Duke Virtual IntEgrated Workflow

NCT07406074 | Not Yet Recruiting

• 1 other identifier: Pro00118673
• Study Type: observational
• Target: 10,000
• Locations: 1 country
• Sites: 1

Brief Summary

This quality improvement initiative aims to evaluate the implementation, utilization, and impact of virtual care technologies and workflows being implemented at Duke University Health System (DUHS). This project is embedded within operational workflows and is designed to inform strategic decision-making and resource allocation. The evaluation will focus on key performance indicators (KPIs) relevant to hospital operations and patient outcomes, including but not limited to: Length of Stay, Readmission Rates, Patient Satisfaction Scores, and Other Quality and Safety Metrics. These KPIs will be evaluated across three clinical units at Duke University Hospital, in which virtual care technologies are being implemented. These will be compared to three control units of similar characteristics. Differences in KPIs will be examined across all units over 12 months.

Conditions

CLABSI - Central Line Associated Bloodstream Infection; Hospital Acquired Pressure Injury; Venous Thromboembolism (VTE); Nurses; Satisfaction, Patient; Length of Stay; Falls Injury; Readmission Rates; Catheter Associated Urinary Tract Infection

Keywords

Virtual Care; Nursing; Inpatient

Outcome Measures

Primary Outcomes (1)

• Falls

  Number of patient falls in a hospital room

  12 months

Secondary Outcomes (7)

• Readmission rates

  12 months

• Central Line-Associated Bloodstream Infection

  12 months

• Hospital acquired pressure injury

  12 months

• Venous thromboembolism

  12 months

• Nurse Turnover

  12 months

Study Arms (6)

Clinical Unit 1

All patient beds on clinical unit 1

Other: Co-Care

Clinical Unit 2

All patient beds on clinical unit 2

Other: Co-Care

Clinical Unit 3

All patient beds on clinical unit 3

Other: Co-Care

Clinical Unit 4

All patient beds on clinical unit 4

Clinical Unit 5

All patient beds on clinical unit 5

Clinical Unit 6

All patient beds on clinical unit 6

Interventions

Co-Care OTHER

Patient care delivered together with a bedside nurse and a virtual nurse

Clinical Unit 1; Clinical Unit 2; Clinical Unit 3

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients admitted to medical surgical floors

You may qualify if:

• Admission to the hospital on one of six clinical units

You may not qualify if:

• Less than 18 years old

Sponsors & Collaborators

• Duke University: lead

Study Sites (1)

Duke University Hospital

Durham, North Carolina, 27710, United States

Location

MeSH Terms

Conditions

Venous Thromboembolism; Patient Satisfaction

Condition Hierarchy (Ancestors)

Thromboembolism; Embolism and Thrombosis; Vascular Diseases; Cardiovascular Diseases; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Ryan Shaw, PhD

  Duke Health

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ryan Shaw, PhD

CONTACT

9196849434; ryan.shaw@duke.edu

Joanna Cavalier, MD

CONTACT

joanna.cavalier@duke.edu

Study Design

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

Study Record Dates

• First Submitted: February 3, 2026
• First Posted: February 12, 2026
• Study Start: February 4, 2026
• Primary Completion (Estimated): February 3, 2027
• Study Completion (Estimated): February 3, 2027
• Last Updated: February 12, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR, ANALYTIC CODE
• Time Frame: IPD and supporting information will be available within three years of study completion and hosted at Duke University in the Duke Research Data Repository
• Access Criteria: Data will be made available publicly in accordance with the Duke Research Data Repository

Locations

US (1)