Implementing a Comprehensive Handoff Program to Improve Patient Safety

This study has been completed.
Walter Reed Army Medical Center
Madigan Army Medical Center
Information provided by (Responsible Party):
Christopher P. Landrigan, MD, MPH, Brigham and Women's Hospital Identifier:
First received: January 12, 2010
Last updated: June 17, 2014
Last verified: June 2014

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 Intervention
Medical Errors
Other: Computerized handoff tool
Behavioral: Team training

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Implementing a Comprehensive Handoff Program to Improve Patient Safety

Resource links provided by NLM:

Further study details as provided by Brigham and Women's Hospital:

Primary Outcome Measures:
  • Rates of resident communication and total medical errors [ Time Frame: July 2010 ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • 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 ]

Enrollment: 92
Study Start Date: July 2009
Study Completion Date: March 2010
Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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

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.


Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

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

Exclusion Criteria:

  • none
  Contacts and Locations
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Please refer to this study by its identifier: NCT01130987

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
Walter Reed Army Medical Center
Madigan Army Medical Center
Principal Investigator: Christopher P Landrigan, MD, MPH Brigham and Women's Hospital
  More Information

No publications provided

Responsible Party: Christopher P. Landrigan, MD, MPH, Director, Sleep and Patient Safety Program, Brigham and Women's Hospital Identifier: NCT01130987     History of Changes
Other Study ID Numbers: 2008P002191, BAA01 07005001
Study First Received: January 12, 2010
Last Updated: June 17, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by Brigham and Women's Hospital:
patient safety
medical error
time motion
Patient Safety
Resident Workflow
Resident Communications processed this record on September 02, 2015