Proactive Reduction of Outpatient Malpractice: Increasing Safety, Efficiency, and Satisfaction

Summary

The purpose of the Proactive Reduction of Outpatient Malpractice: Increasing Safety, Efficiency, and Satisfaction (PROMISES) project is to assemble a high-level Massachusetts consortium to test the impact of powerful quality improvement techniques to accomplish innovations and improvements in high risk ambulatory malpractice areas. We will target problem-prone processes in 3 areas of identified risk: 1) medication management, 2) test ordering and results management 3) follow-up and referral management.

Conditions

• Medical Malpractice
• Patient Safety

Interventions

OTHER

Training and in-office coaching

Participating practices will be coached to perform rapid, small-scale tests of change and to iteratively improve performance of problem-prone care systems, as well as to imbed simple measurement in routine daily work streams to guide improvement efforts. The sixteen intervention practices will serve as realistic research laboratories to help advance malpractice risk prevention and patient safety in specific areas by refining tools and strategies for smaller practices.

Sponsors & Collaborators

• Brigham and Women's Hospital

  collaborator OTHER

• Massachusetts Coalition for the Prevention of Medical Errors

  collaborator OTHER

• Institute for Healthcare Improvement

  collaborator OTHER

• Massachusetts Medical Society

  collaborator OTHER

• Healthcare for All

  collaborator UNKNOWN

• Crico

  collaborator OTHER

• Coverys

  collaborator UNKNOWN

• Agency for Healthcare Research and Quality (AHRQ)

  collaborator FED

• Massachusetts Department of Health

  lead OTHER_GOV

Principal Investigators

• Madeleine Biondolillo, MD · Massachusetts Department of Health

• Gordon Schiff, MD · Brigham and Women's Hospital

• Nicholas Leydon, MPH · Massachusetts Department of Health

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2010-07-31

Primary Completion

2013-06-30

Completion

2013-06-30

Countries

• United States

Study Locations