SCCM Resource Library-Patient Transitions Into Critical Care

Pdf Summary

The document discusses the importance of improving quality in critical care, particularly during the initial phase of care when patients are stabilized for evaluation. It highlights the concept of clinical momentum, where once initiated, a chain of events occurs that can lead to errors if not interrupted. The text emphasizes the need for reassessment and realignment of care in the ICU to ensure evidence-based practices align with patient goals. It mentions issues such as overdiagnosis, unnecessary treatments, and deviations from guidelines in critical care settings, urging for a pause in decision-making to mitigate clinical momentum.<br /><br />The document also underscores the significance of multidisciplinary team engagement, establishing patient goals of care, and implementing decision-making aids like checklists to interrupt clinical inertia. It suggests considering the expertise and resources available prior to ICU admission to address care gaps effectively. Additionally, it mentions specific examples such as lung-protective ventilation and sedation practices influencing patient outcomes in the ICU.<br /><br />Lastly, the text promotes a critical care ultrasound course by the Society of Critical Care Medicine to enhance diagnostic skills in both adult and pediatric patients. The course aims to equip healthcare professionals with the necessary skills and knowledge to integrate ultrasound imaging effectively into clinical practice. The comprehensive Critical Care Ultrasound book is recommended as a valuable resource for improving ultrasound understanding and skills in the ICU.

Asset Subtitle

Professional Development and Education, Quality and Patient Safety, 2024, 00:06:58

Asset Caption

"This article was first published in the Winter 2024 issue of Critical Connections.

Pre-ICU care involves frequent transitions, creating a high risk for cognitive and system errors. This article describes clinical momentum in the initial phase of critical illness and identifies the initial phase of ICU care as an opportunity to reassess assumptions and realign the care trajectory with evidence-based practice and patient goals of care.

Critical Connections, the critical care industry’s only newsmagazine, provides information on cutting-edge topics in critical care useful to the entire multiprofessional team."

Meta Tag

Content Type Article

Knowledge Area Professional Development and Education

Knowledge Area Quality and Patient Safety

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Medical Education

Tag Evidence Based Medicine

Year 2024

Keywords

critical care quality improvement

clinical momentum

ICU reassessment

evidence-based practices

multidisciplinary team engagement

patient goals of care

decision-making aids

lung-protective ventilation

sedation practices

Critical Care Ultrasound course

Article

Professional Development and Education

Quality and Patient Safety

Medical Education

Evidence Based Medicine

2024

Associate

Professional

Select

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