Prediction: Readmission & Mortality After Discharge
|
|
- Angelina Griffin
- 5 years ago
- Views:
Transcription
1 Prediction: Readmission & Mortality After Discharge H. Tom Stelfox, Critical Care Canada Forum 2013
2 Disclosures No disclosures or conflicts of interest Shaun Hosein, MD, MSc.
3 Objectives 1. Provide a literature based estimate of readmission & death after patient discharge from ICU 2. Describe ICU discharge prediction rules 3. Present patient, provider & institutional factors associated with risk of readmission or death after patient discharge from ICU
4 Clinical Prediction tool that quantifies the individual contributions that various components of the history, physical examination, and laboratory results make towards the diagnosis, prognosis or likely response to treatment Derivation Identify factors with predictive power Validation Narrow Broad Impact Analysis Impact on behavior, outcomes, costs Laupacis JAMA 1997
5 Rationale for ICU Discharge Prediction Transitions of care are common & associated with adverse events ICU discharge is reported to be high risk Vulnerable patients resources Non-standardized Poor communication Multiple professions & specialties
6 Methods Search Strategy Databases: Medline, EMBASE, CINAHL, Cochrane, PubMed Search terms: Additional searches: Hand searched select journals Bibliography review Experts in field Adverse Event ICU Discharge
7 Methods Selection Strategy Inclusion criteria: Original research Adult patients discharged from ICU Evaluated discharge: risk factors or risk stratification tool Adverse event = MET, readmission, mortality Exclusion criteria: Coronary care units (CCU) High dependency units & step-downs Pediatric patients 2 authors independently reviewed all publications: Rater agreement very good (kappa 0.84)
8 Study Flow 7,923 Titles & Abstracts 148 Full Text Articles 58 Articles Included
9 Studies Included in Review Country USA, Australia, UK, Canada, Germany ICU Both single & multiple mixed medical-surgical ICUs Patients Total patients > 2 million Typical patient: 60yrs, male, APACHE II score Methodology Cohort studies with multivariable modeling
10 What is the rate of readmission or death after patient discharge from ICU?
11 Readmission after ICU Discharge 6.3% (95% CI %)
12 Death after ICU Discharge 7.4% (95% CI %)
13 Potential Reasons for Variation Factor Readmission Hospital Mortality CVICU vs. Med-Surg ICU Age >60 vs. <60 yrs. Severity of Illness DNR patients included
14 What ICU discharge prediction rules have been developed?
15 Prediction Rules Tool Outcome Variables Sensitivity Specificity ROC Swift Score Readmit <7d 5 27% 87% 0.70 Frost et al. Readmit 7 NA NA 0.66 Reini et al. Readmit <72h 5 15% 85% NA Badawi et al. Readmit <48h % 19-99% 0.71 Death <48h % 87-99% 0.92 Daly et al. Hosp death 5 74% 71% 0.80 Sabadell Score Hosp death Subjective 26-85% 71-99% 0.84 MIR Score Readmit/death <7d % 19-82% 0.74 Hosein Crit Care 2013 MIR Score vs. SWIFT Score - ROC 0.74 vs. 0.61
16 What patient, provider & institutional factors are associated with risk of readmission or death after patient discharge from ICU?
17 Risk Factors for ICU Discharge
18 Risk Factors for ICU Discharge Age Male sex Chronic respiratory disease Chronic liver disease Severity of illness Length of ICU stay
19 What To Do With The Information? Help inform provider decision making but the challenge is that many of the risk factors are not modifiable For high risk patients Early initiation of discharge planning Allow more time for physiology to improve Use high dependency units to facilitate transitions Target follow up services For low risk patients Efficiently get them out of the ICU Quality assurance set performance targets & risk adjust outcomes
20 Potential role for Outreach Services Niven Crit Care Med 2013
21 Key Findings Risk of readmission & death Varies between studies 6% to 7% Prediction rules exist & there is a need for Comparative evaluation Evaluation of implementation Risk stratification may be possible, but unknown if it will improve patient care
22 Conclusions Individual risk factors to consider based on current evidence: Age Male sex Chronic respiratory disease Chronic liver disease Severity of illness Length of ICU stay
23 Acknowledgements Mentors Sharon Straus Bill Ghali Research Team Shaun Hosein Nik Bobrovitz Simon Berthelot Funding Agencies CIHR Alberta Innovates
ICU Discharge An Improvement Target. Critical Care Canada Forum October 27, 2015
ICU Discharge An Improvement Target Critical Care Canada Forum October 27, 2015 No disclosures or conflicts of interest Many acknowledgements Objectives 1. Review whether ICU discharge should be an improvement
More informationEvidence-Informed ICU Rounds. Critical Care Canada Forum October 26, 2015
Evidence-Informed ICU Rounds Critical Care Canada Forum October 26, 2015 No disclosures or conflicts of interest Many acknowledgements Objectives 1. Summarize why we round 2. Describe current rounding
More informationThe cost and cost-effectiveness of electronic discharge communication tools A Systematic Review
Faculty of Medicine - Community Health Sciences The cost and cost-effectiveness of electronic discharge communication tools A Systematic Review Presenter: Laura Sevick, BSc, MSc Candidate Co-authors: Rosmin
More informationNursing skill mix and staffing levels for safe patient care
EVIDENCE SERVICE Providing the best available knowledge about effective care Nursing skill mix and staffing levels for safe patient care RAPID APPRAISAL OF EVIDENCE, 19 March 2015 (Style 2, v1.0) Contents
More informationUnderstanding Readmissions after Cancer Surgery in Vulnerable Hospitals
Understanding Readmissions after Cancer Surgery in Vulnerable Hospitals Waddah B. Al-Refaie, MD, FACS John S. Dillon and Chief of Surgical Oncology MedStar Georgetown University Hospital Lombardi Comprehensive
More informationPredicting 30-day Readmissions is THRILing
2016 CLINICAL INFORMATICS SYMPOSIUM - CONNECTING CARE THROUGH TECHNOLOGY - Predicting 30-day Readmissions is THRILing OUT OF AN OLD MODEL COMES A NEW Texas Health Resources 25 hospitals in North Texas
More informationDeath and readmission after intensive care the ICU might allow these patients to be kept in ICU for a further period, to triage the patient to an appr
British Journal of Anaesthesia 100 (5): 656 62 (2008) doi:10.1093/bja/aen069 Advance Access publication April 2, 2008 CRITICAL CARE Predicting death and readmission after intensive care discharge A. J.
More informationVersion 1.0 (posted Aug ) Aaron L. Leppin. Background. Introduction
Describing the usefulness and efficacy of discharge interventions: predicting 30 day readmissions through application of the cumulative complexity model (protocol). Version 1.0 (posted Aug 22 2013) Aaron
More informationCause of death in intensive care patients within 2 years of discharge from hospital
Cause of death in intensive care patients within 2 years of discharge from hospital Peter R Hicks and Diane M Mackle Understanding of intensive care outcomes has moved from focusing on intensive care unit
More informationThe impact of an ICU liaison nurse service on patient outcomes
The impact of an ICU liaison nurse service on patient outcomes Suzanne J Eliott, David Ernest, Andrea G Doric, Karen N Page, Linda J Worrall-Carter, Lukman Thalib and Wendy Chaboyer Increasing interest
More informationMinority Serving Hospitals and Cancer Surgery Readmissions: A Reason for Concern
Minority Serving Hospitals and Cancer Surgery : A Reason for Concern Young Hong, Chaoyi Zheng, Russell C. Langan, Elizabeth Hechenbleikner, Erin C. Hall, Nawar M. Shara, Lynt B. Johnson, Waddah B. Al-Refaie
More informationICU Research Using Administrative Databases: What It s Good For, How to Use It
ICU Research Using Administrative Databases: What It s Good For, How to Use It Allan Garland, MD, MA Associate Professor of Medicine and Community Health Sciences University of Manitoba None Disclosures
More informationKNOWLEDGE SYNTHESIS: Literature Searches and Beyond
KNOWLEDGE SYNTHESIS: Literature Searches and Beyond Ahmed M. Abou-Setta, MD, PhD Department of Community Health Sciences & George & Fay Yee Centre for Healthcare Innovation University of Manitoba Email:
More informationJez Fabes, 1 William Seligman, 2 Carolyn Barrett, 3 Stuart McKechnie, 3 John Griffiths 3. Open Access. Research
To cite: Fabes J, Seligman W, Barrett C, et al. Does the implementation of a novel intensive care discharge risk score and nurse-led inpatient review tool improve outcome? A prospective cohort study in
More informationSupplementary Online Content
Supplementary Online Content Kaukonen KM, Bailey M, Suzuki S, Pilcher D, Bellomo R. Mortality related to severe sepsis and septic shock among critically ill patients in Australia and New Zealand, 2000-2012.
More informationA Systematic Review of the Liaison Nurse Role on Patient s Outcomes after Intensive Care Unit Discharge
Review Article A Systematic Review of the Liaison Nurse Role on Patient s Outcomes after Intensive Care Unit Discharge Zeinab Tabanejad, MSc; Marzieh Pazokian, PhD; Abbas Ebadi, PhD Behavioral Sciences
More informationNumber of sepsis admissions to critical care and associated mortality, 1 April March 2013
Number of sepsis admissions to critical care and associated mortality, 1 April 2010 31 March 2013 Question How many sepsis admissions to an adult, general critical care unit in England, Wales and Northern
More informationPage 1 of 26. Clinical Governance report prepared for NHS Lanarkshire Board Report title Clinical Governance Corporate Report - November 2014
Clinical Governance report prepared for NHS Lanarkshire Board Report title Clinical Governance Corporate Report - November 2014 Clinical Quality Service Page 1 of 26 Print Date:18/11/2014 Clinical Governance
More informationVersion 2 15/12/2013
The METHOD study 1 15/12/2013 The Medical Emergency Team: Hospital Outcomes after a Day (METHOD) study Version 2 15/12/2013 The METHOD Study Investigators: Principal Investigator Christian P Subbe, Consultant
More informationEssential Skills for Evidence-based Practice: Evidence Access Tools
Essential Skills for Evidence-based Practice: Evidence Access Tools Jeanne Grace Corresponding author: J. Grace E-mail: Jeanne_Grace@urmc.rochester.edu Jeanne Grace RN PhD Emeritus Clinical Professor of
More informationReadmission to Medical Intensive Care Units: Risk Factors and Prediction
Original Article http://dx.doi.org/10.3349/ymj.2015.56.2.543 pissn: 0513-5796, eissn: 1976-2437 Yonsei Med J 56(2):543-549, 2015 Readmission to Medical Intensive Care Units: Risk Factors and Prediction
More informationCommunication with Surrogate Decision Makers. Shannon S. Carson, MD Associate Professor University of North Carolina
Communication with Surrogate Decision Makers Shannon S. Carson, MD Associate Professor University of North Carolina Role of Communication with Families in the ICU Sharing information about illness and
More informationChapter 39 Bed occupancy
National Institute for Health and Care Excellence Final Chapter 39 Bed occupancy Emergency and acute medical care in over 16s: service delivery and organisation NICE guideline 94 March 218 Developed by
More informationCLINICAL PREDICTORS OF DURATION OF MECHANICAL VENTILATION IN THE ICU. Jessica Spence, BMR(OT), BSc(Med), MD PGY2 Anesthesia
CLINICAL PREDICTORS OF DURATION OF MECHANICAL VENTILATION IN THE ICU Jessica Spence, BMR(OT), BSc(Med), MD PGY2 Anesthesia OBJECTIVES To discuss some of the factors that may predict duration of invasive
More informationA Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned
A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned Stephen Rosenthal, MBA President and COO, Montefiore Care Management
More informationEvidence Tables and References 6.4 Discharge Planning Canadian Best Practice Recommendations for Stroke Care Update
Evidence Tables and References 6.4 Discharge Planning Canadian Best Practice Recommendations for Stroke Care 2011-2013 Update Last Updated: June 21, 2013 Table of Contents Search Strategy... 2 What existing
More informationSYSTEMATIC REVIEW METHODS. Unit 1
SYSTEMATIC REVIEW METHODS Unit 1 GETTING STARTED Introduction Schedule Ground rules EVALUATION Class Participation (20%) Contribution to class discussions Evidence of critical thinking Engagement in learning
More informationType of intervention Secondary prevention of heart failure (HF)-related events in patients at risk of HF.
