Pilot Testing a Patient Safety Display in the Hospital Setting

Study Overview
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Brief Summary
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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
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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.

Official Title
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Improving Risk Detection and Communication to Reduce Hospital-Acquired Conditions

Conditions
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Catheter-Related Infections, Pressure Injury

Intervention / Treatment
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* Behavioral: Patient Safety Display


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Intervention-control study design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patient Safety Display Arm<br>Patient Safety Display in patient room | Behavioral: Patient Safety Display<br>* Digital display of catheter and pressure injury information in patient hospital room<br>|
| No Intervention: Control Arm<br>Usual Care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary catheter awareness | Proportion of physicians and advanced practice providers aware of their patients' indwelling urinary catheters; measured via survey | 4 months | 
| Central venous catheter awareness | Proportion of physicians and advanced practice providers aware of their patients' central venous catheters; measured via survey | 4 months | 
| Pressure injury awareness | Proportion of physicians and advanced practice providers aware of their patients' pressure injuries; measured via survey | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary catheter usage | Urinary catheter usage rates, as documented in the electronic medical record | 4 months | 
| CAUTI | Catheter-associated urinary tract infections (CAUTI) rates, as collected for routine National Healthcare Safety Network (NHSN) reporting | 4 months | 
| Central venous catheter usage | Central venous catheter usage rates, as documented in the electronic medical record | 4 months | 
| CLABSI | Central-line associated urinary tract infections (CLABSI) rates, as collected for routine NHSN reporting | 4 months | 
| Pressure injuries | Pressure injury incidence, as documented in the electronic medical record | 4 months | 
| Pressure injury care | 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 | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Catheter-Related Infections, Pressure Injury, Patient Safety