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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Aneurysm III: Interprofessional Care01:26

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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Related Experiment Video

Updated: May 6, 2026

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
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A collaborative system to improve compartment syndrome recognition.

Joshua K Schaffzin1, Heather Prichard, Jennifer Bisig

  • 1Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 9016, Cincinnati, OH 45229-3039. joshua.schaffzin@cchmc.org.

Pediatrics
|November 13, 2013
PubMed
Summary

A reliable system was developed to identify and monitor patients at risk for acute compartment syndrome (ACS). Integrating interventions into onboarding ensures sustainability despite staff turnover, improving patient safety.

Keywords:
compartment syndromeinjury preventionorthopedicsquality improvementreliability science

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Area of Science:

  • Medical Informatics
  • Patient Safety
  • Surgical Complications

Background:

  • Acute compartment syndrome (ACS) is a severe complication of extremity injuries.
  • Delayed recognition and treatment of ACS lead to significant morbidity.
  • Existing systems lack reliability and sustainability, especially with provider turnover.

Purpose of the Study:

  • To develop a dependable system for recognizing and monitoring patients at risk for ACS.
  • To create a system resilient to frequent provider changes.
  • To improve early detection and management of ACS.

Main Methods:

  • Utilized the Model for Improvement framework.
  • Identified key drivers and failure modes in order entry and documentation processes.
  • Employed plan-do-study-act cycles for intervention testing and refinement.
  • Focused on integrating effective interventions into staff onboarding for sustainability.

Main Results:

  • Achieved a significant increase in proper order entry (23% to 90%) and documentation (15% to 70%).
  • Individual interventions showed initial improvement but lacked sustainability.
  • Sustained success was realized by incorporating interventions into the onboarding process for new residents.
  • Nursing documentation improved through education and consistent order entry.

Conclusions:

  • A reliable and sustainable system for ACS surveillance was successfully implemented.
  • Interventions minimally disrupting workflows were effective.
  • Sustainability was achieved through integration into routine staff orientation.
  • Hospitals can adapt this model for ACS and other acute condition surveillance.