IIPE-PRIS Accelerating Safe Signouts

Completed · Not applicable

Conditions studied: Serious Medical Errors, Resident Sign-out

In brief

Because communication and handoff failures are a root cause of two-thirds of "sentinel events"- serious, often fatal preventable adverse events in hospitals improving handoffs has been identified by AHRQ and the Joint Commission as a priority in nationwide efforts to improve patient safety. Comparative Effectiveness Research on handoff tools and processes has identified specific strategies to improve handoffs and reduce medical errors: 1) team training; 2) verbal mnemonics; and 3) use of written/computerized tools to supplement verbal sign-outs. To accelerate residents' use of CER-based handoff practices and improve patient safety, the investigators are implementing the three inventions above as a Resident Handoff Bundle (RHB) in eight pediatric hospitals in the United States and Canada.

Key facts

Study ID

NCT02403466

Run by

Boston Children's Hospital

People needed

875

Starts

2010-09-01

Expected to finish

2013-08-01

Last updated by the study team

2015-03-31

Who can join

Age: any. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• The study will also include direct observation of house staff residents on the medical service. While implementation of the RHB itself is a QI protocol, the observation and collection of data from residents is research. We will therefore obtain informed consent from residents for participation in the research related to the effects on their care processes and experiences of implementation of the RHB. Participation will be voluntary.
• All resident physicians rotating through study teams during the two 6 month periods of data collection will be included in the study if informed consent is granted. No resident physicians will be excluded on the basis of age, gender, ethnicity, race, or other demographic features. We anticipate enrolling a maximum of 70 resident physicians per site. This number may be significantly less due to the fact that certain residents may rotate through data collection study units more than once during the study period.

You may not qualify if…

• The only exclusion criteria will be residents who do not rotate through study units during the data collection periods

Where it is running

• Lucile Packard Children's Hospital — Palo Alto, California, United States
• UCSF Benioff Children's Hospital — San Francisco, California, United States
• Walter Reed National Military Medical Center — Bethesda, Maryland, United States
• Brigham and Women's Hospital — Boston, Massachusetts, United States
• Children's Hospital Boston — Boston, Massachusetts, United States
• St. Louis Children's Hospital — St Louis, Missouri, United States
• Cincinnati Children's Hospital Medical Center — Cincinnati, Ohio, United States
• St. Christopher's Hospital for Children — Philadelphia, Pennsylvania, United States
• Primary Children's Medical Center — Salt Lake City, Utah, United States
• Hospital for Sick Children — Toronto, Ontario, Canada

Full record on ClinicalTrials.gov

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