The Effect of Peer Comparison Emails on Oncologists' Documentation of Cancer Stage
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Measuring if a patient's cancer stage was documented in a structured field in the Electronic Health Record on the date of the patient's first ambulatory care visit
研究概览
简要总结
Documenting cancer stage is the most important determinant of treatment approach and survival for cancer patients. However, oncologists do not routinely document a patient's cancer stage in the structured field in electronic health records. This quality improvement pilot study evaluated the impact of sending an email to physicians at a cancer center of a large academic hospital with individualized data on their rates of cancer stage documentation using a structured field. The investigators assessed patient-level documentation and physician-level rates of staging documentation over 15 months including a three-month pre-period, a six-month pilot phase and a six-month follow-up period. The investigators also estimated staging documentation rates separately for each physician's new versus established patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Attending physicians who had been at one of three sites of hospital between January - August 2018
排除标准
- •Physicians treating cancer patients where American Joint Committee on Cancer (AJCC) staging modules were less clinically relevant
- •Physicians with low clinical volume (<5 patients over 3 months)
- •Physicians without any outpatient visits
研究组 & 干预措施
Comparison Group
Physicians in the control group did not receive peer comparison emails.
干预措施: No peer comparison email (Other)
Intervention Group
Physicians in the intervention group received peer comparison emails.
干预措施: Peer comparison email (Other)
结局指标
主要结局
Measuring if a patient's cancer stage was documented in a structured field in the Electronic Health Record on the date of the patient's first ambulatory care visit
时间窗: 15 months
Indicator of whether the structured field for cancer stage in the patient's electronic health record (EHR) was populated on the date of the first outpatient encounter that a patient had during the study period (1=yes, 0=no)
次要结局
- Staging documentation rate (monthly)(15 months)
研究者
Anna Sinaiko
Assistant Professor of Health Economics and Policy
Harvard School of Public Health (HSPH)