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Rehab MATRIX: Impact of a Nursing-Led Acuity Algorithm on Patient Safety and Healthcare Quality

Sponsor
The University of Texas Health Science Center, Houston (Other)
Overall Status
Completed
CT.gov ID
NCT02850952
Collaborator
Memorial Hermann Texas Medical Center (Other), Memorial Hermann Health System (Other)
40
Enrollment
1
Location
1
Arm
6
Duration (Months)
6.6
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

To determine whether implementation of Rehab MATRIX will improve patient safety, patient satisfaction and nursing indices.

Condition or Disease Intervention/Treatment Phase
  • Other: Rehab MATRIX
 N/A

Detailed Description

The provision of efficient and conscientious nursing care is at the forefront of health care quality. Unfortunately, a lack of objectivity in the assignment of patients to nurses can lead to inequalities of care. Such inequalities translate to poor patient outcomes and diminished patient satisfaction. Furthermore, staff attrition related to nursing fatigue increases the cost of care due to a reliance on supplemental nurses. Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.

Study Design

Study Type:
Interventional
Actual Enrollment :
40 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Health Services Research
Official Title:
Rehab MATRIX: Impact of a Nursing-Led Acuity Algorithm on Patient Safety and Healthcare Quality
Study Start Date :
Jul 1, 2016
Actual Primary Completion Date :
Jan 1, 2017
Actual Study Completion Date :
Jan 1, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Rehab MATRIX

Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.

Other: Rehab MATRIX
Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.

Outcome Measures

Primary Outcome Measures

  1. Change in the number of falls per 1000 patient days (falls per 100 patient days is a standardized proportion) [Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months]

Secondary Outcome Measures

  1. Change in Patient Satisfaction as assessed by the Press Ganey Survey [Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months]

  2. Change in Nursing Fatigue as assessed by number of unexcused nurse absences [Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months]

  3. Change in Nursing Satisfaction as assessed by a survey [Two weeks prior to initiation, 6 months]

    Two weeks prior to Rehab MATRIX initiation, a six question pre-implementation survey will be distributed via Survey Monkey to the nursing staff, evaluating nurse perceptions of the traditional nursing assignment. Questions 1 to 4 will be measured on a Likert Scale of 1 to 5; 1 - strongly disagree, 2 - disagree, 3 - neutral, 4 - agree, 5 - strongly agree. At the end of the six month study period, a post-implementation Rehab MATRIX survey will be distributed at each center via Survey Monkey, examining the impact of Rehab MATRIX on workload equity, fairness, the role of seniority and overall satisfaction with the nurse assignment process.

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:

  • Rehabilitation Nursing Staff within Six Study Centers

  • Patient hospitalized within the Rehabilitation Unit during the study period

Exclusion Criteria:

  • Other Nursing Staff

  • Patients hospitalized on non-rehabilitation units

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Texas Health Science Center at Houston Houston Texas United States 77030

Sponsors and Collaborators

  • The University of Texas Health Science Center, Houston
  • Memorial Hermann Texas Medical Center
  • Memorial Hermann Health System

Investigators

  • Principal Investigator: Nneka L Ifejika, MD MPH, The University of Texas Health Science Center, Houston

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Nneka Lotea Ifejika, Associate Professor, The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier:
NCT02850952
Other Study ID Numbers:
  • HSC-MS-16-0358
First Posted:
Aug 1, 2016
Last Update Posted:
Aug 18, 2020
Last Verified:
Aug 1, 2020
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Aug 18, 2020