Optimizing the Safety of Inter-Hospital Transfer
NCT05876429 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1658
Last updated 2026-01-23
Summary
This proposal aims to design, implement and rigorously evaluate a standardized accept note in a population of patients that have high frequency of IHT, including patients transferred to the general medical (GMS), cardiology and oncology services at a large tertiary care hospital. This study will improve scientific knowledge by quantifying the patient safety impact of an intervention to improve communication of essential clinical information during IHT. If shown effective, the results of this study can be used to improve clinical practice by establishing evidence-based communication guidelines for broad dissemination. We will also establish technical feasibility by successfully implementing this tool within our EHR (Epic, Verona, WI), allowing for feasible adoption and dissemination to other institutions with similar EHR capabilities. Lastly, we will address malpractice risk by investigating a strategic intervention aimed at reducing known contributors to patient harm during IHT, a high-risk transition in care that involves transfer of high-acuity patients between providers, settings and systems of care.
Conditions
- Inpatient Facililty Diagnoses
Interventions
- OTHER
-
New Standardized Accept Note
A standardized accept note for transfer patients will be implemented, after stakeholder engagement and subsequent finalization.
- OTHER
-
Existing Transfer Patient Admission Process
Maintain existing transfer patient admission processes, across GMS, Cardiology, and Oncology services.
Sponsors & Collaborators
-
Crico
collaborator OTHER -
Brigham and Women's Hospital
lead OTHER
Principal Investigators
-
Stephanie Mueller, M.D., M.P.H. · Brigham and Women's Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-08-17
- Primary Completion
- 2022-07-15
- Completion
- 2023-06-30
Countries
- United States
Study Locations
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