Qualitative descriptive study to explore nurses' perceptions and experience on pain, agitation and delirium management in a community intensive care unit

…, P Yung, C Marshall, M Camargo, D Fleming… - BMJ open, 2019 - bmjopen.bmj.com
Objectives The purpose of this study was to explore the experiences, beliefs and perceptions
of intensive care unit (ICU) nurses on the management of pain, agitation and delirium (PAD…

Pain, agitation and delirium assessment and management in a community medical-surgical ICU: results from a prospective observational study and nurse survey

…, K Ross, C Marshall, P Yung, D Fleming… - BMJ open …, 2018 - bmjopenquality.bmj.com
Background Delirium is a common manifestation in the intensive care unit (ICU) that is
associated with increased mortality and morbidity. Guidelines suggested appropriate …

Impact of a nurse engagement intervention on pain, agitation and delirium assessment in a community intensive care unit

…, P Yung, C Marshall, D Fleming… - BMJ open …, 2019 - bmjopenquality.bmj.com
Background In 2013, the Society of Critical Care Medicine published a revised version of
the ICU Pain, Agitation, and Delirium (PAD) guidelines. Immobility and sleep were …

The use of an IV to PO clinical intervention form to improve antibiotic administration in a community based hospital

…, M Zahradnik, A Brown, DG Fleming… - BMJ Open …, 2015 - bmjopenquality.bmj.com
Antimicrobials are among the most commonly prescribed medications in acute care settings,
with 50% of antimicrobial use deemed inappropriate. Antimicrobial stewardship programs (…

When Antimicrobial Stewardship Isn′ t Watching: The Educational Impact of Critical Care Prospective Audit and Feedback

D Fleming, KF Ali, J Matelski, R D'Sa… - Open Forum Infectious …, 2016 - academic.oup.com
Prospective audit and feedback (PAF) is an effective strategy to optimize antimicrobial use
in the critical care setting, yet whether skills gained during PAF influence future antimicrobial …

Participation of more community hospitals in randomized trials of treatments for COVID-19 is needed

JLY Tsang, A Binnie, G Farjou, D Fleming, M Khalid… - CMAJ, 2020 - Can Med Assoc
In their CMAJ commentary, Cheng and colleagues highlight the importance of evaluating
potential COVID-19 therapies systematically within randomized controlled trials (RCTs). 1 In …

212Skills Learned during Critical Care Prospective Audit and Feedback are Utilized outside of the Stewardship Environment

K Ali, GD Fleming, K Ma, R D'sa… - Open Forum Infectious …, 2014 - ncbi.nlm.nih.gov
Background. Antimicrobial stewardship programs (ASP) are crucial to optimize antimicrobial
utilization in critical care. Prospective audit and feedback is the major intervention used by …

Diarrhea during critical illness: a multicenter cohort study

JC Dionne, L Mbuagbaw, JW Devlin, MS Duprey… - Intensive Care …, 2022 - Springer
Purpose To study the incidence, predictors, and outcomes of diarrhea during the stay in the
intensive care unit (ICU). Methods Prospective cohort of consecutive adults in the ICU for > …

Definitions, rates and associated mortality of ICU-acquired pneumonia: a multicenter cohort study

J Johnstone, J Muscedere, J Dionne, E Duan… - Journal of Critical …, 2023 - Elsevier
Introduction We aimed to analyze intensive care unit (ICU)-acquired pneumonia according
to 7 definitions, estimating associated hospital mortality. Methods This cohort study was …

[PDF][PDF] The Management of an Early COVID-19 Case with Severe Acute Respiratory Distress Syndrome in a Community Hospital in Ontario, Canada

M Khalid, C Han-Oh, D Fleming… - Clin Med Rev …, 2020 - pdfs.semanticscholar.org
Background: We reported an early COVID-19 case in a young patient in a Canadian community
intensive care unit (ICU) with severe acute respiratory syndrome (ARDS). We discussed …