The availability of clinical protocols in US teaching intensive care units

Journal of Critical Care

Volumn 25, Issue 4, 2010, Pages 610-619

  Prasad, Meeta ^a,b   Christie, Jason D ^a,b   Bellamy, Scarlett L ^b   Rubenfeld, Gordon D ^c   Kahn, Jeremy M ^a,b  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c SUNNYBROOK RESEARCH INSTITUTE   (Canada)

Author keywords

Intensive care; Medical education; Patient care; Protocol

Indexed keywords

ADMINISTRATIVE PERSONNEL; ARTICLE; ARTIFICIAL VENTILATION; CLINICAL PROTOCOL; CONTROLLED STUDY; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; NURSE; OUTCOME ASSESSMENT; PATIENT CARE; QUESTIONNAIRE; RESIDENCY EDUCATION; RESIDENT; RESPIRATORY THERAPIST; RESUSCITATION; SEDATION; SEPSIS; STANDARDIZATION; TEACHING HOSPITAL; UNITED STATES;

CLINICAL COMPETENCE; CLINICAL PROTOCOLS; EDUCATION, MEDICAL; HOSPITALS, TEACHING; HUMANS; INTENSIVE CARE; INTENSIVE CARE UNITS; PRACTICE GUIDELINES AS TOPIC; QUESTIONNAIRES; UNITED STATES;

EID: 78649451164     PISSN: 08839441     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jcrc.2010.02.014     Document Type: Article

References (25)

1. Ely E.W., Baker A.M., Dunagan D.P., et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 1996, 335(25):1864-1869.
2. Kress J.P., Pohlman A.S., O'Connor M.F., Hall J.B. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000, 342(20):1471-1477.
3. Lellouche F., Mancebo J., Jolliet P., et al. A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. Am J Respir Crit Care Med 2006, 174(8):894-900.
4. Dellinger R.P., Levy M.M., Carlet J.M., et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2008. Intensive Care Med 2008, 34(1):17-60.
5. Chatburn R.L., Deem S. Respiratory controversies in the critical care setting. Should weaning protocols be used with all patients who receive mechanical ventilation?. Respir Care 2007, 52(5):609-619. [discussion 619-621].
6. Smyrnios N.A., Connolly A., Wilson M.M., et al. Effects of a multifaceted, multidisciplinary, hospital-wide quality improvement program on weaning from mechanical ventilation. Crit Care Med 2002, 30(6):1224-1230.
7. Krishnan J.A., Moore D., Robeson C., Rand C.S., Fessler H.E. A prospective, controlled trial of a protocol-based strategy to discontinue mechanical ventilation. Am J Respir Crit Care Med 2004, 169(6):673-678.
8. Timmermans S., Mauck A. The promises and pitfalls of evidence-based medicine. Health Aff (Millwood) 2005, 24(1):18-28.
9. Tobin M.J. Of principles and protocols and weaning. Am J Respir Crit Care Med 2004, 169(6):661-662.
10. Costantini O., Papp K.K., Como J., Aucott J., Carlson M.D., Aron D.C. Attitudes of faculty, housestaff, and medical students toward clinical practice guidelines. Acad Med 1999, 74(10):1138-1143.
11. Stoller J.K., Thaggard I., Piquette C.A., O'Brien R.G. The impact of a respiratory therapy consult service on house officers' knowledge of respiratory care ordering. Respir Care 2000, 45(8):945-952.
12. Accreditation Council of Graduate Medical Education List of ACGME accredited programs and sponsoring institutions Available at, [Accessed March 13, 2009]. http://www.acgme.org/adspublic/.
13. Rivers E., Nguyen B., Havstad S., et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001, 345(19):1368-1377.
14. The Acute Respiratory Distress Syndrom Network Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000, 342(18):1301-1308.
15. Treece P.D., Engelberg R.A., Crowley L., et al. Evaluation of a standardized order form for the withdrawal of life support in the intensive care unit. Crit Care Med 2004, 32(5):1141-1148.
16. Adams A.S., Soumerai S.B., Lomas J., Ross-Degnan D. Evidence of self-report bias in assessing adherence to guidelines. Int J Qual Health Care 1999, 11(3):187-192.
17. Brunkhorst F.M., Engel C., Ragaller M., et al. Practice and perception-a nationwide survey of therapy habits in sepsis. Crit Care Med 2008, 36(10):2719-2725.
18. Volpp K.G., Rosen A.K., Rosenbaum P.R., et al. Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. JAMA 2007, 298(9):975-983.
19. Volpp K.G., Rosen A.K., Rosenbaum P.R., et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA 2007, 298(9):984-992.
20. Landis J.R., Koch G.G. The measurement of observer agreement for categorical data. Biometrics 1977, 33(1):159-174.
21. Sinuff T., Cook D., Giacomini M., Heyland D., Dodek P. Facilitating clinician adherence to guidelines in the intensive care unit: a multicenter, qualitative study. Crit Care Med. 2007, 35(9):2083-2089.
22. Cabana M.D., Rand C.S., Powe N.R., et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999, 282(15):1458-1465.
23. Rubenfeld G.D., Christie J.D. The epidemiologist in the intensive care unit. Intensive Care Med 2004, 30(1):4-6.
24. Akhtar S.R., Weaver J., Pierson D.J., Rubenfeld G.D. Practice variation in respiratory therapy documentation during mechanical ventilation. Chest 2003, 124(6):2275-2282.
25. Kalhan R., Mikkelsen M., Dedhiya P., et al. Underuse of lung protective ventilation: analysis of potential factors to explain physician behavior. Crit Care Med 2006, 34(2):300-306.