Interdisciplinary Communication Clinical Trial
— MED-COMMOfficial title:
Minimizing Harm From ADEs by Improving Nurse-Physician Communication
Verified date | May 2015 |
Source | VA Office of Research and Development |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Federal Government |
Study type | Observational |
The purpose of this research study is to examine the clinical processes of care involved
with the sharing and communicating of medication management information in the inpatient
setting between nurses, pharmacists and physicians. The study is unique in that few studies
have examined communication content and processes in depth and in relation to specific
clinical care. The study will be conducted in two phases. The first phase involves using
three focus groups across three sites (a total of nine) each involving between 6-8
individuals to examine perceptions regarding role and procedures associated with medication
management. The focus group discussions will be tape-recorded and analyzed using qualitative
methods. The information gleaned will assist us in identifying patterns of problems in
enhancing the sharing of information, to develop better measures for assessing communication
as well as designing effective interventions to enhance communication.
In the second phase of the study, 400 2-4 hour time slots will be randomly selected over
about a 5-week period for nursing staff and 500 events over a 6-week period for physicians
to conduct ethnographic observations during which specific communication events will be
recorded and coded. Every effort will be made to minimize interruptions during clinical
care. This research has not been done in terms of medication management content in the
inpatient setting (non-ICU).
Status | Completed |
Enrollment | 39 |
Est. completion date | September 2009 |
Est. primary completion date | September 2009 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: Providers who are working in the VA on the inpatient setting, including pharmacists, nurses, and physicians. Exclusion Criteria: Staff who have worked at the VA less than 1 year. |
Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
United States | VA Medical Center, Asheville | Asheville | North Carolina |
United States | Salt Lake City | Salt Lake City | Utah |
United States | VA Medical Center, San Francisco | San Francisco | California |
Lead Sponsor | Collaborator |
---|---|
VA Office of Research and Development |
United States,
Flaherty JH, Shay K, Weir C, Kamholz B, Boockvar KS, Shaughnessy M, Shapiro R, Gordon S, Stein J, Rudolph JL; VA Delirium Working Group. The development of a mental status vital sign for use across the spectrum of care. J Am Med Dir Assoc. 2009 Jul;10(6): — View Citation
Vogelsmeier A, Pepper GA, Oderda L, Weir C. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013 Jul-Aug;9(4):419-30. doi: 10.1016/j.sapharm.2012.08.002. Epub 2012 Oct 23. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incident Rate for Communication Events | Observation periods were approximately two-hours long. Some providers were observed more than once. The number of communication events were counted per each observation period. | 6 months | No |
Secondary | Overall Involvement in Conversation by Roles | The number of communication events was recorded on electronic notepads during each observation period. The communication events recorded included: a) physicians to physicians, to nurses, to pharmacists, and to patients; b) nurses to nurses, to physicians, to pharmacists, and to patients; and c) pharmacists to pharmacists, to physicians, to nurses, and to patients. The percentage of each of these types of verbal communications was calculated from the total number of communication events. | 6 months | No |
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