Quality indicators in intensive care medicine for Germany - third edition 2017

Oliver Kumpf, Jan-Peter Braun, Alexander Brinkmann, Hanswerner Bause, Martin Bellgardt, Frank Bloos, Rolf Dubb, Clemens Greim, Arnold Kaltwasser, Gernot Marx, Reimer Riessen, Claudia Spies, Jörg Weimann, Gabriele Wöbker, Elke Muhl, Christian Waydhas, Oliver Kumpf, Jan-Peter Braun, Alexander Brinkmann, Hanswerner Bause, Martin Bellgardt, Frank Bloos, Rolf Dubb, Clemens Greim, Arnold Kaltwasser, Gernot Marx, Reimer Riessen, Claudia Spies, Jörg Weimann, Gabriele Wöbker, Elke Muhl, Christian Waydhas

Abstract

Quality improvement in medicine is depending on measurement of relevant quality indicators. The quality indicators for intensive care medicine of the German Interdisciplinary Society of Intensive Care Medicine (DIVI) from the year 2013 underwent a scheduled evaluation after three years. There were major changes in several indicators but also some indicators were changed only minimally. The focus on treatment processes like ward rounds, management of analgesia and sedation, mechanical ventilation and weaning, as well as the number of 10 indicators were not changed. Most topics remained except for early mobilization which was introduced instead of hypothermia following resuscitation. Infection prevention was added as an outcome indicator. These quality indicators are used in the peer review in intensive care, a method endorsed by the DIVI. A validity period of three years is planned for the quality indicators.

Keywords: intensive care medicine; peer review; quality indicators; quality management.

Conflict of interest statement

The authors declare that they have no competing interests regarding the content of this manuscript.

Figures

Table 1. Obstructing factors for QI implementation…
Table 1. Obstructing factors for QI implementation (according to de Vos et al.) [12]
Figure 1. Introduction of quality indicators
Figure 1. Introduction of quality indicators
Use of quality indicators in intensive care medicine by employing the PDCA cycle. QI are useful for measurement of the actual situation to support further planning. Their main use is the evaluation of the effects of newly introduced actions. They provide the crucial link between “Check” and “Act”.

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