Featured Research

from universities, journals, and other organizations

Choosing Wisely: Five common clinical practices to reconsider in critical care

Date:
January 28, 2014
Source:
American Association of Critical-Care Nurses (AACN)
Summary:
As part of the national "Choosing Wisely" initiative, the Critical Care Societies Collaborative has identified five routine clinical practices that should be questioned because they may not always be necessary and could, in fact, be harmful.

The American Association of Critical-Care Nurses (AACN) -- as part of the Critical Care Societies Collaborative (CCSC) -- has identified five routine critical care practices that should be questioned because they may not always be necessary and could, in fact, be harmful.

Its efforts support Choosing Wiselyฎ, an initiative of the ABIM Foundation intended to spur conversations between patients and healthcare providers on what tests and procedures are really necessary. AACN is the first nursing organization to collaborate on development of a Choosing Wisely list.

CCSC is a multidisciplinary organization composed of AACN, American College of Chest Physicians, American Thoracic Society and Society of Critical Care Medicine.

Its Choosing Wisely list includes five evidence-based recommendations that offer guidance to multidisciplinary teams of critical care professionals. The recommendations are:

• Don't order diagnostic tests at regular intervals (such as every day), but rather in response to specific clinical questions.

• Don't transfuse red blood cells in hemodynamically stable, non-bleeding critically ill patients with a hemoglobin concentration greater than 7 mg/dL.

• Don't use parenteral nutrition in adequately nourished critically ill patients within the first seven days of a stay in an intensive care unit.

• Don't deeply sedate mechanically ventilated patients without a specific indication and without daily attempts to lighten sedation.

• Don't continue life support for patients at high risk for death or severely impaired functional recovery without offering patients and their families the alternative of care focused entirely on comfort.

The list, including more detailed explanations and supporting references, can be found online at ChoosingWisely.org. A downloadable PDF, suitable for use in staff meetings and posting, is also available.

"A unique feature of this contribution to the Choosing Wisely initiative by the Critical Care Societies Collaborative is that the document represents the interdisciplinary collaboration of nursing and medical societies," said Ram๓n Lavandero, RN, MA, MSN, FAAN, AACN senior director and clinical associate professor, Yale University School of Nursing, New Haven, Conn. "This aligns with the standard for true collaboration in AACN Standards for Establishing and Sustaining Healthy Work Environments."

A CCSC task force with 10 members representing all four societies and the disciplines of internal medicine, surgery, anesthesiology, emergency medicine and critical care nursing developed the list over the past year after careful consideration of the latest evidence, expert opinions and research.

The CCSC recommendations join the growing library of more than 220 tests and procedures that have been identified as possibly unnecessary and potentially harmful and, therefore, may require further discussion between patients and physicians.

"The specialty societies partnering in the Choosing Wisely campaign have shown tremendous leadership by answering this professional call to action and working to ensure these critical conversations are happening in doctors' offices, communities, hospitals and health systems across the country," said Richard J. Baron, MD, president and CEO of the ABIM Foundation.

Since its launch in April 2012, ABIM's Choosing Wisely campaign has partnered with dozens of national healthcare and consumer groups to develop evidence-based lists of tests and procedures that may be overused in their field.


Story Source:

The above story is based on materials provided by American Association of Critical-Care Nurses (AACN). Note: Materials may be edited for content and length.


Cite This Page:

American Association of Critical-Care Nurses (AACN). "Choosing Wisely: Five common clinical practices to reconsider in critical care." ScienceDaily. ScienceDaily, 28 January 2014. <www.sciencedaily.com/releases/2014/01/140128124551.htm>.
American Association of Critical-Care Nurses (AACN). (2014, January 28). Choosing Wisely: Five common clinical practices to reconsider in critical care. ScienceDaily. Retrieved September 18, 2014 from www.sciencedaily.com/releases/2014/01/140128124551.htm
American Association of Critical-Care Nurses (AACN). "Choosing Wisely: Five common clinical practices to reconsider in critical care." ScienceDaily. www.sciencedaily.com/releases/2014/01/140128124551.htm (accessed September 18, 2014).

Share This



More Health & Medicine News

Thursday, September 18, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Artificial Sweetener Could Promote Diabetes

Artificial Sweetener Could Promote Diabetes

Newsy (Sep. 17, 2014) — Doctors once thought artificial sweeteners lacked the health risks of sugar, but a new study says they can impact blood sugar levels the same way. Video provided by Newsy
Powered by NewsLook.com
Ebola Vaccine Trial Gets Underway at Oxford University

Ebola Vaccine Trial Gets Underway at Oxford University

AFP (Sep. 17, 2014) — A healthy British volunteer is to become the first person to receive a new vaccine for the Ebola virus after US President Barack Obama called for action against the epidemic and warned it was "spiralling out of control." Duration: 01:02 Video provided by AFP
Powered by NewsLook.com
Obesity Rates Steady Even As Americans' Waistlines Expand

Obesity Rates Steady Even As Americans' Waistlines Expand

Newsy (Sep. 17, 2014) — Researchers are puzzled as to why obesity rates remain relatively stable as average waistlines continue to expand. Video provided by Newsy
Powered by NewsLook.com
President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) — President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins