Study aim and hypotheses
The aim of this study is to determine whether adding a telehealth-enabled real-time audit and feedback intervention (TEACH) to a usual supervisor-led audit and feedback intervention yields higher adherence to C-SAT/SBT and more ventilator-free days in adult mechanically ventilated patients compared to a usual supervisor-led audit and feedback intervention alone. Along with routine supervisor orientation and training on staff development, all sites will receive the baseline implementation strategies of a standardized C-SAT/SBT clinical workflow measurement system and supporting technology (audit and feedback implementation).The study hypothesis is that at hospitals assigned to the TEACH intervention plus usual supervisor-led audit and feedback, improvement from baseline in adherence to C-SAT/SBT and patient ventilator-free days will be higher than that observed at hospitals assigned to usual supervisor-led audit and feedback alone.