Matches in SemOpenAlex for { <https://semopenalex.org/work/W2980532091> ?p ?o ?g. }
Showing items 1 to 88 of
88
with 100 items per page.
- W2980532091 abstract "Aims Medically stable patients, who received 1 dose of IV antibiotic, are currently being discharged from our institution and ‘ambulated’ with an IV cannulato return for daily antibiotics until culture results become available. Our aims were trying to create a leaner ambulating system using current evidence-based recommendations on timing of antibiotic switch from IV to PO and to achieve time and cost savings for staff and patients. Methods Ambulating patient lists from September 2017 to August 2018 were retrospectively looked at. Our inclusion criteria were: chase blood culture, if negative then change to oral chase blood culture, if negative then stop Data was analysed and assessed using crew resource management techniques, a safety tool developed by NASA. Results 1847 ambulating events were looked at. 24.7% fulfilled our inclusion criteria. Average stay for an intravenous ‘push’ was 50 min, excluding time from the car park or bus station. Patients returned to the ward on average twice. Due to no community nursing and daycare unit cover during weekends, this is when the majority of patients presented. Nursing staff on weekends tends to be reduced, increasing the relative workload. Almost 90% of patients, who were switched to PO once cultures were negative, could have been switched to PO on discharge. 100% of newborns fell into the ‘if negative then stop’ category and were unable to switch. Most common presentations, which could have been switched on discharge were cellulitis, community-acquired pneumonia and ‘? septic’ children, who were well enough not to require admission. It was difficult to quantify how many patients required re-cannulation or experienced cannulation complications using the handover lists as the only source of clinical information. 1 patient, who fulfilled criteria for switching required re-admission due to inability to tolerate PO antibiotics. No ambulating patient required re-admission due to clinical deterioration. Conclusion Using current evidence-based recommendations on switching antibiotics from IV to PO in combination with bioavailability data for the most common antibiotics in our patients would easily achieve significant time and financial savings for parents and the NHS. Freeing up nursing and medical staff to look after inpatients can only be beneficial for better patient care. NASA’s crew resource management techniques are a useful alternative to the commonly used SMART goal approach for QIPs." @default.
- W2980532091 created "2019-10-25" @default.
- W2980532091 creator A5020903674 @default.
- W2980532091 creator A5050037418 @default.
- W2980532091 creator A5053297356 @default.
- W2980532091 creator A5054531473 @default.
- W2980532091 creator A5055474332 @default.
- W2980532091 creator A5062145862 @default.
- W2980532091 creator A5065618778 @default.
- W2980532091 creator A5069329600 @default.
- W2980532091 date "2019-05-01" @default.
- W2980532091 modified "2023-10-14" @default.
- W2980532091 title "G58(P) Using NASA techniques to improve the experience for patients discharged on IV antibiotics from the paediatric ed or ward and to create cost and time savings for the NHS and families" @default.
- W2980532091 doi "https://doi.org/10.1136/archdischild-2019-rcpch.58" @default.
- W2980532091 hasPublicationYear "2019" @default.
- W2980532091 type Work @default.
- W2980532091 sameAs 2980532091 @default.
- W2980532091 citedByCount "0" @default.
- W2980532091 crossrefType "proceedings-article" @default.
- W2980532091 hasAuthorship W2980532091A5020903674 @default.
- W2980532091 hasAuthorship W2980532091A5050037418 @default.
- W2980532091 hasAuthorship W2980532091A5053297356 @default.
- W2980532091 hasAuthorship W2980532091A5054531473 @default.
- W2980532091 hasAuthorship W2980532091A5055474332 @default.
- W2980532091 hasAuthorship W2980532091A5062145862 @default.
- W2980532091 hasAuthorship W2980532091A5065618778 @default.
- W2980532091 hasAuthorship W2980532091A5069329600 @default.
- W2980532091 hasConcept C111919701 @default.
- W2980532091 hasConcept C121332964 @default.
- W2980532091 hasConcept C126965237 @default.
- W2980532091 hasConcept C127413603 @default.
- W2980532091 hasConcept C146978453 @default.
- W2980532091 hasConcept C187212893 @default.
- W2980532091 hasConcept C194828623 @default.
- W2980532091 hasConcept C24890656 @default.
- W2980532091 hasConcept C2778476105 @default.
- W2980532091 hasConcept C2780826866 @default.
- W2980532091 hasConcept C41008148 @default.
- W2980532091 hasConcept C501593827 @default.
- W2980532091 hasConcept C545542383 @default.
- W2980532091 hasConcept C71924100 @default.
- W2980532091 hasConcept C74448152 @default.
- W2980532091 hasConcept C86803240 @default.
- W2980532091 hasConcept C89423630 @default.
- W2980532091 hasConceptScore W2980532091C111919701 @default.
- W2980532091 hasConceptScore W2980532091C121332964 @default.
- W2980532091 hasConceptScore W2980532091C126965237 @default.
- W2980532091 hasConceptScore W2980532091C127413603 @default.
- W2980532091 hasConceptScore W2980532091C146978453 @default.
- W2980532091 hasConceptScore W2980532091C187212893 @default.
- W2980532091 hasConceptScore W2980532091C194828623 @default.
- W2980532091 hasConceptScore W2980532091C24890656 @default.
- W2980532091 hasConceptScore W2980532091C2778476105 @default.
- W2980532091 hasConceptScore W2980532091C2780826866 @default.
- W2980532091 hasConceptScore W2980532091C41008148 @default.
- W2980532091 hasConceptScore W2980532091C501593827 @default.
- W2980532091 hasConceptScore W2980532091C545542383 @default.
- W2980532091 hasConceptScore W2980532091C71924100 @default.
- W2980532091 hasConceptScore W2980532091C74448152 @default.
- W2980532091 hasConceptScore W2980532091C86803240 @default.
- W2980532091 hasConceptScore W2980532091C89423630 @default.
- W2980532091 hasLocation W29805320911 @default.
- W2980532091 hasOpenAccess W2980532091 @default.
- W2980532091 hasPrimaryLocation W29805320911 @default.
- W2980532091 hasRelatedWork W1264967557 @default.
- W2980532091 hasRelatedWork W1895840864 @default.
- W2980532091 hasRelatedWork W1968658218 @default.
- W2980532091 hasRelatedWork W1996171747 @default.
- W2980532091 hasRelatedWork W2076858491 @default.
- W2980532091 hasRelatedWork W2266675502 @default.
- W2980532091 hasRelatedWork W2417642170 @default.
- W2980532091 hasRelatedWork W2557218760 @default.
- W2980532091 hasRelatedWork W2590214242 @default.
- W2980532091 hasRelatedWork W2883306233 @default.
- W2980532091 hasRelatedWork W2918955843 @default.
- W2980532091 hasRelatedWork W2942967489 @default.
- W2980532091 hasRelatedWork W2949670046 @default.
- W2980532091 hasRelatedWork W3022568696 @default.
- W2980532091 hasRelatedWork W3123954661 @default.
- W2980532091 hasRelatedWork W3156545905 @default.
- W2980532091 hasRelatedWork W3166534006 @default.
- W2980532091 hasRelatedWork W57410743 @default.
- W2980532091 hasRelatedWork W2187875400 @default.
- W2980532091 hasRelatedWork W3098583059 @default.
- W2980532091 isParatext "false" @default.
- W2980532091 isRetracted "false" @default.
- W2980532091 magId "2980532091" @default.
- W2980532091 workType "article" @default.