keyword
https://read.qxmd.com/read/38536623/gut-barrier-dysfunction-and-the-risk-of-icu-acquired-bacteremia-a-case-control-study
#1
JOURNAL ARTICLE
Meri R J Varkila, Diana M Verboom, Lennie P G Derde, Tom van der Poll, Marc J M Bonten, Olaf L Cremer
BACKGROUND: Impaired intestinal barrier function can enable passage of enteric microorganisms into the bloodstream and lead to nosocomial bloodstream infections during critical illness. We aimed to determine the relative importance of gut translocation as a source for ICU-acquired enterococcal bacteremia of unknown origin. METHODS: We conducted a nested case-control study in two mixed medical-surgical tertiary ICUs in the Netherlands among patients enrolled between 2011 and 2018...
March 27, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38531666/adaptation-and-validation-of-the-physical-restraint-theory-of-planned-behaviour-questionnaire-to-the-paediatric-context
#2
JOURNAL ARTICLE
Alejandro Bosch Alcaraz, Pedro Piqueras Rodríguez, Jesús Corrionero Alegre, José Miguel García Piñero, Sylvia Belda Hofheinz, Sonia Gil Domínguez, Esperanza Zuriguel Pérez, Patricia Luna Castaño, M Ángeles Saz Roy, Marta Martínez Oliva, Susana González Rivas, Nerea Añaños Montoto, María José Espildora González, Elena Martín-Peñasco Osorio, Eva Carracedo Muñoz, Eduardo López Fernández, Gema Lozano Almendral, Alicia Gomez Merino, David Morales Cervera, Rocío Fernández Lorenzo, María Mata Ferro, Ainhoa Martín Gómez, Marta Serradell Orea, Cristina Esquinas López, Gemma Via Clavero
OBJECTIVE: To create and test psychometrically a paediatric version of the Physical Restraint-Theory of Planned Behaviour Questionnaire to assess paediatric critical care nurses' intention to use physical restraint. DESIGN: A psychometric study. SETTING: Five medical-surgical Paeditric Intensive care Units from five hospitals in Spain. METHODS: The study took place in three phases. In phase 1, the questionnaire was adapted...
March 26, 2024: Nursing in Critical Care
https://read.qxmd.com/read/38527323/a-peer-to-peer-approach-to-increasing-staff-competency-and-engagement-in-wound-and-ostomy-care-a-quality-improvement-project
#3
JOURNAL ARTICLE
Alexis M Aningalan, Stephanie I Walker, Brittany Ray Gannon
PURPOSE: The purpose of this quality improvement (QI) project was to provide an innovative, participatory approach to the education of staff nurses and nursing support personnel to improve skills and competencies in wound and ostomy care while enhancing staff engagement and empowerment. PARTICIPANTS AND SETTING: Project planning occurred between January and October 2020 and implementation began in November 2020. The project was implemented in 1 intensive care unit and 6 adult medical-surgical units of a 288-bed community hospital in the northeastern United States (Bronxville, New York)...
March 2024: Journal of Wound, Ostomy, and Continence Nursing
https://read.qxmd.com/read/38520292/delayed-vs-early-admission-to-intensive-care-a-retrospective-review-of-outcomes-and-clinical-indicators-of-deterioration-following-trauma
#4
JOURNAL ARTICLE
Emily Rhoton, A J Bethurum, Sarah King, Lou M Smith
Unplanned admission to an intensive care unit (ICU) is a trauma quality improvement indicator associated with increased morbidity, mortality, and hospital resource usage. We identified demographics, injuries, and other clinical factors between early ICU admission, <72 hrs after admission (EAd), and delayed admission, >72 hrs (DelAd) from a medical/surgical floor. 146 trauma patients admitted to ICU at a level 1 trauma center from January 2020 to March 2023 met inclusion criteria and were divided into EAd and DelAd...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38518920/a-retrospective-analysis-of-perioperative-complications-of-lateral-approach-lumbar-interbody-fusion-in-patients-with-prior-abdominal-surgery-or-a-history-of-colonic-inflammatory-disease
#5
JOURNAL ARTICLE
Michael D Shost, Edward Barksdale, Mina Huerta, Karrington Seals, Nicholas Rabah, Bilal Butt, Michael Steinmetz
BACKGROUND CONTEXT: Lateral approaches for lumbar interbody fusion (LIF) allow for access to the lumbar spine and disk space by passing through a retroperitoneal corridor either pre- or trans-psoas. A contraindication for this approach is the presence of retroperitoneal scarring that may occur from prior surgical intervention in the retroperitoneal space or from inflammatory conditions with fibrotic changes and pose challenges for the mobilization and visualization needed in this approach...
