Behavioral Economic & Staffing Strategies in the ICU
Behavioral Economic and Staffing Strategies To Increase Adoption of an Evidence Based Bundle in the Intensive Care Unit (BEST ICU): A Stepped Wedge Cluster Randomized Controlled Trial
Who can join
Ages 19 and older · All sexes
Full eligibility criteria
Inclusion Criteria: * Age \> or = to 19 years at time of ICU admission * Received invasive mechanical ventilation while in a cluster ICU * Admitted to participating cluster ICU * Cluster ICU length of stay of at least 24 hours Exclusion Criteria: * 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
About the study
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.
What is being tested
- Realtime audit and feedback (behavioral)
- RN Implementation Facilitator (behavioral)
Sponsor: University of Nebraska · Participants: 16,500 · Started: Jul 1, 2024
Contact the study team
- Michele C Balas, PhD, RN · Phone: (614) 949-5555
- Eduard Vasilevskis, MD · Phone: (608) 261-1571
Official record on ClinicalTrials.gov — NCT06184945
Locations in the U.S.
| Iowa | University of Iowa Hospitals and Clinics, Iowa City |
| Nebraska | University of Nebraska Medical Center, Omaha |
| Ohio | Ohio State University, Columbus |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.