Emergency department observation of heart failure: preliminary analysis of safety and cost Storrow A B, Collins S P, Lyons M S, Wagoner L E, Gibler W B, Lindsell C J Record Status This is a critical abstract
More information2017 LEAPFROG TOP HOSPITALS
2017 LEAPFROG TOP HOSPITALS METHODOLOGY AND DESCRIPTION In order to compare hospitals to their peers, Leapfrog first placed each reporting hospital in one of the following categories: Children s, Rural,
More informationMobilisation of Vulnerable Elders in Ontario: MOVE ON. Sharon E. Straus MD MSc FRCPC Tier 1 Canada Research Chair
Mobilisation of Vulnerable Elders in Ontario: MOVE ON Sharon E. Straus MD MSc FRCPC Tier 1 Canada Research Chair Competing interests I have no relevant financial COI to declare I have intellectual/academic
More informationDisposable, Non-Sterile Gloves for Minor Surgical Procedures: A Review of Clinical Evidence
CADTH RAPID RESPONSE REPORT: SUMMARY WITH CRITICAL APPRAISAL Disposable, Non-Sterile Gloves for Minor Surgical Procedures: A Review of Clinical Evidence Service Line: Rapid Response Service Version: 1.0
More informationFinal scope for the systematic review of the clinical and cost effectiveness evidence for the prevention of ventilator-associated pneumonia (VAP)
Final scope for the systematic review of the clinical and cost effectiveness evidence for the prevention of ventilator-associated pneumonia (VAP) Contents 1. AIM...2 2. BACKGROUND...2 3. INTERVENTIONS...3
More informationAdmissions with neutropenic sepsis in adult, general critical care units in England, Wales and Northern Ireland
Admissions with neutropenic sepsis in adult, general critical care units in England, Wales and Northern Ireland Question What were the: age; gender; APACHE II score; ICNARC physiology score; critical care
More informationOptimal Resources for Children s Surgical Care. Keith T. Oldham, MD. ACS Quality and Safety Conference New York, New York July 22, 2017
Optimal Resources for Children s Surgical Care The American College of Surgeons Children s Surgery Verification Quality Improvement Program Keith T. Oldham, MD ACS Quality and Safety Conference New York,
More informationCommunication tools for end-of-life decision-making in the intensive care unit: a systematic review and meta-analysis
Oczkowski et al. Critical Care (2016) 20:97 DOI 10.1186/s13054-016-1264-y RESEARCH Open Access Communication tools for end-of-life decision-making in the intensive care unit: a systematic review and meta-analysis
More informationThis is a Brief Online Learning Tutorial (or BOLT) brought to you by the LISTEN project, a HRSA funded project focused on improving the information
This is a Brief Online Learning Tutorial (or BOLT) brought to you by the LISTEN project, a HRSA funded project focused on improving the information literacy competencies of nursing students and professional
More informationContinuity of Care in General Practice Registrar Training: Results from the ReCEnT study
Continuity of Care in General Practice Registrar Training: Results from the ReCEnT study Mr James W Pearlman 1,2 Dr Parker Magin 1,2 Dr Simon Morgan 2 Dr Cathy Regan 2 Ms Kim Henderson 2 Ms Amanda Tapley
More informationTechnology Overview. Issue 13 August A Clinical and Economic Review of Telephone Triage Services and Survey of Canadian Call Centre Programs
Technology Overview Issue 13 August 2004 A Clinical and Economic Review of Telephone Triage Services and Survey of Canadian Call Centre Programs Publications can be requested from: CCOHTA 600-865 Carling
More informationHospital Standardized Mortality Ratios, Edmonton, Canada: A Tale of Two Sites Lessons Learned from the UK
Hospital Standardized Mortality Ratios, Edmonton, Canada: A Tale of Two Sites Lessons Learned from the UK Joanne Zaborowski Performance Advisor Provincial Projects Clinical Quality Metrics Healthcare Quality
More informationDevelopment of a framework for integrated primary/secondary health care governance in Australia
Development of a framework for integrated primary/secondary health care governance in Australia Caroline Nicholson 1 2, Claire L Jackson 1, John E Marley 1 1 University of Queensland, 2 Mater Health Services
More informationDownloaded from:
