Identifying Cardiorespiratory Insufficiency Outside the ICU

  • M. R. Pinsky
  • M. Hravnak
Conference paper

Abstract

The pressure to increase intensive care unit (ICU) bed availability continues to grow as the need to streamline patient throughput in acute care facilities intensifies across the world. Thus, patients with higher illness acuity levels are transferred from ICUs and into step-down units for continued monitoring via non-invasive monitoring tools. These non-invasive tools include electrocardiography, automated sphygmomanometer and pulse oximetry to give estimates of heart rate (HR) and respiratory rate (RR), blood pressure (BP) and peripheral arterial oxygen saturation (Sp02), respectively.

Keywords

Tral Rosen Balan Silber 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp KG (2007) Failure-to-rescue: Comparing definitions to measure quality care. Med Care 45: 918–925CrossRefPubMedGoogle Scholar
  2. 2.
    Schmid A, Hoffman LA, Happ MB, Wolf GA, DeVita MA (2007) Failure to rescue: A literature review. J Nurs Admin 4: 188–198CrossRefGoogle Scholar
  3. 3.
    Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH (2002) hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 288: 1987–1993CrossRefPubMedGoogle Scholar
  4. 4.
    Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T (2008) Effects of hospital care environment on patient mortality and nurse outcomes. J Nurs Admin 38: 223–229CrossRefGoogle Scholar
  5. 5.
    Pinsky MR (2007) Hemodynamic evaluation and monitoring in the ICU. Chest 132: 2020–2029CrossRefPubMedGoogle Scholar
  6. 6.
    Buist MD, Moore GE, Bernard SA, et al (2002) Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital. BMJ 324: 387–390CrossRefPubMedGoogle Scholar
  7. 7.
    DeVita MA, Braithwaite RS, Mahidhara R, et al (2004) Use of medical emergency team responses to reduce cardiopulmonary arrests. Qual Saf Health Care 13: 251–254CrossRefPubMedGoogle Scholar
  8. 8.
    Devita MA, Bellomo R, Hillman K, et al (2006) Findings of the first consensus conference on medical emergency teams. Crit Care Med 34: 2463–2478CrossRefPubMedGoogle Scholar
  9. 9.
    Hravnak M, Edwards L, Clontz A, Valenta C, DeVita M, Pinsky M (2008) Defining the incidence of cardio-respiratory instability in step-down unit patients using an electronic integrated monitoring system. Arch Intern Med 168: 1300–1308CrossRefPubMedGoogle Scholar
  10. 10.
    Schmid A (2007) Frequency and pattern of medical emergency team activation among medical cardiology patient care units. Crit Care Nurse Q 30: 81–84Google Scholar
  11. 11.
    Hinshaw AS (2008) Navigating a perfect storm: Balancing a culture of safety with workforce challenges. Nurs Res 57 (Suppl 1): S4–S10CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science + Business Media Inc. 2010

Authors and Affiliations

  • M. R. Pinsky
    • 1
  • M. Hravnak
    • 2
  1. 1.Department of Critical Care MedicineUniversity of Pittsburgh School of MedicinePittsburghUSA
  2. 2.School of NursingUniversity of Pittsburgh School of MedicinePittsburghUSA

Personalised recommendations