Đang chuẩn bị nút TẢI XUỐNG, xin hãy chờ
Tải xuống
Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Protocol-driven care in the intensive care unit: a tool for quality. | Available online http ccforum.eom content 5 6 283 Commentary Protocol-driven care in the intensive care unit a tool for quality Richard J Wall Robert S Dittus and E Wesley Ely Division of General Internal Medicine Vanderbilt University Medical Center Nashville Tennessee USA Division of Allergy Pulmonary and Critical Care Medicine Vanderbilt University Medical Center Nashville Tennessee USA Correspondence E Wesley Ely wes.ely@mcmail.vanderbilt.edu Published online 6 November 2001 Critical Care 2001 5 283-285 2001 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Ọ o 3 3 cp ST See Research page 349 Abstract Advances in organization and patient management in the intensive care unit ICU have led to reductions in the morbidity and mortality suffered by critically ill patients. Two such advances include multidisciplinary teams MDTs and the development of clinical protocols. The use of protocols and MDTs does not necessarily guarantee instant improvement in the quality of care but it does offer useful tools for the pursuit of such objectives. As ICU physicians increasingly assume leadership roles in the pursuit of higher quality ICU care their knowledge and skills in the discipline of quality improvement will become essential. Keywords clinical protocols critical care mechanical ventilation multidisciplinary team quality of health care Advances in patient management in the ICU have led to reductions in the morbidity and mortality suffered by critically ill patients 1 . As with medicine in general continued improvements in ICU patient outcomes require the development of a health care system that is effective efficient safe patient-centered timely and equitable 2 . Achieving such a system in the ICU will require constant vigilance in order to minimize potentially harmful variations in care. One approach has been the development of protocols. However there has been criticism that protocols might replace clinical judgment. Papers such as that by Chan et al. .
