Improving Surgical Patient Outcomes Through Implementation of a SemiStructured Intraoperative Anesthesia Handoff Tool

The University of Texas Health Science Center, Houston4,500 enrolled

Overview

The purpose of this study is to assess the impact of a semi-structured intraoperative anesthesia handoff tool on patient outcomes and to assess the validity of the 5-Factor Perceived Shared Mental Model Scale (5-PSMMS) in a healthcare setting and whether the perception of Shared Mental Model (SMM) mediates the effect of the intraoperative handoff tool on postoperative outcomes

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

4,500

Conditions

Post-operative Complications

Interventions

Epic Health Record semi-structured handoff cognitive aid

Eligibility

Sex: ALLMin age: 18 YearsMax age: 105 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Undergoing non-cardiac surgery in the main operating rooms (e.g. not the endoscopy suite or labor and delivery ward) * Undergoing at least one permanent (e.g. end of shift) anesthesia clinician handoff Exclusion Criteria: * American Society of Anesthesiologists (ASA) Physical Status 6 (organ donors)

Outcomes

Primary Outcomes

Number of participants that have Myocardial Injury after Non-Cardiac Surgery/Myocardial Infarction

Time frame: upto 30 days after surgery

Number of participants that have Acute Kidney Injury

Time frame: from baseline upto 30 days after surgery

Number of participants that need Post-op blood transfusion

Time frame: upto 24 hours after surgery

Number of participants that need Prolonged intubation

Time frame: end of surgery(about 180 minutes after start of surgery)

Number of participants that have Pneumonia

Time frame: within 30 days after surgery

Number of participants that need reintubation

Time frame: within 24 hours after surgery

Number of participants that need Rapid Response Team Activation

Time frame: within 24 hours after surgery

Number of participants that need Readmission

Time frame: within 30 days after surgery

Number of participants that die after surgery

Time frame: 30 days after surgery

Secondary Outcomes

Number of participants that have Postoperative Hypotension

Time frame: within 24 hours after surgery

Number of participants that have Hypoxia

Time frame: within 2 hours after surgery

Number of participants that have Uncontrolled pain

Pain score average \>/= 5 on a 10-point scale

Time frame: within 2 hours after surgery

Number of participants that have Intraoperative hypotension

Mean Arterial Pressure \< 65 mmHg

Time frame: at least 15 minutes intraoperatively following first intraoperative anesthesia handoff

Improving Surgical Patient Outcomes Through Implementation of a SemiStructured Intraoperative Anesthesia Handoff Tool

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts