LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 4 of total 4

Search options

  1. Article ; Online: Presence of family members during resuscitation.

    Hill, Robert / Fuhrman, Cathy

    Annals of emergency medicine

    2008  Volume 52, Issue 3, Page(s) 309–310

    MeSH term(s) Aged ; Cardiopulmonary Resuscitation/psychology ; Family/psychology ; Fatal Outcome ; Female ; Heart Arrest/therapy ; Humans
    Language English
    Publishing date 2008-09
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2008.03.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article: Integrating palliative medicine and critical care in a community hospital.

    Ray, Daniel / Fuhrman, Cathy / Stern, Glenn / Geracci, Jack / Wasser, Thomas / Arnold, Darryl / Masiado, Tamara / Deitrick, Lynn

    Critical care medicine

    2006  Volume 34, Issue 11 Suppl, Page(s) S394–8

    Abstract: Our objective was to describe the rationale and implementation of educational, environmental, clinical, and communication interventions designed to maximize indicators of improved palliative care in a community hospital intensive care unit. Surveys were ... ...

    Abstract Our objective was to describe the rationale and implementation of educational, environmental, clinical, and communication interventions designed to maximize indicators of improved palliative care in a community hospital intensive care unit. Surveys were used to develop educational content and methods for all levels of clinical staff and medical education. All clinical staff expressed confidence in clinical palliative processes but not in communication and psycho-spiritual issues shared with patient/families. An ambassador program and expanded visiting hours turned the waiting room into part of the therapeutic environment. New palliative order sets and practice guidelines were introduced. Interdisciplinary care planning was guided by a family communication record. Communication with families was enhanced by the use of the ambassadors, comprehensive care planning and sharing with the family within 24-48 hrs of admission, and ongoing meetings triggered by care plan changes. Quality indicators for intensive care unit-based palliative care proposed by experts provided a benchmark for evaluating the completeness of our intervention. Although not easily measured or demonstrated, it is our implicit assertion that this set of process and education interventions changed the daily nature of discourse in the intensive care unit among staff and between the staff, patients, and families.
    MeSH term(s) Communication ; Critical Care/organization & administration ; Education, Continuing ; Family ; Hospitals, Community/organization & administration ; Humans ; Intensive Care Units/organization & administration ; Nursing Staff, Hospital ; Palliative Care/organization & administration ; Process Assessment (Health Care)/organization & administration ; Quality Indicators, Health Care/organization & administration ; Visitors to Patients
    Language English
    Publishing date 2006-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/01.CCM.0000237046.62046.49
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article: Evaluation and recommendations from a study of a critical-care waiting room.

    Deitrick, Lynn / Ray, Daniel / Stern, Glenn / Fuhrman, Cathy / Masiado, Tamara / Yaich, Sandra L / Wasser, Thomas

    Journal for healthcare quality : official publication of the National Association for Healthcare Quality

    2005  Volume 27, Issue 4, Page(s) 17–25

    Abstract: The intensive care unit (ICU) waiting room is a dynamic place that influences the satisfaction of families of critically ill patients. Waiting-room comfort and amenities are important, because families often spend a great deal of nonvisiting time there. ... ...

    Abstract The intensive care unit (ICU) waiting room is a dynamic place that influences the satisfaction of families of critically ill patients. Waiting-room comfort and amenities are important, because families often spend a great deal of nonvisiting time there. A quality improvement evaluation of the ICU waiting room at Lehigh Valley Hospital, Allentown, PA, was conducted. Methods included distribution of an 18-item family survey, ethnographic observations, interviews, and assessment of the physical environment. Findings suggest that the role of the receptionist and access to food and other services were important to families and influenced their assessment of the quality of services provided by the ICU.
    MeSH term(s) Academic Medical Centers ; Adolescent ; Adult ; Consumer Behavior/statistics & numerical data ; Data Collection ; Environment Design ; Family/psychology ; Health Facility Environment ; Hospital Design and Construction ; Humans ; Intensive Care Units/standards ; Middle Aged ; Pennsylvania ; Visitors to Patients
    Language English
    Publishing date 2005-09-22
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1472097-8
    ISSN 1945-1474 ; 1062-2551
    ISSN (online) 1945-1474
    ISSN 1062-2551
    DOI 10.1111/j.1945-1474.2005.tb00564.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article: Proposed quality measures for palliative care in the critically ill: a consensus from the Robert Wood Johnson Foundation Critical Care Workgroup.

    Mularski, Richard A / Curtis, J Randall / Billings, J Andrew / Burt, Robert / Byock, Ira / Fuhrman, Cathy / Mosenthal, Anne C / Medina, Justine / Ray, Daniel E / Rubenfeld, Gordon D / Schneiderman, Lawrence J / Treece, Patsy D / Truog, Robert D / Levy, Mitchell M

    Critical care medicine

    2006  Volume 34, Issue 11 Suppl, Page(s) S404–11

    Abstract: For critically ill patients and their loved ones, high-quality health care includes the provision of excellent palliative care. To achieve this goal, the healthcare system needs to identify, measure, and report specific targets for quality palliative ... ...

    Abstract For critically ill patients and their loved ones, high-quality health care includes the provision of excellent palliative care. To achieve this goal, the healthcare system needs to identify, measure, and report specific targets for quality palliative care for critically ill or injured patients. Our objective was to use a consensus process to develop a preliminary set of quality measures to assess palliative care in the critically ill. We built on earlier and ongoing efforts of the Robert Wood Johnson Foundation Critical Care End-of-Life Peer Workgroup to propose specific measures of the structure and process of palliative care. We used an informal iterative consensus process to identify and refine a set of candidate quality measures. These candidate measures were developed by reviewing previous literature reviews, supplementing the evidence base with recently published systematic reviews and consensus statements, identifying existing indicators and measures, and adapting indicators from related fields for our objective. Among our primary sources, we identified existing measures from the Voluntary Hospital Association's Transformation of the ICU program and a government-sponsored systematic review performed by RAND Health to identify palliative care quality measures for cancer care. Our consensus group proposes 18 quality measures to assess the quality of palliative care for the critically ill and injured. A total of 14 of the proposed measures assess processes of care at the patient level, and four measures explore structural aspects of critical care delivery. Future research is needed to assess the relationship of these measures to desired health outcomes. Subsequent measure sets should also attempt to include outcome measures, such as patient or surrogate satisfaction, as the field develops the means to rigorously measure such outcomes. The proposed measures are intended to stimulate further discussion, testing, and refinement for quality of care measurement and enhancement.
    MeSH term(s) Consensus ; Continuity of Patient Care ; Critical Care/organization & administration ; Family ; Humans ; Life Support Care/organization & administration ; Palliative Care/organization & administration ; Patient Care Team/organization & administration ; Quality Indicators, Health Care/organization & administration ; Quality of Health Care/organization & administration ; Respiratory Distress Syndrome, Adult/diagnosis ; Respiratory Distress Syndrome, Adult/therapy ; Withholding Treatment
    Language English
    Publishing date 2006-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/01.CCM.0000242910.00801.53
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top