Acutely Ill Patients.
Conditions
Interventions
Intervention 1: The intervention group: In this study the intervention group will receive the critical care service (CCS). The steps of intervention will be training of ward nurses, admitting acutly
b) patients will discharge from ICU
and c) the CCS team can actively identify patients in the wards. Ward nurses will identify patients requiring intervention by the CCS based on the standard criteria. The ward nursing staff will report
they will inform the CCS team. Then the CCS team will attend the patient’s bedside. The patient’s care is taken over by the CCS team if the patient has a acute condition. If the patient is assess and
Treatment - Other
The intervention group: In this study the intervention group will receive the critical care service (CCS). The steps of intervention will be training of ward nurses, admitting acutly ill patients (AI
and c) the CCS team can actively identify patients in the wards. Ward nurses will identify patients r
Control group: This group will recieve routine ward care and usual practices vis-a-vis urgent patient situaions
Sponsors
Vice chancellor for research, Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: The role of CCS is to deliver care in the non-critical care units of general hospital wards and all patients who will admit to these wards were included in the trial. Exclusion criteria are burn;cardiac surgery; pediatric and neonatal patients .
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of deaths. Timepoint: during three phases of recieving routtine care, while on training and while recieving intervention. Method of measurement: Physician’s certification of death.;Number of Cardio-pulmonary resucitations. Timepoint: during three phases of recieving routtine care, while on training and while recieving intervention. Method of measurement: A CPR call that was made for the patient (was called code 145 in study setting) and completed CPR forms in the medical records of the patient. | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of stay. Timepoint: during three phases of recieving routtine care, while on training and while recieving intervention. Method of measurement: Total days of patients hospitalization according to the hospital information system.;Admission to ICU. Timepoint: during three phases of recieving routtine care, while on training and while recieving intervention. Method of measurement: Number of patient who will admit to the ICU from general wards (medical and surgical). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAlireza Jeddian
Tehran University of Medical sciences
Outcome results
None listed