Setharaman Hariharan and colleagues used the Analytic Hierarchy Process to assess the overall performance of three ICUs. They adopted the Donabedian approach to evaluation, based on the separation of Process, Structure and Outcome, arguing that a weighted MCDA approach would permit interpretations based on alternative views of the merits of that approach. - Therapeutic Interventions
- Monitoring
- Admission/discharge protocols
- Daily rounds
- Case conferences
- Sedation
- Audiovisual comforts
- Attitude of staff
- Capital equipment
- Staffing
- Maintenance of equipment
- Drugs, supplies
- Communication
- Related departments
- Patient factor
- Iatrogenic complications
- Nosocomial infections
- Antibiotic usage
- Nutrition
- Barbados ICU (Queen Elizabeth Hospital)
- Trinida ICU (Eric Williams Medical Sciences Complex)
- Indian ICU (University General Hospital, Vijayawada
Arrived at in consultation with clinicians and managers of units on basis of preset descriptive standards for three levels of performance (good/average/poor) assigned  Ratings of .6, .3 and .1 respectively Arrived at in 'extensive brainstorming sessions' using pairwise comparisons and the AHP 9 point intensity of preference method The Overall scores are built up by entering the 3 scores from the component attributes for Process, Structure and Outcome as ratings into the Overall Annalisa. The slides present the Overall and 3 component analyses. Note that because Barbados dominates on all 3 components no change of weightings can alter its leading position Overall Seetharaman Hariharan, Prasanta K Dey, Deryk R Chen, Harley S L Moseley, Areti Y Kumar (2005) 'Application of analytic hierarchy process for measuring and comparing the global performance of intensive care units' Journal of Critical Care 20: 117-125. email author: hseetharaman@fms.uwi.tt The purpose of presenting an Annalisa version of a study conducted using another MCDA method (such as the Analytic Hierarchy Process) is to summarise and present the analysis in a simple and attractive one-screen format for a large audience - and to permit the interested viewer to download the .alt file and interact with the Weightings and Ratings to determine the effect of changes on the Scores. Alternatively the .alt file may be used as a 'starter' for a new analysis. No opinion is expressed or implied in regard to the merits of the study on any criterion
download Overall alt file here
download Process alt file here
download Structure alt file here
download Outcome alt file here
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