32,357
Participants
Start Date
December 1, 2021
Primary Completion Date
December 31, 2025
Study Completion Date
August 31, 2026
Educational Outreach
Educational outreach includes staff-targeted educational materials and outreach sessions summarizing the current evidence and guideline recommendations for pulse oximetry use in bronchiolitis.
Audit & Feedback (unit level)
Weekly unit-level feedback of each hospital's guideline-concordant practice will be distributed to sites in the form of a visual dashboard that includes comparisons over time and between hospitals. The dashboard will then be shared locally on a weekly basis with clinicians in person and electronically.
Audit & Feedback (real time, individual-level)
Real-time feedback will occur at the individual clinician level. When collecting data on an individual patient, data collectors encountering guideline-discordant continuous monitoring are empowered to briefly ask any available clinician responsible for that patient's care, in a nonjudgmental way, about indications for monitoring that patient. The clinician is ultimately responsible for deciding if any changes are indicated.
Clinical Pathway Integrated into Electronic Health Record
Clinical pathways guide clinicians step-by-step through evidence-based care. Based on the existing guidelines for physiologic monitoring in bronchiolitis, the pathway will clearly specify (a) situations when it is appropriate to initiate intermittent SpO2 measurement instead of continuous SpO2 monitoring, and (b) when it is appropriate to discontinue continuous SpO2 monitoring altogether, and transition to intermittent SpO2 measurement. In order to be visible to clinicians as they perform patient care, the pathway will be integrated into the electronic health record at sites randomized to this intervention.
RECRUITING
NYP-Morgan Stanley Children's Hospital, New York
TERMINATED
Komansky Children's Hospital/New York Presbyterian Medical Center /Weill Cornell Medicine, New York
TERMINATED
Children's Hospital at Montefiore, The Bronx
RECRUITING
Cohen Children's Medical Center, New Hyde Park
RECRUITING
Albany Medical Center, Albany
RECRUITING
Upstate Golisano Children's Hospital, Syracuse
RECRUITING
University of Rochester Golisano Children's Hospital, Rochester
TERMINATED
Children's Hospital of Pittsburgh of UPMC, Pittsburgh
WITHDRAWN
Penn State Hershey Children's Hospital, Hershey
TERMINATED
CHOP Grand View Hospital, Sellersville
RECRUITING
Children's Hospital of Philadelphia, Philadelphia
RECRUITING
University of Pennsylvania, Philadelphia
RECRUITING
CHOP King of Prussia Hospital, King of Prussia
WITHDRAWN
Reading Hospital, Tower Health, Reading
RECRUITING
Children's National Medical Center, Washington D.C.
RECRUITING
Inova Children's Hospital, Falls Church
RECRUITING
Children's Hospital of Richmond at VCU, Richmond
RECRUITING
Children's Hospital of The King's Daughters, Norfolk
TERMINATED
Hoops Family Children's Hospital at Marshall University, Huntington
TERMINATED
Children's of Alabama, Birmingham
RECRUITING
Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville
RECRUITING
Nationwide Children's Hospital, Columbus
RECRUITING
Akron Children's Hospital, Akron
RECRUITING
Cincinnati Children's Hospital Medical Center, Cincinnati
RECRUITING
Riley Hospital for Children at IU Health, Indianapolis
TERMINATED
CS Mott Children's Hospital, Ann Arbor
RECRUITING
Children's Wisconsin, Milwaukee
RECRUITING
Children's Minnesota, Minneapolis
RECRUITING
Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago
ACTIVE_NOT_RECRUITING
Northwestern University, Chicago
RECRUITING
Children's Mercy Kansas City, Kansas City
RECRUITING
Children's Hospital at Oklahoma University Medical Center, Oklahoma City
RECRUITING
Children's Medical Center Dallas, Dallas
RECRUITING
Children's Memorial Hermann, Houston
RECRUITING
Texas Children's Hospital, Houston
RECRUITING
Texas Children's Hospital West Campus, Houston
RECRUITING
Texas Children's Hospital The Woodlands, The Woodlands
RECRUITING
Children's Hospital Colorado, Aurora
WITHDRAWN
Riverton Hospital, Riverton
TERMINATED
Primary Children's Hospital, Salt Lake City
WITHDRAWN
Utah Valley Hospital, Provo
RECRUITING
Banner University Medical Center- Diamond Children's, Tucson
RECRUITING
Children's Hospital Los Angeles, Los Angeles
RECRUITING
Rady Children's Hospital/UCSD, Encinitas
RECRUITING
Children's Hospital Orange County, Orange
RECRUITING
Valley Children's Hospital, Madera
RECRUITING
Lucile Packard Children's Hospital Stanford, Stanford
RECRUITING
University of California Davis, Davis
RECRUITING
Seattle Children's Hospital, Seattle
WITHDRAWN
Connecticut Children's Medical Center, Hartford
TERMINATED
Yale-New Haven Children's Hospital, New Haven
RECRUITING
Tufts Medical Center, Boston
RECRUITING
Boston Children's Hospital, Boston
RECRUITING
Children's Hospital at Dartmouth-Hitchcock, Lebanon
TERMINATED
CHOP Pediatric Care at Penn Medicine/Princeton Health, Princeton
RECRUITING
CHOP Care Network at Virtua, Voorhees Township
RECRUITING
University of Vermont Children's Hospital, Burlington
RECRUITING
Alberta Children's Hospital, Calgary
National Heart, Lung, and Blood Institute (NHLBI)
NIH
University of Pennsylvania
OTHER
Boston Children's Hospital
OTHER
Children's Hospital Medical Center, Cincinnati
OTHER
Pediatric Research in Inpatient Settings (PRIS) Network
UNKNOWN
Children's Hospital of Philadelphia
OTHER