Intervention with clinical decision support system
Intervention with clinical decision support system: To this phase, patient data is automated and systematically analyzed in order to derive decision support based on current evidence and make it available to Digi-POD users (patients, relatives, nursing staff, doctors, other healthcare professionals).
Study summary
The project aims to improve patient safety, reduce barriers to the implementation of current guideline recommendations, reduce workload in clinics, increase efficiency in work processes and close gaps in care. Subprojects regarding delirium are implementes as well.
Eligibility
Sex
ALL
Min age
70 Years
Max age
—
Healthy volunteers
No
Study patients:
Inclusion Criteria:
* Age ≥ 70 years
* Male and female patients
* Patients who are insured through statutory health insurance
* Patients capable of giving consent for inclusion: by the patient, preoperatively
* Patients under guardianship for inclusion: written declaration of consent by guardian
* Operation (elective)
Exclusion Criteria:
* Insufficient language skills
* Moribund patients
Study relatives
Inclusion Criteria:
* Age ≥ 18 years
* Male and female relatives
* Relatives capable of giving consent for inclusion
Exclusion Criteria:
* Insufficient language skills
* No consent for data entry
Substudy of the Charité - University Berlin:
Inclusion criteria:
\- All inpatients ≥ 18 years of age who have undergone delirium screening with a validated delirium screening instrument
Primary outcome measure(s)
Guideline adherence — Up to five days Guideline adherence: proportion of guideline recommendations fulfilled per patient in the first five postoperative days. The guideline adherence rate up to postoperative day 5 (or earlier if the patient has already been discharged) is calculated as a simple division: Number of recommendations fulfilled by number of all recommendations (N=6). A guideline adherence rate of at least 4 out of 6 points (67%) per patient is considered clinically sufficient.
Postperative delirium- free days — Up to five days Number of postoperative delirium- free days within 5 days postoperatively per patient.
Trial sites (4)
Facility
City
Region
Status
Institut für Anästhesiologie und Schmerztherapie-Herz- und Diabeteszentrum NRW- Universitätsklinik der Ruhr-Universität Bochum
Bad Oeynhausen
Bochum
Department of Anaesthesiolgy and Intensive Care Medicine CCM/CVK, Charite- University Berlin
Berlin
Germany
CARITAS Klinik Maria Heimsuchung
Berlin
Germany
Klinikum im Friedrichshain - Vivantes - Netzwerk für Gesundheit GmbH
Berlin
Germany
More Charite University, Berlin, Germany trials in Germany
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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