Publications by authors named "Giuliana Labella"
Standardizing postoperative handoffs using the evidence-based IPASS framework through a multidisciplinary initiative improves handoff communication for neurosurgical patients in the neuro-intensive care unit.
J Clin Neurosci
October 2021
Article Synopsis
- Errors in communication are a significant factor in preventable medical errors, particularly during nursing handoffs in neuro-intensive care units (NICUs) for postoperative neurosurgical patients.
- A multidisciplinary team at a medical institution initiated an improvement program to enhance handoff protocols using the evidence-based IPASS format, involving evaluations through staff surveys and direct observations over one year.
- The implementation of the formalized handoff protocol led to substantial improvements in perceptions and effectiveness of handoffs, increasing perceived organization, efficiency, completeness, and safety, while also enhancing teamwork and communication about critical patient concerns.
Background: Telemedicine rapidly connects patients, with acute ischemic stroke symptoms, with neurovascular specialists for assessment to reduce chemical thrombolysis delivery times. Management of AIS includes maintaining target systolic blood pressures (SBP). In this retrospective study, we assess the efficacy of the telestroke (TS) system at a primary stroke center and the prognostic value of SBP throughout the transportation process.
View Article and Find Full Text PDFObjectives: Neurologists have continually led the assessment and management of Acute Ischemic Stroke(AIS) by use of IV-rtPA, anti-platelet therapy, antihypertensives, and other pharmacologic agents. Since the advent of mechanical thrombectomy(MT) and its proven efficacy, neurovascular surgeons(NS) are playing an increasingly important role in the management and overall care of AIS. We assessed outcomes of AIS patients managed by NS, who have been traditionally managed by neurologists.
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