Morbidity and Mortality: Surgery and Standardized Transmission in Operating Room

Study Overview
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Brief Summary
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The primary objective of the study is to evaluate the efficacy of standard handover with AnesList© between physician anesthesists in operating room, for a complete transmission for a patient, on the occurence of event as death, serious complications or rehospitalization in month of postoperative after major surgery.

Detailed Description
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The secondary objectives are: to analysis the impact of the transmission on: the occurence of different events: re-hospitalization, serious complications, death at one month; the duration of initial ICU stay and of hospitalization; the duration of the transmission; the quality of the transmission by the physician leaving operating room. to evaluate the condition of the transmission to study the persistence of the use of the AnesList© at 6 months after the end of inclusions in the center to evaluate the satisfaction on AnesList© and on the training with the tool and the obstacles of its utilization to evaluate the morbility-mortality in the centers of the centers before, during and 6 months after the beginning of the study.

Official Title
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Morbidity and Mortality in Operating Room: Surgery and Standardized Communication

Conditions
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Major Surgery

Intervention / Treatment
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* Other: Training with AnesList©


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient aged > 18 years; Patients with score ASA I-IV; Requiring urgent or planned surgery; Major surgery (duration of surgery > 2 hours, requiring a hospital stay of at least 1 night): orthopedics, cardiac, vascular, thoracic, visceral, ENT, plastic surgery; Handover between two anesthesists defined as a definitive relay between one physician anaesthesist and another in operating room; Intensive care anesthesists and nurse anaesthetist working in investigator center during the study; Affiliated to a social security system; No-opposition to participating to the study. Exclusion Criteria: Transmission between physician anaesthesist and nurse anaesthetist; Medical transmission occurs out of anesthesia care out of operating room; Medical transmission occurs in transitory manner (for example: coffee time, lunch time); Patients enrolled in an another ongoing study of surgical intervention.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental group<br>Experimental group with training after randomization immediately | Other: Training with AnesList©<br>* Training with AnesList© as tool<br>|
| Control group with delayed training<br>Control group with training: the training will delayed from time of randomization | Other: Training with AnesList©<br>* Training with AnesList© as tool<br>|
| Control group without training<br>Control group without training | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The occurence of adverse events | Death, serious complications and re-hospitalization will be noted in order to evaluate the efficacy of standardized transmission with AnesList©. | at 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The duration of ICU stay | The length of initial ICU stay will be noted. | through study completion, an average of 18 months | 
| The duration of hospitalization | The length of initial hospitalization will be noted. | through study completion, an average of 18 months | 
| Evaluate of the condition of transmission | By the presence or intervention of anaesthetics-nurse, recorded or not the transmission in medical files. | through study completion, an average of 18 months | 
| Utilization of the AnesList© by anaesthesists at 6 months | Only for intervention group: use on cell phone or with printed form: the use will be noted. | at 6 months | 
| Quality of medical transmission | Scale will be noted by anaesthesists between 0 and 22: 20% of recorded transmission will be noted. | through study completion, an average of 18 months | 
| Interaction with study nurse | The study nurse will evaluate the existence and composite of the interaction between the anesthesist who receiving the transmission and the nurse. | through study completion, an average of 18 months | 
| Morbi-mortality | The method of chronological series will be used to analysis the morbi-mortality in investigator center. | through study completion, an average of 18 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Morbility, Major surgery, Mortality, Training in peroperative, Handover, Anaesthetist, Nurse anaesthetist