Actively Recruiting
Feasibility and Initial Clinical Impressions of Predictive Monitoring Integrated With the RACE Team
Led by Ottawa Hospital Research Institute · Updated on 2025-05-14
140
Participants Needed
1
Research Sites
101 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Rapid response teams (RRTs) have been adopted by hospitals to provide urgent critical care to hospitalized patients who require quick intervention to prevent further deterioration. Early warning scores (EWS) serve as a method to identify patients requiring RRT assessment by analyzing routinely collected data such as vital signs and laboratory results. The Visensia Safety Index (VSI) is an EWS that uses continuous vital sign monitoring and machine learning to identify the likelihood of deterioration and can be integrated with existing hospital data infrastructure. Initial studies of the VSI have both validated the system and found that patients monitored using VSI had a shorter duration of any instability and fewer episodes of serious and persistent instability. The investigators' recent retrospective analysis at The Ottawa Hospital (TOH) identified that implementation of an EWS could have detected earlier deterioration in over half of the patients identified, potentially preventing subsequent ICU admission, severity of illness, and/or mortality. Thus, this study aims to determine the feasibility and potential impact of implementing a portable continuous monitoring system with a VSI trigger at TOH to identify patients at high risk of deterioration.
CONDITIONS
Official Title
Feasibility and Initial Clinical Impressions of Predictive Monitoring Integrated With the RACE Team
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patient (18 years or older) designated for Category 1 (Full Care) or Category 2 (Full Care except CPR) status
- Patients who have had high-risk elective surgery such as Whipple procedures, high-risk vascular or general surgery
- Malignant hematology or oncology patients at high risk for deterioration
- Patients admitted from the Emergency Department with infection to the ward
- Other high-risk patients as determined by the clinical team
You will not qualify if you...
- Patients admitted to units with higher level monitoring like Neurological Acute Assessment Unit, Acute Monitoring Area, Trauma Step-Down, or Intensive Care Unit
- Patients with Category III (Full Care except Respiratory or Hemodynamic Life Support, or CPR) or Category IV (Comfort Care) status
AI-Screening
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Trial Site Locations
Total: 1 location
1
The Ottawa Hospital
Ottawa, Ontario, Canada, K1H 8L6
Actively Recruiting
Research Team
A
Andrew JE Seely, MD, PhD, FRCSC
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
1
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