AzTrials
AzTrials

Central Line-Associated Bloodstream Infection (CLABSI)PSLLNCT02969343

Patient Safety Learning Laboratory: Making Acute Care More Patient-Centered

A study testing Patient Safety health information technology in people with Central Line-Associated Bloodstream Infection (CLABSI) and Venous Thromboembolism, run by Brigham and Women's Hospital at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The Brigham and Women's Hospital (BWH) Patient Safety Learning Laboratory (PSLL) focuses on developing health information technology (HIT) tools to engage patients, family, and professional care team members in reliable identification, assessment, and reduction of patient safety threats in real-time, before they… Read more about this study

Who is it for?
Ages 18 to 99 yearsHealthy volunteers can take part
What is being tested?
Patient Safety health information technology
Could I receive a placebo?
No, everyone receives an active treatment
How many people
21,000 participants
Where
1 siteUnited States
Study dates
Apr 2015to Dec 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • patients 18-99 years of age

Who cannot join

  • patients under age 18 years

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

Other trials in United States

About this study

The Brigham and Women's Hospital (BWH) Patient Safety Learning Laboratory (PSLL) focuses on developing health information technology (HIT) tools to engage patients, family, and professional care team members in reliable identification, assessment, and reduction of patient safety threats in real-time, before they manifest in actual harm.

Read the detailed description

The Brigham and Women's Hospital (BWH) Patient Safety Learning Laboratory (PSLL) will develop systems approaches to integrating health information technology (HIT), stakeholder engagement mechanisms, and process design/engineering methods focused on patient safety, development and enhancement of tools, health care system interventions, and translation into practice. The three technological toolkits to be developed as part of the Patient Safety Learning Laboratory (PSLL) are:1) Patient-centered Fall Prevention Toolkit which aims to engage patients and their family caregivers in the design of HIT tools to prevent patient falls and related injuries during an acute hospitalization; 2) Patient Safety Checklist Tool to improve patient safety and quality outcomes, provider efficiency, and team communication; and 3) MySafeCare Patient Safety Reporting System which aims to iteratively develop and evaluate the impact of a patient safety reporting system on patient safety and fosters a health system focused on collaborative learning. The Brigham and Women's Patient Safety Learning Laboratory (BWH PSLL) will establish a vibrant learning ecosystem of health services, informatics, and systems engineering researchers, collaborating with patients and family for evolving and applying these approaches to adverse event prevention in hospitalized patients. In addition, a Systems Engineering, Usability, and Integration (SEUI) Core will leverage health systems engineering approaches to develop and provide a system-wide methodology to aid in the successful implementation and improvement of Health Information Technology (HIT) tools and a model known as the Patient SatisfActive® will be developed, tested, and refined to create a culture of patient- and family-centered care.

Being tested
Patient Safety health information technology
Medical subject headings
Venous Thromboembolism, Catheter-Related Infections, Hypoglycemia, Drug-Related Side Effects and Adverse Reactions

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Patient Safety health information technologyBehavioural

    Patient safety technology toolkits on hospital care units

Study groups in NCT02969343
Study groupRoleWhat they receive
InterventionExperimentalPatients and providers on hospital care units where the PSLL patient safety health information technology tools are implemented, during the interventional phase of a stepped wedge randomized trial design.
Receives: Behavioral: Patient Safety health information technology
Usual CareNo interventionPatients on hospital care units where the PSLL patient safety health information technology tools have been implemented or are to be implemented, but are not during the usual care phase of a stepped wedge randomized trial design.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Clinical Outcomes: Proportion of hospitalizations with any adverse event

    Hospitalizations with the presence of any of the following: Patient Falls with Injury, Severe Hypoglycemia, Inpatient or post hospitalization venous thromboembolism, catheter associated urinary tract infection (CAUTI), Central Line Associated Blood Stream Infection (CLABSI), Opioid related severe adverse drug event, hospital acquired pressure ulcer, severe hospital acquired delirium, rapid response related to arrhythmia

    Measured: up to 21 months

Secondary outcomes (50)
  1. Clinical Inertia: When Red flag, % changed to yellow or green during hospitalization

    monitoring time for flags to change within patient safety information technology tools

    Measured: up to 21 months

  2. Clinical Inertia:When Red flag, % changed to green during hospitalization

    monitoring time for flags to change within patient safety information technology tools

    Measured: up to 21 months

  3. Clinical Inertia: Mean time to resolution of red flags (to green or yellow), days

    monitoring time for flags to change within patient safety information technology tools

    Measured: up to 21 months

  4. Clinical Inertia:Mean time to resolution of red flags (to green), days

    monitoring time for flags to change within patient safety information technology tools

    Measured: up to 21 months

  5. Patient Falls/ Mobility: % patient days of patients at fall risk due to a gait disturbance on sedatives

    Processes of care: % patient days of patients at fall risk due to a gait disturbance on sedatives

    Measured: up to 21 months

  6. Patient Falls/ Mobility:% pt-days of patients at fall risk due to a gait disturbance without Physical Therapy consult order

