当前位置： SCI文献检索 > JOURNAL OF CRITICAL CARE期刊下所有文献 > A qualitative study to identify opportunities for improving trauma quality improvement.

A qualitative study to identify opportunities for improving trauma quality improvement.

Abstract：

BACKGROUND:Quality improvement (QI) is a central tenant of trauma center accreditation in most countries, but its effectiveness is largely unknown. We sought to explore opportunities for improving trauma QI. METHODS:We performed a qualitative research study using grounded theory analyses of interviews with medical directors and program managers from 75 verified trauma centers sampled from the United States (n = 51), Canada (n = 14), and Australasia (Australia and New Zealand [n = 10]) to explore experiences with trauma QI activities and identify opportunities for improvement. RESULTS:Most trauma centers indicated that they perceived trauma QI to be important and devoted personnel for QI (data entry, data analyst, educator, nurse practitioner). Programs identified 5 principal opportunities to improve trauma QI: (1) ensure resource adequacy (human resources, registry maintenance, financial support, institutional support), (2) encourage stakeholder participation (engagement, communication, coordination), (3) ensure clinical relevance, (4) incorporate evidence-based tools, and (5) require provider and QI program accountability. CONCLUSIONS:Quality improvement programs exist as accreditation requirements in most centers. However, trauma QI practices depend on a range of local and regional factors, and concrete opportunities for improvement that address impact and sustainability exist.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Santana MJ,Straus S,Gruen R,Stelfox HT

doi

10.1016/j.jcrc.2012.07.010

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

738.e1-7

issue

6

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(12)00229-8

journal_volume

27

pub_type

杂志文章

相关文献

JOURNAL OF CRITICAL CARE文献大全
  • National registries: Lessons learnt from quality improvement initiatives in intensive care.

    abstract：:National clinical quality registries (CQRs) are effective tools for improving the outcomes of patients admitted to the intensive care unit (ICU), and are increasingly important as healthcare needs evolve. A high-quality ICU CQR is built from a foundation of common requirements and challenges. First, performance indica...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2020.08.012

    authors： Litton E,Guidet B,de Lange D

    更新日期：2020-12-01 00:00:00

  • Increased atrial contraction contribution to left ventricular filling during early septic shock.

    abstract：PURPOSE:To assess the atrial systolic function and the contribution of atrial contraction to left ventricular (LV) filling in septic shock patients as compared with healthy volunteers. METHODS:Twenty-seven septic patients evaluated during first 48 h of ICU admission and compared with 27 healthy volunteers. Left atrial...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2019.09.006

    authors： Monge García MI,Del Rio Lechuga A,Fletcher N,Gil Cano A

    更新日期：2019-12-01 00:00:00

  • Increased incidence of diuretic use in critically ill obese patients.

    abstract：OBJECTIVE:Sodium retention occurs commonly in cardiac and liver disease, requiring the administration of diuretics to restore fluid balance. Whether obesity is associated with sodium retention has not been fully evaluated. METHODS:In a large single-center cohort of critically ill patients, we evaluated whether admissi...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.01.023

    authors： de Louw EJ,Sun PO,Lee J,Feng M,Mark RG,Celi LA,Mukamal KJ,Danziger J

    更新日期：2015-06-01 00:00:00

  • Extracorporeal membrane oxygenation in Korea - Trends and impact of hospital volume on outcome: Analysis of national insurance data 2009-2014.

    abstract：PURPOSE:ECMO use has increased lately. However, differences between adult ECMO and non-ECMO patients admitted to the ICU remain unstudied. In terms of volume-outcome relationship, the impact of ECMO volume on survival has not been validated in a real world cohort. MATERIALS AND METHODS:Retrospective analysis of data f...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.09.035

    authors： Tay CK,Cho YH,Park J,Yang JH,Chung CR,Sung K,Cho J,Kang D,Park H,Suh GY

    更新日期：2019-02-01 00:00:00

  • Initial interrater reliability for a novel measure of patient mobility in a cardiovascular intensive care unit.

