The clinical management database

被引:2
作者
Cowen, JS [1 ]
Matchett, SC [1 ]
机构
[1] Penn State Univ, Coll Med, Dept Med, Hershey, PA USA
关键词
D O I
10.1016/S0749-0704(05)70067-1
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The clinical management database utilizes ICU patient data in aggregate to examine quality of care and resource utilization at the population level. As clinicians become accountable for efficiency and quality, this type of database is essential to understand the results of care. This article reviews the challenges of evaluating cost and quality including the potential for bias and measurement error. A practical approach to starting a database is outlined with examples and suggestions.
引用
收藏
页码:481 / +
页数:18
相关论文
共 28 条
[1]   EVALUATING TRAUMA CARE - THE TRISS METHOD [J].
BOYD, CR ;
TOLSON, MA ;
COPES, WS .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1987, 27 (04) :370-378
[2]   PREDICTIVE ABILITY OF ACUTE PHYSIOLOGY AND CHRONIC HEALTH EVALUATION-II SCORING APPLIED TO HUMAN IMMUNODEFICIENCY VIRUS-POSITIVE PATIENTS [J].
BROWN, MC ;
CREDE, WB .
CRITICAL CARE MEDICINE, 1995, 23 (05) :848-853
[3]   Measuring resource use in the ICU with computerized therapeutic intervention scoring system-based data [J].
Clermont, G ;
Angus, DC ;
Linde-Zwirble, WT ;
Lave, JR ;
Pinsky, MR .
CHEST, 1998, 113 (02) :434-442
[4]   ERRORS AND BIAS IN USING PREDICTIVE SCORING SYSTEMS [J].
COWEN, JS ;
KELLEY, MA .
CRITICAL CARE CLINICS, 1994, 10 (01) :53-72
[5]  
Cullen D J, 1974, Crit Care Med, V2, P57, DOI 10.1097/00003246-197403000-00001
[6]   ADMISSION SOURCE TO THE MEDICAL INTENSIVE-CARE UNIT PREDICTS HOSPITAL DEATH INDEPENDENT OF APACHE-II SCORE [J].
ESCARCE, JJ ;
KELLEY, MA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (18) :2389-2394
[7]   Charging for intensive care using direct nursing hours as the cost marker [J].
Havill, JH ;
Caspari, M ;
McConnell, H ;
Alexander, M ;
Montgomery, C .
ANAESTHESIA AND INTENSIVE CARE, 1997, 25 (04) :372-377
[8]  
Henry S B, 1995, Crit Care Nurs Clin North Am, V7, P191
[9]   ICU admission score for predicting morbidity and mortality risk after coronary artery bypass grafting [J].
Higgins, TL ;
Estafanous, FG ;
Loop, FD ;
Beck, GJ ;
Lee, JC ;
Starr, NJ ;
Knaus, WA ;
Cosgrove, DM .
ANNALS OF THORACIC SURGERY, 1997, 64 (04) :1050-1058
[10]   PROSPECTIVE EVALUATION OF RESIDENTS AND NURSES AS SEVERITY SCORE DATA COLLECTORS [J].
HOLT, AW ;
BURY, LK ;
BERSTEN, AD ;
SKOWRONSKI, GA ;
VEDIG, AE .
CRITICAL CARE MEDICINE, 1992, 20 (12) :1688-1691