Chang Anthony C.
Division of Cardiology and the Cardiac Intensive Care Unit, Texas Children's Hospital, Houston, TX. E-mail: acchang@texaschildrenshospital.
Pediatr Crit Care Med. 2002 Apr;3(2):107-111. doi: 10.1097/00130478-200204000-00003.
To delineate key clinical and administrative factors in starting a pediatric cardiac intensive care program and to introduce a scorecard concept to measure excellence in such a new program. Methods: Review of current clinical research data in pediatric cardiac intensive care and administrative business concepts for their application to the pediatric cardiac intensive care program. RESULTS: Although clinical concepts in cardiac intensive care are useful as basic philosophical strategies at the bedside, administrative principles are essential in operational strategies vital to the success of such a program. Using both clinical and business administrative concepts, a balanced strategy can be formulated. CONCLUSIONS: Starting a pediatric cardiac intensive care program is a difficult endeavor. A combined clinical and administrative approach is needed in starting and sustaining excellence in a pediatric cardiac intensive care program. Monitoring excellence in such a program warrants application of a scorecard system.
明确启动儿科心脏重症监护项目的关键临床和管理因素，并引入一种记分卡概念来衡量此类新项目的卓越程度。方法：回顾儿科心脏重症监护方面的当前临床研究数据以及管理业务概念，以便将其应用于儿科心脏重症监护项目。结果：尽管心脏重症监护中的临床概念作为床边的基本哲学策略很有用，但管理原则对于此类项目成功至关重要的运营策略而言必不可少。运用临床和商业管理概念，可以制定出一种平衡的策略。结论：启动儿科心脏重症监护项目是一项艰巨的任务。在启动和维持儿科心脏重症监护项目的卓越水平方面，需要临床和管理相结合的方法。监测此类项目的卓越程度需要应用记分卡系统。