    abstract：PURPOSE:The purpose of this study was to determine the interrater reliability of the Perme Intensive Care Unit Mobility Score. MATERIALS AND METHODS:This was a prospective observational study. Data were collected from 20 patients admitted in a cardiovascular intensive care unit. The interrater reliability was tested u...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.01.019

    authors： Nawa RK,Lettvin C,Winkelman C,Evora PR,Perme C

    更新日期：2014-06-01 00:00:00

  • Music and biological stress dampening in mechanically-ventilated patients at the intensive care unit ward-a prospective interventional randomized crossover trial.

    abstract：PURPOSE:To evaluate the impact of slow-tempo music listening periods in mechanically ventilated intensive care unit patients. METHODS:A randomized crossover study was performed in a 16-bed, adult critical care unit at a tertiary care hospital. Still-sedated patients, mandating at least 3 more days of mechanical ventil...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2013.01.007

    authors： Beaulieu-Boire G,Bourque S,Chagnon F,Chouinard L,Gallo-Payet N,Lesur O

    更新日期：2013-08-01 00:00:00

  • Continuous electroencephalography in a mixed non-neurological intensive care population, an observational study.

    abstract：PURPOSE:Continuous electroencephalography (cEEG) improves monitoring of the brain in unconscious patients, but implementation at ICU is difficult. The present investigation shows a way to introduce cEEG at an anesthesiological ICU and discusses the first experiences. MATERIALS AND METHODS:The study analyzed the feasib...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.01.015

    authors： Schramm P,Luczak J,Engelhard K,El Shazly J,Juenemann M,Tschernatsch M

    更新日期：2017-06-01 00:00:00

  • Intraoperative administration of vasopressin during coronary artery bypass surgery is associated with acute postoperative kidney injury.

    abstract：BACKGROUND:Severe vasodilatation is commonly seen upon weaning from cardiopulmonary bypass (CPB). We examined the effects of vasopressin (arginine vasopressin [AVP]) on acute kidney injury (AKI) in postoperative period. METHODS:The records of 483 patients undergoing coronary bypass surgery on CPB from 2004 to 2008 wer...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.06.013

    authors： Porhomayon J,Davari-Farid S,Li CM,Arora P,Pourafkari L,Nader ND

    更新日期：2015-10-01 00:00:00

  • Inhaled nitric oxide prevents systemic and pulmonary vasoconstriction due to hemoglobin-based oxygen carrier infusion: A case report.

    abstract：:Hemoglobin-based oxygen carriers (HBOCs) are used in extreme circumstances to increase hemoglobin concentration and improve oxygen delivery when allogenic red blood cell transfusions are contraindicated or not immediately available. However, HBOC-induced severe pulmonary and systemic vasoconstriction due to peripheral...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.04.008

    authors： Marrazzo F,Larson G,Sherpa Lama TT,Teggia Droghi M,Joyce M,Ichinose F,Watkins MT,Stowell C,Crowley J,Berra L

    更新日期：2019-06-01 00:00:00

  • Constipation in intensive care unit: incidence and risk factors.

    abstract：PURPOSE:Although gastrointestinal motility disorders are common in critically ill patients, constipation and its implications have received very little attention. We aimed to determine the incidence of constipation to find risk factors and its implications in critically ill patients MATERIALS AND METHODS:During a 6-mo...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.03.007

    authors： Nassar AP Jr,da Silva FM,de Cleva R

    更新日期：2009-12-01 00:00:00

  • Inflammatory lung edema correlates with echocardiographic estimation of capillary wedge pressure in newly diagnosed septic patients.

    abstract：PURPOSE:Lung ultrasound is an accurate and accessible tool to quantify lung edema. Furthermore, left ventricle filling pressures (LVFP) can be assessed with transthoracic echocardiography (TTE) by the E/e' ratio (E/e'). The present study aimed to assess the correlation between E/e' and lung edema quantified by a simpli...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.11.036

    authors： Santos TM,Franci D,Gontijo-Coutinho CM,Ozahata TM,de Araújo Guerra Grangeia T,Matos-Souza JR,Carvalho-Filho MA

    更新日期：2018-04-01 00:00:00

  • Informed consent procedures in patients with an acute inability to provide informed consent: Policy and practice in the CENTER-TBI study.

    abstract：PURPOSE:Enrolling traumatic brain injury (TBI) patients with an inability to provide informed consent in research is challenging. Alternatives to patient consent are not sufficiently embedded in European and national legislation, which allows procedural variation and bias. We aimed to quantify variations in informed co...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2020.05.004

    authors： van Wijk RPJ,van Dijck JTJM,Timmers M,van Veen E,Citerio G,Lingsma HF,Maas AIR,Menon DK,Peul WC,Stocchetti N,Kompanje EJO,CENTER-TBI investigators and participants.

    更新日期：2020-10-01 00:00:00

  • The sieving coefficient and clearance of vasopressin during continuous renal replacement therapy in critically ill children.

    abstract：HYPOTHESIS:As vasopressin is a small peptide, its sieving coefficient (SC) and clearance (CL) during continuous renal replacement therapy may be intermediate to those for urea and β2 microglobulin (commonly used markers for small- and middle-molecular weight solutes, respectively). METHODS:A prospective, minimal-risk ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2010.03.005

    authors： Baird JS

    更新日期：2010-12-01 00:00:00

  • The methodology and pharmacokinetics study of intraventricular administration of vancomycin in patients with intracranial infections after craniotomy.

    abstract：OBJECTIVE:The purpose of the study was to investigate the pharmacokinetics of combined intravenous (i.v.) and intracerebroventricular (i.c.v.) vancomycin for patients with intracranial infections after craniotomy and to provide the basis for establishing the intracranial local administration criterion. METHODS:Fourtee...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.09.020

    authors： Chen K,Wu Y,Wang Q,Wang J,Li X,Zhao Z,Zhou J

    更新日期：2015-02-01 00:00:00

  • Prediction of delirium in critically ill patients with elevated C-reactive protein.

    abstract：BACKGROUND AND PURPOSE:Delirium is thought to be associated with systemic inflammatory response. However, its association with the most widely used inflammatory biomarker C-reactive protein (CRP) has not been well established. We aimed to examine whether CRP on intensive care unit (ICU) entry was associated with subseq...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2013.09.002

    authors： Zhang Z,Pan L,Deng H,Ni H,Xu X

    更新日期：2014-02-01 00:00:00

  • Aeration changes induced by high flow nasal cannula are more homogeneous than those generated by non-invasive ventilation in healthy subjects.

    abstract：BACKGROUND:Non-invasive mechanical ventilation (NIV) is a standard respiratory support technique used in intensive care units. High-Flow Nasal Cannula (HFNC) has emerged as an alternative, but further evidence is needed. The lung aeration and diaphragm changes achieved with these two strategies in healthy subjects have...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2019.06.009

    authors： Pérez-Terán P,Marin-Corral J,Dot I,Sans S,Muñoz-Bermúdez R,Bosch R,Vila C,Masclans JR

    更新日期：2019-10-01 00:00:00

  • "Pseudo-subarachnoid hemorrhage sign" on early brain computed tomography in out-of-hospital cardiac arrest survivors receiving targeted temperature management.

    abstract：PURPOSE:Newly updated guidelines suggest brain computed tomography for out-of-hospital cardiac arrest survivors to identify a neurologic cardiac arrest cause. We hypothesized that the "pseudo-subarachnoid hemorrhage" (p-SAH) sign in cardiac arrest survivors is associated with poor outcome. MATERIALS AND METHODS:We ret...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.02.021

    authors： Lee BK,Kim YJ,Ryoo SM,Kim SJ,Lee DH,Jeung KW,Kim WY

    更新日期：2017-08-01 00:00:00

  • Clinically important venous thromboembolism in pediatric critical care: a Canadian survey.

    abstract：PURPOSE:Pediatric venous thromboembolism (VTE) is becoming an increasingly recognized morbidity associated with critical illness. The objective of this survey is to identify the patient factors and radiological features that pediatric intensivists consider more or less likely to make a venous thrombosis (VTE) clinicall...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2005.09.012

    authors： Kotsakis A,Cook D,Griffith L,Anton N,Massicotte P,MacFarland K,Farrell R,Hutchison J,Canadian Critical Care Trials Group.

