Improving Surgical Patient Outcomes Through Implementation of a SemiStructured Intraoperative Anesthesia Handoff Tool

June 1, 2026 updated by: Aubrey Samost-Williams, The University of Texas Health Science Center, Houston
The purpose of this study is to assess the impact of a semi-structured intraoperative anesthesia handoff tool on patient outcomes and to assess the validity of the 5-Factor Perceived Shared Mental Model Scale (5-PSMMS) in a healthcare setting and whether the perception of Shared Mental Model (SMM) mediates the effect of the intraoperative handoff tool on postoperative outcomes

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

3763

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Texas
      • Houston, Texas, United States, 77030
        • The University of Texas Health Science Center at Houston

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Undergoing non-cardiac surgery in the main operating rooms (e.g. not the endoscopy suite or labor and delivery ward)
  • Undergoing at least one permanent (e.g. end of shift) anesthesia clinician handoff

Exclusion Criteria:

  • American Society of Anesthesiologists (ASA) Physical Status 6 (organ donors)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Usual care
Other: Usual care
Epic Health Record cognitive aid will not be used for intraoperative anesthesia handoff
Experimental: Epic Health Record semi-structured handoff cognitive aid
Other: Epic Health Record semi-structured handoff cognitive aid
Epic Health Record cognitive aid will be used for intraoperative anesthesia handoff

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Number of participants that die after surgery
Time Frame: 30 days after surgery
30 days after surgery
Number of participants that have Myocardial Injury after Non-Cardiac Surgery/Myocardial Infarction
Time Frame: upto 30 days after surgery
upto 30 days after surgery
Number of participants that have Acute Kidney Injury
Time Frame: from baseline upto 30 days after surgery
from baseline upto 30 days after surgery
Number of participants that need Post-op blood transfusion
Time Frame: upto 24 hours after surgery
upto 24 hours after surgery
Number of participants that need Prolonged intubation
Time Frame: end of surgery(about 180 minutes after start of surgery)
end of surgery(about 180 minutes after start of surgery)
Number of participants that have Pneumonia
Time Frame: within 30 days after surgery
within 30 days after surgery
Number of participants that need reintubation
Time Frame: within 24 hours after surgery
within 24 hours after surgery
Number of participants that need Rapid Response Team Activation
Time Frame: within 24 hours after surgery
within 24 hours after surgery
Number of participants that need Readmission
Time Frame: within 30 days after surgery
within 30 days after surgery

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of participants that have Postoperative Hypotension
Time Frame: within 24 hours after surgery
within 24 hours after surgery
Number of participants that have Hypoxia
Time Frame: within 2 hours after surgery
within 2 hours after surgery
Number of participants that have Uncontrolled pain
Time Frame: within 2 hours after surgery
Pain score average >/= 5 on a 10-point scale
within 2 hours after surgery
Number of participants that have Intraoperative hypotension
Time Frame: at least 15 minutes intraoperatively following first intraoperative anesthesia handoff
Mean Arterial Pressure < 65 mmHg
at least 15 minutes intraoperatively following first intraoperative anesthesia handoff

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

The University of Texas Health Science Center, Houston

Collaborators

National Center for Advancing Translational Sciences (NCATS)

Investigators

  • Principal Investigator: Aubrey Samost-Williams, MD, MS, The University of Texas Health Science Center, Houston

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 1, 2024

Primary Completion (Actual)

May 16, 2026

Study Completion (Actual)

May 16, 2026

Study Registration Dates

First Submitted

July 29, 2024

First Submitted That Met QC Criteria

July 29, 2024

First Posted (Actual)

August 1, 2024

Study Record Updates

Last Update Posted (Actual)

June 3, 2026

Last Update Submitted That Met QC Criteria

June 1, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • HSC-MS-24-0552
  • 1K12TR004908-01 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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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