The Experts below are selected from a list of 249 Experts worldwide ranked by ideXlab platform
Sangeeta Mehta - One of the best experts on this subject based on the ideXlab platform.
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current sedation practices lessons learned from International Surveys
Anesthesiology Clinics, 2011Co-Authors: Sangeeta Mehta, Iain Mccullagh, Lisa BurryAbstract:Limitations are inherent to Surveys. Most Surveys have low response rates, which raises the issue of responder bias. Another limitation of self-report Surveys stems from the possible differences between stated and actual practice. That is, what physicians report that they do in Surveys often contrasts significantly with what they do in observational studies, as highlighted by the Canadian Surveys conducted in 2002 and 2008. Some Surveys report estimates provided by ICU nurse managers or physician directors, potentially resulting in inaccurate estimates or data reflecting the individuals practice rather than the entire ICU. Surveys may not reflect how different specialists practice; for example, the German Surveys collected data only in ICUs run by anesthesiologists.Notwithstanding these limitations, Surveys provide a wealth of information on current practice and determinants of practice, and serve as a useful tool to guide future research and educational interventions. The authors identified substantial International variation in the use of sedative and analgesic drugs, and marked changes over the last 10 years. Overall, there is a trend toward lighter sedation, along with a shift from benzodiazepines toward propofol, and from morphine toward fentanyl and remifentanil. Despite the publication of numerous studies and guidelines for sedation and analgesia, actual practice differs from recommended practice, suggesting that the impact of clinical trials and guidelines on physician practice is quite low. It is clear that there remain substantial barriers to the incorporation of sedation scales, protocols,and daily interruption into routine ICU care.
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current sedation practices lessons learned from International Surveys
Critical Care Clinics, 2009Co-Authors: Sangeeta Mehta, Iain Mccullagh, Lisa BurryAbstract:Patient outcomes are significantly influenced by the choice of sedative and analgesic agents, the presence of over- or undersedation, poor pain control, and delirium. Individualized sedation management using sedation assessment tools, sedation protocols, and daily sedative interruption can improve clinical outcomes. Despite the publication of randomized trials and numerous guidelines, the uptake of proven strategies into routine practice can be slow. Surveys of clinicians' self-reported practice and prospective practice audits characterize sedation and analgesia practices and provide directions for education and future research. The objective of this review is to present the findings of Surveys and practice audits, evaluating the management of sedation and analgesia in mechanically ventilated adults in the intensive care unit, and to summarize International critical care sedation practices.
Lisa Burry - One of the best experts on this subject based on the ideXlab platform.
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current sedation practices lessons learned from International Surveys
Anesthesiology Clinics, 2011Co-Authors: Sangeeta Mehta, Iain Mccullagh, Lisa BurryAbstract:Limitations are inherent to Surveys. Most Surveys have low response rates, which raises the issue of responder bias. Another limitation of self-report Surveys stems from the possible differences between stated and actual practice. That is, what physicians report that they do in Surveys often contrasts significantly with what they do in observational studies, as highlighted by the Canadian Surveys conducted in 2002 and 2008. Some Surveys report estimates provided by ICU nurse managers or physician directors, potentially resulting in inaccurate estimates or data reflecting the individuals practice rather than the entire ICU. Surveys may not reflect how different specialists practice; for example, the German Surveys collected data only in ICUs run by anesthesiologists.Notwithstanding these limitations, Surveys provide a wealth of information on current practice and determinants of practice, and serve as a useful tool to guide future research and educational interventions. The authors identified substantial International variation in the use of sedative and analgesic drugs, and marked changes over the last 10 years. Overall, there is a trend toward lighter sedation, along with a shift from benzodiazepines toward propofol, and from morphine toward fentanyl and remifentanil. Despite the publication of numerous studies and guidelines for sedation and analgesia, actual practice differs from recommended practice, suggesting that the impact of clinical trials and guidelines on physician practice is quite low. It is clear that there remain substantial barriers to the incorporation of sedation scales, protocols,and daily interruption into routine ICU care.
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current sedation practices lessons learned from International Surveys
Critical Care Clinics, 2009Co-Authors: Sangeeta Mehta, Iain Mccullagh, Lisa BurryAbstract:Patient outcomes are significantly influenced by the choice of sedative and analgesic agents, the presence of over- or undersedation, poor pain control, and delirium. Individualized sedation management using sedation assessment tools, sedation protocols, and daily sedative interruption can improve clinical outcomes. Despite the publication of randomized trials and numerous guidelines, the uptake of proven strategies into routine practice can be slow. Surveys of clinicians' self-reported practice and prospective practice audits characterize sedation and analgesia practices and provide directions for education and future research. The objective of this review is to present the findings of Surveys and practice audits, evaluating the management of sedation and analgesia in mechanically ventilated adults in the intensive care unit, and to summarize International critical care sedation practices.
Iain Mccullagh - One of the best experts on this subject based on the ideXlab platform.
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current sedation practices lessons learned from International Surveys
Anesthesiology Clinics, 2011Co-Authors: Sangeeta Mehta, Iain Mccullagh, Lisa BurryAbstract:Limitations are inherent to Surveys. Most Surveys have low response rates, which raises the issue of responder bias. Another limitation of self-report Surveys stems from the possible differences between stated and actual practice. That is, what physicians report that they do in Surveys often contrasts significantly with what they do in observational studies, as highlighted by the Canadian Surveys conducted in 2002 and 2008. Some Surveys report estimates provided by ICU nurse managers or physician directors, potentially resulting in inaccurate estimates or data reflecting the individuals practice rather than the entire ICU. Surveys may not reflect how different specialists practice; for example, the German Surveys collected data only in ICUs run by anesthesiologists.Notwithstanding these limitations, Surveys provide a wealth of information on current practice and determinants of practice, and serve as a useful tool to guide future research and educational interventions. The authors identified substantial International variation in the use of sedative and analgesic drugs, and marked changes over the last 10 years. Overall, there is a trend toward lighter sedation, along with a shift from benzodiazepines toward propofol, and from morphine toward fentanyl and remifentanil. Despite the publication of numerous studies and guidelines for sedation and analgesia, actual practice differs from recommended practice, suggesting that the impact of clinical trials and guidelines on physician practice is quite low. It is clear that there remain substantial barriers to the incorporation of sedation scales, protocols,and daily interruption into routine ICU care.
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current sedation practices lessons learned from International Surveys
Critical Care Clinics, 2009Co-Authors: Sangeeta Mehta, Iain Mccullagh, Lisa BurryAbstract:Patient outcomes are significantly influenced by the choice of sedative and analgesic agents, the presence of over- or undersedation, poor pain control, and delirium. Individualized sedation management using sedation assessment tools, sedation protocols, and daily sedative interruption can improve clinical outcomes. Despite the publication of randomized trials and numerous guidelines, the uptake of proven strategies into routine practice can be slow. Surveys of clinicians' self-reported practice and prospective practice audits characterize sedation and analgesia practices and provide directions for education and future research. The objective of this review is to present the findings of Surveys and practice audits, evaluating the management of sedation and analgesia in mechanically ventilated adults in the intensive care unit, and to summarize International critical care sedation practices.
Laura Sbaffi - One of the best experts on this subject based on the ideXlab platform.
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Progress in research data services: An International survey of university libraries
International Journal of Digital Curation, 2019Co-Authors: Andrew Cox, Mary Anne Kennan, Elizabeth Josephine Lyon, Stephen Pinfield, Laura SbaffiAbstract:University libraries have played an important role in constructing an infrastructure of support for Research Data Management at an institutional level. This paper presents a comparative analysis of two International Surveys of libraries about their involvement in Research Data Services conducted in 2014 and 2018. The aim was to explore how services had developed over this time period, and to explore the drivers and barriers to change. In particular, there was an interest in how far the FAIR data principles had been adopted. Services in nearly every area were more developed in 2018 than before, but technical services remained less developed than advisory. Progress on institutional policy was also evident. However, priorities did not seem to have shifted significantly. Open ended answers suggested that funder policy, rather than researcher demand, remained the main driver of service development and that resources and skills gaps remained issues. While widely understood as an important reference point and standard, because of their relatively recent publication date, FAIR principles had not been widely adopted explicitly in policy.
Aviva Klieger - One of the best experts on this subject based on the ideXlab platform.
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between two science curricula the influence of International Surveys on the israeli science curriculum
Curriculum Journal, 2015Co-Authors: Aviva KliegerAbstract:International Surveys have served as agents of change for the introduction of reforms in curricula worldwide. The Israeli Ministry of Education set a goal of raising Israel's ranking in International Surveys so that Israel will be among the 10 leading countries in the Program for International Student Assessment and Trends in International Mathematics and Science Study (TIMSS). The Ministry of Education therefore acted to reduce the gap between the intended and the attained science curriculum by intervening on two curricular levels: the intended and the implemented. Over the years, documents that contributed to the adoption of contents and skills from the International Surveys were added to the science curriculum, until the publication of the new science curriculum. The intervention was successful and in TIMSS 2011, Israel ranked 13 out of the 42 participating countries. The present research examines the influence of International Surveys on science education in Israel, over the course of time (1996–2011)...