Systematic Quality Improvement With Realtime Event Support
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 25,506
- 试验地点
- 2
- 主要终点
- Improvement in administration of surgical antibiotic prophylaxis-after quality improvement intervention
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients having procedures at Barnes-Jewish Hospital in suites not part of the TECTONICS trial will be included.
排除标准
- •Patients enrolled in the ongoing TECTONICS intraoperative Anesthesiology Control Tower telemedicine trial at Barnes-Jewish Hospital will be excluded from this study
结局指标
主要结局
Improvement in administration of surgical antibiotic prophylaxis-after quality improvement intervention
时间窗: 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
时间窗: 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
时间窗: 8 months
1c. Increase the rate of on-time re-dosing of antibiotic prophylaxis throughout the duration of the trial.
次要结局
- Surgical site infection rate(8 months)
研究者
Paul Kerby
Assoc Prof of Anesthesiology
Washington University School of Medicine