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

Purpose

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

Condition

  • Post-operative Complications

Eligibility

Eligible Ages
Between 18 Years and 105 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

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)

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover Assignment
Intervention Model Description
The non-cardiac adult operating rooms at Memorial Hermann Hospital are split into 2 floors, Sarofim 2 and Sarofim 3. These floors will be the unit of clustering. One floor will be randomized to the intervention arm and the other to the control arm. Every 4 weeks both floors will be re-randomized again to either arm for a total of 18 weeks.
Primary Purpose
Health Services Research
Masking
Single (Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Epic Health Record semi-structured handoff cognitive aid
  • Other: Epic Health Record semi-structured handoff cognitive aid
    Epic Health Record cognitive aid will be used for intraoperative anesthesia handoff
Active Comparator
Usual care
  • Other: Usual care
    Epic Health Record cognitive aid will not be used for intraoperative anesthesia handoff

Recruiting Locations

The University of Texas Health Science Center at Houston
Houston, Texas 77030
Contact:
Aubrey Samost-Williams, MD, MS
(713) 500-6200
Aubrey.SamostWilliams@uth.tmc.edu

More Details

Status
Recruiting
Sponsor
The University of Texas Health Science Center, Houston

Study Contact

Aubrey Samost-Williams, MD, MS
(713) 500-6200
Aubrey.SamostWilliams@uth.tmc.edu