Bedside adherence to clinical practice guidelines in the intensive care unit: the TECLA study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-08

AUTHORS

Jean-Pierre Quenot, Hervé Mentec, François Feihl, Djillali Annane, Christian Melot, Philippe Vignon, Christian Brun-Buisson, TECLA Study Group

ABSTRACT

OBJECTIVE: To assess adherence to clinical practice guidelines for three interventions routinely used in critical care medicine. DESIGN AND SETTING: Multicenter, 1-day cross-sectional observational study in 44 intensive care units in four countries. PATIENTS: A total of 419 patients hospitalized in participating ICUs on the day of the survey. MEASUREMENTS AND RESULTS: Red blood cell transfusion (n = 29) was performed appropriately in 22 patients (76%), while among the 390 patients who received no transfusion 4 (1%) had a valid indication. Setting of tidal volume in acute respiratory distress syndrome, assessed in 45 patients, was deemed appropriate in 37 cases (82%). Prescription of stress ulcer prophylaxis (n = 128) was appropriate in only 24 patients (19%), while among the 268 patients who were not treated 28 (10%) had an indication. CONCLUSIONS: The implementation of recommendations varies across different domains of care. While the adherence to current recommendations in routine practice is acceptable as regards tidal volume settings in acute respiratory distress syndrome, it is suboptimal for blood transfusion and prevention of upper gastrointestinal bleeding. Practice surveys are useful to inform strategies currently developed to assess practices of health-care professionals and develop strategies for more effective dissemination of medical knowledge. More... »

PAGES

1393-1400

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00134-008-1059-y

DOI

http://dx.doi.org/10.1007/s00134-008-1059-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1036534527

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18365174


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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00134-008-1059-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00134-008-1059-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00134-008-1059-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00134-008-1059-y'


 

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