Improving the ICU: part 1

Chest. 2005 Jun;127(6):2151-64. doi: 10.1378/chest.127.6.2151.


ICUs are a vital component of modern health care. Improving ICU performance requires that we shift from a paradigm that concentrates on individual performance to a different paradigm that emphasizes the need to assess and improve ICU systems and processes. This is the first part of a two-part treatise. It discusses existing problems in ICU care, and the methods for defining and measuring ICU performance.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Critical Care / standards*
  • Critical Care / trends
  • Female
  • Forecasting
  • Health Care Surveys
  • Health Services Research
  • Hospital Mortality / trends*
  • Humans
  • Intensive Care Units / standards*
  • Intensive Care Units / trends
  • Male
  • Patient Care Team / organization & administration
  • Quality Assurance, Health Care*
  • Quality Indicators, Health Care
  • Total Quality Management
  • United States / epidemiology