Deimplementing CXR After CVC (DRAUP) in the ICU

Status Recruiting

Clinical Trial Summary

This study proposes adapting and testing an innovative, behavioral theory-driven deimplementation program called DRAUP in two intensive care units for proof of concept and support that the program can help providers and hospital organizations address context determinants of deimplementation. Study data will be used to optimize the intervention for a subsequent larger trials.

Clinical Trial Description

There are millions of critically ill patients annually who require imaging confirmation after central venous catheter insertion. Emerging literature demonstrates that ultrasound is a faster alternative to historical chest xray, thus serving as the ideal confirmation for catheter use. When able to confirm catheter position, ultrasound decreases the number of unnecessary chest radiographs, cumulative resources (technologist, radiologist, equipment), and patient care delays. However, providers are not adopting this practice. Previously, we developed and initiated a successful evidence-based deimplementation program for ultrasound in lieu of chest xray called DRAUP in the Emergency Department. We now move to adapt the deimplementation bundle in the new environment of the Intensive Care Unit (ICU) with hopeful continued success. In experiment 1, qualitative analysis will be employ a systematic approach to DRAUP component refinement dosed to the unique context of the Intensive Care Unit and implementation outcomes as well as cost will be evaluated. In experiment 3, mixed methods will be used to evaluate the mechanism of impact of the refined program in the new environment. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT06146348
Study type	Observational
Source	Washington University School of Medicine
Contact	Enyo Ablordeppey, MD MPH
Phone	314-362-7021
Email	ablordeppeye@wustl.edu
Status	Recruiting
Phase
Start date	January 1, 2024
Completion date	December 31, 2025

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