Quality of Care
The available data suggests a relation between ICU volume and quality of care for mechanically ventilated patients. After adjustment for severity of illnesses, demographic variables, and characteristics of different ICUs (including staffing by intensivists), higher ICU staffing was significantly associated with lower ICU and hospital mortality rates. A ratio of 2 patients to 1 nurse is recommended for a medical ICU, which contrasts to the ratio of 4:1 or 5:1 typically seen on medical floors. This varies from country to country, though; e.g., in Australia and the United Kingdom most ICUs are staffed on a 2:1 basis (for High-Dependency patients who require closer monitoring or more intensive treatment than a hospital ward can offer) or on a 1:1 basis for patients requiring very intensive support and monitoring; for example, a patient on a mechanical ventilator with associated anaesthetics or sedation such as propofol, Midazolam and use of strong analgesics such as morphine, fentanyl and/or remifentanil.
Read more about this topic: Intensive Care Unit
Famous quotes containing the words quality of, quality and/or care:
“The quality of strength lined with tenderness is an unbeatable combination, as are intelligence and necessity when unblunted by formal education.”
—Maya Angelou (b. 1928)
“Taste is the fundamental quality which sums up all the other qualities. It is the nec plus ultra of the intelligence. Through this alone is genius the supreme health and balance of all the faculties.”
—Isidore Ducasse, Comte de Lautréamont (1846–1870)
“The lifelong process of caregiving, is the ultimate link between caregivers of all ages. You and I are not just in a phase we will outgrow. This is life—birth, death, and everything in between.... The care continuum is the cycle of life turning full circle in each of our lives. And what we learn when we spoon-feed our babies will echo in our ears as we feed our parents. The point is not to be done. The point is to be ready to do again.”
—Paula C. Lowe (20th century)