Capnography At the Bedside: Leading Educational Efforts

NCT ID: NCT02901197

Last Updated: 2018-08-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

902 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-15

Study Completion Date

2017-10-17

Brief Summary

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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

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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.

Conditions

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Emergency

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Education and Reminder

This arm will consist of participants in a location that receive with web based training and exposure to reminder posters in the workplace.

Group Type ACTIVE_COMPARATOR

Education and Reminder Posters

Intervention Type BEHAVIORAL

See arm description

Policy Change

This arm's participants will not receive an active intervention (education and reminders), however, policy change will take place in this location.

Group Type ACTIVE_COMPARATOR

Policy Change

Intervention Type OTHER

See arm description

Interventions

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Education and Reminder Posters

See arm description

Intervention Type BEHAVIORAL

Policy Change

See arm description

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medtronic - MITG

INDUSTRY

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Melissa Langhan, MD

Role: PRINCIPAL_INVESTIGATOR

Yale University Dept of Pediatrics, Section of Emergency Medicine

References

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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.

Reference Type DERIVED
PMID: 32175968 (View on PubMed)

Other Identifiers

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1503015415

Identifier Type: -

Identifier Source: org_study_id

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