Kevin Hummel1, Zhining Ou2, Avani Latchireddi3, Angela P Presson4, Joseph Tonna5. 1. University of Utah Department of Pediatrics, Division of Pediatric Critical Care Medicine, United States; Intermountain Healthcare Primary Children's Hospital, United States. Electronic address: kevin.hummel@hsc.utah.edu. 2. University of Utah Department of Internal Medicine, Division of Epidemiology, United States. 3. University of Utah, United States. 4. University of Utah Department of Pediatrics, Division of Pediatric Critical Care Medicine, United States; University of Utah Department of Internal Medicine, Division of Epidemiology, United States. 5. University of Utah Department of Surgery, Division of Cardiothoracic Surgery, United States; University of Utah Department of Emergency Medicine, United States.
Abstract
BACKGROUND: Quality improvement in the intensive care unit has transitioned from focusing on mortality to improving care and reducing morbidity. OBJECTIVE: This study prospectively investigated clinical and system drivers of family satisfaction in a large quaternary hospital ICU. METHODS: A validated tool was distributed to family members and a registry chart analysis was conducted. The aims were to assess associations with high or low family satisfaction to evaluate unit-level satisfaction. Candidate predictors were selected from univariate logistic regressions and finalized in a multivariate model by a stepwise selection approach. RESULTS: Overall, 75% (n = 188) of respondents (n = 250) indicated high satisfaction. Respondents with higher satisfaction had a Plan of the Day posted (OR = 3.3, 95% CI: 1.63, 6.89, p = 0.001), and did not live with the patient (OR =0.5, 95% CI: 0.25, 0.96, p = 0.044). CONCLUSION: This study indicates that communication and transparency of plans contributes to family satisfaction with ICU care.
BACKGROUND: Quality improvement in the intensive care unit has transitioned from focusing on mortality to improving care and reducing morbidity. OBJECTIVE: This study prospectively investigated clinical and system drivers of family satisfaction in a large quaternary hospital ICU. METHODS: A validated tool was distributed to family members and a registry chart analysis was conducted. The aims were to assess associations with high or low family satisfaction to evaluate unit-level satisfaction. Candidate predictors were selected from univariate logistic regressions and finalized in a multivariate model by a stepwise selection approach. RESULTS: Overall, 75% (n = 188) of respondents (n = 250) indicated high satisfaction. Respondents with higher satisfaction had a Plan of the Day posted (OR = 3.3, 95% CI: 1.63, 6.89, p = 0.001), and did not live with the patient (OR =0.5, 95% CI: 0.25, 0.96, p = 0.044). CONCLUSION: This study indicates that communication and transparency of plans contributes to family satisfaction with ICU care.
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