Wetzel Randall C, Sachedeva Ramesh, Rice Thomas B
Department of Anesthesiology, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Paediatr Anaesth. 2011 Jul;21(7):787-93. doi: 10.1111/j.1460-9592.2011.03595.x. Epub 2011 May 9.
The ability to compare intensive care units (ICUs) and determine whether they provide the same level of care with regard to efficacy, efficiency, and quality is a cornerstone of understanding critical care and improving the quality of that care. Without collecting high-quality data, adjusted for severity of illness and analyzed in a comparative fashion, it would not be possible to describe best practices objectively, to identify which ICUs are doing a good job or to learn from those units that are. This review article discusses how and why ICUs are compared. Particular attention is focused on the severity of illness scores, standardized mortality, and comparative reporting. A data collecting network, Virtual Pediatric Systems, limited liability corporation (VPS, LLC), designed for the purposes of determining where differences in critical care can be identified and the value that this adds in improving quality is discussed. Finally, results from this large data sharing collaborative describing the practice of pediatric critical care are included for the purpose of pediatric intensive care units practice benchmarks.
比较重症监护病房（ICU）并确定它们在疗效、效率和质量方面是否提供相同水平的护理，是理解重症监护并提高护理质量的基石。如果不收集针对疾病严重程度进行调整并以比较方式进行分析的高质量数据，就不可能客观地描述最佳实践，确定哪些ICU表现出色，或向表现出色的单位学习。这篇综述文章讨论了ICU进行比较的方式和原因。特别关注疾病严重程度评分、标准化死亡率和比较报告。还讨论了一个为确定重症监护差异所在以及这对提高质量的价值而设计的数据收集网络——虚拟儿科系统有限责任公司（VPS，LLC）。最后，纳入了这个大型数据共享合作项目描述儿科重症监护实践的结果，以作为儿科重症监护病房实践基准。
