Implementing an Evidence-based Computerized Decision Support System Linked to Electronic Health Records to Improve Patient Care in a General Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 6,479
- 试验地点
- 1
- 主要终点
- Resolution rates
研究概览
简要总结
Computerized decision support systems (CDSSs) are information technology-based software that provide health professionals with actionable, patient-specific recommendations or guidelines for disease diagnosis, treatment, and management at the point-of-care. CDSSs may be integrated with patient electronic health records (EHRs) and evidence-based knowledge.
详细描述
The investigators designed a pragmatic randomized controlled trial to evaluate the effectiveness of patient-specific, point-of-care reminders on clinical practice and the quality of care. The investigators hypothesize that these reminders can increase clinician adherence to guidelines and, eventually, improve the quality of care offered to hospitalized patients. The results of the investigators study will contribute to the current understanding of the effectiveness of CDSSs in primary care and hospital settings.
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 (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All of the patients admitted into the internal medicine departments of the Azienda Ospedaliera di Desio e Vimercate during the study period.
排除标准
- 未提供
研究组 & 干预措施
Intervention
Electronic Health Records with computerised decision support system activated Medilogy Decision Support System (MediDSS)
干预措施: Medilogy Decision Support System (MediDSS) (Other)
Control
Electronic Health Records with computerised decision support system silenced Medilogy Decision Support System (MediDSS) silenced
干预措施: Medilogy Decision Support System (MediDSS) (Other)
结局指标
主要结局
Resolution rates
时间窗: 12 months
Rate at which the medical problems, which are detected by the MediDSS software and reported through the reminders, are resolved (resolution rates).
次要结局
- in-hospital mortality(12 months)
- length of hospital stay(12 months)