Pilot Testing a Patient Safety Display in the Hospital Setting

Not Applicable

Completed

• Conditions: Pressure Injury; Catheter-Related Infections
• Interventions: Behavioral: Patient Safety Display

• Registration Number: NCT03950921
• Lead Sponsor: University of Michigan

Brief 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.

Detailed 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.

Study Timeline

• Study First Submitted: 2019-05-13
• Study First Submitted QC: 2019-05-13
• Study First Posted: 2019-05-15
• Study Start: 2019-06-24
• Primary Completion: 2019-09-20
• Study Completion: 2019-09-20
• Status Verified: 2019-10
• Last Update Submitted: 2019-10-30
• Last Update Posted: 2019-11-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 132

Inclusion Criteria

• Hospitalized in specific hospital unit of interest or providers caring for patient in that unit

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Exclusion Criteria

• Patients not in unit of interest and providers not caring for patients on that unit

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Patient Safety Display Arm	Patient Safety Display	Patient Safety Display in patient room

Primary Outcome Measures

Name	Time	Method
Urinary catheter awareness	4 months	Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey
Central venous catheter awareness	4 months	Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey
Pressure injury awareness	4 months	Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey

Secondary Outcome Measures

Name	Time	Method
Urinary catheter usage	4 months	Urinary catheter usage rates, as documented in the electronic medical record
Central venous catheter usage	4 months	Central venous catheter usage rates, as documented in the electronic medical record
Pressure injuries	4 months	Pressure injury incidence, as documented in the electronic medical record
Pressure injury care	4 months	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
CAUTI	4 months	Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine National Healthcare Safety Network (NHSN) reporting
CLABSI	4 months	Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting

Trial Locations

Locations (1)

University Hospital, Michigan Medicine; 🇺🇸 Ann Arbor, Michigan, United States