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Rehab MATRIX: Impact of a Nursing-Led Acuity Algorithm on Patient Safety and Healthcare Quality (Rehab MATRIX)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT02850952
Recruitment Status : Completed
First Posted : August 1, 2016
Last Update Posted : July 2, 2018
Sponsor:
Collaborators:
Memorial Hermann Texas Medical Center
Memorial Hermann Health System
Information provided by (Responsible Party):
Nneka Lotea Ifejika, The University of Texas Health Science Center, Houston

Brief Summary:
To determine whether implementation of Rehab MATRIX will improve patient safety, patient satisfaction and nursing indices.

Condition or disease Intervention/treatment Phase
Nurse's Role Nurse-Patient Relations Satisfaction Patient Fall Other: Rehab MATRIX Not Applicable

Detailed Description:
The provision of efficient and conscientious nursing care is at the forefront of health care quality. Unfortunately, a lack of objectivity in the assignment of patients to nurses can lead to inequalities of care. Such inequalities translate to poor patient outcomes and diminished patient satisfaction. Furthermore, staff attrition related to nursing fatigue increases the cost of care due to a reliance on supplemental nurses. Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 40 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Rehab MATRIX: Impact of a Nursing-Led Acuity Algorithm on Patient Safety and Healthcare Quality
Study Start Date : July 2016
Actual Primary Completion Date : January 2017
Actual Study Completion Date : January 2017

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Rehab MATRIX
Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.
Other: Rehab MATRIX
Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.




Primary Outcome Measures :
  1. Change in the number of falls per 1000 patient days (falls per 100 patient days is a standardized proportion) [ Time Frame: Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months ]

Secondary Outcome Measures :
  1. Change in Patient Satisfaction as assessed by the Press Ganey Survey [ Time Frame: Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months ]
  2. Change in Nursing Fatigue as assessed by number of unexcused nurse absences [ Time Frame: Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months ]
  3. Change in Nursing Satisfaction as assessed by a survey [ Time Frame: Two weeks prior to initiation, 6 months ]

    Two weeks prior to Rehab MATRIX initiation, a six question pre-implementation survey will be distributed via Survey Monkey to the nursing staff, evaluating nurse perceptions of the traditional nursing assignment. Questions 1 to 4 will be measured on a Likert Scale of 1 to 5; 1 - strongly disagree, 2 - disagree, 3 - neutral, 4 - agree, 5 - strongly agree.

    At the end of the six month study period, a post-implementation Rehab MATRIX survey will be distributed at each center via Survey Monkey, examining the impact of Rehab MATRIX on workload equity, fairness, the role of seniority and overall satisfaction with the nurse assignment process.




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

Inclusion Criteria:

  • Rehabilitation Nursing Staff within Six Study Centers
  • Patient hospitalized within the Rehabilitation Unit during the study period

Exclusion Criteria:

  • Other Nursing Staff
  • Patients hospitalized on non-rehabilitation units

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): NCT02850952


Locations
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United States, Texas
University of Texas Health Science Center at Houston
Houston, Texas, United States, 77030
Sponsors and Collaborators
The University of Texas Health Science Center, Houston
Memorial Hermann Texas Medical Center
Memorial Hermann Health System
Investigators
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Principal Investigator: Nneka L Ifejika, MD MPH The University of Texas Health Science Center, Houston

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Responsible Party: Nneka Lotea Ifejika, Associate Professor, The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier: NCT02850952     History of Changes
Other Study ID Numbers: HSC-MS-16-0358
First Posted: August 1, 2016    Key Record Dates
Last Update Posted: July 2, 2018
Last Verified: June 2018

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No