Implementing a Comprehensive Handoff Program to Improve Patient Safety

This study has been completed.
Sponsor:
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: June 17, 2014
Last verified: June 2014

January 12, 2010
June 17, 2014
July 2009
March 2010   (final data collection date for primary outcome measure)
Rates of resident communication and total medical errors [ Time Frame: July 2010 ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT01130987 on ClinicalTrials.gov Archive Site
  • 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 ]
Same as current
Not Provided
Not Provided
 
Implementing a Comprehensive Handoff Program to Improve Patient Safety
Implementing a Comprehensive Handoff Program to Improve Patient Safety

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.

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.

Interventional
Not Provided
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Medical Errors
  • Other: 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
Experimental: Comprehensive Handoff Program
Introduction of Computerized tool plus team training
Interventions:
  • Other: Computerized handoff tool
  • Behavioral: Team training
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
92
March 2010
March 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • all internal medicine residents completing rotations through intervention units during data collection periods

Exclusion Criteria:

  • none
Both
18 Years to 60 Years
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01130987
2008P002191, BAA01 07005001
No
Christopher P. Landrigan, MD, MPH, Brigham and Women's Hospital
Brigham and Women's Hospital
  • Department of Defense
  • Walter Reed Army Medical Center
  • Madigan Army Medical Center
Principal Investigator: Christopher P Landrigan, MD, MPH Brigham and Women's Hospital
Brigham and Women's Hospital
June 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP