Table 1 Sample conceptual framework of measures of ICU capacity strain
Health care quality dimension | Structure | Process | Outcome |
|---|---|---|---|
Safe | Nurse to patient ratio | ICU-averaged TISS score | Adverse event rate Absenteeism |
Effective | ICU census | Delay to ICU admission rate | Adverse event rate Mortality rate |
Efficient | ICU discharge protocol | After-hours discharge rate | Unplanned ICU readmission rate |
Equity | GOC designation | GOC discussion documentation | Refusal rate Family satisfaction |
Patient-centered | Family present at ICU bedside rounds | Time to family conference after admission | HRQL Family satisfaction |
Timely | ICU bed occupancy | Queuing Avoidable ICU bed days | Adverse event rate Mortality rate |