Barriers and facilitators to adopting high value practices and de-adopting low value practices in Canadian intensive care units: a multimethod study.

ABSTRACT:

Objective

To compare and contrast illustrative examples of the adoption of high value practices and the de-adoption of low value practices.

Design

(1) Retrospective, population-based audit of low molecular weight heparin (LMWH) for venous thromboembolism (VTE) prophylaxis (high value practice) and albumin for fluid resuscitation (low value practice) and (2) cross-sectional survey of healthcare providers.

Setting

Data were collected from nine adult medical-surgical intensive care units (ICUs) in two large Canadian cities. Patients are managed in these ICUs by a group of multiprofessional and multidisciplinary healthcare providers.

Participants

Participants included 6946 ICU admissions and 309 healthcare providers from the same ICUs.

Main outcome measures

SUBMITTER: Sauro K 

PROVIDER: S-EPMC6429967 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature