Convergent parallel mixed-methods study to understand information exchange in paediatric critical care and inform the development of safety-enhancing interventions: a protocol study

BMJ Open
Jessica TomasiPatricia Trbovich

Abstract

The effective exchange of clinical information is essential to high-quality patient care, especially in the critical care unit (CCU) where communication failures can have profoundly negative impacts on critically ill patients with limited physiological capacity to tolerate errors. A comprehensive systematic characterisation of information exchange within a CCU is needed to inform the development and implementation of effective, contextually appropriate interventions. The objective of this study is to characterise when, where and how healthcare providers exchange clinical information in the Department of Critical Care Medicine at The Hospital for Sick Children and explore the factors that currently facilitate or counter established best rounding practices therein. A convergent parallel mixed-methods study design will be used to collect, analyse and interpret quantitative and qualitative data. Naturalistic observations of rounds and relevant peripheral information exchange activities will be conducted to collect time-stamped event data on workflow and communication patterns (time-motion data) and field notes. To complement observational data, the subjective perspectives of healthcare providers and patient families will be gathere...Continue Reading

References

Nov 6, 1995·The Medical Journal of Australia·R M WilsonJ D Hamilton
Feb 1, 1995·Critical Care Medicine·Y DonchinS Cotev
May 1, 1994·Journal of Clinical Monitoring·W FriesdorfH Wiedeck
Mar 4, 1996·The Medical Journal of Australia·J R Caplehorn
Apr 2, 1998·BMJ : British Medical Journal·E Coiera, V Tombs
Jan 28, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Kathleen M SutcliffeMarilynn M Rosenthal
Mar 1, 2006·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·William R Schiller, Beverlee F Anderson
Jan 25, 2007·Health Care Management Review·Cheryl Rathert, Douglas R May
Mar 31, 2009·Journal of Critical Care·Mohamad AlameddineWilliam J Bill Sibbald
Oct 27, 2010·International Journal of Medical Informatics·Sarah A CollinsLeanne Currie
Oct 27, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Atul VatsJames D Fortenberry
Apr 12, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kyle J RehderKshitij P Mistry
Apr 13, 2011·Archives of Internal Medicine·Kevin J O'LearyDiane B Wayne
Aug 2, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Kristin C VoosJeffrey M Perlman
Oct 11, 2011·Critical Care Medicine·Atul VatsPinar Keskinocak
May 15, 2013·Critical Care Medicine·Daniel LaneHenry T Stelfox
Sep 21, 2013·BMC Medical Research Methodology·Nicola K GaleSabi Redwood
Oct 2, 2013·Journal of the American Medical Informatics Association : JAMIA·Sarah CollinsPatricia C Dykes
Oct 12, 2013·Teaching and Learning in Medicine·Jed D GonzaloD Michael Elnicki
Jan 24, 2014·Journal of Graduate Medical Education·Shaifali SandalStephen J Knohl
Feb 26, 2014·The Journal of Emergency Medicine·Beth L EmersonDavid Walker
Mar 29, 2014·Critical Care Medicine·John Eugenio CentofantiDeborah J Cook
Aug 13, 2014·International Journal of Health Policy and Management·Ali Mohammad Mosadeghrad
Dec 17, 2014·Journal of Nursing Care Quality·Sandeep TripathiYves Ouellette
Jul 17, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Amanda B LevinTessie W October
Dec 25, 2015·PloS One·Jessalyn K HolodinskyHenry T Stelfox
Dec 26, 2015·Advances in Health Sciences Education : Theory and Practice·Elise ParadisMichael A Gropper
Apr 7, 2016·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Sandeep GangadharanPeter Silver
Apr 9, 2016·Critical Care Medicine·Yosefa HefterMichelle N Gong

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Citations

Aug 28, 2020·Australasian Journal on Ageing·Subas P DhakalJohn Burgess
Nov 12, 2020·Journal of the American Medical Informatics Association : JAMIA·Sarah D FouquetEvan M Palmer

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