Relevant bibliographies by topics / Intensive care units

Academic literature on the topic 'Intensive care units'

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Published: 4 June 2021
Last updated: 29 July 2024

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Journal articles on the topic "Intensive care units"

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Harvey, Maurene A. "Palliative care makes intensive care units intensive care and intensive caring units*." Critical Care Medicine 39, no. 5 (May 2011): 1204–5. http://dx.doi.org/10.1097/ccm.0b013e31820f6d47.

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Hughes, E. S. R. "INTENSIVE CARE UNITS." Australian and New Zealand Journal of Surgery 46, no. 4 (January 21, 2008): 291. http://dx.doi.org/10.1111/j.1445-2197.1976.tb03232.x.

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Torpy, Janet M. "Intensive Care Units." JAMA 301, no. 12 (March 25, 2009): 1304. http://dx.doi.org/10.1001/jama.301.12.1304.

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Cappellini, Elena, Stefano Bambi, Alberto Lucchini, and Erika Milanesio. "Open Intensive Care Units." Dimensions of Critical Care Nursing 33, no. 4 (2014): 181–93. http://dx.doi.org/10.1097/dcc.0000000000000052.

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POLLACK, MURRAY M., TIMOTHY C. CUERDON, and PAMELA R. GETSON. "Pediatric intensive care units." Critical Care Medicine 21, no. 4 (April 1993): 607–14. http://dx.doi.org/10.1097/00003246-199304000-00023.

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Farman, J. V. "PAEDIATRIC INTENSIVE CARE UNITS." Lancet 330, no. 8573 (December 1987): 1465–66. http://dx.doi.org/10.1016/s0140-6736(87)91164-0.

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Dick, Wolfgang F. "Mobile Intensive Care Units." Prehospital and Disaster Medicine 1, S1 (1985): 139–40. http://dx.doi.org/10.1017/s1049023x00044162.

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Mobile intensive care units (MICU) will take care of all real emergency patients with presumed or proven disturbances of vital functions. These vehicles are equipped according to standardized criteria, and usually stationed at emergency hospitals. MICU's are accompanied by one rescue assistant, one emergency medical technician (EMT) and one physician.Eighty-five to 90% of the total number of emergency calls were primary emergency calls, where the emergency patient had to be treated at the scene; 10% to possibly 20% were emergency patients who had already received treatment by medical or paramedical personnel.
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Medina Huniades, Urbina. "Problematic of Intensive Care Units in Venezuela." Journal of Quality in Health Care & Economics 5, S1 (2022): 1–8. http://dx.doi.org/10.23880/jqhe-16000s1-003.

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Critical care corresponds to the contemporary stage and includes automated multi-parameter monitoring for the management of patients with multi-organ impairment, complementary tests, devices for basic and advanced bedside support, and a multidisciplinary clinical team. Insufficient financing and inefficiencies in the allocation and use of available resources for health care represent important challenges in moving towards equity and financial protection. In fact, the average public spending on health (GPS) in the Region of the Americas is around 4% of the gross domestic product (GDP), a very low level compared to the 8% that the countries of the Americas allocate on average. The sixth edition of the Venezuela National Hospital Survey (ENH), collects information from 40 hospitals in the 24 states of the country. In the National Survey of Hospitals 2018, it can be seen in the Operative / Non-existent services line that 20% of the units are inoperative in Intensive Care Units for adults, 70% have intermittent failures and only 9% are 100% functional. . In relation to Pediatric Intensive Care, it is observed that 4% are inoperative and 95% have intermittent failures and the Emergency areas 5% are inoperative and 95% have intermittent failures. During 2019, both adult and pediatric Intensive Care Units maintained a pattern of operation between 10 and 20% of closed units, between 65 and 70% of open units and between 10 and 15% with intermittent operation.
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Jukić, Marko. "Medical futility treatment in intensive care units." Acta Medica Academica 45, no. 2 (December 6, 2016): 127–36. http://dx.doi.org/10.5644/ama2006-124.169.

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Schmollgruber, Shelley. "Family care in intensive care units." Southern African Journal of Critical Care 35, no. 1 (August 15, 2019): 6. http://dx.doi.org/10.7196/sajcc.2019.v35i1.402.

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Dissertations / Theses on the topic "Intensive care units"

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Dunbar, Pervell Velethia. "Nursing Care of Terminal patients in Intensive Care Units." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1379.

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Nursing Care for Terminal Patients in Intensive Care Units by Pervell Dunbar Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2015 Although the goal of the ICU has always been to save lives, ICU now additionally provides end-of life (EOL) care. The objective of this project was to provide ICU nurses with a comprehensive awareness of physical, emotional, and spiritual EOL care issues of patients and their families in order to be better equipped to handle EOL care. The framework used was Jean Watson's Caring model (10 Caritas). A literature review revealed a poster previously used by a major health organization as a conversation starter to facilitate decision-making among ICU nurses, EOL patients, and their families related to EOL issues. The purpose of this quality improvement initiative was to introduce and implement an educational EOL tool that would engage patients and family members in meaningful and useful conversations with ICU nurses. Twenty seven ICU nurses were selected by the unit's director to attend a PowerPoint presentation on the use of the EOL educational poster. Four ICU nurses were chosen by the director to be champions for this project. After the presentation, there was a period for questions and answers, and the ICU nurses were requested to give feedback on the presentation. The result from the feedback revealed that EOL care is outside previous practice and may require extra education and support. These comments substantiated similar conclusions from other researchers as described in this paper. With an increase in EOL training for ICU nurses and the implementation of EOL teaching tools like the poster used in this study, ICU nurses may be better able to have conversations with EOL patients and families, thus improving patient care.
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BASTOS, LEONARDO DOS SANTOS LOURENCO. "ANALYSIS OF PERFORMANCE IN INTENSIVE CARE UNITS." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2018. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=35727@1.

