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Pesquisa : E02.760.190 [Categoria DeCS]
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[PMID]:29268641
[Au] Autor:Junge JH; Sieber T; Hugentobler-Campell B
[Ad] Endereço:1 Departement Anästhesie, Notfall, Intensiv, Rettung, Kantonsspital Graubünden, Chur.
[Ti] Título:Präklinische Notfallmedizin..
[So] Source:Ther Umsch;74(7):399-404, 2017.
[Is] ISSN:0040-5930
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Cuidados Críticos/métodos
Estado Terminal/terapia
Serviços Médicos de Emergência/métodos
Medicina de Emergência/métodos
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1024/0040-5930/a000932


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[PMID]:28453820
[Au] Autor:Bourne RS; Shulman R; Tomlin M; Borthwick M; Berry W; Mills GH
[Ad] Endereço:Departments of Pharmacy and Critical Care, Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Herries Road, Sheffield S5 7 AU, UK.
[Ti] Título:Reliability of clinical impact grading by healthcare professionals of common prescribing error and optimisation cases in critical care patients.
[So] Source:Int J Qual Health Care;29(2):250-255, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective: To identify between and within profession-rater reliability of clinical impact grading for common critical care prescribing error and optimisation cases. To identify representative clinical impact grades for each individual case. Design: Electronic questionnaire. Setting: 5 UK NHS Trusts. Participants: 30 Critical care healthcare professionals (doctors, pharmacists and nurses). Intervention: Participants graded severity of clinical impact (5-point categorical scale) of 50 error and 55 optimisation cases. Main Outcome Measures: Case between and within profession-rater reliability and modal clinical impact grading. Methods: Between and within profession rater reliability analysis used linear mixed model and intraclass correlation, respectively. Results: The majority of error and optimisation cases (both 76%) had a modal clinical severity grade of moderate or higher. Error cases: doctors graded clinical impact significantly lower than pharmacists (-0.25; P < 0.001) and nurses (-0.53; P < 0.001), with nurses significantly higher than pharmacists (0.28; P < 0.001). Optimisation cases: doctors graded clinical impact significantly lower than nurses and pharmacists (-0.39 and -0.5; P < 0.001, respectively). Within profession reliability grading was excellent for pharmacists (0.88 and 0.89; P < 0.001) and doctors (0.79 and 0.83; P < 0.001) but only fair to good for nurses (0.43 and 0.74; P < 0.001), for optimisation and error cases, respectively. Conclusions: Representative clinical impact grades for over 100 common prescribing error and optimisation cases are reported for potential clinical practice and research application. The between professional variability highlights the importance of multidisciplinary perspectives in assessment of medication error and optimisation cases in clinical practice and research.
[Mh] Termos MeSH primário: Cuidados Críticos
Pessoal de Saúde/psicologia
Pessoal de Saúde/estatística & dados numéricos
Erros de Medicação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Seres Humanos
Corpo Clínico Hospitalar/psicologia
Corpo Clínico Hospitalar/estatística & dados numéricos
Recursos Humanos de Enfermagem no Hospital/psicologia
Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos
Farmacêuticos/psicologia
Farmacêuticos/estatística & dados numéricos
Garantia da Qualidade dos Cuidados de Saúde/métodos
Reprodutibilidade dos Testes
Inquéritos e Questionários
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/intqhc/mzx003


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[PMID]:28455618
[Au] Autor:Vogl TJ; Eichler K; Marzi I; Wutzler S; Zacharowski K; Frellessen C
[Ad] Endereço:Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Frankfurt, Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland. T.Vogl@em.uni-frankfurt.de.
[Ti] Título:[Imaging techniques in modern trauma diagnostics].
[Ti] Título:Bildgebende Verfahren der modernen Schockraumdiagnostik..
[So] Source:Unfallchirurg;120(5):417-431, 2017 May.
[Is] ISSN:1433-044X
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Modern trauma room management requires interdisciplinary teamwork and synchronous communication between a team of anaesthesists, surgeons and radiologists. As the length of stay in the trauma room influences morbidity and mortality of a severely injured person, optimizing time is one of the main targets. With the direct involvement of modern imaging techniques the injuries caused by trauma should be detected within a very short period of time in order to enable a priority-orientated treatment. Radiology influences structure and process quality, management and development of trauma room algorithms regarding the use of imaging techniques. For the individual case interventional therapy methods can be added. Based on current data and on the Frankfurt experience the current diagnostic concepts of trauma diagnostics are presented.
[Mh] Termos MeSH primário: Cuidados Críticos/métodos
Aumento da Imagem/métodos
Radiologia/tendências
Traumatologia/tendências
Ferimentos e Lesões/diagnóstico por imagem
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1007/s00113-017-0352-z


