- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03673579
Clinical Evaluation of the "NICU Clinical Decision Support Dashboard" - MHSB
Clinical Evaluation of the "NICU Clinical Decision Support Dashboard"
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The current NICU environment can be stressful and overwhelming for parents of babies admitted and for clinicians caring for the babies. There is a wide range of monitors in a very clinical environment that does not take into account the comfort of neonates.
The Dashboard works in parallel with EHR and systems of record, and provides a cohesive view of the patient's status and planned clinical workflow in a single location for both parents and staff. Accessories such as environmental sensors and cameras are used to ensure that the environment is comfortable and promotes optimal development of the baby. Caregivers can educate and coach parents to facilitate integrating them into their infant's care. The NICU Dashboard also supports a family view to facilitate education and assist the family in tracking core measures and developmental milestones.
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Indiana
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South Bend, Indiana, United States, 46601
- Memorial Hospital of South Bend
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
NEONATES AND THEIR PARENTS
Inclusion Criteria:
- Admission to the NICU
- At least one parent (biological, guardian, or adoptive) involved
- One parent can understand and speak the English language
- Parent aged 18 years or older
- Parent with sufficient mental capacity to provide written informed consent as determined by a RN
- Signed informed consent from the parent
Exclusion Criteria:
- Expected discharge from the NICU in <48 hours
CLINICIANS INTERACTING WITH THE NICU DASHBOARD
Inclusion Criteria:
- Employee of institution with direct patient care in the NICU (e.g. physician, NP, RN, therapist)
- Expected interaction with the NICU Dashboard
- Signed informed consent
Exclusion Criteria:
- No interaction with the NICU Dashboard
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: NICU Dashboard: Parent
The parental intervention group will have access to the parent application on the NICU Dashboard. Parents will be able to view basic information about their baby's condition, educational material, and track core measures and developmental milestones. Parents of NICU babies will be asked to complete questionnaires at baseline and within 48 hours of NICU discharge. |
The NICU Dashboard is displayed on a touch screen display mounted to the wall or on a rolling cart that will be placed near the bedside.
The Dashboard will integrate information from various hospital/device sources in order to provide clinicians with one location to access and collectively interpret clinical findings and environmental factors.
Parents will have their own view on the Dashboard that will allow them view their baby's progress, view educational materials, and have access to other resources at their fingertips.
Other Names:
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No Intervention: Standard Care: Parent
The Parental Control group will receive standard of care without any study devices.
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Experimental: NICU Dashboard: Clinician
The Clinician group will have access to the NICU Dashboard, which presents information from the EHR, bedside monitoring, and other systems of record through a pre-released FDA Class 2 clinical decision support rule-based system, to assist the appropriate evidence-based guidelines be integrated with team workflows. Caregivers educate and coach parents to facilitate integrating them into their infant's care. NICU clinicians will be asked to complete questionnaires 1) prior to clinical go-live of the intervention (baseline), 2) at the study mid-way point, and 3) upon completion of parent recruitment. |
The NICU Dashboard is displayed on a touch screen display mounted to the wall or on a rolling cart that will be placed near the bedside.
The Dashboard will integrate information from various hospital/device sources in order to provide clinicians with one location to access and collectively interpret clinical findings and environmental factors.
Parents will have their own view on the Dashboard that will allow them view their baby's progress, view educational materials, and have access to other resources at their fingertips.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of neonatal adverse events
Time Frame: Through study completion, an average of 1 year
|
Preventable adverse events (e.g.
unplanned extubations, medication errors)
|
Through study completion, an average of 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence rate of Chronic Lung Disease
Time Frame: Through study completion, an average of 1 year
|
Diagnosis
|
Through study completion, an average of 1 year
|
Rate of Readmission
Time Frame: 7 days and 30 days post-hospital discharge
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Number of readmissions (within 7 and 30 days) to a hospital over the number of total babies
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7 days and 30 days post-hospital discharge
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Baby growth velocity
Time Frame: From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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Rate of weight gain
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From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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Percent of time noise levels are within range
Time Frame: From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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Hours that noise levels are within range over total patient-time
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From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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NICU Length of Stay
Time Frame: From date of NICU admission until the date of NICU discharge, assessed up to 365 days
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Days spent in the NICU from admission to discharge
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From date of NICU admission until the date of NICU discharge, assessed up to 365 days
|
Baby to parent skin-to-skin time
Time Frame: From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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Self-reported time parents are performing skin-to-skin (kangaroo care), averaged
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From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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Parental Stressor Scale:NICU (PSS:NICU)
Time Frame: Upon signing informed consent (baseline) and within 96 hours of discharge
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For NICU parents 26-item questionnaire broken down into three constructs (Parental Role Alterations, Sights and Sounds of the Unit, and Infant Behavior and Appearance) designed to measure parental perception of stressors arising from the physical and psychosocial environment of the neonatal intensive care unit.
