HOME >> MEDICINE >> NEWS
About The Care Of Patients Before They Are Admitted To Intensive Care

(Confidential inquiry into quality of care before admission to intensive care)

(Suboptimal care of patients before admission to intensive care)

Emergency admissions have risen by 50 per cent since 1984, but this increase in quantity should not be at the expense of quality, say Dr Peter McQuillan et al from intensive care units in the UK in this week's BMJ. They present the result of their confidential inquiry into the quality of care received by 100 patients admitted to intensive care. They found that 54 of the 100 patients received suboptimal care and nearly half of these (48 per cent) patients died (almost twice the rate of those whose care was managed well). In addition, two thirds of the 54 patients who were not treated adequately were admitted late into intensive care.

The authors discovered that the problems lay in suboptimal management of oxygen therapy, airway, breathing, circulation and monitoring before admission to intensive care which led to increased morbidity, mortality and avoidable admissions. They believe that these problems were caused by poor organisation, lack of knowledge, failure to appreciate clinical urgency, lack of supervision and failure to seek advice.

McQuillan et al conclude that the structure and process of acute care and their importance require major re-evaluation and debate and suggest that one solution may be to create medical emergency teams who respond pre-emptively to airway, breathing or circulation problems.

In an accompanying editorial, Christopher Garrard and Duncan Young from the Intensive Care Unit at the John Radcliffe Hospital in Oxford, note that "little will be gained from apportioning blame or resorting to recrimination for the failings that McQuillan et al have identified". They say that the findings need to be investigated on a national scale to ascertain the full extent of the problem and advocate an national confidential inquiry.

They suggest that o
'"/>

Contact: Jill Shepherd
jshepher@bma.org.uk
+44 171 383 6529
BMJ-British Medical Journal
19-Jun-1998


Page: 1 2

Related medicine news :

1. About 15 percent of major college athletes may have symptoms of eating disorders, study suggests
2. Tip Sheet: Think About Your Health In April
3. Researchers Uncover Clues About Gateway To The Brain
4. News About Osteoporosis: Fruits And Vegetables Prevent Bone Decay
5. Preliminary Study Proves Centuries Of Herbalists Right About Echinacea
6. Reassuring Findings About Infants Exposed To Zidovudine
7. Scientists To Prepare Advisory Report On Whats Been Learned About The Possible Adverse Health Effects of Electric Fields
8. The Condom Conundrum--How Are We Going To Teach Safe Behavior If Parents Are Afraid To Talk To Their Children About Sex?
9. Patients newly diagnosed with HIV are more likely to enter outpatient care with case management
10. Patients with cancer have highly increased risk for blood clots
11. Patients with previous heart attacks may not benefit from pacemaker implant

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... ... October 13, 2017 , ... ... certification process to promote standards of excellence for the field of eating disorders, ... March 22 – 25, 2018 in Orlando, Florida at the Omni Resort at ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... (SOP) alumni Hannah Randall, PharmD ‘17, and Jennifer Huggins, PharmD ’17, along ... updates for the primary prevention of cardiovascular diseases during the 15th Annual ...
(Date:10/13/2017)... Shelton, CT (PRWEB) , ... October 13, 2017 , ... ... and long-term care services, staged a mock evacuation of the facility as part of ... Department, Shelton Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well ...
(Date:10/13/2017)... , ... October 13, 2017 , ... The Visiting Nurse ... Market. Featuring a collection of specialty vendors and unique items from across the nation, ... quality-focused health and wellness services offered by the VNA. The boutique will be ...
(Date:10/13/2017)... ... 13, 2017 , ... Global Healthcare Management’s 4th Annual Kids Fun Run brought ... This free event, sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed at ... towards children of all ages; it is a non-competitive, non-timed event, which is all ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... 2, 2017  AllianceRx Walgreens Prime, the combined central ... and pharmacy benefit manager Prime Therapeutics LLC (Prime), today ... included the unveiling of new signage at its headquarters ... as at a few other company-owned facilities across the ... patients, some of whom will begin to see the ...
(Date:9/28/2017)... WASHINGTON , Sept. 28, 2017 Cohen ... to advance the use of wearable and home sensors ... brain disorders. Early Signal Foundation, a nonprofit organization focused ... populations, will provide an affordable analytical system to record ... ...
(Date:9/25/2017)... 2017  EpiVax, Inc., a leader in the ... today announced the launch of EpiVax Oncology Inc., ... therapeutic cancer vaccines. EpiVax has provided $500,000 in ... enabling technologies to the new precision immunotherapy venture. ... Oncology as Chief Executive Officer. Gad brings over ...
Breaking Medicine Technology:
Cached News: