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BACKGROUND Increasing data suggest that error in medicine is frequent and results in substantial harm. The recent Institute of Medicine report (LT Kohn, JM Corrigan, MS Donaldson, eds: To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press, 1999) described the magnitude of the problem, and the public interest in this issue,(More)
An index for prediction of outcome for use as a measure of the severity of illness was developed by a nonparametric multivariate analysis of cardiorespiratory data from 113 critically ill postoperative general surgical patients. This severity (predictive) index was based on a computerized algorithm that compares a given observed value with the frequency(More)
Definition of the appropriate therapeutic goals for physiologic monitoring of patients postoperatively was approached by analyzing more than 50,000 values of the 20 most commonly monitored variables in a series of 113 critically ill patients throughout their immediate postoperative course. In general, normal values were poor criteria for monitoring, since(More)
The purpose of this study was to analyze causes of early readmission to the surgical intensive care unit (SICU), to determine whether readmission can be predicted or prevented, and to compare outcomes of patients readmitted to the SICU with patients not requiring readmission. All patients admitted to the Cedars-Sinai SICU from January 1, 1996, to December(More)
OBJECTIVE To determine the clinical acceptability of various levels of video compression for remote proctoring of laparoscopic surgical procedures. DESIGN Observational, controlled study. SETTING Community-based teaching hospital. PARTICIPANTS Physician and nurse observers. INTERVENTIONS Controlled surgical video scenes were subjected to various(More)
OBJECTIVES This study was designed to determine the incidence rate, define risk factors, and suggest proper management protocols for pulmonary artery (PA) rupture associated with Swan-Ganz catheters. DESIGN This is a retrospective chart-review study. SETTING This study involved 32,442 inpatients requiring hemodynamic monitoring with Swan-Ganz catheters(More)
  • M M Shabot
  • 1989
The absence of standards for medical device communications has stymied the acceptance and success of automated clinical data management systems. Even devices with simple RS-232 data output ports require special interfacing hardware and software. Due to the number and variety of medical devices available, each with their own peculiar data output(More)
Although noncardiogenic pulmonary edema (NCPE) is a recognized complication of blood transfusion, the precise etiology is not well understood. NCPE may be secondary to complement-mediated pulmonary capillary injury initiated by either donor or recipient anti-leukocyte antibodies. It is not caused by simple volume overload. Recent blood banking texts and(More)
OBJECTIVE To quantify the incidence of anemia and red blood cell (RBC) transfusion practice in critically ill patients and to examine the relationship of anemia and RBC transfusion to clinical outcomes. DESIGN Prospective, multiple center, observational cohort study of intensive care unit (ICU) patients in the United States. Enrollment period was from(More)