Evidence map›Paper›PMID 25410548›Full record

Trial reportBMC surgery2014

Handoffs and transitions in critical care (HATRICC): protocol for a mixed methods study of operating room to intensive care unit handoffs.

Meghan B Lane-Fall, Rinad S Beidas, Jose L Pascual, Meredith L Collard, Hannah G Peifer, Tyler J Chavez, Mark E Barry, Jacob T Gutsche, Scott D Halpern, Lee A Fleisher and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02267174 (Handoffs and Transitions in Critical Care), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02267174 nacompletednot on this map

Handoffs and Transitions in Critical Care (HATRICC): Optimizing Operating Room to Intensive Care Unit Handoffs

TypeinterventionalSponsorUniversity of PennsylvaniaRan2014 to 2016Enrolled1,000ConditionsPatient Handoff, Healthcare Team, Communication, Patient SafetyArmsStandardized handoff
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Enhancing Structured Team Communication in Acute Care Settings with Ambient AI Scribes.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Implementation Science in Perioperative Care.Anesthesiology clinics · 2018
    Review
  10. Applying a Time-Out and Standardized Report Form in Anesthesia Handoffs.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2017
    Article
  11. Handoffs in the Intensive Care Unit.American journal of medical quality : the official journal of the American College of Medical Quality
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Meghan B Lane-FallDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 680 Dulles Building, Philadelphia, PA 19104, USA. meghan.lane-fall@uphs.upenn.edu.
Rinad S Beidas
Jose L Pascual
Meredith L Collard
Hannah G Peifer
Tyler J Chavez
Mark E Barry
Jacob T Gutsche
Scott D Halpern
Lee A Fleisher
Frances K Barg
University of Pennsylvania · USNational Patient Safety Foundation · USNew Mexico State University · US

Funding

Training in Critical Care Health Policy ResearchT32HL098054 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Scott D Halpern · 2010 to 2026
$8.2M
Policy to Implementation: Evidence-Based Practice in Community Mental HealthK23MH099179 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY · 2012 to 2016
$887k
NHLBI NIH HHS T32 HL098054NIMH NIH HHS K23 MH099179
6 · The paper itself

Abstract

backgroundOperating room to intensive care unit handoffs are high-risk events for critically ill patients. Studies in selected patient populations show that standardizing operating room to intensive care unit handoffs improves information exchange and decreases errors. To adapt these findings to mixed surgical populations, we propose to study the implementation of a standardized operating room to intensive care unit handoff process in two intensive care units currently without an existing standard process. METHODS/

designThe Handoffs and Transitions in Critical Care (HATRICC) study is a hybrid effectiveness- implementation trial of operating room to intensive care unit handoffs. We will use mixed methods to conduct a needs assessment of the current handoff process, adapt published handoff processes, and implement a new standardized handoff process in two academic intensive care units. Needs assessment: We will use non-participant observation to observe the current handoff process. Focus groups, interviews, and surveys of clinicians will elicit participants' impressions about the current process. Adaptation and implementation: We will adapt published standardized handoff processes using the needs assessment findings. We will use small group simulation to test the new process' feasibility. After simulation, we will incorporate the new handoff process into the clinical work of all providers in the study units. EVALUATION: Using the same methods employed in the needs assessment phase, we will evaluate use of the new handoff process. DATA ANALYSIS: The primary effectiveness outcome is the number of information omissions per handoff episode as compared to the pre-intervention period. Additional intervention outcomes include patient intensive care unit length of stay and intensive care unit mortality. The primary implementation outcome is acceptability of the new process. Additional implementation outcomes include feasibility, fidelity and sustainability. DISCUSSION: The HATRICC study will examine the effectiveness and implementation of a standardized operating room to intensive care unit handoff process. Findings from this study have the potential to improve healthcare communication and outcomes for critically ill patients.

trial registrationClinicalTrials.gov identifier: NCT02267174. Date of registration October 16, 2014.

Indexed as

Clinical ProtocolsChecklistContinuity of Patient CareCritical CareHumansIntensive Care UnitsMedical ErrorsNeeds AssessmentOperating RoomsPatient TransferPerioperative CareSurveys and Questionnaires

Identifiers

PMID25410548
PMCPMC4255652
OpenAlexW2073355643

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.