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Family-Centered Rounds Checklist Implementation

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ClinicalTrials.gov Identifier: NCT02625142
Recruitment Status : Completed
First Posted : December 9, 2015
Last Update Posted : January 15, 2019
Sponsor:
Collaborator:
Agency for Healthcare Research and Quality (AHRQ)
Information provided by (Responsible Party):
University of Wisconsin, Madison

Brief Summary:
The goal of this study is to develop, implement, and evaluate the effectiveness of an intervention designed to facilitate family engagement during bedside rounds at a children's hospital. The intervention consists of a "checklist" of key behaviors associated with the delivery of quality family-centered rounds, as well as training in the use of the checklist tool. In a pre-post controlled design, two hospital services will be randomized to use the checklist while two others will be randomized to usual care. The intervention is expected to increase to the performance of key checklist behaviors, family engagement, and family perceptions of patient safety.

Condition or disease Intervention/treatment Phase
Child, Hospitalized Delivery of Health Care Morning Rounds Other: Family-centered rounds checklist tool Not Applicable

Detailed Description:
Family engagement in children's healthcare encounters has been suggested as a means to improve safety. To engage families in care, the recommended practice is to conduct rounds at the child's bedside with the family present (family-centered rounds). Family-centered rounds strive to engage families in (1) a relationship with care providers, (2) exchange of information for decision making, and (3) deliberation about decisions. Bedside rounds represent a consistent venue to engage families in the care of hospitalized children, yet no studies have systematically identified and examined the barriers and facilitators of family engagement during rounds as a means to improve safety.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 340 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Health Services Research
Official Title: Engaging Families in Bedside Rounds to Promote Pediatric Patient Safety
Study Start Date : February 2010
Actual Primary Completion Date : April 2013
Actual Study Completion Date : April 2013

Arm Intervention/treatment
Experimental: Family-centered rounds checklist
During the "post-intervention" period, health care team members on two pediatric inpatient services received the Family-centered Rounds Checklist tool, as well as training in how to use the checklist in the delivery of effective family-centered rounds
Other: Family-centered rounds checklist tool
A printed checklist containing 9 key tasks associated with effective delivery of family-centered rounds. A previously-identified member of each rounding team was responsible for holding the printed checklist during morning rounds. Team members were trained the in the use of this checklist prior to the post-intervention period, and a brief refresher training was conducted mid-way through the period.

No Intervention: Usual care
Two pediatric inpatient services were not provided the Family-centered rounds checklist tool, and delivered morning rounds in their usual manner. These services served as a control.



Primary Outcome Measures :
  1. Parent perceptions of hospital safety climate [ Time Frame: Change between baseline (inpatient admission) and study completion (discharge from hospital, an average of 6 days) ]
    Children's Hospital Safety Climate survey

  2. Family engagement in rounds [ Time Frame: Every family-centered morning round that occurred during the patient's hospital stay through study completion, an average of 6 days ]
    Video data was collected for every morning round over the course of the patient's hospital stay. These videos were coded for measures of family engagement in rounds using established and validated coding systems (e.g. RIAS).


Secondary Outcome Measures :
  1. Checklist item performance [ Time Frame: Every family-centered morning round that occurred during the patient's hospital stay through study completion, an average of 6 days ]
    Assessment of how many key checklist elements were performed during each family-centered round (coded from video recordings of each round).



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Ages Eligible for Study:   up to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Admitted as an inpatient on the pediatric hospitalist service, pulmonary service, or hematology/oncology service, during the study period.

Exclusion Criteria:

  • Stigmatizing/sensitive reason for hospitalization (e.g., suspected non-accidental trauma or mental health concerns)
  • New cancer diagnosis
  • Parent(s) unable to speak or read English
  • Parent(s) unavailable to consent (absent or sleeping during recruitment visits)
  • Already participated in the study during a prior inpatient admission

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02625142


Locations
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United States, Wisconsin
University of Wisconsin-Madison School of Medicine and Public Health; American Family Children's Hospital
Madison, Wisconsin, United States, 53705
Sponsors and Collaborators
University of Wisconsin, Madison
Agency for Healthcare Research and Quality (AHRQ)
Investigators
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Principal Investigator: Elizabeth D Cox, MD PhD Dept. of Pediatrics, School of Medicine and Public Health, UW-Madison

Publications of Results:

Other Publications:
Webster PD, Johnson BH. Developing Patient- and Family-Centered Vision, Mission, and Philosophy of Care Statements. Bethesda, MD: Institute of Family-Centered Care; 1999:55.
Johnson B, Abraham M, Conway J, Simmons L, Edgman-Levitan S, Sodomka P, Schlucter J, Ford D. Partnering With Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. Bethesda, MD: Institute for Patient- and Family-Centered Care; 2008.

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Responsible Party: University of Wisconsin, Madison
ClinicalTrials.gov Identifier: NCT02625142     History of Changes
Other Study ID Numbers: M-2010-1277
HS018680 ( Other Grant/Funding Number: AHRQ )
First Posted: December 9, 2015    Key Record Dates
Last Update Posted: January 15, 2019
Last Verified: January 2019
Keywords provided by University of Wisconsin, Madison:
Morning Rounds
Patient-centered Care
Hospital Medicine
Pediatrics
Hospitals, Pediatric