ICU 2020: five interventions to revolutionize quality of care in the ICU

Intensive care units (ICUs) are an essential and unique component of modern medicine. The number of critically ill individuals, complexity of illness, and cost of care continue to increase with time. In order to meet future demands, maintain quality, and minimize medical errors, intensivists will need to look beyond traditional medical practice, seeking lessons on quality assurance from industry and aviation. Intensivists will be challenged to keep pace with rapidly advancing information technology and its diverse roles in ICU care delivery. Modern ICU quality improvement initiatives include ensuring evidence-based best practice, participation in multicenter ICU collaborations, employing state-of-the-art information technology, providing point-of-care diagnostic testing, and efficient organization of ICU care delivery. This article demonstrates that each of these initiatives has the potential to revolutionize the quality of future ICU care in the United States.

Keywords: collaboratives; intensive care unit; point-of-care diagnostics; quality improvement.

Similar articles

Kahn JM, Rubenfeld GD. Kahn JM, et al. Am J Respir Crit Care Med. 2015 Jan 15;191(2):128-34. doi: 10.1164/rccm.201408-1477CP. Am J Respir Crit Care Med. 2015. PMID: 25474081

Kozar RA, Shackford SR, Cocanour CS. Kozar RA, et al. J Trauma. 2008 Feb;64(2):366-70; discussion 370-3. doi: 10.1097/TA.0b013e31816348a8. J Trauma. 2008. PMID: 18301200

[No authors listed] [No authors listed] Health Manag Technol. 2007 Mar;28(3):26-9. Health Manag Technol. 2007. PMID: 17425252 No abstract available.

Rossi PJ, Edmiston CE Jr. Rossi PJ, et al. Surg Clin North Am. 2012 Dec;92(6):1369-86. doi: 10.1016/j.suc.2012.08.007. Epub 2012 Oct 6. Surg Clin North Am. 2012. PMID: 23153874 Review.

Garland A. Garland A. Chest. 2005 Jun;127(6):2151-64. doi: 10.1378/chest.127.6.2151. Chest. 2005. PMID: 15947333 Review.

Cited by

Aguiar LMM, Martins GS, Valduga R, Gerez AP, Carmo ECD, Cunha KDC, Cipriano GFB, Silva MLD. Aguiar LMM, et al. Rev Bras Ter Intensiva. 2021 Oct-Dec;33(4):624-634. doi: 10.5935/0103-507X.20210088. Epub 2022 Jan 24. Rev Bras Ter Intensiva. 2021. PMID: 35081247 Free PMC article.

Vargas MAO, Peter E, Luz KRD, Barlem ELD, Ventura CAA, Nascimento ERPD. Vargas MAO, et al. Rev Lat Am Enfermagem. 2020;28:e3271. doi: 10.1590/1518-8345.3420.3271. Epub 2020 May 11. Rev Lat Am Enfermagem. 2020. PMID: 32401898 Free PMC article.

Gqaleni TM, Bhengu BR. Gqaleni TM, et al. Health SA. 2020 Mar 31;25:1263. doi: 10.4102/hsag.v25i0.1263. eCollection 2020. Health SA. 2020. PMID: 32284886 Free PMC article. Review.

Vranas KC, Scott JY, Badawi O, Harhay MO, Slatore CG, Sullivan DR, Kerlin MP. Vranas KC, et al. Chest. 2020 Aug;158(2):579-587. doi: 10.1016/j.chest.2020.02.061. Epub 2020 Mar 27. Chest. 2020. PMID: 32229228 Free PMC article.

Carvalho AGR, Moraes APP, Carvalho ACP, Silva AAMD. Carvalho AGR, et al. Rev Bras Ter Intensiva. 2019 May 30;31(2):138-146. doi: 10.5935/0103-507X.20190031. Rev Bras Ter Intensiva. 2019. PMID: 31166557 Free PMC article.