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Author |
Marcinkowski, K. |
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Title |
Shortening hospital stays for orthopaedic patients |
Type |
Journal Article |
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Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
11 |
Pages  |
28-29 |
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Keywords |
Surgery; Evidence-based medicine; Guidelines |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1022 |
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Author |
Nakarada-Kordic, Ivana |
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Title |
Assessing mental models in multidisciplinary operating room teams |
Type |
Book Whole |
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Year |
2016 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
238 p. |
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Keywords |
Mental models; Operating room; Surgery; Assessment; Software; Momento |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1561 |
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Author |
Pirret, A.M. |
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Title |
A preoperative scoring system to identify patients requiring postoperative high dependency care |
Type |
Journal Article |
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Year |
2003 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
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Volume |
19 |
Issue |
5 |
Pages |
267-275 |
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Keywords |
Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment |
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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. |
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Call Number |
NRSNZNO @ research @ 904 |
Serial |
888 |
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