Use of checklist for multidisciplinary daily visits and clinician prompting to reduce mortality in intensive care units: A cluster randomized study
This study is an initiative of BRICNet - Brazilian Research in Intensive Care network, in partnership with the Institute for Heart Research Hospital (São Paulo), D'Or Institute for Research and Education (Rio de Janeiro), Samaritan Hospital (São Paulo ) and the Latin American Institute for Sepsis.
This was a randomized study in Brazilian multicenter clusters to see if the use of intervention including checklists, to assess daily care goals during the multi-visit followed by clinical alerts could reduce the mortality rate (after 72 hours of ICU admission) of patients in intensive care units.
The study had the participation of 118 ICUs and were included about 14,000 patients. In the first phase, we collected data on the climate of security in the participating ICUs, and clinical data on adequacy of processes and allowed consecutive patients outcomes. Mortality data were used in the stratification of ICU according to their mortality. They have been randomized in the second phase, for application checklist including evaluation of daily goals of care.
Registration: ClinicalTrials.gov NCT01785966
Funding: National Health Surveillance Agency (ANVISA) Support Program for Institutional Development of the Unified Health System (SUS-PROADI) of the Ministry of Health and the National Band of Social Development (BNDS) Study Status: Completed. In writing for submission for publication.