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Quality Improvement in Handover of General Internal Medicine In-patients

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ClinicalTrials.gov Identifier: NCT01796756
Recruitment Status : Completed
First Posted : February 22, 2013
Last Update Posted : January 15, 2016
Sponsor:
Collaborator:
Canadian Medical Protective Association
Information provided by (Responsible Party):
University of British Columbia

Brief Summary:

Miscommunication during patient handover can jeopardize patient safety and is the focus of Quality Improvement initiatives by many organizations. It is widely recognized that such miscommunication is preventable using a number of strategies identified in the literature.

Currently, there is no formal handover process of General Internal Medicine in-patients, otherwise known as the Clinical Teaching Unit (CTU) at Vancouver General Hospital, which is a major patient safety concern. This project will implement a formal handover program and evaluate whether there are changes in resident satisfaction with handover, but more importantly, whether the investigators can improve patient outcomes.


Condition or disease Intervention/treatment Phase
Quality Improvement in Patient Handoff Other: Handover program Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1168 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Care Provider)
Primary Purpose: Health Services Research
Official Title: Quality Improvement in Handover of General Internal Medicine In-patients
Study Start Date : January 2013
Actual Primary Completion Date : November 2015
Actual Study Completion Date : November 2015

Arm Intervention/treatment
Experimental: Handover program
Standardized handover program Dedicated place and time Template Face-to-face communication Evidence-based education session Feedback and audit
Other: Handover program
No Intervention: Usual handover practice



Primary Outcome Measures :
  1. Proportion of patients handed over to the on-call resident/Clinical Associate (CA) [ Time Frame: 5 months ]

Other Outcome Measures:
  1. Proportion of patients the resident on-call did not receive information on that would have been useful [ Time Frame: 5 months ]
  2. Frequency of patients transferred to the ICU [ Time Frame: 5 months ]
  3. Frequency of patients referred to the Critical Care Outreach Team [ Time Frame: 5 months ]
  4. Frequency of inappropriate code blue calls for patients with a "do not resuscitate" order [ Time Frame: 5 months ]
  5. Aggregate length of stay of patients admitted to the Clinical Teaching Unit [ Time Frame: 5 months ]
  6. Aggregate rate of death of patients admitted to the Clinical Teaching Unit [ Time Frame: 5 months ]
  7. Resource Utilization for patients assessed by the resident on-call overnight [ Time Frame: 5 months ]
    Resource utilization will be defined by the ordering of: radiological imaging, blood work, electrocardiogram, blood transfusions, IV fluid administration, and antibiotics.



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Residents, medical students, and patients
  • Residents and medical students will be any rotating through General Internal Medicine at Vancouver General Hospital
  • Patients will be any admitted to General Internal Medicine and cared for during on-call hours (defined as 18:00 - 07:00)

Exclusion Criteria:

  • None for residents and medical students
  • Patients who are not being cared for during on-call hours (defined as 18:00 - 07:00)

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): NCT01796756


Locations
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Canada, British Columbia
Vancouver General Hospital
Vancouver, British Columbia, Canada, V5Z 1M9
Sponsors and Collaborators
University of British Columbia
Canadian Medical Protective Association
Investigators
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Principal Investigator: Penny Tam, BSc, MD Vancouver General Hospital

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: University of British Columbia
ClinicalTrials.gov Identifier: NCT01796756     History of Changes
Other Study ID Numbers: H11-03542
First Posted: February 22, 2013    Key Record Dates
Last Update Posted: January 15, 2016
Last Verified: January 2016
Keywords provided by University of British Columbia:
Handover
Handoff
Signout
Quality Improvement
General Internal Medicine