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| Name | Class |
|---|---|
| Agency for Healthcare Research and Quality (AHRQ) | FED |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient Safety Display Arm | Experimental | Patient Safety Display in patient room |
|
| Control Arm | No Intervention | Usual Care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient Safety Display | Behavioral | Digital display of catheter and pressure injury information in patient hospital room |
|
| Measure | Description | Time Frame |
|---|---|---|
| Urinary catheter awareness | Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey | 4 months |
| Central venous catheter awareness | Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey | 4 months |
| Pressure injury awareness | Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Urinary catheter usage | Urinary catheter usage rates, as documented in the electronic medical record | 4 months |
| CAUTI | Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine National Healthcare Safety Network (NHSN) reporting |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer Meddings, MD, MSc | University of Michigan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital, Michigan Medicine | Ann Arbor | Michigan | 48109 | United States |
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| ID | Term |
|---|---|
| D055499 | Catheter-Related Infections |
| D003668 | Pressure Ulcer |
| ID | Term |
|---|---|
| D007239 | Infections |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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Intervention-control study design
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| 4 months |
| Central venous catheter usage | Central venous catheter usage rates, as documented in the electronic medical record | 4 months |
| CLABSI | Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting | 4 months |
| Pressure injuries | Pressure injury incidence, as documented in the electronic medical record | 4 months |
| Pressure injury care | 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 |