The Effect of a Novel Electronic Physician Audit and Feedback Bundle on Inpatient Performance Metrics
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Proportion of patients with a high quality after visit summary
研究概览
简要总结
This single-blinded, cluster randomized control trial will assess the effectiveness of an audit and feedback bundle on internal medicine physician performance on selected quality metrics. The feedback bundle includes an electronic dashboard and weekly feedback rounds in which physicians will review their performance. The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance.
详细描述
This is a single-blinded, cluster randomized control trial of 48 internal medicine teams (24 teams will be randomized to the intervention arm and and 24 teams randomized to control arm) on inpatient medicine wards. Each team consists of at least 4 members (attending physician, senior resident, two interns). The intervention arm teams will receive the new audit and feedback bundle, which includes access to the electronic dashboard and weekly feedback rounds in which they review their performance on several inpatient quality metrics via the electronic dashboard. The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance on selected quality measures. This primary aim of the trial will be to compare the effectiveness of performance feedback on inpatient quality metrics specifically high quality after visit summary, medical reconciliation and discharge summary timeliness. Other group comparisons will include other inpatient quality metrics and satisfaction with feedback.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All physicians that rotate through internal medicine wards during the study period (teaching attending physicians and internal medicine residents and interns)
排除标准
- 未提供
结局指标
主要结局
Proportion of patients with a high quality after visit summary
时间窗: 6 months
The number of hospital medicine team patients with after visit summaries of high quality divided by the total number hospital medicine team patients with an after visit summary.
Proportion of patients with discharge summary timeliness
时间窗: 6 months
The number of discharge summaries completed within 24 hours of discharge for hospital medicine team patients/total number of discharges from hospital medicine with a discharge summary completed
Proportion of patients Complete Medication Reconciliation by Discharge
时间窗: 6 months
The total number of patients with an action taken on all home medications divided by the total number of patients on the hospital medicine teaching service.
Proportion of patients achieving a high quality 'perfect' discharge
时间窗: 6 months
Proportion of patients who have a high quality after visit summary and a discharge summary completed within 24 of discharge and all medications reconciled by discharge.
次要结局
- Proportion of attending and resident physicians who 'strongly agree' that they are satisfied with the audit and feedback of performance data that they receive.(6 months)
- Total Phlebotomy Sticks(6 months)
- Percent of Patients on Telemetry Until Discharge(6 months)
- Proportion of patients discharged by noon(6 months)