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Implementing a Comprehensive Handoff Program to Improve Patient Safety

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT01130987
Recruitment Status : Completed
First Posted : May 26, 2010
Last Update Posted : June 18, 2014
Sponsor:
Collaborators:
Information provided by (Responsible Party):

Study Description
Brief Summary:
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 or disease Intervention/treatment
Medical Errors Other: Computerized handoff tool Behavioral: Team training

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.

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 92 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Implementing a Comprehensive Handoff Program to Improve Patient Safety
Study Start Date : July 2009
Primary Completion Date : March 2010
Study Completion Date : March 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Patient Safety
U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
Experimental: Comprehensive Handoff Program
Introduction of Computerized tool plus team training
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


Outcome Measures

Primary Outcome Measures :
  1. Rates of resident communication and total medical errors [ Time Frame: July 2010 ]

Secondary Outcome Measures :
  1. Rates of all medical errors [ Time Frame: July 2010 ]
  2. Rates of verbal miscommunications [ Time Frame: July 2010 ]
  3. Rates of written miscommunications [ Time Frame: July 2010 ]
  4. Resident workflow, especially time spent updating the signout; time spent at bedside; time spent at computer [ Time Frame: July 2010 ]
  5. Resident care experience [ Time Frame: July 2010 ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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
United States Department of Defense
Walter Reed Army Medical Center
Madigan Army Medical Center
Investigators
Principal Investigator: Christopher P Landrigan, MD, MPH Brigham and Women's Hospital
More Information

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
First Posted: May 26, 2010    Key Record Dates
Last Update Posted: June 18, 2014
Last Verified: June 2014

Keywords provided by Christopher P. Landrigan, MD, MPH, Brigham and Women's Hospital:
resident
intern
patient safety
medical error
time motion
handoff
sign-out
Resident Workflow
Resident Communications