Walter R Hasibeder1. 1. Department of Anaesthesiology and Critical Care Medicine, Krankenhaus der Barmherzigen Schwestern, Ried im Innkreis, Austria. Walter.Hasibeder@bhs.at
Abstract
PURPOSE OF REVIEW: This article discusses how standardization of intensive care work may decrease morbidity and mortality in the intensive care unit (ICU) by reducing practice variation and improving the overall quality of care. In this context, standardization should not only apply to the specific medical management of certain high-volume ICU diagnoses but should also be established for daily ICU procedures and information transmission during ward rounds and at the interface of interdisciplinary work. RECENT FINDINGS: Standardized procedures for placement of central venous catheters, implementation of strict hand hygiene and treatment of specific high volume ICU diagnoses using protocol-guided treatment algorithms or treatment bundles have convincingly demonstrated to decrease patient morbidity and mortality and healthcare expenditures. Standardization processes to improve patient-centered communication in the ICU are still in their early stages. SUMMARY: Standardization of most aspects of intensive care medicine has an enormous potential to improve patient care and outcome, reduce ICU/hospital length of stay as well as healthcare expenditures. Despite promising results from large studies standards known to improve patient outcome have not yet been widely implemented.
PURPOSE OF REVIEW: This article discusses how standardization of intensive care work may decrease morbidity and mortality in the intensive care unit (ICU) by reducing practice variation and improving the overall quality of care. In this context, standardization should not only apply to the specific medical management of certain high-volume ICU diagnoses but should also be established for daily ICU procedures and information transmission during ward rounds and at the interface of interdisciplinary work. RECENT FINDINGS: Standardized procedures for placement of central venous catheters, implementation of strict hand hygiene and treatment of specific high volume ICU diagnoses using protocol-guided treatment algorithms or treatment bundles have convincingly demonstrated to decrease patient morbidity and mortality and healthcare expenditures. Standardization processes to improve patient-centered communication in the ICU are still in their early stages. SUMMARY: Standardization of most aspects of intensive care medicine has an enormous potential to improve patient care and outcome, reduce ICU/hospital length of stay as well as healthcare expenditures. Despite promising results from large studies standards known to improve patient outcome have not yet been widely implemented.
Authors: Jessica B McCannon; Walter J O'Donnell; B Taylor Thompson; Areej El-Jawahri; Yuchiao Chang; Lillian Ananian; Ednan K Bajwa; Paul F Currier; Mihir Parikh; Jennifer S Temel; Zara Cooper; Renda Soylemez Wiener; Angelo E Volandes Journal: J Palliat Med Date: 2012-10-25 Impact factor: 2.947
Authors: Ken Kuljit S Parhar; Karolina Zjadewicz; Gwen E Knight; Andrea Soo; Jamie M Boyd; Danny J Zuege; Daniel J Niven; Christopher J Doig; Henry T Stelfox Journal: Crit Care Explor Date: 2021-05-17