PMID- 22254536
OWN - NLM
STAT- MEDLINE
DCOM- 20120612
LR  - 20200928
IS  - 2694-0604 (Electronic)
IS  - 2375-7477 (Linking)
VI  - 2011
DP  - 2011
TI  - Intensive care unit availability indexed to patient complexity.
PG  - 1221-4
LID - 10.1109/IEMBS.2011.6090287 [doi]
AB  - In this paper, a procedure to estimate a Clinical Unit availability is presented. 
      Service availability depends on multiple resources, some of them redundant, to 
      function properly. However, resource consumption varies according to patient's 
      medical condition. The availability of an Intensive Care Unit (ICU) depends both 
      on basic components (electricity, water) and on requirements set by patient 
      complexity and quantity. We propose using Diagnosis Related Groups (DRG) as an 
      estimator of patient complexity. Accumulated DRG (DRG(a)) represents the 
      quantity/complexity combination that the ICU has to care for at any given moment. 
      Our analysis allowed us to find the theoretical combination of patients that 
      would collapse a clinical unit. This limit was deemed reasonable to expert 
      advisors based on their experience at the ICU. The study was conducted for the 
      adult ICU at the 'Clinica Universitaria de Concepcion', a teaching hospital in 
      Concepcion, Chile. Data was collected during 4 months and analyzed using 
      reliability theory. Overall reliability and availability results are consistent 
      with incident reports at the Clinic. The procedure and recommendations for unit 
      design and management are applicable to Clinical Units both at early planning 
      stages or for currently working units.
FAU - Pino, Esteban J
AU  - Pino EJ
AD  - Department of Electrical Engineering, University of Concepcion, Concepcion, 
      Chile. epino@ieee.org
FAU - Pereira, Rodrigo A
AU  - Pereira RA
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Annu Int Conf IEEE Eng Med Biol Soc
JT  - Annual International Conference of the IEEE Engineering in Medicine and Biology 
      Society. IEEE Engineering in Medicine and Biology Society. Annual International 
      Conference
JID - 101763872
SB  - IM
MH  - Chile
MH  - Critical Care/*statistics & numerical data
MH  - Diagnosis-Related Groups/*statistics & numerical data
MH  - Health Services Accessibility/*statistics & numerical data
MH  - Health Services Needs and Demand/*statistics & numerical data
MH  - Humans
MH  - Intensive Care Units/*supply & distribution
MH  - *Severity of Illness Index
MH  - Utilization Review/*methods
EDAT- 2012/01/19 06:00
MHDA- 2012/06/13 06:00
CRDT- 2012/01/19 06:00
PHST- 2012/01/19 06:00 [entrez]
PHST- 2012/01/19 06:00 [pubmed]
PHST- 2012/06/13 06:00 [medline]
AID - 10.1109/IEMBS.2011.6090287 [doi]
PST - ppublish
SO  - Annu Int Conf IEEE Eng Med Biol Soc. 2011;2011:1221-4. doi: 
      10.1109/IEMBS.2011.6090287.