Hartman Mary E, Angus Derek C
CRISMA (Clinical Research, Investigation and Systems Modeling of Acute Illness) Laboratory, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Crit Care. 2003 Jun;7(3):211-3. doi: 10.1186/cc2191. Epub 2003 May 1.
There is important variation in the care of critically ill patients. While some of this variability is appropriate, and represents individually titrated care, residual variation indicates over- and under-use of precious resources and is clearly concerning. Recent advances in critical care medicine provide "road maps" to standardize care and use evidence-based medicine to improve patient outcomes. Knowledge about which therapies to use, and under what circumstances to use them, could form a basis for measuring the consistency and quality of our care processes. These simple process measures can be easily incorporated into daily rounds and serve to inform on the quality of our care.
危重症患者的护理存在显著差异。虽然其中一些差异是合理的,代表了个体化的精准护理,但残余差异表明宝贵资源的过度使用和使用不足,这显然令人担忧。重症医学的最新进展提供了“路线图”,以规范护理并运用循证医学改善患者预后。了解使用哪些治疗方法以及在何种情况下使用这些方法,可为衡量我们护理过程的一致性和质量奠定基础。这些简单的过程指标可轻松纳入日常查房,并有助于了解我们的护理质量。