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Telehealth-Enabled, Real-time Audit and Feedback for Clinician AdHerence (TEACH) — TEACH  

Respiration, Artificial Clinical Trial

Official title:
Implementation of Coordinated Spontaneous Awakening and Breathing Trials Using Telehealth-Enabled, Real-Time Audit and Feedback for Clinician Adherence: A Type II Hybrid Effectiveness-Implementation

Clinical Trial Summary

The purpose of this trial is to evaluate if augmenting a usual audit and feedback implementation approach with telehealth-enabled support improves coordinated spontaneous awakening/breathing trials and patient outcomes for mechanically ventilated patients.

Clinical Trial Description

Sedation and analgesia are utilized with invasive mechanical ventilation (IMV) to improve patient comfort and synchrony with the mechanical ventilator. Prolonged sedation, however, may result in increased time on IMV and increased risk for ventilator associated pneumonia, delirium, and poor long-term cognitive outcomes. Daily interruptions in sedation [spontaneous awakening trials (SAT)] coordinated with daily spontaneous breathing trials (SBT) reduce mortality, increase ventilator free days, decrease intensive care unit (ICU) length of stay, and reduces ventilator-associated events. Coordination of spontaneous awakening and breathing trials (C-SAT/SBT), however, are underutilized due to significant barriers to implementation and adherence. This cluster-randomized hybrid implementation/effectiveness trial will compare C-SAT/SBT adherence and clinical outcomes in the presence of traditional audit and feedback implementation strategies alone or augmented with a novel Telehealth-Enabled, real-time Audit and feedback for Clinician adHerence ("TEACH") implementation strategy. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05141396
Study type Interventional
Source Intermountain Health Care, Inc.
Contact Carlos Barbagelata
Phone 8015074607
Email carlos.barbagelata@imail.org
Status Recruiting
Phase N/A
Start date September 1, 2022
Completion date October 15, 2026
View Details
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