Impact on the Adverse Event (AE) Incidence of Two Types of Experience Feedback on AE Analyzed During Local Morbidity Mortality Reviews (RMM Simulation)

Civil Hospices of Lyon

Status: Unknown

Conditions: Hospital Adverse Event

Treatments: Other: Large diffusion of information; Other: Multi professional in situ simulation

Study type: Observational

Funder types: Other

Identifiers

NCT02771613

69HCL16_0093

Details and patient eligibility

About

After implementing a French version of a trigger tool validated for computerized detection of adverse events in patient's medical record, the study will be performed in three parallel randomized arms of three identical departments (each steaming from 6 types of medical, surgical or obstetrical departments with a total of 18 departments involved). This three arms will be: no intervention, education of department's staff by multi professional in situ simulation (adapted to the discovered adverse events), or simple but large diffusion of results and decisions of Morbidity Mortality Reviews.

The interventions will be performed during a two-years period.

Enrollment: 144,000 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients aged > 18 years old
• patients hospitalized in the involved departments during the two-years intervention's period

Exclusion criteria

• patient aged < 18 years old
• no other exclusion criteria

Trial design

144,000 participants in 3 patient groups

Active experience feedback

Description:

Multi professional, in situ simulation , with scenarios based on the adverse events analyzed in MMR : After analysis of adverse effects in Morbidity Mortality reviews, we will create scenarios adapted to these events. Education of the randomized department's arm's staff will be performed by multi professional in situ simulation with these scenarios

Treatment:

Other: Multi professional in situ simulation

Passive experience feedback

Description:

Large diffusion of information about discussions and decisions of Morbidity Mortality Reviews : after the analysis of adverse effects in Morbidity Mortality reviews, a large scale dissemination activity of information about discussions and decisions towards the staff of the randomized departments' arms will be carried out.

Treatment:

Other: Large diffusion of information

No experience feedback

Description:

MMR will be performed as usual, without any feedback to the medical staff