ClinicalTrials.gg
CompletedNCT01796756Updated Jan 15, 2016

Quality Improvement in Handover of General Internal Medicine In-patients

An interventional study of Handover program in Quality Improvement in Patient Handoff, sponsored by University of British Columbia. Completed at 1 site in Canada. Per ClinicalTrials.gov, last updated 2016-01-15.

Sponsored by University of British Columbia · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
1,168
Allocation
Randomized
Sex
All
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Study summary

Miscommunication during patient handover can jeopardize patient safety and is the focus of Quality Improvement initiatives by many organizations. It is widely recognized that such miscommunication is preventable using a number of strategies identified in the literature.

Currently, there is no formal handover process of General Internal Medicine in-patients, otherwise known as the Clinical Teaching Unit (CTU) at Vancouver General Hospital, which is a major patient safety concern. This project will implement a formal handover program and evaluate whether there are changes in resident satisfaction with handover, but more importantly, whether the investigators can improve patient outcomes.

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Conditions studied

  • Quality Improvement in Patient Handoff

Keywords

  • Handover
  • Handoff
  • Signout
  • Quality Improvement
  • General Internal Medicine
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In context

Lead sponsor

University of British Columbia is the lead sponsor of 1,335 studies on the registry; 255 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Residents, medical students, and patients
  • Residents and medical students will be any rotating through General Internal Medicine at Vancouver General Hospital
  • Patients will be any admitted to General Internal Medicine and cared for during on-call hours (defined as 18:00 - 07:00)

Exclusion criteria

Exclusion Criteria:

  • None for residents and medical students
  • Patients who are not being cared for during on-call hours (defined as 18:00 - 07:00)
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Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
1,168 participants (actual)

Study arms

  • Experimental
    Handover program

    Standardized handover program Dedicated place and time Template Face-to-face communication Evidence-based education session Feedback and audit

    Other: Handover program

  • No intervention
    Usual handover practice

Interventions

  • OtherHandover program
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What researchers measure

Primary outcomes

  1. Proportion of patients handed over to the on-call resident/Clinical Associate (CA)

    Time frame: 5 months

Other outcomes

  1. Proportion of patients the resident on-call did not receive information on that would have been useful

    Time frame: 5 months

  2. Frequency of patients transferred to the ICU

    Time frame: 5 months

  3. Frequency of patients referred to the Critical Care Outreach Team

    Time frame: 5 months

  4. Frequency of inappropriate code blue calls for patients with a "do not resuscitate" order

    Time frame: 5 months

  5. Aggregate length of stay of patients admitted to the Clinical Teaching Unit

    Time frame: 5 months

  6. Aggregate rate of death of patients admitted to the Clinical Teaching Unit

    Time frame: 5 months

  7. Resource Utilization for patients assessed by the resident on-call overnight

    Resource utilization will be defined by the ordering of: radiological imaging, blood work, electrocardiogram, blood transfusions, IV fluid administration, and antibiotics.

    Time frame: 5 months

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Study locations

1 site
  • Vancouver General Hospital
    Vancouver, British Columbia V5Z 1M9, Canada
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References and documents

Publications

  • Tam P, Nijjar AP, Fok M, Little C, Shingina A, Bittman J, Raghavan R, Khan NA. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018 Apr 19;13(4):e0195216. doi: 10.1371/journal.pone.0195216. eCollection 2018. PubMed 29672526 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 15, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01796756
Collaborators
Canadian Medical Protective Association
Responsible party
Sponsor
First posted
Feb 22, 2013
Start date
Jan 2013
Primary completion
Nov 2015
Completion
Nov 2015
Last update
Jan 15, 2016

Study contacts

Penny Tam, BSc, MD
principal investigator · Vancouver General Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2016. You cannot join it, but the record below documents what was studied.

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