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p i ta lM o r ta l i ty IC U L O S H os pit a l L O SB a s e l i n ee I C U 27% 17% 13% * Severity Adjusted Outlier ReductionThe Target 0%5%10%15%20%M ICU S ICU17% 30% 05101520DaysM ICU S ICU28% 5% Percent Outliers Outlier LOS 051015202530Dollars (millions)R e v e n u e D i re ct C o st M a rg i nC o n t ro l V I SI C UICU 的成本分析 Annualized Data Norfolk General (18 beds) “ Health care has safety and quality problems because it relies on outmoded systems of work. If we want safer, higherquality care, we will need to have redesigned systems of care”. The Institute of Medicine Report Crossing the Quality Chasm, 2022 IOM: Care Must Be Process Driven ICU redesign has the highest yield ? Omnipresent ? Focused ? Evidencebased ? Realtime ? Integrated ? Distributed ? Proactive ? Continuous ? Coordinated 技術(shù)支持 ? Captured ? Analyzed ? Feedback ? 提高和改進(jìn)醫(yī)院系統(tǒng)性 ICU治療的水平 ? 信息技術(shù)的使用來提高治療質(zhì)量 ? 提高病人安全的努力的結(jié)果 eICU治療的總結(jié)