Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 19 of 19 for “"Clinical deterioration"”.
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Development of a clinical deterioration prediction tool for adult patients during ambulance transportation in South Africa
Background – Clinical deterioration is a worldwide concern and is associated with increased mortality, hospital stay, and incidence of adverse events. CD also occurs in the pre-hospital setting though few studies describe its occurrence as well as the factors it is associated with, and no evidence …
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Development and validation of a questionnaire on nurses' knowledge and recognition of early signs of clinical deterioration
… do not recognise signs of physiological and clinical deterioration and delay calling for more skilled assistance for review of a patient showing signs of deterioration. Aim: The development and validation of a questionnaire to assess factors influencing general ward nurses’ ability to …
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Can Meso-Level Simulation Increase Medical Students' Confidence in recognising and Responding to Clinical Deterioration in Adult Hospital Patients?
Recognising Acute Deterioration: Active Response (RADAR) is a simulation based teaching session using simulated patients to portray acutely unwell adult hospital patients. The genesis, development and progress of RADAR will be discussed along with the findings of questionnaires and focus groups …
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Patient Outcomes Associated With Delayed Rapid Response System Activation: A Retrospective Comparative Study
… </strong>Delaying treatment for in-hospital clinical deterioration has been associated with Serious Adverse Events (SAEs), including increased mortality, protracted LOS during hospitalization, and significant increased financial costs. The RRS was created as a hospital-wide approach to …
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Septic and Critical Conditions in Children Admitted to Intensive Care Unit. Clinical Profile, Early Diagnosis, and Prognosis // Септични и критични състояния при деца, лекувани в интензивно отделение: клиничен профил, ранна диагностика и прогноза
… cause of mortality. This thesis examines the clinical profile and outcomes of paediatric patients with septic and critical conditions in the paediatric intensive care unit (PICU) and evaluates approaches for early diagnosis. The most affected age group is 13–48 months, with lower respiratory …
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Investigation of chemokine expression and modulation following traumatic brain injury
… injury to poor outcome, has served to improve clinical management and reduce the mortality in these patients. However despite many promising preclinical studies there has been a failure to introduce a specific therapeutic intervention to further improve outcome. Inflammation, with cytokine …
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Implementation of an Innovative Early Warning System: Evidenced-based Strategies for Ensuring System-wide Nursing Adoption
<p>Early deterioration in adult medical-surgical patients is associated with increased intensive care unit and hospital mortality (Goldhill, 2001). Failure to recognize deterioration is a preventable patient safety and quality issue. To address this problem, since 2013, Kaiser Permanente Northern …
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A Strategy to Increase the Utilization of RRT
… and respond to signs of increasing illness or deterioration and initiate medical intervention for the patient (Cioffi, 2000).</p> <p>The early recognition by the bedside RN clinician, of a patient who is deteriorating clinically is essential in promoting patient safety, preventing later …
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A Comparison for Longitudinal Data Missing Due to Truncation
Many longitudinal clinical studies suffer from patient dropout. Often the dropout is nonignorable and the missing mechanism needs to be incorporated in the analysis. The methods handling missing data make various assumptions about the missing mechanism, and their utility in practice depends on …
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The prognostic value of electrocardiography to predict inpatient mortality in patients with acute pulmonary embolism: a retrospective cohort analysis
… with pulmonary embolism at higher risk of clinical deterioration and in-patient mortality remains a challenge. Even though no clinical finding or prediction tool in isolation can reliably predict outcomes in patients with pulmonary embolism, this study demonstrated two ECG findings at …
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Clinical Parameters Are More Predictive of Mortality in Alcoholic Hepatitis than Histopathologic Severity
… hepatitis (AH) is primarily diagnosed by clinical parameters, but is often misdiagnosed due to nonspecific symptoms, leading to high mortality rates. While histology aids definitive diagnosis, the role of the liver biopsy in its workup is still controversial. Currently, there is no widely …
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In-hospital patient safety - prevention of deterioration and unexpected death by systematic and interprofessional use of early warning scoring
… risk of gradual, even life-threatening, deterioration. In many European clinical settings, inappropriate nursing practice of bedside monitoring and management has recently been addressed as impending to in-hospital patient safety. Vital parameters have for two decades been known to …
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Role of type I interferon in pulmonary inflammation and fibrosis
… and subsequent fibrosis often leads to rapid clinical deterioration and poor prognosis. The irreversible nature of pulmonary fibrosis and the rapid progression of interstitial pneumonia underscore the need to investigate key molecular pathways involved in pathogenesis. Clinical studies have …
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Non-invasive optical monitoring of free and bound oxygen in humans
… the forearm, might give an early indication of clinical deterioration. Preterm infants are very vulnerable patients. Their organs, in particular the lungs, are not fully developed, and the respiratory distress syndrome (RDS) frequently occurs. The intestines may be affected by necrotizing …
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Towards Real-time Wireless Sensor Networks
… is designed to facilitate the detection of clinical deterioration, which is a key factor in saving lives and reducing healthcare costs. Since patients in general hospital wards are often ambulatory, a key challenge is to achieve high reliability even in the presence of mobility. To support …
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The development and validation of a modified Situation-Background-Assessment-recommendation (SBAR) communication tool for reporting early signs of deterioration in patients
… Reporting early signs of physiological or clinical deterioration could improve patient safety and prevent 'failure to rescue' or unexpected intensive care admissions, cardiac arrest or death. The structured Situation-Background-Assessment-Recommendation (SBAR) communication tool enables …
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Examining endothelial function in humans in vivo: improving guidelines and exploring novel measures
… disease patients, to further investigate to clinical potential of the CAR test. In Chapter 4 we explored the relation of CAR with cardiovascular risk, followed by assessing the similarity in response to sympathetic stimulation between the carotid artery and coronary arteries. We first …
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Co-design of a patient and family-initiated escalation of care intervention to detect and refer patient deterioration in the acute adult ward setting
… improve the recognition and response to patient deterioration, warning signs are not always identified by staff on acute hospital wards. Patient and family-initiated escalation of care schemes have shown some benefit in assisting early recognition, but are not used widely in many clinical …