Clinical trial NCT03268967: Optimized Admission to the Intensive Care Unit by Using Crisis Resource Management (CRM)
Official title: Optimized Admission to the Intensive Care Unit by Using Crisis Resource Management (CRM)
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Critical Illness
Keywords: intensive care
crisis resource management
simulation training
before and after study
Lead sponsor: Hillerod Hospital, Denmark
Sponsor class: OTHER
Collaborators: name: Holbaek Sygehus
First posted: 2017-08-31
Enrollment: 1800
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SEQUENTIAL
Intervention model description: Before and after interventional study
Primary purpose: HEALTH_SERVICES_RESEARCH

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.

Eligibility criteria: Inclusion Criteria:

* ICU admissions

Exclusion Criteria:

* None
* Drop-out are deaths

Primary outcomes:
measure: ICU length of stay (LOS)
timeFrame: through study completion, an average of 1 year
Secondary outcomes:
measure: Hospital length of stay (LOS)
timeFrame: At Hospital discharge within one-year before and after the intervention implementation
measure: Line Sepsis
timeFrame: through study completion, an average of 1 year
measure: Ventilated associated pneumonia (VAP)
timeFrame: through study completion, an average of 1 year
measure: Re-intubations
timeFrame: through study completion, an average of 1 year
measure: 30-days Mortality
timeFrame: 30 days through study completion, an average of 1 year
measure: 90-days Mortality
timeFrame: 90 days through study completion, an average of 1 year
measure: Staff turn-over
timeFrame: through study completion, an average of 1 year
measure: Sick Leave
timeFrame: through study completion, an average of 1 year
Other outcomes:
Locations:
city: Holbæk
country: Denmark
facility: Department of Anaestesiology
Study officials:
References: