ParentLink: Better and Safer Emergency Care for Children

This study has been completed.
South Shore Hospital
Information provided by:
Children's Hospital Boston Identifier:
First received: April 4, 2007
Last updated: April 5, 2007
Last verified: January 2007
The emergency department (ED) constitutes a high-risk environment for errors and poor quality of care. Pediatric patients are at increased risk of medical errors. We postulate that implementation of a patient-centered health information technology - ParentLink - can address system-level deficiencies and the unique “just-in-time” information needs of ED physicians and the parents of ill children. The proposed work delivers an innovative product – an electronic interface linked to a pediatric knowledge base that integrates parent-derived data with best practices for safe and effective emergency care across common pediatric disease conditions: otitis media, urinary tract infections, asthma, and head trauma. The study has two aims, the first of which addresses critical gaps in data capture: to evaluate the completeness and accuracy of information on symptoms, disease condition, medications and allergies generated by parents using ParentLink versus information documented by ED physicians and nurses, using structured telephone interviews as a gold standard. The second aim measures the ParentLink’s impact on ED patient safety and quality, specifically: a) the error rate for ordering and prescribing of medications during ED care, and b) the percent of ED visits that adhere to national evidence-based guidelines. Parentlink will be rigorously evaluated in a clinical trial at two diverse ED sites and will use a sequential, non-randomized observational design with two intervention and two control periods to measure the effects of ParentLink on data capture and safety and quality of patient care.

Condition Intervention Phase
Otitis Media
Urinary Tract Infection
Head Injury
Procedure: patient-driven health IT product
Phase 2
Phase 3

Study Type: Observational
Study Design: Observational Model: Defined Population
Time Perspective: Longitudinal
Official Title: ParentLink: Better and Safer Emergency Care for Children

Resource links provided by NLM:

Further study details as provided by Children's Hospital Boston:

Estimated Enrollment: 3000
Study Start Date: June 2005
Estimated Study Completion Date: July 2006

Ages Eligible for Study:   up to 12 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age less than 12 years with head trauma
  • Age less than 12 years with ear pain
  • Ages less than 12 years with concern for UTI
  • 1 year - 12 years with asthma history and respiratory chief complaint
  • 3 months - 2 years with fever
  • Parent speaks English or Spanish
  • Triage status is non-emergent
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Please refer to this study by its identifier: NCT00457600

United States, Massachusetts
Children's Hospital Boston
Boston, Massachusetts, United States, 02115
South Shore Hospital
Weymouth, Massachusetts, United States, 02190
Sponsors and Collaborators
Children's Hospital Boston
South Shore Hospital
Principal Investigator: Stephen C Porter, MD Children's Hospital Boston
  More Information Identifier: NCT00457600     History of Changes
Other Study ID Numbers: CHB-R01HS014947 
Study First Received: April 4, 2007
Last Updated: April 5, 2007
Health Authority: United States: Institutional Review Board

Keywords provided by Children's Hospital Boston:
information technology
emergency department
medication error
quality of care
patient-centered care

Additional relevant MeSH terms:
Otitis Media
Urinary Tract Infections
Disease Attributes
Ear Diseases
Otorhinolaryngologic Diseases
Pathologic Processes
Urologic Diseases processed this record on May 26, 2016