|  | General ICU (n = 121) | Emergency ICU (n = 141) | Total (n = 262) | ||||||
---|---|---|---|---|---|---|---|---|---|---|
 | Indicators | Numerator (n) | Denominator (n) | % | Numerator (n) | Denominator (n) | % | Numerator (n) | Denominator (n) | % |
Process | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
1 | Regular pain assessment* | 5405 | 9282 | 58.2% | 2818 | 8544 | 33.0% | 8223 | 17826 | 46.1% |
2 | Appropriate pain management†| 142 | 182 | 78.0% | 125 | 177 | 70.6% | 267 | 359 | 74.4% |
3 | Reassessment of pain after treatment and/or management | 73 | 142 | 51.4% | 41 | 125 | 32.8% | 114 | 267 | 42.7% |
4 | Regular delirium assessment‡ | 3355 | 4524 | 74.2% | 3379 | 4218 | 80.1% | 6734 | 8742 | 77.0% |
5 | Assessment of the patient's psychological distress | 40 | 86 | 46.5% | 23 | 53 | 43.4% | 63 | 139 | 45.3% |
6 | Assessment of social support needs | 110 | 121 | 90.9% | 126 | 141 | 89.4% | 236 | 262 | 90.1% |
7 | Assessment of the patient's spiritual and cultural practices | 7 | 121 | 5.8% | 6 | 141 | 4.3% | 13 | 262 | 5.0% |
8 | Identification of the patient's advance directive and ACP for treatment | 12 | 121 | 9.9% | 14 | 141 | 9.9% | 26 | 262 | 9.9% |
9 | Conduct of an interdisciplinary family conference on palliative care | 34 | 116 | 29.3% | 42 | 139 | 30.2% | 76 | 255 | 29.8% |
10 | Transmission of key information regarding palliative care following ICU transfer | 14 | 23 | 60.9% | 18 | 23 | 78.3% | 32 | 46 | 69.6% |
11 | Assessments of psychological distress of family members | 49 | 116 | 42.2% | 59 | 139 | 42.4% | 108 | 255 | 42.4% |
12 | Documentation of the medical process regarding end-of-life decisions | 20 | 25 | 80.0% | 34 | 35 | 97.1% | 54 | 60 | 90.0% |
13 | Modification of medical care for it to be in concordance with the goals of care for patients at the end of life | 23 | 25 | 92.0% | 35 | 35 | 100.0% | 58 | 60 | 96.7% |
Outcome | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
14 | Patient pain-free in the last 24Â h of life | 19 | 19 | 100.0% | 10 | 23 | 43.5% | 29 | 42 | 69.0% |
15 | Avoid performing CPR when the patient does not want | 18 | 18 | 100.0% | 22 | 23 | 95.7% | 40 | 41 | 97.6% |