SOFI: A Quality Improvement Project to Standardize Use of Intravenous Fluids in Hospitalized Pediatric Patients (SOFI)
Intravenous Fluids, Fluid and Electrolyte Imbalance, ADH Inappropriate
About this trial
This is an interventional other trial for Intravenous Fluids
Eligibility Criteria
Inclusion Criteria:
- Age ≥28 days and ≤18 years old at the time of admission
- Received maintenance IVF (rate greater than 10 ml/h) on hospital day #2 at 12:01 am
Exclusion Criteria:
- ICU (PICU, NICU, CICU, etc.) patients
- Patients who have never gone home from the hospital
- Patients with active adrenal, cardiac, hepatic, neurosurgical, chronic renal, heme/onc, biochemical genetic/metabolic illnesses* (*As evidenced by: (1) listing of a condition in these categories in past medical history; and/or (2) active medication related to one of these conditions)
- Patients with diabetes insipidus, DKA, severe burns
- Patients on a psychiatric hold/primary behavioral health reason for admission with no needed medical management
- Patients with voluminous watery diarrhea > 7 days
Sites / Locations
- Phoenix Children's Hospital
- Community Regional Medical Center
- Loma Linda University Children's Hospital
- Harbor - UCLA Medical Center
- UCLA Mattel Children's Hospital
- Valley Children's Hospital
- Stanford HealthCare-ValleyCare
- UCSF Benioff Children's Hospital
- Valley Presbyterian Hospital
- John Muir Medical Center
- Nemours A.I. duPont Hospital for Children
- Children's National Medical Center
- Wolfson Children's Hosptial
- Nicklaus Children's Hospital
- Holtz Children's Hospital
- Sacred Heart Children's Hospital
- Johns Hopkins All Childrens Hospital
- Sarasota Memorial Hospital
- Advent Health Tampa
- Children's Healthcare of Atlanta at Egleston
- Children's Hospital of Georgia
- Beverly Knight Olson Children's Hospital, Navicent Health
- WellStar Kennestone Hospital
- Maui Memorial Medical Center
- Saint Alphonsus Medical Center
- St. Luke's Children's
- Kootenai Health
- Ann & Robert H. Lurie Children's Hospital of Chicago
- Rush University Children's Hospital
- University of Illinois Hospital
- Northwestern Lake Forest Hospital
- Loyola University Medical Center
- Advocate Children's Hospital - Oak Lawn
- Advocate Children's Hospital
- OSF Healthcare Children's Hospital of Illinois
- Northwestern Central DuPage Hospital
- Beacon Children's Hospital
- Blank Children's Hospital
- Stormont Vail Health
- Wesley Medical Center/Wesley Childrens Hospital
- University of Kentucky
- Our Lady of the Lake Children's Hospital
- The Barbara Bush Children's Hospital at Maine Medical Center
- Anne Arundel Medical Center
- Johns Hopkins Children's Center
- St. Agnes Hospital
- Frederick Memorial Hospital
- Peninsula Regional Medical Center
- Floating Hospital for Children at Tufts Medical Center
- St. Joseph Mercy Hospital
- C. S. Mott Children's Hospital
- Sparrow Hospital
- Beaumont Children's Hospital
- Henry Ford West Bloomfield Hospital
- Children's Minnesota
- University of Mississippi Medical Center Children's Hospital
- Mercy Children's Hospital-St. Louis
- The Unterberg Children's Hospital
- Shore Medical Center
- Inspira Medical Center Vineland
- University of New Mexico Children's Hospital
- Kravis Children's Hospital, The Mount Sinai Hospital
- Vassar Brothers Medical Center
- Richmond University Medical Center
- Maria Fareri Children's Hospital at Westchester Medical Center
- Akron Childrens Mahoning Valley
- Randall Children's Hospital
- Doernbecher Children's Hospital
- St. Luke's Unversity Health Network
- St. Clair Hospital
- Children's Hospital at Erlanger
- Children's Medical Center Dallas
- El Paso Children's Hospital
- University of Texas Medical Branch- Galveston
- Childrens Memorial Hermann Hospital
- Texas Children's Hospital
- Covenant Children's Hospital
- Memorial Hermann Community Hospitals
- University of Virginia Children's Hospital
- Augusta Medical Center
- Mary Washington Hospital
- The Children's Hospital of The King's Daughters
- Carilion Children's
- Mary Bridge Children's Hospital
- Central Washington Hospital
- St. Mary's Hospital
- American Family Children's Hospital
- Children's Hospital of Wisconsin
- Children's Hospital of Wisconsin - Fox Valley
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Stepped Wedge Group 1: Sept. 2019 Launch
Stepped Wedge Group 2: Nov. 2019 Launch
Stepped Wedge Group 3: Jan. 2020 Launch
Interventions will include: Education (webinars) for physicians and nurses regarding AAP IVF guidelines, including evidence on safety of isotonic maintenance IVF Implementation of algorithms, ordersets and checklists to guide choice of IVF and clinical indications to start/stop IVF; Tools to promote discussion about timing and necessity of routine lab draws Education and feedback for physicians regarding costs and harms of routine lab testing
Interventions will include: Education (webinars) for physicians and nurses regarding AAP IVF guidelines, including evidence on safety of isotonic maintenance IVF Implementation of algorithms, ordersets and checklists to guide choice of IVF and clinical indications to start/stop IVF; Tools to promote discussion about timing and necessity of routine lab draws Education and feedback for physicians regarding costs and harms of routine lab testing
Interventions will include: Education (webinars) for physicians and nurses regarding AAP IVF guidelines, including evidence on safety of isotonic maintenance IVF Implementation of algorithms, ordersets and checklists to guide choice of IVF and clinical indications to start/stop IVF; Tools to promote discussion about timing and necessity of routine lab draws Education and feedback for physicians regarding costs and harms of routine lab testing