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The Impact of Just-in-time Information on Neonatal Intensive Care Unit (NICU) Discharges

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ClinicalTrials.gov Identifier: NCT01091688
Recruitment Status : Completed
First Posted : March 24, 2010
Last Update Posted : July 27, 2015
Information provided by (Responsible Party):

Study Description
Brief Summary:
We, the investigators, will provide "Just-in-Time" information, physician educational material, to primary care pediatricians of Neonatal Intensive Care Unit (NICU) graduates at the time of NICU discharge. We will follow the rate of adverse events (deaths, re-hospitalizations, emergency room visits, and missed appointments) for 6 months after NICU discharge. We will assess levels of physician comfort in caring for NICU specific diseases, as well as physician satisfaction with the discharge process. We hypothesize that the provision of "Just-in-Time" information will decrease the rate of adverse events, and make physicians more comfortable in caring for complicated NICU graduates, and more satisfied with the discharge process.

Condition or disease Intervention/treatment
Patient Discharge Behavioral: Just-in-Time information

Detailed Description:
The purpose of this protocol is to evaluate the impact of providing "Just-in-Time" information, or physician educational material at the time of discharge, to primary care pediatricians caring for Neonatal Intensive Care Unit (NICU) graduates. The material provided will be tailored to the needs of each infant. The educational material will be sent to the physicians via email and facsimile on the day of discharge, and a hard copy will be sent with the parents to bring to their first clinic appointment. Outcomes, including emergency room visits, hospital readmissions, deaths, missed appointments, and improvements in care in the areas of intervention will be assessed. Levels of physician comfort in caring for various disorders specific to NICU graduates will be assessed, and satisfaction with the discharge process will also be evaluated pre- and post- intervention.

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 229 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: The Impact of "Just-in-time" Information on NICU Discharges
Study Start Date : March 2010
Primary Completion Date : June 2011
Study Completion Date : June 2011
Arms and Interventions

Arm Intervention/treatment
Experimental: Just-in-Time intervention
The infants and physicians in the experimental group will receive the "Just-in-Time" intervention sheets at the time of discharge.
Behavioral: Just-in-Time information
Infants and physicians assigned to the intervention group will receive Just-in-Time information at the time of NICU discharge, by email and facsimile, and the parents will receive a copy to bring to their first clinic appointment.
No Intervention: Routine discharge care
The infants and physicians in the routine discharge care arm will receive the same information and details as is per normal routine in the nursery.

Outcome Measures

Primary Outcome Measures :
  1. Adverse events [ Time Frame: 6 months from hospital discharge ]
    The rates of death, rehospitalization, emergency room visits, and missed appointments will be calculated for infants in the first 6 months after discharge from the NICU.

Secondary Outcome Measures :
  1. Physician comfort levels [ Time Frame: 1 year ]
    Physicians will complete pre- and post- intervention surveys that consist of 5-point Likert scales that measure comfort levels with various disorders specific to former premature infants.

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Pediatric care providers will be identified when they accept into their practices babies who are part of a related study of an enhanced discharge process in the Texas Children's Hospital (TCH) NICU (ClinicalTrials.gov Identifier: NCT01088945)
  • Participating providers must be part of Texas Children's Pediatrics Associates (TCPA), or accept Texas Children's Health Plan (TCHP) insurance.

Exclusion Criteria:

  • Providers who are not part of Texas Children's Pediatrics Associates (TCPA), or do not accept Texas Children's Health Plan (TCHP) insurance.
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01091688

United States, Texas
Newborn Center, Texas Children's Hospital
Houston, Texas, United States, 77030
Sponsors and Collaborators
Virginia Moyer
Agency for Healthcare Research and Quality (AHRQ)
Principal Investigator: Virginia A Moyer, MD, MPH Baylor College of Medicine
More Information

Responsible Party: Virginia Moyer, Professor of Pediatrics (Adjunct), Baylor College of Medicine
ClinicalTrials.gov Identifier: NCT01091688     History of Changes
Other Study ID Numbers: H-25701
First Posted: March 24, 2010    Key Record Dates
Last Update Posted: July 27, 2015
Last Verified: July 2015

Keywords provided by Virginia Moyer, Baylor College of Medicine:
discharge planning
health transition
educational needs assessment
Intensive care, neonatal