Skip to main content

Interventions to Redesign Patient Care Do Not Improve Outcomes

Medically reviewed by Carmen Pope, BPharm. Last updated on Nov 2, 2023.

By Elana Gotkine HealthDay Reporter

WEDNESDAY, Nov. 1, 2023 -- Interventions to redesign care for hospitalized patients are not associated with improved patient outcomes, according to a study published online Oct. 31 in the Annals of Internal Medicine.

Kevin J. O'Leary, M.D., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues examined the effect of interventions to redesign hospital care delivery on teamwork and patient outcomes in a pragmatic controlled trial conducted in medical units at four U.S. hospitals. The primary outcomes were teamwork climate among health care professionals and patient-experienced adverse events.

The researchers found that the median teamwork climate score was higher after than before the intervention only for the 77 nurses among 155 professionals who completed pre- and postintervention surveys (median score, 88.0 versus 80.0). Among the 3,773 patients, the percentage with at least one adverse event was higher after than before the intervention (change, 1.61 percentage points) in control units. Compared with before the intervention, the percentage of patients with at least one adverse event after the intervention was similar in intervention units (change, 0.43 percentage points). No significant difference in change was seen in a difference-in-differences analysis. No differences were seen in length of stay, readmissions, or patient experience.

"Health care leaders should consider our findings in the context of their improvement priorities before implementing similar interventions," the authors write.

Abstract/Full Text (subscription or payment may be required)

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

© 2024 HealthDay. All rights reserved.

Posted November 2023

Read this next

Sociodemographics Tied to Rehab Use During Critical Illness Hospitalization

FRIDAY, May 10, 2024 -- For older adults hospitalized with a stay in the intensive care unit (ICU), social determinants of health (SDOH) are associated with use of skilled...

Breakthrough Gene Therapy Enables Infant Born Deaf to Hear

FRIDAY, May 10, 2024 -- Significant hearing improvements have been achieved in an infant with profound hearing loss due to a biallelic otoferlin gene (OTOF) mutation, according to...

Implantable Continuous Flow Device Feasible for Small Children With Severe Systolic Heart Failure

FRIDAY, May 10, 2024 -- The Jarvik 2015 left ventricular assist device (LVAD) seems promising as an implantable continuous flow device for small children with severe systolic...

More news resources

Subscribe to our newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.