ArticleLancet (London, England)2004
Improving care of the critically ill: institutional and health-care system approaches.
Article in Lancet (London, England), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 78 citations in OpenAlex.
- Noninvasive Real-Time Mortality Prediction in Intensive Care Units Based on Gradient Boosting Method: Model Development and Validation Study.JMIR medical informatics · 2021Article
- Prognostic model for traumatic death due to bleeding: cross-sectional international study.BMJ open · 2019Article
- The sustainable impact of an educational approach to improve the appropriateness of laboratory test orders in the ICU.PloS one · 2019Article
- There's no place like home: boarding surgical ICU patients in other ICUs and the effect of distances from the home unit.The journal of trauma and acute care surgery · 2014Article
- Hospital-level variation in the use of intensive care.Health services research · 2012Article
- Article
- Relation between volume and outcome for patients with severe sepsis in United Kingdom: retrospective cohort study.BMJ (Clinical research ed.) · 2012Article
- Decreased mortality resulting from a multicomponent intervention in a tertiary care medical intensive care unit.Critical care medicine · 2011Article
- The relationship between hospital volume and mortality in mechanical ventilation: an instrumental variable analysis.Health services research · 2009Article
- Intensive care unit occupancy and patient outcomes.Critical care medicine · 2009Article
- Pro/con debate: do the benefits of regionalized critical care delivery outweigh the risks of interfacility patient transport?Critical care (London, England) · 2009Review
- Adverse events during rotary-wing transport of mechanically ventilated patients: a retrospective cohort study.Critical care (London, England) · 2008Article
- Intensivist physician staffing and the process of care in academic medical centres.Quality & safety in health care · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Institutional and health-care system approaches complement bedside strategies to improve care of the critically ill. Focusing on the USA and the UK, we discuss seven approaches: education (especially of non-clinical managers, policy-makers, and the public), organisational guidelines, performance reporting, financial and sociobehavioural incentives to health-care professionals and institutions, regulation, legal requirements, and health-care system reorganisation. No single action is likely to have sustained effect and we recommend a combination of approaches. Several recent initiatives that hold promise tie performance reporting to financial incentives. Though performance reporting has been hampered by concerns over cost and accuracy, it remains an essential component and we recommend continued effort in this area. We also recommend more public education and use of organisational guidelines, such as admission criteria and staffing levels in intensive care units. Even if these endeavours are successful, with rising demand for services and continuing pressure to control costs, optimum care of the critically ill will not be realised without a fundamental reorganisation of services. In both the USA and UK, we recommend exploration of regionalised care, akin to US state trauma systems, and greater use of physician-extenders, such as nurse practitioners, to provide enhanced access to specialist care for critical illness.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.