Implementation of decision support in intensive care unit

Student thesis: Master Thesis and HD Thesis

  • Ellen Askholm
  • Katrine Lærke Hedemand Poulsen
4. term, Clinical Science and Technology, Master (Master Programme)
Background
The clinical task to manage intensive care patients achieving their nutritional goals and a blood sugar within the prescribed range is complex. Protocols for nutrition- and glycemic control hardly encompass this complexity, why model-based decision support tools as an alternative have the potential to improve clinical practice. The aim was to identify which aspects of model-based decision support tools for nutrition- and glycemic control in intensive care patients are important for the preparation of tailored implementation plan in Denmark.

Method
A mixed methods triangulation was used. The Treatment Council's Methodology Guide was used as a methodological framework for preparing a technology assessment and the Consolidated Framework for Implementation Research was used as implementation theory. Data were collected through a literature search in three databases and a questionnaire survey among clinicians in Danish intensive care units.

Results
Ten general aspects were identified: Evidence and quality, Advantages compared to existing protocols, Possibility of adaptation to existing IT systems, Experience with the use of model-based decision support tools, User interface design, Costs for purchase and operation, Adaptation of workflows in intensive care units, Time for training and User prerequisites for handling model-based decision support tools.

Conclusion
The aspects can be included in a tailored implementation of a model-based decision support tool for nutrition- and glycemic control in intensive care patients in Denmark. The importance of the aspects will depend on the local context of implementation.
LanguageDanish
Publication date1 Jun 2023
Number of pages75
ID: 532430238