INTERPROFESSIONAL COLLABORATION AMONG EMERGENCY, NURSING, SURGICAL, AND ECG TECHNICIANS: IMPACT ON PATIENT OUTCOMES
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Hussein Ali Ahmed Al Salim, Nasser Mahdi Ali Al-Saloum, Hamad Manssor Mohammed Al Yami, Zainab Mohammed Alhulaili, Yousef Julab Aleazi, Ali Abdullah Misky, Mohsen Azzan Ali Al Khuraym
Ohud Abdullah Alabdullah, Fareed Mahdi Binali Alsallum, Abdullah Mohammed Altuwaijeri, Areej Muhammad Alsedrani, Noof Saleh Al-Mohomeed, Mariam Mohammd Al Sallow, Suad Saleh Alamri, Samah Hammad Alolowi
Abstract
Background: The current state of health care delivery involves an intricate system of service delivery requiring interface across different professionals. The interprofessional collaboration (IPC) of emergency technicians, nurse, surgeons, and electrocardiogram (ECG) technicians is pivotal for determining outcomes, especially in emergency care settings.
Objective: The research focuses on the interprofessional collaboration of emergency nurses, surgeons and ECG technicians and its effect on patient outcomes including: death, length of hospital stay, medical errors, and patient satisfaction.
Methods: A comprehensive literature review was completed across several databases, including PubMed, CINAHL and Cochrane Library, covering literature published from 2015-2024. The IPC reviews included quantitative studies, systematic reviews and meta-analyses. The reviews focused on the effectiveness of IPC in the acute care settings.
Results: The evidence is overwhelming on the effectiveness of interprofessional collaboration and its positive impact on patient outcomes. Institutions with organized IPC reported 23-35% medical errors reduction, 15-28% lower death rates, and 18-32% increase in patient satisfaction. Effective collaboration is impeded by problems in communication, gaps in training, and hierarchies.
Conclusions: Integration of emergency, nursing, surgical, and ECG technicians interprofessional collaborations, changes patient outcomes for the better. For healthcare institutions to reap the benefits of improved patient safety and clinical efficiency, the development of supportive organizational structures for interprofessional collaborative training, and structured communication and team enhancement organizational culture is essential.
Keywords :
Interprofessional collaborations, emergency services, nursing, surgical, ECG technicians, patient outcomes, healthcare services, team care..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty