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Crit Care Clin. 2013 Apr;29(2):129-51. doi: 10.1016/j.ccc.2012.11.002. Epub 2013 Jan 17.

Quality: performance improvement, teamwork, information technology and protocols.

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Division of Critical Care Medicine, Department of Pediatrics, Weill Cornell Medical College, 525 East 68th Street, M-508, New York, NY 10065-4870, USA.


Using the Institute of Medicine framework that outlines the domains of quality, this article considers four key aspects of health care delivery which have the potential to significantly affect the quality of health care within the pediatric intensive care unit. The discussion covers: performance improvement and how existing methods for reporting, review, and analysis of medical error relate to patient care; team composition and workflow; and the impact of information technologies on clinical practice. Also considered is how protocol-driven and standardized practice affects both patients and the fiscal interests of the health care system.

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