Redesigning Systems to Improve Quality for Hospitalized Patients

Summary

Despite recent improvements, healthcare systems are still a long way from consistently delivering high quality care to hospitalized patients. In this study, the research team is assisting hospitals in implementing a set of complementary, mutually reinforcing interventions to redesign care for hospitalized medical patients. The investigators anticipate the interventions will improve teamwork and patient outcomes and that identifiable factors and strategies will be associated with successful implementation.

Conditions

• Interdisciplinary Communication
• Interpersonal Relations
• Adverse Event
• Interprofessional Relations

Interventions

BEHAVIORAL

Advanced and Integrated MicroSystems (AIMS) interventions

Each of 4 sites is receiving mentorship from nurse and physician with expertise in implementing similar interventions. The AIMS interventions consist of 1) unit-based physician teams, 2) unit nurse-physician co-leadership, 3) enhanced interprofessional rounds, 4) unit-level performance reports, and 5) patient engagement activities.

Sponsors & Collaborators

• Society of Hospital Medicine

  collaborator OTHER

• University of Michigan

  collaborator OTHER

• University of Kentucky

  collaborator OTHER

• The University of Texas Health Science Center at San Antonio

  collaborator OTHER

• Alamance Regional Medical Center

  collaborator UNKNOWN

• Baptist Hospital

  collaborator UNKNOWN

• Good Samaritan Regional Medical Center, Oregon

  collaborator OTHER

• Ball Memorial Hospital

  collaborator OTHER

• University of Texas at Austin

  collaborator OTHER

• Northwestern University

  lead OTHER

Principal Investigators

• Kevin O'Leary · Northwestern University Feinberg School of Medicine

Study Design

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

99 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-06-05

Primary Completion

2021-06-30

Completion

2022-11-30

Countries

• United States

Study Locations