![]() ![]() ![]() If we have a good team, we can probably take on anything”. Teamwork appears to mitigate against both the volume and acuity of patients “ 100%. Preliminary analysis suggests that perceptions of safety are shaped by staff experiences and views of the team they work with. United Kingdom Health Research Authority was obtained (Study ID 249248).Ģ3 participants were recruited (14 nurses, 2 physiotherapists and 7 doctors). Data were coded and analysed thematically, using NVivo vs 12.0 to manage data. Interviews were digitally recorded and transcribed verbatim. Purposive sampling was used to recruit clinicians from different professions and levels of seniority, across three sites of a large NHS Trust. We conducted qualitative, semi-structured interviews with ICU staff. Objective: To explore multi-professional perceptions of safety and missed care in ICU. There has been limited exploration of these topics from a multi-professional perspective and in the context of critical care. Staff perceptions of safety and missed care are important organisationally 2,3 and may contribute to stress and “burnout” in ICU staff. 1 is largely based on staff:patient ratios, may not fully reflect the multi-professional nature of ICU care delivery and may be insensitive to the changing ICU population. The ability to provide safe, patient-centred care depends on appropriately skilled and available personnel operating in staffing models that optimise their performance. The median CPTD for healthy volunteers, sepsis and severe sepsis groups were 2.45☌, 2.5☌ and 3☌ respectively, with no statistically significant difference between the groups (p = 0.886) (Figure 1). Two were excluded from analysis because of inadequate image quality. Results: 112 participants recruited between September 2016 and April 2018 (Table 1). Non-parametric data were analysed using the Kruskal-Wallis ANOVA and Mann-Whitney U tests for independent samples. Data were inputted to IBM SPSS Statistics (v24.0, IBM 2016) for analysis. CPTD was calculated by subtracting nasal tip temperature from the inner canthal temperature. Thermal tuning and image analysis were performed using FLIR Tools+ software with a minimum 9-pixel sample size in all regions of interest (inner canthus and nasal tip). A facial thermal image was then taken from a standard distance of 1 metre, using a FLIR T650sc long-wave infrared thermal imaging camera (FLIR Systems Inc.) focusing on the midface. 5Īll participants were provided a minimum of 30 minutes acclimatisation period to equilibrate to environmental temperature before image acquisition. Participants were divided into three groups based on physiological measures and available laboratory investigations: healthy volunteers, sepsis and severe sepsis, as per the 2001 international sepsis definitions. Healthy adult staff members and patients were recruited in the Emergency Department and Intensive Care Unit at the Leicester Royal Infirmary. Methods: Prospective observational cohort study (REC reference 16/NE/0168). ![]() Objective: To explore the association between CPTD assessed using thermal imaging and illness severity in patients with sepsis 2,3 Thermal nasal tip-to-canthal temperature difference has been shown to correlate with mortality in patients presenting to the emergency department, although the number of events in this study was low. 1 Surface temperature of the inner canthus of the eye by infrared thermal imaging has been demonstrated to correlate with core body temperature with mixed results. ![]() Core-peripheral temperature difference (CPTD), has been demonstrated to be a potentially useful bedside measurement in children and adults, with gradients exceeding 5☌ associated with poor peripheral perfusion and reduced cardiac output. Skin temperature and cutaneous temperature gradients are useful qualitative measures in the assessment of microcirculatory function and management of shock. ![]()
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