Vaginal Delivery Debrief Checklist to Improve Team Communication (VDD)

This study is enrolling participants by invitation only.
Sponsor:
Information provided by (Responsible Party):
Providence Health & Services
ClinicalTrials.gov Identifier:
NCT01822158
First received: March 20, 2013
Last updated: May 21, 2013
Last verified: May 2013
  Purpose

This study is to determine if using a standardized debrief checklist after vaginal delivery improves communication between the vaginal delivery health care team members and if using the checklist increases a sense of enhanced communication between team members.


Condition Intervention
Other Specified Complications of Labor and Delivery
Other: Vaginal Delivery Debrief Checklist

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Official Title: Vaginal Delivery Debrief: A Nursing Research Study

Further study details as provided by Providence Health & Services:

Primary Outcome Measures:
  • Determine if there is a change in satisfaction with team communication following the use of a structured debrief checklist after vaginal deliveries. [ Time Frame: Within 6 months of data collection ] [ Designated as safety issue: No ]
    An electronic opinion survey will be administered to participants both pre and post checklist utilization. The survey was derived from communication literature on medical teams such as the collaboration items and 3 subscales from the labour and delivery version of the Safety Attitudes Questionnaire (SAQ) and the Agency for Healthcare Research and Quality (AHRQ) TeamSTEPPS training program for high functioning medical teams.


Secondary Outcome Measures:
  • Determine if the use of a vaginal delivery debrief checklist will reduce documentation of conflicting data in the electronic medical record. [ Time Frame: Within 6 months of data collection ] [ Designated as safety issue: No ]
    Utilizing the pre-validated Vaginal Delivery Debrief Medical Record Audit Tool, records will be examined pre and post use of the Vaginal Delivery Debrief Checklist. Assessment will be made to determine if there are fewer conflicting data points in the electronic medical record (EMR) for key elements following use of the Vaginal Delivery Debrief Checklist.


Estimated Enrollment: 100
Study Start Date: May 2013
Estimated Study Completion Date: December 2013
Estimated Primary Completion Date: October 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: vaginal delivery debrief checklist
Utilization of a Vaginal Delivery Debrief Checklist after vaginal deliveries for a period of three months, by team members who have consented to be a part of this study and who are present at vaginal deliveries. The Vaginal Delivery Debrief checklist consists of 2 levels. The first level includes a list of 6 key elements, such as APGAR scores,estimated blood loss, perineal repair, etc. The second level,or extended debrief, occurs whenever unanticipated outcomes, such as low APGAR scores, postpartum hemorrhage or a difficult delivery occurs. Team members complete the checklist after each delivery they attend.
Other: Vaginal Delivery Debrief Checklist
Participating team members will utilize Vaginal Delivery Debrief checklist

Detailed Description:

This is a study for providers who are a part of the health care team involved with vaginal delivery of newborns. A checklist has been developed that may improve communication between team members following birth. The goal of this study is to evaluate whether the checklist improves or enhances team member communication.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) in the Women's and Children's Services Department who attend vaginal deliveries as well as providers who attend vaginal deliveries at Providence St Peter Hospital Family Birth Center in Olympia Washington (WA).

Exclusion Criteria:

  • None
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01822158

Locations
United States, Washington
Providence St Peter Hospital 413 Lilly RD NE
Olympia, Washington, United States, 98506
Sponsors and Collaborators
Providence Health & Services
Investigators
Principal Investigator: Daren B Sachet, RN, BSN, MPA Providence Health & Services
  More Information

No publications provided

Responsible Party: Providence Health & Services
ClinicalTrials.gov Identifier: NCT01822158     History of Changes
Other Study ID Numbers: PHS PSPH N 002
Study First Received: March 20, 2013
Last Updated: May 21, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Providence Health & Services:
Vaginal Delivery
Debrief
Medical Team Communication
Obstetrical Safety

Additional relevant MeSH terms:
Obstetric Labor Complications
Dystocia
Pregnancy Complications

ClinicalTrials.gov processed this record on July 23, 2014