Minimizing Harm From ADEs by Improving Nurse-Physician Communication

NCT00574990 | Completed Results

• 1 other identifier: NRI 05-275
• Study Type: observational
• Target: 39
• Locations: 1 country
• Sites: 3

Brief Summary

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).

Conditions

Interdisciplinary Communication; Management, Medication Therapy

Keywords

Interdisciplinary Communication; Safety Management; Management, Medication Therapy; Cooperative Behavior; Drug Therapy Management; Physician Nurse Relationships; Side Effects; Hospital Information Systems; Documentation; Quality Assurance, Health Care

Outcome Measures

Primary Outcomes (1)

• 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

Secondary Outcomes (1)

• Overall Involvement in Conversation by Roles

  6 months

Study Arms (3)

VA Physicians

VA providers who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.

VA Nurses

VA nurses who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.

VA Pharmacists

VA pharmacists who had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

VA Physicians, Nurses, and Pharmacists had worked at least one year in the VA and were familiar with the VA's electronic health record, CPRS.

You may qualify if:

• Providers who are working in the VA on the inpatient setting, including pharmacists, nurses, and physicians.

You may not qualify if:

• Staff who have worked at the VA less than 1 year.

Sponsors & Collaborators

• US Department of Veterans Affairs: lead

Study Sites (3)

VA Medical Center, San Francisco

San Francisco, California, 94121, United States

Location

VA Medical Center, Asheville

Asheville, North Carolina, 28805, United States

Location

Salt Lake City

Salt Lake City, Utah, 84148, United States

Location

Related Publications (2)

• 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):379-80. doi: 10.1016/j.jamda.2009.04.001. No abstract available.

  PMID: 19560714 RESULT

• 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.

  PMID: 23089295 RESULT

MeSH Terms

Conditions

Cooperative Behavior

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Results Point of Contact

• Title: Dr. Charlene Weir
• Organization: Salt Lake City VA HSRD IDEAS 2.0 Center of Innovation

charlene.weir@utah.edu

801-582-1565

Study Officials

• Charlene R Weir, PhD RN

  Salt Lake City

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: observational
• Time Perspective: PROSPECTIVE
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 12, 2007
• First Posted: December 17, 2007
• Study Start: January 1, 2008
• Primary Completion: September 1, 2009
• Study Completion: September 1, 2009
• Last Updated: June 9, 2015
• Results First Posted: June 9, 2015

Record last verified: 2015-05

Locations

US (3)