Medical Decisions in the Hospital Setting- M-Safety

This project will introduce and evaluate an intervention designed to improve diagnostic
decision making. The intervention will attempt to increase clinician mindfulness and reduce
environmental distractions to promote system 2 thinking. A meta-cognitive intervention using
a structured checklist will be evaluated to identify improvement in diagnostic and
therapeutic decision-making and examine the role of mindfulness and architectural design in
enhancing patient safety.

This a pretest-posttest design study that will be conducted with hospitalist physicians
working at Michigan Medicine and/or the VA Ann Arbor Healthcare System. The proposed
intervention will provide the participants with tools to help promote mindfulness and focus
to assist with the diagnostic process. To reduce distraction, headphones to block out
surrounding noise and table screens to limit distractions will be offered. To assist with
diagnosis, a diagnostic checklist and use of a IPad to use an online diagnosis application
will be provided.

Inclusion Criteria:

- Hospital Medicine Physicians

Exclusion Criteria:

- Physicians other than Hopitalists