NCT01130987

Brief Summary

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
92

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jul 2009

Shorter than P25 for not_applicable

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2009

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

January 12, 2010

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2010

Completed
3 months until next milestone

First Posted

Study publicly available on registry

May 26, 2010

Completed
Last Updated

June 18, 2014

Status Verified

June 1, 2014

Enrollment Period

8 months

First QC Date

January 12, 2010

Last Update Submit

June 17, 2014

Conditions

Medical Errors

Keywords

residentinternpatient safetymedical errortime motionhandoffsign-outResident WorkflowResident Communications

Outcome Measures

Primary Outcomes (1)

  • Rates of resident communication and total medical errors

    July 2010

Secondary Outcomes (5)

  • Rates of all medical errors

    July 2010

  • Rates of verbal miscommunications

    July 2010

  • Rates of written miscommunications

    July 2010

  • Resident workflow, especially time spent updating the signout; time spent at bedside; time spent at computer

    July 2010

  • Resident care experience

    July 2010

Study Arms (1)

Comprehensive Handoff Program

EXPERIMENTAL

Introduction of Computerized tool plus team training

Other: Computerized handoff toolBehavioral: Team training

Interventions

Computerized handoff toolOTHER

Computer program that facilitates accurate transmission of patient information between residents

Comprehensive Handoff Program
Team trainingBEHAVIORAL

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

Comprehensive Handoff Program

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

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

You may not qualify if:

  • none

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Walter Reed Army Medical Center

Bethesda, Maryland, 20307, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Madigan Army Medical Center

Tacoma, Washington, 98431, United States

Location

Study Officials

  • Christopher P Landrigan, MD, MPH

    Brigham and Women's Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, Sleep and Patient Safety Program

Study Record Dates

First Submitted

January 12, 2010

First Posted

May 26, 2010

Study Start

July 1, 2009

Primary Completion

March 1, 2010

Study Completion

March 1, 2010

Last Updated

June 18, 2014

Record last verified: 2014-06

Locations

US(3)