Incorporation of Daily Goals in Daily Care Planning Does Not Shorten Length of Stay in the Intensive Care Unit

Critical Care Nursing Quarterly
Jan M BinnekadeMargreeth B Vroom

Abstract

A strategy of defining and checking explicitly formulated patient-specific treatments targets or "daily goals" in the intensive care unit has been associated with improved communication. We investigated the effect of incorporation of daily goals into daily care planning on length of stay in the intensive care unit. Furthermore, the type of daily goals and deviations from daily goals in daily care with or without documented reason were evaluated. Four university hospitals in the Netherlands, of which 2 study "daily goal" hospitals and 2 control hospitals, participated in a prospective before-after study. During the before phase of the study, daily goals were formulated by the attending physician but kept blinded from doctors and nurses caring for the patient. During the after phase of the study, daily goals were integrated in the care plan for patients admitted to the 2 study hospitals but not for patients admitted to the control hospitals. The implementation of daily goals was, after case-mix correction, not associated with a change in intensive care unit length of stay. However, this study showed that an improved administrative discipline, that is, the recording of the reason why a daily goal or standard protocol was not accom...Continue Reading

References

Feb 1, 1995·Critical Care Medicine·Y DonchinS Cotev
Jun 12, 2003·Journal of Critical Care·Peter PronovostCarol Haraden
Aug 5, 2003·Intensive Care Medicine·Peter M Dodek, Janet Raboud
Apr 17, 2007·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Lorri M Phipps, Neal J Thomas
Oct 23, 2013·Critical Care Medicine·William CheckleyUNKNOWN United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study Investigators
Nov 29, 2015·International Journal of Epidemiology·Nick van de KlundertNicolette F de Keizer

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