Table 2 Selected example of potential measures for ICU capacity strain across domains
Domain | Measure |
|---|---|
Patient/family level | Avoidable delay to ICU admission |
Mortality rate | |
Health-related quality of life among survivors | |
Incident disability among survivors | |
Family present on ICU rounds | |
Time to patient/family conference after admission | |
Goals of care discussion/documentation | |
Family satisfaction | |
Sedation interruption | |
Time to extubation after weaning | |
Early mobilization | |
ICU level | ICU census |
ICU occupancy | |
Admission ICU census | |
Illness severity-adjusted ICU census | |
Ventilator-adjusted ICU census | |
Queuing | |
Avoidable bed days | |
After-hours discharge rate/premature discharge rate | |
Unplanned ICU readmission rate | |
Avoidable adverse events | |
Medication error rate | |
Duration of inter-disciplinary rounds per patient | |
Nurse to patient ratio | |
ICU average TISS (workload) | |
Respiratory therapist to ventilated patient ratio | |
Health system/human capital level | Fixed/variable health care costs |
ICU length of stay | |
Hospital lengths of stay | |
Absenteeism rate | |
Personnel turnover rate | |
Provider job satisfaction | |
Ambulance queue in the ED | |
Elective surgery postponement |