Strosberg M A
Graduate Management Institute, Union College, Schenectady, NY.
Crit Care Clin. 1993 Jul;9(3):415-24.
Decisions to admit and discharge patients to and from the intensive care unit (ICU) when resources are scarce should be made according to the triage principle--that is, resources should be allocated based on the patient's ability to benefit from critical care. The ICU organizational structure and the constraints on decision-making processes are discussed in this article along with strategies for improvement in both areas.
在资源稀缺的情况下，重症监护病房（ICU）患者的收治和转出决策应依据分诊原则做出，即资源应根据患者从重症监护中获益的能力进行分配。本文讨论了ICU的组织结构以及决策过程中的限制因素，并提出了这两个方面的改进策略。
