Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10072
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dc.contributor.authorStory, David Aen
dc.contributor.authorShelton, A Cen
dc.contributor.authorPoustie, Stephanie Jen
dc.contributor.authorColin-Thome, N Jen
dc.contributor.authorMcIntyre, R Een
dc.contributor.authorMcNicol, P Len
dc.date.accessioned2015-05-15T23:24:36Z
dc.date.available2015-05-15T23:24:36Z
dc.date.issued2006-01-01en
dc.identifier.citationAnaesthesia; 61(1): 24-8en
dc.identifier.govdoc16409338en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/10072en
dc.description.abstractWe examined whether a combined critical care outreach and acute pain service comprising both medical and nursing staff from the Department of Anaesthesia would decrease the incidence of postoperative serious adverse events in a hospital with an established Medical Emergency Team. We called this combined serviceInpatient Management of acute Pain and Advice on Clinical Treatment. We conducted a prospective, before-and-after trial with a baseline phase (319 patients) of standard acute pain management followed by the IMPACT phase (271 patients), during which the IMPACT team systematically reviewed high-risk postoperative patients for the first three days after their return to the general wards. The incidence of serious adverse events decreased from 23 events per 100 patients to 16 events per 100 patients. The 30-day mortality decreased from 9% to 3%, p = 0.004. An acute pain service providing critical care outreach may improve postoperative outcome but the workload is considerable.en
dc.language.isoenen
dc.subject.otherAgeden
dc.subject.otherAnesthesia Department, Hospital.organization & administrationen
dc.subject.otherCritical Care.organization & administrationen
dc.subject.otherFemaleen
dc.subject.otherHealth Services Research.methodsen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherPain Clinics.organization & administrationen
dc.subject.otherPain, Postoperative.prevention & controlen
dc.subject.otherPatient Care Team.organization & administrationen
dc.subject.otherPostoperative Care.methodsen
dc.subject.otherPostoperative Complications.prevention & controlen
dc.subject.otherProspective Studiesen
dc.subject.otherVictoriaen
dc.titleEffect of an anaesthesia department led critical care outreach and acute pain service on postoperative serious adverse events.en
dc.typeJournal Articleen
dc.identifier.journaltitleAnaesthesiaen
dc.identifier.affiliationDepartment of Anaesthesia, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1111/j.1365-2044.2005.04435.xen
dc.description.pages24-8en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/16409338en
dc.type.austinJournal Articleen
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.languageiso639-1en-
crisitem.author.deptAnaesthesia-
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