An interventional study of Structured Sign Out Form in Health Care Quality and Access and Evaluation, sponsored by Duke University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-11-25.
Sponsored by Duke University · Not applicable, Interventional, and Health services research
The overall aim of this project is to improve the quality of the handoffs between hospitalists on the general medicine service at Durham Regional Hospital with the intent of improving transitions of care. The intervention will be an improved and more structured face to face sign-out process using a standardized admission sign-out sheet, which is not part of the official medical record. Daytime admitting physicians will assign an acuity score to their patients in which the severity of illness will be scored from 1-7, with 7 being the most sick / likely to have rapid response team (RRT) or adverse event. The assignment of this score would be based off of the clinician's judgment in the patient's overall assessment. All patients, age >18 years, admitted to the non-resident hospital medicine general medicine service at DRH will be study eligible. Data analysis will examine aggregate hospitalist perception of sign-out practice before and after intervention, total number of RRTs, unplanned transfers, and rapid responses pre and post intervention, percentage of hospitalist based patients of overall rapid responses pre and post intervention, percentage of hospitalists using acuity scores, and average and mean severity score of patients with rapid responses compared with those admitted. Patients have a risk of loss of confidentiality.
Duke University is the lead sponsor of 2,025 studies on the registry; 275 are open to participants now.
Of its 194 completed or terminated interventional studies of FDA-regulated products, 159 (82%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Comparison of RRT's and unplanned transfers pre and post intervention matching aggregate numbers month to month
Time frame: End of Study, Approximately 6 months
Physician attitudes towards sign-out process pre and post intervention
Time frame: End of Study, Approximately 6 months
Compliance rate monthly with sign-out sheet completion; will use simple descriptive statistics
Time frame: End of Study, Approximately 6 months
This study is completed, as verified in Apr 2014. You cannot join it, but the record below documents what was studied.
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Duke University