Safety Action Feedback and Engagement (SAFE) Loop

Launched by CEDARS-SINAI MEDICAL CENTER · May 15, 2022

Keywords

ClinConnect Summary

This cluster randomized controlled trial will test whether a novel intervention, the Safety Action Feedback and Engagement (SAFE) Loop, enhances hospital incident reporting practices, improves nurses' perceptions of incident reporting, and lowers rates of high-priority medication events, as compared with Cedars-Sinai Medical Center's (CSMC's) existing incident reporting system.

The specific aims are to determine whether SAFE Loop:

* Aim 1: improves incident reporting practices by increasing the rate at which nurses report high-priority medication incidents (H1.1) and the number of contrib...

Gender

ALL

Eligibility criteria

• Nurses:
• Inclusion Criteria:
• 1. Intervention (SAFE Loop):
• • All 1,980 nurses on the nursing units will be eligible to participate.
• 2. Aim 1 (review of incident reports):
• • All 1,980 nurses on the nursing units will be eligible to participate.
• 3. Aim 2 (survey of nurses):
• • Nurses will be eligible if they worked \>50% time on one study nursing unit during a 6-month study period.
• 4. Aim 3 (review of medical records):
• • All 1,980 nurses on the nursing units will be eligible to participate.
• 5. Qualitative interviews:
• • Nurses and nurse managers will be eligible to participate if they worked at least 50% time on the study nursing units for the entire duration of a SAFE Loop implementation period.
• • We will enroll 32 participants out of a pool of approximately 800 eligible nurses.
• Exclusion Criteria:
• 1. All study procedures:
• • Provided care ONLY in outpatient clinics, operating/ procedure rooms, post-anesthesia care, and diagnostic and therapeutic services.
• 2. Aim 3:
• • Provided care ONLY in the emergency department.
• Patients:
• Inclusion Criteria:
• 1. Intervention (SAFE Loop):
• • All patients admitted to the study nursing units during a 6-month study period will be eligible to participate.
• 2. Aim 1 (review of incident reports):
• • Patients will be cared for on the study nursing units during a 6-month study period.
• • Patients will also have an incident report that addresses one of the high-priority medication events.
• 3. Aim 2 (survey of nurses):
• • Not applicable.
• 4. Aim 3 (review of medical records):
• • Patients will be admitted to the study nursing units during a 6-month study period.
• • We will randomly sample 1,520 hospitalizations divided equally between the four study groups and the baseline and follow-on periods.
• 5. Qualitative interviews:
• • Not applicable.
• Exclusion Criteria:
• 1. All study procedures:
• • Received care ONLY in outpatient clinics, operating/ procedure rooms, post-anesthesia care, and diagnostic and therapeutic services.
• 2. Aim 3:
• • Received care ONLY in the emergency department.