Pilot Testing a Patient Safety Display in the Hospital Setting

October 30, 2019 updated by: Jennifer Meddings, University of Michigan

Improving Risk Detection and Communication to Reduce Hospital-Acquired Conditions

This is a feasibility pilot study to introduce and evaluate an intervention designed to increase clinician awareness of their patients' urinary catheters, vascular catheters, and pressure injuries. This intervention, the "Patient Safety Display" will be evaluated in one hospital unit.

Study Overview

Status

Completed

Intervention / Treatment

Detailed Description

This project will introduce and evaluate an intervention designed to increase clinician awareness of their patients' urinary catheters, vascular catheters, and pressure injuries. A "Patient Safety Display" will be implemented in half of the patient rooms in one hospital unit. The Patient Safety Display will display catheter and pressure injury data pulled real-time from the electronic medical record onto a tablet mounted at the patient bedside.

This is an intervention-control design study that will be conducted with patients and clinicians at Michigan Medicine. The proposed intervention, the Patient Safety Display, will provide clinicians with key catheter and skin information at the bedside when pertinent clinical decisions are being made.

Study Type

Interventional

Enrollment (Actual)

132

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • University Hospital, Michigan Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Hospitalized in specific hospital unit of interest or providers caring for patient in that unit

Exclusion Criteria:

  • Patients not in unit of interest and providers not caring for patients on that unit

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: HEALTH_SERVICES_RESEARCH
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Patient Safety Display Arm
Patient Safety Display in patient room
Digital display of catheter and pressure injury information in patient hospital room
NO_INTERVENTION: Control Arm
Usual Care

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Urinary catheter awareness
Time Frame: 4 months
Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey
4 months
Central venous catheter awareness
Time Frame: 4 months
Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey
4 months
Pressure injury awareness
Time Frame: 4 months
Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey
4 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Urinary catheter usage
Time Frame: 4 months
Urinary catheter usage rates, as documented in the electronic medical record
4 months
CAUTI
Time Frame: 4 months
Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine National Healthcare Safety Network (NHSN) reporting
4 months
Central venous catheter usage
Time Frame: 4 months
Central venous catheter usage rates, as documented in the electronic medical record
4 months
CLABSI
Time Frame: 4 months
Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting
4 months
Pressure injuries
Time Frame: 4 months
Pressure injury incidence, as documented in the electronic medical record
4 months
Pressure injury care
Time Frame: 4 months
Rates of pressure injury care practices (i.e., wound team consults, specialty bed orders, use of repositioning devices) as reported in the electronic medical record
4 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Jennifer Meddings, MD, MSc, University of Michigan

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

June 24, 2019

Primary Completion (ACTUAL)

September 20, 2019

Study Completion (ACTUAL)

September 20, 2019

Study Registration Dates

First Submitted

May 13, 2019

First Submitted That Met QC Criteria

May 13, 2019

First Posted (ACTUAL)

May 15, 2019

Study Record Updates

Last Update Posted (ACTUAL)

November 1, 2019

Last Update Submitted That Met QC Criteria

October 30, 2019

Last Verified

October 1, 2019

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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