Critical care nursing quarterly
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Severe sepsis and septic shock is a major health concern. A key component in the treatment of severe sepsis and septic shock is optimization of the septic patient's abnormal physiology. ⋯ A multidisciplinary sepsis team meets regularly to assess compliance and review data. The processes and tools continue to be changed accordingly, to improve adherence to best evidence practice for the severe septic and septic shock patient.
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The paradigm has shifted in care delivery models to effect improvements in both the quality and safety of patient care. Tele-Health integration is one example. By using mobile devices and the expertise of experienced clinicians in a remote location, bedside caregivers now can receive real-time assistance for patient management. The Tele-ICU is one example of an application of a technological model that accelerates clinical problem solving and decision-making, resulting in expediting critical care delivery and ultimately enhancing outcomes.
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Review
Methicillin-resistant Staphylococcus aureus skin and soft tissue infections. Impacting patient care.
With the emergence and rising prevalence of methicillin-resistant Staphylococcus aureus among individuals in the community, it is imperative to standardize patient care and develop best practices among health care providers. Evidence-based standard patient care guidelines for community-acquired methicillin-resistant S aureus skin and soft tissue infections have the potential to positively impact patient outcomes, decrease health risk, reduce hospitalization from insufficient treatment, and decrease or even prevent further transmission to unaffected individuals. ⋯ It is essential that community-acquired methicillin-resistant S aureus skin and soft tissue infections are consistently treated by evidence-based treatment standards, especially with the growing number of pathogens displaying resistance to antibiotics, rising mortality, rapid spread of antimicrobial resistant microbes, and the escalating health care costs. The purpose of this literature review is to provide health care providers with current evidence-based health care guidelines for the treatment and management of community-acquired methicillin-resistant S aureus skin and soft tissue infections.