Telemedicine
Conditions
Keywords
Telemedicine, Quality-Improvement, surgical antibiotics
Brief summary
The goal of this study is to improve perioperative quality metric performance in patients receiving anesthesia care provided by Washington University Department of Anesthesiology. In this protocol, we describe (1) the use of telemedicine-augmented quality improvement interventions to enhance on-time dosage of surgical prophylactic antibiotics, while (2) carrying out large scale monitoring of surgical site infection incidence in the target population. If this quality improvement framework is found to be feasible and successful, we plan subsequently to study its application to additional perioperative quality metrics, including many pertinent to surgical site infection incidence such as perioperative glucose monitoring and management, and intraoperative temperature management.
Interventions
Following education, the telemedicine center will subsequently monitor operating rooms included in this trial for protocol adherence for three-months. The telemedicine center is staffed by attending anesthesiologists, resident anesthesiologists, certified registered nurse anesthetists (CRNAs) and student registered nurse anesthetists (SRNAs) and is currently providing evidence-based support to clinicians in a subset of operating rooms and post-anesthesia care unit (PACU) beds at Barnes-Jewish Hospital.
Sponsors
Washington University School of Medicine
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients having procedures at Barnes-Jewish Hospital in suites not part of the TECTONICS trial will be included.
Exclusion criteria
* Patients enrolled in the ongoing TECTONICS intraoperative Anesthesiology Control Tower telemedicine trial at Barnes-Jewish Hospital will be excluded from this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in administration of surgical antibiotic prophylaxis- intervention period | 3 months | 1a. Increase the rate of on-time surgical antibiotic prophylaxis administration prior to incision during the intervention period. |
| Improvement in administration of surgical antibiotic prophylaxis-after quality improvement intervention | 2 months | 1b. Increase the rate of on-time surgical antibiotic prophylaxis administration prior to incision six weeks after the quality improvement intervention is completed. |
| Improvement in administration of surgical antibiotic prophylaxis | 8 months | 1c. Increase the rate of on-time re-dosing of antibiotic prophylaxis throughout the duration of the trial. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgical site infection rate | 8 months | Decrease the proportion of patients which develop surgical site infections throughout the duration of the trial. |
Countries
United States
Outcome results
None listed