Effectiveness of the IQM peer review procedure to improve in-patient care—a pragmatic cluster randomized controlled trial (IMPRESS): study design and baseline results

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Aim: The primary objective of the IMPRESS study is to assess the causal effects of the IQM peer review on mortality in patients ventilated > 24 h. Secondary analyses are conducted for mortality in patients with myocardial infarction, stroke, COPD, pneumonia, and the procedural provision of a colorectal resection. This article provides a description of the study design and presents baseline results. Subjects and methods: Descriptive statistics for 231 included hospitals and patient characteristics. Results: Due to randomization, the treatment/control group hospitals were similar with respect to the mortality in patients ventilated > 24 h and other patient and hospital characteristics at baseline. Mortality was highest (lowest) in patients ventilated > 24 h (with colorectal resection). Conclusion: The IMPRESS study provides a unique opportunity to assess the impact of the IQM peer review on the mortality in patients ventilated > 24 h. The secondary, exploratory, and qualitative analyses are expected to provide insights on determinants of in-hospital mortality, structure and process quality, and the robustness of different approaches to risk adjustment of quality indicators.

Details

Original languageEnglish
Pages (from-to)195-203
Number of pages9
JournalJournal of Public Health
Volume29
Issue number1
Publication statusPublished - Feb 2021
Peer-reviewedYes

External IDs

Scopus 85068982632
ORCID /0000-0001-6922-7148/work/168207689

Keywords

Keywords

  • IMPRESS, IQM, Hospital mortality, Ventilation, Peer review, Cluster-randomized controlled trial