Assessment and CommuniCation ExcelLEnce foR sAfe paTient outcomEs (ACCELERATE): A stepped-wedge cluster randomised trial evaluating the effectiveness of a nurse-led assessment and handover communication intervention on patient adverse events.
Int J Nurs StudJul 28, 2026 (epub)
John Rihari-Thomas, Susan Whittam, Anna Thornton et al.
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In 30 seconds
The ACCELERATE trial, a stepped-wedge cluster randomised trial conducted over 12 months in three metropolitan hospitals, evaluated a nurse-led assessment and communication intervention aimed at reducing patient adverse events. The study found a significant 41% reduction in stage 2-4 pressure injuries (OR 0.59, p=0.02), although no change was observed in the primary composite outcome measure.
Key findings
- Stage 2-4 pressure injuries decreased by 41% (OR 0.59, p=0.02).
- Nurses' perceptions of Safety Attitudes improved from 74.6 to 79.7 (p=0.02).
- Barriers to Physical Assessment decreased significantly (Pre: 2.48, Post: 2.24; p<0.001).
- No significant change in medical emergency team calls (OR 1.02, p=0.91).
Why it matters
This study underscores the importance of structured nurse-led interventions in enhancing patient safety and reducing specific adverse events, such as pressure injuries, which are critical for improving overall patient outcomes in hospital settings.