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CTRI Number  CTRI/2022/07/044147 [Registered on: 19/07/2022] Trial Registered Prospectively
Last Modified On: 24/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Other 
Public Title of Study   Effectiveness of ISBARR tool to improve patient care 
Scientific Title of Study   A study to evaluate the effectiveness of improving the patient care by using Evidence based patient Hand over tool (ISBARR: Identification, Situation, Background, Assessment, Recommendation and Read Back) in Critical care units (Intensive care units) of Shri Vinoba Bhave Civil Hospital, Silvassa 
Trial Acronym  ISBARR 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vadivukkarasi P 
Designation  Professor 
Affiliation  SHRI VINOB ABHAVE COLLEGE OF NURSING, SILVASSA 
Address  Shri Vinoba Bhave College of Nursing
Shri Vinoba Bhave Civil Hospital Campus, Silvassa
Dadra & Nagar Haveli
DADRA & NAGAR HAVELI
396230
India 
Phone  02602630102-434  
Fax    
Email  krishraghav2010@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vadivukkarasi P 
Designation  Professor 
Affiliation  SHRI VINOB ABHAVE COLLEGE OF NURSING, SILVASSA 
Address  Shri Vinoba Bhave College of Nursing
Shri Vinoba B have Civil Hospital, Silvassa
Dadra & Nagar Haveli
DADRA & NAGAR HAVELI
396230
India 
Phone  02602630102-434  
Fax    
Email  krishraghav2010@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vadivukkarasi P 
Designation  Professor 
Affiliation  SHRI VINOB ABHAVE COLLEGE OF NURSING, SILVASSA 
Address  Shri Vinoba Bhave College of Nursing
Shri Vinoba B have Civil Hospital, Silvassa
Dadra & Nagar Haveli
DADRA & NAGAR HAVELI
396230
India 
Phone  02602630102-434  
Fax    
Email  krishraghav2010@gmail.com  
 
Source of Monetary or Material Support  
Shri Vinoba Bhave Civil Hospital, Silvassa 
 
Primary Sponsor  
Name  Shri Vinoba Bhave Civil Hospital 
Address  Shri Vinoba Bhave Civil Hospital, Silvassa 
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 
Dr Gargi Majumdar  Shri Vinoba Bhave Civil Hospital, Silvassa  ICU with 16 beds and MICU with 50 beds at Shri Vinoba Bhave Civil Hospital, Silvassa
Dadra & Nagar Haveli
DADRA & NAGAR HAVELI 
8690693020

gargisvbch.sil@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of NAMO Medical Education & Research Institute  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Nursing Officers working in ICU, SVBCH will be selected for the study 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  55.00 Year(s)
Gender  Female 
Details  Nursing Officers working in ICU who are all available, understand English and willing to participate in the study and come for regular follow up will be included 
 
ExclusionCriteria 
Details  Nursing officers whomsoever is transferred to the other wards, Nursing officers on maternity leave will be excluded from the study  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Improvement in Nurses Documentation  1 month 
 
Secondary Outcome  
Outcome  TimePoints 
Patient Satisfaction Score on patient safety will be improved   3 months 
Improvement in Shift handover evaluation checklist score   3 months 
Quality of handover information will be improved  3 months 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/07/2022 
Date of Study Completion (India) 08/07/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
None Yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

Communication is essential between health care professionals for quality care. Clinical hand-off is one of the most important communication transactions. Communication failure in a health care setting can lead to serious medical errors. Well performed hand off ensures effective communication, continuity of care, prevention of errors and enhances patient safety. Evidence-based studies demonstrate that the use of a structured standardized hand over tool such as ISBARR improves patient outcomes. According to WHO 22% of errors are related to communication problems at the time of nurses handing over and taking over.  The aim of the project is to improve the patient safety by implementation of standardized ISBARR tool. The project will be conducted among the health care professionals working in critical care units of selected hospitals from different states of India. Pre-existing clinical hand-off will be assessed. In consultation with health care professionals a structured hand-off tool (ISBARR) will be developed. Training of the health care professionals will be provided before the implementation of the tool. Effectiveness of implementation of ISBARR tool will be assessed subsequently. Based on the findings of the project, necessary recommendations and follow up with stakeholders for the sustainability will be done.

TITLE

Improving patient care introduction use of the evidence based patient hand over tool (ISBAR: Identification, Situation, Background, Assessment, Recommendation and Read back) in Critical care units (Intensive Care Units) in selected Hospitals.

AIM

Improve patient safety by implementation of the standardized ISBAR hand off system in a selected group of hospitals in India.

 

OBJECTIVES

·       Assess the pre-existing clinical hand over practices among the nurses and doctors in selected hospitals in India

·       Implement system of communication clinical hand off through ISBAR process

·       Evaluate the effectiveness of use of this system

     HYPOTHESIS

     There is a significant association between the findings and selected Socio- demographic variables at 0.05 level of significance


 
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