Improving ICU care through behavioral strategies
Official title: 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
Run by University of Nebraska · NCT06184945 · Data updated 2026-11-12
This study is testing two strategies to help ICU staff use better practices for caring for critically ill adults, especially those facing health challenges, to see if it can improve patient recovery and reduce complications.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 19 Years and up |
| Sex | All |
| Enrollment | 16500 (estimated) |
| Sponsor | University of Nebraska Academic / other |
| Locations | 3 sites (Iowa City, Iowa and 2 other locations) |
| Status | Recruiting |
| Started | July 1, 2024 |
| Main results expected | April 2028 |
| Study ends | April 2028 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT06184945 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 19 years old who require invasive mechanical ventilation during their ICU stay.
✕Probably not a fit
Patients who are already on chronic long-term mechanical ventilation or those who are prisoners may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to enhance the adoption of effective evidence-based practices in ICUs for critically ill adults, particularly focusing on those with health disparities. It evaluates two strategies: real-time audit and feedback, and registered nurse implementation facilitation, to promote the ABCDEF bundle, which addresses common complications like delirium and weakness. By integrating these strategies, the study seeks to improve patient outcomes and reduce the incidence of preventable impairments associated with critical illness. The research is grounded in implementation science and behavioral economics to ensure practical applicability in real-world settings.
Why it matters
Potential benefit: If successful, this study could significantly improve the quality of care and outcomes for critically ill patients in ICUs.
How similar studies have gone: Previous studies have shown that similar implementation strategies can lead to improved clinical outcomes in critical care settings.
Who can join: the full rules
Show full inclusion / exclusion 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
Where it's running
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University of Iowa Hospitals and Clinics
Iowa City, Iowa, United States Recruiting -
University of Nebraska Medical Center
Omaha, Nebraska, United States Recruiting -
Ohio State University
Columbus, Ohio, United States Recruiting
Study contacts
- Principal investigator: Michele C Balas, PhD, RN — University of Nebraska
- Study coordinator: Michele C Balas, PhD, RN
- Email: mibalas@unmc.edu
- Phone: (614) 949-5555
Similar studies
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This study is testing if a new sedative called remazolam besylate is safe and effective for helping critically ill patients on ventilators after surgery, compared to a standard sedative.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.