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(Chest. 2005;127:2165-2179.)
© 2005 American College of Chest Physicians

Improving the ICU*

Part 2

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 but troubled component of modern health-care systems. Improving ICU performance requires that we shift from a paradigm that concentrates on individual performance, to a systems-oriented approach that emphasizes the need to assess and improve the ICU systems and processes that hinder the ability of individuals to perform their jobs well. This second part of a two-part treatise establishes a practical framework for performance improvement and examines specific strategies to improve ICU performance, including the use of information systems.

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




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A. Garland
Improving the ICU: Part 1
Chest, June 1, 2005; 127(6): 2151 - 2164.
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Copyright © 2005 by the American College of Chest Physicians.