Implementing a Comprehensive Handoff Program to Improve Patient Safety
This study is ongoing, but not recruiting participants.
Sponsor:
Brigham and Women's Hospital
Collaborators:
Walter Reed Army Medical Center
Madigan Army Medical Center
Information provided by (Responsible Party):
Christopher P. Landrigan, MD, MPH, Brigham and Women's Hospital
ClinicalTrials.gov Identifier:
NCT01130987
First received: January 12, 2010
Last updated: February 1, 2012
Last verified: February 2012
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Purpose
The investigators propose to test the hypothesis that implementation of a comprehensive handoff program (CHP) - i.e., implementation of a computerized handoff tool along with teamwork training for internal medicine residents on inpatient units at Walter Reed and Madigan Army Medical Centers - will lead to reductions in resident miscommunications / medical errors and improvements in workflow and experience on the wards.
| Condition | Intervention |
|---|---|
|
Medical Errors |
Device: Computerized handoff tool Behavioral: Team training |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Implementing a Comprehensive Handoff Program to Improve Patient Safety |
Resource links provided by NLM:
Further study details as provided by Brigham and Women's Hospital:
Primary Outcome Measures:
- Rates of resident communication and total medical errors [ Time Frame: July 2010 ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- Rates of all medical errors [ Time Frame: July 2010 ] [ Designated as safety issue: Yes ]
- Rates of verbal miscommunications [ Time Frame: July 2010 ] [ Designated as safety issue: Yes ]
- Rates of written miscommunications [ Time Frame: July 2010 ] [ Designated as safety issue: Yes ]
- Resident workflow, especially time spent updating the signout; time spent at bedside; time spent at computer [ Time Frame: July 2010 ] [ Designated as safety issue: No ]
- Resident care experience [ Time Frame: July 2010 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | July 2009 |
| Estimated Study Completion Date: | July 2012 |
| Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Comprehensive Handoff Program
Introduction of Computerized tool plus team training
|
Device: Computerized handoff tool
Computer program that facilitates accurate transmission of patient information between residents
Behavioral: Team training
Training in teamwork and reorganization of handoff processes to optimize transmission of information and team care
|
Detailed Description:
Following collection of baseline data on inpatient wards at both hospitals, teamwork training will be provided, accompanied by the introduction of a new computerized handoff tool that facilitates accurate transmission of data. The effects of this combined intervention on safety and workflow will be assessed on the intervention wards at both hospitals as compared with the historical control period.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- all internal medicine residents completing rotations through intervention units during data collection periods
Exclusion Criteria:
- none
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01130987
Locations
| United States, Maryland | |
| Walter Reed Army Medical Center | |
| Bethesda, Maryland, United States, 20307 | |
| United States, Massachusetts | |
| Brigham and Women's Hospital | |
| Boston, Massachusetts, United States, 02115 | |
| United States, Washington | |
| Madigan Army Medical Center | |
| Tacoma, Washington, United States, 98431 | |
Sponsors and Collaborators
Brigham and Women's Hospital
Walter Reed Army Medical Center
Madigan Army Medical Center
Investigators
| Principal Investigator: | Christopher P Landrigan, MD, MPH | Brigham and Women's Hospital |
More Information
No publications provided
| Responsible Party: | Christopher P. Landrigan, MD, MPH, Director, Sleep and Patient Safety Program, Brigham and Women's Hospital |
| ClinicalTrials.gov Identifier: | NCT01130987 History of Changes |
| Other Study ID Numbers: | 2008P002191, BAA01 07005001 |
| Study First Received: | January 12, 2010 |
| Last Updated: | February 1, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Brigham and Women's Hospital:
|
resident intern patient safety medical error time motion |
handoff sign-out Patient Safety Resident Workflow Resident Communications |
ClinicalTrials.gov processed this record on June 17, 2013