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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Acute Respiratory Failure-III01:30

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Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
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Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Related Experiment Video

Updated: Mar 6, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

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Escalation of Commitment in the Surgical ICU.

Carla C Braxton1, Celia N Robinson, Samir S Awad

  • 11Department of Surgery, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.2Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.

Critical Care Medicine
|March 15, 2017
PubMed
Summary

Escalation of commitment, the continued investment in failing projects, occurs in surgical ICUs, increasing healthcare costs. Recognizing this can improve decision-making and reduce expenditures for critically ill patients.

Related Experiment Videos

Last Updated: Mar 6, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

21.0K

Area of Science:

  • Healthcare Management
  • Medical Economics
  • Surgical ICU Operations

Background:

  • Escalation of commitment, a business concept, involves continued resource investment despite evidence of project failure.
  • This phenomenon may contribute to high healthcare costs, particularly for critically ill patients, with significant spending often occurring in the final week of life.
  • The study investigates whether escalation of commitment manifests in surgical intensive care units (ICUs).

Purpose of the Study:

  • To determine if escalation of commitment occurs in healthcare settings, specifically the surgical ICU.
  • To identify psychological and organizational factors contributing to this behavior in the ICU.
  • To explore the impact of escalation of commitment on resource utilization and healthcare costs.

Main Methods:

  • A descriptive case study approach was employed.
  • Common ICU narratives illustrating escalation of commitment were analyzed.
  • Contributing factors to escalation of commitment behaviors were described.

Main Results:

  • Escalation of commitment behavior was observed in the surgical ICU setting.
  • Self-justification, accountability, and cognitive dissonance were primary drivers of this behavior.
  • Unlike business contexts, sunk costs were less evident; personality, experience, culture, and gender also influenced the behavior.

Conclusions:

  • Escalation of commitment is present in surgical ICUs, leading to substantial resource expenditure despite poor prognoses.
  • Acknowledging this phenomenon can promote more rational decision-making and potentially lower healthcare costs.
  • Further research into objective measures to support decision-making in surgical ICUs is recommended.