Catheter-Related Infections, Pressure Injury
Conditions
Keywords
Catheter-Related Infections, Pressure Injury, Patient Safety
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORALPatient Safety Display
Digital display of catheter and pressure injury information in patient hospital room
Sponsors
Agency for Healthcare Research and Quality (AHRQ)
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Intervention-control study design
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Hospitalized in specific hospital unit of interest or providers caring for patient in that unit
Exclusion criteria
* Patients not in unit of interest and providers not caring for patients on that unit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urinary catheter awareness | 4 months | Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey |
| Central venous catheter awareness | 4 months | Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey |
| Pressure injury awareness | 4 months | Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CLABSI | 4 months | Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting |
| Urinary catheter usage | 4 months | Urinary catheter usage rates, as documented in the electronic medical record |
| Pressure injury care | 4 months | 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 |
| Pressure injuries | 4 months | Pressure injury incidence, as documented in the electronic medical record |
| CAUTI | 4 months | Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine National Healthcare Safety Network (NHSN) reporting |
| Central venous catheter usage | 4 months | Central venous catheter usage rates, as documented in the electronic medical record |
Countries
United States
Outcome results
None listed