Impact of Quality-of-Care Factors on Pediatric Intensive Care Unit Mortality
JAMAPublished 28 September 1994
Murray M. Pollack
Citations258
SJR quartileQ1
SJR score5.35
SNIP10.71
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Characteristics indicative of the best overall hospital quality may not be associated, or may be negatively associated, with quality of care in specialized care areas, including the pediatric ICU.
Abstract
Characteristics indicative of the best overall hospital quality may not be associated, or may be negatively associated, with quality of care in specialized care areas, including the pediatric ICU.
Keywords
MedicineEconomics, Econometrics and Finance
American Mathematical MonthlyIntroduction to Statistical Analysis.
5,096 Citations1957V. V. Latshaw, W. J. Dixon +1 more
New England Journal of MedicineThe Nature of Adverse Events in Hospitalized Patients
3,750 Citations1991Lucian L. Leape, Troyen A. Brennan +8 more
The high proportion that are due to management errors suggests that many others are potentially preventable now, and reducing the incidence of these events will require identifying their causes and developing methods to prevent error or reduce its effects.
Critical Care MedicinePediatric risk of mortality (PRISM) score
1,393 Citations1988Murray M. Pollack, Urs E. Ruttimann +1 more
The Pediatric Risk of Mortality (PRISM) score was developed from the Physiologic Stability Index (PSI) to reduce the number of physiologic variables required for pediatric ICU (PICU) mortality risk assessment and to obtain an objective weighting of the remaining variables.
Annals of Internal MedicineAn Evaluation of Outcome from Intensive Care in Major Medical Centers
1,202 Citations1986William A. Knaus, ELIZABETH A. DRAPER +2 more
JAMAInvestigation of the Relationship Between Volume and Mortality for Surgical Procedures Performed in New York State Hospitals
541 Citations1989Edward L. Hannan
An improved measure of physician volume is used to test the combined relationship of hospital and physician volume with in-hospital mortality rates and to explore the existence of threshold volumes that optimally discriminate high- and low-volume providers.
New England Journal of MedicineHospital Characteristics and Mortality Rates
506 Citations1989Arthur J. Hartz, Henry Krakauer +8 more
This study obtained data on 3100 hospitals from the 1986 HCFA mortality study and the American Hospital Association's 1986 annual survey of hospitals to identify characteristics of hospitals associated with variations in these rates.
Medical CareOrganizational Assessment in Intensive Care Units (ICUs): Construct Development, Reliability, and Validity of the ICU Nurse-Physician Questionnaire
429 Citations1991Stephen M. Shortell, Denise M. Rousseau +3 more
A national study of 42 intensive care units involving over 1,700 respondents provides evidence for the reliability and validity of a comprehensive set of measures related to leadership, organizational culture, communication, coordination, problem solving-conflict management and team cohesiveness.
JAMAHospital Characteristics and Quality of Care
399 Citations1992Emmett B. Keeler
Quality varies from state to state, but teaching, larger, and more urban hospitals have better quality in general than nonteaching, small, and rural hospitals.
Critical Care MedicineImproved outcomes from tertiary center pediatric intensive care
333 Citations1991Murray M. Pollack, Steven R. Alexander +4 more
Care of the most seriously ill children in tertiary pediatric ICUs could improve their chances of survival, and the number of deaths were significantly different than predicted.
PubMedDoes practice make perfect? Part I: The relation between hospital volume and outcomes for selected diagnostic categories.
319 Citations1984Andrew Flood, William Russell Scott +1 more
Medical CareEffects of Surgeon Volume and Hospital Volume on Quality of Care in Hospitals
272 Citations1987Robert Hughes, Sandra Hunt +1 more
Both hospital volume and the proportion of patients operated on by low-volume surgeons are related to quality of care as measured by patient outcomes, and higher hospital volume is positively related to better patient outcomes.
JAMAHospital Characteristics Associated With Adverse Events and Substandard Care
265 Citations1991Troyen A. Brennan
It is suggested that certain types of hospitals have significantly higher rates of injuries due to substandard care and that some hospitals' populations may be at risk of suffering a poor outcome.
CHEST JournalEffect on ICU Mortality of a Full-time Critical Care Specialist
235 Citations1989J. Brown, Glendon Sullivan
Critical Care MedicineImproving the outcome and efficiency of intensive care
230 Citations1988Murray M. Pollack, Robert Katz +2 more
It is indicated that a pediatric intensivist can improve mortality rates and efficiency of bed utilization in the pediatric ICU.
Medical CareThe Effects of Patient, Hospital, and Physician Characteristics on Length of Stay and Mortality
207 Citations1991Lawton R. Burns, Douglas R. Wholey
One interesting finding is that the medical school attended by the physician influences the patient's length of stay, and the volume of patients with the same condition treated by the hospital increases both length ofStay and mortality.
New England Journal of MedicineAccurate Prediction of the Outcome of Pediatric Intensive Care
189 Citations1987Murray M. Pollack, Urs E. Ruttimann +2 more
Medical CareDoes Practice Make Perfect?
173 Citations1984Ann Barry Flood, W. Richard Scott +1 more
Strong and consistent evidence that greater volume produces better outcome was found for both surgical and medical patients and is strongly supportive of the need for policies that would promote greater regionalization of a given service, and not greater size, to obtain better quality outcome for patients treated.
BiometrikaTransformations of the explanatory variables in the logistic regression model for binary data
158 Citations1987Richard Kay, Sarah Little
Medical CareHospital Medical Staff Organization and Quality of Care
132 Citations1981Stephen M. Shortell, James P. LoGerfo
Analysis of relationships among hospital structural characteristics, individual physician characteristics, medical staff organization characteristics and quality of care for two conditions suggests that more attention needs to be given to the organization of the hospital medical staff and its articulation with the overall hospital decision-making structure and process in attempts to improve outcomes of hospitalization.
Medical CareVolume-Outcome Relationships and Inhospital Mortality: The Effect of Changes in Volume Over Time
127 Citations1992Dean E. Farley, Ronald J. Ozminkowski
The results suggest that higher volume leads to better outcomes for certain groups of patients, and the effects of volume on outcome appear to be larger when estimated from longitudinal, rather than cross-sectional, data.
New England Journal of MedicineThe Relation between Experience and Outcome in Heart Transplantation
104 Citations1992Glenn Laffel, Arnold Barnett +2 more
Experience with heart transplantation is associated with a better outcome for patients after that procedure, and opportunities exist to refine transplantation policies on the basis of the experience of a center and its transplantation team and to develop similar policies for other forms of organ transplantation.
Critical Care MedicinePediatric intensive care units
89 Citations1993Murray M. Pollack, TIMOTHY C. CUERDON +1 more
Substantial diversity exists in pediatric ICU structure and organization, and determining factors associated with quality of care is important for improving outcomes.
PEDIATRICSGuidelines and Levels of Care for Pediatric Intensive Care Units
41 Citations1993Committee on Hospital Care and Pediatric Section of the Society of Critical Care Medicine
These guidelines are not intended as a statement of the ideal or ultimate requirements for PICUs, but are expected to rise as critical care medicine continues to develop and appropriately trained providers become more readily available.
Academic MedicineDiscrepancies between knowledge and use of diagnostic studies in asymptomatic patients
38 Citations1979Philip Greenland, A I Mushlin +1 more
Social Science & MedicineThe diagnostic process in primary care: A comparison of general internists and family physicians
10 Citations1987Deborah Simpson, Eugene C. Rich +5 more
Results of the analyses of variance of hypothesis measures revealed that internists generated more hypotheses than family physicians and that the internist's hypotheses were more specific and were less likely to be generated by other physicians.
Critical Care MedicineIMPROVING THE OUTCOME AND EFFICIENCY OF PEDIATRIC INTENSIVE CARE
10 Citations1986Murray M. Pollack, Robert Katz +2 more