Evidence map›Paper›PMID 30518517›Full record

Trial reportBMJ (Clinical research ed.)2018

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study

Alisa Khan, Nancy D Spector, Jennifer D Baird, Michele Ashland, Amy J Starmer, Glenn Rosenbluth, Briana M Garcia, Katherine P Litterer, Jayne E Rogers, Anuj K Dalal and 34 more

2 registry-linked trialsOpen access · hybridAbstract readClinical TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 93 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 9 pooled it
24.4field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02320175 nacompletednot on this map

Bringing I-PASS to the Bedside: A Communication Bundle to Improve Patient Safety and Experience

TypeinterventionalSponsorBoston Children's HospitalRan2014 to 2017Enrolled6,478ConditionsCommunicationArmsPatient and Family Centered I-PASS
NCT05591066 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Patient and Family Centered I-PASS LISTEN Study: Language, Inclusion, Safety, and Teamwork for Equity Now

TypeinterventionalSponsorBoston Children's HospitalRan2024 to 2028Enrolled14,400ConditionsCommunicationArmsPFC I-PASS Intervention, PFC I-PASS+ Intervention
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 9 syntheses or guidelines pooled it, 232 citations in OpenAlex.

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  6. 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 · 2022
    Pooled it
  7. 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 · 2021
    Pooled it
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  11. Differential Impact of Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit by Social Factors: A Post Hoc Subgroup Analysis.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
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  14. Engaging Parents in Healthcare Interventions to Improve Paediatric Patient Safety: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2026
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33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors at 17 institutions in 2 countries.

Alisa KhanHarvard Medical School, Boston, MA, USA.ORCID 0000-0002-1641-1061
Nancy D SpectorDrexel University College of Medicine, Philadelphia, PA, USA.
Jennifer D BairdInstitute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Michele AshlandFamily-Centered Care Department, Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA.
Amy J StarmerHarvard Medical School, Boston, MA, USA.
Glenn RosenbluthUniversity of California San Francisco School of Medicine, San Francisco, CA, USA.
Briana M GarciaUniversity of California San Francisco School of Medicine, San Francisco, CA, USA.
Katherine P LittererOffice of Experience, Boston Children's Hospital, Boston, MA, USA.
Jayne E RogersInpatient Medicine, Boston Children's Hospital, Boston, MA, USA.
Anuj K DalalHarvard Medical School, Boston, MA, USA.
Stuart LipsitzHarvard Medical School, Boston, MA, USA.
Catherine S YoonCenter for Patient Safety Research, Division of General Medicine, Department of Medicine at Brigham and Women's Hospital, Boston, MA, USA.
Katherine R ZigmontCenter for Patient Safety Research, Division of General Medicine, Department of Medicine at Brigham and Women's Hospital, Boston, MA, USA.
Amy GuiotUniversity of Cincinnati College of Medicine, Cincinnati, OH, USA.
Jennifer K O'TooleUniversity of Cincinnati College of Medicine, Cincinnati, OH, USA.
Aarti PatelUniversity of California San Diego School of Medicine, San Diego, CA, USA.
Zia BismillaPediatrics, University of Toronto, Toronto, ON, Canada.
Maitreya CoffeyPediatrics, University of Toronto, Toronto, ON, Canada.
Kate LangrishFaculty of Nursing, University of Toronto, Toronto, ON, Canada.
Rebecca L BlankenburgStanford School of Medicine, Palo Alto, CA, USA.
Lauren A DestinoStanford School of Medicine, Palo Alto, CA, USA.
Jennifer L EverhartStanford School of Medicine, Palo Alto, CA, USA.
Brian P GoodUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Irene KocolasUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Rajendu SrivastavaUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Sharon CalamanDrexel University College of Medicine, Philadelphia, PA, USA.
Sharon CrayFamily Advisory Council, St Christopher's Hospital for Children, Philadelphia, PA, USA.
Nicholas KuzmaDrexel University College of Medicine, Philadelphia, PA, USA.
Kheyandra LewisDrexel University College of Medicine, Philadelphia, PA, USA.
E Douglas ThompsonDrexel University College of Medicine, Philadelphia, PA, USA.
Jennifer H HeppsUniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Joseph O LopreiatoUniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Clifton E YuUniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Helen HaskellMothers Against Medical Error, Columbia, SC, USA.
Elizabeth KruvandFamily Partner Program, St Louis Children's Hospital, St Louis, MO, USA.
Dale A MicalizziThe Justin's HOPE Project, Task Force for Global Health, Decatur, GA, USA.
Wilma Alvarado-LittleNew York State Department of Health, New York, NY, USA.
Benard P DreyerNew York University School of Medicine, New York, NY, USA.
H Shonna YinNew York University School of Medicine, New York, NY, USA.
Anupama SubramonyCohen Children's Medical Center, New York, NY, USA.
Shilpa J PatelUniversity of Hawaii John A Burns School of Medicine, Honolulu, HI, USA.
Theodore C SectishHarvard Medical School, Boston, MA, USA.
Daniel C WestUniversity of California San Francisco School of Medicine, San Francisco, CA, USA.
Christopher P LandriganHarvard Medical School, Boston, MA, USA.
Boston Children's Hospital · USSt. Christopher's Hospital for Children · USBrigham and Women's Hospital · USLucile Packard Children's Hospital · USPrimary Children's Hospital · USUniformed Services University of the Health Sciences · USUniversity of Toronto · CACincinnati Children's Hospital Medical Center · USNYU Langone Health · USUniversity of California, San Francisco · USChildren's Hospital of Los Angeles · USHofstra University · USNew York State Department of Health · USSt. Louis Children's Hospital · USThe Task Force for Global Health · USUniversity of California San Diego · USUniversity of Hawaiʻi at Mānoa · US

