Prospective Evaluation of Computerized Physician Order Entry in the Emergency Department

Withdrawn

• Conditions: Operational Metrics of the Emergency Department

• Registration Number: NCT01444768
• Lead Sponsor: Beth Israel Deaconess Medical Center

Brief Summary

This study will evaluate various performance metrics of emergency department operations after the implementation of computerized physician order entry in an academic emergency department.

Detailed Description

The study will be a prospective before-after study comparing various operational and performance metrics before and after the implementation of a computerized physician order entry system in the emergency department.

The investigators will collect 6 month before, 6 month after of data along with a 2-4 week washout period. The investigators will also administer a computerized physician order entry survey after the study is completed. This confidential survey will be emailed to all ED nurses, residents, and attendings using RedCap. Consent will be implied if they choose to participate.

Study Timeline

• Study First Submitted: 2011-09-29
• Study First Submitted QC: 2011-09-30
• Study First Posted: 2011-10-03
• Study Start: 2012-03
• Primary Completion: 2012-12
• Study Completion: 2013-12
• Status Verified: 2017-04
• Last Update Submitted: 2017-04-04
• Last Update Posted: 2017-04-05

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• All consecutive adult patients (Age >=18) presenting to the Emergency Department during the study period will be included in the study.

Exclusion Criteria

• Patients who eloped, left without being seen, or signed out against medical advice will be excluded.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time to Antibiotics	6 months	Primary outcome measure is time to antibiotics. This is defined as the time patients are registered to the time they receive their first antibiotics for patients with an ED diagnosis of pneumonia.

Secondary Outcome Measures

Name	Time	Method
Lab turnaround time	6 months	Lab turnaround time is defined as the time it takes from when the sample is collected to when the results are entered.
Resource Utilization	6 months	Resource utilization defined as the number of CBC, Chem7, and troponin tests ordered.
Emergency Department Length of Stay	6 months	Secondary outcome measure is length of stay defined as the time from patient registration to time the patients leave the emergency department.

Trial Locations

Locations (1)

Beth Israel Deaconess Medical Center; 🇺🇸 Boston, Massachusetts, United States