Clinical trial NCT04665505: Resource Optimization in the Intensive Care Unit Setting
Official title: Resource Optimization in the Intensive Care Unit Setting: A Staff Education and Scheduling Pilot Study to Improve Treatment Decisions and Staff Satisfaction
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Burnout, Professional
Keywords: Resource Allocation
Personnel Staffing and Scheduling
Intensive Care Unit
Cost-Effectiveness
Burnout
Lead sponsor: Ottawa Hospital Research Institute
Sponsor class: OTHER
Collaborators: name: Hopital Montfort
name: The Ottawa Hospital
First posted: 2020-12-11
Enrollment: 73
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Single group data from the 6-month interventional period will be compared to data from the 3-month pre and post interventional periods.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of the study is to facilitate cost-effective, high quality care within the the ICUs of two Ottawa teaching hospitals through educational workshops and nurse scheduling optimization.

Detailed description: This intervention pilot study has been developed for Intensive Care Unit (ICU) physicians and nurses by the Resource Optimization Network (RON) for implementation in The Ottawa Hospital (TOH) Civic Campus and the Montfort Hospital. The intervention targets ICU staff and is designed to reduce overall costs associated with ICU health care service delivery and improve staff satisfaction through reducing stress and associated burnout without sacrificing quality of care and patient outcomes. The intervention involves two components that (a) build ICU staffs' (i.e. physicians and nurses) knowledge to facilitate cost-effective and evidence-based decision making about patient care (including tests, treatments, and procedures); and (b) optimize nurse scheduling to ensure the presence of the appropriate number of nurses per shift, thereby reducing stress, burnout and limiting the need for overtime. To evaluate the impact of the intervention, a pre/post-intervention design will be employed, with a 3-month pre-intervention period, followed by a 6-month intervention period and a 3-month post-intervention period.

Eligibility criteria: Inclusion Criteria:

* Employees aged 18 year and older who provide direct patient care in the ICU at the Civic Campus of the Ottawa Hospital or the Montfort Hospital as physicians, nurses, or allied health professionals (e.g., respiratory therapists, occupational therapists).

Exclusion Criteria:

* N/A

Primary outcomes:
measure: ICU Costs
timeFrame: 12 months
measure: ICU Quality Metric 1: Ventilator Associated Pneumonia
timeFrame: 12 months
measure: ICU Quality Metric 2: Central Line Infections
timeFrame: 12 Months
measure: ICU Quality Metric 3: C. difficile
timeFrame: 12 Months
measure: ICU Quality Metric 4: Early Mobilization
timeFrame: 12 Months
Secondary outcomes:
measure: ICU Patient Outcomes 1: Length of Stay
timeFrame: 12 Months
measure: ICU Patient Outcomes 2: Patient Deaths
timeFrame: 12 Months
measure: ICU Patient Outcomes 3: Perceived Quality of Care
timeFrame: 12 Months
measure: ICU Medical Procedures 1: Albumin Use
timeFrame: 12 Months
measure: ICU Medical Procedures 2: Mechanical Ventilation
timeFrame: 12 Months
measure: ICU Medical Procedures 3: Chest Radiographs
timeFrame: 12 Months
measure: ICU Medical Procedures 4: Red Blood Cell Transfusions
timeFrame: 12 Months
measure: Rate of ICU Staff Absenteeism
timeFrame: 12 Months
measure: Stakeholder perceptions
timeFrame: 12 Months
measure: Staff Demographic Variable Collection 1
timeFrame: 12 months
measure: Staff Demographic Variable Collection 2
timeFrame: 12 months
measure: Staff Stress Levels and Burnout 1
timeFrame: 12 months
measure: Staff Stress Levels and Burnout 2
timeFrame: 12 months
Other outcomes:
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