Using protocols to improve patient outcomes in the intensive care unit: focus on mechanical ventilation and sepsis

Seminars in Respiratory and Critical Care Medicine
Marin H Kollef, Scott T Micek

Abstract

The care of critically ill patients has become increasingly complex as severity of illness continues to increase, the number of patients requiring intensive care is on the rise, the amount of clinical information available at the bedside is growing, and the quantity of evidence supporting or refuting specific therapies and interventions for this population is escalating. It has become problematic for clinicians to master all of these tasks and to process the quantity of available clinical and scientific information in an effective and safe manner. Additionally, a culture promoting safety and accountability has emerged in the United States and throughout the world in regard to medical care. The expectation is that patients entering hospitals should receive the highest quality of care with minimal to no medical errors occurring. To accomplish this goal, as well as to allow more accurate monitoring of day to day medical practices, several strategies have been developed that have primarily been employed in the intensive care unit (ICU) setting. These strategies include the use of paper-based or electronic protocols for disease (e.g., severe sepsis and septic shock) or process of care (e.g., weaning of mechanical ventilation) manage...Continue Reading

Citations

Jun 20, 2012·Critical Care : the Official Journal of the Critical Care Forum·Christopher R DaleVincent S Fan
Jan 8, 2013·Medical Devices : Evidence and Research·Leonardo GovoniRamon Farré
Oct 14, 2010·Indian Journal of Pediatrics·Rakesh Lodha, Sushil Kumar Kabra
Jan 5, 2011·Indian Journal of Pediatrics·Sunil SaharanSushil K Kabra
Jul 9, 2013·Critical Care Clinics·Hans Jürgen HeppnerSingler Katrin
May 24, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Marcin KarczBurkhard Lachmann
Mar 9, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Claus U Niemann, David J Kramer
Jun 14, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Seth Manoach
Apr 5, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Maureen Banigan, Angela T Wratney
Feb 14, 2012·Journal of Intensive Care Medicine·Kristy A Bauman, Robert C Hyzy
Mar 28, 2018·Nursing in Critical Care·Michelle C GuilherminoDeborah Sundin
Aug 26, 2010·Current Opinion in Critical Care·Ken Catchpole, Peter McCulloch
Aug 26, 2010·Current Opinion in Critical Care·Hans U RothenDaren K Heyland
Sep 5, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lorry R FrankelUNKNOWN Voting Panel
Jul 21, 2017·Revista da Associação Médica Brasileira·Aline Klitzke PaliosaCarine Raquel Blatt
Jun 4, 2015·Paediatrics & Child Health·Wissam Shalish, Guilherme Mendes Sant' Anna

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