Implementation of best practices in clinical care
SUMAMOS EXCELENCIA Project: Assessment of Implementation of Best Practices in a National Health System (Thrid Edition)
This study is trying out new ways to improve healthcare by using proven methods to help patients in hospitals and nursing homes manage pain, prevent obesity, and quit smoking.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 400 (estimated) |
| Sex | All |
| Sponsor | Instituto de Salud Carlos III Government |
| Locations | 1 site (Madrid) |
| Trial ID | NCT06522529 on ClinicalTrials.gov |
What this trial studies
This project aims to bridge the gap between research and clinical practice by implementing evidence-based recommendations through a multifaceted strategy. It involves a quasi-experimental, multicentre design that includes NHS units, nursing homes, and the patients they serve. The intervention includes training, audits, context analysis, and feedback to enhance healthcare quality and patient outcomes across various health issues such as pain management, obesity prevention, and smoking cessation. Data will be collected at baseline and during the first year of follow-up to assess the effectiveness of the implementation.
Who should consider this trial
Good fit: Ideal candidates include patients receiving care in participating NHS units and nursing homes who are affected by pain, obesity, or other targeted health issues.
Not a fit: Patients not receiving care in the participating units or those not affected by the targeted conditions may not benefit from this study.
Why it matters
Potential benefit: If successful, this project could significantly improve patient outcomes and healthcare quality by standardizing best practices in clinical care.
How similar studies have performed: Other studies have shown success with similar multifaceted implementation strategies, indicating potential for positive outcomes in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria:
1. Unit inclusion criteria:
* NHS units and nursing homes which voluntary adhere to the project.
* NHS units and nursing homes providing direct patient care and commit to implement evidence-based recommendations on hand hygiene and one of the following topics: pain assessment and management, urinary incontinence management, obesity prevention and breastfeeding promotion, Smoking Cessation, falls prevention, pressure injuries prevention. For the purposes of this study, a "unit" is defined as any service, centre or institution that delivers health services to a homogeneous group of patients who share similar characteristics.
2. Patient inclusion criteria: The study will include all patients attended in the units participating in the study, who meet the following criteria, depending on the recommendations to be implemented in each unit:
1. Pain:
* People susceptible to suffering some type of pain regardless of age.
* Patients treated in acute or chronic health institutions (Hospitals, Nursing Homes or Primary Care).
2. Urinary incontinence:
\- Patients 18 years or older.
\- Patients with uncomplicated stress, urge or mixed urinary incontinence
\- At least 7 days of admission or possibility of continuity of care preferably up to 6 weeks.
3. Obesity:
* Babies and preschool children up to 12 years old.
* For ages 2 to 12 years (inclusive), children must not be overweight or obese 1 year prior to baseline measurement (in February 2021 or at the closest review to February 2021 at which BMI is recorded).
* Good general health.
4. Breastfeeding:
* Lactating people.
* Healthy neonates of gestational age greater than 36 weeks, with birth weight greater than or equal to 2500 gr.
* Couples and relatives within the support network.
* Postpartum period and up to 6 months of life of the baby (183 days of life, included).
* In primary care, only non-urgent care will be included.
5. Smoking Cessation:
\- ≥ 18 years of age
* Smokers
6. Pressure injury prevention:
\- Adults population (≥ 18 years).
* Admitted to hospitals, nursing homes or included in home care programmes.
* Patients at risk of developing pressure injuries.
7. Falls prevention:
* Adults aged 65 years or older, and adults aged 18 years or older who may potentially present problems in walking as a result of neurological or traumatic diseases, medication, or who suffer from loss of strength or drowsiness.
8. Hand hygiene:
\- All health professionals who care for patients in the units participating in the study.
Exclusion Criteria:
\-
Where this trial is running
Madrid
- Instituto de Salud Carlos III - Unidad de Investigación en Cuidados y Servicios de Salud — Madrid, Spain (Recruiting)
Study contacts
- Principal investigator: Esther González-María, PhD — Instituto de Salud Carlos III
- Study coordinator: Leticia Bernués-Caudillo, PhD Candidate
- Email: l.bernues@isciii.es
- Phone: 644617184
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.