Document Detail

Learning from critical case reviews: emergent themes and their impact on practice.
MedLine Citation:
PMID:  16899367     Owner:  NLM     Status:  MEDLINE    
This paper describes the process of conducting critical case reviews as part of a leadership programme for critical care. Forty-five cases were reviewed over 2 years in five different hospitals and permission was sought from local research ethics committees and research and development committees for the discussions to be treated as research data. Typically the cases presented were patients with complex needs whose trajectory of care had not gone smoothly. Key themes to emerge from the case reviews were: The case reviews themselves were: Communication failures between professional groups, between professional themselves, between staff and families, between wards and departments and between different hospitals. Documentation was also often less than satisfactory. Teams often had problems in working together as a team and different professionals often had different expectations of other members of the team. Individual action may compensate for weaknesses in formal clinical risk system. The case reviews themselves were showcases of the difficulties the health service faces every day and the challenges of communicating effectively. The case reviews provided an effective medium to both resolve those difficulties and model a means through which teams could effectively manage and communicate patient care issues. Furthermore their strength as a learning tool was attributed to team learning as a powerful catalyst for change.
Linda Crofts
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Publication Detail:
Type:  Journal Article     Date:  2006-08-08
Journal Detail:
Title:  Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses     Volume:  22     ISSN:  0964-3397     ISO Abbreviation:  Intensive Crit Care Nurs     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-19     Completed Date:  2007-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9211274     Medline TA:  Intensive Crit Care Nurs     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  362-9     Citation Subset:  N    
Department of Health and Human Sciences, University of Essex, Wivenhoe Park, Colchester CO4 3SQ, United Kingdom.
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MeSH Terms
Attitude of Health Personnel
Cooperative Behavior
Critical Care / organization & administration*
Interprofessional Relations
Needs Assessment
Nursing Audit / organization & administration*
Nursing Evaluation Research
Nursing Records
Nursing Staff, Hospital / education,  organization & administration,  psychology
Organizational Innovation
Outcome and Process Assessment (Health Care) / organization & administration
Quality Assurance, Health Care / organization & administration*
Systems Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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