De-Implementation of Inappropriate Antimicrobial Use After Cardiac Device Procedures
NCT05020418 · Status: ENROLLING_BY_INVITATION · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100000
Last updated 2023-04-26
Summary
This project will use automated audit and feedback to improve compliance with antimicrobial prophylaxis guidelines for CIED procedures that we anticipate will translate into better outcomes for our patients. A multi-faceted implementation bundle to promote de-implementation of guideline discordant care will be tested at three intervention sites. Materials and tools will then be disseminated throughout the VA healthcare system if the intervention is found to be effective.
Conditions
- Antibiotics Causing Adverse Effects in Therapeutic Use
Interventions
- OTHER
-
Chart Review
Intervention sites will receive a multi-faceted implementation intervention, which will include external and internal blended facilitation, education materials for providers and patients, and audit and feedback about practices and outcomes with benchmarking to non-intervention sites.
Sponsors & Collaborators
-
VA Boston Healthcare System
lead FED
Principal Investigators
-
Westyn Branch-Elliman, MD · VA Boston Healthcare System
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-03-01
- Primary Completion
- 2025-10-01
- Completion
- 2025-12-31
Countries
- United States
Study Locations
More Related Trials
-
Mobile-health Approach to Gather Clinical Information From Patients Following Hospital Discharge
NCT04709939 ·Status: COMPLETED
-
Anticoagulation Adherence Measurement Strategies
NCT07129395 ·Status: ACTIVE_NOT_RECRUITING
-
Deprescribing Intervention Among Nursing Home Residents With Major Neurocognitive Disorders
NCT05155748 ·Status: COMPLETED ·Phase: NA
-
Improving Safety by Basic Computerizing Outpatient Prescribing
NCT01091038 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Engaging Patients to Promote Deprescribing
NCT04294901 ·Status: COMPLETED ·Phase: NA
-
Deprescribing in a Long Term Care Facility
NCT03091153 ·Status: COMPLETED ·Phase: NA
-
OptiMEDs Pilot Study
NCT04142645 ·Status: COMPLETED ·Phase: NA
-
Pilot Study to Improve Medication Management in Older Adults
NCT04709640 ·Status: COMPLETED ·Phase: NA
-
Randomised, Controlled Trial of an Individual Deprescribing Intervention for Nursing Homes Residents
NCT03655405 ·Status: COMPLETED ·Phase: NA
-
Medicines Gaps Study
NCT05332158 ·Status: UNKNOWN ·Phase: NA
-
Impact of the Systematic Use of the Criteria STOPP/START in Short Stay Geriatric.
NCT03393299 ·Status: COMPLETED ·Phase: NA
-
Electronic Medication Adherence Reporting and Feedback During Care Transitions
NCT03475030 ·Status: COMPLETED ·Phase: NA
-
A Community Pharmacist-led Intervention to Improve Adherence to Lipid-lowering Treatment
NCT00493337 ·Status: COMPLETED ·Phase: NA
-
Obstacles to Deprescribing Among French Patients Over 75 Years of Age Treated in the Geriatric Hospital Network
NCT05327634 ·Status: COMPLETED
-
A Comparative Study of ID Fellow-based VS. Pharmacist-based Antibiotic Pre-authorization
NCT01797133 ·Status: COMPLETED ·Phase: NA
-
Antibiotic Regimens Tailored by Clinical Pharmacist Suppored by Intensivist Enhanced Rational Use of Antibiotics
NCT04931914 ·Status: COMPLETED
-
A Trial to De-prescribe Inappropriate Medications in the Community Dwelling Elderly
NCT02053194 ·Status: COMPLETED ·Phase: PHASE4
-
Clinical Decision Support for Medication Management and Adherence
NCT00979225 ·Status: COMPLETED ·Phase: NA
-
SystemCHANGE™ Intervention on Medication Adherence in Older Adults With Heart Failure
NCT03162848 ·Status: COMPLETED ·Phase: NA
-
Medication Histories Conducted by Nurses (RNs), Pharmacy Techs (CPhTs) & Pharmacists (RPhs)
NCT01065675 ·Status: TERMINATED ·Phase: NA
-
Clinical Pharmacist-led Inpatient Anticoagulation Stewardship Program
NCT03812848 ·Status: COMPLETED ·Phase: NA
-
Smartphone App-assisted Short-term Antibiotic Therapy
NCT06126900 ·Status: COMPLETED ·Phase: NA
-
Community Pharmacist Intervention to Enhance Adherence in Cardiovascular Drug Initiators
NCT06142838 ·Status: RECRUITING ·Phase: NA
-
Daily Delivery and Supervision of Psychotropic Medication for High-Risk Patients With Severe/Persistent Mental Illness
NCT03766503 ·Status: COMPLETED ·Phase: NA
-
Expanding the Role of Pharmacists in Treating Persons With Cardiovascular or Lung Diseases
NCT00513903 ·Status: COMPLETED ·Phase: PHASE3