Funding

Family Activation and Communication about Errors and Safety (FACES)K08HS025781 · AHRQ · BOSTON CHILDREN'S HOSPITAL · PI KHAN, ALISA · 2018 to 2019
$308k
6 · The paper itself

Abstract

objectiveTo determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure of healthcare provider-family communication on family centered rounds.

designProspective, multicenter before and after intervention study.

settingPediatric inpatient units in seven North American hospitals, 17 December 2014 to 3 January 2017.

participantsAll patients admitted to study units (3106 admissions, 13171 patient days); 2148 parents or caregivers, 435 nurses, 203 medical students, and 586 residents.

interventionFamilies, nurses, and physicians coproduced an intervention to standardize healthcare provider-family communication on ward rounds ("family centered rounds"), which included structured, high reliability communication on bedside rounds emphasizing health literacy, family engagement, and bidirectional communication; structured, written real-time summaries of rounds; a formal training programme for healthcare providers; and strategies to support teamwork, implementation, and process improvement.

main outcome measuresMedical errors (primary outcome), including harmful errors (preventable adverse events) and non-harmful errors, modeled using Poisson regression and generalized estimating equations clustered by site; family experience; and communication processes (eg, family engagement on rounds). Errors were measured via an established systematic surveillance methodology including family safety reporting.

resultsThe overall rate of medical errors (per 1000 patient days) was unchanged (41.2 (95% confidence interval 31.2 to 54.5) pre-intervention

conclusionsAlthough overall errors were unchanged, harmful medical errors decreased and family experience and communication processes improved after implementation of a structured communication intervention for family centered rounds coproduced by families, nurses, and physicians. Family centered care processes may improve safety and quality of care without negatively impacting teaching or duration of rounds.

trial registrationClinicalTrials.gov NCT02320175.

Indexed as

Professional-Family RelationsAdultChildChild, PreschoolCommunicationFamilyFemaleHumansInpatientsMaleMedical ErrorsNorth AmericaPatient Care TeamPatient-Centered CarePatient ParticipationPatient Safety

Identifiers

PMID30518517
PMCPMC6278585
OpenAlexW2902892406

What OpenQuestion holds

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LicenceCC BY-NC
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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.