Methodological approach for the evaluation of the performances of medical intensive care units.
J Crit Care
; 22(3): 184-90, 2007 Sep.
Article
em En
| MEDLINE
| ID: mdl-17869967
ABSTRACT
PURPOSE:
The purpose of the study was to present a methodological approach enabling the comparison of clinical and economic performances of intensive care units and a graphical visualization based on these 2 dimensions. PATIENTS ANDMETHODS:
A retrospective analysis of a database of 666 patients admitted in intensive care units over a period of 2 consecutive months.RESULTS:
Calculation of clinical performance is based on the difference between the mortality observed and forecast from the Simplified Acute Physiology Score version 2. The evaluation of resource consumption is carried out from the measure of medical and paramedical care workload. These 2 scores are modeled on the basis of the length of stay and the severity state of the patient. The economic performance is calculated on the basis of the difference between the resource consumption observed and forecast. The graphs are constructed by taking up as coordinates the values of the clinical and economic performances of each center.CONCLUSION:
These graphs enable the identification of the most deviating intensive care units to study, for example, their organizational, technical, or human resource setup accounting for their position.
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Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Cuidados Críticos
/
Recursos em Saúde
/
Unidades de Terapia Intensiva
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Crit Care
Assunto da revista:
TERAPIA INTENSIVA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
França