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The aim of this study is to document clinicians variation in practice in comparison to standard guidelines by the Medical Center's approved Evidence-based Practice (EBP) guidelines, policies, and procedures for Central Venous Catheter(CVC), Peripherally Inserted Central Catheter (PICC), and Hemodialysis (HD catheters by way of a structured retrospective review of the Electronic Medical Record (EMR) system.
This will be a single site retrospective (non-experimental) study utilizing the electronic medical record, both descriptive and correlational methods.
There will be two outcomes:
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| Measure | Description | Time Frame |
|---|---|---|
| Adherence to Clinical Guidelines for Catheter Interventions and Management | Number of medical records with documented mechanical/technical, thrombotic, and other adverse outcomes associated with use of CVCs, PICCs, and Hemodialysis (HD) catheters. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Documented Catheter Complications | Number of medical records with documented complications associated with the use of CVCs, PICCs, and Hemodialysis (HD) catheters | 1 year |
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Inclusion Criteria:
• Adult patients in Medical Intensive Care Unit (MICU), Coronary Care Unit (CCU), Cardiac Surgical Intensive Care Unit (CSICU), Surgical Intensive Care Unit (SICU) with either CVCs, PICCs, or HD catheters.
Exclusion Criteria:
• Pediatric (including neonates), obstetric and gynecology, medical-surgical, and oncology patients.
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Three hundred patient electronic medical records will be reviewed from the Critical Care Units (Medical Intensive Care Unit, Coronary Care Unit, Cardiac Surgical Intensive Care Unit, Surgical Intensive Care Unit).
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| Name | Affiliation | Role |
|---|---|---|
| Claudia Douglas, DNP | Hackensack Meridian Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hackensack University Medical Center | Hackensack | New Jersey | 07601 | United States |
. If the results of the trial are published, participants' identities will remain confidential. Publication resulting from this research will not contain any information that could potentially identify participants either directly or indirectly.
6 months after publication
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The number of catheters was the focus of the study and because some patients had multiple catheters places, the number of patients does not coincide with the number of catheters.
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| ID | Title | Description |
|---|---|---|
| FG000 | Number of Hemodialysis Catheters | Number of patient medical records with incidence of hemodialysis catheters |
| FG001 | Number of Peripherally Inserted Central Venous Catheters | Number of patient medical records with incidence of peripherally inserted central venous catheters (PICC) |
| FG002 | Number of Central Venous Catheters | Number of patient medical records with incidence of central venous catheters (CVC) |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
For this retrospective data collection, 217 medical records were reviewed and met study eligibility criteria, this corresponds to 178 patients who received catheters during hospitalization (note, one patient may receive more than one catheter during hospitalization).
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| ID | Title | Description |
|---|---|---|
| BG000 | Number of Patients Who Received Hemodialysis Catheters | Number of patients who received hemodialysis catheters were reviewed for documentation of variation in practice in comparison to standard guidelines, policies and procedure (note, patients received more than one catheter during hospitalization). |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Adherence to Clinical Guidelines for Catheter Interventions and Management | Number of medical records with documented mechanical/technical, thrombotic, and other adverse outcomes associated with use of CVCs, PICCs, and Hemodialysis (HD) catheters. | Medical charts of eligible patients were reviewed and the number of patient medical charts with documentation are summarized. Note, a single patient may have received multiple catheters placed during their hospitalization. | Posted | Number | # of catheter-related incidents | 1 year | # of placed catheters | # of placed catheters |
|
This study collected retrospective data from patient medical charts specific to catheter complications within primary and secondary outcomes and results. Consequently, no further adverse events were collected.
This study collected retrospective data from patient medical charts specific to catheter complications within primary and secondary outcomes and results. Consequently, no further adverse events were collected.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Number of Hemodialysis Catheters | Number of patient medical records with an incidence of hemodialysis catheters |
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This study is an observational retrospective study with no intervention. The number of catheters was the focus of the study and because some patients had multiple catheters places, the number of patients does not coincide with the number of catheters.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Cole McCoy | Hackensack Meriden Health | 551-204-5529 | cole.mccoy@hmhn.org |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 27, 2017 | Apr 26, 2022 | Prot_SAP_000.pdf |
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| Number of Patients Who Received Peripherally Inserted Peripherally Inserted Central Venous Catheters |
Number of patients who received Peripherally Inserted Central Venous Catheters (PICC) were reviewed for documentation of variation in practice in comparison to standard guidelines, policies and procedures(note, patients received more than one catheter during hospitalization). |
| BG002 | Number of Patients Who Received Central Venous Catheters | Number of patients who patients who received Central Venous Catheters (CVC) were reviewed for documentation of variation in practice in comparison to standard guidelines, policies and procedures (note, patients received more than one catheter during hospitalization). |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex/Gender, Customized | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| OG001 |
| Patients Who Received Peripherally Inserted Central Venous Catheters (PICC) |
Medical records of patients who received peripherally inserted central venous catheters were reviewed for documentation of variation in practice in comparison to standard guidelines, policies and procedures. |
| OG002 | Patients Who Received Central Venous Catheters (CVC) | Medical records of patients who received central venous catheters were reviewed for documentation of variation in practice in comparison to standard guidelines, policies and procedures. |
|
|
| Secondary | Number of Documented Catheter Complications | Number of medical records with documented complications associated with the use of CVCs, PICCs, and Hemodialysis (HD) catheters | Medical charts of eligible patients with HD, PICC, and CVC catheters were reviewed for catheter complications | Posted | Number | # of catheter-related incidents | 1 year | Number of placed catheters | Number of placed catheters |
|
|
|
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| EG001 | Number of Peripherally Inserted Central Venous Catheters (PICC) | Number of patient medical records with an incidence of peripherally inserted central venous catheters | 0 | 0 | 0 | 0 | 0 | 0 |
| EG002 | Number of Central Venous Catheters (CVC) | Number of patient medical records with an incidence of central venous catheters | 0 | 0 | 0 | 0 | 0 | 0 |
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| Title | Measurements |
|---|---|
|
|
| Number of Documented Infections Complication |
|
| Number of Documented Infection complication type |
|
| Number of Documented Thrombotic complication |
|
| Number of Documented Thrombotic type |
|
| Number of Documented Catheter dwell |
|
| Number of documented date of Line insertion |
|
| Number of documented time of Line insertion |
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| Number of documented date of Line removal |
|
| Number of documented time of Line removal |
|