Morbidity and Mortality: Surgery and Standardized Transmission in Operating Room (HIATUS)
Morbidity and Mortality in Operating Room: Surgery and Standardized Communication
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The secondary objectives are:
to analysis the impact of the transmission on:
- the occurence of different events: re-hospitalization, serious complications, death at one month;
- the duration of initial ICU stay and of hospitalization;
- the duration of the transmission;
- the quality of the transmission by the physician leaving operating room.
- to evaluate the condition of the transmission
- to study the persistence of the use of the AnesList© at 6 months after the end of inclusions in the center
- to evaluate the satisfaction on AnesList© and on the training with the tool and the obstacles of its utilization
- to evaluate the morbility-mortality in the centers of the centers before, during and 6 months after the beginning of the study.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Dominique FLETCHER, MD, PhD
- Phone Number: +33 (0)661177035
- Email: dominique.fletcher@aphp.fr
Study Contact Backup
- Name: Aicha KASSOUL, MD
- Phone Number: + 33 (0)633855997
- Email: aicha.kassoul@aphp.fr
Study Locations
-
-
-
Boulogne-Billancourt, France, 92100
- Recruiting
- Department of Anesthesia and Intensive Care - Ambroise Paré Hospital - APHP
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient aged > 18 years;
- Patients with score ASA I-IV;
- Requiring urgent or planned surgery;
- Major surgery (duration of surgery > 2 hours, requiring a hospital stay of at least 1 night): orthopedics, cardiac, vascular, thoracic, visceral, ENT, plastic surgery;
- Handover between two anesthesists defined as a definitive relay between one physician anaesthesist and another in operating room;
- Intensive care anesthesists and nurse anaesthetist working in investigator center during the study;
- Affiliated to a social security system;
- No-opposition to participating to the study.
Exclusion Criteria:
- Transmission between physician anaesthesist and nurse anaesthetist;
- Medical transmission occurs out of anesthesia care out of operating room;
- Medical transmission occurs in transitory manner (for example: coffee time, lunch time);
- Patients enrolled in an another ongoing study of surgical intervention.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental group
Experimental group with training after randomization immediately
|
Training with AnesList© as tool
|
|
Control group with delayed training
Control group with training: the training will delayed from time of randomization
|
Training with AnesList© as tool
|
|
Control group without training
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The occurence of adverse events
Time Frame: at 1 month
|
Death, serious complications and re-hospitalization will be noted in order to evaluate the efficacy of standardized transmission with AnesList©.
|
at 1 month
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The duration of ICU stay
Time Frame: through study completion, an average of 18 months
|
The length of initial ICU stay will be noted.
|
through study completion, an average of 18 months
|
|
The duration of hospitalization
Time Frame: through study completion, an average of 18 months
|
The length of initial hospitalization will be noted.
|
through study completion, an average of 18 months
|
|
Evaluate of the condition of transmission
Time Frame: through study completion, an average of 18 months
|
By the presence or intervention of anaesthetics-nurse, recorded or not the transmission in medical files.
|
through study completion, an average of 18 months
|
|
Utilization of the AnesList© by anaesthesists at 6 months
Time Frame: at 6 months
|
Only for intervention group: use on cell phone or with printed form: the use will be noted.
|
at 6 months
|
|
Quality of medical transmission
Time Frame: through study completion, an average of 18 months
|
Scale will be noted by anaesthesists between 0 and 22: 20% of recorded transmission will be noted.
|
through study completion, an average of 18 months
|
|
Interaction with study nurse
Time Frame: through study completion, an average of 18 months
|
The study nurse will evaluate the existence and composite of the interaction between the anesthesist who receiving the transmission and the nurse.
|
through study completion, an average of 18 months
|
|
Morbi-mortality
Time Frame: through study completion, an average of 18 months
|
The method of chronological series will be used to analysis the morbi-mortality in investigator center.
|
through study completion, an average of 18 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Dominique FLETCHER, MD, PhD, Department of Anesthesia and Intensive Care - Ambroise Paré Hospital - APHP
- Study Director: Aicha KASSOUL, MD, Department of Anesthesia and Intensive Care - Ambroise Paré Hospital - APHP
Publications and helpful links
General Publications
- Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Herbosa T, Joseph S, Kibatala PL, Lapitan MC, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA; Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009 Jan 29;360(5):491-9. doi: 10.1056/NEJMsa0810119. Epub 2009 Jan 14.
- Sedgwick P, Greenwood N. Understanding the Hawthorne effect. BMJ. 2015 Sep 4;351:h4672. doi: 10.1136/bmj.h4672. No abstract available.
- Jullia M, Tronet A, Fraumar F, Minville V, Fourcade O, Alacoque X, LeManach Y, Kurrek MM. Training in intraoperative handover and display of a checklist improve communication during transfer of care: An interventional cohort study of anaesthesia residents and nurse anaesthetists. Eur J Anaesthesiol. 2017 Jul;34(7):471-476. doi: 10.1097/EJA.0000000000000636.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- APHP210992
- 2022-A01109-34 (Registry Identifier: IDRCB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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