Critical care nursing clinics of North America
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Crit Care Nurs Clin North Am · Mar 1998
ReviewHistorical development of outcomes-based care delivery.
Outcomes-based care delivery is both a subtle and profound change in practice. It is proactive, patient-centered, data-generating, and establishes clear accountability. Most importantly, outcomes defined and managed at the patient-provider level will be the quality conscience as health care enters a new millennium.
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Crit Care Nurs Clin North Am · Mar 1998
ReviewThe long-term mechanically ventilated patient. An outcomes management approach.
As noted previously, prior to permanently instituting an outcomes approach, we compared the effects of such a model to a nonoutcomes-managed approach. The positive trend noted during the study interval has been sustained 2 years later, and the variables of cost, LOS, and ventilator duration (median = 9 days for DRG 475, 483 combined) for these patients continue to be favorably affected (see Figure 2). In addition, the outcomes-management model has been well accepted by all members of the health care team. ⋯ Provision of quality, cost-effective care for patients requiring prolonged ventilation is a true clinical challenge. Outcomes management is a multidisciplinary method of care delivery that is systematic and comprehensive in approach. Although little science exists related to the application of the model for patients requiring prolonged ventilation, preliminary reports are promising and warrant future applications and evaluation of the same.
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Crit Care Nurs Clin North Am · Mar 1998
Clinical Trial Controlled Clinical TrialImpact of a critical care pathway for unstable mechanically ventilated patients.