This commentary discusses Laporta and coworkers analysis of a case study on the causes of and solutions for staff turnover in an intensive care setting. Staff turnover is a significant issue for health care leaders due to the shrinking workforce in Western countries and an increased demand for intensive care services as the population ages. The commentary considers reasons for turnover such as ...

Rapid response teams (RRTs) can effectively foster discussions about appropriate goals of care and address other emergent palliative care needs of patients and families facing life-threatening illness on hospital wards. In this article, The Improving Palliative Care in the ICU (IPAL-ICU) Project brings together interdisciplinary expertise and existing data to address the following: special chal...

Patientand family-centered care (PFCC) is changing the way hospitals provide patient care, increasing staff satisfaction, decreasing costs, and improving patient outcomes [1, 2]. Although hospitals make unique, organization-specific PFCC principles, all of them tend to endorse similar core values by recognizing the importance of family members’ roles in individual patients’ health care experien...

BACKGROUND To improve patient safety, organisations must systematically measure avoidable harms. Clinical surveillance-consisting of prospective case finding and peer review-could improve identification of adverse events (AEs), preventable AEs and potential AEs. The authors sought to describe and compare findings of clinical surveillance on four clinical services in an academic hospital. METHOD...

Care transitions—which occur when a patient moves from the intensive care unit to the medical floor, from the hospital to a skilled nursing facility or home, or from one team to another—represent high-risk periods for adverse events. These transitions are more complex in older patients. Notably, almost half of patients 85 years and older, and 30% of patients 75 to 84 years old, are discharged t...

Some people may be laughing when looking at you reading in your spare time. Some may be admired of you. And some may want be like you who have reading hobby. What about your own feel? Have you felt right? Reading is a need and a hobby at once. This condition is the on that will make you feel that you must read. If you know are looking for the book enPDFd reinventing american health care how the...

All the pressures on the health service are converging on that part of the service that cannot say no. The buck stops with the emergency health care system. It is the first place that the media and the public sees the pressure and points the finger. The accident and emergency (A&E) department sits on the fault line where the "tectonic plates of primary and secondary care meet,"' where the world...

BACKGROUND There are currently no comprehensive studies in critical care settings that have set out to examine the association of palliative care screening criteria with multiple, adverse patient outcomes. METHODS A 7-item palliative care screen was developed from consensus reports. Medical intensive care unit (MICU) nurses at four hospitals screened patients upon admission during a 16-week p...

KEY FEATURES: Multidisciplinary team-based approach to addressing patients’ medical, behavioral, and social needs. At the heart of the Intensive Outpatient Care Program (IOCP) is the care coordinator, who links patients to primary, specialty, and ancillary services; provides tools for effective self-management; guides participants through development of a shared action plan; and provides connec...

1Regional Trauma Services and Departments of Surgery and Critical Care Medicine, Foothills Medical Centre, Calgary, Alberta, Canada 2Letterkenny University Hospital, Letterkenny, Donegal Ireland 3Regional Trauma Services, Foothills Medical Centre, Calgary, Alberta, Canada 4Department of Surgery, Division of Trauma — University of Campinas, São Paulo, Brazil 5Department of Surgery, Foothills Med...