HealthDay News — Structured communication involving families, nurses, and physicians can reduce harmful medical errors and improve family experience during pediatric hospitalizations, according to a study published online Dec. 5 in The BMJ.
Alisa Khan, MD, MPH, from Harvard Medical School in Boston, and colleagues conducted a multicenter before- and after-intervention study involving all patients admitted to pediatric inpatient units in seven North American hospitals. Data were included for 3106 admissions, with 13,171 patient-days, 2,148 parents or caregivers, 435 nurses, 203 medical students, and 586 residents. Families, nurses, and physicians coproduced an intervention that included high-reliability communication emphasizing health literacy, family engagement, and bidirectional communication.
The researchers did not observe any change in the overall rate of medical errors (41.2 vs 35.8 per 1000 patient-days for preintervention vs postintervention; P = 0.21); there was a 37.9% decrease in harmful errors (20.7 vs 12.9; P = 0.01). There was also a decrease in nonpreventable adverse events (12.6 vs 5.2; P = 0.003). Top box ratings improved for 6 of 25 components of family-reported experience, while none worsened. Family-centered rounds occurred more frequently postintervention, and improvement was noted in family engagement and nurse engagement.
“Structuring communication between health care providers and patients and families to better meets (sic) the needs of both could be an important, as yet underappreciated, means to improve the safety of patient care,” the authors write.