Table 3 Baseline performance of 16 ICUs on nine care and communication bundle measures*.

Indicator	Successful performance on measure (%)†
(1) Medical decision maker	61/87 (71%)
(2) Advance directive status	56/78 (72%)
(3) Resuscitation status	48/83 (58%)
(4) Information leaflet	38/88 (43%)
(5) Regular pain assessment	521/600 (87%)
(6) Optimal pain management	411/482 (85%)
(7) Social work support	55/90 (61%)
(8) Spiritual support	33/88 (38%)
(9) Interdisciplinary family meeting	34/85 (40%)

*Performance in pilot testing of measures 1–9 was assessed in our prototype measure set in 16 ICUs in November 2005 using uniform specifications developed as described in the text and shown in tables 1 and 2.

†The denominator for indicators 1–4, 7, 8, and 9 is the total number of patients meeting the specified “time trigger” (admitted within the past 24 hours or length of stay >3 or >5 days). For indicators 5 and 6 the denominator is the total number of 4 hour intervals (for patients admitted within the past 24 hours).