A cluster randomized trial of a multifaceted quality improvement intervention in Brazilian intensive care units: study protocol.

ABSTRACT:

Background

The uptake of evidence-based therapies in the intensive care environment is suboptimal, particularly in limited-resource countries. Checklists, daily goal assessments, and clinician prompts may improve compliance with best practice processes of care and, in turn, improve clinical outcomes. However, the available evidence on the effectiveness of checklists is unreliable and inconclusive, and the mechanisms are poorly understood. We aim to evaluate whether the use of a multifaceted quality improvement intervention, including the use of a checklist and the definition of daily care goals during multidisciplinary daily rounds and clinician prompts, can improve the in-hospital mortality of patients admitted to intensive care units (ICUs). Our secondary objectives are to assess

SUBMITTER: Cavalcanti AB 

PROVIDER: S-EPMC4342101 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature