What are the guidelines and safeguards for administering IV Haloperidol for treatment of delirium?

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Search of CINAHL and PubMed on the concepts of holoperidol administration and dementia produced the following studies and reviews.

Mac Sweeney, R A national survey of the management of delirium in UK intensive care units. QJM 2010 vol:103 iss:4 pg:243 -251

Girard, Timothy Feasibility, efficacy, and safety of antipsychotics for intensive care unit delirium: the MIND randomized, placebo-controlled trial. Critical care medicine 2010 vol:38 iss:2 pg:428 -437

Balas, Michele, Free your MIND and the rest will follow: decoding delirium in the intensive care unit.
Critical care medicine 2010 vol:38 iss:2 pg:697 -698

Joffe, Aaron Why all the confusion about confusion? Critical care medicine 2010 vol:38 iss:2 pg:695 -696

van den Boogaard, Mark Implementation of a delirium assessment tool in the ICU can influence haloperidol use.
Critical care 2009 vol:13 iss:4 pg:R131 -R131

Page, Valerie, Tackling agitated delirium–the tip of the iceberg. Critical care 2009 vol:13 iss:3 pg:158 -158

Reade, Michael, Dexmedetomidine vs. haloperidol in delirious, agitated, intubated patients: a randomised open-label trial. Critical care 2009 vol:13 iss:3 pg:R75 -R75

Campbell, Noll Pharmacological management of delirium in hospitalized adults–a systematic evidence review.
Journal of general internal medicine 2009 vol:24 iss:7 pg:848 -853

Caplan, Jason, Haloperidol and delirium: management or treatment? Critical care medicine 2009 vol:37 iss:1 pg:354 -355

Gagnon, Pierre Treatment of delirium in supportive and palliative care. Current opinion in supportive and palliative care 2008 vol:2 iss:1 pg:60 -66

What is the evidence on the risks of transporting patients within the hospital during shift change?

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Intra-hospital transport: clinician information. In: JBI+Connect
Includes some useful references discussing factors associated with risk and safety.

PubMed
(“Patient Transfer”[MAJR]) AND shift AND (risk OR error* OR incident* OR safety)

Pezzolesi (2010) looks to be the most relevant. It discusses percentage of incidents that occurred during shift change.

CINAHL
(MH “Transfer, Intrahospital”) AND shift AND (risk OR incident* OR error* OR safety)

DId not see any studies specifically examining shift change and transport problems, but there are several articles discussing patient safety in the transport process. Those articles may reference other evidence.

What are some guidelines and studies on teamwork and effective communication between nurses and techs on an obstetrical/postpartum unit

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Searched CINAHL and PubMed for the concepts of teamwork, communication, nurses & techs, and obstetrics/postpartum unit. Selected studies on development and strategies of effective communication and teamwork.

Crew management yields good results. Healthcare Risk Management , 2007 Dec; 29(12): 140-1

Tregunno D; Development and usability of a behavioural marking system for performance assessment of obstetrical teams.
Quality & Safety in Health Care, 2009 Oct; 18(5): 393-6

Daniel LT; Simpson EK Integrating team training strategies into obstetrical emergency simulation training.
Journal for Healthcare Quality: Promoting Excellence in Healthcare, 2009 Sep-Oct; 31(5): 38-42

Freeth D; Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.
Journal of Continuing Education in the Health Professions, 2009 Spring; 29(2): 98-104

Birch L;Obstetric skills drills: evaluation of teaching methods. Nurse Education Today, 2007 Nov; 27(8): 915-22

Veltman L; P.U.R.E. (purposeful, unambiguous, respectful, and effective) Conversations and electronic fetal monitoring: gaining consensus and collaboration. American Journal of Obstetrics & Gynecology, 2010 Nov; 203(5): 440.e1-4

Thomas EJ;Team training in the Neonatal Resuscitation Program for interns: teamwork and quality of resuscitations.
Pediatrics, 2010 Mar; 125(3): 539-46

Shea-Lewis A Teamwork: crew resource management in a community hospital. Journal for Healthcare Quality: Promoting Excellence in Healthcare, 2009 Sep-Oct; 31(5): 14-8

What are guidelines for prevention of healthcare associated infections in children?

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A search of CINAHL and PubMed for the concepts of healthcare associated children and pediatrics included the following studies on prevention of infections.

