Trials / Not Yet Recruiting
Not Yet RecruitingNCT07411209
De-implementing PreOp Urine Testing
De-implementation of Unnecessary Pre-Operative Urine Testing
- Status
- Not Yet Recruiting
- Phase
- N/A
- Study type
- Interventional
- Enrollment
- 6 (estimated)
- Sponsor
- VA Office of Research and Development · Federal
- Sex
- All
- Age
- 18 Years
- Healthy volunteers
- Not accepted
Summary
This is a randomized study to evaluate the effectiveness and implementation of an intervention to decrease unnecessary urine testing for surgical patients (Less is More for Surgical Urine Testing) across six geographically diverse Veterans Affairs Medical Centers. The intervention will unfold over two years, in three phases: control, intervention, and sustainability.
Detailed description
The purpose of this study is to implement our surgery-tailored evidence based 'Kicking CAUTI' intervention package in diverse surgical settings across the Veterans Affairs Medical Centers (VAMCs), and assess its effectiveness at de-implementing low-value perioperative urine testing and related inappropriate antibiotic prescribing. In this hybrid type 2 effectiveness-implementation study, the investigators will conduct a stepped wedge cluster randomized trial to evaluate the effectiveness, implementation, and cost of the tailored intervention at up to six VAMCs.
Conditions
Interventions
| Type | Name | Description |
|---|---|---|
| BEHAVIORAL | Interventional Project Site Visit | Activities occurring during the 12-month intervention phase * 1:1 meetings introducing the project * Site Visit (once during intervention period) * Interactive teaching cases and didactic sessions * Distribution of algorithm as pocket cards * Access to project materials on SharePoint * Feedback reports on clinical outcomes * Evidence-based order set templates * Learning collaborative webinars * Individualized coaching |
Timeline
- Start date
- 2026-12-31
- Primary completion
- 2028-12-31
- Completion
- 2030-12-31
- First posted
- 2026-02-13
- Last updated
- 2026-02-13
Locations
1 site across 1 country: United States
Source: ClinicalTrials.gov record NCT07411209. Inclusion in this directory is not an endorsement.