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- Strålin, Kristoffer, et al.
(författare)
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Design of a national patient-centred clinical pathway for sepsis in Sweden
- 2023
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Ingår i: Infectious Diseases. - : Taylor & Francis. - 2374-4235 .- 2374-4243. ; 55:10, s. 716-724
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The World Health Organization has adopted a resolution on sepsis and urged member states to develop national processes to improve sepsis care. In Sweden, sepsis was selected as one of the ten first diagnoses to be addressed, when the Swedish government in 2019 allocated funds for patient-centred clinical pathways in healthcare. A national multidisciplinary working group, including a patient representative, was appointed to develop the patient-centred clinical pathway for sepsis.METHODS: The working group mapped challenges and needs surrounding sepsis care and included a survey sent to all emergency departments (ED) in Sweden, and then designed a patient-centred clinical pathway for sepsis.RESULTS: The working group decided to focus on the following four areas: (1) sepsis alert for early detection and management optimisation for the most severely ill sepsis patients in the ED; (2) accurate sepsis diagnosis coding; (3) structured information to patients at discharge after sepsis care and (4) structured telephone follow-up after sepsis care. A health-economic analysis indicated that the implementation of the clinical pathway for sepsis will most likely not drive costs. An important aspect of the clinical pathway is implementing continuous monitoring of performance and process indicators. A national working group is currently building up such a system for monitoring, focusing on extraction of this information from the electronic health records systems.CONCLUSION: A national patient-centred clinical pathway for sepsis has been developed and is currently being implemented in Swedish healthcare. We believe that the clinical pathway and the accompanying monitoring will provide a more efficient and equal sepsis care and improved possibilities to monitor and further develop sepsis care in Sweden.
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| 2. |
- King, F., et al.
(författare)
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Tubed mega frame structural systems for tall buildings
- 2016
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Ingår i: IABSE Congress Stockholm, 2016. - : International Association for Bridge and Structural Engineering (IABSE). - 9783857481444 ; , s. 2742-2749, s. 1-9
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Konferensbidrag (refereegranskat)abstract
- The Tubed Mega Frame is a new structure concept for high-rise buildings which is developed by Tyréns in Sweden. The original design of the Tubed Mega Frame consists of mega columns in the periphery of the building and connecting perimeter walls. Hence, the stabilising central core in traditional high-rise structures has been omitted. Due to the tube action, this creates an efficient structural system and also increases the floor area utilization ratios when compared to traditional structures. In a previous series of structural studies, the global response of the system, the detailed design as well as the construction process was investigated. In an on-going study, the structural system is further developed by replacing the mega columns with façade frames and perimeter walls with internal crossing walls. The central core is still omitted in the modified systems. Various Tubed Mega Frame systems are compared with a traditional structure of a slender 425 m high-rise building recently constructed. The conclusions from the present study show that both the original Tubed Mega Frame and other Tubed Mega Frame systems are potentially feasible structural systems with high-efficiency for high-rise buildings.
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