Optimized Admission to the Intensive Care Unit by Using Crisis Resource Management (CRM)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Critical Illness
- Sponsor
- Hillerod Hospital, Denmark
- Enrollment
- 1800
- Locations
- 1
- Primary Endpoint
- ICU length of stay (LOS)
- Last Updated
- 8 years ago
Overview
Brief Summary
Admission to the intensive care unit (ICU) is vital for surviving critical illness. An admission to ICU without having a consistent structure, structured review of the patient and a solid team organization lead to unclear communication and responsibility. Factors that correlate with patient acceptance and safety, morbidity and mortality. The hypothesize was that a structured admission can improve patients safety, reduce delays in treatment, reduce ICU length of stay, and improve mortality rate. The overall objective was to optimize patient safety, and effectively use available resources to reduce admission time, delays in treatment and procedures and mortality by using both quantitative and qualitative methods.
Detailed Description
The quantitative before-data is a one-year observational period prior to the intervention measured by different perspectives; patients and staff outcomes. After the intervention, was qualititive data collected from participants, who received simulation training. The quantitative after-data is a one-year observational period post-intervention with same outcomes as before starting the intervention. Data is already collected registry data from hospital quality assurance board. Data will be compared before and after with assessor blinded analysis. Missing data will not be replaced but reported as missing. The investigators will try to compare the results with data from an approximately comparative ICU in Denmark due to the implementation of a new patient management system called the Health Portal. The statistical analysis plan is based on descriptive and comparative analyses of the group before and after the trial. The quantitative results are explained in in-depths description from participants.
Investigators
Janet Froulund Jensen
PHD, Principal Investigator
Hillerod Hospital, Denmark
Eligibility Criteria
Inclusion Criteria
- •ICU admissions
Exclusion Criteria
- •Drop-out are deaths
Outcomes
Primary Outcomes
ICU length of stay (LOS)
Time Frame: through study completion, an average of 1 year
Days admitted at the ICU using registre data
Secondary Outcomes
- Ventilated associated pneumonia (VAP)(through study completion, an average of 1 year)
- 90-days Mortality(90 days through study completion, an average of 1 year)
- Hospital length of stay (LOS)(At Hospital discharge within one-year before and after the intervention implementation)
- Re-intubations(through study completion, an average of 1 year)
- Staff turn-over(through study completion, an average of 1 year)
- Line Sepsis(through study completion, an average of 1 year)
- 30-days Mortality(30 days through study completion, an average of 1 year)
- Sick Leave(through study completion, an average of 1 year)