Implementation of Ultrasound Guided Central Venous Catheter Confirmation Protocol

NCT04324762 | Unknown

• 1 other identifier: 201807001
• Study Type: observational
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

The bedside use of ultrasound after central venous catheter (CVCs) insertion has lagged behind other applications in medicine, thus presenting an opportunity for innovative, evidence-based research that will influence clinician behavior. This research focuses on bedside ultrasound applications as an example, to evaluate clinical practice change. Chest radiographs are associated with delays in initiating time-critical interventions and present an unexamined opportunity for improving patient care by evaluating the use of ultrasound in lieu of chest radiographs after CVC insertion. Strategic interventions for implementation are needed to hasten the adoption of this clinical innovation (ultrasound guided CVC confirmation protocol) allowing them to de-implement chest xrays when no longer indicated.

Conditions

Behavior; Process, Acceptance; Inertia of Accommodation

Keywords

ultrasound; central venous catheter; POCUS; chest radiography; Dissemination & Implementation; De-Implementation

Outcome Measures

Primary Outcomes (3)

• Adoption

  Adoption will be measured by calculating the absolute number and proportion who utilize POCUS guided protocol and deimplement chest radiographs after central venous catheter placement

  1 year

• De-adoption

  De-adoption will be measured by calculating the absolute number and proportion who do not obtain chest radiographs after central venous catheter placement

  1 year

• Fidelity

  Fidelity will be measured by calculating the degree (%) to which the DRAUP algorithm was implemented as it was prescribed

  1 year

Secondary Outcomes (1)

• Effectiveness

  1 year

Interventions

targetted implementation strategies BEHAVIORAL

strategies at the individual and institutional level to promote implementation of an evidenced based innovation and de-implementation of an unnecessary, low value diagnostic test.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Clinical healthcare workers involved in the placement and/or maintenance of central venous catheters (nurses, doctors, administrators)

You may qualify if:

• have a clinical role in the placement and maintenance of central venous catheters

Sponsors & Collaborators

• Washington University School of Medicine: lead

Study Sites (1)

Washington Unversity School Of Medicine

St Louis, Missouri, 63110, United States

RECRUITING

Related Publications (1)

• Ablordeppey EA, Powell B, McKay V, Keating S, James A, Carpenter C, Kollef M, Griffey R. Protocol for DRAUP: a deimplementation programme to decrease routine chest radiographs after central venous catheter insertion. BMJ Open Qual. 2021 Oct;10(4):e001222. doi: 10.1136/bmjoq-2020-001222.

  PMID: 34663588 DERIVED

MeSH Terms

Conditions

Behavior

Study Officials

• Enyo A Ablordeppey, MD

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Enyo Ablordeppey, MD

CONTACT

314-362-7021; ablordeppeye@wustl.edu

Richard Griffey, MD

CONTACT

314-747-4899; griffeyr@wustl.edu

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 20, 2020
• First Posted: March 27, 2020
• Study Start: December 9, 2019
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: December 4, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: 6 months (timeline for anticipated study protocol manuscript)

Locations

US (1)