Randomized, Controlled Evaluations of the Effectiveness of Clinical Decision Support Systems (REEDS)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 79,369
- 试验地点
- 8
- 主要终点
- Urinary catheter dwell time
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Admitted to hospital
- •At least 18 years old
- •Has order placed for indwelling urinary catheter
排除标准
- •Indication for urinary catheter labeled as either "Chronic" or "Placed by urology"
研究组 & 干预措施
Stop Orders
For participants in this arm, a clinical decision support tool consisting of stop orders and an expiring alert that was displayed to care team clinicians.
干预措施: Clinical decision support (Other)
Continuous Orders
For participants in this arm, no clinical decision support or alerts were displayed to care team clinicians and the urinary catheter order was continuous.
结局指标
主要结局
Urinary catheter dwell time
时间窗: 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
次要结局
- 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.)