Effect of Hand-off Skills Training for Students During the Medicine Clerkship

NCT ID: NCT02217241

Last Updated: 2014-08-15

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

95 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Brief Summary

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The purpose of this study is to assess the effectiveness of an educational intervention on handoffs implemented during the third year of medical school. It also assesses whether these skills are maintained over time into their fourth year of training and whether there is transfer from the simulated setting into the clinical environment.

Detailed Description

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Conditions

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Patient Handoff

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Intervention

Students in the intervention group participated in a one-hour interactive, small-group handoff workshop facilitated by a study investigator. The workshop focused on the importance of specific handoff skills to patient safety.

Group Type EXPERIMENTAL

Handoff Workshop

Intervention Type OTHER

Control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Handoff Workshop

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Third Year Medicine Clerks

Exclusion Criteria

* None
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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George Washington University

OTHER

Sponsor Role lead

Responsible Party

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Juan Reyes

Assistant Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The George Washington University School of Medicine; The George Washington University Hospital

Washington D.C., District of Columbia, United States

Site Status

Countries

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United States

References

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Vidyarthi AR, Arora V, Schnipper JL, Wall SD, Wachter RM. Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. J Hosp Med. 2006 Jul;1(4):257-66. doi: 10.1002/jhm.103.

Reference Type BACKGROUND
PMID: 17219508 (View on PubMed)

Laine C, Goldman L, Soukup JR, Hayes JG. The impact of a regulation restricting medical house staff working hours on the quality of patient care. JAMA. 1993 Jan 20;269(3):374-8.

Reference Type BACKGROUND
PMID: 8418344 (View on PubMed)

Lofgren RP, Gottlieb D, Williams RA, Rich EC. Post-call transfer of resident responsibility: its effect on patient care. J Gen Intern Med. 1990 Nov-Dec;5(6):501-5. doi: 10.1007/BF02600880.

Reference Type BACKGROUND
PMID: 2266432 (View on PubMed)

Horwitz LI, Krumholz HM, Green ML, Huot SJ. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006 Jun 12;166(11):1173-7. doi: 10.1001/archinte.166.11.1173.

Reference Type BACKGROUND
PMID: 16772243 (View on PubMed)

Arora VM, Eastment MC, Bethea ED, Farnan JM, Friedman ES. Participation and experience of third-year medical students in handoffs: time to sign out? J Gen Intern Med. 2013 Aug;28(8):994-8. doi: 10.1007/s11606-012-2297-9.

Reference Type BACKGROUND
PMID: 23595921 (View on PubMed)

Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011 Nov;45(11):1081-9. doi: 10.1111/j.1365-2923.2011.04049.x. Epub 2011 Sep 20.

Reference Type BACKGROUND
PMID: 21933243 (View on PubMed)

Farnan JM, Paro JA, Rodriguez RM, Reddy ST, Horwitz LI, Johnson JK, Arora VM. Hand-off education and evaluation: piloting the observed simulated hand-off experience (OSHE). J Gen Intern Med. 2010 Feb;25(2):129-34. doi: 10.1007/s11606-009-1170-y.

Reference Type BACKGROUND
PMID: 19924489 (View on PubMed)

Horwitz LI, Moin T, Green ML. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007 Oct;22(10):1470-4. doi: 10.1007/s11606-007-0331-0. Epub 2007 Aug 3.

Reference Type BACKGROUND
PMID: 17674110 (View on PubMed)

Chu ES, Reid M, Schulz T, Burden M, Mancini D, Ambardekar AV, Keniston A, Albert RK. A structured handoff program for interns. Acad Med. 2009 Mar;84(3):347-52. doi: 10.1097/ACM.0b013e3181970829.

Reference Type BACKGROUND
PMID: 19240442 (View on PubMed)

Gakhar B, Spencer AL. Using direct observation, formal evaluation, and an interactive curriculum to improve the sign-out practices of internal medicine interns. Acad Med. 2010 Jul;85(7):1182-8. doi: 10.1097/ACM.0b013e3181da8370.

Reference Type BACKGROUND
PMID: 20375830 (View on PubMed)

Klamen DL, Reynolds KL, Yale B, Aiello M. Students learning handovers in a simulated in-patient unit. Med Educ. 2009 Nov;43(11):1097-8. doi: 10.1111/j.1365-2923.2009.03488.x. Epub 2009 Oct 3. No abstract available.

Reference Type BACKGROUND
PMID: 19799733 (View on PubMed)

Darbyshire D, Gordon M, Baker P. Teaching handover of care to medical students. Clin Teach. 2013 Feb;10(1):32-7. doi: 10.1111/j.1743-498X.2012.00610.x.

Reference Type BACKGROUND
PMID: 23294741 (View on PubMed)

Chu ES, Reid M, Burden M, Mancini D, Schulz T, Keniston A, Sarcone E, Albert RK. Effectiveness of a course designed to teach handoffs to medical students. J Hosp Med. 2010 Jul-Aug;5(6):344-8. doi: 10.1002/jhm.633.

Reference Type BACKGROUND
PMID: 20803673 (View on PubMed)

Starmer AJ, Sectish TC, Simon DW, Keohane C, McSweeney ME, Chung EY, Yoon CS, Lipsitz SR, Wassner AJ, Harper MB, Landrigan CP. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. JAMA. 2013 Dec 4;310(21):2262-70. doi: 10.1001/jama.2013.281961.

Reference Type BACKGROUND
PMID: 24302089 (View on PubMed)

Curtis JR, Back AL, Ford DW, Downey L, Shannon SE, Doorenbos AZ, Kross EK, Reinke LF, Feemster LC, Edlund B, Arnold RW, O'Connor K, Engelberg RA. Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness: a randomized trial. JAMA. 2013 Dec 4;310(21):2271-81. doi: 10.1001/jama.2013.282081.

Reference Type BACKGROUND
PMID: 24302090 (View on PubMed)

Reyes JA, Greenberg L, Amdur R, Gehring J, Lesky LG. Effect of handoff skills training for students during the medicine clerkship: a quasi-randomized study. Adv Health Sci Educ Theory Pract. 2016 Mar;21(1):163-73. doi: 10.1007/s10459-015-9621-1. Epub 2015 Jul 15.

Reference Type DERIVED
PMID: 26174046 (View on PubMed)

Other Identifiers

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101125

Identifier Type: -

Identifier Source: org_study_id

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