INSPIRE Trial for Abdominal Infections
Abdominal (ABD) Infection
About this trial
This is an interventional other trial for Abdominal (ABD) Infection focused on measuring ABD, CPOE, Empiric Therapy
Eligibility Criteria
Facility Inclusion Criteria:
- HCA Healthcare hospitals admitting adults for abdominal infection
- Facility use of MEDITECH as their electronic health record system
Facility Exclusion Criteria:
-
Note: unit of randomization is the hospital, however the computerized physician order entry (CPOE) alert intervention will calculate risk estimates for adults age >=18 admitted to non-intensive care unit wards and who are ordered to receive extended-spectrum antibiotics for abdominal infection.
Sites / Locations
- Riverside Community HospitalRecruiting
- Regional Medical Center of San JoseRecruiting
- Good Samaritan HospitalRecruiting
- Los Robles Hospital & Medical CenterRecruiting
- West Hills Hospital & Medical CenterRecruiting
- The Medical Center of AuroraRecruiting
- Swedish Medical CenterRecruiting
- Sky Ridge Medical CenterRecruiting
- North Suburban Medical CenterRecruiting
- Blake Medical CenterRecruiting
- Brandon Regional HospitalRecruiting
- Oak Hill HospitalRecruiting
- Englewood Community HospitalRecruiting
- Lawnwood Regional Medical CenterRecruiting
- Fort Walton Beach Medical CenterRecruiting
- Regional Medical Center of Bayonet PointRecruiting
- Memorial Hospital JacksonvilleRecruiting
- Lake City Medical CenterRecruiting
- Largo Medical CenterRecruiting
- Northwest Medical CenterRecruiting
- Mercy HospitalRecruiting
- Kendall Regional Medical CenterRecruiting
- Orange Park Medical CenterRecruiting
- Oviedo Medical CenterRecruiting
- Gulf Coast Regional Medical CenterRecruiting
- Fawcett Memorial HospitalRecruiting
- St. Lucie Medical CenterRecruiting
- Palms of PasadenaRecruiting
- Northside HospitalRecruiting
- St. Petersburg General HospitalRecruiting
- Doctors Hospital of SarasotaRecruiting
- South Bay HospitalRecruiting
- Capital Regional Medical CenterRecruiting
- HCA Florida South Tampa HospitalRecruiting
- HCA Florida West Tampa HospitalRecruiting
- Medical Center of TrinityRecruiting
- JFK Medical Center - North CampusRecruiting
- Fairview Park HospitalRecruiting
- Eastern Idaho Regional Medical CenterRecruiting
- Menorah Medical CenterRecruiting
- Overland Park Regional Medical CenterRecruiting
- Wesley Medical CenterRecruiting
- Wesley Woodlawn Hospital & ERRecruiting
- TriStar Greenview Regional HospitalRecruiting
- Lakeview Regional Medical CenterRecruiting
- Tulane Medical CenterRecruiting
- Centerpoint Medical CenterRecruiting
- Research Medical CenterRecruiting
- Lee's Summit Medical CenterRecruiting
- Southern Hills Hospital & Medical CenterRecruiting
- Sunrise Hospital & Medical CenterRecruiting
- Trident Medical CenterRecruiting
- Grand Strand Medical CenterRecruiting
- Parkridge Medical CenterRecruiting
- Parkridge East HospitalRecruiting
- TriStar Horizon Medical CenterRecruiting
- TriStar Hendersonville Medical CenterRecruiting
- TriStar Centennial Medical CenterRecruiting
- TriStar Southern Hills Medical CenterRecruiting
- TriStar StoneCrest Medical CenterRecruiting
- Medical City ArlingtonRecruiting
- St. David's Medical CenterRecruiting
- St. David's North Austin Medical CenterRecruiting
- Valley Regional Medical CenterRecruiting
- HCA Houston Healthcare ConroeRecruiting
- Corpus Christi Medical Center - Bay AreaRecruiting
- Corpus Christi Medical Center - Doctors RegionalRecruiting
- Corpus Christi Medical Center - Heart HospitalRecruiting
- Medical City DallasRecruiting
- Medical City DentonRecruiting
- Las Palmas Medical CenterRecruiting
- Del Sol Medical CenterRecruiting
- Medical City Fort WorthRecruiting
- Medical City AllianceRecruiting
- Medical City FriscoRecruiting
- HCA Houston Healthcare WestRecruiting
- Medical City Las ColinasRecruiting
- HCA Houston Healthcare KingwoodRecruiting
- Medical City LewisvilleRecruiting
- Methodist Hospital NortheastRecruiting
- Rio Grande Regional Hospital Main CampusRecruiting
- Medical City McKinneyRecruiting
- Medical City North HillsRecruiting
- HCA Houston Healthcare SoutheastRecruiting
- HCA Houston Healthcare PearlandRecruiting
- Medical City PlanoRecruiting
- St. David's Round Rock Medical CenterRecruiting
- Methodist Hospital TexsanRecruiting
- Methodist Hospital MetropolitanRecruiting
- Methodist Hospital | Specialty and TransplantRecruiting
- Methodist HospitalRecruiting
- HCA Houston Healthcare MainlandRecruiting
- Medical City WeatherfordRecruiting
- HCA Houston Healthcare Clear LakeRecruiting
- Ogden Regional Medical CenterRecruiting
- LewisGale Hospital MontgomeryRecruiting
- LewisGale Hospital PulaskiRecruiting
- Reston Hospital CenterRecruiting
- CJW Medical Center (Chippenham & Johnston Willis Campuses)Recruiting
- Henrico Doctors' HospitalRecruiting
- LewisGale Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Arm 1: Routine Care
Arm 2: INSPIRE Stewardship Bundle
Continuation of routine antibiotic stewardship strategies.
Use of computerized physician order entry (CPOE) smart prompts, clinician feedback, and activities to support CPOE adoption (including education and alignment of CPOE workflows) to guide empiric choice of antibiotics for abdominal infection in the first 3 days of hospitalization.