Re-organizing Health Care Systems to Optimize Critical Care Outcomes

2003 ◽  
pp. 305-321 ◽  
Author(s):  
M. Hartleib ◽  
W.J. Sibbald
2020 ◽  
Vol 44 (3) ◽  
pp. 113-115
Author(s):  
Gerhard Pütz ◽  
Manuela Müller ◽  
Karl Winkler

Abstract Objectives Clinical laboratory analyses are essential part of critical care. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)/coronavirus disease 2019 (COVID-19)-confirmed cases were doubling in Germany every 3 days during March 2020. Health care systems are preparing for an epidemic crisis. Methods We outline a cohort-based emergency planning. The plan is based on three independent self-sufficient cohorts that maintain duty for 7 days, followed by quarantine-like rest for 14 days. COVID-19-infected and otherwise ill personnel will be replaced by a tactical reserve, which is again replaced by recovered staff. Results We switched to the outlined system when incidence of confirmed COVID-19 cases surpassed 50/100,000 residents. Our parameter spectrum was reduced to the essential analyses in agreement with our clinical colleagues. So far the system works well. In model calculations, the system is robust to maintain essential laboratory functionality even when incidence of COVID-19 is higher than that currently observed in the most severely hit countries. Conclusions We outline a cohort-based emergency planning to maintain essential functionality of a clinical laboratory while minimizing the risk of spreading infection with COVID-19 among our workforce during the COVID-19 epidemic faced in 2020.


2018 ◽  
Vol 178 (12) ◽  
pp. 1729
Author(s):  
Ashraf Roshdy ◽  
Jayachandran Radhakrishnan ◽  
Kevin Kiff

1990 ◽  
Vol 36 (8) ◽  
pp. 1604-1611 ◽  
Author(s):  
W J Sibbald ◽  
M Escaf ◽  
J E Calvin

Abstract We briefly review issues impacting the introduction, evaluation, and cost of technology in critical care, providing a clinician's perspective. Where appropriate, we note important distinctions between health-care systems in Canada and the United States--primarily the result of significant differences in the methods for funding health care in the two countries. Finally, we discuss what processes might be reasonably considered for evaluating technology in critical care and discuss the probability of various consequences that will significantly affect the care we provide our patients if critical-care practitioners, industry, and health planners fail to jointly undertake this responsibility.


2018 ◽  
Vol 69 (4) ◽  
pp. 431-437 ◽  
Author(s):  
Kathleen M. Grubbs ◽  
John C. Fortney ◽  
Jeffrey Pyne ◽  
Dinesh Mittal ◽  
John Ray ◽  
...  

2021 ◽  
pp. 251-273
Author(s):  
Macarena Gálvez Herrer ◽  
Judy E. Davidson ◽  
Gabriel Heras La Calle

This chapter discusses the expanding movement to humanize critical care and intensive care settings. An international perspective is provided with regard to how patients, families, and professionals, along with health care managers and authorities, can redesign health care systems to overcome the obstacles of dehumanization in hospitals and health centers, with social interest at the core. The authors maintain that caring for all parties, including the family, that coexist in the health care system is critical to building an excellent and effective service.


2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle

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