NCT02258594|Completed
Promoting Respect and Ongoing Safety Through Patient-centeredness, Engagement, Communication and Technology
PROSPECT
Transforming the Acute Care Environment: BWH PROSPECT Framework
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PROSPECT
Transforming the Acute Care Environment: BWH PROSPECT Framework
Sponsor study identifier
interventional
4,368
1 country
1
Study Start
March 2013
Date type not reportedThis date has not been verified as actual or estimated.
Primary Completion
June 2015
Actual (reported)Study Completion
June 2015
Actual (reported)The purpose of this project is to refine, implement, and evaluate a multi-component intervention that achieves sustainable and meaningful impact on healthcare quality, safety, and costs while ensuring dignity and respect for adult oncology and intensive care patients and their care partners. The PROSPECT (Promoting Respect and Ongoing Safety through Patient-centeredness, Engagement, Communication, and Technology) framework will achieve this by enhancing the patient-provider relationship and introducing patient-centered approaches to multi-disciplinary communication and patient education. The PROSPECT framework is based upon a validated structured, team-work training model and novel web-based technology. The overarching goals of this project are to achieve the following:
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
June 2015
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 2013
Date type not reportedThis date has not been verified as actual or estimated.
October 1, 2014
Actual (reported)October 7, 2014
Actual (reported)June 2015
Actual (reported)June 2015
Actual (reported)Preventable Harms (Adverse Events) in the Acute Care Setting
Preventable adverse events in the acute care setting include medication errors, patient falls, veno-thromboembolism, hospital acquired infection, central line related bloodstream infection, ventilator associated pneumonia, catheter associated urinary tract infection, newly acquired physical harm/injury. We will measure the rate of adverse events acquired from the time of admission to study units through hospital discharge. Using an adaptation of the Institute for Healthcare Improvement (IHI) Global Trigger Tool, we will randomly sample charts of enrolled patients from intervention and control units during the pre-intervention and post-intervention periods to identify adverse events. The length of hospital stay for patients admitted to medical intensive care and oncology units at our institution is variable, typically ranging from 5 to 30 days.
Enrolled patients will be followed for the duration of hospital stay, typically ranging from 5 to 30 days.
Patient Experience & Satisfaction & Engagement
At time of transfer/discharger from study unit and up to 45-days post-hospitalization
Healthcare Resource Utilization
From time of hospital admission through 30-days post-discharge
Care Plan Concordance
Approximately 48-72 hours after admission to study unit
Perceptions of Communication/Collaboration
Once during baseline (pre-intervention) and post-intervention periods, approximately 12 months
Patient Safety Climate
Once during baseline (pre-intervention) and post-intervention periods, approximately 12 months
Usual Care on two Medical Intensive Care Units units Usual Care on four Oncology units
PROSPECT Intervention (Web-Based Patient Centered Toolkit (PCTK) + The Patient-SatisfActive® Model) on two MICU units PROSPECT Intervention (Web-Based Patient Centered Toolkit (PCTK) + The Patient-SatisfActive® Model) on two Oncology units
Usual Care on two Oncology Units
The PCTK provides patients/care partners tailored health information regarding conditions, test results, and medications presented at a consumer health literacy level, and the ability to communicate with care team members via "patient-facing" tools accessible from bedside tablet computers. The PCTK allows patients to post questions to their care team members via a patient-centered microblog. The microblog facilitates development of a collaborative patient plan of care. The "provider-facing" PCTK includes tools that engage care team members in 1) completing a safety checklist and viewing a safety dashboard; 2) viewing patient-inputted information (goals, preferences, concerns) regarding the plan of care; 3) identifying clinical problems, care team goals, and patient schedules for education and multidisciplinary communication; 4) messaging patients on the "patient thread"; and 5) discussing patient's plan of care with other providers via the "provider thread".
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
Dalal AK, Dykes P, Samal L, McNally K, Mlaver E, Yoon CS, Lipsitz SR, Bates DW. Potential of an Electronic Health Record-Integrated Patient Portal for Improving Care Plan Concordance during Acute Care. Appl Clin Inform. 2019 May;10(3):358-366. doi: 10.1055/s-0039-1688831. Epub 2019 May 29.
Gazarian PK, Morrison CRC, Lehmann LS, Tamir O, Bates DW, Rozenblum R. Patients' and Care Partners' Perspectives on Dignity and Respect During Acute Care Hospitalization. J Patient Saf. 2021 Aug 1;17(5):392-397. doi: 10.1097/PTS.0000000000000353.
David W Bates, MD, MSc
Brigham and Women's Hospital
Patricia Dykes, RN, DNSc
Brigham and Women's Hospital
4,368 participants (actual enrollment reported by the registry).
First Submitted
October 1, 2014
First Posted
October 7, 2014
Study Start
March 2013
Date type not reportedThis date has not been verified as actual or estimated.
The Patient-SatisfActive Model is a structured, pro-active, patient-centered care model that aims at improving patient satisfaction by enhancing the degree to which patients' needs, concerns and expectations are met and by preserving dignity and respect. The model comprises steps that enhance interpersonal communication between clinicians and patients, incorporates clinicians' efforts to ascertain, address and document patients' needs, concerns, expectations and perceptions throughout hospitalization, and includes elements that empower and engage patients in their care.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
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Primary Completion
June 2015
Actual (reported)Study Completion
June 2015
Actual (reported)Last Updated
March 14, 2022
Record last verified: 2022-02
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