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lüll Improving the ICU: part 1 Garland AChest 2005[Jun]; 127 (6): 2151-64ICUs are a vital component of modern health care. Improving ICU performance requires that we shift from a paradigm that concentrates on individual performance to a different paradigm that emphasizes the need to assess and improve ICU systems and processes. This is the first part of a two-part treatise. It discusses existing problems in ICU care, and the methods for defining and measuring ICU performance.|*Quality Assurance, Health Care[MESH]|Critical Care/*standards/trends[MESH]|Female[MESH]|Forecasting[MESH]|Health Care Surveys[MESH]|Health Services Research[MESH]|Hospital Mortality/*trends[MESH]|Humans[MESH]|Intensive Care Units/*standards/trends[MESH]|Male[MESH]|Patient Care Team/organization & administration[MESH]|Quality Indicators, Health Care[MESH]|Total Quality Management[MESH]|United States/epidemiology[MESH] |