NCT03757884

Medical Decisions in the Hospital Setting- M-Safety

Improving Medical-Decision Through Cognition, Technology and Communication, Phase 2

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 59 (actual)
• Sponsor: University of Michigan · Academic / Other
• Sex: All
• Age: 18 Years – 99 Years
• Healthy volunteers: Accepted

Summary

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 focused 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.

Detailed description

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.

Conditions

• Diagnostic Errors

Interventions

Type	Name	Description
BEHAVIORAL	Mindfulness breathing exercise	Spire monitor instructed mindfulness breathing
BEHAVIORAL	Diagnostic Checklist	Checklist reminder for diagnosis
BEHAVIORAL	Noise cancelling headphones	Noise cancelling headphones
BEHAVIORAL	Privacy tablescreen	Privacy Tablescreen
BEHAVIORAL	Diagnostic assistance application	Diagnostic assistance application

Timeline

• Start date: 2018-09-10
• Primary completion: 2019-09-17
• Completion: 2019-09-17
• First posted: 2018-11-29
• Last updated: 2019-09-20

Locations

2 sites across 1 country: United States