Using risk adjustment systems in the ICU: Avoid scoring an "own goal"

Intensive Care Medicine

Volumn 31, Issue 11, 2005, Pages 1471-1473

  Polderman, Kees H ^a   Metnitz, Philipp G H ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

COST EFFECTIVENESS ANALYSIS; EDITORIAL; HEALTH CARE QUALITY; HEALTH INSURANCE; HOSPITAL MANAGEMENT; HUMAN; INTENSIVE CARE UNIT; MEDICAL PRACTICE; NURSING; PHYSICIAN; RISK ASSESSMENT; RISK FACTOR;

APACHE; DIAGNOSIS-RELATED GROUPS; HUMANS; INTENSIVE CARE UNITS; QUALITY OF HEALTH CARE; RISK ADJUSTMENT;

EID: 27744527558     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-005-2750-x     Document Type: Editorial

References (18)

1. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL (2002) Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA 288:2151-2162
2. Tarnow-Mordi WO, Hau C, Warden A, Shearer AJ (2000) Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit. Lancet 356:185-189
3. Iapichino G, Gattinoni L, Radrizzani D, Simini B, Bertolini G, Ferla L, Mistraletti G, Porta F, Miranda DR (2004) Volume of activity and occupancy rate in intensive care units. Association with mortality. Intensive Care Med 30:290-297
4. Tibby SM, Correa-West J, Durward A, Ferguson L, Murdoch IA (2004) Adverse events in a paediatric intensive care unit: relationship to workload, skill mix and staff supervision. Intensive Care Med 30:1160-1166
5. Tucker J, UK Neonatal Staffing Study Group (2002) Patient volume, staffing, and workload in relation to risk-adjusted outcomes in a random stratified sample of UK neonatal intensive care units: a prospective evaluation. Lancet 359:99-107
6. Glance LG, Osler TM, Dick A (2002) Rating the quality of intensive care units: is it a function of the intensive care unit scoring system? Crit Care Med 30:1976-1982
7. Afessa B, Keegan MT, Gajic O, Hubmayr RD, Peters SG (2005) The influence of missing components of the Acute Physiology Score of APACHE III on the measurement of ICU performance. Intensive Care Med 31 (DOI: 10.1007/s00134-005- 2751-9)
8. Metnitz PG, Vesely H, Valentin A, Popow C, Hiesmayr M, Lenz K, Krenn CG, Steltzer H (1999) Evaluation of an interdisciplinary data set for national intensive care unit assessment. Crit Care Med 27:1486-1491
9. Engel JM, Junger A, Bottger S, Benson M, Michel A, Rohrig R, Jost A, Hempelmann G (2003) Outcome prediction in a surgical ICU using automatically calculated SAPS II scores. Anaesth Intensive Care 31:548-554
10. Perez A, Dennis RJ, Gil JF, Rondon MA, Lopez A (2002) Use of the mean, hot deck and multiple imputation techniques to predict outcome in intensive care unit patients in Colombia. Stat Med 21:3885-3896
11. Polderman KH, Girbes ARJ, Thijs LG, Strack van Schijndel RJM (2001) Accuracy and reliability of Apache II scoring in two Intensive Care units. Problems and pitfalls in the use of APACHE II and suggestions for improvement. Anaesthesia 56:47-50
12. Polderman KH, Girbes ARJ, Thijs LG (1999) Inter-observer variation in assessing severity of illness using the APACHE-II scoring system (research letter). Lancet 353:380
13. Chen LM, Martin CM, Morrison TL, Sibbald WJ (1999) Interobserver variability in data collection of the APACHE II score in teaching and community hospitals. Crit Care Med 27:1999-2004
14. Polderman KH, Christiaans, HMT, Wester JP, Spijkstra JJ, Girbes ARJ (2001) Intra-observer variability in APACHE II scoring. Intensive Care Med 27:1550-1552
15. Polderman KH, Jorna EMF, Girbes ARJ (2001) Inter-observer variability in APACHE II scoring: Effect of strict guidelines and training. Intensive Care Med 27:1365-1369
16. Van Keulen JG, Gemke RJB, Polderman KH (2005) Effect of strict guidelines and training on inter-observer variability in PIM and PRISM severity scores. Intensive Care Med 31:1432-1238
17. Rosenberg AL, Hofer TP, Strachan C, Watts CM, Hayward RA (2003) Accepting Critically Ill Transfer Patients: Adverse Effect on a Referral Center's Outcome and Benchmark Measures. Ann Intern Med 138:882-890
18. Van Zanten AR, Polderman KH (2004) Organizational changes in a single intensive care unit affect benchmarking. Ann Intern Med 140:674-675