Trial Outcomes & Findings for RTLS for Healthcare Process Validation (NCT NCT04116957)

NCT ID: NCT04116957

Last Updated: 2024-08-19

Results Overview

To compare the time difference between the RTLS system and manual observation data, all In-Room activity times collected from the RTLS system are statistically compared to the In-Room activity time collected from the time study data done by observers. A paired t-test is used to determine whether the means of the two groups are statistically different from each other. The anticipated outcome is actionable, location-based data to describe, analyze, or validate healthcare processes with a maximum error of 5% relative to manual observation. In other words, the time difference between the RTLS system and manual observation should be less than 15 minutes during the day shift (up to 12 hours).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

19 participants

Primary outcome timeframe

Up to 12 hours

Results posted on

2024-08-19

Participant Flow

Participant milestones

Participant milestones
Measure
Tracking System
Nurse location data collection (300 mins per day) using the original NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS current tag: Validate location system performance against manual observation of nursing activity
New Tracking System
Nurse location data collection (300 mins per day) using the upgraded NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS tag with upgraded software: Test a RTLS tag with upgraded software for healthcare process validation
Overall Study
STARTED
9
10
Overall Study
COMPLETED
9
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

RTLS for Healthcare Process Validation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Time 1
n=9 Participants
Two months of data collection at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS current tag: Validate location system performance against manual observation of nursing activity
Time 2
n=10 Participants
Two months of data collection at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS tag with upgraded software: Test a RTLS tag with upgraded software for healthcare process validation
Total
n=19 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
10 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
9 participants
n=5 Participants
10 participants
n=7 Participants
19 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 12 hours

To compare the time difference between the RTLS system and manual observation data, all In-Room activity times collected from the RTLS system are statistically compared to the In-Room activity time collected from the time study data done by observers. A paired t-test is used to determine whether the means of the two groups are statistically different from each other. The anticipated outcome is actionable, location-based data to describe, analyze, or validate healthcare processes with a maximum error of 5% relative to manual observation. In other words, the time difference between the RTLS system and manual observation should be less than 15 minutes during the day shift (up to 12 hours).

Outcome measures

Outcome measures
Measure
Tracking System
n=9 Participants
Nurse location data collection using the original NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS current tag: Validate location system performance against manual observation of nursing activity
New Tracking System
n=10 Participants
Nurse location data collection using the upgraded NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS tag with upgraded software: Test RTLS tag with upgraded software for healthcare process validation
In-Room Activity Time Difference Between RTLS System and Manual Observation
34.61 minutes
Standard Deviation 21.19
6.63 minutes
Standard Deviation 12.46

PRIMARY outcome

Timeframe: Assessed at ICU admission

Sequential Organ Failure Assessment (SOFA) score is a measuring system that determines the extent of a person's organ function or failure rate. This scoring system consists of six organ systems (respiratory, coagulation, liver, cardiovascular, renal, and neurologic). It assesses critically ill patients in an intensive care unit. The SOFA score has shown decent predictive validity for inpatient mortality. Each system is assigned a score from 0 to 4 based on the degree of dysfunction, with higher scores indicating more severe dysfunction. The sum of the scores for each organ system is reported. The total score can range from 0 to 24. A higher total score indicates greater organ dysfunction and a higher risk of mortality. The anticipated outcome is that there is no significant difference in the patient severity of illness between the first and second data collection.

Outcome measures

Outcome measures
Measure
Tracking System
n=9 Participants
Nurse location data collection using the original NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS current tag: Validate location system performance against manual observation of nursing activity
New Tracking System
n=10 Participants
Nurse location data collection using the upgraded NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS tag with upgraded software: Test RTLS tag with upgraded software for healthcare process validation
Patient Severity of Illness - Sequential Organ Failure Assessment (SOFA) Score
5.662 score on a scale
Standard Deviation 3.428
6.381 score on a scale
Standard Deviation 3.84

PRIMARY outcome

Timeframe: Up to 12 hours

To compare the time difference between the RTLS system and manual observation data, all Out-of-Room activity times collected from the RTLS system are statistically compared to the Out-of-Room activity times collected from the time study data done by observers. A paired t-test is used to determine whether the means of the two groups are statistically different from each other. The anticipated outcome is actionable, location-based data to describe, analyze, or validate healthcare processes with a maximum error of 5% relative to manual observation. In other words, the time difference between the RTLS system and manual observation should be less than 15 minutes for the day shift (up to 12 hours)

Outcome measures

Outcome measures
Measure
Tracking System
n=9 Participants
Nurse location data collection using the original NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS current tag: Validate location system performance against manual observation of nursing activity
New Tracking System
n=10 Participants
Nurse location data collection using the upgraded NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS tag with upgraded software: Test RTLS tag with upgraded software for healthcare process validation
Out-of-Room Activity Time Difference Between RTLS System and Manual Observation
33.83 minutes
Standard Deviation 23.67
8.68 minutes
Standard Deviation 22.43

Adverse Events

Tracking System

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

New Tracking System

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Tracking System
n=9 participants at risk
Nurse location data collection (300 mins per day) using the original NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS current tag: Validate location system performance against manual observation of nursing activity
New Tracking System
n=10 participants at risk
Nurse location data collection (300 mins per day) using the upgraded NFER system at an ICU at the University Hospital, University of Missouri Health Care in Columbia, Missouri. RTLS tag with upgraded software: Test a RTLS tag with upgraded software for healthcare process validation
Product Issues
Fatigue caused by wearing RTLS tag
0.00%
0/9 • 72 days
In this project, the performance of the RTLS system was measured by comparing the traditional manual observation technique (i.e., time-motion study). Each nurse wore a small RTLS tag during his or her shift. Hence, the only possible adverse event could be unexpected fatigue caused by wearing the tag during the data collection.
0.00%
0/10 • 72 days
In this project, the performance of the RTLS system was measured by comparing the traditional manual observation technique (i.e., time-motion study). Each nurse wore a small RTLS tag during his or her shift. Hence, the only possible adverse event could be unexpected fatigue caused by wearing the tag during the data collection.

Other adverse events

Adverse event data not reported

Additional Information

Jung Hyup Kim

University of Missouri

Phone: 5738840354

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place