Population requirement for adult critical-care beds: a prospective quantitative and qualitative study

Lyons, Ronan A.; Wareham, K.; Hutchings, Hayley; Major, E.; Ferguson, B. Jane

doi:10.1016/s0140-6736(00)01265-4

Cited by 81 publications

(40 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All over the world, there is evidence that the demand for intensive care exceeds supply, and rationing of intensive care unit (ICU) beds is common [1][2][3][4][5][6][7][8]. A method of prioritizing or triaging patients is therefore necessary [9].…”

Section: Introductionmentioning

confidence: 99%

Determinants and outcomes associated with decisions to deny or to delay intensive care unit admission in Morocco

Louriz¹,

Abidi²,

Akkaoui³

et al. 2012

Intensive Care Med

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Determinants and outcomes associated with decisions to deny or to delay intensive care unit admission in Morocco

Louriz¹,

Abidi²,

Akkaoui³

et al. 2012

Intensive Care Med

View full text Add to dashboard Cite

show abstract

“…In 1998, it was estimated that the adult ICU provision in England was 55 beds per million. 19 Following public and political disquiet over the lack of ICU beds and a high volume of patient transfers, the UK Government pledged to increase critical care capacity. By 2002, it had already reached its target of a 30% increase from the January 2000 figure.…”

Section: Discussionmentioning

confidence: 99%

Intensive care requirements for an ageing population – a microcosm of problems facing the NHS?

2004

View full text Add to dashboard Cite

“…There is a shortage of ICU beds in many countries [1][2][3][4][5] and ICU occupancy rates are increasing [6]. When demand for critical care is high relative to available ICU capacity, ICU becomes a bottleneck to patient flow [5], making critical patients access to ICUs limited [7].…”

Section: Introductionmentioning

confidence: 99%

Sustaining critical care: using evidence-based simulation to evaluate ICU management policies

Mahmoudian-Dehkordi

Sadat

2016

Health Care Manag Sci

View full text Add to dashboard Cite

Intensive Care Units (ICU) are costly yet critical hospital departments that should be available to care for patients needing highly specialized critical care. Shortage of ICU beds in many regions of the world and the constant fire-fighting to make these beds available through various ICU management policies motivated this study. The paper discusses the application of a generic system dynamics model of emergency patient flow in a typical hospital, populated with empirical evidence found in the medical and hospital administration literature, to explore the dynamics of intended and unintended consequences of such ICU management policies under a natural disaster crisis scenario. ICU management policies that can be implemented by a single hospital on short notice, namely premature transfer from ICU, boarding in ward, and general ward admission control, along with their possible combinations, are modeled and their impact on managerial and health outcome measures are investigated. The main insight out of the study is that the general ward admission control policy outperforms the rest of ICU management policies under such crisis scenarios with regards to reducing total mortality, which is counter intuitive for hospital administrators as this policy is not very effective at alleviating the symptoms of the problem, namely high ED and ICU occupancy rates that are closely monitored by hospital management particularly in times of crisis. A multivariate sensitivity analysis on parameters with diverse range of values in the literature found the superiority of the general ward admission control to hold true in every scenario.

show abstract

Population requirement for adult critical-care beds: a prospective quantitative and qualitative study

Cited by 81 publications

References 2 publications

Determinants and outcomes associated with decisions to deny or to delay intensive care unit admission in Morocco

Determinants and outcomes associated with decisions to deny or to delay intensive care unit admission in Morocco

Intensive care requirements for an ageing population – a microcosm of problems facing the NHS?

Sustaining critical care: using evidence-based simulation to evaluate ICU management policies

Contact Info

Product

Resources

About