Structural models for intermediate care areas

被引：32

作者：

Cheng, DCH

Byrick, RJ

Knobel, E

机构：

[1] Univ Toronto, Dept Anesthesia, Toronto, ON M5S 1A8, Canada

[2] Hosp Israelita Albert Einstein, Crit Care Unit, Sao Paulo, Brazil

来源：

CRITICAL CARE MEDICINE | 1999年 / 27卷 / 10期

关键词：

intermediate care; intensive care; resource use; structure; unit design; process of care; nurse workload; utilization management; models; critical care delivery;

D O I：

10.1097/00003246-199910000-00034

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To describe structural models of intermediate care units used for critically ill patients. Data Sources: Three multidisciplinary units with varying structures and functions of intermediate care areas (ICAs) are described. Data Synthesis: Advantages and limitations for each of the three models are outlined. The structural models described are the conventional isolated ICA model, the parallel model, and the integrated model of IGA. Conclusion: Each structural model has advantages and limitations. Selection of the appropriate ICA model for an institution depends on the specific circumstances and needs of the institution. Each of the three models can facilitate improved utilization of critical care resources.

引用

收藏

页码：2266 / 2271

页数：6

相关论文

共 32 条

[1]

BAMS JL, 1985, INTENS CARE MED, V11, P234

[2]

Birnbaum ML, 1992, INTENS CARE MED, P1977

[3] NONINVASIVE RESPIRATORY CARE UNIT - A COST-EFFECTIVE SOLUTION FOR THE FUTURE [J].

BONE, RC ;

BALK, RA .

CHEST, 1988, 93 (02) :390-394

[4] CLOSURE OF AN INTERMEDIATE CARE UNIT - IMPACT ON CRITICAL CARE UTILIZATION [J].

BYRICK, RJ ;

MAZER, CD ;

CASKENNETTE, GM .

CHEST, 1993, 104 (03) :876-881

[5] IMPACT OF AN INTERMEDIATE CARE AREA ON ICU UTILIZATION AFTER CARDIAC-SURGERY [J].

BYRICK, RJ ;

POWER, JD ;

YCAS, JO ;

BROWN, KA .

CRITICAL CARE MEDICINE, 1986, 14 (10) :869-872

[6] A COMPARISON OF SEVERITY OF ILLNESS SCORING SYSTEMS FOR INTENSIVE-CARE UNIT PATIENTS - RESULTS OF A MULTICENTER, MULTINATIONAL STUDY [J].

CASTELLA, X ;

ARTIGAS, A ;

BION, J ;

KARI, A ;

BENZER, H ;

HUBER, C ;

ALEXANDER, JP ;

DELANDE, M ;

LEDOUX, D ;

CANIVET, JL ;

DAMAS, P ;

DEMEYER, I ;

VISSERS, K ;

DUGERNIER, T ;

HUYGHENS, L ;

DILTOUR, M ;

DEWIT, N ;

NAGLER, J ;

COOLS, F ;

NOLLET, G ;

VERBEKE, J ;

POELAERT, J ;

COLLARDYN, F ;

LATERRE, PF ;

DOUGNAC, A ;

REYNAERT, M ;

RUTSAERT, R ;

COLEMONT, L ;

SCHETZ, M ;

LAUWERS, P ;

HAMILTON, S ;

NORRIS, C ;

SHUSTACK, A ;

JOHNSTON, R ;

KONOPAD, E ;

HANNONEN, P ;

HERSIO, K ;

KAIRI, P ;

KLOSSNER, J ;

SAARELA, E ;

VAHAMURTO, M ;

ARICE, C ;

BEDOCQ, B ;

BLETTERY, B ;

MISSET, B ;

CARLET, J ;

MIER, L ;

DREYFUSS, D ;

FOSSE, JP ;

GARO, B .

CRITICAL CARE MEDICINE, 1995, 23 (08) :1327-1335

[7] Does early extubation (''fast-tracking'') of coronary artery bypass graft surgery patients truly decrease perioperative costs?: Appropriate analysis of direct variable costs - Reply [J].

Cheng, DCH .

ANESTHESIOLOGY, 1997, 87 (01) :182-182

[8] PRO - EARLY EXTUBATION AFTER CARDIAC-SURGERY DECREASES INTENSIVE-CARE UNIT STAY AND COST [J].

CHENG, DCH .

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 1995, 9 (04) :460-464

[9] Morbidity outcome in early versus conventional tracheal extubation after coronary artery bypass grafting: A prospective randomized controlled trial [J].

Cheng, DCH ;

Karski, J ;

Peniston, C ;

Asokumar, B ;

Raveendran, G ;

Carroll, J ;

Nierenberg, H ;

Roger, S ;

Mickle, D ;

Tong, J ;

Zelovitsky, J ;

David, T ;

Sandler, A .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1996, 112 (03) :755-764

[10] Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use - A prospective, randomized, controlled trial [J].

Cheng, DCH ;

Karski, J ;

Peniston, C ;

Raveendran, G ;

Asokumar, B ;

Carroll, J ;

David, T ;

Sandler, A .

ANESTHESIOLOGY, 1996, 85 (06) :1300-1310

← 1 2 3 4 →