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Critical Care Reviews |

Improving the ICU*: Part 1

Allan Garland, MD, MA
Author and Funding Information

*From the Case Western Reserve University School of Medicine at MetroHealth Medical Center, Cleveland, OH.

Correspondence to: Allan Garland, MD, MA, Division of Pulmonary and Critical Care Medicine, MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH 44109; e-mail: agarland@metrohealth.org



Chest. 2005;127(6):2151-2164. doi:10.1378/chest.127.6.2151
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ICUs are a vital component of modern health care. Improving ICU performance requires that we shift from a paradigm that concentrates on individual performance to a different paradigm that emphasizes the need to assess and improve ICU systems and processes. This is the first part of a two-part treatise. It discusses existing problems in ICU care, and the methods for defining and measuring ICU performance.


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