Clinical Trials Logo
  1. Home
  2. Patient Safety
  3. NCT05062434

An Intervention to Impact Cardiovascular Implantable Electronic Device Lead Models Implanted in Veterans — Veteran CIEDs  

Patient Safety Clinical Trial

Official title:
Improving Safety of Cardiovascular Implantable Electronic Devices in Veterans (CDA 21-057)

Clinical Trial Summary

This study will evaluate if an intervention using academic detailing and audit and feedback impacts the specific pacemaker or implantable cardioverter-defibrillator (ICD) lead models implanted in Veterans.

Clinical Trial Description

This study will identify Department of Veterans Affairs (VA)-based cardiac electrophysiologists at three Veterans Integrated Service Networks (VISNs). Each cardiac electrophysiologist will participate in a videoconference during which time an academic detailing and audit and feedback intervention will be implemented, which will include details and recommendations about lead selection for implantation, based on cardiovascular implantable electronic device (CIED: pacemaker and implantable cardioverter-defibrillator [ICD]) lead-specific failure rates for lead models currently available in clinical practice. The cardiac electrophysiologist will also be presented with quantitative data about the individual physician's facilities implants and national data on implants over the past year. These data will be shared in advance, with time for questions and discussion. The electrophysiologist will be asked if anything can be done to facilitate selection of CIED lead models with the statistically and clinically significantly lower failure rates. Then, over the subsequent 3 months, a quantitative evaluation of the CIED lead models implanted will be evaluated, comparing changes in lead model selection among the electrophysiologists receiving the intervention to a control group of all VA cardiac electrophysiologists who do not receive the intervention. Subsequently, semi-structured interviews will be conducted to assess reasons for changes, or lack thereof, in CIED lead model selection - including barriers and facilitators. Finally, quantitative data will be included to each of the cardiac electrophysiologists, with additional feedback. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05062434
Study type Interventional
Source VA Office of Research and Development
Contact Sanket S Dhruva, MD MHS
Phone (415) 221-4810
Email sanket.dhruva2@va.gov
Status Not yet recruiting
Phase N/A
Start date October 1, 2024
Completion date November 30, 2026
View Details
See also
  Status Clinical Trial Phase
Not yet recruiting NCT05958108 - Effectivenness and Implementation of an Intervention to Improve Primary Care Patient Safety Phase 3
Not yet recruiting NCT06043895 - EpiFaith CV for Central Venous Catheterization N/A
Recruiting NCT02574104 - Generalizing TESTPILOT to New Single Family Room NICUs N/A
Completed NCT00599209 - Health Information Technology in the Nursing Home N/A
Completed NCT04576299 - Health Care Workers' Perception of Patient Safety During COVID-19 Pandemic
Completed NCT03663491 - Necessity of Transnasal Gastroscopy in Routine Diagnostics - a Patient Centered Requirement Analysis N/A
Completed NCT00212927 - Continuity of Care and Outcomes After Discharge From Hospital N/A
Recruiting NCT06089239 - De-Implementing Fall Prevention Alarms in Hospitals N/A
Recruiting NCT04861025 - Siderails as a Measure of Physical Restraint. GERBAR Trial
Completed NCT04990986 - Co-Development and Evaluation of a Complex Intervention to Increase Medication Safety in Nursing Homes N/A
Recruiting NCT02955836 - Effectiveness of Monitoring Information System of Nursing Related Patient Safety and Quality Indicators N/A
Completed NCT01246544 - Helsinki Declaration on Patient Safety N/A
Recruiting NCT05530187 - ePRO-based Model of Care to Manage and Monitoring Symptoms of Cancer Patients Treated With Immune Checkpoint Inhibitors N/A
Recruiting NCT04176094 - Intensive Care Unit Resident Scheduling Trial N/A
Completed NCT05794490 - Learning From Excellence in a Hospital Unit
Recruiting NCT06269250 - Acceptance and Perceived Benefits of Digitalization by Medical Assistants
Recruiting NCT03105713 - Development and Implementation of Patient Safety Checklists Before, During and After In-hospital Surgery N/A
Completed NCT04184570 - Audit of International Intraoperative Hemotherapy and Blood Loss Documentation
Recruiting NCT04897087 - Openness and Learning Joint Commission: Using Patient Experience for Improvement Following a Patient Safety Event
Active, not recruiting NCT06259812 - Machine Learning Prediction of Parameters of Early Warning Scores in Intensive Care Units