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121. Comparing volume-clamp method and intra-arterial blood pressure measurements in patients with atrial fibrillation admitted to the intensive or medium care unit (PubMed)

Comparing volume-clamp method and intra-arterial blood pressure measurements in patients with atrial fibrillation admitted to the intensive or medium care unit International guidelines highlight the importance of blood pressure (BP) in patients with atrial fibrillation (AF). However, BP measurement in AF is complicated by beat-to-beat fluctuation. Automated BP measurement devices are not validated for patients with AF and no consensus exists on how to measure BP in AF manually. Beat-to-beat BP (...) measurement using the volume-clamp method (VCM) could represent a non-invasive method to accurately assess BP, but has not been validated in AF. 31 admitted patients with sustained AF and 10 control patients with sinus rhythm underwent simultaneous intra-arterial and non-invasive BP measurement using a VCM monitor (Nexfin®, BMEYE, Amsterdam, The Netherlands). Patients with compromised peripheral perfusion, high doses of vasopressor drugs or peripheral edema were excluded. Differences in systolic

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2017 Journal of clinical monitoring and computing

122. Using CollaboRATE, a brief patient‐reported measure of shared decision making: Results from three clinical settings in the United States (PubMed)

Using CollaboRATE, a brief patient‐reported measure of shared decision making: Results from three clinical settings in the United States CollaboRATE is a brief patient survey focused on shared decision making. This paper aims to (i) provide insight on facilitators and challenges to implementing a real-time patient survey and (ii) evaluate CollaboRATE scores and response rates across multiple clinical settings with varied patient populations.All adult patients at three United States primary (...) in diverse primary care settings. A clinic's workflow plays a crucial role in implementation. Patient experience measurement risks becoming a burden to both patients and administrators. Episodic use of short measurement tools could reduce this burden.© 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.

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2017 Health expectations : an international journal of public participation in health care and health policy

123. Full-Body Locomotion Reconstruction of Virtual Characters Using a Single Inertial Measurement Unit (PubMed)

Full-Body Locomotion Reconstruction of Virtual Characters Using a Single Inertial Measurement Unit This paper presents a method of reconstructing full-body locomotion sequences for virtual characters in real-time, using data from a single inertial measurement unit (IMU). This process can be characterized by its difficulty because of the need to reconstruct a high number of degrees of freedom (DOFs) from a very low number of DOFs. To solve such a complex problem, the presented method is divided

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2017 Sensors (Basel, Switzerland)

124. Improving low-cost inertial-measurement-unit (IMU)-based motion tracking accuracy for a biomorphic hyper-redundant snake robot (PubMed)

Improving low-cost inertial-measurement-unit (IMU)-based motion tracking accuracy for a biomorphic hyper-redundant snake robot This paper develops and experimentally validates a 3D-printed snake robot prototype. Its structure is designed to allocate limited room for each functional module (including an external power module, battery power module, the wireless control and transmission module and some detective sensors), so as to ensure the snake robot works in different environments. In order (...) to control and track the snake robot, a low-cost MEMS-IMU (micro-electro-mechanical systems inertial measurement unit)-based snake robot motion tracking system is developed. Three algorithms (low-pass filter, baseline calibration, and Kalman filter) are used to eliminate noise from IMU's acceleration data, thus minimizing the noise influence to tracking accuracy. Through signal processing, the IMU acceleration data can be effectively used for motion tracking. The result from the video tracking software

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2017 Robotics and biomimetics

125. Guideline development and education to insure accurate and consistent pulmonary artery wedge pressure measurement by nurses in intensive care units. (PubMed)

Guideline development and education to insure accurate and consistent pulmonary artery wedge pressure measurement by nurses in intensive care units. A consistent pulmonary artery wedge pressure measurement is vital to insure that patients have the proper fluid balance and that the healthcare team obtain accurate information on the patients' ventricular function. This article discusses how guidelines for pulmonary artery wedge pressure measurement were developed and implemented at one facility (...) . To implement and ensure that the guidelines were effective, nurses received a copy of guidelines for pulmonary artery wedge pressure measurement and they were posted in the intensive care unit. A pretest was completed before nurses were given the guidelines, and a posttest was completed after nurses reviewed the guidelines. This fast and simple method of education was found to increase nurses' knowledge of how to measure pulmonary artery wedge pressure. These results are encouraging and warrant extending

2017 Dimensions of critical care nursing

126. Misleading measurements: modeling the effects of blood pressure misclassification in a United States population. (PubMed)

Misleading measurements: modeling the effects of blood pressure misclassification in a United States population. The clinical diagnosis of hypertension is subject to misclassification, and this may be clinically important. This article calculates positive and negative predictive values for blood pressure measurement and assesses the frequency of clinically important blood pressure misclassification.A modeling study was carried out on 4763 adults in the National Health and Nutrition Examination (...) Survey (NHANES) POPULATION: True treatment eligibility was determined by applying Joint National Committee (JNC) VII criteria to individuals in the study population. Each individual was also allocated a series of blood pressures incorporating an error term reflecting day-to-day measurement variation. Test positives are persons classified as needing treatment on the basis of the mean of 2 blood pressure measurements.Positive predictive values of a diagnosis of hypertension based on 2 measurements were

2017 Medical Decision Making

127. 2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non?ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures

2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non?ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures 2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non–ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures | Circulation (...) : Cardiovascular Quality and Outcomes Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article 2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non–ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart

2017 American Heart Association

128. Infection Control for Haemodialysis Units

. The strict implementation of standard precautions and cleaning protocols have been shown to be sufficient to interrupt HCV transmission and achieve reductions in HCV incidence even without isolation measures and the use of dedicated machines [59, 80]. HEPATITIS B VIRUS ____________________________________________________________________________________________________________ Infectious diseases in haemodialysis units November-2018 Page 23 of 63 The prevalence of HBV in HD patients in the Asia-pacific (...) Infection Control for Haemodialysis Units ____________________________________________________________________________________________________________ Infectious diseases in haemodialysis units November-2018 Page 1 of 63 INFECTION CONTROL FOR HAEMODIALYSIS UNITS Components I. Prevention of blood-borne virus transmission in haemodialysis units Date written: November 2017 Author: Dr Nicole Gilroy, Dr Muh Geot Wong II. Screening for multidrug-resistant organisms in haemodialysis patients Date

2019 KHA-CARI Guidelines

129. Clinical practice guidelines for pain, agitation, delirium, sedation and mobilisation in the intensive care unit: A Rapid Review

Clinical practice guidelines for pain, agitation, delirium, sedation and mobilisation in the intensive care unit: A Rapid Review ICU pain, agitation, delirium, sedation and mobilisation CPGs: A Rapid Review 1 Clinical practice guidelines for pain, agitation, delirium, sedation and mobilisation in the intensive care unit: A Rapid Review Citation Corey Joseph & Angela Melder. April 2018. Clinical practice guidelines for pain, agitation, delirium, sedation and mobilisation in the intensive care (...) unit: A Rapid Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Contact cce@monashhealth.org Executive Summary Background The Program Medical Director for Critical Care has requested a review of clinical practice guidelines for pain, agitation, delirium, sedation and mobilisation in the intensive care unit (ICU) to inform future implementation of a new clinical practice guideline in the ICU. Objectives The objective of this review was to review and summarise current

2019 Monash Health Evidence Reviews

130. Management of Blood Borne Viruses within the Haemodialysis Unit

. Other BBV such as Hepatitis G and D have been identified as being more commonly carried in dialysis patients than the general population but their clinical significance is uncertain [12-14]. Risk of BBV transmission is known to be directly related to the concentration of virus in the blood. HCV and HIV are less infectious in dialysis units than HBV but outbreaks have been reported [7, 8, 13, 14-18] emphasising the need for infection control measures. Within the guideline we refer to the KDIGO (...) renal units: e.g. a dialysis nurse to patient ratio of 1:1 would probably reduce the risk of BBV transmission but is not recommended as it is not feasible. However, any proposed changes in staffing ratios in a unit should be accompanied by a risk assessment of the implications of this on the ability to adhere to the infection control measures recommended within this guideline. When applying this clinical practice guideline it is important to consider the balance between protecting patients from

2019 Renal Association

131. Developing new ways of measuring the quality and impact of ambulance service care: the PhOEBE mixed-methods research programme

Developing new ways of measuring the quality and impact of ambulance service care: the PhOEBE mixed-methods research programme Developing new ways of measuring the quality and impact of ambulance service care: the PhOEBE mixed-methods research programme Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search (...) above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} This research programme identified and prioritised a set of potential ambulance quality measures that reflected preferences of services and users. {{author}} {{($index , , , , , , , , , , , , , , , , , , , , , , & . Janette Turner 1 , A Niroshan Siriwardena 2, 3, * , Joanne Coster 1 , Richard Jacques 1 , Andy Irving 1 , Annabel Crum 1 , Helen Bell Gorrod 1

2019 NIHR HTA programme

132. BIS monitoring versus clinical assessment for sedation in mechanically ventilated adults in the intensive care unit and its impact on clinical outcomes and resource utilization. (PubMed)

BIS monitoring versus clinical assessment for sedation in mechanically ventilated adults in the intensive care unit and its impact on clinical outcomes and resource utilization. Patients admitted to intensive care and on mechanical ventilation, are administered sedative and analgesic drugs to improve both their comfort and interaction with the ventilator. Optimizing sedation practice may reduce mortality, improve patient comfort and reduce cost. Current practice is to use scales or scores (...) procedures have already been confirmed by another Cochrane review. By undertaking a well-conducted systematic review our aim was to find out if BIS monitoring improves outcomes in mechanically ventilated adult intensive care unit (ICU) patients.To assess the effects of BIS monitoring compared with clinical sedation assessment on ICU length of stay (LOS), duration of mechanical ventilation, any cause mortality, risk of ventilator-associated pneumonia (VAP), risk of adverse events (e.g. self-extubation

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2018 Cochrane

133. Propofol for the promotion of sleep in adults in the intensive care unit. (PubMed)

Propofol for the promotion of sleep in adults in the intensive care unit. People in the intensive care unit (ICU) experience sleep deprivation caused by environmental disruption, such as high noise levels and 24-hour lighting, as well as increased patient care activities and invasive monitoring as part of their care. Sleep deprivation affects physical and psychological health, and people perceive the quality of their sleep to be poor whilst in the ICU. Propofol is an anaesthetic agent which can (...) study comparing propofol with no agent (13 participants) measured quantity and quality of sleep using polysomnography; study authors reported no evidence of a difference in duration of sleep or sleep efficiency, and reported disruption to usual REM (rapid eye movement sleep) with propofol.One study comparing different doses of propofol (30 participants) measured quantity and quality of sleep by personnel using the Ramsay Sedation Scale; study authors reported that more participants who were given

2018 Cochrane

134. Early intervention (mobilization or active exercise) for critically ill adults in the intensive care unit. (PubMed)

Early intervention (mobilization or active exercise) for critically ill adults in the intensive care unit. Survivors of critical illness often experience a multitude of problems that begin in the intensive care unit (ICU) or present and continue after discharge. These can include muscle weakness, cognitive impairments, psychological difficulties, reduced physical function such as in activities of daily living (ADLs), and decreased quality of life. Early interventions such as mobilizations (...) exercises. Included studies were at high risk of performance bias, as they were not blinded to participants and personnel, and two of four did not blind outcome assessors. Three of four studies reported only on those participants who completed the study, with high rates of dropout. The description of intervention type, dose, intensity and frequency in the standard care control group was poor in two of four studies.Three studies (a total of 454 participants) reported at least one measure of physical

2018 Cochrane

135. Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors. (PubMed)

Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors. The intensive care unit (ICU) stay has been linked with a number of physical and psychological sequelae, known collectively as post-intensive care syndrome (PICS). Specific ICU follow-up services are relatively recent developments in health systems, and may have the potential to address PICS through targeting unmet health needs arising from the experience of the ICU stay. There is currently no single (...) studies; 1297 participants), or increases the ability to return to work or education (1 study; 386 participants), because the certainty of this evidence is very low. No studies measured adverse effects.We could not assess our secondary objectives because we found insufficient studies to justify subgroup analysis.We found insufficient evidence, from a limited number of studies, to determine whether ICU follow-up services are effective in identifying and addressing the unmet health needs of ICU

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2018 Cochrane

136. Hospitalisation in short-stay units for adults with internal medicine diseases and conditions. (PubMed)

both multipurpose and specialised short-stay units. Participants were adults admitted to hospital with an internal medicine disease or condition. We excluded surgical, obstetric, psychiatric, gynaecological, and ambulatory participants. Trials were included irrespective of publication status, date, and language.We used standard methodological procedures expected by Cochrane. Two review authors independently extracted data and assessed the risk of bias of each included trial. We measured (...) Hospitalisation in short-stay units for adults with internal medicine diseases and conditions. Short-stay units are hospital units that provide short-term care for selected patients. Studies have indicated that short-stay units might reduce admission rates, time of hospital stays, hospital readmissions and expenditure without compromising the quality of care. Short-stay units are often defined by a target patient category, a target function, and a target time frame. Hypothetically, short-stay

2018 Cochrane

137. Melatonin for the promotion of sleep in adults in the intensive care unit. (PubMed)

Melatonin for the promotion of sleep in adults in the intensive care unit. Patients in the intensive care unit (ICU) experience sleep deprivation caused by environmental disruption, such as high noise levels and 24-hour lighting, as well as increased patient care activities and invasive monitoring as part of their care. Sleep deprivation affects physical and psychological health, and patients perceive the quality of their sleep to be poor whilst in the ICU. Artificial lighting during night-time (...) hours in the ICU may contribute to reduced production of melatonin in critically ill patients. Melatonin is known to have a direct effect on the circadian rhythm, and it appears to reset a natural rhythm, thus promoting sleep.To assess whether the quantity and quality of sleep may be improved by administration of melatonin to adults in the intensive care unit. To assess whether melatonin given for sleep promotion improves both physical and psychological patient outcomes.We searched the Cochrane

2018 Cochrane

138. Interventions for preventing intensive care unit delirium in adults. (PubMed)

Interventions for preventing intensive care unit delirium in adults. Delirium is defined as a disturbance in attention, awareness and cognition with reduced ability to direct, focus, sustain and shift attention, and reduced orientation to the environment. Critically ill patients in the intensive care unit (ICU) frequently develop ICU delirium. It can profoundly affect both them and their families because it is associated with increased mortality, longer duration of mechanical ventilation (...) of death). With the exception of one study, all participants were mechanically ventilated in medical or surgical ICUs or mixed. The studies were overall at low risk of bias. Six studies were at high risk of detection bias due to lack of blinding of outcome assessors. We report results for the two most commonly explored approaches to delirium prevention: pharmacologic and a non-pharmacologic intervention.Haloperidol versus placebo (two RCTs, 1580 participants)The event rate of ICU delirium was measured

2018 Cochrane

139. Description of vital signs data measurement frequency in a medical/surgical unit at a community hospital in United States (PubMed)

Description of vital signs data measurement frequency in a medical/surgical unit at a community hospital in United States Vitals signs are measured at scheduled intervals by nurses in typical general wards. Vital signs may be measured more frequently if the patient condition deteriorates. In many units, the vital signs measurement frequency for some patients is different from the scheduled frequency due to various reasons such as staffing, patient acuity etc. In this article, we describe (...) the actual measurement frequency in patients admitted to general ward in a community hospital in Arizona, US. We present the data in the form of 2 sets of graphs. The first set of graphs are histograms which show the distribution of the number of measurements in a 24 h period for 6 different vital signs. The second set of graphs show the proportion of the patient population who had a measurement of a vital sign for each hour of the last day of patient's general ward stay. The significance of this data

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2017 Data in brief

140. Specialist dementia care units

(case series) Emerging practice Saidlitz (2017) 21 Cognitive and Behavioural Unit France Level IV (case series) Emerging practice Zieschang (2010) 35 Special Care Unit Germany Level IV (case series) Emerging practice The included studies used a range of outcome and process measures, including behaviour, use of chemical restraint, use of physical restraint, falls, length of stay, quality of life, carer satisfaction and staff satisfaction. Increased function was also considered to be a good outcome (...) measure; however, this needs to be evaluated in light of the falls rate, as some studies reported a significant rate of falls (20% or more) due to a decrease in restraint and an increase in function. The outcomes measured for each unit and the results achieved are detailed in Table 3. SPECIALIST DEMENTIA CARE UNITS | SAX INSTITUTE 21 Table 3: Outcomes achieved by units Lead author (year) Name of unit Outcomes measured Outcomes achieved Anderson (2016) 20 T-BASIS units Challenging behaviours Behaviours

2018 Sax Institute Evidence Check

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