From: Indicators of intensive care unit capacity strain: a systematic review
Categorization of strain measure by the Donabedian framework†| Importance¶ (n = 95) | Scientific acceptability¶ (n = 23) | Usability and feasibility¶ (n = 11) | |||
---|---|---|---|---|---|---|
Quality (n = 42) | Patient-centered outcomes (n = 47) | Healthcare costs (n = 6) | Operational (n = 8) | Integrate into EHR (n = 3) | ||
Structure (n = 30) | ||||||
1. ICU census (n = 13) | 7 | 7 | 1 | 4 | 3 | 1 |
2. Queuing (n = 11) | 2 | 3 | 1 | 3 | 1 | – |
3. Nurse to patient ratio (n = 5) | 2 | 3 | 1 | 2 | 1 | – |
4. Daily rounds by intensivist (n = 1) | 1 | 1 | – | – | – | – |
Process (n = 50) | ||||||
5. ICU transfer (n = 1) | – | – | – | – | – | – |
6. ICU acuity (n = 21) | 10 | 10 | – | 2 | – | – |
7. After-hours discharge (n = 15) | 11 | 11 | 2 | 8 | 1 | – |
8. Turnover (n = 4) | 2 | 2 | – | – | – | – |
9. Workload (n = 4) | 1 | 1 | – | – | 1 | 1 |
10. Early ICU discharge (n = 3) | – | – | – | – | – | – |
11. Refusal rate (n = 2) | – | – | – | – | – | – |
Outcome (n = 30) | ||||||
12. ICU readmission (n = 18) | 7 | 7 | 1 | 2 | – | – |
13. SMR (n = 4) | 1 | 1 | – | – | 1 | 1 |
14. Burnout (n = 2) | – | – | – | 1 | – | – |
15. Job satisfaction (n = 2) | – | – | – | 1 | – | – |
16. Surgery cancellation (n = 2) | – | – | – | – | – | – |