Journal
CHEST
Volume 127, Issue 6, Pages 2165-2179Publisher
ELSEVIER
DOI: 10.1378/chest.127.6.2165
Keywords
health services research; ICU; information systems; management quality circles; organization and administration; quality of health care; total quality management
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ICUs are a vital but troubled component of modern health-care systems. Improving ICU performance requires that we shift from a paradigm that concentrates on individual performance, to a systems-oriented approach that emphasizes the need to assess and improve the ICU systems and processes that hinder the ability of individuals to perform their jobs well. This second part of a two-part treatise establishes a practical framework for performance improvement and examines specific strategies to improve ICU performance, including the use of information systems.
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