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
Protocol serial number	N/A
Sponsors	Academic Medical Centre (AMC) (Netherlands), University of Tilburg, NICE Foundation , Academic Medical Center
Funders	Academic Medical Centre (Netherlands) - Department of Medical Informatics, University of Tilburg (Netherlands) - Scientific Centre for Transformation in Care and Welfare, NICE Foundation, Amsterdam (Netherlands)

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

Academic Medical Centre
Department of Medical Informatics (J1B-115)
PO Box 22660
Amsterdam
1100 DD
Netherlands

Phone	+31 (0)20 566 5205
Email	n.f.keizer@amc.uva.nl

Study information

Primary study design	Interventional
Study design	Clustered randomised controlled trial
Secondary study design	Cluster randomised trial
Study type	Participant 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(s)	1. Clinical: ICU length of stay 2. Non-clinical: Proportion of shifts with a bed occupancy of 100% or more
Key secondary outcome measure(s)	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
Completion date	01/02/2011

Eligibility

Participant type(s)	Health professional
Age group	Adult
Sex	All
Target sample size at registration	30
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

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	08/07/2015		Yes	No
Protocol article	protocol	24/10/2011		Yes	No
Participant information sheet	Participant information sheet	11/11/2025	11/11/2025	No	Yes