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OpenTrials
Completed

NCT Number: NCT02625142

Family-Centered Rounds Checklist Implementation

The goal of this study is to develop, implement, and evaluate the effectiveness of an intervention designed to facilitate family engagement during bedside rounds at a children's hospital. The intervention consists of a "checklist" of key behaviors associated with the delivery of quality family-centered rounds, as well as training in the use of the checklist tool. In a pre-post controlled design, two hospital services will be randomized to use the checklist while two others will be randomized to usual care. The intervention is expected to increase to the performance of key checklist behaviors, family engagement, and family perceptions of patient safety.

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Key information

Conditions

Child, Hospitalized Delivery of Health Care Morning Rounds

Age range

Up to 17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Wisconsin-Madison School of Medicine and Public Health; American Family Children's Hospital

Madison, Wisconsin, 53705, United States

About this study

Family engagement in children's healthcare encounters has been suggested as a means to improve safety. To engage families in care, the recommended practice is to conduct rounds at the child's bedside with the family present (family-centered rounds). Family-centered rounds strive to engage families in (1) a relationship with care providers, (2) exchange of information for decision making, and (3) deliberation about decisions. Bedside rounds represent a consistent venue to engage families in the care of hospitalized children, yet no studies have systematically identified and examined the barriers and facilitators of family engagement during rounds as a means to improve safety.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Admitted as an inpatient on the pediatric hospitalist service, pulmonary service, or hematology/oncology service, during the study period.

Exclusion criteria

  • Stigmatizing/sensitive reason for hospitalization (e.g., suspected non-accidental trauma or mental health concerns)
  • New cancer diagnosis
  • Parent(s) unable to speak or read English
  • Parent(s) unavailable to consent (absent or sleeping during recruitment visits)
  • Already participated in the study during a prior inpatient admission

Treatment and study plan

Family-centered rounds checklist tool

Other

A printed checklist containing 9 key tasks associated with effective delivery of family-centered rounds. A previously-identified member of each rounding team was responsible for holding the printed checklist during morning rounds. Team members were trained the in the use of this checklist prior to the post-intervention period, and a brief refresher training was conducted mid-way through the period.

Primary outcomes

  1. Parent perceptions of hospital safety climate

    Time frame: Change between baseline (inpatient admission) and study completion (discharge from hospital, an average of 6 days)

    Children's Hospital Safety Climate survey

  2. Family engagement in rounds

    Time frame: Every family-centered morning round that occurred during the patient's hospital stay through study completion, an average of 6 days

    Video data was collected for every morning round over the course of the patient's hospital stay. These videos were coded for measures of family engagement in rounds using established and validated coding systems (e.g. RIAS).

Secondary outcomes

  1. Checklist item performance

    Time frame: Every family-centered morning round that occurred during the patient's hospital stay through study completion, an average of 6 days

    Assessment of how many key checklist elements were performed during each family-centered round (coded from video recordings of each round).

Sponsors and collaborators

Lead sponsor

University of Wisconsin, Madison

Other

Collaborators

  • Agency for Healthcare Research and Quality (AHRQ)

Registry information

Official study title

Engaging Families in Bedside Rounds to Promote Pediatric Patient Safety

Important dates

Study start
2010
Primary completion
2013
Study completion
2013
First posted
Dec 9, 2015
Registry last updated
Jan 15, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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