The Effect of a Novel Audit and Feedback Bundle on Inpatient Performance
5. mai 2017 oppdatert av: University of California, San Francisco
The Effect of a Novel Electronic Physician Audit and Feedback Bundle on Inpatient Performance Metrics
This single-blinded, cluster randomized control trial will assess the effectiveness of an audit and feedback bundle on internal medicine physician performance on selected quality metrics.
The feedback bundle includes an electronic dashboard and weekly feedback rounds in which physicians will review their performance.
The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance.
Studieoversikt
Status
Fullført
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
This is a single-blinded, cluster randomized control trial of 48 internal medicine teams (24 teams will be randomized to the intervention arm and and 24 teams randomized to control arm) on inpatient medicine wards.
Each team consists of at least 4 members (attending physician, senior resident, two interns).
The intervention arm teams will receive the new audit and feedback bundle, which includes access to the electronic dashboard and weekly feedback rounds in which they review their performance on several inpatient quality metrics via the electronic dashboard.
The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance on selected quality measures.
This primary aim of the trial will be to compare the effectiveness of performance feedback on inpatient quality metrics specifically high quality after visit summary, medical reconciliation and discharge summary timeliness.
Other group comparisons will include other inpatient quality metrics and satisfaction with feedback.
Studietype
Intervensjonell
Registrering (Faktiske)
200
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
California
-
San Francisco, California, Forente stater, 94143
- University of California San Francisco
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- All physicians that rotate through internal medicine wards during the study period (teaching attending physicians and internal medicine residents and interns)
Exclusion Criteria:
- None
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Helsetjenesteforskning
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Intervention Audit and Feedback Bundle
Access to the electronic dashboard and weekly feedback rounds
|
The intervention arm teams will receive the new audit and feedback bundle, which includes access to the electronic dashboard and weekly feedback rounds in which they review their performance on several inpatient quality metrics via the dashboard.
|
|
Aktiv komparator: Bi-weekly audit and feedback emails
Access to biweekly feedback emails with performance on selected quality measures (current practice).
|
The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance on selected quality measures.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of patients with a high quality after visit summary
Tidsramme: 6 months
|
The number of hospital medicine team patients with after visit summaries of high quality divided by the total number hospital medicine team patients with an after visit summary.
|
6 months
|
|
Proportion of patients with discharge summary timeliness
Tidsramme: 6 months
|
The number of discharge summaries completed within 24 hours of discharge for hospital medicine team patients/total number of discharges from hospital medicine with a discharge summary completed
|
6 months
|
|
Proportion of patients Complete Medication Reconciliation by Discharge
Tidsramme: 6 months
|
The total number of patients with an action taken on all home medications divided by the total number of patients on the hospital medicine teaching service.
|
6 months
|
|
Proportion of patients achieving a high quality 'perfect' discharge
Tidsramme: 6 months
|
Proportion of patients who have a high quality after visit summary and a discharge summary completed within 24 of discharge and all medications reconciled by discharge.
|
6 months
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of attending and resident physicians who 'strongly agree' that they are satisfied with the audit and feedback of performance data that they receive.
Tidsramme: 6 months
|
Proportion of attending and resident physicians who 'strongly agree' that they are satisfied with the audit and feedback of performance data that they receive.
This specific satisfaction item has been developed by the study team.
|
6 months
|
|
Total Phlebotomy Sticks
Tidsramme: 6 months
|
The total number of unique accession numbers for each unique hospitalization of a patient
|
6 months
|
|
Percent of Patients on Telemetry Until Discharge
Tidsramme: 6 months
|
The number of patients on without a discontinue order for telemetry within two hours of their discharge date time divided by the total number of patients on telemetry for hospital medicine teams
|
6 months
|
|
Proportion of patients discharged by noon
Tidsramme: 6 months
|
The number of patients discharged by hospital medicine team attendings by noon (6am-11:59am)/total number of discharges by hospital medicine team attendings
|
6 months
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Etterforskere
- Hovedetterforsker: Alvin R Rajkomar, MD, University of California, San Francisco
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
1. februar 2016
Primær fullføring (Faktiske)
1. desember 2016
Studiet fullført (Faktiske)
1. mai 2017
Datoer for studieregistrering
Først innsendt
23. oktober 2015
Først innsendt som oppfylte QC-kriteriene
29. oktober 2015
Først lagt ut (Anslag)
1. november 2015
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
9. mai 2017
Siste oppdatering sendt inn som oppfylte QC-kriteriene
5. mai 2017
Sist bekreftet
1. mai 2017
Mer informasjon
Begreper knyttet til denne studien
Andre studie-ID-numre
- 15-17709
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .