Quality Improvement in Handover of General Internal Medicine In-patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,168
- 试验地点
- 1
- 主要终点
- Proportion of patients handed over to the on-call resident/Clinical Associate (CA)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Care Provider)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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)
排除标准
- •None for residents and medical students
- •Patients who are not being cared for during on-call hours (defined as 18:00 - 07:00)
研究组 & 干预措施
Handover program
Standardized handover program Dedicated place and time Template Face-to-face communication Evidence-based education session Feedback and audit
干预措施: Handover program (Other)
Usual handover practice
结局指标
主要结局
Proportion of patients handed over to the on-call resident/Clinical Associate (CA)
时间窗: 5 months
次要结局
未报告次要终点