Improving Signout Accuracy and Information Delivery in the Emergency Department (SAID-ED)
2013年5月17日 更新者：Justin Mazzillo、The University of Texas Health Science Center, Houston
Improving Transfer of Care Accuracy and Information Delivery in the Emergency Department
The investigators sought to determine if implementing a standardized sign out process would reduce the amount of medical errors related to patient sign out.
The standardized process included the following interventions: implementation of a data resident to review patients lab values, vital signs, radiologist results, and orders in real time, conducting sign out in a standardized location and using the attending physician as an "interruption manager."
The investigators defined medical errors related to sign out as any piece of information was incorrectly reported or omitted during sign out that caused a change in treatment or disposition discussed during sign out.
The investigators hypothesis was that implementing a standardized sign out process would lead to a decrease in the amount of sign out related errors.
研究概览
地位
完全的
研究类型
观察性的
注册 (实际的)
321
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
Texas
-
Houston、Texas、美国、77030
- Memorial Hermann Hospital - Texas Medical Center
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
不
有资格学习的性别
全部
取样方法
非概率样本
研究人群
ED Physicians.
We looked at the amount of errors due to signout that ED Physicians commit with standard signout procedure and then with a revised signed out process
描述
Inclusion Criteria:
- ED transfers of care occurring at 0700 or 1900.
Exclusion Criteria:
- Attending only handovers (1500, 2300)
- Handovers including midlevel providers (Thursday 0700, 1300).
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
|
regular sign out process
|
The intervention phase included was the introduction of a standardized TOC (transfer of care) process, which occurred during April and May of 2012.
TOC was done at a predefined location in each section of the emergency department (Medicine and Trauma).
All participating residents were given a diagram detailing the central location and seating arrangement.
The outgoing attending was designated to handle all distractions or disturbances that occurred during sign out.
The most senior resident coming on to shift was designated the data resident.
The data resident's role was to operate a centralized computer with the ED tracking board and EMR and review pending orders, vital signs and resulted labs and radiology reports after each patient was signed out.
A brief pause was implemented to allow the oncoming team to ask any questions regarding that patient's care or course.
The post TOC data form and protocol were identical to that of the control phase.
|
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Sign out related errors
大体时间：4 months
|
4 months
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
perception of sign out
大体时间：1 year after implementation of revised sign out process
|
1 year after implementation of revised sign out process
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Nnaemeka G Okafor, MD、UT Houston Health Sciences Center at Houston Department of Emergency Medicine
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2012年2月1日
初级完成 (实际的)
2012年5月1日
研究注册日期
首次提交
2013年4月27日
首先提交符合 QC 标准的
2013年5月17日
首次发布 (估计)
2013年5月21日
研究记录更新
最后更新发布 (估计)
2013年5月21日
上次提交的符合 QC 标准的更新
2013年5月17日
最后验证
2013年5月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.