The investigators propose to test the hypothesis that implementation of a comprehensive handoff program (CHP) - i.e., implementation of a computerized handoff tool along with teamwork training for internal medicine residents on inpatient units at Walter Reed and Madigan Army Medical Centers - will lead to reductions in resident miscommunications / medical errors and improvements in workflow and experience on the wards.
Following collection of baseline data on inpatient wards at both hospitals, teamwork training will be provided, accompanied by the introduction of a new computerized handoff tool that facilitates accurate transmission of data. The effects of this combined intervention on safety and workflow will be assessed on the intervention wards at both hospitals as compared with the historical control period.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
92
Computer program that facilitates accurate transmission of patient information between residents
Training in teamwork and reorganization of handoff processes to optimize transmission of information and team care
Walter Reed Army Medical Center
Bethesda, Maryland, United States
Brigham and Women's Hospital
Boston, Massachusetts, United States
Madigan Army Medical Center
Tacoma, Washington, United States
Rates of resident communication and total medical errors
Time frame: July 2010
Rates of all medical errors
Time frame: July 2010
Rates of verbal miscommunications
Time frame: July 2010
Rates of written miscommunications
Time frame: July 2010
Resident workflow, especially time spent updating the signout; time spent at bedside; time spent at computer
Time frame: July 2010
Resident care experience
Time frame: July 2010
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