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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Clinical Unit 1 | All patient beds on clinical unit 1 |
| |
| Clinical Unit 2 | All patient beds on clinical unit 2 |
| |
| Clinical Unit 3 | All patient beds on clinical unit 3 |
| |
| 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 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Co-Care | Other | Patient care delivered together with a bedside nurse and a virtual nurse |
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| Measure | Description | Time Frame |
|---|---|---|
| Falls | Number of patient falls in a hospital room | 12 months |
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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Patients admitted to medical surgical floors
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ryan Shaw, PhD | Contact | 9196849434 | ryan.shaw@duke.edu | |
| Joanna Cavalier, MD | Contact | joanna.cavalier@duke.edu |
| Name | Affiliation | Role |
|---|---|---|
| Ryan Shaw, PhD | Duke Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke University Hospital | Durham | North Carolina | 27710 | United States |
Study outcome measures will be shared
IPD and supporting information will be available within three years of study completion and hosted at Duke University in the Duke Research Data Repository
Data will be made available publicly in accordance with the Duke Research Data Repository
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| ID | Term |
|---|---|
| D054556 | Venous Thromboembolism |
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D013923 | Thromboembolism |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| 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 |
| D000074822 |
| Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |