Effectiveness of a Computer Application in Improving Pulmonary Artery Catheter Waveform Interpretation
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Purpose
Skill with pulmonary artery catheter (PAC) waveform interpretation is inadequate among physicians and nurses. We, the investigators at Massachusetts General Hospital, have developed a web-based computer program to assist physicians and nurses in PAC waveform interpretation. We will study the effectiveness of this program on improving the interpretation of waveforms on a computer-based test.
| Condition | Intervention |
|---|---|
|
Pulmonary Artery Catheter Waveform Interpretation |
Device: Web-based waveform interpretation guide |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Effectiveness of a Web-Based Computer Application in Improving Pulmonary Artery Catheter Waveform Interpretation Among Nurses and Physicians |
- Score on a computer-based test on pulmonary artery catheter waveform interpretation [ Time Frame: 1 month ] [ Designated as safety issue: No ]
- Individual and collective frequency of use and usage patterns of the web-based waveform interpretation guide [ Time Frame: 1 year ] [ Designated as safety issue: No ]
| Enrollment: | 80 |
| Study Start Date: | December 2005 |
| Estimated Study Completion Date: | April 2012 |
| Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
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Device: Web-based waveform interpretation guide
The pulmonary artery catheter (PAC) guides diagnosis and treatment in the intensive care unit (ICU), but studies have shown that physicians and nurses collectively have inadequate skill in interpreting PAC waveforms. We have developed a Web-based application that provides physicians and nurses with rapid access to relevant PAC-related content for use in patient care situations. The application begins with a visual index that assists clinicians in the recognition of both normal and abnormal waveforms and provides waveform-specific links to concise advice on making accurate pressure measurements, troubleshooting system problems, and avoiding complications of catheter use. Initial evaluation will consist of a before-and-after trial to determine whether the application improves test performance in the areas of waveform recognition, accuracy of measurement, and appropriateness of action. Once the resource is in production, we will electronically log usage and survey users to evaluate the extent and effect of actual utilization.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Critical care nurses
- House officers rotating through the medical Intensive Care Unit
- Fellows rotating through the medical Intensive Care Unit
Contacts and Locations| United States, Massachusetts | |
| Massachusetts General Hospital | |
| Boston, Massachusetts, United States, 02114 | |
| Principal Investigator: | Octo Barnett, MD | Massachusetts General Hospital/Laboratory of Computer Science |
More Information
Additional Information:
No publications provided
| Responsible Party: | Jaime Chang, MD, Investigator, Massachusetts General Hospital |
| ClinicalTrials.gov Identifier: | NCT00138073 History of Changes |
| Other Study ID Numbers: | 2005-P-001381/1; MGH |
| Study First Received: | August 26, 2005 |
| Last Updated: | April 23, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Massachusetts General Hospital:
|
pulmonary artery catheter waveform interpretation computer-based learning medical education |
ClinicalTrials.gov processed this record on June 18, 2013