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 volunteersQualifiers
None
Disqualifiers
None
Trial design
Crossover
Treatments tested in this trial
Smart Checklist
Other interventionThe 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
Trial outcomes
Primary outcomes
Adverse Airway Outcomes
A composite outcome for adverse events or acute oxygen desaturation \<80%
Secondary outcomes
Duration of invasive mechanical ventilation
Duration of invasive mechanical ventilation (time to extubation or tracheostomy)
Duration of ICU stay
Duration of ICU stay (days)
ICU mortality
ICU mortality (all cause)
Sponsors and contacts
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Children's Hospital of Philadelphia
Lead sponsor
Agency for Healthcare Research and Quality (AHRQ)
Collaborator