OBJECTIVE To estimate the required number of public beds for adults in intensive care units in the state of Rio de Janeiro to meet the existing demand and compare results with recommendations by the Brazilian Ministry of Health. METHODS The study uses a hybrid model combining time series and queuing theory to predict the demand and estimate the number of required beds. Four patient flow scena...

BACKGROUND Little other than subjective judgment is available to help clinicians determine when a patient should be transferred out of the intensive care unit. OBJECTIVE To assess whether remaining in the intensive care unit longer than judged to be medically necessary is associated with increased 30-day mortality. METHODS This prospective, observational cohort study was performed in a 13-b...

OBJECTIVE Rationing critical care beds occurs daily in the hospital setting. The objective of this systematic review was to examine the impact of rationing intensive care unit beds on the process and outcomes of care. DATA SOURCE We searched MEDLINE (1966-2003), CINAHL (1982-2003), Ovid Healthstar (1975-2003), EMBASE (1980-2003), Scisearch (1980-2003), the Cochrane Library, PUBMED related art...

Health care facilities in India are either privately run institutions or publicly funded. Most intensive care unit (ICU) beds in India are in private hospitals. The relatively few ICU beds in public hospitals, which offer free treatment, constitute approximately 10% of the critical care facilities in India. Health insurance and social security are almost nonexistent, and 57.6% of the total heal...

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As hospitals strive to control costs and free up more critical care beds, progressive care nurse managers need to set appropriate admission and discharge guidelines.

BACKGROUND Demand for ICU beds is exceeding its supply. Since the sources are limited in some centers, it is necessary to design a model to identify the patients who benefit more from ICU beds. OBJECTIVES The present study aimed to develop a model to prioritize adult patients according to their clinical indications by a three rounded Delphi method study. PATIENTS AND METHODS In this study, ...

THE Intensive Care Unit (ICU) in the Belfast City Hospital was opened on 1st September, 1978. The object of this paper is to present an audit of the first two years work. The ICU is a four-bedded unit which was intended to provide support for the needs of the acute services of the South Belfast Group. The main hospitals are the Belfast City Hospital (1116 beds) and the Musgrave Park Hospital (7...