center, USA.
TI  - Factors that contribute to complications during intrahospital transport of the critically ill.
SO  - Journal of Neuroscience Nursing. 31(2):80-6, 1999 Apr
AS  - J Neurosci Nurs. 31(2):80-6, 1999 Apr
NJ  - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
VO  - 31
IP  - 2
PG  - 80-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ij6, 8603596
IO  - J Neurosci Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Critical Illness
MH  - Factor Analysis, Statistical
MH  - Female
MH  - Hospitals
MH  - Humans
MH  - Intubation
MH  - Male
MH  - Middle Aged
MH  - Oxygen/me [Metabolism]
MH  - *Transportation of Patients/st [Standards]
AB  - Transporting patients from the protective environment of the intensive care (ICU) unit to other areas of the hospital has become increasingly common since high technologic testing has become an integral part of health care assessment. The hazards of moving critically ill patients by ambulance or air transport are well recognized and standards of care have been developed based on delineation of these risks. Despite the existing evidence of hazards of interhospital hospital transport, less attention has been given to the potential hazards associated with the intrahospital transport of critically ill patients. A high incidence of serious hemodynamic or respiratory alteration is associated with the intrahospital transport of critically ill patients. In one third of critically ill intrahospital transports, technical mishaps (eg, i.v. disconnects, which could potentially lead to deleterious physiologic outcomes) may occur. As patient acuity increases, there is a greater risk of hemodynamic instability. The purpose of this study was to further investigate the patient complications during transportation to and from the ICU to a diagnostic or treatment site. The sample consisted of thirty-five critically ill patients from the Neuro/Trauma ICU who required continuous physiological monitoring and had an arterial catheter in place. The systemic blood pressure, heart rate and peripheral oxygen saturation were monitored at nine time points throughout the transport process. The incidence of defined technical mishaps that occurred when the patient was off the unit were also recorded. Transport factors examined included the length of time spent off the unit and the number and level of personnel accompanying the patient. A within-subject repeat measure design was used to examine the physiologic changes and mishaps that occurred. Results indicate that while the majority of patients experienced some physiologic responses as a result of transport, the responses were not of sufficient magnitude to be classified as a deleterious. Twenty-three technical mishaps, which included inadvertent ventilator and electrocardiogram disconnects, power failures, interruption of medication administration and disconnection of drainage devices were observed. Factors related to these occurrences of technical mishaps were the number of intravenous solutions and infusion pumps and the time spent outside of the ICU environment.
RN  - S88TT14065 (Oxygen)
IS  - 0888-0395
IL  - 0888-0395
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 Apr
EZ  - 2004/02/18 05:00
DA  - 2004/03/16 05:00
DT  - 2004/02/18 05:00
YR  - 1999
ED  - 20040312
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14964607

<709. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14631349
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shields R
FA  - Shields, Robert
IN  - Shields, Robert. Children's Hospital, Boston, MA, USA. robert.shields@tch.harvard.edu
TI  - Top 10 ways to prepare for a pediatric critical care transport.
SO  - Journal of Emergency Nursing. 29(6):574-5, 2003 Dec
AS  - J Emerg Nurs. 29(6):574-5, 2003 Dec
NJ  - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association
VO  - 29
IP  - 6
PG  - 574-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7605913
IO  - J Emerg Nurs
SB  - Nursing Journal
CP  - United States
MH  - Child
MH  - *Critical Care/mt [Methods]
MH  - Emergency Nursing/mt [Methods]
MH  - Humans
MH  - *Pediatrics/mt [Methods]
MH  - *Transportation of Patients/mt [Methods]
IS  - 0099-1767
IL  - 0099-1767
PT  - Journal Article
ID  - S0099176703003477 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Dec
EZ  - 2003/11/25 05:00
DA  - 2004/03/03 05:00
DT  - 2003/11/25 05:00
YR  - 2003
ED  - 20040302
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14631349

<710. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14564244
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Barbieri S
AU  - Feltracco P
AU  - Michieletto E
AU  - Basso I
AU  - Spagna A
AU  - Giron G
FA  - Barbieri, S
FA  - Feltracco, P
FA  - Michieletto, E
FA  - Basso, I
FA  - Spagna, A
FA  - Giron, G
IN  - Barbieri, S. Department of Pharmacology and Anesthesia E. Meneghetti, University of Padua, Padua, Italy. stefibarbieri@libero.it
TI  - Demand and availability of Intensive Care beds. A study based on the data collected at the SUEM 118 Central of Padua from October 1996 to December 2001.
SO  - Minerva Anestesiologica. 69(7-8):625-34, 634-9, 2003 Jul-Aug
AS  - Minerva Anestesiol. 69(7-8):625-34, 634-9, 2003 Jul-Aug
NJ  - Minerva anestesiologica
VO  - 69
IP  - 7-8
PG  - 625-34, 634-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - n26, 0375272
IO  - Minerva Anestesiol
SB  - Index Medicus
CP  - Italy
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Bed Occupancy/sn [Statistics & Numerical Data]
MH  - Catchment Area (Health)
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/st [Standards]
MH  - Critical Care/sn [Statistics & Numerical Data]
MH  - Diagnosis-Related Groups
MH  - Female
MH  - *Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - *Health Services Needs and Demand/sn [Statistics & Numerical Data]
MH  - Hospital Bed Capacity/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units/st [Standards]
MH  - *Intensive Care Units/ut [Utilization]
MH  - Italy
MH  - Male
MH  - Middle Aged
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Recovery Room/sn [Statistics & Numerical Data]
MH  - *Utilization Review
AB  - AIM: This study aims to evaluate the management of intensive care beds according to the demands received by the SUEM 118 of Padua. It has been carried out by examining the reports drawn up by SUEM physicians from October 1996 to December 2001. The study rated the number of patients for whom an admission to the Intensive Care Unit (ICU) was required, according to the specific clinical situation at the moment of the request. A secondary objective was to evaluate if the critically ill patients had been admitted and treated in the most appropriate medical facility.
AB  - METHODS: The research is based on 7 087 reports concerning a population of adult and pediatric patients for whom an ICU bed was required in the period previously mentioned. For each report, it analyses the following data (keeping them anonymous): date of demand, main pathology and severity of clinical condition, sex and age, provenence and destination.
AB  - RESULTS: Even though the number of annual demands for an ICU bed made to SUEM Central 118 has remained unchanged (approximately 1 350 per year), the number of beds made available in the operating rooms of the Hospital of Padua markedly increased. What has been experienced so far, and the data collected in this study has revealed, was that the requests for an intensive treatment for the overall population (hospitalized and non hospitalized) increased disproportionally in relation to the availability of ICU beds. In fact, the total number of hospitalizations in the different ICUs rose steadily year by year (from 3 495 in 1996 to 4 640 in 2001).
AB  - CONCLUSION: The Hospital of Padua is a landmark center for patients who need specialized treatment. It is therefore important to increase the assistance and safety standards of its ICUs. In recent years there has been a great need for specialized ICUs either for more aggressive procedures (neurosurgical, cardiosurgical, respiratory, cardiologic, etc.) or for the increased use of adequate and invasive treatment for advanced diseases. The available resources of ICU beds should be more rationally distributed between the peripheral and the Regional Hospitals, since the activation of an ICU bed in the operating theatre is a valid, transient option.
IS  - 0375-9393
IL  - 0375-9393
PT  - Journal Article
PP  - ppublish
LG  - English
LG  - Italian
DP  - 2003 Jul-Aug
EZ  - 2003/10/18 05:00
DA  - 2004/03/03 05:00
DT  - 2003/10/18 05:00
YR  - 2003
ED  - 20040302
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14564244

<711. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12897999
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hatherill M
AU  - Waggie Z
AU  - Reynolds L
AU  - Argent A
FA  - Hatherill, Mark
FA  - Waggie, Zainab
FA  - Reynolds, Louis
FA  - Argent, Andrew
IN  - Hatherill, Mark. Institute of Child Health, Red Cross War Memorial Children's Hospital, Klipfontein Road, 7700 Cape Town, South Africa. hatheril@ich.uct.ac.za
TI  - Transport of critically ill children in a resource-limited setting.
CM  - Comment in: Intensive Care Med. 2003 Sep;29(9):1414-6; PMID: 14560763
SO  - Intensive Care Medicine. 29(9):1547-54, 2003 Sep
AS  - Intensive Care Med. 29(9):1547-54, 2003 Sep
NJ  - Intensive care medicine
VO  - 29
IP  - 9
PG  - 1547-54
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Cost Control
MH  - *Critical Care/ec [Economics]
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - Emergency Medical Services/sn [Statistics & Numerical Data]
MH  - Female
MH  - Health Care Surveys
MH  - Hospitals/cl [Classification]
MH  - Hospitals/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Hypoxia/ep [Epidemiology]
MH  - Hypoxia/th [Therapy]
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric/ec [Economics]
MH  - *Intensive Care Units, Pediatric/sn [Statistics & Numerical Data]
MH  - Male
MH  - *Medically Underserved Area
MH  - Outcome and Process Assessment (Health Care)
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/ec [Economics]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Referral and Consultation/cl [Classification]
MH  - Referral and Consultation/sn [Statistics & Numerical Data]
MH  - Shock/ep [Epidemiology]
MH  - Shock/th [Therapy]
MH  - South Africa/ep [Epidemiology]
AB  - OBJECTIVE: To audit paediatric intensive care unit (PICU) transfer activity and transfer-related adverse events in a resource-limited setting.
AB  - DESIGN AND SETTING: Twenty-two bed regional PICU of a university children's hospital in Cape Town, South Africa. Prospective 1-year audit of all children transferred directly from other hospitals. Data were collected for patient demographics, diagnostic category, referring hospital, transferring personnel, mode of transport, and technical, clinical, and critical adverse events. Data are median (interquartile range) or percentages. The transfers of 202 children, median age 2.8 months (1.1-14), median weight 3.5 kg (2.5-8.1) were analysed.
AB  - RESULTS: Most transfers were performed by paramedic personnel (82%) and via road ambulance (76%). One or more technical adverse events occurred in 36%, clinical adverse events in 27%, and critical adverse events in 9% of children. Retrievals by intensive care staff (10%), all from rural hospitals, had a lower incidence of technical adverse events (0%). Children transferred from non-academic hospitals within the metropolitan area had the highest incidence of technical (44%), clinical (39%), and critical (17%) adverse events. Crude mortality was 17% ( n=34). Technical adverse events were not associated with mortality. Non-survivors were more likely to develop shock (32%) or hypoxia (26%) during transfer than survivors (10% and 11%, respectively).
AB  - CONCLUSIONS: There is a high incidence of transfer-related adverse events, most commonly in transfers from non-academic metropolitan hospitals. Further studies are needed to assess the impact of regional paediatric life support training or a specialised retrieval team on clinical adverse events and mortality.
IS  - 0342-4642
IL  - 0342-4642
PT  - Journal Article
ID  - 10.1007/s00134-003-1888-7 [doi]
PP  - ppublish
PH  - 2002/07/18 [received]
PH  - 2003/06/04 [accepted]
LG  - English
EP  - 20030807
DP  - 2003 Sep
EZ  - 2003/08/05 05:00
DA  - 2004/03/03 05:00
DT  - 2003/08/05 05:00
YR  - 2003
ED  - 20040301
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12897999

<712. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14725143
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cybulski P
FA  - Cybulski, Pamela
IN  - Cybulski, Pamela. William Osler Health Centre, Brampton, Ontario.
TI  - Evacuation of a critical care unit.
SO  - Dynamics (Pembroke, Ont.). 14(3):21-3, 2003
AS  - Dynamics. 14(3):21-3, 2003
NJ  - Dynamics (Pembroke, Ont.)
VO  - 14
IP  - 3
PG  - 21-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100955578, dph, 100955578
IO  - Dynamics
SB  - Nursing Journal
CP  - Canada
MH  - *Disaster Planning/og [Organization & Administration]
MH  - Fires
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Nursing Staff, Hospital/ed [Education]
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - Nursing, Supervisory/og [Organization & Administration]
MH  - Ontario
MH  - Patient Transfer/og [Organization & Administration]
MH  - Transportation of Patients/og [Organization & Administration]
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.
IS  - 1497-3715
IL  - 1497-3715
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003
EZ  - 2004/01/17 05:00
DA  - 2004/02/14 05:00
DT  - 2004/01/17 05:00
YR  - 2003
ED  - 20040213
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14725143

<713. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14707589
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Warren J
AU  - Fromm RE Jr
AU  - Orr RA
AU  - Rotello LC
AU  - Horst HM
AU  - American College of Critical Care Medicine
FA  - Warren, Jonathan
FA  - Fromm, Robert E Jr
FA  - Orr, Richard A
FA  - Rotello, Leo C
FA  - Horst, H Mathilda
FA  - American College of Critical Care Medicine
IN  - Warren, Jonathan. Northwest Community Hospital, Arlington Heights, IL, USA.
TI  - Guidelines for the inter- and intrahospital transport of critically ill patients.
CM  - Comment in: Crit Care Med. 2004 Jan;32(1):305-6; PMID: 14707606
SO  - Critical Care Medicine. 32(1):256-62, 2004 Jan
AS  - Crit Care Med. 32(1):256-62, 2004 Jan
NJ  - Critical care medicine
VO  - 32
IP  - 1
PG  - 256-62
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/st [Standards]
MH  - Critical Illness
MH  - Female
MH  - *Guideline Adherence
MH  - Humans
MH  - Male
MH  - Monitoring, Physiologic/st [Standards]
MH  - *Patient Transfer/st [Standards]
MH  - Policy Making
MH  - Risk Assessment
MH  - *Transportation of Patients/st [Standards]
MH  - United States
AB  - OBJECTIVE: The development of practice guidelines for the conduct of intra- and interhospital transport of the critically ill patient.
AB  - DATA SOURCE: Expert opinion and a search of Index Medicus from January 1986 through October 2001 provided the basis for these guidelines. A task force of experts in the field of patient transport provided personal experience and expert opinion.
AB  - STUDY SELECTION AND DATA EXTRACTION: Several prospective and clinical outcome studies were found. However, much of the published data comes from retrospective reviews and anecdotal reports. Experience and consensus opinion form the basis of much of these guidelines.
AB  - RESULTS OF DATA SYNTHESIS: Each hospital should have a formalized plan for intra- and interhospital transport that addresses a) pretransport coordination and communication; b) transport personnel; c) transport equipment; d) monitoring during transport; and e) documentation. The transport plan should be developed by a multidisciplinary team and should be evaluated and refined regularly using a standard quality improvement process.
AB  - CONCLUSION: The transport of critically ill patients carries inherent risks. These guidelines promote measures to ensure safe patient transport. Although both intra- and interhospital transport must comply with regulations, we believe that patient safety is enhanced during transport by establishing an organized, efficient process supported by appropriate equipment and personnel.
IS  - 0090-3493
IL  - 0090-3493
PT  - Guideline
PT  - Journal Article
PT  - Practice Guideline
ID  - 10.1097/01.CCM.0000104917.39204.0A [doi]
PP  - ppublish
LG  - English
DP  - 2004 Jan
EZ  - 2004/01/07 05:00
DA  - 2004/02/13 05:00
DT  - 2004/01/07 05:00
YR  - 2004
ED  - 20040212
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14707589

<714. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14707559
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hughes MG
AU  - Evans HL
AU  - Chong TW
AU  - Smith RL
AU  - Raymond DP
AU  - Pelletier SJ
AU  - Pruett TL
AU  - Sawyer RG
FA  - Hughes, Michael G
FA  - Evans, Heather L
FA  - Chong, Tae W
FA  - Smith, Robert L
FA  - Raymond, Daniel P
FA  - Pelletier, Shawn J
FA  - Pruett, Timothy L
FA  - Sawyer, Robert G
IN  - Hughes, Michael G. Department of Surgery, University of Virginia, Charlottesville 22908, USA.
TI  - Effect of an intensive care unit rotating empiric antibiotic schedule on the development of hospital-acquired infections on the non-intensive care unit ward.
SO  - Critical Care Medicine. 32(1):53-60, 2004 Jan
AS  - Crit Care Med. 32(1):53-60, 2004 Jan
NJ  - Critical care medicine
VO  - 32
IP  - 1
PG  - 53-60
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Anti-Bacterial Agents/ad [Administration & Dosage]
MH  - *Antibiotic Prophylaxis
MH  - Bacterial Infections/di [Diagnosis]
MH  - *Bacterial Infections/dt [Drug Therapy]
MH  - Bacterial Infections/mo [Mortality]
MH  - Cohort Studies
MH  - *Cross Infection/dt [Drug Therapy]
MH  - Cross Infection/mo [Mortality]
MH  - *Cross Infection/pc [Prevention & Control]
MH  - Drug Administration Schedule
MH  - Drug Resistance, Microbial
MH  - Female
MH  - Hospital Mortality/td [Trends]
MH  - Hospital Units
MH  - Humans
MH  - *Infection Control/mt [Methods]
MH  - Intensive Care Units
MH  - Male
MH  - Microbial Sensitivity Tests
MH  - Patient Transfer
MH  - Probability
MH  - Prospective Studies
MH  - Risk Assessment
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
MH  - Survival Rate
MH  - Treatment Outcome
AB  - OBJECTIVE: We have previously shown that a rotating empirical antibiotic schedule could reduce infectious mortality in an intensive care unit (ICU). We hypothesized that this intervention would decrease infectious complications in the non-ICU ward to which these patients were transferred.
AB  - DESIGN: Prospective cohort study.
AB  - SETTING: An ICU and the ward to which the ICU patients were transferred at a university medical center.
AB  - PATIENTS: All patients treated on the general, transplant, or trauma surgery services who developed hospital-acquired infection while on the non-ICU wards.
AB  - INTERVENTIONS: A 2-yr study consisting of 1-yr non-protocol-driven antibiotic use and 1-yr quarterly rotating empirical antibiotic assignment for patients treated in the ICU from which a portion of the patients were transferred.
AB  - MEASUREMENTS AND MAIN RESULTS: There were 2,088 admissions to the non-ICU wards during the nonrotation year and 2,183 during the ICU rotation year. Of these patients, 407 hospital-acquired infections were treated during the nonrotation year and 213 were treated during the ICU rotation (19.7 vs. 9.8 infections/100 admissions, p <.0001). During the ICU rotation year a decrease in the rate of resistant Gram-positive and resistant Gram-negative infections on the non-ICU wards occurred (2.5 vs. 1.6 infections/100 admissions, p =.04; 1.0 vs. 0.4 infections/100 admissions, p =.03). Subgroup analysis revealed that the decrease in resistant infections on the wards was due to a reduction in resistant Gram-positive and resistant Gram-negative infections among non-ICU ward patients admitted initially from areas other than the ICU implementing the antibiotic rotation (e.g., home, other ward, or a different ICU) (1.8 vs. 0.5 infections/100 admissions, p =.0001; 0.7 vs. 0.2 infections/100 admissions, p =.02), not due to differences for those transferred to the ward from the rotation ICU (10.4 vs. 9.7 infections/100 admissions, p = 1.0; 4.3 vs. 1.9 infections/100 admissions, p =.3). No differences in infection-related mortality were detected.
AB  - CONCLUSIONS: An effective rotating empirical antibiotic schedule in an ICU is associated with a reduction in infectious morbidity (hospital-acquired and resistant hospital-acquired infection rates) on the non-ICU wards to which patients are transferred.
RN  - 0 (Anti-Bacterial Agents)
IS  - 0090-3493
IL  - 0090-3493
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1097/01.CCM.0000104463.55423.EF [doi]
PP  - ppublish
LG  - English
DP  - 2004 Jan
EZ  - 2004/01/07 05:00
DA  - 2004/02/13 05:00
DT  - 2004/01/07 05:00
YR  - 2004
ED  - 20040212
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14707559

<715. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14606124
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sebastian SV
AU  - Styron SL
AU  - Reize SN
AU  - Houston S
AU  - Luquire R
AU  - Hickey JV
FA  - Sebastian, Sherly V
FA  - Styron, Suzan L
FA  - Reize, Simone N
FA  - Houston, Susan
FA  - Luquire, Rosemary
FA  - Hickey, Joanne V
IN  - Sebastian, Sherly V. Neuroscience Intensive Care Unit, St Luke's Episcopal Hospital, Houston, Tex., USA.
TI  - Resiliency of accomplished critical care nurses in a natural disaster.
SO  - Critical Care Nurse. 23(5):24-30, 32-6, 2003 Oct
AS  - Crit Care Nurse. 23(5):24-30, 32-6, 2003 Oct
NJ  - Critical care nurse
VO  - 23
IP  - 5
PG  - 24-30, 32-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dt8, 8207799
IO  - Crit Care Nurse
SB  - Nursing Journal
CP  - United States
MH  - *Clinical Competence
MH  - *Critical Care/mt [Methods]
MH  - Disaster Planning/mt [Methods]
MH  - Disaster Planning/og [Organization & Administration]
MH  - *Disasters
MH  - Hospital Administration/mt [Methods]
MH  - Hospitals, Religious/og [Organization & Administration]
MH  - Humans
MH  - *Nursing/mt [Methods]
MH  - Texas
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
IS  - 0279-5442
IL  - 0279-5442
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003 Oct
EZ  - 2003/11/11 05:00
DA  - 2004/01/13 05:00
DT  - 2003/11/11 05:00
YR  - 2003
ED  - 20040112
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14606124

<716. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14654600
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Gould, Douglas S
FA  - Montenegro, Lisa M
FA  - Gaynor, J William
FA  - Lacy, Suzanne P
FA  - Ittenbach, Richard
FA  - Stephens, Paul
FA  - Steven, James M
FA  - Spray, Thomas L
FA  - Nicolson, Susan C
IN  - Gould, Douglas S. Division of Cardiothoracic Anesthesia, Children's Hospital of Philadelphia, Pennsylvania 19104, USA. gouldd@email.chop.edu
TI  - A comparison of on-site and off-site patent ductus arteriosus ligation in premature infants.
SO  - Pediatrics. 112(6 Pt 1):1298-301, 2003 Dec
AS  - Pediatrics. 112(6 Pt 1):1298-301, 2003 Dec
NJ  - Pediatrics
VO  - 112
IP  - 6 Pt 1
PG  - 1298-301
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Cardiac Surgical Procedures
MH  - *Ductus Arteriosus, Patent/su [Surgery]
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Infant, Premature, Diseases/su [Surgery]
MH  - *Intensive Care Units, Neonatal
MH  - *Outcome and Process Assessment (Health Care)
MH  - Patient Care Team
MH  - Patient Transfer
MH  - Philadelphia
MH  - Point-of-Care Systems
MH  - Retrospective Studies
MH  - Transportation of Patients
MH  - Treatment Outcome
MH  - United States
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.
AB  - 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.
AB  - 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.
AB  - 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.
ES  - 1098-4275
IL  - 0031-4005
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003 Dec
EZ  - 2003/12/05 05:00
DA  - 2004/01/07 05:00
DT  - 2003/12/05 05:00
YR  - 2003
ED  - 20040106
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14654600

<717. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14605558
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ligtenberg JJ
AU  - Arnold LG
AU  - Tulleken JJ
AU  - van der Werf TS
AU  - Zijlstra JG
FA  - Ligtenberg, Jack J
FA  - Arnold, L Gert
FA  - Tulleken, Jaap J
FA  - van der Werf, Tjip S
FA  - Zijlstra, Jan G
TI  - Hospital mortality rate and length of stay in patients admitted at night to the intensive care unit.
CM  - Comment on: Crit Care Med. 2003 Mar;31(3):858-63; PMID: 12626997
SO  - Critical Care Medicine. 31(11):2715, 2003 Nov
AS  - Crit Care Med. 31(11):2715, 2003 Nov
NJ  - Critical care medicine
VO  - 31
IP  - 11
PG  - 2715
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units
MH  - Length of Stay
MH  - *Night Care
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Time Factors
IS  - 0090-3493
IL  - 0090-3493
PT  - Comment
PT  - Letter
ID  - 10.1097/01.CCM.0000092452.85329.C2 [doi]
PP  - ppublish
LG  - English
DP  - 2003 Nov
EZ  - 2003/11/08 05:00
DA  - 2003/12/12 05:00
DT  - 2003/11/08 05:00
YR  - 2003
ED  - 20031210
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14605558

<718. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14568632
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Olsen IE
AU  - Richardson DK
AU  - Schmid CH
AU  - Ausman LM
AU  - Dwyer JT
FA  - Olsen, Irene E
FA  - Richardson, Douglas K
FA  - Schmid, Christopher H
FA  - Ausman, Lynne M
FA  - Dwyer, Johanna T
IN  - Olsen, Irene E. Department of Nutrition, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02212, USA. olseni@email.chop.edu
TI  - The impact of early transfer bias in a growth study among neonatal intensive care units.
SO  - Journal of Clinical Epidemiology. 56(10):998-1005, 2003 Oct
AS  - J Clin Epidemiol. 56(10):998-1005, 2003 Oct
NJ  - Journal of clinical epidemiology
VO  - 56
IP  - 10
PG  - 998-1005
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jce, 8801383
IO  - J Clin Epidemiol
SB  - Index Medicus
CP  - United States
MH  - Bias
MH  - Cohort Studies
MH  - Female
MH  - Health Services Research
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature/gd [Growth & Development]
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - New England
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Sampling Studies
MH  - Treatment Outcome
MH  - Weight Gain
AB  - BACKGROUND AND OBJECTIVE: Transfer of infants between hospitals or their discharge home may bias comparisons of the performance across neonatal intensive care units (NICUs). This study attempts to show the potential size of transfer bias in the context of a large cohort study and describe strategies for minimizing this type of bias.
AB  - METHODS: To limit transfer bias in a neonatal growth study of extremely premature infants in six tertiary NICUs, we restricted eligibility to infants <30 weeks gestation at birth and substituted matched replacements for early transfers (infants transferred or discharged prior to day of life 16).
AB  - RESULTS: The restriction strategy was successful, reducing the overall early transfer rate from 16.4 to 3.6% and the range of transfer rates among individual NICUs from 0.6-32.7% to 0-11.0%. Replacement by matched substitutes had a much smaller effect because of the small number of early transfers and our inability to match on all factors distinguishing early transfers.
AB  - CONCLUSION: Sampling strategies to minimize infants lost to follow-up were more successful than replacement strategies in limiting transfer bias in a NICU growth study. Although complete elimination of bias is likely impossible, valid studies require efforts to minimize, quantify, and test the effect of transfer bias.
IS  - 0895-4356
IL  - 0895-4356
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - S0895435603001689 [pii]
PP  - ppublish
GI  - No: R01 HS07015
Organization: (HS) *AHRQ HHS*
Country: United States
LG  - English
DP  - 2003 Oct
EZ  - 2003/10/22 05:00
DA  - 2003/12/03 05:00
DT  - 2003/10/22 05:00
YR  - 2003
ED  - 20031121
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14568632

<719. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14528644
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Green B
FA  - Green, Bonnie
TI  - A better deal for neonatal care at last.
SO  - Journal of Family Health Care. 13(4):87-8, 2003
AS  - J Fam Health Care. 13(4):87-8, 2003
NJ  - The journal of family health care
VO  - 13
IP  - 4
PG  - 87-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101142028
IO  - J Fam Health Care
SB  - Nursing Journal
CP  - England
MH  - England
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/th [Therapy]
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - *Intensive Care, Neonatal/og [Organization & Administration]
MH  - Intensive Care, Neonatal/st [Standards]
MH  - Maternal Health Services/og [Organization & Administration]
MH  - Neonatology/st [Standards]
MH  - Patient Transfer
MH  - Quality of Health Care
MH  - State Medicine/st [Standards]
AB  - All those concerned with the care of premature and sick newborn babies have been calling for a review of neonatal services for almost a decade. Now, at last, the long-awaited Department of Health (DoH) review of neonatal intensive care services in England has been published.
IS  - 1474-9114
IL  - 1474-9114
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003
EZ  - 2003/10/08 05:00
DA  - 2003/11/13 05:00
DT  - 2003/10/08 05:00
YR  - 2003
ED  - 20031112
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14528644

<720. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12937045
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ng PC
AU  - So KW
AU  - Leung TF
AU  - Cheng FW
AU  - Lyon DJ
AU  - Wong W
AU  - Cheung KL
AU  - Fung KS
AU  - Lee CH
AU  - Li AM
AU  - Hon KL
AU  - Li CK
AU  - Fok TF
FA  - Ng, P C
FA  - So, K W
FA  - Leung, T F
FA  - Cheng, F W T
FA  - Lyon, D J
FA  - Wong, W
FA  - Cheung, K L
FA  - Fung, K S C
FA  - Lee, C H
FA  - Li, A M
FA  - Hon, K L E
FA  - Li, C K
FA  - Fok, T F
IN  - Ng, P C. Department of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, China. pakcheungng@cuhk.edu.hk
TI  - Infection control for SARS in a tertiary neonatal centre.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 88(5):F405-9, 2003 Sep
AS  - Arch Dis Child Fetal Neonatal Ed. 88(5):F405-9, 2003 Sep
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 88
IP  - 5
PG  - F405-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1721604
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Cross Infection/pc [Prevention & Control]
MH  - Disinfection
MH  - Equipment Contamination/pc [Prevention & Control]
MH  - Equipment Design
MH  - Female
MH  - Hand Disinfection
MH  - Hong Kong
MH  - Hospitals, Maternity
MH  - Humans
MH  - Infant, Newborn
MH  - Infection Control/is [Instrumentation]
MH  - *Infection Control/og [Organization & Administration]
MH  - Infectious Disease Transmission, Patient-to-Professional/pc [Prevention & Control]
MH  - Intensive Care Units, Neonatal
MH  - Intensive Care, Neonatal/og [Organization & Administration]
MH  - Medical Waste Disposal/mt [Methods]
MH  - Medical Waste Disposal/st [Standards]
MH  - Organizational Policy
MH  - Pregnancy
MH  - *Pregnancy Complications, Infectious/pc [Prevention & Control]
MH  - Protective Clothing
MH  - Risk Assessment
MH  - Risk Factors
MH  - Severe Acute Respiratory Syndrome/nu [Nursing]
MH  - *Severe Acute Respiratory Syndrome/pc [Prevention & Control]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Triage/og [Organization & Administration]
MH  - Visitors to Patients
AB  - The Severe Acute Respiratory Syndrome (SARS) is a newly discovered infectious disease caused by a novel coronavirus, which can readily spread in the healthcare setting. A recent community outbreak in Hong Kong infected a significant number of pregnant women who subsequently required emergency caesarean section for deteriorating maternal condition and respiratory failure. As no neonatal clinician has any experience in looking after these high risk infants, stringent infection control measures for prevention of cross infection between patients and staff are important to safeguard the wellbeing of the work force and to avoid nosocomial spread of SARS within the neonatal unit. This article describes the infection control and patient triage policy of the neonatal unit at the Prince of Wales Hospital, Hong Kong. We hope this information is useful in helping other units to formulate their own infection control plans according to their own unit configuration and clinical needs.
RN  - 0 (Medical Waste Disposal)
IS  - 1359-2998
IL  - 1359-2998
PT  - Journal Article
ID  - PMC1721604 [pmc]
PP  - ppublish
LG  - English
DP  - 2003 Sep
EZ  - 2003/08/26 05:00
DA  - 2003/11/13 05:00
DT  - 2003/08/26 05:00
YR  - 2003
ED  - 20031112
RD  - 20140611
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12937045

<721. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 14570374
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nishi GK
AU  - Suh RH
AU  - Wilson MT
AU  - Cunneen SA
AU  - Margulies DR
AU  - Shabot MM
FA  - Nishi, Gregg K
FA  - Suh, Richard H
FA  - Wilson, Matthew T
FA  - Cunneen, Scott A
FA  - Margulies, Daniel R
FA  - Shabot, M Michael
IN  - Nishi, Gregg K. Burns and Allen Research Institute, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.
TI  - Analysis of causes and prevention of early readmission to surgical intensive care.
SO  - American Surgeon. 69(10):913-7, 2003 Oct
AS  - Am Surg. 69(10):913-7, 2003 Oct
NJ  - The American surgeon
VO  - 69
IP  - 10
PG  - 913-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 43e, 0370522
IO  - Am Surg
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Case-Control Studies
MH  - Humans
MH  - *Intensive Care Units
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Patient Readmission/sn [Statistics & Numerical Data]
MH  - *Patient Readmission
MH  - Patient Transfer
MH  - Postoperative Complications/di [Diagnosis]
MH  - *Postoperative Complications/ep [Epidemiology]
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
AB  - The purpose of this study was to analyze causes of early readmission to the surgical intensive care unit (SICU), to determine whether readmission can be predicted or prevented, and to compare outcomes of patients readmitted to the SICU with patients not requiring readmission. All patients admitted to the Cedars-Sinai SICU from January 1, 1996, to December 31, 2001, were included. Clinical data was prospectively collected in an on-line computer system. The charts of all early readmission patients were retrospectively reviewed. SICU and hospital outcomes were abstracted from a computerized data warehouse. During the study period, 10,840 patients were admitted to the SICU including 97 (0.89%) early readmissions. SICU admission APACHE II and SAPS I scores, SICU and hospital length of stay, and mortality were significantly higher in readmitted patients compared to patients not requiring readmission. The majority of early SICU readmissions were due to respiratory and neurologic deterioration. Upon review, 62 per cent of all readmissions met appropriate SICU discharge criteria and were not predictable while only 5 per cent of SICU discharge were felt to have been premature. Patient outcomes are adversely affected by early readmission to the SICU. Careful neurologic assessment, meticulous attention to respiratory care transfer orders, and prompt respiratory therapy on floor care may significantly decrease the need for early readmission to the SICU.
IS  - 0003-1348
IL  - 0003-1348
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003 Oct
EZ  - 2003/10/23 05:00
DA  - 2003/11/11 05:00
DT  - 2003/10/23 05:00
YR  - 2003
ED  - 20031110
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14570374

<722. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12739014
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lapinsky SE
AU  - Hawryluck L
FA  - Lapinsky, Stephen E
FA  - Hawryluck, Laura
IN  - Lapinsky, Stephen E. Mount Sinai Hospital, Interdepartmental Division of Critical Care, University of Toronto, 600 University Ave, M5G 1X5, Toronto, Canada. Stephen.lapinsky@utoronto.ca
TI  - ICU management of severe acute respiratory syndrome.
CM  - Comment in: Intensive Care Med. 2003 Jun;29(6):861-2; PMID: 12858876
SO  - Intensive Care Medicine. 29(6):870-5, 2003 Jun
AS  - Intensive Care Med. 29(6):870-5, 2003 Jun
NJ  - Intensive care medicine
VO  - 29
IP  - 6
PG  - 870-5
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Anti-Inflammatory Agents/tu [Therapeutic Use]
MH  - Antiviral Agents/tu [Therapeutic Use]
MH  - China/ep [Epidemiology]
MH  - Combined Modality Therapy
MH  - *Communicable Diseases, Emerging/di [Diagnosis]
MH  - Communicable Diseases, Emerging/ep [Epidemiology]
MH  - *Communicable Diseases, Emerging/th [Therapy]
MH  - *Critical Care/mt [Methods]
MH  - Diagnosis, Differential
MH  - Disease Outbreaks/pc [Prevention & Control]
MH  - Disease Outbreaks/sn [Statistics & Numerical Data]
MH  - Hong Kong/ep [Epidemiology]
MH  - Humans
MH  - *Infection Control/mt [Methods]
MH  - Ontario/ep [Epidemiology]
MH  - Respiration, Artificial
MH  - *Severe Acute Respiratory Syndrome/di [Diagnosis]
MH  - Severe Acute Respiratory Syndrome/ep [Epidemiology]
MH  - *Severe Acute Respiratory Syndrome/th [Therapy]
MH  - Singapore/ep [Epidemiology]
MH  - Steroids
MH  - Transportation of Patients
MH  - Treatment Outcome
AB  - BACKGROUND: Severe acute respiratory syndrome (SARS) is a contagious viral illness first recognized in late 2002. It has now been documented in 26 countries worldwide, with significant outbreaks in China, Hong Kong, Singapore, and Toronto. Research into identifying the etiological agent, evaluating modes of disease transmission, and treatment options is currently ongoing.
AB  - DISCUSSION: The disease can produce a severe bilateral pneumonia, with progressive hypoxemia. Up to 20% of patients require mechanical ventilatory support, with a fatal outcome occurring in about 5% of cases.
AB  - CONCLUSIONS: We review the current knowledge about this disease, with particular emphasis on ICU management and infection control precautions to prevent disease transmission.
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Anti-Inflammatory Agents)
RN  - 0 (Antiviral Agents)
RN  - 0 (Steroids)
IS  - 0342-4642
IL  - 0342-4642
PT  - Journal Article
ID  - 10.1007/s00134-003-1821-0 [doi]
PP  - ppublish
PH  - 2003/04/23 [received]
PH  - 2003/04/25 [accepted]
LG  - English
EP  - 20030509
DP  - 2003 Jun
EZ  - 2003/05/10 05:00
DA  - 2003/11/01 05:00
DT  - 2003/05/10 05:00
YR  - 2003
ED  - 20031031
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12739014

<723. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12883286
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Angus DC
FA  - Angus, Derek C
TI  - Towards better care: an exploration of some barriers and solutions to research transfer in the intensive care unit.
SO  - Current Opinion in Critical Care. 9(4):306-7, 2003 Aug
AS  - Curr Opin Crit Care. 9(4):306-7, 2003 Aug
NJ  - Current opinion in critical care
VO  - 9
IP  - 4
PG  - 306-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9504454, d2j
IO  - Curr Opin Crit Care
SB  - Index Medicus
CP  - United States
MH  - *Critical Care
MH  - *Diffusion of Innovation
MH  - Humans
MH  - *Research
IS  - 1070-5295
IL  - 1070-5295
PT  - Editorial
PP  - ppublish
LG  - English
DP  - 2003 Aug
EZ  - 2003/07/29 05:00
DA  - 2003/10/25 05:00
DT  - 2003/07/29 05:00
YR  - 2003
ED  - 20031024
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12883286

<724. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12879394
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Air Medical Physician Association
FA  - Air Medical Physician Association
TI  - Determination of medical necessity for air and critical care medical transportation.
SO  - Prehospital Emergency Care. 7(3):400-1, 2003 Jul-Sep
AS  - Prehosp Emerg Care. 7(3):400-1, 2003 Jul-Sep
NJ  - Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
VO  - 7
IP  - 3
PG  - 400-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - c5i, 9703530
IO  - Prehosp Emerg Care
SB  - Index Medicus
CP  - England
MH  - *Decision Making
MH  - *Emergency Medical Services/st [Standards]
MH  - Emergency Medical Services/ut [Utilization]
MH  - Humans
MH  - *Needs Assessment
MH  - Societies, Medical
MH  - *Transportation of Patients/st [Standards]
MH  - Transportation of Patients/ut [Utilization]
MH  - United States
MH  - Utilization Review
IS  - 1090-3127
IL  - 1090-3127
PT  - Guideline
PT  - Journal Article
ID  - S1090312703001114 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Jul-Sep
EZ  - 2003/07/25 05:00
DA  - 2003/10/18 05:00
DT  - 2003/07/25 05:00
YR  - 2003
ED  - 20031017
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12879394

<725. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12784447
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wegener J
FA  - Wegener, Jorg
IN  - Wegener, Jorg. wegener.joerg@t-online.de
TI  - [Postoperative nursing in the recovery room: security about the critical hours]. [German]
OT  - Die Nachbetreuung im Aufwachraum: Sicher uber die kritischen Stunden.
SO  - Pflege Zeitschrift. 56(5):324-7, 2003 May
AS  - Pflege Z. 56(5):324-7, 2003 May
NJ  - Pflege Zeitschrift
VO  - 56
IP  - 5
PG  - 324-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9430463, bz0
IO  - Pflege Z
SB  - Nursing Journal
CP  - Germany
MH  - Humans
MH  - Nursing Records
MH  - Nursing, Team
MH  - Patient Transfer
MH  - *Postanesthesia Nursing/mt [Methods]
MH  - *Postoperative Complications/nu [Nursing]
MH  - Recovery Room
IS  - 0945-1129
IL  - 0945-1129
PT  - Journal Article
PP  - ppublish
LG  - German
DP  - 2003 May
EZ  - 2003/06/06 05:00
DA  - 2003/10/17 05:00
DT  - 2003/06/06 05:00
YR  - 2003
ED  - 20031016
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12784447

<726. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12664225
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nguyen JM
AU  - Six P
AU  - Parisot R
AU  - Antonioli D
AU  - Nicolas F
AU  - Lombrail P
FA  - Nguyen, J M
FA  - Six, P
FA  - Parisot, R
FA  - Antonioli, D
FA  - Nicolas, F
FA  - Lombrail, P
IN  - Nguyen, J M. PIMESP, Hospital St. Jacques, CHU Nantes, 44093 Nantes Cedex 01, France. jmnguyen@chu-nantes.fr
TI  - A universal method for determining intensive care unit bed requirements.
SO  - Intensive Care Medicine. 29(5):849-52, 2003 May
AS  - Intensive Care Med. 29(5):849-52, 2003 May
NJ  - Intensive care medicine
VO  - 29
IP  - 5
PG  - 849-52
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Beds
MH  - *Hospital Bed Capacity/sn [Statistics & Numerical Data]
MH  - *Hospital Planning/mt [Methods]
MH  - Hospitals, General
MH  - Humans
MH  - *Intensive Care Units
MH  - Length of Stay
MH  - Patient Transfer
MH  - Retrospective Studies
MH  - Statistics, Nonparametric
AB  - OBJECTIVE: Most methods used to estimate ICU bed needs rely either on simple formulas that do not consider the actual needs of the population or on simulations that are too specific to be applicable to all hospitals. We sought to develop a universally applicable nonparametric method.
AB  - DESIGN AND SETTING: For each day, the number of immediate patient transfers to other ICUs because of a full unit and the number of patients treated in the ICU were collected. The number of beds needed was selected according to the minimization of both the mean and the variance of three parameters (accessibility, safety, and efficiency). This method was applied to the ICU of a general hospital. Robustness of the model was assessed using outliers.
AB  - MAIN RESULTS: During the 5-month study period, 215 ICU stays were collected. The method selected a ten-bed model whereas length-of-stay ratio and case-mix methods selected a twelve- and height-bed models respectively. An unusual increase in admission requests had no consequence on the bed number selected, indicating that the method was robust. None of the parameters were dependent on specific ICU characteristics, establishing that this method is applicable to any type of hospital ward.
AB  - CONCLUSION: Our model is reliable for determining the number of beds needed in any type of ICU and can be used by all ICU managers. The software is available.
IS  - 0342-4642
IL  - 0342-4642
PT  - Journal Article
ID  - 10.1007/s00134-003-1725-z [doi]
PP  - ppublish
PH  - 2002/07/01 [received]
PH  - 2003/02/17 [accepted]
LG  - English
EP  - 20030327
DP  - 2003 May
EZ  - 2003/03/29 05:00
DA  - 2003/09/25 05:00
DT  - 2003/03/29 05:00
YR  - 2003
ED  - 20030923
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12664225

<727. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12870599
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ameh EA
AU  - Ameh N
FA  - Ameh, Emmanuel A
FA  - Ameh, Nkeiruka
IN  - Ameh, Emmanuel A. Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. ssrs.njsr@skannet.com
TI  - Providing safe surgery for neonates in sub-Saharan Africa. [Review] [14 refs]
SO  - Tropical Doctor. 33(3):145-7, 2003 Jul
AS  - Trop Doct. 33(3):145-7, 2003 Jul
NJ  - Tropical doctor
VO  - 33
IP  - 3
PG  - 145-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - wgc, 1301706
IO  - Trop Doct
SB  - Index Medicus
CP  - England
MH  - Africa South of the Sahara/ep [Epidemiology]
MH  - Clinical Competence
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/mo [Mortality]
MH  - *Infant, Newborn, Diseases/su [Surgery]
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - International Cooperation
MH  - Prenatal Care/st [Standards]
MH  - Referral and Consultation
MH  - Transportation of Patients/st [Standards]
AB  - Advances in neonatal intensive care, total parenteral nutrition and improvements in technology have led to a greatly improved outcome of neonatal surgery in developed countries. In many parts of sub-Saharan Africa, however, neonatal surgery continues to pose wide-ranging challenges. Delivery outside hospital, delayed referral, poor transportation, and lack of appropriate personnel and facilities continue to contribute to increased morbidity and mortality in neonates, particularly under emergency situations. Antenatal supervision and hospital delivery needs to be encouraged in our communities. Adequate attention needs to be paid to providing appropriate facilities for neonatal transport and support and training of appropriate staff for neonatal surgery. Neonates with surgical problems should be adequately resuscitated before referral where necessary but surgery should not be unduly delayed. Major neonatal surgery should as much as possible be performed by those trained to operate on neonates. Appropriate research and international collaboration is necessary to improve neonatal surgical care in the environment. [References: 14]
IS  - 0049-4755
IL  - 0049-4755
PT  - Journal Article
PT  - Review
ID  - 10.1177/004947550303300308 [doi]
PP  - ppublish
LG  - English
DP  - 2003 Jul
EZ  - 2003/07/23 05:00
DA  - 2003/09/17 05:00
DT  - 2003/07/23 05:00
YR  - 2003
ED  - 20030916
RD  - 20170214
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12870599

<728. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12675634
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Australasian College for Emergency Medicine, Australian and New Zealand College of Anaesthetists
AU  - Joint Faculty of Intensive Care Medicine
FA  - Australasian College for Emergency Medicine, Australian and New Zealand College of Anaesthetists
FA  - Joint Faculty of Intensive Care Medicine
TI  - Minimum standards for intrahospital transport of critically ill patients.
SO  - Emergency Medicine (Fremantle, W.A.). 15(2):202-4, 2003 Apr
AS  - Emerg Med (Fremantle). 15(2):202-4, 2003 Apr
NJ  - Emergency medicine (Fremantle, W.A.)
VO  - 15
IP  - 2
PG  - 202-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9421464, d3y
IO  - Emerg Med (Fremantle)
SB  - Index Medicus
CP  - Australia
MH  - *Critical Care/st [Standards]
MH  - Critical Illness/th [Therapy]
MH  - Documentation/st [Standards]
MH  - *Emergency Medical Services/st [Standards]
MH  - Emergency Medical Technicians/sd [Supply & Distribution]
MH  - *Emergency Treatment/st [Standards]
MH  - Humans
MH  - *Patient Transfer/st [Standards]
MH  - Personnel Staffing and Scheduling/st [Standards]
MH  - Quality Assurance, Health Care/st [Standards]
MH  - *Transportation of Patients/st [Standards]
IS  - 1035-6851
IL  - 1035-6851
PT  - Guideline
PT  - Journal Article
PT  - Practice Guideline
ID  - P04 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Apr
EZ  - 2003/04/05 05:00
DA  - 2003/09/16 05:00
DT  - 2003/04/05 05:00
YR  - 2003
ED  - 20030915
RD  - 20050207
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12675634

<729. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12898479
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Peleg K
AU  - Aharonson-Daniel L
AU  - Michael M
AU  - Shapira SC
AU  - Israel Trauma Group
FA  - Peleg, Kobi
FA  - Aharonson-Daniel, Limor
FA  - Michael, Michael
FA  - Shapira, S C
FA  - Israel Trauma Group
IN  - Peleg, Kobi. Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Israel 52621. pongpel@zahav.net.il
TI  - Patterns of injury in hospitalized terrorist victims.
SO  - American Journal of Emergency Medicine. 21(4):258-62, 2003 Jul
AS  - Am J Emerg Med. 21(4):258-62, 2003 Jul
NJ  - The American journal of emergency medicine
VO  - 21
IP  - 4
PG  - 258-62
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aa2, 8309942
IO  - Am J Emerg Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Blast Injuries/ep [Epidemiology]
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Israel/ep [Epidemiology]
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Terrorism
MH  - Transportation of Patients/mt [Methods]
MH  - *Wounds and Injuries/ep [Epidemiology]
MH  - Wounds and Injuries/mo [Mortality]
MH  - Wounds and Injuries/su [Surgery]
MH  - Wounds, Gunshot/ep [Epidemiology]
AB  - Acts of terror increase the demand for acute care. This article describes the pattern of injury of terror victims hospitalized at 9 acute-care hospitals in Israel during a 15-month period of terrorism. To characterize patients hospitalized as a result of terror injuries, we compared terror casualties with other injuries regarding severity, outcome, and service utilization. Using data from the National Trauma Registry, characteristics of casualties are portrayed. During the study period, 23,048 patients were recorded, 561 of them (2.4%) were injured through terrorist acts. Seventy percent were younger than 29 years. Seventy-five percent were males. Thirteen percent of terror victims compared with 3% with other traumatic injuries, arrived by helicopter. Injury mechanism consisted mainly of explosions (n = 269, 48%) and gunshot injuries (n = 266, 47%). One third of the population experienced severe trauma (Injury Severity Score > or = 16). One hundred-forty-two patients (26%) needed to be admitted to the intensive-care unit. Inpatient mortality was 6% (n = 35). Fifty-five percent of the injuries (n = 306) included open wounds and 31% (n = 172) involved internal injuries; 39% (n = 221) sustained fractures. Half of the patients had a procedure in the operating room (n = 298). Duration of hospitalization was longer than 2 weeks for nearly 20% of the population. Injuries from terrorist acts are severe and impose a burden on the healthcare system. Further studies of the special injury pattern associated with terror are necessary to enhance secondary management and tertiary prevention when occurring.
IS  - 0735-6757
IL  - 0735-6757
PT  - Comparative Study
PT  - Journal Article
ID  - S0735675703000433 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Jul
EZ  - 2003/08/05 05:00
DA  - 2003/09/11 05:00
DT  - 2003/08/05 05:00
YR  - 2003
ED  - 20030910
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12898479

<730. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12903638
VI  - 1
RO  - HSR
ST  - MEDLINE
AU  - Levenson D
FA  - Levenson, Deborah
TI  - Transferred patients hurt referral hospitals' quality ratings.
SO  - Report on Medical Guidelines & Outcomes Research. 14(12):1-2, 5, 2003 Jun 27
AS  - Rep Med Guidel Outcomes Res. 14(12):1-2, 5, 2003 Jun 27
NJ  - Report on medical guidelines & outcomes research
VO  - 14
IP  - 12
PG  - 1-2, 5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9106372
IO  - Rep Med Guidel Outcomes Res
SB  - Health Technology Assessment Journals
CP  - United States
MH  - APACHE
MH  - Benchmarking/sn [Statistics & Numerical Data]
MH  - *Hospital Mortality
MH  - *Hospitals/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Joint Commission on Accreditation of Healthcare Organizations
MH  - *Patient Transfer
MH  - *Quality Indicators, Health Care/sn [Statistics & Numerical Data]
MH  - United States
IS  - 1050-5636
IL  - 1050-5636
PT  - Comparative Study
PT  - News
PP  - ppublish
LG  - English
DP  - 2003 Jun 27
EZ  - 2003/08/09 05:00
DA  - 2003/08/29 05:00
DT  - 2003/08/09 05:00
YR  - 2003
ED  - 20030828
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12903638

<731. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12901317
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Study reveals benchmarking flaws of many report cards, quality rankings.
SO  - Healthcare Benchmarks & Quality Improvement. 10(8):85-8, 2003 Aug
AS  - Healthcare Benchmarks Qual Improv. 10(8):85-8, 2003 Aug
NJ  - Healthcare benchmarks and quality improvement
VO  - 10
IP  - 8
PG  - 85-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101151031
IO  - Healthcare Benchmarks Qual Improv
SB  - Health Administration Journals
CP  - United States
MH  - Awards and Prizes
MH  - *Benchmarking/st [Standards]
MH  - Efficiency, Organizational
MH  - *Hospitals/st [Standards]
MH  - Humans
MH  - Information Dissemination
MH  - Intensive Care Units/st [Standards]
MH  - Intensive Care Units/ut [Utilization]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Quality Indicators, Health Care
MH  - Severity of Illness Index
MH  - United States
AB  - Transferred patients have 38% longer ICU stays and 41% longer hospital stays. Many databases used for report cards are administrative, not clinical. Active awards are seen as more valid than passive ones.
IS  - 1541-1052
IL  - 1541-1052
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003 Aug
EZ  - 2003/08/07 05:00
DA  - 2003/08/29 05:00
DT  - 2003/08/07 05:00
YR  - 2003
ED  - 20030828
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12901317

<732. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12706736
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Colville G
AU  - Orr F
AU  - Gracey D
FA  - Colville, Gillian
FA  - Orr, Fiona
FA  - Gracey, David
IN  - Colville, Gillian. St. George's Hospital Medical School, London SW17 ORE, UK. g.colville@sghms.ac.uk
TI  - "The worst journey of our lives": parents' experiences of a specialised paediatric retrieval service.
SO  - Intensive & Critical Care Nursing. 19(2):103-8, 2003 Apr
AS  - Intensive Crit Care Nurs. 19(2):103-8, 2003 Apr
NJ  - Intensive & critical care nursing
VO  - 19
IP  - 2
PG  - 103-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Child
MH  - *Consumer Behavior/sn [Statistics & Numerical Data]
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - London
MH  - *Parents/px [Psychology]
MH  - Retrospective Studies
MH  - Statistics, Nonparametric
MH  - *Transportation of Patients/st [Standards]
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.
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
ID  - S0964339703000223 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Apr
EZ  - 2003/04/23 05:00
DA  - 2003/07/24 05:00
DT  - 2003/04/23 05:00
YR  - 2003
ED  - 20030723
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12706736

<733. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12766018
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gruszecki AC
AU  - Hortin G
AU  - Lam J
AU  - Kahler D
AU  - Smith D
AU  - Vines J
AU  - Lancaster L
AU  - Daly TM
AU  - Robinson CA
AU  - Hardy RW
FA  - Gruszecki, Amy C
FA  - Hortin, Glen
FA  - Lam, John
FA  - Kahler, Diane
FA  - Smith, Debbie
FA  - Vines, Julie
FA  - Lancaster, Lee
FA  - Daly, Thomas M
FA  - Robinson, C Andrew
FA  - Hardy, Robert W
IN  - Gruszecki, Amy C. Department of Pathology, University of Alabama at Birmingham, Birmingham, AL 35233, USA.
TI  - Utilization, reliability, and clinical impact of point-of-care testing during critical care transport: six years of experience.
SO  - Clinical Chemistry. 49(6 Pt 1):1017-9, 2003 Jun
AS  - Clin Chem. 49(6 Pt 1):1017-9, 2003 Jun
NJ  - Clinical chemistry
VO  - 49
IP  - 6 Pt 1
PG  - 1017-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dbz, 9421549
IO  - Clin. Chem.
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Middle Aged
MH  - *Point-of-Care Systems
MH  - *Transportation of Patients
IS  - 0009-9147
IL  - 0009-9147
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003 Jun
EZ  - 2003/05/27 05:00
DA  - 2003/07/02 05:00
DT  - 2003/05/27 05:00
YR  - 2003
ED  - 20030630
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12766018

<734. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12779311
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Summaries for patients. Accepting critically ill transfer patients.[Original report in Ann Intern Med. 2003 Jun 3;138(11):882-90; PMID: 12779298]
SO  - Annals of Internal Medicine. 138(11):I42, 2003 Jun 03
AS  - Ann Intern Med. 138(11):I42, 2003 Jun 03
NJ  - Annals of internal medicine
VO  - 138
IP  - 11
PG  - I42
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0372351
IO  - Ann. Intern. Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Benchmarking
MH  - Critical Illness/mo [Mortality]
MH  - *Critical Illness
MH  - Female
MH  - Hospital Mortality
MH  - *Hospitals, University/st [Standards]
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Outcome Assessment (Health Care)
MH  - Patient Readmission
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Selection Bias
ES  - 1539-3704
IL  - 0003-4819
PT  - Journal Article
PT  - Patient Education Handout
ID  - 200306030-00003 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Jun 03
EZ  - 2003/06/05 05:00
DA  - 2003/06/18 05:00
DT  - 2003/06/05 05:00
YR  - 2003
ED  - 20030617
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12779311

<735. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12779298
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rosenberg AL
AU  - Hofer TP
AU  - Strachan C
AU  - Watts CM
AU  - Hayward RA
FA  - Rosenberg, Andrew L
FA  - Hofer, Timothy P
FA  - Strachan, Cathy
FA  - Watts, Charles M
FA  - Hayward, Rodney A
IN  - Rosenberg, Andrew L. University of Michigan and the Department of Veterans Affairs Health Services Research & Development Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan 48109-0048, USA. arosen@umich.edu
TI  - Accepting critically ill transfer patients: adverse effect on a referral center's outcome and benchmark measures.[Summary for patients in Ann Intern Med. 2003 Jun 3;138(11):I42; PMID: 12779311]
CM  - Comment in: Ann Intern Med. 2004 Apr 20;140(8):674-5; PMID: 15096357
SO  - Annals of Internal Medicine. 138(11):882-90, 2003 Jun 03
AS  - Ann Intern Med. 138(11):882-90, 2003 Jun 03
NJ  - Annals of internal medicine
VO  - 138
IP  - 11
PG  - 882-90
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 0372351
IO  - Ann. Intern. Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Benchmarking
MH  - Critical Illness/mo [Mortality]
MH  - *Critical Illness
MH  - Diagnosis-Related Groups
MH  - Female
MH  - Hospital Mortality
MH  - *Hospitals, University/st [Standards]
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Outcome Assessment (Health Care)
MH  - Patient Readmission
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Selection Bias
MH  - Severity of Illness Index
AB  - BACKGROUND: Common methods of benchmarking clinical performance rarely, if ever, account for admission source and, in particular, the effect of a patient being transferred from one medical center to another. Small biases in comparisons of observed versus expected deaths can substantially affect how high-quality institutions compare with peer hospitals. With the most sophisticated and validated set of case-mix measures available for patients, the intensive care unit is an ideal setting in which to study the effect of a patient's being transferred from another hospital.
AB  - OBJECTIVE: To determine the extent of bias in benchmarking outcomes when performance measures do not account for transfer patients' greater severity of illness.
AB  - DESIGN: Prospectively developed cohort study.
AB  - SETTING: Medical intensive care unit (MICU) at a tertiary care university hospital.
AB  - PATIENTS: 4579 consecutive admissions for 4208 patients from 1 January 1994 to 1 April 1998.
AB  - MEASUREMENTS: MICU and hospital lengths of stay, MICU readmission, and hospital mortality rates.
AB  - RESULTS: Compared with directly admitted patients, MICU patients transferred from another hospital had significantly higher Acute Physiology Scores at the time of admission and discharge (P = 0.001). Even after full adjustment for case mix and severity of illness, transfer patients had a 38% longer MICU stay (95% CI, 32% to 45%), a 41% longer hospital stay (CI, 34% to 50%), and a 2.2 times greater odds of hospital mortality (CI, 1.7 to 2.8) than directly admitted patients. With identical efficiency and quality, a referral hospital with a 25% MICU transfer rate compared with another with a 0% transfer rate would be penalized by 14 excess deaths per 1000 admissions when a benchmarking program adjusts only for case mix and severity of illness and not for the source of admission.
AB  - CONCLUSIONS: In a setting with the most thorough diagnostic-based, case-mix adjustment and the most physiologically precise severity-of-illness information, accepting transfer patients can adversely affect efficiency and quality benchmarks. Benchmarking and profiling efforts beyond intensive care units must also recognize and account for this phenomenon; otherwise, referral centers may have an incentive to refuse care for patients who could benefit from being transferred to their facility.
ES  - 1539-3704
IL  - 0003-4819
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
ID  - 200306030-00009 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Jun 03
EZ  - 2003/06/05 05:00
DA  - 2003/06/18 05:00
DT  - 2003/06/05 05:00
YR  - 2003
ED  - 20030617
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12779298

<736. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12755188
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pierce PF
AU  - Evers KG
FA  - Pierce, Penny F
FA  - Evers, Karen G
IN  - Pierce, Penny F. University of Michigan School of Nursing, 400 North Ingalls Ann Arbor, MI 48109, USA. pfpierce@umich.edu
TI  - Global presence: USAF aeromedical evacuation and critical care air transport. [Review] [11 refs]
SO  - Critical Care Nursing Clinics of North America. 15(2):221-31, 2003 Jun
AS  - Crit Care Nurs Clin North Am. 15(2):221-31, 2003 Jun
NJ  - Critical care nursing clinics of North America
VO  - 15
IP  - 2
PG  - 221-31
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Aerospace Medicine/ed [Education]
MH  - *Aerospace Medicine/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - *Global Health
MH  - Humans
MH  - Military Nursing/ed [Education]
MH  - *Military Nursing/og [Organization & Administration]
MH  - Nurse's Role
MH  - Organizational Objectives
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - United States
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. [References: 11]
IS  - 0899-5885
IL  - 0899-5885
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2003 Jun
EZ  - 2003/05/21 05:00
DA  - 2003/06/17 05:00
DT  - 2003/05/21 05:00
YR  - 2003
ED  - 20030616
RD  - 20141120
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12755188

<737. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12700903
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Walker MC
FA  - Walker, Matthew C
IN  - Walker, Matthew C. Department of Clinical and Experimental Epilepsy, Institute of Neurology, UCL, Queen Square, London WC1N 3BG, UK. mwalker@ion.ucl.ac.uk
TI  - Status epilepticus on the intensive care unit. [Review] [57 refs]
SO  - Journal of Neurology. 250(4):401-6, 2003 Apr
AS  - J Neurol. 250(4):401-6, 2003 Apr
NJ  - Journal of neurology
VO  - 250
IP  - 4
PG  - 401-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jb7, 0423161
IO  - J. Neurol.
SB  - Index Medicus
CP  - Germany
MH  - Anesthesia, General
MH  - Coma
MH  - Electroencephalography
MH  - Epilepsies, Myoclonic/nu [Nursing]
MH  - Epilepsies, Myoclonic/th [Therapy]
MH  - Humans
MH  - *Intensive Care Units
MH  - Monitoring, Physiologic
MH  - Patient Transfer
MH  - Prognosis
MH  - Risk Factors
MH  - *Status Epilepticus/nu [Nursing]
MH  - *Status Epilepticus/th [Therapy]
AB  - Status epilepticus occurs on the intensive care unit, either because the patient has been transferred with refractory status epilepticus or as an incidental finding. Management of refractory status epilepticus on the intensive care unit is necessary for adequate treatment of the physiological compromise that occurs in convulsive status epilepticus. In addition, anaesthesia is sometimes necessary for the treatment of status epilepticus, and provided that the potential benefit of anaesthesia offsets the associated morbidity, then such an approach is warranted. In certain instances of nonconvulsive status epilepticus, especially in the elderly, the risks of anaesthesia outweigh the benefits of such aggressive treatment, and thus some caution must be exercised. Status epilepticus is also under-recognised as a cause of persistent coma on the intensive care unit, though the gain from aggressive treatment in this situation is unknown. In most instances, status epilepticus in coma carries such a poor prognosis that aggressive treatment is probably justified. Myoclonic status epilepticus also occurs on the intensive care unit, usually following cardiorespiratory arrest; this does not necessarily represent an agonal event especially if the initial insult was hypoxia related. [References: 57]
IS  - 0340-5354
IL  - 0340-5354
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
ID  - 10.1007/s00415-003-1042-z [doi]
PP  - ppublish
LG  - English
DP  - 2003 Apr
EZ  - 2003/04/18 05:00
DA  - 2003/06/10 05:00
DT  - 2003/04/18 05:00
YR  - 2003
ED  - 20030609
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12700903

<738. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12685464
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hudson TL
AU  - Weichart T
FA  - Hudson, Timothy L
FA  - Weichart, Thomas
IN  - Hudson, Timothy L. United States Army Nurse Corp, White House Medical Unit, Washington, DC, USA.
TI  - A method of transporting critical care mass casualties.
SO  - Disaster Management & Response: DMR. :26-8, 2002 Sep
AS  - Disaster Manag Response. :26-8, 2002 Sep
NJ  - Disaster management & response : DMR : an official publication of the Emergency Nurses Association
PG  - 26-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 101155781
IO  - Disaster Manag Response
SB  - Nursing Journal
CP  - United States
MH  - Beds
MH  - *Critical Care
MH  - *Disasters
MH  - Documentation/mt [Methods]
MH  - Humans
MH  - Military Medicine
MH  - *Transportation of Patients/mt [Methods]
MH  - United States
AB  - The use of a self-contained transport platform can aid in the efforts to care for mass casualty victims. The platform is equipped with critical care equipment and has the capabilities of documenting care electronically. It has been used in a number of different settings and has allowed health care personnel to provide more efficient, individualized care to a larger number of victims.
IS  - 1540-2487
IL  - 1540-2495
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2002 Sep
EZ  - 2003/04/11 05:00
DA  - 2003/05/28 05:00
DT  - 2003/04/11 05:00
YR  - 2002
ED  - 20030527
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12685464

<739. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12542592
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kaboli PJ
AU  - Rosenthal GE
FA  - Kaboli, Peter J
FA  - Rosenthal, Gary E
TI  - Delays in transfer to the ICU: a preventable adverse advent?.
CM  - Comment in: J Gen Intern Med. 2003 Feb;18(2):77-83; PMID: 12542581
SO  - Journal of General Internal Medicine. 18(2):155-6, 2003 Feb
AS  - J Gen Intern Med. 18(2):155-6, 2003 Feb
NJ  - Journal of general internal medicine
VO  - 18
IP  - 2
PG  - 155-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jgi, 8605834
IO  - J Gen Intern Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1494826
SB  - Index Medicus
CP  - United States
MH  - Health Status Indicators
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - *Intensive Care Units/ut [Utilization]
MH  - *Patient Transfer
MH  - Time Factors
IS  - 0884-8734
IL  - 0884-8734
PT  - Editorial
ID  - jgi21217 [pii]
ID  - PMC1494826 [pmc]
PP  - ppublish
LG  - English
DP  - 2003 Feb
EZ  - 2003/01/25 04:00
DA  - 2003/05/24 05:00
DT  - 2003/01/25 04:00
YR  - 2003
ED  - 20030523
RD  - 20140611
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12542592

<740. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12677996
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nielsen GL
FA  - Nielsen, Gunnar Lauge
TI  - [DANAMI-2]. [Danish]
OT  - DANAMI-2.
SO  - Ugeskrift for Laeger. 165(11):1147; author reply 1147-8, 2003 Mar 10
AS  - Ugeskr Laeger. 165(11):1147; author reply 1147-8, 2003 Mar 10
NJ  - Ugeskrift for laeger
VO  - 165
IP  - 11
PG  - 1147; author reply 1147-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0141730, wm8
IO  - Ugeskr. Laeg.
SB  - Index Medicus
CP  - Denmark
MH  - Angioplasty, Balloon, Coronary
MH  - Coronary Care Units
MH  - Denmark
MH  - Humans
MH  - Myocardial Infarction/dt [Drug Therapy]
MH  - Myocardial Infarction/mo [Mortality]
MH  - *Myocardial Infarction/th [Therapy]
MH  - Patient Transfer
MH  - Randomized Controlled Trials as Topic
MH  - Recurrence
MH  - Thrombolytic Therapy
IS  - 0041-5782
IL  - 0041-5782
PT  - Letter
PP  - ppublish
LG  - Danish
DP  - 2003 Mar 10
EZ  - 2003/04/08 05:00
DA  - 2003/05/20 05:00
DT  - 2003/04/08 05:00
YR  - 2003
ED  - 20030519
RD  - 20101118
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12677996

<741. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12655957
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Heward Y
FA  - Heward, Yvonne
IN  - Heward, Yvonne. Birmingham Children's Hospital NHS Trust.
TI  - Transfer from ward to PICU: a standard.
SO  - Paediatric Nursing. 15(1):XI-XIII, 2003 Feb
AS  - Paediatr Nurs. 15(1):XI-XIII, 2003 Feb
NJ  - Paediatric nursing
VO  - 15
IP  - 1
PG  - XI-XIII
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b6g, 9013329
IO  - Paediatr Nurs
SB  - Nursing Journal
CP  - England
MH  - Child
MH  - England
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Nursing Audit
MH  - Nursing Evaluation Research
MH  - *Patient Transfer/st [Standards]
MH  - *Pediatric Nursing/st [Standards]
MH  - Practice Guidelines as Topic
MH  - *Quality Assurance, Health Care/og [Organization & Administration]
IS  - 0962-9513
IL  - 0962-9513
PT  - Journal Article
ID  - 10.7748/paed2003.02.15.1.11.c837 [doi]
PP  - ppublish
LG  - English
DP  - 2003 Feb
EZ  - 2003/03/27 05:00
DA  - 2003/04/12 05:00
DT  - 2003/03/27 05:00
YR  - 2003
ED  - 20030411
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12655957

<742. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12478445
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gould JB
AU  - Marks AR
AU  - Chavez G
FA  - Gould, Jeffrey B
FA  - Marks, Amy R
FA  - Chavez, Gilberto
IN  - Gould, Jeffrey B. University of California-Berkeley, Berkeley, CA 94720, USA.
TI  - Expansion of community-based perinatal care in California.
CM  - Comment in: J Perinatol. 2002 Dec;22(8):628-9; PMID: 12478444
CM  - Comment in: J Perinatol. 2002 Dec;22(8):623-7; PMID: 12478443
SO  - Journal of Perinatology. 22(8):630-40, 2002 Dec
AS  - J Perinatol. 22(8):630-40, 2002 Dec
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 22
IP  - 8
PG  - 630-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Birth Rate
MH  - California
MH  - Cohort Studies
MH  - *Community Health Services/og [Organization & Administration]
MH  - *Community Health Services/sn [Statistics & Numerical Data]
MH  - Delivery of Health Care/og [Organization & Administration]
MH  - Delivery of Health Care/sn [Statistics & Numerical Data]
MH  - Female
MH  - Hospitals/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Intensive Care, Neonatal/og [Organization & Administration]
MH  - *Intensive Care, Neonatal/sn [Statistics & Numerical Data]
MH  - *Perinatal Care/og [Organization & Administration]
MH  - *Perinatal Care/sn [Statistics & Numerical Data]
MH  - Pregnancy
MH  - Retrospective Studies
MH  - Time Factors
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: In California, hospitals with Community Neonatal Intensive Care Units (NICUs) increased from 17 in 1990 to 52 in 1997. The purpose of this study was to investigate the effects of their growth on level-specific distribution of births, acuity, and neonatal mortality.
AB  - STUDY DESIGN: A total of 4,563,900 infants born from 1990 to 1997 were analyzed by levels of care. We examined shifts in birth location and acuity. Neonatal mortality for singleton very-low-birth-weight (VLBW) infants without congenital abnormalities was used to assess differences in level-specific survival.
AB  - RESULTS: Live births at hospitals with Community NICUs increased from 8.6% to 28.6%, and VLBW births increased from 11.7% to 37.4%. Births and VLBW births at Regional NICUs decreased, whereas acuity was unchanged. There were no differences in neonatal mortality of VLBW infants born at Community or Regional NICU hospitals. Mortality for VLBW births at other levels of care was significantly higher.
AB  - CONCLUSION: The rapid growth of monitored Community NICUs supported by a regionalized system of neonatal transport represents an evolving face of regionalization. Survival of VLBW births was similar at Community and Regional hospitals and higher than in other birth settings. Reducing VLBW births at Primary Care and Intermediate NICU hospitals continues to be an important goal of regionalization. doi:10.1038/sj.jp.7210824
IS  - 0743-8346
IL  - 0743-8346
PT  - Journal Article
ID  - 10.1038/sj.jp.7210824 [doi]
PP  - ppublish
LG  - English
DP  - 2002 Dec
EZ  - 2002/12/13 04:00
DA  - 2003/04/04 05:00
DT  - 2002/12/13 04:00
YR  - 2002
ED  - 20030402
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12478445

<743. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12592267
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Zeeman GG
AU  - Wendel GD Jr
AU  - Cunningham FG
FA  - Zeeman, Gerda G
FA  - Wendel, George D Jr
FA  - Cunningham, F Gary
IN  - Zeeman, Gerda G. Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, USA. Veth-zeeman@planet.nl
TI  - A blueprint for obstetric critical care.
SO  - American Journal of Obstetrics & Gynecology. 188(2):532-6, 2003 Feb
AS  - Am J Obstet Gynecol. 188(2):532-6, 2003 Feb
NJ  - American journal of obstetrics and gynecology
VO  - 188
IP  - 2
PG  - 532-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 3ni, 0370476
IO  - Am. J. Obstet. Gynecol.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care
MH  - Female
MH  - Humans
MH  - Hypertension/th [Therapy]
MH  - Intensive Care Units
MH  - Intermediate Care Facilities
MH  - Medical Audit
MH  - *Obstetrics/mt [Methods]
MH  - Patient Admission
MH  - Patient Transfer
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/th [Therapy]
MH  - Prospective Studies
MH  - Uterine Hemorrhage/th [Therapy]
AB  - OBJECTIVE: The purpose of this study was to describe our 2-year experience with 483 critically ill peripartum women and to propose a blueprint for obstetric critical care.
AB  - STUDY DESIGN: This was a prospective study to evaluate all admissions to the Obstetric Intermediate Care Unit and obstetric admissions to medical/surgical intensive care units. Our findings are followed by general recommendations for the organization of obstetric critical care.
AB  - RESULTS: Almost two thirds of the women had obstetric complications that included pregnancy-associated hypertension and obstetric hemorrhage. Medical disorders were most common in the other one third of the women.
AB  - CONCLUSION: An Obstetric Intermediate Care Unit allows for the continuation of care by obstetricians and results in fewer transfers to medical/surgical intensive care units. Patient treatment depends on hospital size and available resources. In most tertiary centers, the critically ill pregnant woman is best cared for by obstetricians in an Obstetric Intermediate Care Unit. In smaller hospitals, transfer to a medical or surgical intensive care unit may be preferable.
IS  - 0002-9378
IL  - 0002-9378
PT  - Evaluation Studies
PT  - Journal Article
ID  - S0002937802714257 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Feb
EZ  - 2003/02/20 04:00
DA  - 2003/03/28 05:00
DT  - 2003/02/20 04:00
YR  - 2003
ED  - 20030327
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12592267

<744. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12577770
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bakker J
AU  - Damen J
AU  - van Zanten AR
AU  - Hubben JH
AU  - Protocollencommissie Nederlandse Vereiniging voor Intensive Care
FA  - Bakker, J
FA  - Damen, J
FA  - van Zanten, A R H
FA  - Hubben, J H
FA  - Protocollencommissie Nederlandse Vereiniging voor Intensive Care
IN  - Bakker, J. Afd. Intensive Care, Afd. Thoraxanesthesiologie, Isala Klinieken, locatie Weezenlanden, Postbus 10.500, 8000 GM Zwolle. j.bakker@isala.nl
TI  - [Admission and discharge criteria for intensive care departments]. [Dutch]
OT  - Criteria voor opname op en ontslag van intensive-careafdelingen.
SO  - Nederlands Tijdschrift voor Geneeskunde. 147(3):110-5, 2003 Jan 18
AS  - Ned Tijdschr Geneeskd. 147(3):110-5, 2003 Jan 18
NJ  - Nederlands tijdschrift voor geneeskunde
VO  - 147
IP  - 3
PG  - 110-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - nuk, 0400770
IO  - Ned Tijdschr Geneeskd
SB  - Index Medicus
CP  - Netherlands
MH  - Cost-Benefit Analysis
MH  - Hospital Units
MH  - Humans
MH  - *Intensive Care Units
MH  - Netherlands
MH  - *Patient Admission
MH  - *Patient Discharge
MH  - Patient Transfer
AB  - Admission and discharge criteria for intensive care departments have been drawn up in order to optimise the use of scarce and costly intensive care facilities. Every patient who could benefit from admission must be assessed by the intensive care specialist beforehand. Admission is indicated for patients with disrupted vital functions in whom recovery of dysfunctioning or failing organ systems is expected, patients who will act as organ donors and patients who undergo diagnostic investigations associated with a high risk of vital complications. Frequent assessment (several times per day) of the 'indication to stay' is indicated in the case of many patients in order to maximise the admission capacity. Discharge from the intensive care department is indicated if the vital functions are stable without life support and no longer require monitoring or treatment, if nursing the patient in the ward is possible, if continuation of the medical treatment is no longer worthwhile, if the patient no longer consents to the treatment and if the benefit of a treatment no longer outweights its negative effects.
IS  - 0028-2162
IL  - 0028-2162
PT  - English Abstract
PT  - Guideline
PT  - Journal Article
PT  - Practice Guideline
PP  - ppublish
LG  - Dutch
DP  - 2003 Jan 18
EZ  - 2003/02/13 04:00
DA  - 2003/03/19 04:00
DT  - 2003/02/13 04:00
YR  - 2003
ED  - 20030318
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12577770

<745. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12556843
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lavina M
AU  - Criddle LM
FA  - Lavina, Michelle
FA  - Criddle, Laura M
IN  - Lavina, Michelle. Oregon Health & Science University Hospital, Portland, USA. lavinam@ohsu.edu
TI  - Resuscitating trauma patients in the intensive care unit.
SO  - Journal of Emergency Nursing. 29(1):83-4, 2003 Feb
AS  - J Emerg Nurs. 29(1):83-4, 2003 Feb
NJ  - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association
VO  - 29
IP  - 1
PG  - 83-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7605913
IO  - J Emerg Nurs
SB  - Nursing Journal
CP  - United States
MH  - *Emergency Service, Hospital
MH  - Equipment and Supplies, Hospital
MH  - Hospitals, University
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Interior Design and Furnishings
MH  - *Multiple Trauma/th [Therapy]
MH  - Oregon
MH  - Patient Care Team
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Resuscitation/mt [Methods]
MH  - Trauma Centers
MH  - Triage
MH  - Workload
IS  - 0099-1767
IL  - 0099-1767
PT  - Journal Article
ID  - S0099176702699088 [pii]
PP  - ppublish
LG  - English
DP  - 2003 Feb
EZ  - 2003/01/31 04:00
DA  - 2003/03/08 04:00
DT  - 2003/01/31 04:00
YR  - 2003
ED  - 20030307
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12556843

<746. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12374730
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Yeguiayan JM
AU  - Lenfant F
AU  - Rapenne T
AU  - Bouyssou H
AU  - Freysz M
FA  - Yeguiayan, Jean Michel
FA  - Lenfant, Francois
FA  - Rapenne, Thierry
FA  - Bouyssou, Henri
FA  - Freysz, Marc
TI  - [Effects of intra-hospital transport of severely head injured patients on the parameters of cerebral perfusion]. [French]
OT  - Effets des transferts intra-hospitaliers de patients traumatises craniens graves sur les parametres de perfusion cerebrale.
SO  - Canadian Journal of Anaesthesia. 49(8):890-1, 2002 Oct
AS  - Can J Anaesth. 49(8):890-1, 2002 Oct
NJ  - Canadian journal of anaesthesia = Journal canadien d'anesthesie
VO  - 49
IP  - 8
PG  - 890-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - c8l, 8701709
IO  - Can J Anaesth
SB  - Index Medicus
CP  - United States
MH  - Cerebrovascular Circulation
MH  - *Craniocerebral Trauma/pp [Physiopathology]
MH  - Hemodynamics
MH  - Humans
MH  - Intracranial Pressure
MH  - Prospective Studies
MH  - Time Factors
MH  - *Transportation of Patients
IS  - 0832-610X
IL  - 0832-610X
PT  - Letter
PP  - ppublish
LG  - French
DP  - 2002 Oct
EZ  - 2002/10/11 04:00
DA  - 2003/03/05 04:00
DT  - 2002/10/11 04:00
YR  - 2002
ED  - 20030304
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12374730

<747. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12511669
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mayo-Smith WW
AU  - Rhea JT
AU  - Smith WJ
AU  - Cobb CM
AU  - Gareen IF
AU  - Dorfman GS
FA  - Mayo-Smith, William W
FA  - Rhea, James T
FA  - Smith, Wendy J
FA  - Cobb, Cynthia M
FA  - Gareen, Ilana F
FA  - Dorfman, Gary S
IN  - Mayo-Smith, William W. Department of Radiology, Rhode Island Hospital, Brown University School of Medicine, 593 Eddy St, Providence, RI 02903, USA. wmayo-smith@lifespan.org
TI  - Transportable versus fixed platform CT scanners: comparison of costs.
SO  - Radiology. 226(1):63-8, 2003 Jan
AS  - Radiology. 226(1):63-8, 2003 Jan
NJ  - Radiology
VO  - 226
IP  - 1
PG  - 63-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - qsh, 0401260
IO  - Radiology
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Costs and Cost Analysis
MH  - Humans
MH  - Intensive Care Units
MH  - Sensitivity and Specificity
MH  - Tomography, X-Ray Computed/ec [Economics]
MH  - *Tomography, X-Ray Computed/is [Instrumentation]
AB  - PURPOSE: To compare the aggregate hospital technical costs of a transportable computed tomographic (CT) scanner used to image patients in an intensive care unit with those of a fixed platform CT scanner in the radiology department.
AB  - MATERIALS AND METHODS: Direct fixed costs (ie, machine and service contract costs) and direct variable costs (ie, personnel costs) were calculated. Indirect costs, including space costs and departmental overhead, were calculated. Total costs were calculated as the sum of indirect, direct fixed, and direct variable costs. Personnel costs were calculated from time-motion analyses involving 95 patients who underwent brain CT with either a transportable (n = 51) or a fixed platform (n = 44) CT scanner. Costs per examination were calculated by using both low- and high-examination-volume models and compared with use of the Wilcoxon rank sum test.
AB  - RESULTS: The total cost per examination for the transportable scanner ranged from 108.98 dollars to 167.20 dollars for the high- and low-volume models. Total cost per examination for the fixed platform scanner ranged from 75.24 dollars to 112.39 dollars for the high- and low-volume models. For the transportable scanner, direct fixed, variable, and overhead costs were 87.05 dollars, 70.73 dollars, and 9.42 dollars per examination, respectively, with the low-volume model. The corresponding costs for the fixed platform scanner were 46.66 dollars, 55.69 dollars, and 10.04 dollars, respectively.
AB  - CONCLUSION: The technical cost of using an in-hospital transportable CT scanner is higher than that of using a fixed platform scanner.

Copyright RSNA, 2002
IS  - 0033-8419
IL  - 0033-8419
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1148/radiol.2261012047 [doi]
PP  - ppublish
LG  - English
DP  - 2003 Jan
EZ  - 2003/01/04 04:00
DA  - 2003/01/31 04:00
DT  - 2003/01/04 04:00
YR  - 2003
ED  - 20030130
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12511669

<748. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12515110
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Critical-care transport team improves care.
SO  - ED Management. 15(1):6-7, 2003 Jan
AS  - ED Manag. 15(1):6-7, 2003 Jan
NJ  - ED management : the monthly update on emergency department management
VO  - 15
IP  - 1
PG  - 6-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - chx, 9425690
IO  - ED Manag
SB  - Health Administration Journals
CP  - United States
MH  - California
MH  - Continuity of Patient Care
MH  - Cost Savings
MH  - *Critical Care/og [Organization & Administration]
MH  - Efficiency, Organizational
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Emergency Service, Hospital/st [Standards]
MH  - Humans
MH  - Liability, Legal
MH  - *Patient Care Team
MH  - *Quality Assurance, Health Care/og [Organization & Administration]
MH  - *Transportation of Patients
AB  - A critical-care transport team can prevent adverse outcomes, improve patient flow, and reduce delays. The team carries equipment and medications that can save a patient's life. Emergency department (ED) nurses can remain in the department, instead of having to transport patients for diagnostic tests. Transport nurses assist with resuscitations of trauma patients in the ED.
IS  - 1044-9167
IL  - 1044-9167
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2003 Jan
EZ  - 2003/01/08 04:00
DA  - 2003/01/28 04:00
DT  - 2003/01/08 04:00
YR  - 2003
ED  - 20030127
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12515110

<749. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12503383
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Choate K
AU  - Stewart M
FA  - Choate, Kim
FA  - Stewart, Mark
IN  - Choate, Kim. Alfred Hospital, Victoria.
TI  - Reducing anxiety in patients and families discharged from ICU.
SO  - Australian Nursing Journal. 10(5):29, 2002 Nov
AS  - Aust Nurs J. 10(5):29, 2002 Nov
NJ  - Australian nursing journal (July 1993)
VO  - 10
IP  - 5
PG  - 29
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bxo, 9317904
IO  - Aust Nurs J
SB  - Nursing Journal
CP  - Australia
MH  - *Anxiety/pc [Prevention & Control]
MH  - Australia
MH  - Family/px [Psychology]
MH  - Humans
MH  - *Intensive Care Units
MH  - *Nurse-Patient Relations
MH  - *Patient Discharge
MH  - *Patient Transfer
MH  - Professional-Family Relations
IS  - 1320-3185
IL  - 1320-3185
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2002 Nov
EZ  - 2002/12/31 04:00
DA  - 2003/01/25 04:00
DT  - 2002/12/31 04:00
YR  - 2002
ED  - 20030124
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12503383

<750. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12509725
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Clark K
AU  - Normile LB
FA  - Clark, Karen
FA  - Normile, Loretta Brush
IN  - Clark, Karen. PinnacleHealth System, Harrisburg, Pa., USA. healthmart@yahoo.com
TI  - Delays in implementing admission orders for critical care patients associated with length of stay in emergency departments in six mid-Atlantic states.
SO  - Journal of Emergency Nursing. 28(6):489-95, 2002 Dec
AS  - J Emerg Nurs. 28(6):489-95, 2002 Dec
NJ  - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association
VO  - 28
IP  - 6
PG  - 489-95
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7605913
IO  - J Emerg Nurs
SB  - Nursing Journal
CP  - United States
MH  - Bed Occupancy/sn [Statistics & Numerical Data]
MH  - *Critical Care/st [Standards]
MH  - *Emergency Service, Hospital/st [Standards]
MH  - Health Services Research
MH  - Humans
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Management Audit
MH  - Mid-Atlantic Region
MH  - Needs Assessment
MH  - Nursing Administration Research
MH  - Nursing Staff, Hospital/sd [Supply & Distribution]
MH  - Outcome Assessment (Health Care)
MH  - *Patient Admission/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/st [Standards]
MH  - Personnel Staffing and Scheduling/sn [Statistics & Numerical Data]
MH  - Time Factors
MH  - Virginia
MH  - West Virginia
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.
AB  - METHODS: A Likert scale survey designed to yield descriptive comparative correlational data was sent to directors of critical care and emergency service areas.
AB  - 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.
AB  - 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.
IS  - 0099-1767
IL  - 0099-1767
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0099176702000867 [pii]
PP  - ppublish
LG  - English
DP  - 2002 Dec
EZ  - 2003/01/02 04:00
DA  - 2003/01/18 04:00
DT  - 2003/01/02 04:00
YR  - 2002
ED  - 20030117
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12509725

<751. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12140914
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Scheinhorn DJ
AU  - Chao DC
AU  - Stearn-Hassenpflug M
FA  - Scheinhorn, David J
FA  - Chao, David C
FA  - Stearn-Hassenpflug, Meg
IN  - Scheinhorn, David J. Barlow Respiratory Research Center, 2000 Stadium Way, Los Angeles, CA 90026, USA. djs@barlow2000.org
TI  - Liberation from prolonged mechanical ventilation. [Review] [137 refs]
SO  - Critical Care Clinics. 18(3):569-95, 2002 Jul
AS  - Crit Care Clin. 18(3):569-95, 2002 Jul
NJ  - Critical care clinics
VO  - 18
IP  - 3
PG  - 569-95
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ccc, 8507720
IO  - Crit Care Clin
SB  - Index Medicus
CP  - United States
MH  - Critical Care
MH  - Humans
MH  - Intensive Care Units
MH  - Patient Discharge
MH  - Patient Transfer
MH  - Respiration, Artificial/ae [Adverse Effects]
MH  - Stents
MH  - Time Factors
MH  - *Ventilator Weaning
AB  - After weaning from PMV, patients are usually far from ready to resume normal activities. A prolonged recovery period after catastrophic illness is the rule, with multidisciplinary rehabilitation and discharge planning efforts. Following such efforts, reports of success of restorative care are institutional and population specific. That all PMV patients are not "chronically critically ill" introduces selection factors that make comparisons between institutions even more difficult. Half of the authors' patients were able to go home in past years [14], although more recently, with patients admitted more debilitated and more ill, the percent returning home has gradually declined to the low 20% range. Bagley et al [11] report discharge to home in 31% of patients weaned. Gracey et al [6,133], treating younger, postsurgical patients, have reported the highest discharge to home rate, 57%; over 70% were eventually discharged to home after first being transferred to a rehabilitation unit. On the other hand, the few reports of survival 1 or more years after discharge are in the 50% range at best (Table 2). Carson and colleagues [9] report a 23% 1-year survival in 133 PMV patients. Their premorbid functional status and age analysis showed younger and more independent patients having a better mortality (56%), and older and more dependent patients having a 95% mortality at 1 year. Nasraway et al [25] report a 1-year mortality of 50.5% in 97 patients transferred from five ICUs to multiple ECFs. Most of these patients would probably meet criteria for PMV, with median time mechanically ventilated 33 days, and 71 ventilator dependent at the time of ICU discharge. A report from 25 Vencor Hospitals [134] not included in Table 2 because weaning outcome was not reported, examines mortality and cost in patients > 65 years of age primarily referred for failure to wean from mechanical ventilation (91% of the cohort of 1619 patients.) There was a 58% in-hospital mortality by day 102 (28 days in the acute care hospital before referral, 74 days in the LTAC afterward), and a 67% mortality in postdischarge follow-up to day 180. Results of functional status studies and quality-of-life (QQL) measures, some using validated instruments, are now being reported in small series of PMV patients. These will merit consideration as important as weaning outcome, disposition, and survival data, as they accumulate to round out the treatment results in this population. Using a proprietary instrument, Carson et al [9] found 42% of 1-year survivors, that is, 8% of study patients, functionally independent at 1 year after discharge. Nasraway [25], using a single-question QQL assessment, and a validated functionality measurement, found 11.5% of his original cohort at home, breathing independently, with a "fair or better" QOL and good physical functionality. In a preliminary report from Dr. Criner's VRU, objective physical improvement was demonstrated in rehabilitation after PMV, using a functional independence measure scale [89]. A full report from the same unit, using a Sickness Impact Profile score makes it clear that PMV had no independent adverse effect on QOL several years later [135]. The 46 patients (25 of whom, with mean age 59 years, responded to the follow-up questionnaire), followed for 24 months after the catastrophic episode, scored their QOL based on their underlying chronic diseases, if any. The older patients, status postsurgical illness, predominantly cardiac surgery, rated their QOL better than younger patients with acute or chronic diseases. Similar findings have been reported in a recent ICU study, reporting QOL after prolonged intensive care [136]. Those who work to liberate PMV patients from mechanical ventilation, a satisfying end in many ways, have demonstrated that this post-ICU critical care activity is usually safe, and successful, although only in observational studies. Will multicenter studies in PMV patients liberated from mechanical ventilation yield facility benchmark, weaning outcome, and survival data that warrant continuation of these activities on a cost-per-outcome basis? That remains to be seen. Assessing and interpreting QOL and functionality findings in these patients, many with underlying chronic diseases resulting in long convalescence and rehabilitation, is a particularly important challenge. The authors are participating in a multicenter study that will yield some of these data; no doubt others will also address these questions. In the mean time, "No one in our society is willing to put Grandma out on an iceberg because she's no longer contributing. Someone needs to take care of these people" [137]. [References: 137]
IS  - 0749-0704
IL  - 0749-0704
PT  - Journal Article
PT  - Review
ID  - S0749-0704(02)00016-7 [pii]
PP  - ppublish
LG  - English
DP  - 2002 Jul
EZ  - 2002/07/27 10:00
DA  - 2003/01/16 04:00
DT  - 2002/07/27 10:00
YR  - 2002
ED  - 20030115
RD  - 20171130
UP  - 20171130
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=12140914

<752. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12184659
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wheeler DS
AU  - Poss WB
FA  - Wheeler, Derek S
FA  - Poss, W Bradley
IN  - Wheeler, Derek S. Division of Critical Care Medicine, Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA.
TI  - Transport of the mechanically ventilated pediatric patient. [Review] [124 refs]
SO  - Respiratory Care Clinics of North America. 8(1):83-104, 2002 Mar
AS  - Respir Care Clin N Am. 8(1):83-104, 2002 Mar
NJ  - Respiratory care clinics of North America
VO  - 8
IP  - 1
PG  - 83-104
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9612026, czf
IO  - Respir Care Clin N Am
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Critical Illness/mo [Mortality]
MH  - Critical Illness/th [Therapy]
MH  - Emergency Medical Services/st [Standards]
MH  - Female
MH  - Humans
MH  - Injury Severity Score
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - *Patient Transfer/st [Standards]
MH  - Risk Assessment
MH  - Survival Rate
MH  - *Transportation of Patients/st [Standards]
MH  - United States
MH  - Wounds and Injuries/mo [Mortality]
MH  - Wounds and Injuries/th [Therapy]
AB  - Children deserve quality care when they are critically ill or injured. Specialized pediatric services may be limited outside major medical centers. Transport by specialized pediatric and neonatal transport teams may be required to deliver patients to tertiary pediatric medical centers. In addition, in the past decade a cost-effective, organized, systematic approach to health care management has assumed greater importance, leading to the concept of the so-called medical home. In this model, a child with a complex medical problem is cared for in the environment in which he or she will receive the best care, with emphasis on providing rehabilitative and long-term care near the child's home. It is likely, then, that the field of pediatric transport medicine will assume greater importance in the coming decade. [References: 124]
IS  - 1078-5337
IL  - 1078-5337
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2002 Mar
EZ  - 2002/08/20 10:00
DA  - 2003/01/11 04:00
DT  - 2002/08/20 10:00
YR  - 2002
ED  - 20030110
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12184659

<753. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12184658
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bowen SL
FA  - Bowen, S Louise
IN  - Bowen, S Louise. All Children's Hospital, St. Petersburg, FL 33731-8920, USA. bowens@allkids.org
TI  - Transport of the mechanically ventilated neonate. [Review] [21 refs]
SO  - Respiratory Care Clinics of North America. 8(1):67-82, 2002 Mar
AS  - Respir Care Clin N Am. 8(1):67-82, 2002 Mar
NJ  - Respiratory care clinics of North America
VO  - 8
IP  - 1
PG  - 67-82
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9612026, czf
IO  - Respir Care Clin N Am
SB  - Index Medicus
CP  - United States
MH  - Critical Illness/mo [Mortality]
MH  - Critical Illness/th [Therapy]
MH  - Equipment Safety
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Monitoring, Physiologic/mt [Methods]
MH  - *Patient Transfer/st [Standards]
MH  - *Respiration, Artificial/st [Standards]
MH  - *Respiratory Distress Syndrome, Newborn/th [Therapy]
MH  - Risk Assessment
MH  - Risk Factors
MH  - Sensitivity and Specificity
MH  - Survival Rate
MH  - *Transportation of Patients/st [Standards]
MH  - United States
MH  - Ventilators, Mechanical
AB  - Although the primary focus of this article is on interhospital transport, some of the same basic transport principles and management techniques apply to intrahospital transport. The level of care provided during interhospital and intrahospital transport should be based on the neonate's diagnosis, clinical status, anticipated problems, and local, state, and national standards and regulations. The transport team should have policies and procedures to direct their practice. Documentation of the transport process should be initiated with the referral call and continued until the completion of transport. Planning and anticipation of problems are essential, as is care of the family. The transport team should evaluate each neonate's individual response to the transport. [References: 21]
IS  - 1078-5337
IL  - 1078-5337
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2002 Mar
EZ  - 2002/08/20 10:00
DA  - 2003/01/11 04:00
DT  - 2002/08/20 10:00
YR  - 2002
ED  - 20030110
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12184658

<754. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12462840
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dalle JH
FA  - Dalle, J H
IN  - Dalle, J H. Unite Protegee A, clinique de pediatrie, hopital Jeanne-de-Flandre, CHRU de Lille, 59037 Lille, France. jhdalle@yahoo.fr
TI  - [Transfer to intensive care units for children with neoplasms: what decision-making tools are available?]. [French]
OT  - Transfert en reanimation des enfants traites pour neoplasie: quels sont les outils d'aide a la decision?
SO  - Archives de Pediatrie. 9(10):1064-9, 2002 Oct
AS  - Arch Pediatr. 9(10):1064-9, 2002 Oct
NJ  - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
VO  - 9
IP  - 10
PG  - 1064-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9421356, bwh
IO  - Arch Pediatr
SB  - Index Medicus
CP  - France
MH  - Child
MH  - *Decision Making
MH  - Humans
MH  - *Intensive Care Units
MH  - Interprofessional Relations
MH  - Medical Oncology
MH  - *Neoplasms/th [Therapy]
MH  - Patient Care Planning
MH  - *Patient Transfer
MH  - *Pediatrics
MH  - Referral and Consultation
AB  - As a result of major progresses in anti-cancer treatment, many children with malignancy have to be admitted to an intensive care unit. Therefore it has become a necessity for paediatric oncologists and haematologists and paediatric intensive care physicians to work together. What are the current tools to guide their discussion and decision? There are few useful published studies about the outcome of oncology paediatric patients admitted to intensive care unit. Due to the very specificity of paediatric oncology it is difficult to extrapolate from the available adult studies. Legislative texts specify the limits of the debate but feed it little. Philosophers concentrate on the risk of therapeutic doggedness and the right to dye with dignity. The oncology paediatric patients may be sent to an intensive care unit at different steps of their diseases: at the time of diagnosis, during the curative treatment, or after treatment failure. For each step, there is a need for a wide debate between oncologists, intensivists, nurses, psychologists, and the child's family in order to define the most consensual decisions. The development of validated prognostic scores for this particular population will be very helpful for the decision making. As frequently as possible the decision should be anticipated before the transfer of the child to the intensive care unit.
IS  - 0929-693X
IL  - 0929-693X
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - French
DP  - 2002 Oct
EZ  - 2002/12/05 04:00
DA  - 2002/12/27 04:00
DT  - 2002/12/05 04:00
YR  - 2002
ED  - 20021223
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12462840

<755. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11868684
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Coyle MA
FA  - Coyle, M A
IN  - Coyle, M A. Altnagelvin Hospital, Londonderry, Northern Ireland, UK. wilmin6@yahoo.com
TI  - Transfer anxiety: preparing to leave intensive care. [Review] [34 refs]
SO  - Intensive & Critical Care Nursing. 17(3):138-43, 2001 Jun
AS  - Intensive Crit Care Nurs. 17(3):138-43, 2001 Jun
NJ  - Intensive & critical care nursing
VO  - 17
IP  - 3
PG  - 138-43
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - *Anxiety/et [Etiology]
MH  - *Critical Illness/px [Psychology]
MH  - Humans
MH  - *Intensive Care Units
MH  - Patient Discharge
MH  - *Patient Transfer/mt [Methods]
MH  - Patient Transfer/st [Standards]
MH  - Risk Factors
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. [References: 34]
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
PT  - Review
ID  - S0964-3397(01)91561-7 [pii]
ID  - 10.1054/iccn.2001.1561 [doi]
PP  - ppublish
LG  - English
DP  - 2001 Jun
EZ  - 2002/03/01 10:00
DA  - 2002/11/26 04:00
DT  - 2002/03/01 10:00
YR  - 2001
ED  - 20021114
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11868684

<756. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12168133
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Joseph M
AU  - Hageman JR
FA  - Joseph, Monica
FA  - Hageman, Joseph R
IN  - Joseph, Monica. Department of Pediatrics, Evanston Hospital, 2650 Ridge Avenue, Evanston, IL 60201-1493, USA.
TI  - Neonatal transport: a 3-day-old neonate with hypothermia, respiratory distress, lethargy and poor feeding.
SO  - Journal of Perinatology. 22(6):506-9, 2002 Sep
AS  - J Perinatol. 22(6):506-9, 2002 Sep
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 22
IP  - 6
PG  - 506-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - *Ammonia/bl [Blood]
MH  - Blood Gas Analysis
MH  - Combined Modality Therapy
MH  - Critical Care
MH  - Diagnosis, Differential
MH  - *Hemorrhage/di [Diagnosis]
MH  - Hemorrhage/th [Therapy]
MH  - Humans
MH  - *Hypothermia/di [Diagnosis]
MH  - Hypothermia/th [Therapy]
MH  - Infant Nutritional Physiological Phenomena
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Lung Diseases/di [Diagnosis]
MH  - Lung Diseases/th [Therapy]
MH  - Male
MH  - Prognosis
MH  - *Respiratory Distress Syndrome, Newborn/di [Diagnosis]
MH  - Respiratory Distress Syndrome, Newborn/th [Therapy]
MH  - Severity of Illness Index
MH  - Sleep Stages
MH  - Transportation of Patients
MH  - *Urea/me [Metabolism]
RN  - 7664-41-7 (Ammonia)
RN  - 8W8T17847W (Urea)
IS  - 0743-8346
IL  - 0743-8346
PT  - Case Reports
PT  - Journal Article
ID  - 10.1038/sj.jp.7210755 [doi]
PP  - ppublish
LG  - English
DP  - 2002 Sep
EZ  - 2002/08/09 10:00
DA  - 2002/11/26 04:00
DT  - 2002/08/09 10:00
YR  - 2002
ED  - 20021104
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12168133

<757. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12209399
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McClure RJ
AU  - Peel N
AU  - Kassulke D
AU  - Neale R
FA  - McClure, R J
FA  - Peel, N
FA  - Kassulke, D
FA  - Neale, R
IN  - McClure, R J. School of Population Health, University of Queensland, Queensland, Australia. r.mcclure@sph.uq.edu.au
TI  - Appropriate indicators for injury control?.
CM  - Comment in: Public Health. 2002 Sep;116(5):251; PMID: 12209398
CM  - Comment in: Public Health. 2002 Sep;116(5):257-62; PMID: 12209400
SO  - Public Health. 116(5):252-6, 2002 Sep
AS  - Public Health. 116(5):252-6, 2002 Sep
NJ  - Public health
VO  - 116
IP  - 5
PG  - 252-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - qi7, 0376507
IO  - Public Health
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - Cost of Illness
MH  - Evidence-Based Medicine
MH  - Female
MH  - *Health Status Indicators
MH  - Humans
MH  - *Injury Severity Score
MH  - Intensive Care Units
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Patient Admission
MH  - Patient Transfer
MH  - Prospective Studies
MH  - *Public Health Administration
MH  - Queensland/ep [Epidemiology]
MH  - *Wounds and Injuries/cl [Classification]
MH  - Wounds and Injuries/ep [Epidemiology]
MH  - *Wounds and Injuries/pc [Prevention & Control]
AB  - Indicators are valuable tools used to measure progress towards a desired health outcome. Increased awareness of the public health burden due to injury has lead to a concomitant interest in monitoring the impact of national initiatives that aim to reduce the size of the burden. Several injury indicators have now been proposed. This study examines the ability of each of the suggested indicators to reflect the nature and extent of the burden of non-fatal injury. A criterion validity, population-based, prospective cohort study was conducted in Brisbane, a sub-tropical Metropolitan City on the eastern seaboard of Australia, over a 12-month period between 1 January and 31 December 1998. Neither the presence of a long bone fracture nor the need for hospitalisation for 4 or more days were sensitive or specific indicators for 'serious' or major injury as defined by the 'Gold Standard' Injury Severity Score (ISS). Subsequent analysis, using other public health outcome measures demonstrated that the major component of the illness burden of injury was in fact due to 'minor' not serious injury. However, the suggested indicators demonstrated low sensitivity and specificity for these outcomes as well. The results of the study support the need to include at least all hospitalisations in any population-based measure of injury and not attempt to simplify the indicator to a more convenient measure aimed at identifying just those cases of 'serious' injury.
IS  - 0033-3506
IL  - 0033-3506
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Studies
ID  - 10.1038/sj.ph.1900859 [doi]
ID  - S0033-3506(02)90014-4 [pii]
PP  - ppublish
PH  - 2002/04/25 [accepted]
LG  - English
DP  - 2002 Sep
EZ  - 2002/09/05 10:00
DA  - 2002/10/31 04:00
DT  - 2002/09/05 10:00
YR  - 2002
ED  - 20021024
RD  - 20171216
UP  - 20171218
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=12209399

<758. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11712009
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Frank IC
FA  - Frank, I C
IN  - Frank, I C. iriscfrank@aol.com
TI  - ED crowding and diversion: strategies and concerns from across the United States.
SO  - Journal of Emergency Nursing. 27(6):559-65, 2001 Dec
AS  - J Emerg Nurs. 27(6):559-65, 2001 Dec
NJ  - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association
VO  - 27
IP  - 6
PG  - 559-65
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7605913
IO  - J Emerg Nurs
SB  - Nursing Journal
CP  - United States
MH  - *Bed Occupancy/sn [Statistics & Numerical Data]
MH  - Crowding
MH  - Emergency Nursing/ma [Manpower]
MH  - Emergency Service, Hospital/ma [Manpower]
MH  - *Emergency Service, Hospital/ut [Utilization]
MH  - Health Facility Closure
MH  - Humans
MH  - Intensive Care Units
MH  - *Needs Assessment/og [Organization & Administration]
MH  - Nursing Staff, Hospital/sd [Supply & Distribution]
MH  - Patient Discharge
MH  - Patient Transfer
MH  - Personnel Selection
MH  - Personnel Staffing and Scheduling
MH  - Personnel Turnover
MH  - United States
IS  - 0099-1767
IL  - 0099-1767
PT  - Journal Article
ID  - S0099-1767(01)88597-4 [pii]
ID  - 10.1067/men.2001.120244 [doi]
PP  - ppublish
LG  - English
DP  - 2001 Dec
EZ  - 2001/11/17 10:00
DA  - 2002/08/17 10:01
DT  - 2001/11/17 10:00
YR  - 2001
ED  - 20020816
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11712009

<759. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11967599
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Zanetta G
AU  - Robert D
AU  - Guerin C
FA  - Zanetta, G
FA  - Robert, D
FA  - Guerin, C
IN  - Zanetta, G. Service de Reanimation Medicale et Assistance Respiratoire, Hopital de la Croix Rousse, 103 grande rue de la Croix-Rousse, 69004 Lyon, France.
TI  - Evaluation of ventilators used during transport of ICU patients -- a bench study.
CM  - Comment in: Intensive Care Med. 2002 Aug;28(8):1181; author reply 1182; PMID: 12400512
SO  - Intensive Care Medicine. 28(4):443-51, 2002 Apr
AS  - Intensive Care Med. 28(4):443-51, 2002 Apr
NJ  - Intensive care medicine
VO  - 28
IP  - 4
PG  - 443-51
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Analysis of Variance
MH  - *Critical Care/st [Standards]
MH  - Humans
MH  - Respiratory Mechanics
MH  - *Transportation of Patients/st [Standards]
MH  - *Ventilators, Mechanical/st [Standards]
AB  - OBJECTIVES: To evaluate portable ventilators.
AB  - DESIGN AND SETTINGS: Bench study.
AB  - MATERIALS AND METHODS: Five portable ventilators used for transporting ICU patients [Osiris 1, (ventilator a), Osiris 2, (ventilator b), Oxylog 1000, (ventilator c), Oxylog 2000, (ventilator d), AXR1a, (ventilator e)] and three ICU ventilators which can be used for this purpose [Horus, (ventilator f), T-Bird, (ventilator g), and SV 300, (ventilator h)] were compared using a test lung regarding: 1) their capability to maintain set tidal volumes (V(T)) of 300 ml, 500 ml, and 800 ml under a normal condition A [resistance (R) 5 cmH(2)O/l/s and compliance (C) 100 ml/cmH(2)0] and two abnormal conditions B (R 20-C 30) and C (R 50-C 100); 2) trapped volume (expired V(T)relative to inspired V(T)at 0.7 s, 1 s, and 1.4 s), an estimate of the expiratory resistance of both circuit and valve; and 3) the triggering system assessed from the measurements of Delta t, Delta P for two inspiratory efforts at a PEEP of 0 cmH(2)0 and 5 cmH(2)0 in ventilators b, d, f, g, and h. Flow and airway pressure were measured with an independent physiologic recording system.
AB  - RESULTS: 1) V(T). For ventilators a-h, the mean+/-SD changes of a set V(T)of 300 ml were -2.6+/-0.2%, -9.7+/-0.2%, 0+/-0%, -6.1+/-0.2%, 1.0+/-0.3%, -2.1+/-1.7%, 0.3+/-0%, and -1.3+/-0.1% ( P<0.001), respectively, during condition B relative to A. Similar results were obtained for a V(T)of 500 ml and 800 ml and during condition C relative to A; 2) Trapped volume. For ventilators a-h, trapped volume averaged 1+/-1%, 20+/-0%, 30+/-0.4%, 20+/-1%, 1+/-0%, 19+/-0%, 15+/-0%, and 14+/-0% at 0.7 s ( P <0.001) and 0.6+/-0%, 5+/-0%, 0.5+/-0%, 0+/-0%%, 0+/-0%, 0.6+/-0%, 0+/-0%, and 0+/-0% at 1.4 s ( P=NS); and 3) the triggering system of Oxylog 2000 was poor whereas it was of good quality for Horus, T-Bird, SV 300, and Osiris 2.
AB  - CONCLUSIONS: The small portable ventilators presently investigated varied between each other and were less accurate than ICU ventilators.
IS  - 0342-4642
IL  - 0342-4642
PT  - Comparative Study
PT  - Evaluation Studies
PT  - Journal Article
ID  - 10.1007/s00134-002-1242-5 [doi]
PP  - ppublish
PH  - 2001/06/21 [received]
PH  - 2002/01/14 [accepted]
LG  - English
EP  - 20020312
DP  - 2002 Apr
EZ  - 2002/04/23 10:00
DA  - 2002/08/02 10:01
DT  - 2002/04/23 10:00
YR  - 2002
ED  - 20020801
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11967599

<760. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12063606
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pinkernelle JG
AU  - Teichgraber UK
AU  - Born C
AU  - Ricke J
AU  - Felix R
FA  - Pinkernelle, J G
FA  - Teichgraber, U K M
FA  - Born, C
FA  - Ricke, J
FA  - Felix, R
IN  - Pinkernelle, J G. Abteilung fur Strahlenheilkunde, Charite Campus Virchow-Klinikum, Medizinische Fakultat der Humboldt-Universitat zu Berlin, Germany.
TI  - [Use of portable computed tomography in non-transportable patients on the intensive care unit: preclinical experience]. [German]
OT  - Einsatz der mobilen Computertomographie bei nicht transportfahigen Patienten auf der Intensivstation - Ein Erfahrungsbericht.
SO  - Rofo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin. 174(6):747-53, 2002 Jun
AS  - ROFO Fortschr Geb Rontgenstr Nuklearmed. 174(6):747-53, 2002 Jun
NJ  - RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin
VO  - 174
IP  - 6
PG  - 747-53
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - rof, 7507497
IO  - Rofo
SB  - Index Medicus
CP  - Germany
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Child
MH  - Cost-Benefit Analysis
MH  - Equipment Design
MH  - Female
MH  - Germany
MH  - Hospital Costs
MH  - Humans
MH  - *Intensive Care Units/ec [Economics]
MH  - Male
MH  - Middle Aged
MH  - *Multiple Organ Failure/dg [Diagnostic Imaging]
MH  - Multiple Organ Failure/ec [Economics]
MH  - Patient Care Team/ec [Economics]
MH  - *Point-of-Care Systems/ec [Economics]
MH  - Prognosis
MH  - Time and Motion Studies
MH  - Tomography, X-Ray Computed/ec [Economics]
MH  - *Tomography, X-Ray Computed/is [Instrumentation]
AB  - PURPOSE: To evaluate different concepts of the application of a portable CT (PCT) directly in a patient's ICU room versus in a specially designed interventional suite (IS).
AB  - METHODS: 13 patients with maximum ICU treatment were examined by PCT and assessed with regard to their health status by ICU scores (TISS 28, MODS). Only patients with a therapeutic intervention scoring system 28 (TISS 28) value of 40 or greater were included in the study. A TISS 28 value of 40 or more characterizes a patient requiring maximal ICU treatment. Patients were examined by PCT either in the patient's room or in the IS on the ICU. Scanning time and personnel resource expense were determined. The multiple organ dysfunction score (MODS) was utilized for patient characterization.
AB  - RESULTS: An average of 1.4 hours was needed to perform a PCT scan in the interventional room. A minimum of 4.5 hours or up to a maximum of 7.2 hours were required to perform a bedside scan in the patient's room. There is a noticeable difference between patients with respect to TISS 28. Patients examined by bedside CT were more acutely ill than the others by reason of MODS (8 - 18 patient-room group vs. 3 - 12 IS group).
AB  - CONCLUSIONS: PCT performed on an ICU assures optimal treatment of patients during CT examination. Portable CT had more time exposure and required more personnel resources than examination in the IS. All PCT examinations performed directly in the patient's room demonstrated the diagnostic value and had direct therapeutic consequences.
IS  - 1438-9029
IL  - 1438-9010
PT  - Journal Article
ID  - 10.1055/s-2002-32224 [doi]
PP  - ppublish
LG  - German
DP  - 2002 Jun
EZ  - 2002/06/14 10:00
DA  - 2002/07/30 10:01
DT  - 2002/06/14 10:00
YR  - 2002
ED  - 20020729
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12063606

<761. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11903714
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McKinney AA
AU  - Melby V
FA  - McKinney, Aidin A
FA  - Melby, Vidar
IN  - McKinney, Aidin A. Intensive Care Unit, Belfast City Hospital Trust, Lisburn Rd, Belfast, Northern Ireland. aidinmckinney@hotmail.com
TI  - Relocation stress in critical care: a review of the literature. [Review] [36 refs]
SO  - Journal of Clinical Nursing. 11(2):149-57, 2002 Mar
AS  - J Clin Nurs. 11(2):149-57, 2002 Mar
NJ  - Journal of clinical nursing
VO  - 11
IP  - 2
PG  - 149-57
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bzz, 9207302
IO  - J Clin Nurs
SB  - Nursing Journal
CP  - England
MH  - Adaptation, Psychological
MH  - *Critical Care/px [Psychology]
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Male
MH  - Nurse's Role
MH  - Nursing Assessment
MH  - Patient Transfer
MH  - Risk Assessment
MH  - Risk Factors
MH  - Sensitivity and Specificity
MH  - Stress, Psychological/et [Etiology]
MH  - *Stress, Psychological/nu [Nursing]
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. [References: 36]
IS  - 0962-1067
IL  - 0962-1067
PT  - Journal Article
PT  - Review
ID  - 577 [pii]
PP  - ppublish
LG  - English
DP  - 2002 Mar
EZ  - 2002/03/21 10:00
DA  - 2002/07/13 10:01
DT  - 2002/03/21 10:00
YR  - 2002
ED  - 20020712
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11903714

<762. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12030140
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Haines S
AU  - Crocker C
AU  - Leducq M
FA  - Haines, S
FA  - Crocker, C
FA  - Leducq, M
IN  - Haines, S. Nottingham City Hospital NHS Trust.
TI  - Providing continuity of care for patients transferred from ICU.
SO  - Professional Nurse. 17(1):17-21, 2001 Sep
AS  - Prof Nurse. 17(1):17-21, 2001 Sep
NJ  - Professional nurse (London, England)
VO  - 17
IP  - 1
PG  - 17-21
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8612884, pzx
IO  - Prof Nurse
SB  - Nursing Journal
CP  - England
MH  - Burnout, Professional
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Critical Care/og [Organization & Administration]
MH  - *Critical Care/px [Psychology]
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Nurse-Patient Relations
MH  - Nursing Staff, Hospital/og [Organization & Administration]
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Subacute Care/og [Organization & Administration]
MH  - *Subacute Care/px [Psychology]
MH  - Workload
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.
IS  - 0266-8130
IL  - 0266-8130
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2001 Sep
EZ  - 2002/05/28 10:00
DA  - 2002/07/03 10:01
DT  - 2002/05/28 10:00
YR  - 2001
ED  - 20020702
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12030140

<763. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11983037
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hopkins P
AU  - Wolff AH
FA  - Hopkins, Philip
FA  - Wolff, Anthony H
IN  - Hopkins, Philip. Director of Intensive Care, Barnet Hospital, London, UK.
TI  - Intensive care transfers.
SO  - Critical Care (London, England). 6(2):123-4, 2002 Apr
AS  - Crit Care. 6(2):123-4, 2002 Apr
NJ  - Critical care (London, England)
VO  - 6
IP  - 2
PG  - 123-4
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 9801902, dw7
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC137293
SB  - Index Medicus
CP  - England
MH  - *Critical Care
MH  - *Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - Health Services Accessibility/td [Trends]
MH  - Humans
MH  - Patient Transfer/ec [Economics]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
AB  - The demand for intensive care has increased relentlessly over the past 30 years. It is now regarded as a necessity rather than a luxury. The provision of intensive care has lagged behind that demand. Thus, patients who are judged to need intensive care when a bed is unavailable are increasingly transferred to another hospital for such care. The present commentary discusses intensive care transfers and describes a website being trialled in the UK that helps with locating available intensive care beds.
IS  - 1364-8535
IL  - 1364-8535
PT  - Journal Article
ID  - PMC137293 [pmc]
PP  - ppublish
LG  - English
EP  - 20020301
DP  - 2002 Apr
EZ  - 2002/05/02 10:00
DA  - 2002/06/05 10:01
DT  - 2002/05/02 10:00
YR  - 2002
ED  - 20020604
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11983037

<764. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11954277
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mulholand H
FA  - Mulholand, H
TI  - Intensive care. Critical coverage of ICU discharge deaths.
SO  - Nursing Times. 97(23):10, 2001 Jun 7-13
AS  - Nurs Times. 97(23):10, 2001 Jun 7-13
NJ  - Nursing times
VO  - 97
IP  - 23
PG  - 10
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0423236, o9u
IO  - Nurs Times
SB  - Nursing Journal
CP  - England
MH  - Health Services Research
MH  - *Hospital Mortality
MH  - Humans
MH  - Intensive Care Units/ma [Manpower]
MH  - *Intensive Care Units/st [Standards]
MH  - Intensive Care Units/ut [Utilization]
MH  - Length of Stay
MH  - Needs Assessment
MH  - *Patient Transfer
MH  - State Medicine/st [Standards]
MH  - *Triage
MH  - United Kingdom/ep [Epidemiology]
IS  - 0954-7762
IL  - 0954-7762
PT  - News
PP  - ppublish
LG  - English
DP  - 2001 Jun 7-13
EZ  - 2002/04/17 10:00
DA  - 2002/06/05 10:01
DT  - 2002/04/17 10:00
YR  - 2001
ED  - 20020604
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11954277

<765. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 12004809
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anwari JS
FA  - Anwari, J S
IN  - Anwari, J S. Riyadh Armed Forces Hospital, Saudi Arabia.
TI  - Quality of handover to the postanaesthesia care unit nurse.
SO  - Anaesthesia. 57(5):488-93, 2002 May
AS  - Anaesthesia. 57(5):488-93, 2002 May
NJ  - Anaesthesia
VO  - 57
IP  - 5
PG  - 488-93
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Anesthesia Recovery Period
MH  - *Anesthesiology/st [Standards]
MH  - Child
MH  - Child, Preschool
MH  - *Clinical Competence
MH  - Communication
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Nurse's Role
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Quality Indicators, Health Care
MH  - *Recovery Room/st [Standards]
AB  - I surveyed 276 patients admitted to the postanaesthetic care unit (PACU). The quality of handover to the PACU nurse was assessed by scoring four indicators: the quality of verbal information about the patient, the condition of the patient on admission, the professional behaviour of the anaesthetist and the nurse's satisfaction with the handover. Maximum scores were attained by 32.6% of anaesthetists for the quality of condition of the patient. Professional behaviour was judged satisfactory or good in 87% of anaesthetists and almost half of the anaesthetists (48%) scored full marks for the nurse's satisfaction with the handover. The scores of all four indicators were aggregated to give an overall impression of quality of handover; this was good in fewer than half the number of patients brought to the PACU.
IS  - 0003-2409
IL  - 0003-2409
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2002 May
EZ  - 2002/05/15 10:00
DA  - 2002/06/01 10:01
DT  - 2002/05/15 10:00
YR  - 2002
ED  - 20020531
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12004809

<766. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11771616
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shirley PJ
AU  - Stott SA
FA  - Shirley, P J
FA  - Stott, S A
TI  - Intrahospital transport of critically ill patients.
CM  - Comment on: Anaesth Intensive Care. 2001 Aug;29(4):400-5; PMID: 11512652
SO  - Anaesthesia & Intensive Care. 29(6):669, 2001 Dec
AS  - Anaesth Intensive Care. 29(6):669, 2001 Dec
NJ  - Anaesthesia and intensive care
VO  - 29
IP  - 6
PG  - 669
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4m5, 0342017
IO  - Anaesth Intensive Care
SB  - Index Medicus
CP  - Australia
MH  - Critical Illness
MH  - Humans
MH  - Intensive Care Units
MH  - *Transportation of Patients
MH  - United Kingdom
IS  - 0310-057X
IL  - 0310-057X
PT  - Letter
PT  - Comment
ID  - 2001215 [pii]
PP  - ppublish
LG  - English
DP  - 2001 Dec
EZ  - 2002/01/05 10:00
DA  - 2002/05/25 10:01
DT  - 2002/01/05 10:00
YR  - 2001
ED  - 20020522
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11771616

<767. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11798487
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sine D
AU  - Sumner L
AU  - Gracy D
AU  - von Gunten CF
FA  - Sine, D
FA  - Sumner, L
FA  - Gracy, D
FA  - von Gunten, C F
IN  - Sine, D. Children's Program of San Diego Hospice, San Diego, California, USA. dsine@chsd.org
TI  - Pediatric extubation: "pulling the tube".
SO  - Journal of Palliative Medicine. 4(4):519-24, 2001
AS  - J Palliat Med. 4(4):519-24, 2001
NJ  - Journal of palliative medicine
VO  - 4
IP  - 4
PG  - 519-24
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - d0c, 9808462
IO  - J Palliat Med
SB  - Index Medicus
CP  - United States
MH  - Decision Making
MH  - *Euthanasia, Passive
MH  - *Hospice Care
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Intubation, Intratracheal
MH  - *Patient Care Planning
MH  - Patient Transfer
MH  - *Pediatrics/st [Standards]
IS  - 1096-6218
IL  - 1557-7740
PT  - Case Reports
PT  - Journal Article
ID  - 10.1089/109662101753381692 [doi]
PP  - ppublish
LG  - English
DP  - 2001
EZ  - 2002/01/19 10:00
DA  - 2002/05/22 10:01
DT  - 2002/01/19 10:00
YR  - 2001
ED  - 20020521
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11798487

<768. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11868727
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hall EO
FA  - Hall, E O
IN  - Hall, E O. Institute of Nursing Science, Faculty of Health Sciences, University of Aarhus, Denmark. eh@nursingscience.au.dk
TI  - From unit to unit: Danish nurses' experiences of transfer of a small child to and from an intensive care unit.
SO  - Intensive & Critical Care Nursing. 17(4):196-205, 2001 Aug
AS  - Intensive Crit Care Nurs. 17(4):196-205, 2001 Aug
NJ  - Intensive & critical care nursing
VO  - 17
IP  - 4
PG  - 196-205
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Adult
MH  - Child, Preschool
MH  - Denmark
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - *Intensive Care Units, Pediatric
MH  - Middle Aged
MH  - Nurses/px [Psychology]
MH  - *Patient Transfer
MH  - *Pediatric Nursing
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.
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0964-3397(00)91572-6 [pii]
ID  - 10.1054/iccn.2000.1572 [doi]
PP  - ppublish
LG  - English
DP  - 2001 Aug
EZ  - 2002/03/01 10:00
DA  - 2002/05/11 10:01
DT  - 2002/03/01 10:00
YR  - 2001
ED  - 20020510
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11868727

<769. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11903949
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wilson C
AU  - Webber S
FA  - Wilson, Catherine
FA  - Webber, Stephen
TI  - Oxygen saturation during transfer.
SO  - Paediatric Anaesthesia. 12(3):288, 2002 Mar
AS  - Paediatr Anaesth. 12(3):288, 2002 Mar
NJ  - Paediatric anaesthesia
VO  - 12
IP  - 3
PG  - 288
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cg8, 9206575
IO  - Paediatr Anaesth
SB  - Index Medicus
CP  - France
MH  - Child
MH  - Child, Preschool
MH  - Humans
MH  - Intensive Care Units
MH  - Operating Rooms
MH  - *Oxygen/bl [Blood]
MH  - *Transportation of Patients
RN  - S88TT14065 (Oxygen)
IS  - 1155-5645
IL  - 1155-5645
PT  - Letter
ID  - 793d [pii]
PP  - ppublish
LG  - English
DP  - 2002 Mar
EZ  - 2002/03/21 10:00
DA  - 2002/04/25 10:01
DT  - 2002/03/21 10:00
YR  - 2002
ED  - 20020424
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11903949

<770. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11840055
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lusk R
AU  - O'Bryan L
FA  - Lusk, Ruth
FA  - O'Bryan, Linda
IN  - Lusk, Ruth. Hospital Division of Kindred Healthcare, Inc.
TI  - Evaluation of critically ill patients for transfer to long-term acute-care facilities.
SO  - Lippincott's Case Management. 7(1):24-6, 2002 Jan-Feb
AS  - Lippincotts Case Manag. 7(1):24-6, 2002 Jan-Feb
NJ  - Lippincott's case management : managing the process of patient care
VO  - 7
IP  - 1
PG  - 24-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 100961551
IO  - Lippincotts Case Manag
SB  - Nursing Journal
CP  - United States
MH  - *Case Management/og [Organization & Administration]
MH  - *Critical Illness/cl [Classification]
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/ut [Utilization]
MH  - Long-Term Care
MH  - Patient Selection
MH  - *Patient Transfer
MH  - Respiration, Artificial/ec [Economics]
MH  - *Skilled Nursing Facilities/ut [Utilization]
MH  - Time Factors
IS  - 1529-7764
IL  - 1529-7764
PT  - Journal Article
ID  - 00129234-200201000-00005 [pii]
PP  - ppublish
LG  - English
DP  - 2002 Jan-Feb
EZ  - 2002/02/13 10:00
DA  - 2002/04/19 10:01
DT  - 2002/02/13 10:00
YR  - 2002
ED  - 20020418
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11840055

<771. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11839076
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Crabtree I
FA  - Crabtree, I
IN  - Crabtree, I. Children's Nursing, University of Central Lancashire, Royal Preston Hospital, United Kingdom. icrabtree@uclan.ac.uk
TI  - 'A bridge to the future': impact on high dependency and intensive care. [Review] [29 refs]
SO  - Journal of Child Health Care. 5(4):150-4, 2001
AS  - J Child Health Care. 5(4):150-4, 2001
NJ  - Journal of child health care : for professionals working with children in the hospital and community
VO  - 5
IP  - 4
PG  - 150-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9806360, dcl
IO  - J Child Health Care
SB  - Nursing Journal
CP  - England
MH  - Child
MH  - Critical Care/ma [Manpower]
MH  - *Critical Care/og [Organization & Administration]
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Intensive Care Units, Pediatric/ma [Manpower]
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Medicine
MH  - Patient Transfer
MH  - Pediatric Nursing
MH  - Specialization
MH  - United Kingdom
AB  - The availability and increased demand on Paediatric Intensive Care beds continues on line with the advances with medical technology. The provision of District General Hospitals providing level 1 care and initiating level 2 is extremely important. Critically ill children requiring transfer to a tertiary centre require an efficient retrieval team. Care of critically ill children should always be provided by appropriate trained and experienced nursing staff. The partnership and negotiation of care for parents and relatives should be maintained as a high priority in PICU. [References: 29]
IS  - 1367-4935
IL  - 1367-4935
PT  - Journal Article
PT  - Review
ID  - 10.1177/136749350100500403 [doi]
PP  - ppublish
LG  - English
DP  - 2001
EZ  - 2002/02/13 10:00
DA  - 2002/04/18 10:01
DT  - 2002/02/13 10:00
YR  - 2001
ED  - 20020417
RD  - 20170214
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11839076

<772. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10859622
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Whittaker J
AU  - Ball C
FA  - Whittaker, J
FA  - Ball, C
IN  - Whittaker, J. Intensive Care Unit, The London Hospital, Barts and the London NHS Trust, UK.
TI  - Discharge from intensive care: a view from the ward.
SO  - Intensive & Critical Care Nursing. 16(3):135-43, 2000 Jun
AS  - Intensive Crit Care Nurs. 16(3):135-43, 2000 Jun
NJ  - Intensive & critical care nursing
VO  - 16
IP  - 3
PG  - 135-43
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Adaptation, Psychological
MH  - *Attitude of Health Personnel
MH  - *Critical Care
MH  - Education, Nursing, Continuing
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Inservice Training
MH  - Interprofessional Relations
MH  - Needs Assessment
MH  - Nursing Methodology Research
MH  - *Nursing Staff, Hospital/ed [Education]
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - *Patient Discharge
MH  - *Patient Transfer
MH  - Peer Group
MH  - Pilot Projects
MH  - Surveys and Questionnaires
MH  - Workload
AB  - Relocation stress is a common phenomenon in patients discharged from an intensive care unit (ICU) to a ward. A variety of nursing interventions, initiated by intensive care nurses, have been introduced following research in this area. Ward nurses are ideally situated to minimize stress in this patient population, yet their contribution has not been considered. The aim of this study was to identify the experience of the ward nursing staff when receiving a patient from the ICU. An exploratory pilot study was conducted over a 6-month period. The sample group comprised nursing staff in two wards, who regularly received ICU patients. Data collection methods were triangulated and involved the use of open-ended questionnaires and semi-structured interviews. Thirty-six questionnaires were sent, yielding a 36.1% (n = 13) response rate. Seven staff of various grades were interviewed. Data analysis was undertaken using Burnard's (1991) Thematic Content Analysis. Four major categories were identified in the analysis of the data. These were emotions; problems; communication; and interventions. However, the experience of ward staff receiving patients from intensive care differed according to grade.
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
ID  - 10.1054/iccn.2000.1488 [doi]
ID  - S0964-3397(00)91488-5 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Jun
EZ  - 2000/06/22
DA  - 2002/04/12 10:01
DT  - 2000/06/22 00:00
YR  - 2000
ED  - 20020411
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10859622

<773. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11899312
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Erlen JA
FA  - Erlen, J A
IN  - Erlen, J A. Department of Health Promotion and Development, Center for Research in Chronic Disorders, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. jae001@pitt.edu
TI  - When the family asks, 'what happened?'. [Review] [11 refs]
SO  - Orthopaedic Nursing. 19(6):68-71, 2000 Nov-Dec
AS  - Orthop Nurs. 19(6):68-71, 2000 Nov-Dec
NJ  - Orthopedic nursing
VO  - 19
IP  - 6
PG  - 68-71
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - orn, 8409486
IO  - Orthop Nurs
SB  - Nursing Journal
CP  - United States
MH  - *Communication
MH  - Empathy
MH  - Ethics Committees
MH  - *Ethics, Nursing
MH  - *Family/px [Psychology]
MH  - Humans
MH  - Intensive Care Units
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - *Patient Transfer
MH  - *Professional-Family Relations
MH  - *Truth Disclosure
AB  - Because of the high level of acuity of hospitalized patients, untoward events can and do occur. Very often, nurses develop a caring relationship with the families of these patients. As a result, the family may approach the nurse about this negative turn of events. The questions that the family raises may create an ethical dilemma for the nurse. The nurse may wonder how to respond, feel powerless and "caught in the middle," and experience moral distress because of constraints in the health care system. This article discusses the ethical perspective of caring and the "nurse in the middle" phenomenon. Several strategies to help nurses manage this issue include consulting with a mentor, consulting with the institutional ethics committee, and promoting an ethical climate within the health care setting. [References: 11]
IS  - 0744-6020
IL  - 0744-6020
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2000 Nov-Dec
EZ  - 2002/03/20 10:00
DA  - 2002/04/10 10:01
DT  - 2002/03/20 10:00
YR  - 2000
ED  - 20020409
RD  - 20141009
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11899312

<774. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11789066
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Smith K
AU  - Uphoff ME
FA  - Smith, K
FA  - Uphoff, M E
IN  - Smith, K. Nebraska Health Systems Pediatrics, Nebraska Medical Center, Omaha, USA. Ksmith1@nhsnet.org
TI  - Uncharted terrain: dilemmas born in the NICU grow up in the PICU.
SO  - Journal of Clinical Ethics. 12(3):231-8, 2001
AS  - J Clin Ethics. 12(3):231-8, 2001
NJ  - The Journal of clinical ethics
VO  - 12
IP  - 3
PG  - 231-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - a9m, 9114645
IO  - J Clin Ethics
OI  - Source: KIE. 101605
SB  - Bioethics Journals
SB  - Index Medicus
CP  - United States
MH  - Child Development
MH  - *Child, Hospitalized/px [Psychology]
MH  - Congenital Abnormalities/ec [Economics]
MH  - *Congenital Abnormalities/th [Therapy]
MH  - *Cost of Illness
MH  - *Disabled Children/px [Psychology]
MH  - *Ethics, Clinical
MH  - Family Relations
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/ec [Economics]
MH  - Intensive Care Units, Neonatal/ma [Manpower]
MH  - Intensive Care Units, Neonatal/ut [Utilization]
MH  - Intensive Care Units, Pediatric/ec [Economics]
MH  - Intensive Care Units, Pediatric/ma [Manpower]
MH  - Intensive Care Units, Pediatric/ut [Utilization]
MH  - Intensive Care, Neonatal/ec [Economics]
MH  - Intensive Care, Neonatal/ma [Manpower]
MH  - Intensive Care, Neonatal/px [Psychology]
MH  - *Intensive Care, Neonatal/st [Standards]
MH  - Long-Term Care/ec [Economics]
MH  - Long-Term Care/px [Psychology]
MH  - *Long-Term Care/st [Standards]
MH  - Male
MH  - Nursing Staff, Hospital/px [Psychology]
MH  - Patient Care Team
MH  - Patient Transfer
MH  - Quality of Life
MH  - Social Support
KW  - Health Care and Public Health;  Professional Patient Relationship
NT  - Smith, Karen
NT  - 7 refs.
NT  - KIE Bib: health care/economics; patient care/minors
IS  - 1046-7890
IL  - 1046-7890
PT  - Case Reports
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2001
EZ  - 2002/01/16 10:00
DA  - 2002/03/08 10:01
DT  - 2002/01/16 10:00
YR  - 2001
ED  - 20020307
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11789066

<775. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11561737
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hohlagschwandtner M
AU  - Husslein P
AU  - Klebermass K
AU  - Weninger M
AU  - Nardi A
AU  - Langer M
FA  - Hohlagschwandtner, M
FA  - Husslein, P
FA  - Klebermass, K
FA  - Weninger, M
FA  - Nardi, A
FA  - Langer, M
IN  - Hohlagschwandtner, M. Department of Obstetrics and Gynecology, University Hospital of Vienna, Austria.
TI  - Perinatal mortality and morbidity. Comparison between maternal transport, neonatal transport and inpatient antenatal treatment.
SO  - Archives of Gynecology & Obstetrics. 265(3):113-8, 2001 Aug
AS  - Arch Gynecol Obstet. 265(3):113-8, 2001 Aug
NJ  - Archives of gynecology and obstetrics
VO  - 265
IP  - 3
PG  - 113-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 6ys, 8710213
IO  - Arch. Gynecol. Obstet.
SB  - Index Medicus
CP  - Germany
MH  - Adult
MH  - Female
MH  - Gestational Age
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - *Infant, Newborn, Diseases/mo [Mortality]
MH  - *Infant, Newborn, Diseases/th [Therapy]
MH  - Intensive Care Units
MH  - Male
MH  - Morbidity
MH  - Multivariate Analysis
MH  - *Perinatal Care
MH  - Pregnancy
MH  - *Pregnancy Complications/th [Therapy]
MH  - *Transportation of Patients
MH  - Treatment Outcome
AB  - The purpose was to assess differences in neonatal morbidity and mortality between maternally transferred, neonatally transferred and inborn neonates. We evaluated a continuous series of all antenatal transported infants (ATI, n=247) and postnatal transported infants (PTI, n=34) to the NICU and all preterm inborns (NTI, n=120) delivered at the University Hospital of Vienna. Data collected included sociodemographic, obstetrical and neonatal data. Mild neonatal morbidity was defined as RDS, BPD, ROP, PDA, NEC or IVH I-II, whereas severe neonatal morbidity was defined as the presence of PVL or IVH III-IV. Data were analyzed statistically using the Spearman correlation Coefficient, the Kruskal-Wallis test, and a multivariate model. There was a substantial gain in gestational age from transfer to delivery in the ATI group and from admission to delivery in the NTI group (2.1 and 5.6 weeks, respectively). The neonatal survival rate was 88.7% in the ATI and 97.5% in the NTI group. No neonate died in the PTI group; there was a significantly higher percentage of severe neonatal morbidity than in the ATI group (11.8% vs. 4.9%). We could not observe a significant difference with respect to the risk of death among the three study groups. There was a strong trend towards higher probability of severe neonatal morbidity in the NTI group. The risk of severe neonatal morbidity is much higher in the PTI-group (rel. risk 0.19, 0.06). Antenatal transfer guaranteed a significantly better neonatal outcome concerning severe neonatal morbidity than postnatal transport, and compared favorably with inborn admissions, even given the higher gestational age and birth weight in the NTI-group.
IS  - 0932-0067
IL  - 0932-0067
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2001 Aug
EZ  - 2001/09/20 10:00
DA  - 2002/01/17 10:01
DT  - 2001/09/20 10:00
YR  - 2001
ED  - 20020116
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11561737

<776. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11512652
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lovell MA
AU  - Mudaliar MY
AU  - Klineberg PL
FA  - Lovell, M A
FA  - Mudaliar, M Y
FA  - Klineberg, P L
IN  - Lovell, M A. Department of Anaesthesia and Intensive Care, Westmead Hospital, Sydney, New South Wales.
TI  - Intrahospital transport of critically ill patients: complications and difficulties.
CM  - Comment in: Anaesth Intensive Care. 2001 Dec;29(6):669-70; PMID: 11771617
CM  - Comment in: Anaesth Intensive Care. 2001 Dec;29(6):669; PMID: 11771616
SO  - Anaesthesia & Intensive Care. 29(4):400-5, 2001 Aug
AS  - Anaesth Intensive Care. 29(4):400-5, 2001 Aug
NJ  - Anaesthesia and intensive care
VO  - 29
IP  - 4
PG  - 400-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4m5, 0342017
IO  - Anaesth Intensive Care
SB  - Index Medicus
CP  - Australia
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Critical Illness
MH  - Hospital Units
MH  - Humans
MH  - Medical Audit
MH  - Medical Staff, Hospital
MH  - Middle Aged
MH  - Prospective Studies
MH  - *Transportation of Patients
AB  - An audit of 97 intrahospital transports of critically ill patients was undertaken within Westmead Hospital. The aims of this audit were to assess all factors that may lead to problems during intrahospital transports. At the completion of a transport medical staff were asked to provide information about their patient and their treatment, as well as any difficulties they may have encountered. Overall, 62% of transports reported some difficulty or complication. Of these, 31% were patient-related and 45% were related to equipment or the transport environment. (15% encountered problems in both areas). Many of the difficulties were preventable with adequate pre-transport communication and planning. Other problems were directly related to the increased severity of illness in these patients.
IS  - 0310-057X
IL  - 0310-057X
PT  - Journal Article
ID  - 2000079 [pii]
PP  - ppublish
LG  - English
DP  - 2001 Aug
EZ  - 2001/08/22 10:00
DA  - 2002/01/11 10:01
DT  - 2001/08/22 10:00
YR  - 2001
ED  - 20020110
RD  - 20060828
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11512652

<777. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11768410
VI  - 1
RO  - HSR
ST  - MEDLINE
AU  - Anonymous
TI  - Improving outcomes and reducing costs in intensive care.
SO  - Report on Medical Guidelines & Outcomes Research. 11(4):7-10, 12, 2000 Feb 17
AS  - Rep Med Guidel Outcomes Res. 11(4):7-10, 12, 2000 Feb 17
NJ  - Report on medical guidelines & outcomes research
VO  - 11
IP  - 4
PG  - 7-10, 12
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9106372
IO  - Rep Med Guidel Outcomes Res
SB  - Health Technology Assessment Journals
CP  - United States
MH  - *Cost Savings
MH  - Critical Care/ec [Economics]
MH  - *Critical Care
MH  - Drug Costs
MH  - Efficiency, Organizational/ec [Economics]
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - *Intensive Care Units
MH  - Length of Stay/ec [Economics]
MH  - *Length of Stay
MH  - Outcome and Process Assessment (Health Care)/ec [Economics]
MH  - Patient Care Planning/ec [Economics]
MH  - Patient Transfer/ec [Economics]
MH  - *Patient Transfer
MH  - Quality Assurance, Health Care/ec [Economics]
MH  - Time Factors
MH  - Triage/ec [Economics]
IS  - 1050-5636
IL  - 1050-5636
PT  - News
PP  - ppublish
LG  - English
DP  - 2000 Feb 17
EZ  - 2002/01/05 10:00
DA  - 2002/01/10 10:01
DT  - 2002/01/05 10:00
YR  - 2000
ED  - 20020109
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11768410

<778. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11729631
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hague A
FA  - Hague, A
TI  - Critical care. Only connect.
SO  - Health Service Journal. 111(5781):28-9, 2001 Nov 15
AS  - Health Serv J. 111(5781):28-9, 2001 Nov 15
NJ  - The Health service journal
VO  - 111
IP  - 5781
PG  - 28-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8605800, g4f
IO  - Health Serv J
SB  - Health Administration Journals
CP  - England
MH  - Admitting Department, Hospital/og [Organization & Administration]
MH  - *Community Networks/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - England
MH  - *Hospital Planning/og [Organization & Administration]
MH  - *Hospitals, Public/og [Organization & Administration]
MH  - Humans
MH  - Patient Transfer/og [Organization & Administration]
MH  - Quality of Health Care
MH  - Social Responsibility
MH  - State Medicine/og [Organization & Administration]
AB  - The establishment of a network for critical care services in five hospitals has led to a decrease in transfers of patients for non-clinical reasons. There have been no transfers outside the network's area. The introduction of common admission policies has led to more openness about bed availability. The introduction of the network has standardised data collection. The availability of extra funds and facilities was a big incentive to staff involvement.
IS  - 0952-2271
IL  - 0952-2271
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2001 Nov 15
EZ  - 2001/12/04 10:00
DA  - 2002/01/05 10:01
DT  - 2001/12/04 10:00
YR  - 2001
ED  - 20020102
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11729631

<779. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11497159
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Moreno R
AU  - Miranda DR
AU  - Matos R
AU  - Fevereiro T
FA  - Moreno, R
FA  - Miranda, D R
FA  - Matos, R
FA  - Fevereiro, T
IN  - Moreno, R. Unidade de Cuidados Intensivos Polivalente, Hospital de St Antonio dos Capuchos, Lisbon, Portugal. r.moreno@mail.telepac.pt
TI  - Mortality after discharge from intensive care: the impact of organ system failure and nursing workload use at discharge.
SO  - Intensive Care Medicine. 27(6):999-1004, 2001 Jun
AS  - Intensive Care Med. 27(6):999-1004, 2001 Jun
NJ  - Intensive care medicine
VO  - 27
IP  - 6
PG  - 999-1004
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Databases, Factual
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units
MH  - Length of Stay
MH  - Logistic Models
MH  - Multiple Organ Failure/cl [Classification]
MH  - Multiple Organ Failure/mo [Mortality]
MH  - Multiple Organ Failure/nu [Nursing]
MH  - *Multiple Organ Failure
MH  - *Patient Transfer
MH  - Workload
AB  - OBJECTIVES: Mortality after ICU discharge accounts for approx. 20-30% of deaths. We examined whether post-ICU discharge mortality is associated with the presence and severity of organ dysfunction/failure just before ICU discharge.
AB  - PATIENTS AND METHODS: The study used the database of the EURICUS-II study, with a total of 4,621 patients, including 2,958 discharged alive to the general wards (post-ICU mortality 8.6%). Over a 4-month period we collected clinical and demographic characteristics, including the Simplified Acute Physiology Score (SAPS II), Nine Equivalents of Nursing Manpower Use Score, and Sequential Organ Failure Assessment (SOFA) score.
AB  - RESULTS: Those who died in the hospital after ICU discharge had a higher SAPS II score, were more frequently nonoperative, admitted from the ward, and had stayed longer in the ICU. Their degree of organ dysfunction/failure was higher (admission, maximum, and delta SOFA scores). They required more nursing workload resources while in the ICU. Both the amount of organ dysfunction/failure (especially cardiovascular, neurological, renal, and respiratory) and the amount of nursing workload that they required on the day before discharge were higher. The presence of residual CNS and renal dysfunction/failure were especially prognostic factors at ICU discharge. Multivariate analysis showed only predischarge organ dysfunction/failure to be important; thus the increased use of nursing workload resources before discharge probably reflects only the underlying organ dysfunction/failure.
AB  - CONCLUSIONS: It is better to delay the discharge of a patient with organ dysfunction/failure from the ICU, unless adequate monitoring and therapeutic resources are available in the ward.
IS  - 0342-4642
IL  - 0342-4642
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2001 Jun
EZ  - 2001/08/11 10:00
DA  - 2002/01/05 10:01
DT  - 2001/08/11 10:00
YR  - 2001
ED  - 20011221
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11497159

<780. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11559604
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ashworth HL
AU  - Cubison TC
AU  - Gilbert PM
AU  - Sim KM
FA  - Ashworth, H L
FA  - Cubison, T C
FA  - Gilbert, P M
FA  - Sim, K M
IN  - Ashworth, H L. McIndoe Burns Centre, Queen Victoria Hospital, East Grinstead, West Sussex RH19 3DZ, UK.
TI  - Treatment before transfer: the patient with burns.
SO  - Emergency Medicine Journal. 18(5):349-51, 2001 Sep
AS  - Emerg Med J. 18(5):349-51, 2001 Sep
NJ  - Emergency medicine journal : EMJ
VO  - 18
IP  - 5
PG  - 349-51
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b0u, 100963089
IO  - Emerg Med J
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1725679
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Burn Units
MH  - Burns/ep [Epidemiology]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - *Emergency Service, Hospital/st [Standards]
MH  - England/ep [Epidemiology]
MH  - Female
MH  - Fluid Therapy/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Patient Transfer
MH  - Quality of Health Care
MH  - Retrospective Studies
AB  - OBJECTIVES: To review pre-burns centre management, including assessment, resuscitation, and transfer.
AB  - METHODS: A retrospective analysis of the notes of all the UK patients admitted to the Burns Centre in 1998, who had a body surface area burn of over 15% in adults (10% in children).
AB  - RESULTS: There were 31 patients, 21 adults and 10 children, and the average burn size was 32% (12-96%). Fourteen were overestimated (average of 9%) and 13 underestimated by 7.5%. Twenty nine received intravenous fluids, 18 specified a formula, but it was only applied correctly in 10. The average time to the Burns Centre from the burn was 10 hours, and the time for resuscitation and transfer, eight hours. Documentation was generally poor.
AB  - CONCLUSION: There has previously been considerable variation in the standard of initial burn management and there have been problems with burn percentage assessment and resuscitation formula application. A new proforma has been introduced to tackle these issues.
IS  - 1472-0205
IL  - 1472-0205
PT  - Journal Article
ID  - PMC1725679 [pmc]
PP  - ppublish
LG  - English
DP  - 2001 Sep
EZ  - 2001/09/18 10:00
DA  - 2002/01/05 10:01
DT  - 2001/09/18 10:00
YR  - 2001
ED  - 20011205
RD  - 20140613
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11559604

<781. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11668100
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Booy R
AU  - Habibi P
AU  - Nadel S
AU  - de Munter C
AU  - Britto J
AU  - Morrison A
AU  - Levin M
AU  - Meningococcal Research Group
FA  - Booy, R
FA  - Habibi, P
FA  - Nadel, S
FA  - de Munter, C
FA  - Britto, J
FA  - Morrison, A
FA  - Levin, M
FA  - Meningococcal Research Group
IN  - Booy, R. Department of Paediatrics, Imperial College School of Medicine, St Mary's Hospital, Norfolk Place, London W2 1PG, UK.
TI  - Reduction in case fatality rate from meningococcal disease associated with improved healthcare delivery.
CM  - Comment in: Arch Dis Child. 2002 Dec;87(6):559-60; author reply 560; PMID: 12456572
CM  - Comment in: Arch Dis Child. 2002 Dec;87(6):560-1; author reply 361; PMID: 12456575
CM  - Comment in: Arch Dis Child. 2002 Dec;87(6):559; author reply 560; PMID: 12456573
SO  - Archives of Disease in Childhood. 85(5):386-90, 2001 Nov
AS  - Arch Dis Child. 85(5):386-90, 2001 Nov
NJ  - Archives of disease in childhood
VO  - 85
IP  - 5
PG  - 386-90
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 6xg, 0372434
IO  - Arch. Dis. Child.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1718959
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Ambulatory Care/og [Organization & Administration]
MH  - Bacteremia/mo [Mortality]
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/st [Standards]
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric/ut [Utilization]
MH  - Logistic Models
MH  - London/ep [Epidemiology]
MH  - Male
MH  - *Meningococcal Infections/mo [Mortality]
MH  - Meningococcal Infections/th [Therapy]
MH  - Quality Assurance, Health Care
MH  - *Regional Medical Programs/og [Organization & Administration]
MH  - Severity of Illness Index
MH  - Specialization
MH  - Survival Rate
MH  - Transportation of Patients/og [Organization & Administration]
AB  - BACKGROUND AND AIMS: The case fatality rate from meningococcal disease (MD) has remained relatively unchanged in the post antibiotic era, with 20-50% of patients who develop shock still dying. In 1992 a new paediatric intensive care unit (PICU) specialising in MD was opened. Educational information was disseminated to local hospitals, and a specialist transport service was established which delivered mobile intensive care. The influence of these changes on mortality of children with MD was investigated.
AB  - METHODS: A total of 331 consecutive children with meningococcal disease admitted to the PICU between 1992 and 1997 were studied. Severity of the disease on admission was assessed using the paediatric risk of mortality (PRISM) score. Logistic regression analysis was used to correct for clinical severity, age, and sex; death was the outcome, and year of admission, a temporal trend variable, was the primary exposure.
AB  - RESULTS: The case fatality rate fell year on year (from 23% in 1992/93 to 2% in 1997) despite disease severity remaining largely unchanged. After adjustment for age, sex, and disease severity, the overall estimate for improvement in the odds of death was 59% per year (odds ratio for the yearly trend 0.41).
AB  - CONCLUSIONS: A significant improvement in outcome for children admitted with MD to a PICU has occurred in association with improvements in initial management of patients with MD at referring hospitals, use of a mobile intensive care service, and centralisation of care in a specialist unit.
ES  - 1468-2044
IL  - 0003-9888
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - PMC1718959 [pmc]
PP  - ppublish
LG  - English
DP  - 2001 Nov
EZ  - 2001/10/23 10:00
DA  - 2002/01/05 10:01
DT  - 2001/10/23 10:00
YR  - 2001
ED  - 20011204
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11668100

<782. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11569134
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - PACU crunch can mean backups in OR.
SO  - Or Manager. 17(9):26-7, 2001 Sep
AS  - OR Manager. 17(9):26-7, 2001 Sep
NJ  - OR manager
VO  - 17
IP  - 9
PG  - 26-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - oi7, 8700332
IO  - OR Manager
SB  - Health Administration Journals
CP  - United States
MH  - Bed Occupancy
MH  - *Efficiency, Organizational
MH  - Humans
MH  - *Intensive Care Units/ut [Utilization]
MH  - Interdepartmental Relations
MH  - Operating Rooms/og [Organization & Administration]
MH  - Patient Transfer
MH  - *Postanesthesia Nursing/og [Organization & Administration]
MH  - *Recovery Room/og [Organization & Administration]
MH  - Recovery Room/ut [Utilization]
MH  - United States
IS  - 8756-8047
IL  - 1944-8198
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2001 Sep
EZ  - 2001/09/25 10:00
DA  - 2001/10/26 10:01
DT  - 2001/09/25 10:00
YR  - 2001
ED  - 20011025
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11569134

<783. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11575314
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Inglis A
AU  - Price R
FA  - Inglis, A
FA  - Price, R
TI  - Mortality after discharge from intensive care. Only normalisation of physiology will reduce risk of mortality after discharge.
CM  - Comment on: BMJ. 2001 May 26;322(7297):1274-6; PMID: 11375229
SO  - BMJ. 323(7313):629-30, 2001 Sep 15
AS  - BMJ. 323(7313):629-30, 2001 Sep 15
NJ  - BMJ (Clinical research ed.)
VO  - 323
IP  - 7313
PG  - 629-30
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1121192
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Critical Care
MH  - *Hospital Mortality
MH  - Humans
MH  - Patient Transfer
MH  - Risk Factors
MH  - United Kingdom
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
PT  - Comment
ID  - PMC1121192 [pmc]
PP  - ppublish
LG  - English
DP  - 2001 Sep 15
EZ  - 2001/09/29 10:00
DA  - 2001/10/05 10:01
DT  - 2001/09/29 10:00
YR  - 2001
ED  - 20011004
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11575314

<784. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11464661
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Matesanz R
FA  - Matesanz, R
TI  - [The unusual transfer of the "Spanish model" of organ donation to the United Kingdom]. [Spanish]
OT  - La insolita traslacion del "modelo espanol" de donacion de organos al Reino Unido.
SO  - Nefrologia. 21(2):99-103, 2001 Mar-Apr
AS  - Nefrologia. 21(2):99-103, 2001 Mar-Apr
NJ  - Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia
VO  - 21
IP  - 2
PG  - 99-103
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dlp, 8301215
IO  - Nefrologia
SB  - Index Medicus
CP  - Spain
MH  - Accidents, Traffic/sn [Statistics & Numerical Data]
MH  - Culture
MH  - Hospital Bed Capacity
MH  - Humans
MH  - Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *International Cooperation
MH  - Kidney Transplantation/st [Standards]
MH  - Kidney Transplantation/ut [Utilization]
MH  - Models, Theoretical
MH  - National Health Programs/og [Organization & Administration]
MH  - *Personnel, Hospital
MH  - Public Opinion
MH  - Spain
MH  - Tissue Donors/px [Psychology]
MH  - *Tissue Donors/sn [Statistics & Numerical Data]
MH  - Tissue and Organ Procurement/ec [Economics]
MH  - *Tissue and Organ Procurement/og [Organization & Administration]
MH  - Tissue and Organ Procurement/sn [Statistics & Numerical Data]
MH  - Transplantation/ut [Utilization]
MH  - United Kingdom
IS  - 0211-6995
IL  - 0211-6995
PT  - Editorial
PP  - ppublish
LG  - Spanish
DP  - 2001 Mar-Apr
EZ  - 2001/07/24 10:00
DA  - 2001/09/21 10:01
DT  - 2001/07/24 10:00
YR  - 2001
ED  - 20010920
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11464661

<785. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11487747
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lee SK
AU  - Zupancic JA
AU  - Pendray M
AU  - Thiessen P
AU  - Schmidt B
AU  - Whyte R
AU  - Shorten D
AU  - Stewart S
AU  - Canadian Neonatal Network
FA  - Lee, S K
FA  - Zupancic, J A
FA  - Pendray, M
FA  - Thiessen, P
FA  - Schmidt, B
FA  - Whyte, R
FA  - Shorten, D
FA  - Stewart, S
FA  - Canadian Neonatal Network
IN  - Lee, S K. Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
TI  - Transport risk index of physiologic stability: a practical system for assessing infant transport care.
SO  - Journal of Pediatrics. 139(2):220-6, 2001 Aug
AS  - J Pediatr. 139(2):220-6, 2001 Aug
NJ  - The Journal of pediatrics
VO  - 139
IP  - 2
PG  - 220-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jlz, 0375410
IO  - J. Pediatr.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Blood Pressure
MH  - Canada
MH  - Female
MH  - Humans
MH  - *Infant Mortality
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Logistic Models
MH  - Male
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - ROC Curve
MH  - Respiration
MH  - Risk Factors
AB  - OBJECTIVES: To develop and validate a practical, physiology-based system for assessment of infant transport care.
AB  - STUDY DESIGN: Transport teams prospectively collected data, before and after transport, from 1723 infants at 8 neonatal intensive care units (NICUs) from 1996 to 1997. We used logistic regression to derive a prediction model for mortality within 7 days of NICU admission and develop the Transport Risk Index of Physiologic Stability (TRIPS). We validated TRIPS for prediction of 7-day mortality, total NICU mortality (until discharge), and severe (> or =grade 3) intraventricular hemorrhage.
AB  - RESULTS: TRIPS comprises 4 empirically weighted items (temperature, blood pressure, respiratory status, and response to noxious stimuli). TRIPS discriminated 7-day NICU mortality and total NICU mortality from survival with receiver operating characteristic areas of 0.83 and 0.76, respectively. There was good calibration across the full range of TRIPS scores and gestational age groups. Increase and decrease in TRIPS scores after transport were associated with increased and decreased mortality, respectively. The receiver operating characteristic area for TRIPS prediction of severe intraventricular hemorrhage was 0.74. Addition of TRIPS improved performance of prediction models in which gestational age and baseline population risk variables were used.
AB  - CONCLUSIONS: TRIPS is validated for infant transport assessment.
IS  - 0022-3476
IL  - 0022-3476
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0022-3476(01)31292-1 [pii]
ID  - 10.1067/mpd.2001.115576 [doi]
PP  - ppublish
LG  - English
DP  - 2001 Aug
EZ  - 2001/08/07 10:00
DA  - 2001/09/08 10:01
DT  - 2001/08/07 10:00
YR  - 2001
ED  - 20010906
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11487747

<786. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11471501
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Otteni JC
AU  - Desmonts JM
AU  - Haberer JP
AU  - Societe francaises d'anesthesie et de reanimation
FA  - Otteni, J C
FA  - Desmonts, J M
FA  - Haberer, J P
FA  - Societe francaises d'anesthesie et de reanimation
IN  - Otteni, J C. Service d'anesthesie-reanimation chirurgicale, Hopitaux Universitaires de Strasbourg, hopital de Hautepierre, 67098 Strasbourg, France.
TI  - [French and foreign recommendations for the practice of anesthesia-intensive care]. [French]
OT  - Recommandations francaises et etrangeres sur la pratique de l'anesthesie-reanimation.
SO  - Annales Francaises d Anesthesie et de Reanimation. 20(6):537-48, 2001 Jun
AS  - Ann Fr Anesth Reanim. 20(6):537-48, 2001 Jun
NJ  - Annales francaises d'anesthesie et de reanimation
VO  - 20
IP  - 6
PG  - 537-48
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4zt, 8213275
IO  - Ann Fr Anesth Reanim
SB  - Index Medicus
CP  - France
MH  - *Anesthesia/st [Standards]
MH  - *Critical Care/st [Standards]
MH  - France
MH  - Quality Assurance, Health Care
AB  - UNLABELLED: This article reviews the development of STANDARDS, Recommendations and Guidelines for practice in anaesthesiology in France and other countries. The French society for anaesthesia and intensive care (Sfar) has published, since 1989, 11 basic
AB  - STANDARDS: 1) Recommendations for the monitoring of patients during anaesthesia (June 1989, amended on January 1994) [APSF Newsletter, Summer 1990, page 22]; 2) Recommendations for postanaesthesia monitoring and care (September 1990); 3) Recommendations for preanaesthesia care (September 1991); 4) Recommendations for anaesthetic apparatus and checking before use (January 1994); 5) Recommendations for the equipment of anaesthesia working places (January 1995); 6) Recommendations for the tasks of the nurse anaesthetist (January 1995); 7) Recommendations for hygiene standards in anaesthesia practice (December 1997); 8) Recommendations for outpatient anaesthesia (September 1990); 9) Recommendations for the practice of obstetrical analgesia (September 1992); 10) Recommendations for interhospital physician-accompanied transfers (December 1992); 11) Recommendations for intrahospital physician-accompanied transfers (February 1994). Additionally the Sfar produced or coproduced 9 Experts' conferences, 15 Consensus conferences and 5 Guidelines for clinical practice.
IS  - 0750-7658
IL  - 0750-7658
PT  - English Abstract
PT  - Guideline
PT  - Journal Article
ID  - S0750765801004129 [pii]
PP  - ppublish
LG  - French
DP  - 2001 Jun
EZ  - 2001/07/27 10:00
DA  - 2001/09/08 10:01
DT  - 2001/07/27 10:00
YR  - 2001
ED  - 20010906
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11471501

<787. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11330360
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Blahova J
AU  - Kralikova K
AU  - Krcmery V Sr
AU  - Kubonova K
AU  - Vaculikova A
AU  - Mikovicova A
AU  - Klokocnikova L
AU  - Hanzen J
AU  - Jezek P
FA  - Blahova, J
FA  - Kralikova, K
FA  - Krcmery, V Sr
FA  - Kubonova, K
FA  - Vaculikova, A
FA  - Mikovicova, A
FA  - Klokocnikova, L
FA  - Hanzen, J
FA  - Jezek, P
IN  - Blahova, J. Institute of Preventive and Clinical Medicine, Bratislava, Slovak Republic. blahova@upkm.sk
TI  - Transferable antibiotic resistance in multiresistant nosocomial Acinetobacter baumannii strains from seven clinics in the Slovak and Czech Republics.
SO  - Journal of Chemotherapy. 13(2):143-7, 2001 Apr
AS  - J Chemother. 13(2):143-7, 2001 Apr
NJ  - Journal of chemotherapy (Florence, Italy)
VO  - 13
IP  - 2
PG  - 143-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jcy, 8907348
IO  - J Chemother
SB  - Index Medicus
CP  - England
MH  - *Acinetobacter/de [Drug Effects]
MH  - Acinetobacter/ge [Genetics]
MH  - Acinetobacter/py [Pathogenicity]
MH  - Acinetobacter Infections/dt [Drug Therapy]
MH  - *Cross Infection/dt [Drug Therapy]
MH  - Czech Republic
MH  - *Drug Resistance, Multiple
MH  - *Escherichia coli/de [Drug Effects]
MH  - Escherichia coli/ge [Genetics]
MH  - Escherichia coli/py [Pathogenicity]
MH  - *Gene Transfer, Horizontal
MH  - Humans
MH  - Intensive Care Units
MH  - Population Dynamics
MH  - Risk Factors
MH  - Slovakia
AB  - Sixty-seven multiresistant nosocomial Acinetobacter baumannii isolates from patients hospitalized mostly in intensive care units of seven clinics in Slovak and Czech Republic were tested to determine their ability to transfer antibiotic resistance. All isolates were resistant to kanamycin, ticarcillin, cephalothin, cefotaxime, ceftazidime, aztreonam and susceptible to carbapenems, sulbactam and ampicillin/sulbactam. Sixty-five out of 67 strains transferred resistance determinants to Escherichia coli K-12 and Proteus mirabilis P-38 recipients. Analysis of selected transconjugants by an indirect selection method showed a more variable pattern of transferred resistance determinants. The clonal spread of strains transferring resistance seems to be an additional risk for occurrence of strains resistant to ceftazidime and aztreonam.
IS  - 1120-009X
IL  - 1120-009X
PT  - Journal Article
ID  - 10.1179/joc.2001.13.2.143 [doi]
PP  - ppublish
LG  - English
DP  - 2001 Apr
EZ  - 2001/05/02 10:00
DA  - 2001/09/08 10:01
DT  - 2001/05/02 10:00
YR  - 2001
ED  - 20010906
RD  - 20090804
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11330360

<788. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11431612
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Papiernik E
AU  - Bucourt M
AU  - Zeitlin J
AU  - Senanedj P
AU  - Topuz B
FA  - Papiernik, E
FA  - Bucourt, M
FA  - Zeitlin, J
FA  - Senanedj, P
FA  - Topuz, B
IN  - Papiernik, E. Universite Rene Descartes, Faculte de Cochin-Port-Royal, Paris.
TI  - [Regionalization of perinatal care in the Seine-Saint-Denis department of France]. [French]
OT  - Evolution de la regionalisation des soins perinatals dans le departement de la Seine-Saint-Denis de 1989 a 1999.
SO  - Journal de Gynecologie, Obstetrique et Biologie de la Reproduction. 30(4):338-43, 2001 Jun
AS  - J Gynecol Obstet Biol Reprod (Paris). 30(4):338-43, 2001 Jun
NJ  - Journal de gynecologie, obstetrique et biologie de la reproduction
VO  - 30
IP  - 4
PG  - 338-43
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - iaz, 0322206
IO  - J Gynecol Obstet Biol Reprod (Paris)
SB  - Index Medicus
CP  - France
MH  - Female
MH  - France
MH  - Gestational Age
MH  - Hospitals, Maternity
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - Intensive Care Units, Neonatal
MH  - *Perinatal Care
MH  - Pregnancy
MH  - Registries
MH  - Transportation of Patients
AB  - OBJECTIVE: To evaluate a policy designed to regionalize perinatal care in the Seine-Saint-Denis department of France.
AB  - METHODS: The place of birth of every preterm infant (born before 33 weeks gestation) in 1998-1999 was compared with that for the period of 1989-1992. The 1989-1992 data came from a prenatal mortality study. For the 1998-1999 period, we used data from an area-based birth registry recording an experimental health certificate.
AB  - RESULTS: In 1989-1992, 40% of live births before 33 weeks gestation took place in level I maternity units, 37.2% in level II maternity units, and 13.0% in level III maternity units. In 1998-1999, 5.4% took place in level I maternity units, 28.9% in level II maternity units and 65.1% in level III maternity units. The number of postnatal transfers of very preterm infants declined markedly. In 1998-1999, 109 pregnant women were transferred to a level III maternity hospital. This constituted 1.2% of the women who gave birth in Seine-Saint-Denis during this period.
AB  - CONCLUSION: The policy to regionalize perinatal care and increase maternal transfers was well accepted and successfully implemented. The delivery of very preterm infants in maternity hospitals without neonatal units became a rare event.
IS  - 0368-2315
IL  - 0150-9918
PT  - English Abstract
PT  - Evaluation Studies
PT  - Journal Article
ID  - MDOI-JGYN-06-2001-04-30-0368-2315-101019-ART6 [pii]
PP  - ppublish
LG  - French
DP  - 2001 Jun
EZ  - 2001/06/30 10:00
DA  - 2001/08/24 10:01
DT  - 2001/06/30 10:00
YR  - 2001
ED  - 20010823
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11431612

<789. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11361176
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Davidson JE
AU  - Callery C
FA  - Davidson, J E
FA  - Callery, C
IN  - Davidson, J E. Pomerado Hospital, Poway, California 92064, USA. Jed2@pphs.org
TI  - Care of the obesity surgery patient requiring immediate-level care or intensive care. [Review] [11 refs]
SO  - Obesity Surgery. 11(1):93-7, 2001 Feb
AS  - Obes Surg. 11(1):93-7, 2001 Feb
NJ  - Obesity surgery
VO  - 11
IP  - 1
PG  - 93-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - c0v, 9106714
IO  - Obes Surg
SB  - Index Medicus
CP  - United States
MH  - Attitude of Health Personnel
MH  - Comorbidity
MH  - *Critical Care/mt [Methods]
MH  - Early Ambulation
MH  - Fluid Therapy/mt [Methods]
MH  - Humans
MH  - Lifting
MH  - Obesity, Morbid/co [Complications]
MH  - *Obesity, Morbid/nu [Nursing]
MH  - *Obesity, Morbid/su [Surgery]
MH  - Patient Selection
MH  - Perioperative Nursing/mt [Methods]
MH  - *Postoperative Care/mt [Methods]
MH  - *Postoperative Care/nu [Nursing]
MH  - Postoperative Complications/et [Etiology]
MH  - Postoperative Complications/pc [Prevention & Control]
MH  - Pressure Ulcer/et [Etiology]
MH  - Pressure Ulcer/pc [Prevention & Control]
MH  - *Progressive Patient Care/mt [Methods]
MH  - Respiration, Artificial/mt [Methods]
MH  - Respiration, Artificial/nu [Nursing]
MH  - Risk Factors
MH  - Sleep Apnea Syndromes/et [Etiology]
MH  - Sleep Apnea Syndromes/pc [Prevention & Control]
MH  - Transportation of Patients/mt [Methods]
MH  - Triage/mt [Methods]
AB  - Most bariatric surgery patients are triaged directly to the medical surgical floor postoperatively. However, patients at high risk due to comorbid factors, who have failed postoperative extubation or have suffered intraoperative complication, may require intensive care unit (ICU) or intermediate-level care (IMC). The special needs of the morbidly obese IMC/ICU patient include: triage, mobility, visiting, fluid resuscitation, management of sleep apnea, airway management, transporting for out of ICU procedures, and preventing pressure ulcers. Traditional approaches to nursing care require new thought when dealing with the massively obese. Our experiences with the special needs of these critically ill morbidly obese bariatric surgery patients are described. [References: 11]
IS  - 0960-8923
IL  - 0960-8923
PT  - Journal Article
PT  - Review
ID  - 10.1381/096089201321454187 [doi]
PP  - ppublish
LG  - English
DP  - 2001 Feb
EZ  - 2001/05/22 10:00
DA  - 2001/08/10 10:01
DT  - 2001/05/22 10:00
YR  - 2001
ED  - 20010809
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11361176

<790. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11382518
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Salamonson Y
AU  - Kariyawasam A
AU  - van Heere B
AU  - O'Connor C
FA  - Salamonson, Y
FA  - Kariyawasam, A
FA  - van Heere, B
FA  - O'Connor, C
IN  - Salamonson, Y. ICU/CCU Department, Campbelltown Hospital, P.O. Box 149, 2560, NSW, Campbelltown, Australia.
TI  - The evolutionary process of Medical Emergency Team (MET) implementation: reduction in unanticipated ICU transfers.
SO  - Resuscitation. 49(2):135-41, 2001 May
AS  - Resuscitation. 49(2):135-41, 2001 May
NJ  - Resuscitation
VO  - 49
IP  - 2
PG  - 135-41
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - r8q, 0332173
IO  - Resuscitation
SB  - Index Medicus
CP  - Ireland
MH  - *Emergency Medical Services
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units/ut [Utilization]
MH  - *Patient Care Team
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: To determine whether the introduction of the Medical Emergency Team (MET) system designed to provide immediate help for seriously ill patients: (i) changed the pattern of ICU patient transfers from the wards; and (ii) improved hospital survival rates.
AB  - METHODS: Prospective information on MET calls and unanticipated ICU transfers was collected for 3 years in a suburban metropolitan hospital.
AB  - RESULTS: A 3-year review of MET showed the number of MET calls doubled in the second and third year and the team was activated for more than just the most extremely ill patients. Whilst the frequency of calls for cardiopulmonary arrest remained constant (n = 16), increased use of the MET resulted in the proportion of calls for cardiopulmonary arrest dropping from 30% in year 1 to 13% in year 3. A slight decrease in the percentage of in-hospital deaths (0.74% in year 1 to 0.65% in year 3) was also demonstrated. The incidence of cardiopulmonary arrest per hospital admission also decreased slightly (0.08-0.07%). Although the overall number of ICU transfers remained constant, more seriously ill patients were transferred to ICU via the MET system. This was accompanied by a significant fall in unanticipated ICU transfers. Whilst the reduction in hospital deaths was encouraging, this study could not demonstrate whether the slight improvement in hospital survival rate over the 3 years was due to the MET system.
AB  - CONCLUSION: More information is needed to demonstrate that the MET system improves patient survival. The study also highlights the importance of taking proactive measures, which should include providing in-service education on the benefits of early identification and treatment of patients who are at risk of acute deterioration, raising awareness and changing attitudes in hospitals when introducing system such as the MET.
IS  - 0300-9572
IL  - 0300-9572
PT  - Journal Article
ID  - S0300-9572(00)00353-1 [pii]
PP  - ppublish
LG  - English
DP  - 2001 May
EZ  - 2001/08/02 10:00
DA  - 2001/08/02 10:01
DT  - 2001/08/02 10:00
YR  - 2001
ED  - 20010726
RD  - 20090825
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11382518

<791. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11094486
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Waydhas C
FA  - Waydhas, C
IN  - Waydhas, C. Klinik und Poliklinik fur Unfallchirurgie, University Hospital, University of Essen, Essen, Germany. christian.waydhas@uni-essen.de
TI  - Intrahospital transport of critically ill patients. [Review] [44 refs]
SO  - Critical Care (London, England). 3(5):R83-9, 1999
AS  - Crit Care. 3(5):R83-9, 1999
NJ  - Critical care (London, England)
VO  - 3
IP  - 5
PG  - R83-9
PI  - Journal available in: Print-Electronic
PI  - Citation processed from: Print
JC  - 9801902, dw7
IO  - Crit Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC137237
SB  - Index Medicus
CP  - England
MH  - Cost-Benefit Analysis
MH  - *Critical Care
MH  - *Critical Illness
MH  - Humans
MH  - *Patient Transfer
MH  - Risk Management/ec [Economics]
MH  - *Risk Management/mt [Methods]
MH  - Transportation of Patients/ec [Economics]
MH  - *Transportation of Patients/mt [Methods]
AB  - BACKGROUND: This review on the current literature of the intrahospital transport of critically ill patients addresses type and incidence of adverse effects, risk factors and risk assessment, and the available information on efficiency and cost-effectiveness of transferring such patients for diagnostic or therapeutic interventions within hospital. Methods and guidelines to prevent or reduce potential hazards and complications are provided.
AB  - METHODS: A Medline search was performed using the terms 'critical illness', 'transport of patients', 'patient transfer', 'critical care', 'monitoring' and 'intrahospital transport', and all information concerning the intrahospital transport of patients was considered.
AB  - RESULTS: Adverse effects may occur in up to 70% of transports. They include a change in heart rate, arterial hypotension and hypertension, increased intracranial pressure, arrhythmias, cardiac arrest and a change in respiratory rate, hypocapnia and hypercapnia, and significant hypoxaemia. No transport-related deaths have been reported. In up to one-third of cases mishaps during transport were equipment related. A long-term deterioration of respiratory function was observed in 12% of cases. Patient-related risk indicators were found to be a high Therapeutic Intervention Severity Score, mechanical ventilation, ventilation with positive end-expiratory pressure and high injury severity score. Patients' age, duration of transport, destination of transport, Acute Physiology and Chronic Health Evaluation II score, personnel accompanying the patient and other factors were not found to correlate with an increased rate of complications. Transports for diagnostic procedures resulted in a change in patient management in 40-50% of cases, indicating a good risk:benefit ratio.
AB  - CONCLUSIONS: To prevent adverse effects of intrahospital transports, guidelines concerning the organization of transports, the personnel, equipment and monitoring should be followed. In particular, the presence of a critical care physician during transport, proper equipment to monitor vital functions and to treat such disturbances immediately, and close control of the patient's ventilation appear to be of major importance. It appears useful to use specifically constructed carts including standard intensive care unit ventilators in a selected group of patients. To further reduce the rate of inadvertent mishaps resulting from transports, alternative diagnostic modalities or techniques and performing surgical procedures in the intensive care unit should be considered. [References: 44]
IS  - 1364-8535
IL  - 1364-8535
PT  - Journal Article
PT  - Review
ID  - PMC137237 [pmc]
ID  - 10.1186/cc362 [doi]
PP  - ppublish
PH  - 1999/01/28 [received]
PH  - 1999/08/10 [revised]
PH  - 1999/09/06 [accepted]
LG  - English
EP  - 19990924
DP  - 1999
EZ  - 2000/11/30 11:00
DA  - 2001/06/29 10:01
DT  - 2000/11/30 11:00
YR  - 1999
ED  - 20010628
RD  - 20140615
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11094486

<792. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11375229
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Daly K
AU  - Beale R
AU  - Chang RW
FA  - Daly, K
FA  - Beale, R
FA  - Chang, R W
IN  - Daly, K. St Thomas's Hospital, London SE1 7EH.
TI  - Reduction in mortality after inappropriate early discharge from intensive care unit: logistic regression triage model.
CM  - Comment in: BMJ. 2001 Sep 15;323(7313):629-30; PMID: 11575314
CM  - Comment in: BMJ. 2001 Sep 15;323(7313):630; PMID: 11575315
CM  - Comment in: BMJ. 2001 May 26;322(7297):1261-2; PMID: 11375215
SO  - BMJ. 322(7297):1274-6, 2001 May 26
AS  - BMJ. 322(7297):1274-6, 2001 May 26
NJ  - BMJ (Clinical research ed.)
VO  - 322
IP  - 7297
PG  - 1274-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC31921
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - APACHE
MH  - Chi-Square Distribution
MH  - *Critical Care/cl [Classification]
MH  - *Hospital Mortality
MH  - Humans
MH  - Intensive Care Units/st [Standards]
MH  - *Intensive Care Units/ut [Utilization]
MH  - Length of Stay
MH  - *Logistic Models
MH  - Patient Discharge/st [Standards]
MH  - *Patient Transfer/st [Standards]
MH  - Patients' Rooms
MH  - Risk Assessment
MH  - *Triage/mt [Methods]
MH  - United Kingdom/ep [Epidemiology]
AB  - OBJECTIVE: To develop a predictive model to triage patients for discharge from intensive care units to reduce mortality after discharge.
AB  - DESIGN: Logistic regression analyses and modelling of data from patients who were discharged from intensive care units.
AB  - SETTING: Guy's hospital intensive care unit and 19 other UK intensive care units from 1989 to 1998.
AB  - PARTICIPANTS: 5475 patients for the development of the model and 8449 for validation.
AB  - MAIN OUTCOME MEASURES: Mortality after discharge and power of triage model.
AB  - RESULTS: Mortality after discharge from intensive care was up to 12.4%. The triage model identified patients at risk from death on the ward with a sensitivity of 65.5% and specificity of 87.6%, and an area under the receiver operating curve of 0.86. Variables in the model were age, end stage disease, length of stay in unit, cardiothoracic surgery, and physiology. In the validation dataset the 34% of the patients identified as at risk had a discharge mortality of 25% compared with a 4% mortality among those not at risk.
AB  - CONCLUSIONS: The discharge mortality of at risk patients may be reduced by 39% if they remain in intensive care units for another 48 hours. The discharge triage model to identify patients at risk from too early and inappropriate discharge from intensive care may help doctors to make the difficult clinical decision of whom to discharge to make room for a patient requiring urgent admission to the unit. If confirmed, this study has implications on the provision of resources.
IS  - 0959-8138
IL  - 0959-535X
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - PMC31921 [pmc]
PP  - ppublish
LG  - English
DP  - 2001 May 26
EZ  - 2001/05/26 10:00
DA  - 2001/06/22 10:01
DT  - 2001/05/26 10:00
YR  - 2001
ED  - 20010621
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11375229

<793. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11375215
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McPherson K
FA  - McPherson, K
TI  - Safer discharge from intensive care to hospital wards.
CM  - Comment in: BMJ. 2001 Sep 15;323(7313):630; PMID: 11575316
CM  - Comment in: BMJ. 2001 Sep 15;323(7313):630; PMID: 11575315
CM  - Comment on: BMJ. 2001 May 26;322(7297):1274-6; PMID: 11375229
SO  - BMJ. 322(7297):1261-2, 2001 May 26
AS  - BMJ. 322(7297):1261-2, 2001 May 26
NJ  - BMJ (Clinical research ed.)
VO  - 322
IP  - 7297
PG  - 1261-2
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1120369
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - APACHE
MH  - *Critical Care/cl [Classification]
MH  - Hospital Costs
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - Intensive Care Units/st [Standards]
MH  - *Intensive Care Units/ut [Utilization]
MH  - Patient Discharge/st [Standards]
MH  - *Patient Transfer/st [Standards]
MH  - Patients' Rooms
MH  - Randomized Controlled Trials as Topic
MH  - Treatment Outcome
MH  - *Triage/mt [Methods]
MH  - United Kingdom
IS  - 0959-8138
IL  - 0959-535X
PT  - Editorial
PT  - Comment
ID  - PMC1120369 [pmc]
PP  - ppublish
LG  - English
DP  - 2001 May 26
EZ  - 2001/05/26 10:00
DA  - 2001/06/22 10:01
DT  - 2001/05/26 10:00
YR  - 2001
ED  - 20010621
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11375215

<794. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11083364
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hallman M
AU  - Vainionpaa L
FA  - Hallman, M
FA  - Vainionpaa, L
IN  - Hallman, M. Department of Pediatrics, University of Oulu, Finland. mikko.hallman@oulu.fi
TI  - Infants born very premature--more prospective studies needed. [Review] [19 refs]
CM  - Comment on: Acta Paediatr. 2000 Aug;89(8):959-65; PMID: 10976839
SO  - Acta Paediatrica. 89(10):1149-51, 2000 Oct
AS  - Acta Paediatr. 89(10):1149-51, 2000 Oct
NJ  - Acta paediatrica (Oslo, Norway : 1992)
VO  - 89
IP  - 10
PG  - 1149-51
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bgc, 9205968
IO  - Acta Paediatr.
SB  - Index Medicus
CP  - Norway
MH  - Canada
MH  - *Child Development
MH  - Finland
MH  - Glucocorticoids/tu [Therapeutic Use]
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Intensive Care, Neonatal/mt [Methods]
MH  - Intensive Care, Neonatal/sn [Statistics & Numerical Data]
MH  - Intensive Care, Neonatal/td [Trends]
MH  - Patient Transfer/mt [Methods]
MH  - Pulmonary Surfactants/tu [Therapeutic Use]
MH  - *Respiratory Distress Syndrome, Newborn/dt [Drug Therapy]
MH  - United States
RN  - 0 (Glucocorticoids)
RN  - 0 (Pulmonary Surfactants)
IS  - 0803-5253
IL  - 0803-5253
PT  - Comment
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2000 Oct
EZ  - 2000/11/18 11:00
DA  - 2001/06/02 10:01
DT  - 2000/11/18 11:00
YR  - 2000
ED  - 20010531
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11083364

<795. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11235459
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bruce M
FA  - Bruce, M
IN  - Bruce, M. St Joseph's Hospital, 5665 Peachtree-Dunwoody Rd, Atlanta, GA 30342, USA.
TI  - A study in time: performance improvement to reduce excess holding time in PACU.
SO  - Journal of PeriAnesthesia Nursing. 15(4):237-44, 2000 Aug
AS  - J Perianesth Nurs. 15(4):237-44, 2000 Aug
NJ  - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
VO  - 15
IP  - 4
PG  - 237-44
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9610507, CKX
IO  - J. Perianesth. Nurs.
SB  - Nursing Journal
CP  - United States
MH  - *Appointments and Schedules
MH  - Humans
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - Postanesthesia Nursing/og [Organization & Administration]
MH  - *Recovery Room/og [Organization & Administration]
MH  - *Recovery Room/sn [Statistics & Numerical Data]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
MH  - *Waiting Lists
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.
IS  - 1089-9472
IL  - 1089-9472
PT  - Journal Article
ID  - S1089-9472(00)66120-8 [pii]
ID  - 10.1053/jpan.2000.9462 [doi]
PP  - ppublish
LG  - English
DP  - 2000 Aug
EZ  - 2001/03/10 10:00
DA  - 2001/05/05 10:01
DT  - 2001/03/10 10:00
YR  - 2000
ED  - 20010503
RD  - 20161020
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11235459

<796. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11291654
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hall M
AU  - Thwaites R
AU  - Gompels MJ
FA  - Hall, M
FA  - Thwaites, R
FA  - Gompels, M J
TI  - Census of availability of neonatal intensive care should have used different denominator.
CM  - Comment on: BMJ. 2000 Sep 23;321(7263):727-9; PMID: 10999901
SO  - BMJ. 322(7287):675, 2001 Mar 17
AS  - BMJ. 322(7287):675, 2001 Mar 17
NJ  - BMJ (Clinical research ed.)
VO  - 322
IP  - 7287
PG  - 675
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1119864
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Delivery, Obstetric/sn [Statistics & Numerical Data]
MH  - England
MH  - Health Care Surveys/mt [Methods]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
IS  - 0959-8138
IL  - 0959-535X
PT  - Comment
PT  - Letter
ID  - PMC1119864 [pmc]
PP  - ppublish
LG  - English
DP  - 2001 Mar 17
EZ  - 2001/04/09 10:00
DA  - 2001/04/17 10:01
DT  - 2001/04/09 10:00
YR  - 2001
ED  - 20010412
RD  - 20140613
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11291654

<797. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11247611
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dobb GJ
FA  - Dobb, G J
TI  - Bed availability and transfer of critically ill patients.
CM  - Comment on: Med J Aust. 2001 Feb 5;174(3):122-5; PMID: 11247614
SO  - Medical Journal of Australia. 174(3):114-5, 2001 Feb 05
AS  - Med J Aust. 174(3):114-5, 2001 Feb 05
NJ  - The Medical journal of Australia
VO  - 174
IP  - 3
PG  - 114-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0400714, m26
IO  - Med. J. Aust.
SB  - Index Medicus
CP  - Australia
MH  - Australia/ep [Epidemiology]
MH  - Health Services Accessibility
MH  - *Hospital Bed Capacity
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Intensive Care Units/ut [Utilization]
MH  - *Patient Transfer
MH  - Treatment Outcome
IS  - 0025-729X
IL  - 0025-729X
PT  - Comment
PT  - Editorial
PP  - ppublish
LG  - English
DP  - 2001 Feb 05
EZ  - 2001/03/15 10:00
DA  - 2001/04/03 10:01
DT  - 2001/03/15 10:00
YR  - 2001
ED  - 20010329
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11247611

<798. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11167443
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Murphy PJ
AU  - Jenkins I
AU  - Fraser J
AU  - Marriage S
FA  - Murphy, P J
FA  - Jenkins, I
FA  - Fraser, J
FA  - Marriage, S
TI  - Paediatric intensive care transfers.
CM  - Comment on: Anaesthesia. 2000 Jun;55(6):610; PMID: 10866756
SO  - Anaesthesia. 56(1):83-4, 2001 Jan
AS  - Anaesthesia. 56(1):83-4, 2001 Jan
NJ  - Anaesthesia
VO  - 56
IP  - 1
PG  - 83-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Clinical Competence
MH  - *Critical Care/og [Organization & Administration]
MH  - Humans
MH  - Infant
MH  - Intubation/st [Standards]
MH  - Male
MH  - Patient Transfer/mt [Methods]
MH  - *Patient Transfer/st [Standards]
MH  - Referral and Consultation
IS  - 0003-2409
IL  - 0003-2409
PT  - Comment
PT  - Letter
ID  - ana1840-2 [pii]
PP  - ppublish
LG  - English
DP  - 2001 Jan
EZ  - 2001/02/13 11:00
DA  - 2001/03/17 10:01
DT  - 2001/02/13 11:00
YR  - 2001
ED  - 20010315
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11167443

<799. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11188110
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Care managers help improve quality of care.
SO  - Hospital Peer Review. 25(12):164-6, 2000 Dec
AS  - Hosp Peer Rev. 25(12):164-6, 2000 Dec
NJ  - Hospital peer review
VO  - 25
IP  - 12
PG  - 164-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7706036, gd0, 7706036
IO  - Hosp Peer Rev
SB  - Health Administration Journals
CP  - United States
MH  - *Acute Disease/rh [Rehabilitation]
MH  - *Case Management/og [Organization & Administration]
MH  - Continuity of Patient Care
MH  - Humans
MH  - *Intensive Care Units/st [Standards]
MH  - Patient Transfer
MH  - *Quality Assurance, Health Care
MH  - Wisconsin
IS  - 0149-2632
IL  - 0149-2632
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2000 Dec
EZ  - 2001/02/24 12:00
DA  - 2001/03/07 10:01
DT  - 2001/02/24 12:00
YR  - 2000
ED  - 20010301
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11188110

<800. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11146769
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vargo DJ
AU  - Battistella FD
FA  - Vargo, D J
FA  - Battistella, F D
IN  - Vargo, D J. Department of Surgery, University of California, Davis, Medical Center, 2315 Stockton Blvd, Room 4209, Sacramento, CA 95817, USA.
TI  - Abbreviated thoracotomy and temporary chest closure: an application of damage control after thoracic trauma.
SO  - Archives of Surgery. 136(1):21-4, 2001 Jan
AS  - Arch Surg. 136(1):21-4, 2001 Jan
NJ  - Archives of surgery (Chicago, Ill. : 1960)
VO  - 136
IP  - 1
PG  - 21-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8ia, 9716528
IO  - Arch Surg
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - Morbidity
MH  - Patient Transfer
MH  - Resuscitation
MH  - Survival Rate
MH  - Thoracic Injuries/mo [Mortality]
MH  - *Thoracic Injuries/su [Surgery]
MH  - *Thoracotomy/mt [Methods]
MH  - Trauma Severity Indices
AB  - HYPOTHESIS: Abbreviated thoracotomy, a damage-control strategy, improves survival in patients with metabolic exhaustion.
AB  - DESIGN: Case series report.
AB  - SETTING: University-based, level I trauma center.
AB  - PATIENTS: All patients admitted to our trauma center with severe chest trauma in whom an abbreviated thoracotomy was performed between January 1, 1994, and January 1, 1998.
AB  - INTERVENTIONS: Patients in whom an abbreviated thoracotomy was performed had their life-threatening thoracic injuries treated and had temporary closure of the incision. They were then resuscitated in the intensive care unit (ICU). Definitive care of injuries and formal chest closure were performed when physiological characteristics were normalized.
AB  - MAIN OUTCOME MEASURES: Survival to discharge and postoperative complications.
AB  - RESULTS: Of 10 787 patients admitted to the trauma center, 196 required thoracic operations. Eleven of these 196 patients underwent abbreviated thoracotomy; all patients survived to reach the ICU. Four died in the ICU within 24 hours of injury; the remaining 7 patients survived and were discharged. Based on their Trauma and Injury Severity Score, predicted mortality for our 11 patients was 59%; our mortality was 36%. Complications after abbreviated thoracotomy were similar to those seen after standard thoracotomy.
AB  - CONCLUSIONS: Abbreviated thoracotomy is a useful strategy in the treatment of severe chest trauma. Its use in situations of metabolic exhaustion or planned reexploration may increase patient survival rates by expediting transfer of the patient from the operating room to the ICU, where homeostasis can be restored.
IS  - 0004-0010
IL  - 0004-0010
PT  - Journal Article
ID  - sws9025 [pii]
PP  - ppublish
LG  - English
DP  - 2001 Jan
EZ  - 2001/01/13 11:00
DA  - 2001/03/03 10:01
DT  - 2001/01/13 11:00
YR  - 2001
ED  - 20010215
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11146769

<801. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11153618
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McCunn M
AU  - Mirvis S
AU  - Reynolds N
AU  - Cottingham C
FA  - McCunn, M
FA  - Mirvis, S
FA  - Reynolds, N
FA  - Cottingham, C
IN  - McCunn, M. Department of Critical Care, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, USA.
TI  - Physician utilization of a portable computed tomography scanner in the intensive care unit.
CM  - Comment in: Crit Care Med. 2000 Dec;28(12):3936-8; PMID: 11153641
SO  - Critical Care Medicine. 28(12):3808-13, 2000 Dec
AS  - Crit Care Med. 28(12):3808-13, 2000 Dec
NJ  - Critical care medicine
VO  - 28
IP  - 12
PG  - 3808-13
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Attitude of Health Personnel
MH  - Baltimore
MH  - Equipment Design
MH  - Hospitals, University
MH  - Humans
MH  - *Intensive Care Units
MH  - Medical Staff, Hospital/px [Psychology]
MH  - *Medical Staff, Hospital
MH  - Patient Selection
MH  - *Point-of-Care Systems/ut [Utilization]
MH  - Practice Patterns, Physicians'/sn [Statistics & Numerical Data]
MH  - *Practice Patterns, Physicians'/ut [Utilization]
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - Time Factors
MH  - Tomography, X-Ray Computed/is [Instrumentation]
MH  - *Tomography, X-Ray Computed/ut [Utilization]
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/ut [Utilization]
MH  - Trauma Centers
AB  - OBJECTIVE: To determine the utilization of a portable computed tomography (CT) scanner for critically ill adult patients in an intensive care unit (ICU).
AB  - DESIGN: Survey study and retrospective review.
AB  - SUBJECTS: Critical care attending staff and fellows and neurosurgery residents.
AB  - SETTING: A university hospital and Level I trauma center with a multitrauma ICU, a neurotrauma ICU, and a neurosurgical ICU.
AB  - INTERVENTIONS: We surveyed all physicians who ordered portable CT scans from December 1996 through June 1998. Ordering physicians included critical care attending staff and fellows (anesthesiology, surgery, internal medicine) and neurosurgery residents. Physicians who no longer worked at the institution were contacted by mail or fax. Radiology records were reviewed to determine the actual number and type of scans performed.
AB  - MEASUREMENTS AND MAIN RESULTS: The survey response was 100%. Most physicians reported ordering portable head CT scans (97%), followed by chest CT (88%), abdominal CT (78%), and pelvic CT (34%) scans. Analysis of the actual number of scans performed correlated with these reports (511 head, 115 chest, 88 abdomen, and 87 pelvis). The indication for portable CT scans (as opposed to a "fixed" or "stationary" scans) cited most often was patient severity of illness (77%). Patients on extracorporeal support (93%), those with cardiovascular instability (70%), followed by those with respiratory instability (57%) and neurologic instability (40%) were deemed too ill to transport. If the portable CT scanner was unavailable, however, most physicians (67%) ordered a fixed helical CT scan and the patient was transported to the radiology suite, regardless of medical condition.
AB  - CONCLUSIONS: Access to a portable CT scanner impacts the physician ordering patterns for ICU patients. We found that 100% of surveyed physicians used the portable CT scanner for critically ill patients when the patient was unstable. If the diagnostic study was deemed medically necessary, and the portable scanner was unavailable, most surveyed physicians ordered a "fixed" helical scan and the patient was transported by an experienced transport team for the study. The portable CT offered an alternative and potentially safer means of obtaining diagnostic studies.
IS  - 0090-3493
IL  - 0090-3493
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2000 Dec
EZ  - 2001/01/12 11:00
DA  - 2001/02/28 10:01
DT  - 2001/01/12 11:00
YR  - 2000
ED  - 20010125
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11153618

<802. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11130346
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bristow PJ
AU  - Hillman KM
AU  - Chey T
AU  - Daffurn K
AU  - Jacques TC
AU  - Norman SL
AU  - Bishop GF
AU  - Simmons EG
FA  - Bristow, P J
FA  - Hillman, K M
FA  - Chey, T
FA  - Daffurn, K
FA  - Jacques, T C
FA  - Norman, S L
FA  - Bishop, G F
FA  - Simmons, E G
IN  - Bristow, P J. Liverpool Hospital, Sydney, NSW. p.bristow@alfred.org.au
TI  - Rates of in-hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team.
CM  - Comment in: Med J Aust. 2001 Apr 2;174(7):370-1; PMID: 11346121
CM  - Comment in: Med J Aust. 2001 Apr 2;174(7):369; PMID: 11346119
CM  - Comment in: Med J Aust. 2001 Apr 2;174(7):369-70; author reply 371; PMID: 11346120
CM  - Comment in: Med J Aust. 2000 Sep;173(5):228-9; PMID: 11130342
SO  - Medical Journal of Australia. 173(5):236-40, 2000 Sep
AS  - Med J Aust. 173(5):236-40, 2000 Sep
NJ  - The Medical journal of Australia
VO  - 173
IP  - 5
PG  - 236-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0400714, m26
IO  - Med. J. Aust.
SB  - Index Medicus
CP  - Australia
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Australia/ep [Epidemiology]
MH  - Cohort Studies
MH  - Emergencies
MH  - Emergency Service, Hospital
MH  - Female
MH  - *Heart Arrest/ep [Epidemiology]
MH  - *Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - *Outcome Assessment (Health Care)
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - Prevalence
MH  - Risk Adjustment
AB  - OBJECTIVES: To evaluate the effectiveness of a medical emergency team (MET) in reducing the rates of selected adverse events.
AB  - DESIGN: Cohort comparison study after casemix adjustment.
AB  - PATIENTS AND SETTING: All adult (> or = 14 years) patients admitted to three Australian public hospitals from 8 July to 31 December 1996. INTERVENTION STUDIED: At Hospital 1, a medical emergency team (MET) could be called for abnormal physiological parameters or staff concern. Hospitals 2 and 3 had conventional cardiac arrest teams.
AB  - MAIN OUTCOME MEASURES: Casemix-adjusted rates of cardiac arrest, unanticipated admission to intensive care unit (ICU), death, and the subgroup of deaths where there was no pre-existing "do not resuscitate" (DNR) order documented.
AB  - RESULTS: There were 1510 adverse events identified among 50 942 admissions. The rate of unanticipated ICU admissions was less at the intervention hospital in total (casemix-adjusted odds ratios: Hospital 1, 1.00; Hospital 2, 1.59 [95% CI, 1.24-2.04]; Hospital 3, 1.73 [95% CI, 1.37-2.16]). There was no significant difference in the rates of cardiac arrest or total deaths between the three hospitals. However, one of the hospitals with a conventional cardiac arrest team had a higher death rate among patients without a DNR order.
AB  - CONCLUSIONS: The MET hospital had fewer unanticipated ICU/HDU admissions, with no increase in in-hospital arrest rate or total death rate. The non-DNR deaths were lower compared with one of the other hospitals; however, we did not adjust for DNR practices. We suggest that the MET concept is worthy of further study.
IS  - 0025-729X
IL  - 0025-729X
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 2000 Sep
EZ  - 2000/12/29 11:00
DA  - 2001/02/28 10:01
DT  - 2000/12/29 11:00
YR  - 2000
ED  - 20010111
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11130346

<803. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11035686
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Miyoshi E
AU  - Fujino Y
AU  - Mashimo T
AU  - Nishimura M
FA  - Miyoshi, E
FA  - Fujino, Y
FA  - Mashimo, T
FA  - Nishimura, M
IN  - Miyoshi, E. Intensive Care Unit, Osaka University Hospital, Osaka, Japan.
TI  - Performance of transport ventilator with patient-triggered ventilation.
SO  - Chest. 118(4):1109-15, 2000 Oct
AS  - Chest. 118(4):1109-15, 2000 Oct
NJ  - Chest
VO  - 118
IP  - 4
PG  - 1109-15
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0231335, d1c
IO  - Chest
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Equipment Design
MH  - Humans
MH  - Intensive Care Units/sd [Supply & Distribution]
MH  - Models, Biological
MH  - *Positive-Pressure Respiration/is [Instrumentation]
MH  - *Work of Breathing/ph [Physiology]
AB  - OBJECTIVES: Transport ventilators with inspiratory triggering functions and pressure support-control modes have recently become commercially available. We evaluated these ventilators in comparison with a standard ICU ventilator.
AB  - STUDY DESIGN: Laboratory study with a mechanical lung model.
AB  - METHODS: We compared the performance of four transport ventilators (model 740, Mallinckrodt, Pleasanton, CA; TBird, Bird Products Corp, Palm Springs, CA; LTV1000, Pulmonetic Systems, Colton, CA; Esprit, Respironics, Vista, CA) with a standard ICU ventilator (model 7200ae; Mallinckrodt) using a test lung that simulated spontaneous breathing (compliance, 46.8 mL/cm H(2)O; resistance, 5 cm H(2)O/L/s). The settings of ventilators were positive end-expiratory pressure (PEEP) of 0 or 5 cm H(2)O, and pressure support (PS) of 0 or 10 cm H(2)O. The settings of the test lung were inspiratory time of 1 s, respiratory rate of 10/min, peak inspiratory flow of 40, 60, and 80 L/min. To evaluate inspiratory function at each setting, we measured the inspiratory delay time (DT), inspiratory trigger pressure (P-I), and the time for airway pressure to rise from the baseline pressure to 90% of the end-inspiratory pressure (T(90%)); for expiratory function, supraplateau expiratory pressure (P-E) and the time constant (taue) for pressure decrease during exhalation were evaluated. Oxygen requirement was assessed as the time required to empty a 3.5-L oxygen tank.
AB  - RESULTS: For inspiratory triggering, four transport ventilators had DT < 100 ms, which is considered clinically satisfactory, in all the settings except for PS 0 cm H(2)O, PEEP 0 cm H(2)O, and inspiratory flow of 80 L/min with LTV1000. P-I increased only in LTV1000 when PEEP was increased from 0 to 5 cm H(2)O. taue for the transport ventilators was > 50% shorter than for the ICU ventilator except for PS 0 cm H(2)O and PEEP 5 cm H(2)O with TBird. Oxygen requirement was lowest for the Esprit, followed by the 740, LTV1000, and TBird.
AB  - CONCLUSION: The newer Food and Drug Administration-approved transport ventilators have performance indexes comparable to the ventilator currently used in ICUs and can probably be recommended for clinical use.
IS  - 0012-3692
IL  - 0012-3692
PT  - Comparative Study
PT  - Evaluation Studies
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0012-3692(15)37716-3 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Oct
EZ  - 2000/10/18 11:00
DA  - 2001/02/28 10:01
DT  - 2000/10/18 11:00
YR  - 2000
ED  - 20001115
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11035686

<804. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11228660
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kenny M
AU  - Peters M
FA  - Kenny, M
FA  - Peters, M
TI  - Paediatric intensive care transfers: 1.
CM  - Comment on: Anaesthesia. 2000 Jun;55(6):610; PMID: 10866756
SO  - Anaesthesia. 55(10):1025; author reply 1026, 2000 Oct
AS  - Anaesthesia. 55(10):1025; author reply 1026, 2000 Oct
NJ  - Anaesthesia
VO  - 55
IP  - 10
PG  - 1025; author reply 1026
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - *Critical Care/og [Organization & Administration]
MH  - *Critical Illness/th [Therapy]
MH  - Epiglottitis/th [Therapy]
MH  - Humans
MH  - London
MH  - *Patient Transfer/og [Organization & Administration]
IS  - 0003-2409
IL  - 0003-2409
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 2000 Oct
EZ  - 2001/03/03 10:00
DA  - 2001/03/14 10:01
DT  - 2001/03/03 10:00
YR  - 2000
ED  - 20001103
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11228660

<805. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11012502
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jones KJ
FA  - Jones, K J
TI  - Paediatric intensive care transfers 3.
CM  - Comment on: Anaesthesia. 2000 Jun;55(6):610; PMID: 10866756
SO  - Anaesthesia. 55(10):1026, 2000 Oct
AS  - Anaesthesia. 55(10):1026, 2000 Oct
NJ  - Anaesthesia
VO  - 55
IP  - 10
PG  - 1026
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - *Critical Care/og [Organization & Administration]
MH  - *Critical Illness/th [Therapy]
MH  - Epiglottitis/th [Therapy]
MH  - Humans
MH  - *Patient Transfer
IS  - 0003-2409
IL  - 0003-2409
PT  - Comment
PT  - Letter
ID  - ana1727-3 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Oct
EZ  - 2000/09/30 11:00
DA  - 2001/02/28 10:01
DT  - 2000/09/30 11:00
YR  - 2000
ED  - 20001103
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11012502

<806. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11012501
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gudgeon J
FA  - Gudgeon, J
TI  - Paediatric intensive care transfers: 2.
CM  - Comment on: Anaesthesia. 2000 Jun;55(6):610; PMID: 10866756
SO  - Anaesthesia. 55(10):1025-6, 2000 Oct
AS  - Anaesthesia. 55(10):1025-6, 2000 Oct
NJ  - Anaesthesia
VO  - 55
IP  - 10
PG  - 1025-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - *Critical Care/og [Organization & Administration]
MH  - *Critical Illness/th [Therapy]
MH  - England
MH  - Epiglottitis/th [Therapy]
MH  - Humans
MH  - *Patient Transfer/og [Organization & Administration]
IS  - 0003-2409
IL  - 0003-2409
PT  - Comment
PT  - Letter
ID  - ana1727-2 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Oct
EZ  - 2000/09/30 11:00
DA  - 2001/02/28 10:01
DT  - 2000/09/30 11:00
YR  - 2000
ED  - 20001103
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11012501

<807. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10999901
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Parmanum J
AU  - Field D
AU  - Rennie J
AU  - Steer P
FA  - Parmanum, J
FA  - Field, D
FA  - Rennie, J
FA  - Steer, P
IN  - Parmanum, J. Department of Child Health, Robert Kilpatrick Clinical Sciences Building, University of Leicester, Leicester LE2 7LX.
TI  - National census of availability of neonatal intensive care. British Association for Perinatal Medicine.
CM  - Comment in: BMJ. 2001 Mar 17;322(7287):675; PMID: 11291654
SO  - BMJ. 321(7263):727-9, 2000 Sep 23
AS  - BMJ. 321(7263):727-9, 2000 Sep 23
NJ  - BMJ (Clinical research ed.)
VO  - 321
IP  - 7263
PG  - 727-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC27484
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Bed Occupancy/sn [Statistics & Numerical Data]
MH  - *Health Services Accessibility/sn [Statistics & Numerical Data]
MH  - Health Services Needs and Demand
MH  - Hospital Bed Capacity
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - United Kingdom
AB  - OBJECTIVE: To determine whether availability of neonatal intensive care cots is a problem in any or all parts of the United Kingdom.
AB  - DESIGN: Three month census from 1 April to 30 June 1999 comprising simple data sheets on transfers out of tertiary units.
AB  - SETTING: The 37 largest high risk perinatal centres in the United Kingdom.
AB  - PARTICIPANTS: One obstetric specialist and one neonatal specialist in each centre.
AB  - MAIN OUTCOME MEASURES: Suboptimal care resulting directly from pressure on service-that is, transfers out of tertiary units (either in utero or after delivery) because the unit was "full" and not because the hospital was incapable of providing the care needed.
AB  - RESULTS: All units provided data. The number of intensive care cots in each unit was between five and 16. During the three months 309 transfers occurred (equivalent to 1236 per year), of which 264 were in utero and 45 postnatal. Sixty five in utero transfers involved multiple births, hence the census related to 382 babies (1528 per year). There was considerable regional variation. The reason for transfer in most cases was "lack of neonatal beds".
AB  - CONCLUSIONS: Currently most major perinatal centres in the United Kingdom are regularly unable to meet in-house demand; this has implications for the service as a whole. The NHS has set no standards to help health authorities and primary care groups develop services relating to this specialty; such a step may well be an appropriate lever for change.
IS  - 0959-8138
IL  - 0959-535X
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - PMC27484 [pmc]
PP  - ppublish
LG  - English
DP  - 2000 Sep 23
EZ  - 2000/09/22 11:00
DA  - 2000/10/21 11:01
DT  - 2000/09/22 11:00
YR  - 2000
ED  - 20001019
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10999901

<808. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10963532
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - deBoisblanc MW
AU  - Goldman RK
AU  - Mayberry JC
AU  - Brand DM
AU  - Pangburn PD
AU  - Soifer BE
AU  - Mullins RJ
FA  - deBoisblanc, M W
FA  - Goldman, R K
FA  - Mayberry, J C
FA  - Brand, D M
FA  - Pangburn, P D
FA  - Soifer, B E
FA  - Mullins, R J
IN  - deBoisblanc, M W. Department of Surgery, Oregon Health Sciences University, Portland 97201-3098, USA.
TI  - Weaning injured patients with prolonged pulmonary failure from mechanical ventilation in a non-intensive care unit setting.
SO  - Journal of Trauma-Injury Infection & Critical Care. 49(2):224-30; discussion 230-1, 2000 Aug
AS  - J Trauma. 49(2):224-30; discussion 230-1, 2000 Aug
NJ  - The Journal of trauma
VO  - 49
IP  - 2
PG  - 224-30; discussion 230-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - kaf, 0376373
IO  - J Trauma
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Hospital Units
MH  - Humans
MH  - Injury Severity Score
MH  - Intensive Care Units
MH  - *Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Multiple Trauma/co [Complications]
MH  - *Multiple Trauma/th [Therapy]
MH  - Oregon
MH  - *Patient Transfer
MH  - *Positive-Pressure Respiration
MH  - Respiratory Distress Syndrome, Adult/et [Etiology]
MH  - *Respiratory Distress Syndrome, Adult/th [Therapy]
MH  - Retrospective Studies
MH  - *Ventilator Weaning
AB  - BACKGROUND: Injured patients with pulmonary failure often require prolonged length of stay in an intensive care unit (ICU), which includes weaning from ventilatory support. In the last decade, noninvasive ventilation modes have been established as safe and effective. One method for accomplishing this mode of ventilation uses a simple bilevel ventilator. Because this ventilator has been successfully used in hospital wards, we postulated that bilevel ventilators could provide sufficient support during weaning from mechanical ventilation of injured patients in a non-ICU setting.
AB  - METHODS: A retrospective review of trauma patients (August 1996-January 1999) undergoing bilevel positive pressure ventilation as the final phase of weaning was conducted. Before ward transfer with bilevel ventilation, conventionally ventilated ICU patients were changed to bilevel ventilation and were required to tolerate this mode for at least 24 hours. All patients had a tracheostomy as a secure airway. Outcomes analyzed included ICU length of stay, hospital length of stay, duration of mechanical ventilation, weaning success, complications, and survival.
AB  - RESULTS: Fifty-one patients (39 men, 12 women) with a mean age of 53 received more than 24 hours of bilevel positive pressure ventilation. Mean Injury Severity Score was 29, with blunt mechanisms of injury occurring in 90%. Chest or spinal cord injuries that affected pulmonary mechanics were present in 75% of patients. Ventilator-associated pneumonia was treated in 43% of patients. Mean ICU length of stay and hospital length of stay were 21 and 34 days, respectively. Weaning was successful in 89% of patients, whereas 11% were discharged to skilled nursing facilities still receiving bilevel positive pressure ventilation. Two patients died, neither from a pulmonary nor airway complication. Of the remaining 49 patients, 12 were weaned in the ICU and 37 were transferred to the ward with bilevel ventilatory support. The average length of ward ventilation was 6.5 +/- 5.4 days (n = 37).
AB  - CONCLUSIONS: Implementation of a program using bilevel ventilation to support the terminal phase of weaning seriously injured patients from mechanical ventilation was successful. After initiating this mode in the ICU, it was satisfactorily continued in standard surgical wards. Because this method enabled the withdrawal of ventilatory support in a non-ICU setting, its major advantage was reducing ICU length of stay.
IS  - 0022-5282
IL  - 0022-5282
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2000 Aug
EZ  - 2000/08/30 11:00
DA  - 2000/09/23 11:01
DT  - 2000/08/30 11:00
YR  - 2000
ED  - 20000920
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10963532

<809. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10888453
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Fazio RF
AU  - Wheeler DS
AU  - Poss WB
FA  - Fazio, R F
FA  - Wheeler, D S
FA  - Poss, W B
IN  - Fazio, R F. Department of Pediatrics, Naval Medical Center, San Diego, California 92134-1005, USA. wmacal@snd10.med.navy.mil
TI  - Resident training in pediatric critical care transport medicine: a survey of pediatric residency programs.
SO  - Pediatric Emergency Care. 16(3):166-9, 2000 Jun
AS  - Pediatr Emerg Care. 16(3):166-9, 2000 Jun
NJ  - Pediatric emergency care
VO  - 16
IP  - 3
PG  - 166-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Critical Care
MH  - Data Collection
MH  - Humans
MH  - Intensive Care Units, Neonatal
MH  - Intensive Care Units, Pediatric
MH  - *Internship and Residency
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Pediatrics/ed [Education]
MH  - Surveys and Questionnaires
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
MH  - United States
AB  - OBJECTIVE: The Accreditation Council for Graduate Medical Education (ACGME) Program Requirement for Pediatrics includes specific objectives that pediatric residents participate in both the pre-hospital care of acutely ill or injured patients and the stabilization and transport of patients to critical care areas. Previously, residents were often included as the physician component for many pediatric critical care transport teams. Subsequent regionalization of transport services and development of nurse-only transport teams prompted us to determine the current level of resident participation in pediatric critical care transport as well as how individual residency programs were meeting the educational objectives.
AB  - METHODS: A questionnaire was mailed to each pediatric residency program listed in the 1996-1997 GME Directory. Information was obtained regarding the size of the hospital and the residency program, the presence of a pediatric critical care transport team, the number of annual transports, and transport team leader. In addition, the use of pediatric residents for transports was ascertained, as well as their specific role, training requirements, and method of evaluation.
AB  - RESULTS: Data were received from 138 programs for a return rate of 65%. Eighty percent of programs offered a pediatric critical care transport service. Nurse-led teams were used for 51% of NICU and 44% of PICU transports. Of the 82 NICU and 84 PICU teams that used residents, the majority used them as team leaders (60% and 70%; respectively) with only the minority requiring that they be at the PL-3 year or greater. The training and/or certification required for resident participation in transports varied among programs, with 85% requiring completion of a NICU or PICU rotation, and 94% requiring NRP or PALS certification. Programs that did not allow resident participation provided exposure to Transport Medicine by various mechanisms, including lectures and emergency department (ED) rotations.
AB  - CONCLUSION: Pediatric resident participation in critical care transport varies widely among pediatric critical care transport teams. The degree to which residents participate in the transport team would appear to have diminished in comparison to previous studies. Transport teams often use other resources, such as nurses, fellows, or attendings, to lead their transport teams. Pediatric resident exposure to and participation in Transport Medicine varies among programs, as do the methods used to prepare residents for their experience.
IS  - 0749-5161
IL  - 0749-5161
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2000 Jun
EZ  - 2000/07/11 11:00
DA  - 2000/09/23 11:01
DT  - 2000/07/11 11:00
YR  - 2000
ED  - 20000919
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10888453

<810. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10955068
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Paret G
AU  - Ben Abraham R
AU  - Yativ O
AU  - Vardi A
AU  - Barzilay Z
FA  - Paret, G
FA  - Ben Abraham, R
FA  - Yativ, O
FA  - Vardi, A
FA  - Barzilay, Z
IN  - Paret, G. Dept. of Pediatric Intensive Care and of Anesthesiology, Sheba Medical Center, Tel Hashomer.
TI  - [Intrahospital transport of critically ill children]. [Hebrew]
SO  - Harefuah. 136(8):609-11, 659, 1999 Apr 15
AS  - Harefuah. 136(8):609-11, 659, 1999 Apr 15
NJ  - Harefuah
VO  - 136
IP  - 8
PG  - 609-11, 659
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0034351, fzf
IO  - Harefuah
SB  - Index Medicus
CP  - Israel
MH  - Adolescent
MH  - Child
MH  - *Child, Hospitalized
MH  - Child, Preschool
MH  - *Critical Illness
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Postoperative Complications
MH  - *Transportation of Patients
MH  - Wounds and Injuries
AB  - Prospective evaluation of intrahospital transportation of 33 critically ill children to and from the pediatric intensive care unit was conducted over the course of a month. Factors contributing to risk of transport were assessed. There were 33 children (25 boys and 8 girls), 3 days to 15 years of age. Reasons for admission included: disease and trauma in 19, and status post operation in 11. The pretransport PRISM score was 4.84. 22 children (66.6%) were being mechanically ventilated and 10 (30.3%) were being treated with amines. Transport time ranged from 8-150 minutes. 15 of the transports (45.4%) were urgent and a special intensive care team escorted 22 (66.6%). Equipment mishaps and physiological deterioration occurred in 12 (36.3%) and 11 (30.3%) of the cases, respectively. The use of amines, mechanical ventilation, longer transport time and high PRISM score were all associated with physiological deterioration on transport.
IS  - 0017-7768
IL  - 0017-7768
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Hebrew
DP  - 1999 Apr 15
EZ  - 2000/08/24 11:00
DA  - 2000/09/19 11:01
DT  - 2000/08/24 11:00
YR  - 1999
ED  - 20000912
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10955068

<811. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10929693
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Neu M
AU  - Browne JV
AU  - Vojir C
FA  - Neu, M
FA  - Browne, J V
FA  - Vojir, C
IN  - Neu, M. University of Colorado School of Nursing, Department of Psychiatry, Denver, USA.
TI  - The impact of two transfer techniques used during skin-to-skin care on the physiologic and behavioral responses of preterm infants.[Erratum appears in Nurs Res 2000 Nov-Dec;49(6):326]
SO  - Nursing Research. 49(4):215-23, 2000 Jul-Aug
AS  - Nurs Res. 49(4):215-23, 2000 Jul-Aug
NJ  - Nursing research
VO  - 49
IP  - 4
PG  - 215-23
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - o9k, 0376404
IO  - Nurs Res
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adult
MH  - Birth Weight
MH  - Cross-Over Studies
MH  - Female
MH  - Gestational Age
MH  - Heart Rate
MH  - Humans
MH  - Infant Behavior
MH  - *Infant Care
MH  - Infant, Newborn
MH  - *Infant, Premature/ph [Physiology]
MH  - Infant, Premature/px [Psychology]
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Nurses
MH  - Oxygen Consumption
MH  - Parents
MH  - Respiration, Artificial
MH  - Skin
AB  - BACKGROUND: Conservation of energy assumes an important role in the care of infants requiring assisted ventilation, yet little research has been conducted on this group of infants in terms of thermoregulation, oxygenation, heart rate, or sleep states during skin-to-skin care.
AB  - OBJECTIVES: To compare the impact of two different transfer techniques used in skin-to-skin care (nurse transfer and parent transfer) on physiologic stability and other descriptive measures of physiologic stability related to energy conservation in ventilated preterm infants during and after skin-to-skin care.
AB  - METHOD: Fifteen ventilated preterm infants weighing a mean of 1,094 g were randomly assigned to receive either parent or nurse-to-parent transfer on the first of 2 consecutive days and the alternate method the following day. Temperature was taken before and after skin-to-skin care. Oxygen saturation and heart rate were recorded minute by minute, and the Assessment of Behavioral Systems Observation (ABSO) scale scores was used to measure physiologic organization, motor organization, self-regulation, and need for caregiver facilitation during transfer to and from the parent and during pre, post, and skin-to-skin periods.
AB  - RESULTS: Temperature remained stable. Oxygen saturation decreased and heart rate increased when the infant was transferred to and from the parent, but returned to baseline levels during and after skin-to-skin care regardless of the transfer method. Infants showed more physiologic and motor disorganization, less self-regulation, and more need for caregiver facilitation during transfers to and from the parent than during the pre, post, and skin-to-skin care periods.
AB  - CONCLUSIONS: Both transfer methods resulted in physiologic disorganization. However, during and after skin-to-skin care, infants exhibited no signs of energy depletion.
IS  - 0029-6562
IL  - 0029-6562
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 2000 Jul-Aug
EZ  - 2000/08/10
DA  - 2000/08/19
DT  - 2000/08/10 00:00
YR  - 2000
ED  - 20000817
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10929693

<812. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10883368
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Poloczek S
AU  - Madler C
FA  - Poloczek, S
FA  - Madler, C
IN  - Poloczek, S. Klinik fur Anaesthesiologie und operative Intensivmedizin, Universitatsklinikum Benjamin Franklin, Freie Universitat Berlin. poloczek@medizin.fu-berlin.de
TI  - [Transport of intensive care patients]. [Review] [28 refs] [German]
OT  - Transport des Intensivpatienten.
SO  - Anaesthesist. 49(5):480-91, 2000 May
AS  - Anaesthesist. 49(5):480-91, 2000 May
NJ  - Der Anaesthesist
VO  - 49
IP  - 5
PG  - 480-91
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4my, 0370525
IO  - Anaesthesist
SB  - Index Medicus
CP  - Germany
MH  - *Critical Care
MH  - Humans
MH  - *Transportation of Patients
IS  - 0003-2417
IL  - 0003-2417
PT  - Journal Article
PT  - Review
ID  - 10.1007/s001010070122 [doi]
PP  - ppublish
LG  - German
DP  - 2000 May
EZ  - 2000/07/07 11:00
DA  - 2000/08/19 11:00
DT  - 2000/07/07 11:00
YR  - 2000
ED  - 20000814
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10883368

<813. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10897274
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lee SY
AU  - Frankel HL
FA  - Lee, S Y
FA  - Frankel, H L
IN  - Lee, S Y. Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, USA.
TI  - Ultrasound and other imaging technologies in the intensive care unit. [Review] [112 refs]
SO  - Surgical Clinics of North America. 80(3):975-1003, 2000 Jun
AS  - Surg Clin North Am. 80(3):975-1003, 2000 Jun
NJ  - The Surgical clinics of North America
VO  - 80
IP  - 3
PG  - 975-1003
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - van, 0074243
IO  - Surg. Clin. North Am.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Cost-Benefit Analysis
MH  - *Critical Care
MH  - Critical Illness
MH  - Diagnostic Imaging/ec [Economics]
MH  - *Diagnostic Imaging
MH  - Humans
MH  - Patient Transfer
MH  - Physical Examination
MH  - Risk Factors
MH  - Teleradiology/ec [Economics]
MH  - Ultrasonography/ec [Economics]
MH  - *Ultrasonography
MH  - Wounds and Injuries/di [Diagnosis]
MH  - Wounds and Injuries/th [Therapy]
AB  - As technology advances, more imaging and procedures are performed at the bedside on critically ill patients in ICUs, thereby eliminating the risks of transporting patients. These imaging techniques can serve as diagnostic and therapeutic tools in treating the acute and chronic consequences of injured, critically ill patients. One area of growth is ultrasonography. Critical care applications of ultrasonography are expanding, and the learning curve of surgeons and intensivists performing some of these studies is improving. Ultrasonography can supplement physical examination and provide useful "real-time" information on nearly every body cavity. Other imaging technology is also available in a portable form, enabling imaging directly at the bedside. Images are now becoming readily and easily available with the advancement of teleradiology. Some of the imaging modalities are still in development, and their clinical effectiveness is being studied. In the future, more uses of these various imaging technologies may become evident and cost-effective. [References: 112]
IS  - 0039-6109
IL  - 0039-6109
PT  - Journal Article
PT  - Review
ID  - S0039-6109(05)70109-2 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Jun
EZ  - 2000/07/18 11:00
DA  - 2000/08/12 11:00
DT  - 2000/07/18 11:00
YR  - 2000
ED  - 20000804
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10897274

<814. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10897272
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Braxton CC
AU  - Reilly PM
AU  - Schwab CW
FA  - Braxton, C C
FA  - Reilly, P M
FA  - Schwab, C W
IN  - Braxton, C C. Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, USA.
TI  - The traveling intensive care unit patient. Road trips. [Review] [31 refs]
SO  - Surgical Clinics of North America. 80(3):949-56, 2000 Jun
AS  - Surg Clin North Am. 80(3):949-56, 2000 Jun
NJ  - The Surgical clinics of North America
VO  - 80
IP  - 3
PG  - 949-56
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - van, 0074243
IO  - Surg. Clin. North Am.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Critical Care
MH  - Critical Illness
MH  - Emergencies
MH  - Female
MH  - Humans
MH  - Male
MH  - Monitoring, Physiologic
MH  - *Patient Transfer
MH  - Risk Factors
MH  - Safety
MH  - Wounds and Injuries/di [Diagnosis]
MH  - Wounds and Injuries/pp [Physiopathology]
MH  - Wounds and Injuries/th [Therapy]
AB  - Transport of critically ill or injured patients in the hospital is a necessary part of ICU care. Although the overall severity of misadventures occurring during patient transfer is minimal, potential complications risk patient deterioration in settings that may not be equipped to handle cardiovascular, respiratory, or neurologic emergencies safely. The critical care team should provide the same level of monitoring and care to the transported patient outside the ICU as he or she receives the unit. Each hospital should have a system that meets acceptable standards for safe transfer of the ICU patient, which minimizes risk and maximizes diagnostic and treatment yield. [References: 31]
IS  - 0039-6109
IL  - 0039-6109
PT  - Journal Article
PT  - Review
ID  - S0039-6109(05)70107-9 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Jun
EZ  - 2000/07/18 11:00
DA  - 2000/08/12 11:00
DT  - 2000/07/18 11:00
YR  - 2000
ED  - 20000804
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10897272

<815. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10786505
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Southgate HM
FA  - Southgate, H M
IN  - Southgate, H M. Faculty of Health, South Bank University, London, UK.
TI  - Critical analysis of access to and availability of intensive care. [Review] [34 refs]
SO  - Intensive & Critical Care Nursing. 15(4):204-9, 1999 Aug
AS  - Intensive Crit Care Nurs. 15(4):204-9, 1999 Aug
NJ  - Intensive & critical care nursing
VO  - 15
IP  - 4
PG  - 204-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - *Critical Care/st [Standards]
MH  - *Critical Care/ut [Utilization]
MH  - *Health Services Accessibility/og [Organization & Administration]
MH  - Humans
MH  - Needs Assessment
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *State Medicine/og [Organization & Administration]
MH  - United Kingdom
AB  - In intensive care, there appears to be an ever-increasing demand for resources and it is widely recognized that there is often a shortage of vacant beds available, compounded by an inadequate level of appropriately qualified nursing staff. Either of these deficiencies may lead to delayed or even refused admission for a patient who is critically ill. This review of the literature contains examination of the access and availability of intensive care facilities within the National Health Service and discussion of the problems that arise in gaining admission to such facilities. Being refused admission to the local intensive care unit may have important implications for a critically ill patient, resulting in transfer to another hospital, perhaps many miles away, or inadequate treatment and care in a general ward. These issues are also examined and strategies for action are proposed. [References: 34]
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1999 Aug
EZ  - 2000/04/29 09:00
DA  - 2000/08/01 11:00
DT  - 2000/04/29 09:00
YR  - 1999
ED  - 20000727
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10786505

<816. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10866756
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Griffiths R
AU  - Smith H
FA  - Griffiths, R
FA  - Smith, H
TI  - Paediatric intensive care transfers.
CM  - Comment in: Anaesthesia. 2000 Oct;55(10):1025-6; PMID: 11012501
CM  - Comment in: Anaesthesia. 2000 Oct;55(10):1025; author reply 1026; PMID: 11228660
CM  - Comment in: Anaesthesia. 2001 Jan;56(1):83-4; PMID: 11167443
CM  - Comment in: Anaesthesia. 2000 Oct;55(10):1026; PMID: 11012502
SO  - Anaesthesia. 55(6):610, 2000 Jun
AS  - Anaesthesia. 55(6):610, 2000 Jun
NJ  - Anaesthesia
VO  - 55
IP  - 6
PG  - 610
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Acute Disease
MH  - *Critical Care/og [Organization & Administration]
MH  - England
MH  - *Epiglottitis/th [Therapy]
MH  - Humans
MH  - Infant
MH  - *Patient Transfer/og [Organization & Administration]
IS  - 0003-2409
IL  - 0003-2409
PT  - Case Reports
PT  - Letter
ID  - ana1479-33 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Jun
EZ  - 2000/06/24 11:00
DA  - 2000/07/15 11:00
DT  - 2000/06/24 11:00
YR  - 2000
ED  - 20000712
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10866756

<817. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10723380
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Savory J
FA  - Savory, J
IN  - Savory, J. Queen's Medical Centre, Nottingham.
TI  - Holistic pain management.
SO  - Paediatric Nursing. 11(9):26-7, 1999 Nov
AS  - Paediatr Nurs. 11(9):26-7, 1999 Nov
NJ  - Paediatric nursing
VO  - 11
IP  - 9
PG  - 26-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b6g, 9013329
IO  - Paediatr Nurs
SB  - Nursing Journal
CP  - England
MH  - *Analgesia, Epidural/nu [Nursing]
MH  - Child
MH  - Critical Care/mt [Methods]
MH  - *Holistic Nursing/mt [Methods]
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Pain, Postoperative/di [Diagnosis]
MH  - *Pain, Postoperative/nu [Nursing]
MH  - *Pain, Postoperative/pc [Prevention & Control]
MH  - *Patient Transfer
MH  - *Pediatric Nursing/mt [Methods]
MH  - Quality Assurance, Health Care/og [Organization & Administration]
IS  - 0962-9513
IL  - 0962-9513
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 Nov
EZ  - 2000/03/21 09:00
DA  - 2000/07/06 11:00
DT  - 2000/03/21 09:00
YR  - 1999
ED  - 20000629
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10723380

<818. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10807020
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Keenan SP
AU  - Martin CM
AU  - Kossuth JD
AU  - Eberhard J
AU  - Sibbald WJ
FA  - Keenan, S P
FA  - Martin, C M
FA  - Kossuth, J D
FA  - Eberhard, J
FA  - Sibbald, W J
IN  - Keenan, S P. Richard Ivey Critical Care Trauma Center, London Health Sciences Centre, Ontario, Canada.
TI  - The Critical Care Research Network: a partnership in community-based research and research transfer. [Review] [42 refs]
SO  - Journal of Evaluation in Clinical Practice. 6(1):15-22, 2000 Feb
AS  - J Eval Clin Pract. 6(1):15-22, 2000 Feb
NJ  - Journal of evaluation in clinical practice
VO  - 6
IP  - 1
PG  - 15-22
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cwd, 9609066
IO  - J Eval Clin Pract
SB  - Index Medicus
CP  - England
MH  - Canada
MH  - *Critical Care/og [Organization & Administration]
MH  - *Diffusion of Innovation
MH  - *Evidence-Based Medicine
MH  - *Health Services Research/mt [Methods]
MH  - National Health Programs
MH  - Program Evaluation
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. [References: 42]
IS  - 1356-1294
IL  - 1356-1294
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 2000 Feb
EZ  - 2000/05/12 09:00
DA  - 2000/07/06 11:00
DT  - 2000/05/12 09:00
YR  - 2000
ED  - 20000626
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10807020

<819. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10836116
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ricard-Hibon A
AU  - Marty J
FA  - Ricard-Hibon, A
FA  - Marty, J
IN  - Ricard-Hibon, A. Service d'anesthesie-reanimation-smur, hopital Beaujon, Clichy, France.
TI  - [Management of severe head-injured patients in the first 24 hours. Resuscitation and initial diagnostic strategy]. [Review] [57 refs] [French]
OT  - Prise en charge du traumatise cranien grave dans les 24 premieres heures. Reanimation et strategie diagnostique initiales.
SO  - Annales Francaises d Anesthesie et de Reanimation. 19(4):286-95, 2000 Apr
AS  - Ann Fr Anesth Reanim. 19(4):286-95, 2000 Apr
NJ  - Annales francaises d'anesthesie et de reanimation
VO  - 19
IP  - 4
PG  - 286-95
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4zt, 8213275
IO  - Ann Fr Anesth Reanim
SB  - Index Medicus
CP  - France
MH  - Brain Injuries/di [Diagnosis]
MH  - Brain Injuries/pp [Physiopathology]
MH  - *Brain Injuries/th [Therapy]
MH  - Craniocerebral Trauma/di [Diagnosis]
MH  - Craniocerebral Trauma/pp [Physiopathology]
MH  - *Craniocerebral Trauma/th [Therapy]
MH  - Humans
MH  - *Resuscitation
MH  - Time Factors
AB  - Limitation of secondary insults after severe head injury is a permanent concern during the early phase of head trauma management. The objectives are to maintain mean arterial pressure between 80 and 100 mmHg, to avoid hypoxaemia, and to maintain arterial PCO2 near to 35 mmHg. Volume loading can be necessary to improve arterial pressure, and is carried out with isotonic critalloid (NaCl 9/1000) or colloids, with the exclusion of all hypotonic solutions (Ringer lactate or glucose). The use of catecholamines is reserved for patients with unstable haemodynamics despite an adequate volume loading. The rapid sequence induction is recommended for endotracheal intubation and is followed by continuous analgesia-sedation to keep patient-ventilator dysynchrony, but without compromising haemodynamic objectives. Mannitol is used in case of life-threatening intracranial hypertension. Conversely, specific treatment of intracranial hypertension, especially hypocapnia, is not recommended. Initial diagnostic procedures include cerebral tomodensitometry (TDM). However, TDM may be delayed in case of haemorrhage, which requires a rapid treatment. Intrahospital transport for additional explorations risks secondary insults, and thus requires close monitoring to detect and treat in due time all adverse events. This monitoring includes invasive arterial blood pressure assessment, use of continuous capnography and repeated arterial blood gas measurements. The usefulness of transcranial Doppler for initial management of head-trauma patients needs further evaluation. [References: 57]
IS  - 0750-7658
IL  - 0750-7658
PT  - English Abstract
PT  - Journal Article
PT  - Review
ID  - S0750765899001495 [pii]
PP  - ppublish
LG  - French
DP  - 2000 Apr
EZ  - 2000/06/03 09:00
DA  - 2000/07/06 11:00
DT  - 2000/06/03 09:00
YR  - 2000
ED  - 20000623
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10836116

<820. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10788824
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McBride LR
AU  - Lowdermilk GA
AU  - Fiore AC
AU  - Moroney DA
AU  - Brannan JA
AU  - Swartz MT
FA  - McBride, L R
FA  - Lowdermilk, G A
FA  - Fiore, A C
FA  - Moroney, D A
FA  - Brannan, J A
FA  - Swartz, M T
IN  - McBride, L R. Saint Louis University, Department of Surgery, Division of Cardiothoracic Surgery, St Louis, MO, USA. mcbridlr@slu.edu
TI  - Transfer of patients receiving advanced mechanical circulatory support.
SO  - Journal of Thoracic & Cardiovascular Surgery. 119(5):1015-20, 2000 May
AS  - J Thorac Cardiovasc Surg. 119(5):1015-20, 2000 May
NJ  - The Journal of thoracic and cardiovascular surgery
VO  - 119
IP  - 5
PG  - 1015-20
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - k9j, 0376343
IO  - J. Thorac. Cardiovasc. Surg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Cardiovascular Diseases/mo [Mortality]
MH  - Cardiovascular Diseases/th [Therapy]
MH  - Child
MH  - Coronary Care Units
MH  - *Extracorporeal Membrane Oxygenation
MH  - Female
MH  - *Heart-Assist Devices
MH  - Hospitals, University
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Risk Factors
MH  - Survival Rate
AB  - OBJECTIVE: Improving results with ventricular assist devices have led to their wider clinical application. Centers can stabilize, support, and wean or transfer patients to regional transplant centers.
AB  - METHODS: Prospectively collected data were reviewed to evaluate the clinical results of patients transferred to our institution while receiving advanced mechanical circulatory support.
AB  - RESULTS: Since 1993, 16 patients were accepted while receiving support with either extracorporeal membrane oxygenation or a ventricular assist device. The 10 male and 6 female patients ranged in age from 9 to 60 years (mean, 42.1 years). Thirteen had had cardiac surgical procedures, two had acute myocardial infarctions, and one had myocarditis. The distance transported ranged from 0.2 to 309 miles (mean, 132 miles). Twelve patients were transferred by ground, and 4 were transported by air. Seven patients were originally supported with extracorporeal membrane oxygenation, 6 with centrifugal pumps, and 3 with ABIOMED ventricular assist devices (ABIOMED, Inc, Danvers, Mass). Two patients had clinical complications during transfer, and one had a cerebrovascular accident, recovered, was weaned, and survived. A second patient had hemodynamic deterioration. There were no technical complications associated with transport. Six patients were left on the original support device; 3 of the 6 were weaned and survived, and 3 died during support. The 10 remaining patients were switched to other ventricular assist devices: 9 patients to Thoratec devices (Thoratec Laboratories, Pleasanton, Calif) and 1 patient to a Novacor device (Baxter Healthcare Corp, Novacor Division, Oakland, Calif). Six of the 10 patients underwent transplantation and survived. Four patients died while being supported by the devices. Nine patients were discharged, with 1 late death at 29 months. Eight patients are alive 4 to 65 months after discharge.
AB  - CONCLUSIONS: These data suggest that patients receiving advanced support can be moved between clinical centers with acceptable risks. Because 33% of the survivors were weaned, transplantation is not required for survival.
IS  - 0022-5223
IL  - 0022-5223
PT  - Comparative Study
PT  - Journal Article
ID  - S0022-5223(00)70097-3 [pii]
ID  - 10.1016/S0022-5223(00)70097-3 [doi]
PP  - ppublish
LG  - English
DP  - 2000 May
EZ  - 2000/05/02 09:00
DA  - 2000/06/24 11:00
DT  - 2000/05/02 09:00
YR  - 2000
ED  - 20000616
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10788824

<821. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10633682
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Lofgren MA
FA  - Lofgren, M A
IN  - Lofgren, M A. Statewide Perinatal Care Program, University of Iowa Hospitals and Clinics, Iowa City 52242-1083, USA.
TI  - Development of a resource manual for returning neonates to community hospitals.
SO  - Neonatal Network - Journal of Neonatal Nursing. 18(4):29-33, 1999 Jun
AS  - Neonat Netw. 18(4):29-33, 1999 Jun
NJ  - Neonatal network : NN
VO  - 18
IP  - 4
PG  - 29-33
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8503921
IO  - Neonatal Netw
SB  - Nursing Journal
CP  - United States
MH  - Academic Medical Centers
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - Convalescence
MH  - *Hospitals, Community/og [Organization & Administration]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Interinstitutional Relations
MH  - Iowa
MH  - *Manuals as Topic
MH  - Neonatal Nursing/og [Organization & Administration]
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Practice Guidelines as Topic
MH  - Transportation of Patients/og [Organization & Administration]
AB  - To facilitate the transfer of an infant from a tertiary NICU to a community Level II hospital for convalescing follow-up care, the tertiary staff must know the referral center's capabilities. This will help to establish a trusting relationship between hospitals, will enable the tertiary staff to send infants back to the referral center in a timely manner, will enable them to reassure the patient's parents concerning the transfer, and will facilitate communication between the hospitals and the patient's family. This article describes the development of a referring hospital resource manual designed to facilitate the transfer process.
IS  - 0730-0832
IL  - 0730-0832
PT  - Journal Article
ID  - 10.1891/0730-0832.18.4.29 [doi]
PP  - ppublish
LG  - English
DP  - 1999 Jun
EZ  - 2000/01/14 09:00
DA  - 2000/06/08 09:00
DT  - 2000/01/14 09:00
YR  - 1999
ED  - 20000519
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10633682

<822. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10791532
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Holst D
AU  - Rudolph P
AU  - Wendt M
FA  - Holst, D
FA  - Rudolph, P
FA  - Wendt, M
TI  - Mobile workstation for anaesthesia and intensive-care medicine.
SO  - Lancet. 355(9213):1431-2, 2000 Apr 22
AS  - Lancet. 355(9213):1431-2, 2000 Apr 22
NJ  - Lancet (London, England)
VO  - 355
IP  - 9213
PG  - 1431-2
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 2985213r, l0s, 0053266
IO  - Lancet
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Anesthesiology/ec [Economics]
MH  - *Anesthesiology/is [Instrumentation]
MH  - Critical Care/ec [Economics]
MH  - *Critical Care
MH  - Equipment Design
MH  - Equipment Failure
MH  - Humans
MH  - Monitoring, Physiologic/ae [Adverse Effects]
MH  - Monitoring, Physiologic/ec [Economics]
MH  - *Monitoring, Physiologic/is [Instrumentation]
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Time Factors
MH  - *Transportation of Patients
AB  - Our mobile monitoring and treatment station, for use in anaesthesia and intensive care, allows transport of patients around the medical unit without disconnection from medical equipment, with a maximum level of safety, and low workload and costs.
IS  - 0140-6736
IL  - 0140-6736
PT  - Letter
ID  - S0140-6736(00)02147-4 [pii]
ID  - 10.1016/S0140-6736(00)02147-4 [doi]
PP  - ppublish
LG  - English
DP  - 2000 Apr 22
EZ  - 2000/05/03 09:00
DA  - 2000/05/16 09:00
DT  - 2000/05/03 09:00
YR  - 2000
ED  - 20000511
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10791532

<823. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10787864
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Johnson LJ
FA  - Johnson, L J
TI  - If hospital policy jeopardizes a patient.
SO  - Medical Economics. 77(1):165, 168, 2000 Jan 10
AS  - Med Econ. 77(1):165, 168, 2000 Jan 10
NJ  - Medical economics
VO  - 77
IP  - 1
PG  - 165, 168
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 2985239r, mbn
IO  - Med Econ
SB  - Health Administration Journals
CP  - United States
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - Malpractice
MH  - *Organizational Policy
MH  - *Patient Transfer/og [Organization & Administration]
IS  - 0025-7206
IL  - 0025-7206
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2000 Jan 10
EZ  - 2000/05/02
DA  - 2000/05/02 00:01
DT  - 2000/05/02 00:00
YR  - 2000
ED  - 20000407
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10787864

<824. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10689519
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Holst D
AU  - Rudolph P
AU  - Wendt M
FA  - Holst, D
FA  - Rudolph, P
FA  - Wendt, M
IN  - Holst, D. Klinik und Poliklinik fur Anasthesiologie und Intensivmedizin, Ernst-Moritz-Arndt-Universitat Greifswald. holst@mail.uni-greifswald.de
TI  - [Practical realization of a patient-accompanying concept in anesthesia and intensive care]. [German]
OT  - Praktische Umsetzung eines patientenbegleitenden Arbeitsplatzkonzeptes fur Anasthesie und Intensivmedizin.
SO  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. 35(1):25-9, 2000 Jan
AS  - Anasthesiol Intensivmed Notfallmed Schmerzther. 35(1):25-9, 2000 Jan
NJ  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
VO  - 35
IP  - 1
PG  - 25-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9109478, a4c
IO  - Anasthesiol Intensivmed Notfallmed Schmerzther
SB  - Index Medicus
CP  - Germany
MH  - *Anesthesia
MH  - *Critical Care
MH  - Equipment Design
MH  - Humans
MH  - Intensive Care Units
MH  - *Monitoring, Physiologic/is [Instrumentation]
MH  - Monitoring, Physiologic/mt [Methods]
MH  - *Patient Transfer/mt [Methods]
MH  - Postoperative Care
MH  - Recovery Room
AB  - UNLABELLED: Our current concept of stationary workplaces results in an interruption in patient monitoring and treatment. Because transfers are invariably associated with a reduction or interruption in the monitoring and treatment chain, an endangerment to critically-ill patients, as well as a significant increase in the mortality rates, can result.
AB  - DESIGN: In the new construction of the Cardiac Clinic, the previous concept of immobile anesthesia and intensive care workstations has been completely abandoned. The complete treatment workstation, including monitoring and fluid management, is set up on a bedside cart which accompanies the patients uninterruptedly--from anesthesia administration, to the operating room, to the ICU or recovery room, as well as during elective or emergency interventions outside the ICU. Transport times and complications from 995 transports (ASA III and IV) were analysed and compared with 880 transports with the conventional system.
AB  - RESULTS: During all intrahospital transfers with the mobile workplace, there were no complications resulting from faulty operation or accidental adjustment of the perfusors, or from disconnecting the monitoring,-, respiration-, or infusion lines. On the whole, there were fewer cases of circulatory instability during transport, since infusion treatment and medication could be administered without interruption. All hemodynamic parameters were recorded during transport, as were cardiac minute output and right- and left-atrial filling pressures. The mobile workplace system allows for the shortest possible transport and exchange times--13.5 min, as compared to 42.5 min with the conventional system. The reconnection of monitoring equipment with zeroing, adjustment of the alarm limits, as well as exchanging perfusors and infusomats before and after transport is eliminated entirely.
AB  - CONCLUSION: This mobile workplace, in which all components of the anesthesiological and intensive care workstations are integrated, guarantees the highest possible level of patient safety, since nothing has to be disconnected until the patient is transferred to a normal-care ward. In addition to the improved ergonomic design of the nurse's and doctor's workplace, substantial savings can also be made.
IS  - 0939-2661
IL  - 0939-2661
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - German
DP  - 2000 Jan
EZ  - 2000/02/26 09:00
DA  - 2000/03/18 09:00
DT  - 2000/02/26 09:00
YR  - 2000
ED  - 20000313
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10689519

<825. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10685266
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Joseph M
AU  - Mass M
AU  - Hageman JR
FA  - Joseph, M
FA  - Mass, M
FA  - Hageman, J R
IN  - Joseph, M. Evanston Northwestern Healthcare, Department of Pediatrics, IL 6021, USA.
TI  - Perinatal/neonatal transport casebook. A 3-week-old female infant with a cough and limp spells.
SO  - Journal of Perinatology. 19(5):395-6, 1999 Jul-Aug
AS  - J Perinatol. 19(5):395-6, 1999 Jul-Aug
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 19
IP  - 5
PG  - 395-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - *Apnea/et [Etiology]
MH  - Apnea/th [Therapy]
MH  - *Bradycardia/et [Etiology]
MH  - *Cough/co [Complications]
MH  - Cough/pp [Physiopathology]
MH  - *Cough/th [Therapy]
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Intubation
MH  - Respiration, Artificial
MH  - Transportation of Patients
IS  - 0743-8346
IL  - 0743-8346
PT  - Case Reports
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 Jul-Aug
EZ  - 2000/02/24 09:00
DA  - 2000/03/11 09:00
DT  - 2000/02/24 09:00
YR  - 1999
ED  - 20000308
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10685266

<826. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10674596
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Towers CV
AU  - Bonebrake R
AU  - Padilla G
AU  - Rumney P
FA  - Towers, C V
FA  - Bonebrake, R
FA  - Padilla, G
FA  - Rumney, P
IN  - Towers, C V. Long Beach Memorial Women's Hospital, California, USA.
TI  - The effect of transport on the rate of severe intraventricular hemorrhage in very low birth weight infants.
SO  - Obstetrics & Gynecology. 95(2):291-5, 2000 Feb
AS  - Obstet Gynecol. 95(2):291-5, 2000 Feb
NJ  - Obstetrics and gynecology
VO  - 95
IP  - 2
PG  - 291-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - oc2, 0401101
IO  - Obstet Gynecol
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - California/ep [Epidemiology]
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Infant, Newborn
MH  - *Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal
MH  - *Intracranial Hemorrhages/ep [Epidemiology]
MH  - Male
MH  - *Patient Transfer
MH  - Severity of Illness Index
MH  - *Transportation of Patients
AB  - OBJECTIVE: To determine the incidence of grade III or IV intraventricular hemorrhage in very low birth weight (VLBW) infants born at level I hospitals and transported to one tertiary center compared with those delivered at the same level III facility.
AB  - METHODS: We evaluated all newborns admitted to a large tertiary neonatal intensive care unit from June 1, 1992, through December 31, 1995. All live born infants with birth weights of 500-1200 g and at least 24 weeks' gestation were included. Neonatal transports within 24 hours of delivery from 11 level I facilities were compared with those delivered at the same level III center with respect to grade III and IV intraventricular hemorrhage. Various antenatal and neonatal data were collected.
AB  - RESULTS: Thirty-seven newborns (11%) experienced grade III or IV intraventricular hemorrhages among 329 who met study criteria. There were 27 cases (9%) in the 285 inborn neonates compared with 10 of 44 outborn cases (23%) (P < .02, 95% confidence interval 0.15, 0.87). The mean gestational age of the neonates with grade III or IV intraventricular hemorrhages was significantly lower in the inborn group, which further emphasizes the finding. No other study factors explained the difference.
AB  - CONCLUSION: We found a higher risk for grade III or IV intraventricular hemorrhage developing in VLBW infants born at level I hospitals and transported to the tertiary care center compared with those born at the level III facility. This data should be considered when analyzing the potential effects of perinatal deregionalization.
IS  - 0029-7844
IL  - 0029-7844
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0029-7844(99)00528-1 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Feb
EZ  - 2000/02/16 09:00
DA  - 2000/03/04 09:00
DT  - 2000/02/16 09:00
YR  - 2000
ED  - 20000229
RD  - 20091026
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10674596

<827. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10660856
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ferdinande P
FA  - Ferdinande, P
TI  - Recommendations for intra-hospital transport of the severely head injured patient. Working Group on Neurosurgical Intensive Care of the European Society of Intensive Care Medicine.
SO  - Intensive Care Medicine. 25(12):1441-3, 1999 Dec
AS  - Intensive Care Med. 25(12):1441-3, 1999 Dec
NJ  - Intensive care medicine
VO  - 25
IP  - 12
PG  - 1441-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - *Craniocerebral Trauma/th [Therapy]
MH  - Critical Care
MH  - *Emergency Service, Hospital/st [Standards]
MH  - Europe
MH  - Humans
MH  - *Patient Transfer/st [Standards]
MH  - *Transportation of Patients/st [Standards]
IS  - 0342-4642
IL  - 0342-4642
PT  - Guideline
PT  - Journal Article
PT  - Practice Guideline
PP  - ppublish
LG  - English
DP  - 1999 Dec
EZ  - 2000/02/08 09:00
DA  - 2000/03/04 09:00
DT  - 2000/02/08 09:00
YR  - 1999
ED  - 20000229
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10660856

<828. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10667537
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Scheinhorn DJ
FA  - Scheinhorn, D J
TI  - Outcomes of post-intensive care unit care: once more, the half-full/empty glass.
CM  - Comment on: Crit Care Med. 2000 Jan;28(1):19-25; PMID: 10667494
SO  - Critical Care Medicine. 28(1):257-8, 2000 Jan
AS  - Crit Care Med. 28(1):257-8, 2000 Jan
NJ  - Critical care medicine
VO  - 28
IP  - 1
PG  - 257-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Critical Illness/mo [Mortality]
MH  - *Critical Illness/rh [Rehabilitation]
MH  - Humans
MH  - *Outcome Assessment (Health Care)
MH  - *Patient Transfer
MH  - *Quality of Life
MH  - *Residential Facilities/st [Standards]
MH  - *Survivors
MH  - United States
IS  - 0090-3493
IL  - 0090-3493
PT  - Comment
PT  - Editorial
PP  - ppublish
LG  - English
DP  - 2000 Jan
EZ  - 2000/02/10 09:00
DA  - 2000/02/26 09:00
DT  - 2000/02/10 09:00
YR  - 2000
ED  - 20000224
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10667537

<829. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10667526
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kanter RK
FA  - Kanter, R K
IN  - Kanter, R K. Department of Pediatrics, SUNY Health Science Center, Syracuse, NY, USA.
TI  - Post-intensive care unit pediatric hospital stay and estimated costs.
SO  - Critical Care Medicine. 28(1):220-3, 2000 Jan
AS  - Crit Care Med. 28(1):220-3, 2000 Jan
NJ  - Critical care medicine
VO  - 28
IP  - 1
PG  - 220-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Child, Hospitalized/sn [Statistics & Numerical Data]
MH  - Child, Preschool
MH  - Female
MH  - *Hospital Costs
MH  - *Hospitals, University/ec [Economics]
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - *Length of Stay/ec [Economics]
MH  - Male
MH  - New York
MH  - Patient Transfer
MH  - *Progressive Patient Care/ec [Economics]
MH  - Prospective Studies
MH  - *Survivors/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: For pediatric intensive care unit (ICU) survivors, to determine the proportion of hospital stay and estimated hospital costs accounted for by post-ICU care.
AB  - DESIGN: Prospective study.
AB  - SETTING: University teaching hospital.
AB  - PATIENTS: Pediatric patients who survive an ICU admission.
AB  - INTERVENTIONS: None.
AB  - MEASUREMENTS AND MAIN RESULTS: Estimated relative daily costs were assumed as follows: ICU, with ventilator/ICU, not on ventilator/intermediate care unit/general pediatric hospital day, at 2:1:0.7:0.3, respectively. Estimated costs were expressed in arbitrary units as (number of days at each level of care) x (relative cost per day). The ICU phase was defined as the patient's first ICU admission only, and the post-ICU phase included intermediate care unit and general pediatric hospital days, as well as ICU readmission during the same hospitalization. Pre-ICU hospital activity was excluded from analysis. For 341 ICU survivors, post-ICU days (median, 4 days per patient) accounted for 62% of the total hospital stay. Post-ICU care accounted for one third of the total estimated hospital costs for ICU survivors. Patients with longer post-ICU stays could not be reliably identified at the time of ICU discharge according to their ICU length of stay, duration of mechanical ventilation in the ICU, age, ICU day 1 mortality probability, or diagnostic group (p>.05).
AB  - CONCLUSIONS: Post-ICU care accounts for a substantial proportion of hospital stay and estimated costs for ICU survivors. These observations suggest that developing strategies to optimize hospital utilization at the time of ICU discharge may be important for controlling costs of recovery from critical illness.
IS  - 0090-3493
IL  - 0090-3493
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 2000 Jan
EZ  - 2000/02/10 09:00
DA  - 2000/02/26 09:00
DT  - 2000/02/10 09:00
YR  - 2000
ED  - 20000224
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10667526

<830. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10650497
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Haupt MT
AU  - Rehm CG
FA  - Haupt, M T
FA  - Rehm, C G
IN  - Haupt, M T. Department of Medicine, Oregon Health Sciences University, Portland, USA.
TI  - Bedside procedures. Solutions to the pitfalls of intrahospital transport.
SO  - Critical Care Clinics. 16(1):1-6, v, 2000 Jan
AS  - Crit Care Clin. 16(1):1-6, v, 2000 Jan
NJ  - Critical care clinics
VO  - 16
IP  - 1
PG  - 1-6, v
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ccc, 8507720
IO  - Crit Care Clin
SB  - Index Medicus
CP  - United States
MH  - Humans
MH  - *Monitoring, Physiologic
MH  - Point-of-Care Systems
MH  - *Transportation of Patients
AB  - The technology to perform diagnostic and therapeutic procedures at the bedside continues to advance. Because of documented hazards and the expense of intrahospital transport, the bedside is becoming an appealing site for procedures that are more commonly performed in radiologic, bronchoscopic, other procedural suites, and the operating room.
IS  - 0749-0704
IL  - 0749-0704
PT  - Journal Article
ID  - S0749-0704(05)70094-4 [pii]
PP  - ppublish
LG  - English
DP  - 2000 Jan
EZ  - 2000/01/29 09:00
DA  - 2000/02/19 09:00
DT  - 2000/01/29 09:00
YR  - 2000
ED  - 20000211
RD  - 20171130
UP  - 20171130
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=10650497

<831. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10640126
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Haddad A
FA  - Haddad, A
IN  - Haddad, A. School of Pharmacy and Allied Health Professions, Creighton University, Omaha, USA.
TI  - Ethics in action. A nurse on a critical care unit has promised her terminally ill patient that she will care for him until the end.
SO  - RN. 62(11):21-4, 1999 Nov
AS  - RN. 62(11):21-4, 1999 Nov
NJ  - RN
VO  - 62
IP  - 11
PG  - 21-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - twp, 20010080r
IO  - RN
OI  - Source: KIE. 110175
OI  - Source: NRCBL. VF 20.4.1
SB  - Bioethics Journals
SB  - Nursing Journal
CP  - United States
MH  - *Critical Care/px [Psychology]
MH  - Deception
MH  - *Ethics, Nursing
MH  - Humans
MH  - *Nurse-Patient Relations
MH  - *Patient Transfer
MH  - *Terminal Care/px [Psychology]
KW  - Death and Euthanasia;  Professional Patient Relationship
NT  - 2 refs.
NT  - KIE Bib: professional patient relationship; terminal care
IS  - 0033-7021
IL  - 0033-7021
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 Nov
EZ  - 2000/01/20
DA  - 2000/01/20 00:01
DT  - 2000/01/20 00:00
YR  - 1999
ED  - 20000121
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10640126

<832. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10614323
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dean K
FA  - Dean, K
TI  - Dilemma in the ICU.
SO  - Florida Nurse. 46(7):27-8, 1998 Sep
AS  - Fla Nurse. 46(7):27-8, 1998 Sep
NJ  - The Florida nurse
VO  - 46
IP  - 7
PG  - 27-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ex8, 16930510r
IO  - Fla Nurse
SB  - Nursing Journal
CP  - United States
MH  - Clinical Competence/lj [Legislation & Jurisprudence]
MH  - *Critical Care/lj [Legislation & Jurisprudence]
MH  - Equipment Failure
MH  - Fatal Outcome
MH  - Florida
MH  - Humans
MH  - Liability, Legal
MH  - *Malpractice/lj [Legislation & Jurisprudence]
MH  - *Nursing Staff, Hospital/lj [Legislation & Jurisprudence]
MH  - *Pacemaker, Artificial
MH  - *Patient Transfer/lj [Legislation & Jurisprudence]
IS  - 0015-4199
IL  - 0015-4199
PT  - Case Reports
PT  - Journal Article
PT  - Legal Cases
PP  - ppublish
LG  - English
DP  - 1998 Sep
EZ  - 1999/12/30
DA  - 1999/12/30 00:01
DT  - 1999/12/30 00:00
YR  - 1998
ED  - 20000113
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10614323

<833. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10616341
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bennett NR
FA  - Bennett, N R
IN  - Bennett, N R. Department of Paediatric Anaesthesia and Intensive Care, Sheffield Children's Hospital, UK.
TI  - Paediatric intensive care. [Review] [167 refs]
CM  - Comment in: Br J Anaesth. 2000 Jul;85(1):179; PMID: 10928017
SO  - British Journal of Anaesthesia. 83(1):139-56, 1999 Jul
AS  - Br J Anaesth. 83(1):139-56, 1999 Jul
NJ  - British journal of anaesthesia
VO  - 83
IP  - 1
PG  - 139-56
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0372541
IO  - Br J Anaesth
SB  - Index Medicus
CP  - England
MH  - Child
MH  - Conscious Sedation/mt [Methods]
MH  - *Critical Care/mt [Methods]
MH  - Critical Illness/th [Therapy]
MH  - Hospital Mortality
MH  - Hospitals, Pediatric
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Intubation, Intratracheal/mt [Methods]
MH  - Meningococcal Infections/th [Therapy]
MH  - Outcome Assessment (Health Care)/mt [Methods]
MH  - Patient Transfer/mt [Methods]
MH  - *Pediatrics/mt [Methods]
MH  - Respiratory Insufficiency/th [Therapy]
MH  - Severity of Illness Index
IS  - 0007-0912
IL  - 0007-0912
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1999 Jul
EZ  - 2000/01/05
DA  - 2000/01/05 00:01
DT  - 2000/01/05 00:00
YR  - 1999
ED  - 20000110
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10616341

<834. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10614312
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bird D
FA  - Bird, D
IN  - Bird, D. School of Health, Nursing and Midwifery, University of East Anglia.
TI  - Transferring the thermally injured.
SO  - Emergency Nurse. 7(6):14-7, 1999 Oct
AS  - Emerg Nurse. 7(6):14-7, 1999 Oct
NJ  - Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
VO  - 7
IP  - 6
PG  - 14-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bia, 9208913
IO  - Emerg Nurse
SB  - Nursing Journal
CP  - England
MH  - Burn Units
MH  - *Burns/nu [Nursing]
MH  - *Emergency Nursing/mt [Methods]
MH  - Emergency Service, Hospital
MH  - Emergency Treatment/mt [Methods]
MH  - Emergency Treatment/nu [Nursing]
MH  - Humans
MH  - Nursing Records
MH  - *Patient Transfer/mt [Methods]
MH  - Referral and Consultation
AB  - The emergency nurse should seek expert opinion if in doubt. The priority is to protect the airway--intubate if unsure. Administer oxygen and insert at least two 16fg cannula in adults and two 20fg cannula in children. Record all fluids administered including the type, volume and rate of infusion. Monitor and record clinical observations (see Fig. 3). Keep the burns wounds covered with cling-film. Measure urine output and ensure the catheter circuit is patent and ensure the patient is pain free. Keep the patient warm and relatives informed. Finally, inform the burns unit of departure. Details provided by A&E staff may have considerable impact upon the subsequent management of the thermally injured patient.
IS  - 1354-5752
IL  - 1354-5752
PT  - Journal Article
ID  - 10.7748/en1999.10.7.6.14.c1294 [doi]
PP  - ppublish
LG  - English
DP  - 1999 Oct
EZ  - 1999/12/30
DA  - 1999/12/30 00:01
DT  - 1999/12/30 00:00
YR  - 1999
ED  - 19991230
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10614312

<835. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10542912
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Marx G
AU  - Leuwer M
AU  - Piepenbrock S
AU  - Rueckoldt H
FA  - Marx, G
FA  - Leuwer, M
FA  - Piepenbrock, S
FA  - Rueckoldt, H
IN  - Marx, G. Abteilung II, Medizinische Hochschule Hannover.
TI  - [Intra-hospital transport of patients with increased intracranial pressure]. [Review] [43 refs] [German]
OT  - Der innerklinische Transport von Patienten mit erhohtem intrakraniellen Druck.
SO  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. 34 Suppl 1:S58-61, 1999 Sep
AS  - Anasthesiol Intensivmed Notfallmed Schmerzther. 34 Suppl 1:S58-61, 1999 Sep
NJ  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
VO  - 34 Suppl 1
PG  - S58-61
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9109478, a4c
IO  - Anasthesiol Intensivmed Notfallmed Schmerzther
SB  - Index Medicus
CP  - Germany
MH  - Craniocerebral Trauma/pp [Physiopathology]
MH  - *Craniocerebral Trauma
MH  - Humans
MH  - *Intracranial Pressure
MH  - *Transportation of Patients
IS  - 0939-2661
IL  - 0939-2661
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - German
DP  - 1999 Sep
EZ  - 1999/10/30
DA  - 1999/10/30 00:01
DT  - 1999/10/30 00:00
YR  - 1999
ED  - 19991208
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10542912

<836. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10549984
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bouvier-Colle MH
FA  - Bouvier-Colle, M H
TI  - Maternal intensive care and near-miss mortality in obstetrics.
CM  - Comment on: Br J Obstet Gynaecol. 1998 Sep;105(9):981-4; PMID: 9763049
SO  - British Journal of Obstetrics & Gynaecology. 106(11):1234, 1999 Nov
AS  - Br J Obstet Gynaecol. 106(11):1234, 1999 Nov
NJ  - British journal of obstetrics and gynaecology
VO  - 106
IP  - 11
PG  - 1234
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - azc, 7503752
IO  - Br J Obstet Gynaecol
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Critical Care
MH  - Female
MH  - Humans
MH  - Maternal Mortality
MH  - Patient Transfer
MH  - Risk Factors
IS  - 0306-5456
IL  - 0306-5456
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 1999 Nov
EZ  - 1999/11/05 08:00
DA  - 2000/03/04 09:00
DT  - 1999/11/05 08:00
YR  - 1999
ED  - 19991130
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10549984

<837. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9855899
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Doherty AM
FA  - Doherty, A M
IN  - Doherty, A M. Mercy Health System, Philadelphia, Pennsylvania, USA.
TI  - Mobilization of the interdisciplinary critical care team at home and abroad. [Review] [43 refs]
SO  - Critical Care Nursing Clinics of North America. 10(3):369-76, 1998 Sep
AS  - Crit Care Nurs Clin North Am. 10(3):369-76, 1998 Sep
NJ  - Critical care nursing clinics of North America
VO  - 10
IP  - 3
PG  - 369-76
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aju, 8912620
IO  - Crit Care Nurs Clin North Am
SB  - Nursing Journal
CP  - United States
MH  - Australia
MH  - *Community Health Nursing/og [Organization & Administration]
MH  - *Critical Care/og [Organization & Administration]
MH  - Europe
MH  - Forecasting
MH  - *Home Care Services/og [Organization & Administration]
MH  - Humans
MH  - International Cooperation
MH  - *Mobile Health Units/og [Organization & Administration]
MH  - North America
MH  - *Patient Care Team/og [Organization & Administration]
MH  - Saudi Arabia
MH  - Transportation of Patients/og [Organization & Administration]
AB  - Already it is clear that managed care organizations seek delivery innovations that can move homecare beyond being a posthospitalization add-on to becoming a true alternative to hospitalization. Throughout its history, home health care nurses have epitomized Florence Nightingale's philosophy that nurses are "messengers of health as well as ministers of disease." With the development of more sophisticated models of interdisciplinary practice in high-tech homecare, nurses are in a position to help create a health care delivery system that in a sense brings people back to the future. The natural setting of the home is the best place to provide holistic care, it is where patients overwhelmingly prefer to be cared for, and it is affordable. Indeed, affordability has become the operant word, worldwide, for a health care delivery system that can continue to meet the growing demands of the future. [References: 43]
IS  - 0899-5885
IL  - 0899-5885
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1998 Sep
EZ  - 1998/12/18
DA  - 1998/12/18 00:01
DT  - 1998/12/18 00:00
YR  - 1998
ED  - 19991126
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9855899

<838. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10501318
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sheridan R
AU  - Weber J
AU  - Prelack K
AU  - Petras L
AU  - Lydon M
AU  - Tompkins R
FA  - Sheridan, R
FA  - Weber, J
FA  - Prelack, K
FA  - Petras, L
FA  - Lydon, M
FA  - Tompkins, R
IN  - Sheridan, R. Shriners Burns Institute, Massachusetts General Hospital, Department of Surgery, Harvard Medical School, Boston 20114, USA.
TI  - Early burn center transfer shortens the length of hospitalization and reduces complications in children with serious burn injuries.
SO  - Journal of Burn Care & Rehabilitation. 20(5):347-50, 1999 Sep-Oct
AS  - J Burn Care Rehabil. 20(5):347-50, 1999 Sep-Oct
NJ  - The Journal of burn care & rehabilitation
VO  - 20
IP  - 5
PG  - 347-50
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - Body Surface Area
MH  - *Burn Units
MH  - Burns/co [Complications]
MH  - *Burns/th [Therapy]
MH  - Case-Control Studies
MH  - Child
MH  - Humans
MH  - *Length of Stay/sn [Statistics & Numerical Data]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Time Factors
AB  - Prompt transfer of the child with acute burns can be difficult from distant or inaccessible locations, and it is believed that the outcomes of children with serious burns whose transfer to a specialized burn care facility is delayed may be compromised. A 4-year experience with 16 consecutive children with serious burns (> or =20% of the body surface area) whose transfer to a burn care facility was delayed for 5 or more days was reviewed to document the difficulties that can follow such delays. These 16 children had an average age of 8.6+/-1.6 years and an average wound size of 57.6%+/-5.8% of the body surface area, and they arrived a mean of 16.3+/-3.4 days after the injury (range, 5 to 44 days). These children had undergone an average of 1 operation, excluding escharotomies, at referring facilities. Only 4 (25%) of the children had no infectious focus at transfer, and at admission resistant bacteria were recovered from 9 (56%) of the children and fungal organisms were found in 10 (63%). Compared with a concurrently managed matched control group of patients admitted to the burn center within 24 hours of injury, the delayed-transfer group had statistically significantly more bacteremia, renal dysfunction, wound sepsis, and central venous catheter days. It was also more expensive to manage these children; the delayed-transfer group required statistically significantly longer to achieve 95% wound closure, and they had greater total lengths of hospital stay and more rehabilitation days. The early transfer of children with serious burns to a specialized burn center may truncate hospitalization and thereby reduce costs.
IS  - 0273-8481
IL  - 0273-8481
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1999 Sep-Oct
EZ  - 1999/09/29
DA  - 1999/09/29 00:01
DT  - 1999/09/29 00:00
YR  - 1999
ED  - 19991028
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10501318

<839. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10557814
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Maggiore WA
FA  - Maggiore, W A
TI  - Avoid COBRA's fangs. The Emergency Medical Treatment & Active Labor Act: legislating appropriate critical care transports.
SO  - Journal of Emergency Medical Services. 24(8):66-74, 76, 1999 Aug
AS  - J Emerg Med Serv JEMS. 24(8):66-74, 76, 1999 Aug
NJ  - JEMS : a journal of emergency medical services
VO  - 24
IP  - 8
PG  - 66-74, 76
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8102138, irc
IO  - JEMS
SB  - Health Administration Journals
CP  - United States
MH  - Critical Care/lj [Legislation & Jurisprudence]
MH  - *Emergency Medical Services/lj [Legislation & Jurisprudence]
MH  - Female
MH  - Guideline Adherence
MH  - Humans
MH  - Labor, Obstetric
MH  - Legislation, Hospital
MH  - Liability, Legal
MH  - *Patient Transfer/lj [Legislation & Jurisprudence]
MH  - Physical Examination
MH  - Pregnancy
MH  - United States
IS  - 0197-2510
IL  - 0197-2510
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 Aug
EZ  - 1999/11/11
DA  - 1999/11/11 00:01
DT  - 1999/11/11 00:00
YR  - 1999
ED  - 19991001
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10557814

<840. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10457621
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bouve LR
AU  - Rozmus CL
AU  - Giordano P
FA  - Bouve, L R
FA  - Rozmus, C L
FA  - Giordano, P
IN  - Bouve, L R. School of Nursing, Georgia Southwestern State University, Americus 31709, USA.
TI  - Preparing parents for their child's transfer from the PICU to the pediatric floor.
SO  - Applied Nursing Research. 12(3):114-20, 1999 Aug
AS  - Appl Nurs Res. 12(3):114-20, 1999 Aug
NJ  - Applied nursing research : ANR
VO  - 12
IP  - 3
PG  - 114-20
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 6lv, 8901557
IO  - Appl Nurs Res
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Anxiety/di [Diagnosis]
MH  - Anxiety/et [Etiology]
MH  - *Anxiety/nu [Nursing]
MH  - *Anxiety/pc [Prevention & Control]
MH  - *Child, Hospitalized
MH  - Female
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - Middle Aged
MH  - Nursing Evaluation Research
MH  - Parents/ed [Education]
MH  - Parents/px [Psychology]
MH  - *Parents
MH  - *Patient Transfer
MH  - Pediatric Nursing/mt [Methods]
MH  - Surveys and Questionnaires
MH  - Teaching Materials
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.
IS  - 0897-1897
IL  - 0897-1897
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
ID  - S0897-1897(99)80012-3 [pii]
PP  - ppublish
LG  - English
DP  - 1999 Aug
EZ  - 1999/08/24
DA  - 1999/08/24 00:01
DT  - 1999/08/24 00:00
YR  - 1999
ED  - 19990903
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10457621

<841. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10404453
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Frawley G
AU  - Bayley G
AU  - Chondros P
FA  - Frawley, G
FA  - Bayley, G
FA  - Chondros, P
IN  - Frawley, G. Department of Anaesthesia, Royal Children's Hospital, Parkville, Victoria, Australia. frawleyg@cryptic.rch.unimelb.edu.au
TI  - Laparotomy for necrotizing enterocolitis: intensive care nursery compared with operating theatre.
SO  - Journal of Paediatrics & Child Health. 35(3):291-5, 1999 Jun
AS  - J Paediatr Child Health. 35(3):291-5, 1999 Jun
NJ  - Journal of paediatrics and child health
VO  - 35
IP  - 3
PG  - 291-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Enterocolitis, Necrotizing/mo [Mortality]
MH  - *Enterocolitis, Necrotizing/su [Surgery]
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/mo [Mortality]
MH  - *Infant, Newborn, Diseases/su [Surgery]
MH  - *Intensive Care Units, Neonatal
MH  - Laparotomy
MH  - Operating Rooms
MH  - *Patient Transfer
MH  - *Perioperative Care
MH  - Postoperative Complications/mo [Mortality]
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Statistics, Nonparametric
MH  - Treatment Outcome
MH  - Victoria/ep [Epidemiology]
AB  - OBJECTIVE: To determine whether neonates requiring laparotomy for necrotizing enterocolitis (NEC) are more stable perioperatively and have less disruption of physiological parameters if surgery is performed in the neonatal intensive care unit (NICU) compared with the operating theatre (OR).
AB  - METHODOLOGY: A retrospective case review was performed on 233 neonates referred for further surgical management of severe NEC in the period January 1989 to December 1997. Mortality and morbidity were compared by calculating the score for neonatal acute physiology (SNAP) and its attendant risk of mortality score. Thirty-six separate physiological variables were also compared pre- and postoperatively and the mean postoperative change was calculated.
AB  - RESULTS: For neonates weighing less than 1500 g, mortality was linked to illness severity, as measured by SNAP, rather than operative location. Specific adverse events associated with secondary transfer to the OR included hypothermia, deterioration in oxygenation parameters, ventilation parameters and platelet count. The liberal use of blood products, albumin and bicarbonate in perioperative resuscitation may have obscured other effects.
AB  - CONCLUSIONS: The use of the neonatal intensive care nursery for surgery on neonates weighing less than 1500 g with severe NEC can be justified and such use should be encouraged. In contrast, secondary transport of neonates weighing less than 1500 g to the OR for laparotomy is associated with significant deterioration in a number of physiological parameters, which may impact on morbidity.
IS  - 1034-4810
IL  - 1034-4810
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 Jun
EZ  - 1999/07/15
DA  - 1999/07/15 00:01
DT  - 1999/07/15 00:00
YR  - 1999
ED  - 19990805
RD  - 20070924
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10404453

<842. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10403864
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Goldhill DR
AU  - White SA
AU  - Sumner A
FA  - Goldhill, D R
FA  - White, S A
FA  - Sumner, A
IN  - Goldhill, D R. The Anaesthetics Unit, St Bartholomew's and Royal London School of Medicine and Dentistry, The Royal London Hospital, Whitechapel, UK.
TI  - Physiological values and procedures in the 24 h before ICU admission from the ward.
SO  - Anaesthesia. 54(6):529-34, 1999 Jun
AS  - Anaesthesia. 54(6):529-34, 1999 Jun
NJ  - Anaesthesia
VO  - 54
IP  - 6
PG  - 529-34
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *APACHE
MH  - Cardiopulmonary Resuscitation
MH  - Critical Care/sn [Statistics & Numerical Data]
MH  - *Critical Care
MH  - Hospital Mortality
MH  - Humans
MH  - Length of Stay
MH  - London/ep [Epidemiology]
MH  - Monitoring, Physiologic
MH  - *Patient Selection
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - *Patient Transfer
MH  - Patients' Rooms/sn [Statistics & Numerical Data]
MH  - Respiration Disorders/th [Therapy]
MH  - Time Factors
AB  - Physiological values and interventions in the 24 h before entry to intensive care were collected for admissions from hospital wards. In a 13-month period, there were 79 admissions in 76 patients who had been in hospital for at least 24 h and had not undergone surgery within 24 h of admission to intensive care. Thirty-four per cent of patients underwent cardiopulmonary resuscitation before intensive care admission. Using Acute Physiology and Chronic Health Evaluation II scoring to quantify abnormal physiology in the group as a whole, a significant deterioration in respiratory function before admission was found. During the 6-h period immediately before intensive care admission, 75% of patients received oxygen, 37% underwent arterial blood gas sampling, and oxygen saturation was measured in 61% of patients, 63% of whom had an oxygen saturation of less than 90%. Overall hospital mortality in the study group was 58%. Information collected on the wards identified seriously ill patients who may have benefited from earlier expert treatment.
IS  - 0003-2409
IL  - 0003-2409
PT  - Journal Article
ID  - ana837 [pii]
PP  - ppublish
LG  - English
DP  - 1999 Jun
EZ  - 1999/07/15
DA  - 1999/07/15 00:01
DT  - 1999/07/15 00:00
YR  - 1999
ED  - 19990804
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10403864

<843. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10391525
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Arad I
AU  - Gofin R
AU  - Baras M
AU  - Bar-Oz B
AU  - Peleg O
AU  - Epstein L
FA  - Arad, I
FA  - Gofin, R
FA  - Baras, M
FA  - Bar-Oz, B
FA  - Peleg, O
FA  - Epstein, L
IN  - Arad, I. Department of Neonatology, Hadassah University Hospital, Jerusalem, Israel.
TI  - Neonatal outcome of inborn and transported very-low-birth-weight infants: relevance of perinatal factors.
SO  - European Journal of Obstetrics, Gynecology, & Reproductive Biology. 83(2):151-7, 1999 Apr
AS  - Eur J Obstet Gynecol Reprod Biol. 83(2):151-7, 1999 Apr
NJ  - European journal of obstetrics, gynecology, and reproductive biology
VO  - 83
IP  - 2
PG  - 151-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - e4l, 0375672
IO  - Eur. J. Obstet. Gynecol. Reprod. Biol.
SB  - Index Medicus
CP  - Ireland
MH  - Hospitals, General/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature, Diseases/pc [Prevention & Control]
MH  - *Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Intensive Care, Neonatal
MH  - Israel
MH  - Logistic Models
MH  - Multivariate Analysis
MH  - Survival Analysis
MH  - *Transportation of Patients
MH  - Treatment Outcome
AB  - OBJECTIVE: To compare the neonatal outcome (survival, intraventricular hemorrhage and bronchopulmonary dysplasia) of inborn and outborn very-low-birth-weight infants accounting for sociodemographic, obstetric and perinatal variables.
AB  - STUDY DESIGN: Ninety-one premature infants with birth weights of 750-1250 g delivered between 1990 and 1994 in a hospital providing neonatal intensive care were compared with 76 premature babies delivered in a referring hospital. In the statistical analysis, variables with a statistically significant association with the outcome variables and dissimilar distributions in the two hospitals were identified and entered together with the hospital of birth as explanatory variables in a logistic regression.
AB  - RESULTS: No statistically significant differences between the outcome variables of the two populations examined were observed, whether before or after accounting for the covariates. The odds ratios (outborns relative to inborns) were 1.18 for mortality, 1.25 for bronchopulmonary dysplasia and 1.53 for severe intraventricular hemorrhage. In the multivariate analyses, respiratory distress syndrome was significantly associated with mortality; both low birth weight and the presence of respiratory distress syndrome were associated with the development of bronchopulmonary dysplasia; the evolvement of severe intraventricular hemorrhage was associated with respiratory distress syndrome, initial low Apgar score, advanced multiparity and delivery at the 28-29th week compared to the 23rd-27th week. Antenatal steroid administration had a protective effect.
AB  - CONCLUSION: Our results concur with the notion that a tertiary center is the optimal location for delivery of the high risk neonate. Improvement in medical and nursing care prenatally and at delivery and transportation, including frequent administration of antenatal steroids and earlier administration of surfactant prior to transportation, may minimize the disadvantage of delivery in a referring hospital.
IS  - 0301-2115
IL  - 0301-2115
PT  - Journal Article
ID  - S0301211598003364 [pii]
PP  - ppublish
LG  - English
DP  - 1999 Apr
EZ  - 1999/07/03
DA  - 1999/07/03 00:01
DT  - 1999/07/03 00:00
YR  - 1999
ED  - 19990728
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10391525

<844. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10232718
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tessler MJ
AU  - Mitmaker L
AU  - Wahba RM
AU  - Covert CR
FA  - Tessler, M J
FA  - Mitmaker, L
FA  - Wahba, R M
FA  - Covert, C R
IN  - Tessler, M J. Department of Anesthesia, SMBD-Jewish General Hospital and McGill University, Montreal, Quebec, Canada. mtessler@ana.jgh.mcgill.ca
TI  - Patient flow in the Post Anesthesia Care Unit: an observational study.
SO  - Canadian Journal of Anaesthesia. 46(4):348-51, 1999 Apr
AS  - Can J Anaesth. 46(4):348-51, 1999 Apr
NJ  - Canadian journal of anaesthesia = Journal canadien d'anesthesie
VO  - 46
IP  - 4
PG  - 348-51
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - c8l, 8701709
IO  - Can J Anaesth
SB  - Index Medicus
CP  - United States
MH  - Anesthesia Recovery Period
MH  - *Anesthesia, Conduction
MH  - Anesthesia, Epidural
MH  - *Anesthesia, General
MH  - Anesthesia, Local
MH  - Anesthesia, Spinal
MH  - Humans
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Nerve Block
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patients' Rooms/og [Organization & Administration]
MH  - Personnel, Hospital/sn [Statistics & Numerical Data]
MH  - Postanesthesia Nursing/og [Organization & Administration]
MH  - Postanesthesia Nursing/sn [Statistics & Numerical Data]
MH  - Quebec/ep [Epidemiology]
MH  - *Recovery Room/og [Organization & Administration]
MH  - Recovery Room/sn [Statistics & Numerical Data]
MH  - Time Factors
MH  - Transportation of Patients/og [Organization & Administration]
AB  - PURPOSE: Anesthesiologists are constantly striving for improvement in health care delivery. We assessed the patient flow in the Post Anesthesia Care Unit (PACU) to determine if patients are being transported out of the PACU when ready.
AB  - METHODS: A University student recorded the flow of 336 patients who recovered in our Post Anesthesia Care Unit. The corresponding nursing and orderly complements were recorded. If a delay arose between the time the patient was deemed fit for discharge by the PACU nurse and the time the patient was transported from the PACU, the student determined the duration and cause(s) of the delay.
AB  - RESULTS: The number of patients, nurses, and orderlies increased from three to twelve, three to seven, and one to two respectively throughout the elective working day. Seventy-six per cent of patients studied were delayed in transport from the PACU, with 26% of patients waiting 30 min. The average delay in discharge for patients increased during the day from 0 to 65 +/- 54 min from the time of fit for discharge, as determined by the PACU nurse, until transport. Five causes were identified as contributing to the delay: orderly too busy (41%), awaiting Anesthesia assessment (36%), Post Anesthesia Care Unit nurse too busy (15%), receiving floor not ready (6%), and patient awaiting radiographic interpretation (2%).
AB  - CONCLUSION: Our study has shown that system errors unnecessarily prolongs the stay of patients in the PACU.
IS  - 0832-610X
IL  - 0832-610X
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - 10.1007/BF03013226 [doi]
PP  - ppublish
LG  - English
DP  - 1999 Apr
EZ  - 1999/05/08
DA  - 1999/05/08 00:01
DT  - 1999/05/08 00:00
YR  - 1999
ED  - 19990618
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10232718

<845. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10910591
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Yau KI
AU  - Hsu CH
FA  - Yau, K I
FA  - Hsu, C H
IN  - Yau, K I. Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
TI  - Factors affecting the mortality of sick newborns admitted to intensive care units.
SO  - Acta Paediatrica Taiwanica. 40(2):75-82, 1999 Mar-Apr
AS  - Acta Paediatr Taiwan. 40(2):75-82, 1999 Mar-Apr
NJ  - Acta paediatrica Taiwanica = Taiwan er ke yi xue hui za zhi
VO  - 40
IP  - 2
PG  - 75-82
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dp8, 100958202
IO  - Acta Paediatr Taiwan
SB  - Index Medicus
CP  - China (Republic : 1949- )
MH  - Cause of Death
MH  - Female
MH  - *Hospital Mortality
MH  - Humans
MH  - *Infant Mortality
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Logistic Models
MH  - Male
MH  - Pregnancy
MH  - Retrospective Studies
MH  - Taiwan/ep [Epidemiology]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
AB  - In order to provide better understanding of the factors affecting the mortality of sick newborns in the Taipei metropolitan area, data of newborns admitted to the intensive care units (ICU) were analyzed retrospectively according to the hospital type of care. Fourteen of the 19 hospitals with an ICU admitting sick newborns joined the data collection: 3 were local hospitals, 7 were regional hospitals and 4 were medical centers. Perinatal and neonatal data of 1083 sick newborns were analyzed: 60% were premature newborns and 58% were male newborns. The maternal referral rate was 7.8% and the neonatal transport rate was 36.2%. Fifty-nine percent of very low birth-weight newborns and 66% of extremely low birth-weight (ELBW) newborns were admitted to the medical centers. The two most common illnesses were perinatal asphyxia and respiratory distress syndrome. About 40% needed assisted ventilation. There were higher incidence of maternal referral, fetal distress, resuscitation in the delivery room, perinatal asphyxia, and necrotizing enterocolitis; lower incidence of meconium aspiration syndrome, sepsis and pneumothorax in newborns admitted to the medical center than those newborns admitted to other hospitals. A total of 153 newborns (14%) died. The most common cause of death was sepsis (22.9%). Multivariate logistic regression analysis revealed that factors significantly related to the mortality were gestational age < 28 weeks, congenital anomaly, sepsis, resuscitation in the delivery room, neonatal transport, congenital heart disease, hospital type of care, ELBW, pneumothorax and high-risk pregnancy. The results of the study stress the importance of regionalization of perinatal and neonatal care, organization of neonatal transport system, newborn resuscitation training, infection control, and delicate ventilatory care in the further improvement of the outcome of sick newborns in the Taipei metropolitan area.
IS  - 1608-8115
IL  - 1608-8115
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1999 Mar-Apr
EZ  - 2000/07/27
DA  - 2000/07/27 00:01
DT  - 2000/07/27 00:00
YR  - 1999
ED  - 19990615
RD  - 20150901
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10910591

<846. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10228658
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
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
FA  - Besserman, E
FA  - Teres, D
FA  - Logan, A
FA  - Brennan, M
FA  - Cleaves, S
FA  - Bayly, R
FA  - Brochis, D
FA  - Nemeth, B
FA  - Grare, J
FA  - Ngo, D
IN  - Besserman, E. Department of Critical Care, Muhlenberg Regional Medical Center, Plainfield, NJ, USA.
TI  - Use of flexible intermediate and intensive care to reduce multiple transfers of patients.
SO  - American Journal of Critical Care. 8(3):170-9, 1999 May
AS  - Am J Crit Care. 8(3):170-9, 1999 May
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 8
IP  - 3
PG  - 170-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Critical Care/mt [Methods]
MH  - *Critical Care/og [Organization & Administration]
MH  - Hospital Mortality
MH  - Hospitals, Community
MH  - Hospitals, Teaching
MH  - Humans
MH  - Length of Stay
MH  - *Patient Transfer
MH  - Respiration, Artificial
MH  - United States
AB  - OBJECTIVE: To test an alternative flexible approach to traditional fixed intermediate and intensive care to minimize transfers of patients.
AB  - 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.
AB  - 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%.
AB  - CONCLUSIONS: In a community teaching hospital, flexible care policies decreased the number of in-hospital transfers of patients treated with mechanical ventilation.
IS  - 1062-3264
IL  - 1062-3264
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 May
EZ  - 1999/05/06
DA  - 1999/05/06 00:01
DT  - 1999/05/06 00:00
YR  - 1999
ED  - 19990610
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10228658

<847. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10335311
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Menke TJ
AU  - Wray NP
FA  - Menke, T J
FA  - Wray, N P
IN  - Menke, T J. Center for Quality of Care and Utilization Studies, Department of Veterans Affairs Medical Center, Houston, TX 77030, USA.
TI  - Cost implications of regionalizing open heart surgery units.
SO  - Inquiry. 36(1):57-67, 1999
AS  - Inquiry. 36(1):57-67, 1999
NJ  - Inquiry : a journal of medical care organization, provision and financing
VO  - 36
IP  - 1
PG  - 57-67
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0171671, got
IO  - Inquiry
SB  - Index Medicus
CP  - United States
MH  - Accounting
MH  - *Cardiac Surgical Procedures/ec [Economics]
MH  - Cost Savings
MH  - Emergencies/ec [Economics]
MH  - *Health Care Costs/sn [Statistics & Numerical Data]
MH  - Health Services Research
MH  - *Hospitals, Veterans/ec [Economics]
MH  - Hospitals, Veterans/og [Organization & Administration]
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - Program Evaluation
MH  - *Regional Health Planning/ec [Economics]
MH  - Sensitivity and Specificity
MH  - Transportation of Patients/ec [Economics]
MH  - United States
MH  - United States Department of Veterans Affairs
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.
IS  - 0046-9580
IL  - 0046-9580
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999
EZ  - 1999/05/21
DA  - 1999/05/21 00:01
DT  - 1999/05/21 00:00
YR  - 1999
ED  - 19990603
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10335311

<848. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10321680
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Guidelines for developing admission and discharge policies for the pediatric intensive care unit. Pediatric Section Task Force on Admission and Discharge Criteria, Society of Critical Care Medicine in conjunction with the American College of Critical Care Medicine and the Committee on Hospital Care of the American Academy of Pediatrics.
SO  - Critical Care Medicine. 27(4):843-5, 1999 Apr
AS  - Crit Care Med. 27(4):843-5, 1999 Apr
NJ  - Critical care medicine
VO  - 27
IP  - 4
PG  - 843-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Organizational Policy
MH  - *Patient Admission/st [Standards]
MH  - *Patient Discharge/st [Standards]
MH  - Patient Selection
MH  - *Patient Transfer/st [Standards]
MH  - United States
AB  - These guidelines were developed to provide a reference for preparing policies on admission and discharge for pediatric intensive care units (PICUs). They represent a consensus opinion of physicians, nurses, and allied health care professionals. By using this document as a framework for developing multidisciplinary admission and discharge policies, utilization of pediatric intensive care units can be optimized and patients can receive the level of care appropriate for their condition.
IS  - 0090-3493
IL  - 0090-3493
PT  - Guideline
PT  - Journal Article
PT  - Practice Guideline
PP  - ppublish
LG  - English
DP  - 1999 Apr
EZ  - 1999/05/13
DA  - 1999/05/13 00:01
DT  - 1999/05/13 00:00
YR  - 1999
ED  - 19990526
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10321680

<849. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10321673
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Dockery WK
AU  - Futterman C
AU  - Keller SR
AU  - Sheridan MJ
AU  - Akl BF
FA  - Dockery, W K
FA  - Futterman, C
FA  - Keller, S R
FA  - Sheridan, M J
FA  - Akl, B F
IN  - Dockery, W K. Department of Pediatrics, Inova Fairfax Hospital for Children, Falls Church, VA, USA.
TI  - A comparison of manual and mechanical ventilation during pediatric transport.
CM  - Comment in: Crit Care Med. 1999 Apr;27(4):694-5; PMID: 10321655
SO  - Critical Care Medicine. 27(4):802-6, 1999 Apr
AS  - Crit Care Med. 27(4):802-6, 1999 Apr
NJ  - Critical care medicine
VO  - 27
IP  - 4
PG  - 802-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Analysis of Variance
MH  - Blood Gas Analysis
MH  - Cardiac Surgical Procedures
MH  - Child
MH  - Child, Preschool
MH  - Critical Care
MH  - Hemodynamics
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Patient Transfer/mt [Methods]
MH  - *Patient Transfer
MH  - Postoperative Care
MH  - Prospective Studies
MH  - Pulmonary Ventilation
MH  - *Respiration, Artificial/mt [Methods]
MH  - Severity of Illness Index
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients
MH  - Virginia
AB  - OBJECTIVE: To compare the amount of variability in ventilation during intrahospital transport of intubated pediatric patients ventilated either manually or with a transport ventilator.
AB  - DESIGN: Prospective, randomized study.
AB  - SETTING: Tertiary, multidisciplinary, pediatric intensive care unit.
AB  - PATIENTS: Forty-nine pediatric postoperative heart patients who required transport while still intubated.
AB  - INTERVENTIONS: Patients were randomized to receive either manual ventilation during transport or ventilation by a portable mechanical ventilator. Baseline ventilatory and hemodynamic parameters were recorded before and during transport. Before and after arterial blood gases were also obtained. All other aspects of care were identical.
AB  - MEASUREMENTS AND MAIN RESULTS: There was a statistically significant greater amount of variation in ventilation during transport with manual technique as opposed to the mechanical ventilator. A Student's t-test on pre- to post-blood gas differences showed a significantly lower PetCO2 (p = .02) in the manually ventilated patients when compared with the mechanically ventilated patients. Values for PCO2 were higher, but only marginally significant (p = .08). Repeated measures analysis of variance using these same pre- and post blood gas values confirmed the significant decrease in PetCO2 (p = .05). Minute to minute variation in PetCO2 during transport was greater and the mean values significantly lower in the manually ventilated group (p < .05). Hemodynamic data were remarkably stable when examined both before and after transport and on a minute to minute basis during transport.
AB  - CONCLUSIONS: Manual ventilation during intrahospital transport results in greater fluctuation of ventilatory parameters from an established baseline than does use of a transport ventilator. No clinically significant changes in status occurred during the brief period of transport studied.
IS  - 0090-3493
IL  - 0090-3493
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PP  - ppublish
LG  - English
DP  - 1999 Apr
EZ  - 1999/05/13
DA  - 1999/05/13 00:01
DT  - 1999/05/13 00:00
YR  - 1999
ED  - 19990526
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10321673

<850. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10321655
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Venkataraman ST
FA  - Venkataraman, S T
TI  - Intrahospital transport of critically ill children--should we pay attention?. [Review] [7 refs]
CM  - Comment on: Crit Care Med. 1999 Apr;27(4):802-6; PMID: 10321673
SO  - Critical Care Medicine. 27(4):694-5, 1999 Apr
AS  - Crit Care Med. 27(4):694-5, 1999 Apr
NJ  - Critical care medicine
VO  - 27
IP  - 4
PG  - 694-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Blood Gas Analysis
MH  - Child
MH  - *Critical Care/mt [Methods]
MH  - Hemodynamics
MH  - Humans
MH  - *Patient Transfer/mt [Methods]
MH  - Pulmonary Gas Exchange
MH  - *Respiration, Artificial/ae [Adverse Effects]
MH  - *Respiration, Artificial/mt [Methods]
MH  - *Transportation of Patients/mt [Methods]
IS  - 0090-3493
IL  - 0090-3493
PT  - Comment
PT  - Editorial
PT  - Review
PP  - ppublish
LG  - English
DP  - 1999 Apr
EZ  - 1999/05/13
DA  - 1999/05/13 00:01
DT  - 1999/05/13 00:00
YR  - 1999
ED  - 19990526
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10321655

<851. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10099776
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Keirse MJ
AU  - Henderson-Smart DJ
FA  - Keirse, M J
FA  - Henderson-Smart, D J
TI  - Place of birth for preterm infants.
CM  - Comment on: Aust N Z J Obstet Gynaecol. 1998 Aug;38(3):298-300; PMID: 9761157
SO  - Australian & New Zealand Journal of Obstetrics & Gynaecology. 39(1):140, 1999 Feb
AS  - Aust N Z J Obstet Gynaecol. 39(1):140, 1999 Feb
NJ  - The Australian & New Zealand journal of obstetrics & gynaecology
VO  - 39
IP  - 1
PG  - 140
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9i0, 0001027
IO  - Aust N Z J Obstet Gynaecol
SB  - Index Medicus
CP  - Australia
MH  - *Delivery, Obstetric
MH  - Gestational Age
MH  - Health Services Research
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - Outcome Assessment (Health Care)
MH  - *Patient Transfer
MH  - Victoria
IS  - 0004-8666
IL  - 0004-8666
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 1999 Feb
EZ  - 1999/04/01
DA  - 1999/04/01 00:01
DT  - 1999/04/01 00:00
YR  - 1999
ED  - 19990520
RD  - 20091111
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10099776

<852. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10318988
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brazzi L
AU  - Gattinoni L
FA  - Brazzi, L
FA  - Gattinoni, L
IN  - Brazzi, L. Department of Anaesthesia and Intensive Care, University of Milan, Italy.
TI  - Does optimizing oxygen transport improve outcome in intensive care patients?. [Review] [28 refs]
SO  - British Journal of Anaesthesia. 81 Suppl 1:46-9, 1998 Dec
AS  - Br J Anaesth. 81 Suppl 1:46-9, 1998 Dec
NJ  - British journal of anaesthesia
VO  - 81 Suppl 1
PG  - 46-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0372541
IO  - Br J Anaesth
SB  - Index Medicus
CP  - England
MH  - *Critical Care/mt [Methods]
MH  - Hemodynamics
MH  - Humans
MH  - *Oxygen/ad [Administration & Dosage]
MH  - *Oxygen Consumption
RN  - S88TT14065 (Oxygen)
IS  - 0007-0912
IL  - 0007-0912
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1998 Dec
EZ  - 1999/05/13
DA  - 1999/05/13 00:01
DT  - 1999/05/13 00:00
YR  - 1998
ED  - 19990517
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10318988

<853. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10220475
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rendina MC
AU  - Downs SM
AU  - Carasco N
AU  - Loonsk J
AU  - Bose CL
FA  - Rendina, M C
FA  - Downs, S M
FA  - Carasco, N
FA  - Loonsk, J
FA  - Bose, C L
IN  - Rendina, M C. Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, 27599-7400, USA.
TI  - Effect of telemedicine on health outcomes in 87 infants requiring neonatal intensive care.
SO  - Telemedicine Journal. 4(4):345-51, 1998
AS  - Telemed J. 4(4):345-51, 1998
NJ  - Telemedicine journal : the official journal of the American Telemedicine Association
VO  - 4
IP  - 4
PG  - 345-51
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cts, 9507612
IO  - Telemed J
SB  - Index Medicus
CP  - United States
MH  - Academic Medical Centers
MH  - Costs and Cost Analysis
MH  - Echocardiography/ec [Economics]
MH  - *Echocardiography
MH  - Female
MH  - Humans
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Intensive Care, Neonatal/ec [Economics]
MH  - *Intensive Care, Neonatal
MH  - Length of Stay
MH  - Male
MH  - North Carolina
MH  - Outcome Assessment (Health Care)
MH  - Patient Transfer
MH  - Remote Consultation/ec [Economics]
MH  - *Remote Consultation
MH  - Retrospective Studies
MH  - Sample Size
MH  - Survival Rate
MH  - Videotape Recording/ec [Economics]
AB  - OBJECTIVE: This is an evaluation of a telemedicine system for the rapid interpretation of neonatal echocardiograms from a regional, level III neonatal intensive care unit (NICU). The use of telemedicine to support the cardiology needs of NICUs is increasing. However, there is very little published objective information regarding health outcomes or costs resulting from such telemedicine systems. The primary hypothesis tested was that the utilization of a telemedicine system for the interpretation of neonatal echocardiograms reduces the intensive care length of stay of low birthweight (LBW) infants.
AB  - STUDY DESIGN: All infants who were admitted to neonatal intensive care at New Hanover Regional Medical Center during the first six months of the system were studied by the use of echocardiograms. They were compared with infants who were born in the same period of the previous year. The outcome measures were the intensive care length of stay, rate of transfer to academic medical centers, and mortality rate.
AB  - RESULTS: A statistically non-significant reduction of 5.4 days in the intensive care length of stay (LOS) of low birthweight infants was observed (p = 0.37). The cost per echocardiogram transmitted was calculated at $33 compared to previous method of sending videotapes via overnight courier.
AB  - CONCLUSIONS: While the sample size was inadequate to demonstrate improvements in health outcomes, the magnitude of the change and the low costs of the system suggest that this intervention is practical for obtaining rapid diagnostic and treatment support. Larger studies are warranted to confirm these findings and determine whether faster diagnosis and earlier initiation of treatment improve health outcomes of newborn infants.
IS  - 1078-3024
IL  - 1078-3024
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - 10.1089/tmj.1.1998.4.345 [doi]
PP  - ppublish
GI  - No: 5-A03-AH 01176-03
Organization: (AH) *BHP HRSA HHS*
Country: United States

