Family Activation and Communication About Errors and Safety (FACES)
- Conditions
- Family Reported Errors and Adverse Events
- Interventions
- Behavioral: Family safety reporting intervention
- Registration Number
- NCT02877017
- Lead Sponsor
- Boston Children's Hospital
- Brief Summary
Miscommunications are a leading cause of serious medical errors in hospitals, contributing to more than 60% of sentinel events, the most serious adverse events reported to the Joint Commission. Efforts to improve patient safety in hospitals have centered on improving communication between providers. While provider-focused communication interventions have led to reductions in patient harm, patients and families have been notably absent from most interventions to improve patient safety. This proposal seeks to develop a family safety reporting intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 985
- Primary caregiver of a child hospitalized on the study units during the study period or hospital employee who works on the study unit(s)
- Country of Origin: United States
- Primarily English- or Spanish-speaking
- International patients
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Post-intervention arm Family safety reporting intervention This arm is the post-intervention arm of parents and providers after the family safety reporting bundle has been implemented on the study units.
- Primary Outcome Measures
Name Time Method Family Safety Reporting Rates During both baseline and intervention periods, the time frame for each participant being assessed was from admission to discharge, on average approximately 5-14 days. Our primary outcome was family-reported safety concerns, defined as reporting safety concern(s) via pre-discharge survey (baseline and intervention) or mobile tool (intervention). Safety concerns were counted once if reported both via survey and mobile tool.
- Secondary Outcome Measures
Name Time Method Family Reported Hospital Safety Climate Scores During both baseline and intervention periods, the time frame for each participant being assessed was from admission to discharge, on average approximately 5-14 days. For Family Reported Hospital Safety Climate Scores, Child HCAHPS safety experience was used to ask whether hospital staff told participants how to report concerns about mistakes. We examined top-box (top-most, e.g., 5 of 5, Likert scale) safety climate scores baseline vs intervention and proportion of parents reporting "yes definitely" or "yes somewhat" vs "no" to the Child HCAHPS "tell you how to report" question.
Trial Locations
- Locations (1)
Boston Children's Hospital
🇺🇸Boston, Massachusetts, United States