March 20, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38517502/clinical-decision-support-tools-useful-for-identifying-sepsis-risk
#6
JOURNAL ARTICLE
Theresa Heineman, Cary Orrick, Teresa K Phan, Linda Denke, Folefac Atem, Keri Draganic
PURPOSE: Evaluate the effectiveness of the clinical decision support tools (CDSTs), POC Advisor (POCA), and Modified Early Warning System (MEWS) in identifying sepsis risk and influencing time to treatment for inpatients, comparing their respective alert mechanisms. METHODS: This study was conducted at two academic university medical center hospitals. Data from adult inpatients in medical-surgical and telemetry units were analyzed from January 1, 2020, to December 31, 2020...
April 1, 2024: Nursing
https://read.qxmd.com/read/38517041/knowing-your-team-in-the-intensive-care-unit-an-ethnographic-study-on-familiarity
#7
JOURNAL ARTICLE
Deena Kelly Costa, Emily M Boltey, Elizabeth A Mosley, Milisa Manojlovich, Nathan C Wright
Effective interprofessional team function is integral to high-quality care in the intensive care unit (ICU). However, little is known about how familiarity develops among teams, which may be an important antecedent to effective team function and quality care. To examine team familiarity and how it impacts ICU team function and care, we conducted an ethnographic study in four ICUs (two medical ICUs, one mixed medical-surgical ICU, and one surgical ICU) in two community hospitals and one academic medical center...
March 22, 2024: Journal of Interprofessional Care
https://read.qxmd.com/read/38512188/automated-screening-to-enhance-proactive-consultation-liaison-psychiatry-services-in-acute-medicine-units-evaluation-of-service-outcomes
#8
JOURNAL ARTICLE
Mark A Oldham, Daniel D Maeng, Beth Heaney, Patrick Walsh, Conrad Gleber, George Nasra, Justin L Hopkin, Hochang B Lee
Objective: Proactive consultation-liaison (C-L) psychiatry aims to meet the mental health needs of medical-surgical populations-many of which go unmet by the conventional C-L model-through systematic screening and integrated care. We implemented an automated screening list to enhance case identification of an existing proactive C-L service and evaluated service metrics along with clinician- and patient-reported outcomes. Methods: Service outcomes were evaluated using historical and contemporary comparison data...
March 19, 2024: Primary Care Companion to CNS Disorders
https://read.qxmd.com/read/38505714/the-gonio-scratch-study-methodology-of-a-multicenter-clinical-trial-establishing-a-new-minimally-invasive-glaucoma-surgery
#9
MULTICENTER STUDY
Kana Tokumo, Naoki Okada, Tsukasa Mochizuki, Hiromitsu Onoe, Kaori Komatsu, Hideaki Okumichi, Kazuyuki Hirooka, Hideki Mochizuki, Mitsunobu Yokoyama, Yoshiaki Kiuchi
There are numerous surgical procedures for glaucoma. Minimally invasive glaucoma surgery is becoming popular; however, the disadvantage is the high incidence of anterior chamber hemorrhage. Heavy bleeding can also lead to increased intraocular pressure (IOP) postoperatively. Gonio scratch is a surgical procedure that improves aqueous humor outflow by rubbing off deposits on the trabecular meshwork with a Diamond Dusted Sweeper. As the conjunctiva and trabecular meshwork are not incised, no postoperative bleeding is expected, and the IOP spike will be minimal...
February 2024: Nagoya Journal of Medical Science
https://read.qxmd.com/read/38503645/most-hospitalized-patients-with-significant-tricuspid-regurgitation-have-advanced-disease-preventing-transcatheter-tricuspid-valve-intervention
#10
JOURNAL ARTICLE
Allison O Dumitriu Carcoana, Christopher B Scoma, Sebastian N Maletz, Jose A Malavet, Daniela R Crousillat, Fadi A Matar
BACKGROUND: More than moderate tricuspid regurgitation (TR) is associated with high mortality. Surgical tricuspid valve repair and replacements are rarely performed due to high operative mortality risk, mainly attributed to late presentation. Novel transcatheter tricuspid valve intervention (TTVI) devices are being developed as an alternative to surgery. The population of patients presenting to tertiary care centers who can benefit from TTVI has not been well defined. METHODS: We retrospectively analyzed 12,677 consecutive 2D echocardiograms completed at our tertiary care center between March 2021 and March 2022 and identified hospitalized patients with more than moderate TR...
March 8, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38503244/medical-surgical-patients-with-untreated-hazardous-drinking-randomized-controlled-trial-of-the-do-most-intervention-to-improve-health-outcomes-over-12-month-follow-up
#11
JOURNAL ARTICLE
Christine Timko, Kathryn Macia, Mandy Lewis, Mai Chee Lor, Daniel Blonigen, Mary Jannausch, Mark Ilgen
INTRODUCTION: High prevalence and harmful consequences of hazardous drinking among medical-surgical patients underscore the importance of intervening with drinking to improve patients' health. This study evaluated a novel intervention, "Drinking Options - Motivate, Shared Decisions, Telemonitor" (DO-MoST). METHODS: In a randomized design, 155 medical-surgical patients with untreated hazardous drinking were assigned to enhanced usual care or DO-MoST, and followed 3, 6, and 12 months later...
March 5, 2024: Drug and Alcohol Dependence
https://read.qxmd.com/read/38501839/development-of-a-telehealth-simulation-using-intraprofessional-collaboration
#12
JOURNAL ARTICLE
Kimberly Rumsey, Shinu Joy, Dwayne More, Morgan Cangelosi, Juan Feng, Margaret Touw
Telehealth allows access to high-quality, holistic patient care, including diagnosis, interventions, treatments, monitoring, and patient education. As the use of telehealth continues to increase, faculty considered the need for entry-level nursing students to be introduced to telehealth and its services. Faculty from the medical-surgical II and mental health courses developed a learning experience for students that blends concepts from both courses, as patients often present with multiple problems. The telehealth experience helped students utilize assessment skills, learn delegation, and connect concepts from two courses to provide care for a patient remotely...
March 20, 2024: Nursing Education Perspectives
https://read.qxmd.com/read/38496098/country-of-origin-of-medical-products-and-risk-of-labour-rights-abuse-a-cross-sectional-analysis-using-four-procurement-datasets
#13
JOURNAL ARTICLE
Jasmin Abbott, Chantelle Rizan, James N Smith, Merete Loeken, Mei L Trueba, Mahmood F Bhutta
Background Case studies have highlighted labour rights abuse in the manufacture of several healthcare products, but little is known about the scale of the problem or the specific products involved. We aimed to quantify and compare the overall and product-specific risks of labour rights abuse in the manufacture of healthcare products supplied to high-income settings using multiple datasets on the product country of origin (COO). Methods Public procurement data from South-Eastern Norway (n=23,972 products) were compared to datasets from three other high-income settings: procurement data from Cambridge University Hospitals, trade data from UN Comtrade, and registry data from the US Food and Drug Administration (FDA)...
February 2024: Curēus
https://read.qxmd.com/read/38484166/trauma-patient-centered-discharge-plan-form-a-pilot-study
#14
JOURNAL ARTICLE
Lisa G Stricker, Alice Running, Amanda H Lucas, Barry A McKenzie
BACKGROUND: Comprehensive and multidisciplinary discharge planning can improve trauma patient throughput, decrease length of hospitalization, increase family and patient support, and expedite hospital discharge. OBJECTIVE: This study aimed to assess the feasibility and acceptability of implementing a patient-centered discharge plan form for adult trauma patients. METHODS: A single-center pilot study was conducted with adult trauma patients on a neurosurgical medical-surgical floor at a Level II trauma center in the Western United States from January to February 2023...
March 2024: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/38479195/the-effect-of-vasopressor-agents-on-pressure-injury-development-in-intensive-care-patients
#15
JOURNAL ARTICLE
Ayda Kebapci, Ruhat Tilki
BACKGROUND: Vasopressors are life-saving agents that increase mean arterial pressure. The pharmacodynamic features of these agents and previous studies suggest that vasopressors may be an essential risk factor in developing pressure injuries. OBJECTIVE: This study aimed to examine the effect of vasopressors in medical-surgical intensive care patients on pressure injury development. DESIGN AND SETTINGS: This retrospective and correlational study was conducted between March 2021- May 2022...
