All Articles
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Can Goal-Directed Therapy solve the economic burden of postsurgical complications?
How effective are less invasive or even noninvasive methods? The clinical and economic burden of post-surgical complications and the economic impact of Goal-Directed Fluid Therapy (GDFT) implementation. Improving the quality of care by reducing post-surgical complications, decreasing mortality, and decreasing hospital...
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PICU-acquired complications: the new marker of the quality of care
This article describes the rise in PICU-acquired morbidities and its impact on patient outcomes. It discusses early rehabilitation strategies to improve patient outcomes in PICU. Introduction Critical care has traditionally been focused on early recognition of life-threatening conditions, resuscitation, and stabilisation of organ...
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Caring for children in the PICU
From novel technology to family-centred care: new challenges for old needs Challenges and opportunities to improve care and practice in the PICU. “Martin, 2 years old. Sepsis and pneumoniae. High monitoring systems and modern therapies. A nurse is talking to his parents. A smile and a kind gesture help them in this overwhelming...
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Virtual reality experience in the PICU
A pilot study at the Ann & Robert H. Lurie Children's Hospital of Chicago An overview of the virtual reality programme at the Ann & Robert H. Lurie Children’s Hospital of Chicago and its potential benefits on patient outcomes. Ann & Robert H. Lurie Children's Hospital of Chicago has introduced virtual reality into their paediatric intensive...
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Seven steps to design, procure, implement and maintain a Clinical Information System for your ICU
How to design, procure, test, parameterise, implement and maintain a Clinical Information System for an intensive care unit. Introduction e-Health applications, in our case Clinical Information Systems (CIS) or Patient Data Management Systems (PDMS), are taking medicine by storm, and intensive care is not an exception. Ensuring delivery...
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Vitamin D deficiency in ICU patients
A review on the role of vitamin D in a well-defined setting of critically ill patients: patients undergoing cardiac surgery and organ transplantation, and the potential benefit of vitamin D supplementation. Vitamin D research has experienced a true hype in all fields of medicine in the last decades. In critical illness, this increased...
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Use of sedation and controlled paralysis in ICU patients with ARDS
According to a National Institutes of Health sponsored clinical trial that was conducted at several North American hospitals and was led by clinician-scientists at the University of Pittsburgh and University of Colorado schools of medicine, reversibly paralysing and sedating hospitalised patients with severe breathing problems does not prove improve...
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Value-oriented management
A leadership model for the health care sector In medical institutions, leaders are required to ensure, through delegation of responsibility, that working conditions are characterised by interdisciplinary thinking, team-oriented work and ongoing improvement. Leaders in the health sector must be aware of the fact that hospitals operate...
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Sex and gender in medicine
The need for more attention to how sex and gender influences healthcare Healthcare has not been immune to the gender gap, but the implications go deeper than one would expect. Biological differences between males and females have a profound impact on how we approach their healthcare needs in terms of pathophysiology and treatment for...
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New hospital policies and procedures required for patient safety
Eighteen Actionable Patient Safety Solutions are the key to zero preventable patient deaths in our hospitals. What are the patient safety processes that every hospital administrator and healthcare professional should adopt today to avoid preventable patient harm and death in hospitals? It’s an unfortunate fact of the medical profession...
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