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PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO
COORDENAÇÃO DE APERFEIÇOAMENTO DO PESSOAL DE ENSINO SUPERIOR
CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO
PROGRAMA DE SUPORTE À PÓS-GRADUAÇÃO DE INSTS. DE ENSINO
A Unidade de Terapia Intensiva (UTI) é um departamento importante dentro do Hospital visto que lida majoritariamente com casos de alta complexidade e gera elevados custos administrativos, o que requer um controle adequado de seus processos. Inconformidades tais como erros em atividades de tratamento e falta de comunicação entre os funcionários são comumente responsáveis pelo baixo desempenho de UTIs e devem ser ajustados para reduzir possíveis danos ao tratamento do paciente. Para avaliar a eficiência de uma UTI, a literatura propõe que sejam estabelecidas métricas que considerem quatro perspectivas - médica ou clínica, econômica, social e institucional – que oferecem uma visão abrangente das atividades (administrativas ou de tratamento) dentro da unidade e seus impactos no pós-tratamento. Entretanto, a avaliação de desempenho em uma UTI não é uma tarefa simples, pois há diversas variáveis a serem consideradas e que podem ser potenciais causas de um mau desempenho. Além disso, não há uma métrica ou indicador padrão-ouro que consegue reter de forma adequadas as informações, sendo que diversas perspectivas devem ser consideradas. Os indicadores mais comuns são A Taxa de Mortalidade Padronizada (Standardized Mortality Ratio, SMR) e o Taxa de Uso de Rescursos Padronizada (Standardized Resource Use, SRU), que contabilizam desfechos de mortalidade (clínicos) e de uso de recursos (econômicos), junto de metodologias propostas para viabilizar a comparação entre diferentes UTIs, identificar de grupos de desempenho e analisar os riscos de mortalidade dos pacientes dentro da unidade, tais como os conceitos de Rankability e Perfis de Risco (Risk Profiles). Além disso, é necessário definir corretamente os desfechos a serem contabilizados em indicadores. Nesse contexto, recomenda-se a combinação de diferentes indicadores e metodologias de forma a complementar e elevar a confiabilidade da análise de desempenho e benchmarking. Com isso, este estudo tem como objetivo analisar um conjunto de UTIs em termos de desempenho quanto à mortalidade e uso de recursos, associando-os com as características das unidades e seus fatores institucionais, para identificar possíveis correlações. A análise foi feita em uma amostra composta por 12.100 pacientes que foram hospitalizados em 116 UTIs, considerando um desfecho em até 60 dias de interação. Este estudo teve como contribuição a combinação de diferentes técnicas e indicadores, e uma discussão a respeito da variabilidade do SMR em comparação à metodologia tradicional. Para este propósito, combinou-se as técnicas da Matriz de Eficiência, Rankability – índice de confiabilidade de um indicador de desfecho, e Perfis de Risco, de forma a obter e avaliar o desempenho de grupos de UTIs. Como resultados, verificou-se que UTIs cuja administração é de domínio Público e que destinam a maioria dos seus leitos ao Sistema Único de Saúde (SUS) brasileiro tiveram mortalidade significativamente alta em relação àquelas de dominínio privado (p-valor menor que 0.05). Além disso, realizou-se um agrupamento das UTIs utilizando quatro diferentes técnicas de clusterização de forma a garantir a máxima confiabilidade do indicador para comparação (Rankability), o que resultou na presença de clusters extremos contendo uma UTI cada, sendo elas a de maior e a de menor SMR, apesar de ambas apresentarem o mesmo conjunto de severidades. Para cada grupo, estimou-se o seu perfil de risco, e verificou-se que pacientes com menor gravidade apresentaram maior variabilidade nos riscos de morte, sendo estes maiores nos grupos com alto SMR e menores em grupos de menor mortalidade, sendo que a dispersão tendeu a ser menor quanto menor for o risco, o que poderia influenciar diretamente no cálculo do SMR. Com isso, por meio de equações matemáticas e simulação por meio de reamostragem, verificou-se que o SMR possui uma limitação em sua escala, que depende diretamente do espectro de gravidade dos pacientes em cada UTI ou grupo de desempenho analisado. O S
Intensive Care Unit (ICU) is an important department within a hospital since it deals mostly with complex cases and it generates the highest amount of costs, thus requiring adequate control on its care treatments. Nonconformities such as poor communication and treatment errors are commonly responsible for a bad performance in ICUs. However, evaluating the performance of an ICU is not an easy task and there are no gold-standard indicators. The most common metrics are the Standardized Mortality Ratio (SMR) and the Standardized Resource Use (SRU), which measure mortality and resource utilization, respectively. Hence, this study aims to analyze different ICUs in terms of mortality, resource use, and institutional factors, combining the methods Efficiency Chart, Rankability and Risk Profile. The analysis was performed considering a total of 12,100 patients in 116 ICUs provided by a clinical trial study. As results, it was verified that most ICUs were from hospitals with public administration (47.41 per cent), which had significantly high lethality rate compared to private hospitals. Four different clustering approaches were tested, which identified similar case-mixes between the best and lower performance groups of ICUs, and a high variability in expected risks for low severity patients. Using a resampling approach, it was evidenced that the mortality indicator varies strongly on low-risk groups of patients, while high-risk patients had a smaller range of SMR values, which may lead to biased conclusions when comparing ICUs with similar mortality and different case-mixes.
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Vetcho, Siriporn. "Family-Centred Care Within Thai Neonatal Intensive Care." Thesis, Griffith University, 2022. http://hdl.handle.net/10072/417298.

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Background: Neonates who require specialized care and life-saving therapies in neonatal intensive care units (NICUs) and neonatal special care units (NSCUs) can be exposed to separation from their parents and families. Consequently, establishing a parental-neonate bond can be difficult. However, addressing this problem of separation through involving parents and families in neonatal care to improve parent-professional collaboration can result in positive outcomes for neonates and their families. Family-centred care (FCC) has developed over decades and is broadly recommended as an ideal model of care in daily clinical practice in NICUs. However, FCC implementation is challenging at individual, organizational, cultural, and healthcare system levels. In particular, developing countries are challenged by the lack of material resources, infrastructure, and staff shortages. In Thailand, the practical incorporation of FCC into daily clinical practice in neonatal care units is difficult, and it has not been sustainably achieved. Furthermore, there has been minimal research reporting on the development, implementation, and evaluation of FCC in the neonatal critical care context within Thailand. Aim and Objectives: The aim of this PhD study has been to develop, implement and evaluate innovation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU. It had three objectives, each representing a distinct phase in the study: (1) to identify perceptions, current practices and FCC strategies; (2) to develop and implement an innovation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU; and (3) to evaluate the FCC innovation developed in Phase 2. Methods and Results Design: The multistage, mixed-methods study design applied the Participatory Intervention Model (PIM) to guide the innovation’s development, implementation, and evaluation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU. Setting and context: This study was conducted in a tertiary care hospital in southern Thailand (February 2020-January 2021). Ethics approval was obtained from the Research Ethics Committee of Hatyai Hospital and Griffith University. Phase 1: Identification of perceptions, current practices, and FCC strategies Phase 1 was planned to include data collection over 3 months. Due to the COVID-19 pandemic, it was reduced to 2 months during the very early stages of the pandemic (February to March 2020). This phase consisted of two parts, including surveys and interviews with parents and the interdisciplinary professionals. Participants: Participants consisted of two groups: parents of neonates (all gestational ages with no life-threatening or life-limiting diagnosis) who had an expected NICU stay of at least 72 hours and visited the study NICU at least once, and interdisciplinary professionals with a permanent position for at least 1 year in the study unit. Part A: Survey of parents and interdisciplinary professionals Surveys of parents and interdisciplinary professionals were conducted using the validated Perceptions of Family Centred Care – Parent (PFCC-P) and Perceptions of Family Centred Care – Staff (PFCC-S) instruments which were translated into Thai. Sample size: Sample size was based on availability of parents and interdisciplinary professionals over the planned 3-month Phase 1 period. Recruiting parent participants in Phase 1 was prior/during the very early stages of the COVID-19 pandemic and needed to be stopped prior to pre-determined sample size of 100 parents due to visitor restriction (n = 85). Eighty-five parents and 20 interdisciplinary professionals completed the surveys. Data analysis: Demographic characteristics of parents, interdisciplinary professionals, and neonates are reported using descriptive statistics. The subscale scores for parents and interdisciplinary professionals were not normally distributed, so medians were calculated for each of the three sub-scales (respect, collaboration, and support). Parents’ and interdisciplinary professionals’ perceptions of FCC (PFCC-P & PFCC-S) were compared using the Mann-Whitney U test to examine differences in medians in the preimplementation phase because they were unpaired groups. Part B: Semi-structured interviews with parents and interdisciplinary professionals Face-to-face, semi-structured, individual interviews were planned to gain information from extended family members and parents and interdisciplinary professionals; however, given the visitation restrictions, only parents and interdisciplinary professionals were recruited to participate (during the first half of February 2020). Sample size: The sample size was determined when data saturation was identified. Eight interdisciplinary professionals and nine parents participated in face-to-face interviews. Data analysis: Thematic analysis was used to analyse the transcribed Thai language interviews. Results: The survey results across the median of three subscales demonstrated that parents and interdisciplinary professionals’ perceptions on the FCC strategies in current practice were 2-3/4 (Interquartile range [IQR] 1.7-3.8) and 3-4/4 (2.85-3.55), respectively. Considering the median subscale scores, the interdisciplinary professionals had significantly higher subscale scores for respect (median 3.00 (95% CI, 2.91-3.24) vs 2.50 (2.37-2.81)), collaboration (median 3.22 (3.10-3.37) vs 2.33 (1.9-2.62)), and support (median 3.20 (3.03-3.39) vs 2.60 (2.03-2.61)) (all p ≤ 0.001). The interview findings highlighted that the interdisciplinary professionals in this study accepted that the three critical elements of FCC (respect, collaboration, and support) were necessary to be implemented into clinical practice. However, they believed that in reality it was not easy in the Thai NICUs context. This finding identified that the challenge to promote parent-healthcare professional partnerships was associated with the structure and processes of the healthcare delivery system. In addition, the individuality of families' readiness and healthcare providers' perceptions of parents’ involvement as obstacles to providing care were found to be challenges to current practices of FCC. Phase 2: Development and implementation of innovation to facilitate FCC This phase was achieved by two different methods: strategy development working group and implementation of the FCC innovation. Strategy development working group: The development of FCC innovations by the strategy development working group (June to August 2020) was based on Phase 1 findings and the reported integrative literature review. In addition, the FCC innovations were considered within the policies and practices of the NICU in the context of COVID- 19 in Thailand. The development working group members were key and high-level stakeholders in the NICU. Educational activities for the healthcare professional team to incorporate the FCC innovations into their clinical practice in NICU were provided. Implementation of the FCC innovation: The FCC innovations were then implemented over 2 months (September to October 2020), during a period of restrictions on parents and staff arising from COVID-19. Results: The working group identified the gaps in the three key elements (respect, collaboration, and support) to providing FCC in a Thai NICU through the analysis of Phase 1’s results in consort with the findings from the integrative review. A preliminary protocol for the FCC innovations and implementation plan were developed consistent with the challenges associated with COVID-19 in Thailand. FCC practice innovations associated with improving communication were established, including changes and updates to the material within the parent booklet with specific material related to COVID- 19, neonatal updates at bedside or conducted via telephone calls, interdisciplinary family meeting for complex care situations, structured communication checklists, and documentation templates. In addition, although visiting restrictions were limiting, parents were provided with more flexibility as to when they could visit based on individual circumstances. The majority of the healthcare providers in this setting (80%) attended the educational activities to incorporate the FCC innovations into their clinical practice in the NICU. The FCC innovations were incorporated into daily NICU practice by nurses in cooperation with other healthcare providers and ancillary support staff during the pandemic. Phase 3: Evaluation of the FCC innovation Phase 3 (post-implementation) was conducted over 3 months (November 2020-January 2021), and it focused on evaluating the FCC innovations. This phase repeated the collection of data from the validated PFCC-P and PFCC-S surveys of parents and interdisciplinary professionals' perceptions, as per Phase 1, to assess respect, collaboration, and support changes after implementing the FCC innovations in the Thai NICU during the pandemic. Sample size: One hundred parents and 20 interdisciplinary professionals completed the surveys. Data analysis: As per Phase 1 for demographic characteristics. The Mann-Whitney U test was used to analyse parents' perceptions of the items of the PFCC-P pre- and postimplementation given they were two independent groups. Wilcoxon signed-rank test was used to compare the perceptions of the interdisciplinary professionals pre- and postimplementation using the PFCC-S given they were matched samples. Results: The participants consisted of 83 pairs of parents (i.e., mother and/or father of neonate participated) (35 pre; 48 post), which represented 102 neonates (50 pre; 52 post). There were 185 parents; 85 pre-implementation and 100 post-implementation. For the NICU health care team, 20 participated. The median scores of parents' perceptions post-implementation significantly improved for respect (2.50 to 3.50; 95%CI, 3.02-3.53), collaboration (2.33 to 3.33; 2.90- 3.40), support (2.60 to 3.60; 2.84-3.62), and the overall score (2.50 to 3.43) (p < 0.001, 95%CI 2.93-3.51). There was an absolute difference of at least 0.3 in the pre- and postimplementation scores for three subscales and overall score, where 0.3 corresponds to 10% of the rating scale. Comparatively, interdisciplinary professionals' perception of FCC did not significantly change pre- and post-implementation for respect ([median] 3.00 to 2.92; 95%CI, 2.87-3.16), collaboration (3.22 to 3.33; 3.16-3.47), support (3.20 to 3.20; 2.96-3.28) and overall (3.15 to 3.20; 95%CI, 3.10-3.25). Conclusions:Results from this study indicate that incorporating FCC innovations in the NICU appeared to be successful, despite the challenges of COVID-19. The key finding was that the innovations incorporated in the NICU were primarily based on communication strategies, a simple means to support, collaborate with, and respect parents that required low investment within the complex situation arising from COVID-19. These innovations were essential to engage collaborative working between parents and healthcare providers to promote parents as partners in a neonatal critical care team. To successfully implement FCC innovations in different settings, further innovations associated with communication methods need to target the specifics of individuals involved, healthcare settings, and available resources.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing & Midwifery
Griffith Health
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Leighton, P. H. "Monitoring blood stream infection in neonatal intensive care units." Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/1302069/.

