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CTRI Number  CTRI/2026/02/104717 [Registered on: 25/02/2026] Trial Registered Prospectively
Last Modified On: 25/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Other (Specify) [Patient handover checklist ]  
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Using a structured checklist during patient transfers to reduce breathing risks in adults after anesthesia surgery breathing safety 
Scientific Title of Study   A Randomized Control trial to compare Structured Handover Checklists (PATH) vs conventional (SBAR) handover for Post-Anesthesia incidence of Hypoxia in adult patients 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DAVINDER JIT SINGH  
Designation  Assistant professor 
Affiliation  Armed Forces Medical College 
Address  Department of Anaesthesia and Critical Care, Block 5, 5th floor, Room no 531, Command Hospital Pune

Pune
MAHARASHTRA
411040
India 
Phone  08728055241  
Fax    
Email  davinderjit98@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  DAVINDER JIT SINGH  
Designation  Assistant professor 
Affiliation  Armed Forces Medical College 
Address  Department of Anaesthesia and Critical Care, Block 5, 5th floor, Room no 531, Command Hospital Pune


MAHARASHTRA
411040
India 
Phone  08728055241  
Fax    
Email  davinderjit98@gmail.com  
 
Details of Contact Person
Public Query  
Name  DAVINDER JIT SINGH  
Designation  Assistant professor 
Affiliation  Armed Forces Medical College 
Address  Department of Anaesthesia and Critical Care, Block 5, 5th floor, Room no 531, Command Hospital Pune


MAHARASHTRA
411040
India 
Phone  08728055241  
Fax    
Email  davinderjit98@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Armed Forces Medical Services 
Address  Command hospital Pune, Dept Of Anaesthesia 5th floor block 3 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DAVINDER JIT SINGH   Command Hospital Southern Command  Post Anaesthesia Care Unit
Pune
MAHARASHTRA 		 08728055241

davinderjit98@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethics committee, Armed Forces College, Solapur Road Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Post Anaesthesia Team handover (PATH) Checklist  PATH based patient handover from Operation theater to Post-anaesthesia care unit Duration- from time of admission to discharge from post anaesthesia care unit 
Comparator Agent  Situation Background Assessment Recommendation (SBAR) checklist   SBAR based conventional patient handover from Operation theater to Post-anesthesia care unit. Duration- from time of admission to discharge from post anaesthesia care unit 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  patients scheduled to undergo elective surgical operative procedures under general or regional anaesthesia. 
 
ExclusionCriteria 
Details  Direct ICU transfers, acute or chronic preoperative respiratory failure and duration of surgery more than 8 hours.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare Structured Handover Checklists (PATH) Vs conventional (SBAR) handover for Post-Anaesthesia incidence of Hypoxia.  To compare Structured Handover Checklists (PATH) Vs conventional (SBAR) handover for Post-Anaesthesia incidence of Hypoxia.Time points- T0- arrival to PACU, T1- 5min, T2-10min, T3- 20min, T4- 30 min in PACU 
 
Secondary Outcome  
Outcome  TimePoints 
To assess postoperative variations in hemodynamic parameters, nausea/vomiting, pain, length of stay in PACU, duration of handover & number of phone calls made to OT team till the patient is monitored in the PACU.  Time points- T0- arrival to PACU, T1- 5min, T2-10min, T3- 20min, T4- 30 min in PACU 
 
Target Sample Size   Total Sample Size="690"
Sample Size from India="690" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [davinderjit98@gmail.com].

  6. For how long will this data be available start date provided 01-03-2026 and end date provided 01-03-2031?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   Miscommunication remains a major contributor to preventable incidents in healthcare, despite the development of numerous checklists aimed at improving patient outcomes. Notably, the 2009 WHO surgical safety checklist demonstrated significant reductions in morbidity and mortality. Building on this success, our objective is to evaluate whether implementing a post anesthesia team handover (PATH) checklist could effectively reduce hypoxemic events within the Post-Anesthesia care Unit (PACU). This trial will evaluate two handover methods to improve patient safety by reducing hypoxic events and enhancing communication quality during postoperative care. The project includes clinician training, standardized handover formats and monitoring of patient outcomes over a 18 month period. 
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