دورية أكاديمية
Quality assurance in an adult intensive care unit, Eastern region, Saudi Arabia.
| العنوان: | Quality assurance in an adult intensive care unit, Eastern region, Saudi Arabia. |
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| المؤلفون: | Iqbal M; Department of Pulmonary and Critical Care Medicine, King Abdulaziz National Guard Hospital, Alhasa, Kingdom of Saudi Arabia., Rehmani R, Venter J, Alaithan AM |
| المصدر: | Saudi medical journal [Saudi Med J] 2007 Mar; Vol. 28 (3), pp. 408-11. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Medical Services Department, Saudi Arabian Armed Forces, Ministry Of Defence And Aviation Country of Publication: Saudi Arabia NLM ID: 7909441 Publication Model: Print Cited Medium: Internet ISSN: 1658-3175 (Electronic) Linking ISSN: 03795284 NLM ISO Abbreviation: Saudi Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Riyadh : Medical Services Department, Saudi Arabian Armed Forces, Ministry Of Defence And Aviation Original Publication: Riyadh, Saudi Arabia, Riyadh Al-Kharj Hospital Programme. |
| مواضيع طبية MeSH: | Quality Assurance, Health Care*, Critical Care/*standards , Hospital Mortality/*trends , Intensive Care Units/*standards, APACHE ; Adult ; Age Factors ; Aged ; Confidence Intervals ; Critical Care/trends ; Female ; Health Care Surveys ; Hospitals, Military ; Humans ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Probability ; Risk Factors ; Saudi Arabia ; Sex Factors |
| مستخلص: | Objective: Quality assurance (QA) is an increasingly important element in the administrative management of Intensive Care Unit (ICU). This is not only to improve clinical practices and patient's outcome, but also helps in proper resource utilization. We introduced a comprehensive quality assurance program in ICU at King Abdulaziz National Guard Hospital, Alhasa, Saudi Arabia, based on the existing medical evidence. Methods: We identified an already-validated set of quality indicators in intensive care and grouped them in categories of outcome measures (which reflect patient's subsequent health status) and process measures (related to patient-healthcare professional's interaction). Data collection forms were developed for nurses and physicians. Data were reported on monthly basis starting from January 2005, and the first 10 months data are presented. Results: Three hundred eighty-seven patients were admitted during the study period. Approximately 56.9% had cardiac related diseases, 33.5% had medical ailments, and 9.6% had surgery related issues. There were 54.6% males and 45.4% females. Mean age of the patients was 58.4 +/- 18.3 years. The mean acute physiology and chronic health evaluation II (APACHE-II) score was 13.6 +/- 4.9. Outcome measures were either better or comparable to international data, while adherence to process measures was found to be excellent. Standardized mortality ratio for the duration of study was 0.24 with 95% confidence interval from 0.15-0.36. Conclusion: Implementation of QA program is practical in an ICU. Disseminating the quality monitoring information at national level can lead to a broad data base, which can identify the best performing ICUs, thus, leading to bench marking and creating risk adjusted models applicable to local population. |
| تواريخ الأحداث: | Date Created: 20070306 Date Completed: 20070911 Latest Revision: 20191210 |
| رمز التحديث: | 20231215 |
| PMID: | 17334470 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1658-3175 |
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