Taking Care of the Physician

Taking Care of the Physician

There is increasing conversation about "physician wellness" these days, as we look at how young doctors are trained, and at the physical, emotional and spiritual pathways of those who are supposedly (and arduously and extensively)... read more

ICU Diary Impact on Patients and Families Wellbeing

ICU Diary Impact on Patients and Families Wellbeing

The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs. This study will provide new insights on the impact of ICU diaries on... read more

Better Living Quality for Intensive Care

Better Living Quality for Intensive Care

Aiming to bring "Better Living in Intensive Care" for both patients and caregivers, the French Intensive Care Society issued guidelines to promote quality of life for ICU. As the largest premier reference and teaching hospital... read more

Animal-assisted Activity in the ICU

Animal-assisted Activity in the ICU

Animals are being introduced into hospital settings in ever-increasing numbers. Emerging literature suggests that incorporating trained animals to assist with medical care and rehabilitation therapies can promote patient... read more

Understanding Adrenal Crisis

Understanding Adrenal Crisis

Approximately 5–17 cases of adrenal crisis (AC) occur per 100 patient years in patients with primary or secondary adrenal insufficiency (AI). The mortality rate is estimated to be between 0.5% and 2%. Norwegian data indicate... read more

Delirium in Hospitalized Older Adults

Delirium in Hospitalized Older Adults

Delirium, an acute confusional state, is common among hospitalized elders and is associated with poor outcomes. All patients with delirium should be evaluated for reversible causes. Behavioral disturbances should be managed... read more

Active Noise Control Headphones to Reduce Patient’s Exposure to ICU Noise

Active Noise Control Headphones to Reduce Patient’s Exposure to ICU Noise

The use of active noise cancellation, as delivered by noise-cancelling headphones, is associated with a significant reduction in noise exposure in our model of noise exposure in a cardiac ICU. This is the first study to look... read more

Sound and Light Levels Are Similarly Disruptive in ICU and non-ICU Wards

Sound and Light Levels Are Similarly Disruptive in ICU and non-ICU Wards

Quieter, non-ICU wards have as many SLCs as ICUs do, which has implications for quality improvement measurements. Efforts to further reduce average noise levels might be counterproductive. Light levels in the hospital (ICU... read more

The Business Case for Investing in Physician Well-being

The Business Case for Investing in Physician Well-being

Understanding the business case to reduce burnout and promote engagement as well as overcoming the misperception that nothing meaningful can be done are key steps for organizations to begin to take action. Evidence suggests... read more

Prehabilitation: Preparing Patients for Surgery

Prehabilitation: Preparing Patients for Surgery

The impact of surgery leads to significant homeostatic disturbance.1 The surgical stress response is characterised by catabolism and increased oxygen demand. The extent and duration of the stress response is proportionate... read more

Don’t Just Do Something, Stand There!

Don’t Just Do Something, Stand There!

An excellent analogy on how doing nothing can be the best option. Penalty kicks in soccer can make fans crumple with anguish or weep with elation. The kicker sends the ball rocketing toward the goal and goalkeepers lunge... read more

Technologic Distractions

Technologic Distractions

Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Approaches for managing alert fatigue in the ICU are provided as a result of reviewing tested interventions... read more

Unplugged & Reconnected – Recovering from Burnout

Unplugged & Reconnected – Recovering from Burnout

Does your desk ever look like this? Mine does. WAY too often. Insert the piles of papers, books, journals and mail I need to get to on the side also. When I look at this photo, it seems absolutely ridiculous. Why on earth... 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