Improving Medical-Decision Through Cognition, Technology and Communication, Phase 2
| Registry | NCT03757884, acronym M-Safety |
|---|---|
| Status | Completed |
| Phase | Not applicable |
| Study type | Interventional; na, single group, masking: none, health services research |
| Enrollment | 59 (Actual) |
| Sponsor | University of Michigan (Other); collaborators: Agency for Healthcare Research and Quality (AHRQ) |
| Conditions | Diagnostic Errors |
| Interventions | Mindfulness breathing exercise, Diagnostic Checklist, Noise cancelling headphones, Privacy tablescreen, Diagnostic assistance application (Behavioral) |
| Dates | start 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 in United States |
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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.
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.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Virtual Pod | Experimental | Behavioral: Mindfulness breathing exercise; Behavioral: Diagnostic Checklist; Behavioral: Noise cancelling headphones; Behavioral: Privacy tablescreen; Behavioral: Diagnostic assistance application | Mindfulness breathing, privacy screen, noise cancelling headphones, diagnostic checklist, diagnostic support on-line application |
Sex: All, ages: 18 Years to 99 Years, accepts healthy volunteers
Inclusion Criteria: * Hospital Medicine Physicians Exclusion Criteria: * Physicians other than Hopitalists
| Facility | City | Country | Status |
|---|---|---|---|
| Ann Arbor VA Healthcare System | Ann Arbor, Michigan | United States | |
| University of Michigan | Ann Arbor, Michigan | United States |