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Behavioral Economic & Staffing Strategies in the ICU

Key facts

Who runs it
University of Nebraska
Where
Columbus, Iowa City, and Omaha, United StatesSee the 3 sites
Trial code
Status
Recruiting
People taking part
16,500 people, planned
Started
1 Jul 2024
Expected to end
Apr 2028
Type of study
Interventional, 3 groupsOne group gets no study treatment, for comparison.
Treatments tested
  • Realtime audit and feedback
  • RN Implementation Facilitator
Record updated
23 October 2026

Who can take part

Age
19 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 6 criteriaShow less

Who can take part

  • 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

Who cannot take part

  • 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 in United States

  • Ohio State UniversityColumbus, United StatesContact: Matthew Exline, MDTaking people
  • University of Iowa Hospitals and ClinicsIowa City, United StatesContact: James Blum, MDTaking people
  • University of Nebraska Medical CenterOmaha, United StatesContact: Michele C Balas, PhD, RNTaking people

About the trial

What the trial wants to find out

The overarching goal of this study is to support the "real world" assessment of strategies used to foster adoption of several highly efficacious evidence-based practices in healthcare systems that provide care to critically ill adults with known health disparities. Investigators will specifically evaluate two discrete strategies grounded in behavioral economic and implementation science theory (i.e., real-time audit and feedback and registered nurse implementation facilitation) to increase adoption of the ABCDEF bundle in critically ill adults.

The 3 groups in the trial

  • Usual careNo study treatment, for comparison

    Usual ICU care

  • Audit and FeedbackTreatment being tested

    ICUs receive electronic dashboard that displays realtime ABCDEF bundle performance data

    Treatment: Realtime audit and feedback

  • RN Implementation FacilitatorTreatment being tested

    ICUs receive a extra RN who helps facilitate ABCDEF bundle implementation

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
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
Record updated
23 October 2026