Journal of critical care
-
Journal of critical care · Aug 2018
ReviewFollowership: A review of the literature in healthcare and beyond.
Research in healthcare leadership has focused on leaders. In contrast, organizational success may be more influenced by followers. Kelley described five followership styles based on two characteristics: active engagement and independent critical thinking. We examined the literature on the association between followership style and workplace outcomes. ⋯ There is a dearth of studies on followership. The literature suggests that followership characterized by greater independence is associated with positive outcomes. Given the importance of teamwork in the critical care environment, we should prioritize understanding of this important variable.
-
Journal of critical care · Aug 2018
Derivation of data-driven triggers for palliative care consultation in critically ill patients.
To examine the ability of existing triggers for intensive care unit (ICU) palliative care consultation to predict 6-month mortality, and derive new triggers for consultation based on risk factors for 6-month mortality. ⋯ Existing triggers for palliative care consultation are specific, but insensitive for 6-month mortality. Using a data-driven approach to derive novel triggers may identify subgroups of patients at high-risk of 6-month mortality.
-
Journal of critical care · Aug 2018
Observational StudyLack of insurance as a barrier to care in sepsis: A retrospective cohort study.
Nationally-representative data suggest an association between lack of insurance and in-hospital death from sepsis (Kumar et al., 2014). It remains to be determined whether this association is attributable to differences in baseline health, care-seeking behaviors, hospital care, or other factors.
-
Journal of critical care · Aug 2018
Observational StudyDeterminants of cardiac repolarization and risk for ventricular arrhythmias during mild therapeutic hypothermia.
We aimed to investigate the factors that modulate the extent of QTc prolongation and potential arrhythmogenic consequences during mild therapeutic hypothermia (MTH). ⋯ QTc prolongation during MTH is strongly affected by female gender and moderately by concomitant anoxic brain injury. Although the overall risk for ventricular arrhythmias is not greater with MTH, Torsade de pointes may develop when other contributing factors coexist.
-
Journal of critical care · Aug 2018
Routine chest X-ray is unnecessary after ultrasound-guided central venous line placement in the operating room.
Central venous catheters (CVC) can be useful for perioperative monitoring and insertion has low complication rates. However, routine post insertion chest X-rays have become standard of care and contribute to health care costs with limited impact on patient management. ⋯ Routine CXR consumes valuable time and resources (≅$155,000 annually) and rarely affects management. Selection should be guided by clinical factors.