NCT04983329

Systematic Quality Improvement With Realtime Event Support

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 25,506 (actual)
• Sponsor: Washington University School of Medicine · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

The goal of this study is to improve perioperative quality metric performance in patients receiving anesthesia care provided by Washington University Department of Anesthesiology. In this protocol, we describe (1) the use of telemedicine-augmented quality improvement interventions to enhance on-time dosage of surgical prophylactic antibiotics, while (2) carrying out large scale monitoring of surgical site infection incidence in the target population. If this quality improvement framework is found to be feasible and successful, we plan subsequently to study its application to additional perioperative quality metrics, including many pertinent to surgical site infection incidence such as perioperative glucose monitoring and management, and intraoperative temperature management.

Conditions

• Telemedicine

Interventions

Type	Name	Description
OTHER	Telemedicine intervention	Following education, the telemedicine center will subsequently monitor operating rooms included in this trial for protocol adherence for three-months. The telemedicine center is staffed by attending anesthesiologists, resident anesthesiologists, certified registered nurse anesthetists (CRNAs) and student registered nurse anesthetists (SRNAs) and is currently providing evidence-based support to clinicians in a subset of operating rooms and post-anesthesia care unit (PACU) beds at Barnes-Jewish Hospital.

Timeline

• Start date: 2021-11-08
• Primary completion: 2022-06-12
• Completion: 2022-09-10
• First posted: 2021-07-30
• Last updated: 2023-04-28

Locations

1 site across 1 country: United States