Critical Care Clinical Trial
Official title:
Checklist During Multidisciplinary Daily Visits and Clinician Prompting for Reduction of Mortality in Intensive Care Units: A Cluster Randomized Trial
CHECKLIST-ICU will be a cluster randomized trial to ascertain whether the use of an
intervention including 1) checklists with assessment of daily goals during the
multidisciplinary visit, and 2) clinician prompting can reduce in-hospital mortality of
patients admitted to intensive care units (ICUs).
The investigators also aim to describe participant ICUs in terms of the standards for
intensive care units proposed by the Brazilian National Health Agency (ANVISA).
Cluster randomized trial involving ICUs in Brazil. ICU is the unit of randomization.
The trial will have two stages:
- Stage I - Baseline data.In this stage we will:
- Apply "Safety Attitudes Questionnaire" for the employees of the participating ICU.
- Characterize participant ICUs in terms of the standards (RDC nº7/2010, RDC
nº26/2012 e RDC nº 63/2011) for intensive care units proposed by the Brazilian
National Health Agency (ANVISA)
- Characterize patients: we will collect data from 60 consecutive critically ill
patients from each participant ICU to describe adherence to measures aimed at
avoiding ICU complications and clinical outcome measures.
- Stage II - Intervention: This is the main stage for data analysis. ICUs will be
randomly assigned to an experimental or control group. The experimental group should
use a multi-item verbal checklist including assessment of daily goals during the
multidisciplinary visits plus clinician prompting. We will collect data from 60
additional patients for each ICU in both study groups and apply "Safety Attitudes
Questionnaire".
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
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