Nighttime in the Intensive Care Unit: A Lens into the Value of Critical Care Delivery

摘要

Improving the value of critical care delivery requires efforts to augment the delivery of high-value services, such as having pharmacists on rounds and regularly employing lung-protective ventilation. Improving value also requires reductions in the delivery of low-value care, as has been advocated by the Choosing Wisely campaign, including in the critical care context. On this front, a growing number of studies of what happens to patients in the intensive care unit (ICU) at night, a time when less resource-intensive care paradigms are often employed, are teaching us a great deal.