High-value care in the surgical intensive care unit: Effect on ancillary resources

Journal of Surgical Research

Volumn 202, Issue 2, 2016, Pages 455-460

  Ko, Ara ^a   Murry, Jason S ^a   Hoang, David M ^a   Harada, Megan Y ^a   Aquino, Lia ^a   Coffey, Charles ^a   Sax, Harry C ^a   Alban, Rodrigo F ^a  

^a CEDARS SINAI MEDICAL CENTER   (United States)

Author keywords

Cost containment; High value care; Intensive care unit; Lean Six Sigma; Quality improvement

Indexed keywords

ARTERIAL GAS; ARTICLE; BLOOD CELL COUNT; BLOOD GAS ANALYSIS; CHECKLIST; COST CONTROL; DISEASE SEVERITY; HEALTH CARE QUALITY; HUMAN; INTENSIVE CARE UNIT; LABORATORY TEST; LENGTH OF STAY; MORTALITY; PHLEBOTOMY; PRIORITY JOURNAL; STAFF TRAINING; SURGICAL INTENSIVE CARE UNIT; THORAX RADIOGRAPHY; CALIFORNIA; ECONOMICS; HOSPITAL COST; HOSPITAL MORTALITY; INTENSIVE CARE; MEDICAL EDUCATION; NURSING EDUCATION; ORGANIZATION AND MANAGEMENT; PROCEDURES; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; TOTAL QUALITY MANAGEMENT; TREATMENT OUTCOME; UNNECESSARY PROCEDURE;

CALIFORNIA; CHECKLIST; COST CONTROL; CRITICAL CARE; EDUCATION, MEDICAL, CONTINUING; EDUCATION, NURSING, CONTINUING; HOSPITAL COSTS; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; INTERNSHIP AND RESIDENCY; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); QUALITY IMPROVEMENT; RETROSPECTIVE STUDIES; UNNECESSARY PROCEDURES;

EID: 84961928035     PISSN: 00224804     EISSN: 10958673     Source Type: Journal    
DOI: 10.1016/j.jss.2016.01.040     Document Type: Article

References (21)

1. National Health Care Expenditure Data. The Centers for Medicare and Medicaid Services; 2014.
2. A.D. Hackbarth Eliminating waste in US health care JAMA 307 2012 1513 1516
3. R.W. Bush Reducing waste in US health care systems JAMA 297 2007 871 874
4. J.R. Vest, and L.D. Gamm A critical review of the research literature on Six Sigma, Lean and StuderGroup's Hardwiring Excellence in the United States: the need to demonstrate and communicate the effectiveness of transformation strategies in healthcare Implement Sci 4 2009 35
5. H. Klepzig, G. Winten, C. Thierolf, G. Kiesling, K.H. Usadel, and A.M. Zeiher [Treatment costs in a medical intensive care unit: a comparison of 1992 and 1997] Dtsch Med Wochenschr 123 1998 719 725
6. P. Merlani, P. Garnerin, M. Diby, M. Ferring, and B. Ricou Quality improvement report: linking guideline to regular feedback to increase appropriate requests for clinical tests: blood gas analysis in intensive care BMJ 323 2001 620 624
7. M.H. Anstey, J.L. Adams, and E.A. McGlynn Perceptions of the appropriateness of care in California adult intensive care units Crit Care 19 2015 51
8. A.M. Oliveira, M.V. Oliveira, and C.L. Souza Prevalence of unnecessary laboratory tests and related avoidable costs in intensive care unit J Bras Patol E Med Lab 50 2014 10.5935/1676-2444.20140049
9. D. Wisser, K. van Ackern, E. Knoll, H. Wisser, and T. Bertsch Blood loss from laboratory tests Clin Chem 49 2003 1651 1655
10. D. Beland, C. D'Angelo, and D. Vinci Reducing unnecessary blood work in the neurosurgical ICU J Neurosci Nurs J Am Assoc Neurosci Nurses 35 2003 149 152
11. H.L. Corwin, A. Gettinger, R.G. Pearl, and et al. The CRIT Study: anemia and blood transfusion in the critically ill - current clinical practice in the United States Crit Care Med 32 2004 39 52
12. C. Chant, G. Wilson, and J.O. Friedrich Anemia, transfusion, and phlebotomy practices in critically ill patients with prolonged ICU length of stay: a cohort study Crit Care Lond Engl 10 2006 R140
13. V. Ioos, A. Galbois, L. Chalumeau-Lemoine, B. Guidet, E. Maury, and G. Hejblum An integrated approach for prescribing fewer chest x-rays in the ICU Ann Intensive Care 1 2011 4
14. G. Prat, M. Lefèvre, E. Nowak, and et al. Impact of clinical guidelines to improve appropriateness of laboratory tests and chest radiographs Intensive Care Med 35 2009 1047 1053
15. T.A. May, M. Clancy, J. Critchfield, and et al. Reducing unnecessary inpatient laboratory testing in a teaching hospital Am J Clin Pathol 126 2006 200 206
16. W.H. Marx, N.L. DeMaintenon, K.F. Mooney, and et al. Cost reduction and outcome improvement in the intensive care unit J Trauma 46 1999 625 629 discussion 629-30
17. P.S. Barie, and L.J. Hydo Learning to not know: results of a program for ancillary cost reduction in surgical critical care J Trauma 41 1996 714 720
18. P.S. Barie, and L.J. Hydo Lessons learned: durability and progress of a program for ancillary cost reduction in surgical critical care J Trauma 43 1997 590 594 discussion 594-6
19. M. Krivopal, O.A. Shlobin, and R.M. Schwartzstein Utility of daily routine portable chest radiographs in mechanically ventilated patients in the medical ICU Chest 123 2003 1607 1614
20. M.E. Graat, A. Kröner, P.E. Spronk, and et al. Elimination of daily routine chest radiographs in a mixed medical-surgical intensive care unit Intensive Care Med 33 2007 639 644
21. K.A. Hendrikse, J.W. Gratama, Wt Hove, J.H. Rommes, M.J. Schultz, and P.E. Spronk Low value of routine chest radiographs in a mixed medical-surgical ICU Chest 132 2007 823 828