TraceBook: the Clinical Proof of Concept on the Intensive Care.

NCT ID: NCT03599856

Last Updated: 2019-02-04

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

408 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-02

Study Completion Date

2019-06-01

Brief Summary

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The effectiveness of current checklists is hampered by lack of acceptance and compliance. Recently, a new type of checklist with dynamic properties has been created to provide more specific checklist items for each individual patient. The proof of concept of this dynamic clinical checklist (DCC; BJA 2017 (DOI: 10.1093/bja/aex129)) was tested in a simulation trial with improved outcomes and high acceptance scores. The purpose of this study is to investigate if the outcomes of this real-life clinical proof of concept study are similar with the outcomes of the simulation trial for the intensive care unit (ICU) ward.

Detailed Description

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Method A prospective single center (Catharina Hospital Eindhoven) controlled before-and-after study.

The before period will be used as control group in which ward rounds and nurse handovers will be observed by the investigators for two months. Then TraceBook will be introduced and clinicians, ICU doctors and nurses, will be able to use checklists of TraceBook for ward rounds, their shifts and handovers in which they will be observed for two months. The goal is at least 120 observations per period.

Endpoints The primary outcome is the percentage of items that were checked per ward rounds and nurse handovers during the before and the after implementation period. Secondary outcomes will be clinical outcomes of admitted patients, pharmacist specific outcomes, specific checkable item related outcomes, and user experience and acceptance scores.

Hypothesis TraceBook, with the use of digital dynamic checklists, improves compliance to care processes on the intensive care with a high user acceptance score.

Conditions

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Critical Illness Safety Issues

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

A prospective single center (Catharina Hospital Eindhoven) controlled before-and-after study.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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"Before" control group

Control group with observation of current local standard of care with paper checklist available at the bedside during the ICU rounds of the ICU physicians (as usual)

Group Type NO_INTERVENTION

No interventions assigned to this group

"After" Intervention group

An mini Ipad providing TraceBook' intelligent dynamic clinical checklists during the ICU rounds of the ICU physicians.

Group Type EXPERIMENTAL

TraceBook

Intervention Type OTHER

TraceBook offers the user intelligent dynamic clinical checklist that shows patient specific items to a specific user while being context aware.

Interventions

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TraceBook

TraceBook offers the user intelligent dynamic clinical checklist that shows patient specific items to a specific user while being context aware.

Intervention Type OTHER

Other Intervention Names

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Dynamic clinical checklist

Eligibility Criteria

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Inclusion Criteria

* Physicians working on the ICU
* All admitted patients on the ICU during the study periods.

Exclusion Criteria

* Physicians objecting participation in the trial
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eindhoven University of Technology

OTHER

Sponsor Role collaborator

Philips Electronics Nederland B.V. acting through Philips CTO organization

INDUSTRY

Sponsor Role collaborator

Catharina Ziekenhuis Eindhoven

OTHER

Sponsor Role lead

Responsible Party

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Ashley De Bie

Physician-scientist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Erik Korsten, Prof MD

Role: STUDY_DIRECTOR

Catharina Ziekenhuis Eindhoven

Locations

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Catharina Hospital

Eindhoven, North Brabant, Netherlands

Site Status

Countries

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Netherlands

References

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De Bie AJR, Nan S, Vermeulen LRE, Van Gorp PME, Bouwman RA, Bindels AJGH, Korsten HHM. Intelligent dynamic clinical checklists improved checklist compliance in the intensive care unit. Br J Anaesth. 2017 Aug 1;119(2):231-238. doi: 10.1093/bja/aex129.

Reference Type RESULT
PMID: 28854530 (View on PubMed)

De Bie AJR, Mestrom E, Compagner W, Nan S, van Genugten L, Dellimore K, Eerden J, van Leeuwen S, van de Pol H, Schuling F, Lu X, Bindels AJGH, Bouwman ARA, Korsten EHHM. Intelligent checklists improve checklist compliance in the intensive care unit: a prospective before-and-after mixed-method study. Br J Anaesth. 2021 Feb;126(2):404-414. doi: 10.1016/j.bja.2020.09.044. Epub 2020 Nov 17.

Reference Type DERIVED
PMID: 33213832 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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nWMO-2018.61

Identifier Type: -

Identifier Source: org_study_id

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