Critical Care Program

Research

The program actively supports research activities in all disciplines. The program is committed to cooperation with clinical investigators and research personnel to encourage sound scientific and ethical clinical research. Clinical trials are actively supported at the tertiary sites.

Research in the ICU is supported by the Winnipeg Regional Health Authority Critical Care Management Database which includes a team of critical care nurses located in each of the ICUs, a team manager, a statistician, a data QA processor and process engineer and Database program developer.

Critical Care Information Management Database

This program documents all Critical Care patients in the WRHA. The database has been in existence at the Health Sciences Centre since July 1988 and expanded to the other WRHA ICUs in 1998 to 1999.

The database provides information on basic patient demographics (age, gender, etc.), patient acuity (APACHE II scoring), length of stay, transfer delays, readmission rates, diagnoses, complications and pre-existing disease conditions, the frequency of laboratory testing and utilization of certain drugs. It also assesses and measures nursing workload using the Therapeutic Intervention Scoring System (TISS 28).

The purpose of the ICU database is to provide managers and directors with data used to monitor resource use and track patient flow. The Outcomes Improvement team also uses the data to track adherence to best practices and quality of care indicators. Researchers use the data to generate the base population for a wide range of clinical and population-based research.

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