Critical Care Outreach
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Critical Care Outreach
A rapid response system (RRS) is a system implemented in many hospitals designed to identify and respond to patients with early signs of clinical deterioration on non-intensive care units with the goal of preventing respiratory or cardiac arrest. A rapid response system consists of two clinical components, an afferent component, an efferent component, and two organizational components – process improvement and administrative. The afferent component consists of identifying the input early warning signs that alert a response from the efferent component, the rapid response team. Rapid response teams are those specific to the US, the equivalent in the UK are called critical care outreach teams, and in Australia are known as medical emergency teams, though the term rapid response teams is often used as a generic term. In the rapid response system of a hospital's pediatric wards a prequel to the rapid response team known as a ''rover team'' is sometimes used that continuously monitor ...
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Hospital
A hospital is a healthcare institution providing patient treatment with specialized Medical Science, health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centers, rehabilitation hospitals, children's hospitals, geriatric hospitals, and hospitals for specific medical needs, such as psychiatric hospitals for psychiatry, psychiatric treatment and other disease-specific categories. Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals are classified as general, specialty, or government depending on the sources of income received. ...
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Martha's Rule
Martha's Rule is a patient safety initiative implemented in English NHS hospitals from April 2024. It gives patients, families, carers and staff in hospitals who have concerns about a patient's deteriorating condition access to a rapid review from a critical care outreach team. Text was copied from this source, which is available under a Open Government Licence v3.0 © Crown copyright. Similar measures have been instituted in Australia, Denmark, Scotland and the United States, and a programme called "Call 4 Concern" had previously been trialled in the United Kingdom. Martha's Rule is also a 'cultural intervention', which will help to flatten hierarchies within medicine, improve listening and openness on the part of clinicians and give patients and their families greater agency. In December 2024 the first phase of implementation of the rule in England was found to be already saving lives. Background In the summer of 2021, 13-year-old Martha Mills fell off her bike, injuring he ...
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National Institute For Health And Clinical Excellence
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body of the Department of Health and Social Care. As the national health technology assessment body of England, it is responsible for judging the cost-effectiveness of medicines and making them available on the NHS through reimbursement, with its judgements informing decisions in Wales and Northern Ireland. It also provides a range of clinical guidance to the NHS in England and Wales, which are considered by Northern Ireland. History Organisational history It was set up as the National Institute for Clinical Excellence in 1999, and on 1 April 2005 joined with the Health Development Agency to become the new National Institute for Health and Clinical Excellence (still abbreviated as NICE). Following the Health and Social Care Act 2012, NICE was renamed the National Institute for Health and Care Excellence on 1 April 2013 reflecting its new responsibilities for social ...
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Ministry Of Health And Long-Term Care
The Ministry of Health is the Government of Ontario ministry responsible for administering the health care system in the Canadian province of Ontario. The ministry is responsible to the Ontario Legislature through the minister of health, presently Sylvia Jones since June 24, 2022. Services and programs * Ontario Health Insurance Plan (OHIP) * Ontario Drug Benefit Program - prescription drug coverage * Community and public health through Public Health Ontario * Ontario Health agency * Health811 The ministry also regulates hospitals, operates some medical laboratories and regulates others, and co-ordinates emergency medical services for the province. The ministry once operated ambulance services outside of major cities in Ontario, but the services were downloaded to municipalities around 1998. History In the early years of Canadian Confederation, health was still considered primarily a municipal rather than provincial matter. The ''Public Health Act'' of 1873 permitte ...
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Joint Commission
The Joint Commission is a United States-based nonprofit tax-exempt 501(c) organization that accredits more than 22,000 US health care organizations and programs. The international branch accredits medical services from around the world. A majority of US state governments recognize Joint Commission accreditation as a condition of licensure for the receipt of Medicaid and Medicare reimbursements. The Joint Commission is based in the Chicago suburb of Oakbrook Terrace, Illinois. History The Joint Commission was formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and previous to that the Joint Commission on Accreditation of Hospitals (JCAH). The Joint Commission was renamed The Joint Commission on Accreditation of Hospitals in 1951, but it was not until 1965, when the federal government decided that a hospital meeting Joint Commission accreditation met the Medicare Conditions of Participation, that accreditation had any official impact. However, Sec ...
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Royal Children’s Hospital
The Royal Children's Hospital (RCH), colloquially referred to as the Royal Children's, is a major children's hospital in Parkville, a suburb of Melbourne, Victoria, Australia. Regarded as one of the great Children's hospitals globally, the hospital and its facilities are internationally recognised as a “leading centre for paediatrics”. The hospital serves the entire states of Victoria, and Tasmania, as well as southern New South Wales and parts of South Australia. Patients from countries with a Reciprocal Health Agreement with Australia may be treated at the hospital, with seldom cases of overseas children being treated at the hospital. As a major specialist paediatric hospital in Victoria, the Royal Children's Hospital provides a full range of clinical services, tertiary care, as well as health promotion and prevention programs for children and young people. The hospital is the designated statewide major trauma centre for paediatrics in Victoria and a Nationally Funded Cen ...
