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The principal diagnosis leading to ICU admission is added as a category weight so that the predicted mortality is computed based on the patient's APACHE II score and their principal diagnosis at admission.

Being a reliable scale and easier to apply, its practical application could be useful.

Time oriented score system TOSS : a method for direct and quantitative assessment of nursing woarkload for ICU patients.

Monitoring ICU performance is, therefore, increasingly important in the fight to control hospital expenses.

Value and cost of teaching hospitals: a prospective, multicenter, inception cohort study.

Crit Care Med 2001, 29: 2046-2050.

For example, the APACHE and MPM scores were largely based on North American populations and the SAPS score on European patients, while SAPS 3 developers used a database that included a geographically more heterogeneous group of patients [].

The time consumed for the activities of indirect patient care did not differ significantly among the three shifts.

The authors also developed a Weighted Hospital Days scale WHD-94 by subjectively assigning weights to days in the ICU and to hospital days after ICU discharge from the first ICU stay, and an equation to predict an ICU's mean WHD-94, thus providing an index of resource utilization [].