Crit Care Resusc
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Comparative Study
Invasive blood pressure recording comparing nursing charts with an electronic monitor: a technical report.
Blood pressure management (assessed using nursing charts) in the early phase of septic shock may have an effect on renal outcomes. Assessment of mean arterial pressure (MAP) values as recorded on nursing charts may be inaccurate. ⋯ With multiple measurements over time, mean blood pressure as recorded on nursing charts reasonably approximates mean blood pressure recorded on the monitor.
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Comparative Study
Improved consistency in interpretation and management of cardiovascular variables by intensive care staff using a computerised decision-support system.
To investigate the potential of a computerised decision-support system (CDSS) to improve consistency of haemodynamic evaluation and treatment suggestions by intensive care unit clinical staff with different levels of expertise and experience. ⋯ Use of a CDSS significantly improved the consistency between categories of clinical ICU staff in assessing the cardiovascular status and making management decisions in postoperative cardiac surgery patients.
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Multicenter Study Comparative Study
A brief review of recent trends in Victorian intensive care, 2000-2011.
Review of resource use and patient outcomes of intensive care unit services over time provides insights into service delivery and safety. ⋯ There was an increase in ICU resource availability and evidence of improvement in hospital survival, suggesting improved quality of care. These evaluation methods may be useful in monitoring statewide capacity, service delivery and patient safety.