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Comparisons of the incidence of blood stream infection (BSI) between neonatal intensive care units (NICUs) can promote sharing of potentially better practices for infection control. Comparisons should take into account differences in babies’ vulnerability and the invasive procedures which can introduce infection. I carried out a systematic review of methods reported in the literature, or used by regional monitoring systems, for comparing the incidence of BSI among NICUs. I found substantial variation, especially in the risk factors used to adjust incidence estimates. The use of routinely recorded administrative data would minimize and accelerate staff workload for BSI monitoring. I investigated which risk factors recorded in routine data should be adjusted for when comparing BSI incidence between NICUs. I linked microbiology laboratory records with administrative records collected over four years for three London NICUs. I analysed rates of BSI using various methods, including Poisson regression and logistic regression assuming a matched case control design. With both approaches, National Health Service level of care was the strongest predictor for BSI incidence. Using Poisson regression models, the rate ratio for BSI, adjusted for birth weight, inborn/outborn status and postnatal age, was 3.15 (95% confidence interval (CI) 2.01, 4.94) for intensive care and 6.58 (95% CI 4.18, 10.36) for high dependency care, relative to special care. The case control study gave slightly larger estimates of effect than the Poisson regression models. Total parenteral nutrition was significantly associated with BSI incidence but explained less of the variance among babies than level of care. Using the results from the risk adjustment model, I demonstrated how routine data can be integrated into a method for prospective, risk adjusted monitoring. This method involved standardised infection ratios and a sequential probability ratio test. The method can evaluate changes in BSI rates over time and between NICUs. It could also be used to quantify improvements following infection control interventions.
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Kilinc, Derya, and Mattias Ghattas. "Implementing an Intelligent Alarm System in Intensive Care Units." Thesis, KTH, Skolan för teknik och hälsa (STH), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-189536.

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Today’s intensive care units monitor patients through the use of various medical devices, which generate a high ratio of false positive alarms due to a low alarm specificity. The false alarms have resulted in a stressful working environment for healthcare professionals that are getting more desensitized to triggered alarms and causing alarm fatigue. The patient safety is also compromised by having high noise levels in the patient room, which disturbs their sleep. This thesis has developed an intelligent alarm system with an improved alarm management and the use of 23 intelligent algorithms to minimize the number of false positive alarms. The suggested system is capable of improving the alarm situation and increasing the patient safety in critical care. The algorithms were modeled with fuzzy logics consisting of delays and multi parameter validation. The results were iteratively developed by having focus groups with various experts.
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Van, der Heever Mariana. "An ideal leadership style for unit managers in intensive care units of private health care institutions." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/4058.

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Thesis (MCur (Nursing Science))--University of Stellenbosch, 2009.
ENGLISH ABSTRACT: The work environment in critical care units in South Africa is hampered by a profound shortage of nurses, heavy workloads, conflict, high levels of stress, lack of motivation and dissatisfaction among the staff. The task of managing a C.C.U. has therefore become a challenge. It is important that unit managers apply a leadership style that matches these challenges. The aim of this study was to investigate the ideal style of leadership. The objectives set for the study were to identify the ideal leadership style required in the following areas:  administrative functions  education functions  patient care  research An explorative, descriptive research design was applied, with a quantitative approach to determine the ideal leadership style for unit managers in critical care units of private health care institutions. The research sample consisted of all nurses working permanently in eleven private hospitals in the Cape Metropolitan area. A questionnaire consisting of predominantly closed questions was used for the collection of data, which was collected by the researcher in person. Ethical approval was obtained from the Committee of Human Science Research at Stellenbosch University. Permission to conduct the research was obtained from the institutions and informed consent from the participants. A pilot study was conducted to test the questionnaire at a private hospital which did not form part of the study. A 10% sample of the relevant staff, namely 27 participants were involved in this study. The validity and reliability was assured through the pilot study and the use of a statistician as well as experts in nursing and a research methodologist. Data was tabulated and presented in histograms and frequencies. Statistical significant associations were drawn between variables, using the Chi-square test. The Spearman rank (rho) order correlation was used to show the strength of the relationship between two continuous variables. Findings of the study show that participatory leadership style and transformational leadership approach were valued in all four (4) of the objectives. Emphasis was placed on consultation prior to any decisions. Nurses requested an opportunity to give feedback on a regular basis regarding the unit managers conduct (Chi-square test p = 0.025). They also agreed that unit managers should apply the necessary rules and procedures (Chi-square test p = 0.016). A huge request was made for integrity, trust, impartiality, openness, approachability and particularly honesty. The nurses also maintained that the nurse manager’s behaviour should be congruent. Furthermore, the results indicate that nurses would like to be empowered by:  being involved in the scheduling of off-duties  taking the lead in climate meetings  being granted opportunities (to all categories of nurses) to attend managerial meetings. N = 41 (48.2%) of nurses admitted that unit managers would instruct them to cope with insufficient staffing pertaining to ventilated patients, putting them under severe strain and at risk legally. N = 39 (47%) of nurses admitted that unit managers only consider qualifications and experience in the delegation of tasks if the workload in the unit justifies it. Safe patient care is not always a priority. N = 99 (96%) of nurses agreed that autocratic behaviour relating to task delegation exists. Recommendations included the application of transformational leadership and participatory management. The aim to create a healthier, more favourable work environment for critical care nurses will hopefully be attained through applying the ideal leadership style and leadership approach.
AFRIKAANSE OPSOMMING: Die werksverrigtinge in kritieke sorgeenhede in Suid-Afrika word deur ‘n ernstige tekort aan verpleegsters, hoë werklading, konflik, spanning, min motivering en baie ontevredenheid onder verpleeglui gekortwiek. Die leiding en bestuur van ‘n kritieke sorgeenheid is dus nie ‘n maklike taak nie. Dit is dus belangrik dat eenheidsbestuurders ‘n leierskapstyl aan die dag lê wat dié uitdagings doeltreffend aanspreek. Die doel van die studie is dus om ondersoek in te stel na die wenslike leierskapstyl vir kritieke sorgeenhede. Die doelwitte daargestel is dus om die ideale leierskapstyl in elk van die volgende funksies te bepaal:  administrasie  opleiding  pasiënte-sorg  navorsing Die ideale leierskapstyl vir eenheidbestuurders in kritieke sorgeenhede in privaathospitale is bepaal deur ‘n kwantitatiewe benadering met ‘n beskrywende ontwerp toe te pas. Die populasie het alle kritieke sorg verpleeglui ( permanent werksaam by een van elf privaathospitale in die Kaapse Metropool) ingesluit. Instrumentasie het ‘n vraelys behels (met oorwegend geslote vrae) en data is persoonlik deur die navorser ingevorder. Etiese toestemming is vanaf die Etiese Komitee van die Mediese Fakulteit te Universiteit Stellenbosch verkry asook die hoofde van die verskillende privaathospitale waar navorsing plaasgevind het. Ingeligte toestemming is ook van elkeen van die deelnemers verkry. Ten einde die vraelys te toets, is ‘n loodstudie by ‘n privaathospitaal ( wat nie by die studie ingesluit was nie) gedoen. Die loodstudie het N = 27 (10%) van die totale populasie behels. Die betroubaarheid en geldigheid van die studie is deur die loodstudie, die gebruik van ‘n statistikus, verpleegdeskundiges en die navorser-metodoloog versterk. Data is getabuleer en in histogramme en frekwensies voorgestel. Deur die Chi-square- toets te gebruik, is statisties betekenisvolle assosiasies tussen veranderlikes bepaal. Ten einde sterkte van verhoudings tussen twee opeenvolgende veranderlikes te bepaal, is die Spearman rangordekorrelasie (rho) aangewend. Die bevindings van die studie het getoon dat ‘n deelnemende bestuurstyl en transformasie-leierskapbenadering die mees aangewese keuse vir al vier doelwitte is. Die toepassing van veral ‘n deelnemende besluitnemingsproses het groot voorrang geniet, Verpleegkundiges wil daarbenewens ook op ‘n gereelde basis geleentheid hê om terugvoering oor die leierskapgedrag van die eenheidsbestuurder te gee (Chi-square toets p = 0.025). Ook verlang die deelnemers dat eenheidsbestuurders nie reëls en regulasies moet verontagsaam nie (Chi-square toets p = 0.016). ‘n Ernstige versoek is gerig ten opsigte van integriteit met pertinente verwysing na eerlikheid, vertroue, onpartydigheid, deursigtigheid, toeganklikheid en dat die leier se woorde en dade moet ooreenstem. Die resultate het verder getoon dat verpleegsters graag bemagtig wil word deur:  betrokkenheid in die skedulering van afdienste,  leiding in klimaatsvergaderings te wil neem,  geleentheid te hê om bestuurvergaderings by te woon (alle kategorieë van verpleegkundiges).. N = 39 (48.2%) van verpleegkundiges het erken dat hulle gedwonge personeeltekorte ten opsigte van geventileerde pasiënte ervaar en dus aan mediese geregtelike risiko’s en onnodige druk blootgestel word. N 39 (47%) van verpleegkundiges het erken dat eenheidsbestuuders kwalifikasies en ondervinding slegs in ag neem indien die werklading in die eenheid dit toelaat..Veilige pasiëntesorg kry dus nie altyd voorkeur nie. N = 99 (96%) van verpleegkundiges het erken dat outokratiese gedrag ( wat met werkstoewysing verband hou) wel voorkom. ‘n Transformasie leierskapsbenadering en deelnemende bestuurstyl is dus aanbeveel. Die hoop word dus uitgespreek dat deur aan die verpleegkundiges se versoeke ten opsigte van die ideale bestuursbenadering en bestuurstyl te voldoen, die werksatmosfeer binne kritieke sorgeenhede toenemend gesonder en dus aangenamer sal word.
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Singleton, Alsy R. "Patient satisfaction with nursing care : a comparison analysis of critical care and medical units." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1061875.

