NP020 Revising the morbidity and mortality process in a community based regional cardiac care program: A nurse led initiative to improve the quality of care in the cardiac surgery patient population

2011 ◽  
Vol 27 (5) ◽  
pp. S365
Author(s):  
W. Wiley
Keyword(s):  
Cardiac Surgery ◽  
Quality Of Care ◽  
Patient Population ◽  
Care Program ◽  
Cardiac Care ◽  
Cardiac Surgery Patient ◽  
Community Based ◽  
Mortality Process ◽  
Surgery Patient

scholarly journals Validation of the Fitbit Flex in an Acute Post–Cardiac Surgery Patient Population

2018 ◽  
Vol 70 (4) ◽  
pp. 314-320 ◽  
Author(s):  
Julian Daligadu ◽  
Courtney L. Pollock ◽  
Kevin Carlaw ◽  
Morgan Chin ◽  
Aspen Haynes ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Patient Population ◽  
Cardiac Surgery Patient ◽  
Surgery Patient ◽  
Post Cardiac Surgery

scholarly journals Evaluating the care provision of a community-based serious-illness care program via chart measures

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christine E. Kistler ◽  
Matthew J. Van Dongen ◽  
Natalie C. Ernecoff ◽  
Timothy P. Daaleman ◽  
Laura C. Hanson
Keyword(s):  
Quality Of Care ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Care Program ◽  
Academic Community ◽  
Care Provision ◽  
Community Based ◽  
Serious Illness ◽  
Home Based

Abstract Background Although quality-of-care domains for home-based primary and palliative programs have been proposed, they have had limited testing in practice. Our aim was to evaluate the care provision in a community-based serious-illness care program, a combined home-based primary and palliative care model. Methods Retrospective chart review of patients in an academic community-based serious-illness care program in central North Carolina from August 2014 to March 2016 (n = 159). Chart review included demographics, health status, and operationalized measures of seven quality-of-care domains: medical assessment, care coordination, safety, quality of life, provider competency, goal attainment, and access. Results Patients were mostly women (56%) with an average age of 70 years. Patients were multi-morbid (53% ≥3 comorbidities), functionally impaired (45% had impairment in ≥2 activities of daily living) and 32% had dementia. During the study period, 31% of patients died. Chart review found high rates assessment of functional status (97%), falls (98%), and medication safety (96%). Rates of pain assessment (70%), advance directive discussions (65%), influenza vaccination (59%), and depression assessment (54% of those with a diagnosis of depression) were lower. Cognitive barriers, spiritual needs, and behavioral issues were assessed infrequently (35, 22, 21%, respectively). Conclusion This study is one of the first to operationalize and examine quality-of-care measures for a community-based serious-illness care program, an emerging model for vulnerable adults. Our operationalization should not constitute validation of these measures and revealed areas for improvement; however, the community-based serious-illness care program performed well in several key quality-of-care domains. Future work is needed to validate these measures.

scholarly journals Evaluating the Care Provision of a Community-Based Serious-Illness Care Program Via Chart Measures

2020 ◽  
Author(s):  
Christine Kistler ◽  
Matthew Van Dongen ◽  
Natalie Ernecoff ◽  
Timothy Daaleman ◽  
Laura Hanson
Keyword(s):  
Quality Of Care ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Care Program ◽  
Academic Community ◽  
Care Provision ◽  
Community Based ◽  
Serious Illness ◽  
Home Based

Abstract Background: Although quality-of-care domains for home-based primary and palliative programs have been proposed, they have had limited testing in practice. Our aim was to evaluate the care provision in a community-based serious-illness care program, a combined home-based primary and palliative care model.Methods: Retrospective chart review of patients in an academic community-based serious-illness care program in central North Carolina from August 2014 to March 2016 (n=159). Chart review included demographics, health status, and operationalized measures of seven quality-of-care domains: medical assessment, care coordination, safety, quality of life, provider competency, goal attainment, and access.Results: Patients were mostly women (56%) with an average age of 70 years. Patients were multi-morbid (53% ≥3 comorbidities), functionally impaired (45% had impairment in ≥2 activities of daily living) and 32% had dementia. During the study period, 31% of patients died. Chart review found high rates assessment of functional status (97%), falls (98%), and medication safety (96%). Rates of pain assessment (70%), advance directive discussions (65%), influenza vaccination (59%), and depression assessment (54% of those with a diagnosis of depression) were lower. Cognitive barriers, spiritual needs, and behavioral issues were assessed infrequently (35%, 22%, 21%, respectively). Conclusion: This study is one of the first to operationalize and examine quality-of-care measures for a community-based serious-illness care program, an emerging model for vulnerable adults. Our operationalization should not constitute validation of these measures and revealed areas for improvement; however, the community-based serious-illness care program performed well in several key quality-of-care domains. Future work is needed to validate these measures.

scholarly journals Evaluating the Care Provision of a Community-Based Serious-Illness Care Program Via Chart Measures

2019 ◽  
Author(s):  
Christine Kistler ◽  
Matthew Van Dongen ◽  
Natalie Ernecoff ◽  
Timothy Daaleman ◽  
Laura Hanson
Keyword(s):  
Quality Of Care ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Chart Review ◽  
Care Program ◽  
Care Provision ◽  
Community Based ◽  
Serious Illness ◽  
Home Based

Abstract Keywords: home-based primary care, home-based palliative care, community-based care, quality-of-care, serious-illness care Background: Although quality-of-care domains for home-based primary and palliative programs have been proposed, they have had limited testing in practice. Our aim was to evaluate the care provision in a community-based serious-illness care program, a combined home-based primary and palliative care model. Methods: Retrospective chart review of patients in an academic community-based serious-illness care program in central North Carolina from August 2014 to March 2016 (n=159). Chart review included demographics, health status, and operationalized measures of seven quality-of-care domains: medical assessment, care coordination, safety, quality of life, provider competency, goal attainment, and access. Results: Patients were mostly women (56%) with an average age of 70 years. Patients were multi-morbid (53% ≥3 comorbidities), functionally impaired (45% had impairment in ≥2 activities of daily living) and 32% had dementia. During the study period, 31% of patients died. Chart review found high rates assessment of functional status (97%), falls (98%), and medication safety (96%). Rates of pain assessment (70%), advance directive discussions (65%), influenza vaccination (59%), and depression assessment (54% of those with a diagnosis of depression) were lower. Cognitive barriers, spiritual needs, and behavioral issues were assessed infrequently (35%, 22%, 21%, respectively). Conclusions: This study is one of the first to operationalize and examine quality-of-care measures for a community-based serious-illness care program, an emerging model for vulnerable adults. Our operationalization should not constitute validation of these measures and revealed areas for improvement; however, the community-based serious-illness care program performed well in several key quality-of-care domains. Future work is needed to validate these measures. List of Abbreviations: REACH program (Reaching out to Enhance the care of Adults in their Communities and their Homes), electronic health record (EHR), the Charlson Comorbidity Index (CCI), instrumental activities of daily living (IADLs), activities of daily living (ADLs), Veterans Affairs St. Louis University Mental Status Exam (VA-SLUMS)

scholarly journals Evaluating the Care Provision of a Community-Based Serious-Illness Care Program Via Chart Measures

2020 ◽  
Author(s):  
Christine Kistler ◽  
Matthew Van Dongen ◽  
Natalie Ernecoff ◽  
Timothy Daaleman ◽  
Laura Hanson
Keyword(s):  
Quality Of Care ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Care Program ◽  
Academic Community ◽  
Care Provision ◽  
Community Based ◽  
Serious Illness ◽  
Home Based

Abstract Background: Although quality-of-care domains for home-based primary and palliative programs have been proposed, they have had limited testing in practice. Our aim was to evaluate the care provision in a community-based serious-illness care program, a combined home-based primary and palliative care model.Methods: Retrospective chart review of patients in an academic community-based serious-illness care program in central North Carolina from August 2014 to March 2016 (n=159). Chart review included demographics, health status, and operationalized measures of seven quality-of-care domains: medical assessment, care coordination, safety, quality of life, provider competency, goal attainment, and access.Results: Patients were mostly women (56%) with an average age of 70 years. Patients were multi-morbid (53% ≥3 comorbidities), functionally impaired (45% had impairment in ≥2 activities of daily living) and 32% had dementia. During the study period, 31% of patients died. Chart review found high rates assessment of functional status (97%), falls (98%), and medication safety (96%). Rates of pain assessment (70%), advance directive discussions (65%), influenza vaccination (59%), and depression assessment (54% of those with a diagnosis of depression) were lower. Cognitive barriers, spiritual needs, and behavioral issues were assessed infrequently (35%, 22%, 21%, respectively).Conclusion: This study is one of the first to operationalize and examine quality-of-care measures for a community-based serious-illness care program, an emerging model for vulnerable adults. Our operationalization should not constitute validation of these measures and revealed areas for improvement; however, the community-based serious-illness care program performed well in several key quality-of-care domains. Future work is needed to validate these measures.

Case report of Erdheim-Chester disease in a female cardiac surgery patient

2011 ◽  
Vol 59 (S 01) ◽  
Author(s):  
HR Mahoozi ◽  
A Zittermann ◽  
K Hakim-Meibodi ◽  
J Gummert ◽  
N Mirow
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Cardiac Surgery Patient ◽  
Erdheim Chester Disease ◽  
Surgery Patient ◽  
Erdheim Chester ◽  
Chester Disease

Looking after the cardiac surgery patient: pitfalls and strategies

2021 ◽  
Vol 39 (3) ◽  
pp. 164-170
Author(s):  
Richard Libertini ◽  
Betsy Evans
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Surgery Patient ◽  
Surgery Patient

scholarly journals Unexpected hemophagocytic syndrome in a post-cardiac surgery patient

Critical Care ◽  
2011 ◽  
Vol 15 (5) ◽  
pp. 440 ◽  
Author(s):  
Lisa Linthorst ◽  
Heleen Aardema ◽  
Jaap E Tulleken
Keyword(s):  
Cardiac Surgery ◽  
Hemophagocytic Syndrome ◽  
Cardiac Surgery Patient ◽  
Surgery Patient ◽  
Post Cardiac Surgery
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