Context: Health-care systems move rapidly toward evidence-based practice (EBP); however, it is still challenging to determine if nurses who have received professional education have adopted EBP into their daily practice. Aim: This study aimed to investigate the effect of advanced professional programs in EBP beliefs and EBP implementation in Prince Sultan Military Medical City. Setting and Design: A cross-sectional study was conducted including 166 nurses who work at Prince Sultan Military Medical City. Subjects and Methods: Data were obtained using an adopted two questionnaires for the EBP-Beliefs and EBP-Implementation Scales. Statistical Analysis Used: Data were analyzed using SPSS version 23. Descriptive analysis was used to determine statistical significance and correlation between variables. Results: The mean score for EBP beliefs was 57.5 and the average score of EBP implementation was 45. A significant correlation was found between professional programs and EBP beliefs, and there were mean score differences between diploma and the other two groups (graduate and postgraduate). Conclusions: Professional programs showed a relationship with EBP beliefs; however, an increase of EBP beliefs does not always imply an increment on EBP implementation. Despite some obstacle factors such as lack of mentorship and training programs, EBP can benefit from advanced professional nursing programs, as believing of EBP importance increase with higher nurses' education level which can affect positively on patients' outcomes.
{"title":"The effect of advanced professional programs on nurses' beliefs and implementation of evidence based practice in prince Sultan Military Medical City, Saudi Arabia","authors":"Thamer Alduraywish, Faisal Alenezi, Nawaf Alshammari","doi":"10.4103/sccj.sccj_5_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_5_21","url":null,"abstract":"Context: Health-care systems move rapidly toward evidence-based practice (EBP); however, it is still challenging to determine if nurses who have received professional education have adopted EBP into their daily practice. Aim: This study aimed to investigate the effect of advanced professional programs in EBP beliefs and EBP implementation in Prince Sultan Military Medical City. Setting and Design: A cross-sectional study was conducted including 166 nurses who work at Prince Sultan Military Medical City. Subjects and Methods: Data were obtained using an adopted two questionnaires for the EBP-Beliefs and EBP-Implementation Scales. Statistical Analysis Used: Data were analyzed using SPSS version 23. Descriptive analysis was used to determine statistical significance and correlation between variables. Results: The mean score for EBP beliefs was 57.5 and the average score of EBP implementation was 45. A significant correlation was found between professional programs and EBP beliefs, and there were mean score differences between diploma and the other two groups (graduate and postgraduate). Conclusions: Professional programs showed a relationship with EBP beliefs; however, an increase of EBP beliefs does not always imply an increment on EBP implementation. Despite some obstacle factors such as lack of mentorship and training programs, EBP can benefit from advanced professional nursing programs, as believing of EBP importance increase with higher nurses' education level which can affect positively on patients' outcomes.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131352026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The second wave of COVID-19: Rapid establishment of an isolation unit at a tertiary care setup in India","authors":"P. Dubey, K. Gopal, Sudhir Kumar, Akhileshwar","doi":"10.4103/sccj.sccj_16_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_16_21","url":null,"abstract":"","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124478991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Shaikh, Ayesha Shaikh, K. Sachin, Zeyad L Rais, Hesham El Kholy
Coronavirus disease-2019 (COVID-19) caused by novel coronavirus continues to produce enormous health effects and deaths since it started in 2019. Research till now has shown that COVID-19 manifests with unusual presentations causing various challenges in its management. Hyponatremia is a common condition found in critical care units and syndrome of inappropriate ADH (SIADH) accounts for one-third of those cases. Several infections associated with COVID-19 have been reported, but there are only few case reports of association with SIADH. We report the case of a 30-year-old male admitted with seizure due to acute symptomatic hyponatremia and SIADH attributed to COVID-19.
{"title":"An unusual case report of COVID-19 presenting with syndrome of inappropriate ADH secretion","authors":"W. Shaikh, Ayesha Shaikh, K. Sachin, Zeyad L Rais, Hesham El Kholy","doi":"10.4103/sccj.sccj_17_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_17_21","url":null,"abstract":"Coronavirus disease-2019 (COVID-19) caused by novel coronavirus continues to produce enormous health effects and deaths since it started in 2019. Research till now has shown that COVID-19 manifests with unusual presentations causing various challenges in its management. Hyponatremia is a common condition found in critical care units and syndrome of inappropriate ADH (SIADH) accounts for one-third of those cases. Several infections associated with COVID-19 have been reported, but there are only few case reports of association with SIADH. We report the case of a 30-year-old male admitted with seizure due to acute symptomatic hyponatremia and SIADH attributed to COVID-19.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128918221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nithya Arigapudi, Tarun Kumar Suvvari, L. S. Simhachalam Kutikuppala
Proning is a medically admissible procedure in which a patient is turned onto their abdomen from their back, by precise, accurate, and secure motions. This procedure often finds itself in use as an adjunctive in the treatment of acute respiratory distress syndrome (ARDS), which is a dreadful complication of many respiratory infections, including the disease of the moment: Coronavirus disease 2019 (COVID-19). Caused by severe acute respiratory syndrome coronavirus 2, COVID-19 can lead to a plethora of complications, with ARDS, causing breathing difficulties and leading to hazardously low levels of oxygen in the blood, taking the forefront. The treatment of this condition often requires invasive ventilation; and to decrease the strain on resources providing such, several protocols have been observed to improve the breathing capability and enhance oxygen exchange, of which one is prone positioning. Here, we review various literature regarding the proning procedure in COVID-19 patients and elaborate the efficacy, merits, and demerits.
{"title":"Prone positioning in COVID-19: Same for all?","authors":"Nithya Arigapudi, Tarun Kumar Suvvari, L. S. Simhachalam Kutikuppala","doi":"10.4103/sccj.sccj_18_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_18_21","url":null,"abstract":"Proning is a medically admissible procedure in which a patient is turned onto their abdomen from their back, by precise, accurate, and secure motions. This procedure often finds itself in use as an adjunctive in the treatment of acute respiratory distress syndrome (ARDS), which is a dreadful complication of many respiratory infections, including the disease of the moment: Coronavirus disease 2019 (COVID-19). Caused by severe acute respiratory syndrome coronavirus 2, COVID-19 can lead to a plethora of complications, with ARDS, causing breathing difficulties and leading to hazardously low levels of oxygen in the blood, taking the forefront. The treatment of this condition often requires invasive ventilation; and to decrease the strain on resources providing such, several protocols have been observed to improve the breathing capability and enhance oxygen exchange, of which one is prone positioning. Here, we review various literature regarding the proning procedure in COVID-19 patients and elaborate the efficacy, merits, and demerits.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133887445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amlodipine toxicity is underrecognized cause of refractory shock. Management of this condition is very challenging. Lipid infusion can be used for the management of this condition as a last resort. Very few cases of drug-induced pancreatitis were reported after Ca-channel blockers overdose. We reported a case of amlodipine toxicity with drug-induced pancreatitis, which was managed with repeated bolus doses of lipid infusion.
