Why aren't we practising homogenized medicine?
- PMID: 17764581
- PMCID: PMC2206503
- DOI: 10.1186/cc6086
Why aren't we practising homogenized medicine?
Abstract
Why is the practice of intensive care so heterogenous? Uncertainty as to 'best practice', conservatism, and complacency may all contribute to our divergent management strategies. The need for further generalisable research, anonymised audit, external peer review and open access databases is discussed.
Comment on
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A survey of Canadian intensivists' resuscitation practices in early septic shock.Crit Care. 2007;11(4):R74. doi: 10.1186/cc5962. Crit Care. 2007. PMID: 17623059 Free PMC article.
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References
-
- Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J, Gea-Banacloche J, Keh D, Marshall JC, Parker MM, for the Surviving Sepsis Campaign Management Guidelines Committee et al. Surviving Sepsis Campaign Guidelines for management of severe sepsis and septic shock. Crit Care Med. 2004;32:858–873. doi: 10.1097/01.CCM.0000117317.18092.E4. - DOI - PubMed
-
- Institute for Healthcare Improvement: Surviving Sepsis Campaign http://www.ihi.org/IHI/Topics/CriticalCare/Sepsis/Changes/
-
- Singer M. The Surviving Sepsis guidelines: evidence-based ... or evidence-biased? Crit Care Resusc. 2006;8:244–245. - PubMed
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