Feasibility of a human factors work‐system designed recruitment method for hospitalized persons with dementia

Abstract

Research staff identify eligible inpatients in the electronic medical record (EMR) Research staff gather initial information about capacity, health status, discharge disposition, and caregiver in the EMR Approach the patient and caregiver in the hospital with the inpatient nursing partner Adjust physical environment to facilitate communication with patients Research staff describe the study, determine eligibility, and enroll the patient if appropriate Frequent communication between research staff and inpatient nursing partners both in person and over telephone Tools and technologies EMR Concise study scripts Cellular phones to facilitate communication between the research team, inpatient nursing partners and participants (as needed) Tablet computers used by research staff to access study scripts and study databases for real-time data entry Organization Health system support for recruitment activities in the hospital Research team granted access to the EMR Research team meetings to address recruitment facilitators and barriers, and to evaluate recruitment data Flexible scheduling to accommodate rapidly changing inpatient environment Physical environment Patient comfortable in hospital bed or seated in chair Research staff and inpatient nursing partners positioned to make eye contact and engage with patients appropriately Adjust lighting in the hospital room Close hospital room door for privacy and noise reduction Mute or turn off television Ensure patient has access to hearing aids, glasses, and other assistive devices

External Validity of a Randomized Controlled Trial on Duration of Antibiotics for the Treatment of Gram-Negative Bacteremia

“…However, by not including them in clinical trials, management of common conditions in these patients will not be evidence based. Several approaches for the recruitment of patients unable to consent using surrogate consent processes were described [17][18][19]. For example, the Systems Engineering Initiative for Patient Safety (SEIPS) recruitment model includes trained and designated research staff that identifies potential participants without the capacity to consent and their proxies, and spends as much time as needed to complete recruitment activities, build rapport, and complete informed consent [17]: a procedural framework for rapid identification of surrogates and individualized formal assent procedures [18].…”