Handoffs and Transitions in Critical Care - Understanding Scalability
Part of paid clinical trials in Baltimore, Maryland.
- Sponsor
- University of Pennsylvania
- Study ID
- NCT04571749
- Status
- Enrolling By Invitation
Conditions
- Communication
- Healthcare Team
- Intensive Care Units
- Patient Handoff
- Patient Safety
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Accepted
Interventions
- Customized handoff — BEHAVIORALA customized handoff will be implemented that consists of choreographed handoffs utilizing a structured handoff tool to facilitate information exchange.
Study Details
The investigators will leverage implementation science and engineering to adapt, implement, and rigorously evaluate tailored postoperative handoff protocols and implementation strategies. In doing so, the investigators will develop a vital understanding of the factors needed for successful and sustained use of evidence-based interventions in acute care. This knowledge will inform approaches to bridge the evidence-to-practice gap that prevents effective interventions from realizing the promise of improved patient outcomes in acute care settings.
Key Dates
- Start date
- Apr 11, 2021
- Status verified
- Aug 2025
- Primary completion
- Jul 31, 2026
- Completion
- Jul 31, 2026
Study Design
- Enrollment
- 4,000 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- HEALTH_SERVICES_RESEARCH
Arms
- Experimental: Customized Or to ICU handoff protocolTailored implementation strategies will be used in 12 ICUs to facilitate the uptake and sustained use of a customized handoff protocol to be used by clinicians at the time of patient care transition from the operating room to the intensive care unit.
Primary Outcome Measure
Adherence to standardized handoff intervention (Fidelity) measured by number of handoff steps followed. [ Time Frame: This outcome will be measured at monthly intervals starting Year 1, Quarter 2 and continuing until the end of Year 5. ]
Locations (5)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Johns Hopkins | Baltimore | Maryland | 21218 | - |
| Cooper Health | Camden | New Jersey | 08103 | - |
| Temple Health | Philadelphia | Pennsylvania | 19103 | - |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | - |
| UT Southwestern Medical Center | Dallas | Texas | 75390 | - |
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