Document Detail


Efficiency of intensive care. A comparative analysis of eight pediatric intensive care units.
MedLine Citation:
PMID:  3625946     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To calculate overall pediatric intensive care unit (PICU) efficiency rates, 1668 patients representing 6962 patient-days were studied in eight PICUs. The contributions to inefficiency by two patient groups--low-risk monitored patients and potential early-discharge patients--were quantified using measures of daily mortality risk and therapeutic assessments. Low-risk monitored patients never received a unique PICU therapy and had daily mortality risks less than 1%. Potential early-discharge patients were similar to the low-risk monitored patients except that their unnecessary PICU use came only on their last consecutive day(s) of PICU stay. Efficiency ratings ranged from 0.894 to 0.547 in the eight PICUs. Low-risk monitored patients constituted from 16% to 58% of the PICU patient populations and used from 5.4% to 34.5% of the total days of care. Potential early-discharge patients constituted from 12% to 29% of the populations and the potential early-discharge days of care ranged from 5.1% to 17.2% of the total days of care. These results indicate that large disparity exists in efficiency among PICUs. Efficiency rates of greater than 0.80 seem to be a reasonable goal.
Authors:
M M Pollack; P R Getson; U E Ruttimann; C M Steinhart; R K Kanter; R W Katz; A R Zucker; N L Glass; W A Spohn; B P Fuhrman
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  JAMA     Volume:  258     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-10-07     Completed Date:  1987-10-07     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1481-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Child
Efficiency
Humans
Intensive Care Units*
Monitoring, Physiologic
Mortality
Outcome and Process Assessment (Health Care)
Patient Discharge
Pediatrics*
Risk
Severity of Illness Index
Statistics as Topic
Grant Support
ID/Acronym/Agency:
MCJ-11-527//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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