From: Examining the weekend effect across ICU performance metrics
Care metric | Week, n = 1449 | Weekend, n= 259 | Effect size (P) | Scorecard |
---|---|---|---|---|
Deliver safe care | ||||
VAP rate | 1% | 3% | 4.16OR (.004) | OCCUBS |
CLI rate | 0% | 0% | NA | OCCUBS |
Optimize patient flow | ||||
ICU length of stay | 4.48 days | 6.72 days | 0.35CD (<.001) | OCCUBS |
Access | ||||
Admission to (ICU) bed, > 90 min | 51% | 65% | 1.82OR (<.001) | OCCUBS |
Night-time discharge rate (10:00 PM–7:00 AM) | 10% | 16% | 1.83OR (.002) | OCCUBS |
Ventilation and weaning | ||||
Unplanned extubation | 0.3% | 0.8% | 2.81OR (.23) | OCCUBS |
% of patients maintained on a ventilator | 78% | 60% | 0.41OR (<.001) | CCMQS |
Reintubation rate, < 48 h after planned extubation | 11% | 19% | 2.08OR (.002) | CCMQS |
Fluid balance | ||||
Median fluid balance | 2.96 L | 3.27 L | 0.21CD (.03) | CCMQS |
Median fluid balance/24 h | 0.18 L | 0.14 L | 0.09CD (.03) | CCMQS |
Prevention | ||||
% of patient days with blood glucose >120 mg/dL | 85% | 83% | 0.06CD (.38) | OCCUBS |
% patient days with central line | 49% | 48% | 0.01CD (.008) | OCCUBS |