Application of new Alexandria quality checklist in intensive care units in Alexandria main University hospital and its effect on patients outcome

ABSTRACT

Quality checklist is a newly designed checklist used to improve quality of medical care in intensive care unit through following certain rules and regulations. In the present study, this checklist was applied daily during clinical rounds in intensive care unit three (ICU3) in Alexandria Main University Hospital for three months for all patient admitted to ICU3. The results of this group were compared to retrospective results from previous three months before application of the checklist. The study showed no significant difference in baseline assessment data, while showed significant improvement in mortality rates, decrease in rates of ventilator associated pneumonia and central venous line infection and head of bed elevation. Moreover, no significant difference was founded in urinary tract infection related to urinary catheter insertion.  From this study it was concluded that the use of quality checklist in daily (ICU) clinical rounds may improve both mortality rates and morbidity.  So, it was recommended that the application of this checklist should be on wide scale in all intensive care units.

Keywords: checklist, ICU, quality, Alexandria

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