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WFRF:(Lugazia Edwin R.)
 

Sökning: WFRF:(Lugazia Edwin R.) > Vital Signs Directe...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004299naa a2200433 4500
001oai:DiVA.org:uu-406183
003SwePub
008200306s2020 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:142842595
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4061832 URI
0247 a https://doi.org/10.1155/2020/48198052 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1428425952 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Hvarfner, Annau Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning Dalarna,Mora Hosp, Mora, Region Dalarna, Sweden4 aut
2451 0a Vital Signs Directed Therapy for the Critically Ill :b Improved Adherence to the Treatment Protocol Two Years after Implementation in an Intensive Care Unit in Tanzania
264 1b HINDAWI LTD,c 2020
338 a electronic2 rdacarrier
520 a Treating deranged vital signs is a mainstay of critical care throughout the world. In an ICU in a university hospital in Tanzania, the implementation of the Vital Signs Directed Therapy Protocol in 2014 led to an increase in acute treatments for deranged vital signs. The mortality rate for hypotensive patients decreased from 92% to 69%. In this study, the aim was to investigate the sustainability of the implementation two years later. An observational, patient-record-based study was conducted in the ICU in August 2016. Data on deranged vital signs and acute treatments were extracted from the patients' charts. Adherence to the protocol, defined as an acute treatment in the same or subsequent hour following a deranged vital sign, was calculated and compared with before and immediately after implementation. Two-hundred and eighty-nine deranged vital signs were included. Adherence was 29.8% two years after implementation, compared with 16.6% (p<0.001) immediately after implementation and 2.9% (p<0.001) before implementation. Consequently, the implementation of the Vital Signs Directed Therapy Protocol appears to have led to a sustainable increase in the treatment of deranged vital signs. The protocol may have potential to improve patient safety in other settings where critically ill patients are managed.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
7001 a Blixt, Jonasu Karolinska Institutet4 aut
7001 a Schell, Carl Ottou Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden;Nykoping Hosp, Dept Internal Med, Nykoping, Region Sormland, Sweden4 aut
7001 a Castegren, Markusu Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Karolinska Univ Hosp, Perioperat Med & Intens Care, Stockholm, Sweden;Karolinska Inst, CLINTEC, Stockholm, Sweden4 aut
7001 a Lugazia, Edwin R.u Muhimbili Natl Hosp, Dept Anaesthesiol, Dar Es Salaam, Tanzania;Muhimbili Univ Hlth & Allied Sci, Dept Anaesthesiol, Dar Es Salaam, Tanzania4 aut
7001 a Mulungu, Mosesu Muhimbili Natl Hosp, Dept Anaesthesiol, Dar Es Salaam, Tanzania4 aut
7001 a Litorp, Helena,d 1980-u Karolinska Institutet,Uppsala universitet,Global hälsa - implementering och hållbarhet,Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden4 aut0 (Swepub:uu)helli994
7001 a Baker, Timu Karolinska Institutet4 aut
7102 a Uppsala universitetb Centrum för klinisk forskning Dalarna4 org
7730 t Emergency Medicine Internationald : HINDAWI LTDg 2020q 2020x 2090-2840x 2090-2859
8564 u https://doi.org/10.1155/2020/4819805y Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:1412532/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://doi.org/10.1155/2020/4819805
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-406183
8564 8u https://doi.org/10.1155/2020/4819805
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:142842595

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