Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
University of Wisconsin, Madison
Summary
This study will test if giving parents access to their child's medical notes on a bedside tablet: * helps them get more involved in their care * helps identify safety concerns Parents of hospitalized children will be randomly assigned to either use the Bedside Notes tool or follow usual care. To see if this approach improves care and safety, researchers will measure: * note access * parent-reported safety concerns * overall experiences
Description
Hospitalized children face alarming rates of harm due to medical errors, yet parents often lack access to the clinical information necessary to partner effectively in their child's care. Although clinicians are required to share inpatient clinical notes detailing diagnoses and treatment plans, \<10% of parents access these notes during hospitalization. To address this critical gap, we developed the Bedside Notes intervention, a multicomponent strategy to improve parent access to clinical notes during their child's hospitalization and engage them in safety efforts. The intervention includes: (1…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * English and Spanish-speaking parents or guardians of children under 12 years old who were hospitalized on a general pediatric service at one of the 3 centers * Age 18 and over Exclusion Criteria: * Parents of children 12 years of age and older * Parents unable to give written informed consent * Parents of children admitted for suspected abuse or neglect * Anticipated discharge within 24 hours
Interventions
- OtherAccess to medical notes
Inpatient notes shared in real-time on a hospital-owned bedside tablet linked to their child's records.
Locations (3)
- Children's Hospital of Los AngelesLos Angeles, California
- Seattle Children's HospitalSeattle, Washington
- American Family Children's HospitalMadison, Wisconsin