Medical Decisions in the Hospital Setting- M-Safety
- Conditions
- Diagnostic Errors
- Interventions
- Behavioral: Mindfulness breathing exerciseBehavioral: Diagnostic ChecklistBehavioral: Noise cancelling headphonesBehavioral: Privacy tablescreenBehavioral: Diagnostic assistance application
- Registration Number
- NCT03757884
- Lead Sponsor
- University of Michigan
- Brief Summary
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.
- Detailed 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 59
- Hospital Medicine Physicians
- Physicians other than Hopitalists
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Virtual Pod Mindfulness breathing exercise Mindfulness breathing, privacy screen, noise cancelling headphones, diagnostic checklist, diagnostic support on-line application Virtual Pod Diagnostic assistance application Mindfulness breathing, privacy screen, noise cancelling headphones, diagnostic checklist, diagnostic support on-line application Virtual Pod Noise cancelling headphones Mindfulness breathing, privacy screen, noise cancelling headphones, diagnostic checklist, diagnostic support on-line application Virtual Pod Diagnostic Checklist Mindfulness breathing, privacy screen, noise cancelling headphones, diagnostic checklist, diagnostic support on-line application Virtual Pod Privacy tablescreen Mindfulness breathing, privacy screen, noise cancelling headphones, diagnostic checklist, diagnostic support on-line application
- Primary Outcome Measures
Name Time Method Change in Number of Patient Differential Diagnosis 8 months Differential Diagnosis
Change in the Use of Diagnostic Checklist 8 months Diagnostic Checklist
- Secondary Outcome Measures
Name Time Method Change in Mindfulness Behaviors Score 8 months This 4 Question Survey Measures Characteristics of Mindfulness, Range- 1=Always, 6=Never
Change in Number of Patient Diagnostic Testing 8 months Diagnostic Testing includes Laboratory and Imaging
Change in Time Participants are Measured as Calm 8 months Time Measured in Minutes, Using the Spire Monitor
Change in Time Participants are Measured as Focused 8 months Time Measured in Minutes, Using the Spire Monitor
Change in Time Participants are Measured as Tense 8 months Time Measured in Minutes, Using the Spire Monitor
Trial Locations
- Locations (2)
Ann Arbor VA Healthcare System
🇺🇸Ann Arbor, Michigan, United States
University of Michigan
🇺🇸Ann Arbor, Michigan, United States