CompletedNot Applicable

Deimplementing CXR After CVC (DRAUP) in the ICU

United States101 participantsStarted 2024-01-01

Plain-language summary

This study proposes adapting and testing an innovative, behavioral theory-driven deimplementation program called DRAUP in two intensive care units for proof of concept and support that the program can help providers and hospital organizations address context determinants of deimplementation. Study data will be used to optimize the intervention for a subsequent larger trials.

Who can participate

Age range

18 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

-Measure the effectiveness and cost effectiveness of DRAUP on discontinuation of CXRs Inclusion Criteria for DRAUP training: (1) ICU faculty, fellows, senior residents (post graduate year 3) and advanced practice practitioners * ICU inclusion for DRAUP program: * Availability of ultrasound machines with archiving capability (DICOM) * A minimum of 100 supradiaphragmatic CVC insertions annually in adult patients (age \>18) * Capacity to access digital archiving (PICOM) * Patient inclusion for DRAUP program: * supradiaphragmatic CVC placed * Patient exclusion for DRAUP program: * severe instability (cardiac arrest, severe shock) where CVC would be used without CXR, * level 1 trauma; * burn patients with no viable skin surface for imaging

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

DRAUP in

Timeframe: 24 months

Trial details

NCT IDNCT06146348

SponsorWashington University School of Medicine

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-12-31

View on ClinicalTrials.gov More Implementation Science trials