    更新日期：2005-12-01 00:00:00

  • Investigation of critical care unit utilization and mortality in patients infected with Clostridium difficile.

    abstract：BACKGROUND:A nationwide increase in the rate and severity of Clostridium difficile-associated disease may reflect infection with a virulent strain characterized by polymerase chain reaction as ribotype 027 (NAP1/B1). HYPOTHESIS:The high prevalence of ribotype 027 at our institution would allow investigation of the ris...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.04.002

    authors： Gasperino J,Garala M,Cohen HW,Kvetan V,Currie B

    更新日期：2010-06-01 00:00:00

  • Early nutritional inadequacy is associated with psoas muscle deterioration and worse clinical outcomes in critically ill surgical patients.

    abstract：PURPOSE:To explore whether psoas cross sectional area (CSA) and density (Hounsfield Units, HU) are associated with nutritional adequacy and clinical outcomes in surgical intensive care unit patients. MATERIALS AND METHODS:Subjects with at least one CT scan within 72h of ICU admission were included. Demographic, nutrit...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.12.027

    authors： Yeh DD,Ortiz-Reyes LA,Quraishi SA,Chokengarmwong N,Avery L,Kaafarani HMA,Lee J,Fagenholz P,Chang Y,DeMoya M,Velmahos G

    更新日期：2018-06-01 00:00:00

  • A modified Delphi process to identify clinical and research priorities in patient and family centred critical care.

    abstract：PURPOSE:To identify elements which enable patient and family centred care (PFCC) in the intensive care unit (ICU) and priorities for PFCC research. MATERIALS AND METHODS:We engaged a panel of multidisciplinary stakeholders in a modified Delphi process. Items generated from a literature review and panelist suggestions ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.08.008

    authors： Oczkowski SJW,Au S,des Ordons AR,Gill M,Potestio ML,Smith O,Sinuff T,Stelfox HT,Fox-Robichaud AE

    更新日期：2017-12-01 00:00:00

  • Ketamine for analgosedation in critically ill patients.

    abstract：PURPOSE:The purpose of this narrative review is to provide practical and useful guidance for clinicians considering the use of intravenous ketamine for its analgosedative properties in adult, critically ill patients. METHODS:MEDLINE was searched from inception until January 2016. Articles related to the pharmacologica...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2016.05.016

    authors： Erstad BL,Patanwala AE

    更新日期：2016-10-01 00:00:00

  • Role of renal replacement therapy in patients with type 1 hepatorenal syndrome receiving combination treatment of vasoconstrictor plus albumin.

    abstract：PURPOSE:Utilization of renal replacement therapy (RRT) in cirrhotic patients has been controversial and is typically dependent on the status of transplantation. A better understanding of the central role for arterial vasodilatation in the pathogenesis of hepatorenal syndrome (HRS) has led to routine use of vasoconstric...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.05.006

    authors： Zhang Z,Maddukuri G,Jaipaul N,Cai CX

    更新日期：2015-10-01 00:00:00

  • Goal-directed therapy after cardiac surgery and the incidence of acute kidney injury.

    abstract：OBJECTIVE:The purpose of this study was to assess the effect of goal-directed therapy (GDT), after cardiac surgery, on the incidence of acute kidney injury (AKI). DESIGN:This is a prospective observational study designed to achieve and maintain maximum stroke volume for 8 hours, in patients after cardiac surgery. SET...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.06.011

    authors： Thomson R,Meeran H,Valencia O,Al-Subaie N

    更新日期：2014-12-01 00:00:00

  • Hemodynamic effects following injection of venom from the scorpion Leiurus quinquestriatus.

