Table 3 Implementation and clinical effectiveness outcomes

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 72 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 7 days from intubation. Recorded every 4 h by nursing

CAM-ICU score

Identifies the presence or absence of delirium. Recorded every 12 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