Protocols in the management of critical illness
نویسندگان
چکیده
Care of the critically ill patient is becoming increasingly complex. Protocols, which standardize care of patients with similar diseases, represent a potential solution to managing multiple simultaneous problems in critically ill patients. In this article, we examine the advantages and disadvantages to care protocolization, and posit that careful and thoughtful implementation of protocols is likely to benefit patients. We also discuss the potential for unintended consequences, and even harm, with protocolization in critically ill patients using the Critical Illness Outcomes Study as a model to examine the effects of protocolization in large populations of intensive care patients.
منابع مشابه
Long and Short Integrated Management of Childhood Illness (IMCI) Training Courses in Afghanistan: A Cross-sectional Cohort Comparison of Post-Course Knowledge and Performance
Background In 2003 the Afghan Ministry of Public Health (MoPH) adopted the Integrated Management of Childhood Illness (IMCI) for delivering child health services in primary care facilities. Key problems were subsequently identified: high cost of training, frequent health worker turnover and poor quality of IMCI implementation by those trained – specifically in the use of job aids and protocols ...
متن کاملThe Expert Patient: A New Approach to Type 2 Diabetes Self-Management based on Illness Perception and Embodied Cognition
Introduction: In new patient-training methods, the issue of patient empowerment has been presented which emphasizes the active role of patient in education and treatment. This study examined the impact of empowerment –based diabetes education (knowledge diabetes and embodied cognition) in promoting self-management behaviors in type 2 diabetic patients. Methods: This randomized clinical trial st...
متن کاملILLNESS PERCEPTION IN PATIENTS WITH HEART FAILURE ADMITTED TO SELECTED CENTERS OF IRAN UNIVERSITY OF MEDICAL SCIENCES
Background & Aims: Disease perception is based on patients’ beliefs and perceived information about their condition which affects the mental health of the individual and how they deal with it. The purpose of this study was to determine the perception of disease in patients with heart failure. Materials & Methods: This descriptive cross-sectional study was performed on 150 patients admitted to t...
متن کاملProtocols and Hospital Mortality in Critically Ill Patients: The United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study.
OBJECTIVE Clinical protocols may decrease unnecessary variation in care and improve compliance with desirable therapies. We evaluated whether highly protocolized ICUs have superior patient outcomes compared with less highly protocolized ICUs. DESIGN Observational study in which participating ICUs completed a general assessment and enrolled new patients 1 day each week. PATIENTS A total of 6...
متن کاملManagement Matters: A Leverage Point for Health Systems Strengthening in Global Health
Despite a renewed focus in the field of global health on strengthening health systems, inadequate attention has been directed to a key ingredient of high-performing health systems: management. We aimed to develop the argument that management – defined here as the process of achieving predetermined objectives through human, financial, and technical resources – is a cross-cutting function necessa...
متن کامل