Ignite Creation Date:
2024-10-26 @ 3:35 PM
Last Modification Date:
2024-10-26 @ 3:35 PM
Study NCT ID:
NCT06512805
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-06-27
Brief Title:
Implementation Study of Intra-hospital Transfer of Pediatric Inpatients
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Implementation Study of Intra-hospital Transfer of Pediatric Inpatients Based on the EPIS Model
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study implemented the Clinical Practice Guidelines for In-hospital Transfer of Pediatric Inpatients 2023 edition released by the research team in June 2023 in real clinical settings It employed an effectiveness-implementation hybrid research design to evaluate the process and effects of the guidelines in clinical practice The research objectives include the following aspects
Identifying barriers to the implementation of the guidelines in clinical practice
Constructing implementation strategies to facilitate the application of the guidelines based on identified barriers
Evaluating the impact of implementation strategies on clinical healthcare personnel and the clinical environment
Assessing the effect of in-hospital transfer of pediatric inpatients based on the guidelines on reducing adverse events related to in-hospital transfers and other clinical outcomes
Participants will
In the control group healthcare personnel conduct transfers according to the routine management and working mode of the emergency department and pediatric intensive care unit PICU
In the intervention group nurses receive implementation strategies developed during the preparation phase These strategies are aimed at modifying the behavior of healthcare personnel through implementation thereby conducting in-hospital transfers for pediatric patients based on the guidelines
Identifying barriers to the implementation of the guidelines in clinical practice
Constructing implementation strategies to facilitate the application of the guidelines based on identified barriers
Evaluating the impact of implementation strategies on clinical healthcare personnel and the clinical environment
Assessing the effect of in-hospital transfer of pediatric inpatients based on the guidelines on reducing adverse events related to in-hospital transfers and other clinical outcomes
Participants will
In the control group healthcare personnel conduct transfers according to the routine management and working mode of the emergency department and pediatric intensive care unit PICU
In the intervention group nurses receive implementation strategies developed during the preparation phase These strategies are aimed at modifying the behavior of healthcare personnel through implementation thereby conducting in-hospital transfers for pediatric patients based on the guidelines
Detailed Description:
The demand for in-hospital transfers is high and their occurrence rate is frequent making them an unavoidable routine in hospital settings due to emergency patients postoperative patients and those highly dependent on specialized medical equipment Research statistics indicate that out of 371 patients admitted to the neonatal ward there were 1402 transfers while 506 emergency department patients accounted for 2715 in-hospital transfers Additionally 435 of patients in the intensive care unit required repeated transfers with 45 of them needing two or more transfers According to a systematic review by Haydar et al adverse event rates during in-hospital pediatric transfers ranged from 011 to 75 with the most common events being hypoxemia 13-21 hypotension 33-375 chest compressions 75 dislodgementaccidental removal of catheters 38 and interruption of vasopressor infusions 5 Therefore ensuring the safety of in-hospital transfers for pediatric patients is a crucial aspect of healthcare workers responsibilities Standardizing the in-hospital transfer process to minimize adverse events is vital for the well-being of pediatric patients
Thus this study focuses on in-hospital transfers of pediatric patients aiming to identify current clinical issues and implement strategies based on the Clinical Practice Guidelines for In-hospital Transfer of Pediatric Inpatients 2023 edition Conducted at the Childrens Hospital affiliated with Fudan University the research aims to develop implementation strategies and evaluate the impact of evidence and implementation strategies on pediatric inpatients the evidence-based practice behavior of clinical healthcare personnel and changes in the hospital organizational environment The goal is to alter current clinical practices standardize the in-hospital transfer process for pediatric patients and further reduce adverse events associated with in-hospital transfers
Thus this study focuses on in-hospital transfers of pediatric patients aiming to identify current clinical issues and implement strategies based on the Clinical Practice Guidelines for In-hospital Transfer of Pediatric Inpatients 2023 edition Conducted at the Childrens Hospital affiliated with Fudan University the research aims to develop implementation strategies and evaluate the impact of evidence and implementation strategies on pediatric inpatients the evidence-based practice behavior of clinical healthcare personnel and changes in the hospital organizational environment The goal is to alter current clinical practices standardize the in-hospital transfer process for pediatric patients and further reduce adverse events associated with in-hospital transfers
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None