A Qualitative Exploration of the Discharge Process and Factors Predisposing to Readmissions to the ICU

A Qualitative Exploration of the Discharge Process and Factors Predisposing to Readmissions to the ICU

Severe illness predisposes ICU patients to readmission, especially when goals of care were not adequately addressed. Communication, premature discharge, and other factors, mostly unrelated to the patient were also perceived... read more

Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the ICU

Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the ICU

The UW-IPASS standardized handoff curriculum was perceived to improve intensive care provider preparedness and workflow. IPASS-based curricula represent an important step forward in communication standardization efforts and... read more

Patient Experiences of Trauma Resuscitation

Patient Experiences of Trauma Resuscitation

In this qualitative study that included semistructured interviews and video observations of trauma resuscitation, patients drew satisfaction from trauma team members' demeanor, expertise, and efficiency and valued clear... read more

The Iatrogenic Potential of the Physician’s Words

The Iatrogenic Potential of the Physician’s Words

Some of the information that physicians convey to their patients can inadvertently amplify patients' symptoms and become a source of heightened somatic distress, an effect that must be understood by physicians to ensure optimal... read more

Doctor & Scientist Running for Congress

Doctor & Scientist Running for Congress

I worked for CDC: the 7 "banned words" are just the beginning... When I heard the recent news - that CDC experts have been banned or discouraged by the Trump administration from using key words, including "evidence-based"... read more

A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness

A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness

Poor communication by health care professionals contributes to physical and psychological suffering in patients living with serious illness. Patients may not fully understand their illness, prognosis, and treatment options... read more

How Big Tech Is Going After Your Health Care

How Big Tech Is Going After Your Health Care

When Daniel Poston, a second-year medical student in Manhattan, opened the App Store on his iPhone a couple of weeks ago, he was astonished to see an app for a new heart study prominently featured. People often learn about... read more

Integration of Nurse Practitioners Into the Critical Care Team

Integration of Nurse Practitioners Into the Critical Care Team

As the demands of critical care medicine increase one viable option to meet needs is the addition of a nurse practitioner to the traditional structure of the critical care team. The purpose of this article is to convey our... read more

Recommendations for a Standardized Pulmonary Function Report

Recommendations for a Standardized Pulmonary Function Report

The American Thoracic Society committee on Proficiency Standards for Pulmonary Function Laboratories has recognized the need for a standardized reporting format for pulmonary function tests. Although prior documents have... read more

Effects of the I-PASS Nursing Handoff Bundle on Communication Quality and Workflow

Effects of the I-PASS Nursing Handoff Bundle on Communication Quality and Workflow

Implementation of the I-PASS Nursing Handoff Bundle was associated with widespread improvements in the verbal handoff process without a negative impact on nursing workflow. Implementation of I-PASS for nurses may therefore... read more

Improving Handovers By Learning From Ferrari Team

Improving Handovers By Learning From Ferrari Team

We were able to improve our vulnerable processes by translating good practice found in two industries – aviation and motor racing – into healthcare. We were able to do this by taking into account the subtle complexities... read more

Strategies for the Prevention of Airway Complications

Strategies for the Prevention of Airway Complications

Despite being infrequent, complications of airway management remain an important contributor to morbidity and mortality during anesthesia and care of the critically ill. Developments in the last three decades have made anesthesia... read more

Moral Distress in PICU and Neonatal ICU Practitioners

Moral Distress in PICU and Neonatal ICU Practitioners

In this single-center, cross-sectional study, we found that moral distress is present in PICU and neonatal ICU health practitioners and is correlated with burnout, uncertainty, and feeling unsupported. The main outcome was... read more

Mastering Intensive Care

Mastering Intensive Care

Is the patient the centre of every action you take in the ICU? Do you exude calm and enthusiastic energy and greet other team members warmly and genuinely? Do you seek pleasure in seeing colleagues grow to become more skilled... read more