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RRP 12-543 – HSR&D Study

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RRP 12-543
Piloting the Physician Relationships, Improvising, and Sensemaking Intervention
Luci Leykum MD MBA MSc
South Texas Health Care System, San Antonio, TX
San Antonio, TX
Funding Period: May 2014 - April 2015

BACKGROUND/RATIONALE:
Despite increased attention on safety and prevention of errors and adverse events, hospitalized Veterans remain at-risk for experiencing errors and complications. Through improving relationships, sensemaking, and improvising, we aim to help providers anticipate and rapidly identify potential complications, improving outcomes of the veterans under their care.


OBJECTIVE(S):
The goal of our project is to pilot an intervention to improve care for veterans admitted to VA medical and surgical inpatient services by improving relationships, sensemaking, and improvising among the physicians who care for them (the PRISm intervention).

METHODS:
We will pilot the PRISm intervention on 8 inpatient medical and surgical teams. PRISm is a structured communication tool that consists of briefings, debriefings, and use of the Situation, Task, Intent, Concern, and Calibrate framework to discuss individual patients. We are assessing the impact of PRISm on patient care discussions, team relationships, and adverse events.

FINDINGS/RESULTS:
Project currently underway.

IMPACT:
Because approximately 622,000 veterans are hospitalized annually across the nation, strategies to improve inpatient care will have a widespread impact on the health of a large number of veterans, and their utilization of resources.

PUBLICATIONS:
None at this time.


DRA: Health Systems
DRE: none
Keywords: none
MeSH Terms: none

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