Sandora, Thomas Prevention of healthcare-associated infections in children: new strategies and success stories.
Current opinion in infectious diseases 2010 vol:23 iss:4 pg:300 -305

Rosenthal, Victor Central line-associated bloodstream infections in limited-resource countries: a review of the literature. Clinical infectious diseases 2009 vol:49 iss:12 pg:1899 -1907

McGoldrick, Mary Preventing central line-associated bloodstream infections and the Joint Commission’s Home Care National Patient Safety Goals. Home healthcare nurse 2009 vol:27 iss:4 pg:220 -8

Doshi, Rupali, Healthcare-associated Infections: epidemiology, prevention, and therapy.
The Mount Sinai journal of medicine, New York 2009 vol:76 iss:1 pg:84 -94

Rosenthal, Victor The International Nosocomial Infection Control Consortium (INICC): goals and objectives, description of surveillance methods, and operational activities. American journal of infection control 2008 vol:36 iss:9 pg:e1 -12

Zingg, Walter Central venous catheter-associated infections. Bailliere’s best practice & research. Clinical anaesthesiology 2008 vol:22 iss:3 pg:407 -421

Kanouff, Alan Prevention of nosocomial infections in the intensive care unit. Critical care nursing quarterly 2008 vol:31 iss:4 pg:302 -308

Kline, Andrea Pediatric catheter-related bloodstream infections: latest strategies to decrease risk. AACN clinical issues 2005 vol:16 iss:2 pg:185 -98

Chapman, Rachel Candida infections in the neonate. Current opinion in pediatrics 2003 vol:15 iss:1 pg:97 -102

Eggimann, P Overview of catheter-related infections with special emphasis on prevention based on educational programs. Clinical microbiology and infection 2002 vol:8 iss:5 pg:295 -309

Karlowsky, J A Candidemia in a Canadian tertiary care hospital from 1976 to 1996. Diagnostic microbiology and infectious disease 1997 vol:29 iss:1 pg:5 -9

Does implementation of a no interruption policy during medication administration reduce errors?

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A search of CINAHL, PubMed, Web of Knowledge, and JoAnna Briggs for the concepts of no interruption policies and medication administration produced the following citations for review. Included are studies of improving the accuracy of medical administration by reducing distractions and evaluating these initiatives.

Pape, Tess Innovative approaches to reducing nurses’ distractions during medication administration. The Journal of Continuing Education in Nursing 2005 vol:36 iss:3 pg:108-16

Bennett, Jocelyn. Improving medication administration systems: an evaluation study. Canadian nurse 2006 vol:102 iss:8 pg:35 -39

Englebright, Jane. Managing a new medication administration process[. The Journal of nursing administration 2005 vol:35 iss:9 pg:410 -413

Kliger, Julie. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. The joint commission journal on quality and patient safety 2009 vol:35 iss:12 pg:604 -612

Conrad, Carole. Medication room madness: calming the chaos. Journal of nursing care quality 2010 vol:25 iss:2 pg:137 -1

LePorte L ; Ventresca EC; Crumb DJ Effect of a distraction-free environment on medication errors. American Journal of Health-System Pharmacy, 2009 May 1; 66(9): 795-6

Pape TM. Innovative approaches to reducing nurses’ distractions during medication administration. Quality Control Coordinator, University Health System, San Antonio, TX
Journal of Continuing Education in Nursing, 2005 May-Jun; 36(3): 108-16, 141-2

Relihan E. The impact of a set of interventions to reduce interruptions and distractions to nurses during medication administration. Quality & Safety in Health Care, 2010 Oct; 19(5): e52

Flanders, Sonya Interruptions and Medication Errors Part I Clinical nurse specialist 2010 vol:24 iss:6 pg:281 -285

Lisa Kunde BA, BPsych (Hons) Medication (Oral): Administration 02/11/2011

What are the considerations for postoperative care in patients undergoing hyperthermic intraperitoneal chemotherapy (HIPEC)?

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Bottom line:  The implications of cytoreductive surgery and HIPEC on postoperative care include prevention of infection, nutritional support and support and education for devices or other procedures that often accompany this procedure.

Dunn D. Surgical Treatment of Patients With Peritoneal Surface Malignancy: Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy.  J Wound, Ostomy and Continence Nurs. 2010; 37(4): 379-85.
Review of cytoreductive surgery and HIPEC, as well as factors to consider in providing postoperative care to these patients, including prevention of surgical site infection, maintenance and education for patient/family on devices, such as drains, nutritional support, and pain control.

 

What is the evidence regarding use of yoga or aromatherapy with post-operative patients?

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Bottom line:  There are a number of experimental studies, mostly about use of aromatherapy to relieve pain.  Results from 2 RCTs indicate that aromatherapy is associated with improvement in postoperative pain and nausea.  However, other studies provide conflicting data.

Here are references from a PubMed search of the question concepts:
postoperative patients
aromatherapy
yoga
postoperative complications, postoperative pain

(postoperative care OR postoperative complications OR postoperative pain) AND (aromatherapy OR yoga) Limit: English

Here are references to the randomized trials on aromatherapy