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An Internal Clinical Deterioration Report and Care Process: A Quality Improvement Project
Nursing Economics ; 39(5):215-224, 2021.
Article in English | Scopus | ID: covidwho-2072996
ABSTRACT
During the early stages of the COVID-19 pandemic, providers initially based treatment decisions upon established guidelines for adult respiratory distress syndrome. Even though emergency intubation and mechanical ventilation were recommended for first-line treatment of critically ill patients, clinical leaders in one New Jersey hospital observed mortality rates increased sharply for patients with COVID-19 receiving mechanical ventilation, particularly among the elderly. An interprofessional team created a Deterioration Report, which aggregated key laboratory, radiologic, and other clinical biomarkers. A follow-up provider satisfaction survey indicated treatment decisions were positively influenced by the Deterioration Report, to the extent at-risk patients were identified rapidly and accurately, placed on high-flow oxygenation as first-line treatment, and successfully avoided intubation in most cases. © 2021, Anthony J. Jannetti Inc.. All rights reserved.
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Collection: Databases of international organizations Database: Scopus Type of study: Prognostic study Language: English Journal: Nursing Economics Year: 2021 Document Type: Article

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Collection: Databases of international organizations Database: Scopus Type of study: Prognostic study Language: English Journal: Nursing Economics Year: 2021 Document Type: Article