Deimplementing CXR After CVC (DRAUP) in the ICU

Launched by WASHINGTON UNIVERSITY SCHOOL OF MEDICINE · Nov 17, 2023

Keywords

ClinConnect Summary

The DRAUP study is looking at a new program designed to help doctors and hospitals stop using chest X-rays (CXRs) unnecessarily after placing a central venous catheter (CVC) in patients in the intensive care unit (ICU). This study aims to see if the DRAUP program can effectively change the way healthcare providers think about and use these X-rays, ultimately improving patient care and reducing costs. The researchers will gather information to refine the program for future, larger studies.

If you're an ICU doctor, advanced practice nurse, or a senior resident with experience in placing CVCs, you might be eligible to participate in the DRAUP program. Participants will receive training on how to implement this new approach. However, patients in certain critical conditions, like severe shock or trauma, will not be included in this study. Overall, the trial is focused on improving healthcare practices in the ICU, and your involvement could help shape better care for future patients.

Gender

ALL

Eligibility criteria

• • -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