TABLE 1.

Steps Taken to Develop the Chart Review Process

Step	Examples From Our Process
Establish goals and objectives of the chart review	Identify pathophysiology and potential therapeutic advances in ICU morbidities and mortalities
Define the parameters that achieve the goals and objectives of the chart review	Trigger: new morbidity or mortality (by using the FSS)
	Causes and interventions: CPCCRN expert panel
Establish a standardized data collection tool	See Supplemental Fig 2
Identify possible locations within the EHR to find data	Admission note, discharge note, consultant notes
Establish time limits for each phase of the chart review	5 min for confirmation of trigger; 15 min for identification of the cause; 10 min for the interventions; 5 min for the central review
Identify criteria for primary reviewers	Minimum of 2 y of critical care training
Develop training program for primary reviewers	Online module with supervision of the first few chart reviews

EHR, electronic health record.