Smart Checklist Implementation for Pediatric Tracheal Intubations in the ICU- Multicenter Study

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 19
SponsorChildren's Hospital of Philadelphia

About this trial

The purpose of the study is to implement a patient-provider dyad tailored, Electronic Health Record (EHR)-informed, digitized Smart Checklist as a Quality Improvement (QI) intervention to support bedside clinician teams to reduce Adverse Airway Outcomes (AAO) across 6 diverse pediatric intensive care units (ICUs).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Crossover

Treatments tested in this trial

  • Smart Checklist

    Other intervention

    The digitized Smart Checklist includes three new features that currently do not exist on a paper checklist: 1) decision support prompts based on patient-provider dyad characteristics, 2) real time display of patient pertinent airway information from the EHR, and 3) high-risk warning alerts based on predictive analytics with potential explanatory factors from the model.

Treatment groups

3,000 Participants
are divided into 2 treatment groups
Group A: Pre-Intervention PhaseNo intervention 0 interventions
Group B: Post-Intervention PhaseActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Adverse Airway Outcomes

A composite outcome for adverse events or acute oxygen desaturation \<80%

Time frame
During the intubation procedure and up to 20 minutes after procedure

Secondary outcomes

1

Duration of invasive mechanical ventilation

Duration of invasive mechanical ventilation (time to extubation or tracheostomy)

Time frame
During the ICU stay, up to 180 days
2

Duration of ICU stay

Duration of ICU stay (days)

Time frame
During the ICU stay, up to 180 days
3

ICU mortality

ICU mortality (all cause)

Time frame
During the ICU stay, up to 180 days

Other outcomes

Sponsors and contacts

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

Children's Hospital of Philadelphia

Lead sponsor

Agency for Healthcare Research and Quality (AHRQ)

Collaborator