Implementing a Comprehensive Handoff Program to Improve Patient Safety
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 92
- 试验地点
- 6
- 主要终点
- Rates of resident communication and total medical errors
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •all internal medicine residents completing rotations through intervention units during data collection periods
排除标准
- 未提供
结局指标
主要结局
Rates of resident communication and total medical errors
时间窗: July 2010
次要结局
- Rates of all medical errors(July 2010)
- Resident care experience(July 2010)
- Rates of verbal miscommunications(July 2010)
- Rates of written miscommunications(July 2010)
- Resident workflow, especially time spent updating the signout; time spent at bedside; time spent at computer(July 2010)
研究者
Christopher P. Landrigan, MD, MPH
Director, Sleep and Patient Safety Program
Brigham and Women's Hospital