Post-operative Complications
Conditions
Keywords
Intraoperative anesthesia handoffs
Brief summary
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
Interventions
OTHEREpic Health Record semi-structured handoff cognitive aid
Epic Health Record cognitive aid will be used for intraoperative anesthesia handoff
OTHERUsual care
Epic Health Record cognitive aid will not be used for intraoperative anesthesia handoff
Sponsors
The University of Texas Health Science Center, Houston
National Center for Advancing Translational Sciences (NCATS)
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
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.
Eligibility
Sex/Gender
ALL
Age
18 Years to 105 Years
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)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants that have Myocardial Injury after Non-Cardiac Surgery/Myocardial Infarction | upto 30 days after surgery |
| Number of participants that have Acute Kidney Injury | from baseline upto 30 days after surgery |
| Number of participants that need Post-op blood transfusion | upto 24 hours after surgery |
| Number of participants that need Prolonged intubation | end of surgery(about 180 minutes after start of surgery) |
| Number of participants that have Pneumonia | within 30 days after surgery |
| Number of participants that need reintubation | within 24 hours after surgery |
| Number of participants that need Rapid Response Team Activation | within 24 hours after surgery |
| Number of participants that need Readmission | within 30 days after surgery |
| Number of participants that die after surgery | 30 days after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants that have Postoperative Hypotension | within 24 hours after surgery | — |
| Number of participants that have Hypoxia | within 2 hours after surgery | — |
| Number of participants that have Uncontrolled pain | within 2 hours after surgery | Pain score average \>/= 5 on a 10-point scale |
| Number of participants that have Intraoperative hypotension | at least 15 minutes intraoperatively following first intraoperative anesthesia handoff | Mean Arterial Pressure \< 65 mmHg |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORAubrey Samost-Williams, MD, MS
The University of Texas Health Science Center, Houston
Outcome results
None listed