MAIN OUTCOME MEASURES Medical errors (primary outcome), including harmful errors (preventable adverse events) and non-harmful errors, modeled using Poisson regression and generalized estimating equations clustered by site family experience and communication processes (eg, family engagement on rounds). INTERVENTION Families, nurses, and physicians coproduced an intervention to standardize healthcare provider-family communication on ward rounds (“family centered rounds”), which included structured, high reliability communication on bedside rounds emphasizing health literacy, family engagement, and bidirectional communication structured, written real-time summaries of rounds a formal training programme for healthcare providers and strategies to support teamwork, implementation, and process improvement. PARTICIPANTS All patients admitted to study units (3106 admissions, 13171 patient days) 2148 parents or caregivers, 435 nurses, 203 medical students, and 586 residents. SETTING Pediatric inpatient units in seven North American hospitals, 17 December 2014 to 3 January 2017.
DESIGN Prospective, multicenter before and after intervention study. OBJECTIVE To determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure of healthcare provider-family communication on family centered rounds.
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