Key result
A new conceptual framework incorporating performance variables is proposed to evaluate and improve intensive care unit performance, addressing the limitations of strictly outcomes-centered approaches.
Proposes a new conceptual framework incorporating performance variables alongside clinical outcomes to better evaluate and improve intensive care unit performance.
Should not yet change ICU evaluation practices; leaves open empirical validation of the proposed framework.
The use of clinical outcomes data to evaluate how well intensive care units (ICUs) are performing, especially data provided by severity scoring systems, has received increasing attention as both a method to help consumers choose between available providers and a method to improve delivery of health care. Although the use of outcomes for these purposes offers important insights, and has advantages over other possible approaches, it is not necessarily the most appropriate method to accomplish either purpose. This presentation examines the use of outcomes for the purposes of ICU evaluation and improvement. Theoretical and practical strengths and weaknesses of an outcomes-centered approach to ICU evaluation are discussed. A more comprehensive conceptual framework, which includes the use of performance variables to evaluate and improve ICU performance, is presented.
No takes yet. Share an insight, caveat, or question.
Rotondi et al. (2000) conducted a review in Intensive care unit performance. Outcomes-centered approach to ICU evaluation was evaluated. A new conceptual framework incorporating performance variables is proposed to evaluate and improve intensive care unit performance, addressing the limitations of strictly outcomes-centered approaches.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: