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Critical Care Nursing Clinics of North America

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https://read.qxmd.com/read/31047098/improvement-of-quality-outcomes-and-cost-of-health-care
#1
EDITORIAL
Deborah Delaney Garbee, Denise M Danna
No abstract text is available yet for this article.
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047097/hospitals-providing-temporary-emergency-department-services-in-alternative-care-settings-after-hurricane-sandy
#2
REVIEW
Anne Reid Griffin, Alicia R Gable, Claudia Der-Martirosian, Aram Dobalian
This article reports findings of a qualitative study describing how the US Department of Veterans Affairs cared for vulnerable veterans after Hurricane Sandy while medical center was closed for an extended period. This experience highlights how vulnerable patients continued to need care. Hospital preparedness planning efforts focus primarily on sheltering in place and evacuation. Research is needed to identify how hospitals provided temporary emergency services in alternative settings to inform practical guidance...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047096/nurse-practitioners-improving-emergency-department-quality-and-patient-outcomes
#3
REVIEW
Leanne H Fowler, Jessica Landry, Melissa F Nunn
Emergency departments across the United States struggle to balance the overutilization of emergency services. Nurse practitioners (NPs) practicing in emergency departments improve quality indicators leading to the increased efficiency, timeliness, and effectiveness of care. NPs providing emergency services improve multiple national metrics, such as door-to-provider time, patient satisfaction, diagnostic test ordering, and left without being seen rates. NPs should be aware of the positive impact they make on the quality of care...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047095/treatment-and-outcomes-in-adult-designated-psychiatric-emergency-service-units
#4
REVIEW
Linda Ledet, Benita N Chatmon
The United States is experiencing a mental health crisis. Access to psychiatric care is drastically declining. Designated psychiatric emergency services (PES) units can provide specialized psychiatric care to patients in crisis. Patients receive immediate, focused psychiatric assessments in a safe environment along with treatment and stabilization with appropriate disposition. Designated PES units foster improved patient clinical outcomes and higher satisfaction rates for psychiatric patients in crisis than traditional emergency departments...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047094/geriatric-trends-facing-nursing-with-the-growing-aging
#5
REVIEW
Jolie Harris
This article expands on the Gerontological Society of America leaders' work to explore challenges facing healthcare providers in preparing for an aging population. Traditional medicine and models of care may no longer meet complex patient needs. Older patients present with multifaceted issues while living longer with chronic health conditions. The changing environment requires a cross-disciplinary perspective. Changes in reimbursement are in the early stages of implementation and will be used to evaluate measurable outcomes...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047093/pediatric-quality-metrics-related-to-quality-and-cost
#6
REVIEW
Catherine Haut, Aaron Carpenter, Jane Mericle
The institution of pediatric quality in health care has grown in the past decade but continues to evolve. Children's health care emphasizes the importance of maintenance of health and prevention of illness, which can be measured based on immunization rates, routine or scheduled well care, and early intervention. Pediatric quality measures and indicators have become the basis for payment of services and a true goal to value. Designing processes such as pay-for-performance models, volume-based care, and coordination of care assist in assuring that children receive high-quality health care...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047092/maternal-quality-outcomes-and-cost
#7
REVIEW
Cathy Maher-Griffiths
The quality of maternal care in the United States is receiving increased attention due to rising rates of severe maternal morbidity and maternal mortality when compared with other developed countries. Many of these events are considered preventable. The lack of adoption of evidence-based maternal patient safety bundles and tool kits requires immediate attention. Maternal levels of care described by the American Congress of Obstetricians and Gynecologists requires increased focus so that women are in the appropriate facility to receive care...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047091/health-care-information-technology-moving-from-support-to-performing-care
#8
REVIEW
Bennett Cheramie
Technology in health care has spanned several decades. Over the last 60 years, technology has grown to include all parts of health care, with latest advancements around EMR platforms, analytics, and interoperability. EMR platforms are costly, and adoption was slow until the Federal Government developed incentives for adopting technology; this created a boom of health care IT platform adoption. This increased the amount of health care data available. EMR, IT platform, and analytics are used to measure disease processes against best practice, drawing parallels between practice and outcomes...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047090/leadership-s-impact-on-quality-outcomes-and-costs
#9
REVIEW
Linda Roussel
In the move to increase effectiveness in valued-based organizational cultures, mindfulness leaders are charged to create environments that foster curiosity and creativity in uncertain times. Mindfulness increases situational awareness and improved communication enhances a culture of safety and better patient outcomes. Mindfulness leadership matters, providing effective ways to communicate and collaborate with others. Results matter, increasing the ability to sustain improvement through increased awareness, and enhancing healthy work environments and joy in the workplace...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047089/impact-of-a-mobility-team-on-intensive-care-unit-patient-outcomes
#10
REVIEW
Jennifer Ratcliffe, Brandy Williams
Mobility for critically ill patients has been found to be safe, beneficial, and feasible, although a culture of immobility prevails in many adult intensive care units (ICU) because of staffing challenges and lack of physical therapy and occupational therapy involvement. Clinical practice guidelines recommended early mobility for ICU patients to improve long- and short-term outcomes. Addition of a mobility team to the licensed physical therapy and occupational therapy staff and interprofessional ICU team improved patient outcomes and staff satisfaction, and reduced facility cost related to employee injuries...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047088/telehealth-use-to-promote-quality-outcomes-and-reduce-costs-in-stroke-care
#11
REVIEW
Kelsey Halbert, Cynthia Bautista
Stroke can cause severe disability and death in the adult population. Many stroke patients do not have access to resources required to provide a timely diagnosis and treatment. Telestroke can provide these patients the accurate diagnosis and appropriate treatment they require. Telestroke has been linked to improved functional outcomes in the treatment of acute ischemic strokes. There are several barriers to providing a telestroke service, such as licensure and liability, reimbursement, technology, and financial issues...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/31047087/electronic-health-records-and-use-of-clinical-decision-support
#12
REVIEW
Sherri Mills
In 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act was signed into law. Along with this initiative came the push for meaningful use of the electronic health record. Clinicians, information technology professionals, and informaticists must partner to create evidence-based clinical decision support models to guide patient care using tools such as structured computerized physician order entry, order sets, templates, alerts, and reminders. Clinical decision support should be used to improve the quality of patient care and compliance with regulatory standards, while inherently following a provider's workflow...
