From: Perceptions of the appropriateness of care in California adult intensive care units
Solutionsa | Numerator/ denominator (percentage) | Weighted percentage | Already doingb | Weighted percentagec |
---|---|---|---|---|
Mandatory family meetings at 72 hours with the intensivist and primary attending | 1,090/1,224 (89.0) | 89.5 | 348/1,238 (28.1) | 24.5 |
Allow intensivists to control admission decisions and refusals to the ICU | 963/1,226 (78.6) | 80.8 | 569/1,238 (46.0) | 40.5 |
Use ‘triggers’ at hospital admission ensure advance directives are known | 1,020/1,223 (83.4) | 83.9 | 578/1,238 (46.7) | 47.4 |
Formal training for physicians/nurses in talking to families about end-of-life decisions | 1,099/1,222 (89.9) | 91.5 | (31.8)d | (32.7) |
For patients with multiple co-morbidities/poor pre-morbid state, offer a limited trial of ICU level treatments | 943/1,220 (77.3) | 78.4 | 483/1,238 (39.0) | 38.8 |