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 — BEHAVIORAL
    A 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 protocol
    Tailored 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)

FacilityCityStateZIPSite coordinators
Johns HopkinsBaltimoreMaryland21218-
Cooper HealthCamdenNew Jersey08103-
Temple HealthPhiladelphiaPennsylvania19103-
University of PennsylvaniaPhiladelphiaPennsylvania19104-
UT Southwestern Medical CenterDallasTexas75390-

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