Evaluation of the Effectiveness of an Audit and Feedback Intervention With Quality Improvement Toolbox in Intensive Care

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Status: Completed

Conditions: Quality Improvement; Critical Care; Pain Management

Treatments: Behavioral: Audit and Feedback; Behavioral: Toolbox

Study type: Interventional

Funder types: Other

Identifiers

NCT02922101

METC_W16_271

Details and patient eligibility

About

This study evaluates the addition of a quality improvement toolbox to an online audit and feedback intervention in Dutch intensive care units. The toolbox comprises for each quality indicator (e.g., percentage of patients per shift whose pain is measured) a list of potential bottlenecks in the care process (e.g., staff is unaware of the prevailing guidelines for measuring pain every shift), associated recommendations for actions to solve mentioned bottlenecks (e.g., organize an educational training session), and supporting materials to facilitate implementation of the actions (e.g., a slide show presentation discussing the importance and relevance of measuring pain every shift). Half of the participating intensive care units will only receive online feedback, while the other half will additionally gain access to the integrated toolbox to facilitate planning and executing actions.

Enrollment: 21 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ICUs treating adult (18 years and above) patients
• ICUs willing and able to submit data monthly
• ICUs with a local quality improvement team of at least 1 intensivist and 1 nurse

Exclusion criteria

• Nil

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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21 participants in 2 patient groups

Audit and Feedback with toolbox

Experimental group

Description:

Access to an online dashboard that provides insight into clinical performance on quality indicators for pain management; including a quality improvement toolbox to facilitate planning and executing actions. Participating ICUs will receive one educational outreach visit and brief monthly telephone calls.

Treatment:

Behavioral: Toolbox

Behavioral: Audit and Feedback

Audit and Feedback without toolbox

Active Comparator group

Description:

Same intervention, but without access to the quality improvement toolbox.

Treatment:

Behavioral: Audit and Feedback