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

Not Applicable

Recruiting

• Conditions: Post-operative Complications
• Interventions: Other: Epic Health Record cognitive aid; Other: Standard of Care

• Registration Number: NCT06533111
• Lead Sponsor: The University of Texas Health Science Center, Houston

Brief Summary

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

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-07-29
• Study First Submitted QC: 2024-07-29
• Study First Posted: 2024-08-01
• Study Start: 2024-11-29
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-04
• Last Update Posted: 2024-12-05
• Primary Completion: 2026-04-30
• Study Completion: 2026-05-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 7500

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 & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Epic Health Record semi-structured handoff cognitive aid	Epic Health Record cognitive aid	-
Usual care	Standard of Care	-

Primary Outcome Measures

Name	Time	Method
Number of participants that show post-operative complications that have been associated with intraoperative handoffs	30 days after surgery	Post operative complications will be a composite comprised of elevated troponin ,Acute Kidney Injury (AKI), Post-op blood transfusion,Prolonged intubation, Pneumonia, Reintubation and Care Escalation (Rapid response called within 24 hours postoperatively as evidenced by rapid response note type)

Secondary Outcome Measures

Name	Time	Method
Number of participants that die after surgery	30 days after surgery
Hospital length of stay	At time of discharge or 30 days whichever comes first
Number of participants that show peri-operative complications that have been associated with intraoperative handoffs	At time of discharge or 30 days whichever comes first	Peri operative complications will be a composite comprised of Postoperative Hypotension,hypoxia, uncontrolled pain(Pain score average \>/= 5 over first 2 hours post-operatively) and Intraoperative hypotension

Trial Locations

Locations (1)

The University of Texas Health Science Center at Houston; 🇺🇸 Houston, Texas, United States