Sufficient
|
|
Structure |
|
Ratio of nursing technicians per bed per shift (relative to the shift with the poorest ratio) |
87.0 |
Processes |
|
Multi-professional notes of the care provided in the ICU are recorded in the patients’ clinical records. |
100.0 |
Multidisciplinary (bedside or rounds-style) discussions of current cases are performed in the ICU. |
87.0 |
Typical
|
|
Structure |
|
Medical technical manager is an accredited specialist in adult intensive care medicine |
78.3 |
Ratio of nurses on duty per bed per shift (relative to the shift with the poorest ratio) |
78.3 |
Availability of a medical technical manager in the ICU |
73.9 |
Availability of a nursing coordinator in the ICU |
73.9 |
Availability of a written protocol or routine for glycemic control |
69.6 |
Availability of a written protocol or routine for standard preventive and transmission-based (contact, droplets, and aerosols) preventive measures |
65.2 |
Availability of a written protocol or routine to prevent ventilator-associated pneumonia (mark "yes" when unit uses "bundles") |
60.9 |
Availability of a written protocol or routine for the use of antibiotics |
60.9 |
Physical therapy coordinator participated in a specialization course or is accredited in intensive physical therapy |
56.5 |
Availability of a written protocol or routine with the criteria for admission to and discharge from the unit |
56.5 |
Availability of a written protocol or routine for sedation |
56.5 |
Availability of a written protocol or routine to prevent venous thromboembolism |
56.5 |
Availability of a written protocol or routine for pain management |
52.2 |
Availability of a written protocol or routine to prevent catheter-related bloodstream infection (mark "yes" when the unit uses "bundles") |
52.2 |
Processes |
|
ICU requires a signature on an informed consent form for the procedures most frequently performed in the ICU |
65.2 |
ICU monitors adverse and sentinel events |
52.2 |
Periodicity of revisions made to protocols and routines |
52.2 |
Outcomes |
|
ICU readmission rate over the past 12 months (or other available period of time) |
69.6 |
Rate of catheter-related bloodstream infection (CRBI) over the past 12 months (or other available period of time) |
69.6 |
Rate of ventilator-associated pneumonia (VAP) over the past 12 months (or other available period of time) |
60.9 |
Insufficient
|
|
Structure |
|
Availability of the waiting room for attendants and visitors |
47.8 |
Ratio of physicians on duty per bed per shift (relative to the shift with the poorest ratio) |
47.8 |
Availability of and regular participation in a continued education program for the multi-professional staff (doctors, nurses, and physical therapists) after assignment to the unit |
47.8 |
Availability of a written protocol or routine for the use of blood components |
47.8 |
Availability of a written protocol or routine for a lung-protective ventilatory strategy |
47.8 |
Availability of written protocol or routine for gastrointestinal bleeding caused by stress |
47.8 |
Availability of an electrocardiography device |
43.5 |
Availability of isolation beds |
39.1 |
Nursing coordinator participated in a specialization course or is accredited in intensive care nursing |
39.1 |
Availability of a physical therapy coordinator in the ICU |
30.4 |
Ratio of regular attending physicians per bed per shift (relative to the shift with the poorest ratio) |
30.4 |
Ratio of physical therapists per bed per shift (relative to the shift with the poorest ratio): |
26.1 |
Availability of a crash cart |
26.1 |
Availability of a defibrillator/cardioverter |
26.1 |
Availability of a transport ventilator |
26.1 |
Daily availability of regular attending physicians in the ICU |
21.7 |
Regular attending physicians are accredited specialists in intensive care medicine |
17.4 |
Availability of a temporary transvenous cardiac pacing generator |
17.4 |
Availability of a room for interviews with relatives or other attendants |
13.0 |
Availability of a clinical engineering service at the hospital |
8.7 |
Availability of clocks and calendars visible from all of the beds |
8.7 |
Availability of a systematized and regular ICU-centered training program for professionals at the institution before assignment to the unit (e.g., integration programs) |
4.4 |
Processes |
|
HICC provides the ICU multi-professional staff reports on the consolidated results of infection surveillance and the sensitivity profile of microorganisms |
43.5 |
Periodicity of multidisciplinary (bedside or rounds-style) discussions of current cases |
43.5 |
HICC participates in (bedside or rounds-style) multidisciplinary discussions of current cases at ICU |
43.5 |
Visitors and attendants are given orientation to actions that will facilitate the prevention and control of infections based on the Hospital Infection Control Committee’s (HICC’s) recommendations |
39.1 |
ICU performs a systematized analysis of adverse and sentinel events using standardized tools aimed at the identification of their causes and the elaboration of preventive strategies |
30.4 |
ICU performs evaluations using a system of classification of nursing care needs (e.g., TISS, NAS, and Fugulin) |
30.4 |
ICU monitors and evaluates its technical-operational performance |
26.1 |
ICU and HICC provide joint training to improve the adherence of the multi-professional staff to routine hand washing |
17.4 |
ICU communicates to the multi-professional staff the results of the monitoring and evaluation of its technical-operational performance |
17.4 |
ICU assesses the satisfaction of patients and relatives |
17.4 |
ICU conducts prescheduled meetings with relatives or attendants of patients to provide information on their state of health and the care they need (do not consider information provided during regular visiting times) |
4.4 |
Relatives or attendants of patients can stay in the ICU |
4.4 |
Outcomes |
|
Rate of catheter-associated urinary tract infections (CA-UTI) over the past 12 months (or other available period of time) |
39.1 |
Unplanned extubation rate over the past 12 months (or other available period of time) |
34.8 |
Standardized mortality rate over the past 12 months (or other available period of time) |
17.4 |
Average length of stay in the ICU, in days, over the past 12 months (or other available period of time): |
17.4 |