The Impact of INCNS Management Model Training on the Quality of Patient Management by Residents in the Neurocritical Care Unit

Abstract

Objectives: The INCNS (Infection, Nutrition, Consciousness, Neurological disorders, Systemic diseases) model provides a structured approach to improve patient care. This study evaluates INCNS training versus conventional training in enhancing Neurocritical Care Unit (NCU) resident performance.

Methods: In a randomized controlled trial, 40 residents were assigned to INCNS (n=20) or conventional training (n=20). The INCNS group completed a two-week program with lectures, case discussions, and simulations. Outcomes included Patient Management Quality Score (PMQS), medical error rates, and patient outcomes (28-day mortality, ICU stay, complications).

Results: The INCNS group showed higher PMQS (89.5 ± 7.8 vs. 80.3 ± 10.6, P=0.002), lower error rates (incorrect dosing: 2.4% vs. 6.7%, P=0.003; missed diagnoses: 3.6% vs. 7.1%, P=0.028), and fewer complications (ventilator-associated pneumonia: 22.6% vs. 41.3%, P=0.042; hypoproteinemia: 18.1% vs. 23.8%, P=0.015). No differences were found in 28-day mortality or ICU stay.

Conclusions: INCNS training significantly enhances residents’ patient management quality and reduces errors and complications in the NCU. Multicenter studies are needed to confirm these findings and evaluate long-term effects.