Which indicators used to assess quality performance in Intensive Care Units? A systematic review of medical literature - 30/07/18
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Abstract |
Objective |
Collect, through a literature review, the indicators recommended for the measurement of performance in the Intensive Care Unit (ICU) and determine their typology.
Methods |
This systematic review was conducted in Medline, using the following search strategy: (“Critical Care”[Mesh] or “Critical Care Nursing”[Mesh] or “Intensive Care Units”[Mesh]) and “Quality Indicators, Health Care”[Mesh] and (hasabstract[text] and “2012/01/01”[PDat]: “2016/12/31”[PDat] AND “humans”[MeSH Terms] and [English(lang) or French(lang)]).
Results |
Overall, a total of 176 articles were selected for inclusion, of which 140 articles were available. The most frequent journal was: “Critical Care Medicine” (12%). Half of the articles have been published in USA. The analysis of these articles allowed the development of a list of 92 performance indicators in the ICU. The majority of quality indicators were global (63%) and used in a polyvalent ICU (86%). Regarding the domain, the indicators were distributed as follows: 19% “input”, 40% “process” and 41% “output”.
Conclusion |
This study proposes a set of close to one hundred most-studied ICU performance indicators related essentially to “process”. This study is only the first step in a performance improvement quality. The next step will be to use these indicators to develop a performance dashboard of the ICU based on clinical expertise.
Le texte complet de cet article est disponible en PDF.Keywords : Quality indicators, Health care, Intensive Care Units, Critical care nursing, Benchmarking
Plan
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