Báo cáo y học: "Variation in sepsis care: a wake-up call"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về y học đề tài: Variation in sepsis care: a wake-up call. | Available online http content 7 3 211 Commentary Variation in sepsis care a wake-up call Mary E Hartman1 and Derek C Angus2 1 Research Fellow CRISMA Clinical Research Investigation and Systems Modeling of Acute Illness Laboratory University of Pittsburgh Pittsburgh Pennsylvania USA 2Vice Chair for Research Department of Critical Care Medicine and Director CRISMA Clinical Research Investigation and Systems Modeling of Acute Illness Laboratory University of Pittsburgh Pittsburgh Pennsylvania USA Correspondence Mary E Hartman hartme@ Published online 1 May 2003 Critical Care 2003 7 211-213 DOI cc2191 This article is online at http content 7 3 211 2003 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract There is important variation in the care of critically ill patients. While some of this variability is appropriate and represents individually titrated care residual variation indicates over- and under-use of precious resources and is clearly concerning. Recent advances in critical care medicine provide road maps to standardize care and use evidence-based medicine to improve patient outcomes. Knowledge about which therapies to use and under what circumstances to use them could form a basis for measuring the consistency and quality of our care processes. These simple process measures can be easily incorporated into daily rounds and serve to inform on the quality of our care. Keywords critical care evidence-based medicine outcome process assessment variation In this issue Yu and coworkers 1 present data on variation in treatment patterns for severe sepsis using a large cohort of patients at eight academic medical centers in the USA. This cohort was described previously by the same authors in a landmark paper exploring the epidemiology of severe sepsis 2 . Their new findings are that treatment patterns varied widely across the eight hospitals despite the fact that the hospitals were all teaching centers and all

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