Clinical Decision Support to Reduce Catheter Associated Urinary Tract Infections

Columbia University

Status: Completed

Conditions: Catheter-associated Urinary Tract Infection; Health Care Associated Infection

Treatments: Other: Clinical decision support

Study type: Interventional

Funder types: Other

Identifiers

NCT06454500

AAAU3416

Details and patient eligibility

About

The goal of this randomized controlled trial is to compare the effects of a clinical decision support tool consisting of a 48-hour stop order for indwelling urinary catheters versus no clinical decision support in hospitalized patients with indwelling urinary catheters. The main questions it aims to answer are:

• Does the presence of an automated stop order integrated as part of a clinical decision support tool reduce dwell time of urinary catheters and the rate of catheter associated urinary tract infections?

Participants who have indwelling urinary catheters ordered will be randomized to either have these orders automatically expire after 48 hours unless an action is taken or have orders without expiration. Researchers will compare the urinary catheter dwell time and the rate of catheter associated urinary tract infections between the two groups.

Enrollment: 79,369 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Admitted to hospital
• At least 18 years old
• Has order placed for indwelling urinary catheter

Exclusion criteria

• Indication for urinary catheter labeled as either "Chronic" or "Placed by urology"

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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79,369 participants in 2 patient groups

Stop Orders

Experimental group

Description:

For participants in this arm, a clinical decision support tool consisting of stop orders and an expiring alert that was displayed to care team clinicians.

Treatment:

Other: Clinical decision support

Continuous Orders

No Intervention group

Description:

For participants in this arm, no clinical decision support or alerts were displayed to care team clinicians and the urinary catheter order was continuous.