Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
A pilot study in perioperative telemedicine that aims to demonstrate the efficiency, and safety of integrating telemedicine into the PACU environment. This pilot study will expand on our previously conducted proof-of-concept study for a telemedicine solution in the PACU. If this pilot study proves to be successful, the study team intends subsequently to expand such a telemedicine solution to multiple clinical locations.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Recovery Control Tower (RCT) | Experimental | Clinicians in the RCT will remotely work with PACU clinicians to care for patients assigned to one of the two study bays. A version of AlertWatch® (AlertWatch, Ann Arbor, Michigan) decision-support software, customized for the PACU environment, will assist clinicians in the RCT to perform core PACU-related functions remotely. Caregility's iObserver, from the Caregility Cloud™ Virtual Care Platform, will be used for two-way video communication When feasible, RCT clinicians will join handoff activities from the OR to the PACU and discuss pertinent intraoperative events with clinical teams on the ground. RCT clinicians will document patient specific recovery tasks within AlertWatch to assist in tracking patient recovery progresses. RCT clinicians will be the initial point of contact for ongoing recovery care, such as order placements. The attending anesthesiologist in the RCT will assess patients' discharge readiness throughout their PACU stay. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alertwatch - Recovery Control Tower | Device | Decision-support software, customized for the PACU environment, Interaction between the telemedicine center and the PACU |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time spent in PACU | Time patient enters PACU to time patient leaves PACU | Day of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Time to PACU sign-out by anesthesia clinician | Time patient enters PACU to time discharge note is signed in EHR by anesthesiologist | From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery. |
| Pain score in PACU |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Michael S Avidan, MBBcH | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
| Type | Date | Date Unknown |
|---|---|---|
| Release | Dec 31, 2025 | |
| Reset | Jan 21, 2026 |
Not provided
Not provided
| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Dec 31, 2025 | Jan 21, 2026 | |||
| Jun 24, 2026 |
Not provided
Not provided
Not provided
Not provided
Not provided
0 to 10 (numeric rating scale [NRS]) - 0 correspond to no pain, ≤ 3 to mild pain, 4-6 to moderate, and scores ≥7 to severe pain |
| From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery. |
| PONV status in PACU | None, resolved, resolved and tolerable, persists despite treatment, unable to evaluate | From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery. |
| Clinician interactions - Number of contacts RCT clinicians receive from PACU clinicians | Reason for contact will be logged (i.e. order placement requests, patient assessments) | From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery. |
| Clinician interactions - Number of contacts RCT clinicians make to PACU clinicians for on-the-ground intervention | Reason for contact will be logged | From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery. |
| Safety events - Return to hospital | New admission notes, and ED/urgent care notes | 24 hours |
| Safety events - Number of participants with elevation of care | Patients with floor to ICU transfer, and unplanned floor to OR (return to OR) | 24 Hours |
| Safety events - Number of participants with administration of rescue drugs | Events of Naloxone (opioid overdose) and Flumazenil (benzodiazepine overdose) administration | 24 Hours |
| Safety events - Significant event notes | To identify death events | 24 Hours |
| PACU clinician satisfaction | From monthly surveys | Through study completion, an average of 1 year |