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Pilot Testing a Patient Safety Display in the Hospital Setting

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ClinicalTrials.gov Identifier: NCT03950921
Recruitment Status : Enrolling by invitation
First Posted : May 15, 2019
Last Update Posted : September 2, 2019
Sponsor:
Collaborator:
Agency for Healthcare Research and Quality (AHRQ)
Information provided by (Responsible Party):
Jennifer Meddings, University of Michigan

Brief Summary:
This is a feasibility pilot study to introduce and evaluate an intervention designed to increase clinician awareness of their patients' urinary catheters, vascular catheters, and pressure injuries. This intervention, the "Patient Safety Display" will be evaluated in one hospital unit.

Condition or disease Intervention/treatment Phase
Catheter-Related Infections Pressure Injury Behavioral: Patient Safety Display Not Applicable

Detailed Description:

This project will introduce and evaluate an intervention designed to increase clinician awareness of their patients' urinary catheters, vascular catheters, and pressure injuries. A "Patient Safety Display" will be implemented in half of the patient rooms in one hospital unit. The Patient Safety Display will display catheter and pressure injury data pulled real-time from the electronic medical record onto a tablet mounted at the patient bedside.

This is an intervention-control design study that will be conducted with patients and clinicians at Michigan Medicine. The proposed intervention, the Patient Safety Display, will provide clinicians with key catheter and skin information at the bedside when pertinent clinical decisions are being made.


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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 350 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Intervention-control study design
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Improving Risk Detection and Communication to Reduce Hospital-Acquired Conditions
Actual Study Start Date : June 24, 2019
Estimated Primary Completion Date : October 2019
Estimated Study Completion Date : October 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Patient Safety Display Arm
Patient Safety Display in patient room
Behavioral: Patient Safety Display
Digital display of catheter and pressure injury information in patient hospital room

No Intervention: Control Arm
Usual Care



Primary Outcome Measures :
  1. Urinary catheter awareness [ Time Frame: 4 months ]
    Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey

  2. Central venous catheter awareness [ Time Frame: 4 months ]
    Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey

  3. Pressure injury awareness [ Time Frame: 4 months ]
    Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey


Secondary Outcome Measures :
  1. Urinary catheter usage [ Time Frame: 4 months ]
    Urinary catheter usage rates, as documented in the electronic medical record

  2. CAUTI [ Time Frame: 4 months ]
    Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine NHSN reporting

  3. Central venous catheter usage [ Time Frame: 4 months ]
    Central venous catheter usage rates, as documented in the electronic medical record

  4. CLABSI [ Time Frame: 4 months ]
    Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting

  5. Pressure injuries [ Time Frame: 4 months ]
    Pressure injury incidence, as documented in the electronic medical record

  6. Pressure injury care [ Time Frame: 4 months ]
    Rates of pressure injury care practices (i.e., wound team consults, specialty bed orders, use of repositioning devices) as reported in the electronic medical record



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Hospitalized in specific hospital unit of interest or providers caring for patient in that unit

Exclusion Criteria:

  • Patients not in unit of interest and providers not caring for patients on that unit

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03950921


Locations
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United States, Michigan
University Hospital, Michigan Medicine
Ann Arbor, Michigan, United States, 48109
Sponsors and Collaborators
University of Michigan
Agency for Healthcare Research and Quality (AHRQ)
Investigators
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Principal Investigator: Jennifer Meddings, MD, MSc University of Michigan

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Responsible Party: Jennifer Meddings, Associate Professor, University of Michigan
ClinicalTrials.gov Identifier: NCT03950921     History of Changes
Other Study ID Numbers: HUM00106108
First Posted: May 15, 2019    Key Record Dates
Last Update Posted: September 2, 2019
Last Verified: August 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Jennifer Meddings, University of Michigan:
Catheter-Related Infections
Pressure Injury
Patient Safety
Additional relevant MeSH terms:
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Catheter-Related Infections
Crush Injuries
Infection
Wounds and Injuries