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Author Marcinkowski, K.
Title Shortening hospital stays for orthopaedic patients Type Journal Article
Year 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 6 Issue 11 Pages (up) 28-29
Keywords Surgery; Evidence-based medicine; Guidelines
Abstract The author provides a review of current protocols and presents new ways to manage the care of patients undergoing total joint arthroplasty, hip and knee replacement surgery.
Call Number NRSNZNO @ research @ Serial 1022
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Author Nakarada-Kordic, Ivana
Title Assessing mental models in multidisciplinary operating room teams Type Book Whole
Year 2016 Publication Abbreviated Journal
Volume Issue Pages (up) 238 p.
Keywords Mental models; Operating room; Surgery; Assessment; Software; Momento
Abstract Aims to develop a new empirical method for assessing the similarity of mental models in surgery, focusing on laparotomy; to begin the process of validation of the new approach; and to demonstrate how the new approach could be used in clinical practice. Develops a software application (Momento) to sort key tasks in order to capture the information on mental models regarding task sequence and responsibility. Asks 20 6-person operating room (OR) teams, each comprising 3 sub-teams consisting of anaesthesia, surgery and nursing, to complete Momento prior to 2 simulated emergency laparotomies. Suggests the Momento approach could be used to improve teamwork in OR.
Call Number NZNO @ research @ Serial 1561
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Author Pirret, A.M.
Title A preoperative scoring system to identify patients requiring postoperative high dependency care Type Journal Article
Year 2003 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 19 Issue 5 Pages (up) 267-275
Keywords Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment
Abstract The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions.
Call Number NRSNZNO @ research @ 904 Serial 888
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