Higher scores represent worse outcomes |
Upon signing informed consent (baseline) and within 96 hours of discharge
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Neonatal Index of Parent Satisfaction (NIPS)
Time Frame: Within 96 hours of discharge
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For NICU parents 30-item questionnaire measuring parents' satisfaction with the care their newborn child receives while in a neonatal intensive care unit (NICU). 7-point Likert-scale (1) lowest satisfaction to (7) highest satisfaction. Sum item scores to calculate total score, with lower scores corresponding to worse outcomes. |
Within 96 hours of discharge
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System Usability Scale (SUS)
Time Frame: Six months after study initiation (mid-point) and 12 months after study initiation (completion)
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For NICU parents and clinicians 10-item questionnaire with 2 constructs: usability and learnability 5-point Likert-scale (1) strongly disagree to (5) strongly agree The participant's scores for each question added together and then multiplied by 2.5 to convert the original scores of 0-40 to 0-100.
Though the scores are 0-100, these are not percentages and should be considered only in terms of their percentile ranking.
Based on research, a SUS score above a 68 would be considered above average and anything below 68 is below average, however the best way to interpret your results involves "normalizing" the scores to produce a percentile ranking.
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Six months after study initiation (mid-point) and 12 months after study initiation (completion)
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The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey
Time Frame: Within 96 hours of discharge
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For NICU parents 7-item questionnaire assessing communication with doctors (4-items) and nurses (3-items). 4-point Likert-scale: Never, Sometimes, Usually, Always The number of "Always" ratings for each participant is summed then divided by the number of items. The mean is then taken, stratified by group. Higher scores represent better outcomes. |
Within 96 hours of discharge
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Emotional Exhaustion Scale
Time Frame: Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
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For Clinicians only 4-item questionnaire about job-related frustrations.
4-point Likert-scale: (1) Disagree strongly to (5) Agree strongly.
Item scores are summed and averaged by group.
Higher scores represent worse outcomes.
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Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
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Teamwork Perceptions Questionnaire (T-TPQ)
Time Frame: Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
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For Clinicians only 21-item questionnaire measuring 3 constructs: team function, mutual support, and communication 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Disagree 1 - Strongly A total score is calculated for each teamwork construct. Summing scores in this manner allows for more accurate statistical testing. High scores indicate better outcomes. |
Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
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Frequency of Missed Care (MISSCARE)
Time Frame: Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
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For Clinicians only 35-item questionnaire assessing the frequency that elements of nursing care are missed by nursing staff on the unit.
Higher scores represent better outcomes. |
Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
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NASA Task Load Index (NASA-TLX)
Time Frame: Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
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For Clinicians only 6-item survey that rates perceived workload in order to assess the current workload in the NICU. Increments of high, medium and low estimates for each point results in 21 gradations on the scales assessing mental demand, physical demand, temporal demand, performance, effort, and frustration. Averages for each subscale will be computed. Higher scores represent worse outcomes. |
Baseline (before study initiation), six months after study initiation (mid-point) and 12 months after study initiation (completion)
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Percent of time light levels are within range
Time Frame: From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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Hours that light (lux) levels are within range over total patient-time
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From date of NICU admission until the date of NICU discharge, assessed daily up to 365 days
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of Hospital Acquired Infections
Time Frame: From date of NICU admission until the date of NICU discharge, assessed up to 365 days
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For example, CLABSI, Sepsis, VAP
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From date of NICU admission until the date of NICU discharge, assessed up to 365 days
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Hand washing compliance rate
Time Frame: One year prior to study initiation, and through study completion, an average of one year
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Number of events found during audits
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One year prior to study initiation, and through study completion, an average of one year
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Cost of care
Time Frame: One year prior to study initiation, and through study completion, an average of one year
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Hospitalization costs (paid by insurance), costs/# of labs ordered, costs/# of images ordered
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One year prior to study initiation, and through study completion, an average of one year
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Robert White, MD, Memorial Hospital of South Bend, Mednax
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PCMS-17-07-18.1-MHSB
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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