Prevention of Critical Incidents Related to the Nursing With Patients in Intensive Care Units

2016-08-30 14:53:21 | BioPortfolio


The purpose of this study is to assess the effectiveness of a best practices nursing protocol in intensive care units on the occurrence of critical incidents compared to the common practices.


To develop the best practices nursing protocol in intensive care units, three steps were necessary:

1. An incidence study of occurrence of critical incidents linked to nursing was conducted during a month in nine intensive care units to identify high risk clinical situations

2. A qualitative study (individual interviews and focus groups) with nurses was led to elicit nurse's risk anticipatory strategies during nursing

3. Based on the results of the two previous step, a working group proposed a best nursing practices protocol to limit critical incidents

Methodology to assess the effectiveness of the protocol of best nursing practices:

The statistical unit is the nursing act for one patient meeting the inclusion criteria (a patient is nursed two times or more per day) Nine intensive care units are included in the study Intensive care units includes 127 beds, their average occupancy rate is approximately 80 % which means about 330 nursing a day and about 9900 nursing a month.

An occurrence of critical incidents (primary outcome measure) of 25% is expected (approximately 2475 critical incidents per month). To show a reduction of 50% of critical incidents in the interventional group, 6 month inclusion will be necessary, whatever the value of the inflation coefficient.

The patient will be under observation during 60 min if a critical incident occurs. And only during nursing if no critical incident occurs.

Data will be collected at bedside.

Patients will be included for the entire duration of the hospitalization in intensive care unit, if inclusion criteria are still met.

Data collection:

- Characteristics of the intensive care unit

- Characteristics of the patient

- Characteristics of the nurse

- Characteristics of the medical equipment of the patient

- Physiological parameters before, during and after nursing (see primary outcome measures)

The best nursing practices protocol will be consider as efficient if a reduction of 50% of critical incident can be established.

Statistical analysis will be in the intent-to-treat.

Hospitals as part of qualitative policy request a declaration of each critical incident. This circus of declaration will not be changed.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Caregiver)


Acute Conditions in Intensive Care


Best practices


Not yet recruiting


Central Hospital, Nancy, France

Results (where available)

View Results


Published on BioPortfolio: 2016-08-30T14:53:21-0400

Clinical Trials [2237 Associated Clinical Trials listed on BioPortfolio]

French Registry of Acute ST-elevation or Non-ST-elevation Myocardial Infarction 2015

Over the last two decades, considerable progress has been made in the management of myocardial infarction, both in the acute phase and in monitoring beyond the hospital phase. However chan...

Chronic Pain After Surgical Intensive Care Admission: Incidence and Risk Factors: the DOLOCHROREA Study

The acute pain remains unfortunately a major health problem in intensive care patients. Several factors, such as cancer, traumatic injuries, surgery, scars, diagnostic or therapeutic proc...

FRench-speAking Icu (Intensive Care Unit) Nutritional Survey

Assessment of nutritional practices in french intensive care units.

Benchmarking Initiative to Reduce Bronchopulmonary Dysplasia

Premature infants may develop bronchopulmonary dysplasia (BPD), a type of chronic lung disease. The type of care that a premature infant receives in a neonatal intensive care unit (NICU) ...

Succinylcholine Versus Rocuronium for Emergency Intubation in Intensive Care

Emergency intubation of patients in intensive care is a high-risk endeavour. For many decades, succinylcholine has been the neuromuscular blocking agent of choice. However, succinylcholine...

PubMed Articles [23184 Associated PubMed Articles listed on BioPortfolio]

National Survey of Neonatal Intensive Care Unit Medication Safety Practices.

 We conducted a detailed survey to identify medication safety practices among a large network of United States neonatal intensive care units (NICUs).

Paediatric acute care: Highlights from the Paediatric Acute Care-Advanced Paediatric Life Support Conference, Gold Coast, 2017.

The Paediatric Acute Care Conference is an annual conference organised by APLS Australia to advance paediatric acute care topics for clinicians in pre-hospital medicine, EDs, acute paediatrics, intens...

Transfusion-Related Acute Lung Injury In A Paediatric Intensive Care Unit Of Pakistan.

Transfusion-Related Acute Lung Injury (TRALI) is a major cause of transfusionrelated morbidity and mortality in the intensive care unit setting. There is a paucity of such data from Pakistan. The purp...

The critically ill patient with tuberculosis in intensive care: Clinical presentations, management and infection control.

Tuberculosis (TB) is one of the top ten causes of death worldwide. In 2016, there were 490,000 cases of multi-drug resistant TB globally. Over 2 billion people have asymptomatic latent Mycobacterium t...

Current practice of diagnosis and management of acute kidney injury in intensive care unit in resource limited settings.

In a resource limited settings, there is sparse information about the management of acute kidney injury (AKI) based on systemic data collection. This survey aimed to described the current management o...

Medical and Biotech [MESH] Definitions

Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.

The hospital unit in which patients with acute cardiac disorders receive intensive care.

Continuous care and monitoring of newborn infants with life-threatening conditions, in any setting.

Hospital units providing continuous surveillance and care to acutely ill infants and children. Neonates are excluded since INTENSIVE CARE UNITS, NEONATAL is available.

Organization of medical and nursing care according to the degree of illness and care requirements in the hospital. The elements are intensive care, intermediate care, self-care, long-term care, and organized home care.

More From BioPortfolio on "Prevention of Critical Incidents Related to the Nursing With Patients in Intensive Care Units"

Quick Search


Searches Linking to this Trial