Inpatient Multimodal Path to RecOVEry
- Conditions
- PainOpioid Use
- Registration Number
- NCT03303664
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
The goal of the proposed study is to develop and implement a comprehensive strategy to address pain management in the inpatient setting while appropriately managing pain and optimizing patient safety in the inpatient setting. This strategy involves developing a new health Information Technology tool in the Omnicell and electronic medical record, implementing a "menu" of pain management and relaxation strategies, and developing educational materials for staff and patients to change the culture of pain management.
- Detailed Description
The goal of the proposed study is to develop and implement a comprehensive strategy to address pain management in the inpatient setting while appropriately managing pain and optimizing patient safety in the inpatient setting. This strategy involves developing a new health Information Technology tool in the Omnicell and electronic medical record, implementing a "menu" of pain management and relaxation strategies, and developing educational materials for staff and patients to change the culture of pain management.
This intervention will be implemented throughout CHS hospitals, using a stepped wedge design to guide rollout. The initial pilot will be conducted in the trauma inpatient units at Carolinas Medical Center. All patients admitted to the two primary trauma units (11A and 11 Tower) during the pilot study period will be included in the evaluation.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- All patients treated in facility as inpatient during the study period will be included in the analysis.
- Patients not admitted to facility during the study period will be excluded from the analysis.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Use of Opioid Overdose Reversal Treatment Patient's entire length of stay in the hospital, up to 3 months Incidence of administration of opioid reversal agent
- Secondary Outcome Measures
Name Time Method Multimodal Therapy Patient's entire length of stay in the hospital, up to 3 months Percentage of patients receiving multimodal pain management
Pain Patient's entire length of stay in the hospital, up to 3 months Average daily pain scores (VAS)
Oversedation without naloxone Patient's entire length of stay in the hospital, up to 3 months Incidence of patient oversedation (Pasero \> 2 or associated diagnosis code)
Average Daily MME Patient's entire length of stay in the hospital, up to 3 months Morphine Milligram Equivalent Dosing for Opioid Medications
Trial Locations
- Locations (12)
Carolinas Healthcare System - Stanly
🇺🇸Albemarle, North Carolina, United States
Carolinas Medical Center
🇺🇸Charlotte, North Carolina, United States
Carolinas Healthcare System - Mercy
🇺🇸Charlotte, North Carolina, United States
Carolinas Healthcare System - Pineville
🇺🇸Charlotte, North Carolina, United States
Carolinas Healthcare System - University
🇺🇸Charlotte, North Carolina, United States
Carolinas Healthcare System - NorthEast
🇺🇸Concord, North Carolina, United States
Carolinas Healthcare System - Kings Mountain
🇺🇸Kings Mountain, North Carolina, United States
Carolinas Healthcare System - Lincoln
🇺🇸Lincolnton, North Carolina, United States
Carolinas Healthcare System - Union
🇺🇸Monroe, North Carolina, United States
Carolinas Healthcare System - Blue Ridge
🇺🇸Morganton, North Carolina, United States
Scroll for more (2 remaining)Carolinas Healthcare System - Stanly🇺🇸Albemarle, North Carolina, United States