ICU Care Seen as TOO Intensive - Texas Journal of Chiropractic

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ICU Care Seen as TOO Intensive

Published 01/06/2012 - 6:13 a.m. CDT

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Medpagetoday.com REPORTS HERE that "care for the critically ill may go too far for nearly a quarter of the patients in intensive care units, according to the physicians and nurses who care for them."

"Clinicians felt they administered inappropriate care for 23% of patients treated in a single day across a subset of 69 ICUs in which patient data could be linked to clinician questionnaires, Ruth D. Piers, MD, of Ghent University Hospital in Ghent, Belgium, and colleagues found."

"Among the full complement of survey respondents, 25% of 1,218 ICU nurses and 32% of 407 ICU physicians said they delivered inappropriate care to at least one of their patients on the day of the survey."

"The most common reason cited -- by 65% of respondents -- was care disproportionate to the patient's situation, nearly always "too much care," the group reported in the Dec. 28 issue of the Journal of the American Medical Association."

"The APPROPRICUS survey took a snapshot of care on May 11, 2010 in 82 adult ICUs in nine European countries and Israel with questionnaire responses from 1,953 ICU nurses and physicians providing bedside care."

"Also, the prevalence of perceived inappropriate care -- defined as a specific case in which the clinician acted in a manner contrary to his or her personal and professional beliefs -- varied widely between and within countries as well as across ICUs, the researchers acknowledged."

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