About this trial

The overarching goal of this study is to support the "real world" assessment of strategies used to foster adoption of several highly efficacious evidence-based practices in healthcare systems that provide care to critically ill adults with known health disparities. Investigators will specifically evaluate two discrete strategies grounded in behavioral economic and implementation science theory (i.e., real-time audit and feedback and registered nurse implementation facilitation) to increase adoption of the ABCDEF bundle in critically ill adults.

Eligibility criteria

Qualifiers

Age >19 years at time of ICU admission

Received invasive mechanical ventilation while in the ICU

Admitted to participating cluster ICU

ICU length of stay of at least 24 hours

Disqualifiers

Patient who is admitted to the hospital who is already receiving chronic long-term mechanical ventilation from the home, assisted living, or long-term care setting

Prisoners

Trial design

Treatments tested in this trial

  • Realtime audit and feedback
  • RN Implementation Facilitator

Treatment groups

8,100 Participants
are divided into 3 treatment groups

Locations

3
University of Iowa Hospitals and Clinics52242, Iowa CityIowa, United States
University of Nebraska Medical Center68198, OmahaNebraska, United States
Ohio State University43201, ColumbusOhio, United States

Sponsors and collaborators

University of Nebraska

Lead sponsor

Ohio State University

Collaborator

University of Iowa

Collaborator

University of Wisconsin, Madison

Collaborator

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator