探测和预防外科手术后病情恶化的死亡的举措
Linda M Posthuma1, Benedikt Preckel2,3
1Department of Anesthesiology and Intensive Care Medicine, Amphia Hospital, Breda.
Current opinion in anaesthesiology
|September 28, 2023
概括
医院在处理术后并发症方面存在差异,称为救助失败. 诸如认知辅助和远程监测等策略可以通过加强紧急响应链来改善患者的治疗结果.
科学领域:
- 在外科手术期间的医学.
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 在检测和管理术后并发症方面存在显著的医院间差异,这一关键问题被称为"救助失败".
- 失败的救援代表了在外科手术前期发生不良事件后及时和有效干预的差距.
研究的目的:
- 审查最近的举措,旨在减少在外科手术前期的失败救援.
- 确定改善术后并发症管理的策略.
主要方法:
- 对最近的倡议和战略进行文献综述.
- 对针对外科手术期间急救链的干预措施的分析.
主要成果:
- 认知辅助工具,应急手册,家庭参与和远程监控在减少救援失败方面显示出有希望.
- 麻醉师对术后病房的检查并没有显示出改善的结果,这表明需要加强术后护理.
结论:
- 加强应急链的 afferent 肢体 (监测,识别,响应) 和 efferent 肢体 (诊断,治疗) 是非常重要的.
- 在外科手术前护理途径的系统改进可以显著减少无法救援的情况.
- 解决医院特定的护理差异对于改善患者安全和治疗结果至关重要.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
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...
12
Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
15
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Errors occurring during blood pressure monitoring
755
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
755


