ICU sedation, delirium & recovery
A Quality Improvement Initiative to Achieve Provincial Implementation of a Web-Based Family Satisfaction in ICU (FS-ICU) Survey to Inform Patient-Centered Care
Authors' conclusion
A provincial, web-based FS-ICU was implemented across all adult level 3 Ontario ICUs, producing a large dataset with high satisfaction scores. A small proportion completed the survey, highlighting feasibility and workflow barriers. Future efforts should improve activation and completion rates and integrate FS-ICU data into routine quality improvement to enhance patient- and family-centered care.
Study context
- Population
- Adult ICU patients, family members, or substitute decision-makers in all adult level 3 ICUs in ON, Canada, from July 1, 2019, to May 31, 2024; one survey per ICU encounteradult level 3 ICUs · community 52 · academic 31
- Participants
- 83 patients
- Outcome
- Onboarding (keys generated per ICU admission)
- Follow-up
- Over the study period
Methodological detailselectronic, key-based FS-ICU survey, prospectively collected anonymous data linked to encounters through a centralized database
- Electronic, key-based FS-ICU survey
- Prospectively collected anonymous data linked to encounters through a centralized database
Main finding
As reported in the abstract
Unique keys generated
24,679
ICU admissions
353,400
Onboarding rate
7.0%
Observational data: associations, not effects.
Further findings
Opening · Over the study period
- Keys opened
- 13,596
- Opening rate
- 55.1%
Completion (greater than or equal to 70% completion threshold) · Over the study period
- Surveys meeting the threshold
- 7,542
- Completion rate, among opened surveys
- 57.6%
- Reflection rate, of ICU encounters
- 2.1%
Survey initiation by format
- Staff-Provided format, keys initiated (highest)
- 88.4%
Satisfaction (0-100 scale)
- FS with Care, mean
- 87.8
- FS with Decision-Making, mean
- 84.4
- FS-TOTAL, mean
- 86.5
- Nursing care rated highest
- Adequacy of time for questions rated lowest
Original publication
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