Implementing a Comprehensive Handoff Program to Improve Pediatric Patient Safety

NCT ID: NCT01134419

Last Updated: 2013-05-16

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

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2010-01-31

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 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.

Detailed Description

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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.

Conditions

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Patient Safety Resident Workflow Resident Experience

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Computerized Handoff Tool plus training

Computerized handoff tool implemented together with team training for residents

Group Type EXPERIMENTAL

Computerized handoff tool

Intervention Type OTHER

Informatics tool to aid in transfer of patient care information

Team training

Intervention Type OTHER

Teamwork training and revisions of handoff structure to optimize teamwork skills and verbal communications

Team training only

No computerized tool

Group Type ACTIVE_COMPARATOR

Team training

Intervention Type OTHER

Teamwork training and revisions of handoff structure to optimize teamwork skills and verbal communications

Interventions

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Computerized handoff tool

Informatics tool to aid in transfer of patient care information

Intervention Type OTHER

Team training

Teamwork training and revisions of handoff structure to optimize teamwork skills and verbal communications

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Harvard Risk Management Foundation

OTHER

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Christopher Landrigan

Research and Fellowship Director, Inpatient Pediatrics Service

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christopher P Landrigan, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Boston Children's Hospital

Locations

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Children's Hospital Boston

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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X09-01-0040

Identifier Type: -

Identifier Source: org_study_id

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