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  1. Results of a collaborative quality improvement program on outcomes and costs in a tertiary critical care unit.

    Article - En anglais


    To demonstrate that by using the knowledge and skills of the primary care provider and by applying statistical and scientific principles of quality improvement, outcomes can be improved and costs significantly reduced.


    A before and after quasi-experimentally designed trial using historical controls plus an analysis of costs In areas not influenced by intensive care unit (ICU) practice to control for possible secular changes.


    A tertiary ICU.


    All patients admitted to the above-mentioned ICU from January 1,1991, through December 31,1995.


    A) A focused program that applied statistical and scientific quality improvement processes to the practice of intensive care, b) An organized effort to modify the culture, thinking, and behavior of the personnel who practice in the ICU.


    Severity of illness, ICU and hospital lengths of stay, ICU and hospital mortality rates, total hospital costs as analyzed by the cost center, and measures of improvement in specific areas of care.

    Main Results 

    Significant improvement in glucose control, use of enteral feeding, antibiotic use, adult respiratory distress syndrome survival, laboratory use, blood gases use, radiograph use, and appropriate use of sedation. (...)

    Mots-clés Pascal : Unité soin intensif, Assurance qualité, Programme sanitaire, Qualité, Soin, Coopération, Pratique professionnelle, Personnel sanitaire, Analyse coût, Evaluation, Homme, Economie santé, Etats Unis, Amérique du Nord, Amérique, Service hospitalier

    Mots-clés Pascal anglais : Intensive care unit, Quality assurance, Sanitary program, Quality, Care, Cooperation, Professional practice, Health staff, Cost analysis, Evaluation, Human, Health economy, United States, North America, America, Hospital ward

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0490861

    Code Inist : 002B30A04B. Création : 22/03/2000.