This is substantiated by the broad range in SMR performance, analogous to the United States, observed in the Japanese sample suggesting large relative differences in performance across hospitals. Such comparison may improve global critical care outcomes by raising important questions regarding why differences in outcomes exist when variation between countries is uncovered. health and care mall
An optimal analysis of the performance and adequacy of ICU services would account the total pool of patients for whom ICU care may be warranted (the “at risk” population), as well as those actually admitted to a critical care unit. Defining and measuring outcomes for this at-risk population compared to patients treated in the ICU remains problematic and poorly evaluated. The size of the at-risk group is in part dependent on the number of ICU-bed resources available. Monitoring the outcomes for the at-risk group requires a clear ability to prospectively classify such patients, a capability which in large measure does not exist.
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