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Total 54974 results found since Jan 2013.

Age discrimination in critical care triage in South Africa: The law and the allocation of scarce health resources in the COVID-19 pandemic.
Authors: Erasmus N Abstract No one may be refused emergency medical treatment in South Africa (SA). Yet score-based categorical exclusions used in critical care triage guidelines disproportionately discriminate against older adults, the cognitively and physically impaired, and the disabled. Adults over the age of 60, who make up 9.1% of the SA population, are most likely to present with disabilities and comorbidities at triage. Score-based models, drawn from international precedents, deny these patients admission to an ICU when resources are constrained, such as during influenza and COVID-19 outbreaks. The Critical...
Source: South African Medical Journal - January 7, 2021 Category: African Health Tags: S Afr Med J Source Type: research

Tiered Model of Nurse Staffing for Critical Care and Emergency Departments in the Wake of a Pandemic
CONCLUSION This article describes how a quaternary care hospital in New York City prepared for the COVID-19 surge in patients by maximizing and shifting nursing resources to its most impacted services, the emergency department (ED) and the intensive care units (ICUs). A tier-based staffing model and rapid training were operationalized to address nurse-staffing shortages in the ICU and ED, identifying key factors for swift deployment. IMPLICATIONS FOR NURSING MANAGERS Frequent communication between staff and leaders improves teamwork and builds trust and buy-in during normal operations and particularly in times of crisis.
Source: JONA: The Journal of Nursing Administration - January 27, 2021 Category: Nursing Tags: Articles Source Type: research

Acute Care Resource Use After Elective Surgery in the United States: Implications During the COVID-19 Pandemic
CONCLUSIONS: Acute care needs after elective surgery in the United States are consistent and predictable. When these data are overlaid with national hospital capacity models, rational decisions regarding matching supply to demand can be achieved to meet changing needs.PMID:33912897 | DOI:10.4037/ajcc2021818
Source: American Journal of Critical Care - April 29, 2021 Category: Nursing Authors: Vijay Krishnamoorthy Tetsu Ohnuma Raquel Bartz Matthew Fuller Nita Khandelwal Krista Haines Charles Scales Karthik Raghunathan Source Type: research