Pilot Testing a Patient Safety Display in the Hospital Setting

Pressure Injury Clinical Trial

Official title:

Improving Risk Detection and Communication to Reduce Hospital-Acquired Conditions

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03950921
• Other study ID #: HUM00106108
• Status: Completed
• Phase: N/A
• Start date: June 24, 2019
• Est. completion date: September 20, 2019

Study information

• Verified date: October 2019
• Source: University of Michigan
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 132
• Est. completion date: September 20, 2019
• Est. primary completion date: September 20, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Catheter-Related Infections
• Crush Injuries
• Pressure Injury

Intervention

Behavioral:
• Patient Safety Display
Digital display of catheter and pressure injury information in patient hospital room

Locations

Country	Name	City	State
United States	University Hospital, Michigan Medicine	Ann Arbor	Michigan

Sponsors (2)

Lead Sponsor	Collaborator
University of Michigan	Agency for Healthcare Research and Quality (AHRQ)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Urinary catheter awareness	Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey	4 months
Primary	Central venous catheter awareness	Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey	4 months
Primary	Pressure injury awareness	Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey	4 months
Secondary	Urinary catheter usage	Urinary catheter usage rates, as documented in the electronic medical record	4 months
Secondary	CAUTI	Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine National Healthcare Safety Network (NHSN) reporting	4 months
Secondary	Central venous catheter usage	Central venous catheter usage rates, as documented in the electronic medical record	4 months
Secondary	CLABSI	Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting	4 months
Secondary	Pressure injuries	Pressure injury incidence, as documented in the electronic medical record	4 months
Secondary	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	4 months