From: Perceptions of the appropriateness of care in California adult intensive care units
Characteristic | |
---|---|
Hospital characteristicsa(n = 56) | Participatingbnumber (percentage or IQR) |
Hospital size | |
Small (<99 beds) | 4 (7.1) |
Moderate (100-399 beds) | 44 (78.6) |
Large (400+ beds) | 8 (14.3) |
Type of hospital | |
Not-for profit | 45 (80.3) |
For profitc | 4 (7.1) |
State | 7 (12.5) |
ICU size | |
<10 beds | 9 (16.1) |
10-30 beds | 32 (57.1) |
>30 beds | 15 (26.8) |
Region | |
Northern California | 22 (39.3) |
Central California | 13 (23.2) |
Southern California | 21 (37.5) |
Academic status | |
Teaching hospital | 9 (16.1) |
System | |
Part of hospital systemc,d | 42 (75) |
ICU mortality (%) (2011)e | 12.3 (10.5-13.3) |
ICU characteristicsf(n = 56) | |
Median number of FTE ICU nurses | 45 (25.6-65) |
Median number of FTE ICU physicians | 4 (2-7) |
Median patient-to-intensivist ratio | 10 (8-14.1) |
Availability of an ethics service | 44 (78.6) |
24-hour presence of a senior intensivist | 10 (17.9) |
Availability of an ICU step-down unit | 30 (53.6) |
Daily multi-disciplinary rounds | 42 (75.0) |
Guideline or provider order entry set for end-of-life care | 39 (69.6) |
Provider characteristics (n = 1,363) | |
Median age in years | 42 (35-51) |
Number of female respondents | 995 (73.0) |
Professional role in the ICU | |
Nurse | 1,156 (84.7) |
Certified critical care nurse | 291 (21.3) |
Registered nurse | 865 (63.5) |
Nurse practitioner/physician assistant | 10 (0.73) |
Physician | 198 (14.5) |
Board-certified critical care physician | 130 (9.5) |
Hospitalist | 11 (0.8) |
Resident/fellow | 20 (1.5) |
Other | 37 (2.7) |
Type of ICU | |
Mixed MICU/SICU | 755/1,363 (55.4) |
MICU | 211/1,363 (15.5) |
TICU/SICU | 171/1,363 (12.5) |
Other (burns, neuro, cardiac) | 226/1,363 (16.5) |
Median number of years working in ICU (IQR) | 7 (3-13) |
Median number of hours worked per week(IQR) | 36 (32-40) |
Number who were trained in current ICU | 799 (58.6) |
Received formal training in talking with patients and families about end-of-life decisions | 431 (31.6) |
Treated any patient who had a completed POLST form | 1051 (77.1) |
Involved in any medico-legal claim, regardless of outcome (physicians/PA/NP only) | 83/206 (40.3) |