Family engagement in rounds has been recommended to improve communication, but its impact on patient outcomes is unknown. At the authors' institution, nurses encouraged family presence at rounds as part of a larger project to enhance communication during rounding. In the case reported here, family engagement resulted in a critical care patient's wife suggesting bacteriophage therapy, which led to her husband's survival.
View Article and Find Full Text PDFPrevention of burnout is a national imperative, and blame-free investigations of clinical events are advocated. Reflective inquiry techniques are helpful in processing adverse events while minimizing blame. The purpose of this project was to develop an interprofessional peer review program (Case Study Investigation) to process emotions, improve teamwork, and optimize patient outcomes.
View Article and Find Full Text PDFBackground: Delirium is the most common postoperative psychiatric condition in intensive care settings and can lead to increased complications and costs.
Objectives: To evaluate the impact of multifaceted preoperative patient education on postoperative delirium, anxiety, and knowledge and to explore predictors of postoperative delirium, days of mechanical ventilation, and days in the intensive care unit (ICU) in patients undergoing pulmonary thromboendarterectomy.
Method: A prospective, randomized controlled trial was conducted on consented patients from October 2011 to April 2013.