Visualizing the cortical microcirculation in patients with stroke.
Visualizing the cortical microcirculation in patients with stroke.
复制标题
中风患者皮质微循环的可视化。
DOI：
10.1097/ccm.0b013e318211fa5d
复制
发表时间：
2011
影响因子：
8.8
通讯作者：
Ginsberg,MyronD
中科院分区：
文献类型：
--
作者：
Ginsberg,MyronD
The director of every intensive care unit is constantly faced with the task of improving the quality and efficiency of the care delivered to the critically ill patients in his or her charge. The very concept of “quality” has always been problematic: defining and measuring “quality” health care has always been difficult, while improving it, or, for that matter, effecting any change in medicine, has historically been easier said than done. The quality movement in medicine was initiated by Florence Nightingale when she undertook the first audits of hospital mortality rates and began a campaign to collect uniform hospital and surgical statistics so that the “laws which regulate diseased action would become better known, the results of particular methods of treatment, as well of special operations, would be better ascertained than they are at present.”(1) Although her pioneering work was championed by the International Statistical Congress of London, the medical community was less than impressed and change came slowly and belatedly. After all, she was a woman and not a physician.Fifty years later, Ernest Amory Codman, an innovative Boston surgeon who was as confrontational as Nightingale was reclusive, dedicated his career to the challenge of improving quality. In 1910, he went public with his “End Results Idea.” As Codman stated, this “was merely the common-sense notion that every hospital should follow every patient it treats, long enough to determine whether or not the treatment has been successful, and then to inquire ‘if not, why not’with a view to preventing similar failures in the
