Usability of a Perioperative Medication-Related Clinical Decision Support Application

Not Applicable

Completed

• Conditions: Perioperative Medication Errors; Perioperative Adverse Medication Events
• Interventions: Other: Electronic Clinical Decision Support Application

• Registration Number: NCT04988737
• Lead Sponsor: Massachusetts General Hospital

Brief Summary

The goal of this study is to compare the usability of a novel, medication-related clinical decision support (CDS) application to the current standard medication administration and documentation workflow. The study will occur in a simulation setting, using a manikin and test patient data - no actual patients will participate. Forty clinician participants will be randomly assigned to either the CDS group (who will complete simulation tasks using the CDS prototype) or the Control group (who will complete simulation tasks using the standard medication administration workflow).

Detailed Description

Not available

Study Timeline

• Study Start: 2021-01-27
• Primary Completion: 2021-02-10
• Study Completion: 2021-02-10
• Status Verified: 2021-07
• Study First Submitted: 2021-07-09
• Study First Submitted QC: 2021-07-26
• Last Update Submitted: 2021-07-26
• Study First Posted: 2021-08-03
• Last Update Posted: 2021-08-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Anesthesia Clinicians including attending anesthesiologists, Certified Registered Nurse Anesthetists (CRNAs), and house staff (residents and fellows)

Exclusion Criteria

• Study Staff
• Medical Students

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CDS Group	Electronic Clinical Decision Support Application	Clinicians complete tasks using the CDS prototype. Briefly, the clinician scans the barcode on the syringe label immediately prior to medication administration. The scan triggers the CDS to display a dosing window with pertinent patient-specific information and/or alert(s) when necessary to prevent a medication error (ME) prior to the medication being administered. Medication data are then sent from the CDS application to the patient's anesthesia record for automatic documentation in real-time, eliminating the need to manually document the medication in the Anesthesia Information Management System (AIMS). When necessary, the CDS application generates alerts to prevent medication errors. Upon receiving an alert, the anesthesia clinician may accept the alert and revise the action that generated the alert, or override the alert and continue with the planned action.

Primary Outcome Measures

Name	Time	Method
Total time to complete 7 simulations tasks.	Measured from task start time to task end time, a cumulative average of 15 minutes	Total time (in seconds) to complete 7 simulations tasks.

Secondary Outcome Measures

Name	Time	Method
Total distance traveled on the screen in pixels for 7 simulation tasks.	Measured from task start time to task end time, a cumulative average of 15 minutes	Total distance traveled on the screen in pixels during all 7 simulation tasks.
Total number of mouse clicks in 7 simulations tasks.	Measured from task start time to task end time, a cumulative average of 15 minutes	Total count of mouse clicks during all 7 simulations tasks.

Trial Locations

Locations (1)

Massachusetts General Hospital; 🇺🇸 Boston, Massachusetts, United States