Prevention of deterioration in acutely ill patients in hospital

作者: Colin Steen

DOI: 10.7748/NS2010.08.24.49.49.C7935

关键词: MedicinePatient transferNursing staffMedical emergencyVital signsSeverity of illnessIntensive care medicineHealth professionalsIntervention (counseling)

摘要: The shift towards providing critical care in general wards has changed the way acutely ill patients are identified, treated and managed hospital. This requires expertise of knowledgeable, informed capable staff. Effective education appropriate knowledge skills required to aid identification deteriorating patient provide prompt, timely intervention prevent further deterioration possibly death. article provides information about a systematic approach that will enable healthcare professionals intervene patients.

参考文章(18)
H McGloin, M Singer, S K Adam, Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable Journal of The Royal College of Physicians of London. ,vol. 33, pp. 255- 259 ,(1999)
Amelia Williamson, Barbara Hoggart, Pain: a review of three commonly used pain rating scales. Journal of Clinical Nursing. ,vol. 14, pp. 798- 804 ,(2005) , 10.1111/J.1365-2702.2005.01121.X
G. Smith, M. Nielsen, ABC of intensive care. Criteria for admission BMJ. ,vol. 318, pp. 1544- 1547 ,(1999) , 10.1136/BMJ.318.7197.1544
Michael R Pinsky, The critically ill patient. Kidney International. ,vol. 66, ,(1998)
Roch Cantwell, Thomas Clutton-Brock, Griselda Cooper, Andrew Dawson, James Drife, Debbie Garrod, Ann Harper, Diana Hulbert, Sebastian Lucas, John McClure, Harry Millward-Sadler, James Neilson, Catherine Nelson-Piercy, Jane Norman, Colm O'Herlihy, Margaret Oates, Judy Shakespeare, Michael de Swiet, Catherine Williamson, Valerie Beale, Marian Knight, Christopher Lennox, Alison Miller, Dharmishta Parmar, Jane Rogers, Anna Springett, Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer: 2006-2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. British Journal of Obstetrics and Gynaecology. ,vol. 118, pp. 1- 203 ,(2011) , 10.1111/J.1471-0528.2010.02847.X
Goldhill, Worthington, Mulcahy, Tarling, Sumner, The patient-at-risk team: identifying and managing seriously ill ward patients. Anaesthesia. ,vol. 54, pp. 853- 860 ,(1999) , 10.1046/J.1365-2044.1999.00996.X
Roland M.H. Schein, Nelson Hazday, Maria Pena, Bradley H. Ruben, Charles L. Sprung, Clinical Antecedents to In-Hospital Cardiopulmonary Arrest Chest. ,vol. 98, pp. 1388- 1392 ,(1990) , 10.1378/CHEST.98.6.1388
P. McQuillan, S. Pilkington, A. Allan, B. Taylor, A. Short, G. Morgan, M. Nielsen, D. Barrett, G. Smith, Confidential inquiry into quality of care before admission to intensive care. BMJ. ,vol. 316, pp. 1853- 1858 ,(1998) , 10.1136/BMJ.316.7148.1853
A. Rudra, S. Chatterjee, S. Sengupta, S. Sirohia, R. Wankhade, T. Das, Fluid resuscitation in trauma Indian Journal of Critical Care Medicine. ,vol. 10, pp. 241- 249 ,(2006) , 10.4103/0972-5229.29843
C. B. Wallis, H. T. O. Davies, A. J. Shearer, Why do patients die on general wards after discharge from intensive care units Anaesthesia. ,vol. 52, pp. 9- 14 ,(1997) , 10.1111/J.1365-2044.1997.003-AZ002.X