The Review and Improvement of Cardiac Implantable Device Infection Quality Initiative (RECTIFY) Demonstration Project

What this Trial Is About

This research aims to enhance care for patients with infections related to cardiovascular implantable electronic devices (CIEDs). The project focuses on improving early detection, diagnosis, and treatment of these infections by establishing multidisciplinary teams to address gaps in current care. This initiative is a quality improvement demonstration project sponsored by Duke University to increase guideline-driven care for CIED infections. The study will collect retrospective data before starting the intervention, which will be implemented over six months and continue through data collection. After three months of starting the intervention, prospective data will be collected for 12 months. The program includes tailored patient care pathways, outreach visits, multifaceted interventions like electronic health record decision support, and ongoing feedback to healthcare providers to improve infection management and treatment timing. Participants will be monitored for how quickly and appropriately their infections are treated, including timely device extraction when needed. Researchers will track measures such as the proportion of patients receiving extraction according to guidelines, time to extraction, and patient and staff satisfaction over 12 months. The study involves regular reviews and adjustments to interventions, aiming to improve outcomes and healthcare utilization for patients with CIED infections.

CIED Infection Quality Initiative Demonstration Project