Daily Checklists and Outcome in the Intensive Care Unit

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Northwestern University

Status

Completed

Conditions

Critical Illness

Treatments

Other: Verbal prompting
Other: Electronic checklist

Study type

Interventional

Funder types

Other

Identifiers

NCT01396044
NUIRBSTU00013313

Details and patient eligibility

About

Medical errors account for tens of thousands of deaths and tens of billions of dollars in healthcare costs in the United States every year. One field that has seen the strongest push toward quality improvement has been critical care medicine, likely because its particularly high degree of medical complexity makes it a practice area prone to high error rates with serious consequences. One of the most commonly used interventions used to help reduce errors in the intensive care unit (ICU) has been the implementation of checklists. The investigators propose a clinical trial in a University critical care setting to determine whether an electronic checklist versus verbal prompting to use a written checklist improves clinical practice and patient outcomes. The investigators also plan to compare these data with a time period prior to the study to determine if the electronic checklist or verbal prompting are better than usual care. The investigators hypothesize that both the electronic checklist and verbal prompting to use a written checklist will be better for clinical practice and patient outcomes than usual care, and that verbal prompting will lead to better outcomes compared to the electronic checklist.

Enrollment

451 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

Admission to a medical intensive care unit (MICU) team during the study timeframe

Exclusion criteria

  • Transfer from MICU team to a separate ICU team within 12 hours of admission
  • Transfer to MICU team from a separate ICU team after more than 72 hours on the separate ICU team

Trial design

451 participants in 2 patient groups

Electronic checklist
Experimental group
Description:
Electronic checklist
Treatment:
Other: Electronic checklist
Verbal prompting
Experimental group
Description:
Verbal prompting with written checklist
Treatment:
Other: Verbal prompting

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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