Location of Repository

Evaluating the effectiveness of a tailored multifaceted performance feedback intervention to improve the quality of care: protocol for a cluster randomized trial in intensive care

By Westert Gert P, Peek Niels, van der Voort Peter HJ, Jager Kitty J, de Vos Maartje LG, van der Veer Sabine N, Graafmans Wilco C and de Keizer Nicolette F

Abstract

<p>Abstract</p> <p>Background</p> <p>Feedback is potentially effective in improving the quality of care. However, merely sending reports is no guarantee that performance data are used as input for systematic quality improvement (QI). Therefore, we developed a multifaceted intervention tailored to prospectively analyzed barriers to using indicators: the Information Feedback on Quality Indicators (InFoQI) program. This program aims to promote the use of performance indicator data as input for local systematic QI. We will conduct a study to assess the impact of the InFoQI program on patient outcome and organizational process measures of care, and to gain insight into barriers and success factors that affected the program's impact. The study will be executed in the context of intensive care. This paper presents the study's protocol.</p> <p>Methods/design</p> <p>We will conduct a cluster randomized controlled trial with intensive care units (ICUs) in the Netherlands. We will include ICUs that submit indicator data to the Dutch National Intensive Care Evaluation (NICE) quality registry and that agree to allocate at least one intensivist and one ICU nurse for implementation of the intervention. Eligible ICUs (clusters) will be randomized to receive basic NICE registry feedback (control arm) or to participate in the InFoQI program (intervention arm). The InFoQI program consists of comprehensive feedback, establishing a local, multidisciplinary QI team, and educational outreach visits. The primary outcome measures will be length of ICU stay and the proportion of shifts with a bed occupancy rate above 80%. We will also conduct a process evaluation involving ICUs in the intervention arm to investigate their actual exposure to and experiences with the InFoQI program.</p> <p>Discussion</p> <p>The results of this study will inform those involved in providing ICU care on the feasibility of a tailored multifaceted performance feedback intervention and its ability to accelerate systematic and local quality improvement. Although our study will be conducted within the domain of intensive care, we believe our conclusions will be generalizable to other settings that have a quality registry including an indicator set available.</p> <p>Trial registration</p> <p>Current Controlled Trials <a href="http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2168">ISRCTN50542146</a></p

Topics: Public aspects of medicine, RA1-1270, Medicine, R, DOAJ:Public Health, DOAJ:Health Sciences, Medicine (General), R5-920
Publisher: BioMed Central
Year: 2011
DOI identifier: 10.1186/1748-5908-6-119
OAI identifier: oai:doaj.org/article:2cc0310b7b644073827f6bec0bba1b4c
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.trialregister.nl/tr... (external link)
  • https://doaj.org/toc/1748-5908 (external link)
  • http://www.implementationscien... (external link)
  • https://doaj.org/article/2cc03... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.