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(Chest. 2005;127:2151-2164.)
© 2005 American College of Chest Physicians

Improving the ICU*

Part 1

Allan Garland, MD, MA

* From the Case Western Reserve University School of Medicine at MetroHealth Medical Center, Cleveland, OH.

Correspondence to: Allan Garland, MD, MA, Division of Pulmonary and Critical Care Medicine, MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH 44109; e-mail: agarland{at}metrohealth.org

ICUs are a vital component of modern health care. Improving ICU performance requires that we shift from a paradigm that concentrates on individual performance to a different paradigm that emphasizes the need to assess and improve ICU systems and processes. This is the first part of a two-part treatise. It discusses existing problems in ICU care, and the methods for defining and measuring ICU performance.

Key Words: health services research • ICU • organization and administration • quality of health care • total quality management




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K. K. Shiu and M. J. Rosen
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A. Garland
Improving the ICU: Part 2
Chest, June 1, 2005; 127(6): 2165 - 2179.
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eLetters:

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Improving the ICU: the GiViTI experience
Guido Bertolini, et al.
Chest Online, 3 Jul 2005 [Full text]



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