Randomized, Controlled Evaluations of the Effectiveness of Clinical Decision Support Systems (REEDS)
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Health Care Associated Infection
- Sponsor
- Columbia University
- Enrollment
- 79369
- Locations
- 8
- Primary Endpoint
- Urinary catheter dwell time
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The goal of this randomized controlled trial is to compare the effects of a clinical decision support tool consisting of a 48-hour stop order for indwelling urinary catheters versus no clinical decision support in hospitalized patients with indwelling urinary catheters. The main questions it aims to answer are:
- Does the presence of an automated stop order integrated as part of a clinical decision support tool reduce dwell time of urinary catheters and the rate of catheter associated urinary tract infections?
Participants who have indwelling urinary catheters ordered will be randomized to either have these orders automatically expire after 48 hours unless an action is taken or have orders without expiration. Researchers will compare the urinary catheter dwell time and the rate of catheter associated urinary tract infections between the two groups.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Admitted to hospital
- •At least 18 years old
- •Has order placed for indwelling urinary catheter
Exclusion Criteria
- •Indication for urinary catheter labeled as either "Chronic" or "Placed by urology"
Outcomes
Primary Outcomes
Urinary catheter dwell time
Time Frame: Measured from time of catheter insertion until catheter removal or hospital discharge if the catheter was not removed, up to 250 days.
The time between urinary catheter insertion and removal
Secondary Outcomes
- Catheter Associate Urinary Tract Infection (CAUTI) rate(The development of a CAUTI was assessed from time of catheter insertion until either catheter removal or hospital discharge if the catheter was not removed, up to 250 days.)
- CAUTI Free survival(The development of a CAUTI was assessed from time of catheter insertion until either catheter removal or hospital discharge if the catheter was not removed, up to 250 days.)
- CAUTI population rate(The development of a CAUTI was assessed from time of catheter insertion until either catheter removal or hospital discharge if the catheter was not removed, up to 250 days.)