    abstract：PURPOSE:The present study tested the hypothesis that scorpion sting induces left ventricular (LV) hypokinesia and myocardial ischemia shortly after injection due to reduction of coronary blood flow (CBF) and increased oxygen demand. METHODS:In 5 mechanically ventilated, open-chest dogs, we measured LV function followi...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/0883-9441(94)90024-8

    authors： Tarasiuk A,Sofer S,Huberfeld SI,Scharf SM

    更新日期：1994-06-01 00:00:00

  • Optimal norepinephrine-equivalent dose to initiate epinephrine in patients with septic shock.

    abstract：PURPOSE:The specific norepinephrine dose at which epinephrine should be added in septic shock is unclear. This study sought to determine the norepinephrine-equivalent dose at epinephrine initiation that correlated with hemodynamic stability. METHODS:Septic shock patients receiving both norepinephrine and epinephrine w...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2019.05.024

    authors： Ammar MA,Limberg EC,Lam SW,Ammar AA,Sacha GL,Reddy AJ,Bauer SR

    更新日期：2019-10-01 00:00:00

  • Is positive end-expiratory pressure suitable for liver recipients with a rescue organ offer?

    abstract：PURPOSE:Rescue organ offers may help to overcome the organ shortage. However, because of initial poor liver function, the recipient may develop a severe lung injury with the requirement for higher positive end-expiratory pressure (PEEP) levels to achieve adequate oxygenation. Positive end-expiratory pressure has been a...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.11.002

    authors： Saner FH,Olde Damink SW,Pavlaković G,Sotiropoulos GC,Radtke A,Treckmann J,Beckebaum S,Cicinnati V,Paul A

    更新日期：2010-09-01 00:00:00

  • ICU-acquired pneumonia in immunosuppressed patients with acute hypoxemic respiratory failure: A post-hoc analysis of a prospective international cohort study.

    abstract：OBJECTIVE:Intensive Care Units (ICU) acquired Pneumonia (ICU-AP) is one of the most frequent nosocomial infections in critically ill patients. Our aim was to determine the effects of having an ICU-AP in immunosuppressed patients with acute hypoxemic respiratory failure. DESIGN:Post-hoc analysis of a multinational, pro...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2020.09.027

    authors： Martin-Loeches I,Darmon M,Demoule A,Antonelli M,Schellongowski P,Pickkers P,Soares M,Rello J,Bauer P,van de Louw A,Lemiale V,Grimaldi D,Balik M,Mehta S,Kouatchet A,Barratt-Due A,Valkonen M,Reignier J,Metaxa V,Moreau

    更新日期：2020-09-29 00:00:00

  • Bedside percutaneous dilatational tracheostomy in patients outside the ICU: a single-center experience.

    abstract：PURPOSE:To assess the safety of medical-ward bedside percutaneous dilatational tracheostomy (GWB-PDT). MATERIALS AND METHODS:A retrospective study of all patients who underwent elective GWB-PDT between 2009 and 2015. A joint otolaryngology-ICU team performed all GWB-PDTs. The patients were followed until decannulation...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.06.020

    authors： Cohen O,Shnipper R,Yosef L,Stavi D,Shapira-Galitz Y,Hain M,Lahav Y,Shoffel-Havakuk H,Halperin D,Adi N

    更新日期：2018-10-01 00:00:00

  • Outcomes of emergency laparotomy in patients on extracorporeal membrane oxygenation for severe respiratory failure: A retrospective, observational cohort study.

    abstract：PURPOSE:There is a paucity of literature to support undertaking emergency laparotomy when indicated in patients supported on ECMO. Our study aims to identify the prevalence, outcomes and complications of this high risk surgery at a large ECMO centre. MATERIALS AND METHODS:A single centre, retrospective, observational ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2019.06.021

    authors： McCann C,Adams K,Schizas A,George M,Barrett NA,Wyncoll DLA,Camporota L

    更新日期：2019-10-01 00:00:00