• J-M Sirvent, C Cordon, S Cuenca, C Fuster, C Lorencio, and P Ortiz.
• Servicio de Medicina Intensiva (UCI), Hospital Universitario de Girona Doctor Josep Trueta, Girona, España. Electronic address: Jsirvent.girona.ics@gencat.cat.
• Med Intensiva. 2021 Mar 1; 45 (2): 88-95.

ObjectiveBased on some of the recommendations of the SEMICYUC working groups, we developed a checklist and applied it in 2 periods, analyzing their behavior as a tool for improving safety.DesignA comparative pre- and post-intervention longitudinal study was carried out.SettingThe Intensive Care Unit (ICU) of a 400-bed university hospital.PatientsRandom cases series in 2 periods separated by 6 months.InterventionsWe developed a checklist with 24 selected indicators that were randomly applied to 50 patients. Verification was conducted by a professional not related to care (prompter). We analyzed the results and compliance index and carried out corrective measures with training. With 6 months of preparation, we again applied the random checklist to 50 patients (post-intervention period) and compared the compliance indexes between the two timepoints.ResultsThere were no differences in demographic characteristics or evolution between the periods. The compliance index at baseline was 0.86±0.12 versus 0.91±0.52 in the post-intervention period (P=.023). An acceptable compliance index was obtained with the 24 indicators, though at baseline the compliance index was<0.85 for 5 recommendations. These detected non-compliances were worked upon through training in the second phase of the study. The post-intervention checklist evidenced improvement in compliance with the recommendations.ConclusionsThe checklist used to assess compliance with a selection of recommendations of the SEMICYUC applied and moderated by a prompter was seen to be a useful instrument allowing us to identify points for improvement in the management of Intensive Care Unit patients, increasing the quality and safety of care.Copyright © 2019 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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