June 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30736940/improving-cardiovascular-health
#13
EDITORIAL
Leanne H Fowler, Jessica Landry
No abstract text is available yet for this article.
March 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30736939/acute-and-chronic-hypertension-what-clinicians-need-to-know-for-diagnosis-and-management
#14
REVIEW
Sherry L Rivera, Jennifer Martin, Jessica Landry
Hypertension is the most common primary diagnosis in the United States. Multiple sequelae of disease states are attributable to hypertension. Minimal to modest improvements in blood pressure can result in improved cardiovascular-related health outcomes. Despite the wealth of information available regarding the management and treatment of hypertension, the widespread control of hypertension continues to be an elusive challenge. A collaborative effort between patient and clinician using a balance of pharmacologic and nonpharmacologic interventions is essential to effectively manage and treat hypertension to avoid target organ damage...
March 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30736938/hospital-discharge-teaching-for-patients-with-peripheral-vascular-disease
#15
REVIEW
Lucretia M Wiltz-James, James Foley
Peripheral disease affects both arteries and veins and encompasses pathophysiologic conditions that affect arterial, venous, and lymphatic circulations. This article discusses disorders of peripheral vascular disease (PVD) that affect the lower extremity. PVD is an obstruction in the arteries known as arteriosclerosis obliterans, a condition that manifests from insufficient tissue perfusion that results in hardening of the arteries. Peripheral artery disease leads to an inflammatory condition called atherosclerosis...
March 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30736937/atrial-fibrillation
#16
REVIEW
Monique Young
The purpose of this article is to educate staff nurses and advanced practice nurses the importance of identifying, diagnosing, and making appropriate clinical decisions when treating patients with atrial fibrillation. Atrial fibrillation is a supraventricular arrhythmia characterized by uncoordinated, chaotic electrical activity and deterioration of proper atrial mechanical function, with an irregular ventricular response. Poorly controlled or undiagnosed atrial fibrillation increases the risk of mortality and may decrease quality of life...
March 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30736936/nursing-management-for-patients-postoperative-cardiac-implantable-electronic-device-placement
#17
REVIEW
Leanne H Fowler
As cardiac implantable electronic devices (CIEDs) continue to evolve and patients continue to live longer, the use of these devices increases. CIEDs include permanent pacemakers, implanted cardioverter-defibrillators, and cardiac resynchronization therapy devices. Over the last 2 decades, the functionality of these devices has increased and can be complex. Critical care nurses should be equipped with the knowledge to care for patients immediately postoperative CIED placement and for patients admitted to critical care units with CIEDs already in place...
March 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30736935/st-elevation-myocardial-infarction-and-non-st-elevation-myocardial-infarction-medical-and-surgical-interventions
#18
REVIEW
Deedra H Harrington, Frances Stueben, Christy McDonald Lenahan
Coronary artery disease is the leading cause of death in both men and women in the United States. Annually, 790,000 Americans will experience a myocardial infarction. Early recognition and appropriate management of myocardial infarction are imperative to improving patient outcomes. This article discusses the pathophysiology, presentation, and diagnosis and management of both ST-elevation myocardial infarction (STEMI) and non-STEMI.
March 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30736934/cardiovascular-disease-management-in-minority-women-special-considerations
#19
REVIEW
Latanja Lawrence Divens, Benita N Chatmon
There is a need to educate minority women on prevention and management of risk factors that lead to cardiovascular disease (CVD0. Black women have the highest prevalence of CVD. Hypertension, diabetes, overweight/obesity, smoking, and hyperlipidemia have shown some correlation to the prevalence of CVD among minorities. Therefore, implementing strategies to increase awareness, and to prevent and manage CVD risk factors is vital.
March 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30736933/comprehensive-nursing-management-for-valvular-disease
#20
REVIEW
Susan Lee
Valvular heart dysfunction (VHD) affects up to 7% of adults up to age 44 year, whereas up to 13% of individuals older than 75 years are affected. The broad term of valvular heart disease includes dysfunction of one or more of the 4 heart valves, including the pulmonary valve, tricuspid valve, mitral valve, or aortic valve. Specifically the more frequent anomalies, implication, assessment, and treatment that will be described more extensively include aortic regurgitation, aortic stenosis, mitral regurgitation, or tricuspid regurgitation...
March 2019: Critical Care Nursing Clinics of North America
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