Duke Virtual IntEgrated Workflow (Duke VIEW)

DUH Innovation Units

This quality improvement initiative aims to evaluate the implementation, utilization, and impact of virtual care technologies and workflows being implemented at Duke University Health System (DUHS). This project is embedded within operational workflows and is designed to inform strategic decision-making and resource allocation. The evaluation will focus on key performance indicators (KPIs) relevant to hospital operations and patient outcomes, including but not limited to: Length of Stay, Readmission Rates, Patient Satisfaction Scores, and Other Quality and Safety Metrics. These KPIs will be evaluated across three clinical units at Duke University Hospital, in which virtual care technologies are being implemented. These will be compared to three control units of similar characteristics. Differences in KPIs will be examined across all units over 12 months.

Study Overview

• Status: Not yet recruiting
• Conditions: Satisfaction, Patient; Falls Injury; Venous Thromboembolism (VTE); Length of Stay; CLABSI - Central Line Associated Bloodstream Infection; Nurses; Catheter Associated Urinary Tract Infection; Readmission Rates; Hospital Acquired Pressure Injury
• Intervention / Treatment: Other: Co-Care

• Study Type: Observational
• Enrollment (Estimated): 10000

Contacts and Locations

• Study Contact: Name: Ryan Shaw, PhD; Phone Number: 9196849434; Email: ryan.shaw@duke.edu
• Study Contact Backup: Name: Joanna Cavalier, MD; Email: joanna.cavalier@duke.edu

Study Locations

• United States
  • North Carolina
    • Durham, North Carolina, United States, 27710
      • Duke University Hospital
      • Contact: Ryan Shaw, PhD; Phone Number: 919-684-9434; Email: ryan.shaw@duke.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Patients admitted to medical surgical floors

Description

Inclusion Criteria:

• Admission to the hospital on one of six clinical units

Exclusion Criteria:

• Less than 18 years old

Study Plan

How is the study designed?

Number of groups / cohorts

6

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Clinical Unit 1; All patient beds on clinical unit 1	Other: Co-Care; Patient care delivered together with a bedside nurse and a virtual nurse
Clinical Unit 2; All patient beds on clinical unit 2	Other: Co-Care; Patient care delivered together with a bedside nurse and a virtual nurse
Clinical Unit 3; All patient beds on clinical unit 3	Other: Co-Care; Patient care delivered together with a bedside nurse and a virtual nurse
Clinical Unit 4; All patient beds on clinical unit 4
Clinical Unit 5; All patient beds on clinical unit 5
Clinical Unit 6; All patient beds on clinical unit 6

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Falls	Number of patient falls in a hospital room	12 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Readmission rates	Rate of readmission to the hospital after discharge	12 months
Central Line-Associated Bloodstream Infection	Number of Central Line-Associated Bloodstream Infections	12 months
Hospital acquired pressure injury	Number of hospital acquired pressure injuries	12 months
Venous thromboembolism	Number of venous thromboembolisms	12 months
Nurse Turnover	Rate of nurse turnover over time	12 months
Patient Satisfaction Questionnaire (PSQ-18)	The PSQ is an 18-item survey designed for quick assessment of patient satisfaction with healthcare. Each item is scored on a Likert scale of 1 to 5 and has a total score range of 18 to 90, where a higher score indicates greater satisfaction.	12 months
Length of Stay	Average length of stay	12 months

Collaborators and Investigators

• Sponsor: Duke University
• Investigators: Principal Investigator: Ryan Shaw, PhD, Duke Health

Study record dates

Study Major Dates

• Study Start (Estimated): February 4, 2026
• Primary Completion (Estimated): February 3, 2027
• Study Completion (Estimated): February 3, 2027

Study Registration Dates

• First Submitted: February 3, 2026
• First Submitted That Met QC Criteria: February 9, 2026
• First Posted (Actual): February 12, 2026

Study Record Updates

• Last Update Posted (Actual): February 12, 2026
• Last Update Submitted That Met QC Criteria: February 9, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Keywords: Nursing; Inpatient; Virtual Care
• Additional Relevant MeSH Terms: Vascular Diseases; Cardiovascular Diseases; Embolism and Thrombosis; Thromboembolism; Behavior; Treatment Adherence and Compliance; Health Behavior; Venous Thromboembolism; Patient Satisfaction
• Other Study ID Numbers: Pro00118673

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Study outcome measures will be shared
• IPD Sharing Time Frame: IPD and supporting information will be available within three years of study completion and hosted at Duke University in the Duke Research Data Repository
• IPD Sharing Access Criteria: Data will be made available publicly in accordance with the Duke Research Data Repository
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ANALYTIC_CODE; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No