A Retrospective, Observational Analysis Using Real Time Location Systems (RTLS) Technology to Explore the Effects of Clinical Staffing on Hospital Productivity and Patient Health Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,000
- 试验地点
- 1
- 主要终点
- Nurse sensitive indicators
研究概览
简要总结
This study will examine the productivity of the hospital workforce utilizing a unique dataset that is stored at the Royal Wolverhampton Trust (RWT). The data is recorded by a Real Time Location System (RTLS) that tracks the second-by-second physical location of patients, staff, and medical equipment. Using this data, the plan is to measure the amount of time that clinical staff spend with patients and with other clinical staff, and then explore how these measures of contact time influence patient health outcomes. The data will also be used to measure the location and movement of patients during their hospital stay, and test the impact of moving patients between wards on their health outcomes. In light of the recent COVID-19 outbreak, impact of COVID19 on patient contact time, patient outcomes and professional working practices will also be examined.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients admitted to inpatient departments at RWT and are present at RWT during the period of 1 April 2016 to 31 March 2019 inclusive.
排除标准
- •Patients admitted to outpatient wards at RWT;
- •Patients that were not admitted at or discharged from RWT between 1 April 2016 to 31 March 2019 inclusive.
研究组 & 干预措施
Admitted inpatients
no intervention
干预措施: RTLS data (Other)
Staff with RTLS badges
no intervention
干预措施: RTLS data (Other)
结局指标
主要结局
Nurse sensitive indicators
时间窗: 3 years
Number of Falls, medication errors, pressure ulcers and Urinary Tract Infections
Length of stay
时间窗: 3 years
total amount of time in hospital
Number of in-hospital deaths (RWT specific)
时间窗: 30 days
in-hospital mortality figures
Number of readmissions (RWT specific)
时间窗: 30 days
readmission figures
Number of Adverse incidents affecting patient care
时间窗: 3 years
Number and description of Adverse incidents affecting patient care as recorded by the Datix information system (e.g. falls, medication errors)
次要结局
未报告次要终点