All Articles
vCare: Designing Individualised Virtual Rehabilitation
2022 29 Apr
New Clinical Pathways for Parkinson’s Patients An overview of the vCare design of a clinical pathway, by using the specific example of Parkinson’s disease. Key Points There is a major systematic gap in what is on offer in terms of rehabilitation to patients with Parkinson’s disease. vCare combines an individualised clinical p... Read more
The Challenges Facing Healthcare Leaders in 2022
2022 29 Apr
An overview of the challenges faced by the National Health Service (NHS) and measures that can be used to help the NHS deliver and transform care in 2022. Key Points As the immediate demands of the pandemic response diminish, the NHS continues to face unrelenting pressure. The vaccination programme and management of increased demands from... Read more
What Are the Best Team Building Practices for Healthcare Organisations?
2022 29 Apr
In an interview with HealthManagement.org, Dr Aneta Schaap-Oziemlak, the Chief Executive Officer of the Bio-inspired Think Tank in the Leiden BioScience Park and Agile Coach, discusses Agile team-building practices as they apply to healthcare organisations. Key Points Creating a better nurturing environment can help alleviate staffing... Read more
Successful Digitalisation Pathways
2022 29 Apr
The COVID-19 pandemic has triggered several changes in how healthcare systems are run globally. The focus has shifted from relying exclusively on brick-and-mortar healthcare facilities to digital avenues that could help deliver care virtually. Telemedicine, remote patient monitoring and out-patient care are some of the avenues that have been explored.... Read more
People Centric Model to Harness User Value: Personal Data Spaces in Transformation of Health & Care
2022 29 Apr
To reap full benefit of ongoing health system transformation, digital health tools and services are urgently needed to equip citizens as patient, informal caregiver or family member. They are the most important, but least supported actors in healthcare, in need of digital health data and services for health management activities at their personal... Read more
Carer Matters: Hospital to Home Care for the Caregiver
2022 29 Apr
Carer Matters offers a caregiver-centric approach to meet the unique and dynamic needs of caregivers of older persons during their adjustment from hospital to home, promoting both their well-being and ability to thrive at home. Key Points Family caregivers bear the brunt of responsibilities to deliver long-term care for their loved ones,... Read more
A Services Readiness Levels Stage Model: A Roadmap
2022 29 Apr
Help with digitisation of healthcare needs a focus on service innovation – using a roadmap can help make implementation more successful. Key Points Service innovation is a key element for the future of Europe’s health and care. Cities, regions, and sites working on health and care can benefit from using a service innovation roadmap.... Read more
Unlocking Digital Tools to Expand Access to Healthcare
2022 29 Apr
An overview of the emergence of digital front doors, their potential and key points to bear in mind during the technological transition . Key Points For decades, basic healthcare interaction has been a human one. However, the limitations of this system are now becoming more and more apparent. Patients today are demanding... Read more
How Can Healthcare Organisations Improve Patient Safety?
2022 29 Apr
In an interview with HealthManagement.org, Dr Carsten Engel, the Chief Executive Officer of the International Society for Quality in Health Care (ISQua), discusses issues affecting patient safety and strategies that healthcare organisations can enact to improve these issues. Key Points Medical errors/adverse events often result from system... Read more
Transformation of Ziekenhuis Oost-Limburg Hospital
2022 29 Apr
Dr Bruno De Peuter, Head of Medical Imaging and Musculoskeletal Radiology Specialist at Belgian hospital Ziekenhuis Oost-Limburg, explains how the hospital transformed itself into a modern, well-respected, tertiary care centre. Over the past few decades, the medical imaging department at Ziekenhuis Oost-Limburg (ZOL) has experienced... Read more
Sepsis in Critical Care
2022 16 Mar
Sepsis is a leading cause of morbidity and mortality in the intensive care unit. Nearly 14 million adults and 2.5 million children survive sepsis each year worldwide. In addition, sepsis survivors are known to experience poor long-term outcomes and often develop functional limitations thereafter. It is thus evident that the long-term impact... Read more
Septic Shock and Vasopressor Initiation: Why Earlier is Better
2022 16 Mar
An overview of vasopressor management, current evidence and when to initiate vasopressor therapy for best possible patient outcome. Vasopressor management is a cornerstone in the haemodynamic management of septic shock for reversing hypotension by increasing systemic vascular resistance and improving organ perfusion. The Surviving Sepsis Campaign... Read more
One Sepsis Fits All? Are There Different Phenotypes of Sepsis? Diagnostic Approaches and Therapies
2022 16 Mar
This article presents current research results in relation to an advanced sepsis classification and their implications for new treatment options and research strategies. Introduction Through history, the definiti on and the term sepsis changed. Since Semmelweis and others formulated the thesis that sepsis was caused by a systemic reaction... Read more
Sepsis in Critical Care: Effective Antimicrobial Strategies in ICU
2022 16 Mar
ICU sepsis is associated with a mortality rate >25%, with nosocomial infection most lethal, and community acquired infection more common. Optimal management requires identification of the site of infection (lung, abdomen and blood stream most commonly), a focus on the likely pathogens based on risk factors for resistance, and provision of timely and... Read more
The Alphabet Book of Sepsis
2022 16 Mar
In this article, the author provides the alphabet review of sepsis and septic shock based on personal clinical experience and choice. Sepsis and septic shock have been defined in 2016 (Singer et al. 2016) and the management of patients is framed by the Surviving Sepsis Campaign guidelines with its renewed version in 2021 (Evans et al. 2021).... Read more
Challenges in the Haemodynamic Management of Septic Shock
2022 16 Mar
An overview of the haemodynamic management of patients in septic shock and strategies for detection of haemodynamic changes and appropriate therapeutic action to improve the prognosis of these patients. Introduction Sepsis is one of the main causes of admission to the Intensive Care Unit (ICU). It is defined as a life-threatening organ... Read more
Sepsis Surveillance (Sepsis Sniffer): Where We Are Now and Where We Are Going
2022 16 Mar
Timely recognition of sepsis is the foundation of improved patient survival. This article discusses opportunities to improve this in multiple areas and the use of sepsis screening tools to improve surveillance and treatment of sepsis. Sepsis is a critical healthcare problem, associated with high mortality rates, and considerable financial... Read more
Symmetrical Peripheral Gangrene
2022 16 Mar
In this article, the authors describe the presentation, pathophysiology, and potential treatment options for symmetrical peripheral gangrene. Limitations in the current literature and a possible strategy for future study are highlighted. Introduction Symmetrical peripheral gangrene (SPG) refers to the development of tissue necrosis in... Read more
ICU Management of the Very Old: The Evidence Base Anno 2022
2022 16 Mar
This overview explores the publications concerning the very old ICU patients since 2011 and with a focus on publications from the VIP network on elderly COVID-19 patients. Introduction In 2017, an international group of intensivists with a particular interest for geriatric intensive care published a statement paper (Flaatten et al.... Read more
Upcoming events/courses/congresses
2022 16 Mar
APRIL 12 ICU Management & Practice DigiConf Sepsis in Critical Care Virtual Event https://iii.hm/1exj 18-21 51st Critical Care Congress SCCM 2022 Virtual event https://iii.hm/1egu 23-26 32nd ECCMID Lisbon, Portugal https://iii.hm/1egv 27-29 ANZICS/ACCCN Annual Scientific Meeting 2022... Read more