Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health Record
- Conditions
- Attitude of Health Personnel
- Interventions
- Other: One-on-one physician trainingOther: Usual training
- Registration Number
- NCT02015702
- Lead Sponsor
- The Reading Hospital and Medical Center
- Brief Summary
This study was intended to test the effects of adding a one-on-one educational intervention taught by a physician to a physician during their clinical work to improve their acceptance and satisfaction with a new inpatient electronic health record and ordering system.
- Detailed Description
This study was a randomized, parallel , non- blinded controlled trial of real-time, focused educational interventions in an intervention arm compared with usual training and support in the control arm. Improvement in performance, defined as the time between opening and closing a progress note, and number of notes completed after shift , were the primary outcomes. Physician satisfaction was a secondary outcome. Participants from one 550-bed Academic Independent Medical Center were invited to participate if they were full-time hospitalists or residents in internal medicine with no prior experience with the EPIC electronic health record.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 44
- Internal Medicine physicians and resident physicians with inpatient clinical duties at the time of the EPIC electronic health record go-live (Feb 4, 2013)
- Physicians whose duties did not include regular admissions and discharge of patients
- Physicians whose work was limited to teaching
- Physicians with prior experience in using EPIC systems for inpatient care .
- Physician assistants and nurse practitioners
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description One-on-one physician training Usual training One-on-one physician training Physicians in the experimental arm were visited by a instructing physician at a computer while performing clinical duties who had observed others to identify best practices. Instructors watched subjects' work, looking for a specific tip that could be applied to the current work, then demonstrated the tip, and answered any questions the subject had about using or applying this new technique . One-on-one physician training One-on-one physician training One-on-one physician training Physicians in the experimental arm were visited by a instructing physician at a computer while performing clinical duties who had observed others to identify best practices. Instructors watched subjects' work, looking for a specific tip that could be applied to the current work, then demonstrated the tip, and answered any questions the subject had about using or applying this new technique . Usual training Usual training Usual training. This group will get the usual specified training for learning to use our electronic health record. Both groups received 12 hours of EPIC classroom training, exposure to the EPIC e-learning modules, user acceptability testing classes, and unlimited time on the EPIC 'playground', a site to practice on virtual patients. All had 90 days of elbow support with an EPIC-training non-physician technician, who were visible and available on all inpatient wards, as well as access to a physician-only support line available at all hours.
- Primary Outcome Measures
Name Time Method Time to complete a progress note within 1 week of note completion the primary outcome measure will be time to complete a progress note. this is defined as the difference between the recorded time of opening the note and the recorded time the note was signed in the EPIC electronic health record system.
- Secondary Outcome Measures
Name Time Method Physician Satisfaction with EPIC Electronic Health Record at baseline, 15-20 shifts, and 35-40 shifts We asked the participants this question:
How comfortable are you specifically using the EPIC program for inpatient practice?" at baseline, midpoint (after working 15-20 shifts), and end of the study (after working 35-40 shifts).Number of notes completed after shift within 1 week of posting note Shifts are 7 a.m. - 7 p.m for doctors assigned to daytime work. We defined a note completed after shift as any note with a signed time that is after 7 p.m. on the day of a shift worked.
Trial Locations
- Locations (1)
Reading Health System
🇺🇸West Reading, Pennsylvania, United States