Elective Surgery
Conditions
Brief summary
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.
Interventions
DEVICEAlertwatch - Recovery Control Tower
Decision-support software, customized for the PACU environment, Interaction between the telemedicine center and the PACU
Sponsors
Washington University School of Medicine
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults (18 years and older) * Undergoing elective surgery at Barnes Jewish Hospital in St. Louis, Missouri will be enrolled.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time spent in PACU | Day of surgery | Time patient enters PACU to time patient leaves PACU |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain score in PACU | 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. | 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 |
| PONV status in PACU | 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. | None, resolved, resolved and tolerable, persists despite treatment, unable to evaluate |
| Clinician interactions - Number of contacts RCT clinicians receive from PACU clinicians | 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. | Reason for contact will be logged (i.e. order placement requests, patient assessments) |
| Clinician interactions - Number of contacts RCT clinicians make to PACU clinicians for on-the-ground intervention | 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. | Reason for contact will be logged |
| Time to PACU sign-out by anesthesia clinician | 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. | Time patient enters PACU to time discharge note is signed in EHR by anesthesiologist |
| Safety events - Number of participants with elevation of care | 24 Hours | Patients with floor to ICU transfer, and unplanned floor to OR (return to OR) |
| Safety events - Number of participants with administration of rescue drugs | 24 Hours | Events of Naloxone (opioid overdose) and Flumazenil (benzodiazepine overdose) administration |
| Safety events - Significant event notes | 24 Hours | To identify death events |
| PACU clinician satisfaction | Through study completion, an average of 1 year | From monthly surveys |
| Safety events - Return to hospital | 24 hours | New admission notes, and ED/urgent care notes |
Countries
United States
Outcome results
None listed