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Development and Validation of a Tool to Measure Hand-off Quality

NCT01059942 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 27

Last updated 2013-09-05

No results posted yet for this study

Summary

The aim of this project is to develop and validate a simple, flexible, reliable, real-time observation tool to evaluate hand-off practices. The Hand-off CEX is a paper-based instrument that can be used to evaluate either the sender or the receiver of hand-off communication. This tool is based on a previously-validated, widely-used, real-time educational evaluation tool (the Mini-CEX); published expert opinion; and our prior research . The investigators' tool incorporates unique role-based anchors for both senders and receivers that refer to verbal communication, professionalism and environment, hand-off domains informed by preliminary work and expert opinion. The Hand-off CEX(Clinical Evaluation Exercise) will be used by academic hospitalists and house-staff physicians to assess feasibility. We, the investigators, will also assess the construct validity and inter-rater reliability of the tool through the use of standardized, videotaped hand-off scenarios depicting various levels of performance of a hand-off scenario.

We hypothesize that the Hand-off CEX will arm educators with an innovative, necessary, valid and feasible method for training health professionals to conduct safe and effective hand-offs. Finally, the Hand-off CEX will be a useful tool to assist hospitals in improving patient safety.

Conditions

  • Communication
  • Patient Care
  • Quality of Health Care

Interventions

OTHER

mock handoff exposure

Attending and house-staff physicians will analyze six video scenarios using the Hand-off CEX, rating each of the dimensions of hand-off competence for both the senders and receivers of the mock hand-off.

OTHER

Introduction of CEX tool in Actual Hand-offs

We will teach hospitalist physicians and house-staff how to utilize the Hand-off CEX in conducting their own hand-offs.

Sponsors & Collaborators

  • Yale University

    collaborator OTHER

  • University of Chicago

    lead OTHER

Principal Investigators

  • Vineet M Arora, MD, MA · University of Chicago

Eligibility

Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2010-01-31
Primary Completion
2011-08-31
Completion
2012-12-31

Countries

  • United States

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01059942 on ClinicalTrials.gov