Stopping unnecessary continuous oxygen monitor use for infants with bronchiolitis
Eliminating Monitor Overuse (EMO) Hybrid Effectiveness-Deimplementation Trial
This project compares ways to reduce unneeded continuous pulse oximetry for hospitalized infants with bronchiolitis so they get safer, less disruptive care.
Quick facts
| Grant type | U01 cooperative agreement |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Children's Hosp of Philadelphia NIH-funded |
| Lab location | 1 site (Philadelphia, United States) |
| Project ID | NIH-11175290 on NIH RePORTER |
What this research studies
From a parent's perspective, researchers are working with 32 pediatric hospitals to change how doctors and nurses use continuous oxygen monitors for babies hospitalized with bronchiolitis who do not need extra oxygen. Hospitals are randomized to different deimplementation approaches, such as educational outreach combined with audit-and-feedback, and the teams will follow care practices over time. The trial measures whether these approaches lower unnecessary monitoring while tracking safety and clinical outcomes for the children. The goal is to find practical hospital-wide steps that reduce low-value monitoring without harming patients.
Who could benefit from this research
Good fit: Infants hospitalized with acute bronchiolitis who are not receiving supplemental oxygen at one of the participating pediatric hospitals are the focus of the project.
Not a fit: Children who require continuous supplemental oxygen or who have other conditions that mandate monitoring are unlikely to be affected by these deimplementation efforts.
Why it matters
Potential benefit: If successful, fewer infants would have unnecessary continuous monitoring, which could reduce alarms, sleep disruptions, and unneeded interventions.
How similar studies have performed: Clinical guidelines and smaller studies already discourage continuous pulse oximetry for this group and have shown local reductions in use, but large randomized hospital-level trials are limited.
Where this research is happening
Philadelphia, United States
- Children's Hosp of Philadelphia — Philadelphia, United States (Active)
Researchers
- Principal investigator: Bonafide, Christopher Peter — Children's Hosp of Philadelphia
- Study coordinator: Bonafide, Christopher Peter
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.