Bringing I-PASS to the Bedside: A Communication Bundle to Improve Patient Safety and Experience

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

6478 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-15

Study Completion Date

2017-01-03

Brief Summary

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Patient and Family-Centered I-PASS is a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. This project tests the hypothesis that rates of medical errors and adverse events (primary outcome), hospital experience, communication, and shared understanding will improve following implementation of Patient and Family Centered I-PASS, as compared with current practice.

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Detailed Description

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We conducted an intervention study on pediatric inpatient units in seven North American hospitals. Each site was assigned to one of 3 staggered waves of implementation and data collection. The Patient and Family Centered I-PASS intervention included a health literacy-informed, structured communication framework for family-centered rounds; written rounds summaries for families; a training and learning program; and strategies to support teamwork and implementation. We measured errors and adverse events (AEs) via an established systematic surveillance methodology, family experience via pre-discharge surveys, and communication processes via direct observations.

Conditions

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Communication

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Pre-intervention

Before implementation of Patient and Family Centered I-PASS.

Group Type NO_INTERVENTION

No interventions assigned to this group

Post-intervention

After implementation of Patient and Family Centered I-PASS.

Group Type EXPERIMENTAL

Patient and Family Centered I-PASS

Intervention Type BEHAVIORAL

Patient and Family-Centered I-PASS is a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. The intervention included a health literacy-informed, structured communication framework for family-centered rounds; written rounds summaries for families; a training and learning program; and strategies to support teamwork and implementation.

Interventions

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Patient and Family Centered I-PASS

Patient and Family-Centered I-PASS is a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. The intervention included a health literacy-informed, structured communication framework for family-centered rounds; written rounds summaries for families; a training and learning program; and strategies to support teamwork and implementation.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All patients admitted to the pediatric inpatient study units of participating hospitals
* Parents/caregivers of patients less than 18 years of age who speak English, Chinese, Arabic, Russian, or Spanish
* Nurses working on these units
* Residents working on these units
* Medical students working on these units

Exclusion Criteria

* Parents/caregivers who do not speak a study language (decided based on the 5 most commonly spoken languages across study sites; study languages include: English, Chinese, Arabic, Russian, Spanish)
* Parents/caregivers of patients greater than 18 years of age

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes