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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT03673579
Other study ID # PCMS-17-07-18.1-MHSB
Secondary ID
Status Withdrawn
Phase N/A
First received
Last updated
Start date June 14, 2018
Est. completion date April 1, 2020

Study information

Verified date September 2020
Source Philips Healthcare
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study evaluates the use of a NICU clinical integration system (Dashboard and accessories) in improving the quality of care delivered, patient health outcomes, and parent and clinician satisfaction. Clinicians will be asked to follow their current standard of care practices with the aid of this technology. About half of participants will receive care in NICU rooms with the Dashboard installed while the other half will receive standard care without the Dashboard.


Description:

The current NICU environment can be stressful and overwhelming for parents of babies admitted and for clinicians caring for the babies. There is a wide range of monitors in a very clinical environment that does not take into account the comfort of neonates.

The Dashboard works in parallel with EHR and systems of record, and provides a cohesive view of the patient's status and planned clinical workflow in a single location for both parents and staff. Accessories such as environmental sensors and cameras are used to ensure that the environment is comfortable and promotes optimal development of the baby. Caregivers can educate and coach parents to facilitate integrating them into their infant's care. The NICU Dashboard also supports a family view to facilitate education and assist the family in tracking core measures and developmental milestones.


Recruitment information / eligibility

Status Withdrawn
Enrollment 0
Est. completion date April 1, 2020
Est. primary completion date April 1, 2020
Accepts healthy volunteers No
Gender All
Age group N/A and older
Eligibility NEONATES AND THEIR PARENTS

Inclusion Criteria:

- Admission to the NICU

- At least one parent (biological, guardian, or adoptive) involved

- One parent can understand and speak the English language

- Parent aged 18 years or older

- Parent with sufficient mental capacity to provide written informed consent as determined by a RN

- Signed informed consent from the parent

Exclusion Criteria:

- Expected discharge from the NICU in <48 hours

CLINICIANS INTERACTING WITH THE NICU DASHBOARD

Inclusion Criteria:

- Employee of institution with direct patient care in the NICU (e.g. physician, NP, RN, therapist)

- Expected interaction with the NICU Dashboard

- Signed informed consent

Exclusion Criteria:

- No interaction with the NICU Dashboard

Study Design


Intervention

Device:
NICU Dashboard
The NICU Dashboard is displayed on a touch screen display mounted to the wall or on a rolling cart that will be placed near the bedside. The Dashboard will integrate information from various hospital/device sources in order to provide clinicians with one location to access and collectively interpret clinical findings and environmental factors. Parents will have their own view on the Dashboard that will allow them view their baby's progress, view educational materials, and have access to other resources at their fingertips.

Locations

Country Name City State
United States Memorial Hospital of South Bend South Bend Indiana

Sponsors (2)

Lead Sponsor Collaborator
Philips Healthcare Memorial Hospital of South Bend

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Incidence of Hospital Acquired Infections For example, CLABSI, Sepsis, VAP From date of NICU admission until the date of NICU discharge, assessed up to 365 days
Other Hand washing compliance rate Number of events found during audits One year prior to study initiation, and through study completion, an average of one year
Other Cost of care Hospitalization costs (paid by insurance), costs/# of labs ordered, costs/# of images ordered One year prior to study initiation, and through study completion, an average of one year
Primary Rate of neonatal adverse events Preventable adverse events (e.g. unplanned extubations, medication errors) Through study completion, an average of 1 year
Secondary Incidence rate of Chronic Lung Disease Diagnosis Through study completion, an average of 1 year
Secondary Rate of Readmission Number of readmissions (within 7 and 30 days) to a hospital over the number of total babies 7 days and 30 days post-hospital discharge
Secondary Baby growth velocity Rate of weight gain From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
Secondary Percent of time noise levels are within range Hours that noise levels are within range over total patient-time From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
Secondary NICU Length of Stay Days spent in the NICU from admission to discharge From date of NICU admission until the date of NICU discharge, assessed up to 365 days
Secondary Baby to parent skin-to-skin time Self-reported time parents are performing skin-to-skin (kangaroo care), averaged From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
Secondary Parental Stressor Scale:NICU (PSS:NICU) For NICU parents 26-item questionnaire broken down into three constructs (Parental Role Alterations, Sights and Sounds of the Unit, and Infant Behavior and Appearance) designed to measure parental perception of stressors arising from the physical and psychosocial environment of the neonatal intensive care unit.
= Not at all stressful (the experience did not cause you to feel upset, tense, or anxious)
= A little stressful
= Moderately stressful
= Very stressful
= Extremely stressful Total score will be calculated by summing each item score and averaged for the group. Each subscale will also be computed by summing the items within the subscale and averaging for each group.
Higher scores represent worse outcomes
Upon signing informed consent (baseline) and within 96 hours of discharge
Secondary Neonatal Index of Parent Satisfaction (NIPS) For NICU parents 30-item questionnaire measuring parents' satisfaction with the care their newborn child receives while in a neonatal intensive care unit (NICU).
7-point Likert-scale (1) lowest satisfaction to (7) highest satisfaction. Sum item scores to calculate total score, with lower scores corresponding to worse outcomes.
Within 96 hours of discharge
Secondary System Usability Scale (SUS) For NICU parents and clinicians 10-item questionnaire with 2 constructs: usability and learnability 5-point Likert-scale (1) strongly disagree to (5) strongly agree The participant's scores for each question added together and then multiplied by 2.5 to convert the original scores of 0-40 to 0-100. Though the scores are 0-100, these are not percentages and should be considered only in terms of their percentile ranking. Based on research, a SUS score above a 68 would be considered above average and anything below 68 is below average, however the best way to interpret your results involves "normalizing" the scores to produce a percentile ranking. Six months after study initiation (mid-point) and 12 months after study initiation (completion)
Secondary The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey For NICU parents 7-item questionnaire assessing communication with doctors (4-items) and nurses (3-items).
4-point Likert-scale: Never, Sometimes, Usually, Always The number of "Always" ratings for each participant is summed then divided by the number of items. The mean is then taken, stratified by group.
Higher scores represent better outcomes.
Within 96 hours of discharge
Secondary Emotional Exhaustion Scale For Clinicians only 4-item questionnaire about job-related frustrations. 4-point Likert-scale: (1) Disagree strongly to (5) Agree strongly. Item scores are summed and averaged by group. Higher scores represent worse outcomes. Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
Secondary Teamwork Perceptions Questionnaire (T-TPQ) For Clinicians only 21-item questionnaire measuring 3 constructs: team function, mutual support, and communication 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Disagree
1 - Strongly A total score is calculated for each teamwork construct. Summing scores in this manner allows for more accurate statistical testing.
High scores indicate better outcomes.
Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
Secondary Frequency of Missed Care (MISSCARE) For Clinicians only 35-item questionnaire assessing the frequency that elements of nursing care are missed by nursing staff on the unit.
- Always missed
- Frequently missed
- Occasionally missed
- Rarely missed
- Never missed Scores will be averaged per item, and a total MISSCARE score will be computed per individual by averaging all items.
Higher scores represent better outcomes.
Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
Secondary NASA Task Load Index (NASA-TLX) For Clinicians only 6-item survey that rates perceived workload in order to assess the current workload in the NICU.
Increments of high, medium and low estimates for each point results in 21 gradations on the scales assessing mental demand, physical demand, temporal demand, performance, effort, and frustration.
Averages for each subscale will be computed. Higher scores represent worse outcomes.
Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
Secondary Percent of time light levels are within range Hours that light (lux) levels are within range over total patient-time From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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