Clinical Deterioration In Health Care

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Involving patients in recognising clinical deterioration in hospi…

(8 days ago) People also askWhy is clinical deterioration important?Clinical deterioration is a key contributor to inpatient mortality, and its recognition is often underpinned by contextual factors and practice variances. Variation in the uniformity of the concept of clinical deterioration causes a gap in knowledge and necessitated clarification of this phenomenon for nursing research and practice.Clinical deterioration: A concept analysis - Padilla - 2018 - Journal onlinelibrary.wiley.comWhat is Stage 7 on Global Deterioration Scale?Dr. Himanshu J. Vats

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7932225/#:~:text=Clinical%20deterioration%20is%20marked%20by%20a%20prolonged%20period,recovery%20from%20a%20critical%20illness%20%28NHS%20Improvement%2C%202016%29.

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Detecting Deteriorating Patients in the Hospital: …

(3 days ago) WEBOver 60,000 patients annually deteriorate on UK hospital wards to the extent that they require ICU admission ().Late or missed recognition of deterioration is associated with worse patient outcomes, including higher mortality (2–4).Over the past 20 years, healthcare systems worldwide have implemented alerting systems to improve the …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437126/

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Society of Critical Care Medicine Guidelines on …

(Just Now) WEBRapid recognition and response to patient deterioration is a crucial element of safe inpatient care. This guideline is comprised of 10 statements focusing on identification of deterioration in patients outside of the intensive care unit (ICU). Recommendations include organization-wide rapid response team activation criteria, …

https://psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration

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Society of Critical Care Medicine Guidelines on …

(1 days ago) WEB-based recommendations for hospital clinicians and administrators to optimize recognition and response to clinical deterioration in non-ICU patients. PANEL DESIGN: The 25-member panel included representatives from medicine, nursing, respiratory therapy, pharmacy, patient/family partners, and clinician-methodologists with expertise in …

https://journals.lww.com/ccmjournal/fulltext/2024/02000/society_of_critical_care_medicine_guidelines_on.14.aspx

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Recognising and responding to deteriorating patients: …

(7 days ago) WEBThe Australian Commission on Safety and Quality in Health Care released a set of national standards which became a mandatory part of accreditation in 2013. Standard 9 focuses on the identification and treatment of deteriorating patients. The objective of the study was to identify changes in the characteristics and perceptions of rapid response …

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4339-z

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Early warning scores for detecting deterioration in adult …

(1 days ago) WEBObjective To provide an overview and critical appraisal of early warning scores for adult hospital patients. Design Systematic review. Data sources Medline, CINAHL, PsycInfo, and Embase until June 2019. …

https://www.bmj.com/content/369/bmj.m1501

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Defining clinical deterioration - ScienceDirect

(7 days ago) WEBThe next framework that evolved to describe clinical deterioration defined adverse events as one or more discrete complications; e.g. pulmonary embolism or severe sepsis. 14, 15 These events are more clinically focussed, and consider both the patient's clinical condition as well as complications of provided care.

https://www.sciencedirect.com/science/article/pii/S0300957213000440

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Detecting and recognising acute deterioration, and escalating care

(3 days ago) WEBA graded response to acute deterioration is needed. Patients whose acute deterioration is detected and recognised during the early stages need clinical care and treatments to prevent further deterioration. Patients who deteriorate very suddenly or severely need a rapid response from clinicians with advanced skills.

https://www.safetyandquality.gov.au/standards/nsqhs-standards/recognising-and-responding-acute-deterioration-standard/detecting-and-recognising-acute-deterioration-and-escalating-care

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Recognising and responding to the deteriorating patient

(2 days ago) WEB2 Safer Care Victoria Recognising and responding to the deteriorating patient Definitions Attending clinician/team: The treating clinician/team with primary responsibility for caring for the patient.1 Clinical governance: The integrated systems, processes, leadership and culture central to providing safe, effective, accountable and person-centred care, …

https://www.safercare.vic.gov.au/sites/default/files/2020-11/Clinical%20engagement%20in%20recognition%20and%20response%20systems.pdf

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Clinical deterioration: A concept analysis - Padilla - 2018 - Journal

(4 days ago) WEBClinical deterioration not promptly recognised can result in increased patient morbidity and mortality. A barrier to recognising and responding to clinical deterioration stems from practice variations among healthcare clinicians. Design. Concept analysis. Methods. Eight-step method of concept analysis proposed by Walker and …

https://onlinelibrary.wiley.com/doi/10.1111/jocn.14238

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Automated Identification of Adults at Risk for In-Hospital Clinical

(1 days ago) WEBEarly identification of patients at risk for clinical deterioration has relied on manually calculated scores. an integrated health care delivery system that owns 21 hospitals. 15-18 The system

https://www.nejm.org/doi/full/10.1056/NEJMsa2001090

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Recognition and management of patients who are deteriorating

(8 days ago) WEBdeterioration is a contributing factor in many adverse events in hospitals and health care organisations around the (world. 1-6) Evidence derived from clinical incident reporting in NSW has demonstrated the same problem exists in NSW (health services.

https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2020_018.pdf

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Clinical deterioration as a nurse sensitive indicator in the out‐of

(9 days ago) WEBNursing recognition, relay and reaction to clinical deterioration in primary health care and out-of-hospital settings is vital to reducing the incidence of avoidable hospitalisation and improvements in patient outcomes. This paper raises the potential for developing a measure of the quality of nursing care in the out-of-hospital setting.

https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.16925

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Recognising and Responding to Acute Deterioration Standard

(7 days ago) WEBThis outlines the principles that underpin safe and effective responses to deterioration in a person’s mental state, and provides information about the interrelated components that a health service organisation can implement to provide appropriate care. The Commission’s Delirium Clinical Care Standard highlights the importance of being

https://www.safetyandquality.gov.au/standards/nsqhs-standards/recognising-and-responding-acute-deterioration-standard

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Ryan’s Rule Clinical Excellence Queensland Queensland Health

(2 days ago) WEBRyan’s Rule applies to all patients admitted to any Queensland Health public hospital—including the emergency department—and in some Hospital in the Home (HITH) services. Ryan’s Rule has been developed in response to the tragic death of Ryan Saunders, who died in 2007 from an undiagnosed Streptococcal infection, which led to …

https://clinicalexcellence.qld.gov.au/priority-areas/safety-and-quality/ryans-rule

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Reframing Well-Being in the Healthcare Workplace Culture

(9 days ago) WEBReframing Well-Being in the Healthcare Workplace Culture. May 28, 2024. Healthcare staffing issues are fairly acute and are likely to remain a priority for healthcare leaders for the foreseeable future, making it essential to deal with any barriers to full staff engagement, retention, and satisfaction. Staff burnout is potentially one of the

https://www.healthstream.com/resource/blog/reframing-well-being-in-the-healthcare-workplace-culture

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Clinical lead and deterioration Early Warning System team …

(9 days ago) WEBAged residential care Patient deterioration 31 May 2024 Our aged residential care (ARC) clinical lead Julie Daltrey and the supporting Deterioration Early Warning System (DEWS) team have recently been recognised within the ARC sector for the work relating to the DEWS.

https://www.hqsc.govt.nz/news/clinical-lead-and-deterioration-early-warning-system-team-recognised-for-their-work-in-aged-residential-care/

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Why is it so difficult to implement precision psychiatry into clinical

(3 days ago) WEBPrecision Psychiatry has been envisaged as a tool capable of delivering targeted clinical care to groups, or optimally to each individual patient with a mental disorder.1 But what is the clinical reality today? In Europe, one in ten people is diagnosed with a mental disorder and is in need of treatment. Of these, two-thirds benefit from the …

https://www.thelancet.com/journals/lanepe/article/PIIS2666-7762(24)00119-4/fulltext

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Acute care and overall survival results of a randomized trial of a

(8 days ago) WEB1503 Background: Despite rapid development of virtual health interventions, little is known of their impact on acute healthcare utilization and survival outcomes. This study aimed to evaluate the effectiveness of Integrative Medicine at Home (IM@Home), a virtual mind-body fitness program, on unplanned hospital admission and overall survival …

https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.1503

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Osteosarcopenia linked to much higher risk of death after …

(9 days ago) WEBOsteosarcopenia, an age-related condition associated with deterioration in the muscles and bones, nearly triples a patient’s risk of dying after transcatheter aortic valve replacement (TAVR), according to new findings published in JAMA Cardiology.[1] “Osteosarcopenia is the concomitant presence of low bone density (osteopenia or …

https://cardiovascularbusiness.com/topics/clinical/structural-heart-disease/tavr/osteosarcopenia-linked-much-higher-risk-death-after-tavr-ct-screening-may-prove-valuable

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Integrating social drivers of health screening into ambulatory …

(Just Now) WEBe13692 Background: Despite the known impact of social drivers of health (SDOH) on cancer related outcomes, the integration of SDOH screens into routine oncology clinical practice is scarce and suboptimal. Recent findings indicate feasibility of integrating these tools, yet data is limited in how to develop and implement the screens to address …

https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.e13692

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Supporting patient access to pharmaceutical-sponsored assistance

