Prevention of Critical Incidents Related to the Nursing With Patients in Intensive Care Units PREVENIR Study.
Prevention of Critical Incidents Related to the Nursing With Patients in Intensive Care Units PREVENIR Study.
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:
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:
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.
Inclusion Criteria:
Exclusion Criteria:
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