The Experts below are selected from a list of 475905 Experts worldwide ranked by ideXlab platform
Derek C Angus - One of the best experts on this subject based on the ideXlab platform.
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organizational characteristics outcomes and resource use in 78 brazilian Intensive Care Units the orchestra study
Intensive Care Medicine, 2015Co-Authors: Marcio Soares, Derek C Angus, Fernando A Bozza, Andre M Japiassu, William N Viana, Roberto Costa, Leonardo Brauer, Bruno Franco Mazza, Thiago Domingos Correa, Andre Luiz Baptiston NunesAbstract:Purpose Detailed information on organization and process of Care in Intensive Care Units (ICU) in emerging countries is scarce. Here, we investigated the impact of organizational factors on the outcomes and resource use in a large sample of Brazilian ICUs.
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perceptions of safety culture vary across the Intensive Care Units of a single institution
Critical Care Medicine, 2007Co-Authors: David T Huang, Bryan J Sexton, Gilles Clermont, Crystal A Karlo, Rachel G Miller, Lisa A Weissfeld, Kathy Rowan, Derek C AngusAbstract:Objective:To determine whether safety culture factors varied across the Intensive Care Units (ICUs) of a single hospital, between nurses and physicians, and to explore ICU nursing directors' perceptions of their personnel's attitudes.Design:Cross-sectional surveys using the Safety Attitudes Question
Susan J. Hall - One of the best experts on this subject based on the ideXlab platform.
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Paediatric pain assessment in Intensive Care Units
Intensive & critical care nursing, 1995Co-Authors: Susan J. HallAbstract:In this exploration of the problem of assessing children' pain in Intensive Care Units (ICUs), literature spanning the last 10 years was reviewed to identify factors that affect pain assessment, such as developmental stage, health professionals' attitudes and myths. Selected pain assessment tools are briefly described and evaluated for use in Intensive Care with children. Although this review is small, it is clear that despite nurses' recognition of the need for pain assessment in children, and the appearance of many new assessment tools, health professionals may still not be managing paediatric pain effectively. The search also revealed that little appears to have been written about this problem as it occurs in ICUs, and more research is indicated.
Marcio Soares - One of the best experts on this subject based on the ideXlab platform.
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organizational characteristics outcomes and resource use in 78 brazilian Intensive Care Units the orchestra study
Intensive Care Medicine, 2015Co-Authors: Marcio Soares, Derek C Angus, Fernando A Bozza, Andre M Japiassu, William N Viana, Roberto Costa, Leonardo Brauer, Bruno Franco Mazza, Thiago Domingos Correa, Andre Luiz Baptiston NunesAbstract:Purpose Detailed information on organization and process of Care in Intensive Care Units (ICU) in emerging countries is scarce. Here, we investigated the impact of organizational factors on the outcomes and resource use in a large sample of Brazilian ICUs.
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characteristics and outcomes of patients with cancer requiring admission to Intensive Care Units a prospective multicenter study
Critical Care Medicine, 2010Co-Authors: Marcio Soares, Fernando A Bozza, Pedro Caruso, Eliezer Silva, Jose Mario Meira Teles, Suzana Margareth Lobo, Gilberto Friedman, Felipe Dal Pizzol, Patricia Veiga C Mello, Ulisses V A SilvaAbstract:Objective:To evaluate the characteristics and outcomes of patients with cancer admitted to several Intensive Care Units. Knowledge on patients with cancer requiring Intensive Care is mostly restricted to single-center studies.Design:Prospective, multicenter, cohort study.Setting:Intensive Care Units
Bryan J Sexton - One of the best experts on this subject based on the ideXlab platform.
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assessing and improving safety climate in a large cohort of Intensive Care Units
Critical Care Medicine, 2011Co-Authors: Bryan J Sexton, Christine A Goeschel, Sam R Watson, Sean M Berenholtz, David A Thompson, Christine G Holzmueller, Robert C Hyzy, Jill A Marsteller, Kathy Schumacher, Peter J PronovostAbstract:Objectives:To evaluate the impact of a comprehensive unit-based safety program on safety climate in a large cohort of Intensive Care Units participating in the Keystone Intensive Care unit project.Design/Setting:A prospective cohort collaborative study to improve quality of Care and safety culture b
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sustaining reductions in catheter related bloodstream infections in michigan Intensive Care Units observational study
BMJ, 2010Co-Authors: Peter J Pronovost, Christine A Goeschel, Elizabeth Colantuoni, Sam R Watson, Lisa H Lubomski, Sean M Berenholtz, David A Thompson, David J Sinopoli, Sara E Cosgrove, Bryan J SextonAbstract:Objectives To evaluate the extent to which Intensive Care Units participating in the initial Keystone ICU project sustained reductions in rates of catheter related bloodstream infections. Design Collaborative cohort study to implement and evaluate interventions to improve patients’ safety. Setting Intensive Care Units predominantly in Michigan, USA. Intervention Conceptual model aimed at improving clinicians’ use of five evidence based recommendations to reduce rates of catheter related bloodstream infections rates, with measurement and feedback of infection rates. During the sustainability period, Intensive Care unit teams were instructed to integrate this intervention into staff orientation, collect monthly data from hospital infection control staff, and report infection rates to appropriate stakeholders. Main outcome measures Quarterly rate of catheter related bloodstream infections per 1000 catheter days during the sustainability period (19-36 months after implementation of the intervention). Results Ninety (87%) of the original 103 Intensive Care Units participated, reporting 1532 Intensive Care unit months of data and 300 310 catheter days during the sustainability period. The mean and median rates of catheter related bloodstream infection decreased from 7.7 and 2.7 (interquartile range 0.6-4.8) at baseline to 1.3 and 0 (0-2.4) at 16-18 months and to 1.1 and 0 (0.0-1.2) at 34-36 months post-implementation. Multilevel regression analysis showed that incidence rate ratios decreased from 0.68 (95% confidence interval 0.53 to 0.88) at 0-3 months to 0.38 (0.26 to 0.56) at 16-18 months and 0.34 (0.24-0.48) at 34-36 months post-implementation. During the sustainability period, the mean bloodstream infection rate did not significantly change from the initial 18 month post-implementation period (−1%, 95% confidence interval −9% to 7%). Conclusions The reduced rates of catheter related bloodstream infection achieved in the initial 18 month post-implementation period were sustained for an additional 18 months as participating Intensive Care Units integrated the intervention into practice. Broad use of this intervention with achievement of similar results could substantially reduce the morbidity and costs associated with catheter related bloodstream infections.
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perceptions of safety culture vary across the Intensive Care Units of a single institution
Critical Care Medicine, 2007Co-Authors: David T Huang, Bryan J Sexton, Gilles Clermont, Crystal A Karlo, Rachel G Miller, Lisa A Weissfeld, Kathy Rowan, Derek C AngusAbstract:Objective:To determine whether safety culture factors varied across the Intensive Care Units (ICUs) of a single hospital, between nurses and physicians, and to explore ICU nursing directors' perceptions of their personnel's attitudes.Design:Cross-sectional surveys using the Safety Attitudes Question
B. Mégarbane - One of the best experts on this subject based on the ideXlab platform.
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Exogenous acquisition of Pseudomonas aeruginosa in Intensive Care Units: a prospective multi-centre study (DYNAPYO study)
Journal of Hospital Infection, 2020Co-Authors: M. Coppry, C. Slekovec, X. Bertrand, C. Leroyer, M. Saly, A-g Venier, S. Parer, S. Alfandari, E. Cambau, B. MégarbaneAbstract:Pseudomonas aeruginosa remains one of the most common nosocomial pathogens in Intensive Care Units (ICUs). Although exogenous acquisition has been widely documented in outbreaks, its importance is unclear in non-epidemic situations.
