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lüll Improving the ICU: part 2 Garland AChest 2005[Jun]; 127 (6): 2165-79ICUs are a vital but troubled component of modern health-care systems. Improving ICU performance requires that we shift from a paradigm that concentrates on individual performance, to a systems-oriented approach that emphasizes the need to assess and improve the ICU systems and processes that hinder the ability of individuals to perform their jobs well. This second part of a two-part treatise establishes a practical framework for performance improvement and examines specific strategies to improve ICU performance, including the use of information systems.|*Clinical Competence[MESH]|*Quality Assurance, Health Care[MESH]|APACHE[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]|Professional Competence[MESH]|Total Quality Management[MESH]|United States/epidemiology[MESH] |