The Effect of a Novel Audit and Feedback Bundle on Inpatient Performance
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|ClinicalTrials.gov Identifier: NCT02593253|
Recruitment Status : Completed
First Posted : November 1, 2015
Last Update Posted : May 9, 2017
|Condition or disease||Intervention/treatment||Phase|
|Quality Improvement||Other: Audit and Feedback Bundle Other: Bi-weekly audit and feedback emails||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||200 participants|
|Intervention Model:||Parallel Assignment|
|Primary Purpose:||Health Services Research|
|Official Title:||The Effect of a Novel Electronic Physician Audit and Feedback Bundle on Inpatient Performance Metrics|
|Actual Study Start Date :||February 2016|
|Actual Primary Completion Date :||December 2016|
|Actual Study Completion Date :||May 2017|
Experimental: Intervention Audit and Feedback Bundle
Access to the electronic dashboard and weekly feedback rounds
Other: Audit and Feedback Bundle
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 dashboard.
Active Comparator: Bi-weekly audit and feedback emails
Access to biweekly feedback emails with performance on selected quality measures (current practice).
Other: Bi-weekly audit and feedback emails
The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance on selected quality measures.
- Proportion of patients with a high quality after visit summary [ Time Frame: 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 [ Time Frame: 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 [ Time Frame: 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 [ Time Frame: 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.
- Proportion of attending and resident physicians who 'strongly agree' that they are satisfied with the audit and feedback of performance data that they receive. [ Time Frame: 6 months ]Proportion of attending and resident physicians who 'strongly agree' that they are satisfied with the audit and feedback of performance data that they receive. This specific satisfaction item has been developed by the study team.
- Total Phlebotomy Sticks [ Time Frame: 6 months ]The total number of unique accession numbers for each unique hospitalization of a patient
- Percent of Patients on Telemetry Until Discharge [ Time Frame: 6 months ]The number of patients on without a discontinue order for telemetry within two hours of their discharge date time divided by the total number of patients on telemetry for hospital medicine teams
- Proportion of patients discharged by noon [ Time Frame: 6 months ]The number of patients discharged by hospital medicine team attendings by noon (6am-11:59am)/total number of discharges by hospital medicine team attendings
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02593253
|United States, California|
|University of California San Francisco|
|San Francisco, California, United States, 94143|
|Principal Investigator:||Alvin R Rajkomar, MD||University of California, San Francisco|