Optimized Admission to the Intensive Care Unit by Using Crisis Resource Management (CRM)
- Conditions
- Critical Illness
- Interventions
- Behavioral: Structured admission procedure
- Registration Number
- NCT03268967
- Lead Sponsor
- Hillerod Hospital, Denmark
- 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.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 1800
- ICU admissions
- None
- Drop-out are deaths
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Structured Admission procedure Structured admission procedure After implementation of a structured admission procedure to all ICU patients inspired by principles of Crisis Resource Management, Closed loop communication, action cards, and staff simulation training
- Primary Outcome Measures
Name Time Method ICU length of stay (LOS) through study completion, an average of 1 year Days admitted at the ICU using registre data
- Secondary Outcome Measures
Name Time Method Ventilated associated pneumonia (VAP) through study completion, an average of 1 year Number of VAP measured by registre data
90-days Mortality 90 days through study completion, an average of 1 year 90-days mortality rates after ICU discharge measured by registre data
Hospital length of stay (LOS) At Hospital discharge within one-year before and after the intervention implementation Days admitted to the hospital using registre data
Re-intubations through study completion, an average of 1 year Number of re-intubations measured by registre data
Staff turn-over through study completion, an average of 1 year Staff turn-over before and after the intervention measured by registre data
Line Sepsis through study completion, an average of 1 year Treatment package of number of the line sepsis after ICU admission covering the number of patients with line sepsis using registre data on Lactat \<1 hour, bacteria samples ≤1 hour taken, time between diagnosis of sepsis and taken bacteria samples, time between diagnosis and given antibiotics measured by registre data
30-days Mortality 30 days through study completion, an average of 1 year 30-days mortality rates after ICU discharge measured by registre data
Sick Leave through study completion, an average of 1 year Sick leave amongst staff members measured by registre data
Trial Locations
- Locations (1)
Department of Anaestesiology
🇩🇰Holbæk, Denmark