Process monitoring in intensive care with the use of cumulative expected minus observed mortality and risk-adjusted P charts.

ABSTRACT:

Introduction

A health care system is a complex adaptive system. The effect of a single intervention, incorporated into a complex clinical environment, may be different from that expected. A national database such as the Intensive Care National Audit & Research Centre (ICNARC) Case Mix Programme in the UK represents a centralised monitoring, surveillance and reporting system for retrospective quality and comparative audit. This can be supplemented with real-time process monitoring at a local level for continuous process improvement, allowing early detection of the impact of both unplanned and deliberately imposed changes in the clinical environment.

Methods

Demographic and UK Acute Physiology and Chronic Health Evaluation II (APACHE II) data were prospectively collected on al

SUBMITTER: Cockings JG 

PROVIDER: S-EPMC1550849 | biostudies-literature | 2006 Feb

REPOSITORIES: biostudies-literature