Health TrialsbyHealthPanel

De-implementing PreOp Urine Testing

ConditionsUrinary Tract InfectionAsymptomatic Bacteriuria
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVA Office of Research and Development

About this trial

This is a randomized study to evaluate the effectiveness and implementation of an intervention to decrease unnecessary urine testing for surgical patients (Less is More for Surgical Urine Testing) across six geographically diverse Veterans Affairs Medical Centers. The intervention will unfold over two years, in three phases: control, intervention, and sustainability.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Medical Centers part of the Veterans Affairs Health Administration (VAMCs)

VAMCs that perform standard, intermediate, or advanced surgical procedures

VAMCs in which perioperative urine testing is performed among greater than 10% of their non-urologic, non-transplant surgery procedures

Disqualifiers

VAMCs that only perform ambulatory surgery (outpatient/day surgery only)

VAMCs that do not perform urine testing among at least 10% of their non-urologic, non-transplant surgery procedures

VAMCs that already have implemented interventions to reduce perioperative urine testing

VAMCs' units performing genitourinary or transplant surgeries

Trial design

Design model

Sequential

Treatments tested in this trial

  • Interventional Project Site Visit

    Behavioral

    Activities occurring during the 12-month intervention phase * 1:1 meetings introducing the project * Site Visit (once during intervention period) * Interactive teaching cases and didactic sessions * Distribution of algorithm as pocket cards * Access to project materials on SharePoint * Feedback reports on clinical outcomes * Evidence-based order set templates * Learning collaborative webinars * Individualized coaching

Treatment groups

6 Participants
are divided into 2 treatment groups
Group A: Intervention Site VisitExperimental treatment 1 intervention
Group B: Standard of CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Number of Urine Testing Performed

Throughout the study period, the research team will generate monthly lists of all urinalyses and urine cultures performed within 30 days before and 30 days after included procedures. The study team will chart review theses cases and determine whether the urine test was done on an asymptomatic patient or whether the test was justified based on UTI symptoms.

Time frame
up to 48 months

Secondary outcomes

1

Number of Days of Therapy

Days of therapy is an aggregate sum of days on which an antimicrobial agent was administered to an individual patient. The investigators will include systemic antibacterial agents administered within 30 days before and 30 days after surgery. The investigators will exclude doses given as standard preoperative prophylaxis and antimicrobial agents that are not used for urinary tract infections.

Time frame
up to 48 months
2

Budget Impact Analysis

Time spent by sites will be converted into cost by multiplying the hourly wage rate plus benefits for each type of healthcare professional involved in the intervention

Time frame
up to 48 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

VA Office of Research and Development

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: