A comparison between EASI system 12‐lead ECGs and standard 12‐lead ECGs for improved clinical nursing practice

Lancia, Loreto; Cerone, Marina Pisegna; Vittorini, Pierpaolo; Silvio, Romano; Penco, María

doi:10.1111/j.1365-2702.2007.01935.x

Cited by 19 publications

(26 citation statements)

References 25 publications

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“…Confrontational counseling for smoking cessation, communicating spirometric evidence of airflow limitation, decreased participants’ denial and increased both their perception of risk and their confidence in their ability to quit (self-efficacy), thus improving cessation rates versus conventional health promotion 53. Motivational interviewing is an effective tool for lifestyle change; it has been shown to help in smoking cessation54 and concurrent depression management,55 to enhance self-management of COPD,56 and to improve adherence to medication 57. The most powerful self-management programs incorporate robust interventions, such as cognitive-behavioral therapy and treatment of comorbid depression 23…”

Section: From Passive Recipients To Active Participants: Transformingmentioning

confidence: 99%

Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes

Fromer¹

2011

COPD

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Current primary care patterns for chronic obstructive pulmonary disease (COPD) focus on reactive care for acute exacerbations, often neglecting ongoing COPD management to the detriment of patient experience and outcomes. Proactive diagnosis and ongoing multifactorial COPD management, comprising smoking cessation, influenza and pneumonia vaccinations, pulmonary rehabilitation, and symptomatic and maintenance pharmacotherapy according to severity, can significantly improve a patient’s health-related quality of life, reduce exacerbations and their consequences, and alleviate the functional, utilization, and financial burden of COPD. Redesign of primary care according to principles of the chronic care model, which is implemented in the patient-centered medical home, can shift COPD management from acute rescue to proactive maintenance. The chronic care model and patient-centered medical home combine delivery system redesign, clinical information systems, decision support, and self-management support within a practice, linked with health care organization and community resources beyond the practice. COPD care programs implementing two or more chronic care model components effectively reduce emergency room and inpatient utilization. This review guides primary care practices in improving COPD care workflows, highlighting the contributions of multidisciplinary collaborative team care, care coordination, and patient engagement. Each primary care practice can devise a COPD care workflow addressing risk awareness, spirometric diagnosis, guideline-based treatment and rehabilitation, and self-management support, to improve patient outcomes in COPD.

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Section: From Passive Recipients To Active Participants: Transformingmentioning

confidence: 99%

Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes

Fromer¹

2011

COPD

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“…The integrated approach briefly outlined here has already been employed within two controlled trials that aimed to assist patients develop self-efficacy for self-management of their chronic conditions and used web-based information systems [24, 37, 49, 59, 61]. …”

Section: Methodsmentioning

confidence: 99%

“…There is a need to maintain an awareness of the fact that patients may be unwilling or unable to take on the new responsibilities of ‘empowerment’ and that even if they do, that this will axiomatically lead to improved quality of care whether evaluated at the individual or cohort level [49]. To date, evidence on the impact of attempts to ‘empower’ patients, and the actual impact this has on care practices and outcomes remains limited [59]. Indeed, despite the rhetoric, it appears evident that the impact of the availability of web-based clinical and other health information on patient-doctor relationships is mixed and dependent on a range of other factors that are not related to information or the systems that make it accessible [21, 60].…”

Section: Keeping Patients At the Centrementioning

confidence: 99%

Patients at the Centre: Methodological Considerations for Evaluating Evidence from Health Interventions Involving Patients Use of Web-Based Information Systems

Cummings¹,

Turner²

2010

TOMINFOJ

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Building an evidence base for healthcare interventions has long been advocated as both professionally and ethically desirable. By supporting meaningful comparison amongst different approaches, a good evidence base has been viewed as an important element in optimising clinical decision-making and the safety and quality of care. Unsurprisingly, medical research has put considerable effort into supporting the development of this evidence base, and the randomised controlled trial has become the dominant methodology. Recently however, a body of research has begun to question, not just this methodology per se, but also the extent to which the evidence it produces may marginalise individual patient experiences, priorities and perceptions.Simultaneously, the widespread adoption and utilisation of information systems (IS) in health care has also prompted initiatives to develop a stronger base of evidence about their impacts. These calls have been stimulated both by numerous system failures and research expressing concerns about the limitations of information systems methodologies in health care environments. Alongside the potential of information systems to produce positive, negative and unintended consequences, many measures of success, impact or benefit appear to have little to do with improvements in care, health outcomes or individual patient experiences.Combined these methodological concerns suggest the need for more detailed examination. This is particularly the case, given the prevalence within contemporary clinical and IS discourses on health interventions advocating the need to put the ‘patient at the centre’ by engaging them in their own care and/or ‘empowering’ them through the use of information systems.This paper aims to contribute to these on-going debates by focusing on the socio-technical processes by which patients’ interests and outcomes are measured, defined and evaluated within health interventions that involve them using web-based information systems. The paper outlines an integrated approach that aims to generate evidence about the impact of these types of health interventions that are meaningful at both individual patient and patient cohort levels.

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“…This procedure ensures both the patient's comfort and the improvement of nursing care (Lancia et al . , Welinder et al . ).…”

Section: Introductionmentioning

confidence: 99%

Accuracy of EASI 12‐lead ECGs in monitoring ST‐segment and J‐point by nurses in the Coronary Care Units

Lancia

Toccaceli

Dignani

et al. 2016

Journal of Clinical Nursing

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A comparison between EASI system 12‐lead ECGs and standard 12‐lead ECGs for improved clinical nursing practice

Abstract: The EASI system represents a valid device for the nursing surveillance of patients who need continuous ECG monitoring, improves clinical nursing practice in Coronary Care Units, supports the reduction of adverse events such as cardiac arrest and reduces the hospital costs.

Cited by 19 publications

References 25 publications

Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes

Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes

Patients at the Centre: Methodological Considerations for Evaluating Evidence from Health Interventions Involving Patients Use of Web-Based Information Systems

Accuracy of EASI 12‐lead ECGs in monitoring ST‐segment and J‐point by nurses in the Coronary Care Units

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