Developing and implementing measures of quality of care in the intensive care unit

Peter J. Pronovost, Marlene R. Miller, Todd Dorman, Sean M. Berenholtz, Haya Rubin

Research output: Contribution to journalReview articlepeer-review

48 Scopus citations


As consumers, payers, and regulatory agencies require evidence regarding quality of care, the demand for intensive care unit (ICU) quality measures will likely grow. ICU providers and professional societies may need to partner with experts in quality measurement to develop and implement quality measures. This essay outlines the steps for developing and implementing quality measures and provides examples of potential ICU quality indicators. Outcome measures, in particular mortality rates, require risk adjustment, making data collection burdensome and broad implementation unlikely. On the other hand, structure and process measures may be feasible to implement broadly. Given the steps for developing quality measures outlined in this essay and the growing evidence in the literature regarding the impact of ICU care, the future should realize the development and implementation of ICU quality indicators that are rigorously developed and provide insights into opportunities to improve the quality of ICU care.

Original languageEnglish (US)
Pages (from-to)297-303
Number of pages7
JournalCurrent opinion in critical care
Issue number4
StatePublished - Sep 29 2001

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine


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