International Multidisciplinary Consensus Conference on Multimodality Monitoring: ICU Processes of Care

The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

There is an increased focus on evaluating processes of care, particularly in the high acuity and cost environment of intensive care. Evaluation of neurocritical-specific care and evidence-based protocol implementation are needed to effectively determine optimal processes of care and effect on patient outcomes. General quality measures to evaluate intensive care unit (ICU) processes of care have been proposed; however, applicability of these measures in neurocritical care populations has not been established. A comprehensive literature search was conducted for English language articles from 1990 to August 2013. A total of 1,061 articles were reviewed, with 145 meeting criteria for inclusion in this review. Care in specialized neurocritical care units or by neurocritical teams can have a positive impact on mortality, length of stay, and in some cases, functional outcome. Similarly, implementation of evidence-based protocol-directed care can enhance outcome in the neurocritical care population. There is significant evidence to support suggested quality indicators for the general ICU population, but limited research regarding specific use in neurocritical care. Quality indices for neurocritical care have been proposed; however, additional research is needed to further validate measures.

Original languageEnglish (US)
Pages (from-to)215-228
Number of pages14
JournalNeurocritical Care
Volume21
Issue number2
DOIs
StatePublished - Oct 1 2014

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Keywords

  • Benchmarks
  • Mortality
  • Neurocritical care
  • Outcomes
  • Quality

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

Cite this

The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring (2014). International Multidisciplinary Consensus Conference on Multimodality Monitoring: ICU Processes of Care. Neurocritical Care, 21(2), 215-228. https://doi.org/10.1007/s12028-014-0020-x