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Table 3 Cost-effective interventions which did not achieve Delphi consensus for prioritization at this time

From: Interventions to promote cost-effectiveness in adult intensive care units: consensus statement and considerations for best practice from a multidisciplinary and multinational eDelphi study

Cost-effective interventions which did not achieve Delphi consensus for prioritization at this time

Degree of endorsement (Strongly agree and agree) in round 3

Infrastructure fundamentals

 

(1) Integrated ICU model preferable to Emergency Department-based ICU/Specialty-based ICUs

74% (However, ≥15% Strongly disagree and disagree)*

(2) Creating Critical Care Nurse Consultants, Physician Assistants as part of the critical care team

66%

(3) A combined ICU & HDU model

62%

(4) Low-cost wearable devices to replace the expensive commercial equipment for physiological monitoring

56%

(5) Opportunities to use artificial intelligence

55%

(6) Hand-held imaging devices such as ultrasound probes attached to smartphones

55%

(7) Surgical intermediate care unit as cost-saving alternative to ICU care

41%

(8) Use of disposable items over reusable

29%

Care delivery priorities

 

(9) Post-intensive care outpatient clinics under the supervision of intensivists

63%

Reliability and feedback

 

(10) Linking KPIs to physician/unit remuneration

41%

  1. HDU high dependency unit, ICU intensive care unit
  2. *One intervention, namely, “Integrated ICU model preferable to ED-based ICU/ Specialty-based ICUs” scored more than 70% agreement in both rounds; however, the disagreement was 15% and we counted this intervention as a “Cost-effective intervention which did not achieve Delphi consensus for prioritization”
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Critical Care

ISSN: 1364-8535