Elizabeth A . Martinez

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Practice Guideline for the Promotion of Perioperative Normothermia Vallire D. Hooper, PhD, RN, CPAN, FAAN, Robin Chard, PhD, RN, CNOR, Theresa Clifford, MSN, RN, CPAN, Susan Fetzer, PhD, RN, Susan Fossum, BSN, RN, CPAN, Barbara Godden, MHS, RN, CPAN, CAPA, Elizabeth A. Martinez, MD, MHS, Kim A. Noble, PhD, RN, CPAN, Denise O’Brien, MSN, RN, ACNS-BC, CPAN,(More)
OBJECTIVES Perioperative handoffs are a particularly high-risk period given patients' postprocedural physiology, their physical transport through the hospital, and the triad transfer of personnel, information, and technology. The authors piloted a new perioperative handoff process to guide patient transfers from the cardiac operating room (OR) to the(More)
OBJECTIVE Several studies suggest that cardiac troponin-I (cTn-I) is a more sensitive indicator of cardiac injury compared with other biochemical markers of injury, but the strategy with the highest diagnostic yield (true positive and true negative) for perioperative surveillance is unknown. The authors undertook a prospective evaluation of the(More)
BACKGROUND Cardiac surgery is a complex, high-risk procedure with potential vulnerabilities for patient safety. The evidence base describing safety hazards in the cardiovascular operating room is underdeveloped but is essential to guide future safety improvement efforts. OBJECTIVE To identify and categorise hazards (anything that has the potential to(More)
Handoffs in the perioperative setting--the period during which the patient leaves the operating room (OR) and arrives at the postanesthesia care unit (PACU) or intensive care unit (ICU)--have received little attention. A perioperative handoff tool consisting of an OR-to-ICU/PACU protocol and checklists incorporates a defined process, a specified team(More)
Despite significant medical advances, cardiac surgery remains a high risk procedure. Sub-optimal work system design characteristics can contribute to the risks associated with cardiac surgery. However, hazards due to work system characteristics have not been identified in the cardiovascular operating room (CVOR) in sufficient detail to guide improvement(More)
PURPOSE OF REVIEW Evidence supporting dedicated intensivist staffing in intensive care units is growing. Despite clinical and economic benefits, medical staff politics and a shortage of intensivists impede the intensivist model. The purpose of this paper is to accelerate patient's exposure to the benefits of intensivists, and introduce team care in the(More)