Communication Clinical Trial
Official title:
Development and Validation of a Tool to Evaluate Hand-off Quality
Verified date | September 2013 |
Source | University of Chicago |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Observational |
The aim of this project is to develop and validate a simple, flexible, reliable, real-time
observation tool to evaluate hand-off practices. The Hand-off CEX is a paper-based
instrument that can be used to evaluate either the sender or the receiver of hand-off
communication. This tool is based on a previously-validated, widely-used, real-time
educational evaluation tool (the Mini-CEX); published expert opinion; and our prior research
. The investigators' tool incorporates unique role-based anchors for both senders and
receivers that refer to verbal communication, professionalism and environment, hand-off
domains informed by preliminary work and expert opinion. The Hand-off CEX(Clinical
Evaluation Exercise) will be used by academic hospitalists and house-staff physicians to
assess feasibility. We, the investigators, will also assess the construct validity and
inter-rater reliability of the tool through the use of standardized, videotaped hand-off
scenarios depicting various levels of performance of a hand-off scenario.
We hypothesize that the Hand-off CEX will arm educators with an innovative, necessary, valid
and feasible method for training health professionals to conduct safe and effective
hand-offs. Finally, the Hand-off CEX will be a useful tool to assist hospitals in improving
patient safety.
Status | Completed |
Enrollment | 27 |
Est. completion date | December 2012 |
Est. primary completion date | August 2011 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - All academic hospitalist and internal medicine house-staff are eligible to participate. Exclusion Criteria: - We have no exclusion criteria. All internal medicine residents and hospitalist physicians at the University of Chicago will be invited to participate. |
Observational Model: Cohort, Time Perspective: Cross-Sectional
Country | Name | City | State |
---|---|---|---|
United States | The University of Chicago Medical Center | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
University of Chicago | Yale University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Residents and Hospitalists will use the Hand-off CEX to conduct evaluations of their sign-out process. In addition, each hand-off will be evaluated simultaneously by a trained observer. | January 2010-January 2015 | No | |
Secondary | Upon completion of the Hand-Off evaluation, participants and observers will be asked about their overall satisfaction with the evaluation. This will be a marker of the feasibility of the Hand-Off CEX. | January 2010-January 2015 | No | |
Secondary | For the validity part of the study, attending and house-staff physicians will analyze six video scenarios using the Hand-off CEX, rating each of the dimensions of hand-off competence for both the senders and receivers of the handoff. | January 2010-January 2015 | No |
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