Implementing an Evidence-based Computerized Decision Support System Linked to Electronic Health Records to Improve Patient Care in a General Hospital
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Physician's Role
- Sponsor
- I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
- Enrollment
- 6479
- Locations
- 1
- Primary Endpoint
- Resolution rates
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Computerized decision support systems (CDSSs) are information technology-based software that provide health professionals with actionable, patient-specific recommendations or guidelines for disease diagnosis, treatment, and management at the point-of-care. CDSSs may be integrated with patient electronic health records (EHRs) and evidence-based knowledge.
Detailed Description
The investigators designed a pragmatic randomized controlled trial to evaluate the effectiveness of patient-specific, point-of-care reminders on clinical practice and the quality of care. The investigators hypothesize that these reminders can increase clinician adherence to guidelines and, eventually, improve the quality of care offered to hospitalized patients. The results of the investigators study will contribute to the current understanding of the effectiveness of CDSSs in primary care and hospital settings.
Investigators
Eligibility Criteria
Inclusion Criteria
- •All of the patients admitted into the internal medicine departments of the Azienda Ospedaliera di Desio e Vimercate during the study period.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Resolution rates
Time Frame: 12 months
Rate at which the medical problems, which are detected by the MediDSS software and reported through the reminders, are resolved (resolution rates).
Secondary Outcomes
- in-hospital mortality(12 months)
- length of hospital stay(12 months)