March 12, 2024: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38477470/the-role-of-hospital-characteristics-in-clinical-and-quality-outcomes-for-gastrointestinal-bleeding-in-a-national-cohort
#16
JOURNAL ARTICLE
Shazia Mehmood Siddique, Gary Hettinger, Anwesh Dash, Mark Neuman, Nandita Mitra, James D Lewis
INTRODUCTION: There is substantial variability in patient outcomes for gastrointestinal bleeding (GIB) across hospitals. This study aimed to identify hospital factors associated with GIB outcomes. METHODS: This was a retrospective cohort study of Medicare fee-for-service beneficiaries hospitalized for GIB from 2016-2018. These data were merged with the American Hospital Association Annual Survey data to incorporate hospital characteristics. We used generalized linear mixed effects models to estimate the effect of hospital level characteristics on patient outcomes after adjusting for patient risk factors including anticoagulant and antiplatelet use, recent GIB, and comorbidities...
March 13, 2024: American Journal of Gastroenterology
https://read.qxmd.com/read/38469366/improving-nurse-physician-bedside-communication-using-a-patient-experience-quality-improvement-pilot-project-at-an-academic-medical-center
#17
JOURNAL ARTICLE
Justin Wang, Vasco Deon Kidd, Brad Giafaglione, Brian Strong, Anuj Ohri, Janice White, Alpesh Amin
Introduction  Patient experience is a crucial aspect of healthcare delivery, and it encompasses various elements that contribute to a patient's perception of the care they receive. Patient satisfaction and patient experience are related but distinct concepts. Patient experience focuses on whether specific aspects of care occurred, while patient satisfaction gauges whether patient expectations were met. It goes beyond mere satisfaction and delves into the broader aspects of how patients interact with the healthcare system and the quality of those interactions, with health plans, doctors, nurses, and staff in various healthcare facilities...
March 2024: Curēus
https://read.qxmd.com/read/38467584/effects-of-nurse-managers-inclusive-leadership-on-nurses-psychological-safety-and-innovative-work-behavior-the-moderating-role-of-collectivism
#18
REVIEW
Seung Eun Lee, J K Seo
INTRODUCTION: In the rapidly evolving healthcare landscape, the capacity to foster innovative work behavior among nurses is increasingly important. This study examined the dynamics between inclusive leadership, psychological safety, collectivism, and innovative work behavior among nurses. DESIGN: The study used a cross-sectional, correlational design. METHODS: This study utilized data from 730 medical-surgical nurses who provided direct care to patients...
March 11, 2024: Journal of Nursing Scholarship
https://read.qxmd.com/read/38467169/surgical-videos-on-youtube-%C3%A2-are-not-peer-reviewed-and-have-low-educational-value
#19
EDITORIAL
Nichole M Perry, John J Kelly, Bruce A Levy
The rise of online platforms like YouTube for health information has prompted scrutiny over the quality of medical/surgical related video content. Recent research on YouTube videos regarding anterior cruciate ligament reconstruction (ACL-R) with quadriceps tendon (QT) autograft shows low educational quality and reliability using established assessment tools. Physicians primarily published content, with longer videos, and physician generated videos, generally correlating with higher quality. However, YouTube's inadequacy as a reliable source for ACL-R information underscores the need for alternative educational resources...
March 9, 2024: Arthroscopy
https://read.qxmd.com/read/38464893/the-neurological-wake-up-test-in-severe-pediatric-traumatic-brain-injury-a-long-term-single-center-experience
#20
JOURNAL ARTICLE
Hilde D Mulder, Jelte Helfferich, Martin C J Kneyber
OBJECTIVES: To describe the use and outcomes of the neurological wake-up test (NWT) in pediatric severe traumatic brain injury (pTBI). DESIGN: Retrospective single-center observational cohort study. SETTING: Medical-surgical tertiary pediatric intensive care unit (PICU) in a university medical center and Level 1 Trauma Center. PATIENTS: Children younger than 18 years with severe TBI [i.e., Glasgow Coma Scale (GCS) of ≤8] admitted between January 2010 and December 2020...
2024: Frontiers in Pediatrics
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