Nicholas S Ward
Affiliation: Brown University
- Perceptions of cost constraints, resource limitations, and rationing in United States intensive care units: results of a national surveyNicholas S Ward
Division of Pulmonary Critical Care, Brown Medical School, Providence, RI, USA
Crit Care Med 36:471-6. 2008..To examine cost constraints, resource limitations, and rationing within U.S. intensive care units (ICUs) as perceived by ICU clinicians and the roles of ICU physician and nurse directors in resource allocation decisions...
- Intensivist/patient ratios in closed ICUs: a statement from the Society of Critical Care Medicine Taskforce on ICU StaffingNicholas S Ward
Rhode Island Hospital Brown Alpert Medical School, Providence, RI, USA
Crit Care Med 41:638-45. 2013..Due to concern that understaffing may exist, the Society of Critical Care Medicine created a taskforce to generate guidelines on maximum intensivists/patient ratios...
- Perceived effects of attending physician workload in academic medical intensive care units: a national survey of training program directorsNicholas S Ward
Division of Pulmonary, Critical Care and Sleep Medicine, Brown Alpert Medical School, Providence, RI, USA
Crit Care Med 40:400-5. 2012..This is especially concerning in academic intensive care units where attending physicians must couple teaching duties with patient care...
- Roundtable debate: Controversies in the management of the septic patient--desperately seeking consensusAaron B Waxman
Pulmonary Critical Care Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
Crit Care 9:E1. 2005..This presentation is intended to show how experienced intensivists apply clinical science to their practice of critical care medicine...
- Clinical concise review: Mechanical ventilation of patients with chronic obstructive pulmonary diseaseNicholas S Ward
Division of Pulmonary, Critical Care, and Sleep Medicine, Alpert Medical School of Brown University, Providence, RI, USA
Crit Care Med 36:1614-9. 2008..To summarize the current literature on mechanical ventilation of patients with chronic obstructive pulmonary disease (COPD) using published data to augment commonly accepted principles of clinical practice...
- The compensatory anti-inflammatory response syndrome (CARS) in critically ill patientsNicholas S Ward
Division of Pulmonary, Critical Care, and Sleep Medicine, The Warren Alpert Medical School of Brown University, 593 Eddy Street, APC 707, Providence, RI 02912, USA
Clin Chest Med 29:617-25, viii. 2008..Much research now suggests that the timing and relative magnitude of this response have a profound impact on patient outcomes...
- Rationing critical care medicine: recent studies and current trendsNicholas S Ward
Department of Pulmonary and Critical Care, Brown Medical School, Providence, Rhode Island 02903, USA
Curr Opin Crit Care 11:629-32. 2005..This paper reviews the literature on the rationing of critical care resources...
- The accuracy of clinical information systemsNicholas S Ward
Brown Medical School, Rhode Island Hospital, 593 Eddy St APC 707, Providence, RI 02903, USA
J Crit Care 19:221-5. 2004..Additionally, data are presented from a newly published study by the author evaluating the validity of data from a commercially available CIS...
- Using computers for intensive care unit researchNicholas S Ward
Department of Pulmonary and Critical Care Medicine, Rhode Island Hospital, Brown Medical School, Providence, 02903, USA
Respir Care 49:518-24. 2004..CISs are in a relatively early stage of their development, and engineering improvements will eventually make CIS data highly accurate and easily accessible and queryable so that CISs become even more valuable for research...
- Comparison of a commercially available clinical information system with other methods of measuring critical care outcomes dataNicholas S Ward
Medical Intensive Care Unit, Brown Medical School, Rhode Island Hospital, Providence, RI 02903, USA
J Crit Care 19:10-5. 2004..To compare the quality of data recorded by a commercially available clinical information system (CIS) to other commonly used methods for obtaining large amounts of patient data...
- End of life issues in the critically illNicholas S Ward
Department of Pulmonary and Critical Care Medicine, Rhode Island Hospital, 593 Eddy St, Providence, RI 02903, USA
Med Health R I 85:60-2. 2002
- Nonconsented human immunodeficiency virus testing among critically ill patients: intensivists' practices and the influence of state lawsScott D Halpern
Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, 423 Guardian Dr, 711 Blockley Hall, Philadelphia, PA 19104 6021, USA
Arch Intern Med 167:2323-8. 2007..Human immunodeficiency virus (HIV) testing can improve care for many critically ill patients, but state laws and institutional policies may impede such testing when patients cannot provide consent...
- Rationing and critical care medicineNicholas S Ward
Department of Pulmonary and Critical Care Medicine, Brown Medical School, Providence, Rhode Island, USA
Crit Care Med 35:S102-5. 2007..In addition, we review the pertinent literature on resource allocation and rationing in intensive care units...
- Implementing a collaborative protocol in a sepsis intervention program: lessons learnedBrian Casserly
Memorial Hospital of Rhode Island, Brown University, 111 Brewster Street, Pawtucket, RI 02860, USA
Lung 189:11-9. 2011..However, despite a collaborative approach, the sepsis intervention program was underutilized with only 48% of the patients completing the sepsis intervention protocol...
- Steroid therapy in chronic obstructive pulmonary diseaseAidan OBrien
Division of Pulmonary and Critical Care Medicine, Providence VA Medical Center, 830 Chalkstone Avenue, Providence, RI 02908, USA
Med Health R I 85:52-5. 2002....
- Development of an e-mail database of US intensive care physiciansScott D Halpern
Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
J Crit Care 22:28-31. 2007..We sought to develop an e-mail database for all intensivists associated with US training programs in critical care medicine (academic intensivists) and to determine the feasibility of using this database to survey intensivists...
- Using serial severity scores to predict death in ICU patients: a validation study and review of the literatureEric J Gartman
Division of Pulmonary, Critical Care and Sleep Medicine, Alpert Medical School of Brown University, Providence, Rhode Island, USA
Curr Opin Crit Care 15:578-82. 2009..The present study describes the use of serial severity scores to predict death in ICU patients and compares the results with previously published literature on this topic...
- Provider to patient ratios for nurse practitioners and physician assistants in critical care unitsRuth Kleinpell
Ruth Kleinpell is director, Center for Clinical Research and Scholarship, Rush University Medical Center Professor, Rush University College of Nursing and acute care nurse practitioner, Rush Lincoln Park, Chicago, Illinois Nicholas S Ward is an intensivist at Rhode Island Hospital and an associate professor of medicine at Warren Alpert Medical School, Brown University, Providence, Rhode Island Lynn A Kelso is an assistant professor, University of Kentucky College of Nursing, and an acute care nurse practitioner, Department of Pulmonary, Critical Care, and Sleep Medicine, University of Kentucky, Lexington, Kentucky Fred P Mollenkopf, Jr is a physician assistant, Thoracic and Cardiovascular Institute, Lansing, Michigan Douglas Houghton is an acute care nurse practitioner in the trauma intensive care unit, Jackson Health System, Miami Florida
Am J Crit Care 24:e16-21. 2015..Nurse practitioners and physician assistants are being increasingly integrated into intensive care unit and hospital-based care teams, yet limited information is available on provider to patient ratios...
- Blood transfusion practice todayNicholas S Ward
Neurointensive Care Unit, Rhode Island Hospital, Brown Medical School, 593 Eddy Street, Providence, RI 02903, USA
Crit Care Clin 20:179-86. 2004....
- Effects of prone position ventilation in ARDS. An evidence-based review of the literatureNicholas S Ward
Rhode Island Hospital, Brown University School of Medicine, Providence, Rhode Island, USA
Crit Care Clin 18:35-44. 2002..Further studies will be useful...
- A death worth dying forNicholas S Ward
Med Care 42:406-7. 2004