Published Online: January 19, 2011. doi:10.1001 /jama.2010.2000
Author Contributions: Drs Scales and Pinto had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Scales, Dainty, Hales, Fowler, Adhikari, Zwarenstein.
Acquisition of data: Scales, Dainty.
Analysis and interpretation of data: Scales, Dainty, Pinto, Fowler, Adhikari.
Drafting of the manuscript: Scales.
Critical revision of the manuscript for important intellectual content: Scales, Dainty, Hales, Pinto, Fowler, Adhikari, Zwarenstein.
Statistical analysis: Scales, Pinto.
Obtained funding: Scales, Dainty.
Administrative, technical, or material support: Scales, Dainty, Hales.
Study supervision: Scales, Zwarenstein.
Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Scales reports receiving a stipend from the Ontario Ministry of Health and Long-Term Care (MOHLTC) for his role as physician lead, MOHLTC Ontario ICU Clinical Best Practices Project, and he currently holds a New Investigator Award from the Canadian Institutes of Health Research. Ms Hales reports receiving salary support from her institution that was derived in part by the funding source for this study. Dr Fowler reports that he held a career scientist award from the Ontario Ministry of Health and Long-Term Care during the conduct of this study and is a Clinician Scientist of the Heart and Stroke Foundation of Canada. No other authors reported any financial conflicts of interest.
Funding/Support: This study was funded by the MOHLTC Critical Care Transformation Strategy as the MOHLTC Ontario ICU Clinical Best Practices Demonstration Project.
Role of the Sponsor: The funding body approved the design of the study but had no role in the conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.
Disclaimer: The opinions, results, and conclusions reported in this article are those of the authors and are independent from the funding source.
Additional Contributions: We are greatly indebted to William J. Sibbald, MD, MPH, who originally conceived of this study and contributed greatly to its design and implementation. Dr Sibbald died on September 14, 2006, during the conduct of this study. We also acknowledge the following individuals for their input into the design of this study: Stephen Lapinsky, MB, BCh, MSc, Mount Sinai Hospital, Sherman Quan, University Health Network, Kevin Thorpe, PhD, Li Ka Shing Knowledge Institute, and Nathalie Danjoux Meth, MSc, Ontario Ministry of Health and Long-Term Care, Health Capital Investment Branch (none was compensated); content experts who gave presentations over the telecommunication network as part of the active intervention: John Muscedere, MD, Kingston General Hospital, William Geerts, MD, Sunnybrook Health Sciences Centre, Niall Ferguson, MD, MSc, University Health Network, Chris Hayes, MD, MSc, MEd, St Michael's Hospital, Daren Heyland, MD, MSc, Kingston General Hospital, John Drover, MD, Kingston General Hospital, David Keast, MD, MSc, Aging Rehabilitation and Geriatric Care Research Centre, Parkwood Hospital, and Myron Steinmann, RRT, BEd, London Health Sciences Centre (each received an honorarium); Linda Rozmovits, DPhil, for conducting semistructured interviews of project participants (received compensation); Taz Sinuff, MD, PhD, Sunnybrook Health Sciences Centre, for coding of interview transcripts (received no compensation); and the staff of the MOHLTC Critical Care Secretariat, especially Bernard Lawless, MD, MHSc, St Michael's Hospital, and Robert McKay, formerly with the MOHLTC (neither was compensated by the study). We wish to thank the staff of all participating ICUs, particularly these individuals who acted as local champions during the study (none was compensated): Toronto East General Hospital: Marilyn Lee, Carmine Simone, MD; North York General Hospital: Donna McRitchie, MD, Karen Johnson, Jo-Ann Correa, Marina Bitton, Catherine Badeau; Scarborough Hospital, General Campus: Howard Clasky, MD, Carol Shelton, Denise Edman; Scarborough Hospital, Birchmount Campus: David Rose, MD, Sandy Finkelstein, MD; Sault Area Hospital: Greg Berg, MD, Jack Willet, Mary Runde, Paul Nanne, Gigi Farrell; Northumberland Hills Hospital: Pat Busch, Brenda Weir; Muskoka Algonquin Healthcare, Huntsville site: Kathleen vom Scheidt, Laura Speelman, Paul Shisko; Orillia Soldiers’ Memorial Hospital: Diane Sofarelli, Tamara Smith, John MacFadyen, MD; Lakeridge Health Corp: Jonathan Eisenstat, MD, Margaret Campkin; Royal Victoria Hospital: Giulio DiDiodato, MD, MPH, Kari Simpson Adams; Lake of the Woods District Hospital: Donna Makowsky; West Parry Sound Health Center: Amanda Hill; Sudbury Regional Hospital: Peter Zalan, MD, David Boyle, MD, Kari Kostiw, Claire Gignac, Joanne Collin; Peterborough Regional Health Centre: David McMillan, MD, Lisa Milligan, Susan Dunford-Pickard; North Bay General Hospital: Sue Lebeau, Lori Bell; and Sunnybrook Health Sciences Centre (coordinating center): Dinah Manicat-Francis, Leasa Knechtel, Debra Carew, Svetlana Bojilov.