Hogan, H; Carver, C; Zipfel, R; Hutchings, A; Welch, J; Harrison, D; Black, N (2017) Effectiveness of ways to improve detection and rescue of deteriorating patients. British journal of hospital medicine
More informationFamily Integrated Care in the NICU
Family Integrated Care in the NICU Shoo Lee, MBBS, FRCPC, PhD Scientific Director, Institute of Human Development, Child & Youth Health, Canadian Institutes of Health Research Professor of Paediatrics,
More informationDo Not Attempt Cardiopulmonary Resuscitation (DNACPR) orders: Current practice and problems - and a possible solution. Zoë Fritz
Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) orders: Current practice and problems - and a possible solution Zoë Fritz Consultant in Acute Medicine, Cambridge University Hospitals Wellcome Fellow
More informationOutline. Modernizing Nursing: Advanced Practice Nursing: Singapore s Perspectives 23/05/2007. History. Definition of an APN
Modernizing Nursing: Advanced Practice Nursing: Singapore s Perspectives History Outline Definition of an APN Educational Requirement for an APN Specialties Scope of practice and competencies for APNs
More informationInaugural Barbara Starfield Memorial Lecture
Inaugural Barbara Starfield Memorial Lecture Wonca World Conference Prague, June 29, 2013 Copyright 2013 Johns Hopkins University,. Improving Coordination between Primary and Secondary Health Care through
More informationRisk of TB infection among HCWs in the era of HIV and MDR-TB. Madhukar Pai, MD, PhD Assistant Professor of Epidemiology McGill University Montreal
Risk of TB infection among HCWs in the era of HIV and MDR-TB Madhukar Pai, MD, PhD Assistant Professor of Epidemiology McGill University Montreal TB exposure: a fact of life for health care workers in
More informationSEPSIS RESEARCH WSHFT: THE IMPACT OF PREHOSPITAL SEPSIS SCREENING
SEPSIS RESEARCH WSHFT: THE IMPACT OF PREHOSPITAL SEPSIS SCREENING Dr. Duncan Hargreaves QI Fellow Worthing Hospital Allied Health Sciences Network 2017 SEPSIS IMPROVEMENT AT WSHFT QUESTcollaboration ->
More informationLACE+ index: extension of a validated index to predict early death or urgent readmission after hospital discharge using administrative data
LACE+ index: extension of a validated index to predict early death or urgent readmission after hospital discharge using administrative data Carl van Walraven, Jenna Wong, Alan J. Forster ABSTRACT Background:
More informationPA Education Worldwide
Physician Assistants: Past and Future Roderick S. Hooker, PhD, MBA, PA October 205 Oregon Society of Physician Assistants PA Education Worldwide Health Workforce North America 204 US Canada Population
More informationThe number of patients admitted to acute care hospitals
Hospitalist Organizational Structures in the Baltimore-Washington Area and Outcomes: A Descriptive Study Christine Soong, MD, James A. Welker, DO, and Scott M. Wright, MD Abstract Background: Hospitalist
More informationContinuity of Care: An Evidence- Based Analysis (DRAFT)
Continuity of Care: An Evidence- Based Analysis (DRAFT) Health Quality Ontario August 2012 Ontario Health Technology Assessment Series; Vol. 12: No. TBA, pp. 1 27, August 2012 Draft - Do not cite. Report
More informationIntermediate care. Appendix C3: Economic report
Intermediate care Appendix C3: Economic report This report was produced by the Personal Social Services Research Unit at the London School of Economics and Political Science. PSSRU (LSE) is an independent
More informationEpidemiological approach to nosocomial infection surveillance data: the Japanese Nosocomial Infection Surveillance System
Environ Health Prev Med (2008) 13:30 35 DOI 10.1007/s12199-007-0004-y REVIEW Epidemiological approach to nosocomial infection surveillance data: the Japanese Nosocomial Infection Surveillance System Machi
More informationApril Clinical Governance Corporate Report Narrative
April 14 - Clinical Governance Corporate Report Narrative ITEM 7B Narrative has been provided where there is something of note in relation to a specific metric; this could be positive improvement, decline
More informationIntegrated approaches to worker health, safety and wellbeing: Review Update
Integrated approaches to worker health, safety and wellbeing: Review Update Dr Nerida Joss Samantha Blades Dr Amanda Cooklin Date: 16 December 2015 Research report #: 088.1-1215-R01 Further information
More informationBuilding & Strengthening Your Evidence Based Practice Literature Searches
Building & Strengthening Your Evidence Based Practice Literature Searches Created and Presented by: Ken Wright, MSLS Health Sciences Librarian ktwright@mchs.com 614-234-5222 1 Outline of Evidence-Based
More informationPICO Question: Considering the lack of access to health care in the pediatric population would
PICO Question: Considering the lack of access to health care in the pediatric population would advance practice nurses (APNs) in independent practice lead to increased access to care and increased wellness
More informationThe RRS and Resident Education. Dr Daryl Jones
The RRS and Resident Education Dr Daryl Jones Overview Patients in crisis The traditional approach RRT criteria objectify crisis Outcomes of MET patients Education phase Austin hospital Improving RRT patient
More informationValue Proposition: Tiered Network Plan Design for Navigator by Tufts Health Plan
Value Proposition: Tiered Network Plan Design for Navigator by Tufts Health Plan John D. Freedman, MD, MBA National Health Policy Forum July 28, 2005 Outline Objectives Understand market dynamics and rationale
More informationContinuity of Care to Optimize Chronic Disease Management in the Community Setting: An Evidence- Based Analysis
Continuity of Care to Optimize Chronic Disease Management in the Community Setting: An Evidence- Based Analysis Health Quality Ontario September 2013 Ontario Health Technology Assessment Series; Vol. 13:
More informationFrequently Asked Questions (FAQ) Updated September 2007
Frequently Asked Questions (FAQ) Updated September 2007 This document answers the most frequently asked questions posed by participating organizations since the first HSMR reports were sent. The questions
More informationTQIP and Risk Adjusted Benchmarking
TQIP and Risk Adjusted Benchmarking Melanie Neal, MS Manager Trauma Quality Improvement Program TQIP Participation Adult Only Centers 278 Peds Only Centers 27 Combined Centers 46 Total 351 What s new TQIP
More informationA Virtual Ward to prevent readmissions after hospital discharge
A Virtual Ward to prevent readmissions after hospital discharge Irfan Dhalla MD MSc FRCPC Departments of Medicine and Health Policy, Management and Evaluation, University of Toronto Keenan Research Centre,
More informationA23/B23: Patient Harm in US Hospitals: How Much? Objectives
A23/B23: Patient Harm in US Hospitals: How Much? 23rd Annual National Forum on Quality Improvement in Health Care December 6, 2011 Objectives Summarize the findings of three recent studies measuring adverse
More informationScottish Hospital Standardised Mortality Ratio (HSMR)
` 2016 Scottish Hospital Standardised Mortality Ratio (HSMR) Methodology & Specification Document Page 1 of 14 Document Control Version 0.1 Date Issued July 2016 Author(s) Quality Indicators Team Comments
More informationRapid Review Evidence Summary: Manual Double Checking August 2017
McGill University Health Centre: Nursing Research and MUHC Libraries What evidence exists that describes whether manual double checks should be performed independently or synchronously to decrease the
More informationSystematic Review. Request for Proposal. Grant Funding Opportunity for DNP students at UMDNJ-SN
Systematic Review Request for Proposal Grant Funding Opportunity for DNP students at UMDNJ-SN Sponsored by the New Jersey Center for Evidence Based Practice At the School of Nursing University of Medicine
More informationEvidence-Based Practice
Evidence-Based Practice R O S E L. H O F F M A N N P H D, R N A S S I S T A N T P R O F E S S O R U N I V E R S I T Y O F P I T T S B U R G H S C H O O L O F N U R S I N G S E P T E M B E R 2 1, 2 0 1
More informationAchilles Heel for PI Programs
Achilles Heel for PI Programs Engaging Physicians in All 3 Stages Alliance for Continuing Education in the Health Professions FEBRUARY 1, 2013 2013 Annenberg Center for Health Sciences at Eisenhower Medical
More informationStandard methods for preparation of evidence reports
University of Pennsylvania Health System Center for Evidence-based Practice Standard methods for preparation of evidence reports January 2018 The University of Pennsylvania Health System (UPHS) Center
More informationMET CALLS IN A METROPOLITAN PRIVATE HOSPITAL: A CROSS SECTIONAL STUDY
MET CALLS IN A METROPOLITAN PRIVATE HOSPITAL: A CROSS SECTIONAL STUDY Joyce Kant, A/Prof Peter Morley, S. Murphy, R. English, L. Umstad Melbourne Private Hospital, University of Melbourne Background /
More informationReview: Measuring the Impact of Interprofessional Education (IPE) on Collaborative Practice and Patient Outcomes
Review: Measuring the Impact of Interprofessional Education (IPE) on Collaborative Practice and Patient Outcomes Valentina Brashers MD, FACP, FNAP Professor of Nursing & Woodard Clinical Scholar Attending
More informationNational Priorities for Improvement:
National Priorities for Improvement: Standardization of Performance Measures, Data Collection, and Analysis Dale W. Bratzler, DO, MPH Principal Clinical Coordinator Oklahoma Foundation Contracting for
More informationAssessing competence during professional experience placements for undergraduate nursing students: a systematic review
University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health 2012 Assessing competence during professional experience placements for
More informationBoarding Impact on patients, hospitals and healthcare systems
Boarding Impact on patients, hospitals and healthcare systems Dan Beckett Consultant Acute Physician NHSFV National Clinical Lead Whole System Patient Flow Project Scottish Government May 2014 Important
More informationMixed Methods Appraisal Tool MMAT
SYSTEMATIC MIXED STUDIES REVIEWS: RELIABILITY TESTING OF THE MIXED METHODS APPRAISAL TOOL Rafaella Souto, PhD (C), University of Sao Paulo, Brazil Vladimir Khanassov, MD, MSc (C), Family Medicine, McGill
More informationChapter 39. Nurse Staffing, Models of Care Delivery, and Interventions
Chapter 39. Nurse Staffing, Models of Care Delivery, and Interventions Jean Ann Seago, Ph.D., RN University of California, San Francisco School of Nursing Background Unlike the work of physicians, the
More informationSafety and Quality Measures: What, Why and How? APHA Congress 2010
Safety and Quality Measures: What, Why and How? APHA Congress 2010 Chris Baggoley 19 October 2010 Harvard study 17yrs on Although much good work has been carried out there is a sense at the coalface of
More informationKeywords: Acute Physiology and Chronic Health Evaluation, customization, logistic regression, mortality prediction, severity of illness
Available online http://ccforum.com/content/5/1/031 Primary research Performance of the score systems Acute Physiology and Chronic Health Evaluation II and III at an interdisciplinary intensive care unit,
More informationOnline Data Supplement: Process and Methods Details
Online Data Supplement: Process and Methods Details ACC/AHA Special Report: Clinical Practice Guideline Implementation Strategies: A Summary of Systematic Reviews by the NHLBI Implementation Science Work
More informationMalnutrition Screening Pathway v.1.1
Malnutrition Screening Pathway v.1.1 Approval & Citation Summary of Version Changes Explanation of Evidence Ratings Inclusion Criteria Inpatients age 1 month and older Exclusion Criteria
More informationStanford Multiorgan Transplant Surgery: R-1 Tuesday, February 02, 2016
Stanford University General Surgery Residency Program Abdominal Transplant Surgery Goals and Objectives for Residents: R-1 Rotation Director: Carlos Esquivel, M.D., Ph.D. Description The Abdominal Transplant
More informationThe curriculum is based on achievement of the clinical competencies outlined below:
ANESTHESIOLOGY CRITICAL CARE MEDICINE FELLOWSHIP Program Goals and Objectives The curriculum is based on achievement of the clinical competencies outlined below: Patient Care Fellows will provide clinical
More informationUpdate to OPAT Good Practice Recommendations
Update to OPAT Good Practice Recommendations Dr Ann LN Chapman BM BCh, FRCP, DTM&H, MSc (Med Leadership), PhD Consultant in Infectious Diseases and General Medicine, NHS Lanarkshire Honorary Clinical Associate
More informationCauses and Consequences of Regional Variations in Health Care Resources in Ontario
Causes and Consequences of Regional Variations in Health Care Resources in Thérèse A. Stukel, Ph.D. DA Alter, R Saskin, DM Rothwell Institute for Clinical Evaluative Sciences, Health Services Restructuring
More informationSearching Your EBSCO Research Databases ASUM: September 2016
Searching Your EBSCO Research Databases ASUM: September 2016 Cindy Slater Training Specialist, Australia/New Zealand cslater@ebsco.com In this session we will cover: Overview of EBSCO Resources Searching:
More informationTriage of children in the
Triage of children in the emergency department Jocelyn Gravel MD, MSc Emergency department CHU Sainte-Justine June 7 th 2011 Disclosure No financial relationship to disclose or potential conflicts of interest
More informationAmbulatory Emergency Care in South Wales
Ambulatory Emergency Care in South Wales The Ambulatory Care Score ( Amb Score) Les Ala Consultant Acute Physician Royal Glamorgan Hospital LLantrisant, South Wales ROYAL GLAMORGAN HOSPITAL Format Our
More informationImproving Transitions of Care
Improving Transitions of Care Mark V. Williams, MD, FACP, FHM Professor & Chief, Division of Hospital Medicine Northwestern University Feinberg School of Medicine Principal Investigator, Project BOOST
More informationDr. Hanan E. Badr, MD, MPH, DrPH Faculty of Medicine, Kuwait University
Dr. Hanan E. Badr, MD, MPH, DrPH Faculty of Medicine, Kuwait University hanan@hsc.edu.kw Outline Background Kuwait: Main Highlights Current Healthcare System in Kuwait Challenges to Healthcare System in
More informationInnovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination
Innovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination November 15, 2017 RRHA Healthcare Innovations Conference Agenda Arnot Health Overview
More informationTitle: Length of use guidelines for oxygen tubing and face mask equipment
Title: Length of use guidelines for oxygen tubing and face mask equipment Date: September 12, 2007 Context and policy issues: There is concern that oxygen tubing and face mask equipment in the ventilator
More informationEvidence based practice an integration of research based knowledge into clinical practice
Evidence based practice an integration of research based knowledge into clinical practice Lisbet Narvestad Grenager, professional development nurse/icu nurse, Akershus University Hospital, Norway. Irene
More informationTITLE: Double Gloves for Prevention of Transmission of Blood Borne Pathogens to Patients: A Review of the Clinical Evidence
TITLE: Double Gloves for Prevention of Transmission of Blood Borne Pathogens to Patients: A Review of the Clinical Evidence DATE: 27 March 2012 CONTEXT AND POLICY ISSUES As concern surrounding the risk
More informationHealth Quality Ontario
Health Quality Ontario The provincial advisor on the quality of health care in Ontario November 15, 2016 Under Pressure: Emergency department performance in Ontario Technical Appendix Table of Contents
More informationStudy Title: Optimal resuscitation in pediatric trauma an EAST multicenter study
Study Title: Optimal resuscitation in pediatric trauma an EAST multicenter study PI/senior researcher: Richard Falcone Jr. MD, MPH Co-primary investigator: Stephanie Polites MD, MPH; Juan Gurria MD My
More informationEliminating Excessive, Unnecessary, and Wasteful Expenditures: Getting to a High Performance U.S. Health System
Eliminating Excessive, Unnecessary, and Wasteful Expenditures: Getting to a High Performance U.S. Health System Karen Davis President, The Commonwealth Fund IOM Workshop Series: The Policy Agenda September
More informationThe Glasgow Admission Prediction Score. Allan Cameron Consultant Physician, Glasgow Royal Infirmary
The Glasgow Admission Prediction Score Allan Cameron Consultant Physician, Glasgow Royal Infirmary Outline The need for an admission prediction score What is GAPS? GAPS versus human judgment and Amb Score
More informationO U T C O M E. record-based. measures HOSPITAL RE-ADMISSION RATES: APPROACH TO DIAGNOSIS-BASED MEASURES FULL REPORT
HOSPITAL RE-ADMISSION RATES: APPROACH TO DIAGNOSIS-BASED MEASURES FULL REPORT record-based O U Michael Goldacre, David Yeates, Susan Flynn and Alastair Mason National Centre for Health Outcomes Development
More informationa Canadian Critical Care Knowledge Translation Network ac 3 KTion Net
a Canadian Critical Care Knowledge Translation Network ac 3 KTion Net 1 Learning Objectives To understand the need for knowledge translation (KT) in Critical Care To review the need for measurement as
More information