The Effect of a Novel Audit and Feedback Bundle on Inpatient Performance
2017年5月5日 更新者：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.
研究概览
详细说明
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.
研究类型
介入性
注册 (实际的)
200
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
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California
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San Francisco、California、美国、94143
- University of California San Francisco
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-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：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.
|
|
有源比较器：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.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Proportion of patients with a high quality after visit summary
大体时间：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.
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6 months
|
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Proportion of patients with discharge summary timeliness
大体时间：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
大体时间：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
大体时间：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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Proportion of attending and resident physicians who 'strongly agree' that they are satisfied with the audit and feedback of performance data that they receive.
大体时间：6 months
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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.
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6 months
|
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Total Phlebotomy Sticks
大体时间：6 months
|
The total number of unique accession numbers for each unique hospitalization of a patient
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6 months
|
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Percent of Patients on Telemetry Until Discharge
大体时间：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
|
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Proportion of patients discharged by noon
大体时间：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
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6 months
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Alvin R Rajkomar, MD、University of California, San Francisco
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2016年2月1日
初级完成 (实际的)
2016年12月1日
研究完成 (实际的)
2017年5月1日
研究注册日期
首次提交
2015年10月23日
首先提交符合 QC 标准的
2015年10月29日
首次发布 (估计)
2015年11月1日
研究记录更新
最后更新发布 (实际的)
2017年5月9日
上次提交的符合 QC 标准的更新
2017年5月5日
最后验证
2017年5月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.