Evidence Based QUality Improvement for Prescribing Stewardship in ICU (EQUIPS-ICU)

NCT ID: NCT06666738

Last Updated: 2024-10-31

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

NOT_YET_RECRUITING

Total Enrollment

6300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-11-30

Study Completion Date

2025-09-30

Brief Summary

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The goal of this observational study is to learn about the implementation of a process to review antimicrobial prescriptions for adult patients in Intensive Care Unit (ICU).

The main question it aims to answer is: can a structured antimicrobial review can be implemented in ICUs?

Implementation will be supported by the use of local protocols, audit and feedback, and education. It will be evaluated by daily data collection of clinical processes and interviews with local champions.

Resources to conduct the study are provided by the Wellcome Flagship Innovations award. ("Collaboration for Research, Implementation and Training in Critical Care in Asia and Africa", reference 224048/Z/21/Z).

Detailed Description

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Conditions

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Antimicrobial Stewardship

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Structured antimicrobial review

The appropriateness of the documented indication, route of administration, expected duration and stop date of all antimicrobials will be reviewed within 48 hours of their prescription.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All adult ICUs within CCAA-affiliated Care Quality Registries
* ICUs must appoint a named Champion to facilitate implementation
* All antimicrobial prescriptions for adult patients within the ICUs described above

Exclusion Criteria

• ICU's which demonstrate adoption and reach of 80% or greater (median over 2 months) of a pre-existing structured antimicrobial review
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nat Intensive Care Surveillence-MORU

UNKNOWN

Sponsor Role collaborator

University of Oxford

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Abi Beane, Dr.

Role: PRINCIPAL_INVESTIGATOR

University of Oxford

Central Contacts

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Duncan Wagstaff, PhD

Role: CONTACT

0044(0)2076799060

Arjen Dondorp, Prof

Role: CONTACT

References

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Wagstaff D, Amuasi J, Arfin S, Aryal D, Nor MBM, Bonney J, Dondorp A, Dongelmans D, Dullawe L, Fazla F, Ghose A, Hanciles E, Haniffa R, Hashmi M, Smith AH, Kumar B, Minh YL, Moonesinghe R, Pisani L, Sendagire C, Hasan MS, Ghalib MS, Frimpong MS, Ranzani O, Sultan M, Thomson D, Tripathy S, Thwaites L, Uddin RAME, Mazlan MZ, Waweru-Siika W, Beane A. Evidence based QUality Improvement for Prescribing Stewardship in ICU (EQUIPS-ICU): protocol for type III hybrid implementation-effectiveness study. Implement Sci. 2025 Feb 25;20(1):12. doi: 10.1186/s13012-024-01413-4.

Reference Type DERIVED
PMID: 40001051 (View on PubMed)

Other Identifiers

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HCR24005 (559-24)

Identifier Type: -

Identifier Source: org_study_id

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