Quality Improvement in Patient Handoff Clinical Trial
Official title:
Quality Improvement in Handover of General Internal Medicine In-patients
| Verified date | January 2016 |
| Source | University of British Columbia |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | Canada: Health Canada |
| Study type | Interventional |
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.
| Status | Completed |
| Enrollment | 1168 |
| Est. completion date | November 2015 |
| Est. primary completion date | November 2015 |
| Accepts healthy volunteers | Accepts Healthy Volunteers |
| Gender | Both |
| Age group | N/A and older |
| Eligibility |
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) |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Caregiver), Primary Purpose: Health Services Research
| Country | Name | City | State |
|---|---|---|---|
| Canada | Vancouver General Hospital | Vancouver | British Columbia |
| Lead Sponsor | Collaborator |
|---|---|
| University of British Columbia | Canadian Medical Protective Association |
Canada,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Other | Proportion of patients the resident on-call did not receive information on that would have been useful | 5 months | No | |
| Other | Frequency of patients transferred to the ICU | 5 months | No | |
| Other | Frequency of patients referred to the Critical Care Outreach Team | 5 months | No | |
| Other | Frequency of inappropriate code blue calls for patients with a "do not resuscitate" order | 5 months | No | |
| Other | Aggregate length of stay of patients admitted to the Clinical Teaching Unit | 5 months | No | |
| Other | Aggregate rate of death of patients admitted to the Clinical Teaching Unit | 5 months | No | |
| Other | Resource Utilization for patients assessed by the resident on-call overnight | Resource utilization will be defined by the ordering of: radiological imaging, blood work, electrocardiogram, blood transfusions, IV fluid administration, and antibiotics. | 5 months | No |
| Primary | Proportion of patients handed over to the on-call resident/Clinical Associate (CA) | 5 months | No |