Medical Decisions in the Hospital Setting- M-Safety (M-Safety)
Improving Medical-Decision Through Cognition, Technology and Communication, Phase 2
研究概览
地位
条件
详细说明
This project will introduce and evaluate an intervention designed to improve diagnostic decision making. The intervention will attempt to increase clinician mindfulness and reduce environmental distractions to promote system 2 thinking. A meta-cognitive intervention using a structured checklist will be evaluated to identify improvement in diagnostic and therapeutic decision-making and examine the role of mindfulness and architectural design in enhancing patient safety.
This a pretest-posttest design study that will be conducted with hospitalist physicians working at Michigan Medicine and/or the VA Ann Arbor Healthcare System. The proposed intervention will provide the participants with tools to help promote mindfulness and focus to assist with the diagnostic process. To reduce distraction, headphones to block out surrounding noise and table screens to limit distractions will be offered. To assist with diagnosis, a diagnostic checklist and use of a IPad to use an online diagnosis application will be provided.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Michigan
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Ann Arbor、Michigan、美国、48109
- University of Michigan
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Ann Arbor、Michigan、美国、48105
- Ann Arbor VA Healthcare System
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Hospital Medicine Physicians
Exclusion Criteria:
- Physicians other than Hopitalists
学习计划
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Virtual Pod
Mindfulness breathing, privacy screen, noise cancelling headphones, diagnostic checklist, diagnostic support on-line application
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Spire monitor instructed mindfulness breathing
Checklist reminder for diagnosis
Noise cancelling headphones
Privacy Tablescreen
Diagnostic assistance application
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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 |
|---|---|---|
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Change in Number of Patient Differential Diagnosis
大体时间：8 months
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Differential Diagnosis
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8 months
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Change in the Use of Diagnostic Checklist
大体时间：8 months
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Diagnostic Checklist
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8 months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change in Mindfulness Behaviors Score
大体时间：8 months
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This 4 Question Survey Measures Characteristics of Mindfulness, Range- 1=Always, 6=Never
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8 months
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Change in Number of Patient Diagnostic Testing
大体时间：8 months
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Diagnostic Testing includes Laboratory and Imaging
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8 months
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Change in Time Participants are Measured as Calm
大体时间：8 months
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Time Measured in Minutes, Using the Spire Monitor
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8 months
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Change in Time Participants are Measured as Focused
大体时间：8 months
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Time Measured in Minutes, Using the Spire Monitor
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8 months
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Change in Time Participants are Measured as Tense
大体时间：8 months
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Time Measured in Minutes, Using the Spire Monitor
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8 months
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合作者和调查者
调查人员
- 首席研究员：Vineet I Chopra, MD、University of Michigan
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
IPD 计划说明
IPD 共享时间框架
IPD 共享访问标准
IPD 共享支持信息类型
- 研究方案
- 国际碳纤维联合会
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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.
Mindfulness breathing exercise的临床试验
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University of Maryland, BaltimoreNational Institute on Aging (NIA)完全的