International survey of De-implementation of initiating parenteral nutrition early in Paediatric intensive care units.

Esther van PuffelenAn JacobsCharlotte J M VerdoornKoen F M JoostenGreet van den BergheErwin IstaSascha C A T Verbruggen

Published in: BMC health services research (2019)

One year after the publication of the PEPaNIC trial, only two-thirds of the respondents was aware of the study results. Within this group, early initiation of PN was de-implemented completely in 12% of the PICUs, while 40% asserted partial de-implementation. Increasing the awareness, addressing the intervention-specific questions and more frequently revising international guidelines might help to accelerate de-implementation of ineffective, unproven or harmful healthcare.

Keyphrases

healthcare
intensive care unit
primary care
quality improvement
randomized controlled trial
emergency department
study protocol
clinical trial
mechanical ventilation
health insurance