Research

Multidisciplinary Emergency Critical Care Program

Overview

Increasing evidence that care provided during the initial hours of resuscitation is key to improving outcomes in critical illness highlights the importance of fostering research programs that effectively bridge the ED and ICU environments.  The MECCP Research Group provides a foundation for a unique multidisciplinary research platform encompassing both translational and health services research to advance the care of critically ill patients.  Embracing a comprehensive collaboration between all members of the healthcare team that cuts across emergency medicine and critical care disciplines maximizes our ability to generate data that we hope will improve care delivery for critically ill patients in the emergency department.  

Current Projects

The Stanford Model to Improve Care of Critically Ill Patients Boarded in the Emergency Department

This is a retrospective cohort study to evaluate the impact of the FLEX-RN project. This study will assess whether a nurse-driven bundle of interventions promotes compliance with evidence based care bundles and improves outcomes of critically ill patients boarded in the emergency department. This study is supported by a Stanford Nursing Alumni Legacy Grant.

Contact Person:
Jason Nesbitt, jaynesbitt@gmail.com


Emergency Critical Care Team (ECCT) Pilot

A prospective study to be conducted during our 2016 ECCT pilot project evaluating the impact of an Emergency Critical Care Team in the Stanford Emergency Department on patient outcomes, resource utilization, and quality metrics.

Contact Person:
Julian Villar, jvillar@stanford.edu


Fluid Responsiveness Assessment by Nurses

An educational study on the feasibility of teaching nurses how to perform focused point-of-care ultrasound in the emergency department in order to assess fluid status.

Contact Person:
Chris Cinkowskiccinkowskirn@gmail.com


Use of SIRS Criteria and qSOFA Scores in Emergency Department Sepsis Triage Protocols: Early Identification of High Risk Patients and Optimization of Resource Utilization

The initial phase of this study will be a retrospective study of the impact of implementation of current triage sepsis protocols on patient outcomes and resource utilization.  We hope to eventually implement a second phase of the study: a prospective observational study on incorporating qSOFA scores into emergency department sepsis triage protocols in order to assess the impact on identification of high risk patients and optimization of resource utilization. 

Contact Person:
Sara Crager, sara.crager@gmail.com


Cardiac arrest patient tracking

This study tracks data from all patients presenting to the Stanford ED in cardiac arrest in order to ensure we provide the highest quality resuscitation and post-resuscitation care.

Contact Person:
Julian Villar, jvillar@stanford.edu

Possible Future Projects

New protocols for ultrasound assessment of fluid status

For additional details, project ideas or if you would like to be involved in the MECCP Research Committee, please contact:
Sara Crager, sara.crager@gmail.com 
Jason Nesbitt, jaynesbitt@gmail.com

Research Committee Meeting

Vision

To establish a multidisciplinary research group that acts as an incubator for clinical, translational, and health services research at the interface of emergency medicine and critical care.

Research Committee Chairs

Sara Crager, MD
Senior Fellow, EMCCM


Jason Nesbitt
RN, BScN, BSN, MA, CEN