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David W. Page

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Member Since: Dec, 2008

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Blogs by David W. Page

Hospital failure events
2/2/2015 11:32:57 AM


Transfer from the ICU to a floor is dangerous.
Over a quarter of all patients who experience unexpected deterioration of their clinical condition go on to die in the hospital. Most often it's from respiratory failure -- the inability to breathe adequately -- according to a report in the Journal of the American College of Surgeons in 2014 by Thomas S. Helling and associates. The problem is premature discharge from the ICU or from the Post Anesthesia Unit after a major operation. Almost certainly the two high risk areas of the hospital transfer sick patients to the regular floor because they need the acute beds. Ninety per cent of all failure to rescue events are from patients transferred from ICU or PACU before the patient was ready for a lesser level of care. So you need a PCT - personal care team (family or friends of any number (best 1-3)who will stay in the hospital at the bedside to help the nursing staff care for you or your loved one. The doctor picked it up only a third of the time and more than a third of these unexpected events are preventable. Don't fight the nurses. Offer to help to look for things coming unglued. Sometimes you just don't feel well or you don't look well. If so, someone needs to check your vital signs and other things such as your wound. Be polite. Be vigilant.

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More Blogs by David W. Page
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• A New Beginning - Monday, October 29, 2018
• Medical school reform - is now the time to make health care safer? - Thursday, May 11, 2017
• The Laparoscopic Surgery Revolution - finding a capable surgeon in a rapidly advancing field - Monday, March 6, 2017
• The Laparoscopic Surgery Revolution - finding a capable surgeon in a rapidly advancing field - Friday, January 13, 2017
• The Laparoscopic Surgery Revolution - Saturday, October 1, 2016
• Catching up - Friday, July 22, 2016
• new book contract - Tuesday, February 23, 2016
• Retooling the "Fifty Things You Need to Know Before Having an Operation - Thursday, September 10, 2015
• Do motor cycle helmets make a difference in safety? - Monday, June 15, 2015
• Your Personal Care Team - PCT - Monday, June 1, 2015
• Is the doctor's exam worth it? - Monday, May 4, 2015
• Who am I? Your advocate for safe surgery - Friday, April 24, 2015
• Why Might Your Operation be Cancelled? - Monday, April 6, 2015
• Beware of Open Breast Biopsies - Monday, March 2, 2015
•  Hospital failure events - Monday, February 2, 2015  

• End of year thoughts on patient advocacy - Tuesday, December 23, 2014
• SAFE SURGERY - Fifty facts you need to know if you are having an operation - Monday, September 22, 2014
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