tailieunhanh - Báo cáo khoa học: "Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patient"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patient. | Available online http content 8 1 33 Review Clinical review Outreach - a strategy for improving the care of the acutely ill hospitalized patient Debby Bright1 Wendy Walker2 and Julian Bion3 1 Nurse Consultant Critical Care Outreach University Hospital Birmingham NHS Trust Birmingham UK 2Nurse Consultant Critical Care Outreach Mid Staffordshire General Hospitals NHS Trust Stafford UK 3Reader in Intensive Care Medicine Birmingham University Birmingham UK Correspondence J Bion Published online 6 October 2003 Critical Care 2004 8 33-40 DOI cc2377 This article is online at http content 8 1 33 2004 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract We examined the literature relating to the safe care of acutely ill hospitalized patients and found that there are substantial opportunities for improvement. Recent research suggests substantial benefit may be obtained by systems of outreach care that facilitate better integration co-ordination collaboration and continuity of multidisciplinary care. Herein we review the various approaches that are being adopted and suggest the need for continuing evaluation of these systems as they are introduced into different health care systems. Keywords acute pain team cardiopulmonary resuscitation critical care critical illness patient at risk suboptimal care Introduction Health care providers in many countries are increasingly aware that quality of care can be improved by measures to reduce errors. Evidence suggests that the greatest opportunities for improvement may be in the management of the acutely ill hospitalized patient where uncertainty urgency and lack of integration substantially increase the risk of errors leadinf to adverse outcomes. Different approaches to this problem have evolved including hospitalists in the USA medical emergency teams in Australia and outreach care in the UK. Critical care has a central role to play in all three developments which .