Orange Park Out-of-Hospital Quality Improvement Study for Improving CMS Sepsis Core Measures
NCT05961137 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 66
Last updated 2023-07-27
Summary
The goal of this quality improvement study is to measure the impact of incorporation of a manual rapid fluid infuser (RFI) for intravenous crystalloid infusion in patients with suspected sepsis in the prehospital interval.
The main question\[s\] it aims to answer are:
* Does the intervention affect the timeliness of fluid administration?
* Does the intervention affect CMS sepsis bundle care measure compliance?
* Does the intervention affect processes and outcomes of care?
* Are there any adverse effects?
Researchers will compare this intervention to use of more conventional gravity or pressure-infusion bag crystalloid infusion.
Conditions
- Sepsis
- Emergency Medical Services
- Quality Improvement
- Shock, Septic
- Fluid Therapy
Interventions
- OTHER
-
Incorporation of Rapid Fluid Infusion Device in Prehospital Suspected Sepsis Protocol
Modified protocol specifying intravenous crystalloid infusion Rapid Fluid Infusion Device. The protocol states that for patients meeting the sepsis alert criterion, EMS will provide basic medical care, oxygen, a 12-lead electrocardiogram, attempt placement of an IV catheter and initiate administration of 30mL/kg of fluids.
- OTHER
-
Conventional Prehospital Suspected Sepsis Protocol
Conventional protocol employing intravenous crystalloid infusion via gravity or pressurized-bag. The protocol states that for patients meeting the sepsis alert criterion, EMS will provide basic medical care, oxygen, a 12-lead electrocardiogram, attempt placement of an IV catheter and initiate administration of 30mL/kg of fluids.
Sponsors & Collaborators
-
410 Medical
collaborator INDUSTRY -
Orange Park Medical Center
lead OTHER
Principal Investigators
-
Martin P Wegman, MD, PhD · Orange Park Medical Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-04-01
- Primary Completion
- 2021-12-31
- Completion
- 2022-08-31
Countries
- United States
Study Locations
More Related Trials
-
Resuscitation Strategies in Septic Shock
NCT02150512 ·Status: UNKNOWN ·Phase: NA
-
Non-invasive Measurement of CO in Patients With Uncomplicated Sepsis
NCT03728998 ·Status: COMPLETED ·Phase: NA
-
Meropenem and Ciprofloxacin Dosing in Septic Shock
NCT02240277 ·Status: UNKNOWN
-
Protocol-driven Hemodynamic Support for Patients With Septic Shock
NCT00335907 ·Status: UNKNOWN ·Phase: NA
-
A Study of Meropenem Standard 30 Minute Infusion Versus Prolonged 3 Hour Infusion in Intensive Care Unit (ICU) Patients
NCT00891423 ·Status: COMPLETED ·Phase: NA
-
Mitochondrial Function in Septic Patients
NCT03748537 ·Status: COMPLETED ·Phase: NA
-
Assessment for Implementation Methods in Sepsis
NCT05491941 ·Status: RECRUITING ·Phase: NA
-
Preemptive Resuscitation for Eradication of Septic Shock
NCT01449721 ·Status: COMPLETED ·Phase: NA
-
Efficacy Study of CytoSorb Hemoperfusion Device on IL-6 Removal in ARDS/ALI Patients With Sepsis
NCT00559130 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of Continuous Versus Intermittent Linezolid Infusion in Critically Ill Patients With Septic Shock
NCT05813951 ·Status: UNKNOWN ·Phase: NA
-
Blood Purification for the Treatment of Pathogen Associated Shock
NCT05011656 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Safety and Efficacy of HA380 Hemoadsorption in Patients With Septic Shock
NCT04997421 ·Status: RECRUITING ·Phase: NA
-
Effects of Endotoxin Absorption and Cytokine Removal Hemofilter on Severe Septic Shock
NCT03974386 ·Status: COMPLETED ·Phase: NA
-
Cytokine Adsorption in Severe, Refractory Septic Shock
NCT04910893 ·Status: COMPLETED ·Phase: NA
-
Empiric Antibiotic Treatment for Septic Patients in the Intensive Care Unit
NCT05924126 ·Status: RECRUITING
-
Improving Morbidity During Post-Acute Care Transitions for Sepsis
NCT03865602 ·Status: COMPLETED ·Phase: NA
-
ObsErvational Study of the Practical Cinical UTility of the NuQ.® H3.1 Nucleosome Levels in Adult Patients With Sepsis to Facilitate Early Diagnosis and Prognostication. (EPICETUS)
NCT05922371 ·Status: UNKNOWN
-
Guided Fluid-balance Optimization With Mini-fluid chALlenge During Septic Shock
NCT03461900 ·Status: COMPLETED ·Phase: NA
-
EMS Prehospital Blood Culture Collection and Antibiotic Administration: A Two-Phase Pilot Project to Reduce Mortality in Patients With Severe Sepsis and Septic Shock
NCT04134624 ·Status: TERMINATED ·Phase: NA
-
Fluid Intolerance Signals as Safety Limits to Prevent Fluid-induced Harm During Septic Shock Resuscitation
NCT06568744 ·Status: RECRUITING ·Phase: NA
-
Fluid Management and Individualized Resuscitation in Sepsis
NCT07009665 ·Status: RECRUITING ·Phase: NA
-
Randomized Trial of Continuous Versus Intermittent Cefotaxime Infusion on ICU.
NCT02560207 ·Status: COMPLETED ·Phase: PHASE4
-
Gender-based Differences in the Outcome of the Treatment of Persistent Septic Shock With Hydrocortisone
NCT06537180 ·Status: COMPLETED
-
Prognostic Accuracy of qSOFA, SIRS, and EWSs for In-hospital Mortality in Emergency Department
NCT05172479 ·Status: COMPLETED
-
Microcirculation Properties of Albumin for Fluid Resuscitation in Septic Shock
NCT05357339 ·Status: COMPLETED ·Phase: NA