Resource Optimization in the Intensive Care Unit Setting

NCT04665505 | Unknown

• 1 other identifier: 20200060-01
• Study Type: interventional
• Target: 73
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Burnout, Professional

Keywords

Resource Allocation; Personnel Staffing and Scheduling; Intensive Care Unit; Cost-Effectiveness; Burnout

Outcome Measures

Primary Outcomes (5)

• ICU Costs

  Case costing will be used to determine the costs associated with ICU care during the study period, including: a) ICU total costs; b) ICU direct costs (i.e., all expenses to the hospital with fee codes linked to patient chart); c) ICU indirect costs (i.e., any overhead operational fees associated with service provided to patient); d) ICU cost/patient.

  12 months

• ICU Quality Metric 1: Ventilator Associated Pneumonia

  This outcome will be included to evaluate the quality of ICU patient care during the study period. The number of patients who develop ventilator associated pneumonia will be collected from the TOH Data Warehouse and Montfort's Department of Archives and Decision Support.

  12 months

• ICU Quality Metric 2: Central Line Infections

  This outcome will be included to evaluate the quality of ICU patient care during the study period. The number of patients who develop central line infections will be collected from the TOH Data Warehouse and Montfort's Department of Archives and Decision Support.

  12 Months

• ICU Quality Metric 3: C. difficile

  This outcome will be included to evaluate the quality of ICU patient care during the study period. The number of patients who develop C. difficile infections will be collected from the TOH Data Warehouse and Montfort's Department of Archives and Decision Support.

  12 Months

• ICU Quality Metric 4: Early Mobilization

  This outcome will be included to evaluate the quality of ICU patient care during the study period. The number of patients who receive early mobilization will be collected from the TOH Data Warehouse and Montfort's Department of Archives and Decision Support.

  12 Months

Secondary Outcomes (13)

• ICU Patient Outcomes 1: Length of Stay

  12 Months

• ICU Patient Outcomes 2: Patient Deaths

  12 Months

• ICU Patient Outcomes 3: Perceived Quality of Care

  12 Months

• ICU Medical Procedures 1: Albumin Use

  12 Months

• ICU Medical Procedures 2: Mechanical Ventilation

  12 Months

Study Arms (1)

ICU Staff

EXPERIMENTAL

The study group is composed of ICU care providers at the Ottawa Hospital Civic campus and the Montfort Hospital, including intensivists, fellows, nurses and allied health professionals. The study site participant breakdown is approximately 58 TOH staff respondents and 15 Montfort respondents.

Behavioral: Educational Workshop; Behavioral: Optimizing Staff Scheduling

Interventions

Educational Workshop BEHAVIORAL

The intervention consists of providing educational content for all ICU care providers concerning building staff knowledge surrounding methods to facilitate cost-effective and evidence-based decision-making about patient care (including tests, treatments, and procedures). The first intervention is an educational workshop to increase staffs' awareness of the current Choosing Wisely Canada Critical Care strategies and recommendations to facilitate cost-effective and evidence-based decision-making about patient care (including tests, treatments, and procedures).

ICU Staff

Optimizing Staff Scheduling BEHAVIORAL

This initiative will focus solely on the nurse subgroup and concerns schedule optimization to ensure the presence of the appropriate number of nurses per shift, thereby reducing stress, burnout and limiting the need for overtime.

ICU Staff

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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).

You may not qualify if:

• N/A

Sponsors & Collaborators

• Ottawa Hospital Research Institute: lead
• Hopital Montfort: collaborator
• The Ottawa Hospital: collaborator

MeSH Terms

Conditions

Burnout, Professional; Burnout, Psychological

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Central Study Contacts

Kwadwo Kyeremanteng, MD, MHA

CONTACT

6137193742; kwadwo77@gmail.com

Julia Hajjar, PhD (c)

CONTACT

6132228251; jhajjar@toh.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Single group data from the 6-month interventional period will be compared to data from the 3-month pre and post interventional periods.

Study Record Dates

• First Submitted: November 10, 2020
• First Posted: December 11, 2020
• Study Start: September 1, 2024
• Primary Completion: September 1, 2025
• Study Completion: September 1, 2025
• Last Updated: December 5, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share