Improving Pediatric Safety and Quality With Health Care Information Technology

Not Applicable

Completed

• Conditions: Medication Errors; Medical Records Systems, Computerized; Patient Safety; Quality Improvement
• Interventions: Other: weight based dosing decision support

• Registration Number: NCT00134823
• Lead Sponsor: Massachusetts General Hospital

Brief Summary

This study includes four projects aimed to improve the quality and safety of pediatric care through the implementation of four clinical decision support services in the electronic health record (EHR). The four projects will measure the effect of each clinical decision support feature including: weight-based dosing; smart forms for chronic conditions; guideline reminders; and a results manager to track abnormal lab result follow-up.

Hypothesis: Implementation of the clinical decision support features will decrease medication errors and adverse drug events, assist physicians in adhering to clinical practice guidelines and protocols for certain chronic illnesses, improve physician follow-up for abnormal lab results, and overall improve the safety and quality of pediatric clinical practice.

Detailed Description

please see description above

Study Timeline

• Study Start: 2005-03
• Study First Submitted: 2005-08-23
• Study First Submitted QC: 2005-08-24
• Study First Posted: 2005-08-25
• Primary Completion: 2008-09
• Study Completion: 2008-09
• Status Verified: 2011-07
• Last Update Submitted: 2011-07-20
• Last Update Posted: 2011-07-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 5420

Inclusion Criteria

• Partners-affiliated pediatric practice providers utilizing Longitudinal Medical Record (LMR), which is an electronic health record system. Also the parents of the patients of the above noted pediatric providers.

Exclusion Criteria

• Non-Partners providers, or Partners providers who do not use LMR. Parents of patients not seen by Partners-affiliated pediatric providers who use LMR.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
dosing decision support	weight based dosing decision support	weight based dosing decision support

Primary Outcome Measures

Name	Time	Method
Impact on rates of medication errors	1 year	difference in weight related medication prescribing errors by drug class

Trial Locations

Locations (1)

Massachusetts General Hospital/Partners HealthCare; 🇺🇸 Boston, Massachusetts, United States