The WikiTrauma Interrupted Time Series Protocol

Trauma Clinical Trial

— WikiTrauma  

Official title:

Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: the WikiTrauma Interrupted Time Series Protocol

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT04035772
• Other study ID #: Wiki Implementation 1415-041
• Status: Terminated
• Phase: N/A
• Start date: May 2016
• Est. completion date: December 20, 2018

Study information

• Verified date: July 2019
• Source: Laval University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to study the combined effect of WikiTrauma, a free collaborative database of clinical decision support tools, and Wiki101, a training course teaching participants how to use WikiTrauma, on the quality of care in four trauma centers in Quebec.

The hypothesis that the theory-based intervention (Wiki101), in combination with use of WikiTrauma, will result in better adoption of best practices in trauma care, safer care (less complications), improved patient outcomes and less costly care in Canada.

Description:

Trauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the quality of care across Canada exists. Accordingly, the goal of this study is to lead a research project in which stakeholders themselves will adapt evidence-based trauma care knowledge tools to the varied institutional contexts and cultures. This will be done by developing and assessing the combined impact of WikiTrauma, a free collaborative database of clinical decision support tools, and Wiki101, a training course teaching participants how to use WikiTrauma. WikiTrauma has the potential to ensure that all stakeholders (eg, patients, clinicians, and decision makers) can all contribute to, and benefit from, evidence-based clinical knowledge about trauma care that is tailored to the needs and clinical setting.

The main goal will be to study the combined effect of WikiTrauma and Wiki101 on the quality of care in four trauma centers in Quebec.

First, the wiki will be pilot-tested with potential users to create a version ready to test in practice. A rapid, iterative prototyping process with 15 health professionals from nonparticipating centers will allow to identify and resolve usability issues prior to finalizing the definitive version for the interrupted time series. Second, an interrupted time series will be performed to measure the impact of the combined intervention on the quality of care in four trauma centers that will be selected;one level I, one level II, and two level III centers. Participants will be health care professionals working in the selected trauma centers. Also, five patient representatives will be recruited to participate in the creation of knowledge tools destined for the use (eg, handouts). All participants will be invited to complete the Wiki101 training and then use, and contribute to, WikiTrauma for 12 months. The primary outcome will be the change over time of a validated, composite, performance indicator score based on 15 process performance indicators found in the Quebec Trauma Registry.

The project was funded in November 2014 by the Canadian Medical Protective Association. The trial will start in early 2015 and preliminary results should be available in June 2016. Two trauma centers have already agreed to participate and two more will be recruited in the next months.

This study is expected to add important and unique evidence about the effectiveness, safety, and cost savings of using collaborative platforms to adapt knowledge implementation tools across jurisdictions.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 6
• Est. completion date: December 20, 2018
• Est. primary completion date: October 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• decision makers (eg, trauma program coordinators) or,

• health care professionals (eg, emergency physicians, critical care physicians, trauma surgeons, nurses, respiratory therapists, physiotherapists, or pharmacists).

• Patient representatives will be selected without any restrictions or limitations with regard to the qualifications.

• Health care professional students and trainees (eg, residents, medical students, and nursing students) will have the same access to WikiTrauma and Wiki101 as fully certified professionals.

Related Conditions & MeSH terms

• Trauma
• Wounds and Injuries

Intervention

Other:
• Wiki101 and WikiTrauma
Wiki101 is a theory-based continuing professional development course to teach healthcare professionals how to use WikiTrauma. WikiTrauma is a wiki containing implementation tools built upon the Google Sites platform.

Locations

Country	Name	City	State
Canada	Pascal Y Smith	Lévis	Quebec

Sponsors (2)

Lead Sponsor	Collaborator
Laval University	Canadian Medical Protective Association

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Composite performance indicator score (change is assessed)	Composite performance indicator score based on 15 process performance indicators found in the Quebec Trauma Registry	30 months prior to implementation and up to 12 months later
Secondary	Rate of complications (change is assessed)	Rate of complication in the trauma center	30 months prior to implementation and up to 12 months later
Secondary	Mortality rate (change is assessed)	Mortality rate in the trauma center	30 months prior to implementation and up to 12 months later
Secondary	Length of stay (change is assessed)	Length of stay in the trauma center	30 months prior to implementation and up to 12 months later
Secondary	Functional Independence Measure (FIM) (change is assessed)	an 18-item of physical, psychological and social function	30 months prior to implementation and up to 12 months later