Implementing a Comprehensive Handoff Program to Improve Pediatric 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. Identifier: NCT01134419
Recruitment Status : Completed
First Posted : June 2, 2010
Last Update Posted : May 16, 2013
Harvard Risk Management Foundation
Information provided by (Responsible Party):
Christopher Landrigan, Boston Children’s Hospital

May 25, 2010
June 2, 2010
May 16, 2013
July 2009
January 2010   (Final data collection date for primary outcome measure)
Rates of resident-related communication and total medical errors [ Time Frame: July 2010 ]
Resident-related medical errors (including medication-related, diagnostic, and procedural) detected using a multi-pronged prospective surveillance methodology that involves 5d/week chart review, review of hospital incident reports, and collection of staff reports. Resident-related defined as involving a resident research subject. Communication errors are those medical errors attributable to communication failures.
Same as current
Complete list of historical versions of study NCT01134419 on Archive Site
  • Rates of total medical errors [ Time Frame: July 2010 ]
    As above, but includes both those errors involving residents and those involving all other clinical personnel.
  • Minutes residents spend updating the signout; minutes spent in direct patient care; minutes spent working at computer [ Time Frame: July 2010 ]
  • Resident reported experience of care [ Time Frame: July 2010 ]
    Self-reported, Likert scales on survey instruments.
  • Rates of verbal miscommunications [ Time Frame: July 2010 ]
    Detected by direct observation, audio recording, then rating using study instrument developed for this purpose.
  • Rates of written miscommunications [ Time Frame: July 2010 ]
    Detected by detailed review of written signouts, rated using study instrument developed for this purpose.
Same as current
Not Provided
Not Provided
Implementing a Comprehensive Handoff Program to Improve Pediatric Patient Safety
Implementing a Comprehensive Handoff Program to Improve Pediatric 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 pediatric residents on inpatient units at Children's Hospital Boston - will lead to reductions in resident miscommunications / medical errors and improvements in workflow and experience on the wards.
Following collection of baseline data on two inpatient pediatric wards, teamwork training is to be provided to all pediatric residents. On our primary intervention unit, this will be 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 primary intervention ward as compared with the historical control unit and the concurrent unit that received teamwork training without the computerized tool.
Not Applicable
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
  • Patient Safety
  • Resident Workflow
  • Resident Experience
  • Other: Computerized handoff tool
    Informatics tool to aid in transfer of patient care information
  • Other: Team training
    Teamwork training and revisions of handoff structure to optimize teamwork skills and verbal communications
  • Experimental: Computerized Handoff Tool plus training
    Computerized handoff tool implemented together with team training for residents
    • Other: Computerized handoff tool
    • Other: Team training
  • Active Comparator: Team training only
    No computerized tool
    Intervention: Other: Team training
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
January 2010
January 2010   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • all residents working on study units during study period, except as below

Exclusion Criteria:

  • residents on the teamwork only unit who have previously been on the primary intervention unit
Sexes Eligible for Study: All
18 Years to 60 Years   (Adult)
Contact information is only displayed when the study is recruiting subjects
United States
Not Provided
Not Provided
Christopher Landrigan, Boston Children’s Hospital
Boston Children’s Hospital
Harvard Risk Management Foundation
Principal Investigator: Christopher P Landrigan, MD, MPH Boston Children’s Hospital
Boston Children’s Hospital
May 2013

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