Risk-Based Care: Let's Think Outside the Box

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dc.contributor.authorShaw, Geoff
dc.contributor.authorPreiser JC
dc.contributor.authorKnopp JL
dc.contributor.authorDesaive T
dc.contributor.authorChase, Geoff
dc.date.accessioned2021-06-11T01:33:27Z
dc.date.available2021-06-11T01:33:27Z
dc.date.issued2021en
dc.date.updated2021-04-19T03:12:58Z
dc.description.abstractINTRODUCTION For intensive care medicine, significant advances in care have been limited in recent years. A wealth of randomized clinical trials and a wide range of new protocols have yielded a wealth of understanding but have not created the next-generation care hoped for. As a result, a “less is more” perspective is growing in the field. This opinion article looks to the field of economics for lessons in how we might consider changing perspective to develop and assess new approaches to care. Current approaches to major forms of care in the intensive care unit (ICU) have stagnated, increasingly complex patients with multiple co-morbidities have resulted in increased use of resources, cost and risk of complications. Growing fear of iatrogenic complications has led to a “less is more” approach to new care (1–3). The major hurdle to overcome is the increase in negative outcomes, which seem to regularly arise with more aggressive approaches to care seen in a range of randomized clinical trials in the last two or more decades. This analysis takes an outside the box approach, with lessons from the field of Economics, to assess the situation and make some bold proposals, in the interest primarily of stimulating “creative tension” in the field as to considering the way forward.en
dc.identifier.citationChase JG, Shaw GM, Preiser JC, Knopp JL, Desaive T (2021). Risk-Based Care: Let's Think Outside the Box. Frontiers in Medicine. 8. 535244-.en
dc.identifier.doihttp://doi.org/10.3389/fmed.2021.535244
dc.identifier.issn2296-858X
dc.identifier.urihttps://hdl.handle.net/10092/102028
dc.languageeng
dc.language.isoen
dc.publisherFrontiers Media SAen
dc.rightsAll rights reserved unless otherwise stateden
dc.rights.urihttp://hdl.handle.net/10092/17651en
dc.subjectcost-benefit analysisen
dc.subjectdecision-makingen
dc.subjectrisken
dc.subjectrisk-based assessmenten
dc.subjectrisk-based protocolen
dc.subject.anzsrcFields of Research::40 - Engineering::4010 - Engineering practice and education::401005 - Risk engineeringen
dc.subject.anzsrcFields of Research::32 - Biomedical and clinical sciences::3202 - Clinical sciences::320212 - Intensive careen
dc.titleRisk-Based Care: Let's Think Outside the Boxen
dc.typeJournal Articleen
uc.collegeFaculty of Engineering
uc.departmentMechanical Engineering
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