Evaluation of a national quality improvement program to overcome barriers to using performance data in intensive care medicine
| ISRCTN | ISRCTN50542146 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN50542146 |
| Secondary identifying numbers | N/A |
- Submission date
- 26/08/2010
- Registration date
- 01/11/2010
- Last edited
- 13/07/2015
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Nicolette de Keizer
Scientific
Scientific
Academic Medical Centre
Department of Medical Informatics (J1B-115)
PO Box 22660
Amsterdam
1100 DD
Netherlands
| Phone | +31 (0)20 566 5205 |
|---|---|
| n.f.keizer@amc.uva.nl |
Study information
| Study design | Clustered randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Cluster randomised trial |
| Study setting(s) | Hospital |
| Study type | Other |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| 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 |
| Study acronym | InFoQI (Information Feedback on Quality Indicators) |
| Study objectives | 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(s) | 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. |
| Health condition(s) or problem(s) studied | 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 |
| 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 study start date | 01/01/2009 |
| Completion date | 01/02/2011 |
Eligibility
| Participant type(s) | Health professional |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 30 ICUs |
| Key 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. |
| Key exclusion criteria | Intensive Care Units that did not meet the inclusion criteria |
| Date of first enrolment | 01/01/2009 |
| Date of final enrolment | 01/02/2011 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Academic Medical Centre
Amsterdam
1100 DD
Netherlands
1100 DD
Netherlands
Sponsor information
Academic Medical Centre (AMC) (Netherlands)
Hospital/treatment centre
Hospital/treatment centre
Department of Medical Informatics
PO Box 22660
Amsterdam
1100 DD
Netherlands
| Phone | +31 (0)20 566 5269 |
|---|---|
| kik@amc.nl |
University of Tilburg
University/education
University/education
Scientific Center for Transformation in Care and Welfare
Warandelaan 2
Tilburg
5000LE
Netherlands
NICE Foundation
Charity
Charity
PO Box 23640
Amsterdam
1100 EC
Netherlands
Academic Medical Center
Not defined
Not defined
| Website | https://www.amc.nl/web/Zorg.htm |
|---|---|
"ROR" |
https://ror.org/03t4gr691 |
Funders
Funder type
Hospital/treatment centre
Academic Medical Centre (Netherlands) - Department of Medical Informatics
No information available
University of Tilburg (Netherlands) - Scientific Centre for Transformation in Care and Welfare
No information available
NICE Foundation, Amsterdam (Netherlands)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | protocol | 24/10/2011 | Yes | No | |
| Results article | results | 08/07/2015 | Yes | No |
