Transcript Document

University Health Network
Objectives Jan. 2002:
1. To learn about Critical Care practice in various countries represented at
the meeting.
2. To create a needs assessment for future educational forums.
3. To create an agenda for an educational forum directed at
intercontinental critical care providers to be held in Toronto May 2002.
4. To form a collaborative group interested in creating educational tools,
utilizing them, and evaluating their impact.
5. To discuss long term goals and strategies.
www.ice-ccm.org
Leadership Training Course for Critical Care Clinicians
Leadership?
Courage
Vision
Integrity
Courage:
Bold
Seizing Initiatives
Welcoming Responsibility
Vision:
Enthuse and Inspire
Create Followers
Integrity: Honor and a Good Name
CNN / ABC NEWS POLL, NOVEMBER 11, 2001
55% of Americans Feel New Direction / Focus in Life
Compliance with Lung Protective Ventilation
in ALI/ARDS
Day 3
Before
6%
After
3%
Rubenfeld GD et al. ATS 2001
Why Shouldn’t you Change?
Why Shouldn’t you Change?
1. You don’t believe the results.
Why Shouldn’t you Change?
1. You don’t believe the results.
2. Risks outweigh benefits.
Why Shouldn’t you Change?
1. You don’t believe the results.
2. Risks outweigh benefits.
3. You can’t afford it.
Why Shouldn’t you Change?
1. You don’t believe the results.
2. Risks outweigh benefits.
3. You can’t afford it.
4. You have other data you are not sharing.
Why Shouldn’t you Change?
1. You don’t believe the results.
2. Risks outweigh benefits.
3. You can’t afford it.
4. You have other data you are not sharing.
5. You haven’t heard about the results.
Ontario Critical Care Information Network (OCCIN)
Dr. S. Lapinsky, Dr. T. Stewart, Dr. R. Wax, Dr. S. Fischer
Technology Application Unit & Intensive Care Unit
Dr. B. Kashin
Dr. H. Clasky
Dr. D. McRitchie
Dr. T. Rogovein
Why Shouldn’t you Change ?
1. You don’t believe the results.
2. Risks outweigh benefits.
3. You can’t afford it.
4. You have other data you are not sharing.
5. You haven’t heard about the drug.
6. You don’t like new things.
Why Shouldn’t you Change ?
1. You don’t believe the results.
2. Risks outweigh benefits.
3. You can’t afford it.
4. You have other data you are not sharing.
5. You haven’t heard about the drug.
6. You don’t like new things.
7. You are lazy.
Why Shouldn’t you Change ?
1. You don’t believe the results.
2. Risks outweigh benefits.
3. You can’t afford it.
4. You have other data you are not sharing.
5. You haven’t heard about the drug.
6. You don’t like new things.
7. You are lazy.
8. You are having trouble rallying support.
Reference Diseases
• Incidence in US (cases per 100,000)
–
–
–
–
–
Colon cancer
Breast cancer
AIDS
Congestive heart failure
Sepsis
50
110
17
~130
~300
• Number of deaths in US each year
– Acute myocardial infarction
– Severe sepsis
Angus D. SCCM 2001
211,000
215,000
Critical Care
- All unstable / possibly unstable patients
- Expensive (almost 1% US GNP).
- Growing demands (Technology, Therapeutics, Aging population).
USA Today Feb. 2001
- ICU need increase 66% by 2030
- Only 36% of ICUs staffed by trained intensivists
- 30,000 lives could be saved annually
- $1.5 Billion could be saved.
Computerized Physician Order Entry
Evidence-based Hospital Referral
ICU Physician Staffing