Application of analytic hierarchy process for measuring and comparing the global performance of intensive care units
Journal of critical care
; 20(2): 117-125, 2005. tab
Artigo
em Inglês
| MedCarib
| ID: med-17558
Biblioteca responsável:
TT5
ABSTRACT
Purpose:
To develop a model for the global performance measurement of intensive care units (ICUs) and to apply that model to compare the services for quality improvement. Materials andMethods:
Analytic hierarchy process, a multiple-attribute decision-making technique, is used in this study to evolve such a model. The steps consisted of identifying the critical success factors for the best performance of an ICU, identifying subfactors that influence the critical factors, comparing them pairwise, deriving their relative importance and ratings, and calculating the cumulative performance according to the attributes of a given ICU. Every step in the model was derived by group discussions, brainstorming, and consensus among intensivists.Results:
The model was applied to 3 ICUs, 1 each in Barbados, Trinidad, and India in tertiary care teaching hospitals of similar setting. The cumulative performance rating of the Barbados ICU was 1.17 when compared with that of Trinidad and Indian ICU, which were 0.82 and 0.75, respectively, showing that the Trinidad and Indian ICUs performed 70 per cent and 64 per cent with respect to Barbados ICU. The model also enabled identifying specific areas where the ICUs did not perform well, which helped to improvise those areas.Conclusions:
Analytic hierarchy process is a very useful model to measure the global performance of an ICU.
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Coleções:
Bases de dados internacionais
Base de dados:
MedCarib
Assunto principal:
Análise e Desempenho de Tarefas
/
Unidades de Terapia Intensiva
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of critical care
Ano de publicação:
2005
Tipo de documento:
Artigo
Instituição/País de afiliação:
Aston University/United Kingdom
/
The University of the West Indies/Barbados
/
The University of the West Indies/Trinidad and Tobago