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. 2017 Apr;21(4):187-191.
doi: 10.4103/ijccm.IJCCM_164_15.

Quality Indicators Compliance Survey in Indian Intensive Care Units

Munta Kartik  1 , Palepu B N Gopal  2 , Rahul Amte  1
Affiliations

Quality Indicators Compliance Survey in Indian Intensive Care Units

Munta Kartik et al. Indian J Crit Care Med. 2017 Apr.

Abstract

Context: The quality of health care and outcomes of Intensive Care Unit (ICU) have been a major subject of discussion in the past decade. Quality indicators in ICUs maintain an order of uniformity and standard care of delivery across ICUs.

Aims: In this study, we tried to analyze the percentage compliance of quality indicators in ICU across our country.

Methods: Four hundred complete questionnaire forms were collected in two stages by means of conducting a survey and through email responses to the survey questionnaire. Data were tabulated and evaluated in percentage responses.

Results: Monitoring of infection control measures such as hand hygiene (77%), monitoring of ICU-acquired infections (>75%), and quality and policy measures (>70%) were promising. Improvements are required in following end-of-life pathways (52%) and staffing patterns in ICU. ICU discharge timings (41%), standardized mortality ratio monitoring (39%), and multidisciplinary rounds (58%) in ICUs are few areas we need to develop further.

Conclusion: The future of critical care looks promising with growing number of trained intensivists and hospitals functioning with an average ICU bed strength of 30-40. Such surveys need to be performed regularly to improve the patient care and safety across ICUs.

Keywords: Critical care; infection control; patient care; quality indicators; survey.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Age distribution of the responders
Figure 2
Figure 2
Specialty wise distribution
Figure 3
Figure 3
Designation wise distribution
Figure 4
Figure 4
Type of hospital setting
Figure 5
Figure 5
Bed strength in Intensive Care Units
Figure 6
Figure 6
Type of Intensive Care Unit
Figure 7
Figure 7
Intensive Care Unit specialty wise distribution
Figure 8
Figure 8
Hours of trained intensivist presence
Figure 9
Figure 9
Compliance of admission criteria
Figure 10
Figure 10
Intensive Care Unit bed occupancy in a year
Figure 11
Figure 11
Nurse-to-patient ratio for ventilated patients
Figure 12
Figure 12
Nurse-to-patient ratio for nonventilated patients
Figure 13
Figure 13
Solutions used for hand hygiene
Figure 14
Figure 14
Hospital-acquired infections' surveillance
Figure 15
Figure 15
Quality and policy issues compliance
See this image and copyright information in PMC

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