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Critical Connections Archives

Critical Connections was launched in 2003. Articles organized by clinical topic also are available at

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Critical Connections was launched in 2003. For access to articles published before 2017, please contact Melissa Nielsen.

2017 - February 1 - Research

Implementation Challenges of Clinical Practice Guidelines
Last year, a task force of the Society of Critical Care Medicine (SCCM) completed and published the new guidelines for intensive care unit (ICU) admission, discharge and triage. 1  This far-reaching document was developed to close a significant gap present for almost two decad...
President’s Message - Expanding SCCM’s Commitment to Research
In this article, Society 2017 President Ruth M. Kleinpell, RN-CS, PhD, FCCM, discusses SCCM's focus on research and its latest research endeavor, Discovery, the Critical Care Research Network. 
Bedside Ultrasonography Guidelines for Critically Ill Patients
This article discusses the bedside ultrasonography guidelines for critically ill patients.
Medicare’s Physician Payment System Changes: Impact on Critical Care
Read about evolving reimbursement changes mandated by Medicare and how this impacts critical care. A recent article in the  New England Journal of Medicine  describes the evolving reimbursement changes mandated by Medicare as a “coming battle” between primary care physicians a...
Coding and Documentation Is Crucial in Supporting Critical Care Services
Documentation should paint a picture of the patient’s condition. Medical necessity drives every patient encounter. In fact, the Comprehensive Error Rate Testing (CERT) Program states, “Medical necessity of a service is the overarching criterion for payment in addition to the i...
Issues for Admixtures in an Era of Drug Shortages
In an era fraught with drug shortages, hospitals are faced with limited options for some vital admixtures. When manufacturers have limited supplies or products are no longer available, hospital pharmacies may be faced with admixing these agents or outsourcing to compounding fa...