    Processes of care: % patient-days of patients at fall risk due to a gait disturbance without Physical Therapy consult order

    Measured: up to 21 months

  7. Code Status: % patient-days on study unit with unconfirmed code status

    Processes of care: % patient-days on study unit with unconfirmed code status

    Measured: up to 21 months

  8. Glucose Control: % patients with diabetes or hyperglycemia with order for basal insulin

    Processes of care: % patients with diabetes or hyperglycemia with order for basal insulin

    Measured: up to 21 months

  9. Glucose Control: % patients with diabetes or hyperglycemia with orders for basal and nutritional insulin

    Processes of care: % patients with diabetes or hyperglycemia with orders for basal and nutritional insulin

    Measured: up to 21 months

  10. Nutrition: % patient-days without any diet order

    Processes of care: % patient-days without any diet order

    Measured: up to 21 months

  11. Nutrition: % pt-days NPO with insulin aspart ordered at same time

    Processes of care:% pt-days NPO with insulin aspart ordered at same time

    Measured: up to 21 months

  12. Venous thromboembolism (VTE): % pt-days with appropriate prophylaxis ordered based on risk and contraindications

    Processes of care: % patient-days with appropriate prophylaxis ordered based on risk and contraindications

    Measured: up to 21 months

  13. Venous thromboembolism (VTE):% pt-days with appropriate prophylaxis administered based on risk and contraindications

    Processes of care: % pt-days with appropriate prophylaxis administered based on risk and contraindications

    Measured: up to 21 months

  14. Venous thromboembolism (VTE): % ordered pharmacologic prophylaxis doses administered

    Processes of care: % ordered pharmacologic prophylaxis doses administered

    Measured: up to 21 months

  15. Pain Control: % pt-days with MED > 100 mg

    Processes of care: % pt-days with MED > 100 mg

    Measured: up to 21 months

  16. Pain Control: % patient-days with opioids ordered and no adjunctive medications ordered

    Processes of care: % patient-days with opioids ordered and no adjunctive medications ordered

    Measured: up to 21 months

  17. Pain Control:% pt-days with opioids administered and no Richmond Agitation-Sedation Scale (RASS) score recorded

    Processes of care: % pt-days with opioids administered and no Richmond Agitation-Sedation Scale (RASS) score recorded

    Measured: up to 21 months

  18. Antibiotic Management: % patient-days with patients on broad-spectrum gram-positive and broad-spectrum gram-negative antibiotics for > 72 hours

    Processes of care: % pt-days with patients on broad-spectrum gram-positive and broad-spectrum gram-negative antibiotics for > 72 hours

    Measured: up to 21 months

  19. Antibiotic Management: % pt-days with pts on broad-spectrum antibiotics for > 72 hours

    Processes of care: % patient-days with patients on broad-spectrum antibiotics for > 72 hours

    Measured: up to 21 months

  20. Delirium Management: % patient-days Confusion Assessment Method (CAM) positive

    Processes of care: % patient-days Confusion Assessment Method (CAM) positive

    Measured: up to 21 months

  21. Delirium Management: % patient-days of patients at high risk for delirium on sedatives

    Processes of care: % patient-days of patients at high risk for delirium on sedatives

    Measured: up to 21 months

  22. Delirium Management: % patient-days of patients at high risk for delirium on ramelteon

    Processes of care: % patient-days of patients at high risk for delirium on ramelteon

    Measured: up to 21 months

  23. Delirium Management: % patient-days of patients with hyperactive delirium on neuroleptics

    Processes of care: % patient-days of patients with hyperactive delirium on neuroleptics

    Measured: up to 21 months

  24. Vascular Access: % patient-days with central line in place

    Processes of care: % patient-days with central line in place

    Measured: up to 21 months

  25. Foley Care: % patient-days with Foley catheter in place

    Processes of care: % patient-days with Foley catheter in place

    Measured: up to 21 months

  26. Foley Care: % patient-days with Foley documented but not ordered

    Processes of care: % patient-days with Foley documented but not ordered

    Measured: up to 21 months

  27. Foley Care: % patient-days with Foley documented but Nurse Driven Protocol (NDP) not ordered

    Processes of care: % patient-days with Foley documented but NDP not ordered

    Measured: up to 21 months

  28. Telemetry: % patient-days of high risk patients without any telemetry

    Processes of care: % patient-days of high risk patients without any telemetry bottom page 5 mock tables

    Measured: up to 21 months

  29. Telemetry: % patient-days of low risk patients on telemetry > 72h

    Processes of care: % patient-days of low risk patients on telemetry > 72h

    Measured: up to 21 months

  30. Bowel Regimen: % pt-days of patients on opioids and no bowel regimen ordered

    Processes of care: % pt-days of patients on opioids and no bowel regimen ordered

    Measured: up to 21 months

  31. Bowel Regimen:% patient-days where on opioids, no bowel movement 2 or more days, and no bowel regimen administered

    Processes of care: % patient-days where on opioids, no bowel movement 2 or more days, and no bowel regimen administered

    Measured: up to 21 months

  32. Fall / Mobility: Patient Falls based on safety reports per 1000 patient-days

    Safety Outcomes: Patient Falls based on safety reports per 1000 patient-days

    Measured: up to 21 months

  33. Fall / Mobility: Falls with injury based on safety reports per 1000 patient-days

    Safety Outcomes: Falls with injury based on safety reports per 1000 patient-days

    Measured: up to 21 months

  34. Glucose Control: Patient-day-weighted mean glucose

    Safety Outcomes: Patient-day-weighted mean glucose

    Measured: up to 21 months

  35. Glucose Control: Proportion of glucose readings 70-180 mg/dL, mean per patient

    Safety Outcomes: Proportion of glucose readings 70-180 mg/dL, mean per patient

    Measured: up to 21 months

  36. Glucose Control: Proportion of patient-days with hypoglycemia

    Safety Outcomes: Proportion of patient-days with hypoglycemia

    Measured: up to 21 months

  37. Glucose Control: Proportion of patient-days with severe hypoglycemia

    Safety Outcomes: Proportion of patient-days with severe hypoglycemia

    Measured: up to 21 months

  38. Venous Thromboembolism: proportion of hospitalizations with hospital-acquired VTE

    Safety Outcomes: proportion of hospitalizations with hospital-acquired VTE

    Measured: up to 21 months

  39. Venous Thromboembolism: proportion of hospitalizations with VTE within 30 days of discharge

    Safety Outcomes: proportion of hospitalizations with VTE within 30 days of discharge

    Measured: up to 21 months

  40. Pain Control: proportion of hospitalizations with opioid induced depression of consciousness or respiration

    Safety Outcomes: proportion of hospitalizations with opioid induced depression of consciousness or respiration

    Measured: up to 21 months

  41. Pain Control: proportion of hospitalizations of patients on opioids who required narcan

    Safety Outcomes: proportion of hospitalizations of patients on opioids who required narcan

    Measured: up to 21 months

  42. Pain Control: proportion of hospitalizations with severe opioid-related adverse drug event

    Safety Outcomes: proportion of patients on opioids who had rapid response, code blue, ICU transfer, Bipap, mechanical ventilation

    Measured: up to 21 months

  43. Pain Control: proportion of hospitalizations of patients on opioids with any opioid-related Adverse Drug Event

    Safety Outcomes: proportion of hospitalizations of patients on opioids with any opioid-related Adverse Drug Event

    Measured: up to 21 months

  44. Pressure Ulcers: proportion of hospitalizations with hospital-acquired pressure ulcer

    Safety outcomes: proportion of hospitalizations with hospital-acquired pressure ulcer

    Measured: up to 21 months

  45. Pressure Ulcers: proportion of hospitalizations with pressure ulcer worsening in stage from admission to discharge

    Safety outcomes: proportion of hospitalizations with hospital-acquired pressure ulcer worsening in stage from admission to discharge

    Measured: up to 21 months

  46. Delirium Management: proportion of hospitalizations requiring mechanical restraints

    Safety outcomes: proportion of hospitalizations requiring mechanical restraints

    Measured: up to 21 months

  47. Delirium Management: proportion of hospitalizations requiring code gray and requiring security

    Safety outcomes: proportion of hospitalizations requiring code gray and requiring security

    Measured: up to 21 months

  48. Vascular Access: Central Line Associated Blood Stream Infection (CLABSI) per 1000 patient-days

    Safety outcomes: Central Line Associated Blood Stream Infection (CLABSI) per 1000 patient-days

    Measured: up to 21 months

  49. Foley Care: Central Line Associate Urinary Tract Infection per 1000 patient-days

    Safety outcomes: Central Line Associate Urinary Tract Infection per 1000 patient-days

    Measured: up to 21 months

  50. Telemetry: proportion of hospitalizations for rapid response for arrhythmia

    Safety outcomes: proportion of hospitalizations for rapid response for arrhythmia

    Measured: up to 21 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Nov 2016 (estimated)
  2. Study startApr 2015
  3. Primary completionDec 2018
  4. Study completionDec 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
21,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02969343
Sponsor's protocol ID
5P30HS023535
Acronym
PSLL
Status last verified
Jul 2019
First submitted
24 Oct 2016
Last updated
10 Jul 2019
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Dykes PC, Burns Z, Adelman J, Benneyan J, Bogaisky M, Carter E, Ergai A, Lindros ME, Lipsitz SR, Scanlan M, Shaykevich S, Bates DW. Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial. JAMA Netw Open. 2020 Nov 2;3(11):e2025889. doi: 10.1001/jamanetworkopen.2020.25889.

    PubMed 33201236

Questions about this trial

What is this clinical trial studying?

A study testing Patient Safety health information technology in people with Central Line-Associated Bloodstream Infection (CLABSI) and Venous Thromboembolism, run by Brigham and Women's Hospital at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical Outcomes: Proportion of hospitalizations with any adverse event (time frame: up to 21 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02969343, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jul 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in