Table 3

Quality matrix for a pediatric intensive care unit quality index

Safe

Effective

Efficient

Pt-centered

Timely

Equitable

Structure

Nurse-to-patient ratio

Intensivist in house 24 hours a day

Process

Medication Safety Practice, Central line infection prevention practice, VAP prevention practices

Review of unplanned readmissions

Pain assessment on admission, Periodic pain assessment

Time to receive antibiotics for sepsis

Outcome

VAP rate, BSI rate, UTI rate, Unplanned extubation rate

SMR, Unplanned readmission rate

Severity adjusted LOS

Failed extubation rate

Pt: patient; VAP: ventilator associated pneumonia; BSI: blood stream infection; UTI: urinary tract infection; LOS: length of stay; SMR: standardized mortality ratio.

The italicized items are the eight core metrics in Pedi-QS report. The other items were initially rejected either because of lack of evidence or difficulty in measurement.

Profit et al. Implementation Science 2010 5:13   doi:10.1186/1748-5908-5-13