Ignite Creation Date:
2024-05-05 @ 4:55 PM
Last Modification Date:
2024-10-26 @ 9:25 AM
Study NCT ID:
NCT00345267
Status:
COMPLETED
Last Update Posted:
2006-06-28
First Post:
2006-06-26
Brief Title:
Effect of an Integrated Care Pathway on Asthma Care in Hospital
Sponsor:
University of Edinburgh
Organization:
University of Edinburgh
Study Overview
Official Title:
Cluster Randomised Controlled Trial of the Effect of the Introduction of an Acute WheezeAsthma Integrated Care Pathway on Patient Outcome
Status:
COMPLETED
Status Verified Date:
2006-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Integrated care pathways ICP coalesce medical and nursing work practices unifying and directing care in line with current best practice and guidelines We wish to examine the introduction of an ICP for children with wheezeasthma admitted to our hospital We will determine whether more rigid but guided care results in faster recovery quicker discharge with better education and fewer prescribing errors but also determine whether staff feel alienated by the rigidity of practice and parents perceive any benefit to the changes introducedThis will be a cluster randomised trial random weeks of standard or ICP care in 180 patients admitted to Sick Kids with wheezeasthma Parents will be asked to complete a questionnaire on admission and contacted at 10-14 days post discharge and asked to recall education provided at discharge no other patient or parent intervention will be requiredIt is expected to take 40 weeks to recruit 180 patients
Detailed Description:
Children admitted to hospital with wheezeasthma are provided with care by a large number of clinicians with varying levels of skills and experiences Providing a uniform safe level of care according to evidence based guidelines is challenging given the levels of experience within each hospital Integrated care pathways are a multidisciplinary document incorporating medical nursing pharmacy and observational charts within a single chronological document The study is to assess whether such documents can speed recovery and discharge with care adhering more closely to evidence based guidelines for treatment and education In addition we wish to assess patient safety through prescribing errors and parental and staff attitudes to the ICP introduction Children arriving at the emergency department will be provided with care by either intergrated care pathway or standard care in 7 day clusters randomised in 8 week blocks
Comparison We will compare the time from arrival at hospital to discharge from the ward as our primary outcome
Other comparisons to be made for Speed of recovery of heart rate and respiratory rate Time to require no supplemental oxygen Time to achieve 4 hourly spacing of bronchodilator Number and degree of prescribing errors Provision of education to parents Provision of care adhering to asthma guidelines accurate discharge dose of prednisolone from emergency dept use of multidose salbutamol rather than nebuliser Number of clinical contacts required with patients Staff opinion of ICP before and after introduction Parental opinion of care in different groups Parental recall of adviceeducation provided to them during admission Possible Hawthorne effect during period of the study
Comparison We will compare the time from arrival at hospital to discharge from the ward as our primary outcome
Other comparisons to be made for Speed of recovery of heart rate and respiratory rate Time to require no supplemental oxygen Time to achieve 4 hourly spacing of bronchodilator Number and degree of prescribing errors Provision of education to parents Provision of care adhering to asthma guidelines accurate discharge dose of prednisolone from emergency dept use of multidose salbutamol rather than nebuliser Number of clinical contacts required with patients Staff opinion of ICP before and after introduction Parental opinion of care in different groups Parental recall of adviceeducation provided to them during admission Possible Hawthorne effect during period of the study
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None