Hospital Adverse Event
Conditions
Keywords
Morbidity Mortality Review, medical simulation, in situ simulation, multi professional simulation, hospital adverse event
Brief summary
After implementing a French version of a trigger tool validated for computerized detection of adverse events in patient's medical record, the study will be performed in three parallel randomized arms of three identical departments (each steaming from 6 types of medical, surgical or obstetrical departments with a total of 18 departments involved). This three arms will be: no intervention, education of department's staff by multi professional in situ simulation (adapted to the discovered adverse events), or simple but large diffusion of results and decisions of Morbidity Mortality Reviews. The interventions will be performed during a two-years period.
Interventions
OTHERMulti professional in situ simulation
After the analysis of adverse effects in Morbidity Mortality reviews, we will create scenarios adapted to these events. Education of the randomized department's arm's staff will be performed by multi professional in situ simulation with these scenarios
OTHERLarge diffusion of information
After the analysis of adverse effects in Morbidity Mortality reviews a large scale dissemination activity of information about discussions and decisions towards the staff of the randomized departments' arms will be carried out
Sponsors
Hospices Civils de Lyon
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* patients aged \> 18 years old * patients hospitalized in the involved departments during the two-years intervention's period
Exclusion criteria
* patient aged \< 18 years old * no other
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Occurence of adverse events related to medical care | During patient hospitalization, up to 2 years | Occurrence of any adverse effects detected by the trigger tool. Trigger tool is used to detect more patient's adverse events that voluntary medical report |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severity of adverse events related to medical care | During patient hospitalization, up to 2 years | Severity of any patient's adverse effect detected by trigger tool. Severity of adverse events is measured by a severity score scale. |
| Contributive factors identification | During patient hospitalization, up to 2 years | Contributive factors of adverse events using the ALARM Method. The Alarm Method allows to determine the contributive factors which together create the adverse patients events. |
Countries
France
Contacts
Primary ContactBernard BUI-XUAN, MD, PhD
Backup ContactPhilippe MICHEL, MD, PhD
Outcome results
None listed