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Effect of Education on Resident Physician Knowledge of Sepsis

Primary Purpose

Sepsis, Systemic Inflammatory Response Syndrome

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Sepsis Education
Sponsored by
University of Utah
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Sepsis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Resident physician in an University of Utah training program

Exclusion Criteria:

Not willing to participate

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Other

    Other

    Other

    Other

    Other

    Arm Label

    Internal Medicine Residents

    Emergency Medicine Residents

    Orthopedic Residents

    Neurosurgery Residents

    General Surgery Residents

    Arm Description

    Sepsis education provided to internal medicine residents

    Sepsis education provided to emergency medicine residents

    Sepsis education provided to orthopedic residents

    Sepsis education provided to neurosurgery residents

    Sepsis education provided to general surgery residents

    Outcomes

    Primary Outcome Measures

    Change in sepsis recognition and treatment survey score
    Questionnaire scores assessing sepsis recognition and treatment at baseline compared to a similar survey following one year of whole-hospital educational campaign, across groups of residents of different training backgrounds

    Secondary Outcome Measures

    Full Information

    First Posted
    October 5, 2016
    Last Updated
    October 5, 2016
    Sponsor
    University of Utah
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02927054
    Brief Title
    Effect of Education on Resident Physician Knowledge of Sepsis
    Official Title
    Effect of Education on Resident Physician Knowledge of Sepsis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    July 2014 (undefined)
    Primary Completion Date
    September 2016 (Actual)
    Study Completion Date
    September 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University of Utah

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    A questionnaire was provided, including clinical vignettes and free text answers, to assess and evaluate the ability of resident physicians to identify systemic inflammatory response syndrome (SIRS), sepsis, and severe sepsis. Questionnaire scores were compared between specialties. A whole-hospital educational campaign was provided with the aim to improve sepsis recognition, and the questionnaire survey was repeated after one year to assess the effect of the education on the recognition of sepsis.
    Detailed Description
    Sepsis is the number one cause of mortality in US hospitals. An aim of this study was to evaluate the ability of resident physicians with different training backgrounds to recognize SIRS, sepsis, and severe sepsis. A survey assessment of the definition of SIRS, sepsis, and severe sepsis was administered to internal medicine, emergency room, orthopedic, neurosurgery, and general surgery residents. Then, an intensive educational campaign designed to improve recognition of the patient with sepsis was launched. For approximately 1 year, posters with this educational information were displayed in the hospital, one-on-one educational sessions were provided to residents, and didactic sessions focusing on sepsis were conducted. The survey was then redesigned and administered it to the same groups as described previously.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Sepsis, Systemic Inflammatory Response Syndrome

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    239 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Internal Medicine Residents
    Arm Type
    Other
    Arm Description
    Sepsis education provided to internal medicine residents
    Arm Title
    Emergency Medicine Residents
    Arm Type
    Other
    Arm Description
    Sepsis education provided to emergency medicine residents
    Arm Title
    Orthopedic Residents
    Arm Type
    Other
    Arm Description
    Sepsis education provided to orthopedic residents
    Arm Title
    Neurosurgery Residents
    Arm Type
    Other
    Arm Description
    Sepsis education provided to neurosurgery residents
    Arm Title
    General Surgery Residents
    Arm Type
    Other
    Arm Description
    Sepsis education provided to general surgery residents
    Intervention Type
    Other
    Intervention Name(s)
    Sepsis Education
    Intervention Description
    Education provided to hospital residents for the recognition and treatment of systemic inflammatory response syndrome (SIRS), sepsis and severe sepsis
    Primary Outcome Measure Information:
    Title
    Change in sepsis recognition and treatment survey score
    Description
    Questionnaire scores assessing sepsis recognition and treatment at baseline compared to a similar survey following one year of whole-hospital educational campaign, across groups of residents of different training backgrounds
    Time Frame
    Baseline and 1 Year

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Resident physician in an University of Utah training program Exclusion Criteria: Not willing to participate
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Devin J Horton, MD
    Organizational Affiliation
    University of Utah
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    If requested, will share with other authors or institutions
    Citations:
    PubMed Identifier
    15566585
    Citation
    Poeze M, Ramsay G, Gerlach H, Rubulotta F, Levy M. An international sepsis survey: a study of doctors' knowledge and perception about sepsis. Crit Care. 2004 Dec;8(6):R409-13. doi: 10.1186/cc2959. Epub 2004 Oct 14.
    Results Reference
    background
    PubMed Identifier
    20646902
    Citation
    Assuncao M, Akamine N, Cardoso GS, Mello PV, Teles JM, Nunes AL, Maia MO, Rea-Neto A, Machado FR; SEPSES Study Group. Survey on physicians' knowledge of sepsis: do they recognize it promptly? J Crit Care. 2010 Dec;25(4):545-52. doi: 10.1016/j.jcrc.2010.03.012. Epub 2010 Jun 19.
    Results Reference
    result

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