Fig. 1.
Results of initiatives in 2 different hospitals to improve ICU performance on the family meeting measure in the VHA Care and Communication Bundle of ICU Palliative Care Quality Measures [52]. This measure’s numerator is “number of patients who have documentation in the medical record that an interdisciplinary family meeting was conducted on or before day 5 of ICU admission,” and the denominator is “total number of patients with an ICU length of stay more than 5 days.” A. Improvement of performance during the first 4 months (October 2007–January 2008) of efforts in a 30-bed combined medical-surgical ICU in a Southeastern US 961-bed hospital. Data were collected through review of medical records for 129 patients with ICU length of stay 5 days or longer across 3 periods: October-November 2007 (n = 56), December 2007 (n = 35), and January 2008 (n = 38). B. Results of a 1-year (2006–2007) performance improvement initiative involving 3 ICUs (medical ICU, surgical ICU, mixed ICU) totaling 40 beds in a 359-bed hospital in the Northwest US. For collection of these data, medical records were reviewed for consecutive patients in defined periods during the second quarters of 2006 (n = 23) and 2007 (n = 50), respectively, with ICU length of stay 5 days or longer.