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Avoidable Mortality Case Note Review Trial

NCT01998191 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200

Last updated 2022-05-05

No results posted yet for this study

Summary

TITLE A randomized controlled trial to assess the best method for evaluating avoidable mortality in hospitals using medical record review.

DESIGN Randomised controlled trial This trial will be conducted in concordance with the CONSORT guidelines for randomised controlled trials.

AIMS Compare explicit versus implicit case review methods for detecting avoidable mortality in patients who have died in hospital Assess the accuracy and efficiency of physicians versus nurses in detecting avoidable mortality in patients who have died in hospital

OUTCOME MEASURES Rate of adverse event detection between explicit and implicit review methods Type of adverse event detection between explicit and implicit review methods

Kappa score of agreement for inter-rater reliability for the above outcomes:

* Between individual reviewers within using the same review method
* Between different reviewer types.

PARTICIPANTS Physician reviewers and nurses No patient participation. Case records of patients who had inpatient hospital mortality will be reviewed.

ELIGIBILITY Over 18, Able to consent, English Language Speaking, Able to participate in case note review training, appropriate level of clinical experience.

DURATION 2 years with extension if required and reviewed.

Conditions

  • In Hospital Mortality

Interventions

OTHER

Explicit case note review checklist (nurse)

A checklist to be used to screen notes for features of avoidable death used by nurses. to be compared with 'Implicit Case note review (physician)' 'Implicit Case note review (MDT)' 'Implicit Case note review (nurse)' and the other two intervention arms.

OTHER

Explicit case note review checklist (physician)

A checklist to be used to screen notes for features of avoidable death, used by a nurse. to be compared with 'Implicit Case note review (physician)' 'Implicit Case note review (MDT)' 'Implicit Case note review (nurse)' and the other two intervention arms.

OTHER

Explicit case note review checklist (MDT)

A checklist to be used to screen notes for features of avoidable death used by a nurse and an expert physician. to be compared with 'Implicit Case note review (physician)' 'Implicit Case note review (MDT)' 'Implicit Case note review (nurse)' and the other two intervention arms.

Sponsors & Collaborators

  • Imperial College London

    lead OTHER

Principal Investigators

  • Ara Darzi · Imperial College London

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2014-02-28
Primary Completion
2023-01-31
Completion
2023-01-31

Countries

  • United Kingdom

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01998191 on ClinicalTrials.gov