Уважаемые коллеги, доброго времени суток! Представляем вам американское научное издание Critical Care Nurse. Журнал имеет второй квартиль, издаётся в American Association of Critical Care Nurses, его SJR за 2022 г. равен 0,437, печатный ISSN - 0279-5442, электронный - 1940-8250, предметные области - Уход за больными в реанимации, Медицина (общие вопросы). Вот так выглядит обложка:
Редактором является Аннетте Борго, контактные данные - annette.bourgault@aacn.org, ccn.editorialoffice@aacn.org.
Это официальное издание Американской ассоциации медсестер интенсивной терапии (AACN). Авторам предлагается представлять рукописи для рассмотрения и рецензирования. Клинические темы должны соответствовать миссии CCN и касаться практики ухода за пациентами с острыми и критическими состояниями.
Адрес издания - https://aacnjournals.org/ccnonline
Пример статьи, название - Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient Safety.
Заголовок (Background)
The risk of medication errors in intensive care units is high, primarily in the drug administration phase.
Local Problem
Management of high-alert medications within intensive care units in the study institution varied widely. The aim of this quality improvement project was to protocolize and centralize the management of high-alert medications in acute care settings and to implement smart intravenous infusion pump technology in intensive care units.
Methods
The project was conducted in 4 phases: (1) protocolization and standardization of intravenous mixtures, (2) centralization of intravenous mixture preparation in the Pharmacy Department, (3) programming of the smart pumps, and (4) dissemination and staged implementation of intravenous mixture protocols. Smart pumps (Alaris, CareFusion) were used to deliver the medicines, and the manufacturer’s software (Alaris Guardrails, CareFusion) was used to analyze data regarding adherence to the drug library and the number of programming errors detected.
Results
Morphine, remifentanil, fentanyl, midazolam, dexmedetomidine, and propofol were included. After implementation of the smart pumps, 3283 infusions were started; of these, 2198 were programmed through the drug library, indicating 67% compliance with the safety software. The pumps intercepted 398 infusion-related programming errors that led to cancellation or reprogramming of drug infusions.
Conclusions
Protocolization and centralization of the preparation of high-alert sedative and analgesic medications for critically ill patients and the administration of these drugs using smart pump technology decrease variability of clinical practice and intercept potentially serious medication errors.