The WikiTrauma Interrupted Time Series Protocol

NCT04035772 | Terminated DMC

• 1 other identifier: Wiki Implementation 1415-041
• Study Type: interventional
• Target: 6
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to study the combined effect of WikiTrauma, a free collaborative database of clinical decision support tools, and Wiki101, a training course teaching participants how to use WikiTrauma, on the quality of care in four trauma centers in Quebec. The hypothesis that the theory-based intervention (Wiki101), in combination with use of WikiTrauma, will result in better adoption of best practices in trauma care, safer care (less complications), improved patient outcomes and less costly care in Canada.

Conditions

Trauma

Keywords

interrupted time series; wiki; quality improvement; knowledge translation; trauma care; stakeholder engagement; adaptating knowledge tools

Outcome Measures

Primary Outcomes (1)

• Composite performance indicator score (change is assessed)

  Composite performance indicator score based on 15 process performance indicators found in the Quebec Trauma Registry

  30 months prior to implementation and up to 12 months later

Secondary Outcomes (4)

• Rate of complications (change is assessed)

  30 months prior to implementation and up to 12 months later

• Mortality rate (change is assessed)

  30 months prior to implementation and up to 12 months later

• Length of stay (change is assessed)

  30 months prior to implementation and up to 12 months later

• Functional Independence Measure (FIM) (change is assessed)

  30 months prior to implementation and up to 12 months later

Study Arms (1)

Wiki101 and WikiTrauma

EXPERIMENTAL

Wiki101, a theory-based continuing professional development (CPD) program, will train participants at the selected trauma centers to use WikiTrauma effectively and safely to create and share different types of Knowledge Transfer (KT) tools (e.g., care protocols, order sets, patient decision aids). Participants will receive Wiki101 training and then gain access to WikiTrauma with editing rights to the knowledge implementation tools (e.g. care protocols, order sets, care pathways) found in the wiki. WikiTrauma is the wiki we created to promote best practices in trauma care and will be implemented in four trauma centers in Quebec during 12 months. During this period, we will continue to measure the impact on the quality of care.

Other: Wiki101 and WikiTrauma

Interventions

Wiki101 and WikiTrauma OTHER

Wiki101 is a theory-based continuing professional development course to teach healthcare professionals how to use WikiTrauma. WikiTrauma is a wiki containing implementation tools built upon the Google Sites platform.

Wiki101 and WikiTrauma

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• decision makers (eg, trauma program coordinators) or,
• health care professionals (eg, emergency physicians, critical care physicians, trauma surgeons, nurses, respiratory therapists, physiotherapists, or pharmacists).
• Patient representatives will be selected without any restrictions or limitations with regard to the qualifications.
• Health care professional students and trainees (eg, residents, medical students, and nursing students) will have the same access to WikiTrauma and Wiki101 as fully certified professionals.

Sponsors & Collaborators

• Laval University: lead
• Canadian Medical Protective Association: collaborator

Study Sites (1)

Pascal Y Smith

Lévis, Quebec, G6V 3Z1, Canada

Location

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Patrick M Archambault, MD MSc FRCPC

  CISSS Chaudières-Appalaches (Hôtel-Dieu de Lévis)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: January 18, 2018
• First Posted: July 29, 2019
• Study Start: May 1, 2016
• Primary Completion: October 1, 2018
• Study Completion: December 20, 2018
• Last Updated: July 29, 2019

Record last verified: 2019-07

Locations

CA (1)