Medical Decisions in the Hospital Setting- M-Safety — M-Safety  

Diagnostic Errors Clinical Trial

Official title: Improving Medical-Decision Through Cognition, Technology and Communication, Phase 2

Status Completed

Clinical Trial 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.

Clinical Trial 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. ;

Related Conditions & MeSH terms

• Diagnostic Errors

• NCT number: NCT03757884
• Study type: Interventional
• Source: University of Michigan
• Status: Completed
• Phase: N/A
• Start date: September 10, 2018
• Completion date: September 17, 2019