Patient Centered Cloud-based Electronic System: Ambient Warning and Response Evaluation (ProCCESs AWARE)

Not Applicable

Completed

• Conditions: Critical Illness; Bleeding; Shock; Coma; Sepsis; Trauma; Respiratory Failure

• Registration Number: NCT02039297
• Lead Sponsor: Mayo Clinic

Brief Summary

In this multicenter project, we will introduce AWARE (electronic interface) Using a cloud-based technology . The goal of this project is to improve compliance with best practice through the use of a new acute care interface with built-in tools for error prevention, practice surveillance and reporting (ProCCESs AWARE - Patient Centered Cloud-based Electronic System: Ambient Warning and Response Evaluation).The goal of this project is to develop and test a novel acute care interface with built-in tools for error prevention, practice surveillance, decision support and reporting (ProCCESs AWARE - Patient Centered Cloud-based Electronic System: Ambient Warning and Response Evaluation). In preliminary studies, these novel informatics supports built on an advanced understanding of cognitive and organizational ergonomics, have significantly decreased the cognitive load of bedside providers and reduced medical errors. Using a cloud-based technology, AWARE will be uniformly available on either mobile or fixed computing devices and applied in a standardized manner in medical and surgical ICUs of five geographically diverse acute care hospitals predominantly serving Medicare and Medicaid patients. The impact of ProCCESs AWARE on processes of care and outcomes in study ICUs; expected to enroll more than 10,000 critically ill patients during the study period.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-03
• Study First Submitted: 2014-01-15
• Study First Submitted QC: 2014-01-15
• Study First Posted: 2014-01-17
• Primary Completion: 2016-06
• Study Completion: 2017-06
• Status Verified: 2017-10
• Last Update Submitted: 2017-10-20
• Last Update Posted: 2017-10-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 7813

Inclusion Criteria

For the Primary Objective, all critically ill adult patient admitted to an ICU participating in the study will be eligible.

Exclusion Criteria

For the Primary Objective, all children younger than 18years of age will be excluded.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Adherence to process of care	Participants will be followed for the duration of ICU stay, an expected average of 3 days	Adherence to best practice for daily intensive care rounds. Appropriate shock resuscitation Appropriate sepsis treatment Appropriate mechanical ventilation Appropriate peptic ulcer, deep vein thrombosis and infectious disease prophylaxis etc.

Secondary Outcome Measures

Name	Time	Method
Patient outcomes	Hospital length of stay - 2 weeks	We will include, ICU length of stay, Hospital length of stay, ICU free days, standardized mortality ratio in ICU and Hospital, Ventilator free days.

Trial Locations

Locations (6)

Mayo Clinic in Rochester; 🇺🇸 Rochester, Minnesota, United States

OU Medical center; 🇺🇸 Oklahoma City, Oklahoma, United States

Mayo Clinic Arizona; 🇺🇸 Scottsdale, Arizona, United States

Mayo Clinic; 🇺🇸 Jacksonville, Florida, United States

Lawrence Genral Hospital; 🇺🇸 Lawrence, Massachusetts, United States

Montefiore Medical Center; 🇺🇸 The Bronx, New York, United States