The Effects of a Results Management System on Physician Awareness of Post-Discharge Test Results

This study has been completed.
Sponsor:
Collaborator:
Harvard Risk Management Foundation
Information provided by:
Brigham and Women's Hospital
ClinicalTrials.gov Identifier:
NCT00146354
First received: September 2, 2005
Last updated: March 1, 2007
Last verified: August 2005
  Purpose

This project aims to define the problem of results that return after patient discharge and to study the implementation of an Electronic Medical Record (EMR)-based system for tracking these results.


Condition Intervention Phase
Healthy
Medical Record Systems, Computerized
Behavioral: Hospitalists Results Manager
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Educational/Counseling/Training
Official Title: The Effects of a Results Management System on Physician Awareness of Post-Discharge Laboratory and Radiology Results

Further study details as provided by Brigham and Women's Hospital:

Detailed Description:

The transfer of care at hospital discharge is complex and requires the transmission of large amounts of data between inpatient physicians (hospitalists) and outpatient physicians (PCPs), including information about pending tests. Frequently, laboratory and radiology tests are not finalized until after a patient is discharged, and when the responsibility for these pending results is not clearly defined, they can be missed. Our project aims to define the problem of these post-discharge results and to study the implementation of an EMR-based system (Hospitalist Results Manager, HRM) for tracking these results on the hospitalist services at Brigham and Women’s Hospital (BWH) and Massachusetts General Hospital (MGH). The project consists of two phases: a cross-sectional study before intervention to define the epidemiology of post-discharge results, and a randomized trial of HRM to determine its effect on physician awareness of these results.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Admitted under enrolled study Attendings at the two study locations
  • Patient had test result finalized after discharge and prior to subsequent admission

Exclusion Criteria:

  • Test result noted in discharge summary
  • Test result not clinically actionable
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00146354

Locations
United States, Massachusetts
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02120
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Brigham and Women's Hospital
Harvard Risk Management Foundation
Investigators
Principal Investigator: Tejal K Gandhi, MD, MPH Brigham and Women's Hospital
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00146354     History of Changes
Other Study ID Numbers: 2003P000551
Study First Received: September 2, 2005
Last Updated: March 1, 2007
Health Authority: United States: Institutional Review Board

Keywords provided by Brigham and Women's Hospital:
Electronic Medical Record
Electronic Results Tracking
Patient Safety
Post-Discharge Test Results

ClinicalTrials.gov processed this record on July 23, 2014