Summary

Eligibility
for people ages 0 years and up (full criteria)
Location
at Oakland, California and other locations
Dates
study started
completion around
Principal Investigator
by Dorea Martin, MDSuzy Chen, MD
Headshot of Dorea Martin
Dorea Martin

Description

Summary

In 2014, a team of parents, nurses, and physicians created Patient and Family Centered I-PASS (PFC I-PASS), a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. PFC I-PASS changed how doctors and nurses talk to patients and families on rounds when they're admitted to the hospital. (Rounds are when a team of doctors visit patients every morning to do a checkup and make a plan for the day.) Rounds used to happen in a way that left out patients and families. Doctors talked at, not with patients, used big words and medical talk, and left nurses out. PFC I-PASS changed rounds by including families and nurses, using simple non-medical words, and talking in an organized way so nothing is left out. When PFC I-PASS was put in place in 7 hospitals, patients had fewer adverse events and better hospital experience. But it didn't focus on how to talk with patients with language barriers. This project builds upon upon PFC I-PASS to make it better and focus on the special needs of patients who speak languages other than English. This new intervention is known as PFC I-PASS+. PFC I-PASS+ includes all parts of PFC I-PASS plus having interpreters on and after rounds and training doctors about communication and cultural humility. The study team will now conduct a stepped-wedge cluster randomized trial to compare the effectiveness of PFC I-PASS+ and PFC I-PASS to usual care at 8 hospitals.

Keywords

Communication, Family Centered Rounds, Patient Safety, Errors, Limited English Proficiency, Health Disparities, Adverse Events, Patient Experience, Family Engagement, Interprofessional Communication, Language Barriers, PFC I-PASS Intervention, PFC I-PASS+ Intervention

Eligibility

You can join if…

Open to people ages 0 years and up

  • All patients admitted to the pediatric inpatient study units of participating hospitals
  • Patients themselves who are age 13 and up (if they provide assent and their parent or guardian gives permission)
  • Parents/caregivers of patients of all ages who speak English, Arabic, Armenian, Bengali, Chinese (Mandarin and Cantonese), Karen, Korean, Nepali, Quiche, Spanish, Somali, and Vietnamese (and/or other languages if resources allow)
  • Nurses working on these units
  • Residents working on these units
  • Medical and nursing students working on these units
  • Hospital leaders working at these hospitals

You CAN'T join if...

- Patients or parents/caregivers of patients who are in state custody (lack relevant caregiver to consent or complete surveys)

Locations

  • UCSF Benioff Children's Hospital of Oakland accepting new patients
    Oakland California 94609 United States
  • Children's Hospital Los Angeles accepting new patients
    Los Angeles California 90027 United States

Lead Scientists at UCSF

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Boston Children's Hospital
ID
NCT05591066
Study Type
Interventional
Participants
Expecting 14400 study participants
Last Updated