Abstract
BackgroundQuality improvement in the intensive care unit has transitioned from focusing on mortality to improving care and reducing morbidity. ObjectiveThis study prospectively investigated clinical and system drivers of family satisfaction in a large quaternary hospital ICU. MethodsA validated tool was distributed to family members and a registry chart analysis was conducted. The aims were to assess associations with high or low family satisfaction to evaluate unit-level satisfaction. Candidate predictors were selected from univariate logistic regressions and finalized in a multivariate model by a stepwise selection approach. ResultsOverall, 75% (n = 188) of respondents (n = 250) indicated high satisfaction. Respondents with higher satisfaction had a Plan of the Day posted (OR = 3.3, 95% CI: 1.63, 6.89, p = 0.001), and did not live with the patient (OR =0.5, 95% CI: 0.25, 0.96, p = 0.044). ConclusionThis study indicates that communication and transparency of plans contributes to family satisfaction with ICU care.
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