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Choosing Wisely For Critical Care: The Next Five.
Zimmerman, Jerry J; Harmon, Lori A; Smithburger, Pamela L; Chaykosky, Darlene; Heffner, Alan C; Hravnak, Marilyn; Kane, Jason M; Kayser, Joshua B; Lane-Fall, Meghan B; Matos, Renee I; Mauricio, Riza V; Murphy, David J; Nurok, Michael; Reddy, Anita J; Ringle, Eric; Seferian, Edward G; Smalls-Mantey, Norma M; To, Kathleen B; Kaplan, Lewis J.
Afiliación
  • Zimmerman JJ; Department of Pediatrics, Seattle Children's Hospital, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA.
  • Harmon LA; Society of Critical Care Medicine, Mount Prospect, IL.
  • Smithburger PL; University of Pittsburgh School of Pharmacy, Pittsburgh, PA.
  • Chaykosky D; Enterprise Pharmacy, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, PA.
  • Heffner AC; Department of Emergency Medicine, Carolinas Medical Center, Atrium Health, Charlotte, NC.
  • Hravnak M; School of Nursing, University of Pittsburgh, Pittsburgh, PA.
  • Kane JM; Department of Pediatrics, University of Chicago, Comer Children's Hospital, Chicago, IL.
  • Kayser JB; Departments of Medicine and Medical Ethics and Heath Policy, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
  • Lane-Fall MB; Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA.
  • Matos RI; San Antonio Military Medical Center, San Antonio, TX.
  • Mauricio RV; The University of Texas MD Anderson Cancer Center, Department of Pediatrics, University of Texas, Houston, TX.
  • Murphy DJ; Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
  • Nurok M; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA.
  • Reddy AJ; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Cleveland Clinic, Cleveland, OH.
  • Ringle E; Cerner Corporation, Kansas City, MO.
  • Seferian EG; Departments of Pediatrics and Medical Affairs, Cedars-Sinai Medical Center, Los Angeles, CA.
  • Smalls-Mantey NM; Department of Surgery, Howard University Hospital, Washington, DC.
  • To KB; Division of Surgical Critical Care R. Adams Cowley Shock Trauma Center, Baltimore, MD.
  • Kaplan LJ; Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Crit Care Med ; 49(3): 472-481, 2021 03 01.
Article en En | MEDLINE | ID: mdl-33555779
OBJECTIVES: To formulate new "Choosing Wisely" for Critical Care recommendations that identify best practices to avoid waste and promote value while providing critical care. DATA SOURCES: Semistructured narrative literature review and quantitative survey assessments. STUDY SELECTION: English language publications that examined critical care practices in relation to reducing cost or waste. DATA EXTRACTION: Practices assessed to add no value to critical care were grouped by category. Taskforce assessment, modified Delphi consensus building, and quantitative survey analysis identified eight novel recommendations to avoid wasteful critical care practices. These were submitted to the Society of Critical Care Medicine membership for evaluation and ranking. DATA SYNTHESIS: Results from the quantitative Society of Critical Care Medicine membership survey identified the top scoring five of eight recommendations. These five highest ranked recommendations established Society of Critical Care Medicine's Next Five "Choosing" Wisely for Critical Care practices. CONCLUSIONS: Five new recommendations to reduce waste and enhance value in the practice of critical care address invasive devices, proactive liberation from mechanical ventilation, antibiotic stewardship, early mobilization, and providing goal-concordant care. These recommendations supplement the initial critical care recommendations from the "Choosing Wisely" campaign.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de la Atención de Salud / Cuidados Críticos / Toma de Decisiones Clínicas Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Humans Idioma: En Revista: Crit Care Med Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de la Atención de Salud / Cuidados Críticos / Toma de Decisiones Clínicas Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Humans Idioma: En Revista: Crit Care Med Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos