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318 results for “critical care”
Data from: An exploratory study of staff perceptions of shift safety in the critical care unit and routinely available data on workforce, patient and organisational factors
<p><b>Objectives </b></p> <p>To explore: bedside professional reported (BPR) perceptions of safety in intensive care staff; and the relationships between BPR safety, staffing, patient and work environment characteristics.</p> <p><b>Design </b>An exploratory study of self-recorded staff perceptions of shift safety and routinely collected data.</p> <p><b>Setting </b>A large teaching hospital comprising 70 critical care beds.</p> <p><b>Participants </b>All clinical staff working in adult critical care.</p> <p><b>Interventions </b>Staff recorded whether their shift felt "safe, unsafe or very unsafe" for 29 consecutive days. We explored these perceptions and relationships between these and routine data on staffing, patient and environmental characteristics.</p> <p><b>Outcome measures</b> Relationships between BPR safety and staffing, patient and work environment characteristics.</p> <p><b>Results</b> 2836 BPR scores were recorded over 29 consecutive days (response rate 57.7%). Perceptions of safety varied between staff, including within the same shift. There was no correlation between perceptions of safety and two measures of staffing; care hours per patient day (r= 0.13 p=0.108) and Safecare Allocate (r= -0.19 p=0.013). We found a significant, positive relationship between perceptions of safety and the percentage of Level 3 (most severely ill) patients (r=0.32, p=0.0001). There was a significant inverse relationship between perceptions of safety and the percentage of Level 1 patients on a shift (r= -0.42, p=<0.0001). Perceptions of safety correlated negatively with increased numbers of patients (r= -0.44, p=0.0006) and higher percentage of patients located side rooms (r=0.63, p<0.0001). We found a significant relationship between perceptions of safety and the percentage of staff with a specialist critical care course (r=0.42. p=0.0001).</p> <p><b>Conclusion </b>Existing staffing models, which are primarily influenced by staff:patient ratios may not be sensitive to patient need. Other factors may be important drivers of staff perceptions of safety and should be explored further.</p> <p><b>Trial registration</b>- UK Health Research Authority approval was obtained (ID249248).</p>
The Effect of Proactive Clinical Ethics Consultations on End-of-life Care of the Critically Ill in the Intensive Care Settings
ClinicalTrials.gov study NCT04926610. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Study Project Comparing the Sequelae of COVID-19 Infection in Patients Who Have and Have Not Received Ventilatory Support in Critical Care
ClinicalTrials.gov study NCT04704388. IPD Sharing: NO. Countries: 1. Publications: 1.
CLiCK in the Critical Care Unit
ClinicalTrials.gov study NCT04548713. IPD Sharing: NO. Countries: 1. Publications: 1.
Trauma and Critical Care Exposure Examined With PET (TRAPETS)
ClinicalTrials.gov study NCT05245253. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Continuous Venovenous Hemodiafiltration Versus Sustained Low-efficiency Hemodialysis for Critically Ill Patients With Acute Kidney Injury in Intensive Care Unit
ClinicalTrials.gov study NCT02879201. IPD Sharing: NO. Countries: 1. Publications: 1.
Ultrasound Measurement of Reactive Hyperemia in Critical Care
ClinicalTrials.gov study NCT01726595. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Early Goal-Directed Sedation Compared With Standard Care in Mechanically Ventilated Critically Ill Patients
ClinicalTrials.gov study NCT01728558. IPD Sharing: Not stated. Countries: 8. Publications: 5.
Transfusional Trigger in Post-operative Oncologic Patients in Critical Care
ClinicalTrials.gov study NCT04859855. IPD Sharing: Not stated. Countries: 1. Publications: 18.
Feasibility of a Music Therapy Intervention to Decrease Stress During Pediatric Critical Care
ClinicalTrials.gov study NCT04280744. IPD Sharing: NO. Countries: 1. Publications: 3.
The Effect of Music on Patients in Critical Care
ClinicalTrials.gov study NCT04847570. IPD Sharing: NO. Countries: 1. Publications: 15.
The Applications of Point-of-care Ultrasound in ED Unselected, Non-critical Patients
ClinicalTrials.gov study NCT04149041. IPD Sharing: NO. Countries: 1. Publications: 2.
Evaluation of Pediatric Critical Illness Neuropathy/Myopathy in Pediatric Intensive Care Unit
ClinicalTrials.gov study NCT02763709. IPD Sharing: NO. Countries: 1. Publications: 1.
Mechanical Insufflation-Exsufflation in Preventing Post Extubation Respiratory Failure in Patient With Critical Care Neuromyopathy
ClinicalTrials.gov study NCT01931228. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Frailty, Outcomes, Recovery and Care Steps of Critically Ill Patients (FORECAST) Study Multi-Center Study
ClinicalTrials.gov study NCT05509036. IPD Sharing: NO. Countries: 1. Publications: 0.
Continuous Glucose Monitoring by Subcutaneous Measurement Compared to Frequent Point of Care Measurement by Accu Chek in Critically Ill Patients
ClinicalTrials.gov study NCT01526044. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Inferior Vena Cava Collapsibility and Distensibility Assessment in Critical Care.
ClinicalTrials.gov study NCT06516692. IPD Sharing: NO. Countries: 1. Publications: 5.
Improving Patient and Family Centered Care in Advanced Critical Illness
ClinicalTrials.gov study NCT01844492. IPD Sharing: Not stated. Countries: 1. Publications: 15.
Individualised Blood Pressure Targets Versus Standard Care Among Critically Ill Patients With Shock
ClinicalTrials.gov study NCT05850962. IPD Sharing: NO. Countries: 1. Publications: 6.
Advance Care Planning for Critical Care - A Prelude to Breaking Barriers
ClinicalTrials.gov study NCT02797444. IPD Sharing: NO. Countries: 1. Publications: 2.
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