{"title":"Challenges in managing amlodipine toxicity associated with pancreatitis","authors":"Mohamed Aboughanima, Tarek Tantawy, A. Arafat","doi":"10.4103/sccj.sccj_14_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_14_21","url":null,"abstract":"Amlodipine toxicity is underrecognized cause of refractory shock. Management of this condition is very challenging. Lipid infusion can be used for the management of this condition as a last resort. Very few cases of drug-induced pancreatitis were reported after Ca-channel blockers overdose. We reported a case of amlodipine toxicity with drug-induced pancreatitis, which was managed with repeated bolus doses of lipid infusion.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131373350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Bawazeer, T. Dahhan, Marame Gattan, A. Nahhas, Hejab Almutairi, Matthew J. Ko, S. Lapinsky
Background: Coronavirus disease 2019 (COVID-19) has been a worldwide pandemic in 2020; necessitating significant changes in patient-care procedures. Because of the risk of transmission to health care workers (HCWs) and the shortage of personal protective devices worldwide, novel protective barriers during aerosol-generating procedures have been developed. The intubation box has been proposed and gained popularity. A safe way for extubating patients with COVID-19 in critical care settings does not exist. This report discusses the development and assessment of the efficacy of using a Helium-Oxygen mixture (Heliox) filled bag during the extubation phase for the protection of HCW. Study Design and Methods: This methodology was developed at two tertiary care hospitals in Riyadh, Saudi Arabia and Toronto, Canada. We describe a novel way using a bag filled with Heliox bag. We performed extubation of an intubated manikin with and without using the Heliox bag. The cough during extubation was simulated using a fluorescent dye-filled balloon, which was inflated with a hidden oxygen tube until it bursts. We used an ultraviolet (UV) light source to assess the aerosols generated during extubation. Results: During extubation using the Heliox bag, droplets of the fluorescent dye were all contained within the Heliox bag and only found on the manikin chest. While during extubation without using Heliox bag, using the UV light, we found droplets of the fluorescent dye on the HCW mask and hand, the bed, the floor, and wall of the room. Conclusion: In our simulated experiment, we found that the Heliox bag is an easy and reproducible way for extubating patients with COVID-19 and any other airborne disease. We also found that the Heliox bag is an effective way to protect HCW.
{"title":"Helium-oxygen mixture bag, a novel way for extubation of COVID-19 patients: Simulation and proof of concept","authors":"M. Bawazeer, T. Dahhan, Marame Gattan, A. Nahhas, Hejab Almutairi, Matthew J. Ko, S. Lapinsky","doi":"10.4103/sccj.sccj_15_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_15_21","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) has been a worldwide pandemic in 2020; necessitating significant changes in patient-care procedures. Because of the risk of transmission to health care workers (HCWs) and the shortage of personal protective devices worldwide, novel protective barriers during aerosol-generating procedures have been developed. The intubation box has been proposed and gained popularity. A safe way for extubating patients with COVID-19 in critical care settings does not exist. This report discusses the development and assessment of the efficacy of using a Helium-Oxygen mixture (Heliox) filled bag during the extubation phase for the protection of HCW. Study Design and Methods: This methodology was developed at two tertiary care hospitals in Riyadh, Saudi Arabia and Toronto, Canada. We describe a novel way using a bag filled with Heliox bag. We performed extubation of an intubated manikin with and without using the Heliox bag. The cough during extubation was simulated using a fluorescent dye-filled balloon, which was inflated with a hidden oxygen tube until it bursts. We used an ultraviolet (UV) light source to assess the aerosols generated during extubation. Results: During extubation using the Heliox bag, droplets of the fluorescent dye were all contained within the Heliox bag and only found on the manikin chest. While during extubation without using Heliox bag, using the UV light, we found droplets of the fluorescent dye on the HCW mask and hand, the bed, the floor, and wall of the room. Conclusion: In our simulated experiment, we found that the Heliox bag is an easy and reproducible way for extubating patients with COVID-19 and any other airborne disease. We also found that the Heliox bag is an effective way to protect HCW.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114662594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ohoud Aljuhan, A. Tirkistani, Muna Albeeshy, Afnan Alnahdi
Background: Despite the tremendous efforts regarding post hospital discharge services, the literature regarding health status, social and medical support of ICU survivors in Saudi Arabia is very limited. The main aim of our study is to conduct a general survey to describe health, medical and social status of ICU survivors. Methods: This was a cross- sectional study conducted at a tertiary academic center in Saudi Arabia. The phone survey has been conducted by the study investigators after getting a verbal consent for participation. A list of patients who were discharged from the hospital after an intensive care unit's admission from January 2018 to December 2018 was obtained. Results: Majority of our participants have no issues in concentration and only small percentage reported that they experience one or more of anxiety, depression, despair, and blue mood. A larger percentage of our subjects were satisfied by the support they received from their relatives, social support, and access to medical services. Conclusion: ICU survivors discharged from one center in Saudi Arabia reported great general health and satisfied by social and medical support but functional and mental status and multidisciplinary team approach worth further investigations.