  4 / 45757 MEDLINE  
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[PMID]:29480879
[Au] Autor:Dermawan JKT; Ghosh S; Keating MK; Gopalakrishna KV; Mukhopadhyay S
[Ad] Endereço:Department of Pathology, Pathology and Laboratory Medicine Institute.
[Ti] Título:Candida pneumonia with severe clinical course, recovery with antifungal therapy and unusual pathologic findings: A case report.
[So] Source:Medicine (Baltimore);97(2):e9650, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Candida is frequently isolated from the respiratory tract and usually reflects airway colonization. True Candida pneumonia is rare. Our aim is to document a case of Candida pneumonia confirmed by cultures, molecular techniques, and surgical lung biopsy, and to highlight a previously unreported pathologic manifestation of this infection. CASE SUMMARY: A 59-year-old man with a history of chronic obstructive pulmonary disease (COPD) presented with dry cough, low-grade fever, and progressive dyspnea. He was eventually diagnosed with sarcoidosis based on bilateral lung infiltrates and granulomas in a transbronchial biopsy. His condition worsened after immunosuppression, prompting surgical lung biopsy, which revealed suppurative granulomas containing Candida albicans, confirmed by cultures and polymerase chain reaction. Despite multiple episodes of respiratory failure and a prolonged course in intensive care, he recovered fully after antifungal therapy and is currently alive with COPD-related dyspnea 3 years after his initial presentation. CONCLUSION: Candida can rarely cause clinically significant pneumonia in adults, and should be considered in the differential diagnosis of suppurative granulomas in the lung.
[Mh] Termos MeSH primário: Antifúngicos/uso terapêutico
Candida albicans
Candidíase/tratamento farmacológico
Candidíase/patologia
Pneumonia/tratamento farmacológico
Pneumonia/patologia
[Mh] Termos MeSH secundário: Candidíase/fisiopatologia
Cuidados Críticos
Diagnóstico Diferencial
Seres Humanos
Masculino
Meia-Idade
Pneumonia/microbiologia
Pneumonia/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antifungal Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009650


  5 / 45757 MEDLINE  
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Monte, Júlio Cesar Martins
Batista, Marcelo Costa
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[PMID]:28464841
[Au] Autor:de Souza Oliveira MA; Dos Santos TOC; Monte JCM; Batista MC; Pereira VG; Dos Santos BFC; Santos OFP; de Souza Durão M
[Ad] Endereço:Nephrology Division of Hospital Israelita Albert Einstein, Avenida Albert Einstein, 627, Morumbi, São Paulo, 05652-900, Brazil.
[Ti] Título:The impact of continuous renal replacement therapy on renal outcomes in dialysis-requiring acute kidney injury may be related to the baseline kidney function.
[So] Source:BMC Nephrol;18(1):150, 2017 May 03.
[Is] ISSN:1471-2369
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Many controversies exist regarding the management of dialysis-requiring acute kidney injury (D-AKI). No clear evidence has shown that the choice of dialysis modality can change the survival rate or kidney function recovery of critically ill patients with D-AKI. METHODS: We conducted a retrospective study investigating patients (≥16 years old) admitted to an intensive care unit with D-AKI from 1999 to 2012. We analyzed D-AKI incidence, and outcomes, as well as the most commonly used dialysis modality over time. Outcomes were based on hospital mortality, renal function recovery (estimated glomerular filtration rate-eGFR), and the need for dialysis treatment at hospital discharge. RESULTS: In 1,493 patients with D-AKI, sepsis was the main cause of kidney injury (56.2%). The comparison between the three study periods, (1999-2003, 2004-2008, and 2009-2012) showed an increased in incidence of D-AKI (from 2.56 to 5.17%; p = 0.001), in the APACHE II score (from 20 to 26; p < 0.001), and in the use of continuous renal replacement therapy (CRRT) as initial dialysis modality choice (from 64.2 to 72.2%; p < 0.001). The mortality rate (53.9%) and dialysis dependence at hospital discharge (12.3%) remained unchanged over time. Individuals who recovered renal function (33.8%) showed that those who had initially undergone CRRT had a higher eGFR than those in the intermittent hemodialysis group (54.0 × 46.0 ml/min/1.73 m2, respectively; p = 0.014). In multivariate analysis, type of patient, sepsis-associated AKI and APACHE II score were associated to death. For each additional unit of the APACHE II score, the odds of death increased by 52%. The odds ratio of death for medical patients with sepsis-associated AKI was estimated to be 2.93 (1.81-4.75; p < 0.001). CONCLUSION: Our study showed that the incidence of D-AKI increased with illness severity, and the use of CRRT also increased over time. The improvement in renal outcomes observed in the CRRT group may be related to the better baseline kidney function, especially in the dialysis dependence patients at hospital discharge.
[Mh] Termos MeSH primário: Lesão Renal Aguda/mortalidade
Lesão Renal Aguda/terapia
Taxa de Filtração Glomerular
Mortalidade Hospitalar
Diálise Peritoneal Ambulatorial Contínua/mortalidade
Diálise Peritoneal Ambulatorial Contínua/utilização
[Mh] Termos MeSH secundário: Lesão Renal Aguda/diagnóstico
Brasil/epidemiologia
Cuidados Críticos/métodos
Cuidados Críticos/utilização
Feminino
Seres Humanos
Masculino
Meia-Idade
Alta do Paciente
Diálise Peritoneal Ambulatorial Contínua/métodos
Prevalência
Estudos Retrospectivos
Fatores de Risco
Taxa de Sobrevida
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12882-017-0564-z


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[PMID]:28459497
[Au] Autor:Smith JM; Van Aman MN; Schneiderhahn ME; Edelman R; Ercole PM
[Ti] Título:Assessment of Delirium in Intensive Care Unit Patients: Educational Strategies.
[So] Source:J Contin Educ Nurs;48(5):239-244, 2017 May 01.
[Is] ISSN:1938-2472
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Delirium is an acute brain dysfunction associated with poor outcomes in intensive care unit (ICU) patients. Critical care nurses play an important role in the prevention, detection, and management of delirium, but they must be able to accurately assess for it. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) instrument is a reliable and valid method to assess for delirium, but research reveals most nurses need practice to use it proficiently. METHOD: A pretest-posttest design was used to evaluate the success of a multimodal educational strategy (i.e., online learning module coupled with standardized patient simulation experience) on critical care nurses' knowledge and confidence to assess and manage delirium using the CAM-ICU. RESULTS: Participants (N = 34) showed a significant increase (p < .001) in confidence in their ability to assess and manage delirium following the multimodal education. No statistical change in knowledge of delirium existed following the education. CONCLUSION: A multimodal educational strategy, which included simulation, significantly added confidence in critical care nurses' performance using the CAM-ICU. J Contin Nurs Educ. 2017;48(5):239-244.
[Mh] Termos MeSH primário: Competência Clínica
Enfermagem de Cuidados Críticos/educação
Delírio/diagnóstico
Delírio/enfermagem
Educação Continuada em Enfermagem/organização & administração
Avaliação Educacional/métodos
Recursos Humanos de Enfermagem no Hospital/educação
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Cuidados Críticos/métodos
Feminino
Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Masculino
Meia-Idade
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.3928/00220124-20170418-09


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[PMID]:28458027
[Au] Autor:Herta J; Koren J; Fürbass F; Zöchmeister A; Hartmann M; Hosmann A; Baumgartner C; Gruber A
[Ad] Endereço:Department of Neurosurgery, Medical University of Vienna, Vienna, Austria. Electronic address: johannes.herta@meduniwien.ac.at.
[Ti] Título:Applicability of NeuroTrend as a bedside monitor in the neuro ICU.
[So] Source:Clin Neurophysiol;128(6):1000-1007, 2017 06.
[Is] ISSN:1872-8952
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess whether ICU caregivers can correctly read and interpret continuous EEG (cEEG) data displayed with the computer algorithm NeuroTrend (NT) with the main attention on seizure detection and determination of sedation depth. METHODS: 120 screenshots of NT (480h of cEEG) were rated by 18 briefly trained nurses and biomedical analysts. Multirater agreements (MRA) as well as interrater agreements (IRA) compared to an expert opinion (EXO) were calculated for items such as pattern type, pattern location, interruption of recording, seizure suspicion, consistency of frequency, seizure tendency and level of sedation. RESULTS: MRA as well as IRA were almost perfect (80-100%) for interruption of recording, spike-and-waves, rhythmic delta activity and burst suppression. A substantial agreement (60-80%) was found for electrographic seizure patterns, periodic discharges and seizure suspicion. Except for pattern localization (70.83-92.26%), items requiring a precondition and especially those who needed interpretation like consistency of frequency (47.47-79.15%) or level of sedation (41.10%) showed lower agreements. CONCLUSIONS: The present study demonstrates that NT might be a useful bedside monitor in cases of subclinical seizures. Determination of correct sedation depth by ICU caregivers requires a more detailed training. SIGNIFICANCE: Computer algorithms may reduce the workload of cEEG analysis in ICU patients.
[Mh] Termos MeSH primário: Cuidados Críticos/métodos
Eletroencefalografia/instrumentação
Monitorização Neurofisiológica/instrumentação
Sistemas Automatizados de Assistência Junto ao Leito
Convulsões/diagnóstico
Software
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Eletroencefalografia/métodos
Seres Humanos
Unidades de Terapia Intensiva
Meia-Idade
Monitorização Neurofisiológica/métodos
Enfermeiras Especialistas/psicologia
Enfermeiras Especialistas/normas
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:29465539
[Au] Autor:Wang V; Hsieh CC; Huang YL; Chen CP; Hsieh YT; Chao TH
[Ad] Endereço:Department of Neurology, Cardinal Tien Hospital.
[Ti] Título:Different utilization of intensive care services (ICSs) for patients dying of hemorrhagic and ischemic stroke, a hospital-based survey.
[So] Source:Medicine (Baltimore);97(8):e0017, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The intensive care service (ICS) saves lives and rescues the neurological function of stroke patients. We wondered the different utilization of ICS for patients with ischemic and hemorrhagic stroke, especially those who died within 30 days after stroke.Sixty-seven patients died during 2011 to 2015 due to acute stroke (42 due to intracranial hemorrhage [ICH]; 25 due to cerebral infarct [CI]). The durations of hospital stay (hospital staying days [HSDs]) and ICS staying days (ISDs) and codes of the do-not-resuscitate (DNR) were surveyed among these medical records. Statistics included chi-square and descriptive analyses.In this study, CI patients had a longer HSD (mean 14.3 days), as compared with ICH patients (mean 8.3 days); however, the ICH patients had a higher percentage of early entry within the first 24 hours of admission into ICS than CI group (95.1% vs 60.0%, P = .003). A higher rate of CI patients died in holidays or weekends than those with ICH (44.0% vs 21.4%, P = .051). DNR, requested mainly from direct descendants (children or grandchildren), was coded in all 25 CI patients (100.0%) and 38 ICH patients (90.5%). More cases with early DNR coded within 24 hours after admission occurred in ICH group (47%, 12% in CI patients, P = .003). None of the stroke patient had living wills. Withhold of endotracheal intubation (ETI) occurred among CI patients, more than for ICH patients (76.0% vs 18.4%, P < .005).In conclusion, CI patients longer HSD, ISD, higher mortality within holidays or weekends, and higher ETI withhold; but less percentage of ICS utilization expressed by a lower ISD/HSD ratio. This ICS utilization is a key issue of medical quality for stroke care.
[Mh] Termos MeSH primário: Infarto Cerebral/terapia
Cuidados Críticos/utilização
Hospitais/estatística & dados numéricos
Hemorragias Intracranianas/terapia
Acidente Vascular Cerebral/terapia
[Mh] Termos MeSH secundário: Idoso
Causas de Morte
Infarto Cerebral/mortalidade
Feminino
Hospitalização/estatística & dados numéricos
Seres Humanos
Hemorragias Intracranianas/mortalidade
Masculino
Sistema de Registros
Acidente Vascular Cerebral/mortalidade
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000010017


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[PMID]:27778050
[Au] Autor:Sörgel F; Höhl R; Glaser R; Stelzer C; Munz M; Vormittag M; Kinzig M; Bulitta J; Landersdorfer C; Junger A; Christ M; Wilhelm M; Holzgrabe U
[Ad] Endereço:IBMP - Institut für Biomedizinische und Pharmazeutische Forschung, Paul-Ehrlich-Straße 19, 90562, Nürnberg-Heroldsberg, Deutschland. ibmp@osn.de.
[Ti] Título:[Pharmacokinetics and pharmacodynamics of antibiotics in intensive care].
[Ti] Título:Pharmakokinetik und Pharmakodynamik von Antibiotika in der Intensivmedizin..
[So] Source:Med Klin Intensivmed Notfmed;112(1):11-23, 2017 Feb.
[Is] ISSN:2193-6226
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Optimized dosage regimens of antibiotics have remained obscure since their introduction. During the last two decades pharmacokinetic(PK)-pharmacodynamic(PD) relationships, originally established in animal experiments, have been increasingly used in patients. The action of betalactams is believed to be governed by the time the plasma concentration is above the minimum inhibitory concentration (MIC). Aminoglycosides act as planned when the peak concentration is a multiple of the MIC and vancomycin seems to work best when the area under the plasma vs. time curve (AUC) to MIC has a certain ratio. Clinicians should be aware that these relationships can only be an indication in which direction dosing should go. Larger studies with sufficiently high numbers of patients and particularly severely sick patients are needed to prove the concepts. In times where all antibiotics can be measured with new technologies, the introduction of therapeutic drug monitoring (TDM) is suggested for ICUs (Intensive Care Unit). The idea of a central lab for TDM of antibiotics such as PEAK (Paul Ehrlich Antibiotika Konzentrationsmessung) is supported.
[Mh] Termos MeSH primário: Antibacterianos/farmacocinética
Cuidados Críticos
[Mh] Termos MeSH secundário: Antibacterianos/uso terapêutico
Monitoramento de Medicamentos
Feminino
Meia-Vida
Seres Humanos
Unidades de Terapia Intensiva
Masculino
Espectrometria de Massas
Taxa de Depuração Metabólica/fisiologia
Testes de Sensibilidade Microbiana
Penicilinas/farmacocinética
Penicilinas/uso terapêutico
Ligação Proteica/fisiologia
Valores de Referência
Vancomicina/farmacocinética
Vancomicina/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Penicillins); 6Q205EH1VU (Vancomycin)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1007/s00063-016-0185-5


  10 / 45757 MEDLINE  
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[PMID]:29210769
[Au] Autor:Foster MJ; Gary JC; Sooryanarayana SM
[Ad] Endereço:Medical Sciences Library (Ms Foster) and College of Architecture (Ms Sooryanarayana), Texas A&M University, College Station; and College of Nursing, Texas A&M University Health Science Center, Bryan (Dr Gary).
[Ti] Título:Direct Observation of Medication Errors in Critical Care Setting: A Systematic Review.
[So] Source:Crit Care Nurs Q;41(1):76-92, 2018 Jan/Mar.
[Is] ISSN:1550-5111
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Medication errors continue to be an issue for the critically ill and are costly to both patients and health care facilities. This article reviews published research about these errors and reports results of observational studies. The types of errors, incidence, and root causes have been considered along with adverse consequences. The implications for bedside practice as a result of this review are fairly straightforward. Medication errors are happening at an alarming rate in the critical care environment, and these errors are preventable. It is imperative that all personnel respect and follow established guidelines and procedural safeguards to ensure flawless drug delivery to patients.
[Mh] Termos MeSH primário: Cuidados Críticos/métodos
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos
Erros de Medicação
[Mh] Termos MeSH secundário: Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/economia
Seres Humanos
Erros de Medicação/efeitos adversos
Erros de Medicação/economia
Segurança do Paciente/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1097/CNQ.0000000000000188



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde