- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01796756
Quality Improvement in Handover of General Internal Medicine In-patients
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.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
- Vancouver General Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 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)
Exclusion Criteria:
- None for residents and medical students
- Patients who are not being cared for during on-call hours (defined as 18:00 - 07:00)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Handover program
Standardized handover program Dedicated place and time Template Face-to-face communication Evidence-based education session Feedback and audit
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No Intervention: Usual handover practice
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Proportion of patients handed over to the on-call resident/Clinical Associate (CA)
Time Frame: 5 months
|
5 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of patients the resident on-call did not receive information on that would have been useful
Time Frame: 5 months
|
5 months
|
|
Frequency of patients transferred to the ICU
Time Frame: 5 months
|
5 months
|
|
Frequency of patients referred to the Critical Care Outreach Team
Time Frame: 5 months
|
5 months
|
|
Frequency of inappropriate code blue calls for patients with a "do not resuscitate" order
Time Frame: 5 months
|
5 months
|
|
Aggregate length of stay of patients admitted to the Clinical Teaching Unit
Time Frame: 5 months
|
5 months
|
|
Aggregate rate of death of patients admitted to the Clinical Teaching Unit
Time Frame: 5 months
|
5 months
|
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Resource Utilization for patients assessed by the resident on-call overnight
Time Frame: 5 months
|
Resource utilization will be defined by the ordering of: radiological imaging, blood work, electrocardiogram, blood transfusions, IV fluid administration, and antibiotics.
|
5 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Penny Tam, BSc, MD, Vancouver General Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- H11-03542
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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-
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