Journal ArticleDOI
Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit.
TLDR
Variations in mortality may be partly explained by excess ICU workload, and this methodology may have implications for planning and clinical governance.About:
This article is published in The Lancet.The article was published on 2000-07-15. It has received 529 citations till now. The article focuses on the topics: APACHE II & Intensive care.read more
Citations
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Journal ArticleDOI
Mortality among patients admitted to hospitals on weekends as compared with weekdays.
TL;DR: Weekend admissions were associated with significantly higher in-hospital mortality rates than were weekday admissions among patients with ruptured abdominal aortic aneurysms, and weekend admissions were not associated withificantly lower mortality rates for any of the 100 leading causes of death.
Journal ArticleDOI
Hospital Volume and the Outcomes of Mechanical Ventilation
Jeremy M. Kahn,Christopher H. Goss,Patrick J. Heagerty,Andrew A. Kramer,Chelsea R O'Brien,Gordon D. Rubenfeld +5 more
TL;DR: An increase in hospital volume was associated with improved survival among patients receiving mechanical ventilation in the intensive care unit (ICU) and in the hospital and mechanical ventilation of patients in a hospital with a high case volume is associated with reduced mortality.
Journal ArticleDOI
Critical care delivery in the intensive care unit: Defining clinical roles and the best practice model
Richard J. Brilli,Antoinette Spevetz,Richard D. Branson,Gladys M. Campbell,Henry Cohen,Joseph F. Dasta,Maureen A. Harvey,Mark A. Kelley,Kathleen Kelly,Maria I. Rudis,Arthur St. Andre,James R. Stone,Daniel Teres,Barry J. Weled +13 more
TL;DR: Two task forces were convened by the Society of Critical Care Medicine to review available information on critical care delivery in the ICU and to ascertain, if possible, a “best” practice model, and the role and practice of an intensivist.
Journal ArticleDOI
Prevalence and Factors of Intensive Care Unit Conflicts The Conflicus Study
Elie Azoulay,Jean-François Timsit,Charles L. Sprung,Marcio Soares,Kateřina Rusinová,Ariane Lafabrie,Ricardo Abizanda,Mia Svantesson,Francesca Rubulotta,Bara Ricou,Dominique Benoit,Daren K. Heyland,Gavin M. Joynt,Adrien Français,Paulo Azeivedo-Maia,Radosław Owczuk,Julie Benbenishty,Michael de Vita,Andreas Valentin,Akos Ksomos,S. L. Cohen,Lidija Kompan,Kwok M. Ho,Fekri Abroug,Anne Kaarlola,Herwig Gerlach,Theodoros Kyprianou,Andrej Michalsen,Sylvie Chevret,Benoît Schlemmer +29 more
TL;DR: Perceived conflicts in intensive care units were often considered severe and were significantly associated with job strain, and workload, inadequate communication, and end-of-life care emerged as important potential targets for improvement.
Journal ArticleDOI
Infection control in the ICU.
Philippe Eggimann,Didier Pittet +1 more
TL;DR: This overview is targeted at ICU physicians to convince them that the principles of infection control in the ICU are based on simple concepts and that the application of preventive strategies should not be viewed as an administrative or constraining control of their activity but, rather, as basic measures that are easy to implement at the bedside.
References
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Journal ArticleDOI
APACHE II: a severity of disease classification system.
TL;DR: The form and validation results of APACHE II, a severity of disease classification system that uses a point score based upon initial values of 12 routine physiologic measurements, age, and previous health status, are presented.
Journal ArticleDOI
APACHE II--a severity of disease classification system.
Journal ArticleDOI
A look into the nature and causes of human errors in the intensive care unit
Yoel Donchin,Daniel Gopher,Miriam Olin,Yehuda Badihi,Michal Rnb Biesky,Charles L. Sprung,Ruven Pizov,Shamay Cotev +7 more
TL;DR: A significant number of dangerous human errors occur in the ICU, and applying human factor engineering concepts to the study of the weak points of a specific ICU may help to reduce the number of errors.
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Intensive Care Society's APACHE II study in Britain and Ireland--II: Outcome comparisons of intensive care units after adjustment for case mix by the American APACHE II method.
TL;DR: The American APACHE II equation did not fit the British and Irish data, and use of the American equation could be of advantage or disadvantage to individual intensive care units, depending on the mix of patients treated.
Journal ArticleDOI
The Role of Understaffing and Overcrowding in Recurrent Outbreaks of Staphylococcal Infection in a Neonatal Special-Care Unit
TL;DR: The contention that staphylococcal outbreaks periodically resulted when, in the presence of overcrowding, serious understaffing made frequent handwashing between infant contacts difficult is supported.