A stepped wedge, cluster-controlled trial to evaluate a structured team intervention on medical wards (Hospital Event Analysis Describing Significant Unanticipated Problems)

IHR Imperial Patient Safety Translational Research Centre0 个研究点目标入组 7,840 人开始时间: 2015年3月24日最近更新: 2017年8月28日

适应症

试验速览

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•1. Health professionals on participating medical wards available to take part in the HEADS-UP briefings
•2. All patients admitted to those wards during the study period, unless they meet one of the exclusion criteria

•Patient exclusion criteria:
•1. Time spent on the specified ward comprising less than 50% of the total inpatient stay
•2. Discharge to a new skilled care facility or other hospital (i.e., not the patient’s address at the time of admission; discharge to a new facility typically incurs substantial delays, outside of the ward team’s control)
•3. Multiple intra-hospital ward transfers. A single transfer from the initial admissions unit to a downstream medical ward is permitted. One further transfer to an escalation area to facilitate discharge (whereby the patient spends less than 24 hours in the escalation area immediately prior to their discharge home) is also permitted
•4. Admission to the high dependency unit or ICU
•5. Elective admission or direct admission from another hospital
•6. Surgeon-directed care for more than 24 hours during the inpatient stay

发起方

IHR Imperial Patient Safety Translational Research Centre