Health systems and services: the role of acute care

Hirshon, Jon Mark; Risko, Nicholas; Calvello, Emilie J.B.; Ramirez, Sarah Stewart de; Narayan, Mayur; Theodosis, Christian; O’Neill, Joseph

doi:10.2471/blt.12.112664

Cited by 180 publications

(145 citation statements)

References 2 publications

Supporting

Mentioning

144

Contrasting

Unclassified

Order By: Relevance

“…In the current study, this is a nurse currently employed in a clinical area that provides care to acutely ill patients. Hirshon et al (2013) define acute care as all "promotive, preventive, curative, rehabilitative or palliative actions, whether oriented towards individuals or populations, whose primary purpose is to improve health and whose effectiveness largely depends on time-sensitive and, frequently, rapid intervention" (para. 3).…”

Section: Definition Of Termsmentioning

confidence: 99%

Development of Crisis Resource Management Skills: A Literature Review

Lucas

Edwards

2017

Clinical Simulation in Nursing

View full text Add to dashboard Cite

In this repeated-measures observational study, eleven acute care and critical care registered nurse participants were evaluated at four different time points to measure the effect of an education program on observed performance of crisis resource management (CRM) skills.Performance was measured using the Ottawa Global Rating Scale and a checklist developed for this study. One-on-one semi-structured interviews also assessed nurses' perceptions of the learning that occurred in the education program. Results were mixed with statistically significant changes in mean scores occurring between time one and time two and non-statistically significant improvement in mean scores overall. Interview results indicated nurses perceived a high degree of learning through passive observer roles as well as active responder roles. This study adds to the body of evidence on the effectiveness of high-fidelity simulation education programs and highlights the need for further research in multiple areas. AL Thesis CRM Skills 3Acknowledgements

show abstract

Section: Definition Of Termsmentioning

confidence: 99%

Development of Crisis Resource Management Skills: A Literature Review

Lucas

Edwards

2017

Clinical Simulation in Nursing

View full text Add to dashboard Cite

show abstract

“…34 They defined acute care as 'the most time-sensitive, individually-oriented diagnostic and curative actions whose primary purpose is to improve health'. 34 Acute care settings include 'emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent care and short-term inpatient stabilisation'. outcomes Discharge destinations from acute care will be assessed as the primary outcome of interest.…”

mentioning

confidence: 99%

Predictors of Discharge Destination From Acute Care in Patients With Traumatic Brain Injury: A Systematic Review

Zarshenas

Colantonio

Alavinia

et al. 2019

Journal of Head Trauma Rehabilitation

View full text Add to dashboard Cite

Objective: To systematically review studies on clinical and nonclinical predictors of discharge destination from acute care in patients with traumatic brain injury. Methods: The search was conducted using 7 databases up to December 2016. A systematic review and in-depth quality synthesis were conducted on eligible articles that met the inclusion criteria. Results: The search yielded 8503 articles of which 18 studies met the inclusion criteria. This study demonstrated that a larger proportion of patients with traumatic brain injury were discharged home. The main predictors of discharge to a setting with rehabilitation services versus home included increasing age, white and non-Hispanic race/ethnicity, having insurance coverage, greater severity of the injury, and longer acute care length of stay. Age was the only consistent factor that was negatively associated with discharge to inpatient rehabilitation facilities versus other institutions. Conclusion: Results of this study support healthcare providers in providing consultation to patients about the expected next level of cares while considering barriers that may helpful in effective discharge planning, decreasing length of stay and saving resources. These findings also suggest the need for further studies with a stronger methodology on the contribution of patients and families/caregivers to distinguish the predictors of discharge to dedicated rehabilitation facilities.

show abstract

“…COPD management must move away from the conceptual and systemic deficiencies of the acute care model, which only addresses the"…sudden, often unexpected, urgent or emergent episodes of injury and illness that can lead to death or disability without rapid intervention" [12]. In doing so, we must appreciate the fact that COPD has systemic consequences and frequent comorbidities, and these contribute substantially to total disease burden and mortality [5,13].…”

Section: Introductionmentioning

confidence: 99%

Integrated Care: What does this Mean for the COPD Patient?

Williams¹,

Wilcox²,

ZuWallack³

et al. 2016

Chron Obstruct Pulmon Dis

View full text Add to dashboard Cite

Despite remarkable advances in medicine and technology, the management of the patient with COPD is often inefficient and fragmented. Optimizing care for these individuals requires that a proactive, patient-centered, defragmented and integrated plan of care. Integrated care, which draws heavily from the chronic care model, incorporating holistic, self-management and care coordination principles to meet the needs of the complex COPD patient, is a desirable approach to improving medical management. The relationship of integrated care to other, similar conceptual models, including self-management, disease management, care coordination, and patient centered medical home is discussed.

show abstract

Health systems and services: the role of acute care

Abstract: PerspectivesBull World Health Organ 2013;91:386-388 | doi: http://dx

Cited by 180 publications

References 2 publications

Development of Crisis Resource Management Skills: A Literature Review

Development of Crisis Resource Management Skills: A Literature Review

Predictors of Discharge Destination From Acute Care in Patients With Traumatic Brain Injury: A Systematic Review

Integrated Care: What does this Mean for the COPD Patient?

Contact Info

Product

Resources

About