Smart Checklist Implementation for Pediatric Tracheal Intubations in the ICU- Multicenter Study
Children's Hospital of Philadelphia
Summary
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).
Description
More than 20% of the critically ill children who require tracheal intubation suffer from adverse events. To reduce the adverse event risk, and optimize bedside team performance investigators will implement a digitized Smart Checklist that has three specific features: (1) prompts based on patient characteristics, (2) direct display of difficult airway status and airway information, and (3) high-risk warning based on predictive analytics. This is a stepped-wedge cluster randomized trial of PICU patients who are intubated across 6 participating hospitals to determine if the Smart Checklist reduc…
Eligibility
- Age range
- Up to 19 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: All patients intubated in the PICU at participating sites Exclusion Criteria: Endotracheal tube exchanges, as this represents a distinct procedure
Interventions
- OtherSmart Checklist
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.
Locations (6)
- University of ArkansasLittle Rock, Arkansas
- Emory UniversityAtlanta, Georgia
- University of Nebraska Medical CenterOmaha, Nebraska
- Akron Children's HospitalAkron, Ohio
- Hasbro Children's HospitalProvidence, Rhode Island
- University of VirginiaCharlottesville, Virginia