Measuring intensive care performance to attain collaborative quality improvement: Work in progress but much to be done.

Journal: Journal of critical care
Published Date: Jul 29, 2025

Abstract

Intensive Care Medicine must be viewed as an organized system of care that ensures delivery of timely and expert treatment to critically ill patients. Like any system, it needs a matrix of continuous quality improvement. The development of robust indicators covering all domains of quality is crucial for that matrix. The combined use of standardized mortality ratio and of standardized resource use ratio may allow the assessment of ICU performance and efficiency. ICU length of stay is a good proxy of resource use. Data driven models, possibly fueled by machine learning, may predict length of stay in all and in subpopulations of ICU patients.

Authors

  • José-Artur Paiva
    Intensive Care Medicine Service, Unidade Local de Saúde São João, Alameda Professor Hernani Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, University of Porto, Portugal; Infection and Sepsis Research and Development Group, Portugal. Electronic address: jarturpaiva@gmail.com.
  • José Manuel Pereira
    Intensive Care Medicine Service, Unidade Local de Saúde São João, Alameda Professor Hernani Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, University of Porto, Portugal; Infection and Sepsis Research and Development Group, Portugal.

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