An empirical comparison of key statistical attributes among potential ICU quality indicators.

ABSTRACT:

Objective

Good quality indicators should have face validity, relevance to patients, and be able to be measured reliably. Beyond these general requirements, good quality indicators should also have certain statistical properties, including sufficient variability to identify poor performers, relative insensitivity to severity adjustment, and the ability to capture what providers do rather than patients' characteristics. We assessed the performance of candidate indicators of ICU quality on these criteria. Indicators included ICU readmission, mortality, several length of stay outcomes, and the processes of venous-thromboembolism and stress ulcer prophylaxis provision.

Design

Retrospective cohort study.

Setting

One hundred thirty-eight U.S. ICUs from 2001-2008 in the Proje

SUBMITTER: Brown SE 

PROVIDER: S-EPMC4212919 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature