Improving the Quality of Patient Care by Using a Clinical Expert System.

The recruitment status of this study is unknown because the information has not been verified recently.
Verified July 2008 by Robert Bosch Gesellschaft für Medizinische Forschung mbH.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Robert Bosch Gesellschaft für Medizinische Forschung mbH
ClinicalTrials.gov Identifier:
NCT00430755
First received: January 31, 2007
Last updated: July 21, 2008
Last verified: July 2008
  Purpose

Aim:

To investigate the quality of history taking with or without an knowledge based interview system.

Patients:

400 inpatients presenting at the RBK for the first time and treated in the departments of nephrology and department of hematology/oncology.

Methods:

The information obtained either by an knowledge based system or by conventional history taking is compared by the patient, by the physician and by independent reviewers. Study endpoint is the percentage of histories missing clinically significant information.

Study procedure After informed consent of the patients the procedure of history taking is performed by the physician according to the guidelines of the RBK. Within 2 days thereafter the patient is interviewed with help of the CLEOS system with the support of a study nurse. The physician will be informed about the results immediately after completion of the questionnaire.

Both the patient and the treating physician will rate the comparative quality of the two histories by means of a questionnaire. In addition, the relevance of the differences of the information obtained by the two systems is rated by an independent reviewer.


Condition Intervention
Hypertension
Diabetes
Hypercholesterolemia
Vasculitis
Coronary Heart Diseases
Procedure: Computer-assisted history

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: Quality Assessment for History Taking With or Without an Knowledge Based Interview System.

Resource links provided by NLM:


Further study details as provided by Robert Bosch Gesellschaft für Medizinische Forschung mbH:

Primary Outcome Measures:
  • Completeness of Co-morbidities. [ Time Frame: During demission ] [ Designated as safety issue: No ]
  • Completeness of evaluation of cardiovascular risk factors. [ Time Frame: During demission ] [ Designated as safety issue: No ]
  • Completeness of information of previous vaccinations. [ Time Frame: During demission ] [ Designated as safety issue: No ]

Estimated Enrollment: 1000
Study Start Date: August 2005
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Intervention Details:
    Procedure: Computer-assisted history
    Methods Description of the software program - The program tested in this study consisted of a data acquisition [history-taking] component and a data analysis component. The data acquisition component was constructed on the basis of established principles of pathophysiology. Medical knowledge was formalized as software algorithms that were machine-readable by representing the knowledge as branched chain decision trees.
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All inpatients in a hospital environment

Exclusion Criteria:

  • Inability to give an informed consent
  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: NCT00430755

Contacts
Contact: Dominik M Alscher, MD +4971181010 ext 5458 dominik.alscher@rbk.de

Locations
Germany
Robert-Bosch-Hospital Recruiting
Stuttgart, Germany, 70376
Sponsors and Collaborators
Robert Bosch Gesellschaft für Medizinische Forschung mbH
Investigators
Principal Investigator: Dominik M Alscher, MD Robert Bosch Gesellschaft für Medizinische Forschung mbH
  More Information

No publications provided

Responsible Party: Robert Bosch Hospital, Robert Bosch Foundation
ClinicalTrials.gov Identifier: NCT00430755     History of Changes
Other Study ID Numbers: RBK080
Study First Received: January 31, 2007
Last Updated: July 21, 2008
Health Authority: Germany: Ethics Commission

Additional relevant MeSH terms:
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Heart Diseases
Hypercholesterolemia
Hypertension
Vasculitis
Cardiovascular Diseases
Arteriosclerosis
Arterial Occlusive Diseases
Vascular Diseases
Hyperlipidemias
Dyslipidemias
Lipid Metabolism Disorders
Metabolic Diseases

ClinicalTrials.gov processed this record on August 27, 2014