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Your search keyword '"Eric P A van der Zwan"' showing total 4 results
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4 results on '"Eric P A van der Zwan"'

3. Intensive care admission of cancer patients: a comparative analysis

Author

Johannes W. R. Nortier, Ineke Dumaij, Jacqueline M. Stouthard, Evert de Jonge, Dick J. Richel, Eric P A van der Zwan, Monique M.E.M. Bos, Nicolette F. de Keizer, Ilona W. M. Verburg, Graduate School, CCA -Cancer Center Amsterdam, Oncology, Other departments, APH - Amsterdam Public Health, and Medical Informatics

Subjects
Adult, Male, Cancer Research, Pediatrics, medicine.medical_specialty, Critical Care, medicine.medical_treatment, health care facilities, manpower, and services, Kaplan-Meier Estimate, survival, law.invention, Patient Admission, Sex Factors, law, Considered futile, Neoplasms, Intensive care, Outcome Assessment, Health Care, Humans, Medicine, cancer, Radiology, Nuclear Medicine and imaging, Intensive care admission, Registries, Aged, Netherlands, intensive care, Aged, 80 and over, Chemotherapy, business.industry, Clinical Cancer Research, Cancer, Middle Aged, medicine.disease, Intensive care unit, Icu admission, Radiation therapy, Intensive Care Units, Oncology, gender differences, Population Surveillance, Emergency medicine, Age differences, Female, business
Abstract

The aim of this study was to obtain insight into which proportion of cancer patients is admitted to an Intensive Care Unit (ICU) and how their survival, demographic, and clinical characteristics relate to cancer patients not admitted to the ICU. Data from patients registered with cancer between 2006 and 2011 in four hospitals in the Netherlands were linked to the Dutch National Intensive Care Evaluation registry. About 36,860 patients with cancer were identified, of whom 2,374 (6.4%) were admitted to the ICU. Fifty-six percent of ICU admissions were after surgery, whereas 44% were for medical reasons. The risk for ICU admission was highest among cancer patients treated with surgery either alone or combined with chemotherapy and/or radiation therapy. Only 80 of 1,073 medical ICU admissions (3.3%) were for cancer-specific reasons. Although more women (54.0%) than men were registered with cancer, the proportion of male cancer patients admitted to an ICU was much higher (9.3 vs. 4.0%, P

Published
2015

4. A web-based system to facilitate local, systematic quality improvement by multidisciplinary care teams: development and first experiences of CARDSS Online

Author

Mariëtte M, van Engen-Verheul, Sabine N, van der Veer, Nicolette F, de Keizer, Winston, Tjon Sjoe Sjoe, Eric P A, van der Zwan, and Niels, Peek

Subjects
Patient Care Team, Internet, Cardiac Rehabilitation, Outcome Assessment, Health Care, Rehabilitation, Humans, Guideline Adherence, Netherlands, Quality Indicators, Health Care
Abstract

Continuous monitoring and systematic improvement of quality have become increasingly common in healthcare. To support multidisciplinary care teams in improving their clinical performance using feedback on quality indicators, we developed the CARDSS Online system. This system supports (i) monitoring of indicator-based performance, (ii) selecting aspects of care that need improvement, (iii) developing a quality improvement (QI) plan, and (iv) periodically adjusting the QI plan. During educational outreach visits, the system actively involves the team in the improvement effort, and guides them through the process of systematic QI without needing extensive knowledge of the underlying concepts. During the implementation of the system in the field of cardiac rehabilitation (CR) in the Netherlands, we have conducted the first outreach visits to four CR teams. During the visits, the teams formulated QI plans consisting of 4 to 7 improvement goals, each goal accompanied by 1 to 5 QI actions. Currently, we are evaluating the effect of CARDSS Online on the quality of CR in the Netherlands in a cluster randomized trial.

Published
2013

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