Compliance with processes of care in intensive care units in Australia and New Zealand - A point prevalence study

摘要: There are indications that compliance with routine clinical practices in intensive care units (ICU) varies widely internationally, but it is currently unknown whether this the case throughout Australia and New Zealand. A one-day point prevalence study measured of processes being delivered Australian Zealand ICUs including assessment and/or management of: nutrition, pain, sedation, weaning from mechanical ventilation, head bed elevation, deep venous thrombosis prophylaxis, stress ulcer blood glucose, pressure areas bowel action. Using a sample 50 adult ICUs, data were collected for 662 patients median age 65 years Acute Physiology Chronic Health Evaluation II score 18. Wide variations evident several components including: nutritional goals (74%, interquartile range [IQR] 51 to 89%), pain (35%, IQR 17 62%), sedation (89%, 100%); ventilated e.g. elevation > 30 degrees (33%, 7 62%) setting plans (50%, 28 78%); area risk (78%, 18 100%) constipation plan (43%, 6 87%). Care more consistently included nutrition delivery (100%, 100 100%), (96%, 89 (90%, 78 checking sugar levels (93%, 88 100%). This demonstrated variability 'routine' cares ICUs. may be driven part by lack consensus on what best practice units, prompting need further research area.