NCT02217241

Brief Summary

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.

Trial Health

80
On Track

Trial Health Score

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

Enrollment
95

participants targeted

Target at P50-P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2012

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2013

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

August 12, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 15, 2014

Completed
Last Updated

August 15, 2014

Status Verified

August 1, 2014

Enrollment Period

1.2 years

First QC Date

August 12, 2014

Last Update Submit

August 13, 2014

Conditions

Patient Handoff

Outcome Measures

Primary Outcomes (1)

  • Evaluate workshop effectiveness of students undergoing the intervention, rated before and after the workshop utilizing standardized cases and a validated Handoff Rating Scale.

    up to 45 minutes post-intervention

Other Outcomes (2)

  • Assess durability of the training by rating intervention and control group students on a third standardized case during their fourth year AI on internal medicine.

    up to 12 months after intervention

  • Assess the transfer of handoff skills into the clinical setting by observing AI students in both the intervention and control groups providing real-time handoffs.

    Up to 12 months after the intervention

Study Arms (2)

Intervention

EXPERIMENTAL

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.

Other: Handoff Workshop

Control

NO INTERVENTION

Interventions

Handoff WorkshopOTHER
Intervention

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Third Year Medicine Clerks

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

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

Washington D.C., District of Columbia, 20037, United States

Location

Related Publications (16)

  • 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.

    PMID: 17219508BACKGROUND

  • 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.

    PMID: 8418344BACKGROUND

  • 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.

    PMID: 2266432BACKGROUND

  • 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.

    PMID: 16772243BACKGROUND

  • 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.

    PMID: 23595921BACKGROUND

  • 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.

    PMID: 21933243BACKGROUND

  • 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.

    PMID: 19924489BACKGROUND

  • 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.

    PMID: 17674110BACKGROUND

  • 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.

    PMID: 19240442BACKGROUND

  • 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.

    PMID: 20375830BACKGROUND

  • 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.

    PMID: 19799733BACKGROUND

  • 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.

    PMID: 23294741BACKGROUND

  • 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.

    PMID: 20803673BACKGROUND

  • 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.

    PMID: 24302089BACKGROUND

  • 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.

    PMID: 24302090BACKGROUND

  • 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.

    PMID: 26174046DERIVED

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Medicine

Study Record Dates

First Submitted

August 12, 2014

First Posted

August 15, 2014

Study Start

January 1, 2012

Primary Completion

March 1, 2013

Last Updated

August 15, 2014

Record last verified: 2014-08

Locations

US(1)