Systematic Quality Improvement With Realtime Event Support
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 25,506
- Locations
- 2
- Primary Endpoint
- Improvement in administration of surgical antibiotic prophylaxis-after quality improvement intervention
Study Overview
Brief Summary
The goal of this study is to improve perioperative quality metric performance in patients receiving anesthesia care provided by Washington University Department of Anesthesiology. In this protocol, we describe (1) the use of telemedicine-augmented quality improvement interventions to enhance on-time dosage of surgical prophylactic antibiotics, while (2) carrying out large scale monitoring of surgical site infection incidence in the target population. If this quality improvement framework is found to be feasible and successful, we plan subsequently to study its application to additional perioperative quality metrics, including many pertinent to surgical site infection incidence such as perioperative glucose monitoring and management, and intraoperative temperature management.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients having procedures at Barnes-Jewish Hospital in suites not part of the TECTONICS trial will be included.
Exclusion Criteria
- •Patients enrolled in the ongoing TECTONICS intraoperative Anesthesiology Control Tower telemedicine trial at Barnes-Jewish Hospital will be excluded from this study
Outcomes
Primary Outcomes
Improvement in administration of surgical antibiotic prophylaxis-after quality improvement intervention
Time Frame: 2 months
1b. Increase the rate of on-time surgical antibiotic prophylaxis administration prior to incision six weeks after the quality improvement intervention is completed.
Improvement in administration of surgical antibiotic prophylaxis- intervention period
Time Frame: 3 months
1a. Increase the rate of on-time surgical antibiotic prophylaxis administration prior to incision during the intervention period.
Improvement in administration of surgical antibiotic prophylaxis
Time Frame: 8 months
1c. Increase the rate of on-time re-dosing of antibiotic prophylaxis throughout the duration of the trial.
Secondary Outcomes
- Surgical site infection rate(8 months)
Investigators
Paul Kerby
Assoc Prof of Anesthesiology
Washington University School of Medicine