Catheter Associated Urinary Tract Infection, CLABSI - Central Line Associated Bloodstream Infection, Falls Injury, Hospital Acquired Pressure Injury, Length of Stay, Nurses, Readmission Rates, Satisfaction, Patient, Venous Thromboembolism (VTE)
Conditions
Keywords
Virtual Care, Nursing, Inpatient
Brief summary
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.
Interventions
OTHERCo-Care
Patient care delivered together with a bedside nurse and a virtual nurse
Sponsors
Duke University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Admission to the hospital on one of six clinical units
Exclusion criteria
* Less than 18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Falls | 12 months | Number of patient falls in a hospital room |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Readmission rates | 12 months | Rate of readmission to the hospital after discharge |
| Central Line-Associated Bloodstream Infection | 12 months | Number of Central Line-Associated Bloodstream Infections |
| Hospital acquired pressure injury | 12 months | Number of hospital acquired pressure injuries |
| Venous thromboembolism | 12 months | Number of venous thromboembolisms |
| Nurse Turnover | 12 months | Rate of nurse turnover over time |
| Patient Satisfaction Questionnaire (PSQ-18) | 12 months | 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. |
| Length of Stay | 12 months | Average length of stay |
Countries
United States
Contacts
CONTACTRyan Shaw, PhD
CONTACTJoanna Cavalier, MD
PRINCIPAL_INVESTIGATORRyan Shaw, PhD
Duke Health
Outcome results
None listed