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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01130987
Other study ID # 2008P002191
Secondary ID BAA01 07005001
Status Completed
Phase N/A
First received January 12, 2010
Last updated June 17, 2014
Start date July 2009
Est. completion date March 2010

Study information

Verified date June 2014
Source Brigham and Women's Hospital
Contact n/a
Is FDA regulated No
Health authority United States: Institutional Review Board
Study type Interventional

Clinical Trial Summary

The investigators propose to test the hypothesis that implementation of a comprehensive handoff program (CHP) - i.e., implementation of a computerized handoff tool along with teamwork training for internal medicine residents on inpatient units at Walter Reed and Madigan Army Medical Centers - will lead to reductions in resident miscommunications / medical errors and improvements in workflow and experience on the wards.


Description:

Following collection of baseline data on inpatient wards at both hospitals, teamwork training will be provided, accompanied by the introduction of a new computerized handoff tool that facilitates accurate transmission of data. The effects of this combined intervention on safety and workflow will be assessed on the intervention wards at both hospitals as compared with the historical control period.


Recruitment information / eligibility

Status Completed
Enrollment 92
Est. completion date March 2010
Est. primary completion date March 2010
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Both
Age group 18 Years to 60 Years
Eligibility Inclusion Criteria:

- all internal medicine residents completing rotations through intervention units during data collection periods

Exclusion Criteria:

Study Design

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research


Related Conditions & MeSH terms


Intervention

Other:
Computerized handoff tool
Computer program that facilitates accurate transmission of patient information between residents
Behavioral:
Team training
Training in teamwork and reorganization of handoff processes to optimize transmission of information and team care

Locations

Country Name City State
United States Walter Reed Army Medical Center Bethesda Maryland
United States Brigham and Women's Hospital Boston Massachusetts
United States Madigan Army Medical Center Tacoma Washington

Sponsors (4)

Lead Sponsor Collaborator
Brigham and Women's Hospital Madigan Army Medical Center, United States Department of Defense, Walter Reed Army Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Rates of resident communication and total medical errors July 2010 Yes
Secondary Rates of all medical errors July 2010 Yes
Secondary Rates of verbal miscommunications July 2010 Yes
Secondary Rates of written miscommunications July 2010 Yes
Secondary Resident workflow, especially time spent updating the signout; time spent at bedside; time spent at computer July 2010 No
Secondary Resident care experience July 2010 No
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