Percutaneous coronary interventions via the radial artery (trans-radial approach or TRA) or the femoral artery (trans-femoral approach or TFA) Surgery
Conditions
Interventions
Once enrolled in the study, participating cath lab teams are randomized to one of three intervention cohorts, with each cohort including up to three sites. The Participating cath lab teams, which comp
Sponsors
Health Services Research & Development
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: VA employees working in a VA cardiac catheterization laboratory as either an invasive or interventional cardiologist, nurse, or technician.
Exclusion criteria
Exclusion criteria: Sites will be excluded if: 1. One of the study coaches is located at the site 2. The site previously participated in our pilot study 3. They perform fewer than 100 catheterizations per year 4. They have current radial rates of greater than 50% for either PCI or diagnostic catheterization
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of cardiac catheterizations accessed through the radial artery (TRA catheterization) performed at the VA hospital 12 months pre-intervention and 12 months post-intervention assessed using patient records | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Bleeding complications during surgeries measured using patient records 2. Employee job satisfaction measured using a two-item self-report measured at baseline, immediately following the coaching visit, and at 6 months follow up 3. Organizational commitment measured using a single item self-report measured at baseline, immediately following the coaching visit, and at 6 months follow up | — |
Countries
United States of America
Outcome results
None listed