Hatami M, Emami H, Rabiei R, Ghasempouri S K, Safari S, Roshanpoor A. Requirements and Key Performance Indicators for Quality Dashboards in Intensive Care Units:
A Systematic Literature Review. J Mazandaran Univ Med Sci 2025; 35 (250) :244-261
URL:
http://jmums.mazums.ac.ir/article-1-22001-en.html
Abstract: (78 Views)
Background and purpose: Objective: Quality dashboards in intensive care units (ICUs) monitor audit data and visualize clinical performance, thereby enhancing care quality through timely feedback. This study aimed to systematically identify and synthesize functional requirements and key performance indicators (KPIs) for quality dashboards in ICUs, encompassing software design, clinical and managerial usability, and based on current scientific evidence.
Materials and methods: This systematic review was conducted following the Joanna Briggs Institute (JBI) methodology for systematic reviews and the PRISMA reporting checklist. A comprehensive search was performed without time restrictions in PubMed, Embase, Web of Science, and Scopus databases. To ensure completeness, Google Scholar and Google were also searched. The last search was conducted on April 3, 2024. The methodological quality of the included studies was assessed using the JBI-MAStARI tool for randomized controlled trials (RCTs) and quasi-experimental studies, and the risk of bias was determined based on the percentage of positive (“Yes”) responses.
Results: A total of 33 studies met the inclusion criteria, of which more than 60% were conducted in the United States. Quality appraisal revealed that all three RCTs had a low risk of bias, while among the 30 quasi-experimental studies, most (84%) were rated as having a moderate risk of bias. Based on the quality of evidence, the findings were categorized as follows: the functional requirements of dashboards included visual, interactive, reporting, alerting, performance evaluation, and performance monitoring components. The KPIs for clinical audit dashboards in adult ICUs were grouped into four main domains: structural indicators, quality of care, performance quality, and patient safety.
Conclusion: The final analysis indicates that the effective design of clinical audit dashboards in adult ICUs requires integrating visual and interactive tools, selecting appropriate performance indicators, and providing timely feedback. These dashboards should also support personalization, trend visualization, and resource management to optimize decision-making and care quality.