Improving Surgical Patient Outcomes Through Implementation of a SemiStructured Intraoperative Anesthesia Handoff Tool
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,763
- 试验地点
- 2
- 主要终点
- Number of participants that need Prolonged intubation
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 105 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •American Society of Anesthesiologists (ASA) Physical Status 6 (organ donors)
研究组 & 干预措施
Epic Health Record semi-structured handoff cognitive aid
干预措施: Epic Health Record semi-structured handoff cognitive aid (Other)
Usual care
干预措施: Usual care (Other)
结局指标
主要结局
Number of participants that need Prolonged intubation
时间窗: end of surgery(about 180 minutes after start of surgery)
Number of participants that have Pneumonia
时间窗: within 30 days after surgery
Number of participants that need reintubation
时间窗: within 24 hours after surgery
Number of participants that need Rapid Response Team Activation
时间窗: within 24 hours after surgery
Number of participants that need Readmission
时间窗: within 30 days after surgery
Number of participants that die after surgery
时间窗: 30 days after surgery
Number of participants that have Myocardial Injury after Non-Cardiac Surgery/Myocardial Infarction
时间窗: upto 30 days after surgery
Number of participants that have Acute Kidney Injury
时间窗: from baseline upto 30 days after surgery
Number of participants that need Post-op blood transfusion
时间窗: upto 24 hours after surgery
Number of participants that have Myocardial Injury after Non-Cardiac Surgery/Myocardial Infarction
时间窗: upto 30 days after surgery
Number of participants that have Acute Kidney Injury
时间窗: from baseline upto 30 days after surgery
Number of participants that need Post-op blood transfusion
时间窗: upto 24 hours after surgery
Number of participants that need Prolonged intubation
时间窗: end of surgery(about 180 minutes after start of surgery)
Number of participants that have Pneumonia
时间窗: within 30 days after surgery
Number of participants that need reintubation
时间窗: within 24 hours after surgery
Number of participants that need Rapid Response Team Activation
时间窗: within 24 hours after surgery
Number of participants that need Readmission
时间窗: within 30 days after surgery
Number of participants that die after surgery
时间窗: 30 days after surgery
次要结局
- Number of participants that have Postoperative Hypotension(within 24 hours after surgery)
- Number of participants that have Hypoxia(within 2 hours after surgery)
- Number of participants that have Uncontrolled pain(within 2 hours after surgery)
- Number of participants that have Intraoperative hypotension(at least 15 minutes intraoperatively following first intraoperative anesthesia handoff)
- Number of participants that have Postoperative Hypotension(within 24 hours after surgery)
- Number of participants that have Hypoxia(within 2 hours after surgery)
- Number of participants that have Uncontrolled pain(within 2 hours after surgery)
- Number of participants that have Intraoperative hypotension(at least 15 minutes intraoperatively following first intraoperative anesthesia handoff)
研究者
Aubrey Samost-Williams
Assistant Professor Non-Tenure Clinical
The University of Texas Health Science Center, Houston