Optimized Admission to the Intensive Care Unit by Using Crisis Resource Management (CRM)

NCT ID: NCT03268967

Last Updated: 2018-03-09

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 1800 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-04-01
• Study Completion Date: 2018-12-31

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.

Conditions

Critical Illness

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: SINGLE

Study Groups

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

Group Type: ACTIVE_COMPARATOR

Structured admission procedure

Intervention Type: BEHAVIORAL

A structured ICU admission was inspired by principles of Crisis Resource Management and simulation training of ICU staff members. The Principles of Crisis Resource Management consisted of a treatment manual, a learning video, clear precise communication tool based on Identification-Situation-Background-Analysis-Recommendations (ISBAR) and Closed loop, actions cards, and ABCDE-evaluation of the patient including debriefing, and training in the simulation environment.

Standard Care

Randomly admission procedure to all ICU patients based on the clinicians' evaluation prior implementation of the intervention.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Structured admission procedure

A structured ICU admission was inspired by principles of Crisis Resource Management and simulation training of ICU staff members. The Principles of Crisis Resource Management consisted of a treatment manual, a learning video, clear precise communication tool based on Identification-Situation-Background-Analysis-Recommendations (ISBAR) and Closed loop, actions cards, and ABCDE-evaluation of the patient including debriefing, and training in the simulation environment.

Intervention Type: BEHAVIORAL

Other Intervention Names

Standard Care

Eligibility Criteria

Inclusion Criteria

• ICU admissions

Exclusion Criteria

• None
• Drop-out are deaths

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Holbaek Sygehus

OTHER

Sponsor Role: collaborator

Hillerod Hospital, Denmark

OTHER

Sponsor Role: lead

Responsible Party

Janet Froulund Jensen

PHD, Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Department of Anaestesiology

Holbæk, , Denmark

Countries

Denmark

Other Identifiers

113581

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

113581

Identifier Type: -

Identifier Source: org_study_id