Improving Pediatric Safety and Quality With Health Care Information Technology

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
Massachusetts General Hospital
ClinicalTrials.gov Identifier:
NCT00134823
First received: August 23, 2005
Last updated: July 20, 2011
Last verified: July 2011

August 23, 2005
July 20, 2011
March 2005
September 2008   (final data collection date for primary outcome measure)
Impact on rates of medication errors [ Time Frame: 1 year ] [ Designated as safety issue: No ]
difference in weight related medication prescribing errors by drug class
  • 1. Impact on rates of medication errors, adverse drug events, and potential adverse drug events.
  • 2. Influence on physician guideline adherence for chronic conditions.
  • 3. Influence on the rate of follow-up procedures, provider satisfaction, and patient satisfaction related to follow-up procedures.
  • 4. Impact of diagnosis-based medication recommendations on generic prescribing and guideline adherence.
Complete list of historical versions of study NCT00134823 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
Improving Pediatric Safety and Quality With Health Care Information Technology
Improving Pediatric Safety and Quality With Health Care IT

This study includes four projects aimed to improve the quality and safety of pediatric care through the implementation of four clinical decision support services in the electronic health record (EHR). The four projects will measure the effect of each clinical decision support feature including: weight-based dosing; smart forms for chronic conditions; guideline reminders; and a results manager to track abnormal lab result follow-up.

Hypothesis: Implementation of the clinical decision support features will decrease medication errors and adverse drug events, assist physicians in adhering to clinical practice guidelines and protocols for certain chronic illnesses, improve physician follow-up for abnormal lab results, and overall improve the safety and quality of pediatric clinical practice.

please see description above

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
  • Medication Errors
  • Medical Records Systems, Computerized
  • Patient Safety
  • Quality Improvement
Other: weight based dosing decision support
weight based dosing decision support
  • Experimental: dosing decision support
    weight based dosing decision support
    Intervention: Other: weight based dosing decision support
  • No Intervention: no decision support
    no weight based dosing decision support

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
5420
September 2008
September 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Partners-affiliated pediatric practice providers utilizing Longitudinal Medical Record (LMR), which is an electronic health record system. Also the parents of the patients of the above noted pediatric providers.

Exclusion Criteria:

  • Non-Partners providers, or Partners providers who do not use LMR. Parents of patients not seen by Partners-affiliated pediatric providers who use LMR.
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00134823
2004-P-002027, HS015002-01
No
Timothy G Ferris, Mass General Hospital
Massachusetts General Hospital
Agency for Healthcare Research and Quality (AHRQ)
Principal Investigator: Timothy G Ferris, MD, MPH Massachusetts General Hospital, Partners Healthcare System Inc.
Massachusetts General Hospital
July 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP