Clinical trial NCT02901197: Capnography At the Bedside: Leading Educational Efforts
Official title: Capnography At the Bedside: Leading Educational Efforts (CapABLE Trial)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Emergency
Keywords: capnography
Lead sponsor: Yale University
Sponsor class: OTHER
Collaborators: name: Medtronic - MITG
First posted: 2016-09-15
Enrollment: 902
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of this dual-site quasi-experimental pilot study is to evaluate if the implementation of an educational intervention paired with an environmental assessment to address accessibility barriers is associated with improvement in staff knowledge and skills, and adherence to national guidelines for use (evaluation in the knowledge transfer framework) in an emergency department (ED) setting.

Detailed description: The objective of this study is to develop a multi-faceted implementation program (referred to as the Capnography At the Bedside: Leading Emergency Education (CapABLE Trial)) to increase the use of capnography during two critical events in the emergency department, intubation and CPR, for better detection of endotracheal intubation, endotracheal tube dislodgement, and quality CPR.

The specific aims of the proposed study are to examine:

1. the effect of a comprehensive theory-based educational intervention on staff knowledge and skills related to capnography (outcome measure).
2. the effect of a multi-faceted implementation program on the adherence to national guidelines regarding the use of capnography during critical events in the emergency department (process measure).
3. the sustainability of effects of the implementation program on adherence, knowledge and skills (outcome and process measure).

The design and methods of this study are based on the knowledge transfer framework, which dictates identification of the message, target audience, messenger, process and communication, and evaluation.

Eligibility criteria: Inclusion Criteria:

* Emergency department (ED) staff
* Staff will include registered nurses, respiratory therapists, technical associates, physicians, physician's assistants and advanced practice nurse practitioners who fulfill the majority of their clinical duties in the ED.

Exclusion Criteria:

* Staff who are assigned to work on other units, but who work in the ED on a casual or per diem status will be excluded.

Primary outcomes:
measure: Average Monitoring Frequency
timeFrame: Pre intervention 3 months and Post intervention about 6 months
Secondary outcomes:
measure: Knowledge
timeFrame: Pre intervention
measure: Knowledge
timeFrame: Post intervention (within 1 month of intervention)
Other outcomes:
Locations:
Study officials:
affiliation: Yale University Dept of Pediatrics, Section of Emergency Medicine
name: Melissa Langhan, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Shah R, Streat DA, Auerbach M, Shabanova V, Langhan ML. Improving Capnography Use for Critically Ill Emergency Patients: An Implementation Study. J Patient Saf. 2022 Jan 1;18(1):e26-e32. doi: 10.1097/PTS.0000000000000683.