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Patient satisfaction is an outcome of care that represents the patient's judgment on the quality of care. An important aspect of quality affecting patient's judgment can be attributed to patients' expectations and experiences regarding nursing care according to type of unit. The purpose of this study was to examine differences between patients' perceptions of satisfaction with nursing care in critical care units and medical units in one Midwestern hospital.The conceptual framework was "A Framework of Expectation" developed by Oberst in 1984, which asserted that patients have expectations of hospitals and health care professionals regarding satisfaction and dissatisfaction with care. The instrument used to measure patient satisfaction was Risser's Patient Satisfaction Scale, with three dimensions of patient satisfaction: (a) Technical-Professional, (b) Interpersonal-Educational, (c) Interpersonal-Trusting. The convenience sample included 99 patients50 from critical care units and 49 from medical wards. Participation was voluntary. The study design was comparative descriptive and data was analyzed using a t-test.The demographic data showed that the majority of patients had five or more admission. About one-third of the patients were 45-55, 56-65, 66-75, respectively. Findings related to the research questions were that: (a) 84 percent of the respondents rated overall satisfaction in the satisfactory to excellent range, (b) results of a t-test showed significant differences in overall patient satisfaction with patients being more satisfied with care in critical care units. Significant differences were found in three subscales with critical care being more satisfied. No relationship was found between patient satisfaction and age/and/or type of unit.Conclusions were that in both medical and critical care units patients were more satisfied with Technical-Professional and Interpersonal-Trusting than with Interpersonal-Educational. Also noted was that patients in the units where nurse-to-patient ratio was higher participants perceived that nurses had more time, energy and ability to meet patient expectation. Implications call for analysis of nurse/patient ratio in relation to patient satisfaction and nurses in relation to patient education as well as patient's perceptions of getting their needs met.
School of Nursing
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Lai, Chi-keung Peter. "Protocol-led weaning of mechanical ventilation in adult intensive care Unit." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40720895.

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Lau, Yuk-yin. "Effect of treatment interference protocol (TIP) on the use of physical restraints in ICU." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B4072170X.

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Schneider, Rosemary Roberta. "Treatment-withdrawal decisions in intensive care units : effects on nurses." Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285861.

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Books on the topic "Intensive care units"

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M, Rippe James, ed. Intensive care medicine. 2nd ed. Boston: Little, Brown, 1991.

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Marino, Paul L. The ICU book. 3rd ed. Baltimore: Williams & Wilkins, 2007.

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Romanò, Massimo, ed. Palliative Care in Cardiac Intensive Care Units. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-80112-0.

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J, Dobb G., ed. Current topics in intensive care. London: Saunders, 1994.

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H, Buchardi, ed. Current topics in intensive care. London: Saunders, 1997.

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S, Barie Philip, and Shires G. Tom 1925-, eds. Surgical intensive care. Boston: Little, Brown, 1993.

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E, Oh T., ed. Intensive care manual. 3rd ed. Sydney: Butterworths, 1990.

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M, Rippe James, ed. Intensive care medicine. Boston: Little, Brown, 1985.

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Arroliga, Alejandro C. Intensive care unit complications. Philadelphia, Pa: W.B. Saunders, 1999.

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Wuderink, Richard G. Pneumonia in the intensive care unit. Philadelphia: Saunders, 1995.

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Book chapters on the topic "Intensive care units"

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Garg, Ajay, and Anil Dewan. "Intensive Care Units." In Manual of Hospital Planning and Designing, 155–79. Singapore: Springer Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-8456-2_18.

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Garg, Ajay. "Intensive Care Units." In Handbook on Hospital Planning & Designing, 95–113. Singapore: Springer Nature Singapore, 2024. http://dx.doi.org/10.1007/978-981-99-9001-6_14.

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Garg, Ajay. "Intensive Care Units (ICUs)." In Monitoring Tools for Setting up The Hospital Project, 89–126. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-99-6663-9_4.

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Jennerich, Ann L., Victoria Metaxa, Kateřina Rusinová, and Jozef Kesecioglu. "Palliative Care in Intensive Care Units." In Ethics in Intensive Care Medicine, 107–18. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-29390-0_10.

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Todi, Subhash. "Mycoses in Intensive Care Units." In Clinical Practice of Medical Mycology in Asia, 67–74. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-13-9459-1_5.

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van Dijk, Nico, and Nikky Kortbeek. "On Dimensioning Intensive Care Units." In Operations Research Proceedings, 291–96. Berlin, Heidelberg: Springer Berlin Heidelberg, 2008. http://dx.doi.org/10.1007/978-3-540-77903-2_45.

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Sacco, Alice, Luca Villanova, and Fabrizio Oliva. "The Intensive and Advanced Treatments in the Cardiac Intensive Care Units." In Palliative Care in Cardiac Intensive Care Units, 19–40. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-80112-0_2.

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Ferrer, M., and A. Torres. "Intermediate Respiratory Care Units." In Yearbook of Intensive Care and Emergency Medicine, 929–41. Berlin, Heidelberg: Springer Berlin Heidelberg, 2007. http://dx.doi.org/10.1007/978-3-540-49433-1_84.

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Lamb, F. J., A. Rhodes, and E. D. Bennett. "Can Intensive Care Units be Compared?" In Yearbook of Intensive Care and Emergency Medicine, 896–905. Berlin, Heidelberg: Springer Berlin Heidelberg, 1997. http://dx.doi.org/10.1007/978-3-662-13450-4_75.

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Rubinstein, E., and I. Levi. "Acinetobacter Infections in Intensive Care Units." In Yearbook of Intensive Care and Emergency Medicine, 542–51. Berlin, Heidelberg: Springer Berlin Heidelberg, 1996. http://dx.doi.org/10.1007/978-3-642-80053-5_44.

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Conference papers on the topic "Intensive care units"

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Bae, Woo Ri, Beom Joon Kim, Kyung Hoon Kim, Hye Jin Lee, and Jong-Seo Yoon. "Comparison of pediatric patients managed in the pediatric intensive care unit and other intensive care units." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa2340.

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Silva, R., J. S. Silva, A. Silva, F. C. Pinto, M. Simek, and F. Boavida. "Wireless Sensor Networks in Intensive Care Units." In 2009 IEEE International Conference on Communications Workshops. IEEE, 2009. http://dx.doi.org/10.1109/iccw.2009.5208086.

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Rossi, S., A. Bagnasco, N. Dasso, A. Geraci, M. Zanini, G. Catania, G. Aleo, and L. Sasso. "Care Left Undone Phenomenon in Italian Newborn Intensive Care Units." In 10th International Conference on Clinical Neonatology—Selected Abstracts. Thieme Medical Publishers, 2019. http://dx.doi.org/10.1055/s-0039-1693252.

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Copertino, Joao P., Eduardo Costa, Claudia Barsottini, Marcelo de Paiva Guimaraes, and Valeria Farinazzo Martins. "Hydric balance of patients in intensive and semi-intensive care units." In 2017 12th Iberian Conference on Information Systems and Technologies (CISTI). IEEE, 2017. http://dx.doi.org/10.23919/cisti.2017.7975810.

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Silva, Roberta, and Giuseppina Messetti. "LEARNING HOW TO DECIDE IN INTENSIVE CARE UNITS." In International Technology, Education and Development Conference. IATED, 2016. http://dx.doi.org/10.21125/iceri.2016.2099.

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Cho, Paul S., H. K. Huang, and Jan Tillisch. "Centralized vs. Distributed PACS for Intensive Care Units." In 1989 Medical Imaging, edited by Samuel J. Dwyer III, R. Gilbert Jost, and Roger H. Schneider. SPIE, 1989. http://dx.doi.org/10.1117/12.953352.

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Lavedrine, Isabelle A., and Patric Thomas. "Innovative Design Solutions for Burn Intensive Care Units." In Architectural Engineering Conference (AEI) 2006. Reston, VA: American Society of Civil Engineers, 2006. http://dx.doi.org/10.1061/40798(190)14.

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Checinski, P. J., K. D. Wick, J. A. Bastarache, L. B. Ware, and V. E. Kerchberger. "Differences in Bronchoscopy Practices Across Intensive Care Units." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a2681.

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Kannan, S., and Z. Song. "Utilization, Prices, and Outcomes in Intensive Care Units." In American Thoracic Society 2023 International Conference, May 19-24, 2023 - Washington, DC. American Thoracic Society, 2023. http://dx.doi.org/10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a4213.

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Egozcue-Dionisi, Monica, Rosangela Fernandez-Medero, Ricardo Fernandez, Gloria M. Rodriguez-Vega, and Raul Reyes-Sosa. "Puerto Rico's Intensive Care Units: An Overview Of Critical Care Medicine." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a3161.

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Reports on the topic "Intensive care units"

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Liu, Jijie, and Jie Wang. Efficacy of EWINDOW for prevention of delirium at intensive care units: A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2021. http://dx.doi.org/10.37766/inplasy2021.12.0116.

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Sun, Chenxi, Zhihua Yin, and Zhigang Cui. Effects of early mobilization on the prognosis of critically ill patients in the intensive care units: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2024. http://dx.doi.org/10.37766/inplasy2024.5.0026.

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Horon, Isabelle. Characteristics of Mothers Admitted to Intensive Care Units During Hospitalization for Delivery of a Live Born Infant: United States, 2020-2022. Hyattsville, MD: National Center for Health Statistics (U.S.), December 2023. http://dx.doi.org/10.15620/cdc:134500.

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Ding, Huaze, Yiling Dong, Kaiyue Zhang, Jiayu Bai, and Chenpan Xu. Comparison of dexmedetomidine versus propofol in mechanically ventilated patients with sepsis: A meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2022. http://dx.doi.org/10.37766/inplasy2022.4.0103.

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Review question / Objective: The aim of the present study was to evaluate the effects of dexmedetomidine compared with propofol in mechanically ventilated patients with sepsis. Condition being studied: Sepsis, which is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection, contributes the highest mortality to intensive care units (ICU) worldwide . Because of the high incidence of respiratory failure in sepsis care, mechanical ventilation is always adopted to give life support and minimize lung injury . And sedation is a necessary component of sepsis care who suffers from mechanical ventilation. The Society of Critical Care Medicine suggested using either propofol or dexmedetomidine for sedation in mechanically ventilated adults. However, it remained unknown whether patients with sepsis requiring mechanical ventilation will benefit from sedation with dexmedetomidine.
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Wagner, Jesse, Hanan Aboumatar, and Jonathan R. Treadwell. Engaging Family Caregivers with Structured Communication for Safe Care Transitions. Agency for Healthcare Research and Quality (AHRQ), April 2024. http://dx.doi.org/10.23970/ahrqepc_mhs4engaging.

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Objectives. To summarize recent relevant literature on patient safety practices (PSPs) focused on engaging family caregivers with structured communication during care transitions and assess the effectiveness of these PSPs to improve safety during care transitions. This review provides information for clinicians, health system leaders, and policymakers to better inform approaches to engaging family caregivers with structured communication to improve safety during care transitions. Methods. We followed rapid review processes provided by the Agency for Healthcare Research and Quality Evidence-based Practice Center Program. We searched PubMed, Embase, and the Cochrane Library for eligible studies published in 2010 through June 30, 2023, supplemented by targeted gray literature searches and review of reference lists in relevant systematic reviews. We used prespecified inclusion and exclusion criteria to assess relevant studies conducted in the United States that analyzed the effect of structured communication on care transitions with family caregivers. Prespecified clinical and patient-related outcomes included healthcare utilization, symptom exacerbation, quality of life, satisfaction, and unintended harms, among others. Findings. We identified 323 unique citations for possible inclusion; we assessed 86 full-text articles for inclusion. We included nine studies on effectiveness (2 randomized controlled trials, 6 pre-post studies, and 1 single-arm study) which assessed PSPs focused on discharge to home, transfers from intensive care units, and transitions from residential care. In residential treatment facility discharges, we found PSPs improved caregiver satisfaction (low strength of evidence [SOE]). We found insufficient evidence of other PSPs on any other included outcomes. Five studies detailed implementation facilitators, and two studies noted specific barriers to PSP implementation. While no studies specifically reported the resources required to implement PSPs, based on study descriptions, we identified four prominent resource considerations: (1) allocated time for pre-implementation intervention development and staff training; (2) designated time to deliver PSPs to family caregivers; (3) technology-based resources; (4) staff-expertise/addition training for designated roles. None of the studies reported rates of unintended harms. Conclusions. Clear communication with patients and caregivers during care transitions is important, but there is little evidence on the effectiveness of these PSPs. Included studies showed improvement in caregiver satisfaction, but more high-quality research is needed to assess the effectiveness of PSPs and unintended harms.
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Fletcher, Justine, Sanne Oostermeijer, Bridget Hamilton, Lisa Brophy, Catherine Minshall, Carol Harvey, Christine Migliorini, et al. Models of care and practice for the inpatient management of highly acute mental illness and acute severe behavioural disturbance: an Evidence Check rapid review. The Sax Institute, October 2020. http://dx.doi.org/10.57022/lppe2712.

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Highly acute mental illness and acute severe behavioural disturbance (ASBD) are two of the most challenging problems faced by Mental Health Intensive Care Units (MHICU). ASBD is defined as behaviour that places the patient or others at imminent risk of injury or death. It includes extreme distress, aggression, and serious self-harm, in the context of mental illness. This Evidence Check assessed the literature on models of care and treatment strategies for these conditions, aiming to refine the model used in MHICU in NSW. It attempted to find the most effective models of care for high acuity and ASBD—and the barriers and enablers to implementing them. A total of 58 relevant papers were found, spanning 2015 to 2020. They were rated on a hierarchy of evidence designed for models of care and interventions in complex settings. Two models of care, ‘Safewards’ and ‘Improving the therapeutic milieu of the wards’, were rated as best practice. These were followed by five models of care, themes and groups of treatments at middle levels of the hierarchy, and nine themes and treatment practices at the lowest level. There were several features common to numerous papers in the review: therapeutic engagement, meaningful activities, safe spaces, and welcoming spaces. Barriers and enablers to implementation were generally not addressed specifically. However, themes emerging from the papers showed several enabling factors: training, buy-in from stakeholders at all levels of the organisation, and assessment of progress. Barriers to implementation included lack of support from management and lack of engagement from frontline staff. Complex, multilevel practice change interventions appear necessary for effective implementation.
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Chauvin, Juan Pablo, Annabelle Fowler, and Nicolás Herrera L. The Younger Age Profile of COVID-19 Deaths in Developing Countries. Inter-American Development Bank, November 2020. http://dx.doi.org/10.18235/0002879.

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This paper examines why a larger share of COVID-19 deaths occurs among young and middle-aged adults in developing countries than in high-income countries. Using novel data at the country, city, and patient levels, we investigate the drivers of this gap in terms of the key components of the standard Susceptible-Infected-Recovered framework. We obtain three main results. First, we show that the COVID-19 mortality age gap is not explained by younger susceptible populations in developing countries. Second, we provide indirect evidence that higher infection rates play a role, showing that variables linked to faster COVID-19 spread such as residential crowding and labor informality are correlated with younger mortality age profiles across cities. Third, we show that lower recovery rates in developing countries account for nearly all of the higher death shares among young adults, and for almost half of the higher death shares among middle-aged adults. Our evidence suggests that lower recovery rates in developing countries are driven by a higher prevalence of preexisting conditions that have been linked to more severe COVID-19 complications, and by more limited access to hospitals and intensive care units in some countries.
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Zhang, Wei, Yun Tang, Huan Liu, and Li ping Yuan. Risk prediction models for intensive care unit-acquired weakness in intensive care unit patients: A systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2021. http://dx.doi.org/10.37766/inplasy2021.4.0010.

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Gao, Tingting, Yang Wang, and Hong Jiang. A Meta analysis of Hospice care in Chinese intensive care unit. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2020. http://dx.doi.org/10.37766/inplasy2020.12.0007.

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Gillen, Emily, Nicole M. Coomer, Christopher Beadles, and Amy Mills. Constructing a Measure of Anesthesia Intensity Using Cross-Sectional Claims Data. RTI Press, October 2019. http://dx.doi.org/10.3768/rtipress.2019.mr.0040.1910.

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With intensifying emphasis on episodes of care and bundled payments for surgical admissions, anesthesia expenditures are increasingly important in assessing variation in expenditures for surgical episodes. When comparing anesthesia expenditures across surgical settings, adjustment for anesthesia case complexity and duration of anesthesia services, also known as anesthesia service intensity, is desirable. A single anesthesia intensity measure allows researchers to make more direct comparisons between anesthesia outcomes across settings and services. We describe a process for creating a claims-based anesthesia intensity measure using Medicare claims. We create the measure using two fields: base units associated with American Medical Association Current Procedural Terminology codes on the anesthesia claim and time units associated with the service. We rescaled the time component of the anesthesia intensity measure to equally represent base units and time units. For illustration, we applied the measure to Medicare anesthesia expenditures stratified by rural/urban location. We found that adjustments for intensity were greater in urban settings because the level of intensity is greater. Compared with rural settings, unadjusted expenditures in urban settings are roughly 26 percent higher, whereas adjusted expenditures in urban settings are only 20 percent higher. Even absent longitudinal data, researchers can adjust anesthesia outcomes for intensity using our cross-sectional claims-based intensity method.
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