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Ontario ICU Clinical Best Practices Demonstration Project

Primary Purpose

Ventilator Acquired Pneumonia, Catheter Related Blood Stream Infections, Pressure Ulcer Prophylaxis

Status

Completed

Phase

Not Applicable

Locations

Canada

Study Type

Interventional

Intervention

Focused knowledge translation strategies

About this trial

This is an interventional educational/counseling/training trial for Ventilator Acquired Pneumonia focused on measuring best practices, performance improvement, intensive care, measurement

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Cohort of hospitals with Intensive Care Units in Ontario

Sites / Locations

Sunnybrook & Women's College Health Science Centre

Outcomes

Primary Outcome Measures

Relative risk of receiving best practices in the ICU.

Secondary Outcome Measures

ICU length of stay

Barriers to best practice use in the ICU

Full Information

NCT ID

NCT00332982

First Posted

June 1, 2006

Last Updated

November 20, 2006

Sponsor

Sunnybrook Health Sciences Centre

Collaborators

Ontario Ministry of Health and Long Term Care, Huntsville District Memorial Hospital, Lake Of The Woods District Hospital, Lakeridge Health Corporation, North Bay General Hospital, North York General Hospital, Northumberland Hills Hospital, Orillia Soldiers' Memorial Hospital, Peterborough Regional Health Centre, Sault Area Hospital, Scarborough General Hospital, Scarborough Grace Hospital, Sudbury Regional Hospital, Royal Victoria Hospital Of Barrie, Michael Garron Hospital, West Parry Sound Health Centre

1. Study Identification

Unique Protocol Identification Number

NCT00332982

Brief Title

Ontario ICU Clinical Best Practices Demonstration Project

Official Title

Ontario ICU Clinical Best Practices Demonstration Project

Study Type

Interventional

2. Study Status

Record Verification Date

June 2005

Overall Recruitment Status

Completed

Study Start Date

November 2005 (undefined)

Primary Completion Date

undefined (undefined)

Study Completion Date

September 2007 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor

Sunnybrook Health Sciences Centre

Collaborators

4. Oversight

5. Study Description

Brief Summary

The pragmatic issue at hand how to get physicians and nurses to use best practices… and how to measure consequences of their implementation. This is the science of "knowledge translation", which we are realizing is an "organic" entity. As part of our Critical Care Strategy our goal is to improve the quality and continuity of critical care within our health care system. Toward this goal we are implementing a program which links 16 Ontario hospitals through their critical care units in a Provincial Network.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Ventilator Acquired Pneumonia, Catheter Related Blood Stream Infections, Pressure Ulcer Prophylaxis, DVT Prophylaxis, Restrictive Blood Transfusion Strategy, Daily Spontaeous Breathing Trials

Keywords

best practices, performance improvement, intensive care, measurement

7. Study Design

Primary Purpose

Educational/Counseling/Training

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

None (Open Label)

Allocation

Randomized

8. Arms, Groups, and Interventions

Intervention Type

Behavioral

Intervention Name(s)

Focused knowledge translation strategies

Primary Outcome Measure Information:

Title

Relative risk of receiving best practices in the ICU.

Secondary Outcome Measure Information:

Title

ICU length of stay

Title

Barriers to best practice use in the ICU

10. Eligibility

Sex

All

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Cohort of hospitals with Intensive Care Units in Ontario

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

William J Sibbald, MD, MPH

Organizational Affiliation

Sunnybrook & Women's College Health Science Centre

Official's Role

Principal Investigator

First Name & Middle Initial & Last Name & Degree

Damon Scales, MD, MSc

Organizational Affiliation

Sunnybrook & Women's College Health Sciences Centre

Official's Role

Study Director

Facility Information:

Facility Name

Sunnybrook & Women's College Health Science Centre

City

Toronto

State/Province

Ontario

ZIP/Postal Code

M4N 3M5

Country

Canada

12. IPD Sharing Statement

Citations:

PubMed Identifier

21248161

Citation

Scales DC, Dainty K, Hales B, Pinto R, Fowler RA, Adhikari NK, Zwarenstein M. A multifaceted intervention for quality improvement in a network of intensive care units: a cluster randomized trial. JAMA. 2011 Jan 26;305(4):363-72. doi: 10.1001/jama.2010.2000. Epub 2011 Jan 19.

Results Reference

derived

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Ontario ICU Clinical Best Practices Demonstration Project

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