Clinical trial NCT03303664: Inpatient Multimodal Path to RecOVEry
Official title: Inpatient Multimodal Path to RecOVEry
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Pain
Opioid Use
Keywords: opioid
inpatient
pain
multimodal
Lead sponsor: Wake Forest University Health Sciences
Sponsor class: OTHER
First posted: 2017-10-06
Enrollment: 0
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The goal of the proposed study is to develop and implement a comprehensive strategy to address pain management in the inpatient setting while appropriately managing pain and optimizing patient safety in the inpatient setting. This strategy involves developing a new health Information Technology tool in the Omnicell and electronic medical record, implementing a "menu" of pain management and relaxation strategies, and developing educational materials for staff and patients to change the culture of pain management.

Detailed description: The goal of the proposed study is to develop and implement a comprehensive strategy to address pain management in the inpatient setting while appropriately managing pain and optimizing patient safety in the inpatient setting. This strategy involves developing a new health Information Technology tool in the Omnicell and electronic medical record, implementing a "menu" of pain management and relaxation strategies, and developing educational materials for staff and patients to change the culture of pain management.

This intervention will be implemented throughout CHS hospitals, using a stepped wedge design to guide rollout. The initial pilot will be conducted in the trauma inpatient units at Carolinas Medical Center. All patients admitted to the two primary trauma units (11A and 11 Tower) during the pilot study period will be included in the evaluation.

Eligibility criteria: Inclusion Criteria:

* All patients treated in facility as inpatient during the study period will be included in the analysis.

Exclusion Criteria:

* Patients not admitted to facility during the study period will be excluded from the analysis.

Primary outcomes:
measure: Use of Opioid Overdose Reversal Treatment
timeFrame: Patient's entire length of stay in the hospital, up to 3 months
Secondary outcomes:
measure: Pain
timeFrame: Patient's entire length of stay in the hospital, up to 3 months
measure: Oversedation without naloxone
timeFrame: Patient's entire length of stay in the hospital, up to 3 months
measure: Multimodal Therapy
timeFrame: Patient's entire length of stay in the hospital, up to 3 months
measure: Average Daily MME
timeFrame: Patient's entire length of stay in the hospital, up to 3 months
Other outcomes:
Locations:
city: Albemarle
country: United States
facility: Carolinas Healthcare System - Stanly
state: North Carolina
city: Charlotte
country: United States
facility: Carolinas Medical Center
state: North Carolina
city: Charlotte
country: United States
facility: Carolinas Healthcare System - Mercy
state: North Carolina
city: Charlotte
country: United States
facility: Carolinas Healthcare System - Pineville
state: North Carolina
city: Charlotte
country: United States
facility: Carolinas Healthcare System - University
state: North Carolina
city: Concord
country: United States
facility: Carolinas Healthcare System - NorthEast
state: North Carolina
city: Kings Mountain
country: United States
facility: Carolinas Healthcare System - Kings Mountain
state: North Carolina
city: Lincolnton
country: United States
facility: Carolinas Healthcare System - Lincoln
state: North Carolina
city: Monroe
country: United States
facility: Carolinas Healthcare System - Union
state: North Carolina
city: Morganton
country: United States
facility: Carolinas Healthcare System - Blue Ridge
state: North Carolina
city: Shelby
country: United States
facility: Carolinas Healthcare System - Cleveland
state: North Carolina
city: Wadesboro
country: United States
facility: Carolinas Healthcare System - Anson
state: North Carolina
Study officials:
affiliation: Wake Forest University Health Sciences
name: Joseph R Hsu, MD
role: PRINCIPAL_INVESTIGATOR
References: