Key result
A daily plan of care review and a lower bed-to-nurse ratio were associated with lower annual ICU mortality (5.8% lower [95% CI 1.6-10.0%] and 1.8% lower, respectively).
Why the study?
Do specific ICU organizational structures and processes of care improve annual ICU mortality?
Cross-Sectional (n=69)
Yes
Do specific ICU organizational structures and processes of care improve annual ICU mortality?
Absolute Risk Reduction: 5.8 (95% CI 1.6–10)
Absolute Risk Reduction: 5.8%
Process-targeted interventions like daily plan of care reviews and lower bed-to-nurse ratios are associated with lower annual ICU mortality, whereas 24-hour intensivist staffing is not.
No takes yet. Share an insight, caveat, or question.
These associations support targeted ICU process evaluation; hypothesis-generating and should not yet change practice without prospective trials.
Checkley et al. (2013) conducted a cross-sectional in Critical Illness (n=69). Daily plan of care review vs. No daily plan of care review was evaluated on Annual ICU mortality (5.8% lower, 95% CI 1.6-10.0). A daily plan of care review and a lower bed-to-nurse ratio were associated with lower annual ICU mortality (5.8% lower [95% CI 1.6-10.0%] and 1.8% lower, respectively).
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