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CompletedNCT01692847Updated Apr 4, 2016

Examination of the Impact of Better Surveillance and Communication of Patient Deterioration on Patient Related Outcomes

An observational study in Severe Sepsis, Cardiac Arrest and Respiratory Failure, sponsored by Philips Healthcare. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-04-04.

Sponsored by Philips Healthcare · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
678
Ages
18 Years and older
Sex
All
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Study summary

A hospitals manual method of patient monitoring will be implemented in an automated system and supported by an early patient deterioration detection for timely escalation. The purpose of this study is to assess if clinical outcomes of patients in Acute Care are significantly improved by such a system.

Read the detailed description

The purpose of this study is to assess if the Philips IntelliVue Guardian Solution (IGS) with all its components can significantly improve clinical outcomes for deteriorating patients on a general medical ward prior and after referral to the hospitals' Acute Care Team (ACT). Further, to provide evidence that the Philips IGS assists to increase the efficiency of a hospital's Early Warning Scoring process (afferent and efferent arm of the escalation system).

The introduction of such an intelligent automated system offers a unique opportunity to address the breakdown in the chain of prevention by strengthening the reliability of calls-for-help to responders through a technical solution with the potential for a more timely escalation where appropriate.

In this study the hospital's Standard of Care protocol for the monitoring of vital signs (including timing, vital signs collected and escalation instructions) will be implemented in a commercially available intelligent automatic monitoring and notification system. No investigational procedures or devices are associated with this protocol.

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Conditions studied

  • Severe Sepsis
  • Cardiac Arrest
  • Respiratory Failure

Keywords

  • patient deterioration
  • rapid response teams
  • acute care teams
  • early warning scoring
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In context

Sepsis

1,899 studies on the registry are indexed under Sepsis; 462 are open to participants now.

This study's enrollment of 678 is above the median of 160 across 931 observational studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

Philips Healthcare is the lead sponsor of 35 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The investigators plan to observe a non-probability, convenience sample of patients which will consist primarily of acutely ill hospitalized adult patients (at least 18 years of age). Study participants will be recruited from all eligible patients during the enrollment period who are having vital signs monitoring performed as Standard of Care.

Inclusion criteria

  • all patients admitted to the study units during the period of data collection

Exclusion criteria

Exclusion Criteria:

  • less than 24h on ward
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
678 participants (actual)

Groups and cohorts

  • RRT calls prior to IGS use

    Patients who triggered ACT/RRT calls prior to the installation of the IGS (Intellivue Guardian System)

  • RRT calls during IGS use

    Patients who triggered ACT/RRT calls after the installation of IGS. All patients on the study ward receive the same care in both groups. The only difference is the system used to collect vital signs and to inform the staff about patient deteriorations. In Group 2, the IGS (FDA approved and CE marked) is the vital signs collection and information system.

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What researchers measure

Primary outcomes

  1. Improvement of outcome for patients after implementing the IGS

    Does the IGS significantly increase positive outcomes for deteriorating patients after referral to the RRT/ACT as measured by the MAELOR score

    Time frame: 15 months

Secondary outcomes

  1. Early detection of patient deterioration

    Does the IGS detect patient deterioration earlier and therefore prevent or shorten periods of severe illness.

    Time frame: 15 months

  2. Daily workload for the ward's personnel

    Does the IGS reduce the daily workload related to patient surveillance for the general ward personnel.

    Time frame: 15 months

  3. Level of satisfaction

    Do Nurses and Doctors express a higher level of satisfaction with the IGS in place than with their current paper-based surveillance.

    Time frame: 15 months

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Study locations

1 site
  • Ysbyty Gwynedd Hospital
    Bangor, Penrhosgarnedd LL572PW, United Kingdom
08

References and documents

Publications

  • Subbe CP, Duller B, Bellomo R. Effect of an automated notification system for deteriorating ward patients on clinical outcomes. Crit Care. 2017 Mar 14;21(1):52. doi: 10.1186/s13054-017-1635-z. PubMed 28288655 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 4, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01692847
Lead sponsor
Philips Healthcare
Responsible party
Sponsor
First posted
Sep 25, 2012
Start date
Oct 2012
Primary completion
Feb 2016
Completion
Feb 2016
Last update
Apr 4, 2016

Study contacts

Christian P Subbe, MD
principal investigator · Bangor University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.

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