Clinical Decision Support to Reduce Catheter Associated Urinary Tract Infections

NCT ID: NCT06454500

Last Updated: 2024-06-20

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

79369 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-17

Study Completion Date

2023-04-04

Brief Summary

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The goal of this randomized controlled trial is to compare the effects of a clinical decision support tool consisting of a 48-hour stop order for indwelling urinary catheters versus no clinical decision support in hospitalized patients with indwelling urinary catheters. The main questions it aims to answer are:

\- Does the presence of an automated stop order integrated as part of a clinical decision support tool reduce dwell time of urinary catheters and the rate of catheter associated urinary tract infections?

Participants who have indwelling urinary catheters ordered will be randomized to either have these orders automatically expire after 48 hours unless an action is taken or have orders without expiration. Researchers will compare the urinary catheter dwell time and the rate of catheter associated urinary tract infections between the two groups.

Detailed Description

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Conditions

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Health Care Associated Infection Catheter-associated Urinary Tract Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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Stop Orders

For participants in this arm, a clinical decision support tool consisting of stop orders and an expiring alert that was displayed to care team clinicians.

Group Type EXPERIMENTAL

Clinical decision support

Intervention Type OTHER

A 48 hour expiration on orders placed for indwelling urinary catheters.

Continuous Orders

For participants in this arm, no clinical decision support or alerts were displayed to care team clinicians and the urinary catheter order was continuous.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Clinical decision support

A 48 hour expiration on orders placed for indwelling urinary catheters.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Admitted to hospital
* At least 18 years old
* Has order placed for indwelling urinary catheter

Exclusion Criteria

* Indication for urinary catheter labeled as either "Chronic" or "Placed by urology"
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Columbia University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jason Adelman, MD, MS

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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NewYork-Presbyterian Westchester

Bronxville, New York, United States

Site Status

NewYork-Presbyterian Brooklyn Methodist Hospital

Brooklyn, New York, United States

Site Status

NewYork-Presbyterian Hudson Valley Hospital

Cortlandt Manor, New York, United States

Site Status

NewYork-Presbyterian Queens

Flushing, New York, United States

Site Status

NewYork-Presbyterian Columbia University Irving Medical Center

New York, New York, United States

Site Status

NewYork-Presbyterian Allen Hospital

New York, New York, United States

Site Status

NewYork-Presbyterian Lower Manhattan Hospital

New York, New York, United States

Site Status

NewYork-Presbyterian Weill Cornell Medical Center

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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AAAU3416

Identifier Type: -

Identifier Source: org_study_id

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