New perspectives to improve critical care benchmarking

Salluh, Jorge I.; Chiche, Jean‐Daniel; Reis, Carlos Eduardo dos; Soares, Márcio

doi:10.1186/s13613-018-0363-0

Cited by 28 publications

(19 citation statements)

References 11 publications

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“…Nevertheless, comparisons of institutions tend to use outcome indicators due to better data availability. Other outcome indicators, such as mortality – even if they are standardized for risk factors (SMR) – are not able to record actual process adherence [ 37 ]. In addition, such indicators are at best only able to measure undesirable developments after longer periods of time (e.g.…”

Section: Resultsmentioning

confidence: 99%

The future development of intensive care quality indicators – a methods paper

Kumpf

Nothacker

Braun

et al. 2020

GMS German Medical Science; 18:Doc09

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Section: Resultsmentioning

confidence: 99%

The future development of intensive care quality indicators – a methods paper

Kumpf

Nothacker

Braun

et al. 2020

GMS German Medical Science; 18:Doc09

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“…Through playing all aspects of a child's development it is grown so that the child becomes healthier and smarter. Playing in pre-school children has been shown to improve children's mental development and intelligence (13). The main stressors experienced from hospitalization include separation, loss of control, bodily injury, pain and can affect biological responses such as pulse rate, respiratory frequency and eating behavior (1).So that play facilities in the form of play therapy, can be given by nurses to children who are undergoing treatment at the hospital.…”

Section: Discussionmentioning

confidence: 99%

Slime as Playing Therapy on Response of Biological, Psycological and Eating Behaviour of Preschool in Hospital

Seran

Krisnana

Racmawati

2019

Pediomaternal Nurs. J.

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Introduction: Slime is one of the toys that many kids like because it was adorable with a variety of bright and colorful color variations. The purpose of this study was to determine the effect of slime play therapy on biological, psychological, and eating behavior in preschool children who undergo hospitalization in the Dahlia Room of RSUD Mgr. Gabriel Manek, SVD Atambua.Methods: This research used quasi experiment with post-test only non-equivalent control group design. The total population was 90 patients with a sample size of 60 respondents, divided into 30 treatment groups and 30 control groups. The sample was determined by consecutive sampling technique. The independent variable was slime play therapy. The dependent variable was biological, psychological, and eating behavior. Data were obtained by observation sheet and Child Eating Behavior Questionnaire (CEBQ) instrument and data were analyzed by the Mann-Whitney U Test.Results: There were differences between the treatment group and the control group on respiratory frequency (p=0.021), pulse frequency (p=0.002), stress (p=0.035), and eating behavior (p=0.041).Conclusion: Slime play therapy was an atraumatic care approach that can be used to reduce stress level hospitalization, biological responses to normal, and eating behavior to be good for children who were hospitalized.

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“…The availability of constantly updated information is pivotal to improve decision-making processes in the ICU [161,162]. As the epidemiology of MDRB is continuously evolving, close monitoring of local resistance patterns may help to rationalize the empirical use of broad-spectrum antibiotics in this setting.…”

Section: The Appropriate Dashboard In the Icumentioning

confidence: 99%

Rationalizing antimicrobial therapy in the ICU: a narrative review

et al. 2019

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The massive consumption of antibiotics in the ICU is responsible for substantial ecological side effects that promote the dissemination of multidrug-resistant bacteria (MDRB) in this environment. Strikingly, up to half of ICU patients receiving empirical antibiotic therapy have no definitively confirmed infection, while de-escalation and shortened treatment duration are insufficiently considered in those with documented sepsis, highlighting the potential benefit of implementing antibiotic stewardship programs (ASP) and other quality improvement initiatives. The objective of this narrative review is to summarize the available evidence, emerging options, and unsolved controversies for the optimization of antibiotic therapy in the ICU. Published data notably support the need for better identification of patients at risk of MDRB infection, more accurate diagnostic tools enabling a rule-in/rule-out approach for bacterial sepsis, an individualized reasoning for the selection of single-drug or combination empirical regimen, the use of adequate dosing and administration schemes to ensure the attainment of pharmacokinetics/pharmacodynamics targets, concomitant source control when appropriate, and a systematic reappraisal of initial therapy in an attempt to minimize collateral damage on commensal ecosystems through de-escalation and treatment-shortening whenever conceivable. This narrative review also aims at compiling arguments for the elaboration of actionable ASP in the ICU, including improved patient outcomes and a reduction in antibiotic-related selection pressure that may help to control the dissemination of MDRB in this healthcare setting.

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New perspectives to improve critical care benchmarking

Cited by 28 publications

References 11 publications

The future development of intensive care quality indicators – a methods paper

The future development of intensive care quality indicators – a methods paper

Slime as Playing Therapy on Response of Biological, Psycological and Eating Behaviour of Preschool in Hospital

Rationalizing antimicrobial therapy in the ICU: a narrative review

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