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OpenTrials
Completed

NCT Number: NCT02850952

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

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

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Key information

Conditions

Nurse's Role Behavior Nurse-Patient Relations Patient Fall Personal Satisfaction Satisfaction

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Texas Health Science Center at Houston

Houston, Texas, 77030, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Rehab MATRIX

Other

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

Primary outcomes

  1. Change in the number of falls per 1000 patient days (falls per 100 patient days is a standardized proportion)

    Time frame: Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months

Secondary outcomes

  1. Change in Patient Satisfaction as assessed by the Press Ganey Survey

    Time frame: 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

    Time frame: Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months

  3. Change in Nursing Satisfaction as assessed by a survey

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

The University of Texas Health Science Center, Houston

Other

Collaborators

  • Memorial Hermann Health System
  • Memorial Hermann Texas Medical Center

Registry information

Acronym: Rehab MATRIX

Important dates

Study start
2016
Primary completion
2017
Study completion
2017
First posted
Aug 1, 2016
Registry last updated
Aug 18, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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