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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
History of Changes

September 2, 2005
March 1, 2007
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Complete list of historical versions of study NCT00146354 on ClinicalTrials.gov Archive Site
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The Effects of a Results Management System on Physician Awareness of Post-Discharge Test Results
The Effects of a Results Management System on Physician Awareness of Post-Discharge Laboratory and Radiology Results

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.

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.
Interventional
Phase 3
Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Educational/Counseling/Training
  • Healthy
  • Medical Record Systems, Computerized
Behavioral: Hospitalists Results Manager
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
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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
Both
18 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00146354
2003P000551
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Brigham and Women's Hospital
Harvard Risk Management Foundation
Principal Investigator: Tejal K Gandhi, MD, MPH Brigham and Women's Hospital
Brigham and Women's Hospital
August 2005

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