Optimizing Prevention of Healthcare-Acquired Infections After Cardiac Surgery (HAI)_2

This study is currently recruiting participants. (see Contacts and Locations)
Verified June 2014 by University of Michigan
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Dr. Donald Likosky, University of Michigan
ClinicalTrials.gov Identifier:
NCT02073760
First received: February 21, 2014
Last updated: June 20, 2014
Last verified: June 2014
  Purpose

The investigators will conduct qualitative interviews of hospital personnel regarding HAI prevention practices, and use coded data from these interviews to assist in developing standardized practices.


Condition Intervention
Cardiovascular Disease
Healthcare Associated Infectious Disease
Sternal Superficial Wound Infection
Deep Sternal Infection
Mediastinitis
Thoracotomy
Conduit Harvest or Cannulation Site
Sepsis
Pneumonia
Other: There is no intervention. The investigators are interviewing cardiac surgery staff with knowledge of infection prevention.

Study Type: Observational
Study Design: Time Perspective: Cross-Sectional
Official Title: Optimizing Prevention of Healthcare-Acquired Infections After Cardiac Surgery (HAI)_2

Resource links provided by NLM:


Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • Preventive Strategies [ Time Frame: During the time of the interview ] [ Designated as safety issue: Yes ]
    Preventive strategies currently being conducted at their institution to prevent healthcare-acquired infections.


Estimated Enrollment: 330
Study Start Date: June 2014
Estimated Primary Completion Date: March 2015 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Infection Prevention Experts
Adult caregivers of cardiac surgery patients (e.g. surgeons, nurses, infection preventionists) and administrators
Other: There is no intervention. The investigators are interviewing cardiac surgery staff with knowledge of infection prevention.
The investigators will conduct tape recorded interviews with hospital staff about infection prevention.
Other Name: Caregivers

Detailed Description:

More than 400,000 coronary artery bypass grafting (CABG) procedures are performed every year in the United States (U.S.). Patients undergoing CABG surgery are at risk for a number of adverse sequelae, many of which impact survival and contribute to overall health-care costs. Healthcare-acquired infections (HAIs), including pneumonia and superficial and deep sternal wound infections, occur among 16% of CABG patients and elevate a patient's risk of mortality and add excess upfront and long-term expenditures to the health care system.

A number of barriers prevent wide-scale improvements in HAl rates within the setting of CABG surgery. While a number of HAl prophylaxis measures have been developed, these measures do not fully encompass the set of practices that may impact a patient's risk of HAl. Identifying cardiac surgery specific risk factors would serve as the foundation for targeted quality improvement strategies. In the absence of definitive data concerning best practices, HAl prophylaxis is variable across surgeons and institutions, resulting in unnecessary morbidity and cost. Prior work has shown the value of implementing evidence-based protocols in the general intensive care unit setting. To what extent the implementation of cardiac surgery specific standardized practices results in lower HAl rates is uncertain. An understanding of the effectiveness of this approach would certainly assist surgeons and institutions in providing safer care to their patient populations.

Rates of HAIs vary from 0-26% across the 33 institutions performing CABG surgery in Michigan. This application seeks to reduce this rate by identifying and subsequently implementing standardized practices, and evaluating their impact on HAl rates. This study will be based on the prospective data and regional quality improvement activities and infrastructure of the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative (MSTCVS-QC). The investigators will evaluate the effectiveness of these standardized practices in reducing HAIs regionally and relative to national rates during the same time period.

The investigators will conduct qualitative interviews of hospital personnel regarding HAI prevention practices, and use coded data from these interviews to assist in developing standardized practices.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Clinical providers and administrators working at any of 33 institutions performing cardiac surgery in the state of Michigan

Criteria

Inclusion Criteria:

  • Clinical providers or
  • Administrators
  • Must work at any of 33 institutions performing cardiac surgery in the state of Michigan

Exclusion Criteria: Under 18 years of age

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02073760

Contacts
Contact: Astrid B Fishstrom, LMSW 734-998-7291 astridf@umich.edu

Locations
United States, Michigan
Mstcvs-Qc Recruiting
Ann Arbor, Michigan, United States, 48105
Contact: Astrid B Fishstrom, LMSW    734-998-7291    astridf@umich.edu   
Contact: Patty Theurer, RN, BSN    734-998-5918    ptheurer@med.umich.edu   
Principal Investigator: Richard Prager, MD         
Sponsors and Collaborators
University of Michigan
Investigators
Principal Investigator: Donald S Likosky, Ph.D. University of Michigan
  More Information

No publications provided

Responsible Party: Dr. Donald Likosky, Associate Professor, University of Michigan
ClinicalTrials.gov Identifier: NCT02073760     History of Changes
Other Study ID Numbers: HAI_Umich_2, 2004-0428
Study First Received: February 21, 2014
Last Updated: June 20, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by University of Michigan:
Healthcare acquired infections
Cardiac Surgery
Sternal Superficial Wound Infection
Deep Sternal Infection
Mediastinitis
Thoracotomy
Conduit harvest or cannulation site
Sepsis
Pneumonia

Additional relevant MeSH terms:
Mediastinal Diseases
Cardiovascular Diseases
Infection
Communicable Diseases
Pneumonia
Wound Infection
Mediastinitis
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Wounds and Injuries
Thoracic Diseases

ClinicalTrials.gov processed this record on September 22, 2014