Behavioral Economic & Staffing Strategies in the ICU
Behavioral Economic and Staffing Strategies To Increase Adoption of an Evidence Based Bundle in the Intensive Care Unit (BEST ICU): A Stepped Wedge Cluster Randomized Controlled Trial
University of Nebraska
8,100 participants
Jul 1, 2024
INTERVENTIONAL
Conditions
Summary
The overarching goal of this study is to support the "real world" assessment of strategies used to foster adoption of several highly efficacious evidence-based practices in healthcare systems that provide care to critically ill adults with known health disparities. Investigators will specifically evaluate two discrete strategies grounded in behavioral economic and implementation science theory (i.e., real-time audit and feedback and registered nurse implementation facilitation) to increase adoption of the ABCDEF bundle in critically ill adults.
Eligibility
Inclusion Criteria4
- Age \>19 years at time of ICU admission
- Received invasive mechanical ventilation while in the ICU
- Admitted to participating cluster ICU
- ICU length of stay of at least 24 hours
Exclusion Criteria2
- Patient who is admitted to the hospital who is already receiving chronic long-term mechanical ventilation from the home, assisted living, or long-term care setting
- Prisoners
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Interventions
ICUs randomized to this arm will receive and electronic dashboard that displays realtime ABCDEF bundle performance data
ICUs randomized to this arm will receive a RN who will assist with ABCDEF bundle implementation
Locations(3)
View Full Details on ClinicalTrials.gov
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NCT06184945