Search Tag: ICU

ICU Management

Physical Rehabilitation in the ICU

2022 01 Mar

Approximately 65% of patients who survive critical illness suffer clinically detectable weakness due to muscle mass loss, myopathy and polyneuropathy. These changes occur early in ICU admission and are associated with prolonged weaning from mechanical ventilation and increased ICU and hospital length of stay. Clinical weakness is also associated with... Read more

ICU Management

Information Transfer as a Strategy to Improve Safety in ICU

2022 17 Feb

The transmission of information (TOI) in extremely variable environments, such as the ICU, is crucial. The content and how it is transmitted can be decisive in the safe care of the critical patient. Introduction In an Intensive Care Unit (ICU), we attend people with a wide range of pathologies. All the information obtained... Read more

ICU Management

Doing More Can Be Worse: Ten Common Errors in the ICU

2022 17 Feb

Some of the most common interventions in the ICU can be associated with poor results. We present ten situations in which doing less is better for the critically ill patient. Introduction For decades, the focus of patient management in the Intensive Care Unit (ICU) has been to perform a large number of interventions in critically ill patients,... Read more

ICU Management

Processes to Reduce Medication Errors in the ICU

2022 17 Feb

Medication errors are common in the complex environment of the ICU. This article provides an overview of the prevalence and impact of these errors and the processes that could help reduce their incidence. Introduction Medicines are the most widely used intervention in the critical care environment, and errors in medication use are a well-established... Read more

ICU Management

Monitoring Postoperative Hypotension – A Futuristic Look at Patient Safety

2022 17 Feb

Post-operative hypotension is a frequent occurrence that is unrecognised with intermittent spot checks based monitoring in most hospital ward patients. Myocardial injury is strongly associated with hypotension in this period of recovery from surgery. Upgrading ward monitoring to portable, smart, and continuous systems with effective alarm management... Read more

ICU Management

Nurse-Driven Initiatives Impact Patient Safety

2022 17 Feb

This article highlights the effects of the COVID-19 pandemic on patient quality and safety and discusses an academy designed to support nurses to design and implement innovative solutions. Introduction The COVID-19 pandemic has heightened the crisis of patient safety with an increase in hospital-acquired conditions (HACs) after more than... Read more

ICU Management

The Role of a Mortality Review Committee in a Paediatric and Maternity Hospital

2022 17 Feb

There is little information in the current literature on the organisation of mortality review committees in paediatric and maternity hospitals. This article aims to explain the objectives and function of the mortality review committee of our hospital, an articulated tool to improve the quality of patient care based on reviews of deaths in our centre.... Read more

ICU Management

Diagnostic and Prognostic Value of Estimated Plasma Volume Status

2022 17 Feb

An overview of estimated plasma volume (ePVS), recent evidence supporting the association of ePVS with clinical congestion and whether it can help improve outcomes in patients with heart failure (HF). Plasma volume (PV) is the level of intravascular fluid minus the red blood cells, white blood cells and platelets. PV in heart failure (HF) patients... Read more

ICU Management

Learning from Medical Errors

2022 17 Feb

Healthcare professionals/trainees are often unprepared to experience and learn from errors due to structural characteristics of our systems and training programmes. Restructuration is needed to allow learning from errors. Introduction Medical error is considered one of the ten leading causes of death and disability in the world and as many... Read more