IIPE-PRIS Accelerating Safe Signouts

Summary

Because communication and handoff failures are a root cause of two-thirds of "sentinel events"- serious, often fatal preventable adverse events in hospitals improving handoffs has been identified by AHRQ and the Joint Commission as a priority in nationwide efforts to improve patient safety. Comparative Effectiveness Research on handoff tools and processes has identified specific strategies to improve handoffs and reduce medical errors: 1) team training; 2) verbal mnemonics; and 3) use of written/computerized tools to supplement verbal sign-outs. To accelerate residents' use of CER-based handoff practices and improve patient safety, the investigators are implementing the three inventions above as a Resident Handoff Bundle (RHB) in eight pediatric hospitals in the United States and Canada.

Conditions

• Serious Medical Errors
• Resident Sign-out

Interventions

BEHAVIORAL

Resident Handoff Bundle

1\) team training, 2) verbal mnemonics, and 3) standardization of written/computerized handoff tools

Sponsors & Collaborators

• Lucile Packard Children's Hospital

  collaborator OTHER

• University of California, San Francisco

  collaborator OTHER

• Primary Children's Hospital

  collaborator OTHER

• St. Louis Children's Hospital

  collaborator OTHER

• Children's Hospital Medical Center, Cincinnati

  collaborator OTHER

• St. Christopher's Hospital for Children

  collaborator OTHER

• Walter Reed National Military Medical Center

  collaborator FED

• The Hospital for Sick Children

  collaborator OTHER

• OHSU Doernbecher Children's Hospital

  collaborator OTHER

• Boston Children's Hospital

  lead OTHER

Principal Investigators

• Christopher P Landrigan, MD, MPH · Boston Children's Hospital

• Amy J Starmer, MD, MPH · Oregon Health and Sciences University

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

SINGLE_GROUP

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2010-09-30

Primary Completion

2013-05-31

Completion

2013-08-31

Countries

• United States
• Canada

Study Locations