Four-dimensional approach to quality and performance of intensive care: rapid routine overview of performance by derived indexes
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KeywordsResource Utilization Data Completeness Organizational Change Data Ratio Dimension Score
The quality of intensive care (QIC) can be defined by several dimensions: structure, process and outcomes . All Finnish ICUs contribute to the Finnish Intensive Care Quality Consortium (FICQC) with shared reports over the Internet. The FICQC chose to describe the quality of intensive care by four dimensions: patient outcome, patient selection, resource utilization and data completeness. The aim of this work was to develop a continuous, comprehensive and compact view of the quality of intensive care and to describe the effects of organizational changes on the performance.
Members of the FICQC see the indexes as a valuable reporting method. Organizational changes are reflected in the indexes. Examples will be shown.
Quality indexes are powerful when defined and designed properly. The indexes provide the user with a rapid, comprehensive view of performance in a compact format. The indexes help the ICU management to monitor and thereby even improve the unit's performance and quality.
This article is published under license to BioMed Central Ltd.