Implementing a Comprehensive Handoff Program to Improve Pediatric Patient Safety
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Rates of resident-related 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 pediatric residents on inpatient units at Children's Hospital Boston - 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 two inpatient pediatric wards, teamwork training is to be provided to all pediatric residents. On our primary intervention unit, this will be 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 primary intervention ward as compared with the historical control unit and the concurrent unit that received teamwork training without the computerized tool.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 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 residents working on study units during study period, except as below
排除标准
- •residents on the teamwork only unit who have previously been on the primary intervention unit
研究组 & 干预措施
Computerized Handoff Tool plus training
Computerized handoff tool implemented together with team training for residents
干预措施: Computerized handoff tool (Other)
Computerized Handoff Tool plus training
Computerized handoff tool implemented together with team training for residents
干预措施: Team training (Other)
Team training only
No computerized tool
干预措施: Team training (Other)
结局指标
主要结局
Rates of resident-related communication and total medical errors
时间窗: July 2010
Resident-related medical errors (including medication-related, diagnostic, and procedural) detected using a multi-pronged prospective surveillance methodology that involves 5d/week chart review, review of hospital incident reports, and collection of staff reports. Resident-related defined as involving a resident research subject. Communication errors are those medical errors attributable to communication failures.
次要结局
- Resident reported experience of care(July 2010)
- Rates of total medical errors(July 2010)
- Minutes residents spend updating the signout; minutes spent in direct patient care; minutes spent working at computer(July 2010)
- Rates of verbal miscommunications(July 2010)
- Rates of written miscommunications(July 2010)
研究者
Christopher Landrigan
Research and Fellowship Director, Inpatient Pediatrics Service
Boston Children's Hospital