Abstract
Protocols, checklists, guidelines, and bundles are essential tools designed to improve the quality of care. Developing and maintaining effective policies, procedures, and protocols are now essential for ensuring smoothly operating and efficient critical care services. Quality improvement initiatives should incorporate four essential phases: development, implementation, evaluation, and maintenance. Essential to the quality improvement is the process of measuring performance. Developing and revising ICU policies and procedures should be based on the ongoing measurement of performance. Funders, health-care systems, and government entities are increasingly mandating public reporting of quality measures.
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References
Richardson WC, et al. The Institute of Medicine Report on medical errors: misunderstanding can do harm. Quality of health care in America Committee. MedGenMed. 2000;2(3):E42.
Davis DA, et al. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296(9):1094–102.
Brunkhorst FM, et al. Practice and perception – a nationwide survey of therapy habits in sepsis. Crit Care Med. 2008;36(10):2719–25.
Wensing M, van der Weijden T, Grol R. Implementing guidelines and innovations in general practice: which interventions are effective? Br J Gen Pract. 1998;48(427):991–7.
Ferrer R, et al. Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain. JAMA. 2008;299(19):2294–303.
Pronovost P, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725–32.
Levy MM, et al. Surviving Sepsis campaign: association between performance metrics and outcomes in a 7.5-year study. Crit Care Med. 2015;43(1):3–12.
Levy MM, et al. Mortality changes associated with mandated public reporting for Sepsis. The results of the New York state initiative. Am J Respir Crit Care Med. 2018;198(11):1406–12.
Ferrer R, et al. Improved empirical antibiotic treatment of sepsis after an educational intervention: the ABISS-Edusepsis study. Crit Care. 2018;22(1):167.
Damiani E, et al. Effect of performance improvement programs on compliance with sepsis bundles and mortality: a systematic review and meta-analysis of observational studies. PLoS One. 2015;10(5):e0125827.
Dykes PC, et al. Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the promoting respect and ongoing safety through patient engagement communication and technology study. Crit Care Med. 2017;45(8):e806–13.
Houck PM, et al. Timing of antibiotic administration and outcomes for Medicare patients hospitalized with community-acquired pneumonia. Arch Intern Med. 2004;164(6):637–44.
Kanwar M, et al. Misdiagnosis of community-acquired pneumonia and inappropriate utilization of antibiotics: side effects of the 4-h antibiotic administration rule. Chest. 2007;131(6):1865–9.
Investigators N-SS, et al. Intensive versus conventional glucose control in critically ill patients. N Engl J Med. 2009;360(13):1283–97.
Krishnan JA, et al. A prospective, controlled trial of a protocol-based strategy to discontinue mechanical ventilation. Am J Respir Crit Care Med. 2004;169(6):673–8.
Johnson EE, et al. Implementation of an Academic-to-Community Hospital ICU quality improvement program: qualitative analysis of multilevel facilitators and barriers. Ann Am Thorac Soc. 2019;16(7):877–85.
Cook DJ, et al. Toward understanding evidence uptake: semirecumbency for pneumonia prevention. Crit Care Med. 2002;30(7):1472–7.
Donchin Y, et al. A look into the nature and causes of human errors in the intensive care unit. 1995. Qual Saf Health Care. 2003;12(2):143–7; discussion 147–8.
Pham HH, et al. Delivery of preventive services to older adults by primary care physicians. JAMA. 2005;294(4):473–81.
Curtis JR, et al. Intensive care unit quality improvement: a “how-to” guide for the interdisciplinary team. Crit Care Med. 2006;34(1):211–8.
McGlynn EA, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–45.
Bodi M, et al. Antibiotic prescription for community-acquired pneumonia in the intensive care unit: impact of adherence to Infectious Diseases Society of America guidelines on survival. Clin Infect Dis. 2005;41(12):1709–16.
Peterson ED, et al. Association between hospital process performance and outcomes among patients with acute coronary syndromes. JAMA. 2006;295(16):1912–20.
Starks MA, et al. The association of duration of participation in get with the guidelines-resuscitation with quality of care for in-hospital cardiac arrest. Am Heart J. 2018;204:156–62.
Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142(4):260–73.
Fan E, et al. How to use an article about quality improvement. JAMA. 2010;304(20):2279–87.
Bilimoria KY, et al. Evaluation of surveillance bias and the validity of the venous thromboembolism quality measure. JAMA. 2013;310(14):1482–9.
Panzer RJ, et al. Increasing demands for quality measurement. JAMA. 2013;310(18):1971–80.
Joynt KE, et al. Quality of care and patient outcomes in critical access rural hospitals. JAMA. 2011;306(1):45–52.
Trivedi AN, et al. Quality and equity of care in U.S. hospitals. N Engl J Med. 2014;371(24):2298–308.
Cooke CR, Iwashyna TJ. Sepsis mandates: improving inpatient care while advancing quality improvement. JAMA. 2014;312(14):1397–8.
Rhee C, et al. Compliance with the national SEP-1 quality measure and association with sepsis outcomes: a multicenter retrospective cohort study. Crit Care Med. 2018;46(10):1585–91.
Pham HH, Cohen M, Conway PH. The Pioneer accountable care organization model: improving quality and lowering costs. JAMA. 2014;312(16):1635–6.
Song Z, Sequist TD, Barnett ML. Patient referrals: a linchpin for increasing the value of care. JAMA. 2014;312(6):597–8.
Etzioni DA, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. JAMA. 2015;313(5):505–11.
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Levinson, A.T., Levy, M.M. (2020). Protocols, Policies, and Procedures: Tools for Quality Improvement in Critical Care. In: Hidalgo, J., Pérez-Fernández, J., Rodríguez-Vega, G. (eds) Critical Care Administration. Springer, Cham. https://doi.org/10.1007/978-3-030-33808-4_10
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