Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health Record

Not Applicable

Completed

• Conditions: Attitude of Health Personnel

• 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.

Study Timeline

• Study Start: 2013-01
• Primary Completion: 2013-06
• Status Verified: 2013-12
• Study First Submitted: 2013-12-13
• Study First Submitted QC: 2013-12-13
• Study First Posted: 2013-12-19
• Study Completion: 2014-01-14
• Last Update Submitted: 2021-05-27
• Last Update Posted: 2021-05-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Internal Medicine physicians and resident physicians with inpatient clinical duties at the time of the EPIC electronic health record go-live (Feb 4, 2013)

Exclusion Criteria

• 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

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