ArticleCritical care medicine2017
Prospective Evaluation of a Multifaceted Intervention to Improve Outcomes in Intensive Care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study.
Article in Critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03855735 ("Sufficiency, Accuracy, Clarity, Contextualization, and Interpersonal Adaptation - Safe, Digitally Supported Communication in Gynecology and Obstetrics), which is not on this map. Cited by 27 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
"Sufficiency, Accuracy, Clarity, Contextualization, and Interpersonal Adaptation - Safe, Digitally Supported Communication in Gynecology and Obstetrics: TeamBaby"
Who cites it
27 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Society of Critical Care Medicine Guidelines on Family-Centered Care for Adult ICUs: 2024.Critical care medicine · 2025Guideline
- Using consumer engagement strategies to improve healthcare safety for young people: An exploration of the relevance and suitability of current approaches.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Patient and Family Engagement in Catheter-Associated Urinary Tract Infection (CAUTI) Prevention: A Systematic Review.Joint Commission journal on quality and patient safety · 2021Pooled it
- Interventions to promote family member involvement in adult critical care settings: a systematic review.BMJ open · 2021Pooled it
- Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.Annals of internal medicine · 2020Pooled it
- Effect of digital tools to promote hospital quality and safety on adverse events after discharge.Journal of the American Medical Informatics Association : JAMIA · 2024Trial
- Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention studyBMJ (Clinical research ed.) · 2018Trial
- Clinical and economic impact of digital dashboards on hospital inpatient care: a systematic review.JAMIA open · 2025Review
- Article
- Engagement of older adults in STRIDE's multifactorial fall injury prevention intervention.Journal of the American Geriatrics Society · 2022Article
- Assessing Interpersonal and Communication Skills.Journal of graduate medical education · 2021Article
- Evaluation of electronic health record-integrated digital health tools to engage hospitalized patients in discharge preparation.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Evaluating Patient-Centered Mobile Health Technologies: Definitions, Methodologies, and Outcomes.JMIR mHealth and uHealth · 2020Article
- Interactive Digital Health Tools to Engage Patients and Caregivers in Discharge Preparation: Implementation Study.Journal of medical Internet research · 2020Article
- A Standardized Checklist Improves the Transfer of Stroke Patients from the Neurocritical Care Unit to Hospital Ward.The Neurohospitalist · 2020Article
- Review
- Communication and patient safety in gynecology and obstetrics - study protocol of an intervention study.BMC health services research · 2019Article
- Acute Care Patient Portal Intervention: Portal Use and Patient Activation.Journal of medical Internet research · 2019Article
- Building patient capacity to participate in care during hospitalisation: a scoping review.BMJ open · 2019Article
Corrections and comments
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Authors and funding
23 authors.
Funding
Abstract
objectivesStudies comprehensively assessing interventions to improve team communication and to engage patients and care partners in ICUs are lacking. This study examines the effectiveness of a patient-centered care and engagement program in the medical ICU.
designProspective intervention study.
settingMedical ICUs at large tertiary care center. PATIENTS: Two thousand one hundred five patient admissions (1,030 before and 1,075 during the intervention) from July 2013 to May 2014 and July 2014 to May 2015.
interventionsStructured patient-centered care and engagement training program and web-based technology including ICU safety checklist, tools to develop shared care plan, and messaging platform. Patient and care partner access to online portal to view health information, participate in the care plan, and communicate with providers. MEASUREMENTS AND MAIN
resultsPrimary outcome was aggregate adverse event rate. Secondary outcomes included patient and care partner satisfaction, care plan concordance, and resource utilization. We included 2,105 patient admissions, (1,030 baseline and 1,075 during intervention periods). The aggregate rate of adverse events fell 29%, from 59.0 per 1,000 patient days (95% CI, 51.8-67.2) to 41.9 per 1,000 patient days (95% CI, 36.3-48.3; p < 0.001), during the intervention period. Satisfaction improved markedly from an overall hospital rating of 71.8 (95% CI, 61.1-82.6) to 93.3 (95% CI, 88.2-98.4; p < 0.001) for patients and from 84.3 (95% CI, 81.3-87.3) to 90.0 (95% CI, 88.1-91.9; p < 0.001) for care partners. No change in care plan concordance or resource utilization.
conclusionsImplementation of a structured team communication and patient engagement program in the ICU was associated with a reduction in adverse events and improved patient and care partner satisfaction.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.