Optimizing the Management of Staphylococcus Aureus Bacteremia (OPTIMUS-SAB): A Stepped Wedge Clinical Trial Evaluating the Effectiveness of a Centralized S. Aureus Management Model

Status: Recruiting
Location: See all (101) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Staphylococcus aureus bacteremia (SAB) is associated with high morbidity and mortality rates with an incidence disproportionately higher in vulnerable populations. Management according to evidence-based care parameters, in particular Infectious Diseases (ID) consultation, is associated with improved mortality. SAB management is suboptimal in Alberta compared to other jurisdictions. An Alberta-based pilot study confirmed that timely recommendations to optimize SAB care, including ID consultation, was associated with improved adherence to all evidence-based quality-of-care indicators. Leveraging this pilot work, the investigators aim to implement OPTIMUS-SAB, an enhanced model of the pilot, to optimize and standardize SAB management across Alberta. The implementation study will be a zone-based acute care site stepped wedge design. OPTIMUS-SAB will consist of a centralized SAB care team whom will receive automated notification of all blood cultures positive for S. aureus allowing them to review the patient's medical chart and make preliminary management recommendations according to an evidence-based care bundle. The investigators will evaluate adherence to evidence-based SAB quality-of-care indicators before and after OPTIMUS-SAB implementation and expect this to improve with a resultant reduction in duration of bacteremia, length of stay, readmission rates, and mortality. In turn, this will translate into cost savings for the health care system.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Age greater than 18 years at the time of hospital admission

• Confirmed S. aureus bacteremia by blood culture performed at a laboratory in Alberta, Canada

• Admitted to a designated acute care site in Alberta, Canada

Locations
Other Locations
Canada
Athabasca Healthcare Centre
RECRUITING
Athabasca
Mineral Springs Hospital
RECRUITING
Banff
Barrhead Healthcare Centre
RECRUITING
Barrhead
Bassano Health Centre
RECRUITING
Bassano
Beaverlodge Municipal Hospital
RECRUITING
Beaverlodge
Oilfields General Hospital
RECRUITING
Black Diamond
Bonnyville Healthcare Centre
RECRUITING
Bonnyville
Bow Island Health Centre
RECRUITING
Bow Island
Boyle Healthcare Centre
RECRUITING
Boyle
Brooks Health Centre
RECRUITING
Brooks
Arthur J.E. Child Comprehensive Cancer Centre
RECRUITING
Calgary
Foothills Medical Centre
RECRUITING
Calgary
Peter Lougheed Centre
RECRUITING
Calgary
South Health Campus
RECRUITING
Calgary
Tom Baker Cancer Centre
RECRUITING
Calgary
St. Mary's Hospital
RECRUITING
Camrose
Canmore General Hospital
RECRUITING
Canmore
Cardston Health Centre
RECRUITING
Cardston
Our Lady of the Rosary Hospital
RECRUITING
Castor
Claresholm General Hospital
RECRUITING
Claresholm
Coaldale Health Centre
RECRUITING
Coaldale
Cold Lake Healthcare Centre
RECRUITING
Cold Lake
Consort Hospital and Care Centre
RECRUITING
Consort
Coronation Hospital and Care Centre
RECRUITING
Coronation
Crowsnest Pass Health Centre
RECRUITING
Crowsnest Pass
Daysland Health Centre
RECRUITING
Daysland
Devon General Hospital
RECRUITING
Devon
Didsbury District Health Services
RECRUITING
Didsbury
Drayton Valley Hospital and Care Centre
RECRUITING
Drayton Valley
Drumheller Health Centre
RECRUITING
Drumheller
Cross Cancer Institute
RECRUITING
Edmonton
Glenrose Rehabilitation Hospital
RECRUITING
Edmonton
Grey Nuns Community Hospital
RECRUITING
Edmonton
Misericordia Community Hospital
RECRUITING
Edmonton
Royal Alexandra Hospital
NOT_YET_RECRUITING
Edmonton
University of Alberta Hospital
RECRUITING
Edmonton
Edson Healthcare Centre
RECRUITING
Edson
Elk Point Healthcare Centre
RECRUITING
Elk Point
Fairview Health Complex
RECRUITING
Fairview
Northern Lights Regional Health Centre
RECRUITING
Fort Mcmurray
St. Theresa General Hospital
RECRUITING
Fort Vermilion
Fox Creek Healthcare Centre
RECRUITING
Fox Creek
Fort Saskatchewan Community Hospital
RECRUITING
Ft Saskatchewan
Grande Cache Community Health Complex
RECRUITING
Grande Cache
Grande Prairie Regional Hospital
RECRUITING
Grande Prairie
Grimshaw / Berwyn and District Community Health Centre
RECRUITING
Grimshaw
Hanna Health Centre
RECRUITING
Hanna
Hardisty Health Centre
RECRUITING
Hardisty
Northwest Health Centre
RECRUITING
High Level
High Prairie Health Complex
RECRUITING
High Prairie
High River General Hospital
RECRUITING
High River
Hinton Healthcare Centre
RECRUITING
Hinton
Innisfail Health Centre
RECRUITING
Innisfail
Seton - Jasper Healthcare Centre
RECRUITING
Jasper
Killam Health Centre
RECRUITING
Killam
William J Cadzow - Lac La Biche Health Care Centre
RECRUITING
Lac La Biche
Lacombe Hospital
RECRUITING
Lacombe
Lamont Health Centre
RECRUITING
Lamont
Leduc Community Hospital
RECRUITING
Leduc
Chinook Regional Hospital
RECRUITING
Lethbridge
Lloydminster Hospital
RECRUITING
Lloydminster
Manning Community Health Centre
RECRUITING
Manning
Mayerthorpe Healthcare Centre
RECRUITING
Mayerthorpe
Sacred Heart Community Healt
RECRUITING
Mclennan
Medicine Hat Regional Hospital
RECRUITING
Medicine Hat
Olds Hospital and Care Centre
RECRUITING
Olds
Big Country Hospital
RECRUITING
Oyen
Peace River Community Health Centre
RECRUITING
Peace River
Pincher Creek Health Centre
RECRUITING
Pincher Creek
Ponoka Hospital
RECRUITING
Ponoka
Provost Health Centre
RECRUITING
Provost
Raymond Health Centre
RECRUITING
Raymond
Red Deer Regional Hospital Centre
RECRUITING
Red Deer
Redwater Health Centre
RECRUITING
Redwater
Rimbey Hospital
RECRUITING
Rimbey
Rocky Mountain House Health Centre
RECRUITING
Rocky Mountain House
Rockyview General Hospital
RECRUITING
Rockyview
Slave Lake Healthcare Centre
RECRUITING
Slave Lake
George McDougall - Smoky Lake Healthcare Centre
RECRUITING
Smoky Lake
Central Peace Health Complex
RECRUITING
Spirit River
Sturgeon Community Hospital
RECRUITING
St. Albert
St. Therese - St. Paul Healthcare Centre
RECRUITING
St. Paul
Stettler Hospital
RECRUITING
Stettler
Strathmore District Health Services
RECRUITING
Strathmore
Myron Thompson Health Centre
RECRUITING
Sundre
Swan Hills Healthcare Centre
RECRUITING
Swan Hills
Taber Health Centre
RECRUITING
Taber
Three Hills Health Centre
RECRUITING
Three Hills
Tofield Health Centre
RECRUITING
Tofield
Two Hills Health Centre
RECRUITING
Two Hills
Valleyview Health Centre
RECRUITING
Valleyview
St. Joseph's General Hospital
RECRUITING
Vegreville
Vermilion Health Centre
RECRUITING
Vermilion
Viking Health Centre
RECRUITING
Viking
Vulcan Community Health Centre
RECRUITING
Vulcan
Wabasca/Desmarais Healthcare Centre
RECRUITING
Wabasca
Wainwright Health Centre
RECRUITING
Wainwright
Westlock Healthcare Centre
RECRUITING
Westlock
Westview Health Centre
RECRUITING
Westview Village
Wetaskiwin Hospital
RECRUITING
Wetaskiwin
Whitecourt Healthcare Centre
RECRUITING
Whitecourt
Contact Information
Primary
Justin Chen, MD
jzchen@ualberta.ca
780-492-5936
Backup
Holly Hoang, MD
hlhoang@ualberta.ca
780-492-5936
Time Frame
Start Date: 2024-05-01
Estimated Completion Date: 2026-04-30
Participants
Target number of participants: 1800
Treatments
Experimental: OPTIMUS-SAB care pathway
Province-wide real time automated notifications of new SAB cases will be established and delivered to a centralized SAB care team electronically through Connect Care. The centralized SAB care team consists of a SAB clinical coordinator, ID specialists and other ad hoc representation depending on patient needs. Following patient chart review, the centralized SAB care team contacts the most responsible physician (MRP) to provide preliminary recommendations to optimize care, both verbally and in written format, facilitated by Connect Care (Alberta Health Services electronic medical record).
No_intervention: Standard of care
Related Therapeutic Areas
Sponsors
Collaborators: Alberta Health services
Leads: University of Alberta

This content was sourced from clinicaltrials.gov