Contact information
Type
Scientific
Primary contact
Dr Nicolette de Keizer
ORCID ID
Contact details
Academic Medical Centre
Department of Medical Informatics (J1B-115)
PO Box 22660
Amsterdam
1100 DD
Netherlands
+31 (0)20 566 5205
n.f.keizer@amc.uva.nl
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Evaluation of a national quality improvement program to overcome barriers to using performance data in intensive care medicine: A cluster randomised controlled trial
Acronym
InFoQI (Information Feedback on Quality Indicators)
Study hypothesis
Giving intensive care units (ICUs) more detailed information on their performance, supporting them with interpretation of these performance data and supporting them with formulating quality improvement actions will lead to higher quality of intensive care compared to only sending ICUs a standard feedback report containing less detailed information on their performance
Ethics approval
We sought advice from the Medical Ethics Board of the Academic Medical Center (Amsterdam, the Netherlands) and were told that approval was not necessary as the study does not interfere with the conventional care process.
Study design
Clustered randomised controlled trial
Primary study design
Interventional
Secondary study design
Cluster randomised trial
Trial setting
Hospitals
Trial type
Other
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Condition
Quality improvement in intensive care medicine
Intervention
Intensive care units participating in InFoQI establish a local multidisciplinary quality improvement team, consisting of at least one intensivist and one ICU nurse. The team's main tasks are to formulate a quality improvement action plan based on their baseline performance indicator data and to monitor their performance using monthly and quarterly feedback reports. The team is supported in these tasks by facilitators during two educational outreach visits - and by phone and e-mail. The facilitators promote the use of the PDSA cycle to guide organisational changes.
Participating ICUs were followed during one year.
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measure
1. Clinical:
ICU length of stay
2. Non-clinical:
Proportion of shifts with a bed occupancy of 100% or more
Secondary outcome measures
1. Clinical:
1.1. Hospital mortality of ICU patients
1.2. Respiration duration
2. Non-clinical:
Proportion of shifts with a nurse-to-patient ratio below 0.5
Overall trial start date
01/01/2009
Overall trial end date
01/02/2011
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
Intensive Care Units that are able to provide their performance data to the national comparative quality registry on intensive care medicine in the Netherlands (NICE registry) and have at least one intensivist and one ICU nurse available for a minimum of four hours per month each. Informed consent was signed by the ICU management before randomisation.
Participant type
Health professional
Age group
Adult
Gender
Both
Target number of participants
30 ICUs
Participant exclusion criteria
Intensive Care Units that did not meet the inclusion criteria
Recruitment start date
01/01/2009
Recruitment end date
01/02/2011
Locations
Countries of recruitment
Netherlands
Trial participating centre
Academic Medical Centre
Amsterdam
1100 DD
Netherlands
Sponsor information
Organisation
Academic Medical Centre (AMC) (Netherlands)
Sponsor details
Department of Medical Informatics
PO Box 22660
Amsterdam
1100 DD
Netherlands
+31 (0)20 566 5269
kik@amc.nl
Sponsor type
Hospital/treatment centre
Website
Organisation
University of Tilburg
Sponsor details
Scientific Center for Transformation in Care and Welfare
Warandelaan 2
Tilburg
5000LE
Netherlands
Sponsor type
University/education
Website
Organisation
NICE Foundation
Sponsor details
PO Box 23640
Amsterdam
1100 EC
Netherlands
Sponsor type
Charity
Website
Funders
Funder type
Hospital/treatment centre
Funder name
Academic Medical Centre (Netherlands) - Department of Medical Informatics
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
University of Tilburg (Netherlands) - Scientific Centre for Transformation in Care and Welfare
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
NICE Foundation, Amsterdam (Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Basic results (scientific)
Publication list
2011 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/22024188
2015 results in: http://www.ncbi.nlm.nih.gov/pubmed/26152568
Publication citations
-
Protocol
van der Veer SN, de Vos ML, Jager KJ, van der Voort PH, Peek N, Westert GP, Graafmans WC, de Keizer NF, Evaluating the effectiveness of a tailored multifaceted performance feedback intervention to improve the quality of care: protocol for a cluster randomized trial in intensive care., Implement Sci, 2011, 6, 119, doi: 10.1186/1748-5908-6-119.
-
Results
MLG de Vos, SN van der Veer, B Wouterse, WC Graafmans, N Peek, NF de Keizer, KJ Jager, GP Westert, PHJ van der Voort, A multifaceted feedback strategy alone does not improve the adherence to organizational guideline-based standards: a cluster randomized trial in intensive care, Implementation Science, 2015, 10, 95, doi: 10.1186/s13012-015-0285-2.