Author/Editor		Korošec-Jagodič, Helena
Title		Ocenjevanje kvalitete dela na intenzivnem oddelku
Type		monografija
Place		Ljubljana
Publisher		Univerza v Ljubljani, Medicinska fakulteta
Publication year		2006
Volume		str. 45
Language		slo
Abstract		Background: Intensive care units provide a service for patients with acute physiological derangement and organ failure, and for those who can benefit from more comprehensive observation and complex treatment than available on standard hospital wards. Severity of illness scores and models (SAPS II, APACHE II and III, MPM II) estimating a probability of hospital mortality among intensive care unit (ICU) patients have been increasingly used in ICUs. Success of critical care is most often measured using in-unit or in-hospital mortality and long-term mortality after discharge from hospital. But it is insufficient to evaluate patient outcome after intensive care by means of survival alone. Quality of life must be examined, because only prolonging life can bring also poor outcome like vegetative state. Post mortem examination has an important role in the intensive care unit. Regular comparison of clinical and autopsy diagnoses give us feedback information about our clinical practice and diagnostic performance. The rate of post mortem examination, however, has been shown to be declining all over the world. Objective: This study's aims were to (a) determine short and long-term survival of critically ill surgical patients, (b) assess quality of life of survivors of critical illness, (c) compare survival for those admitted with sepsis and trauma and (d) evaluate the frequency of »major« diagnostic errors assessed by autopsies. Design and setting: An observational study in an 11-bed closed surgical intensive care unit at a 860-bed general hospital. Patients and interventions: We included all patients admitted to the surgical intensive care unit (SICU) during a 1-year period (January 2003 through December 2003). Demographic details included patient's age, sex, admission diagnoses, severity of illness (APACHE II risk of hospital mortality) and lengths of stay in SICU and general ward. (Abstract truncated at 2000 characters)
Descriptors		INTENSIVE CARE UNITS QUALITY ASSURANCE, HEALTH CARE APACHE SEVERITY OF ILLNESS INDEX SURVIVAL ANALYSIS QUALITY OF LIFE AUTOPSY SEPSIS WOUNDS AND INJURIES RETROSPECTIVE STUDIES