A multifaceted feedback strategy alone does not improve the adherence to organizational guideline-based standards: a cluster randomized trial in intensive care

Table 3 Type and examples of planned QI actions as formulated during outreach visits and the number of QI plans (n = 13) in which they appeared

Type of action	Bed occupancy	Nurse-to-patient ratio
Understanding low or high variation in performance	12	11
Understanding low or high variation in performance	Verifying unusually high or low occupancy rates in specific shifts	Develop standard registration procedure for combined intensive care—recovery nursing shifts^a
Investigate low performance	9	8
Investigate low performance	Investigate effect of daily operating-room schedule on bed occupancy rate	Investigate the number of student-nurses in shifts with a ratio below the lower threshold^b
Adjust (process of) resource planning	2	4
Adjust (process of) resource planning	Introduce labeling of the “best patient” in each shift who could be discharged in case of an emergency admission	Take on additional part-time nurses or share nursing capacity with medium care to increase nursing team’s versatility

^aSome hospitals had combined ICU-recovery nursing shifts, which may interfere with the registration of nurse-to-patient ratio
^bStudent-nurses are not taken into account for the nurse-to-patient ratio

ISSN: 1748-5908