Intervening to Prevent Contextual Errors in Medical Decision Making
|ClinicalTrials.gov Identifier: NCT00856557|
Recruitment Status : Completed
First Posted : March 5, 2009
Results First Posted : November 25, 2014
Last Update Posted : April 24, 2015
|Condition or disease||Intervention/treatment|
|Psychosocial Circumstances||Behavioral: Seminar and Practicum|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||138 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Primary Purpose:||Health Services Research|
|Official Title:||Intervening to Prevent Contextual Errors in Medical Decision Making|
|Study Start Date :||October 2009|
|Primary Completion Date :||November 2012|
|Study Completion Date :||December 2012|
Experimental: Seminar and Practicum
Seminar and practicum that occurs over 4 week period for internal medicine residents, designed to provide a systematic approach to identifying and addressing contextual factors essential to planning patient care.
Behavioral: Seminar and Practicum
A 4 hour seminar and practicum for internal medicine residents designed to provide a systematic approach to identifying contextual factors essential to planning patient care.
No Intervention: No intervention
No educational intervention.
- Health Outcome Improvement Rate [ Time Frame: After 9 months of the recorded visit ]A target health outcome improvement for each patient is prospectively defined at the first visit in which a contextual red flag is noted. The study outcome is what proportion of a physician's patients achieve their target health outcome improvement as documented in the medical record at 9 months post first visit.
- Rate of Contextual Probing [ Time Frame: During initial patient recordings ]Proportion of encounters in which physician probed contextual red flags expressed by patients and identified via audio recordings.
- Rate of Contextual Planning [ Time Frame: During initial patient recordings ]Proportion of patient encounters in which the physician's plan of care addressed contextual factors identified in the audio recordings
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00856557
|United States, Illinois|
|Jesse Brown VA Medical Center, Chicago, IL|
|Chicago, Illinois, United States, 60612|
|Principal Investigator:||Saul J. Weiner, MD||Jesse Brown VA Medical Center, Chicago, IL|