How to improve quality in your ICU – Dr Jorge Salluh Artwork

Asia Ventilation Forum

The Asia Ventilation Forum (AVF) is a not-for-profit organisation comprising members from different Asian countries. We share our knowledge and experience in respiratory care and critical care with intensive care unit (ICU) workers across the continent with the aim of improving care and outcomes for the critically ill. There are two AVF Podcast series. "Behind-The-Scenes ICU Stories" invites colleagues to share anything and everything on their personal experiences. Expect heart-to-heart discussions on topics that may or may not have been widely described in the medical literature. "The Challenges of Airway Management During the Pandemic" invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. These Podcasts are hosted by Dr Jason Phua, respiratory physician and intensivist at Alexandra Hospital, National University Health System, Singapore, and Dr Jose Emmanuel Palo, intensivist at The Medical City, the Philippines.

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Asia Ventilation Forum

How to improve quality in your ICU – Dr Jorge Salluh

February 28, 2022 • Season 1 • Episode 13

In this AVF Podcast: ICU Tips & Tricks episode, Dr Jorge Salluh discusses how one can drive quality improvement in the intensive care unit (ICU), both at the local level and in international registries. Dr Salluh is a Brazilian critical care physician working in Rio de Janeiro and a researcher at the not-for-profit D'or Institute for Research and Education. He has been working with outcomes and quality improvement projects for the last 17 years. He is a founder of the Brazilian Research in Intensive Care Network (BRICnet), the Brazilian ICUs registry, and the Linking of Global Intensive Care (LOGIC) consortium.

Issues discussed in this interview:

What quality improvement is
Skillsets needed for quality improvement
How to choose data for collection
How to choose quality indicators
How to establish targets
Frameworks for quality improvement such as the PDCA cycle
Role of ICU registries
Linking of Global Intensive Care (LOGIC) consortium

Work cited:

1. da Silva Ramos FJ, de Freitas FGR, de Souza Pacheco E, Salluh JIF, Machado F. Top five priorities for a new ICU director during the first year. ICU Management & Practice 2021;21:113-116.

2. Rhodes A, Moreno RP, Azoulay E, et al. Prospectively defined indicators to improve the safety and quality of care for critically ill patients: a report from the Task Force on Safety and Quality of the European Society of Intensive Care Medicine (ESICM). Intensive Care Med. 2012;38:598-605.

3. Zampieri FG, Salluh JIF, Azevedo LCP, et al. ICU staffing feature phenotypes and their relationship with patients' outcomes: an unsupervised machine learning analysis. Intensive Care Med 2019;45:1599-1607.

4. Dongelmans DA, Pilcher D, Beane A, et al. Linking of global intensive care (LOGIC): An international benchmarking in critical care initiative. J Crit Care 2020;60:305-310.

5. LOGIC: Linking of Global Intensive Care. https://www.icubenchmarking.com/logic-linking-of-global-intensive-care/.