protocolSection identificationModule nctId: NCT06315842, orgStudyIdInfo id: CSAPG-44, briefTitle: Levels of Diagnostic and Therapeutic Intervention in Hospitalized Patients, acronym: NIT, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-04, primaryCompletionDateStruct date: 2025-07, completionDateStruct date: 2025-07, studyFirstPostDateStruct date: 2024-03-18, lastUpdatePostDateStruct date: 2024-03-18, sponsorCollaboratorsModule leadSponsor name: Consorci Sanitari de l'Alt Penedès i Garraf, class: OTHER, descriptionModule briefSummary: The objective of this clinical trial is to investigate the impact of implementing a tool for adjusting the level of diagnostic and therapeutic intensity in the clinical practice of physicians attending hospitalized patients.The goal of this clinical trial is to investigate the impact of a tool for adjusting diagnostic and therapeutic intensity in hospitalized patients. The main question it aims to answer is: Is there a difference in patient mortality when using the aforementioned tool? The participating physicians will be grouped into 4 groups (5 physicians each). Each group will progressively (every 3 months) incorporate the use of the aforementioned tool into their usual clinical practice., conditionsModule conditions: Acute Disease, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: SEQUENTIAL, interventionModelDescription: The participating physicians will be grouped into 4 clusters (5 physicians each). Each cluster will progressively (every 3 months) incorporate the use of a level of diagnostic and therapeutic intensity tool into their usual clinical practice., primaryPurpose: SUPPORTIVE_CARE, maskingInfo masking: SINGLE, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 20, type: ESTIMATED, armsInterventionsModule interventions name: Levels of Diagnostic and Therapeutic Intervention tool by Fontecha and col., interventions name: Usual clinical practice, outcomesModule primaryOutcomes measure: In-hospital Patient Mortality at 90 days from hospital discharge, secondaryOutcomes measure: In-hospital Patient Mortality at 6 months from hospital discharge, secondaryOutcomes measure: In-hospital Patient Mortality at 1 year from hospital discharge, secondaryOutcomes measure: Delirium Incidence, secondaryOutcomes measure: Pressure Ulcer Incidence, secondaryOutcomes measure: Hospital stay, secondaryOutcomes measure: Hospital readmission for any reason, secondaryOutcomes measure: Hospital readmission for same reason, secondaryOutcomes measure: Patients admitted to the Intensive Care Unit (ICU), secondaryOutcomes measure: Calls to the "on-call doctor", secondaryOutcomes measure: Healthcare expenditure, secondaryOutcomes measure: Mortality at ICU, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Consorci Sanitari Alt Penedes i Garraf, city: Vilafranca Del Penedès, state: Barcelona, zip: 08720, country: Spain, contacts name: Helena Camell, role: CONTACT, phone: +34 938960025, phoneExt: 46048, email: hcamell@csapg.cat, contacts name: Noemí Casaponsa, role: CONTACT, phone: +34 938960025, phoneExt: 43197, email: recerca@csapg.cat, geoPoint lat: 41.34618, lon: 1.69713, hasResults: False