title: Identifying meaningful outcome measures for the intensive care unit.
abstract: Despite important progress in measuring the safety of health care delivery in a variety of health care settings, a comprehensive set of metrics for benchmarking is still lacking, especially for patient outcomes. Even in high-risk settings where similar procedures are performed daily, such as hospital intensive care units (ICUs), these measures largely do not exist. Yet we cannot compare safety or quality across institutions or regions, nor can we track whether safety is improving over time. To a large extent, ICU outcome measures deemed valid, important, and preventable by clinicians are unavailable, and abstracting clinical data from the medical record is excessively burdensome. Even if a set of outcomes garnered consensus, ensuring adequate risk adjustment to facilitate fair comparisons across institutions presents another challenge. This study reports on a consensus process to build 5 outcome measures for broad use to evaluate the quality of ICU care and inform quality improvement efforts.
authors.affiliation: 1Massachusetts General Hospital, Boston, MA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Martinez
authors.forename: Karen
authors.initials: K
authors.lastname: Donelan
authors.forename: Justin P
authors.initials: JP
authors.lastname: Henneman
authors.forename: Sean M
authors.initials: SM
authors.lastname: Berenholtz
authors.forename: Paola D
authors.initials: PD
authors.lastname: Miralles
authors.forename: Allison E
authors.initials: AE
authors.lastname: Krug
authors.forename: Lisa I
authors.initials: LI
authors.lastname: Iezzoni
authors.forename: Jonathan E
authors.initials: JE
authors.lastname: Charnin
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Pronovost
mesh_terms: D006801:Humans; D007362:Intensive Care Units / Q000592:standards*; D017063:Outcome Assessment, Health Care / Q000379:methods; D061214:Patient Safety; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States
keywords: adverse outcomes; intensive care unit; outcome measures; outcomes; patient safety; quality measurement