Background
Methods
Study design
Type of unit | n (%) |
---|---|
- Surgical | 4 (25.0) |
- Medical | 6 (37.5) |
- NICU | 2 (12.5) |
- PICU | 4 (25.0) |
Mean (Standard Deviation)
| |
Age on unit, years | 5.5 (3.4) |
Total patient days | 457.4 (296.7) |
Patient stay, days | 7.2 (4.3) |
Occupied beds | 17.8 (9.0) |
EPIQ intervention
Unit | Aim 1 | Baseline | % change aim | % achieved by cycle 4 | Aim 2 (& 3) | Baseline | % change aim | % achieved by cycle 4 | Comments |
---|---|---|---|---|---|---|---|---|---|
1
|
Management
|
0%
|
75%
|
74%
|
Management
|
0%
|
80%
|
57%
|
Aim 2 added Cycle 3-4
|
2
|
Assessment
|
45%
|
80%
|
77%
| - | - | - | - | |
3
|
Assessment
|
4%
|
50-80%
|
73%
|
Management
|
0%
|
25-35%
|
71%
|
Aim 2 added Cycle 3-4
|
4
|
Assessment
|
76%
|
50-90%
|
82%
|
Management
|
21%
|
25%
|
30%
|
Aim 2 added Cycle 3-4
|
5
|
Management
|
0%
|
50-80%
|
64%
|
Management
|
8%
*
|
80%
|
74%
|
Aim 2 added Cycle 4
|
6
|
Management
|
0%
|
50%
|
8%
| - | - | - | - | |
7
|
Assessment
|
0%
|
80%
|
75%
|
Management
|
2%
|
80%
|
58%
|
Aim 2 added Cycle 2-4
|
8
|
Assessment
|
4%
|
100%
|
88%
|
Management
|
0%
|
75%
|
75%
| - |
9
|
Management
|
3%
|
50-40%
|
4%
| - | - | - | - | |
10
|
Assessment
|
19%
|
50-35%
|
8%
| - | - | - | - | |
11
|
Assessment
|
49%
|
75-90%
|
94%
| - | - | - | - | |
12
|
Management
|
7%
|
100%
|
84%
| - | - | - | - | |
13
|
Assessment
|
0%
|
50%
|
76%
| - | - | - | - | |
14
|
Management
|
0%
|
35-80%
|
100%
**
|
Assessment 2 & 3
|
81% & 56%
**
|
80%
|
100% & 76%
|
Aim 1 abandoned and Aim 2 & 3 added Cycle 4
|
15
|
Assessment
|
21%
|
30-55%
|
66%
| - | - | - | - | |
16
|
Assessment & Management
|
54%
*
|
30-40%
|
20%
†
|
Assessment
|
77%
|
40-85%
|
84%
|
Aim 1 abandoned Cycle 3
|
Aim 2 added Cycle 2
|
Study procedures and measures
Data analysis
Results
Effectiveness of evidence-based KT strategies
KT strategies implemented and their influence on pain practices
Factor | ORa(95% CI) | LR Chi-square (1 df) | P-value | c-statistic |
---|---|---|---|---|
Number of reminders used | 1.06 (0.89 to 1.26) | 0.49 | 0.513 | 0.54 |
Number of educational outreach strategies used | 0.97 (0.79 to 1.20) | 0.06 | 0.803 | 0.49 |
Number of educational materials used | 1.14 (0.90 to 1.44) | 1.61 | 0.272 | 0.68 |
Number of audit and feedback strategies used | 1.10 (0.87 to 1.39) | 0.75 | 0.438 | 0.51 |
Total number of strategies used | 1.13 (1.02 to 1.25) | 5.25 | 0.022 | 0.78 |