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Patient safety and quality of care in intensive care medicine /
The maxim "Primum non nocere" is almost as old as the practice of medicine. In combination with the principles of beneficence, autonomy and justice, and whilst keeping in mind the confidence and dignity of the patient, it should constitute the basis of our behaviours as physicians and nurs...
| Clasificación: | Libro Electrónico |
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| Autor Corporativo: | |
| Otros Autores: | |
| Formato: | Electrónico eBook |
| Idioma: | Alemán |
| Publicado: |
Berlin [Germany] :
Medizinisch Wissenschaftliche Verlagsgesellschaft,
2009.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Cover; Titel; Editors; Preface; Content; Improving safety in intensive care
- What does it mean?; A. Safety in Intensive Care Medicine; Current definitions of patient safety; How unsafe is my ICU?; Patient safety
- What we have learned over the past years; Building a safety culture within the ICU; Shall we publish our error rates?; Moving from safe ICUs to safe systems; B. Decision making; Risk/benefit ratios in critical care decisions; Safe triage decision; C. Culture and behaviour; The importance of ICU culture; Training teamwork using simulation; Efficacy versus efficiency
- A safety issue.
- Identifying barriers to change
- The gap between perception and practiceTo err is human. But how to communicate these errors to patients and family?; D. Structure andprocesses; Quality in critical care; Volume and outcome in intensive care; Documenting care in the ICU
- An expert witness view; Open versus closed units; Quality and safety in critical care: Rapid response, medical emergency or outreach teams?; E. Protocolised medicine; Should care be homogenised?; Implementing the state of the art
- Sepsis bundles; Guidelines have done more harm than good.
- Do nurse-led protocols reduce intensive care unit stay?Developing guidelines
- The example of the Surviving Sepsis Campaign; Protocolised sedation to improve outcomes; Protocolised approach to the post-surgical patient improves outcome; Electronic Prescribing: Can it reduce error?; F. First do no harm; Does pharmacokinetics impact on clinical practice?; Avoiding toxicity of antibiotics; Frequently forgotten factors in empirical antibiotic treatment; Primum non nocere: Avoiding harm during mechanical ventilation.
- Avoiding harm in fluid resuscitation: Emerging evidence for the toxicity of synthetic colloids in critically ill patientsAvoiding harm in metabolic management; Avoiding harm in cardiovascular care; Avoiding harm in acute renal failure; Avoiding harm in neurocritical care; Avoiding harm in CPR; Avoiding harm after cardiac surgery; Avoiding harm during intra- and inter-hospital transport; How do you safely mobilise your intubated and ventilated patient?; G. Safety during technical support; Patient safety and physiological monitoring; Patient safety and respiratory support.
- Patient safety during continuous renal replacement therapyPatient safety and infusion technology; Patient safety and health informatics; Pulmonary artery catheter: Balance between safe and optimal use; H. Training, teaching, and education; Approaches to improving the reliability and safety of patient care; Core curriculum and competencies for advanced training in neurocritical care
- The American way; I. Risk management; Measuring the impact of Patient Safety Programmes: The Value of Process and Outcome Evaluation; Risk adjustment in neurocritical care (the RAIN study).