Systematic Quality Improvement With Realtime Event Support (SQUIRES)

The Washington University

Status: Completed

Conditions: Telemedicine

Treatments: Other: Telemedicine intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04983329

202107031

Details and patient eligibility

About

The goal of this study is to improve perioperative quality metric performance in patients receiving anesthesia care provided by Washington University Department of Anesthesiology. In this protocol, we describe (1) the use of telemedicine-augmented quality improvement interventions to enhance on-time dosage of surgical prophylactic antibiotics, while (2) carrying out large scale monitoring of surgical site infection incidence in the target population. If this quality improvement framework is found to be feasible and successful, we plan subsequently to study its application to additional perioperative quality metrics, including many pertinent to surgical site infection incidence such as perioperative glucose monitoring and management, and intraoperative temperature management.

Enrollment: 25,506 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients having procedures at Barnes-Jewish Hospital in suites not part of the TECTONICS trial will be included.

Exclusion criteria

• Patients enrolled in the ongoing TECTONICS intraoperative Anesthesiology Control Tower telemedicine trial at Barnes-Jewish Hospital will be excluded from this study

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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25,506 participants in 1 patient group

Improvement in administration of surgical antibiotic prophylaxis.

Other group

Description:

The eight-month module will include a baseline phase, educational interventions, real-time guidance from a remote telemedicine center, regular feedback regarding adherence to protocols related to that module, and continued silent monitoring.

Treatment:

Other: Telemedicine intervention