tailieunhanh - Báo cáo khoa học: " A Process monitoring in intensive care with the use of cumulative expected minus observed mortality and risk-adjusted p charts"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A Process monitoring in intensive care with the use of cumulative expected minus observed mortality and risk-adjusted p charts. | Available online http content 10 1 R28 Research Process monitoring in intensive care with the use of cumulative expected minus observed mortality and risk-adjusted p charts Jerome GL Cockings1 David A Cook2 and Rehana K Iqbal3 Department of Intensive Care Medicine Royal Berkshire Hospital Reading Berkshire RG1 5AN UK intensive Care Unit Princess Alexandra Hospital Brisbane Queensland Australia Ipswich Road Wooloongabba Brisbane QLD 4000 Australia 3Department of Intensive Care Medicine Royal Berkshire Hospital Reading Berkshire RG1 5AN UK Corresponding author Jerome GL Cockings Received 30 Aug 2005 Revisions requested 13 Oct 2005 Revisions received 7 Dec 2005 Accepted 18 Jan 2006 Published 1 4 Feb 2006 Critical Care 2006 10 R28 doi cc3996 This article is online at http content 10 1 R28 2006 Cockings et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction A health care system is a complex adaptive system. The effect of a single intervention incorporated into a complex clinical environment may be different from that expected. A national database such as the Intensive Care National Audit Research Centre ICNARC Case Mix Programme in the UK represents a centralised monitoring surveillance and reporting system for retrospective quality and comparative audit. This can be supplemented with real-time process monitoring at a local level for continuous process improvement allowing early detection of the impact of both unplanned and deliberately imposed changes in the clinical environment. Methods Demographic and UK Acute Physiology and Chronic Health Evaluation II APACHE II data were prospectively collected on all patients admitted to a UK .