Prospectively defined indicators to improve the safety and quality of care for critically ill patients: a report from the Task Force on Safety and Quality of the European Society of Intensive Care Medicine (ESICM)

Rhodes, Andrew; Moreno, Rui P.; Azoulay, Élie; Capuzzo, Maurizia; Chiche, Jean‐Daniel; Eddleston, J; Endacott, Ruth; Ferdinande, Patrick; Flaatten, Hans; Guidet, Bertrand; Kuhlen, Ralf; León-Gil, C.; Delgado, M.C. Martín; Metnitz, Ph. G. H.; Soares, Márcio; Sprung, Charles L.; Timsit, Jean François; Valentin, Andreas

doi:10.1007/s00134-011-2462-3

Cited by 236 publications

(167 citation statements)

References 46 publications

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“…We agree with Rhodes et al [1] that handover documentation should ideally form part of the routine patient record. It will be interesting to see, as is the case in some units we surveyed, whether this might become universal practice in the future and form part of the patients' medicolegal record of their in-patient stay.…”

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confidence: 85%

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A telephone survey of intensive care unit handover practices in the UK

Sri

2012

Intensive Care Med

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confidence: 85%

“…Dear Editor, Rhodes et al [1] discuss the importance of a standardized interdepartmental handover in order to improve the safety and quality of care for critically ill patients. We feel that intradepartmental handover is as crucial.…”

mentioning

confidence: 99%

A telephone survey of intensive care unit handover practices in the UK

Sri

2012

Intensive Care Med

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“…Alternatively, it is also possible that the improved environment influenced patient and family perceptions of these other aspects of care through a ''halo effect '' [6]. Nonetheless, these evaluations of diverse aspects of care improved.Defining indicators to improve quality of care for critically ill patients is an important issue [7]. Increasingly, family satisfaction with care is becoming an accepted measure of quality of care [8], and measurement of family or patient satisfaction in the ICU is already recognized as a quality indicator in several countries, including the Netherlands [9].…”

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confidence: 99%

Family-centered ICU care may be good for everyone

Hartog

Jensen

2013

Intensive Care Med

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In this issue of ICM, Irene Jongerden and her colleagues [1] present the results of a before-and-after study that explores the effect of a change in ICU environment on family and patient satisfaction. Family satisfaction was measured by the FS-ICU [2-4], a much used and previously validated tool, while patient satisfaction was elicited by using an adapted version of this questionnaire. A similar approach has been taken previously by a Swiss group [5]. The structural intervention was a move of the ICU to new premises, which entailed a bundle of changes. New rooms were single-bed rooms, noise-reduced, with increased privacy, more space around each bed, natural lighting and windows with a view. There were also changes in workflow, visual display of other patients via the bedside monitor, and medication prepared in a satellite pharmacy, thereby reducing medication errors. In addition, the number of family rooms was increased, and facilities for families were improved. In association with these changes, both overall family and patient satisfaction increased significantly. This study is important for several reasons: It is one of the first to show improvement in family satisfaction with an intervention (suggesting responsiveness to change), and it is one of the first that documents an effect of changing the ICU environment on families. Interestingly, satisfaction of families and patients increased not only in relation to the ICU environment, but to the ICU experience, specifically staff behavior toward families and patients. In the new ICU, families stated that staff provided better emotional support, acted with more courtesy, respect, and compassion, and were more willing to answer questions. Patients found that staff treated them with more courtesy, compassion, and respect, individual staff members were better recognizable, and management of pain improved (Fig. 1). These findings suggest that structural changes may have indirectly affected ICU care by improvement of team collaboration and support of family-and patient-centered behavior. Possibly working conditions were made easier for staff by providing more space around the bed and improving workflow. Reducing noise levels may also lower stress for nurses and physicians. It may also be easier for staff to provide emotional support to patients and families who are well satisfied with the environment. Alternatively, it is also possible that the improved environment influenced patient and family perceptions of these other aspects of care through a ''halo effect '' [6]. Nonetheless, these evaluations of diverse aspects of care improved.Defining indicators to improve quality of care for critically ill patients is an important issue [7]. Increasingly, family satisfaction with care is becoming an accepted measure of quality of care [8], and measurement of family or patient satisfaction in the ICU is already recognized as a quality indicator in several countries, including the Netherlands [9]. The study by Jongerden et al. provides further data to support that family-and p...

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“…Safety and quality of care for critically ill patients [5]. A European Society of Intensive Care Medicine Task Force on Quality and Safety identified nine indicators that could be used to improve quality in routine intensive care practice.…”

Section: Importance Of Informed Consent In Critical Carementioning

confidence: 99%