Browsing Han Publications without organization data by Author "Simmes, Friede"

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Incidence of cardiac arrests and unexpected deaths in surgical patients before and after implementation of a rapid response system
Schoonhoven, Lisette ; Hoeven, Hans van der ; Simmes, Friede ; Fikkers, B.G. ; Mintjes, Joke
2012, Article / Letter to editor (Annals of Intensive Care, vol. 2, iss. 1, (2012))Rapid response systems (RRSs) are considered an important tool for improving patient safety. We studied the effect of an RRS on the incidence of cardiac arrests and unexpected deaths. Retrospective before- after study in a university medical centre. We included 1376 surgical patients before (period 1) and 2410 patients after introduction of the RRS (period 2). Outcome measures were corrected for the baseline covariates age, gender and ASA.
Why is it so difficult to prove that rapid response systems improve patient outcome? : Directions for further research
Hoeven, Hans van der ; Fikkers, B.G. ; Schoonhoven, Lisette ; Mintjes, Joke ; Simmes, Friede
2012, Article / Letter to editor (Netherlands Journal of Critical Care, vol. 16, iss. 6, (2012), pp. 195-199)The implementation of rapid response systems (RRS) is based on the knowledge that deteriorating physiological processes are frequently present for hours or days before clear clinical deterioration is recognized [1,2]. It is assumed that this physiological deterioration is often treatable and that treatment will have greater effect when initiated early [3]. The RRS consists of an afferent limb, including “crisis detection” and “response triggering” and an efferent limb, the rapid response team (RRT) [4]. Even though robust evidence to support the effectiveness of the RRS is lacking [5-10] the system has been implemented worldwide. For example, Dutch hospitals are required to implement a patient safety programme including an RRS before 2013 [11]. This article explores the reasons why it is so difficult to prove the effectiveness of an RRS. We discuss the study designs that have been used and the various outcome measures in order to estimate the effects of an RRS. Finally, we make suggestions for future research.
How older people nurses assess cognitive function through daily observation
Cruijsen, M. van der ; Achterberg, Theo van ; Simmes, Friede ; Schlattmann, N. ; Boogaard, Mark van den
2011, Article / Letter to editor (International Journal of Older People Nursing, vol. 6, iss. 2, (2011), pp. 102-109)In cases of cognitive decline not due to delirium, the daily observation of cognitive function by nurses has not been standardised in hospital wards specialised in the care of older people. A qualitative study with purposive sampling and semi-structured interviews. Methods. Data were obtained by interviewing 10 Dutch nursing experts in the field of cognitive function in older patients. The interviews were recorded, transcribed and analysed by two independent researchers. All the respondents stated that daily observation of cognitive function yields valuable information. The concept of cognitive function was operationalised differently by institute and by nurse. Observation and reporting methods varied, as did the goals set by the nurses. Nurses reported using many days of observation to reach final judgements. Observations of cognitive functioning should include several cognitive domains, be restricted to a few days of observation and aim to both contribute to medical diagnoses and guide nursing interventions.
De vitaal bedreigde patiënt
Simmes, Friede
2011, Article / Letter to editor (Nursing, vol. 2011, iss. 4, (2011), pp. 50-55)De ‘vitaal bedreigde patiënt’ is een van de tien thema’s van het ‘Veiligheidsprogramma vms zorg’. Het programma is in het leven geroepen nadat uit een groot onderzoek ‘Onbedoelde schade in Nederlandse ziekenhuizen’ is gebleken dat in 2004 1735 patiënten in de Nederlandse ziekenhuizen zijn overleden vanwege vermijdbare gebeurtenissen. Het Veiligheidsprogramma heeft ten doel vermijdbare onbedoelde schade in de Nederlandse ziekenhuizen tussen 2007 en 2012 met 50% te verminderen. Een expertteam van verpleegkundigen en artsen heeft de praktijkgids Vroege herkenning en behandeling van de vitaal bedreigde patiënt ontwikkeld. De praktijkgids beschrijft het spoedinterventiesysteem (SIS) en geeft aanbevelingen om het systeem te implementeren en te borgen.
Voortekenen van verandering : Ervaringen met het implementeren van een rapid response-systeem
Simmes, Friede ; Sep, Daan ; Peters, P. ; Smetsers, Lex ; Edwards, Michael ; Hoeven, Hans van der
2008, Article / Letter to editor (Medisch Contact, vol. 63, iss. 20, (2008), pp. 854-858)Snel inspelen op veranderingen in de vitale functies van patiënten, levert een hoop winst op. Minder sterfgevallen en ook minder blijvende schade. In het UMC St Radboud heeft men dit streven met een rapid response-systeem in praktijk gebracht.
Vroege herkenning en behandeling van de vitaal bedreigde patiënt
Simmes, Friede
2008, Book (monograph) De praktijkgids en bijbehorende instrumenten zijn bedoeld om u als professional op de werkvloer te ondersteunen bij de realisatie van een Spoed Interventie Systeem, waarmee u de vitaal bedreigde patiënt vroegtijdig kan herkennen en behandelen.

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