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Search results for "Specialization of Care"
Journal Article > Study
Johnston M, Arora S, King D, Stroman L, Darzi A. Surgery. 2014;155:989-994.
This interview study examined escalation of care, the process by which a patient's deteriorating clinical status is recognized and acted upon, among surgical patients. Attending surgeons, trainees, intensivists, and rapid response team members believe that protocols for escalation of care lack clarity and that there is a dearth of supervision from senior clinicians. Similar to studies of handoffs, direct conversation—either in person or via mobile phone—was deemed preferable to hospital paging systems. Participants identified communication training, explicit and clear protocols, and increased supervision as key to improving the care of deteriorating surgical patients. Accompanying editorials highlight the importance of communication and the need for a safety culture that supports multidisciplinary teams.
Journal Article > Review
Odell M, Victor C, Oliver D. J Adv Nurs. 2009;65:1992-2006.
This systematic review indicates that nurses use their clinical judgment to determine if a patient's clinical condition is deteriorating, with vital signs and other objective measures used adjunctively. This finding has implications for the use of "trigger" systems for alerting staff to unstable patients.
Moroney N, Knowles C. Nurs Manag (Harrow). April 2006;13:28-31.
The authors describe the development, testing, and results of a multidisciplinary rounding initiative. They found that patients appreciated the rounds and that nurses felt more engaged, empowered, and respected.