Trials Sponsors Conditions Drugs Pricing

Conditions

Resident Sign-out Serious Medical Errors

Keywords

Medical errorsCommunicationResident sign-out

Outcome Measures

Primary Outcomes (1)

Rates of serious medical errors
Continuous collection during data collection phase of study (total of 12 months over an 18 month period matched by time of year (i.e., 6 months pre, 6 months wash-in with no data collection, 6 months post-intervention data collection)

Secondary Outcomes (4)

Verbal and written miscommunications
up to 28 months
Time spent by residents gathering and signing out data
up to 28 months
Resident satisfaction with sign-out
up to 28 months
Hospital- and patient-level predictors of implementation success
up to 28 months

Study Arms (1)

Resident Handoff Bundle

EXPERIMENTAL

bundle of interventions designed to improve handoff, including: training of residents in teamwork and handoff techniques; redesign of verbal handoff processes; implementation of handoff mnemonic (I-PASS); implementation of structured written / computerized handoff tool; faculty training in handoffs

Behavioral: Resident Handoff Bundle

Interventions

Resident Handoff BundleBehavioral

1\) team training, 2) verbal mnemonics, and 3) standardization of written/computerized handoff tools

Resident Handoff Bundle

Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.

Eligibility Criteria

Sexall

Healthy VolunteersYes

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

You may qualify if:

The study will also include direct observation of house staff residents on the medical service. While implementation of the RHB itself is a QI protocol, the observation and collection of data from residents is research. We will therefore obtain informed consent from residents for participation in the research related to the effects on their care processes and experiences of implementation of the RHB. Participation will be voluntary.
All resident physicians rotating through study teams during the two 6 month periods of data collection will be included in the study if informed consent is granted. No resident physicians will be excluded on the basis of age, gender, ethnicity, race, or other demographic features. We anticipate enrolling a maximum of 70 resident physicians per site. This number may be significantly less due to the fact that certain residents may rotate through data collection study units more than once during the study period.

Sponsors & Collaborators

University of California, San Francisco
Othercollaborator
Children's Hospital Medical Center, Cincinnati
Othercollaborator

Study Sites (10)

Lucile Packard Children's Hospital

Palo Alto, California, 94304, United States

UCSF Benioff Children's Hospital

San Francisco, California, 94118, United States

Walter Reed National Military Medical Center

Bethesda, Maryland, 20814, United States

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Children's Hospital Boston

Boston, Massachusetts, 02115, United States

St. Louis Children's Hospital

St Louis, Missouri, 63110, United States

Cincinnati Children's Hospital Medical Center

MeSH Terms

Conditions

Communication

Condition Hierarchy (Ancestors)

Behavior

Study Officials

Christopher P Landrigan, MD, MPH
Boston Children's Hospital
PRINCIPAL INVESTIGATOR
Amy J Starmer, MD, MPH
Oregon Health and Sciences University
STUDY DIRECTOR

Enrollment

875 participants (actual enrollment reported by the registry).

Study Design

Study Type: interventional
Phase: not applicable
Allocation: NA
Masking: SINGLE
Who Masked: OUTCOMES ASSESSOR
Purpose: HEALTH SERVICES RESEARCH
Intervention Model: SINGLE GROUP
Sponsor Type: OTHER
Responsible Party: PRINCIPAL INVESTIGATOR
PI Title: Research Director, Children's Hospital Boston Inpatient Pediatrics Service Director, Sleep and Patient Safety Program, Brigham and Women's Hospital Associate Professor of Medicine and Pediatrics, Harvard Medical School

Study Record Dates

First Submitted

August 1, 2011

First Posted

March 31, 2015

Study Start

September 2010

IIPE-PRIS Accelerating Safe Signouts

Brief Summary

Registry Overview

Trial Relationships

Study Timeline

Study Start

First Submitted

Primary Completion

Study Completion

First Posted

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (4)

Study Arms (1)

Resident Handoff Bundle

Interventions

Eligibility Criteria

You may qualify if:

Sponsors & Collaborators

Study Sites (10)

MeSH Terms

Conditions

Condition Hierarchy (Ancestors)

Study Officials

Enrollment

Study Design

Study Record Dates

Source record

Locations

Brief Summary

Registry Overview

Trial Relationships

Related Scientific Literature

Study Timeline

Study Start

First Submitted

Primary Completion

Study Completion

First Posted

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (4)

Study Arms (1)

Resident Handoff Bundle

Interventions

Eligibility Criteria

You may qualify if:

Sponsors & Collaborators

Study Sites (10)

MeSH Terms

Conditions

Condition Hierarchy (Ancestors)

Study Officials

Enrollment

Study Design

Study Record Dates

Source record

Locations