{"title":"Postintensive care unit follow-up general health survey: A cross-sectional study in a tertiary academic hospital","authors":"Ohoud Aljuhan, A. Tirkistani, Muna Albeeshy, Afnan Alnahdi","doi":"10.4103/sccj.sccj_10_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_10_21","url":null,"abstract":"Background: Despite the tremendous efforts regarding post hospital discharge services, the literature regarding health status, social and medical support of ICU survivors in Saudi Arabia is very limited. The main aim of our study is to conduct a general survey to describe health, medical and social status of ICU survivors. Methods: This was a cross- sectional study conducted at a tertiary academic center in Saudi Arabia. The phone survey has been conducted by the study investigators after getting a verbal consent for participation. A list of patients who were discharged from the hospital after an intensive care unit's admission from January 2018 to December 2018 was obtained. Results: Majority of our participants have no issues in concentration and only small percentage reported that they experience one or more of anxiety, depression, despair, and blue mood. A larger percentage of our subjects were satisfied by the support they received from their relatives, social support, and access to medical services. Conclusion: ICU survivors discharged from one center in Saudi Arabia reported great general health and satisfied by social and medical support but functional and mental status and multidisciplinary team approach worth further investigations.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128957348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Bandyopadhyay, Balaji Kannamani, V. Saini, V. Ashok
Phenytoin is a widely prescribed anti-epileptic drug (AED), but overdoses are common given its narrow therapeutic index. A 24-year-old male, a previously diagnosed case of seizure disorder on multiple AEDs, including phenytoin presented with breakthrough seizures to the medical emergency. The subsequent medical management of this patient led to an inadvertent iatrogenic overdose of phenytoin resulting in encephalopathy in this patient. Given our experience in this patient, we suggest using a newer class of AED for seizure control in a patient already on phenytoin, particularly if immediate therapeutic plasma phenytoin level monitoring is not readily available.
{"title":"Iatrogenic phenytoin toxicity – Newer lessons learnt","authors":"A. Bandyopadhyay, Balaji Kannamani, V. Saini, V. Ashok","doi":"10.4103/sccj.sccj_33_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_33_20","url":null,"abstract":"Phenytoin is a widely prescribed anti-epileptic drug (AED), but overdoses are common given its narrow therapeutic index. A 24-year-old male, a previously diagnosed case of seizure disorder on multiple AEDs, including phenytoin presented with breakthrough seizures to the medical emergency. The subsequent medical management of this patient led to an inadvertent iatrogenic overdose of phenytoin resulting in encephalopathy in this patient. Given our experience in this patient, we suggest using a newer class of AED for seizure control in a patient already on phenytoin, particularly if immediate therapeutic plasma phenytoin level monitoring is not readily available.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"2677 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132409514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Respiratory therapists (RTs) are one of the frontline healthcare workers fighting the coronavirus disease 2019 (COVID-19) in the clinical areas, such as intensive care units, and emergency rooms. There are no data to measure the current practice of RTs in Saudi Arabia toward COVID-19 patient management. This study aimed to measure the current practice of RTs to manage COVID-19 patients. Materials and Methods: A cross-sectional, self-administered online survey comprising 29 questions. The survey comprised two sections: A demographic focusing on participants' data and a section to measure the knowledge of practitioners about the proper management of patients with COVID-19. None of the RTs who completed the survey were excluded. Results: A total of 247 RTs from different regions of Saudi Arabia were included. Men RTs were (65.6%), and the mean age was 30.52 ± 2.1 years. The majority of the RTs answered the questionnaire questions correctly. Answering the questions correctly was associated with more years of experience and working in the central and eastern regions. More than 50% of the RTs answered three questions inaccurately; those questions pertained to the suitable tidal volume, the acceptable SpO2 for critically ill patients, and the recommended trial period for noninvasive ventilation. Conclusions: Our cross-sectional study showed that RTs working in Saudi Arabia conformed to the current guidelines and recommendations for dealing with patients with COVID-19. The accurate knowledge in dealing with these patients was increased with years of experience. Future studies are required that recruit additional RTs from different countries and educational backgrounds.
{"title":"Readiness of respiratory therapists in Saudi Arabia to manage patients with COVID-19: A cross-sectional study","authors":"Hassan Al Refaee, Mohammed Al Shehri","doi":"10.4103/sccj.sccj_7_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_7_21","url":null,"abstract":"Background: Respiratory therapists (RTs) are one of the frontline healthcare workers fighting the coronavirus disease 2019 (COVID-19) in the clinical areas, such as intensive care units, and emergency rooms. There are no data to measure the current practice of RTs in Saudi Arabia toward COVID-19 patient management. This study aimed to measure the current practice of RTs to manage COVID-19 patients. Materials and Methods: A cross-sectional, self-administered online survey comprising 29 questions. The survey comprised two sections: A demographic focusing on participants' data and a section to measure the knowledge of practitioners about the proper management of patients with COVID-19. None of the RTs who completed the survey were excluded. Results: A total of 247 RTs from different regions of Saudi Arabia were included. Men RTs were (65.6%), and the mean age was 30.52 ± 2.1 years. The majority of the RTs answered the questionnaire questions correctly. Answering the questions correctly was associated with more years of experience and working in the central and eastern regions. More than 50% of the RTs answered three questions inaccurately; those questions pertained to the suitable tidal volume, the acceptable SpO2 for critically ill patients, and the recommended trial period for noninvasive ventilation. Conclusions: Our cross-sectional study showed that RTs working in Saudi Arabia conformed to the current guidelines and recommendations for dealing with patients with COVID-19. The accurate knowledge in dealing with these patients was increased with years of experience. Future studies are required that recruit additional RTs from different countries and educational backgrounds.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114159057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amal Al Khalfan, A. Al Ghamdi, S. De Simone, Y. Hadi
Patients with critical illness and high mortality risk are frequently admitted to intensive care units (ICUs). Therefore, improving the quality of healthcare for these patients is essential. Improving overall health and following best practices for patient safety are important goals in the health-care sector; especially in critically ill patients. To achieve these goals, many researches have been conducted to develop procedures, protocols and improve ICU structure and design. To discuss the effectiveness of multidisciplinary team (MDT) implementation in ICUs in the Saudi Arabian hospitals and how would this approach significantly reduce ICU mortality rates and improves the quality of healthcare. This review search of electronic search engines was conducted, including ProQuest, Medline, and Google Scholar. The search was narrowed to a total of 21 articles between 2010 and 2020 articles were included, which were found to match the inclusion criteria. Findings indicated a positive effect of the MDT care on decreasing the ICU's mortality rates. The studies reviewed have documented the necessity of successful MDT care implementation for improved survival rates. A collaborative approach by the various health-care providers-nurses, physicians, intensivists, respiratory therapists, and pharmacists–enhances patient care, improves clinical outcomes, and reduces the mortality rate.
{"title":"The impact of multidisciplinary team care on decreasing intensive care unit mortality","authors":"Amal Al Khalfan, A. Al Ghamdi, S. De Simone, Y. Hadi","doi":"10.4103/sccj.sccj_34_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_34_20","url":null,"abstract":"Patients with critical illness and high mortality risk are frequently admitted to intensive care units (ICUs). Therefore, improving the quality of healthcare for these patients is essential. Improving overall health and following best practices for patient safety are important goals in the health-care sector; especially in critically ill patients. To achieve these goals, many researches have been conducted to develop procedures, protocols and improve ICU structure and design. To discuss the effectiveness of multidisciplinary team (MDT) implementation in ICUs in the Saudi Arabian hospitals and how would this approach significantly reduce ICU mortality rates and improves the quality of healthcare. This review search of electronic search engines was conducted, including ProQuest, Medline, and Google Scholar. The search was narrowed to a total of 21 articles between 2010 and 2020 articles were included, which were found to match the inclusion criteria. Findings indicated a positive effect of the MDT care on decreasing the ICU's mortality rates. The studies reviewed have documented the necessity of successful MDT care implementation for improved survival rates. A collaborative approach by the various health-care providers-nurses, physicians, intensivists, respiratory therapists, and pharmacists–enhances patient care, improves clinical outcomes, and reduces the mortality rate.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122271444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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