TY - JOUR
T1 - «Do Not Do» recommendations in the treatment of critically ill patients by the Scientific Committees of the Colombian Society of Critical Medicine and Intensive Care (AMCI)
AU - Nieto Estrada, Victor Hugo
AU - Gil Valencia, Bladimir Alejandro
AU - Garay-Fernandez, Manuel
AU - Molina Saldarriaga, Francisco José
AU - Camargo Rubio, Rubén Dario
AU - Dueñas Castell, Carmelo
AU - Pizarro Gómez, Camilo
AU - Pereira Paternina, Fernando José
AU - Vergara Ramírez, Peter
AU - Carrizosa González, Jorge Armando
AU - Molano Franco, Daniel Leonardo
AU - Rojas Díaz, Ever Leonardo
AU - Borre Naranjo, Diana Patricia
AU - Correa Pérez, Liliana Paola
AU - Gómez Vanegas, Carmen Lorena
AU - Sánchez Lozano, Martha Liliana
AU - Bello Muñoz, Camilo Andrés
AU - Borja Large, Erick Alexander
AU - Olaya Garay, Sandra Ximena
AU - Uribe Molano, Juan David
AU - Zabaleta Polo, Yulieth María
AU - Canchila Paternina, Gladys Mercedes
AU - Forero Romero, Andres Felipe
AU - Caicedo Buitrago, Nestor David
AU - Martinez del Valle, Anacaona
AU - Gutiérrez Paternina, Juan José
AU - San Juan, Juan Felipe
AU - Quintairos, Amanda
AU - Quintero Villarreal, Agamenon
AU - Echeverri, Juan Luis
AU - Negrete Perez, Heinznel
AU - Miranda Bucheli, Alfredo
AU - Navarro, Stella Maria
AU - González Ramírez, Melissa
AU - Velasquez Trujillo, Paula
AU - Rojas Suarez, Jose Antonio
AU - Vasco Ramírez, Mauricio
AU - Garzón Palacios, Laura Niyereth
AU - Medina Lombo, Ronald Antonio
AU - Riascos, Aldemar José
AU - Oyola Yepes, Antonio José
AU - Torres Grande, Andrés Felipe
AU - Tous, Rafael Andrés
AU - Chica Meza, Carmen Lucia
AU - Gómez Vanegas, Carmen Lorena
AU - Rodríguez Mendoza, Laura Vanessa
AU - Castro Gonzalez, Adriana Jazmin
AU - Jaime, Lucía Patricia
AU - Paredes, Bibiana
AU - Hurtado Laverde, Johanna
AU - Oeding Angulo, Guillermo Federico
AU - Ortiz Ruiz, Guillermo
AU - Cáceres, Eder Leonardo
AU - López Rubio, Ana Gabriela
AU - Gómez Carrillo, María Paula
AU - Cárdenas León, Gelen Dayana
AU - Castro Luna, Jhonnatan
AU - Quintero, Diana
AU - Izquierdo, Ledys
AU - Tejada, Diego
AU - Vargas Ordoñez, Monica Patricia
AU - Herrera, Jhojan Sebastián
AU - Castaño Zarur, Eliana Josefa
AU - López Rubio, Ana Gabriela
AU - Mogollón, Pilar
AU - Trochez Rodriguez, Maria del Socorro
AU - Cubillos, Viviana
AU - Rodriguez, Johanna
AU - Lizarazo, Angelica
N1 - Publisher Copyright:
© 2024 Asociación Colombiana de Medicina Crítica y Cuidado lntensivo
PY - 2025
Y1 - 2025
N2 - The Colombian Association of Critical Medicine and Intensive Care (AMCI) has initiated a project to identify and reduce unnecessary interventions in Intensive Care Units (ICU) to optimize resource use, minimize patient risks, and improve clinical outcomes. Led by AMCI, scientific committee leaders reviewed updated scientific evidence and best clinical practices to develop a series of “Do Not Do” recommendations. These recommendations were based on formal consensus using the Delphi technique to avoid routine procedures and behaviors that provide no value or could harm critically ill patients. The recommendations were developed with specific PICO questions by each committee and underwent a systematic literature review. A digital questionnaire was created, allowing anonymous voting, and a consensus of over 75% was achieved for all recommendations. The five most voted recommendations from the Patient Safety, Sepsis, MEGAN, Interdisciplinary Rehabilitation and Mental Health, and Critical Pneumology committees were selected to be part of the national Choosing Wisely strategy, aiming to promote resource optimization and improve the quality of care in Colombian ICUs. These recommendations are key to reducing unnecessary interventions and improving ICU care standards.
AB - The Colombian Association of Critical Medicine and Intensive Care (AMCI) has initiated a project to identify and reduce unnecessary interventions in Intensive Care Units (ICU) to optimize resource use, minimize patient risks, and improve clinical outcomes. Led by AMCI, scientific committee leaders reviewed updated scientific evidence and best clinical practices to develop a series of “Do Not Do” recommendations. These recommendations were based on formal consensus using the Delphi technique to avoid routine procedures and behaviors that provide no value or could harm critically ill patients. The recommendations were developed with specific PICO questions by each committee and underwent a systematic literature review. A digital questionnaire was created, allowing anonymous voting, and a consensus of over 75% was achieved for all recommendations. The five most voted recommendations from the Patient Safety, Sepsis, MEGAN, Interdisciplinary Rehabilitation and Mental Health, and Critical Pneumology committees were selected to be part of the national Choosing Wisely strategy, aiming to promote resource optimization and improve the quality of care in Colombian ICUs. These recommendations are key to reducing unnecessary interventions and improving ICU care standards.
KW - Consensus
KW - Critical medicine
KW - Intensive care
KW - Processes
KW - Quality
UR - http://www.scopus.com/inward/record.url?scp=85214455474&partnerID=8YFLogxK
U2 - 10.1016/j.acci.2024.12.001
DO - 10.1016/j.acci.2024.12.001
M3 - Artículo en revista científica indexada
AN - SCOPUS:85214455474
SN - 0122-7262
JO - Acta Colombiana de Cuidado Intensivo
JF - Acta Colombiana de Cuidado Intensivo
ER -