The role of hospital organizational factors in improving patient-important outcomes of critically ill patients
For critically ill patients, a patient-important outcome such as quality of life is more meaningful than just survival. Among important factors that affect outcomes are hospital organization, early recognition of deteriorating patients and avoiding unplanned ICU discharges. The triad of early...
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Format: | Article |
Language: | English |
Published: |
Malaysian Society of Anaesthesiologists
2017
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Online Access: | http://irep.iium.edu.my/61856/1/61856_The%20Role%20Of%20Hospital%20Organizational.pdf http://irep.iium.edu.my/61856/ http://www.msa.net.my/index.cfm?&menuid=52&parentid=55 |
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Summary: | For critically ill patients, a patient-important
outcome such as quality of life is more meaningful
than just survival. Among important factors that
affect outcomes are hospital organization, early
recognition of deteriorating patients and avoiding
unplanned ICU discharges. The triad of early
recognition of deteriorating patients, timeliness
of response and activation of clinicians with
appropriate clinical competency are the key aspects
of Rapid Response System (RRS). RRS has been
shown to improve outcomes of critically ill patients
in developed countries. To date, there is no formal
policy or information on RRS in hospitals across
Malaysia. The increased demand for ICU beds
is reflected by increased after-hours discharges.
Our observational study of ICU admissions over
five years has clearly demonstrated an association
between after-hours ICU discharge and increased
odds of in-hospital mortality. This poses a major
concern given that one in every three ICU patients is
being discharged after-hours in Malaysia. |
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