N/A
N=6,478
Bringing I-PASS to the Bedside: A Communication Bundle to Improve Patient Safety and Experience
Communication
Bottom Line
View on ClinicalTrials.gov: NCT02320175 ↗Enrolled (actual)
6,478
Serious AEs
8.4%
Results posted
Sep 2020
Primary outcome: Primary: Rate of Medical Errors — 41.2; 35.8; 20.0; 22.0 Medical errors per 1000 patient-days
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Patient and Family Centered I-PASS (Behavioral)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- Boston Children's Hospital
- Primary completion
- Jan 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Rate of Medical Errors |
41.2; 35.8; 20.0; 22.0; 20.7; 12.9 | — |
| SECONDARY Rate of Non-Preventable Adverse Events |
12.6; 5.2 | — |
| SECONDARY Family Experience With Care |
53.92; 62.84; 56.37; 58.71; 68.59; 72.11 | <.05 sig |
| SECONDARY Quality of Communication on Rounds |
72.2; 82.8; 20.4; 35.5; 55.6; 66.7 | — |
| SECONDARY Shared Understanding Between Parent, Resident, and Nurse |
— | — |
Summary
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.
Eligibility Criteria
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
Data sourced from ClinicalTrials.gov (NCT02320175). 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.