• Canadian Critical Care Trials Group
    The Canadian Critical Care Trials Group (CCCTG) is a highly collegial group that is dedicated to the pursuit of excellence and advancement of critical care research in Canada.
  • Canadian Critical Care Trials Group
    The CCCTG has are more than 30 research programs underway and over 100 peer-reviewed publications to its credit, with direct impact on clinical practice in critical care.
  • Canadian Critical Care Trials Group
    The Canadian Critical Care Trials Group (CCCTG) is a national organization of more than 300 individuals with research interests in the management of the critically ill patient.
  • Canadian Critical Care Trials Group
    Endorsement by the CCCTG communicates our full commitment to ensure that the work is undertaken in a rigorous and ethical manner, and communicated in a timely and effective way.
Programs

Principal Investigator(s)

Coordinator(s)

Melanie Guenette

Status

Enrolling

GRASP1 - Global Resource Allocation Survey Project

The Providing Resources for Effective and Ethical Decisions ICritical Care Triage (PREEDICCT) study collaborative aims to develop decision and discussion support tools to guide critical care resource allocation decision-making.

GRASP-1 is a pilot study that will characterize current resource allocation decision-making in both resource rich and resource poor settings, from both English and non-English speaking countries. GRASP-1 will evaluate a design methodology intended to characterize critical care resource allocation decision making, and includes both a quantitative and qualitative portion which will take place over a single 24-hour, or two 12-hour periods.

The quantitative portion will encompass a survey of intensivists describing critical care resource allocation decisions in the intensive care unit (ICU). Participants will track the types and number of decisions made, in addition to identifying key players in the decision-making process. Demographic data, information characterizing resource allocation decisions, and questions related to the feasibility of the study design and methodology will then be entered by the participants into an online web-based survey.

The qualitative portion will include an anthropologist-led ethnographic observation of health care providers in the ICU. A focused number of semi-structured interviews will then be conducted with key informants involved in the resource allocation decision making, identified during the ethnographic observation. These interviews will serve to explore the perception of, and factors these individuals perceive are involved in the decision making process. Lastly, a focus group at each study site will be done to discuss local practices of resource allocation and enable the creation of a decision map for this process.

Co-Investigators

Peter Dodek, David Fisman, Robert Fowler, Charles Gomersall, Nathaniel Hupert, Niranjan « Tex » Kissoon, John Marshall, Matthew Muller, Srinivas Murthy, Charles Sprung, and David Zygun

Participating Centers

Mount Sinai Hospital (Toronto, Canada) – Michael Christian
Saint Paul’s Hospital (Vancouver, Canada) – Peter Dodek
Dalla Lana School of Public Health (Toronto, Canada) – David Fisman
Sunnybrook Health Sciences Centre (Toronto, Canada) – Robert Fowler
Prince of Wales Hospital (Hong Kong, China) – Charles Gomersall
Weill Cornell Medical College (New York, USA) – Nathaniel Hupert
BC Children’s Hospital (Vancouver, Canada) – Niranjan « Tex » Kissoon and Srinivas Murthy
Saint Michael’s Hospital (Toronto, Canada) – John Marshall and Matthew Muller
Hadassah Hebrew University Medical Center (Jerusalem, Israel) – Charles Sprung
University of Alberta (Edmonton, Canada) – David Zygun