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Eliminating Monitor Overuse Trial (EMO Trial) | Clinical Trials | Clareo Health

ACTIVE_NOT_RECRUITINGNA

Eliminating Monitor Overuse Trial (EMO Trial)

Eliminating Monitor Overuse (EMO) Hybrid Effectiveness-Deimplementation Trial

NCT05132322•Children's Hospital of Philadelphia

Summary

The purpose of this study is to identify the optimal deimplementation strategies for an overused practice: continuous pulse oximetry monitoring of children hospitalized with bronchiolitis who are not receiving supplemental oxygen.

Eligibility

Age

0 - No limit years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•Population a: Bronchiolitis patients directly observed while not receiving supplemental oxygen ("in room air," for primary trial outcome)
•Infants and children 2 months through 23 months old
•Hospitalized on non-ICU wards participating in the trial
•Cared for by generalist inpatient services (e.g. general pediatrics, hospital medicine)
•Primary diagnosis of bronchiolitis in most recent physician progress note
•Not actively receiving supplemental oxygen ("in room air")
•Last documented receipt of supplemental oxygen \>1 hour prior to direct observational data collection
•Infants and children 2 months through 23 months old
•Hospitalized on non-ICU wards participating in the trial
•Cared for by generalist inpatient services (e.g. general pediatrics, hospital medicine)
+2 more criteria

Exclusion Criteria

•Documented apnea or cyanosis during the current illness
•Extreme prematurity (\<28 weeks completed gestation)
•Cardiac disease
•Pulmonary hypertension
•Chronic lung disease
•Home oxygen requirement
•Neuromuscular disease
•Immunodeficiency
•Cancer
•Severe Acute Respiratory Syndrome Coronavirus 2 (Covid-19 / SARS-CoV-2)-related illness (known or suspected, including multisystem inflammatory syndrome in children multi-system inflammatory syndrome in children (MIS-C)
+10 more criteria

Locations (51)

Children's of Alabama

Birmingham, Alabama, United States

University of California Davis

Davis, California, United States

Rady Children's Hospital/UCSD

Encinitas, California, United States

Children's Hospital Los Angeles

Los Angeles, California, United States

Valley Children's Hospital

Madera, California, United States

Children's Hospital Orange County

Orange, California, United States

Lucile Packard Children's Hospital Stanford

Stanford, California, United States

Children's Hospital Colorado

Aurora, Colorado, United States

Yale-New Haven Children's Hospital

New Haven, Connecticut, United States

Children's National Medical Center

Washington D.C., District of Columbia, United States

Key Dates

Start Date

December 1, 2021

Primary Completion Date

March 31, 2024

Completion Date

August 1, 2026

Last Updated

February 13, 2026

Enrollment

9,265

ACTUAL participants

Conditions

Bronchiolitis Acute Viral

Interventions

Educational Outreach

BEHAVIORAL

Audit & Feedback (unit level)

BEHAVIORAL

Audit & Feedback (real time, individual-level)

BEHAVIORAL

Clinical Pathway Integrated into Electronic Health Record

BEHAVIORAL