Quality and performance improvement in critical care
Lakshmi P. Chelluri
Quality, intensivist, variation, performance measures, outcomes
Citation Information :
Chelluri LP. Quality and performance improvement in critical care. Indian J Crit Care Med 2008; 12 (2):67-76.
CC BY-ND 3.0
Copyright © 2008; The Author(s).
In the past decade, there is an increased focus on quality and safety in health care. Decreasing variation, increasing adherence to evidence based guidelines, monitoring processes, and measuring outcomes are critical for improving quality of care. Intensivists have broad knowledge of hospital organization, and need to be leaders in quality improvement efforts.
Earnest amory codman: The end result of a life in medicine. Philadelphia, PA: Saunders; 2000.
Intensive care unit quality improvement: A “how-to” guide for the interdisciplinary team. Crit Care Med 2006;34:2111-8.
Improving the ICU: Parts 1 and 2. Chest.2005;127:2151-79.
Can Health care costs be reduced by limiting intensive care at the end of life? Am J Respir Crit care Med 2002;165:750-4.
ICU and non ICU cost-day. Can J Anesth 1995;42:192-6.
Economics of central line associated bloodstream infections. Am J Med Qual 2006;21:7S-16S.
Cost analysis of Intensive Glycemic control in critically ill adult patients. Chest 2006;129:644-50.
Results of a collaborative quality improvement program on outcomes and costs in a tertiary critical care unit. Crit Care Med 1999;27:1768-74.
Quality, cost and outcome of intensive care in a public hospital in Bombay, India. Crit Care Med 1999;27:1754-9.
Device associated nosocomial infection rates in intensive care units of seven Indian cities: Findings of the International Noscomial Infection control consortium (INICC). J Hosp Infect 2007;67:168-74.
Use of the logistic dysfunction system to study mortality in an Indian Intensive Care unit. Nat Med J India 1999;12:258-61.
India plans stringent measures to improve health-care quality. Lancet 2000;356;1336.
Application of quality improvement to surgical practice. Surgery 2000;128:836-44.
The quality of care: How can it be assessed? JAMA 1988;260:1743-8.
To err is human: Building a safer health system. Washington, DC: National Academies Press; 2000.
Crossing the Quality Chasm: A new health system for the 21 st century. Washington, DC: National Academies Press; 2001.
Physician attributable differences in intensive care unit costs: A single-center study. Am J Respir Crit Care Med 2006;174:1206-10.
Changing physician performance a systematic review of the effect of continuing medical education strategies. JAMA 1995;274:700-5.
Better care and better outcomes. JAMA 1998;279:1392-4.
Process change in health care institutions-top-down or bottom-up? In: De Vita MA, Hillman K, Bellomo R, editors. Medical emergency teams-implementation and outcome measurement. Springer; 2006.
Pragmatic science: Accelerating the improvement of critical care. New Horiz 1998;6:61-8.
The Doctors′ plague; Germs, childbed fever and the strange story of ignac semmelweis. New York; WW Norton and Company; 2003.
The APACHE III prognostic system: Risk prediction of hospital mortality for critically ill hospitalized adults. Chest 1991;100:1619-36.
A new sipmlified acute physiology score (SAPS II) based on a European-North American multicenter study. JAMA 1993;270:2957-63.
Decreasing ventilator-associate pneumonia in a trauma ICU. J Trauma 2006;61:122-30.
Implementing a ventilator bundle in a community hospital. Jt Comm J Qual Patient Saf 2007;33:219-25.
Surviving sepsis campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med 2008;36:296-327.
Economic implications of an evidence based sepsis protocol: Can we improve outcomes and lower costs? Crit Care Med 2007;35:1257-62.
An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725-32.
Improving communication in the ICU using daily goals. J Crit Care 2003;18:71-5.
Improving the utilization of medical crisis teams (Condition C) at an urban tertiary care hospital. J Crit Care 2003;18:87-94.