Arthur R.H. van Zanten, MD; Kees H. Polderman, MD, PhD
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
van Zanten AR, Polderman KH. Organizational Changes in a Single Intensive Care Unit Affect Benchmarking. Ann Intern Med. 2004;140:674-675. doi: 10.7326/0003-4819-140-8-200404200-00037
Download citation file:
Published: Ann Intern Med. 2004;140(8):674-675.
TO THE EDITOR:
Background: Rosenberg and colleagues (1) described effects of organizational aspects and case-mix differences among critically ill patients, especially those transferred from other hospitals, on efficiency and quality benchmarking systems. Even in a setting with optimal diagnostic-based case-mix adjustment and severity-of-illness scoring based on Acute Physiology and Chronic Health Evaluation III (APACHE III), the authors observed that benchmarking outcomes were not adequately adjusted for transferred patients. This resulted in misleading assessments of efficiency and quality benchmarking performance (1).
One of the important limitations acknowledged by the authors was that their data came from a single center and thus might not be generalizable. We report on a study of effects of organizational changes in our intensive care unit (ICU). Our results confirm and augment the observations by Rosenberg and colleagues.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only