Dijkema L Marjon, Dieperink Willem, van Meurs Matijs, Zijlstra Jan G
Department of Critical Care, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB Groningen, the Netherlands.
Crit Care. 2012 Dec 12;16(2):309. doi: 10.1186/cc11212.
Mortality is the most widely measured outcome parameter. Improvement of this outcome parameter in critical care is nowadays expected not to come from new technologies or treatment, but from delivering the right care at the right moment in a safe way. The measurement of mortality as an outcome parameter confronts us with a problem in providing follow-up to the results. Especially when proven structure and process interventions are applied already, the cause of a suboptimal performance cannot be deduced easily. One possibility is to evaluate the causes of death and to judge preventability. In this article we explore the opportunities and difficulties of a tool to evaluate preventable mortality in the ICU.
死亡率是测量最为广泛的结果参数。如今，人们期望重症监护中这一结果参数的改善并非源于新技术或治疗方法，而是来自于在正确的时刻以安全的方式提供恰当的护理。将死亡率作为结果参数进行测量，在对结果进行随访时给我们带来了一个问题。尤其是当已经应用了经过验证的结构和流程干预措施时，表现欠佳的原因不容易推断出来。一种可能性是评估死亡原因并判断其可预防性。在本文中，我们探讨了一种评估重症监护病房可预防性死亡的工具的机遇与困难。
