Interdisciplinary Crisis Management Education and the Massive Transfusion Protocol (MTP)

Interdisciplinary Crisis Management Education and the Massive Transfusion Protocol (MTP)
Author: Kristen Simmons
Publisher:
Total Pages: 0
Release: 2021
Genre:
ISBN:

" Massive hemorrhage in the operative setting is a critical event that must be managed effectively by an interdisciplinary team to avoid adverse outcomes and patient death. The purpose of this project was to increase knowledge and self-efficacy of anesthesia providers and perioperative staff members related to the management of hemorrhagic crises and use of the massive transfusion protocol (MTP). A two-part educational bundle consisting of pre-education and low-fidelity simulation (LFS) via computer-based training (CBT) modules and hands-on skills sessions were utilized. Pre-educational materials consisted of narrated PowerPoint presentations and tutorials. A video simulation depicted the management of a massive blood loss scenario with an interdisciplinary team in the operative setting. Individualized hands-on skills sessions reviewed role-specific responsibilities regarding use of the MTP. Participants completed a knowledge test and self-efficacy survey pre-and-post intervention. After completing the educational bundle, an increase in knowledge and self-efficacy was observed. The overall group mean total score on the knowledge test changed from 12.38 to 13.08. Aggregated mean score increased by 5.65%. Self-efficacy related to role-specific responsibilities and the team's ability to carry out the MTP increased significantly for all participants. This project serves as an example of how a multimodal educational bundle can improve knowledge, confidence, and overall readiness to respond to critical events involving massive hemorrhage. This model can be utilized for crisis management education for other potential perioperative crises and demonstrates how pre-education and low-fidelity simulation (LFS) enable crisis management training to be readily accessible to the entire interdisciplinary team. Keywords: perioperative interdisciplinary education, massive transfusion protocol, crisis management, pre-education, low-fidelity simulation " -- Abstract

Utilization Management in the Clinical Laboratory and Other Ancillary Services

Utilization Management in the Clinical Laboratory and Other Ancillary Services
Author: Kent Lewandrowski
Publisher: Springer
Total Pages: 299
Release: 2016-11-29
Genre: Medical
ISBN: 3319341995

This book is the first comprehensive text on utilization management in the clinical laboratory and other ancillary services. It provides a detailed overview on how to establish a successful utilization management program, focusing on such issues as leadership, governance, informatics, and application of utilization management tools. The volume also describes ways to establish utilization management programs for multiple specialties, including anatomic pathology and cytology, hematology, radiology, clinical chemistry, and genetic testing among other specialties. Numerous examples of specific utilization management initiatives are also described that can be imported to other heath care organizations. A chapter on utilization management in Canada is also included. Edited by an established national leader in utilization management, Utilization Management in the Clinical Laboratory and Other Ancillary Services is a valuable resource for physicians, pathologists, laboratory directors, hospital administrators, and medical insurance professionals looking to implement a utilization management program.

Perioperative Critical Care

Perioperative Critical Care
Author: Atul P Kulkarni
Publisher: Jaypee Brothers Medical Publishers
Total Pages: 681
Release: 2020-11-30
Genre: Medical
ISBN: 9390020506

Perioperative care is the care that is given before and after surgery. This textbook is a complete guide to the anaesthetic and critical care management of patients undergoing complex surgeries in all organ systems of the body. Topics cover all age groups – neonates, children, and adults. Divided into 11 sections, the book begins with a general overview of critical care in the perioperative period discussing airway management, pain, fluid and electrolyte therapy, shock, arterial blood gas analysis, respiratory failure and mechanical ventilation, and thromboembolism. The following sections cover surgeries in different organ systems and patient groups – cardiothoracic and vascular, neurosciences, paediatrics, obstetrics and gynaecology, gastrointestinal, genitourinary, orthopaedics, head and neck, and transplantation. The final section explains selected miscellaneous topics including nutrition, haemodynamic monitoring, echocardiography, renal replacement therapy, and antibiotics. Compiling 700 pages, the comprehensive text is further enhanced by clinical photographs, diagrams and tables. Key points Comprehensive guide to perioperative critical care in neonates, children and adults Covers complex surgeries in all organ systems Includes discussion on imaging, airway management, and ventilation Highly illustrated with clinical photographs, diagrams and tables

Pediatric Critical Care, An Issue of Critical Nursing Clinics

Pediatric Critical Care, An Issue of Critical Nursing Clinics
Author: Jerithea Tidwell
Publisher: Elsevier Health Sciences
Total Pages: 161
Release: 2017-05-06
Genre: Medical
ISBN: 0323530044

The Guest Editors have assembled expert authors to contribute current reviews devoted to critical care in pediatrics. The articles are devoted to Simulation and Impact on Code Sepsis; Cardiac Rapid Response Team/Modified Cardiac PEWS Development; Impact on Cardiopulmonary Arrest Events on Inpatient Cardiac Unit; Promoting Safety in Post-Tracheostomy Placement Patients in the Pediatric Intensive Care Unit Through Protocol; Innovation in Hospital-Acquired Pressure Ulcers Prevention in Neonatal Post-Cardiac Surgery Patients; Utilizing an Interactive Patient Care System in an Acute Care Pediatric Hospital Setting to Improve Patient Outcomes; Advances in Pediatric Pulmonary Artery Hypertension; and Creating a Safety Program in a Pediatric Intensive Care Unit or Assessing Pain in the Pediatric Intensive Care Patients to name a few. Readers will come away with information that is actionable in the pediatric ICU.

Advanced Perioperative Crisis Management

Advanced Perioperative Crisis Management
Author: Matthew D. McEvoy
Publisher: Oxford University Press
Total Pages: 729
Release: 2017-07-25
Genre: Medical
ISBN: 0190226471

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.

Damage Control Resuscitation

Damage Control Resuscitation
Author: Philip C. Spinella
Publisher: Springer
Total Pages: 376
Release: 2019-08-12
Genre: Medical
ISBN: 3030208206

This book provides a comprehensive overview of damage control resuscitation (DCR), an evidence-based approach to the resuscitation of patients with severe life-threatening hemorrhage (LTH). It focuses on both civilian and military applications as DCR is utilized in civilian trauma situations as well as combat casualty care settings. The book covers the history of fluid resuscitation for bleeding, epidemiology of severe traumatic injuries, prediction of life-threatening hemorrhage, pathophysiology and diagnosis of blood failure, and permissive hypotension. Chapters provide in-depth detail on hemostatic resuscitation principles, dried plasma, dried platelet surrogates, and recent developments in frozen red blood cells and oxygen carriers. The book also discusses how DCR principles can be used in a variety of situations such as when there are large numbers of patients with hemorrhagic lesions, non-trauma scenarios, and on distinct populations such as children. Finally, it concludes with a discussion of training and education methods for the implementation of DCR and remote DCR principles as well as learning healthcare system principles to facilitate the implementation of DCR and ultimately improve outcomes for patients with life-threatening hemorrhage. Damage Control Resuscitation: Identification and Treatment of Life-Threatening Hemorrhage is an essential resource for physicians and related professionals, residents, nurses and medical students in emergency medicine, anesthesia, surgery, and critical care, as well as civilian and military EMS providers.

Obstetric Care

Obstetric Care
Author: Martin Olsen
Publisher: Cambridge University Press
Total Pages: 540
Release: 2017-10-04
Genre: Medical
ISBN: 1108515665

Gain a critical understanding of obstetrics, and a thorough knowledge base of modern management techniques, with this accessible textbook. While acting as a stand-alone text on obstetric care, this volume also forms part of a three-volume set - all authored by leading authorities - on the entirety of obstetric and gynecologic practice. Obstetric Care's topics are based on academic objectives of experts in the field. This textbook offers tailored support for new residents and experienced physicians alike. Obstetric Care is invaluable for wide-ranging yet concise reference material, and provides evidence based care recommendations for specific patient conditions. The chapters in this textbook are based on the objectives of the Committee for Resident Education in Obstetrics and Gynecology; the book offers outstanding modern management techniques across the obstetrics specialty, making it a go-to for reference and comprehensive study.

WHO Guidelines for the Management of Postpartum Haemorrhage and Retained Placenta

WHO Guidelines for the Management of Postpartum Haemorrhage and Retained Placenta
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 62
Release: 2009
Genre: Family & Relationships
ISBN: 9241598514

Diagnosis of PPH -- Management of atonic PPH -- Management of retained placenta -- Choice of fluid for replacement or resuscitation -- Health systems and organizational interventions -- PPH care pathways -- Research implications -- Plans for local adaptation of the recommendations -- Plans for supporting implementation of these recommendations -- GRADE tables.

Patient Blood Management

Patient Blood Management
Author: Hans Gombotz
Publisher: Thieme
Total Pages: 443
Release: 2015-11-10
Genre: Medical
ISBN: 3132004510

Patient Blood Management (PBM) is an innovative clinical concept that aims to reduce the need for allogenic blood transfusions, cut health-care costs, and avert or correct the risk factors related to blood transfusion, thus minimizing the rate of side effects and complications. This comprehensive hands-on volume offers a three-point approach for the implementation of PBM to improve patient outcome, focusing on how to prevent or treat anemia, reduce blood loss, and increase anemia tolerance. The book also goes beyond preoperative PBM, with detailed accounts of coagulation disorder management and the administration of coagulation products and platelet concentrates. Special Features: Presents a clear three-pillar strategy for the application of PBM: diagnosis and treatment of anemia, reduction of peri-interventional blood loss, and optimization of the tolerance to anemia in the everyday clinical setting Covers issues such as PBM during surgery, requirements for modern transfusion medicine, ordering blood products, the role of pre-anesthesia clinics, benchmarking processes, and potential implications of PBM in the public health sector Overview of research in PBM including landmark studies and current clinical trials Boxes in each chapter highlighting key information, core statements, and summaries A multidisciplinary and international team of contributors experienced in PBM Patient Blood Management is a guide for clinicians and residents whose patients are at risk for anemia, coagulation disorders, or severe blood loss. Anesthesiologists, surgeons, and specialists involved in the use of blood and blood products can use the book for quick reference or to learn more about a leading-edge concept for optimizing patient safety and improving outcome.

Crisis Management in Anesthesiology E-Book

Crisis Management in Anesthesiology E-Book
Author: David M. Gaba
Publisher: Elsevier Health Sciences
Total Pages: 434
Release: 2014-09-02
Genre: Medical
ISBN: 1455738093

The fully updated Crisis Management in Anesthesiology continues to provide updated insights on the latest theories, principles, and practices in anesthesiology. From anesthesiologists and nurse anesthetists to emergency physicians and residents, this medical reference book will effectively prepare you to handle any critical incident during anesthesia. Identify and respond to a broad range of life-threatening situations with the updated Catalog of Critical Incidents, which outlines what may happen during surgery and details the steps necessary to respond to and resolve the crisis. React quickly to a range of potential threats with an added emphasis on simulation of managing critical incidents. Useful review for all anesthesia professionals of the core knowledge of diagnosis and management of many critical events. Explore new topics in the ever-expanding anesthesia practice environment with a detailed chapter on debriefing. Expert Consult eBook version included with purchase.