title: Therapeutic intervention scoring system in medical intensive care.
abstract: A scoring system based on therapeutic intervention on critically ill patients called the therapeutic intervention scoring system (TISS) was used to assess the quantity of care provided in a medical intensive care unit. Besides observing the unit census, the severity of illness and the work load were studied. The survival rate was 77 percent. The non-survivors had admission TISS points higher than the survivors and their mean daily TISS was more than 20 points. The survivors at discharge had a mean TISS of five points. The work load showed that a nurse can effectively manage two patients who together may accumulate 24 TISS points per day. TISS points per patient rather than bed occupancy is a better indicator of the nurse's work load. Admission criteria and procedures before death certification are outlined.
authors.forename: B A
authors.initials: BA
authors.lastname: Adam
authors.forename: L C
authors.initials: LC
authors.lastname: Kin
authors.forename: A S
authors.initials: AS
authors.lastname: Wahab
mesh_terms: D006801:Humans; D007362:Intensive Care Units / Q000592:standards*; D008296:Malaysia; D011787:Quality of Health Care; D012720:Severity of Illness Index; D000078329:Workforce