Quality Improvement in Handover of General Internal Medicine In-patients
1 other identifier
interventional
1,168
1 country
1
Brief Summary
Miscommunication during patient handover can jeopardize patient safety and is the focus of Quality Improvement initiatives by many organizations. It is widely recognized that such miscommunication is preventable using a number of strategies identified in the literature. Currently, there is no formal handover process of General Internal Medicine in-patients, otherwise known as the Clinical Teaching Unit (CTU) at Vancouver General Hospital, which is a major patient safety concern. This project will implement a formal handover program and evaluate whether there are changes in resident satisfaction with handover, but more importantly, whether the investigators can improve patient outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2013
Typical duration for not_applicable
1 active site
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
January 1, 2013
CompletedFirst Submitted
Initial submission to the registry
February 14, 2013
CompletedFirst Posted
Study publicly available on registry
February 22, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2015
CompletedJanuary 15, 2016
January 1, 2016
2.8 years
February 14, 2013
January 14, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of patients handed over to the on-call resident/Clinical Associate (CA)
5 months
Other Outcomes (7)
Proportion of patients the resident on-call did not receive information on that would have been useful
5 months
Frequency of patients transferred to the ICU
5 months
Frequency of patients referred to the Critical Care Outreach Team
5 months
- +4 more other outcomes
Study Arms (2)
Handover program
EXPERIMENTALStandardized handover program Dedicated place and time Template Face-to-face communication Evidence-based education session Feedback and audit
Usual handover practice
NO INTERVENTIONInterventions
Eligibility Criteria
You may qualify if:
- Residents, medical students, and patients
- Residents and medical students will be any rotating through General Internal Medicine at Vancouver General Hospital
- Patients will be any admitted to General Internal Medicine and cared for during on-call hours (defined as 18:00 - 07:00)
You may not qualify if:
- None for residents and medical students
- Patients who are not being cared for during on-call hours (defined as 18:00 - 07:00)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9, Canada
Related Publications (1)
Tam P, Nijjar AP, Fok M, Little C, Shingina A, Bittman J, Raghavan R, Khan NA. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018 Apr 19;13(4):e0195216. doi: 10.1371/journal.pone.0195216. eCollection 2018.
PMID: 29672526DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Penny Tam, BSc, MD
Vancouver General Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 14, 2013
First Posted
February 22, 2013
Study Start
January 1, 2013
Primary Completion
November 1, 2015
Study Completion
November 1, 2015
Last Updated
January 15, 2016
Record last verified: 2016-01