2020
DOI: 10.5935/0103-507x.20200040
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How to evaluate intensive care unit performance during the COVID-19 pandemic

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Cited by 6 publications
(2 citation statements)
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“…Sudden increases in the standardized mortality rates (SMRs) were observed and were initially ascribed to excess deaths. Brazilian data of 30,571 patients in 126 ICUs ( 14 ) demonstrated that increases in SMRs occurred in part because traditional scoring systems are not well calibrated for COVID-19 patients. However, disruption in the organization of delivery of critical care has worsened overall ICU performance.…”
Section: Introductionmentioning
confidence: 99%
“…Sudden increases in the standardized mortality rates (SMRs) were observed and were initially ascribed to excess deaths. Brazilian data of 30,571 patients in 126 ICUs ( 14 ) demonstrated that increases in SMRs occurred in part because traditional scoring systems are not well calibrated for COVID-19 patients. However, disruption in the organization of delivery of critical care has worsened overall ICU performance.…”
Section: Introductionmentioning
confidence: 99%
“…Risks and benefits need to be balanced to avoid the excesses of critical care and expose patients to the minimum invasiveness necessary for recovery. ( 12 ) Continuous quality improvement must be part of ICU care through data-driven ( 13 ) decisions and should not be implemented in a top-down manner. A bottom-up strategy where the team embraces this as their responsibility is the key to better outcomes.…”
mentioning
confidence: 99%