Inpatient Multimodal Path to RecOVEry (IMPROVE)

Wake Forest University (WFU)

Status: Withdrawn

Conditions: Opioid Use; Pain

Treatments: Other: IMPROVE Protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT03303664

Pro00022455

Details and patient eligibility

About

The goal of the proposed study is to develop and implement a comprehensive strategy to address pain management in the inpatient setting while appropriately managing pain and optimizing patient safety in the inpatient setting. This strategy involves developing a new health Information Technology tool in the Omnicell and electronic medical record, implementing a "menu" of pain management and relaxation strategies, and developing educational materials for staff and patients to change the culture of pain management.

Full description

The goal of the proposed study is to develop and implement a comprehensive strategy to address pain management in the inpatient setting while appropriately managing pain and optimizing patient safety in the inpatient setting. This strategy involves developing a new health Information Technology tool in the Omnicell and electronic medical record, implementing a "menu" of pain management and relaxation strategies, and developing educational materials for staff and patients to change the culture of pain management.

This intervention will be implemented throughout CHS hospitals, using a stepped wedge design to guide rollout. The initial pilot will be conducted in the trauma inpatient units at Carolinas Medical Center. All patients admitted to the two primary trauma units (11A and 11 Tower) during the pilot study period will be included in the evaluation.

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients treated in facility as inpatient during the study period will be included in the analysis.

Exclusion criteria

• Patients not admitted to facility during the study period will be excluded from the analysis.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

IMPROVE Protocol

Experimental group

Description:

The intervention is composed of 4 parts: 1) a multidisciplinary team that recommends, develops, approves, monitors the components of the intervention and training? 2) monitoring of medication sedation risk using established scale 3) restriction of medication dispensing via enhanced technology 4) health professional training on multimodality pain management including complementary and alternative therapies.

Treatment:

Other: IMPROVE Protocol

Usual Care

No Intervention group

Description:

Treatment of patients in the usual manner based on their diagnosis and resources available at that site.