Making Accurate Problem Lists in the EHR
试验速览
- 阶段
- 不适用
- 入组人数
- 140
- 试验地点
- 1
- 主要终点
- Intervention acceptance
研究概览
简要总结
The aim of this study is to identify patients with problem list gaps and intervene to correct these gaps by creating clinical decision support interventions that alert providers to likely problem list gaps and offer clinicians the opportunity to correct them. The investigators will randomize the clinics that will receive the intervention and formally evaluate the study after a period of 6 months for improved problem list completeness to determine the effectiveness of our intervention.
详细描述
The clinical problem list is a cornerstone of the problem-oriented medical record. Problem lists are used in a variety of ways throughout the process of clinical care. In addition to its use by clinicians, the problem list is also critical for decision support and quality measurement.
Patients with gaps in their problem list face significant risks. For example, if a hypothetical patient has diabetes properly documented, his clinician would receive appropriate alerts and reminders to guide care. Additionally, the patient might be included in special care management programs and the quality of care provided to him would be measured and tracked. Without diabetes on his problem list, he might receive none of these benefits.
In this study, the investigators developed an clinical decision support intervention that will identify patients with problem lists gaps. The investigators will alert providers of these likely gaps and offer providers the opportunity to correct them.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Independent healthcare provider (physician, NP, PA)
- •Practices at participating site
排除标准
- 未提供
研究组 & 干预措施
Receive CDS intervention
Providers in clinics that will receive the CDS alert, as their clinic was randomized into our study.
干预措施: MAPLE (Other)
No CDS intervention
结局指标
主要结局
Intervention acceptance
时间窗: 6 months (May 2010-Nov2010)
Of those providers who were shown (or who would have been shown, for the control group) the intervention, the number that added a problem across control and intervention groups.
次要结局
- Problem list prevalence(pre and post intervention)
- Problem list incidence(pre and post intervention)
- Quality improvement based on problem list accuracy/completion(post intervention)
研究者
Adam Wright
Senior Scientist
Brigham and Women's Hospital