Improved Patient Safety for Acute Restless Medical Patients With Supplemental Observation

Not Applicable

Terminated

• Conditions: Delirium
• Interventions: Device: Camera observation

• Registration Number: NCT04841122
• Lead Sponsor: Aalborg University Hospital

Brief Summary

The aim of the study is to investigate whether supplemental camera observation directly linked to the nurse's phone will improve patient safety for acute medical care patients', who are restless, confused or in risk of development of acute delirium. The setting is an acute medical care ward.

The expected result is a reduced incidence of patients with delirious condition, patients who fall or unintentionally remove intravenous access or catheters. Thus, higher patient safety and more efficient patient trajectories are expected, as well as a reduced need for treatment, care and rehabilitation after discharge.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-03-25
• Study First Submitted QC: 2021-04-07
• Study First Posted: 2021-04-12
• Study Start: 2021-04-19
• Primary Completion: 2021-09-30
• Study Completion: 2021-09-30
• Status Verified: 2021-10
• Last Update Submitted: 2021-10-27
• Last Update Posted: 2021-11-01

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 8

Inclusion Criteria

• Patients over 65 years of age with a CAM score of 2 or higher.

Exclusion Criteria

• paranoia
• severe dementia
• suicidal
• need for permanent guard

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Camera observation	Camera observation	Camera observation

Primary Outcome Measures

Name	Time	Method
Change in Confusion Assessment Score	First measurement at admission and second measurement within 24 hours.	Assessed by Confusion Assessment Method (CAM) screening tool. Minimum value is 0, Maximum value is 4. Higher score means higher risk of developing Delirium.

Secondary Outcome Measures

Name	Time	Method
Number of patient falls	The time the patient is assessed during the observation period.	Incidence of patient falls observed by the nurse during the observation period.
Number of administrations of sedatives	The time the patient is assessed during the observation period.	Number of OR administrations and number of IV administrations (specific sedatives e.g. Methylphenidate, Haloperidol, Midazolam).
Discontinuation of accesses	The time the patient is assessed during the observation period.	Number of patient discontinuation of e.g. oxygen mask, peripheral venous catheter, bladder catheters

Trial Locations

Locations (1)

Aalborg Universityhospital; 🇩🇰 Aalborg, Denmark