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Published in: Neurocritical Care 2/2014

01-12-2014 | Review Article

International Multidisciplinary Consensus Conference on Multimodality Monitoring: ICU Processes of Care

Authors: Molly M. McNett, David A. Horowitz, The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Published in: Neurocritical Care | Special Issue 2/2014

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Abstract

There is an increased focus on evaluating processes of care, particularly in the high acuity and cost environment of intensive care. Evaluation of neurocritical-specific care and evidence-based protocol implementation are needed to effectively determine optimal processes of care and effect on patient outcomes. General quality measures to evaluate intensive care unit (ICU) processes of care have been proposed; however, applicability of these measures in neurocritical care populations has not been established. A comprehensive literature search was conducted for English language articles from 1990 to August 2013. A total of 1,061 articles were reviewed, with 145 meeting criteria for inclusion in this review. Care in specialized neurocritical care units or by neurocritical teams can have a positive impact on mortality, length of stay, and in some cases, functional outcome. Similarly, implementation of evidence-based protocol-directed care can enhance outcome in the neurocritical care population. There is significant evidence to support suggested quality indicators for the general ICU population, but limited research regarding specific use in neurocritical care. Quality indices for neurocritical care have been proposed; however, additional research is needed to further validate measures.
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Metadata
Title
International Multidisciplinary Consensus Conference on Multimodality Monitoring: ICU Processes of Care
Authors
Molly M. McNett
David A. Horowitz
The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring
Publication date
01-12-2014
Publisher
Springer US
Published in
Neurocritical Care / Issue Special Issue 2/2014
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-014-0020-x

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