Medical Decisions in the Hospital Setting- M-Safety

University of Michigan

Status: Completed

Conditions: Diagnostic Errors

Treatments: Behavioral: Privacy tablescreen; Behavioral: Diagnostic Checklist; Behavioral: Noise cancelling headphones; Behavioral: Diagnostic assistance application; Behavioral: Mindfulness breathing exercise

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT03757884

HUM00145793

Details and patient eligibility

About

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.

Full 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.

Enrollment: 59 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Hospital Medicine Physicians

Exclusion criteria

• Physicians other than Hopitalists

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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59 participants in 1 patient group

Virtual Pod

Experimental group

Description:

Mindfulness breathing, privacy screen, noise cancelling headphones, diagnostic checklist, diagnostic support on-line application

Treatment:

Behavioral: Diagnostic Checklist

Behavioral: Diagnostic assistance application

Behavioral: Privacy tablescreen

Behavioral: Noise cancelling headphones

Behavioral: Mindfulness breathing exercise