A Quality Improvement Project to Assess and Refine the Handover Process at Morning Trauma Meetings

NCT04514601 | Completed

• 1 other identifier: QIP Trauma Meetings Sandwell
• Study Type: observational
• Target: 317
• Locations: 1 country
• Sites: 1

Brief Summary

This project was intended to observe the handover of trauma and orthopaedic patients at a district general hospital in the UK. Following the implementation of a standard operating protocol, the handover of patient information improved including neck of femur fracture patients significantly. The study can therefore be utilised by other similarly structured departments to improve the handover process, thereby improving patient safety.

Conditions

Neck of Femur Fracture; Fractures, Bone; Orthopedic Disorder

Outcome Measures

Primary Outcomes (3)

• To assess the efficacy of the handover of trauma patients going to theatre.

  A calculation was performed of how many patients had information handed over to the day staff. This included if a patient's past medical history, investigation results, plan, consent status, mark status and starvation status was handed over either written or verbally. This was expressed as a percentage.

  Up to 6 weeks.

• To assess the handover of neck of femur (NOF) fracture patients.

  A calculation was performed of how many patients with NOF fractures had information handed over. This included the patient's age, mechanism of injury, past medical history, investigation results, plan, consent status, mark status, starvation status, scoring system calculation and discussion with next of kin regarding resuscitation status. For each of these domains for each patient, if the information was handed over, this was noted and was expressed as a percentage.

  Up to 6 weeks.

• To determine if unwell patients were being handed over from the admissions list or patients already on the ward.

  From the handover meetings that were observed, it was noted whether 'unwell' patients from the ward had been handed over. This was expressed as a percentage from all the meetings that were observed.

  Up to 6 weeks.

Study Arms (2)

Pre-Intervention Group

The verbal and written handover of these patients was observed. This included 146 general orthopaedic admissions patients and 43 trauma patients. All patient data was anonymised.

Post-Intervention Group

The verbal and written handover of these patients was observed after the introduction of the intervention. This included 81 general orthopaedic admissions patients and 47 trauma patients. All patient data was anonymised.

Other: Standard Operating Protocol

Interventions

Standard Operating Protocol OTHER

This was a written protocol on how the handover process should be conducted.

Post-Intervention Group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Trauma and Orthopaedic patients.

You may qualify if:

• All patients that were handed over were included in the study.

You may not qualify if:

• Nil.

Sponsors & Collaborators

• Sandwell & West Birmingham Hospitals NHS Trust: lead

Study Sites (1)

Sandwell Hospital

West Bromwich, United Kingdom

Location

MeSH Terms

Conditions

Femoral Neck Fractures; Fractures, Bone; Musculoskeletal Diseases

Condition Hierarchy (Ancestors)

Hip Fractures; Femoral Fractures; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Collette Samuels

  Audit Co-Ordinator Sandwell Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Foundation Year 2 Doctor

Study Record Dates

• First Submitted: August 6, 2020
• First Posted: August 17, 2020
• Study Start: October 23, 2019
• Primary Completion: December 13, 2019
• Study Completion: December 13, 2019
• Last Updated: August 17, 2020

Record last verified: 2020-08

Locations

GB (1)