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The Use of Nurse Checklists in a Bedside Computer-Based Information System to Focus on Avoiding Secondary Insults in Neurointensive Care

The feasibility and accuracy of using checklists after every working shift in a bedside computer-based information system for documentation of secondary insults in the neurointensive care unit were evaluated. The ultimate goal was to get maximal attention to avoid secondary insults. Feasibility was...

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Autores principales: Nyholm, Lena, Lewén, Anders, Fröjd, Camilla, Howells, Tim, Nilsson, Pelle, Enblad, Per
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scholarly Research Network 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3403171/
https://www.ncbi.nlm.nih.gov/pubmed/22844615
http://dx.doi.org/10.5402/2012/903954
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author Nyholm, Lena
Lewén, Anders
Fröjd, Camilla
Howells, Tim
Nilsson, Pelle
Enblad, Per
author_facet Nyholm, Lena
Lewén, Anders
Fröjd, Camilla
Howells, Tim
Nilsson, Pelle
Enblad, Per
author_sort Nyholm, Lena
collection PubMed
description The feasibility and accuracy of using checklists after every working shift in a bedside computer-based information system for documentation of secondary insults in the neurointensive care unit were evaluated. The ultimate goal was to get maximal attention to avoid secondary insults. Feasibility was investigated by assessing if the checklists were filled in as prescribed. Accuracy was evaluated by comparing the checklists with recorded minute-by-minute monitoring data for intracranial pressure-ICP, cerebral perfusion pressure CPP, systolic blood pressure SBP, and temperature. The total number of checklist assessments was 2,184. In 85% of the shifts, the checklists were filled in. There was significantly longer duration of monitoring time at insult level when Yes was filled in regarding ICP (mean 134 versus 30 min), CPP (mean 125 versus 26 min) and temperature (mean 315 versus 120 min). When a secondary insult was defined as >5% of monitoring time spent at insult level, the sensitivity/specificity for the checklist assessments was 31%/100% for ICP, 38%/99% for CPP, and 66%/88% for temperature. Checklists were feasible and appeared relatively accurate. Checklists may elevate the alertness for avoiding secondary insults and help in the evaluation of the patients. This concept may be the next step towards tomorrow critical care.
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spelling pubmed-34031712012-07-27 The Use of Nurse Checklists in a Bedside Computer-Based Information System to Focus on Avoiding Secondary Insults in Neurointensive Care Nyholm, Lena Lewén, Anders Fröjd, Camilla Howells, Tim Nilsson, Pelle Enblad, Per ISRN Neurol Research Article The feasibility and accuracy of using checklists after every working shift in a bedside computer-based information system for documentation of secondary insults in the neurointensive care unit were evaluated. The ultimate goal was to get maximal attention to avoid secondary insults. Feasibility was investigated by assessing if the checklists were filled in as prescribed. Accuracy was evaluated by comparing the checklists with recorded minute-by-minute monitoring data for intracranial pressure-ICP, cerebral perfusion pressure CPP, systolic blood pressure SBP, and temperature. The total number of checklist assessments was 2,184. In 85% of the shifts, the checklists were filled in. There was significantly longer duration of monitoring time at insult level when Yes was filled in regarding ICP (mean 134 versus 30 min), CPP (mean 125 versus 26 min) and temperature (mean 315 versus 120 min). When a secondary insult was defined as >5% of monitoring time spent at insult level, the sensitivity/specificity for the checklist assessments was 31%/100% for ICP, 38%/99% for CPP, and 66%/88% for temperature. Checklists were feasible and appeared relatively accurate. Checklists may elevate the alertness for avoiding secondary insults and help in the evaluation of the patients. This concept may be the next step towards tomorrow critical care. International Scholarly Research Network 2012-07-15 /pmc/articles/PMC3403171/ /pubmed/22844615 http://dx.doi.org/10.5402/2012/903954 Text en Copyright © 2012 Lena Nyholm et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Nyholm, Lena
Lewén, Anders
Fröjd, Camilla
Howells, Tim
Nilsson, Pelle
Enblad, Per
The Use of Nurse Checklists in a Bedside Computer-Based Information System to Focus on Avoiding Secondary Insults in Neurointensive Care
title The Use of Nurse Checklists in a Bedside Computer-Based Information System to Focus on Avoiding Secondary Insults in Neurointensive Care
title_full The Use of Nurse Checklists in a Bedside Computer-Based Information System to Focus on Avoiding Secondary Insults in Neurointensive Care
title_fullStr The Use of Nurse Checklists in a Bedside Computer-Based Information System to Focus on Avoiding Secondary Insults in Neurointensive Care
title_full_unstemmed The Use of Nurse Checklists in a Bedside Computer-Based Information System to Focus on Avoiding Secondary Insults in Neurointensive Care
title_short The Use of Nurse Checklists in a Bedside Computer-Based Information System to Focus on Avoiding Secondary Insults in Neurointensive Care
title_sort use of nurse checklists in a bedside computer-based information system to focus on avoiding secondary insults in neurointensive care
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3403171/
https://www.ncbi.nlm.nih.gov/pubmed/22844615
http://dx.doi.org/10.5402/2012/903954
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