Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Shock Patients: Interprofessional Communication to Enhance Diagnosis (SPICED)

Award Number: R18HS029483
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)
PERIOD OF PERFORMANCE START DATE: 08/01/2023
PERIOD OF PERFORMANCE END DATE: 07/31/2027

Group Awards By:

View Award Description

Shock Patients: Interprofessional Communication to Enhance Diagnosis (SPICED) - PROJECT SUMMARY Over 1.3 million Americans develop shock annually and 30-50% do not survive depending on the underlying cause of shock. Most research has focused on recognizing shock but has stopped short of identifying the cause of shock. Differentiating between causes of shock such as infection, heart failure, bleeding, dehydration, or lack of stress hormone, is extremely challenging. The complex presentation of a patient in shock and the many different potential causes of shock requires many expert interprofessional clinicians, such as nurses, pharmacists, emergency medicine, critical care, infectious disease and cardiology doctors, to weigh in. Yet, there is no way for these clinicians to actively share their assessments, build a shared understanding of the cause of shock, and reach a consensus on treatment. Poor communication among clinicians is a leading source of harm in acute care hospitals, yet remains extremely understudied. This application’s long-term objective is to improve the safety of critical care medicine by addressing poor interprofessional communication. The Specific Aims of this application will be to: 1) understand why interprofessional clinicians disagree on the cause of shock; 2) design a systematic process for interprofessional clinicians to share information, their assessments and build a shared understanding of the cause of shock; and 3) put into clinical practice and measure how this systematic process improves agreement among clinicians as well as timeliness and accuracy of the identification of the cause of shock. The central hypothesis is that creating a process, informed by the interprofessional clinicians who would use it, to bring together all experts in order to determine the cause of shock quickly after a patient shows signs of shock, can improve agreement among clinicians, timeliness and accuracy in identifying the cause of shock. We will apply a variety of methods to test this hypothesis including machine learning, critical incident technique, user-centered design, implementation science and interrupted time series analysis. Identifying modifiable healthcare system factors that lead to disagreement among clinicians can inform the design of a systematic process to identify the cause of shock, determine how to treat it and reduce the high risk of death.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $499,999 )
2026	2026	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	8/20/2026	NON-COMPETING CONTINUATION	$499,999
														Subtotal = $499,999

Issue Date FY: 2025 ( Subtotal = $499,999 )
2025	2025	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	9/10/2025	NON-COMPETING CONTINUATION	$499,999
														Subtotal = $499,999

Issue Date FY: 2024 ( Subtotal = $499,998 )
2024	2024	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	7/1/2024	NON-COMPETING CONTINUATION	$499,998
														Subtotal = $499,998

Issue Date FY: 2023 ( Subtotal = $500,000 )
2023	2023	NORTHWESTERN UNIVERSITY	633 CLARK ST	EVANSTON	IL	60208	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	7/24/2023	NEW	$500,000
														Subtotal = $500,000

Grand Total All Awards = $1,999,996

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Shock Patients: Interprofessional Communication to Enhance Diagnosis (SPICED)

Award Number: R18HS029483

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)

PERIOD OF PERFORMANCE START DATE: 08/01/2023

PERIOD OF PERFORMANCE END DATE: 07/31/2027

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer