NCT06454500

Clinical Decision Support to Reduce Catheter Associated Urinary Tract Infections

Randomized, Controlled Evaluations of the Effectiveness of Clinical Decision Support Systems (REEDS)

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 79,369 (actual)
• Sponsor: Columbia University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

The goal of this randomized controlled trial is to compare the effects of a clinical decision support tool consisting of a 48-hour stop order for indwelling urinary catheters versus no clinical decision support in hospitalized patients with indwelling urinary catheters. The main questions it aims to answer are: \- Does the presence of an automated stop order integrated as part of a clinical decision support tool reduce dwell time of urinary catheters and the rate of catheter associated urinary tract infections? Participants who have indwelling urinary catheters ordered will be randomized to either have these orders automatically expire after 48 hours unless an action is taken or have orders without expiration. Researchers will compare the urinary catheter dwell time and the rate of catheter associated urinary tract infections between the two groups.

Conditions

• Health Care Associated Infection
• Catheter-associated Urinary Tract Infection

Interventions

Type	Name	Description
OTHER	Clinical decision support	A 48 hour expiration on orders placed for indwelling urinary catheters.

Timeline

• Start date: 2021-08-17
• Primary completion: 2023-04-04
• Completion: 2023-04-04
• First posted: 2024-06-12
• Last updated: 2024-06-20

Locations

8 sites across 1 country: United States