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APACHE 1978-2001: The Development of a Quality Assurance System Based on Prognosis
Milestones and Personal Reflections
William A. Knaus, MD
Arch Surg. 2002;137:37-41.
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INTRODUCTION
The development of APACHE (Acute Physiology and Chronic Health Evaluation) began on a Saturday in late June 1978 when I walked into the intensive care unit (ICU) of George Washington University Hospital in Washington, DC. I had come to Washington in 1972 and, with the exception of a year spent working in the former Soviet Union, had completed all of my internal medicine and critical care training in DC. This Saturday morning, however, was unique. It was my first as an attending physician, the last day of fellowship training being the previous day.
The ICU was very busy but the charge nurse immediately directed me to one bedside, that of a young woman in severe septic shock following a major surgical procedure. Her room was crowded with house staff and nurses, all frantically attempting to resuscitate and reverse her circulatory collapse. I quickly tried to review . . . [Full Text of this Article]
PRINCIPLES OF APACHE
INITIAL REACTION TO APACHE
APACHE MEDICAL SYSTEMS, INC
INTRODUCTION OF APACHE III
PROGNOSIS AND APACHE
FUTURE OF APACHE
From the Department of Health Evaluation Sciences, University of Virginia School of Medicine, Charlottesville.
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