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| ID | Type | Description | Link |
|---|---|---|---|
| 1K12TR004908-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Center for Advancing Translational Sciences (NCATS) | NIH |
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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epic Health Record semi-structured handoff cognitive aid | Experimental |
| |
| Usual care | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epic Health Record semi-structured handoff cognitive aid | Other | Epic Health Record cognitive aid will be used for intraoperative anesthesia handoff |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of participants that have Myocardial Injury after Non-Cardiac Surgery/Myocardial Infarction | upto 30 days after surgery | |
| Number of participants that have Acute Kidney Injury | from baseline upto 30 days after surgery | |
| Number of participants that need Post-op blood transfusion | upto 24 hours after surgery | |
| Number of participants that need Prolonged intubation | end of surgery(about 180 minutes after start of surgery) | |
| Number of participants that have Pneumonia | within 30 days after surgery | |
| Number of participants that need reintubation | within 24 hours after surgery | |
| Number of participants that need Rapid Response Team Activation | within 24 hours after surgery | |
| Number of participants that need Readmission | within 30 days after surgery | |
| Number of participants that die after surgery | 30 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants that have Postoperative Hypotension | within 24 hours after surgery | |
| Number of participants that have Hypoxia | within 2 hours after surgery | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aubrey Samost-Williams, MD, MS | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Texas Health Science Center at Houston | Houston | Texas | 77030 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41248419 | Derived | Samost-Williams A, Green CE, Kao LS, Sridhar S, Sessler DI, Turan A, Thomas EJ. Assessing the impact of a semi-structured intraoperative anaesthesia handoff cognitive aid on surgical patient outcomes: study protocol for a cluster randomised trial. BMJ Open. 2025 Nov 4;15(11):e110401. doi: 10.1136/bmjopen-2025-110401. |
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The non-cardiac adult operating rooms at Memorial Hermann Hospital are split into 2 floors, Sarofim 2 and Sarofim 3. These floors will be the unit of clustering. One floor will be randomized to the intervention arm and the other to the control arm. Every 4 weeks both floors will be re-randomized again to either arm for a total of 18 weeks.
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| Usual care | Other | Epic Health Record cognitive aid will not be used for intraoperative anesthesia handoff |
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| Number of participants that have Uncontrolled pain |
Pain score average >/= 5 on a 10-point scale |
| within 2 hours after surgery |
| Number of participants that have Intraoperative hypotension | Mean Arterial Pressure < 65 mmHg | at least 15 minutes intraoperatively following first intraoperative anesthesia handoff |