Implementing a Comprehensive Handoff Program to Improve Patient Safety

NCT ID: NCT01130987

Last Updated: 2014-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2010-03-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Medical Errors

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Comprehensive Handoff Program

Introduction of Computerized tool plus team training

Group Type EXPERIMENTAL

Computerized handoff tool

Intervention Type OTHER

Computer program that facilitates accurate transmission of patient information between residents

Team training

Intervention Type BEHAVIORAL

Training in teamwork and reorganization of handoff processes to optimize transmission of information and team care

Interventions

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Computerized handoff tool

Computer program that facilitates accurate transmission of patient information between residents

Intervention Type OTHER

Team training

Training in teamwork and reorganization of handoff processes to optimize transmission of information and team care

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* none
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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United States Department of Defense

FED

Sponsor Role collaborator

Walter Reed Army Medical Center

FED

Sponsor Role collaborator

Madigan Army Medical Center

FED

Sponsor Role collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Christopher P. Landrigan, MD, MPH

Director, Sleep and Patient Safety Program

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christopher P Landrigan, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Locations

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Walter Reed Army Medical Center

Bethesda, Maryland, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Madigan Army Medical Center

Tacoma, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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BAA01 07005001

Identifier Type: -

Identifier Source: secondary_id

2008P002191

Identifier Type: -

Identifier Source: org_study_id

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