GI  - No: T15-LM07071
Organization: (LM) *NLM NIH HHS*
Country: United States
LG  - English
DP  - 1998
EZ  - 1999/04/29
DA  - 1999/04/29 00:01
DT  - 1999/04/29 00:00
YR  - 1998
ED  - 19990517
RD  - 20071114
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10220475

<854. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 11656948
VI  - 1
RO  - KIE
ST  - MEDLINE
AU  - Lamb D
FA  - Lamb, David
TI  - Organ transplants, death, and policies for procurement.
SO  - Monist. 76(2):203-21, 1993 Apr
AS  - Monist. 76(2):203-21, 1993 Apr
NJ  - The Monist
VO  - 76
IP  - 2
PG  - 203-21
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 18750630r
IO  - Monist
OI  - Source: KIE. 60221
OI  - Source: NRCBL. special issue
SB  - Bioethics Journals
CP  - United States
MH  - Adolescent
MH  - Altruism
MH  - *Brain Death
MH  - Cadaver
MH  - Coercion
MH  - Commodification
MH  - Cultural Diversity
MH  - *Death
MH  - Economics
MH  - Europe
MH  - Family
MH  - Fees and Charges
MH  - Gift Giving
MH  - Health Care Rationing
MH  - Human Body
MH  - Humans
MH  - Intensive Care Units
MH  - International Cooperation
MH  - Internationality
MH  - Japan
MH  - Mentally Disabled Persons
MH  - Minors
MH  - Moral Obligations
MH  - Organ Transplantation
MH  - Patient Selection
MH  - Patient Transfer
MH  - Presumed Consent
MH  - Reference Standards
MH  - Religion
MH  - Resource Allocation
MH  - Risk
MH  - Risk Assessment
MH  - Social Responsibility
MH  - Social Values
MH  - Terminally Ill
MH  - *Tissue Donors
MH  - *Tissue and Organ Procurement
MH  - Transplantation
MH  - United Kingdom
MH  - United States
MH  - Ventilators, Mechanical
KW  - Death and Euthanasia;  Health Care and Public Health
NT  - KIE BoB Subject Heading: determination of death/brain death
NT  - KIE BoB Subject Heading: organ and tissue donation
NT  - 27 refs.
IS  - 0026-9662
IL  - 0026-9662
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993 Apr
EZ  - 1993/04/01 00:00
DA  - 2001/11/02 10:01
DT  - 1993/04/01 00:00
YR  - 1993
ED  - 19990510
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=11656948

<855. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10211202
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Parke TR
AU  - Henry J
AU  - Grant PT
AU  - Kennedy RL
FA  - Parke, T R
FA  - Henry, J
FA  - Grant, P T
FA  - Kennedy, R L
IN  - Parke, T R. Southern General Hospital, Glasgow, U.K.
TI  - Increased survival after serious injury in patients admitted directly to critical care areas from the accident and emergency department.
SO  - Injury. 29(9):697-703, 1998 Nov
AS  - Injury. 29(9):697-703, 1998 Nov
NJ  - Injury
VO  - 29
IP  - 9
PG  - 697-703
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0226040, gon
IO  - Injury
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Critical Care/og [Organization & Administration]
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - Middle Aged
MH  - *Operating Rooms/sn [Statistics & Numerical Data]
MH  - *Outcome and Process Assessment (Health Care)
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Scotland/ep [Epidemiology]
MH  - Severity of Illness Index
MH  - Survival Rate
MH  - *Wounds and Injuries/mo [Mortality]
MH  - *Wounds and Injuries/th [Therapy]
AB  - OBJECTIVES: We hypothesised that, in the subgroup of seriously injured patients who receive early critical care in the operating theatre or intensive care unit, there would be a greater actual survival rate than that statistically predicted using trauma scoring techniques.
AB  - METHODS: 1031 seriously injured patients on a national trauma database were analysed. The numbers of survivors in 3 initial destination groups [intensive care unit (ICU), theatre and ward] were compared with the average number of survivors statistically predicted for similar groups of patients using the TRISS methodology. W statistics were then used to test for statistical significance.
AB  - RESULTS: 77/122 patients admitted to an ICU survived (predicted number 66, W stat 8.8 [2.6-15.0]). 129/178 patients transferred to theatre survived (predicted number 113, W stat 8.8 [4.2-13.5]). 296/348 patients admitted to a ward survived (predicted number 292, W stat 1.3 [-1.9-4.4]).
AB  - CONCLUSIONS: The number of patients who survive after severe injury is significantly greater than the number predicted to survive by current trauma scoring methods if the patient is sent directly to theatre or are admitted directly to the ICU. Survival is as predicted if the patient is sent initially to a ward.
IS  - 0020-1383
IL  - 0020-1383
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0020138398001697 [pii]
PP  - ppublish
LG  - English
DP  - 1998 Nov
EZ  - 1999/04/22
DA  - 1999/04/22 00:01
DT  - 1999/04/22 00:00
YR  - 1998
ED  - 19990506
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10211202

<856. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9633345
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Caruana M
AU  - Culp K
FA  - Caruana, M
FA  - Culp, K
IN  - Caruana, M. University of Iowa Hospitals and Clinics, Iowa City, USA.
TI  - Intrahospital transport of the critically ill adult: a research review and implications. [Review] [17 refs]
SO  - DCCN - Dimensions of Critical Care Nursing. 17(3):146-56, 1998 May-Jun
AS  - DCCN. 17(3):146-56, 1998 May-Jun
NJ  - Dimensions of critical care nursing : DCCN
VO  - 17
IP  - 3
PG  - 146-56
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8211489
IO  - Dimens Crit Care Nurs
SB  - Nursing Journal
CP  - United States
MH  - Algorithms
MH  - *Continuity of Patient Care/og [Organization & Administration]
MH  - *Critical Care/mt [Methods]
MH  - Humans
MH  - Interinstitutional Relations
MH  - Research Design
MH  - *Transportation of Patients/mt [Methods]
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 research 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. [References: 17]
IS  - 0730-4625
IL  - 0730-4625
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1998 May-Jun
EZ  - 1998/06/20
DA  - 1998/06/20 00:01
DT  - 1998/06/20 00:00
YR  - 1998
ED  - 19990506
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9633345

<857. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9758052
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Martone WJ
FA  - Martone, W J
IN  - Martone, W J. National Foundation for Infectious Diseases, Bethesda, MD 20814, USA. wjmartone@aol.com
TI  - Spread of vancomycin-resistant enterococci: why did it happen in the United States?. [Review] [72 refs]
SO  - Infection Control & Hospital Epidemiology. 19(8):539-45, 1998 Aug
AS  - Infect Control Hosp Epidemiol. 19(8):539-45, 1998 Aug
NJ  - Infection control and hospital epidemiology
VO  - 19
IP  - 8
PG  - 539-45
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ich, 8804099
IO  - Infect Control Hosp Epidemiol
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Carrier State
MH  - Cross Infection/dt [Drug Therapy]
MH  - *Cross Infection/ep [Epidemiology]
MH  - Cross Infection/tm [Transmission]
MH  - Disease Reservoirs
MH  - *Drug Resistance, Microbial
MH  - *Enterococcus/de [Drug Effects]
MH  - Enterococcus/gd [Growth & Development]
MH  - Gram-Positive Bacterial Infections/dt [Drug Therapy]
MH  - *Gram-Positive Bacterial Infections/ep [Epidemiology]
MH  - Gram-Positive Bacterial Infections/tm [Transmission]
MH  - Hospitals/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infection Control/mt [Methods]
MH  - Infection Control/st [Standards]
MH  - United States/ep [Epidemiology]
MH  - *Vancomycin/tu [Therapeutic Use]
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. [References: 72]
RN  - 0 (Anti-Bacterial Agents)
RN  - 6Q205EH1VU (Vancomycin)
IS  - 0899-823X
IL  - 0899-823X
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1998 Aug
EZ  - 1998/10/03
DA  - 1998/10/03 00:01
DT  - 1998/10/03 00:00
YR  - 1998
ED  - 19990430
RD  - 20150127
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9758052

<858. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10063474
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Andersen BM
AU  - Bergh K
AU  - Steinbakk M
AU  - Syversen G
AU  - Magnaes B
AU  - Dalen H
AU  - Bruun JN
FA  - Andersen, B M
FA  - Bergh, K
FA  - Steinbakk, M
FA  - Syversen, G
FA  - Magnaes, B
FA  - Dalen, H
FA  - Bruun, J N
IN  - Andersen, B M. Department of Hospital Infections, Ulleval University Hospital, Oslo, Norway.
TI  - A Norwegian nosocomial outbreak of methicillin-resistant Staphylococcus aureus resistant to fusidic acid and susceptible to other antistaphylococcal agents.
SO  - Journal of Hospital Infection. 41(2):123-32, 1999 Feb
AS  - J Hosp Infect. 41(2):123-32, 1999 Feb
NJ  - The Journal of hospital infection
VO  - 41
IP  - 2
PG  - 123-32
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - id6, 8007166
IO  - J. Hosp. Infect.
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Anti-Bacterial Agents
MH  - Cluster Analysis
MH  - Cross Infection/dt [Drug Therapy]
MH  - *Cross Infection/ep [Epidemiology]
MH  - *Cross Infection/mi [Microbiology]
MH  - *Disease Outbreaks/sn [Statistics & Numerical Data]
MH  - Electrophoresis, Gel, Pulsed-Field
MH  - Female
MH  - *Fusidic Acid
MH  - Humans
MH  - Infant
MH  - Infection Control
MH  - Intensive Care Units
MH  - Male
MH  - *Methicillin Resistance
MH  - Microbial Sensitivity Tests
MH  - Middle Aged
MH  - Norway/ep [Epidemiology]
MH  - Patient Transfer
MH  - Rehabilitation Centers
MH  - Serotyping
MH  - Staphylococcal Infections/dt [Drug Therapy]
MH  - *Staphylococcal Infections/ep [Epidemiology]
MH  - *Staphylococcal Infections/mi [Microbiology]
MH  - Staphylococcus aureus/cl [Classification]
MH  - Staphylococcus aureus/ge [Genetics]
MH  - *Staphylococcus aureus
AB  - In Norway, infections caused by methicillin resistant Staphylococcus aureus (MRSA) are still uncommon. From December 1993 to January 1997, MRSA was isolated from 22 people in Oslo county; 17 patients and five carriers (healthcare workers). A cluster of ten people (five patients and five healthcare workers) were associated with an outbreak at two hospitals in Oslo. The five patients were all admitted to the same intensive care unit (ICU) at Ulleval University Hospital between May-July 1995 (they were not transferred from abroad) and treated for acute neurological lesions. After surgery, four of them (one died) were transferred to another hospital for rehabilitation and training. The presence of MRSA was discovered in the patients and the five healthcare workers during the 10 months June 1995-March 1996. All cluster strains showed an unusual antibiotic resistance pattern in vitro, with a relatively low degree of methicillin resistance, resistance to fusidic acid, but sensitivity to all other anti-staphylococcal agents. A clonal spread of this fusidic acid resistant MRSA was supported by strain typing using pulsed-field gel electrophoresis (PFGE), which showed that all ten cluster strains belonged to one type or its subtype.
RN  - 0 (Anti-Bacterial Agents)
RN  - 59XE10C19C (Fusidic Acid)
IS  - 0195-6701
IL  - 0195-6701
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 Feb
EZ  - 1999/03/04
DA  - 1999/03/04 00:01
DT  - 1999/03/04 00:00
YR  - 1999
ED  - 19990423
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10063474

<859. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10091491
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wheeler DS
AU  - Sperring JL
AU  - Vaux KK
AU  - Poss WB
FA  - Wheeler, D S
FA  - Sperring, J L
FA  - Vaux, K K
FA  - Poss, W B
IN  - Wheeler, D S. Department of Pediatrics and Clinical Research, Naval Medical Center San Diego, CA, USA.
TI  - Development of a pediatric critical care transport team: experience at a military medical center.
SO  - Military Medicine. 164(3):188-93, 1999 Mar
AS  - Mil Med. 164(3):188-93, 1999 Mar
NJ  - Military medicine
VO  - 164
IP  - 3
PG  - 188-93
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 2984771r, n1a
IO  - Mil Med
SB  - Index Medicus
CP  - England
MH  - Attitude of Health Personnel
MH  - California
MH  - Clinical Competence
MH  - Cost Savings
MH  - *Critical Care/og [Organization & Administration]
MH  - *Hospitals, Military
MH  - Humans
MH  - Medical Staff, Hospital/ed [Education]
MH  - Medical Staff, Hospital/px [Psychology]
MH  - Military Medicine/ed [Education]
MH  - *Military Medicine/og [Organization & Administration]
MH  - *Pediatrics/og [Organization & Administration]
MH  - Program Development
MH  - Program Evaluation
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - *Transportation of Patients/og [Organization & Administration]
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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 0026-4075
IL  - 0026-4075
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1999 Mar
EZ  - 1999/03/26
DA  - 1999/03/26 00:01
DT  - 1999/03/26 00:00
YR  - 1999
ED  - 19990413
RD  - 20171206
UP  - 20171207
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=10091491

<860. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9872357
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Spies CD
AU  - Kissner M
AU  - Neumann T
AU  - Blum S
AU  - Voigt C
AU  - Funk T
AU  - Runkel N
AU  - Pragst F
FA  - Spies, C D
FA  - Kissner, M
FA  - Neumann, T
FA  - Blum, S
FA  - Voigt, C
FA  - Funk, T
FA  - Runkel, N
FA  - Pragst, F
IN  - Spies, C D. Department of Anaesthesiology and Operative Intensive Care Medicine, Benjamin Franklin Medical Centre, Free University of Berlin, Germany.
TI  - Elevated carbohydrate-deficient transferrin predicts prolonged intensive care unit stay in traumatized men.
SO  - Alcohol & Alcoholism. 33(6):661-9, 1998 Nov-Dec
AS  - Alcohol Alcohol. 33(6):661-9, 1998 Nov-Dec
NJ  - Alcohol and alcoholism (Oxford, Oxfordshire)
VO  - 33
IP  - 6
PG  - 661-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aal, 8310684
IO  - Alcohol Alcohol.
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - *Alcoholism/bl [Blood]
MH  - Biomarkers/bl [Blood]
MH  - *Critical Care
MH  - Double-Blind Method
MH  - Emergency Treatment
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - *Transferrin/aa [Analogs & Derivatives]
MH  - Transferrin/an [Analysis]
AB  - Carbohydrate-deficient transferrin (CDT) is reported to have a higher specificity in alcoholism than conventional markers. As the morbidity and mortality rates amongst chronic alcoholics are raised following trauma, the objective was to investigate if CDT could be used to predict prolonged intensive care unit (ICU) stay and an increased morbidity in patients with multiple injuries admitted to the ICU. In this prospective double-blind study, 66 traumatized male patients were transferred to the ICU following admission via the emergency room and operative management. Blood samples for CDT determination were taken upon admission to the emergency room, the ICU and on days 2 and 4 following admission. The patients were allocated a priori to two groups: high CDT group (CDT >20 U/l on admission to the emergency room) and low CDT group (CDT < or = 20 U/l). CDT values were determined by microanion-exchange chromatography and radioimmunoassay. Thirty-six patients had an elevated CDT value on admission to the emergency room. The high CDT group had a significantly prolonged ICU stay (median high CDT group: 13 davs; median low CDT group: 5 days). Major intercurrent complications, such as alcohol-withdrawal syndrome, tracheobronchitis, pneumonia, pancreatitis, sepsis, and congestive heart failure, were significantly increased in the high CDT group. The increased risk of pneumonia in the high CDT group may be related to the significantly increased period of mechanical ventilation. As high CDT values were associated with an increased risk of intercurrent complications and a prolonged ICU stay, it seems reasonable to use CDT as a marker in intensifying research work into preventing alcoholism-associated complications.
RN  - 0 (Biomarkers)
RN  - 0 (Transferrin)
RN  - 0 (carbohydrate-deficient transferrin)
IS  - 0735-0414
IL  - 0735-0414
PT  - Clinical Trial
PT  - Controlled Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1998 Nov-Dec
EZ  - 1999/01/01
DA  - 1999/01/01 00:01
DT  - 1999/01/01 00:00
YR  - 1998
ED  - 19990322
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9872357

<861. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9835435
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Durward AD
AU  - Nicoll SJ
AU  - Oliver J
AU  - Tibby SM
AU  - Murdoch IA
FA  - Durward, A D
FA  - Nicoll, S J
FA  - Oliver, J
FA  - Tibby, S M
FA  - Murdoch, I A
IN  - Durward, A D. Department of Paediatric Intensive Care, Guy's Hospital, London, UK.
TI  - The outcome of patients with upper airway obstruction transported to a regional paediatric intensive care unit.
SO  - European Journal of Pediatrics. 157(11):907-11, 1998 Nov
AS  - Eur J Pediatr. 157(11):907-11, 1998 Nov
NJ  - European journal of pediatrics
VO  - 157
IP  - 11
PG  - 907-11
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - end, 7603873
IO  - Eur. J. Pediatr.
SB  - Index Medicus
CP  - Germany
MH  - Airway Obstruction/et [Etiology]
MH  - *Airway Obstruction/th [Therapy]
MH  - Bronchodilator Agents/tu [Therapeutic Use]
MH  - Budesonide/tu [Therapeutic Use]
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care
MH  - Croup/co [Complications]
MH  - *Croup/th [Therapy]
MH  - Hospitals, District
MH  - Hospitals, General
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Intubation, Intratracheal
MH  - London
MH  - Patient Transfer
MH  - Retrospective Studies
MH  - Treatment Outcome
AB  - UNLABELLED: The diagnoses, transfer, management and outcome of patients with upper airway obstruction (UAO) admitted from district general hospitals (DGH) to a regional paediatric intensive care unit were retrospectively reviewed over a 3.5-year period. Sixty-seven patient episodes were analysed. Fifty-two cases (78%) underwent tracheal intubation prior to transport with a low morbidity for both procedures. The most common diagnosis was viral croup (n = 34, 51%) with a median duration of intubation of 5 days, with subglottic stenosis being the next most common category (n = 10, 15%), median duration of intubation 7 days. Inhaled budesonide was used prior to intubation in 12 (35%) of those with croup, and inhaled bronchodilators in 28%, possibly reflecting diagnostic uncertainty. Patients with croup treated with budesonide were significantly less likely to require intubation (P = 0.04). The re-intubation rate for patients with viral croup was uncomfortably high at 16% (4/25) despite the routine use of prednisolone throughout the intubation period. Successful extubation of patients with viral croup could not be predicted by age (P = 0.31), length of intubation (P = 0.94), endotracheal tube size, (P = 0.60) abnormalities on the chest X-ray (P = 1.0), or presence of secondary bacterial infection (P = 0.23).
AB  - CONCLUSION: Although viral croup remains the most common diagnostic category presenting at the DGH level with severe UAO, a wide range of other diagnoses is seen. Despite clear evidence of benefit, steroid administration to children presenting at the DGH with viral croup has not become routine practice. Once intubated, no reliable predictors of successful extubation were found amongst this patient group.
RN  - 0 (Bronchodilator Agents)
RN  - 51333-22-3 (Budesonide)
IS  - 0340-6199
IL  - 0340-6199
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Nov
EZ  - 1998/12/03
DA  - 1998/12/03 00:01
DT  - 1998/12/03 00:00
YR  - 1998
ED  - 19990129
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9835435

<862. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9830411
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Butt WW
AU  - Shann FA
FA  - Butt, W W
FA  - Shann, F A
IN  - Butt, W W. Intensive Care Unit, Royal Children's Hospital, Melbourne, VIC. buttw@cryptic.rch.unimelb.edu.au
TI  - Transferred patients--more complex and more costly?.
SO  - Medical Journal of Australia. 169 Suppl:S42-3, 1998 Oct 19
AS  - Med J Aust. 169 Suppl:S42-3, 1998 Oct 19
NJ  - The Medical journal of Australia
VO  - 169 Suppl
PG  - S42-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0400714, m26
IO  - Med. J. Aust.
SB  - Index Medicus
CP  - Australia
MH  - Australia
MH  - *Diagnosis-Related Groups/ec [Economics]
MH  - Health Services Research
MH  - *Hospital Costs/sn [Statistics & Numerical Data]
MH  - Hospitals, Pediatric/ec [Economics]
MH  - Humans
MH  - Intensive Care Units, Pediatric/ec [Economics]
MH  - *Patient Transfer/ec [Economics]
MH  - United States
AB  - AN-DRGs have some splits which take illness severity and complexity into account. Age is also often used as a proxy for severity of illness. The need to transfer a patient may be a marker of illness severity or complexity and therefore resource utilisation. This is supported by studies of patients transferred to intensive care units. Data on the costs and outcomes of all transferred patients should be collected; depending on the results, refinements of DRGs may be indicated.
IS  - 0025-729X
IL  - 0025-729X
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Oct 19
EZ  - 1998/11/27
DA  - 1998/11/27 00:01
DT  - 1998/11/27 00:00
YR  - 1998
ED  - 19981222
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9830411

<863. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10186035
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Frequency-hopping technology permits patient monitoring away from costly ICUs.
SO  - Health Care Cost Reengineering Report. 3(10):153-4, 1998 Oct
AS  - Health Care Cost Reengineering Rep. 3(10):153-4, 1998 Oct
NJ  - Health care cost reengineering report
VO  - 3
IP  - 10
PG  - 153-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cz2, 9707732
IO  - Health Care Cost Reengineering Rep
SB  - Health Administration Journals
CP  - United States
MH  - Cost Savings
MH  - *Critical Care/ec [Economics]
MH  - Electromagnetic Fields/ae [Adverse Effects]
MH  - Hospital Bed Capacity, 100 to 299
MH  - Hospitals, Community/ec [Economics]
MH  - Illinois
MH  - Monitoring, Physiologic/ec [Economics]
MH  - *Monitoring, Physiologic/is [Instrumentation]
MH  - Patient Transfer
MH  - Telemetry/ec [Economics]
MH  - *Telemetry/is [Instrumentation]
MH  - Telemetry/td [Trends]
IS  - 1088-4653
IL  - 1088-4653
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Oct
EZ  - 1998/09/04
DA  - 1998/09/04 00:01
DT  - 1998/09/04 00:00
YR  - 1998
ED  - 19981221
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10186035

<864. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9849275
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ridley S
AU  - Jones S
AU  - Shahani A
AU  - Brampton W
AU  - Nielsen M
AU  - Rowan K
FA  - Ridley, S
FA  - Jones, S
FA  - Shahani, A
FA  - Brampton, W
FA  - Nielsen, M
FA  - Rowan, K
IN  - Ridley, S. Department of Anaesthesia, Norfolk and Norwich Hospital, UK.
TI  - Classification trees. A possible method for iso-resource grouping in intensive care.
SO  - Anaesthesia. 53(9):833-40, 1998 Sep
AS  - Anaesthesia. 53(9):833-40, 1998 Sep
NJ  - Anaesthesia
VO  - 53
IP  - 9
PG  - 833-40
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Critical Care/og [Organization & Administration]
MH  - *Critical Illness/cl [Classification]
MH  - Emergencies
MH  - England
MH  - *Health Resources
MH  - *Health Status Indicators
MH  - Humans
MH  - Length of Stay
MH  - Medicine
MH  - Patient Transfer
MH  - Specialization
MH  - Specialties, Surgical
AB  - Classification and grouping of clinical data into defined categories or hierarchies is difficult in intensive care practice. Diagnosis-related groups are used to categorise patients on the basis of diagnosis. However, this approach may not be applicable to intensive care where there is wide heterogeneity within diagnostic groups. Classification tree analysis uses selected independent variables to group patients according to a dependent variable in a way that reduces variation. In this study, the influence of three easily identified patient attributes on their length of intensive care unit stay was explored using classification analysis. Two thousand five hundred and forty-five critically ill patients from three hospitals were classified into groups so that the variation in length of stay within each group was minimised. In 23 out of 39 terminal groups, the interquartile range of the length of stay was < or = 3 days.
IS  - 0003-2409
IL  - 0003-2409
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1998 Sep
EZ  - 1998/12/16
DA  - 1998/12/16 00:01
DT  - 1998/12/16 00:00
YR  - 1998
ED  - 19981218
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9849275

<865. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9804736
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Berry A
FA  - Berry, A
TI  - Provision of intensive care for children. Effective transport systems are essential.
CM  - Comment on: BMJ. 1998 May 23;316(7144):1547-8; PMID: 9596587
SO  - BMJ. 317(7168):1320; author reply 1321, 1998 Nov 07
AS  - BMJ. 317(7168):1320; author reply 1321, 1998 Nov 07
NJ  - BMJ (Clinical research ed.)
VO  - 317
IP  - 7168
PG  - 1320; author reply 1321
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1114220
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - *Critical Care/st [Standards]
MH  - Humans
MH  - *Intensive Care Units, Pediatric/sd [Supply & Distribution]
MH  - *Patient Transfer/st [Standards]
MH  - United Kingdom
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
PT  - Comment
ID  - PMC1114220 [pmc]
PP  - ppublish
LG  - English
DP  - 1998 Nov 07
EZ  - 1998/11/07
DA  - 1998/11/07 00:01
DT  - 1998/11/07 00:00
YR  - 1998
ED  - 19981214
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9804736

<866. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 13778763
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - TUROVSKII BI
FA  - TUROVSKII, B I
TI  - [Mechanization of intrahospital transport of stretcher patients in field condition]. [Russian]
SO  - Voenno-Meditsinskii Zhurnal. 3:23-4, 1960 Mar
AS  - Voen Med Zh. 3:23-4, 1960 Mar
NJ  - Voenno-meditsinskii zhurnal
VO  - 3
PG  - 23-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - xgs, 2984871r
IO  - Voen Med Zh
SB  - OLDMEDLINE Citations
CP  - Russia (Federation)
MH  - Humans
MH  - *Stretchers
MH  - *Transportation of Patients
KW  - *TRANSPORT OF WOUNDED
IS  - 0026-9050
IL  - 0026-9050
PT  - Journal Article
PP  - ppublish
LG  - Russian
DP  - 1960 Mar
EZ  - 1960/03/01
DA  - 1960/03/01 00:01
DT  - 1960/03/01 00:00
YR  - 1960
ED  - 19981101
RD  - 20090225
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13778763

<867. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9684202
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Slattery MJ
AU  - Flanagan V
AU  - Cronenwett LR
AU  - Meade SK
AU  - Chase NS
FA  - Slattery, M J
FA  - Flanagan, V
FA  - Cronenwett, L R
FA  - Meade, S K
FA  - Chase, N S
IN  - Slattery, M J. Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
TI  - Mothers' perceptions of the quality of their infants' back transfer.
SO  - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 27(4):394-401, 1998 Jul-Aug
AS  - J Obstet Gynecol Neonatal Nurs. 27(4):394-401, 1998 Jul-Aug
NJ  - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
VO  - 27
IP  - 4
PG  - 394-401
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jg8, 8503123
IO  - J Obstet Gynecol Neonatal Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - *Attitude to Health
MH  - Female
MH  - *Hospitals, Community
MH  - Humans
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - *Intensive Care Units, Neonatal
MH  - Length of Stay
MH  - Male
MH  - Mothers/px [Psychology]
MH  - New England
MH  - *Patient Transfer
MH  - *Quality of Health Care
MH  - Regression Analysis
MH  - Stress, Psychological
AB  - OBJECTIVE: To describe mothers' experiences with back transfer of their infants from a neonatal intensive-care unit (NICU) to a community hospital (CH).
AB  - DESIGN: Descriptive correlational study.
AB  - PARTICIPANTS: One hundred forty-three mothers whose infants were back transferred from regional NICUs to 1 of 20 Level I or Level II CHs.
AB  - 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.
AB  - 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).
AB  - CONCLUSION: Results support the need for consistency of care and coordinated approaches to back transfer.
IS  - 0884-2175
IL  - 0090-0311
PT  - Journal Article
PT  - Multicenter Study
ID  - S0884-2175(15)33565-6 [pii]
PP  - ppublish
LG  - English
DP  - 1998 Jul-Aug
EZ  - 1998/07/31
DA  - 1998/07/31 00:01
DT  - 1998/07/31 00:00
YR  - 1998
ED  - 19981015
RD  - 20161020
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9684202

<868. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9715973
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Topley D
FA  - Topley, D
TI  - An international Critical Care Air Transport flight: intervening in the Korean airline crash.
SO  - Aviation Space & Environmental Medicine. 69(8):806-7, 1998 Aug
AS  - Aviat Space Environ Med. 69(8):806-7, 1998 Aug
NJ  - Aviation, space, and environmental medicine
VO  - 69
IP  - 8
PG  - 806-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9ja, 7501714
IO  - Aviat Space Environ Med
SB  - Index Medicus
SB  - National Aeronautics and Space Administration (NASA) Journals
CP  - United States
MH  - *Accidents, Aviation
MH  - *Aerospace Medicine
MH  - Critical Care
MH  - Emergencies
MH  - Guam
MH  - Humans
MH  - International Cooperation
MH  - Korea
MH  - *Military Nursing
MH  - Mobile Health Units
MH  - Patient Care Team
MH  - Rescue Work
MH  - United States
IS  - 0095-6562
IL  - 0095-6562
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Aug
EZ  - 1998/08/26
DA  - 1998/08/26 00:01
DT  - 1998/08/26 00:00
YR  - 1998
ED  - 19981008
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9715973

<869. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9709358
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Roberts DM
AU  - Blackwell TH
AU  - Marx JA
FA  - Roberts, D M
FA  - Blackwell, T H
FA  - Marx, J A
IN  - Roberts, D M. Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC 28232, USA.
TI  - Emergency medical care for spectators attending National Football League games.
SO  - Prehospital Emergency Care. 1(3):149-55, 1997 Jul-Sep
AS  - Prehosp Emerg Care. 1(3):149-55, 1997 Jul-Sep
NJ  - Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
VO  - 1
IP  - 3
PG  - 149-55
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - c5i, 9703530
IO  - Prehosp Emerg Care
SB  - Index Medicus
CP  - England
MH  - Anniversaries and Special Events
MH  - *Emergency Medical Services/og [Organization & Administration]
MH  - Emergency Medical Services/st [Standards]
MH  - Emergency Medical Services/sn [Statistics & Numerical Data]
MH  - *Facility Design and Construction/st [Standards]
MH  - *First Aid
MH  - *Football
MH  - Humans
MH  - Prospective Studies
MH  - Surveys and Questionnaires
MH  - United States
AB  - OBJECTIVE: To analyze medical care facilities and resources available for spectators attending football games in the current National Football League (NFL) stadiums.
AB  - METHODS: A prospective, structured questionnaire regarding facilities, transportation, medications and equipment, personnel configuration, compensation, and communications was mailed to all 28 NFL organizations. Those falling to respond were interviewed by telephone using the identical questionnaire. Data were compiled using Lotus 1-2-3.
AB  - 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.
AB  - 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.
IS  - 1090-3127
IL  - 1090-3127
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1997 Jul-Sep
EZ  - 1997/07/01 00:00
DA  - 1998/08/26 00:01
DT  - 1997/07/01 00:00
YR  - 1997
ED  - 19980917
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9709358

<870. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9656042
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stearley HE
FA  - Stearley, H E
IN  - Stearley, H E. University of Missouri Hospitals and Clinics, Columbia, USA.
TI  - Patients' outcomes: intrahospital transportation and monitoring of critically ill patients by a specially trained ICU nursing staff.
SO  - American Journal of Critical Care. 7(4):282-7, 1998 Jul
AS  - Am J Crit Care. 7(4):282-7, 1998 Jul
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 7
IP  - 4
PG  - 282-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care
MH  - Critical Illness/nu [Nursing]
MH  - Female
MH  - Humans
MH  - Infant
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - *Nursing Staff
MH  - *Outcome Assessment (Health Care)
MH  - *Transportation of Patients
AB  - BACKGROUND: Intrahospital transportation of critically ill patients can contribute to patients' morbidity and mortality.
AB  - OBJECTIVE: To determine adverse outcomes associated with intrahospital transportation of critically ill patients by a specially trained nursing transport team.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 1062-3264
IL  - 1062-3264
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Jul
EZ  - 1998/07/10
DA  - 1998/07/10 00:01
DT  - 1998/07/10 00:00
YR  - 1998
ED  - 19980915
RD  - 20060724
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9656042

<871. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9521968
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - The collaborative UK ECMO (Extracorporeal Membrane Oxygenation) trial: follow-up to 1 year of age.
SO  - Pediatrics. 101(4):E1, 1998 Apr
AS  - Pediatrics. 101(4):E1, 1998 Apr
NJ  - Pediatrics
VO  - 101
IP  - 4
PG  - E1
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Index Medicus
CP  - United States
MH  - Developmental Disabilities/et [Etiology]
MH  - Disabled Children/sn [Statistics & Numerical Data]
MH  - *Extracorporeal Membrane Oxygenation
MH  - Follow-Up Studies
MH  - Hernia, Diaphragmatic/co [Complications]
MH  - Hernia, Diaphragmatic/mo [Mortality]
MH  - Hernia, Diaphragmatic/th [Therapy]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Patient Transfer
MH  - Respiration, Artificial
MH  - Respiratory Insufficiency/co [Complications]
MH  - Respiratory Insufficiency/mo [Mortality]
MH  - *Respiratory Insufficiency/th [Therapy]
MH  - Risk
MH  - Severity of Illness Index
MH  - Survivors
MH  - Treatment Outcome
MH  - Vasodilator Agents/tu [Therapeutic Use]
AB  - OBJECTIVE: To evaluate the clinical effectiveness of neonatal extracorporeal membrane oxygenation (ECMO), in terms of mortality and morbidity, in the treatment of cardiorespiratory failure in term infants.
AB  - METHODS: The criteria for trial entry were: an oxygenation index of >40 or arterial partial pressure of carbon dioxide (PaCO2) >12 kPa for at least 3 hours; gestational age at birth of 35 completed weeks or more; a birth weight of 2 kg or more; <10 days high-pressure ventilation; an age of <28 days; and no contraindication to ECMO such as previous cardiac arrest or intraventricular hemorrhage. Eligible infants were randomized either to be transferred to one of five ECMO centers in the United Kingdom or to continue conventional treatment. The principal outcome was death or severe disability at the age of 1 year. Severe disability was defined as an overall developmental quotient of <50 using the Griffiths Mental Development Scales, or blindness or a level of function so as to make assessment using the Griffiths Scales impossible. Families of surviving children were contacted at regular intervals during the first year and at the age of 1, and an assessment of the child was performed by one of three developmental pediatricians. This included a neurologic examination, assessment of hearing and vision, developmental level, general health, and health service use.
AB  - RESULTS: Of 185 infants recruited into the trial, 93 infants were in the ECMO arm and 92 were allocated conventional treatment. The groups were comparable at trial entry. Thirty of 93 (32%) ECMO infants died before the age of 1 year and 54 of 92 (59%) of the infants in the conventional group died. Two infants were lost to follow-up, 1 from each arm of the trial. Of the remaining 99 survivors, at the age of 1 year, 2 infants (1 in each arm) were still in the hospital, and 5 (3 in the ECMO arm and 2 conventional) still required supplementary oxygen. Fifteen infants had tone changes in the limbs, 10/62 (16%) in the ECMO arm and 5/37 (13.5%) in the conventional arm. These signs were more common on the left side in both groups. One infant (in the ECMO arm) had bilateral sensorineural deafness and 1 infant (also in the ECMO arm) had low vision. Overall, 2 infants were severely disabled (1 ECMO and 1 conventional), 16 others also had evidence of functional loss (12 vs 4), and 8 had impairment without functional loss (4 vs 5). There was a trend toward proportionately greater respiratory morbidity in the conventional group. Neurologic morbidity was more common in the ECMO group, reflecting the larger number of survivors. The lower rate of adverse primary outcome (death or severe disability at 1 year) was found among infants allocated ECMO in all the predefined stratified analyses. Disease severity at trial entry and type of referral center did not appear to alter the effects of ECMO. Only 4 of 18 infants with congenital diaphragmatic hernia survived and at age 1 year only 1 of the 4 survivors was considered normal.
AB  - CONCLUSION: These results are in accord with the earlier preliminary findings that a policy of ECMO support reduces the risk of death without a concomitant rise in severe disability. However, 1 in 4 survivors had evidence of impairment with or without disability. Further follow-up is planned at the age of 4 and 7 years.
RN  - 0 (Vasodilator Agents)
ES  - 1098-4275
IL  - 0031-4005
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1998 Apr
EZ  - 1998/04/09
DA  - 1998/04/09 00:01
DT  - 1998/04/09 00:00
YR  - 1998
ED  - 19980915
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9521968

<872. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9562764
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brus F
AU  - de Boer RJ
FA  - Brus, F
FA  - de Boer, R J
TI  - [Need for centralization of pediatric intensive care]. [Dutch]
OT  - Noodzaak tot centralisatie van pediatrische intensive care.
CM  - Comment on: Ned Tijdschr Geneeskd. 1997 Nov 29;141(48):2325-7; PMID: 9550821
SO  - Nederlands Tijdschrift voor Geneeskunde. 142(9):484, 1998 Feb 28
AS  - Ned Tijdschr Geneeskd. 142(9):484, 1998 Feb 28
NJ  - Nederlands tijdschrift voor geneeskunde
VO  - 142
IP  - 9
PG  - 484
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - nuk, 0400770
IO  - Ned Tijdschr Geneeskd
SB  - Index Medicus
CP  - Netherlands
MH  - Child
MH  - Child, Preschool
MH  - *Hospital Bed Capacity
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric/ut [Utilization]
MH  - *Referral and Consultation
MH  - Transportation of Patients
IS  - 0028-2162
IL  - 0028-2162
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - Dutch
DP  - 1998 Feb 28
EZ  - 1998/05/01
DA  - 1998/05/01 00:01
DT  - 1998/05/01 00:00
YR  - 1998
ED  - 19980730
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9562764

<873. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9625005
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brown K
AU  - Wellman N
FA  - Brown, K
FA  - Wellman, N
IN  - Brown, K. Psychiatric Intensive Care Unit, Warneford Hospital, Oxford.
TI  - Psychiatric intensive care: a developing specialty.
SO  - Nursing Standard. 12(29):45-7, 1998 Apr 8-14
AS  - Nurs Stand. 12(29):45-7, 1998 Apr 8-14
NJ  - Nursing standard (Royal College of Nursing (Great Britain) : 1987)
VO  - 12
IP  - 29
PG  - 45-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9012906, awh, 8508427
IO  - Nurs Stand
SB  - Nursing Journal
CP  - England
MH  - Attitude of Health Personnel
MH  - *Critical Care/og [Organization & Administration]
MH  - Humans
MH  - Nurse Clinicians/ed [Education]
MH  - *Nurse Clinicians/og [Organization & Administration]
MH  - Nursing Assessment
MH  - Patient Transfer
MH  - Psychiatric Nursing/ed [Education]
MH  - *Psychiatric Nursing/og [Organization & Administration]
MH  - Risk Factors
AB  - Care of acutely ill psychiatric patients is a problematic area for the NHS. This article charts the development of the specialty of psychiatric intensive care and discusses the major issues for staff and patients.
IS  - 0029-6570
IL  - 0029-6570
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Apr 8-14
EZ  - 1998/06/13
DA  - 1998/06/13 00:01
DT  - 1998/06/13 00:00
YR  - 1998
ED  - 19980618
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9625005

<874. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9550821
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gemke RJ
AU  - van der Voort E
AU  - Bos AP
FA  - Gemke, R J
FA  - van der Voort, E
FA  - Bos, A P
IN  - Gemke, R J. Afd. Kindergeneeskunde, Wilhelmina Kinderziekenhuis-Academisch Ziekenhuis Utrecht.
TI  - [The necessity for centralization of pediatric intensive care]. [Dutch]
OT  - Noodzaak tot centralisatie van pediatrische intensive care.
CM  - Comment in: Ned Tijdschr Geneeskd. 1998 Feb 28;142(9):484; PMID: 9562764
SO  - Nederlands Tijdschrift voor Geneeskunde. 141(48):2325-7, 1997 Nov 29
AS  - Ned Tijdschr Geneeskd. 141(48):2325-7, 1997 Nov 29
NJ  - Nederlands tijdschrift voor geneeskunde
VO  - 141
IP  - 48
PG  - 2325-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - nuk, 0400770
IO  - Ned Tijdschr Geneeskd
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/st [Standards]
MH  - Hospital Bed Capacity
MH  - Humans
MH  - Infant
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Netherlands
MH  - Quality of Health Care
MH  - Referral and Consultation
MH  - Transportation of Patients
AB  - Substantial evidence indicates that outcome of critically ill children, treated in tertiary paediatric intensive care units (PICUs) is superior to that of those treated in other settings. However, a significant number of children who require this level of care are not admitted to such a unit e.g. due to capacity constraints, reluctance of physicians of general hospitals to refer children to a tertiary centre, and transportation problems. Centralization of care, as recently proposed in the UK, is necessary in the Netherlands, as well, to improve the quality of care. This will require a controlled number of PICU beds in a restricted number of centres, adequate transport facilities and step-down or high dependency units in large general hospitals.
IS  - 0028-2162
IL  - 0028-2162
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Dutch
DP  - 1997 Nov 29
EZ  - 1998/04/29
DA  - 1998/04/29 00:01
DT  - 1998/04/29 00:00
YR  - 1997
ED  - 19980615
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9550821

<875. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9574441
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Huf R
AU  - Weninger E
AU  - Schildberg FW
AU  - Peter K
FA  - Huf, R
FA  - Weninger, E
FA  - Schildberg, F W
FA  - Peter, K
IN  - Huf, R. Chirurgische Klinik und Poliklinik, Universitat Munchen, Klinikum Grosshadern.
TI  - [The Munich intensive care transport system. Patient transport and intensive care conditions]. [German]
OT  - Das Munchner Intensiv-Transport-System. Patiententransport und Intensivbedingungen.
SO  - Langenbecks Archiv fur Chirurgie - Supplement - Kongressband. 114:1398-400, 1997
AS  - Langenbecks Arch Chir Suppl Kongressbd. 114:1398-400, 1997
NJ  - Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress
VO  - 114
PG  - 1398-400
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bad, 9200456
IO  - Langenbecks Arch Chir Suppl Kongressbd
SB  - Index Medicus
CP  - Germany
MH  - Aircraft/ec [Economics]
MH  - Costs and Cost Analysis
MH  - Equipment Design/ec [Economics]
MH  - Germany
MH  - Heart-Assist Devices/ec [Economics]
MH  - Hospital Shared Services
MH  - Humans
MH  - Intensive Care Units/ec [Economics]
MH  - *Intensive Care Units
MH  - Mobile Health Units/ec [Economics]
MH  - *Mobile Health Units
MH  - Monitoring, Physiologic/ec [Economics]
MH  - Transportation of Patients/ec [Economics]
MH  - *Transportation of Patients
MH  - Ventilators, Mechanical/ec [Economics]
AB  - In November 1990 a new program for transporting critically ill patients by a 24-h specialized intensive care transportation system at the Munich Hospital Grosshadern was established. All medical equipment similar to that in the ICU allows invasive and non-invasive monitoring, drug administration, and a sophisticated respiratory therapy, provided by a Siemens Servo 300 ventilator. Even extracorporal lung augmentation (ECLA) and cardiac pump assistance by special mobile devices are possible during the transport.
IS  - 0942-2854
IL  - 0942-2854
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - German
DP  - 1997
EZ  - 1997/01/01 00:00
DA  - 1998/05/09 00:01
DT  - 1997/01/01 00:00
YR  - 1997
ED  - 19980603
RD  - 20080220
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9574441

<876. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9556312
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brown DL
AU  - Greenhalgh DG
AU  - Warden GD
FA  - Brown, D L
FA  - Greenhalgh, D G
FA  - Warden, G D
IN  - Brown, D L. Shriners Burns Institute and Department of Surgery, the University of Cincinnati, Ohio 45229, USA.
TI  - Purpura fulminans: a disease best managed in a burn center.
SO  - Journal of Burn Care & Rehabilitation. 19(2):119-23, 1998 Mar-Apr
AS  - J Burn Care Rehabil. 19(2):119-23, 1998 Mar-Apr
NJ  - The Journal of burn care & rehabilitation
VO  - 19
IP  - 2
PG  - 119-23
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Amputation
MH  - *Burn Units
MH  - Child
MH  - Child, Preschool
MH  - Fasciotomy
MH  - Female
MH  - Guidelines as Topic
MH  - Humans
MH  - Infant
MH  - Male
MH  - Neisseria meningitidis/ip [Isolation & Purification]
MH  - *Patient Transfer
MH  - *Purpura, Schoenlein-Henoch/th [Therapy]
AB  - Victims of purpura fulminans are overcome by a rapidly progressive and sometimes fatal course involving large amounts of tissue loss and multiple organ system failure. From 1986 to 1995, seven children ranging in age from 10 months to 19 years (mean, 6.2 years) were referred to the Shriners Burns Institute in Cincinnati with purpura fulminans. Neisseria meningitidis was identified as the precipitating pathogen in most of the patients. The mean TBSA full-thickness skin loss was 33%. Fourteen extremities were amputated in the seven patients, including three patients with amputations of all four extremities. Transfer to our institution occurred after a mean delay of 20 days, usually after the demarcation of viable tissue. In one patient, however, fasciotomies obviated multiple impending amputations. Monitoring for elevated compartment pressures, early fasciotomies, and expedient transfer to a burn center for a multidiciplinary approach to care should improve the outcome in patients with purpura fulminans.
IS  - 0273-8481
IL  - 0273-8481
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Mar-Apr
EZ  - 1998/04/29
DA  - 1998/04/29 00:01
DT  - 1998/04/29 00:00
YR  - 1998
ED  - 19980529
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9556312

<877. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9531071
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Blahova J
AU  - Kralikova K
AU  - Krcmery V Sr
AU  - Chmelarova E
AU  - Torsova V
FA  - Blahova, J
FA  - Kralikova, K
FA  - Krcmery, V Sr
FA  - Chmelarova, E
FA  - Torsova, V
IN  - Blahova, J. Institute of Preventive and Clinical Medicine, Bratislava, Slovak Republic.
TI  - Two nosocomial strains of Stenotrophomonas maltophilia transferring antibiotic resistance to Proteus mirabilis P-38 recipient strain.
SO  - Journal of Chemotherapy. 10(1):22-4, 1998 Feb
AS  - J Chemother. 10(1):22-4, 1998 Feb
NJ  - Journal of chemotherapy (Florence, Italy)
VO  - 10
IP  - 1
PG  - 22-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jcy, 8907348
IO  - J Chemother
SB  - Index Medicus
CP  - England
MH  - *Anti-Bacterial Agents/pd [Pharmacology]
MH  - *Anti-Infective Agents/pd [Pharmacology]
MH  - Carbenicillin/pd [Pharmacology]
MH  - Cephaloridine/pd [Pharmacology]
MH  - Culture Media
MH  - Czech Republic
MH  - *Drug Resistance, Multiple
MH  - Fluoroquinolones
MH  - Humans
MH  - Intensive Care Units
MH  - *Proteus mirabilis/de [Drug Effects]
MH  - Proteus mirabilis/ge [Genetics]
MH  - *Xanthomonas/de [Drug Effects]
MH  - Xanthomonas/ge [Genetics]
MH  - *beta-Lactam Resistance
MH  - beta-Lactamases/an [Analysis]
MH  - beta-Lactamases/me [Metabolism]
AB  - In this report we describe a specific transfer of carbenicillin and cephaloridine resistance determinants from two different strains of Stenotrophomonas maltophilia: No. 215 and 221 isolated from two critically ill patients treated in different Intensive Care Units of a large University Hospital in Ostrava, Czech Republic. These strains were resistant to flouroquinolones and the following beta-lactam drugs: carbenicillin, cephaloridine, cefotaxime, ceftazidime, cefepime, imipenem, meropenem and aztreonam. Both strains transferred carbenicillin and cephaloridine resistance determinants, with rather different frequency, to Proteus mirabilis P-38. All carbenicillin-selected transconjugants were found by an indirect selection method to be co-resistant to cephaloridine only. In a second cycle of transfers Proteus mirabilis R+ strains directly transferred carbenicillin and cephalothin determinants to Escherichia coli K-12 No. 185 nal+ lac+ recipient strain.
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Anti-Infective Agents)
RN  - 0 (Culture Media)
RN  - 0 (Fluoroquinolones)
RN  - EC 3-5-2-6 (beta-Lactamases)
RN  - G42ZU72N5G (Carbenicillin)
RN  - LVZ1VC61HB (Cephaloridine)
IS  - 1120-009X
IL  - 1120-009X
PT  - Journal Article
ID  - 10.1179/joc.1998.10.1.22 [doi]
PP  - ppublish
LG  - English
DP  - 1998 Feb
EZ  - 1998/04/08 02:04
DA  - 2001/03/28 10:01
DT  - 1998/04/08 02:04
YR  - 1998
ED  - 19980519
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9531071

<878. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9530481
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ruckoldt H
AU  - Marx G
AU  - Leuwer M
AU  - Panning B
AU  - Piepenbrock S
FA  - Ruckoldt, H
FA  - Marx, G
FA  - Leuwer, M
FA  - Panning, B
FA  - Piepenbrock, S
IN  - Ruckoldt, H. Zentrum fur Anasthesiologie, Abteilung I, Medizinische Hochschule, Hannover.
TI  - [Pulse oximetry and capnography in intensive care transportation: combined use reduces transportation risks]. [German]
OT  - Pulsoxymetrie und Kapnometrie bei Intensivtransporten: Kombinierter Einsatz verringert das Transportrisiko.
SO  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. 33(1):32-6, 1998 Jan
AS  - Anasthesiol Intensivmed Notfallmed Schmerzther. 33(1):32-6, 1998 Jan
NJ  - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
VO  - 33
IP  - 1
PG  - 32-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9109478, a4c
IO  - Anasthesiol Intensivmed Notfallmed Schmerzther
SB  - Index Medicus
CP  - Germany
MH  - APACHE
MH  - *Capnography
MH  - *Critical Care/st [Standards]
MH  - Critical Illness/ep [Epidemiology]
MH  - Humans
MH  - Incidence
MH  - Monitoring, Physiologic/mt [Methods]
MH  - *Oximetry
MH  - Prospective Studies
MH  - Quality Assurance, Health Care
MH  - *Respiration, Artificial
MH  - Risk Factors
MH  - *Transportation of Patients
AB  - OBJECTIVE: Due to the growing number of diagnostic and therapeutical procedures intensive-care patients must be transported intra- and interhospitally more often. These transports are among the most critical events during intensive-care therapy, with a high incidence of potentially life-threatening mishaps [23]. The aim of this study was to evaluate the possible benefit of the combined application of pulse oximetry and capnometry for patient safety during transport.
AB  - METHODS: In a prospective clinical study 48 mechanically ventilated patients were allocated at random in 2 main study groups, 24 patients were investigated during interhospital transportation with an ambulance car, the other 24 patients during intrahospital transports. They were classified according to APACHE II and TISS. Blood pressure, heart rate and arterial blood gases were measured at eleven selected times. Twelve randomly chosen patients out of each main study group were monitored additionally with pulse oximetry and capnometry. The results were compared using the Mann-Whitney-U test. P < or = 0.05 was considered significant.
AB  - RESULTS: Thirty-four patients had a TISS more than 40. The mean APACHE II-Score was 14 +/- 5. The overall incidence of potentially life-threatening mishaps was 9. Six out of these 9 occurred in the 24 patients with additional monitoring and were immediately detected by pulse oximetry or capnometry.
AB  - CONCLUSIONS: The combination of pulse oximetry and capnometry offers the possibility to detect potentially life-threatening problems in ventilated patients during transport. This allows for early therapeutical consequences and may help to reduce the risk of transports.
IS  - 0939-2661
IL  - 0939-2661
PT  - Clinical Trial
PT  - English Abstract
PT  - Journal Article
PT  - Randomized Controlled Trial
ID  - 10.1055/s-2007-994207 [doi]
PP  - ppublish
LG  - German
DP  - 1998 Jan
EZ  - 1998/04/08
DA  - 1998/04/08 00:01
DT  - 1998/04/08 00:00
YR  - 1998
ED  - 19980514
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9530481

<879. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9456201
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sibbald WJ
AU  - Kossuth JD
FA  - Sibbald, W J
FA  - Kossuth, J D
IN  - Sibbald, W J. London Health Sciences Centre and the University of Western Ontario, Canada.
TI  - The Ontario Health Care Evaluation Network and the Critical Care Research Network as vehicles for research transfer.
SO  - Medical Decision Making. 18(1):9-16; discussion 16-8, 1998 Jan-Mar
AS  - Med Decis Making. 18(1):9-16; discussion 16-8, 1998 Jan-Mar
NJ  - Medical decision making : an international journal of the Society for Medical Decision Making
VO  - 18
IP  - 1
PG  - 9-16; discussion 16-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ma8, 8109073
IO  - Med Decis Making
SB  - Index Medicus
CP  - United States
MH  - Computer Communication Networks
MH  - *Evidence-Based Medicine
MH  - *Health Planning Organizations/og [Organization & Administration]
MH  - Humans
MH  - Information Services/og [Organization & Administration]
MH  - *Interprofessional Relations
MH  - Ontario
MH  - Practice Guidelines as Topic
MH  - *Technology Transfer
AB  - Facilitating the successful and consistent use of research results to support health care decisions is a formidable task. Barriers to effectively transferring the results of research into the decision-making process have been created between practitioners and researchers, who traditionally have worked in isolation from each other. The need for them to work cooperatively to break down these barriers is paramount as changes within the health care environment increase. The Ontario Health Care Evaluation Network (OHCEN) and the Critical Care Research Network (CCR-Net) have attempted to address these concerns by bringing together teams of researchers, practitioners, and administrative personnel with the purpose of equipping them with tools to meet oncoming health care challenges.
IS  - 0272-989X
IL  - 0272-989X
PT  - Journal Article
ID  - 10.1177/0272989X9801800103 [doi]
PP  - ppublish
LG  - English
DP  - 1998 Jan-Mar
EZ  - 1998/02/10
DA  - 1998/02/10 00:01
DT  - 1998/02/10 00:00
YR  - 1998
ED  - 19980326
RD  - 20170214
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9456201

<880. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9470074
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schwilk B
AU  - Wiedeck H
AU  - Stein B
AU  - Reinelt H
AU  - Treiber H
AU  - Bothner U
FA  - Schwilk, B
FA  - Wiedeck, H
FA  - Stein, B
FA  - Reinelt, H
FA  - Treiber, H
FA  - Bothner, U
IN  - Schwilk, B. Department of Anaesthesiology, University of Ulm, Germany.
TI  - Epidemiology of acute renal failure and outcome of haemodiafiltration in intensive care.
SO  - Intensive Care Medicine. 23(12):1204-11, 1997 Dec
AS  - Intensive Care Med. 23(12):1204-11, 1997 Dec
NJ  - Intensive care medicine
VO  - 23
IP  - 12
PG  - 1204-11
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Acute Kidney Injury/co [Complications]
MH  - *Acute Kidney Injury/ep [Epidemiology]
MH  - *Acute Kidney Injury/th [Therapy]
MH  - *Hemodiafiltration/mt [Methods]
MH  - *Hemodiafiltration/mo [Mortality]
MH  - Humans
MH  - Intensive Care Units
MH  - Multiple Organ Failure/et [Etiology]
MH  - Patient Transfer
MH  - Risk Factors
MH  - Sepsis/et [Etiology]
MH  - Severity of Illness Index
MH  - Treatment Outcome
AB  - OBJECTIVE: To examine the epidemiology of acute renal failure (ARF) and to identify predictors of mortality in patients treated by continuous venovenous haemodiafiltration (CVVHDF).
AB  - DESIGN: Uncontrolled observational study.
AB  - SETTING: One intensive care unit (ICU) at a surgical and trauma centre.
AB  - PATIENTS: A consecutive sample of 3591 ICU treatments.
AB  - MEASUREMENTS AND RESULTS: Demographic data, indications for ICU admission, severity scores and organ system failure at the beginning of CVVHDF were set against the occurrence of ARF and ICU mortality. 154 (4.3% of ICU patients and 0.6% of the hospital population) developed ARF and were treated with CVVHDF. Higher American Society of Anaesthesiologists (ASA) status and higher Apache II score were associated with ICU incidence of ARF. However, these criteria were not able to predict outcome in ARF. A simplified predictive model was derived using multivariate logistic regression modelling. The mortality rates were 12% with one failing organ system (OSF), 38% with two OSF, 72% with three OSF, 90% with four OSF and 100% with five OSF. The adjusted odds ratio (OR) of death was 7.7 for cardiovascular failure, 6.3 for hepatic failure, 3.6 for respiratory failure, 3.0 for neurologic failure, 5.3 for massive transfusion and 3.7 for age of 60 years or more.
AB  - CONCLUSION: General measures of severity are not useful in predicting the outcome of ARF. Only the nature and number of dysfunctioning organ systems and massive transfusion at the beginning of CVVHDF and the age of the patients gave a reliable prognosis in this group of patients.
IS  - 0342-4642
IL  - 0342-4642
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1997 Dec
EZ  - 1998/02/21
DA  - 1998/02/21 00:01
DT  - 1998/02/21 00:00
YR  - 1997
ED  - 19980324
RD  - 20170919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9470074

<881. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10176035
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Critical care transport team can reduce risks, boost bottom line.
SO  - ED Management. 10(1):8-11, 1998 Jan
AS  - ED Manag. 10(1):8-11, 1998 Jan
NJ  - ED management : the monthly update on emergency department management
VO  - 10
IP  - 1
PG  - 8-11
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - chx, 9425690
IO  - ED Manag
SB  - Health Administration Journals
CP  - United States
MH  - Continuity of Patient Care
MH  - Critical Care/ec [Economics]
MH  - Critical Care/lj [Legislation & Jurisprudence]
MH  - Critical Care/st [Standards]
MH  - Emergency Medical Technicians
MH  - *Emergency Service, Hospital/ec [Economics]
MH  - Liability, Legal
MH  - Marketing of Health Services
MH  - Maryland
MH  - Patient Transfer/lj [Legislation & Jurisprudence]
MH  - Risk Management/og [Organization & Administration]
MH  - *Transportation of Patients
IS  - 1044-9167
IL  - 1044-9167
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Jan
EZ  - 1997/12/08
DA  - 1997/12/08 00:01
DT  - 1997/12/08 00:00
YR  - 1998
ED  - 19980305
RD  - 20001218
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10176035

<882. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9469098
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Parks K
FA  - Parks, K
IN  - Parks, K. Critical Care Services, Shore Health System, Easton, MD, USA.
TI  - Streamlined critical care transport on the shore.
SO  - Nursing Spectrum (D.C./Baltimore Metro Edition). 8(1):8, 1998 Jan 12
AS  - Nurs Spectr (Wash D C). 8(1):8, 1998 Jan 12
NJ  - Nursing spectrum (D.C./Baltimore metro ed.)
VO  - 8
IP  - 1
PG  - 8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bxz, 9421079
IO  - Nurs Spectr (Wash D C)
SB  - Nursing Journal
CP  - United States
MH  - *Critical Care
MH  - Humans
MH  - Maryland
MH  - *Transportation of Patients
IS  - 1098-9153
IL  - 1098-9153
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Jan 12
EZ  - 1998/02/20
DA  - 1998/02/20 00:01
DT  - 1998/02/20 00:00
YR  - 1998
ED  - 19980219
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9469098

<883. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9445500
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Ambrosio IU
AU  - Woo MS
AU  - Jansen MT
AU  - Keens TG
FA  - Ambrosio, I U
FA  - Woo, M S
FA  - Jansen, M T
FA  - Keens, T G
IN  - Ambrosio, I U. Division of Pediatric Pulmonology, Childrens Hospital Los Angeles, University of Southern California School of Medicine 90027, USA.
TI  - Safety of hospitalized ventilator-dependent children outside of the intensive care unit.
CM  - Comment in: Pediatrics. 1998 Nov;102(5):1221-2; PMID: 9867593
SO  - Pediatrics. 101(2):257-9, 1998 Feb
AS  - Pediatrics. 101(2):257-9, 1998 Feb
NJ  - Pediatrics
VO  - 101
IP  - 2
PG  - 257-9
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Hospital Departments
MH  - Hospital Mortality
MH  - *Hospitalization
MH  - Hospitals, Pediatric/og [Organization & Administration]
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Los Angeles
MH  - Patient Transfer
MH  - *Respiration, Artificial
MH  - Retrospective Studies
AB  - OBJECTIVE: Hospitalization of clinically stable ventilator-dependent children in an intensive care unit (ICU) remains the standard in most pediatric centers. The aim of this study was to determine whether chronically ventilator-dependent children could be hospitalized safely in a non-ICU setting.
AB  - METHODS: All ventilator-dependent children who were hospitalized on the pediatric wards at Childrens Hospital Los Angeles from December 1992 through June 1996 were reviewed retrospectively (N = 63) and compared with the general pediatric ward population hospitalized during the same period. Data collected included the number of unexpected ICU transfers from the pediatric ward and the number of deaths that occurred on the ward.
AB  - RESULTS: The ventilator-dependent children on the pediatric wards had 11 emergency readmissions to the ICU for unexpected deterioration. This represented an unexpected ICU transfer rate of 2.7 per 1000 patient-days on the wards. The general pediatric ward population had an unexpected ICU transfer rate of 3.3 per 1000 patient-days, which was not significantly different from that of ventilator-dependent children on the wards. There were three ward deaths among the ventilator-dependent children, but all of these patients had advance directive status (do not resuscitate). This represented a rate of seven deaths per 10,000 patient-days on the wards, which was not significantly different from those of nonventilator-dependent ward patients (eight deaths per 10,000 patient-days).
AB  - CONCLUSIONS: We conclude that ventilator-dependent children hospitalized outside of the ICU do not have an increased incidence of deaths and unexpected ICU admissions compared with nonventilator-dependent inpatients. We speculate that hospital care of stable ventilator-dependent children can be provided safely outside of an ICU and at lower cost.
ES  - 1098-4275
IL  - 0031-4005
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1998 Feb
EZ  - 1998/01/31
DA  - 1998/01/31 00:01
DT  - 1998/01/31 00:00
YR  - 1998
ED  - 19980217
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9445500

<884. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10175157
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Breen D
AU  - Bihari D
FA  - Breen, D
FA  - Bihari, D
IN  - Breen, D. Department of Intensive Care, St George Hospital, Kogarah, Sydney, NSW.
TI  - Clinical assessment and measurement of oxygen transport in the critical care setting. [Review] [43 refs]
SO  - Transfusion Science. 18(3):437-45, 1997 Sep
AS  - Transfus Sci. 18(3):437-45, 1997 Sep
NJ  - Transfusion science
VO  - 18
IP  - 3
PG  - 437-45
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9001514, bdj
IO  - Transfus Sci
SB  - Health Technology Assessment Journals
CP  - England
MH  - Arteries
MH  - Biological Transport/ph [Physiology]
MH  - *Critical Care
MH  - Evaluation Studies as Topic
MH  - Humans
MH  - Lactates/bl [Blood]
MH  - Oxygen/bl [Blood]
MH  - *Oxygen/pk [Pharmacokinetics]
MH  - Oxygen Consumption/ph [Physiology]
MH  - Tonometry, Ocular
AB  - Adequate delivery of oxygen to the tissues is an important factor both in the initial resuscitation of the shocked patient and subsequently in the development of multiple organ failure. The advent of the pulmonary artery catheter has facilitated the calculation of global measurements of oxygen transport at the bedside. Calculated oxygen delivery in fact represents arterial oxygen dispatch rather than actual oxygen delivery to the respiring tissues. Considerable controversy still surrounds the issue of resuscitation of critically ill patients to predetermined goals for oxygen delivery and consumption. More recently interest has arisen in other measures of oxygen transport, in particular regional techniques such as the gastric tonometer. [References: 43]
RN  - 0 (Lactates)
RN  - S88TT14065 (Oxygen)
IS  - 0955-3886
IL  - 0955-3886
PT  - Journal Article
PT  - Review
ID  - S0955-3886(97)00042-8 [pii]
ID  - 10.1016/S0955-3886(97)00042-8 [doi]
PP  - ppublish
LG  - English
DP  - 1997 Sep
EZ  - 1997/08/05
DA  - 1997/08/05 00:01
DT  - 1997/08/05 00:00
YR  - 1997
ED  - 19980205
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10175157

<885. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9444290
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Justin L
FA  - Justin, L
IN  - Justin, L. Intensive Care Unit, Our Lady's Hospital for Sick Children, Crumlin.
TI  - From outback to hospital in less than two hours.
SO  - World of Irish Nursing. 5(3):20-1, 1997 Apr
AS  - WORLD IR NURS. 5(3):20-1, 1997 Apr
NJ  - World of Irish nursing (Dublin, Ireland : 1995)
VO  - 5
IP  - 3
PG  - 20-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9609641
IO  - World Ir Nurs
SB  - Nursing Journal
CP  - Ireland
MH  - Australia
MH  - Child
MH  - *Emergency Medical Services
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Transportation of Patients
IS  - 1393-8088
IL  - 1393-8088
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1997 Apr
EZ  - 1997/04/01 00:00
DA  - 1998/01/28 00:01
DT  - 1997/04/01 00:00
YR  - 1997
ED  - 19980205
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9444290

<886. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9420980
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Andel H
AU  - Sitzwohl C
AU  - Wind L
AU  - Zimpfer M
FA  - Andel, H
FA  - Sitzwohl, C
FA  - Wind, L
FA  - Zimpfer, M
IN  - Andel, H. Department of Anesthesiology and General Intensive Care, Vienna General Hospital, Ludwig Boltzmann-Institute of Clinical Anesthesiology and Intensive Care, Austria. h.andel@akh-wien.ac.at
TI  - Process analysis in the operating room.
CM  - Comment in: Acta Anaesthesiol Scand. 1998 Aug;42(7):881; PMID: 9698971
SO  - Acta Anaesthesiologica Scandinavica. Supplementum. 111:115-7, 1997
AS  - Acta Anaesthesiol Scand Suppl. 111:115-7, 1997
NJ  - Acta anaesthesiologica Scandinavica. Supplementum
VO  - 111
PG  - 115-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0370271
IO  - Acta Anaesthesiol Scand Suppl
SB  - Index Medicus
CP  - England
MH  - Anesthesia, General
MH  - Cost Control
MH  - Critical Care
MH  - Hospital Costs
MH  - Humans
MH  - Monitoring, Intraoperative
MH  - Operating Rooms/ec [Economics]
MH  - *Operating Rooms/og [Organization & Administration]
MH  - Patient Transfer
MH  - *Process Assessment (Health Care)
MH  - Recovery Room
MH  - Respiration, Artificial
MH  - Surgical Procedures, Operative
MH  - Time Factors
IS  - 0515-2720
IL  - 0515-2720
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1997
EZ  - 1997/01/01 00:00
DA  - 1998/01/08 00:01
DT  - 1997/01/01 00:00
YR  - 1997
ED  - 19980204
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9420980

<887. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9351120
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Liao XH
AU  - de Caestecker L
AU  - Gemmell J
AU  - Lees A
AU  - McIlwaine G
AU  - Yates R
FA  - Liao, X H
FA  - de Caestecker, L
FA  - Gemmell, J
FA  - Lees, A
FA  - McIlwaine, G
FA  - Yates, R
IN  - Liao, X H. Department of Public Health, Greater Glasgow Health Board.
TI  - The neonatal consequences and neonatal cost of reducing the number of embryos transferred following IVF.
SO  - Scottish Medical Journal. 42(3):76-8, 1997 Jun
AS  - Scott Med J. 42(3):76-8, 1997 Jun
NJ  - Scottish medical journal
VO  - 42
IP  - 3
PG  - 76-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ujk, 2983335r
IO  - Scott Med J
SB  - Index Medicus
CP  - Scotland
MH  - Chi-Square Distribution
MH  - *Embryo Transfer/ec [Economics]
MH  - Embryo Transfer/mt [Methods]
MH  - Female
MH  - *Fertilization in Vitro
MH  - Humans
MH  - *Intensive Care Units, Neonatal/ec [Economics]
MH  - Medical Audit
MH  - Pregnancy
MH  - *Pregnancy Outcome
MH  - Pregnancy, Multiple
AB  - This clinical audit project examined the effects of change of policy between 1990 and 1993 transferring an average two (maximum three for particular cases) embryos to women undergoing IVF in the West of Scotland programme. All women who achieved clinical pregnancy in 1990 (92 women) and 1993 (93 women) as a result of the IVF programme were included in the study. The hospital records of women via the programme were analysed. The results of the study showed that there was a significant reduction in the rate of multiple pregnancy, preterm birth and low birth weight babies in the 1993 group (new policy). The cost of neonatal intensive care in 1993 for babies born following IVF was about nine times lower than that in 1990 (old policy). This study concluded that a policy of transferring two embryos (or three for particular cases) to women in an IVF programme, had improved the perinatal outcome and reduced the cost of the neonatal service for those babies.
IS  - 0036-9330
IL  - 0036-9330
PT  - Journal Article
ID  - 10.1177/003693309704200304 [doi]
PP  - ppublish
LG  - English
DP  - 1997 Jun
EZ  - 1997/06/01 00:00
DA  - 1997/11/14 00:01
DT  - 1997/06/01 00:00
YR  - 1997
ED  - 19980130
RD  - 20170214
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9351120

<888. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9401523
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Leslie AJ
AU  - Stephenson TJ
FA  - Leslie, A J
FA  - Stephenson, T J
IN  - Leslie, A J. Department of Neonatal Medicine, City Hospital, Nottingham, UK.
TI  - Audit of neonatal intensive care transport--closing the loop.
SO  - Acta Paediatrica. 86(11):1253-6, 1997 Nov
AS  - Acta Paediatr. 86(11):1253-6, 1997 Nov
NJ  - Acta paediatrica (Oslo, Norway : 1992)
VO  - 86
IP  - 11
PG  - 1253-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bgc, 9205968
IO  - Acta Paediatr.
SB  - Index Medicus
CP  - Norway
MH  - Birth Weight
MH  - Blood Glucose
MH  - Blood Pressure
MH  - Cohort Studies
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - *Medical Audit
MH  - Patient Care Team
MH  - Patient Transfer
MH  - *Transportation of Patients/mt [Methods]
AB  - To audit the effectiveness of changes in transport arrangements, data on babies ventilated during transfer into a neonatal unit were compared between two periods. During the first period, August 1991-February 1993, an ad hoc transport team operated. Transport practice was changed in 1993 by forming a nine-person nursing transport team, improving training and upgrading monitoring. The second audit period was January 1994-July 1995. The groups were not significantly different for birthweight, gestation or levels of ventilation. Physiological variables were assessed with a "transport score". Improved scores for temperature and pH were achieved on completion of transfer in 1994-95 compared to 1991-93. Stabilizing prior to transfer took longer in the 1994-95 period. No serious deteriorations occurred in transit in the 1994-95 period, three in 1991-93. Audit facilitates identification of problems in transport. Staff, education and equipment changes were associated with improved audited outcomes.
RN  - 0 (Blood Glucose)
IS  - 0803-5253
IL  - 0803-5253
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1997 Nov
EZ  - 1997/12/24
DA  - 1997/12/24 00:01
DT  - 1997/12/24 00:00
YR  - 1997
ED  - 19980113
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9401523

<889. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9404986
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Engelhardt SL
AU  - Schurr MJ
AU  - Helgerson RB
FA  - Engelhardt, S L
FA  - Schurr, M J
FA  - Helgerson, R B
IN  - Engelhardt, S L. Department of Surgery, University of Wisconsin Hospital, Madison 53792, USA.
TI  - Toxic epidermal necrolysis: an analysis of referral patterns and steroid usage.
SO  - Journal of Burn Care & Rehabilitation. 18(6):520-4, 1997 Nov-Dec
AS  - J Burn Care Rehabil. 18(6):520-4, 1997 Nov-Dec
NJ  - The Journal of burn care & rehabilitation
VO  - 18
IP  - 6
PG  - 520-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - hlk, 8110188
IO  - J Burn Care Rehabil
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Burn Units
MH  - *Burns/co [Complications]
MH  - Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Guidelines as Topic
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Care Management/st [Standards]
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - Sepsis/et [Etiology]
MH  - *Steroids/tu [Therapeutic Use]
MH  - Stevens-Johnson Syndrome/co [Complications]
MH  - Stevens-Johnson Syndrome/mo [Mortality]
MH  - Stevens-Johnson Syndrome/th [Therapy]
MH  - *Stevens-Johnson Syndrome
AB  - Toxic epidermal necrolysis (TEN) is an exfoliative disorder associated with epidermal slough and systemic toxicity. As of 1986, the literature has advocated early burn center transfer and has rejected the use of steroids. We questioned whether therapy for TEN has changed to reflect these concepts. All cases of TEN referred to our tertiary burn center since 1988 were reviewed. The history was evaluated for steroid usage and timing of burn center transfer. Drug exposures, septic complications, and deaths were noted. Statistics are expressed as mean +/- SD. Fourteen cases of TEN were identified. Transfer was delayed more than 2 days in 10 (72%) instances. Mean delay was 4.4 +/- 2.7 days. Half received steroids. There were three deaths (21%). Pneumonia developed in five patients (36%), urinary tract infections developed in three (21%) patients, seven (50%) patients required intubation, and three (21%) required hemodialysis. No differences in mortality rates or infectious complications were noted in patients who received steroids or who were transferred late. Septic complications occur frequently in TEN. Delay in transfer and initiation of steroids at referring institutions are common. Early burn center referral and avoidance of steroids needs to be reiterated at the level of the referring physician.
RN  - 0 (Steroids)
IS  - 0273-8481
IL  - 0273-8481
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1997 Nov-Dec
EZ  - 1997/12/24
DA  - 1997/12/24 00:01
DT  - 1997/12/24 00:00
YR  - 1997
ED  - 19980107
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9404986

<890. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9336732
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kearney TJ
AU  - Shabot MM
AU  - LoBue M
AU  - Leyerle BJ
FA  - Kearney, T J
FA  - Shabot, M M
FA  - LoBue, M
FA  - Leyerle, B J
IN  - Kearney, T J. Cedars-Sinai Research Institute, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
TI  - The effect of surgical ICU triage patterns on differing severity adjusted outcomes in France and the United States.
SO  - International Journal of Clinical Monitoring & Computing. 14(2):83-8, 1997
AS  - Int J Clin Monit Comput. 14(2):83-8, 1997
NJ  - International journal of clinical monitoring and computing
VO  - 14
IP  - 2
PG  - 83-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ite, 8601284
IO  - Int J Clin Monit Comput
SB  - Index Medicus
CP  - Netherlands
MH  - Emergency Service, Hospital
MH  - France
MH  - Humans
MH  - Information Systems
MH  - *Intensive Care Units/sn [Statistics & Numerical Data]
MH  - *Mortality
MH  - Outcome Assessment (Health Care)
MH  - Patient Admission
MH  - Patient Transfer
MH  - *Severity of Illness Index
MH  - Terminally Ill
MH  - Triage/st [Standards]
MH  - *Triage/sn [Statistics & Numerical Data]
MH  - United States
AB  - INTRODUCTION: Surgical patients treated in French intensive care units (ICU's) appear to have higher mortality rates than patients in the United States. We hypothesized that this may be due to the French practice of not transferring dying patients from the ICU. We wished to determine if the different mortality rates could be explained by transfer practices for dying patients or other factors such as severity of illness.
AB  - METHODS: Flowsheet data for 6,787 consecutive surgical ICU (SICU) patients from our institution over a 31 month period was entered into an ICU Clinical Information System which calculated the Day 1 Simplified Acute Physiology Score (SAPS) for each patient upon admission to the SICU. SICU and overall hospital mortality data were matched with severity data and the complete data set was analyzed against results for 2,604 surgical patients in French ICU's. Since terminally ill patients in France are not transferred to floor care, we also compared the French ICU mortality rate with both our SICU mortality rate and combined SICU and surgical floor mortality rates.
AB  - RESULTS: Our overall SICU mortality was 1.7% and our combined SICU and hospital mortality was 4.2%, while the French ICU mortality was 14.1%. The French ICU's had more patients with higher severity of illness as measured by SAPS. When the effects of ICU transfer practices and severity of illness were considered, there were no mortality differences seen among patients admitted to the different units after elective surgery. Significant differences in mortality were seen when patients admitted emergently were studied.
AB  - CONCLUSIONS: The differences in severity adjusted ICU mortality between French ICU's and our SICU are explained by different triage practices for terminally ill patients following elective ICU admission. These triage differences do not fully explain the mortality differences seen among patients emergently admitted to the ICU. Other factors such as the presence of trauma, ICU staffing practices, patient mix or other unidentified factors may be responsible for the severity adjusted differences in mortality among emergency surgical ICU patients.
IS  - 0167-9945
IL  - 0167-9945
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1997
EZ  - 1997/01/01 00:00
DA  - 1997/10/23 00:01
DT  - 1997/01/01 00:00
YR  - 1997
ED  - 19971114
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9336732

<891. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9315813
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kollef MH
AU  - Von Harz B
AU  - Prentice D
AU  - Shapiro SD
AU  - Silver P
AU  - St John R
AU  - Trovillion E
FA  - Kollef, M H
FA  - Von Harz, B
FA  - Prentice, D
FA  - Shapiro, S D
FA  - Silver, P
FA  - St John, R
FA  - Trovillion, E
IN  - Kollef, M H. Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA.
TI  - Patient transport from intensive care increases the risk of developing ventilator-associated pneumonia.
SO  - Chest. 112(3):765-73, 1997 Sep
AS  - Chest. 112(3):765-73, 1997 Sep
NJ  - Chest
VO  - 112
IP  - 3
PG  - 765-73
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0231335, d1c
IO  - Chest
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Adolescent
MH  - Adult
MH  - Aerosols
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - Confidence Intervals
MH  - *Critical Care
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Intubation, Intratracheal
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - Outcome Assessment (Health Care)
MH  - *Patient Transfer
MH  - *Pneumonia, Bacterial/et [Etiology]
MH  - Population Surveillance
MH  - Prospective Studies
MH  - *Respiration, Artificial/ae [Adverse Effects]
MH  - Risk Factors
MH  - Sex Factors
MH  - Time Factors
MH  - Tracheostomy
AB  - STUDY OBJECTIVE: To determine whether patient transport out of the ICU is associated with an increased risk of developing ventilator-associated pneumonia.
AB  - DESIGN: Prospective cohort study.
AB  - SETTING: ICUs of Barnes-Jewish Hospital, a university-affiliated teaching hospital.
AB  - PATIENTS: Five hundred twenty-one ICU patients requiring mechanical ventilation for > 12 h.
AB  - INTERVENTION: Prospective patient surveillance and data collection.
AB  - 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.
AB  - CONCLUSIONS: We conclude that patient transport out of the ICU is associated with an increased risk for the development of ventilator-associated pneumonia.
RN  - 0 (Aerosols)
IS  - 0012-3692
IL  - 0012-3692
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0012-3692(16)31748-2 [pii]
PP  - ppublish
LG  - English
DP  - 1997 Sep
EZ  - 1997/10/07
DA  - 1997/10/07 00:01
DT  - 1997/10/07 00:00
YR  - 1997
ED  - 19971022
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9315813

<892. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9325820
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pierce B
FA  - Pierce, B
IN  - Pierce, B. Harborview Medical Center, Seattle, WA, USA.
TI  - The top 10 recent innovations in patient care in the trauma ICU.
SO  - Journal of Trauma Nursing. 4(2):53-5, 1997 Apr-Jun
AS  - J Trauma Nurs. 4(2):53-5, 1997 Apr-Jun
NJ  - Journal of trauma nursing : the official journal of the Society of Trauma Nurses
VO  - 4
IP  - 2
PG  - 53-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cfl, 9512997
IO  - J Trauma Nurs
SB  - Nursing Journal
CP  - United States
MH  - Blood Gas Analysis/mt [Methods]
MH  - *Critical Care
MH  - Humans
MH  - Information Systems
MH  - Laparoscopy
MH  - *Monitoring, Physiologic/mt [Methods]
MH  - Patient Transfer
MH  - Point-of-Care Systems
MH  - *Trauma Centers
MH  - Visitors to Patients
IS  - 1078-7496
IL  - 1078-7496
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1997 Apr-Jun
EZ  - 1997/04/01 00:00
DA  - 1997/10/23 00:01
DT  - 1997/04/01 00:00
YR  - 1997
ED  - 19971016
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9325820

<893. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9334129
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - [Reports by the German Interdisciplinary Group of Intensive Care and Emergency Medicine. New recommendations for medical qualifications in transport of intensive care patients]. [German]
OT  - Mitteilungen aus der DIVI (Deutsche Interdisziplinare Vereinigung fur Intensive- und Notfallmedizin). Neue Empfehlungen zur arztlichen Qualifikation bei Intensivtransporten.
SO  - Zentralblatt fur Neurochirurgie. 58(2):95, 1997
AS  - Zentralbl Neurochir. 58(2):95, 1997
NJ  - Zentralblatt fur Neurochirurgie
VO  - 58
IP  - 2
PG  - 95
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - y6c, 0413646
IO  - Zentralbl. Neurochir.
SB  - Index Medicus
CP  - Germany
MH  - *Critical Care
MH  - Curriculum
MH  - Education, Medical, Continuing
MH  - Education, Medical, Graduate
MH  - *Emergency Medicine/ed [Education]
MH  - Germany
MH  - Humans
MH  - *Patient Care Team
MH  - *Transportation of Patients
IS  - 0044-4251
IL  - 0044-4251
PT  - Journal Article
PP  - ppublish
LG  - German
DP  - 1997
EZ  - 1997/01/01 00:00
DA  - 1997/10/23 00:01
DT  - 1997/01/01 00:00
YR  - 1997
ED  - 19971015
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9334129

<894. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9294336
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tan TK
FA  - Tan, T K
IN  - Tan, T K. Department of Anaesthesia Glasgow Royal Infirmary, United Kingdom.
TI  - Interhospital and intrahospital transfer of the critically ill patient. [Review] [20 refs]
SO  - Singapore Medical Journal. 38(6):244-8, 1997 Jun
AS  - Singapore Med J. 38(6):244-8, 1997 Jun
NJ  - Singapore medical journal
VO  - 38
IP  - 6
PG  - 244-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - uri, 0404516
IO  - Singapore Med J
SB  - Index Medicus
CP  - Singapore
MH  - *Critical Illness
MH  - Guidelines as Topic
MH  - Humans
MH  - Monitoring, Physiologic
MH  - *Patient Care Team
MH  - *Patient Transfer/st [Standards]
MH  - Resuscitation
MH  - Risk Factors
AB  - AIM: This paper highlights hazards involved in moving critically ill patients between locations, discusses minimalisation of risks involved and the advantages of specialist teams.
AB  - METHOD: This is a systematic review.
AB  - RESULTS AND CONCLUSIONS: Critically ill patients are moved within the hospital because of the need for surgical procedures or to have fixed facilities investigations performed. Interhospital movement of patients is necessary for specialised care available elsewhere. This has increased with centralisation of specialist services. This paper adopts a practical approach to the transfer process. It establishes the goals of conducting a safe transfer, highlights the deleterious effects of moving an ill patient, the risks and pitfalls of a transfer, and how to minimise them. Attention is drawn to the need for proper resuscitation and stabilisation of a patient before transport. The quality and outcome of the transfer depend on the experience of the transferring team and on adequate monitoring facilities. The benefits of a specialist transfer team is suggested. [References: 20]
IS  - 0037-5675
IL  - 0037-5675
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1997 Jun
EZ  - 1997/06/01 00:00
DA  - 1997/09/19 00:01
DT  - 1997/06/01 00:00
YR  - 1997
ED  - 19971008
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9294336

<895. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9258594
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Huang HK
AU  - Wong AW
AU  - Zhu X
FA  - Huang, H K
FA  - Wong, A W
FA  - Zhu, X
IN  - Huang, H K. Department of Radiology, University of California, San Francisco 91413-0628, USA.
TI  - Performance of asynchronous transfer mode (ATM) local area and wide area networks for medical imaging transmission in clinical environment.
SO  - Computerized Medical Imaging & Graphics. 21(3):165-73, 1997 May-Jun
AS  - Comput Med Imaging Graph. 21(3):165-73, 1997 May-Jun
NJ  - Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society
VO  - 21
IP  - 3
PG  - 165-73
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cmi, 8806104
IO  - Comput Med Imaging Graph
SB  - Index Medicus
CP  - United States
MH  - *Computer Communication Networks
MH  - *Diagnostic Imaging
MH  - Intensive Care Units
MH  - Local Area Networks
MH  - Point-of-Care Systems
MH  - Radiology Information Systems
MH  - San Francisco
MH  - Software
MH  - Systems Integration
MH  - *Teleradiology
AB  - Asynchronous transfer mode (ATM) technology emerges as a leading candidate for medical image transmission in both local area network (LAN) and wide area network (WAN) applications. This paper describes the performance of an ATM LAN and WAN network at the University of California, San Francisco. The measurements were obtained using an intensive care unit (ICU) server connecting to four image workstations (WS) at four different locations of a hospital-integrated picture archiving and communication system (HI-PACS) in a daily regular clinical environment. Four types of performance were evaluated: magnetic disk-to-disk, disk-to-redundant array of inexpensive disks (RAID), RAID-to-memory, and memory-to-memory. Results demonstrate that the transmission rate between two workstations can reach 5-6 Mbytes/s from RAID-to-memory, and 8-10 Mbytes/s from memory-to-memory. When the server has to send images to all four workstations simultaneously, the transmission rate to each WS is about 4 Mbytes/s. Both situations are adequate for radiologic image communications for picture archiving and communication systems (PACS) and teleradiology applications.
IS  - 0895-6111
IL  - 0895-6111
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - S0895-6111(97)89888-6 [pii]
PP  - ppublish
GI  - No: N01-LM-4-3508
Organization: (LM) *NLM NIH HHS*
Country: United States

GI  - No: N01-LM-6-3547
Organization: (LM) *NLM NIH HHS*
Country: United States
LG  - English
DP  - 1997 May-Jun
EZ  - 1997/05/01
DA  - 1997/05/01 00:01
DT  - 1997/05/01 00:00
YR  - 1997
ED  - 19970918
RD  - 20071114
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9258594

<896. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9265067
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Eyraud JL
AU  - Riethmuller D
AU  - Clainquart N
AU  - Schaal JP
AU  - Maillet R
AU  - Colette C
FA  - Eyraud, J L
FA  - Riethmuller, D
FA  - Clainquart, N
FA  - Schaal, J P
FA  - Maillet, R
FA  - Colette, C
IN  - Eyraud, J L. Clinique Universitaire de Gynecologie et d'Obstetrique et de la Reproduction, CHRU Saint-Jacques, Besancon.
TI  - [Is the Mauriceau maneuver deleterious? Study of 103 cases]. [French]
OT  - La manoeuvre de Mauriceau est-elle deletere? Etude de 103 cas.
CM  - Comment in: J Gynecol Obstet Biol Reprod (Paris). 1997;26(4):442; PMID: 9265072
SO  - Journal de Gynecologie, Obstetrique et Biologie de la Reproduction. 26(4):413-7, 1997
AS  - J Gynecol Obstet Biol Reprod (Paris). 26(4):413-7, 1997
NJ  - Journal de gynecologie, obstetrique et biologie de la reproduction
VO  - 26
IP  - 4
PG  - 413-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - iaz, 0322206
IO  - J Gynecol Obstet Biol Reprod (Paris)
SB  - Index Medicus
CP  - France
MH  - Adolescent
MH  - Adult
MH  - Birth Injuries/et [Etiology]
MH  - *Breech Presentation
MH  - Female
MH  - Humans
MH  - Intensive Care Units, Neonatal
MH  - Patient Transfer
MH  - Pregnancy
MH  - Pregnancy Outcome
MH  - Retrospective Studies
MH  - Version, Fetal/ae [Adverse Effects]
MH  - *Version, Fetal/mt [Methods]
AB  - The Mauriceau manoeuvre has a poor reputation in France where some obstetricians believe it leads to an increase in the number of neonatal traumal injuries. To evaluate this hypothesis we examined the results of a personal series of 103 cases of breech extraction where foetal head extraction was performed using the Mauriceau manoeuvre. Our study showed that the level of traumal complications was not worse than that of the general neonatal population. We therefore conclude that this active and organized method of breech delivery is safe and provides a young obstetrician with valuable experience of practical obstetrical manipulation.
IS  - 0368-2315
IL  - 0150-9918
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - French
DP  - 1997
EZ  - 1997/01/01
DA  - 1997/01/01 00:01
DT  - 1997/01/01 00:00
YR  - 1997
ED  - 19970821
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9265067

<897. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9185897
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jonsson B
AU  - Katz-Salamon M
AU  - Faxelius G
AU  - Broberger U
AU  - Lagercrantz H
FA  - Jonsson, B
FA  - Katz-Salamon, M
FA  - Faxelius, G
FA  - Broberger, U
FA  - Lagercrantz, H
IN  - Jonsson, B. Department of Woman and Child Health, Karolinska Institute, Stockholm, Sweden.
TI  - Neonatal care of very-low-birthweight infants in special-care units and neonatal intensive-care units in Stockholm. Early nasal continuous positive airway pressure versus mechanical ventilation: gains and losses.
SO  - Acta Paediatrica Supplement. 419:4-10, 1997 Apr
AS  - Acta Paediatr Suppl. 419:4-10, 1997 Apr
NJ  - Acta paediatrica (Oslo, Norway : 1992). Supplement
VO  - 419
PG  - 4-10
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bd5, 9315043, 14540280r
IO  - Acta Paediatr Suppl
SB  - Index Medicus
CP  - Norway
MH  - Gestational Age
MH  - Hospital Mortality
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Very Low Birth Weight
MH  - *Intensive Care, Neonatal/mt [Methods]
MH  - Morbidity
MH  - *Oxygen Inhalation Therapy
MH  - Patient Transfer
MH  - *Positive-Pressure Respiration
MH  - Sweden
MH  - Treatment Outcome
MH  - Urban Health
AB  - Very-low-birthweight (VLBW) infants are usually intubated at birth and mechanically ventilated at neonatal intensive-care units (NICUs). The objectives of this study were to evaluate the use of early nasal continuous positive airway pressure (NCPAP) in a regional cohort and to determine to what extent VLBW infants need transfer to a regional NICU from special-care units (SCUs) that primarily use early NCPAP for respiratory care. We compared the outcome for infants at SCUs and NICUs in Stockholm County, Sweden, from 1988 to 1993. All infants with birthweights of less than 1501 g were included in this study (n = 687). Fifty-nine per cent of the infants (400/687) were supported using only supplemental oxygen or NCPAP. Of these, 170 (25%) received only supplemental oxygen and 230 (34%) were supported only by NCPAP. A total of 350 (51%) infants received early NCPAP. Of these infants, 120 (34%) later required mechanical ventilation. Only 167 (24%) infants received mechanical ventilation from the beginning Failure of NCPAP was significantly associated with the presence of respiratory distress syndrome. A total of 161/412 (39%) infants were transferred from SCUs to NICUs. Of infants < or = 26 weeks' gestation and infants > 26 weeks, 71% and 34% were transferred, respectively. Total mortality was 16%. The mortality for transfers was 20% compared to an overall mortality in SCU and NICU infants of 9% and 15%, respectively. The overall incidence of intraventricular haemorrhage (IVH), grade III-IV was 8%, periventricular leucomalacia (PVL) grade I-IV was 7%, retinopathy of prematurity (ROP) requiring cryotherapy was 4.3% and chronic lung disease (CLD) was 14%. There were significant differences in the incidence IVH, PVL, CLD and ROP between SCU and NICU infants in matched gestational age groups. In conclusion, infants with a gestational age of 27 weeks or more may often be adequately cared for at SCUs without mechanical ventilation by using early NCPAP. However, infants with a gestational age of 26 weeks or less should be transferred to tertiary-care centres preferably before birth, because they will often require mechanical ventilation.
IS  - 0803-5326
IL  - 0803-5326
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1997 Apr
EZ  - 1997/04/01
DA  - 1997/04/01 00:01
DT  - 1997/04/01 00:00
YR  - 1997
ED  - 19970724
RD  - 20080512
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9185897

<898. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9111957
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schneiderman LJ
AU  - Manning S
FA  - Schneiderman, L J
FA  - Manning, S
TI  - The Baby K case: a search for the elusive standard of medical care.
SO  - Cambridge Quarterly of Healthcare Ethics. 6(1):9-18, 1997
AS  - Camb Q Healthc Ethics. 6(1):9-18, 1997
NJ  - Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees
VO  - 6
IP  - 1
PG  - 9-18
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - byc, 9208482
IO  - Camb Q Healthc Ethics
OI  - Source: KIE. 53961
SB  - Bioethics Journals
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - *Anencephaly/th [Therapy]
MH  - Consensus
MH  - *Decision Making
MH  - *Dissent and Disputes
MH  - Ethics Committees
MH  - Ethics Committees, Clinical
MH  - Ethics, Medical
MH  - Euthanasia, Passive
MH  - Female
MH  - *Group Processes
MH  - Health Knowledge, Attitudes, Practice
MH  - Health Services Needs and Demand/lj [Legislation & Jurisprudence]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Interviews as Topic
MH  - *Life Support Care/lj [Legislation & Jurisprudence]
MH  - Life Support Care/st [Standards]
MH  - Male
MH  - *Medical Futility
MH  - Medical Staff, Hospital/px [Psychology]
MH  - Patient Transfer/lj [Legislation & Jurisprudence]
MH  - Virginia
KW  - American Academy of Pediatrics;  American College of Emergency Physicians;  Death and Euthanasia;  Empirical Approach;  *In re Baby K;  Society of Critical Care Medicine
NT  - 30 fn.
NT  - KIE BoB Subject Heading: allowing to die/attitudes
NT  - KIE BoB Subject Heading: allowing to die/infants
NT  - Full author name: Schneiderman, Lawrence J
NT  - Full author name: Manning, Sharyn
IS  - 0963-1801
IL  - 0963-1801
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1997
EZ  - 1997/01/01
DA  - 1997/01/01 00:01
DT  - 1997/01/01 00:00
YR  - 1997
ED  - 19970716
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9111957

<899. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9175457
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wang ST
AU  - Lin CH
AU  - Wang JN
AU  - Wang CJ
AU  - Chen TJ
AU  - Yeh TF
FA  - Wang, S T
FA  - Lin, C H
FA  - Wang, J N
FA  - Wang, C J
FA  - Chen, T J
FA  - Yeh, T F
IN  - Wang, S T. Department of Public Health, National Cheng Kung University, Tainan, Taiwan.
TI  - A study of the referral patterns of obstetric clinics and the performance of receiving neonatal intensive care units in Taiwan.
SO  - Public Health. 111(3):149-52, 1997 May
AS  - Public Health. 111(3):149-52, 1997 May
NJ  - Public health
VO  - 111
IP  - 3
PG  - 149-52
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - qi7, 0376507
IO  - Public Health
OI  - Source: PIP. 128751
OI  - Source: POP. 00271437
SB  - Index Medicus
SB  - Population Information Citations
CP  - Netherlands
MH  - Health Services Research
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - *Maternal Health Services/og [Organization & Administration]
MH  - *Obstetrics
MH  - Prospective Studies
MH  - *Referral and Consultation/og [Organization & Administration]
MH  - Survival Analysis
MH  - Taiwan
MH  - *Transportation of Patients/og [Organization & Administration]
KW  - Asia;  *Child Health Services;  China;  *Clinic Activities;  Delivery Of Health Care;  Demographic Factors;  Developing Countries;  Eastern Asia;  Health;  Health Facilities;  Health Services;  *Hospitals;  Infant Mortality;  Maternal-child Health Services;  Mortality;  *Neonatal Mortality;  Organization And Administration;  Population;  Population Dynamics;  Primary Health Care;  Program Activities;  Programs;  *Referral And Consultation;  *Research Report;  Taiwan
AB  - To study the referral patterns of obstetric clinics, and the performance of receiving intensive care units measured by the survival of transported neonates, transport records were collected prospectively between July, 1991 and June, 1992. Two hundred and fifty-four transported neonates born in 51 obstetric clinics (level I units) in Tainan City and County, in southern Taiwan, were enrolled in this study. Nineteen percent of the transported neonates were very low birthweight infants (< 1500 g). Nearly equal numbers of them were transported to eight district hospitals (level II units) and to a tertiary center (level III unit), but these infants were 1.5 times more likely to die in a level II unit than a level III unit. In addition, equal numbers of infants assisted by mechanical ventilators were transported to level II and III units, but these infants were three times more likely to die in a level II unit than a level III unit (P = 0.006). Seventy-seven percent of the normal birthweight infants (> or = 2500 g) were transported to level II units, and the mortality in this group was 12.3% compared with 0% in those transported to the level III unit. Approximately 56% of these normal birthweight infants in level II units died of severe birth asphyxia. The referral patterns of level 1 units had an unfavorable effect on the survival of neonates requiring mechanical ventilation. Enhancing the skills of the staff in level I units to recognize and stabilize such infants, elevating the capability of level II units in treating some of these cases, and increasing the hospital beds for level III care are necessary to increase their chance of survival.
OA  - PIP: This study examines neonatal mortality among 254 neonates referred from level I hospitals between July 1991 and June 1992 to level II and III neonatal intensive care units (NICUs) in Taiwan. The neonates were grouped by birth weight and severity of respiratory distress. Birth weights were classified as very low birth weight (VLBW), low birth weight (LBW), and normal birth weight (NBW) (2499 g). Respiratory distress was grouped as mild, moderate, or severe. Findings indicate that 70.9% of the 254 transfers were to level II units, and 29.1% were to level III units. The mean age at transfer was 1.5 days. The mean birth weight was 2224 g, and the gestational age was 34 weeks. About 20% were VLBW, which were equally referred to level II and III units. Level II units received twice as many LBWs and over twice as many NBWs. Neonatal mortality was 35.4% in the VLBW group, 43.5% in level II units and 28.0% in level III units. Neonatal mortality was 12.3% among NBWs in level II units and 0% in level III units. Neonatal mortality was the same for LBW in either II or III units. 41% had moderate or severe respiratory distress. Level II and III units each received about half of the severe cases, but level II units received about 82.7% of moderate cases. 39.2% of severe cases died. Neonates transferred to level II units had a 37.7% higher mortality rate. 23 of the VLBWs had severe respiratory distress, and 43.5% died. Neonatal mortality was 38.1% higher in level II units for VLBWs with severe symptoms. Most level II neonatal mortality was due to asphyxia. 18.8% of VLBWs with severe symptoms could have been saved by transfer to a level III unit. Recommended improvements include stabilizing infants in level I units before transfer, mandatory transfers of severe cases to level III units, and improving the capability of level II units until level III unit facilities can be increased.; Language: English
NT  - TJ: PUBLIC HEALTH.
IS  - 0033-3506
IL  - 0033-3506
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
ID  - S0033-3506(97)00573-8 [pii]
PP  - ppublish
LG  - English
DP  - 1997 May
EZ  - 1997/05/01
DA  - 1997/05/01 00:01
DT  - 1997/05/01 00:00
YR  - 1997
ED  - 19970627
RD  - 20171216
UP  - 20171218
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=9175457

<900. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9087901
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brimacombe J
AU  - Gandini D
FA  - Brimacombe, J
FA  - Gandini, D
IN  - Brimacombe, J. University of Queensland, Cairns, Australia.
TI  - The laryngeal mask airway: potential applications in neonatal health care. [Review] [67 refs]
SO  - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 26(2):171-8, 1997 Mar-Apr
AS  - J Obstet Gynecol Neonatal Nurs. 26(2):171-8, 1997 Mar-Apr
NJ  - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
VO  - 26
IP  - 2
PG  - 171-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jg8, 8503123
IO  - J Obstet Gynecol Neonatal Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Anesthesiology
MH  - Equipment Design
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Laryngeal Masks
MH  - *Neonatal Nursing
MH  - Patient Transfer
MH  - Resuscitation/is [Instrumentation]
AB  - The laryngeal mask airway is a completely new concept in airway management and has the potential to provide a third airway option for the neonate. The device sits in the hypopharynx at the interface between the gastrointestinal and respiratory tracts, where it forms a circumferential low-pressure seal around the glottis. This article provides an overview of the laryngeal mask airway and focuses on its potential as a neonatal airway outside the operating room. [References: 67]
IS  - 0884-2175
IL  - 0090-0311
PT  - Journal Article
PT  - Review
ID  - S0884-2175(15)33442-0 [pii]
PP  - ppublish
LG  - English
DP  - 1997 Mar-Apr
EZ  - 1997/03/01
DA  - 1997/03/01 00:01
DT  - 1997/03/01 00:00
YR  - 1997
ED  - 19970626
RD  - 20161020
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9087901

<901. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9183401
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chale JJ
AU  - Vial M
AU  - Brodin M
AU  - Colladon B
AU  - Lacroix A
AU  - Nisand I
AU  - Palot M
AU  - Papiernik E
AU  - Souteyrand P
AU  - Naiditch M
FA  - Chale, J J
FA  - Vial, M
FA  - Brodin, M
FA  - Colladon, B
FA  - Lacroix, A
FA  - Nisand, I
FA  - Palot, M
FA  - Papiernik, E
FA  - Souteyrand, P
FA  - Naiditch, M
IN  - Chale, J J. Departement d'information medicale, CHU Hotel-Dieu-Saint-Jacques, Toulouse, France.
TI  - [Type of birth center and conditions of transfer of neonates under 1500 g or gestational age under 33 weeks]. [French]
OT  - Lieux de naissance et conditions de transferts des enfants de moins de 1500 g ou d'age gestationnel strictement inferieur a 33 semaines.
SO  - Archives de Pediatrie. 4(4):311-9, 1997 Apr
AS  - Arch Pediatr. 4(4):311-9, 1997 Apr
NJ  - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
VO  - 4
IP  - 4
PG  - 311-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9421356, bwh
IO  - Arch Pediatr
SB  - Index Medicus
CP  - France
MH  - Bias
MH  - Birthing Centers/sn [Statistics & Numerical Data]
MH  - *Birthing Centers
MH  - France/ep [Epidemiology]
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - *Infant, Small for Gestational Age
MH  - *Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Retrospective Studies
MH  - *Transfer Agreement/sn [Statistics & Numerical Data]
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
AB  - BACKGROUND: Perinatal care's organization has been widely discussed in France during this last decade. Until now, transfer of high-risk neonates from their birth maternity to a pediatric unit using mobile vehicles led by specialized teams is encouraged in this country.
AB  - POPULATION AND METHODS: Retrospective analysis of the type of maternities of birth for a population of 717 newborns, weighing less than 1,500 g and/or of gestational age under 33 weeks, extracted from a sample of 84,279 births in 1991.
AB  - RESULTS: Only 15.6% of studied births took place in a maternity including a special intensive care pediatric unit (international level 3); 58.7% of those newborns where transferred outborn. There was a significant difference between the immediate access of newborns to a level 3 pediatric unit according to the location-of birth: significantly fewer newborns were directly transferred to a level 3 unit when born in a facility that included a level 2 pediatric unit, compared with those born in facilities that included a level 1 or 3 pediatric unit.
AB  - CONCLUSION: Strong efforts should be made to identify mothers at high risk of giving birth to extremely prematured babies or babies with a very low birthweight so that births could take place in maternities properly equipped for their care. Perinatal care's organization should be built on a hierarchical network of maternities and pediatric services related to the risk of the population. Accreditation of maternities and pediatric services could help moving towards this kind of organization.
IS  - 0929-693X
IL  - 0929-693X
PT  - Journal Article
ID  - S0929693X97864469 [pii]
PP  - ppublish
LG  - French
DP  - 1997 Apr
EZ  - 1997/04/01
DA  - 2000/05/05 09:00
DT  - 1997/04/01 00:00
YR  - 1997
ED  - 19970623
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9183401

<902. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9180497
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Taylor T
FA  - Taylor, T
IN  - Taylor, T. Queens Medical Centre, Nottingham, UK.
TI  - Setting up a paediatric retrieval team. [Review] [13 refs]
SO  - Intensive & Critical Care Nursing. 13(2):99-102, 1997 Apr
AS  - Intensive Crit Care Nurs. 13(2):99-102, 1997 Apr
NJ  - Intensive & critical care nursing
VO  - 13
IP  - 2
PG  - 99-102
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Child
MH  - Critical Pathways
MH  - Humans
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric
MH  - *Patient Care Team
MH  - Pediatric Nursing/og [Organization & Administration]
MH  - Program Development
MH  - *Transportation of Patients
AB  - In this article some aspects to be considered when setting up a paediatric retrieval service are examined. These include equipment problems to be overcome, selection and training of staff, and communication issues. For the purposes of the article the words 'retrieval', 'transfer', and 'transport' teams, are used interchangeably for the same meaning. [References: 13]
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1997 Apr
EZ  - 1997/04/01
DA  - 1997/04/01 00:01
DT  - 1997/04/01 00:00
YR  - 1997
ED  - 19970619
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9180497

<903. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9095883
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bennett J
FA  - Bennett, J
IN  - Bennett, J. Clinical Nurse Specialist IUC, Kettering General NHS Trust, Northamptonshire, UK.
TI  - Critically ill children: the case for short-term care in general intensive care units. [Review] [30 refs]
SO  - Intensive & Critical Care Nursing. 13(1):53-7, 1997 Feb
AS  - Intensive Crit Care Nurs. 13(1):53-7, 1997 Feb
NJ  - Intensive & critical care nursing
VO  - 13
IP  - 1
PG  - 53-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Child
MH  - Child, Hospitalized/px [Psychology]
MH  - *Child, Hospitalized
MH  - Health Care Rationing
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Length of Stay
MH  - *Patient Transfer
MH  - Pediatric Nursing/ed [Education]
MH  - *Pediatric Nursing/og [Organization & Administration]
AB  - This paper contests the claim that all children should be nursed in paediatric intensive care units (PICUs). Although there is an undoubted need for prolonged care to be undertaken within PICUs, they are a scarce resource and many children's critical illness is of short duration. Following a discussion on the negative aspects of transferring a critically ill child this paper then establishes how a general intensive care unit (GICU) can maintain-awareness and standards which make it a safe environment for children with a short-term critical illness, as well as contribute towards future management and practice. [References: 30]
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1997 Feb
EZ  - 1997/02/01
DA  - 1997/02/01 00:01
DT  - 1997/02/01 00:00
YR  - 1997
ED  - 19970523
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9095883

<904. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8859911
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kronick JB
AU  - Frewen TC
AU  - Kissoon N
AU  - Lee R
AU  - Sommerauer JF
AU  - Reid WD
AU  - Casier S
AU  - Boyle K
FA  - Kronick, J B
FA  - Frewen, T C
FA  - Kissoon, N
FA  - Lee, R
FA  - Sommerauer, J F
FA  - Reid, W D
FA  - Casier, S
FA  - Boyle, K
IN  - Kronick, J B. Paediatric Critical Care Unit, Children's Hospital of Western Ontario, University of Western Ontario, London, Canada.
TI  - Influence of referring physicians on interventions by a pediatric and neonatal critical care transport team.
SO  - Pediatric Emergency Care. 12(2):73-7, 1996 Apr
AS  - Pediatr Emerg Care. 12(2):73-7, 1996 Apr
NJ  - Pediatric emergency care
VO  - 12
IP  - 2
PG  - 73-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Critical Care/mt [Methods]
MH  - *Critical Care
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care, Neonatal
MH  - Patient Care Team
MH  - Pediatrics/ed [Education]
MH  - *Pediatrics
MH  - Prospective Studies
MH  - *Referral and Consultation
MH  - *Transportation of Patients
AB  - The objective of this study was to determine the influence of: a) pediatrician versus nonpediatrician referrals on a transport team's therapeutic interventions and b) referring physician's year of graduation on interventions performed by the transport team. From November 1987 through December 1989 we prospectively compared the therapeutic interventions performed by the critical care transport team on newborns and pediatric patients with the referring physician's specialty and year of graduation. The transport team (critical care physician [PL3 or greater], registered respiratory therapist, critical care nurse), recorded all therapeutic interventions, including both procedural and pharmacologic, for 213 newborn and 149 consecutive pediatric transports. Referring physicians were categorized as pediatricians and nonpediatricians. Data were analyzed by analysis of variance, chi2, or linear regression. All patients were admitted to either the pediatric or the neonatal intensive care unit, and over 80% of both age groups received assisted ventilation. Newborns referred by nonpediatricians required significantly more procedural interventions (2.64 vs 1.91, P = 0.016) than those referred by pediatricians. The opposite relationship was observed among pediatric patients in that children referred by pediatricians received more frequent intervention (P = 0.008) than those referred by nonpediatricians. There was a significant inverse relationship between the referring physicians year of medical school graduation and the number of therapeutic interventions (total interventions = 6.17 - 0.040 x graduation year, P = 0.01) and procedural interventions (procedural interventions = 3.54 - 0.024 x graduation year, P = 0.01). We found that the referring physicians' medical training affected the number of interventions their patients received. Similarly, patients were likely to receive more interventions if the referral physicians training was not recent. These data have educational implications and support the concepts of continuing medical education, recertification, and maintenance of skills among physicians providing care to critically ill newborns and pediatric patients.
IS  - 0749-5161
IL  - 0749-5161
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Apr
EZ  - 1996/04/01
DA  - 1996/04/01 00:01
DT  - 1996/04/01 00:00
YR  - 1996
ED  - 19970409
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8859911

<905. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9040339
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wallace PG
AU  - Lawler PG
FA  - Wallace, P G
FA  - Lawler, P G
TI  - Bed shortages. Regional intensive care unit transfer teams are needed.
CM  - Comment in: BMJ. 1997 May 3;314(7090):1351; PMID: 9158490
SO  - BMJ. 314(7077):369, 1997 Feb 01
AS  - BMJ. 314(7077):369, 1997 Feb 01
NJ  - BMJ (Clinical research ed.)
VO  - 314
IP  - 7077
PG  - 369
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2125857
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Bed Occupancy
MH  - *Critical Care
MH  - Humans
MH  - Patient Transfer
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
ID  - PMC2125857 [pmc]
PP  - ppublish
LG  - English
DP  - 1997 Feb 01
EZ  - 1997/02/01
DA  - 1997/02/01 00:01
DT  - 1997/02/01 00:00
YR  - 1997
ED  - 19970331
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9040339

<906. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9059177
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Field D
AU  - Milligan D
AU  - Skeoch C
AU  - Stephenson T
FA  - Field, D
FA  - Milligan, D
FA  - Skeoch, C
FA  - Stephenson, T
IN  - Field, D. Department of Neonatal Medicine, University of Leicester.
TI  - Neonatal transport: time to change?.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 76(1):F1-2, 1997 Jan
AS  - Arch Dis Child Fetal Neonatal Ed. 76(1):F1-2, 1997 Jan
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 76
IP  - 1
PG  - F1-2
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1720608
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Humans
MH  - *Infant, Newborn
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/og [Organization & Administration]
MH  - United Kingdom
IS  - 1359-2998
IL  - 1359-2998
PT  - Journal Article
ID  - PMC1720608 [pmc]
PP  - ppublish
LG  - English
DP  - 1997 Jan
EZ  - 1997/01/01
DA  - 1997/01/01 00:01
DT  - 1997/01/01 00:00
YR  - 1997
ED  - 19970320
RD  - 20161124
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9059177

<907. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8979190
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Schwartz RM
FA  - Schwartz, R M
IN  - Schwartz, R M. National Perinatal Information Center, Providence, RI 02908, USA.
TI  - Supply and demand for neonatal intensive care: trends and implications.
SO  - Journal of Perinatology. 16(6):483-9, 1996 Nov-Dec
AS  - J Perinatol. 16(6):483-9, 1996 Nov-Dec
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 16
IP  - 6
PG  - 483-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Bed Occupancy/sn [Statistics & Numerical Data]
MH  - Health Care Surveys
MH  - Health Services Accessibility
MH  - Health Services Needs and Demand/sn [Statistics & Numerical Data]
MH  - *Health Services Needs and Demand/td [Trends]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/ec [Economics]
MH  - *Intensive Care Units, Neonatal/sd [Supply & Distribution]
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - Intensive Care, Neonatal/td [Trends]
MH  - Medicaid
MH  - Medicare
MH  - Patient Transfer
MH  - Reimbursement Mechanisms
MH  - South Carolina
MH  - United States
AB  - OBJECTIVE: Access to high-risk newborn care is determined by supply of services, demand, and financing. Major changes in health care have occurred since the advent of perinatal regionalization in the mid-1970s. This article explores access from the point of view of the supply and demand for neonatal intensive care within the changing financing environment.
AB  - STUDY DESIGN: An analysis was done of the 1983, 1989, and 1991 American Hospital Association survey data, combined with birth data from the National Center for Health Statistics.
AB  - RESULTS: By 1991 supply of hospital-based high-risk newborn care exceeded demand; nationally, there were roughly 300,000 excess bed-days available in 1991. Regional figures revealed that these estimates are, if anything, conservative.
AB  - CONCLUSIONS: Payers are increasingly price sensitive and have the ability to shift blocks of patients from one facility to another. A surplus encourages a shift of patients to low-price locations. Differentiation of quality and monitoring will become an important means of ensuring access to high-quality care in a surplus environment.
IS  - 0743-8346
IL  - 0743-8346
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Nov-Dec
EZ  - 1996/11/01
DA  - 1996/11/01 00:01
DT  - 1996/11/01 00:00
YR  - 1996
ED  - 19970319
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8979190

<908. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9039234
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hirani NA
AU  - Macfarlane JT
FA  - Hirani, N A
FA  - Macfarlane, J T
IN  - Hirani, N A. Department of Respiratory Medicine, Nottingham City Hospital, UK.
TI  - Impact of management guidelines on the outcome of severe community acquired pneumonia.
SO  - Thorax. 52(1):17-21, 1997 Jan
AS  - Thorax. 52(1):17-21, 1997 Jan
NJ  - Thorax
VO  - 52
IP  - 1
PG  - 17-21
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - vqw, 0417353
IO  - Thorax
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1758402
SB  - Index Medicus
CP  - England
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Anti-Bacterial Agents/ae [Adverse Effects]
MH  - Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - *Disease Management
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Intensive Care Units
MH  - Legionnaires' Disease/di [Diagnosis]
MH  - Legionnaires' Disease/dt [Drug Therapy]
MH  - Legionnaires' Disease/pp [Physiopathology]
MH  - Legionnaires' Disease/th [Therapy]
MH  - Male
MH  - Middle Aged
MH  - Patient Transfer
MH  - Pneumococcal Infections/dt [Drug Therapy]
MH  - Pneumococcal Infections/pp [Physiopathology]
MH  - Pneumococcal Infections/th [Therapy]
MH  - Pneumonia/dt [Drug Therapy]
MH  - Pneumonia/pp [Physiopathology]
MH  - *Pneumonia/th [Therapy]
MH  - Pneumonia, Pneumocystis/dt [Drug Therapy]
MH  - Pneumonia, Pneumocystis/pp [Physiopathology]
MH  - Pneumonia, Pneumocystis/th [Therapy]
MH  - *Practice Guidelines as Topic/st [Standards]
MH  - Serologic Tests
MH  - Staphylococcal Infections/dt [Drug Therapy]
MH  - Staphylococcal Infections/pp [Physiopathology]
MH  - Staphylococcal Infections/th [Therapy]
MH  - Survival Analysis
AB  - BACKGROUND: Ten years ago we published a study of 50 adults with severe community acquired pneumonia admitted to our intensive care unit and subsequently introduced guidelines for the management of severe community acquired pneumonia which are largely in accordance with those of the British Thoracic Society. The results of a follow up study are now reported in order to assess their impact on the outcome of this disease.
AB  - METHODS: Fifty seven cases of severe community acquired pneumonia admitted to our ICU between 1984 and 1993 were studied. Causal pathogens, clinical and laboratory features of severity, antibiotic therapy and mortality were studied and, where possible, compared with results from the previous study.
AB  - RESULTS: Streptococcus pneumoniae, Legionella pneumophila and Staphylococcus aureus were the most frequent causes of severe community acquired pneumonia, as in the previous study. The intensity of microbial investigation has increased, particularly with regard to pneumococcal and Legionella antigen testing, the latter allowing earlier diagnosis of Legionella infection than previously. In spite of this, no pathogen was identified in 33% of cases compared with 18% previously. Indices of severity of illness were widely recognised, and a decrease in unplanned transfers to the ICU following "unexpected" cardiorespiratory arrest from 25% to 7% (p < 0.02) was found. Antibiotic therapy largely reflected guideline recommendations with 98% receiving a beta-lactam agent and 91% erythromycin. The overall mortality was 58% compared with 54% previously.
AB  - CONCLUSIONS: Management guidelines for severe community acquired pneumonia have been widely adopted but without a reduction in mortality in our hospital. Factors other than early diagnosis, appropriate antibiotics, or prompt ICU transfer may influence the outcome in severe community acquired pneumonia.
RN  - 0 (Anti-Bacterial Agents)
IS  - 0040-6376
IL  - 0040-6376
PT  - Journal Article
ID  - PMC1758402 [pmc]
PP  - ppublish
LG  - English
DP  - 1997 Jan
EZ  - 1997/01/01
DA  - 1997/01/01 00:01
DT  - 1997/01/01 00:00
YR  - 1997
ED  - 19970311
RD  - 20130918
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9039234

<909. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8909842
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tornieporth NG
AU  - Roberts RB
AU  - John J
AU  - Hafner A
AU  - Riley LW
FA  - Tornieporth, N G
FA  - Roberts, R B
FA  - John, J
FA  - Hafner, A
FA  - Riley, L W
IN  - Tornieporth, N G. Department of Medicine, Cornell University Medical College, New York, New York 10021, USA.
TI  - Risk factors associated with vancomycin-resistant Enterococcus faecium infection or colonization in 145 matched case patients and control patients.
SO  - Clinical Infectious Diseases. 23(4):767-72, 1996 Oct
AS  - Clin Infect Dis. 23(4):767-72, 1996 Oct
NJ  - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
VO  - 23
IP  - 4
PG  - 767-72
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - a4j, 9203213
IO  - Clin. Infect. Dis.
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Anti-Bacterial Agents/ae [Adverse Effects]
MH  - *Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Case-Control Studies
MH  - Cephalosporins/ae [Adverse Effects]
MH  - Child
MH  - Child, Preschool
MH  - Drug Resistance, Microbial
MH  - Drug-Related Side Effects and Adverse Reactions
MH  - *Enterococcus faecium
MH  - Female
MH  - *Gram-Positive Bacterial Infections/dt [Drug Therapy]
MH  - *Gram-Positive Bacterial Infections/ep [Epidemiology]
MH  - Gram-Positive Bacterial Infections/mo [Mortality]
MH  - Hospitalization
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Length of Stay
MH  - Male
MH  - Microbial Sensitivity Tests
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Risk Factors
MH  - *Vancomycin/ae [Adverse Effects]
MH  - *Vancomycin/tu [Therapeutic Use]
AB  - Risk factors and mortality associated with vancomycin-resistant Enterococcus faecium (VREF) infection or colonization were examined at a tertiary care hospital by comparing 145 patients who had VREF isolates (cases) to 145 patients with vancomycin-susceptible Enterococcus faecium (VSEF) isolates (controls). The number of deaths per 100 person-days of hospitalization after diagnosis did not differ significantly between VREF patients (1.2) and VSEF patients (0.8). Multivariate analyses found that the duration of hospitalization ( > or = 7 days), intrahospital transfer between floors, use of antimicrobials (i.e., vancomycin and third-generation cephalosporins), and duration of vancomycin use ( > or = 7 days) was independently associated with VREF infection or colonization. This study, which has a large sample size, confirms some earlier observations regarding risks for VREF infection or colonization and identifies factors that may be potentially exploited to develop interventional strategies for the control of this emerging nosocomial problem.
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Cephalosporins)
RN  - 6Q205EH1VU (Vancomycin)
IS  - 1058-4838
IL  - 1058-4838
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1996 Oct
EZ  - 1996/10/01
DA  - 1996/10/01 00:01
DT  - 1996/10/01 00:00
YR  - 1996
ED  - 19970227
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8909842

<910. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8991213
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Broz L
AU  - Kripner J
AU  - Bucek S
FA  - Broz, L
FA  - Kripner, J
FA  - Bucek, S
IN  - Broz, L. Prague Burn Centre, 3rd Medical School, Charles University Hospital, Czech Republic.
TI  - Emergency care of severe burn children (an experience of Prague Burn Centre).
SO  - Acta Chirurgiae Plasticae. 37(3):89-93, 1995
AS  - Acta Chir Plast. 37(3):89-93, 1995
NJ  - Acta chirurgiae plasticae
VO  - 37
IP  - 3
PG  - 89-93
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0370301
IO  - Acta Chir Plast
SB  - Index Medicus
CP  - Czech Republic
MH  - Adolescent
MH  - *Burn Units
MH  - Burns/di [Diagnosis]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Czech Republic
MH  - Emergencies
MH  - Fluid Therapy
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Transportation of Patients
MH  - Triage
AB  - The control of a shock associated with burns has marked effects on the further course of burn injuries. In spite of the steadily increasing improvement of intensive care of severe burn children sometimes are not applied essential recommended procedures which are necessary during the first aid and the transport of burn cases to a burn centre. These procedures are determined by the assessment of a lot factors. A misinterpretation of these factors can lead to an insufficient or to an excessively aggressive therapy with their sequelae. This holds true both for a local and for a systemic therapy of severe burn children. The most important problems are documented by 2 case reports.
IS  - 0001-5423
IL  - 0001-5423
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1995
EZ  - 1995/01/01
DA  - 1995/01/01 00:01
DT  - 1995/01/01 00:00
YR  - 1995
ED  - 19970220
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8991213

<911. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9007169
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Farkash U
AU  - Freud E
AU  - Merlov P
AU  - Davidson S
AU  - Wilonsky E
AU  - Zer M
FA  - Farkash, U
FA  - Freud, E
FA  - Merlov, P
FA  - Davidson, S
FA  - Wilonsky, E
FA  - Zer, M
IN  - Farkash, U. Department of Pediatric Surgery, Schneider Children's Medical Center of Israel, Petah Tikva.
TI  - Necrotizing enterocolitis: the impact of the establishment of a Department of Pediatric Surgery on the Beilinson Medical Campus.
SO  - Israel Journal of Medical Sciences. 32(12):1265-70, 1996 Dec
AS  - Isr J Med Sci. 32(12):1265-70, 1996 Dec
NJ  - Israel journal of medical sciences
VO  - 32
IP  - 12
PG  - 1265-70
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - gy0, 0013105
IO  - Isr. J. Med. Sci.
SB  - Index Medicus
CP  - Israel
MH  - Academic Medical Centers
MH  - Enterocolitis, Pseudomembranous/mo [Mortality]
MH  - *Enterocolitis, Pseudomembranous/su [Surgery]
MH  - Health Services Research
MH  - Hospital Mortality
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - Israel/ep [Epidemiology]
MH  - *Outcome Assessment (Health Care)
MH  - Patient Transfer
MH  - *Pediatrics/og [Organization & Administration]
MH  - Prognosis
MH  - Retrospective Studies
MH  - *Surgery Department, Hospital/og [Organization & Administration]
AB  - Necrotizing enterocolitis (NEC) is the most commonly acquired gastrointestinal emergency in neonates. We retrospectively surveyed all cases of confirmed NEC treated at the Beilinson Medical Center (BMC) (now Rabin Medical Center, Beilinson Campus) during a 12 year period to determine whether the establishment of a department of pediatric surgery has influenced the treatment and outcome of NEC patients. Of the 48 patients, 23 were patients treated in the "early period", 1982-87, when surgery was performed in the Department of General Surgery by staff trained in pediatric surgery (group I), and 25 were treated in the "later period" 1988-93, in the same neonatal intensive care unit, with surgical supervision by the new Department of Pediatric Surgery (group II). We found that 32% of the group II patients were of extremely low birthweight (<1,000 g) compared with 13% of group I. They also had lower Apgar scores, and a higher percentage needed respiratory assistance (56 vs. 26%, P = 0.02). All those infants of group II who had been born in other hospitals and were transferred to BMC for treatment were in an advanced state of disease and all required surgery. Total mortality decreased from 22% in group I to 8% in group II. This decrease may be attributed to improved supportive treatment in the neonatal intensive care unit, earlier surgery for NEC based on relative rather than absolute indications, higher rates of primary resection, and better postoperative care. Our review indicates that the establishment of a Department of Pediatric Surgery at the BMC has contributed to the considerable improvement in NEC outcome in our center.
IS  - 0021-2180
IL  - 0021-2180
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Dec
EZ  - 1996/12/01
DA  - 1996/12/01 00:01
DT  - 1996/12/01 00:00
YR  - 1996
ED  - 19970219
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9007169

<912. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8923083
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Britto J
AU  - Nadel S
AU  - Levin M
AU  - Habibi P
FA  - Britto, J
FA  - Nadel, S
FA  - Levin, M
FA  - Habibi, P
TI  - Severity of illness scores and risk of complication during transfer.
CM  - Comment on: Intensive Care Med. 1995 Oct;21(10):781-3; PMID: 8557863
SO  - Intensive Care Medicine. 22(10):1130-1, 1996 Oct
AS  - Intensive Care Med. 22(10):1130-1, 1996 Oct
NJ  - Intensive care medicine
VO  - 22
IP  - 10
PG  - 1130-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - *Critical Illness
MH  - Humans
MH  - Intensive Care Units, Pediatric/st [Standards]
MH  - Patient Transfer/st [Standards]
MH  - *Patient Transfer
MH  - Reproducibility of Results
MH  - Risk Factors
MH  - *Severity of Illness Index
IS  - 0342-4642
IL  - 0342-4642
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 1996 Oct
EZ  - 1996/10/01
DA  - 1996/10/01 00:01
DT  - 1996/10/01 00:00
YR  - 1996
ED  - 19970219
RD  - 20170714
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8923083

<913. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 9019963
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Rubio Quinones F
AU  - Hernandez Gonzalez A
AU  - Quintero Otero S
AU  - Perez Ruiz J
AU  - Ruiz Ruiz C
AU  - Seidel A
AU  - Fernandez O'Dogherty S
AU  - Pantoja Rosso S
FA  - Rubio Quinones, F
FA  - Hernandez Gonzalez, A
FA  - Quintero Otero, S
FA  - Perez Ruiz, J
FA  - Ruiz Ruiz, C
FA  - Seidel, A
FA  - Fernandez O'Dogherty, S
FA  - Pantoja Rosso, S
IN  - Rubio Quinones, F. Unidad de Cuidados Intensivos Pediatricos, Servicio de Pediatria, Hospital Universitario Puerta del Mar, Cadiz.
TI  - [Assessment of 200 critically ill transferred children at a pediatric intensive care unit]. [Spanish]
OT  - Valoracion de 200 traslados de ninos criticos en una Unidad de Cuidados Intensivos Pediatricos.
SO  - Anales Espanoles de Pediatria. 45(3):249-52, 1996 Sep
AS  - An Esp Pediatr. 45(3):249-52, 1996 Sep
NJ  - Anales espanoles de pediatria
VO  - 45
IP  - 3
PG  - 249-52
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 49n, 0420463
IO  - An. Esp. Pediatr.
SB  - Index Medicus
CP  - Spain
MH  - Child
MH  - Child, Preschool
MH  - *Critical Illness
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Male
MH  - Prospective Studies
MH  - *Transportation of Patients/st [Standards]
AB  - BACKGROUND: Pediatric intensive care units have developed as treatment areas with a concentration of specialized equipment and personnel. Critically ill children often need to be moved to and from these critical care areas for diagnostic or therapeutic procedures. Such transport may pose additional risk to the critically ill patient.
AB  - PATIENTS AND METHODS: In order to assess the problems encountered in our transport process, a prospective study was performed. A questionnaire was undertaken to evaluate the transport of critically ill children hospitalized in the Pediatric Intensive Care Unit of the Hospital Universitario Puerta del Mar from Cadiz over an eleven month period.
AB  - RESULTS: Two hundred children transported were evaluated. Forty-seven (23.5%) were interhospital transported patients and one hundred fifty-three (76.5%) were intrahospital transported patients. The most common type of intrahospital transport involves transfers between the operating room and the intensive care unit (73 patients, 36.5%). Deterioration in respiratory, cardiovascular and other physiological systems was registered in twenty-two patients (11%). One hundred four equipment-related mishaps were noted in eighty-six patients (43%) during the transport process. Dislodgement of intravenous catheters, loss of oxygen supply, endotracheal tube problems and equipment malfunction were the most common mishaps noted.
AB  - CONCLUSIONS: Our results would suggest that more training regarding the transport of the critically ill child are needed in our area.
IS  - 0302-4342
IL  - 0302-4342
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Spanish
DP  - 1996 Sep
EZ  - 1996/09/01
DA  - 1996/09/01 00:01
DT  - 1996/09/01 00:00
YR  - 1996
ED  - 19970213
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9019963

<914. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8870855
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Terry P
AU  - Rushton CH
FA  - Terry, P
FA  - Rushton, C H
IN  - Terry, P. Division of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, Johns Hopkins University, Baltimore, Md. USA.
TI  - Allocation of scarce resources: ethical challenges, clinical realities.
SO  - American Journal of Critical Care. 5(5):326-30, 1996 Sep
AS  - Am J Crit Care. 5(5):326-30, 1996 Sep
NJ  - American journal of critical care : an official publication, American Association of Critical-Care Nurses
VO  - 5
IP  - 5
PG  - 326-30
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bum, 9211547
IO  - Am. J. Crit. Care
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Ethics, Medical
MH  - *Health Care Rationing
MH  - Humans
MH  - Intensive Care Units/og [Organization & Administration]
MH  - *Intensive Care Units
MH  - Lung Diseases, Obstructive/co [Complications]
MH  - Male
MH  - Nurse-Patient Relations
MH  - Organizational Policy
MH  - Patient Advocacy
MH  - *Patient Transfer
MH  - Respiration, Artificial
MH  - Respiratory Insufficiency/et [Etiology]
MH  - Respiratory Insufficiency/nu [Nursing]
MH  - Respiratory Insufficiency/th [Therapy]
IS  - 1062-3264
IL  - 1062-3264
PT  - Case Reports
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Sep
EZ  - 1996/09/01
DA  - 1996/09/01 00:01
DT  - 1996/09/01 00:00
YR  - 1996
ED  - 19970206
RD  - 20060724
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8870855

<915. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8914542
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pieper CH
AU  - Smith J
AU  - Kirsten GF
AU  - Malan P
FA  - Pieper, C H
FA  - Smith, J
FA  - Kirsten, G F
FA  - Malan, P
IN  - Pieper, C H. Department of Paediatrics and Child Health, Tygerberg Hospital, W. Cape.
TI  - The transport of neonates to an intensive care unit.
SO  - South African Medical Journal. Suid-Afrikaanse Tydskrif Vir Geneeskunde. 84(11 Suppl):801-3, 1994 Nov
AS  - SAMJ, S. Afr. med. j.. 84(11 Suppl):801-3, 1994 Nov
NJ  - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
VO  - 84
IP  - 11 Suppl
PG  - 801-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0404520
IO  - S. Afr. Med. J.
SB  - Index Medicus
CP  - South Africa
MH  - Cause of Death
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - Retrospective Studies
MH  - *Transportation of Patients/mt [Methods]
AB  - OBJECTIVE: To describe the mode of transport, the type of patient transferred and outcome as defined by death or discharge from hospital.
AB  - DESIGN: A retrospective study was done of all neonates transferred from outside the designated drainage area of the hospital.
AB  - SETTING: The study was done at the level 3 Neonatal Intensive Care Unit at Tygerberg Hospital for the period January-September 1992.
AB  - PARTICIPANTS: From a total of 58 infants 52 were enrolled; they originated over a vast area of the western and northern Cape Province.
AB  - MAIN OUTCOME MEASURES: Reasons for transfer, mode of transport and survival were measured.
AB  - RESULTS: None of the infants died during transport. In total 11 (21%) of the 52 died. Categorising outcome according to transport method showed 100% survival of babies transported by fixed-wing aircraft, 94% survival if transport was by helicopter, and 70% survival if transported by ambulance. The non-survivors had a higher mean gestational age (P < 0.05) than the survivors and included 8 (73%) with asphyxia-related meconium aspiration syndrome. When the primary referral diagnosis was considered, 8 (27%) of 29 infants with respiratory failure of any cause, and 2 (28%) of those with neurological problems, died. All the infants transported because of a surgical emergency survived.
AB  - CONCLUSION: These results show a high survival rate in transported infants, with the highest mortality in the asphyxia-related meconium aspiration syndrome and the infants transported by ambulance. The preponderance of infants with meconium aspiration syndrome might reflect the standard of perinatal care provided in the outlying regions of the western and northern Cape.
IS  - 0256-9574
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1994 Nov
EZ  - 1994/11/01
DA  - 1994/11/01 00:01
DT  - 1994/11/01 00:00
YR  - 1994
ED  - 19970128
RD  - 20140912
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8914542

<916. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8864938
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hobson RP
AU  - MacKenzie FM
AU  - Gould IM
FA  - Hobson, R P
FA  - MacKenzie, F M
FA  - Gould, I M
IN  - Hobson, R P. Department of Medical Microbiology, Aberdeen Royal Infirmary, Foresterhill, UK.
TI  - An outbreak of multiply-resistant Klebsiella pneumoniae in the Grampian region of Scotland.
SO  - Journal of Hospital Infection. 33(4):249-62, 1996 Aug
AS  - J Hosp Infect. 33(4):249-62, 1996 Aug
NJ  - The Journal of hospital infection
VO  - 33
IP  - 4
PG  - 249-62
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - id6, 8007166
IO  - J. Hosp. Infect.
SB  - Index Medicus
CP  - England
MH  - Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Anti-Infective Agents/tu [Therapeutic Use]
MH  - Aztreonam/tu [Therapeutic Use]
MH  - Cefotaxime/tu [Therapeutic Use]
MH  - Ceftazidime/tu [Therapeutic Use]
MH  - Cefuroxime/tu [Therapeutic Use]
MH  - Cephalosporins/tu [Therapeutic Use]
MH  - Ciprofloxacin/tu [Therapeutic Use]
MH  - Costs and Cost Analysis
MH  - Disease Outbreaks/pc [Prevention & Control]
MH  - Drug Resistance, Microbial
MH  - *Drug Resistance, Multiple
MH  - Gentamicins/tu [Therapeutic Use]
MH  - Humans
MH  - *Klebsiella Infections/dt [Drug Therapy]
MH  - Klebsiella Infections/ep [Epidemiology]
MH  - Klebsiella Infections/mi [Microbiology]
MH  - Klebsiella Infections/pc [Prevention & Control]
MH  - *Klebsiella pneumoniae/de [Drug Effects]
MH  - Scotland
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.
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Anti-Infective Agents)
RN  - 0 (Cephalosporins)
RN  - 0 (Gentamicins)
RN  - 5E8K9I0O4U (Ciprofloxacin)
RN  - 9M416Z9QNR (Ceftazidime)
RN  - G2B4VE5GH8 (Aztreonam)
RN  - N2GI8B1GK7 (Cefotaxime)
RN  - O1R9FJ93ED (Cefuroxime)
IS  - 0195-6701
IL  - 0195-6701
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1996 Aug
EZ  - 1996/08/01
DA  - 1996/08/01 00:01
DT  - 1996/08/01 00:00
YR  - 1996
ED  - 19970121
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8864938

<917. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8949691
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Arya R
AU  - Pethen T
AU  - Johanson RB
AU  - Spencer SA
FA  - Arya, R
FA  - Pethen, T
FA  - Johanson, R B
FA  - Spencer, S A
IN  - Arya, R. Department of Paediatrics, North Staffordshire Hospital and University of Keele Stoke on Trent.
TI  - Outcome in low risk pregnancies.
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 75(2):F97-102, 1996 Sep
AS  - Arch Dis Child Fetal Neonatal Ed. 75(2):F97-102, 1996 Sep
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 75
IP  - 2
PG  - F97-102
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1061170
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Cardiopulmonary Resuscitation/ut [Utilization]
MH  - Delivery, Obstetric/mt [Methods]
MH  - Female
MH  - *Home Childbirth
MH  - Hospitals, Maternity
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/ut [Utilization]
MH  - Intubation, Intratracheal/ut [Utilization]
MH  - Patient Transfer/ut [Utilization]
MH  - Pregnancy
MH  - *Pregnancy Outcome
MH  - Retrospective Studies
MH  - Risk Factors
AB  - AIMS: To determine the obstetric and neonatal outcomes of a cohort of very low risk pregnancies in hospital, that would be suitable for home delivery.
AB  - METHODS: A retrospective analysis was undertaken of computerised records covering five years from July 1988 to August 1993 of 32424 pregnant women who delivered at the North Staffordshire Maternity Hospital, Stoke on Trent, during that period.
AB  - RESULTS: Of 32424 deliveries, only 1314 (4%) fulfilled our criteria for being low risk. Sixty seven (5.1%) of the low risk group had an operative delivery, with Caesarean section accounting for 32 (2.4%) cases, 16 (23.9%) babies were resuscitated and three were intubated. A normal vaginal delivery occurred in 1245 women, but a paediatrician attended 122 births (9.22%), assisted ventilation was provided in 65 cases (5.2%), and five babies were intubated (0.4%). Fourteen babies in total were admitted to the neonatal unit and one died.
AB  - CONCLUSIONS: These results suggest that at least 5% of women suitable for delivery at home will require transfer in labour. Midwives attending home births must be skilled in bag and mask resuscitation as only rarely will an urgent intubation be required. The British Paediatric Association Working Party report on neonatal resuscitation suggests a need for resuscitation in only 0.2% of low risk deliveries: but these findings suggest that the need is greater.
IS  - 1359-2998
IL  - 1359-2998
PT  - Journal Article
ID  - PMC1061170 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Sep
EZ  - 1996/09/01
DA  - 1996/09/01 00:01
DT  - 1996/09/01 00:00
YR  - 1996
ED  - 19970107
RD  - 20130918
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8949691

<918. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8938087
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Elliott M
FA  - Elliott, M
TI  - Re: Intrahospital transportation.
SO  - Intensive & Critical Care Nursing. 12(5):311, 1996 Oct
AS  - Intensive Crit Care Nurs. 12(5):311, 1996 Oct
NJ  - Intensive & critical care nursing
VO  - 12
IP  - 5
PG  - 311
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - Clinical Protocols
MH  - *Critical Care/mt [Methods]
MH  - Humans
MH  - *Oxygen Inhalation Therapy/mt [Methods]
MH  - *Patient Transfer/mt [Methods]
IS  - 0964-3397
IL  - 0964-3397
PT  - Letter
PP  - ppublish
LG  - English
DP  - 1996 Oct
EZ  - 1996/10/01
DA  - 1996/10/01 00:01
DT  - 1996/10/01 00:00
YR  - 1996
ED  - 19961219
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8938087

<919. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8938080
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hollis H
FA  - Hollis, H
TI  - Haematological patients transferred to the intensive care unit: what ICU nurses need to know. [Review] [14 refs]
CM  - Comment in: Intensive Crit Care Nurs. 1996 Oct;12(5):253; PMID: 8938077
SO  - Intensive & Critical Care Nursing. 12(5):272-6, 1996 Oct
AS  - Intensive Crit Care Nurs. 12(5):272-6, 1996 Oct
NJ  - Intensive & critical care nursing
VO  - 12
IP  - 5
PG  - 272-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bg4, 9211274
IO  - Intensive Crit Care Nurs
SB  - Nursing Journal
CP  - Netherlands
MH  - *Critical Care
MH  - Health Services Needs and Demand
MH  - Hematologic Diseases/cl [Classification]
MH  - Hematologic Diseases/co [Complications]
MH  - *Hematologic Diseases/nu [Nursing]
MH  - Humans
MH  - *Patient Transfer
MH  - Self-Help Groups
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 lysis 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. [References: 14]
IS  - 0964-3397
IL  - 0964-3397
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1996 Oct
EZ  - 1996/10/01
DA  - 1996/10/01 00:01
DT  - 1996/10/01 00:00
YR  - 1996
ED  - 19961219
RD  - 20160603
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8938080

<920. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8964021
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Badgwell JM
AU  - Savage GT
AU  - Kelley EL
FA  - Badgwell, J M
FA  - Savage, G T
FA  - Kelley, E L
TI  - A case for delivering supplemental oxygen to postoperative patients during transport to the PACU.
SO  - Journal of PeriAnesthesia Nursing. 11(4):295-7, 1996 Aug
AS  - J Perianesth Nurs. 11(4):295-7, 1996 Aug
NJ  - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
VO  - 11
IP  - 4
PG  - 295-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9610507, CKX
IO  - J. Perianesth. Nurs.
SB  - Nursing Journal
CP  - United States
MH  - Humans
MH  - *Oxygen Inhalation Therapy/mt [Methods]
MH  - *Postoperative Care/mt [Methods]
MH  - *Recovery Room
MH  - *Transportation of Patients/mt [Methods]
IS  - 1089-9472
IL  - 1089-9472
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Aug
EZ  - 1996/08/01
DA  - 1996/08/01 00:01
DT  - 1996/08/01 00:00
YR  - 1996
ED  - 19961212
RD  - 20161020
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8964021

<921. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8850953
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Haack M
AU  - Shaw P
FA  - Haack, M
FA  - Shaw, P
TI  - A nurse-driven patient placement system.
SO  - Nursing Management. 27(9):32FF, 32GG, 1996 Sep
AS  - Nurs Manage. 27(9):32FF, 32GG, 1996 Sep
NJ  - Nursing management
VO  - 27
IP  - 9
PG  - 32FF, 32GG
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8219243, obv
IO  - Nurs Manage
SB  - Nursing Journal
CP  - United States
MH  - *Decision Making, Organizational
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Nursing Assessment
MH  - *Nursing Staff, Hospital/og [Organization & Administration]
MH  - *Patient Admission
MH  - *Patient Transfer/og [Organization & Administration]
MH  - Pediatric Nursing
MH  - Workload
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.
IS  - 0744-6314
IL  - 0744-6314
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Sep
EZ  - 1996/09/01
DA  - 1996/09/01 00:01
DT  - 1996/09/01 00:00
YR  - 1996
ED  - 19961212
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8850953

<922. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8858645
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tobias JD
AU  - Lynch A
AU  - Garrett J
FA  - Tobias, J D
FA  - Lynch, A
FA  - Garrett, J
IN  - Tobias, J D. Department of Child Health, University of Missouri, Columbia 65212, USA.
TI  - Alterations of end-tidal carbon dioxide during the intrahospital transport of children.
SO  - Pediatric Emergency Care. 12(4):249-51, 1996 Aug
AS  - Pediatr Emerg Care. 12(4):249-51, 1996 Aug
NJ  - Pediatric emergency care
VO  - 12
IP  - 4
PG  - 249-51
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - *Carbon Dioxide/an [Analysis]
MH  - Child
MH  - Child, Preschool
MH  - Humans
MH  - Hyperventilation/et [Etiology]
MH  - Infant
MH  - Intensive Care Units, Pediatric
MH  - Intubation, Intratracheal
MH  - Patient Transfer
MH  - Prospective Studies
MH  - Respiration, Artificial/ae [Adverse Effects]
MH  - Respiration, Artificial/mt [Methods]
MH  - *Respiration, Artificial
MH  - Tidal Volume
MH  - *Transportation of Patients
AB  - OBJECTIVE: To determine the effect of manual ventilation during intrahospital transport on end-tidal carbon dioxide concentrations in children.
AB  - DESIGN: Prospective study in children who required tracheal intubation and mechanical ventilation/ hyperventilation to maintain an arterial partial pressure of CO2 (PaCO2) of 25 to 30 torr for control of intracranial pressure.
AB  - SETTING: Pediatric intensive care unit.
AB  - INTERVENTION: During patient transport with manual ventilation, end-tidal CO2 was monitored with a side-streaming aspirating, infrared device. The person responsible for manual ventilation was informed of the current ventilator settings and the need to maintain a PaCO2 of 25 to 30 torr, but was not allowed to see the end-tidal CO2 monitor.
AB  - RESULTS: The study population included 12 patients ranging in age from seven months to 14 years (average age 6.9 years) and in weight from 6.5 to 57 kg (average weight 28.9 kg). A total of 1716 end-tidal CO2 values were recorded during 286 minutes of monitoring. Five hundred and thirty-one (31%) of the readings were in the intended range of 25 to 30 torr. Four hundred (23%) were less than 20 torr, 665 (39%) were in the 20 to 24 torr range, and 119 (6.3%) were greater than 30 torr. Only five were greater than 40 torr.
AB  - CONCLUSIONS: Unintentional hyperventilation occurs during the intrahospital transport of children. End-tidal CO2 values less than 25 torr were noted 62% of the time.
RN  - 142M471B3J (Carbon Dioxide)
IS  - 0749-5161
IL  - 0749-5161
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Aug
EZ  - 1996/08/01
DA  - 1996/08/01 00:01
DT  - 1996/08/01 00:00
YR  - 1996
ED  - 19961206
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8858645

<923. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8924318
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hewson P
AU  - Kelly M
AU  - Reid A
FA  - Hewson, P
FA  - Kelly, M
FA  - Reid, A
TI  - Timing of transfer of babies with hyaline membrane disease from regional centres to level 3 nurseries.
SO  - Journal of Paediatrics & Child Health. 31(6):565, 1995 Dec
AS  - J Paediatr Child Health. 31(6):565, 1995 Dec
NJ  - Journal of paediatrics and child health
VO  - 31
IP  - 6
PG  - 565
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Age Factors
MH  - Humans
MH  - *Hyaline Membrane Disease/dt [Drug Therapy]
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - *Patient Selection
MH  - *Patient Transfer
IS  - 1034-4810
IL  - 1034-4810
PT  - Letter
PP  - ppublish
LG  - English
DP  - 1995 Dec
EZ  - 1995/12/01
DA  - 1995/12/01 00:01
DT  - 1995/12/01 00:00
YR  - 1995
ED  - 19961101
RD  - 20070924
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8924318

<924. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8846281
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gronert BJ
FA  - Gronert, B J
IN  - Gronert, B J. Department of Anesthesiology, Children's Hospital of Pittsburgh, PA 15213-2583, USA.
TI  - Laryngeal mask airway for management of a difficult airway and extracorporeal shock wave lithotripsy.
CM  - Comment in: Paediatr Anaesth. 1996;6(6):499; PMID: 8936552
SO  - Paediatric Anaesthesia. 6(2):147-50, 1996
AS  - Paediatr Anaesth. 6(2):147-50, 1996
NJ  - Paediatric anaesthesia
VO  - 6
IP  - 2
PG  - 147-50
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cg8, 9206575
IO  - Paediatr Anaesth
SB  - Index Medicus
CP  - France
MH  - Ambulatory Care Facilities
MH  - Child
MH  - Chromosomes, Human, Pair 18
MH  - Humans
MH  - Intensive Care Units, Pediatric
MH  - Intubation, Intratracheal
MH  - Kidney Calculi/th [Therapy]
MH  - *Laryngeal Masks
MH  - *Lithotripsy
MH  - Male
MH  - Monosomy
MH  - Transportation of Patients
IS  - 1155-5645
IL  - 1155-5645
PT  - Case Reports
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996
EZ  - 1996/01/01
DA  - 1996/01/01 00:01
DT  - 1996/01/01 00:00
YR  - 1996
ED  - 19961024
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8846281

<925. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8720889
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Arntz HR
AU  - Klatt S
AU  - Stern R
AU  - Willich SN
AU  - Beneker J
FA  - Arntz, H R
FA  - Klatt, S
FA  - Stern, R
FA  - Willich, S N
FA  - Beneker, J
IN  - Arntz, H R. Abteilung fur Kardiopulmologie, Freien Universitat Berlin.
TI  - [Are emergency physicians' diagnoses accurate?]. [German]
OT  - Sind Notarztdiagnosen zuverlassig?
SO  - Anaesthesist. 45(2):163-70, 1996 Feb
AS  - Anaesthesist. 45(2):163-70, 1996 Feb
NJ  - Der Anaesthesist
VO  - 45
IP  - 2
PG  - 163-70
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4my, 0370525
IO  - Anaesthesist
SB  - Index Medicus
CP  - Germany
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Aircraft
MH  - Child
MH  - *Diagnosis
MH  - Diagnostic Errors
MH  - *Emergency Medicine
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment (Health Care)
MH  - Retrospective Studies
MH  - Transportation of Patients
MH  - Wounds and Injuries/di [Diagnosis]
MH  - Wounds and Injuries/th [Therapy]
AB  - METHODS AND AIM OF THE STUDY: The on-scene performance during all missions of the emergency physician-operated rescue helicopter and mobile intensive care unit based at a large-city hospital over a period of 1 year was retrospectively analysed; 2,254 hospital discharge reports were available (92% of the patients treated by the emergency physicians [n = 2,493]). The following parameters were investigated: reliability of the primary diagnosis established by the emergency physician (by comparison with the discharge diagnoses); initial on-scene therapeutic measures; means of transportation (with or without accompanying emergency physician); and level of care of the target hospital.
AB  - RESULTS: The most common reasons for a mission were cardiopulmonary diseases (55%), neurological disorders (18%), and traumatic events (7%). The diagnoses, therapeutic measures, and mode of transportation were correct in 2,033 (90%) patients with a discharge report. Severe errors of assessment by the emergency physician were identified in 73 patients (3%): life-threatening conditions were not recognised and/or grossly incorrect therapeutic measures were taken and/or the chosen means of transportation was unsuitable. Relative errors in assessment occurred in 4% (n = 83): the most crucial diagnosis was not made, but the patient was escorted by the emergency physician (without therapeutic errors) to a suitable hospital. In 3% (n = 65) of the cases, the patient's condition was overestimated by the emergency physician as suggested by the obviously exaggerated on-scene therapy. Underestimations of the severity were most common in patients with cardiopulmonary diseases and increased in frequency and severity with increasing age and the presence of a concomitant neurologic deficit. Underestimations of a severe condition in younger patients were extremely rare; overestimations of the severity and consequent overtreatment were particularly common in traumatised patients independent of age.
AB  - CONCLUSIONS: In the context of quality management measures, a careful evaluation of on-scene diagnoses, therapeutic measures, and decisions made by the emergency physician is a suitable procedure for identifying systematic errors. A high percentage of correct diagnoses and therapy at the emergency site can only be ensured by clinically experienced physicians who constantly deal with patients with acutely life-threatening conditions.
IS  - 0003-2417
IL  - 0003-2417
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - German
DP  - 1996 Feb
EZ  - 1996/02/01
DA  - 1996/02/01 00:01
DT  - 1996/02/01 00:00
YR  - 1996
ED  - 19961018
RD  - 20130715
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8720889

<926. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8767578
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Distefano G
AU  - Sciacca P
AU  - Marletta M
AU  - Caracciolo MC
AU  - Di Stefano GC
AU  - Romeo MG
FA  - Distefano, G
FA  - Sciacca, P
FA  - Marletta, M
FA  - Caracciolo, M C
FA  - Di Stefano, G C
FA  - Romeo, M G
IN  - Distefano, G. Cattedra di Neonatologia, Universita di Catania, Italia.
TI  - [Realities and perspectives of perinatal care in Sicily. Experience at an outborn neonatal unit]. [Italian]
OT  - Realta e prospettive dell'assistenza perinatale in Sicilia. L'esperienza di un Centro con neonati esculsivamente "outborn".
SO  - Pediatria Medica e Chirurgica. 18(2):161-7, 1996 Mar-Apr
AS  - Pediatr Med Chir. 18(2):161-7, 1996 Mar-Apr
NJ  - La Pediatria medica e chirurgica : Medical and surgical pediatrics
VO  - 18
IP  - 2
PG  - 161-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - paq, 8100625
IO  - Pediatr Med Chir
SB  - Index Medicus
CP  - Italy
MH  - Birth Weight
MH  - Humans
MH  - *Infant Mortality
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/mo [Mortality]
MH  - *Infant, Newborn, Diseases/th [Therapy]
MH  - Infant, Very Low Birth Weight
MH  - *Intensive Care Units, Neonatal
MH  - Italy
MH  - *Perinatal Care
MH  - Respiratory Distress Syndrome, Newborn/mo [Mortality]
MH  - Respiratory Distress Syndrome, Newborn/th [Therapy]
MH  - Transportation of Patients
AB  - The Authors studied some mortality indices in the neonatal intensive and subintensive care unit of the University of Catania in order to assess the degree of efficiency of perinatal assistance. This Unit is the largest in southeastern Sicily and admits only outborn newborns from the city of Catania, the Catania province and other provinces. Comparison of the 1991-92 and the 1993-94 data revealed a marked reduction in the mortality rate, however this fall was only marginal in newborns of, or under 1,000 g. There was a marked decrease in the mortality rate from respiratory distress, especially in ventilated newborns receiving additional surfactant. Comparison of the data showed that in both study periods the mortality rate was much higher in newborns over 6 hours of life, in those presenting hematic pH values under 7.25 at admission and in those coming from other provinces. These results underline that it is essential for the political authorities to boost neonatal assistance in the delivery room and to ensure adequate transport of distressed newborns.
IS  - 0391-5387
IL  - 0391-5387
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Italian
DP  - 1996 Mar-Apr
EZ  - 1996/03/01
DA  - 1996/03/01 00:01
DT  - 1996/03/01 00:00
YR  - 1996
ED  - 19961010
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8767578

<927. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8774547
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kay AR
AU  - Burd DA
FA  - Kay, A R
FA  - Burd, D A
TI  - Toxic shock syndrome and burns.
CM  - Comment in: J R Soc Med. 1996 Sep;89(9):538-9; PMID: 8949529
CM  - Comment on: J R Soc Med. 1996 Feb;89(2):115P-6P; PMID: 8683498
SO  - Journal of the Royal Society of Medicine. 89(7):420, 1996 Jul
AS  - J R Soc Med. 89(7):420, 1996 Jul
NJ  - Journal of the Royal Society of Medicine
VO  - 89
IP  - 7
PG  - 420
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7802879, jx1
IO  - J R Soc Med
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1295873
SB  - Index Medicus
CP  - England
MH  - Burn Units
MH  - *Burns/co [Complications]
MH  - Child
MH  - Humans
MH  - *Patient Transfer
MH  - *Shock, Septic/et [Etiology]
IS  - 0141-0768
IL  - 0141-0768
PT  - Comment
PT  - Letter
ID  - PMC1295873 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Jul
EZ  - 1996/07/01
DA  - 1996/07/01 00:01
DT  - 1996/07/01 00:00
YR  - 1996
ED  - 19961004
RD  - 20081120
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8774547

<928. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8716052
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hofmann-Rosener VM
AU  - Furth P
FA  - Hofmann-Rosener, V M
FA  - Furth, P
TI  - [Nurses' patient transfer report. Concept for the determination of the nursing transfer status at a surgical intensive care unit]. [German]
OT  - Der pflegerische Verlegungsbericht. Konzept Zur Erhebung des pflegerischen Verlegungsstatus auf einer operativen Intensivstation.
SO  - Krankenpflege Journal. 34(4):125-7, 1996 Apr
AS  - Krankenpfl J. 34(4):125-7, 1996 Apr
NJ  - Krankenpflege Journal
VO  - 34
IP  - 4
PG  - 125-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - kyn, 8006304
IO  - Krankenpfl J
SB  - Nursing Journal
CP  - Germany
MH  - Health Status
MH  - Humans
MH  - *Intensive Care Units
MH  - Interprofessional Relations
MH  - *Patient Care Planning
MH  - *Patient Transfer
IS  - 0174-108X
IL  - 0174-108X
PT  - Journal Article
PP  - ppublish
LG  - German
DP  - 1996 Apr
EZ  - 1996/04/01
DA  - 1996/04/01 00:01
DT  - 1996/04/01 00:00
YR  - 1996
ED  - 19961003
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8716052

<929. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8718253
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kelly M
AU  - Ferguson-Clark L
AU  - Marsh M
FA  - Kelly, M
FA  - Ferguson-Clark, L
FA  - Marsh, M
TI  - A new retrieval service.
SO  - Paediatric Nursing. 8(6):18-20, 1996 Jul
AS  - Paediatr Nurs. 8(6):18-20, 1996 Jul
NJ  - Paediatric nursing
VO  - 8
IP  - 6
PG  - 18-20
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b6g, 9013329
IO  - Paediatr Nurs
SB  - Nursing Journal
CP  - England
MH  - Emergency Medical Service Communication Systems
MH  - Humans
MH  - *Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - Medical Audit
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - Workload
IS  - 0962-9513
IL  - 0962-9513
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Jul
EZ  - 1996/07/01
DA  - 1996/07/01 00:01
DT  - 1996/07/01 00:00
YR  - 1996
ED  - 19960926
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8718253

<930. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8785531
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Velin P
AU  - Dupont D
AU  - Golkar A
AU  - Barbot-Boileau D
AU  - Matta T
FA  - Velin, P
FA  - Dupont, D
FA  - Golkar, A
FA  - Barbot-Boileau, D
FA  - Matta, T
IN  - Velin, P. Service de reanimation et de neonatologie, hopital Lenval pour enfants, Nice, France.
TI  - [Management of newborn infants in maternity-neonatal intensive care units]. [French]
OT  - Prise en charge des nouveau-nes en maternite par un service de reanimation neonatale.
SO  - Archives de Pediatrie. 3(2):122-9, 1996 Feb
AS  - Arch Pediatr. 3(2):122-9, 1996 Feb
NJ  - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
VO  - 3
IP  - 2
PG  - 122-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9421356, bwh
IO  - Arch Pediatr
SB  - Index Medicus
CP  - France
MH  - Female
MH  - *Hospitals, Maternity/og [Organization & Administration]
MH  - Hospitals, Maternity/sn [Statistics & Numerical Data]
MH  - Hospitals, Private
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Pregnancy
MH  - Prospective Studies
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
AB  - BACKGROUND: Although in utero transfer seems actually the safest option when risk factors are identified, specialized transport teams remain important to consider for the neonatal overall management.
AB  - SUBJECTS: From January 1988 through December 1992, 692 transports of 838 neonates were prospectively studied to determine effectiveness and safety of the Hospital Lenval's neonatal transport team.
AB  - RESULTS: Neonatal transports were required respectively for prematurity (46.4%), acute fetal distress (13.8%), respiratory distress (10.1%), intrauterine growth retardation (7.8%), multiple pregnancies (5.2%), perinatal asphyxia (3.1%) and life-threatening congenital abnormalities (2%). Pediatric assistance was unplanned in most of the cases (80%). Assistance with a pediatrician before delivery was performed more frequently (70%) for premature babies (mean gestational age 34.1 +/- 3.1 wk) delivered by cesarean section in 66.4% of the cases; in this group, delivery room resuscitation was less aggressive. Assistance was performed after delivery less frequently (30%), approximately in one-half of the cases for neonatal distress: respiratory (33.9%) or neurologic (17.1%); in this group, delivery room resuscitation was more aggressive. In transit, ventilation support via endotracheal intubation was given to 17.9% of the babies. Neither death nor heavy complication occurred during transport. On arrival in the neonatal intensive care unit, hypothermia was noted in 9.6% of the cases, hypotension in 4.3%, hypoglycemia in 13.1% and metabolic acidosis in 10.4%. In our series, the overall mortality rate was 6%, and incidence of neurologic damage 3.3%.
AB  - CONCLUSION: A skilled person in neonatal resuscitation available at every referring maternity and regional high-risk obstetric/neonatal combined centre are two recommendations which could provide improved neonatal management.
IS  - 0929-693X
IL  - 0929-693X
PT  - English Abstract
PT  - Journal Article
ID  - 0929693X96850627 [pii]
PP  - ppublish
LG  - French
DP  - 1996 Feb
EZ  - 1996/02/01
DA  - 2000/05/05 09:00
DT  - 1996/02/01 00:00
YR  - 1996
ED  - 19960924
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8785531

<931. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8696284
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jesurum JT
AU  - Alexander WA
AU  - Anderson JJ
AU  - Houston S
FA  - Jesurum, J T
FA  - Alexander, W A
FA  - Anderson, J J
FA  - Houston, S
TI  - Fast Track recovery after aortocoronary bypass surgery: early extubation and intensive care unit transfer.
SO  - Seminars in Perioperative Nursing. 5(1):12-22, 1996 Jan
AS  - Semin Perioper Nurs. 5(1):12-22, 1996 Jan
NJ  - Seminars in perioperative nursing
VO  - 5
IP  - 1
PG  - 12-22
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bqy, 9206988
IO  - Semin Perioper Nurs
SB  - Nursing Journal
CP  - United States
MH  - *Coronary Artery Bypass/nu [Nursing]
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Pathways
MH  - Humans
MH  - *Intubation, Intratracheal/nu [Nursing]
MH  - Outcome Assessment (Health Care)
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Postanesthesia Nursing/og [Organization & Administration]
MH  - *Progressive Patient Care/og [Organization & Administration]
MH  - Prospective Studies
MH  - Time Factors
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.
IS  - 1056-8670
IL  - 1056-8670
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1996 Jan
EZ  - 1996/01/01
DA  - 1996/01/01 00:01
DT  - 1996/01/01 00:00
YR  - 1996
ED  - 19960904
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8696284

<932. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8677174
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kronick JB
AU  - Frewen TC
AU  - Kissoon N
AU  - Lee R
AU  - Sommerauer JF
AU  - Reid WD
AU  - Casier S
AU  - Boyle K
FA  - Kronick, J B
FA  - Frewen, T C
FA  - Kissoon, N
FA  - Lee, R
FA  - Sommerauer, J F
FA  - Reid, W D
FA  - Casier, S
FA  - Boyle, K
IN  - Kronick, J B. Paediatric Critical Care Unit, Children's Hospital of Western Ontario, London, Canada.
TI  - Pediatric and neonatal critical care transport: a comparison of therapeutic interventions.
CM  - Comment in: Pediatr Emerg Care. 1996 Oct;12(5):390; PMID: 8992472
SO  - Pediatric Emergency Care. 12(1):23-6, 1996 Feb
AS  - Pediatr Emerg Care. 12(1):23-6, 1996 Feb
NJ  - Pediatric emergency care
VO  - 12
IP  - 1
PG  - 23-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - pau, 8507560
IO  - Pediatr Emerg Care
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - *Critical Care/sn [Statistics & Numerical Data]
MH  - *Critical Illness/th [Therapy]
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant, Newborn
MH  - Ontario
MH  - Patient Care Team/og [Organization & Administration]
MH  - *Patient Care Team/sn [Statistics & Numerical Data]
MH  - Prospective Studies
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
AB  - OBJECTIVE: To compare the therapeutic interventions provided to newborn and pediatric patients by a dedicated combined neonatal pediatric critical care transport team.
AB  - METHOD: From November 1987 through December 1989 we prospectively compared the number of therapeutic interventions performed by the critical care transport team on newborns and pediatric patients. The transport team (critical care physician [PL3 or greater], pediatric respiratory therapist, critical care nurse), recorded all therapeutic interventions, including both procedural and pharmacologic, for 213 newborn and 149 pediatric consecutive transports. Data were analyzed by analysis of variance or chi 2 statistic.
AB  - RESULTS: All patients were admitted to either the pediatric or the neonatal intensive care unit, and over 80% of both age groups received assisted ventilation. Newborns commonly suffered from respiratory diseases (159/213), while pediatric patients suffered from respiratory (52/149), central nervous system (28/149), and traumatic conditions (37/149). Airway maintenance procedural interventions (intubation, ventilation) were the commonest in both groups, although more frequent in neonates. Neonates received antibiotics and morphine (P < 0.05) while pediatric patients received anticonvulsants and respiratory drugs (P < 0.05) more frequently. Newborns received significantly more interventions than pediatric patients (average 3.56 vs 2.93, P < 0.05). Newborns also received significantly more procedural interventions (2.06 vs 1.36, P = < 0.05) including intubation (34.7% vs 15.4%, P < 0.05) and the initiation of mechanical ventilation (38% vs 22%, P < 0.05).
AB  - CONCLUSION: Overall, newborns received more interventions, including intubation, and ventilation from the transport team than did pediatric patients. Our data suggest that combined pediatric neonatal transport teams should be prepared to intervene in a wide range of conditions from preterm respiratory distress to the multiply traumatized adolescent.
IS  - 0749-5161
IL  - 0749-5161
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1996 Feb
EZ  - 1996/02/01
DA  - 1996/02/01 00:01
DT  - 1996/02/01 00:00
YR  - 1996
ED  - 19960812
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8677174

<933. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8664741
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - McEvoy A
AU  - Smith M
AU  - Kitchen N
AU  - Powell M
FA  - McEvoy, A
FA  - Smith, M
FA  - Kitchen, N
FA  - Powell, M
TI  - Providing intensive care. For neurosciences, proposals are "too little too late".
CM  - Comment on: BMJ. 1996 Mar 16;312(7032):655; PMID: 8597722
SO  - BMJ. 312(7047):1671-2, 1996 Jun 29
AS  - BMJ. 312(7047):1671-2, 1996 Jun 29
NJ  - BMJ (Clinical research ed.)
VO  - 312
IP  - 7047
PG  - 1671-2
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2351346
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Hospital Bed Capacity
MH  - Humans
MH  - *Intensive Care Units
MH  - Neurosurgery
MH  - Patient Transfer
MH  - United Kingdom
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
PT  - Comment
ID  - PMC2351346 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Jun 29
EZ  - 1996/06/29
DA  - 1996/06/29 00:01
DT  - 1996/06/29 00:00
YR  - 1996
ED  - 19960807
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8664741

<934. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8667585
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Khadzhiiski O
AU  - Boiadzhiev Kh
FA  - Khadzhiiski, O
FA  - Boiadzhiev, Kh
TI  - [Medical first aid and the transportation of burn patients]. [Bulgarian]
OT  - Purva lekarska pomosht i transport pri bolni s izgarianiia.
SO  - Khirurgiia. 48(3):5-7, 1995
AS  - Khirurgiia (Sofiia). 48(3):5-7, 1995
NJ  - Khirurgiia
VO  - 48
IP  - 3
PG  - 5-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0376355, kv8
IO  - Khirurgiia (Sofiia)
SB  - Index Medicus
CP  - Bulgaria
MH  - Bulgaria
MH  - Burn Units
MH  - *Burns/th [Therapy]
MH  - *First Aid
MH  - Humans
MH  - *Transportation of Patients
AB  - The new trends in delivering emergency medical aid and transportation of burnt patients are outlined. The successiveness of emergency measures on the site of accident is specified, namely: securing patency of the airways, spontaneous respiration, free venous return for maintaining circulation. No local treatment of wounds is done. The need of transportation to specialized centers for treatment of burns throughout the country (4 units available) is substantiated. It is emphasized that adequate treatment, both infusional and operative, may be effected only by the specialized teams in such centers, and provided the casualties are hospitalized within the first few hours of trauma. The contraindications for transportation of patients in the early post-accident hours include: respiratory insufficiency, intubation, multiply injured patients and severe hemorrhages, as well as cases with unspecified diagnosis. Transportation is mandatorily carried out with an accompanying doctor under the supervision and consent of the team on duty from the respective center and its consultant.
IS  - 0450-2167
IL  - 0450-2167
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Bulgarian
DP  - 1995
EZ  - 1995/01/01
DA  - 1995/01/01 00:01
DT  - 1995/01/01 00:00
YR  - 1995
ED  - 19960806
RD  - 20140108
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8667585

<935. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8664640
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kishen R
FA  - Kishen, R
TI  - Providing intensive care. Service can't cope with troughs in demand, let alone peaks.
CM  - Comment on: BMJ. 1996 Mar 16;312(7032):654; PMID: 8597721
SO  - BMJ. 312(7044):1476, 1996 Jun 08
AS  - BMJ. 312(7044):1476, 1996 Jun 08
NJ  - BMJ (Clinical research ed.)
VO  - 312
IP  - 7044
PG  - 1476
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2351170
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - *Critical Care
MH  - Humans
MH  - Intensive Care Units/sd [Supply & Distribution]
MH  - Patient Transfer
MH  - United Kingdom
MH  - *Workload
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
PT  - Comment
ID  - PMC2351170 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Jun 08
EZ  - 1996/06/08
DA  - 1996/06/08 00:01
DT  - 1996/06/08 00:00
YR  - 1996
ED  - 19960805
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8664640

<936. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8652170
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jeon AA
FA  - Jeon, A A
IN  - Jeon, A A. Brigham and Women's Hospital, Boston, MA 02115, USA.
TI  - A hospital administrator's view of the operating room.
SO  - Journal of Clinical Anesthesia. 7(7):585-8, 1995 Nov
AS  - J Clin Anesth. 7(7):585-8, 1995 Nov
NJ  - Journal of clinical anesthesia
VO  - 7
IP  - 7
PG  - 585-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - an9, 8812166
IO  - J Clin Anesth
SB  - Index Medicus
CP  - United States
MH  - Appointments and Schedules
MH  - Attitude of Health Personnel
MH  - Critical Pathways/og [Organization & Administration]
MH  - Efficiency, Organizational
MH  - *Hospital Administrators
MH  - Humans
MH  - Operating Rooms/ec [Economics]
MH  - *Operating Rooms/og [Organization & Administration]
MH  - Operating Rooms/st [Standards]
MH  - Organizational Culture
MH  - Patient Transfer
MH  - Physician Executives
MH  - Recovery Room/og [Organization & Administration]
MH  - United States
AB  - The need for greater efficiency in OR management will become apparent as hospitals are forced to respond to a myriad of pressures imposed by the external environment. The most effective strategy in dealing with this challenge will be realized by adopting a "systems" approach to OR functions as opposed to the more traditional methodology that emphasizes a review of individual problematic components. One issue that challenges many ORs is "throughput": the backlog of patients in ORs that occurs because the recovery room is filled to capacity. The traditional approach is to focus on the recovery room's inefficiency and to expend energy on improving recovery room function. A "systems" approach would examine all factors that affect recovery room function and analyze the interdependencies that exist between the recovery room and other hospital service functions. These might include the way cases in the OR are scheduled, as well as issues that involve patient transfer from the recovery room to intensive, intermediate, and routine floor care. By establishing a dialogue with parties outside of the traditional OR community, the opportunity to solve problems that affect the OR but that are outside of its direct sphere of control, presents itself. This approach will require the acquisition of new skills by those responsible for OR management in addition to promulgating a change in the culture that dominates many ORs today. An insular approach that reinforces the concept of the OR as a microcosm unto itself is an outmoded one. The hospital community at large will benefit from the expert skills possessed by those proficient in efficient OR management, while enabling the OR to fulfill its mission in the challenging times ahead.
IS  - 0952-8180
IL  - 0952-8180
PT  - Journal Article
ID  - 0952-8180(95)00159-X [pii]
PP  - ppublish
LG  - English
DP  - 1995 Nov
EZ  - 1995/11/01
DA  - 1995/11/01 00:01
DT  - 1995/11/01 00:00
YR  - 1995
ED  - 19960801
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8652170

<937. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8605792
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cernaianu AC
AU  - DelRossi AJ
AU  - Flum DR
AU  - Vassilidze TV
AU  - Ross SE
AU  - Cilley JH
AU  - Grosso MA
AU  - Boysen PG
FA  - Cernaianu, A C
FA  - DelRossi, A J
FA  - Flum, D R
FA  - Vassilidze, T V
FA  - Ross, S E
FA  - Cilley, J H
FA  - Grosso, M A
FA  - Boysen, P G
IN  - Cernaianu, A C. Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Cooper Hospital/University Medical Center, Camden, USA.
TI  - Lorazepam and midazolam in the intensive care unit: a randomized, prospective, multicenter study of hemodynamics, oxygen transport, efficacy, and cost.
SO  - Critical Care Medicine. 24(2):222-8, 1996 Feb
AS  - Crit Care Med. 24(2):222-8, 1996 Feb
NJ  - Critical care medicine
VO  - 24
IP  - 2
PG  - 222-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anti-Anxiety Agents/ec [Economics]
MH  - *Anti-Anxiety Agents/tu [Therapeutic Use]
MH  - Cost-Benefit Analysis
MH  - *Critical Illness
MH  - Drug Costs
MH  - Female
MH  - *Hemodynamics/de [Drug Effects]
MH  - Humans
MH  - Hypnotics and Sedatives/ec [Economics]
MH  - *Hypnotics and Sedatives/tu [Therapeutic Use]
MH  - Intensive Care Units
MH  - Lorazepam/ec [Economics]
MH  - *Lorazepam/tu [Therapeutic Use]
MH  - Male
MH  - Midazolam/ec [Economics]
MH  - *Midazolam/tu [Therapeutic Use]
MH  - Middle Aged
MH  - *Oxygen Consumption/de [Drug Effects]
MH  - Prospective Studies
MH  - Respiration, Artificial
AB  - OBJECTIVES: To evaluate and compare the clinical efficacy, impact on hemodynamic and oxygen transport variables, safety profiles, and cost efficiency of sedation and anxiolysis with lorazepam vs. continuous infusion of midazolam in critically ill, intensive care unit patients.
AB  - DESIGN: Multicenter, prospective, randomized, open-label study.
AB  - SETTING: Teaching hospitals.
AB  - PATIENTS: Ninety-five critically ill, mechanically ventilated patients with fiberoptic pulmonary artery catheters in place were randomly assigned to receive short-term (8 hrs) sedation with either intermittent intravenous injection lorazepam (group A, n = 50) or continuous intravenous infusion midazolam (group B, n = 45) titrated to clinical response.
AB  - MEASUREMENTS AND MAIN RESULTS: The severity of illness, demographic characteristics, levels of anxiety and agitation, hemodynamic parameters, oxygen transport variables, quality of sedation, nursing acceptance, and laboratory chemistries reflecting drug safety were recorded. There were no significant differences with regard to demographic data, hemodynamic and oxygen transport variables, or levels of anxiety/agitation between the two groups at baseline, 5 mins, 30 mins, and 4 and 8 hrs after administration of sedation. There were no significant differences in the quality of sedation or anxiolysis. Midazolam-treated patients used significantly larger amounts of drug for similar levels of sedation and anxiolysis (14.4 +/- 1.2 mg/8 hrs vs. 1.6 +/- 0.1 mg/8 hrs, p = .001). Both drugs were safely administered and patient and nurse satisfaction was similar.
AB  - CONCLUSIONS: Sedation and anxiolysis with lorazepam and midazolam in critically ill patients is safe and clinically effective. Hemodynamic and oxygen transport variables are similarly affected by both drugs. The dose of midazolam required for sedation is much larger than the dose of lorazepam required for sedation, and midazolam is therefore less cost-efficient.
RN  - 0 (Anti-Anxiety Agents)
RN  - 0 (Hypnotics and Sedatives)
RN  - O26FZP769L (Lorazepam)
RN  - R60L0SM5BC (Midazolam)
IS  - 0090-3493
IL  - 0090-3493
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1996 Feb
EZ  - 1996/02/01
DA  - 1996/02/01 00:01
DT  - 1996/02/01 00:00
YR  - 1996
ED  - 19960522
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8605792

<938. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8590498
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chung F
FA  - Chung, F
IN  - Chung, F. Department of Anaesthesia, University of Toronto, Toronto Hospital, Ontario, Canada.
TI  - Discharge criteria--a new trend.
SO  - Canadian Journal of Anaesthesia. 42(11):1056-8, 1995 Nov
AS  - Can J Anaesth. 42(11):1056-8, 1995 Nov
NJ  - Canadian journal of anaesthesia = Journal canadien d'anesthesie
VO  - 42
IP  - 11
PG  - 1056-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - c8l, 8701709
IO  - Can J Anaesth
SB  - Index Medicus
CP  - United States
MH  - Ambulatory Surgical Procedures/td [Trends]
MH  - *Ambulatory Surgical Procedures
MH  - Anesthesia
MH  - Anesthesia Recovery Period
MH  - Guidelines as Topic
MH  - Hospital Units
MH  - Humans
MH  - Intraoperative Care
MH  - Length of Stay
MH  - *Patient Discharge/td [Trends]
MH  - Patient Selection
MH  - Patient Transfer
MH  - Postoperative Care
MH  - Quality of Health Care
MH  - Recovery Room
MH  - Safety
AB  - The safe, expeditious conduct of ambulatory surgical care can succeed only by careful selection of patients and procedures, appropriate intra- and postoperative anaesthetic management, and safe, timely discharge of patients. Discharge of patients should be achieved without compromising the quality of patient care. As the patients presenting for ambulatory surgery become more complex and compromised, and their surgical treatment more demanding, it is important to replace, or at least supplement, our existing qualitative, subjective method for evaluating patient discharge with a quantitative, objective technique to provide a simple and consistent method of determining home readiness. Practical discharge criteria or a postanaesthesia scoring system should be implemented in every ambulatory surgery centre to ensure safe recovery and discharge after anaesthesia. The Post-Anaesthesia Discharge Scoring System (PADSS) is simple, practical, easy to apply and to remember. In addition to permitting a uniform assessment of home readiness for patients, PADSS establishes a pattern of routine, repetitive evaluation of patients home readiness that is likely to contribute to improved patient outcome. In this way, PADSS also may have added medicolegal value. We recommend using the postanaesthesia recovery score (Aldrete score) to evaluate initial patient recovery. Once the Aldrete criteria are met, home-readiness can be evaluated by PADSS or modified PADSS in which input and output are eliminated (Table I, Table II). When the patient satisfies PADSS or modified PADSS criteria, he or she can be discharged home. We have discharged 30,000 patients safely home from our ambulatory surgical facility. Reduction in the length of stay in an ambulatory surgery unit by the prompt and safe discharge of patients can help to reduce costs and improve unit efficiency. For certain surgical procedures, ambulatory treatment is cheaper, even allowing for treatment failures and readmissions. However, we must remember that the application of any discharge criteria scoring system must include common sense, clinical judgment, and home-readiness of an outpatient does not assume street fitness.
IS  - 0832-610X
IL  - 0832-610X
PT  - Journal Article
ID  - 10.1007/BF03011083 [doi]
PP  - ppublish
LG  - English
DP  - 1995 Nov
EZ  - 1995/11/01
DA  - 1995/11/01 00:01
DT  - 1995/11/01 00:00
YR  - 1995
ED  - 19960325
RD  - 20170907
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8590498

<939. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8574101
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jenkins DA
AU  - Rogers H
FA  - Jenkins, D A
FA  - Rogers, H
TI  - Transfer anxiety in patients with myocardial infarction.
SO  - British Journal of Nursing. 4(21):1248-52, 1995 Nov 23-Dec 13
AS  - Br J Nurs. 4(21):1248-52, 1995 Nov 23-Dec 13
NJ  - British journal of nursing (Mark Allen Publishing)
VO  - 4
IP  - 21
PG  - 1248-52
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - big, 9212059
IO  - Br J Nurs
SB  - Nursing Journal
CP  - England
MH  - *Anxiety/nu [Nursing]
MH  - Anxiety/px [Psychology]
MH  - Coronary Care Units
MH  - Humans
MH  - Models, Psychological
MH  - *Myocardial Infarction/px [Psychology]
MH  - *Patient Education as Topic
MH  - *Patient Transfer
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.
IS  - 0966-0461
IL  - 0966-0461
PT  - Journal Article
ID  - 10.12968/bjon.1995.4.21.1248 [doi]
PP  - ppublish
LG  - English
DP  - 1995 Nov 23-Dec 13
EZ  - 1995/11/13
DA  - 1995/11/13 00:01
DT  - 1995/11/13 00:00
YR  - 1995
ED  - 19960314
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8574101

<940. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8562898
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Papadakos PJ
AU  - Earley MB
FA  - Papadakos, P J
FA  - Earley, M B
IN  - Papadakos, P J. Division of Critical Care Medicine, University of Rochester School of Medicine and Dentistry, NY 14642, USA.
TI  - Physician and nurse considerations for receiving a "fast-track" patient in the intensive care unit.
SO  - Journal of Cardiothoracic & Vascular Anesthesia. 9(5 Suppl 1):21-3, 1995 Oct
AS  - J Cardiothorac Vasc Anesth. 9(5 Suppl 1):21-3, 1995 Oct
NJ  - Journal of cardiothoracic and vascular anesthesia
VO  - 9
IP  - 5 Suppl 1
PG  - 21-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - a6i, 9110208
IO  - J. Cardiothorac. Vasc. Anesth.
SB  - Index Medicus
CP  - United States
MH  - Anesthesiology
MH  - *Cardiac Surgical Procedures
MH  - Critical Care/ma [Manpower]
MH  - Critical Care/mt [Methods]
MH  - *Critical Care/og [Organization & Administration]
MH  - Humans
MH  - Intubation, Intratracheal/mt [Methods]
MH  - *Nurses
MH  - *Patient Care Team
MH  - Patient Discharge
MH  - Patient Transfer
MH  - *Physicians
MH  - Postanesthesia Nursing
MH  - Recovery Room
MH  - Ventilator Weaning
IS  - 1053-0770
IL  - 1053-0770
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1995 Oct
EZ  - 1995/10/01
DA  - 1995/10/01 00:01
DT  - 1995/10/01 00:00
YR  - 1995
ED  - 19960301
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8562898

<941. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8555905
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Sharples A
AU  - O'Neill M
AU  - Dearlove O
FA  - Sharples, A
FA  - O'Neill, M
FA  - Dearlove, O
TI  - Impact of specialised paediatric retrieval teams. Children are still transferred by non-specialist teams.
CM  - Comment on: BMJ. 1995 Sep 30;311(7009):836-9; PMID: 7580489
SO  - BMJ. 312(7023):120-1, 1996 Jan 13
AS  - BMJ. 312(7023):120-1, 1996 Jan 13
NJ  - BMJ (Clinical research ed.)
VO  - 312
IP  - 7023
PG  - 120-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2349747
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - Child, Preschool
MH  - *Critical Illness
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Patient Care Team
MH  - *Patient Transfer
MH  - United Kingdom
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
PT  - Comment
ID  - PMC2349747 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Jan 13
EZ  - 1996/01/13
DA  - 1996/01/13 00:01
DT  - 1996/01/13 00:00
YR  - 1996
ED  - 19960228
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8555905

<942. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8555903
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Raffles A
FA  - Raffles, A
TI  - Impact of specialised paediatric retrieval teams. Intensive care provided by local hospitals should be improved.
CM  - Comment on: BMJ. 1995 Sep 30;311(7009):836-9; PMID: 7580489
SO  - BMJ. 312(7023):120; author reply 121, 1996 Jan 13
AS  - BMJ. 312(7023):120; author reply 121, 1996 Jan 13
NJ  - BMJ (Clinical research ed.)
VO  - 312
IP  - 7023
PG  - 120; author reply 121
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2349767
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - *Child Health Services
MH  - Child, Preschool
MH  - Humans
MH  - Intensive Care Units, Pediatric/st [Standards]
MH  - *Intensive Care Units, Pediatric
MH  - Patient Care Team
MH  - *Patient Transfer
MH  - United Kingdom
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
PT  - Comment
ID  - PMC2349767 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Jan 13
EZ  - 1996/01/13
DA  - 1996/01/13 00:01
DT  - 1996/01/13 00:00
YR  - 1996
ED  - 19960228
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8555903

<943. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8555901
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kelleher A
AU  - Murdoch L
FA  - Kelleher, A
FA  - Murdoch, L
TI  - Impact of specialized paediatric retrieval teams. Criteria indicating physiological morbidity were too non-specific.
CM  - Comment in: BMJ. 1996 Feb 24;312(7029):507-8; PMID: 8597697
CM  - Comment on: BMJ. 1995 Sep 30;311(7009):836-9; PMID: 7580489
SO  - BMJ. 312(7023):119-20, 1996 Jan 13
AS  - BMJ. 312(7023):119-20, 1996 Jan 13
NJ  - BMJ (Clinical research ed.)
VO  - 312
IP  - 7023
PG  - 119-20
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2349791
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - Child, Preschool
MH  - *Critical Illness
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Patient Care Team
MH  - *Patient Transfer
MH  - Severity of Illness Index
MH  - United Kingdom
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
PT  - Comment
ID  - PMC2349791 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Jan 13
EZ  - 1996/01/13
DA  - 1996/01/13 00:01
DT  - 1996/01/13 00:00
YR  - 1996
ED  - 19960228
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8555901

<944. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8555900
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Morrison A
AU  - Runcie C
FA  - Morrison, A
FA  - Runcie, C
TI  - Impact of specialised paediatric retrieval teams. Comparison of teams is difficult.
CM  - Comment in: BMJ. 1996 Feb 24;312(7029):507-8; PMID: 8597697
CM  - Comment on: BMJ. 1995 Sep 30;311(7009):836-9; PMID: 7580489
SO  - BMJ. 312(7023):119; author reply 121, 1996 Jan 13
AS  - BMJ. 312(7023):119; author reply 121, 1996 Jan 13
NJ  - BMJ (Clinical research ed.)
VO  - 312
IP  - 7023
PG  - 119; author reply 121
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2349785
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - *Child Health Services
MH  - Child, Preschool
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Patient Care Team
MH  - *Patient Transfer
MH  - Severity of Illness Index
MH  - United Kingdom
IS  - 0959-8138
IL  - 0959-535X
PT  - Letter
PT  - Comment
ID  - PMC2349785 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Jan 13
EZ  - 1996/01/13
DA  - 1996/01/13 00:01
DT  - 1996/01/13 00:00
YR  - 1996
ED  - 19960228
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8555900

<945. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8555899
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Mok Q
AU  - Tasker R
AU  - Macrae D
AU  - James I
FA  - Mok, Q
FA  - Tasker, R
FA  - Macrae, D
FA  - James, I
TI  - Impact of specialised paediatric retrieval teams. A regionally based retrieval service is warranted.
CM  - Comment in: BMJ. 1996 Feb 24;312(7029):507-8; PMID: 8597697
CM  - Comment on: BMJ. 1995 Sep 30;311(7009):836-9; PMID: 7580489
SO  - BMJ. 312(7023):119; author reply 121, 1996 Jan 13
AS  - BMJ. 312(7023):119; author reply 121, 1996 Jan 13
NJ  - BMJ (Clinical research ed.)
VO  - 312
IP  - 7023
PG  - 119; author reply 121
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8900488, bmj, 101090866
IO  - BMJ
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2349793
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - Critical Illness/th [Therapy]
MH  - *Critical Illness
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Patient Care Team
MH  - *Patient Transfer
IS  - 0959-8138
IL  - 0959-535X
PT  - Comment
PT  - Letter
ID  - PMC2349793 [pmc]
PP  - ppublish
LG  - English
DP  - 1996 Jan 13
EZ  - 1996/01/13
DA  - 1996/01/13 00:01
DT  - 1996/01/13 00:00
YR  - 1996
ED  - 19960228
RD  - 20130919
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8555899

<946. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8557864
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Waydhas C
AU  - Schneck G
AU  - Duswald KH
FA  - Waydhas, C
FA  - Schneck, G
FA  - Duswald, K H
IN  - Waydhas, C. Department of Surgery, Klinikum Innenstadt der Universitat, Munchen, Germany.
TI  - Deterioration of respiratory function after intra-hospital transport of critically ill surgical patients.
CM  - Comment in: Intensive Care Med. 1995 Oct;21(10):781-3; PMID: 8557863
CM  - Comment in: Intensive Care Med. 1996 Dec;22(12):1466-7; PMID: 8986510
SO  - Intensive Care Medicine. 21(10):784-9, 1995 Oct
AS  - Intensive Care Med. 21(10):784-9, 1995 Oct
NJ  - Intensive care medicine
VO  - 21
IP  - 10
PG  - 784-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - h2j, 7704851
IO  - Intensive Care Med
SB  - Index Medicus
CP  - United States
MH  - APACHE
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Critical Illness
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Predictive Value of Tests
MH  - Prospective Studies
MH  - *Respiration, Artificial/ae [Adverse Effects]
MH  - Respiration, Artificial/mt [Methods]
MH  - Respiratory Function Tests
MH  - Respiratory Insufficiency/di [Diagnosis]
MH  - *Respiratory Insufficiency/et [Etiology]
MH  - Risk Factors
MH  - Transportation of Patients/mt [Methods]
MH  - *Transportation of Patients
AB  - OBJECTIVE: To evaluate the impact of intra-hospital transport of artificially ventilated patients on respiratory function, and to define predictors that may allow estimation of the risk of post-transport pulmonary deterioration.
AB  - DESIGN: Prospective observation study.
AB  - SETTING: Surgical ICU, University Hospital.
AB  - PATIENTS: 49 intra-hospital transports (median Apache-score before transport 21, of 28 consecutive patients (all intubated and mechanically ventilated) were studied.
AB  - INTERVENTIONS: 32 transports were destined to the radiology department and 17 to the operating theatre. Patients were ventilated during transportation with a transport ventilator.
AB  - MEASUREMENTS AND RESULTS: The base-line condition of the patients and any changes of hemodynamic function were noted. Arterial blood gases were determined before transport as well as 0.25, 1, 6, 12, and 24 h after return of the patient to the ICU. Of the transports 41 (83.7%) resulted in a decrease of PO2/FIO2-ratio with a deterioration of more than 20% from baseline in 21 cases (42.8%). The impairment of respiratory function lasted longer than 24 h in 10 subjects (20.4%). Ventilation with positive end-expiratory pressure correlated significantly (r = -0.4) with post-transport change of PO2/FIO2-ratio, whereas initial FIO2, initial PO2/FIO2-ratio, Apache II-score, patients' age or transport time did not distinguish between patients with and without a consecutive decrease of pulmonary function.
AB  - CONCLUSION: Intra-hospital transport of ventilated critically ill patients may result in a considerable and long-standing deterioration of respiratory function. Patients ventilated with positive end-expiratory pressure are at an increased risk and the indication for procedures away from the ICU has to be weighted carefully in these subjects.
IS  - 0342-4642
IL  - 0342-4642
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1995 Oct
EZ  - 1995/10/01
DA  - 1995/10/01 00:01
DT  - 1995/10/01 00:00
YR  - 1995
ED  - 19960223
RD  - 20170714
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8557864

<947. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8552754
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Tammelleo AD
FA  - Tammelleo, A D
TI  - Nurse's role in hospital compliance with EMTALA.
SO  - Regan Report on Nursing Law. 36(6):1, 1995 Nov
AS  - Regan Rep Nurs Law. 36(6):1, 1995 Nov
NJ  - The Regan report on nursing law
VO  - 36
IP  - 6
PG  - 1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - qy6, 0352140, 0352140
IO  - Regan Rep Nurs Law
SB  - Nursing Journal
CP  - United States
MH  - Accidents, Home
MH  - Burn Units
MH  - *Burns/nu [Nursing]
MH  - Humans
MH  - Male
MH  - Medicare/lj [Legislation & Jurisprudence]
MH  - Mississippi
MH  - *Nursing Staff, Hospital/lj [Legislation & Jurisprudence]
MH  - *Transportation of Patients
MH  - United States
IS  - 0034-3196
IL  - 0034-3196
PT  - Case Reports
PT  - Journal Article
PT  - Legal Cases
PP  - ppublish
LG  - English
DP  - 1995 Nov
EZ  - 1995/11/01
DA  - 1995/11/01 00:01
DT  - 1995/11/01 00:00
YR  - 1995
ED  - 19960222
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8552754

<948. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8552019
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Page J
AU  - Lunyk-Child O
FA  - Page, J
FA  - Lunyk-Child, O
TI  - Parental perceptions of infant transfer from an NICU to a community nursery: implications for research and practice. [Review] [17 refs]
SO  - Neonatal Network - Journal of Neonatal Nursing. 14(8):69-71, 1995 Dec
AS  - Neonat Netw. 14(8):69-71, 1995 Dec
NJ  - Neonatal network : NN
VO  - 14
IP  - 8
PG  - 69-71
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8503921
IO  - Neonatal Netw
SB  - Nursing Journal
CP  - United States
MH  - *Attitude to Health
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Neonatal Nursing
MH  - Nursing Research
MH  - *Parents/px [Psychology]
MH  - *Patient Transfer
IS  - 0730-0832
IL  - 0730-0832
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1995 Dec
EZ  - 1995/12/01
DA  - 1995/12/01 00:01
DT  - 1995/12/01 00:00
YR  - 1995
ED  - 19960222
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8552019

<949. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8540978
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jerwood DC
AU  - Dickson GR
FA  - Jerwood, D C
FA  - Dickson, G R
IN  - Jerwood, D C. South Birmingham Trauma Unit, General Hospital, UK.
TI  - Audit of intensive care burn patients: 1982-92.
SO  - Burns. 21(7):513-6, 1995 Nov
AS  - Burns. 21(7):513-6, 1995 Nov
NJ  - Burns : journal of the International Society for Burn Injuries
VO  - 21
IP  - 7
PG  - 513-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - afc, 8913178
IO  - Burns
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Burn Units/sn [Statistics & Numerical Data]
MH  - Burns/mo [Mortality]
MH  - *Burns/th [Therapy]
MH  - Child
MH  - Child, Preschool
MH  - Critical Care
MH  - Female
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Transfer
AB  - This study attempts to measure and quantify changes in workload and outcome in clinically ill burn patients admitted to the intensive care unit at this institution over the 11-year period 1982-92. The case notes were studied for all patients admitted to the intensive care unit, 163 cases in total, but information was incomplete in 14. Mortality over the period is compared, using Chi squared analysis with Yates correction, with mortality probability from Bull's chart relating age and body surface area of burn (1971). The trends show increasing admission rates and referral rates to ICU from other hospitals in the region, despite declining admission rates to the regional burn unit as a whole. The duration of stay for admitted patients also shows an increase, the combination of these factors suggesting an increasing workload. There has been no change in outcome over the period. The figures provide a baseline for comparison of outcome in critically ill burn patients and are an important means by which to measure future change.
IS  - 0305-4179
IL  - 0305-4179
PT  - Journal Article
ID  - 0305417995000235 [pii]
PP  - ppublish
LG  - English
DP  - 1995 Nov
EZ  - 1995/11/01
DA  - 1995/11/01 00:01
DT  - 1995/11/01 00:00
YR  - 1995
ED  - 19960213
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8540978

<950. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7493286
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Martinez Magro ML
AU  - Lozano Quintana MJ
AU  - Lopez Castillo MT
AU  - Cuenca Solanas M
FA  - Martinez Magro, M L
FA  - Lozano Quintana, M J
FA  - Lopez Castillo, M T
FA  - Cuenca Solanas, M
TI  - [Intrahospital transportation of critical patients]. [Spanish]
OT  - Transporte intrahospitalario en pacientes criticos.
SO  - Enfermeria Intensiva. 6(3):111-6, 1995 Jul-Sep
AS  - Enferm Intensiva. 6(3):111-6, 1995 Jul-Sep
NJ  - Enfermeria intensiva
VO  - 6
IP  - 3
PG  - 111-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cej, 9517771
IO  - Enferm Intensiva
SB  - Nursing Journal
CP  - Spain
MH  - Blood Gas Analysis
MH  - Critical Care/mt [Methods]
MH  - *Critical Care
MH  - Hemodynamics
MH  - Humans
MH  - Monitoring, Physiologic
MH  - *Transportation of Patients
AB  - Critically ill patients often need to be transferred for a short period of time for diagnostical or therapeutical reasons to other areas outside the intensive care unit which are less safe than their own unit and suppose a potential risk of deterioration in the patient's status. We analyse prospectively the intrahospitalary transfer in 50 patients and study the hemodynamic, ventilatory and neurological variations before and after the transfer. 93.7% of our patients were transferred for diagnostical reasons, basically to the radiodiagnosis service (85.4% for TAC performance), only 6.25% were transferred for therapeutical reasons, all of them to the operating theatre. All the patients included in the study were subjected to: -mechanic ventilation, electrocardiographic monitoring (ECG), invasive arterial monitoring (TA), monitoring of arterial saturation of O2 using pulsioximetry, drugs infusion through volumetric bombs and intracraneal pressure monitoring through intra-ventricular catheter (in 18 cases). The intrahospitalary transfer was performed with: -Portable ventilator, ECG monitoring, TA, PIC and pulsioximetry. Before and after the transfer different parameters were registered: -Inspiratory fraction of O2 (FiO2), TA, cardiac frequency, PIC, arterial gasometry (pH, PAO2, PACO2). There were no complications in any of the cases, the gasometric alterations were due to the change of respiratory parameters for the transfer (increase of the FiO2 and prophylactic ventilation in all the cases). We recommend: -Use of the portable ventilator, volumetric bombs, hemodynamic monitoring and uninterrupted pulsioximetry and the presence of qualified staff (doctor and ICU nurse) during the transfer.
IS  - 1130-2399
IL  - 1130-2399
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Spanish
DP  - 1995 Jul-Sep
EZ  - 1995/07/01
DA  - 1995/07/01 00:01
DT  - 1995/07/01 00:00
YR  - 1995
ED  - 19960111
RD  - 20161021
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7493286

<951. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7493271
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Cruzado Garcia MD
AU  - Rubio Quinones F
AU  - Cruzado Garcia MJ
AU  - Ignacio Garcia E
AU  - Mateo Sanchez JI
FA  - Cruzado Garcia, M D
FA  - Rubio Quinones, F
FA  - Cruzado Garcia, M J
FA  - Ignacio Garcia, E
FA  - Mateo Sanchez, J I
TI  - [Intrahospital transportation of critically ill children]. [Spanish]
OT  - Traslado intrahospitalario del nino criticamente enfermo.
SO  - Enfermeria Intensiva. 6(1):20-4, 1995 Jan-Mar
AS  - Enferm Intensiva. 6(1):20-4, 1995 Jan-Mar
NJ  - Enfermeria intensiva
VO  - 6
IP  - 1
PG  - 20-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cej, 9517771
IO  - Enferm Intensiva
SB  - Nursing Journal
CP  - Spain
MH  - Child
MH  - *Critical Care
MH  - Humans
MH  - *Transportation of Patients
AB  - The intrahospital transport of a critically ill child is always a risky procedure. While it is being done, some complications which can worsen their initial situation may appear, so the benefits that this transport can provide must outweigh the possible risks. Preparing the patient and succeeding in performing a safe transport need the use of the proper equipment and human resources. Its degree of complexity and preparation must be proportional to the situation of instability of the patient and to the probability of increasing such instability, which implies performing a careful evaluation of the child and its real and potential needs previously. We also state some general ideas about the way of preparing and performing this kind of intrahospital transport in its different stages.
IS  - 1130-2399
IL  - 1130-2399
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Spanish
DP  - 1995 Jan-Mar
EZ  - 1995/01/01
DA  - 1995/01/01 00:01
DT  - 1995/01/01 00:00
YR  - 1995
ED  - 19960111
RD  - 20161021
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7493271

<952. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7489468
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Huttemann E
AU  - Reinhart K
FA  - Huttemann, E
FA  - Reinhart, K
IN  - Huttemann, E. Department of Anesthesiology and Intensive Care Medicine, University Hospital, Friedrich-Schiller-University Jena, Germany.
TI  - Monitoring of O2 transport and tissue oxygenation in paediatric critical care. [Review] [54 refs]
SO  - Paediatric Anaesthesia. 5(5):281-6, 1995
AS  - Paediatr Anaesth. 5(5):281-6, 1995
NJ  - Paediatric anaesthesia
VO  - 5
IP  - 5
PG  - 281-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - cg8, 9206575
IO  - Paediatr Anaesth
SB  - Index Medicus
CP  - France
MH  - Adult
MH  - Child
MH  - *Critical Care
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Monitoring, Physiologic
MH  - *Oxygen/bl [Blood]
MH  - *Oxygen Consumption
MH  - Tissue Distribution
RN  - S88TT14065 (Oxygen)
IS  - 1155-5645
IL  - 1155-5645
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1995
EZ  - 1995/01/01
DA  - 1995/01/01 00:01
DT  - 1995/01/01 00:00
YR  - 1995
ED  - 19960104
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7489468

<953. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7489066
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Roth J
AU  - Resnick MB
AU  - Ariet M
AU  - Carter RL
AU  - Eitzman DV
AU  - Curran JS
AU  - Cupoli JM
AU  - Mahan CS
AU  - Bucciarelli RL
FA  - Roth, J
FA  - Resnick, M B
FA  - Ariet, M
FA  - Carter, R L
FA  - Eitzman, D V
FA  - Curran, J S
FA  - Cupoli, J M
FA  - Mahan, C S
FA  - Bucciarelli, R L
IN  - Roth, J. Department of Pediatrics, University of Florida, USA.
TI  - Changes in survival patterns of very low-birth-weight infants from 1980 to 1993.[Erratum appears in Arch Pediatr Adolesc Med 1996 Apr;150(4):372]
SO  - Archives of Pediatrics & Adolescent Medicine. 149(12):1311-7, 1995 Dec
AS  - Arch Pediatr Adolesc Med. 149(12):1311-7, 1995 Dec
NJ  - Archives of pediatrics & adolescent medicine
VO  - 149
IP  - 12
PG  - 1311-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 9422751, bwf
IO  - Arch Pediatr Adolesc Med
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Birth Weight
MH  - Continental Population Groups
MH  - Female
MH  - Florida/ep [Epidemiology]
MH  - *Hospital Mortality/td [Trends]
MH  - Humans
MH  - *Infant Mortality/td [Trends]
MH  - Infant, Newborn
MH  - *Infant, Very Low Birth Weight
MH  - Intensive Care Units, Neonatal
MH  - Linear Models
MH  - Male
MH  - Prospective Studies
MH  - Risk Factors
MH  - Sex Factors
MH  - Survival Rate/td [Trends]
MH  - Transportation of Patients
AB  - OBJECTIVE: To determine changes in survival patterns among very low-birth-weight ( < 1500 g) infants between 1980 and 1993.
AB  - METHODS: The records of 12,960 infants treated in nine perinatal intensive care centers in Florida were analyzed on the basis of survival (discharged alive from hospital) according to four independent variables: birth weight, race, sex, and transport status. Survival curves were generated using log linear regression techniques for each race by sex by transport status group.
AB  - RESULTS: Race, sex, and transport status correlated significantly with survival: survival percentages were higher among black infants, female infants, and infants transported to the perinatal intensive care centers than among white infants, male infants, and those admitted initially to the tertiary care centers. After 1985, 95% of neonates with birth weights between 1200 and 1500 g survived. In addition, survival of 500- to 500-g transported black male infants increased from zero to near 80% during the 13-year period; that of 500- to 550-g inborn white female infants rose from 35% to 70%.
AB  - CONCLUSIONS: These results illustrate the value of taking into account race, sex, and transport status in efforts to understand the contribution that neonatal intensive care of extremely low-birth-weight infants makes to the lowering of infant mortality, and of using multivariable statistical procedures to generate predicted survival probabilities for different subpopulations. These probabilities can be applied to (1) predicting survival for specific subgroups of extremely low-birth-weight infants, and (2) helping physicians develop clinical guidelines for extending care to infants at the threshold of viability.
IS  - 1072-4710
IL  - 1072-4710
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1995 Dec
EZ  - 1995/12/01
DA  - 1995/12/01 00:01
DT  - 1995/12/01 00:00
YR  - 1995
ED  - 19960104
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7489066

<954. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7473968
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Spies CD
AU  - Emadi A
AU  - Neumann T
AU  - Hannemann L
AU  - Rieger A
AU  - Schaffartzik W
AU  - Rahmanzadeh R
AU  - Berger G
AU  - Funk T
AU  - Blum S
AU  - et al
FA  - Spies, C D
FA  - Emadi, A
FA  - Neumann, T
FA  - Hannemann, L
FA  - Rieger, A
FA  - Schaffartzik, W
FA  - Rahmanzadeh, R
FA  - Berger, G
FA  - Funk, T
FA  - Blum, S
IN  - Spies, C D. Benjamin Franklin Medical Center, Department of Anesthesiology, Berlin, Germany.
TI  - Relevance of carbohydrate-deficient transferrin as a predictor of alcoholism in intensive care patients following trauma.
SO  - Journal of Trauma-Injury Infection & Critical Care. 39(4):742-8, 1995 Oct
AS  - J Trauma. 39(4):742-8, 1995 Oct
NJ  - The Journal of trauma
VO  - 39
IP  - 4
PG  - 742-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - kaf, 0376373
IO  - J Trauma
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Alcoholism/bl [Blood]
MH  - Alcoholism/co [Complications]
MH  - Bias
MH  - *Biomarkers/bl [Blood]
MH  - Blood Transfusion
MH  - Critical Care
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Multiple Trauma/bl [Blood]
MH  - Multiple Trauma/co [Complications]
MH  - Predictive Value of Tests
MH  - Prospective Studies
MH  - Reagent Kits, Diagnostic/st [Standards]
MH  - Sensitivity and Specificity
MH  - Single-Blind Method
MH  - *Transferrin/aa [Analogs & Derivatives]
MH  - Transferrin/me [Metabolism]
AB  - Every second traumatized patient is a chronic alcoholic. Chronic alcoholics are at risk due to an increased morbidity and mortality. Reliable and precise diagnostic methods for detecting alcoholism are mandatory to prevent posttraumatic complications by adequate prophylaxis. The patient's history, however, is often not reliable, and conventional laboratory markers are not sensitive or specific enough. The aim of this study was to investigate whether carbohydrate-deficient transferrin (CDT) is a sensitive and specific marker to detect alcoholism in traumatized patients. One hundred and five male traumatized patients or their relatives gave their written informed consent to participate in this institutionally approved study. All patients were transferred to the intensive care unit after admission to the emergency room, followed by surgical treatment. Diagnostics included an alcoholism-related questionnaire, conventional laboratory markers (mean corpuscular volume, gamma-glutamyltransferase, aspartate aminotransferase, and alanine aminotransferase), and CDT sampling (microanion-exchange chromatography, turbidimetry, and radioimmunoassay, respectively). Only patients in whom a reliable history could be obtained were included. Alcoholism was diagnosed if the patients met the Diagnostic and Statistical Manual of Mental Disorders criteria for chronic alcohol abuse or dependence. The administration of fluids before CDT sampling was carefully documented. Patients did not differ significantly regarding age, Trauma and Injury Severity Score, and Acute Physiology and Chronic Health Evaluation score. The sensitivity of the CDT research kit was 70% and of the commercially available kit CDTect was 65%. Early sampling in the emergency room and before administration of large volumes of fluid increased the sensitivity to 83% for the CDT research kit and 74% for CDTect, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)
RN  - 0 (Biomarkers)
RN  - 0 (Reagent Kits, Diagnostic)
RN  - 0 (Transferrin)
RN  - 0 (carbohydrate-deficient transferrin)
IS  - 0022-5282
IL  - 0022-5282
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1995 Oct
EZ  - 1995/10/01
DA  - 1995/10/01 00:01
DT  - 1995/10/01 00:00
YR  - 1995
ED  - 19951207
RD  - 20171116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7473968

<955. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7677275
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Moeschler O
AU  - Boulard G
AU  - Ravussin P
FA  - Moeschler, O
FA  - Boulard, G
FA  - Ravussin, P
IN  - Moeschler, O. Service d'Anesthesiologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Suisse.
TI  - [Concept of secondary cerebral injury of systemic origin]. [French]
OT  - Concept d'agression cerebrale secondaire d'origine systemique (ACSOS).
SO  - Annales Francaises d Anesthesie et de Reanimation. 14(1):114-21, 1995
AS  - Ann Fr Anesth Reanim. 14(1):114-21, 1995
NJ  - Annales francaises d'anesthesie et de reanimation
VO  - 14
IP  - 1
PG  - 114-21
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4zt, 8213275
IO  - Ann Fr Anesth Reanim
SB  - Index Medicus
CP  - France
MH  - Brain Ischemia/et [Etiology]
MH  - Brain Ischemia/pp [Physiopathology]
MH  - *Brain Ischemia/pc [Prevention & Control]
MH  - *Craniocerebral Trauma/pp [Physiopathology]
MH  - Craniocerebral Trauma/th [Therapy]
MH  - Humans
MH  - Hypercapnia/co [Complications]
MH  - Hypertension/co [Complications]
MH  - Hypocapnia/co [Complications]
MH  - *Hypotension/co [Complications]
MH  - Hypotension/th [Therapy]
MH  - Hypoxia, Brain/co [Complications]
MH  - Hypoxia, Brain/pp [Physiopathology]
MH  - *Iatrogenic Disease
MH  - Saline Solution, Hypertonic
AB  - The prevention and treatment of secondary insults to the brain of systemic origin in severely head injured patients remain of utmost importance. Head injury remains the leading cause of traumatic death, being responsible for 50-60% of fatalities. Head-injured patients not only suffer from the primary injury at the time of trauma, but also from the secondary, largely ischaemic, brain damage that occurs later. Some of these insults are of extracranial origin (or systemic), such as arterial hypotension, hypoxaemia, hypercarbia and anaemia. Their impact on mortality and morbidity is extremely high and requires greater efforts in improving the care of head-injured patients. Systemic insults occur either before the patient reaches hospital or during interfacility transfer or, in a surprisingly large number of cases, within hospital during emergency procedures, intrahospital transport or during their stay in intensive care units. Hypoxaemia, although quite easy to treat, is still common. This calls for better and earlier protection of the airway, more systematic administration of oxygen to trauma patients and wider use of pulse oximetry. Arterial hypotension has even more dramatic consequences in severe head injury. Recent studies indicate that short episodes of hypotension may induce severe brain ischaemia, that will be present even after complete systemic haemodynamic restoration. The treatment of hypotensive episodes should be immediate and aggressive. In some circumstances, restoration of an adequate cerebral perfusion pressure may not be obtained sufficiently rapidly with fluids alone and may require early use of vasopressors. Optimal haemodynamic resuscitation of the trauma patient with haemorrhagic hypotension and severe head injury remains a special challenge.(ABSTRACT TRUNCATED AT 250 WORDS)
RN  - 0 (Saline Solution, Hypertonic)
IS  - 0750-7658
IL  - 0750-7658
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - French
DP  - 1995
EZ  - 1995/01/01
DA  - 1995/01/01 00:01
DT  - 1995/01/01 00:00
YR  - 1995
ED  - 19951017
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7677275

<956. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7664562
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wallen E
AU  - Venkataraman ST
AU  - Grosso MJ
AU  - Kiene K
AU  - Orr RA
FA  - Wallen, E
FA  - Venkataraman, S T
FA  - Grosso, M J
FA  - Kiene, K
FA  - Orr, R A
IN  - Wallen, E. Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh, PA, USA.
TI  - Intrahospital transport of critically ill pediatric patients.
SO  - Critical Care Medicine. 23(9):1588-95, 1995 Sep
AS  - Crit Care Med. 23(9):1588-95, 1995 Sep
NJ  - Critical care medicine
VO  - 23
IP  - 9
PG  - 1588-95
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care
MH  - Critical Illness
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units, Pediatric
MH  - Logistic Models
MH  - Outcome and Process Assessment (Health Care)
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Severity of Illness Index
AB  - OBJECTIVES: To determine the frequency of adverse events during intrahospital transport; to determine the requirement of therapeutic interventions during transport; to test the hypothesis that adverse events that occur during intrahospital transport are due to the transport process itself; and to determine the factors that predict the occurrence of adverse events and the requirement of major therapeutic interventions during transport.
AB  - DESIGN: A two-phase study in which data were prospectively collected. In phase I, we examined the occurrence rate of adverse events, the requirement for therapeutic interventions, and the factors that predicted adverse events and the requirement of therapeutic interventions. In phase II, we tested the hypothesis that adverse events during transport were due to the transport process itself.
AB  - SETTING: A 250-bed university children's hospital with a 50-bed intensive care unit (ICU).
AB  - PATIENTS: Phase I of the study consisted of one hundred and eighty intrahospital transports in 139 patients. These transports included patients who were transferred: a) to the ICU from the operating room, emergency department, or the general ward; b) from the ICU to the operating room; and c) from the ICU for diagnostic or therapeutic procedures. Phase II of the study consisted of 89 transports in 85 patients.
AB  - INTERVENTIONS: None.
AB  - MEASUREMENTS AND MAIN RESULTS: Vital signs and oxygen saturation were measured before and during transport. In phase I, there were no adverse events in 23.9% of transports. There was a significant change in at least one physiologic variable in 71.7% of transports, and at least one equipment-related mishap in 10% of transports. At least one major intervention was performed in 13.9% of transports in response to physiologic deterioration or an equipment-related mishap. There were no arrests or deaths during transport. The requirement for a major procedure was 34.4% in mechanically ventilated patients vs. 9.5% in nonventilated patients. Logistic regression analysis showed that both pretransport Therapeutic Intervention Scoring System and the duration of transport were significantly associated with the requirement of a major intervention and physiologic deterioration, while only the duration of transport was associated with an equipment-related event. The age of the patient and the number of escorts accompanying the transport did not affect the frequency of adverse events. Before transport in phase II study patients, no patient became hypothermic, the changes in physiologic variables were always < 20%, and there was no change > or = 5% in oxygen saturation. Hypothermia occurred in 11.2% of transports. A > or = 20% change in heart rate (15.7%), blood pressure (21.3%), and respiratory rate (23.6%) was seen only during transport. A > 5% change in oxygen saturation (5.6%) was seen only during transport.
AB  - CONCLUSIONS: Serious physiologic deterioration occurs during intrahospital transport of critically ill children. Severity of illness and the duration of transport are associated with the occurrence of adverse events during transport. The team composition and equipment required on transport must be commensurate with the pretransport severity of illness and the anticipated duration of transport.
IS  - 0090-3493
IL  - 0090-3493
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1995 Sep
EZ  - 1995/09/01
DA  - 1995/09/01 00:01
DT  - 1995/09/01 00:00
YR  - 1995
ED  - 19951011
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7664562

<957. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7662048
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Davis B
AU  - Sullivan S
AU  - Levine A
AU  - Dallara J
FA  - Davis, B
FA  - Sullivan, S
FA  - Levine, A
FA  - Dallara, J
IN  - Davis, B. Department of Emergency Medicine, Duke University Medical Center, Durham, NC 27710, USA.
TI  - Factors affecting ED length-of-stay in surgical critical care patients.
SO  - American Journal of Emergency Medicine. 13(5):495-500, 1995 Sep
AS  - Am J Emerg Med. 13(5):495-500, 1995 Sep
NJ  - The American journal of emergency medicine
VO  - 13
IP  - 5
PG  - 495-500
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - aa2, 8309942
IO  - Am J Emerg Med
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - *Critical Care
MH  - *Emergency Service, Hospital/og [Organization & Administration]
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Intensive Care Units
MH  - *Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Operating Rooms
MH  - Patient Transfer
MH  - Proportional Hazards Models
MH  - Trauma Centers
MH  - Trauma Severity Indices
AB  - To determine what patient characteristics are associated with prolonged emergency department (ED) length-of-stay (LOS) for surgical critical care patients, the charts of 169 patients admitted from the ED directly to the operating room (OR) or intensive care unit (ICU) during a 6-week period in 1993 were reviewed. The ED record was reviewed for documentation of factors that might be associated with prolonged ED LOS, such as use of computed tomographic (CT), radiology special procedures, and the number of plain radiographs and consultants. ED LOS was considered to be the time from triage until a decision was made to admit the patient. Using a Cox proportional hazards model, use of CT and special procedures were the strongest independent predictors of prolonged ED length-of-stay. The number of plain radiographs and consultants had only a minimal effect. Use of a protocol-driven trauma evaluation system was associated with a shorter ED LOS. In addition to external factors that affect ED overcrowding, ED patient management decisions may also be associated with prolonged ED length-of-stay. Such ED-based factors may be more important in surgical critical care patients, whose overall ED LOS is affected more by the length of the ED work-up rather than the time spent waiting for a ICU bed or operating suite.
IS  - 0735-6757
IL  - 0735-6757
PT  - Comparative Study
PT  - Journal Article
ID  - 0735-6757(95)90155-8 [pii]
ID  - 10.1016/0735-6757(95)90155-8 [doi]
PP  - ppublish
LG  - English
DP  - 1995 Sep
EZ  - 1995/09/01
DA  - 1995/09/01 00:01
DT  - 1995/09/01 00:00
YR  - 1995
ED  - 19951006
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7662048

<958. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10144803
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Celia M
AU  - Paluck JN
AU  - Smith RL
FA  - Celia, M
FA  - Paluck, J N
FA  - Smith, R L
IN  - Celia, M. R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.
TI  - Critical care transport: an evolving role in EMS.
SO  - Journal of Emergency Medical Services. 20(8):90-4, 1995 Aug
AS  - J Emerg Med Serv JEMS. 20(8):90-4, 1995 Aug
NJ  - JEMS : a journal of emergency medical services
VO  - 20
IP  - 8
PG  - 90-4
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8102138, irc
IO  - JEMS
SB  - Health Administration Journals
CP  - United States
MH  - *Critical Care
MH  - Education, Continuing
MH  - *Emergency Medical Services/td [Trends]
MH  - Health Services Research
MH  - Humans
MH  - Liability, Legal
MH  - Role
MH  - *Transportation of Patients
MH  - United States
AB  - Critical care transport (CCT). It is defined as the movement of critically ill patients from facilities where the patients' needs exceed available resources to places that meet their needs, while maintaining a specialized level of care. And it is a specialty that is becoming increasingly common in today's managed care environment--an environment that emphasizes putting people in network hospitals. It is also becoming a viable career move for paramedics wishing to upgrade their skills and education.
IS  - 0197-2510
IL  - 0197-2510
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1995 Aug
EZ  - 1995/07/07
DA  - 1995/07/07 00:01
DT  - 1995/07/07 00:00
YR  - 1995
ED  - 19951003
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10144803

<959. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7629617
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pogue MD
AU  - Pecaro BC
FA  - Pogue, M D
FA  - Pecaro, B C
IN  - Pogue, M D. Department of Oral and Maxillofacial Surgery, Northwestern University Medical Center, Chicago, IL, USA.
TI  - Safety and efficiency of elective tracheostomy performed in the intensive care unit.
SO  - Journal of Oral & Maxillofacial Surgery. 53(8):895-7, 1995 Aug
AS  - J Oral Maxillofac Surg. 53(8):895-7, 1995 Aug
NJ  - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
VO  - 53
IP  - 8
PG  - 895-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jic, 8206428
IO  - J. Oral Maxillofac. Surg.
SB  - Core Clinical Journals (AIM)
SB  - Dental Journals
SB  - Index Medicus
CP  - United States
MH  - Cost-Benefit Analysis
MH  - Critical Illness/ec [Economics]
MH  - Critical Illness/th [Therapy]
MH  - *Critical Illness
MH  - Humans
MH  - *Intensive Care Units
MH  - Monitoring, Intraoperative
MH  - Retrospective Studies
MH  - Safety
MH  - Time Factors
MH  - *Tracheostomy/mt [Methods]
MH  - Transportation of Patients/ec [Economics]
AB  - PURPOSE: Because transportation of a critically ill patient to the operating room can be hazardous and costly, a study was undertaken to determine the safety and efficiency of performing a tracheostomy at bedside in the intensive care unit.
AB  - MATERIALS AND METHODS: A 2-year retrospective study (1988 to 1990) was done of all tracheostomies performed (102) at bedside in the intensive care unit at Northwestern University Medical Center. Anesthetic, intensive care, and operative reports were evaluated for intraoperative and immediate (48 hours) postoperative anesthetic and surgical complications.
AB  - RESULTS: The investigation revealed an average anesthetic time of 41 minutes (range, 20-75 minutes), and an average operative time of 29 minutes (range, 15 to 60 minutes). A perioperative morbidity rate of 5.5% included three anesthetic and three surgical complications, without mortality.
AB  - CONCLUSIONS: This study confirms that tracheostomy performed in the intensive care unit can be a safe, economical, and time-efficient procedure.
IS  - 0278-2391
IL  - 0278-2391
PT  - Journal Article
ID  - 0278-2391(95)90276-7 [pii]
PP  - ppublish
LG  - English
DP  - 1995 Aug
EZ  - 1995/08/01
DA  - 1995/08/01 00:01
DT  - 1995/08/01 00:00
YR  - 1995
ED  - 19950901
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7629617

<960. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7622953
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kalisch BJ
AU  - Kalisch PA
AU  - Burns SM
AU  - Kocan MJ
AU  - Prendergast V
FA  - Kalisch, B J
FA  - Kalisch, P A
FA  - Burns, S M
FA  - Kocan, M J
FA  - Prendergast, V
IN  - Kalisch, B J. University of Michigan School of Nursing, Ann Arbor 48109, USA.
TI  - Intrahospital transport of neuro ICU patients.
SO  - Journal of Neuroscience Nursing. 27(2):69-77, 1995 Apr
AS  - J Neurosci Nurs. 27(2):69-77, 1995 Apr
NJ  - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
VO  - 27
IP  - 2
PG  - 69-77
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ij6, 8603596
IO  - J Neurosci Nurs
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - *Central Nervous System Diseases/nu [Nursing]
MH  - *Critical Care
MH  - Emergencies
MH  - Humans
MH  - Intensive Care Units
MH  - Monitoring, Physiologic/is [Instrumentation]
MH  - Monitoring, Physiologic/nu [Nursing]
MH  - *Patient Care Team/sn [Statistics & Numerical Data]
MH  - Time Factors
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
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.
IS  - 0888-0395
IL  - 0888-0395
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1995 Apr
EZ  - 1995/04/01
DA  - 1995/04/01 00:01
DT  - 1995/04/01 00:00
YR  - 1995
ED  - 19950831
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7622953

<961. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10150500
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nearman HS
AU  - Popple CG
FA  - Nearman, H S
FA  - Popple, C G
IN  - Nearman, H S. University Hospitals of Cleveland, USA.
TI  - How to transfer a postoperative patient to the intensive care unit. Strategies for documentation, evaluation, and management. [Review] [2 refs]
SO  - Journal of Critical Illness. 10(4):275-80, 1995 Apr
AS  - J. crit. illn.. 10(4):275-80, 1995 Apr
NJ  - The Journal of critical illness
VO  - 10
IP  - 4
PG  - 275-80
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8608118
IO  - J Crit Illn
SB  - Health Technology Assessment Journals
CP  - United States
MH  - *Critical Care/og [Organization & Administration]
MH  - Humans
MH  - Medical Records
MH  - Monitoring, Physiologic
MH  - *Patient Transfer/og [Organization & Administration]
MH  - *Postoperative Care/nu [Nursing]
MH  - Postoperative Complications
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. [References: 2]
IS  - 1040-0257
IL  - 1040-0257
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1995 Apr
EZ  - 1995/03/09
DA  - 1995/03/09 00:01
DT  - 1995/03/09 00:00
YR  - 1995
ED  - 19950823
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10150500

<962. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7767568
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Shaw A
AU  - Anderson J
AU  - Hayward A
AU  - Parkhouse N
FA  - Shaw, A
FA  - Anderson, J
FA  - Hayward, A
FA  - Parkhouse, N
IN  - Shaw, A. North West Thames, Regional Burns Unit, Mount Vernon Hospital, Northwood, Middlesex.
TI  - The early management of large burns. [Review] [12 refs]
SO  - British Journal of Hospital Medicine. 53(6):247-50, 1995 Mar 15-Apr 4
AS  - Br J Hosp Med. 53(6):247-50, 1995 Mar 15-Apr 4
NJ  - British journal of hospital medicine
VO  - 53
IP  - 6
PG  - 247-50
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bz5, 0171545
IO  - Br J Hosp Med
SB  - Index Medicus
CP  - England
MH  - Burn Units
MH  - *Burns/th [Therapy]
MH  - Fluid Therapy
MH  - Humans
MH  - Intubation, Intratracheal
MH  - Medical History Taking
MH  - Patient Transfer
MH  - Physical Examination
MH  - Resuscitation
AB  - The first article in this series (Vol 52 (11), p.583) discussed the pathophysiological processes involved in burn injury. This article describes the early management of large burns, in which treatment is considered in four stages: resuscitation, assessment, further care and transfer. The mnemonic 'RAFT' is suggested as a means of assisting recall of the management process. [References: 12]
IS  - 0007-1064
IL  - 0007-1064
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1995 Mar 15-Apr 4
EZ  - 1995/03/04
DA  - 1995/03/04 00:01
DT  - 1995/03/04 00:00
YR  - 1995
ED  - 19950706
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7767568

<963. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7743294
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Whitfield JM
FA  - Whitfield, J M
TI  - Audit of neonatal intensive care transport.
CM  - Comment on: Arch Dis Child Fetal Neonatal Ed. 1994 Jul;71(1):F61-6; PMID: 7605415
CM  - Comment on: Arch Dis Child. 1994 Jul;71(1):8-11; PMID: 8067799
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 72(1):F79-80, 1995 Jan
AS  - Arch Dis Child Fetal Neonatal Ed. 72(1):F79-80, 1995 Jan
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 72
IP  - 1
PG  - F79-80
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528419
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Critical Illness
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care, Neonatal
MH  - Medical Audit
MH  - *Transportation of Patients
IS  - 1359-2998
IL  - 1359-2998
PT  - Comment
PT  - Letter
ID  - PMC2528419 [pmc]
PP  - ppublish
LG  - English
DP  - 1995 Jan
EZ  - 1995/01/01
DA  - 1995/01/01 00:01
DT  - 1995/01/01 00:00
YR  - 1995
ED  - 19950615
RD  - 20130922
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7743294

<964. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7717754
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Whitfield JM
FA  - Whitfield, J M
TI  - Audit of neonatal intensive care.
SO  - Archives of Disease in Childhood. 72(1):98, 1995 Jan
AS  - Arch Dis Child. 72(1):98, 1995 Jan
NJ  - Archives of disease in childhood
VO  - 72
IP  - 1
PG  - 98
PI  - Journal available in: Print
PI  - Citation processed from: Internet
JC  - 6xg, 0372434
IO  - Arch. Dis. Child.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1510975
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care, Neonatal
MH  - Medical Audit
MH  - *Transportation of Patients
ES  - 1468-2044
IL  - 0003-9888
PT  - Letter
ID  - PMC1510975 [pmc]
PP  - ppublish
LG  - English
DP  - 1995 Jan
EZ  - 1995/01/01
DA  - 1995/01/01 00:01
DT  - 1995/01/01 00:00
YR  - 1995
ED  - 19950515
RD  - 20130922
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7717754

<965. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7885918
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Friedrichs JB
AU  - Hennessy A
AU  - Bigger H
AU  - McPherson A
FA  - Friedrichs, J B
FA  - Hennessy, A
FA  - Bigger, H
FA  - McPherson, A
IN  - Friedrichs, J B. Neonatal Intensive Care Unit, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
TI  - It all comes down to degrees. The QI process between two units.
SO  - Nursing Clinics of North America. 30(1):129-42, 1995 Mar
AS  - Nurs Clin North Am. 30(1):129-42, 1995 Mar
NJ  - The Nursing clinics of North America
VO  - 30
IP  - 1
PG  - 129-42
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - o92, 0042033
IO  - Nurs. Clin. North Am.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
SB  - Nursing Journal
CP  - United States
MH  - Academic Medical Centers
MH  - Body Temperature
MH  - Chicago
MH  - Delivery Rooms/og [Organization & Administration]
MH  - *Delivery Rooms/st [Standards]
MH  - Health Facility Environment/og [Organization & Administration]
MH  - Humans
MH  - *Hypothermia/pc [Prevention & Control]
MH  - Infant, Newborn
MH  - Infant, Premature/ph [Physiology]
MH  - *Infant, Premature, Diseases/pc [Prevention & Control]
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - Patient Transfer/st [Standards]
MH  - Pediatric Nursing/st [Standards]
MH  - *Total Quality Management
AB  - Cold stress is potentially life-threatening to a 600-g neonate. The risk of cold stress is increased during the admission process, when a neonate is transferred from a labor and delivery suite to a patient care unit. At one perinatal center, staff nurses devised a quality improvement plan to assess and reduce the risk of cold stress to patients admitted to the neonatal intensive care unit.
IS  - 0029-6465
IL  - 0029-6465
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1995 Mar
EZ  - 1995/03/01
DA  - 1995/03/01 00:01
DT  - 1995/03/01 00:00
YR  - 1995
ED  - 19950411
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7885918

<966. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7874336
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Kelemen JJ 3rd
AU  - Cioffi WG
AU  - McManus WF
AU  - Mason AD Jr
AU  - Pruitt BA Jr
FA  - Kelemen, J J 3rd
FA  - Cioffi, W G
FA  - McManus, W F
FA  - Mason, A D Jr
FA  - Pruitt, B A Jr
IN  - Kelemen, J J 3rd. Department of General Surgery, Brooke Army Medical Center, Sam Houston, Texas.
TI  - Burn center care for patients with toxic epidermal necrolysis.
CM  - Comment in: J Am Coll Surg. 1995 Mar;180(3):340-2; PMID: 7874346
SO  - Journal of the American College of Surgeons. 180(3):273-8, 1995 Mar
AS  - J Am Coll Surg. 180(3):273-8, 1995 Mar
NJ  - Journal of the American College of Surgeons
VO  - 180
IP  - 3
PG  - 273-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bzb, 9431305
IO  - J. Am. Coll. Surg.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adrenal Cortex Hormones/ad [Administration & Dosage]
MH  - Adrenal Cortex Hormones/tu [Therapeutic Use]
MH  - Adult
MH  - Age Factors
MH  - Bacteremia/mi [Microbiology]
MH  - Bandages
MH  - Body Surface Area
MH  - *Burn Units
MH  - Child
MH  - Clinical Protocols
MH  - Drug Administration Schedule
MH  - Female
MH  - Follow-Up Studies
MH  - Forecasting
MH  - Humans
MH  - Male
MH  - Patient Transfer
MH  - Renal Insufficiency/pp [Physiopathology]
MH  - Stevens-Johnson Syndrome/dt [Drug Therapy]
MH  - Stevens-Johnson Syndrome/et [Etiology]
MH  - Stevens-Johnson Syndrome/pa [Pathology]
MH  - *Stevens-Johnson Syndrome/th [Therapy]
MH  - Survival Rate
MH  - Treatment Outcome
AB  - BACKGROUND: Toxic epidermal necrolysis (TEN) is a life threatening exfoliative disorder that is most commonly precipitated by the administration of a medication. Efforts to reduce morbidity and improve survival have brought into question the use of corticosteroids and recommend the transfer of patients to a burn center to facilitate wound care.
AB  - STUDY DESIGN: This study evaluated the correlation of measures of disease severity and impact of treatment strategies on morbidity and mortality in patients with TEN. The records of all patients with TEN admitted to the United States Army Institute of Surgical Research during a 12 year period were reviewed. Patient characteristics, etiologic agents, time to referral of patients to the burn center, corticosteroid therapy, and other demographic features were studied. Univariate and multivariate analyses were used to determine the significance of these factors with respect to outcome.
AB  - RESULTS: The sulfonamides and phenytoin were the most frequently identified etiologic agents. Patients at the extremes of age had a higher mortality rate. The period of hospitalization was longer in patients transferred to the burn center more than seven days after skin slough. Percent of epidermalysis, white blood cell count nadir, and corticosteroid administration for more than 48 hours were independently associated with mortality.
AB  - CONCLUSIONS: These data indicate that the sulfonamides and phenytoin are the most common etiologic agents, expeditious transfer to a burn center reduces morbidity, and corticosteroid administration dramatically increases mortality.
RN  - 0 (Adrenal Cortex Hormones)
IS  - 1072-7515
IL  - 1072-7515
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1995 Mar
EZ  - 1995/03/01
DA  - 2001/03/28 10:01
DT  - 1995/03/01 00:00
YR  - 1995
ED  - 19950331
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7874336

<967. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7854261
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Scharer K
AU  - Brooks G
FA  - Scharer, K
FA  - Brooks, G
TI  - Mothers of chronically ill neonates and primary nurses in the NICU: transfer of care.
SO  - Neonatal Network - Journal of Neonatal Nursing. 13(5):37-47, 1994 Aug
AS  - Neonat Netw. 13(5):37-47, 1994 Aug
NJ  - Neonatal network : NN
VO  - 13
IP  - 5
PG  - 37-47
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 8503921
IO  - Neonatal Netw
SB  - Nursing Journal
CP  - United States
MH  - Adult
MH  - *Chronic Disease/nu [Nursing]
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal
MH  - *Mothers/px [Psychology]
MH  - *Neonatal Nursing/mt [Methods]
MH  - Nursing Methodology Research
MH  - *Nursing Staff, Hospital/px [Psychology]
MH  - *Parenting/px [Psychology]
MH  - *Primary Nursing/mt [Methods]
MH  - *Professional-Family Relations
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.
IS  - 0730-0832
IL  - 0730-0832
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1994 Aug
EZ  - 1994/08/01
DA  - 1994/08/01 00:01
DT  - 1994/08/01 00:00
YR  - 1994
ED  - 19950316
RD  - 20101118
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7854261

<968. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7833071
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Harding JE
AU  - Morton SM
FA  - Harding, J E
FA  - Morton, S M
IN  - Harding, J E. Department of Paediatrics, Univeristy of Auckland, New Zealand.
TI  - Outcome of neonates transported between Level III centres depends upon centre of care.
SO  - Journal of Paediatrics & Child Health. 30(5):389-92, 1994 Oct
AS  - J Paediatr Child Health. 30(5):389-92, 1994 Oct
NJ  - Journal of paediatrics and child health
VO  - 30
IP  - 5
PG  - 389-92
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - Intensive Care, Neonatal
MH  - Male
MH  - New Zealand
MH  - *Outcome Assessment (Health Care)
MH  - Regression Analysis
MH  - Retrospective Studies
MH  - Risk
MH  - *Transportation of Patients/st [Standards]
AB  - This study aimed to clarify whether the adverse outcomes seen in babies transported between New Zealand Level III intensive care nurseries were due to the transport itself or to possible differences in care in different centres. The outcomes of 34 infants inborn at National Women's Hospital, Auckland but transported to other centres were compared with those of 68 matched controls inborn at the receiving centres and with 68 controls inborn and cared for at National Women's Hospital. Transport was associated with a transient (non-significant) deterioration in respiratory status but no increase in chronic lung disease. However, infants cared for elsewhere, whether transported or control, had more periventricular hemorrhage than Auckland babies (23% and 29% vs 15%, P = 0.03) and worse neurodevelopmental outcome (70% and 66% vs 88% of those whose outcomes were known were normal at follow up, P = 0.002). We conclude that differences in care between centres may be more important than the transport itself in determining the long-term outcome of transported neonates.
IS  - 1034-4810
IL  - 1034-4810
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1994 Oct
EZ  - 1994/10/01
DA  - 1994/10/01 00:01
DT  - 1994/10/01 00:00
YR  - 1994
ED  - 19950227
RD  - 20070924
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7833071

<969. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7833067
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bowman ED
AU  - Roy RN
FA  - Bowman, E D
FA  - Roy, R N
IN  - Bowman, E D. Newborn Emergency Transport Service, Carlton, Victoria, Australia.
TI  - Comparison of neonatal outcomes. [Review] [8 refs]
SO  - Journal of Paediatrics & Child Health. 30(5):382-3, 1994 Oct
AS  - J Paediatr Child Health. 30(5):382-3, 1994 Oct
NJ  - Journal of paediatrics and child health
VO  - 30
IP  - 5
PG  - 382-3
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Australia
MH  - Community Health Services
MH  - Health Services Accessibility
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/st [Standards]
MH  - *Outcome Assessment (Health Care)
MH  - Risk
MH  - Socioeconomic Factors
MH  - Transportation of Patients
IS  - 1034-4810
IL  - 1034-4810
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1994 Oct
EZ  - 1994/10/01
DA  - 1994/10/01 00:01
DT  - 1994/10/01 00:00
YR  - 1994
ED  - 19950227
RD  - 20070924
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7833067

<970. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7807407
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Johannes MS
FA  - Johannes, M S
TI  - A new dimension of the PACU: the dilemma of the ICU overflow patient.
SO  - Journal of Post Anesthesia Nursing. 9(5):297-300, 1994 Oct
AS  - J Post Anesth Nurs. 9(5):297-300, 1994 Oct
NJ  - Journal of post anesthesia nursing
VO  - 9
IP  - 5
PG  - 297-300
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - js3, 8609069, 8609069
IO  - J Post Anesth Nurs
SB  - Nursing Journal
CP  - United States
MH  - Clinical Protocols
MH  - *Critical Care/mt [Methods]
MH  - *Hospital Bed Capacity
MH  - Humans
MH  - *Intensive Care Units
MH  - *Patient Transfer
MH  - *Postanesthesia Nursing/mt [Methods]
MH  - *Recovery Room
AB  - With the increase in the number of critically ill patients needing extended periods of time in the ICU and the subsequent shortage of ICU beds, hospitals have examined ways to use the PACU as an alternative for the short-term critically ill patient. This article identifies common problems encountered by the PACU staff, and the author suggests criteria for establishing and implementing guidelines for successful integration of these short-term critically ill patients without losing sight of the PACU's goals and compromising patient care. The criteria for establishing guidelines were based on the personal experience of the author in developing a program for ICU overflow patients, as well as from experiences of other PACU nurses working in PACUs where successful guidelines currently are used.
IS  - 0883-9433
IL  - 0883-9433
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1994 Oct
EZ  - 1994/10/01
DA  - 1994/10/01 00:01
DT  - 1994/10/01 00:00
YR  - 1994
ED  - 19950202
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7807407

<971. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7802193
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Jacobs S
AU  - Shortland G
AU  - Warner J
AU  - Dearden A
AU  - Gataure PS
AU  - Tarpey J
FA  - Jacobs, S
FA  - Shortland, G
FA  - Warner, J
FA  - Dearden, A
FA  - Gataure, P S
FA  - Tarpey, J
IN  - Jacobs, S. Intensive Therapy Unit, University Hospital of Wales, Cardiff.
TI  - Validation of a croup score and its use in triaging children with croup.
SO  - Anaesthesia. 49(10):903-6, 1994 Oct
AS  - Anaesthesia. 49(10):903-6, 1994 Oct
NJ  - Anaesthesia
VO  - 49
IP  - 10
PG  - 903-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 4mc, 0370524
IO  - Anaesthesia
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Child
MH  - Child, Preschool
MH  - *Croup/th [Therapy]
MH  - Humans
MH  - Infant
MH  - Intensive Care Units, Pediatric
MH  - Length of Stay
MH  - Patient Transfer
MH  - Predictive Value of Tests
MH  - Prospective Studies
MH  - Sensitivity and Specificity
MH  - *Severity of Illness Index
MH  - *Triage/mt [Methods]
MH  - Wales
AB  - The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score < or = 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score < or = 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards.
IS  - 0003-2409
IL  - 0003-2409
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1994 Oct
EZ  - 1994/10/01
DA  - 1994/10/01 00:01
DT  - 1994/10/01 00:00
YR  - 1994
ED  - 19950126
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7802193

<972. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10146115
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Stubbs CR
AU  - Crogan KJ
AU  - Pierson DJ
FA  - Stubbs, C R
FA  - Crogan, K J
FA  - Pierson, D J
IN  - Stubbs, C R. Harborview Medical Center, Seattle, WA 98104.
TI  - Interruption of oxygen therapy during intrahospital transport of non-ICU patients: elimination of a common problem through caregiver education.
SO  - Respiratory Care. 39(10):968-72, 1994 Oct
AS  - Respir Care. 39(10):968-72, 1994 Oct
NJ  - Respiratory care
VO  - 39
IP  - 10
PG  - 968-72
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - qz3, 7510357
IO  - Respir Care
SB  - Health Administration Journals
CP  - United States
MH  - Continuity of Patient Care/og [Organization & Administration]
MH  - Hospital Bed Capacity, 300 to 499
MH  - Humans
MH  - *Inservice Training
MH  - Medical Audit
MH  - *Oxygen Inhalation Therapy/st [Standards]
MH  - *Patient Escort Service/st [Standards]
MH  - *Respiratory Therapy Department, Hospital/og [Organization & Administration]
MH  - Washington
AB  - UNLABELLED: 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.
AB  - 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.
AB  - 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.
AB  - 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.
IS  - 0020-1324
IL  - 0020-1324
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1994 Oct
EZ  - 1994/10/01 00:00
DA  - 1999/04/02 00:01
DT  - 1994/10/01 00:00
YR  - 1994
ED  - 19941229
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10146115

<973. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7969611
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Wesselink RM
AU  - van Staden RF
AU  - Leusink JA
FA  - Wesselink, R M
FA  - van Staden, R F
FA  - Leusink, J A
IN  - Wesselink, R M. Afd. Anesthesiologie en Intensive Care, St. Antonius Ziekenhuis, Nieuwegein.
TI  - [Results of long-term intensive care in 223 patients]. [Dutch]
OT  - Resultaten van langdurige intensieve zorg bij 223 patienten.
SO  - Nederlands Tijdschrift voor Geneeskunde. 138(45):2247-51, 1994 Nov 05
AS  - Ned Tijdschr Geneeskd. 138(45):2247-51, 1994 Nov 05
NJ  - Nederlands tijdschrift voor geneeskunde
VO  - 138
IP  - 45
PG  - 2247-51
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - nuk, 0400770
IO  - Ned Tijdschr Geneeskd
SB  - Index Medicus
CP  - Netherlands
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Critical Care
MH  - Female
MH  - Humans
MH  - *Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Mortality
MH  - Patient Discharge
MH  - Patient Transfer
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Survival Analysis
MH  - Time Factors
AB  - OBJECTIVE: To determine survival rates of patients treated for more than 30 days in an intensive care unit (ICU).
AB  - DESIGN: Retrospective, descriptive.
AB  - SETTING: Intensive care unit of the St. Antonius Hospital in Nieuwegein, the Netherlands.
AB  - METHODS: All patients who required more than 30 consecutive days ICU treatment between January 1985 and January 1992 were included. With the aid of a computerised data base the medical records of all patients were analysed. If discharged, their family doctor was contacted for information about survival and quality of life. Kaplan-Meier survival curves were calculated.
AB  - RESULTS: Among a total of 18,126 ICU admissions, 223 patients required more than 30 days ICU treatment; 25% died in the ICU; 14% died after discharge from the ICU, but still in the hospital; 31% of the patients were discharged to another hospital or nursing home. Of all patients 50% eventually reached home. Two months after ICU discharge 75% were alive, after 1 year 50%. Mean survival time was 36 months (SD: 3). Patients under 60 years of age and those who were discharged directly home had the best prognosis. 30% of the protracted IC patients could ultimately function independently at home.
AB  - CONCLUSIONS: Patients who needed more than 30 days ICU treatment had a high ICU mortality; 2 months after discharge 75% were alive.
IS  - 0028-2162
IL  - 0028-2162
PT  - Clinical Trial
PT  - Controlled Clinical Trial
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Dutch
DP  - 1994 Nov 05
EZ  - 1994/11/05
DA  - 1994/11/05 00:01
DT  - 1994/11/05 00:00
YR  - 1994
ED  - 19941215
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7969611

<974. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10146095
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bonvissuto CA
FA  - Bonvissuto, C A
IN  - Bonvissuto, C A. Chi Systems, Inc., Ann Arbor, MI.
TI  - Avoiding unnecessary critical care costs.
SO  - Healthcare Financial Management. 48(11):47-8, 50, 52, 1994 Nov
AS  - Healthc Financ Manage. 48(11):47-8, 50, 52, 1994 Nov
NJ  - Healthcare financial management : journal of the Healthcare Financial Management Association
VO  - 48
IP  - 11
PG  - 47-8, 50, 52
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - gbc, 8215859
IO  - Healthc Financ Manage
SB  - Health Administration Journals
CP  - United States
MH  - *Cost Control/mt [Methods]
MH  - *Critical Care/ec [Economics]
MH  - Health Expenditures
MH  - Hospital Costs/st [Standards]
MH  - Hospitals, University
MH  - Humans
MH  - *Intensive Care Units/ec [Economics]
MH  - Intensive Care Units/ut [Utilization]
MH  - North Carolina
MH  - Patient Admission/sn [Statistics & Numerical Data]
MH  - Patient Discharge/sn [Statistics & Numerical Data]
MH  - Patient Transfer/sn [Statistics & Numerical Data]
MH  - United States
AB  - Critical care services are major contributors to rising healthcare costs, with intensive care units (ICUs) consuming nearly 20 percent of the country's healthcare expenditures. This article examines ways of controlling and avoiding unnecessary ICU costs. A case study shows how a thorough examination of admission, discharge, and transfer practices and provision of the appropriate number and mix of ICU and step-down beds can significantly reduce the use of critical care resources.
IS  - 0735-0732
IL  - 0735-0732
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1994 Nov
EZ  - 1994/10/05
DA  - 1994/10/05 00:01
DT  - 1994/10/05 00:00
YR  - 1994
ED  - 19941213
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10146095

<975. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7927831
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Witte W
AU  - Braulke C
AU  - Heuck D
AU  - Cuny C
FA  - Witte, W
FA  - Braulke, C
FA  - Heuck, D
FA  - Cuny, C
IN  - Witte, W. Robert-Koch-Institut, Wernigerode, Germany.
TI  - Analysis of nosocomial outbreaks with multiply and methicillin-resistant Staphylococcus aureus (MRSA) in Germany: implications for hospital hygiene.
SO  - Infection. 22 Suppl 2:S128-34, 1994
AS  - Infection. 22 Suppl 2:S128-34, 1994
NJ  - Infection
VO  - 22 Suppl 2
PG  - S128-34
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - go8, 0365307
IO  - Infection
SB  - Index Medicus
CP  - Germany
MH  - *Anti-Bacterial Agents/tu [Therapeutic Use]
MH  - Bacteriophage Typing
MH  - Cross Infection/dt [Drug Therapy]
MH  - *Cross Infection/ep [Epidemiology]
MH  - *Cross Infection/mi [Microbiology]
MH  - Cross Infection/tm [Transmission]
MH  - *Disease Outbreaks
MH  - *Drug Resistance, Multiple
MH  - *Genome, Bacterial
MH  - Germany/ep [Epidemiology]
MH  - *Hip Prosthesis/ae [Adverse Effects]
MH  - Humans
MH  - Hygiene
MH  - Infection Control/mt [Methods]
MH  - *Infection Control
MH  - Intensive Care Units
MH  - Male
MH  - *Methicillin Resistance
MH  - Patient Transfer
MH  - Phenotype
MH  - Plasmids
MH  - Premedication/mt [Methods]
MH  - *Prostatectomy/ae [Adverse Effects]
MH  - Prosthesis-Related Infections/dt [Drug Therapy]
MH  - *Prosthesis-Related Infections/ep [Epidemiology]
MH  - *Prosthesis-Related Infections/mi [Microbiology]
MH  - Prosthesis-Related Infections/tm [Transmission]
MH  - Risk Factors
MH  - Staphylococcal Infections/dt [Drug Therapy]
MH  - *Staphylococcal Infections/ep [Epidemiology]
MH  - *Staphylococcal Infections/mi [Microbiology]
MH  - Staphylococcal Infections/tm [Transmission]
MH  - Staphylococcus aureus/cl [Classification]
MH  - Staphylococcus aureus/ge [Genetics]
MH  - *Staphylococcus aureus
AB  - Two outbreaks of nosocomial infections with MRSA, one in a urological unit in connection with transurethral prostatectomy and the other in an orthopaedic clinic with infections after implantation of prosthetic hips, have been analyzed on the basis of typing MRSA by phage-patterns, plasmid profiles and genomic DNA fragment patterns. Main reasons for these outbreaks were obviously mistakes in hospital hygiene and an inappropriate antibiotic prophylaxis (in the first outbreak a quinolone over about 7 days, in the second a third generation cephalosporin). Both outbreaks could be stopped by measures of hospital hygiene including isolated or cohort nursing of affected patients, and change in antibiotic prophylaxis. Intensive care units (ICUs) are more often affected by MRSA than other clinical settings. As described by the example of an outbreak with MRSA in a municipal hospital, ICUs can play a special role in intrahospital spread of MRSA. The recently observed inter-regional clonal interhospital dissemination of MRSA in Germany is mainly due to a transfer of patients between hospitals; prewarning of the hospital of destination and a number of hygiene measures can prevent further spread.
RN  - 0 (Anti-Bacterial Agents)
IS  - 0300-8126
IL  - 0300-8126
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1994
EZ  - 1994/01/01
DA  - 1994/01/01 00:01
DT  - 1994/01/01 00:00
YR  - 1994
ED  - 19941117
RD  - 20170922
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7927831

<976. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7935909
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Brouwer KJ
AU  - Boxma H
AU  - Dokter J
FA  - Brouwer, K J
FA  - Boxma, H
FA  - Dokter, J
IN  - Brouwer, K J. Zuiderziekenhuis, afd. Heelkunde, Rotterdam.
TI  - [Toxic epidermal necrolysis, a life-threatening skin disease]. [Dutch]
OT  - Toxische epidermale necrolyse, een levensbedreigende huidaandoening.
SO  - Nederlands Tijdschrift voor Geneeskunde. 138(36):1819-22, 1994 Sep 03
AS  - Ned Tijdschr Geneeskd. 138(36):1819-22, 1994 Sep 03
NJ  - Nederlands tijdschrift voor geneeskunde
VO  - 138
IP  - 36
PG  - 1819-22
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - nuk, 0400770
IO  - Ned Tijdschr Geneeskd
SB  - Index Medicus
CP  - Netherlands
MH  - Adult
MH  - Burn Units
MH  - Child
MH  - Combined Modality Therapy
MH  - Electrolytes/ad [Administration & Dosage]
MH  - Female
MH  - Fluid Therapy
MH  - Humans
MH  - Male
MH  - Occlusive Dressings
MH  - Parenteral Nutrition
MH  - Patient Care Team
MH  - Patient Transfer
MH  - *Stevens-Johnson Syndrome/th [Therapy]
AB  - Toxic epidermal necrolysis (TEN; Lyell's disease) was diagnosed in three patients: an 8-year-old boy and two women aged 39 and 25. Treatment consisted of daily sterile wound care using a synthetic wound covering, oral as well as tube feeding and administration of fluid, electrolytes and albumin. Sepsis developed in 2 patients, and was treated with specific antibiotics. Irreversible sight loss developed in 1 patient. A burns centre offers optimal conditions for treatment because of the combined availability of both nursing and medical expertise and of the required infrastructure needed for antisepsis, climate control and intensive care.
RN  - 0 (Electrolytes)
IS  - 0028-2162
IL  - 0028-2162
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Dutch
DP  - 1994 Sep 03
EZ  - 1994/09/03
DA  - 1994/09/03 00:01
DT  - 1994/09/03 00:00
YR  - 1994
ED  - 19941027
RD  - 20131121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7935909

<977. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10136256
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Nee PA
AU  - Gray AJ
AU  - Martin MA
FA  - Nee, P A
FA  - Gray, A J
FA  - Martin, M A
IN  - Nee, P A. Stockport Infirmary, UK.
TI  - Audit of thrombolysis initiated in an accident and emergency department.
SO  - Quality in Health Care. 3(1):29-33, 1994 Mar
AS  - Qual Health Care. 3(1):29-33, 1994 Mar
NJ  - Quality in health care : QHC
VO  - 3
IP  - 1
PG  - 29-33
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bvy, 9209948
IO  - Qual Health Care
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1055179
SB  - Health Administration Journals
CP  - England
MH  - Clinical Protocols
MH  - Coronary Care Units
MH  - Data Collection
MH  - *Emergency Service, Hospital/st [Standards]
MH  - Emergency Service, Hospital/sn [Statistics & Numerical Data]
MH  - *Fibrinolytic Agents/tu [Therapeutic Use]
MH  - Humans
MH  - *Medical Audit/sn [Statistics & Numerical Data]
MH  - *Myocardial Infarction/dt [Drug Therapy]
MH  - Outcome Assessment (Health Care)
MH  - Patient Transfer
MH  - Time and Motion Studies
MH  - United Kingdom
AB  - Early thrombolytic therapy after acute myocardial infarction is important in reducing mortality. To evaluate a system for reducing in-hospital delays to thrombolysis pain to needle and door to needle times to thrombolysis were audited in a major accident and emergency (A and E) department of a district general hospital and its coronary care unit (CCU), situated about 5 km away. Baseline performance over six months was assessed retrospectively from notes of 43 consecutive patients (group 1) transferred to the CCU before receiving thrombolysis. Subsequently, selected patients (23) were allowed to receive thrombolysis in the A and E department before transfer to the CCU. The agent was administered by medical staff in the department after receiving oral confirmation of myocardial infarction from the admitting medical officer in the CCU on receipt of fax transmission of the electrocardiogram. A second prospective audit during six months from the start of the new procedure established time intervals in 23 patients eligible to receive thrombolysis in the A and E department (group 2b) and 30 ineligible patients who received thrombolysis in the CCU (group 2a). The groups did not differ significantly in case mix, pre-hospital delay, or transfer time to the CCU. In group 2b door to needle time and pain to needle time were reduced significantly (geometric mean 38 min v 121 min (group 2a) and 128 min (group 1); 141 min v 237 min (group 2a) and 242 min (group 1) respectively, both p < 0.0001). The incidence of adverse effects was not significantly different. Nine deaths occurred (six in group 1, three in group 2b), an in-hospital mortality of 9.9%. Thrombolysis can be safely instituted in the A and E department in selected patients, significantly reducing delay to treatment.
RN  - 0 (Fibrinolytic Agents)
IS  - 0963-8172
IL  - 0963-8172
PT  - Journal Article
ID  - PMC1055179 [pmc]
PP  - ppublish
LG  - English
DP  - 1994 Mar
EZ  - 1994/02/07
DA  - 1994/02/07 00:01
DT  - 1994/02/07 00:00
YR  - 1994
ED  - 19941019
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10136256

<978. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 7605415
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Leslie AJ
AU  - Stephenson TJ
FA  - Leslie, A J
FA  - Stephenson, T J
IN  - Leslie, A J. Department of Neonatal Medicine and Surgery, City Hospital, Nottingham.
TI  - Audit of neonatal intensive care transport.
CM  - Comment in: Arch Dis Child Fetal Neonatal Ed. 1995 Jan;72(1):F79-80; PMID: 7743294
SO  - Archives of Disease in Childhood Fetal & Neonatal Edition. 71(1):F61-6, 1994 Jul
AS  - Arch Dis Child Fetal Neonatal Ed. 71(1):F61-6, 1994 Jul
NJ  - Archives of disease in childhood. Fetal and neonatal edition
VO  - 71
IP  - 1
PG  - F61-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - b9p, 9501297
IO  - Arch. Dis. Child. Fetal Neonatal Ed.
PM  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1061075
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - England
MH  - Health Care Costs
MH  - Humans
MH  - Infant Equipment
MH  - Infant, Newborn
MH  - *Intensive Care, Neonatal
MH  - Medical Audit
MH  - Patient Transfer
MH  - Time Factors
MH  - *Transportation of Patients
MH  - United Kingdom
IS  - 1359-2998
IL  - 1359-2998
PT  - Journal Article
ID  - PMC1061075 [pmc]
PP  - ppublish
LG  - English
DP  - 1994 Jul
EZ  - 1994/07/01
DA  - 1994/07/01 00:01
DT  - 1994/07/01 00:00
YR  - 1994
ED  - 19941018
RD  - 20161123
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7605415

<979. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8085047
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Branger B
AU  - Chaperon J
AU  - Mouzard A
AU  - Picherot G
AU  - Kerbaol M
FA  - Branger, B
FA  - Chaperon, J
FA  - Mouzard, A
FA  - Picherot, G
FA  - Kerbaol, M
IN  - Branger, B. Centre Hospitalier, Saint-Nazaire.
TI  - [Hospital transfer of newborn infants in the Loire-Atlantic area (France)]. [French]
OT  - Le transfert hospitalier des nouveau-nes dans le departement de Loire-Atlantique (France).
SO  - Revue d Epidemiologie et de Sante Publique. 42(4):307-14, 1994
AS  - Rev Epidemiol Sante Publique. 42(4):307-14, 1994
NJ  - Revue d'epidemiologie et de sante publique
VO  - 42
IP  - 4
PG  - 307-14
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - rst, 7608039
IO  - Rev Epidemiol Sante Publique
SB  - Index Medicus
CP  - France
MH  - France/ep [Epidemiology]
MH  - Gestational Age
MH  - Hospitals, Maternity
MH  - Humans
MH  - Infant, Newborn
MH  - *Infant, Newborn, Diseases/th [Therapy]
MH  - Intensive Care Units, Neonatal
MH  - Multivariate Analysis
MH  - Odds Ratio
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Poverty
MH  - Prospective Studies
MH  - *Referral and Consultation/sn [Statistics & Numerical Data]
MH  - Social Environment
AB  - The rate of neonatal referral from the site of birth to a special care centre is generally related to the conditions of the pregnancy and the status of the neonate. The purpose of this study was to investigate other factors affecting referral including obstetric procedures, and equipment and personnel environment. A prospective survey of the neonatal population in 9 maternity hospital in the Loire-Atlantique area in France was conducted. There were, 1.316 births and the referral rate was 10.3% with a range of 1 to 24% depending on the originating hospital. After adjustment for gestational age, multivariate analysis revealed that the medical variables were the main factors affecting referral rate (positive gastric smear, adjusted odds ratio, ORa = 62.6; disease, ORa = 37.7; Apgar score 1 min < 7, ORa = 9.4; monitoring abnormality, ORa = 3.2; coloured amniotic fluid, CORa = 2.7; birthweight, ORa = 0.3). A high risk of referral was observed in only one maternity hospital (ORa = 9.4) related to a poor environment index. This center was in close vicinity to another maternity hospital. In a regional referral programme, high risk neonates should be delivered in maternity hospitals near a special care centre. But, in order to keep the rate of referral, with its adverse effect on the mother-baby relation, low, care for neonates with minor disease or only slightly underweight at birth should be cared for in these centers without referral.
IS  - 0398-7620
IL  - 0398-7620
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - French
DP  - 1994
EZ  - 1994/01/01
DA  - 1994/01/01 00:01
DT  - 1994/01/01 00:00
YR  - 1994
ED  - 19941013
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8085047

<980. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8055690
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Braun R
AU  - St Clair C
FA  - Braun, R
FA  - St Clair, C
TI  - Transitional family care: PICU to pediatrics.
SO  - Critical Care Nurse. 14(4):65-8, 1994 Aug
AS  - Crit Care Nurse. 14(4):65-8, 1994 Aug
NJ  - Critical care nurse
VO  - 14
IP  - 4
PG  - 65-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dt8, 8207799
IO  - Crit Care Nurse
SB  - Nursing Journal
CP  - United States
MH  - Adult
MH  - Child
MH  - *Family/px [Psychology]
MH  - Female
MH  - *Hospital Units
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - Male
MH  - Patient Transfer
MH  - *Pediatric Nursing
MH  - Professional-Family Relations
IS  - 0279-5442
IL  - 0279-5442
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1994 Aug
EZ  - 1994/08/01
DA  - 1994/08/01 00:01
DT  - 1994/08/01 00:00
YR  - 1994
ED  - 19940915
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8055690

<981. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8045151
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Thompson DR
AU  - Clemmer TP
AU  - Applefeld JJ
AU  - Crippen DW
AU  - Jastremski MS
AU  - Lucas CE
AU  - Pollack MM
AU  - Wedel SK
FA  - Thompson, D R
FA  - Clemmer, T P
FA  - Applefeld, J J
FA  - Crippen, D W
FA  - Jastremski, M S
FA  - Lucas, C E
FA  - Pollack, M M
FA  - Wedel, S K
IN  - Thompson, D R. Society of Critical Care Medicine, Anaheim, CA 92808-2259.
TI  - Regionalization of critical care medicine: task force report of the American College of Critical Care Medicine. [Review] [39 refs]
CM  - Comment in: Crit Care Med. 1995 Jun;23(6):1153-5; PMID: 7774233
SO  - Critical Care Medicine. 22(8):1306-13, 1994 Aug
AS  - Crit Care Med. 22(8):1306-13, 1994 Aug
NJ  - Critical care medicine
VO  - 22
IP  - 8
PG  - 1306-13
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dtf, 0355501
IO  - Crit. Care Med.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adult
MH  - Child
MH  - Clinical Competence
MH  - Cost-Benefit Analysis
MH  - *Critical Care/og [Organization & Administration]
MH  - Critical Care/st [Standards]
MH  - Critical Care/ut [Utilization]
MH  - *Efficiency, Organizational
MH  - Focus Groups
MH  - Health Resources
MH  - Health Services Misuse
MH  - Humans
MH  - Models, Organizational
MH  - Patient Care Team
MH  - Patient Transfer/og [Organization & Administration]
MH  - *Quality of Health Care
MH  - *Regional Medical Programs/og [Organization & Administration]
MH  - Regional Medical Programs/st [Standards]
MH  - Societies, Medical
MH  - Transportation of Patients
MH  - United States
AB  - OBJECTIVES: To review the existing literature and task force opinions on regionalization of critical care services, and to synthesize a judgement on possible costs, benefits, disadvantages, and strategies.
AB  - DATA SOURCES: Pertinent literature in the English language.
AB  - STUDY SELECTION: One hundred forty-six English language papers were studied to determine possible ramifications of regionalization of critical care or other similar services.
AB  - DATA EXTRACTION: Information on possible influence on the care of the critically ill was sought and integrated with the opinions of task force members. Possible costs, benefits, as well as disadvantages to the patient, transferring and receiving institutions, and region as a whole were sought.
AB  - DATA SYNTHESIS: Regionalization of critical care services was thought to be advantageous to the patient. The larger academic institutions tend to have more resources, better subspecialty availability, and expertise in the care of the critically ill. Efficiency and safety during transport need to be in place. Disadvantages of overutilization, possible costliness to both the referring institution as well as to the receiving institution were outlined. It was agreed that pediatric critical care medicine was a separate issue.
AB  - CONCLUSIONS: Regionalization of critical care medicine probably is beneficial and the concept should be explored. [References: 39]
IS  - 0090-3493
IL  - 0090-3493
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - English
DP  - 1994 Aug
EZ  - 1994/08/01
DA  - 1994/08/01 00:01
DT  - 1994/08/01 00:00
YR  - 1994
ED  - 19940901
RD  - 20051116
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8045151

<982. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8196981
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Hoekelman RA
FA  - Hoekelman, R A
TI  - Should general pediatricians treat their patients who have bacterial meningitis?.
SO  - Pediatric Annals. 23(2):65-6, 1994 Feb
AS  - Pediatr Ann. 23(2):65-6, 1994 Feb
NJ  - Pediatric annals
VO  - 23
IP  - 2
PG  - 65-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - oub, 0356657
IO  - Pediatr Ann
SB  - Index Medicus
CP  - United States
MH  - Certification
MH  - Humans
MH  - Infant
MH  - Intensive Care Units, Pediatric
MH  - Meningitis, Bacterial/di [Diagnosis]
MH  - *Meningitis, Bacterial
MH  - Patient Transfer
MH  - *Pediatrics
MH  - *Referral and Consultation
IS  - 0090-4481
IL  - 0090-4481
PT  - Editorial
PP  - ppublish
LG  - English
DP  - 1994 Feb
EZ  - 1994/02/01
DA  - 1994/02/01 00:01
DT  - 1994/02/01 00:00
YR  - 1994
ED  - 19940628
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8196981

<983. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8145319
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Obremskey W
AU  - Henley MB
FA  - Obremskey, W
FA  - Henley, M B
IN  - Obremskey, W. Department of Orthopaedics, University of Washington, Harborview Medical Center, Seattle 98104.
TI  - A comparison of transferred versus direct admission orthopedic trauma patients.
SO  - Journal of Trauma-Injury Infection & Critical Care. 36(3):373-6, 1994 Mar
AS  - J Trauma. 36(3):373-6, 1994 Mar
NJ  - The Journal of trauma
VO  - 36
IP  - 3
PG  - 373-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - kaf, 0376373
IO  - J Trauma
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Adolescent
MH  - Adult
MH  - Confounding Factors (Epidemiology)
MH  - Fees and Charges
MH  - Humans
MH  - Injury Severity Score
MH  - Insurance, Health, Reimbursement
MH  - Intensive Care Units/ut [Utilization]
MH  - Length of Stay
MH  - Middle Aged
MH  - *Musculoskeletal System/in [Injuries]
MH  - *Patient Admission
MH  - *Patient Transfer
MH  - Trauma Severity Indices
AB  - Trauma patients with orthopedic injuries transferred to Harborview Medical Center (HMC) were compared with all trauma patients directly admitted to HMC and with a set of matched controls regarding injury Severity Score (ISS) and age, if > or = 50 years old. Groups were compared on ISS, Revised Trauma Score (RTS), ICU stay, length of stay (LOS), total charges, reimbursement, payors, and outcome. Comparison of all transferred patients and directly admitted patients showed significant differences in ISS, LOS, ICU stay, and total charges. Despite a higher ISS, transferred patients had no differences in RTS or survival outcome. Comparison of matched transferred patients and directly admitted patients on ISS and age if > or = 50 years old showed a statistically significant increase in LOS, reimbursement, and charges. The survival rate of all transferred and directly admitted trauma patients was approximately 95% for both groups despite a slightly higher degree of injury in transferred patients. The reimbursement rate for both groups was low, 65% for transferred patients and 59% for directly admitted patients. The percentage of transfer patients on Medicaid was 34% and for direct admissions was 37% (p = 0.552). This is a large percentage of indigent care, since only 8.1% of Washington State residents are Medicaid dependent.
IS  - 0022-5282
IL  - 0022-5282
PT  - Comparative Study
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1994 Mar
EZ  - 1994/03/01
DA  - 1994/03/01 00:01
DT  - 1994/03/01 00:00
YR  - 1994
ED  - 19940505
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8145319

<984. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8133938
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Maillet RJ
AU  - Pata I
AU  - Grossman S
FA  - Maillet, R J
FA  - Pata, I
FA  - Grossman, S
TI  - A strategy for decreasing anxiety of ICU transfer patients and their families.
SO  - Nursingconnections. 6(4):5-8, 1993
AS  - Nursingconnections. 6(4):5-8, 1993
NJ  - NursingConnections
VO  - 6
IP  - 4
PG  - 5-8
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - nuc, 8809326, 8809326
IO  - Nursingconnections
SB  - Nursing Journal
CP  - United States
MH  - Anxiety/nu [Nursing]
MH  - *Anxiety/pc [Prevention & Control]
MH  - *Critical Care/px [Psychology]
MH  - *Family/px [Psychology]
MH  - Humans
MH  - Pamphlets
MH  - *Patient Education as Topic
MH  - *Patient Transfer
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.
IS  - 0895-2809
IL  - 0895-2809
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993
EZ  - 1993/01/01
DA  - 1993/01/01 00:01
DT  - 1993/01/01 00:00
YR  - 1993
ED  - 19940421
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8133938

<985. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8113073
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Transporting critically ill patients. American College of Critical Care Medicine, Society of Critical Care Medicine, and American Association of Critical-Care Nurses.
SO  - Health Devices. 22(12):590-1, 1993 Dec
AS  - Health Devices. 22(12):590-1, 1993 Dec
NJ  - Health devices
VO  - 22
IP  - 12
PG  - 590-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - g24, 1262063
IO  - Health Devices
SB  - Index Medicus
CP  - United States
MH  - *Critical Care/st [Standards]
MH  - Critical Illness
MH  - Humans
MH  - *Transportation of Patients/st [Standards]
MH  - United States
AB  - Guidelines for transporting critically ill patients were published simultaneously in the June 1993 issue of Critical Care Medicine (21[6]:931-7) and the May 1993 issue of the American Journal of Critical Care (2[3]:189-95). Developed by a task force composed of members from the American College of Critical Care Medicine, the Society of Critical Care Medicine, and the American Association of Critical-Care Nurses (AACN), these guidelines, summarized below, outline the reasons and requirements for transporting patients, including the personnel who should be involved and the equipment (including monitors) that should accompany the patient. The task force's recommendations are consistent with ECRI's previous recommendations, also summarized below, but are more comprehensive and stringent in some respects and provide additional details.
IS  - 0046-7022
IL  - 0046-7022
PT  - Guideline
PT  - Journal Article
PT  - Practice Guideline
PP  - ppublish
LG  - English
DP  - 1993 Dec
EZ  - 1993/12/01
DA  - 1993/12/01 00:01
DT  - 1993/12/01 00:00
YR  - 1993
ED  - 19940328
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8113073

<986. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8308499
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Gaspar DL
AU  - Jordan J
FA  - Gaspar, D L
FA  - Jordan, J
TI  - Low-risk pregnancies.
CM  - Comment on: J Fam Pract. 1993 Nov;37(5):457-62; PMID: 8228857
SO  - Journal of Family Practice. 38(2):118, 1994 Feb
AS  - J. FAM. PRACT.. 38(2):118, 1994 Feb
NJ  - The Journal of family practice
VO  - 38
IP  - 2
PG  - 118
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 7502590
IO  - J Fam Pract
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - Patient Transfer
MH  - Pregnancy
MH  - Risk
IS  - 0094-3509
IL  - 0094-3509
PT  - Comment
PT  - Letter
PP  - ppublish
LG  - English
DP  - 1994 Feb
EZ  - 1994/02/01
DA  - 1994/02/01 00:01
DT  - 1994/02/01 00:00
YR  - 1994
ED  - 19940317
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8308499

<987. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8266286
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Meberg A
AU  - Solberg R
AU  - Finne PH
FA  - Meberg, A
FA  - Solberg, R
FA  - Finne, P H
IN  - Meberg, A. Barneavdelingen, Vestfold sentralsykehus, Tonsberg.
TI  - [Transport from a subregional neonatal unit. Experiences from Vestfold Central Hospital during an 11-year period 1982-92]. [Norwegian]
OT  - Transporter fra en subregional neonatalenhet. Erfaringer fra Vestfold sentralsykehus i 11-arsperioden 1982-92.
CM  - Comment in: Tidsskr Nor Laegeforen. 1993 Oct 10;113(24):3047; PMID: 8259580
SO  - Tidsskrift for Den Norske Laegeforening. 113(21):2675-80, 1993 Sep 10
AS  - Tidsskr Nor Laegeforen. 113(21):2675-80, 1993 Sep 10
NJ  - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
VO  - 113
IP  - 21
PG  - 2675-80
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0413423, 101086543, vrv
IO  - Tidsskr. Nor. Laegeforen.
SB  - Index Medicus
CP  - Norway
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - *Intensive Care Units, Neonatal
MH  - Intensive Care, Neonatal/mt [Methods]
MH  - Intensive Care, Neonatal/sn [Statistics & Numerical Data]
MH  - Norway
MH  - Transportation of Patients/mt [Methods]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
MH  - *Transportation of Patients
AB  - A key element of neonatal regionalization is the establishment of transport links between centres of tertiary care and subregional centres. During the 11-year period 1982-92, 186 transports were undertaken from the neonatal unit, Vestfold Central Hospital, for a total of 180 patients, or 0.8% of all live born infants (n = 23,652). 64 patients (36%) were referred for prematurity/respiratory distress syndrome (IRDS), 81 (45%) for congenital malformations, and 35 (19%) for other conditions. Transports for prematurity/IRDS declined significantly from the the first 6-year period 1982-87 to the last 5-year period 1988-92 (3.6 vs. 1.8 per 1,000 live born infants; p < 0.01), owing to the establishment of a local respirator treatment programme for severe IRDS. In 71 (38%) transports the infants were mechanically ventilated. Seven (10%) suffered in-transport complications related to the endotracheal tube. At arrival, significantly more patients were anaemic (Hb < 14 g%; transports before 48 hours after birth), alcalotic (pH > 7.50), hypocapnic (PCO2 < 4 kPa) or had a base excess < -10 mmol/l than before transportation (p < 0.05). There was a tendency towards more patients with hypothermia (tp < 36 degrees C), acidosis (pH (< 7.20) and hypercapnia (PCO2 > 10 kPa) at arrival than before transportation (p > 0.05). No deaths occurred during transport. However, two infants died within two hours after arrival, giving a transport-related mortality rate of 1%. Transporting critically ill neonates implies discontinuity of treatment and monitoring of these infants. Optimal stabilization before transportation, and scrupulous work on technical details are of utmost importance.
IS  - 0029-2001
IL  - 0029-2001
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - Norwegian
DP  - 1993 Sep 10
EZ  - 1993/09/10
DA  - 1993/09/10 00:01
DT  - 1993/09/10 00:00
YR  - 1993
ED  - 19940125
RD  - 20080716
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8266286

<988. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8258206
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Bachrach SJ
AU  - Pidcock FS
AU  - Branca PA
AU  - Gilbert PL
AU  - Schneider A
AU  - Walko L
AU  - McHugh B
FA  - Bachrach, S J
FA  - Pidcock, F S
FA  - Branca, P A
FA  - Gilbert, P L
FA  - Schneider, A
FA  - Walko, L
FA  - McHugh, B
IN  - Bachrach, S J. Department of Pediatrics, Thomas Jefferson University Hospital, Philadelphia, PA.
TI  - Early transfer to a rehabilitation hospital for infants with chronic bronchopulmonary dysplasia.
SO  - Clinical Pediatrics. 32(9):535-41, 1993 Sep
AS  - Clin Pediatr (Phila). 32(9):535-41, 1993 Sep
NJ  - Clinical pediatrics
VO  - 32
IP  - 9
PG  - 535-41
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - dhe, 0372606, 8407647
IO  - Clin Pediatr (Phila)
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Bronchopulmonary Dysplasia/ec [Economics]
MH  - Bronchopulmonary Dysplasia/ep [Epidemiology]
MH  - *Bronchopulmonary Dysplasia/rh [Rehabilitation]
MH  - Chronic Disease
MH  - Female
MH  - Hospitals, University/ut [Utilization]
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - Male
MH  - Morbidity
MH  - *Patient Transfer/sn [Statistics & Numerical Data]
MH  - Philadelphia
MH  - Progressive Patient Care
MH  - *Rehabilitation Centers/ut [Utilization]
AB  - Shortly after being weaned off the respirator, 43 infants with severe chronic bronchopulmonary dysplasia (BPD) were transferred from an intensive-care nursery at a teaching hospital to an affiliated children's rehabilitation hospital in a program that included special staff instruction. Morbidity, measured by rate of transfer back to the acute-care hospital, was lower than in a comparison group of 15 infants treated for severe BPD during the previous two years. Average length of stay was significantly shortened and an average of $60,000 per patient was saved. Using a rehabilitation hospital as a step-down unit shifts the emphasis from acute needs to chronic and developmental needs and from intensive monitoring and nursing care to care given at home by parents with nursing assistance.
IS  - 0009-9228
IL  - 0009-9228
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
ID  - 10.1177/000992289303200905 [doi]
PP  - ppublish
GI  - No: MCJ 423448-01-0
Organization: *PHS HHS*
Country: United States
LG  - English
DP  - 1993 Sep
EZ  - 1993/09/01
DA  - 1993/09/01 00:01
DT  - 1993/09/01 00:00
YR  - 1993
ED  - 19940119
RD  - 20170214
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8258206

<989. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10129659
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Colborn C
AU  - Schulman E
AU  - Casper M
FA  - Colborn, C
FA  - Schulman, E
FA  - Casper, M
TI  - Ins and outs of intrafacility transfers.
SO  - Contemporary Long-Term Care. 16(5):28, 95, 1993 May
AS  - Contemp Long Term Care. 16(5):28, 95, 1993 May
NJ  - Contemporary longterm care
VO  - 16
IP  - 5
PG  - 28, 95
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - clc, 8508328
IO  - Contemp Longterm Care
SB  - Health Administration Journals
CP  - United States
MH  - *Nursing Homes/og [Organization & Administration]
MH  - *Patient Advocacy/lj [Legislation & Jurisprudence]
MH  - *Patient Transfer/lj [Legislation & Jurisprudence]
MH  - Patients' Rooms/st [Standards]
MH  - Progressive Patient Care/og [Organization & Administration]
MH  - United States
IS  - 8750-9652
IL  - 1934-4589
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993 May
EZ  - 1993/04/08
DA  - 1993/04/08 00:01
DT  - 1993/04/08 00:00
YR  - 1993
ED  - 19931217
RD  - 20001218
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10129659

<990. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8410385
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Chiu HS
AU  - Vogt JF
AU  - Chan LS
AU  - Rother CE
FA  - Chiu, H S
FA  - Vogt, J F
FA  - Chan, L S
FA  - Rother, C E
IN  - Chiu, H S. Perinatal Dispatch Center of Southern California, Pasadena 91101.
TI  - Regionalization of infant transports: the southern California experience and its implications. I: Referral pattern.
SO  - Journal of Perinatology. 13(4):288-96, 1993 Jul-Aug
AS  - J Perinatol. 13(4):288-96, 1993 Jul-Aug
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 13
IP  - 4
PG  - 288-96
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Birth Weight
MH  - California
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - Program Evaluation
MH  - *Referral and Consultation/sn [Statistics & Numerical Data]
MH  - *Regional Medical Programs/ut [Utilization]
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
MH  - Utilization Review
AB  - The development and implementation of neonatal intensive care services have been essential components of perinatal regionalization during the past two decades. The transport of critically ill infants to regional neonatal intensive care units has played an important role in improving neonatal outcome. This article presents a profile of Southern California's 10-year infant transport experience (1979 through 1988) in terms of the following indicators: transport volume, cross-county referrals, distance travelled, referral pattern, and birth weight pattern. Findings point to the necessity of focusing attention on several critical issues confronting Southern California's neonatal services in the 1990s. They include adequacy of tertiary or intermediate bed capacity in neonatal intensive care units; appropriateness of existing infant referral practices; impact of maternal-fetal transports; availability of financing resources; and overall differences in morbidity and mortality rates between transported and nontransported infants in subpopulations.
IS  - 0743-8346
IL  - 0743-8346
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993 Jul-Aug
EZ  - 1993/07/01
DA  - 1993/07/01 00:01
DT  - 1993/07/01 00:00
YR  - 1993
ED  - 19931104
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8410385

<991. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8351551
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Pittard WB 3rd
AU  - Geddes KM
AU  - Ebeling M
AU  - Hulsey TC
FA  - Pittard, W B 3rd
FA  - Geddes, K M
FA  - Ebeling, M
FA  - Hulsey, T C
IN  - Pittard, W B 3rd. Department of Pediatrics, Medical University of South Carolina, Charleston 29425-3313.
TI  - Continuing evolution of regionalized perinatal care: community hospital neonatal convalescent care.
SO  - Southern Medical Journal. 86(8):903-7, 1993 Aug
AS  - South Med J. 86(8):903-7, 1993 Aug
NJ  - Southern medical journal
VO  - 86
IP  - 8
PG  - 903-7
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - uvh, 0404522
IO  - South. Med. J.
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - *Hospitals, Community
MH  - Humans
MH  - *Infant Care
MH  - *Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Length of Stay
MH  - Patient Transfer
MH  - *Regional Medical Programs
MH  - South Carolina
AB  - We describe the convalescent care of 169 back-transported (to community hospitals) and 285 eligible but not back-transported very low birth weight (VLBW) infants. Eligible infants who were not back transported to a level I or II community hospital were transferred to a level II nursery within the Medical University of South Carolina (MUSC) for convalescent care. Study infants were admitted to the neonatal intensive care unit (NICU) at MUSC from July 1985 through June 1989. They were admitted after maternal transport to MUSC for imminent delivery (N = 159), out-born community delivery (N = 55), or in-born MUSC delivery (N = 240). The mean +/- SD birth weight and gestational age and the NICU admission diagnoses for the back-transported and non-back-transported neonates were similar. The mean +/- SD weight of neonates at the time they were back transported was significantly greater than the weight of neonates at the time of intrahospital transfer. In contrast, the discharge weight to home and total days hospitalized were significantly less in the back-transported infants. Five back-transported neonates (3%) and 12 non-back-transported neonates (4%) were readmitted to the NICU. The back-transported infants used more than 3,800 bed days at community hospitals that would otherwise have been spent in the regional center, thus facilitating increased parental and primary physician involvement in their care.
IS  - 0038-4348
IL  - 0038-4348
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993 Aug
EZ  - 1993/08/01
DA  - 1993/08/01 00:01
DT  - 1993/08/01 00:00
YR  - 1993
ED  - 19930914
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8351551

<992. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8317009
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Knudsen JL
AU  - Kamper J
AU  - Lenstrup C
FA  - Knudsen, J L
FA  - Kamper, J
FA  - Lenstrup, C
IN  - Knudsen, J L. Dansk Sygehus Institut, Kobenhavn.
TI  - [Neonatal pediatrics in Denmark. Therapeutic routines in care of very low birth weight infants and very premature infants, 1990]. [Danish]
OT  - Neonatal paediatri i Danmark. Rutiner i behandling af meget lavvoegtige og meget for tidligt fodte born, 1990.
SO  - Ugeskrift for Laeger. 155(22):1687-90, 1993 May 31
AS  - Ugeskr Laeger. 155(22):1687-90, 1993 May 31
NJ  - Ugeskrift for laeger
VO  - 155
IP  - 22
PG  - 1687-90
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0141730, wm8
IO  - Ugeskr. Laeg.
SB  - Index Medicus
CP  - Denmark
MH  - Cross-Sectional Studies
MH  - Denmark
MH  - Humans
MH  - *Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - *Infant, Premature
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - *Intensive Care, Neonatal/mt [Methods]
MH  - Intensive Care, Neonatal/og [Organization & Administration]
MH  - Intensive Care, Neonatal/st [Standards]
MH  - Patient Transfer
MH  - Referral and Consultation
MH  - Surveys and Questionnaires
AB  - A questionnaire on neonatal carried intensive care in Denmark was carried out in October 1990. The eighteen paediatric departments in the country with neonatal intensive care units all answered the questionnaire. The routines concerning transferral to a higher level of specialization, and the treatment procedures for children with a birthweight below 1500 grams and/or a gestational age under 32 weeks are described. Major regional variations were found in the degree of centralization of treatment, especially between the eastern and western part of Denmark. In an international perspective to neonatal intensive care Denmark seems to be modest with respect to initiation of treatment and the use of technology.
IS  - 0041-5782
IL  - 0041-5782
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Danish
DP  - 1993 May 31
EZ  - 1993/05/31
DA  - 1993/05/31 00:01
DT  - 1993/05/31 00:00
YR  - 1993
ED  - 19930728
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8317009

<993. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8317008
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Knudsen JL
AU  - Kamper J
AU  - Lenstrup C
FA  - Knudsen, J L
FA  - Kamper, J
FA  - Lenstrup, C
IN  - Knudsen, J L. Dansk Sygehus Institut, Kobenhavn.
TI  - [Neonatal pediatrics in Denmark. Referral and capacity, 1990]. [Danish]
OT  - Neonatal paediatri i Danmark. Visitation og beredskab, 1990.
SO  - Ugeskrift for Laeger. 155(22):1681-6, 1993 May 31
AS  - Ugeskr Laeger. 155(22):1681-6, 1993 May 31
NJ  - Ugeskrift for laeger
VO  - 155
IP  - 22
PG  - 1681-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - 0141730, wm8
IO  - Ugeskr. Laeg.
SB  - Index Medicus
CP  - Denmark
MH  - Cross-Sectional Studies
MH  - Denmark
MH  - *Hospital Bed Capacity
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Intensive Care Units, Neonatal/st [Standards]
MH  - Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Intensive Care, Neonatal/og [Organization & Administration]
MH  - Intensive Care, Neonatal/st [Standards]
MH  - Intensive Care, Neonatal/sn [Statistics & Numerical Data]
MH  - *Intensive Care, Neonatal
MH  - Patient Transfer
MH  - Referral and Consultation
MH  - Surveys and Questionnaires
AB  - A investigation on neonatal intensive care in Denmark was carried out in October 1990 based on a questionnaire. The eighteen paediatric departments in the country with neonatal intensive care units all answered the questionnaire. The neonatal capacity and its distribution in different parts of Denmark, the level of medical qualifications, the routines for transferral to departments with higher specialization and for certain treatment procedures are described. Several variations in diagnostic and therapeutic routines were found between departments with the same level of specialization. The results are compared to the findings of a similar investigation in 1984. It was found that the neonatal bed-capacity has been reduced since 1984. It was also found that this capacity is relatively smaller in the eastern part of Denmark than in the western part, and that neonatal intensive care is centralized in the eastern part and decentralized in the western part of Denmark. Compared to 1984 better access to radiological and biochemical service has been achieved, and neonatal care is to a greater degree performed by a specialist in paediatrics.
IS  - 0041-5782
IL  - 0041-5782
PT  - English Abstract
PT  - Journal Article
PP  - ppublish
LG  - Danish
DP  - 1993 May 31
EZ  - 1993/05/31
DA  - 1993/05/31 00:01
DT  - 1993/05/31 00:00
YR  - 1993
ED  - 19930728
RD  - 20151119
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8317008

<994. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8516070
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Anonymous
TI  - Guidelines and levels of care for pediatric intensive care units. Committee on Hospital Care of the American Academy of Pediatrics and Pediatric Section of the Society of Critical Care Medicine.
SO  - Pediatrics. 92(1):166-75, 1993 Jul
AS  - Pediatrics. 92(1):166-75, 1993 Jul
NJ  - Pediatrics
VO  - 92
IP  - 1
PG  - 166-75
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - oxv, 0376422
IO  - Pediatrics
SB  - Core Clinical Journals (AIM)
SB  - Index Medicus
CP  - United States
MH  - Child
MH  - Education, Medical, Continuing/st [Standards]
MH  - Equipment and Supplies, Hospital/st [Standards]
MH  - *Guidelines as Topic
MH  - Hospital Design and Construction/st [Standards]
MH  - Humans
MH  - Intensive Care Units, Pediatric/ma [Manpower]
MH  - Intensive Care Units, Pediatric/og [Organization & Administration]
MH  - *Intensive Care Units, Pediatric/st [Standards]
MH  - Personnel Staffing and Scheduling/st [Standards]
MH  - Quality Assurance, Health Care/st [Standards]
MH  - Societies, Medical
MH  - Transportation of Patients/st [Standards]
MH  - United States
IS  - 0031-4005
IL  - 0031-4005
PT  - Guideline
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993 Jul
EZ  - 1993/07/01
DA  - 1993/07/01 00:01
DT  - 1993/07/01 00:00
YR  - 1993
ED  - 19930721
RD  - 20071115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8516070

<995. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8515306
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Farel A
AU  - Kotelchuck M
AU  - Metzguer K
AU  - Fullar S
FA  - Farel, A
FA  - Kotelchuck, M
FA  - Metzguer, K
FA  - Fullar, S
IN  - Farel, A. Department of Maternal and Child Health, University of North Carolina, Chapel Hill 27599-7400.
TI  - Back transfer: capability of community hospitals to serve chronically ill and convalescing infants.
SO  - Journal of Perinatology. 13(2):132-6, 1993 Mar-Apr
AS  - J Perinatol. 13(2):132-6, 1993 Mar-Apr
NJ  - Journal of perinatology : official journal of the California Perinatal Association
VO  - 13
IP  - 2
PG  - 132-6
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - jfp, 8501884
IO  - J Perinatol
SB  - Index Medicus
CP  - United States
MH  - Chronic Disease
MH  - Convalescence
MH  - Data Collection
MH  - Hospitals, Community/cl [Classification]
MH  - Hospitals, Community/st [Standards]
MH  - *Hospitals, Community/sn [Statistics & Numerical Data]
MH  - *Hospitals, Community/ut [Utilization]
MH  - Humans
MH  - Infant
MH  - *Infant, Newborn
MH  - Intensive Care Units, Neonatal/ec [Economics]
MH  - *Intensive Care Units, Neonatal/ut [Utilization]
MH  - Length of Stay/sn [Statistics & Numerical Data]
MH  - North Carolina
MH  - *Patient Transfer
MH  - Regional Health Planning
MH  - Telephone
AB  - Severe crowding in neonatal intensive care facilities may prevent many critically ill newborn infants from receiving optimal care. Crowding could be alleviated by back transferring chronically ill or convalescing infants to intermediate-level community hospitals where community-based care can be delivered. The purpose of this study was to assess the ability of such hospitals in North Carolina to care for these children. A telephone survey was administered to all 35 intermediate-level community hospitals that had > or = 600 births per year. Hospital resources were assessed on the first call, and a 1-day census was taken for three successive months. Total daily nursery census was 288. Back-transferred infants (32) and infants whose stay exceeded 5 days (32) constituted 24% of the nursery population. Each hospital had a pediatric medical director and necessary equipment to care for back transfers, and 80% of the hospitals could accept a back-transferred infant who was in a neonatal incubator, tube fed, receiving oxygen, 1400 gm, with mild and infrequent apnea and bradycardia--a common clinical picture in such infants. The most severe limitation to accepting infants for back transfer was the shortage of nursing staff appropriately trained to care for this population. These data have implications for effective discharge planning and the development of appropriate community-based, service-delivery systems.
IS  - 0743-8346
IL  - 0743-8346
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993 Mar-Apr
EZ  - 1993/03/01
DA  - 1993/03/01 00:01
DT  - 1993/03/01 00:00
YR  - 1993
ED  - 19930719
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8515306

<996. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 2152635
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Vargas V
AU  - Castro J
AU  - del Solar F
FA  - Vargas, V
FA  - Castro, J
FA  - del Solar, F
IN  - Vargas, V. Departamento de Medicina, Universidad de Chile, Santiago.
TI  - [The admission and discharge criteria of a unit for critical patients]. [Review] [26 refs] [Spanish]
OT  - Criterios de ingreso y egreso de una unidad de pacientes criticos.
SO  - Revista Medica de Chile. 118(10):1150-5, 1990 Oct
AS  - Rev Med Chil. 118(10):1150-5, 1990 Oct
NJ  - Revista medica de Chile
VO  - 118
IP  - 10
PG  - 1150-5
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - shd, 0404312
IO  - Rev Med Chil
SB  - Index Medicus
CP  - Chile
MH  - Humans
MH  - *Intensive Care Units/og [Organization & Administration]
MH  - *Patient Admission
MH  - *Patient Discharge/st [Standards]
MH  - Patient Transfer
AB  - Admission and discharge criteria for patients in an intensive care unit are controversial, especially in view of the fact that some patients derive no benefit from intensive care therapy while depriving others from a potential benefit. The general characteristics of patients in need of intensive care are discussed. Irreversibility of the underlying condition, the quality of "terminal patient" and other factors that may contraindicate admission to an intensive care unit are analyzed. Discharge criteria for patients not expected to derive further benefit from a prolonged stay in the unit are outlined. [References: 26]
IS  - 0034-9887
IL  - 0034-9887
PT  - English Abstract
PT  - Journal Article
PT  - Review
PP  - ppublish
LG  - Spanish
DP  - 1990 Oct
EZ  - 1990/10/01
DA  - 1990/10/01 00:01
DT  - 1990/10/01 00:00
YR  - 1990
ED  - 19930715
RD  - 20061115
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2152635

<997. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8504366
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Saarmann L
FA  - Saarmann, L
TI  - Transfer out of critical care: freedom or fear?.
SO  - Critical Care Nursing Quarterly. 16(1):78-85, 1993 May
AS  - Crit Care Nurs Q. 16(1):78-85, 1993 May
NJ  - Critical care nursing quarterly
VO  - 16
IP  - 1
PG  - 78-85
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - ccn, 8704517
IO  - Crit Care Nurs Q
SB  - Nursing Journal
CP  - United States
MH  - *Critical Care/px [Psychology]
MH  - Fear
MH  - Humans
MH  - Intensive Care Units
MH  - Nurse-Patient Relations
MH  - *Patient Transfer
MH  - Stress, Psychological/et [Etiology]
MH  - *Stress, Psychological/nu [Nursing]
IS  - 0887-9303
IL  - 0887-9303
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993 May
EZ  - 1993/05/01
DA  - 1993/05/01 00:01
DT  - 1993/05/01 00:00
YR  - 1993
ED  - 19930708
RD  - 20041117
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8504366

<998. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 8489796
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Harding JE
AU  - Morton SM
FA  - Harding, J E
FA  - Morton, S M
IN  - Harding, J E. Department of Paediatrics, University of Auckland, New Zealand.
TI  - Adverse effects of neonatal transport between level III centres.
SO  - Journal of Paediatrics & Child Health. 29(2):146-9, 1993 Apr
AS  - J Paediatr Child Health. 29(2):146-9, 1993 Apr
NJ  - Journal of paediatrics and child health
VO  - 29
IP  - 2
PG  - 146-9
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - arp, 9005421
IO  - J Paediatr Child Health
SB  - Index Medicus
CP  - Australia
MH  - Female
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Newborn
MH  - Infant, Newborn, Diseases/ep [Epidemiology]
MH  - Infant, Newborn, Diseases/mo [Mortality]
MH  - *Infant, Newborn, Diseases/th [Therapy]
MH  - *Intensive Care Units, Neonatal/sn [Statistics & Numerical Data]
MH  - Male
MH  - Morbidity
MH  - New Zealand/ep [Epidemiology]
MH  - Prospective Studies
MH  - Respiration Disorders/ep [Epidemiology]
MH  - Respiration Disorders/th [Therapy]
MH  - *Transportation of Patients/sn [Statistics & Numerical Data]
MH  - Treatment Outcome
AB  - The effect of neonatal transport between level III intensive care nurseries was studied by comparing the outcome of 40 infants inborn at a regional level III centre but transported to other level III nurseries for intensive care, with 80 matched inborn controls. Transport appeared to affect respiratory status adversely but transiently. However, transported infants grew less well than control infants (32% were below 3rd centile for weight at 36 weeks vs 15% of controls), were more likely to suffer periventricular haemorrhage (40 vs 21% of controls) and had a worse neurodevelopmental outcome (70% normal at follow up vs 83% of controls). It can be concluded that for infants inborn at the National Women's Hospital, Auckland, transport to another level III centre for intensive care is associated with an increased risk of adverse outcome.
IS  - 1034-4810
IL  - 1034-4810
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PP  - ppublish
LG  - English
DP  - 1993 Apr
EZ  - 1993/04/01
DA  - 1993/04/01 00:01
DT  - 1993/04/01 00:00
YR  - 1993
ED  - 19930617
RD  - 20070924
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8489796

<999. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10148195
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - Finlay PA
FA  - Finlay, P A
IN  - Finlay, P A. Fulmer Systems Ltd., Slough, United Kingdom.
TI  - Medical robots in intensive care.
SO  - Intensive Care World. 7(1):30-1, 1990 Mar
AS  - Intensive Care World. 7(1):30-1, 1990 Mar
NJ  - Intensive care world
VO  - 7
IP  - 1
PG  - 30-1
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - bcr, 8600423
IO  - Intensive Care World
SB  - Health Technology Assessment Journals
CP  - England
MH  - Food Service, Hospital
MH  - Forecasting
MH  - General Surgery
MH  - Humans
MH  - Intensive Care Units/hi [History]
MH  - *Intensive Care Units/td [Trends]
MH  - *Robotics/td [Trends]
MH  - Transportation of Patients/mt [Methods]
IS  - 0266-7037
IL  - 0266-7037
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1990 Mar
EZ  - 1990/02/08
DA  - 1990/02/08 00:01
DT  - 1990/02/08 00:00
YR  - 1990
ED  - 19930527
RD  - 20081121
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10148195

<1000. >
VN  - Ovid Technologies
DB  - Ovid MEDLINE(R)
UI  - 10124613
VI  - 1
RO  - From MEDLINE, a database of the U.S. National Library of Medicine.
ST  - MEDLINE
AU  - de Rocquigny B
AU  - Seifert B
AU  - Caligiuri C
AU  - Roberts S
FA  - de Rocquigny, B
FA  - Seifert, B
FA  - Caligiuri, C
FA  - Roberts, S
IN  - de Rocquigny, B. Health Sciences Centre, Winnipeg, Manitoba.
TI  - Pharmacy support of a provincial neonatal transport team.
SO  - Canadian Journal of Hospital Pharmacy. 46(1):27-31, 1993 Feb
AS  - Can J Hosp Pharm. 46(1):27-31, 1993 Feb
NJ  - The Canadian journal of hospital pharmacy
VO  - 46
IP  - 1
PG  - 27-31
PI  - Journal available in: Print
PI  - Citation processed from: Print
JC  - d2k, 0215645
IO  - Can J Hosp Pharm
SB  - Health Administration Journals
CP  - Canada
MH  - Data Collection
MH  - Drug Costs/sn [Statistics & Numerical Data]
MH  - Humans
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal/og [Organization & Administration]
MH  - Inventories, Hospital/og [Organization & Administration]
MH  - Manitoba
MH  - *Pharmacy Service, Hospital/og [Organization & Administration]
MH  - Transportation of Patients/ec [Economics]
MH  - *Transportation of Patients/og [Organization & Administration]
MH  - Transportation of Patients/sn [Statistics & Numerical Data]
IS  - 0008-4123
IL  - 0008-4123
PT  - Journal Article
PP  - ppublish
LG  - English
DP  - 1993 Feb
EZ  - 1993/02/01 00:00
DA  - 1999/04/02 00:01
DT  - 1993/02/01 00:00
YR  - 1993
ED  - 19930416
RD  - 20091012
UP  - 20171128
XL  - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10124613