Trial Outcomes & Findings for Minimizing Harm From ADEs by Improving Nurse-Physician Communication (NCT NCT00574990)

Results Overview

Observation periods were approximately two-hours long. Some providers were observed more than once. The number of communication events were counted per each observation period.

Recruitment status

COMPLETED

Target enrollment

39 participants

Primary outcome timeframe

6 months

Results posted on

2015-06-09

Participant Flow

Participant milestones

Participant milestones
Measure	VA Physicians VA Physicians who have spent at least one year in the VA and be familiar with the VA's electronic health record, CPRS.	VA Nurses VA Nurses who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.	VA Pharmacists VA Pharmacists who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.
Overall Study STARTED	12	19	8
Overall Study COMPLETED	12	19	8
Overall Study NOT COMPLETED	0	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Minimizing Harm From ADEs by Improving Nurse-Physician Communication

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	VA Physicians n=12 Participants VA physicians who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.	VA Nurses n=19 Participants VA Nurses who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.	VA Pharmacists n=8 Participants VA Pharmacists who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.	Total n=39 Participants Total of all reporting groups
Age, Customized 18 to 75 years	12 participants n=5 Participants	19 participants n=7 Participants	8 participants n=5 Participants	39 participants n=4 Participants
Sex: Female, Male Female	NA Participants n=5 Participants	NA Participants n=7 Participants	NA Participants n=5 Participants	NA Participants n=4 Participants
Sex: Female, Male Male	NA Participants n=5 Participants	NA Participants n=7 Participants	NA Participants n=5 Participants	NA Participants n=4 Participants
Region of Enrollment United States	12 participants n=5 Participants	19 participants n=7 Participants	8 participants n=5 Participants	39 participants n=4 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Participants were providers who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.

Observation periods were approximately two-hours long. Some providers were observed more than once. The number of communication events were counted per each observation period.

Outcome measures

Outcome measures
Measure	Physicians n=12 Participants Participants were providers who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.	Nurses n=19 Participants Participants were providers who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.	Pharmacists n=8 Participants Participants were providers who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.
Incident Rate for Communication Events	47.6 mean events per observation Standard Deviation 21.26	34.74 mean events per observation Standard Deviation 9.93	34.07 mean events per observation Standard Deviation 12.88

SECONDARY outcome

Timeframe: 6 months

The number of communication events was recorded on electronic notepads during each observation period. The communication events recorded included: a) physicians to physicians, to nurses, to pharmacists, and to patients; b) nurses to nurses, to physicians, to pharmacists, and to patients; and c) pharmacists to pharmacists, to physicians, to nurses, and to patients. The percentage of each of these types of verbal communications was calculated from the total number of communication events.

Outcome measures

Outcome measures
Measure	Physicians n=12 Participants Participants were providers who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.	Nurses n=19 Participants Participants were providers who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.	Pharmacists n=8 Participants Participants were providers who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.
Overall Involvement in Conversation by Roles VA Physicians	31 percentage of role involvement in event	21 percentage of role involvement in event	58 percentage of role involvement in event
Overall Involvement in Conversation by Roles VA Nurses	12 percentage of role involvement in event	23 percentage of role involvement in event	9 percentage of role involvement in event
Overall Involvement in Conversation by Roles VA Pharmacists	20 percentage of role involvement in event	6 percentage of role involvement in event	12 percentage of role involvement in event
Overall Involvement in Conversation by Roles VA Inpatient Patients	6 percentage of role involvement in event	27 percentage of role involvement in event	8 percentage of role involvement in event

Adverse Events

VA Physicians

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

VA Nurses

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

VA Pharmacists

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Charlene Weir

Salt Lake City VA HSRD IDEAS 2.0 Center of Innovation

Phone: 801-582-1565

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place