Phase of Illness Paradigm: A Checklist Centric Model to Improve Patient Care in the Burn Intensive Care Unit.

摘要

We will develop the checklists for the POIP using cognitive systems engineering methodologies and iteration. To validate the model, we will measure clinician perception of patient condition and care priorities; we will observe the frequencies that healthcare teams complete key elements of patient care; and we will measure communication, teamwork, cognitive work load, and provider quality of life before and after units implement the POIP. To assess the model's effect, we will observe patient outcomes and complication rates before and after units implement the POIP. To further assess the model's capacity to rapidly incorporate new knowledge into burn critical care, we will update the phase specific checklists six months after initial implementation and continue data collection.