(Just Now) WEBe13724 Background: The ever-rising cost of cancer care, driven in large by oncology drugs, has a significant impact on access to care and contributes to disparities. Pharmaceutical-sponsored patient assistance programs (PAPs) are intended to improve access to care; however, vulnerable populations may experience delays, denials, and …

https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.e13724

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It Is Time to Knock Down Barriers and Incorporate Preoperative …

(8 days ago) WEBSteps in preoperative BHO The first step in BHO is to identify which patients need further assessment, including BMD testing. The International Society for Clinical Densitometry has recommended that elective orthopaedic surgery patients undergo DXA testing if they are females aged ≥65 years or males aged ≥70 years, have a history of …

https://www.aaos.org/aaosnow/2024/may/clinical/clinical06/

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Acute clinical deterioration and consumer escalation: The - PLOS

(3 days ago) WEBIntroduction. Acute clinical deterioration may encompass a worsening in a patient’s physiological, cognitive, or mental state [].It is a dynamic situation [] where early identification and response are essential to patient outcomes and safety [1, 3].As health services are faced with mounting demands, an aging population, and a higher …

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0269921

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A meta-ethnography of identity formation among people with …

(2 days ago) WEBProviding such environments can be a viable venue for healthcare professionals to support people with early-onset dementia in maintaining a positive sense of identity. Clinical Psychology Review 30: 113–126 Haugen PK, et al. (2018) ‘To be, or not to be’: Experiencing deterioration among people with young-onset dementia living

https://journals.sagepub.com/doi/abs/10.1177/03080226241253699

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Masks and respirators for prevention of respiratory infections: a …

(9 days ago) WEBIn health care, for example, interested parties include IPC clinical teams, employers (responsible for occupational health and safety and maintaining workforce capacity, particularly during peaks of infection ), independent worker safety experts, staff unions (who advocate for workers’ conditions and safety), and patient advocacy groups …

https://journals.asm.org/doi/10.1128/cmr.00124-23

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American Journal of Neuroradiology

(6 days ago) WEBClinical and imaging characteristics were abstracted from the medical records. The primary outcome was the NIHSS score at 24 hours post-mechanical thrombectomy. The secondary outcome was early neurologic deterioration, defined as a >4-point increase in the NIHSS score between the initial assessment and 24 hours post-mechanical …

https://www.ajnr.org/content/early/2024/05/30/ajnr.A8234

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Revenue Integrity Week: Ensuring Financial Health in

(5 days ago) WEBAccording to a recent report by CommerceHealthcare, revenue cycle management (RCM) and finance departments are not immune to these challenges. A recent study revealed that 80% of respondents reported a turnover rate between 11% and 40% in their RCM functions, while 73% cited difficulty in finding qualified staff as a major hurdle.

https://www.healthstream.com/resource/blog/revenue-integrity-week

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Ozempic reduces risk of serious illness and death in people with

(9 days ago) WEBWeekly injections of semaglutide medications like Ozempic significantly reduce the risk of serious kidney outcomes, major cardiovascular events and death among people who have type 2 diabetes and

https://www.cnn.com/2024/05/24/health/ozempic-benefits-diabetic-kidney-disease/index.html

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Phase III Study To Compare The Effect of Panzyga Versus Placebo …

(1 days ago) WEBStanford Health Care delivers the highest levels of care and compassion. SHC treats cancer, heart disease, brain disorders, primary care issues, and many more. obsessive-compulsive disorder (OCD) symptoms (i.e. Clinical Global Impression (CGI)-Severity-OCD rating of ≥ 4 or higher on 2 ratings without a change of more than

https://clinicaltrials.stanford.edu/trials/p/NCT04508530.html

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Improving detection of patient deterioration in the general …

(3 days ago) WEBIdentification of deterioration should be improved. Failure-to-rescue, defined as death of a patient following a complication, is a metric that has been widely used to identify differences in the quality of care between hospitals within healthcare systems. 2–4 In a recent prospective international 7-day cohort study of outcomes following …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902137/

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Patterns of depressive symptoms among survivors of early-stage …

(9 days ago) WEB12009 Background: Depressive symptoms are associated with impaired quality of life and increased mortality among survivors of BC. We aimed to identify long-term patterns of depressive symptoms and their determinants, including potential interventional targets. Methods: Patients with stage I-III BC were included from CANTO …

https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.12009

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PTSD Has Surged Among College Students - The New York Times

(5 days ago) WEBUse of mental health care increased nationally during the pandemic, as teletherapy made it far easier to see clinicians. Treatment for anxiety disorders increased most steeply, followed by PTSD

https://www.nytimes.com/2024/05/30/health/ptsd-diagnoses-rising-college-students.html

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