Measurement category | Primary/secondary | Proctor implementation outcomes | Measure | Description |
---|---|---|---|---|
Implementation | Primary | Adoption | Clinician adherence to C-SAT/SBT | Percentage calculated by dividing the number of adherent C-SAT/SBT days documented by the number of eligible patient days |
Secondary | Feasibility | Incremental labor cost per patient days eligible for the TEACH intervention outreach | Incremental labor costs (base salary rate/fringe, supervisor overhead, overtime) divided by the number of patient days eligible for the TEACH intervention outreach | |
Fidelity | Telehealth contact rate | Percentage calculated by dividing the number of successful contacts between the tele-critical care team and frontline nurses and RTs documented divided by the number of patient days eligible for the TEACH intervention outreach | ||
Acceptability | Clinician satisfaction scores | Percentage reporting agree or strongly agree on a 5-point Likert scale via a clinician survey | ||
Clinical effectiveness | Primary | N/A | Patient ventilator free days to day 28 | Number of days from the time of initiating unassisted breathing to day 28 after initiation of IMV, assuming survival for at least two consecutive calendar days after initiating unassisted breathing and continued unassisted breathing to day 28 |
Secondary | Reintubation rate after intentional extubation | Proportion of patients undergoing intentional extubation who require reintubation for respiratory failure within 72 h. Excludes reintubations for < 24 h for the purpose of a surgical procedure | ||
Unintentional extubation incidence and reintubation rate | Separate from intentional extubation. Tracks unintentional extubations and rate of reintubation with 72Â h | |||
Ventilator-associated pneumonia rate | New antibiotic administered in an intubated patient associated with a positive respiratory culture | |||
Richmond Agitation and Sedation Scale | Average Richmond Agitation and Sedation Scale each calendar day over the first 7Â days from intubation. Recorded every 4Â h by nursing | |||
CAM-ICU score | Identifies the presence or absence of delirium. Recorded every 12Â h by nursing | |||
Delirium and coma-free days | Days free of delirium and coma to day 28. Delirium-free defined by the CAM-ICU score and coma-free defined by a RASS of >  − 4 | |||
Time to first ICU activity | Defined as a Johns Hopkins Highest Level of Mobility Scale of ≥ 2 | |||
ICU length of stay | Duration of stay in the ICU in days | |||
Hospital length of stay | Duration of stay in the hospital in days | |||
Hospital discharge disposition | Home, skilled nursing facility, long-term acute care facility, or rehabilitation facility | |||
Mortality — hospital, 30-day and 90-day mortality | Raw unadjusted mortality and adjusted mortality as defined in the methods |