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Table 2 QI Interventions categorized using the behaviour change wheel

From: Quality improvement interventions to prevent unplanned extubations in pediatric critical care: a systematic review

 

Intervention Functions

Policy Categories

  

Author (Year)

Education

Persuasion

Training

Enablement

Modeling

Environmental Restructuring

Guidelines (and description)

Environmental/ Social Planning

Communication/ Marketing

Regulation

Total (N=)

Change to UE Rate

Dechert et al. (2004)

    

Vent weaning

Sedation Protocol

 

 

4

⇓ *

Popernack et al. (2004) [18]

     

Sedation Algorithm

   

2

⇓ *

da Silva et al. (2008) [6]

    

Standardization (care)

Sedation Protocol

 

 

4

⇓ *

Rachman et al. (2009) [30]

 

  

Tube fixation policy

   

4

⇓ *

Kaufman et al. (2012) [31]

 

   

Standardized handover

Sedation Protocol

 

5

⇓ (PICU)

⇓ * (CICU)

Meregalli et al. (2013) [11]

 

  

Tube fixation policy

 

 

5

⇓ *

Menon et al. (2015) [12]

  

Standardization (care)

Tube fixation policy

 

 

6

=

Tripathi et al. (2015) [10]

 

 

Standardization (care)

Sedation

   

5

⇓

Al-Abdwani et al. (2018) [1]

   

 

6

⇓

Kandil et al. (2018) [22]

     

Tube fixation policy

Protocol for high-risk situations

 

4

⇓

Klugman et al. (2020) [21]

 

  

Tube fixation policy

Protocol for high-risk situations

 

 

5

⇓ * (PICU)

= (CICU)

  1. ⇓ Decrease; = No change; * Statistically Significant at p<0.05; PICU: Pediatric Intensive Care Unit; CICU: Cardiac Intensive Care Unit
  2. No intervention was categorized as incentivization, coercion, restrictions, legislation, service provision or fiscal measures, so these categories were left out of this table