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Computerized Decision Support System Linked to Electronic Health Records to Improve Patient Care in a General Hospital

Not Applicable
Completed
Conditions
Physician's Role
Registration Number
NCT02577198
Lead Sponsor
I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
6479
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

None

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Resolution rates12 months

Rate at which the medical problems, which are detected by the MediDSS software and reported through the reminders, are resolved (resolution rates).

Secondary Outcome Measures
NameTimeMethod
in-hospital mortality12 months
length of hospital stay12 months

Trial Locations

Locations (1)

Ospedale di Vimercate

🇮🇹

Vimercate, Lombardia, Italy

Ospedale di Vimercate
🇮🇹Vimercate, Lombardia, Italy

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