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Monitoring outcome in paediatric intensive care

How effectively do we care for children admitted to our intensive care units? How do we answer this question? A number of statistical models have been developed that allow the outcome of a group of intensive care patients to be assessed after adjustment for known risk factors. It is becoming increasingly common for these techniques to be used routinely to monitor, or benchmark, the performance of intensive care units (ICU). Monitoring of ICU performance is often initiated by clinicians, however, government and other health care funding agencies now aim to ensure that the health outcomes in institutions they fund meet acceptable standards. It is important that clinicians working in the area understand the benefits and limitations of the methods used to assess ICU performance.