Efficient Organization of ICUs with a Focus on Quality: The Non-Physician Provider

Efficient Organization of ICUs with a Focus on Quality: The Non-Physician Provider

Adequate staffing in ICUs is an increasing problem worldwide. We would like to elaborate on staffing problems that arise in ICUs across Europe, including the Dutch situation. This staffing problem is caused by the increased... read more

Critical Care Reviews Book 2017 (Free eBook)

Critical Care Reviews Book 2017 (Free eBook)

The 2017 Critical Care Reviews Book seeks to summarize, critique and put in context the best critical care trials of 2016. Five intensivsts working in Northern Ireland have spent the past year writing this edition. This is... read more

Effective Care for High-Need Patients

Effective Care for High-Need Patients

To advance insights and perspectives on how to better manage the care of the high-need patient population, the National Academy of Medicine, with guidance from an expert planning committee, was tasked with convening three... read more

The Air is Everywhere

The Air is Everywhere

A 12-year-old male with a history of mild persistent asthma presented to the Emergency Department (ED) with acute onset of chest pain and a "crackling" feeling along his sternum. Two days prior he was seen by his... read more

Fewer Hospital Patients Harmed by Bedsores and Injuries

Fewer Hospital Patients Harmed by Bedsores and Injuries

No one who enters a hospital for care expects to be harmed or sickened accidentally. Unfortunately, preventable errors and mishaps are all too common, occurring during one in six hospital admissions and killing at least 500... read more

Burn Till You’re Out

Burn Till You’re Out

When using the technical definition of burnout: "The reduction of a fuel to nothing", it clearly describes the state of being of the few people that I have met who are having a burnout. The problem is huge and almost... read more

Reflections on the ICU Liberation ABCDEF Bundle Improvement Collaborative

Ludwig Lin, MD, speaks with Brenda Pun, DNP, RN, ACNP, about the ICU Liberation ABCDEF Bundle Improvement Collaborative. Dr. Pun reflects upon Collaborative work, including origins and logistics of the project, team training... read more

Breaking Health Care Rules to Improve Care

Breaking Health Care Rules to Improve Care

This Viewpoint summarizes rules in health care organizations that their own leaders identified as ones that contribute little or no value to care, impede the work of clinicians, frustrate patients and families, and waste... read more

Toolkit To Improve Safety in Ambulatory Surgery Centers

Toolkit To Improve Safety in Ambulatory Surgery Centers

The Toolkit To Improve Safety in Ambulatory Surgery Centers helps ambulatory surgery centers (ASCs) make care safer for their patients. ASCs can use the toolkit to apply the proven principles and methods of AHRQ's Comprehensive... read more

Facing Change: When to Embrace, When to Resist

Facing Change: When to Embrace, When to Resist

This editorial is focused on 3 major areas where change is occurring: (1) change in scientific evidence leading to modification in practice, (2) changes in the health care system structure and how it affects our daily lives,... read more

Clinical summaries for hospitalised patients: time for higher standards

Clinical summaries for hospitalised patients: time for higher standards

The average person remembers less than half of the information provided by healthcare professionals during a medical visit. The situation is arguably most challenging for patients leaving the hospital, where acute illness,... read more

Mindfulness Program Aims to Help Nurses Better Manage Stress

Mindfulness Program Aims to Help Nurses Better Manage Stress

Creating a nursing workforce that is resilient to occupational stress and burnout is critical for engagement, job satisfaction and retention, as well as the overall success of any healthcare organization. The overall goal... read more