Latest Articles in icu
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Editorial
Much has been written about the human reality of error. The aptly named "To Err is Human" report acknowledged the fact that mistakes in the medical environment are all too common and while many safety precautions have been implemented since its' publication more than ten years ago, medical error is still a topic of significant interest and discussion...
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Swine Flu: Influenza A (H1N1) Susceptibility Linked to Common Levels of Arsenic Exposure
The ability to mount an immune response to influenza A (H1N1) infection is significantly compromised by a low level of arsenic exposure that commonly occurs through drinking contaminated well water, scientists at the Marine Biological Laboratory (MBL) and Dartmouth Medical School have found. Their findings are reported in the journal Environmental...
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Zeus Infinity Empowered Drager's Most Advanced Anaesthesia Workstation
The new Zeus Infinity Empowered (IE) provides seamless integration of ventilation, volatile and intravenous anaesthesia, patient monitoring and information management in a single, elegant solution. ICU-quality ventilation, Target controlled anaesthesia and an intuitive and simple user interface design philosophy are just some of the innovative...
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Medication Errors in the Intensive Care Unit
Introduction It is estimated that 1.5 million preventable adverse drug events occur annually in the United States (Institutes of Medicine 2006) and have led to 177 billion dollars in estimated costs (Ernst and Grizzle 2001). The intensive care unit (ICU) and emergency department (ED) are particularly complicated considering the level of patient...
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Disclosure of Adverse Events in Healthcare
The disclosure of medical harm is now the standard of care. The ICU environment challenges clinicians to recognise and disclose adverse events affecting critically ill patients. This article reviews the literature on adverse events and offers suggestions for disclosing medical harm. Introduction It is now well established that patients commonly...
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Variation in ICU Resources Across Countries
Intensive care resources vary greatly across countries and impact delivery of care. Better understanding of these differences is needed to improve quality of care while minimising costs. The delivery of healthcare occurs at the local level, yet the economics of healthcare and the resources for a given society are often shaped at a national...
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Interview with Jeffrey Lipman
Jeffrey Lipman is Director of the Department of Intensive Care Medicine, Royal Brisbane and Womens' Hospital, Professor and Head of Anaesthesiology and Critical Care, University of Queensland. Sherry Scharff asked this ICU Management Editorial Board Member to share his thoughts on management challenges, the effects of economic downturn in his part...
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US Healthcare Overview
Organisation of the Health System The United States' health system is actually a cluster of health systems of diverse complexity. Federal, state, and local governments have defined, often in concert with one another, their roles in protecting the public's health. State public health departments are not under the jurisdiction of federal health...
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Is the US Ready for Obama
It has been described as the beginning of a new era in the US; one of change with a push towards equality and balance among citizens. Critics of the new President and his proposed platform have even gone so far as to call it a "socialist agenda" (Daily Herald – Utah; November 1, 2008). Given this pretence, are we to expect the birth of universal healthcare...
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Medical Errors: A Nurses Role
Nurses have a genuine impact on patient safety. Studies have found a link between patient safety and RN staffing and an increase rate of error when the hospital nursing staff with a smaller proportion of RNs (Ramsey 2005). Other studies have shown that increasing the nurse to patient ratio by 1 can significantly impact the 30-day mortality in surgical...
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