PCORI funds Dissemination and Implementation projects to increase awareness and promote the use of PCORI research findings to improve healthcare practices and health outcomes. This project is proposing to conduct dissemination and implementation activities for the results of the research project: Does a Patient- and Family-Centered Hospital Communications Program Reduce Medical Errors?.
This project is in progress.
What were the results from the original PCORI study?
The research team created a program for hospitals called Patient- and Family-Centered I-PASS to help doctors and nurses communicate with families during rounds. Rounds are daily meetings when doctors and nurses review patients’ progress and come up with a plan for the day. During rounds, staff may use confusing medical terms; they don’t always ask families for input or questions, or make sure the family understands the plan. With the I-PASS program, the team trained doctors and nurses to communicate better on rounds and to actively include patients and families. At the end of rounds, the doctors and nurses gave families written summaries about what was discussed. At seven children’s hospitals, patients had fewer harmful medical errors after staff used the program. Families and nurses also reported better communication on rounds.
Why is this research finding important?
Medical errors and adverse events in hospitals are common. Thousands of patients die from them each year. Poor communication is a major cause of many of the most serious adverse events. This research showed that staff communication with families can improve safety for children in the hospital.
What is the goal of this project?
The project team is working to help 21 hospitals that care for children use Patient- and Family-Centered I-PASS.
What is the project team doing?
Each hospital is working with a team of mentors from the Society for Hospital Medicine to help hospital staff put Patient- and Family-Centered I-PASS in place in a way that works with how the hospital delivers care. Each hospital has doctors, nurses, and family members who work to make I-PASS part of care in one or two hospital units over 18 months.
How is the team evaluating this project?
The project team is observing rounds at each hospital. They want to see how hospital staff include families in rounds, such as whether they ask families about topics that could help keep patients safe. Also, the team is tracking patient safety and families’ experiences with care.
How is the team involving patients and others in making sure the findings reach people who use them?
Families, doctors, nurses, educators, and researchers are part of the project team and serve as mentors at all 21 hospitals. The project team is working with national organizations on patient safety, nursing, children’s health, and healthcare quality to share the results of the I-PASS program.
Learn more about PCORI’s Dissemination and Implementation program here.
Related PCORI-funded Research Project
Note: Results from the original project have completed PCORI’s Peer Review and are available here.
Hearing All Voices in Planning a Child’s Hospital Care
A PCORI-funded team folded parents into daily care conversations with doctors and nurses at pediatric units in hospitals, leading to a marked reduction in medical errors and an improvement in patient care. Now, with this PCORI Dissemination and Implementation Award, the project team is spreading the program to 21 hospitals across the country.
Implementing a Family-Centered Communication Strategy to Improve Patient Safety (above)
Following the results of a PCORI-funded study that showed family-centered hospital rounds could reduce medical errors and improve care processes, Christopher Landrigan is working to implement his program more broadly through a PCORI-funded Dissemination and Implementation Award.