衡量重症监护表现以实现协作质量改进：工作正在进行中，但还有很多工作要做

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Journal of critical care Pub Date : 2025-07-29 DOI:10.1016/j.jcrc.2025.155209

José-Artur Paiva , José Manuel Pereira

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引用次数: 0

摘要

重症监护医学必须被视为一个有组织的护理系统，确保向危重病人提供及时和专业的治疗。像任何系统一样，它需要一个持续质量改进的矩阵。制定涵盖所有质量领域的可靠指标对该矩阵至关重要。综合使用标准化死亡率和标准化资源利用率可以评估ICU的表现和效率。ICU住院时间是资源利用的良好指标。数据驱动模型，可能由机器学习推动，可以预测ICU患者的所有和亚群的住院时间。

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Measuring intensive care performance to attain collaborative quality improvement: Work in progress but much to be done

Intensive Care Medicine must be viewed as an organized system of care that ensures delivery of timely and expert treatment to critically ill patients. Like any system, it needs a matrix of continuous quality improvement. The development of robust indicators covering all domains of quality is crucial for that matrix. The combined use of standardized mortality ratio and of standardized resource use ratio may allow the assessment of ICU performance and efficiency. ICU length of stay is a good proxy of resource use. Data driven models, possibly fueled by machine learning, may predict length of stay in all and in subpopulations of ICU patients.

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来源期刊

Journal of critical care 医学-危重病医学

CiteScore

8.60

自引率

2.70%

发文量

237

审稿时长

23 days

期刊介绍： The Journal of Critical Care, the official publication of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM), is a leading international, peer-reviewed journal providing original research, review articles, tutorials, and invited articles for physicians and allied health professionals involved in treating the critically ill. The Journal aims to improve patient care by furthering understanding of health systems research and its integration into clinical practice. The Journal will include articles which discuss: All aspects of health services research in critical care System based practice in anesthesiology, perioperative and critical care medicine The interface between anesthesiology, critical care medicine and pain Integrating intraoperative management in preparation for postoperative critical care management and recovery Optimizing patient management, i.e., exploring the interface between evidence-based principles or clinical insight into management and care of complex patients The team approach in the OR and ICU System-based research Medical ethics Technology in medicine Seminars discussing current, state of the art, and sometimes controversial topics in anesthesiology, critical care medicine, and professional education Residency Education.