CIED Infection Quality Initiative Demonstration Project

Summary

The aim of this Quality Initiative (QI) demonstration project is to develop a model to increase guideline-driven care for patients with cardiovascular implantable electronic devices (CIED) infection. Multidisciplinary teams will be established to carry out the multifaceted intervention. This program seeks to improve early identification and diagnosis, appropriate treatment, and faster time to treatment of CIED infection.

Conditions

• Infections

Interventions

OTHER

Multidisciplinary Team

Multidisciplinary team will be established that will define gaps in care, monitor ongoing data, identify barriers to guideline-directed care, and develop and implement multifaceted intervention to address the barriers

OTHER

Outreach Visits

An outreach visit consulting group from the coordinating center and trial leadership will provide external guidance on reviewing data, defining barriers, and implementing interventions

OTHER

Multifaceted Intervention

These interventions are not limited to targeted engagement with non-extractors, electronic health record (EHR) decision support, creation of OR block time, use of opinion leaders, and development of clinical pathways. In addition, once patients are identified and referred to extraction centers, clinical pathways are needed to provide prompt care without clinical delay

OTHER

Measurement and Feedback

The coordinating center will provide ongoing feedback related to the site's data. This will include time to diagnosis, treatment, and outcomes related to the device infection.

Sponsors & Collaborators

• Duke Clinical Research Institute

  collaborator OTHER

• Philips Healthcare

  collaborator INDUSTRY

• Duke University

  lead OTHER

Principal Investigators

• Chris Granger, MD · Duke Clinical Research Institute

• Sean Pokorney, MD · Duke Clinical Research Institute

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-05-10

Primary Completion

2027-03-31

Completion

2027-03-31

Countries

• United States

Study Locations