Evaluation of the Clinical Impact of Different Telemedicine Practices in Intensive Care Units: cluster randomized clinical trial (stepped-wedge or staggered implementation trial)_Telescope trial II

Hospital Israelita Albert Einstein0 个研究点开始时间: 2024年4月27日最近更新: 2024年4月29日

试验速览

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•All patients admitted to the Intensive Care Units (ICUs) included (ICUs of public or philanthropic hospitals; ICUs with a doctor and nurse available 24 hours a day and a physiotherapist available at least 18 hours a day). Patients aged 18 years or over. Both genders

•Intensive Care Units (ICUs)with structured multidisciplinary round more than three times a week conducted by an intensive care physician (certified), documented in the medical record, with a fixed duration (>5 min / patient), using some supporting tool (checklist or standard form), goal oriented, based on established protocols, including all the patients admitted to the ICU. Intensive care units already doing audit and feedback with specific planning. Dedicated coronary care units/cardiac intensive care units or other specialized units (cardiac surgery, neurological, burned patients). Step-down units or semi-intensive cardiac care unit. Intensive care units without availability of substitute renal therapy. ICU coordinator specialist in intensive care medicine and management training (MBA in Health Management or equivalent). Pacients admission for other reasons than medical (e.g., judicial cause, legal reasons, safety reasons). Patients previously included in the TELESCOPE II trial (for the primary outcome analysis)

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