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| Name | Class |
|---|---|
| Canadian Medical Protective Association | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Handover program | Experimental | Standardized handover program Dedicated place and time Template Face-to-face communication Evidence-based education session Feedback and audit |
|
| Usual handover practice | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Handover program | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients handed over to the on-call resident/Clinical Associate (CA) | 5 months |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients the resident on-call did not receive information on that would have been useful | 5 months | |
| Frequency of patients transferred to the ICU | 5 months | |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Penny Tam, BSc, MD | Vancouver General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vancouver General Hospital | Vancouver | British Columbia | V5Z 1M9 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29672526 | Derived | Tam P, Nijjar AP, Fok M, Little C, Shingina A, Bittman J, Raghavan R, Khan NA. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018 Apr 19;13(4):e0195216. doi: 10.1371/journal.pone.0195216. eCollection 2018. |
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| Frequency of patients referred to the Critical Care Outreach Team |
| 5 months |
| Frequency of inappropriate code blue calls for patients with a "do not resuscitate" order | 5 months |
| Aggregate length of stay of patients admitted to the Clinical Teaching Unit | 5 months |
| Aggregate rate of death of patients admitted to the Clinical Teaching Unit | 5 months |
| Resource Utilization for patients assessed by the resident on-call overnight | Resource utilization will be defined by the ordering of: radiological imaging, blood work, electrocardiogram, blood transfusions, IV fluid administration, and antibiotics. | 5 months |