Patients and Families Improving Safety in Hospitals by Actively Reporting Experiences
NCT05407129 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 656
Last updated 2026-03-24
Summary
Hospitals ineffectively examine the safety of their processes by relying on voluntary incident reporting (VIR) by clinical staff who are overworked and afraid to report. VIR captures only 1-10% of events, excludes patients and families, and underdetects events in vulnerable groups like patients with language barriers. Patients and families are vigilant partners in care who are adept at identifying errors and AEs. Failing to actively include patients and families in safety reporting and instead relying on flawed VIR presents an important missed opportunity to improve safety. To improve hospital safety, there is a critical need to coproduce (create in partnership with families) effective systems to identify uncaptured errors. Without this information, hospitals are impeded in their ability to improve patient safety. In partnership with diverse families, nurses, physicians, and hospital leaders, investigators created a multicomponent communication intervention to engage families of hospitalized children in safety reporting. The intervention includes 3 elements: (1) a multilingual mobile (email, text, and QR-code) reporting tool prompting families to share concerns and suggestions about safety, (2) family/staff education, and (3) a process for sharing family reports with the unit and hospital so systemic issues can be addressed.
Conditions
- Family Reported Errors and Adverse Events
- Health Disparities
- Family Safety Reporting
- Patient Safety
- Voluntary Incident Reporting
- Quality Improvement
Interventions
- BEHAVIORAL
-
Family safety reporting intervention
Family safety reporting intervention for patients/families
Sponsors & Collaborators
-
Agency for Healthcare Research and Quality (AHRQ)
collaborator FED -
Pediatric Research in Inpatient Settings (PRIS)
collaborator UNKNOWN - lead OTHER
Principal Investigators
-
Alisa Khan, MD, MPH · Boston Children's Hospital/Harvard Medical School
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-04-13
- Primary Completion
- 2027-10-28
- Completion
- 2028-10-28
Countries
- United States
Study Locations
More Related Trials
-
Tailoring a Home Supervision Intervention for Low-Income Families
NCT03517475 ·Status: COMPLETED ·Phase: NA
-
Piloting ProHealth: A Program for Male Soldiers on Sex, Dating and Alcohol-Use at Fort Bragg
NCT03184298 ·Status: UNKNOWN ·Phase: NA
-
A System of Safety (SOS)
NCT03104504 ·Status: COMPLETED ·Phase: NA
-
Family Functioning and Child Behavior When a Sibling is Critically Ill
NCT00912626 ·Status: COMPLETED ·Phase: NA
-
Emergency Department Safety Assessment and Follow-up Evaluation 2
NCT02453243 ·Status: COMPLETED ·Phase: NA
-
Developing and Feasibility Testing of a Brief Contact Intervention to Reduce Self-harm Repetition Through Co-design.
NCT05530018 ·Status: COMPLETED ·Phase: NA
-
iLookOut for Child Abuse: Micro-learning to Improve Knowledge Retention
NCT04324619 ·Status: RECRUITING ·Phase: NA
-
Addressing Intimate Partner Violence Among Women Veterans
NCT04106193 ·Status: COMPLETED ·Phase: NA
-
iLook Out for Child Abuse: An Innovative Learning Module for Childcare Providers
NCT03185728 ·Status: COMPLETED ·Phase: NA
-
Advancing Suicide Intervention Strategies for Teens During High Risk Periods
NCT05078970 ·Status: RECRUITING ·Phase: NA
-
Suicide Risk Interventions
NCT05931289 ·Status: RECRUITING ·Phase: PHASE2
-
Increasing Teen Access to Sexual and Mental Health Care
NCT05444855 ·Status: COMPLETED ·Phase: NA
-
A Pilot Intervention With Families of Children With Special Health Care Needs
NCT02742831 ·Status: WITHDRAWN ·Phase: NA
-
Study of Long-term Efficacy and Mechanisms Underlying the Impact of a Web-based Sexual and Relationship Health Promotion Program With Young Adult Community College Students
NCT04950686 ·Status: COMPLETED ·Phase: NA
-
Adaptive Implementation Intervention for VA Suicide Risk Identification Strategy
NCT04243330 ·Status: COMPLETED ·Phase: NA
-
Improving the Quality of Care in Nursing Homes
NCT00572221 ·Status: COMPLETED ·Phase: NA
-
Telephone-Based Support for Caregivers of Patients With Dementia
NCT00052104 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
The Effect of a Brief Psychological Intervention on Reducing Self-harm Repetition: Feasibility Study
NCT03376113 ·Status: UNKNOWN ·Phase: NA
-
Preventing Youth Suicide in Primary Care: A Family Model
NCT00604097 ·Status: COMPLETED ·Phase: PHASE3
-
Pilot Study of a Brief Intervention for Medically Hospitalized Suicide Attempt Survivors
NCT02414763 ·Status: COMPLETED ·Phase: PHASE1
-
The Safety-Net Approach
NCT04675567 ·Status: COMPLETED ·Phase: NA
-
Survivor Health and Resilience Education
NCT03327025 ·Status: COMPLETED ·Phase: NA
-
Healthy Homes Healthy Children (H3C)
NCT01740622 ·Status: COMPLETED ·Phase: NA
-
Behavioral Skills Training Methods to Reduce Car Seat Misuse
NCT05490992 ·Status: COMPLETED ·Phase: NA
-
A Novel Cognitive Reappraisal Intervention for Suicide Prevention
NCT03026127 ·Status: COMPLETED ·Phase: NA