作者
Curtis H Weiss, Farzad Moazed, Colleen A McEvoy, Benjamin D Singer, Igal Szleifer, Luís AN Amaral, Mary Kwasny, Charles M Watts, Stephen D Persell, David W Baker, Jacob I Sznajder, Richard G Wunderink
发表日期
2011/9/15
期刊
American journal of respiratory and critical care medicine
卷号
184
期号
6
页码范围
680-686
出版商
American Thoracic Society
简介
Rationale: Checklists may reduce errors of omission for critically ill patients.
Objectives: To determine whether prompting to use a checklist improves process of care and clinical outcomes.
Methods: We conducted a cohort study in the medical intensive care unit (MICU) of a tertiary care university hospital. Patients admitted to either of two independent MICU teams were included. Intervention team physicians were prompted to address six parameters from a daily rounding checklist if overlooked during morning work rounds. The second team (control) used the identical checklist without prompting.
Measurements and Main Results: One hundred and forty prompted group patients were compared with 125 control and 1,283 preintervention patients. Compared with control, prompting increased median ventilator-free duration, decreased empirical antibiotic and central venous catheter duration, and increased rates of deep …
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CH Weiss, F Moazed, CA McEvoy, BD Singer, I Szleifer… - American journal of respiratory and critical care …, 2011