Safety, quality & education

Interventions to promote cost-effectiveness in adult intensive care units: consensus statement and considerations for best practice from a multidisciplinary and multinational eDelphi study

Crit CarePublished Consensus statement

An erratum to this article was published (Crit Care, 12 Apr 2024 ↗)

Methodological detailsmodified eDelphi study, three-round modified online Delphi, multidisciplinary, multinational, Rounds 2 and 3: five-point Likert scale voting, Consensus: > 70% of experts voting for an intervention, Three-round modified online Delphi process via web-based platform, Steering committee endorsed interventions rated 'critical' by more than 50% of members
  • Modified eDelphi study
  • Three-round modified online Delphi
  • Multidisciplinary
  • Multinational
  • Rounds 2 and 3: five-point Likert scale voting
  • Consensus: > 70% of experts voting for an intervention
  • Three-round modified online Delphi process via web-based platform
  • Steering committee endorsed interventions rated 'critical' by more than 50% of members

Recommendations

As issued by the authors

  1. critical

    Adoption of a multidisciplinary intensive care units (ICU) model of care

  2. critical

    Focus on staff training and competency assessment

  3. critical

    Ongoing quality audits, ensuring high quality of critical care services within or outside the four walls of ICUs

  4. critical

    Implementation of a dynamic staff roster

  5. critical

    Multidisciplinary approach to implementing end-of-life care

  6. critical

    Early mobilization

  7. critical

    Promoting international consensus efforts on the Green ICU concept

Original publication

Interventions to promote cost-effectiveness in adult intensive care units: consensus statement and considerations for best practice from a multidisciplinary and multinational eDelphi study. Crit Care. Published 11 December 2023. doi:10.1186/s13054-023-04766-2

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