TY  - CHAP
M1  - Book, Section
TI  - Chapter 3. Improving the Quality of Care in the Intensive Care Unit
A1  - Garland, Allan
A2  - Hall, Jesse B.
A2  - Schmidt, Gregory A.
A2  - Wood, Lawrence D.H.
PY  - 2005
T2  - Principles of Critical Care, 3e
AB  - Improving  ICU  performance  demands  a  systems-oriented  approach  embodied  in  total  quality  management  (TQM).In  most  ICUs  this  requires  a  major  paradigm  shift  away  from  the  discredited  notion  that  most  omissions,  errors,  and  other  problems  are  the  fault  of  individuals,  and  embraces  the  idea  that  meaningful  and  sustained  improvement  comes  from  transforming  structures  and  processes  into  those  that  make  it  hard  for  people  to  make  mistakes.Creating  an  effective  program  of  TQM  is  much  easier  in  an  ICU  having  the  resources  to  hire  personnel  and  purchase  information  systems.The  most  difficult,  labor-intensive,  and  expensive  part  of  TQM  is  data  collection,  but  there  are  ways  to  make  this  less  burdensome.Every  ICU  should  implement  a  system  of  TQM  that  is  multidisciplinary  and  inclusive,  has  the  vigorous  support  of  hospital  and  ICU  leadership,  and  has  sufficient  personnel  and  economic  support  to  succeed.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2019/06/27
UR  - accessmedicine.mhmedical.com/content.aspx?aid=2286034
ER  -