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Cost Effectiveness
Cost-effectiveness analysis (CEA) is a form of economic analysis that compares the relative costs and outcomes (effects) of different courses of action. Cost-effectiveness analysis is distinct from cost–benefit analysis, which assigns a monetary value to the measure of effect. Cost-effectiveness analysis is often used in the field of health services, where it may be inappropriate to monetize health effect. Typically the CEA is expressed in terms of a ratio where the denominator is a gain in health from a measure (years of life, premature births averted, sight-years gained) and the numerator is the cost associated with the health gain. The most commonly used outcome measure is quality-adjusted life years (QALY). Cost–utility analysis is similar to cost-effectiveness analysis. Cost-effectiveness analyses are often visualized on a plane consisting of four quadrants, the cost represented on one axis and the effectiveness on the other axis. Cost-effectiveness analysis focuses on ...
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Patient Safety
Patient safety is a specialized field about enhancing healthcare quality through the systematic prevention, reduction, reporting, and analysis of medical errors and preventable harm that contribute to severe outcomes for the patient. While healthcare risks have always existed, patient safety only gained formal recognition in the 1990s after multiple nations reported alarming rates of medical error-related injuries. The urgency of the issue was underscored when the World Health Organization (WHO) identified that 1 in 10 patients globally experience harm due to healthcare errors, declaring patient safety an "Endemic (epidemiology), endemic concern" in modern medicine. Today, patient safety stands as a distinct Health care, healthcare discipline, supported by a growing—though still evolving—scientific framework. A robust Transdisciplinarity, transdisciplinary body of theoretical and empirical research underpins this field, with emerging technologies like MHealth, mobile health ap ...
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Respiratory Therapist
A respiratory therapist is a specialized healthcare professional, healthcare practitioner trained in Intensive care medicine, critical care and cardio-pulmonary medicine in order to work therapeutically with people who have acute critical conditions, Cardiovascular disease, cardiac and Respiratory disease, pulmonary disease. Respiratory therapists graduate from a college or university with a degree in respiratory therapy and have passed a national board certifying examination. The NBRC (National Board for Respiratory Care) is responsible for credentialing as a CRT (Certified Respiratory Therapist, certified respiratory therapist), or RRT (Registered Respiratory Therapist, registered respiratory therapist) in the United States. The Canadian Society of Respiratory Therapists and provincial regulatory colleges administer the RRT credential in Canada. The American specialty certifications of respiratory therapy include: CPFT and RPFT (Certified or Registered Pulmonary Function Techn ...
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Nurse
Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". Nurses practice in many specialties with varying levels of certification and responsibility. Nurses comprise the largest component of most healthcare environments. There are shortages of qualified nurses in many countries. Nurses develop a plan of care, working collaboratively with physicians, therapists, patients, patients' families, and other team members that focuses on treating illness to improve quality of life. In the United Kingdom and the United States, clinical nurse specialists and nurse practitioners diagnose health problems and prescribe medications and other therapies, depending on regulations that vary by state. Nurses may help coordinate care performed by other provide ...
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Fellow
A fellow is a title and form of address for distinguished, learned, or skilled individuals in academia, medicine, research, and industry. The exact meaning of the term differs in each field. In learned society, learned or professional society, professional societies, the term refers to a privileged member who is specially elected in recognition of their work and achievements. Within institutions of higher education, a fellow is a member of a highly ranked group of teachers at a particular college or university or a member of the governing body in some universities. It can also be a specially selected postgraduate student who has been appointed to a post (called a fellowship) granting a stipend, research facilities and other privileges for a fixed period (usually one year or more) in order to undertake some advanced study or research, often in return for teaching services. In the context of medical education in North America, a fellow is a physician who is undergoing a supervised, ...
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Attending Physician
In the United States and Canada, an attending physician (also known as a staff physician or supervising physician) is a physician (usually an M.D., or D.O. in the United States) who has completed residency and practices medicine in a clinic or hospital, in the specialty learned during residency. An attending physician typically supervises fellows, residents, and medical students. Attending physicians may also maintain professorships at an affiliated medical school. This is common if the supervision of trainees is a significant part of the physician's work. Attending physicians have final responsibility, legally and otherwise, for patient care, even when many of the minute-to-minute decisions are being made by house officers (residents) or non-physician health-care providers (i.e. physician assistants and nurse practitioners). Attending physicians are sometimes the 'rendering physician' listed on the patient's official medical record, but if they are overseeing a resident o ...
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