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Antibiotic Stewardship

Smart Antibiotic Use Prompt for Pneumonia

N/A
Waitlist Available
Led By Richard Platt, MD, MS
Research Sponsored by Harvard Pilgrim Health Care
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 15 month intervention
Awards & highlights

Study Summary

This trial is testing whether a computerized system that provides doctors with information on the probability that a patient has a resistant infection will help reduce the use of antibiotics.

Who is the study for?
The INSPIRE-ASP PNA Trial is for HCA hospitals using MEDITECH electronic health records, admitting non-critically ill adults with pneumonia. It's not about individual patients but the facilities themselves.Check my eligibility
What is being tested?
This trial tests routine care against a smart system that tells doctors the chance of a pneumonia patient having a resistant infection. Hospitals are randomly chosen to use either standard methods or this new computer prompt.See study design
What are the potential side effects?
Since this trial involves hospital procedures rather than direct patient treatments, there aren't traditional side effects like you'd see with medications.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~15 month intervention
This trial's timeline: 3 weeks for screening, Varies for treatment, and 15 month intervention for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Extended-Spectrum Days Of Antibacterial Therapy (ES-DOT) per Empiric Day
Secondary outcome measures
Antipseudomonal Antibiotic Days Of Therapy (ES-DOT) per Empiric Day
Vancomycin Days of Antibacterial Therapy per Empiric Day
Other outcome measures
Antibacterial Escalations [Safety Outcome 1]
Empiric and Total Antibacterial Costs
Extended-Spectrum Days of Therapy with Inpatient Extended-Spectrum (ES) Antibacterial Treatment after Empiric Period
+5 more

Trial Design

2Treatment groups
Active Control
Group I: INSPIRE CPOE Smart PromptActive Control1 Intervention
Use of a computerized physician order entry (CPOE) smart prompt alert to guide empiric choice of antibiotics for PNA in non-ICU patients in the first 3 days of hospitalization.
Group II: Routine CareActive Control1 Intervention
Continued routine antibiotic stewardship strategies.

Find a Location

Who is running the clinical trial?

Harvard Pilgrim Health CareLead Sponsor
55 Previous Clinical Trials
27,790,919 Total Patients Enrolled
1 Trials studying Pneumonia
3,342 Patients Enrolled for Pneumonia
Hospital Corporation of America Healthcare (HCA)UNKNOWN
1 Previous Clinical Trials
59 Total Patients Enrolled
Centers for Disease Control and PreventionFED
875 Previous Clinical Trials
22,477,343 Total Patients Enrolled
14 Trials studying Pneumonia
15,509 Patients Enrolled for Pneumonia

Media Library

INSPIRE CPOE Smart Prompt (Antibiotic Stewardship) Clinical Trial Eligibility Overview. Trial Name: NCT03697070 — N/A
Pneumonia Research Study Groups: INSPIRE CPOE Smart Prompt, Routine Care
Pneumonia Clinical Trial 2023: INSPIRE CPOE Smart Prompt Highlights & Side Effects. Trial Name: NCT03697070 — N/A
INSPIRE CPOE Smart Prompt (Antibiotic Stewardship) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03697070 — N/A

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there still opportunities for participants in this exploration?

"According to online clinicaltrials.gov records, this medical study is no longer actively seeking candidates; it was initially posted on October 1st 2018 and last edited on June 16th 2022. Nevertheless, there are currently 170 other studies that require patient recruitment."

Answered by AI

How widely has this research been conducted?

"Patients can be recruited from Conroe Regional Medical Center in Conroe, Fairview Park in Dublin, Redmond Regional Medical Center in Rome, as well as an additional 59 sites."

Answered by AI

Who else is applying?

What state do they live in?
Texas
What portion of applicants met pre-screening criteria?
Did not meet criteria
What site did they apply to?
West Houston Medical Center
How many prior treatments have patients received?
0

Why did patients apply to this trial?

Recent research and studies
clinicaltrials.govStudy
The INSPIRE-ASP PNA Trial
Richard Platt 2018. "The INSPIRE-ASP PNA Trial". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT03697070.
All > Idaho
~2 spots leftby Jun 2024
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