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In this article, a leading expert in the area of improving health care quality argues that restricting visiting hours in ICUs is neither caring, compassionate, nor necessary.
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Clinicians have been criticized for prescribing too much, as well as too little, sedation for critically ill patients, especially patients who require mechanical ventilation. Over-sedation may prolong weaning from ventilatory support, increase ICU and hospital lengths of stay, and predispose to development of ventilator-associated pneumonia. Inadequate sedation predisposes the patient to pain and discomfort and can evoke a stress response that compromises recovery.
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Erythromycin and the Risk of Sudden Death; Vaccine Shortage Putting Americans At Risk; FDA Actions.
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In this study of anonymously reported adverse occurrences related to intra-hospital transportation of critically ill patients, problems were related to equipment in 39% and to patient/staff management issues in 61%; 31% of the incidents had serious adverse outcomes.
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During a 5-year period, 45 patients were admitted to an inner-city teaching hospital with angioedema caused by angiotensin-converting inhibitor medications, and 18 (40%) of them required ICU admission for potential upper-airway compromise.
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If the average waiting time in your ED is more than an hour, maybe you could learn a thing or two from ED managers who report that their patients wait less than 60 minutes for treatment.
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Irving, TX-based VHA reduced waiting times by initiating an account number at or before triage, says Jeanne McGrayne, RN, MSN, director of emergency department consulting.
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Your ED can be significantly better prepared for cardiac patients if you receive more complete monitor data while the patient is en route to the hospital, say sources interviewed by ED Management.
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Underdosing of acetaminophen by parents and emergency department utilization; Multicenter study of emergency department visits for food allergies; Experience of domestic violence by women attending an inner-city accident and emergency department.
