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Pilot Testing a Patient Safety Display in the Hospital Setting

Primary Purpose

Catheter-Related Infections, Pressure Injury

Status

Completed

Phase

Not Applicable

Locations

United States

Study Type

Interventional

Intervention

Patient Safety Display

About this trial

This is an interventional health services research trial for Catheter-Related Infections focused on measuring Catheter-Related Infections, Pressure Injury, Patient Safety

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

University Hospital, Michigan Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Patient Safety Display Arm

Control Arm

Arm Description

Patient Safety Display in patient room

Usual Care

Outcomes

Primary Outcome Measures

Urinary catheter awareness

Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey

Central venous catheter awareness

Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey

Pressure injury awareness

Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey

Secondary Outcome Measures

Urinary catheter usage

Urinary catheter usage rates, as documented in the electronic medical record

CAUTI

Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine National Healthcare Safety Network (NHSN) reporting

Central venous catheter usage

Central venous catheter usage rates, as documented in the electronic medical record

CLABSI

Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting

Pressure injuries

Pressure injury incidence, as documented in the electronic medical record

Pressure injury care

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

Full Information

NCT ID

NCT03950921

First Posted

May 13, 2019

Last Updated

October 30, 2019

Sponsor

University of Michigan

Collaborators

Agency for Healthcare Research and Quality (AHRQ)

1. Study Identification

Unique Protocol Identification Number

NCT03950921

Brief Title

Pilot Testing a Patient Safety Display in the Hospital Setting

Official Title

Improving Risk Detection and Communication to Reduce Hospital-Acquired Conditions

Study Type

Interventional

2. Study Status

Record Verification Date

October 2019

Overall Recruitment Status

Completed

Study Start Date

June 24, 2019 (Actual)

Primary Completion Date

September 20, 2019 (Actual)

Study Completion Date

September 20, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

University of Michigan

Collaborators

Agency for Healthcare Research and Quality (AHRQ)

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

5. Study Description

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.

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Catheter-Related Infections, Pressure Injury

Keywords

Catheter-Related Infections, Pressure Injury, Patient Safety

7. Study Design

Primary Purpose

Health Services Research

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Model Description

Intervention-control study design

Masking

None (Open Label)

Allocation

Randomized

Enrollment

132 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Patient Safety Display Arm

Arm Type

Experimental

Arm Description

Patient Safety Display in patient room

Arm Title

Control Arm

Arm Type

No Intervention

Arm Description

Usual Care

Intervention Type

Behavioral

Intervention Name(s)

Patient Safety Display

Intervention Description

Digital display of catheter and pressure injury information in patient hospital room

Primary Outcome Measure Information:

Title

Urinary catheter awareness

Description

Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey

Time Frame

4 months

Title

Central venous catheter awareness

Description

Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey

Time Frame

4 months

Title

Pressure injury awareness

Description

Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey

Time Frame

4 months

Secondary Outcome Measure Information:

Title

Urinary catheter usage

Description

Urinary catheter usage rates, as documented in the electronic medical record

Time Frame

4 months

Title

CAUTI

Description

Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine National Healthcare Safety Network (NHSN) reporting

Time Frame

4 months

Title

Central venous catheter usage

Description

Central venous catheter usage rates, as documented in the electronic medical record

Time Frame

4 months

Title

CLABSI

Description

Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting

Time Frame

4 months

Title

Pressure injuries

Description

Pressure injury incidence, as documented in the electronic medical record

Time Frame

4 months

Title

Pressure injury care

Description

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

Time Frame

4 months

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility 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

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Jennifer Meddings, MD, MSc

Organizational Affiliation

University of Michigan

Official's Role

Principal Investigator

Facility Information:

Facility Name

University Hospital, Michigan Medicine

City

Ann Arbor

State/Province

Michigan

ZIP/Postal Code

48109

Country

United States

12. IPD Sharing Statement

Plan to Share IPD

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Pilot Testing a Patient Safety Display in the Hospital Setting

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