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Ten Years Later, Alarm Fatigue Is Still a Safety Concern. 十年后，警报疲劳仍然是一个安全问题。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023662
Kimberly Albanowski, Kendall J Burdick, Christopher P Bonafide, Ruth Kleinpell, Joseph J Schlesinger
{"title":"Ten Years Later, Alarm Fatigue Is Still a Safety Concern.","authors":"Kimberly Albanowski,&nbsp;Kendall J Burdick,&nbsp;Christopher P Bonafide,&nbsp;Ruth Kleinpell,&nbsp;Joseph J Schlesinger","doi":"10.4037/aacnacc2023662","DOIUrl":"https://doi.org/10.4037/aacnacc2023662","url":null,"abstract":"<p><p>Ten years after the publication of a landmark article in AACN Advanced Critical Care, alarm fatigue continues to be an issue that researchers, clinicians, and organizations aim to remediate. Alarm fatigue contributes to missed alarms and medical errors that result in patient death, increased clinical workload and burnout, and interference with patient recovery. Led by the American Association of Critical-Care Nurses, national patient safety organizations continue to prioritize efforts to battle alarm fatigue and have proposed alarm management strategies to mitigate the effects of alarm fatigue. Similarly, clinical efforts now use simulation studies, individualized alarm thresholds, and interdisciplinary teams to optimize alarm use. Finally, engineering research efforts have innovated the standard alarm to convey information more effectively for medical users. By focusing on patient and provider safety, clinical workflow, and alarm technology, efforts to reduce alarm fatigue over the past 10 years have been grounded in an evidence-based and personnel-focused approach.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"189-197"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Point-of-Care Ultrasonography in Critical Care: Part 2. 危重症护理点超声检查:第2部分。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023470
Cynthia Blank-Reid, Zoë Maher
{"title":"Point-of-Care Ultrasonography in Critical Care: Part 2.","authors":"Cynthia Blank-Reid,&nbsp;Zoë Maher","doi":"10.4037/aacnacc2023470","DOIUrl":"https://doi.org/10.4037/aacnacc2023470","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"199-200"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10110997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Point-of-Care Ultrasonography in the Intensive Care Unit for the Obstetric Patient. 产科病人重症监护病房的即时超声检查。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023934
Stephen Lammers, Cara D Dolin
{"title":"Point-of-Care Ultrasonography in the Intensive Care Unit for the Obstetric Patient.","authors":"Stephen Lammers,&nbsp;Cara D Dolin","doi":"10.4037/aacnacc2023934","DOIUrl":"https://doi.org/10.4037/aacnacc2023934","url":null,"abstract":"Point-of-care ultrasonography (POCUS) is a tool that can be used to evaluate critically ill obstetric patients, in the same way as for nonpregnant patients. With knowledge of the physiology and anatomical changes of pregnancy, POCUS can provide meaningful information to help guide clinical management. A POCUS cardiothoracic evaluation for left and right ventricular function, pulmonary edema, pleural effusion, and pneumothorax can be performed in pregnancy. A Focused Assessment with Sonography in Trauma examination in pregnancy is performed similarly to that in nonpregnant patients, and the information obtained can guide decision-making regarding operative versus nonoperative management of trauma. POCUS is also used to glean important obstetric information in the setting of critical illness and trauma, such as fetal status, gestational age, and placental location. These obstetric evaluations should be performed rapidly to minimize delay and enable pregnant patients to receive the same care for critical illness and trauma as nonpregnant patients.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"207-215"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasonography-Guided Procedures in the Intensive Care Setting. 超声引导下的重症监护程序。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023551
Jeffrey C Cruz, Mark Edelstein
{"title":"Ultrasonography-Guided Procedures in the Intensive Care Setting.","authors":"Jeffrey C Cruz,&nbsp;Mark Edelstein","doi":"10.4037/aacnacc2023551","DOIUrl":"https://doi.org/10.4037/aacnacc2023551","url":null,"abstract":"<p><p>Ultrasonography guidance can help make procedures safer and more effective, particularly in the intensive care setting. This article discusses techniques to optimize periprocedural ultrasonography and reviews common intensive care procedures for which ultrasonography can be used: vascular access procedures, paracentesis, thoracentesis, and pericardiocentesis.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"201-206"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recognizing Child Abuse. 认识虐待儿童。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023779
Jodi E Mullen
{"title":"Recognizing Child Abuse.","authors":"Jodi E Mullen","doi":"10.4037/aacnacc2023779","DOIUrl":"https://doi.org/10.4037/aacnacc2023779","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"240-245"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Update on the Treatment of Heparin-Induced Thrombocytopenia. 肝素诱导的血小板减少症的治疗进展。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023462
Sheriff Gbadamosi, Kristin L Feick
{"title":"Update on the Treatment of Heparin-Induced Thrombocytopenia.","authors":"Sheriff Gbadamosi,&nbsp;Kristin L Feick","doi":"10.4037/aacnacc2023462","DOIUrl":"https://doi.org/10.4037/aacnacc2023462","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"173-178"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measurement Strategies for The Joint Commission Health Care Disparities Standard: Defining Hospital-Based Requirements-Part 1. 联合委员会医疗保健差异标准的测量策略:定义基于医院的要求-第1部分。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023668
Bradi B Granger, Jill Engel
{"title":"Measurement Strategies for The Joint Commission Health Care Disparities Standard: Defining Hospital-Based Requirements-Part 1.","authors":"Bradi B Granger, Jill Engel","doi":"10.4037/aacnacc2023668","DOIUrl":"10.4037/aacnacc2023668","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"154-160"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Tenecteplase: A Review of Its Pharmacology and Uses. 替奈普酶的药理及应用综述。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023558
Jenna Forry, Alyssa Chappell
{"title":"Tenecteplase: A Review of Its Pharmacology and Uses.","authors":"Jenna Forry, Alyssa Chappell","doi":"10.4037/aacnacc2023558","DOIUrl":"10.4037/aacnacc2023558","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"77-83"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurses' Overreliance on Fallible Technology. 护士对不可靠技术的过度依赖。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023526
Linda Harrington
{"title":"Nurses' Overreliance on Fallible Technology.","authors":"Linda Harrington","doi":"10.4037/aacnacc2023526","DOIUrl":"10.4037/aacnacc2023526","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"84-87"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical Care Echocardiography. 重症监护超声心动图。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023186
Christopher Decker, Valeda Yong, Julianne E Linahan
{"title":"Critical Care Echocardiography.","authors":"Christopher Decker,&nbsp;Valeda Yong,&nbsp;Julianne E Linahan","doi":"10.4037/aacnacc2023186","DOIUrl":"https://doi.org/10.4037/aacnacc2023186","url":null,"abstract":"Ultrasonography is increasingly applied in the critical care setting. With advancements in technology, ultrasonography has become easier to use, with smaller machines, and more fundamental to patient assessment. Ultrasonography is a hands-on tool that brings real-time, dynamic information to the bedside. Patients in the critical care setting often have unstable hemodynamics or a tenuous respiratory status; thus, the use of ultrasonography to augment the assessment greatly improves patient safety. This article explores how to differentiate the etiology of shock with the adjunct of critical care echocardiography. In addition, the article examines how various ultrasonography techniques can be used to diagnose other life-threatening cardiac conditions, such as pulmonary embolism or cardiac tamponade, and the role of echocardiography in cardiopulmonary resuscitation. Critical care providers can add echocardiography and the information it provides to their repertoire to improve diagnosis, treatment, and patient outcomes.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"119-128"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9608064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
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