N/A
N=138
Intervening to Prevent Contextual Errors in Medical Decision Making
Psychosocial Circumstances
Bottom Line
View on ClinicalTrials.gov: NCT00856557 ↗Enrolled (actual)
138
Serious AEs
0.0%
Results posted
Nov 2014
Primary outcome: Primary: Health Outcome Improvement Rate — 0.68; 0.59 proportion of physician's patients — p=0.33
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Seminar and Practicum (Behavioral)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- US Department of Veterans Affairs
- Primary completion
- Nov 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Health Outcome Improvement Rate |
0.68; 0.59 | 0.33 |
| SECONDARY Rate of Contextual Probing |
.26; .27 | .99 |
| SECONDARY Rate of Contextual Planning |
.18; .21 | .39 |
Summary
This study assessed whether a medical education intervention improves the quality of medical decision making in the care of patients with complex psychosocial -- or contextual -- needs that are essential to address when planning their care. A group of internal medicine residents were randomly assigned to participate in the seminar and practicum and then they, along with a control group that had not participated, were assessed for the quality of their clinical decision making and its impact on patient care. The study also assessed whether contextualization of care is associated with better patient health care outcomes
Eligibility Criteria
Inclusion Criteria
- Internal Medicine Residency with continuity of care clinics at either Jesse Brown or Hines VA Medical Centers
Exclusion Criteria
- All resident physicians who do not meet inclusion criteria
Data sourced from ClinicalTrials.gov (NCT00856557). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.