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Trial record 1 of 1 for:    NCT02577198
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Computerized Decision Support System Linked to Electronic Health Records to Improve Patient Care in a General Hospital (CODES)

This study has been completed.
Sponsor:
Collaborator:
University of Milan
Information provided by (Responsible Party):
Istituto Ortopedico Galeazzi
ClinicalTrials.gov Identifier:
NCT02577198
First received: October 14, 2015
Last updated: January 27, 2017
Last verified: October 2016
  Purpose
Computerized decision support systems (CDSSs) are information technology-based software that provide health professionals with actionable, patient-specific recommendations or guidelines for disease diagnosis, treatment, and management at the point-of-care. CDSSs may be integrated with patient electronic health records (EHRs) and evidence-based knowledge.

Condition Intervention
Physician's Role Other: Medilogy Decision Support System (MediDSS)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Outcomes Assessor
Primary Purpose: Health Services Research
Official Title: Implementing an Evidence-based Computerized Decision Support System Linked to Electronic Health Records to Improve Patient Care in a General Hospital

Resource links provided by NLM:


Further study details as provided by Istituto Ortopedico Galeazzi:

Primary Outcome Measures:
  • Resolution rates [ Time Frame: 12 months ]
    Rate at which the medical problems, which are detected by the MediDSS software and reported through the reminders, are resolved (resolution rates).


Secondary Outcome Measures:
  • in-hospital mortality [ Time Frame: 12 months ]
  • length of hospital stay [ Time Frame: 12 months ]

Enrollment: 6479
Actual Study Start Date: November 2015
Study Completion Date: January 2017
Primary Completion Date: December 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention
Electronic Health Records with computerised decision support system activated Medilogy Decision Support System (MediDSS)
Other: Medilogy Decision Support System (MediDSS)
Italian translation of Evidence-Based Medicine electronic Decision Support (EBMeDS), a set of rules (scripts) based on Evidence Based Medicine guidelines and applied to structured health data. MediDSS further includes knowledge from Swedish, Finnish, INteraction X-referencing (SFINX), a drug-drug interaction database containing concise evidence-based information of about 18,000 drug interactions and adverse events. MediDSS is integrated with local reminders.
Control
Electronic Health Records with computerised decision support system silenced Medilogy Decision Support System (MediDSS) silenced
Other: Medilogy Decision Support System (MediDSS)
Italian translation of Evidence-Based Medicine electronic Decision Support (EBMeDS), a set of rules (scripts) based on Evidence Based Medicine guidelines and applied to structured health data. MediDSS further includes knowledge from Swedish, Finnish, INteraction X-referencing (SFINX), a drug-drug interaction database containing concise evidence-based information of about 18,000 drug interactions and adverse events. MediDSS is integrated with local reminders.

Detailed Description:
The investigators designed a pragmatic randomized controlled trial to evaluate the effectiveness of patient-specific, point-of-care reminders on clinical practice and the quality of care. The investigators hypothesize that these reminders can increase clinician adherence to guidelines and, eventually, improve the quality of care offered to hospitalized patients. The results of the investigators study will contribute to the current understanding of the effectiveness of CDSSs in primary care and hospital settings.
  Eligibility

Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

All of the patients admitted into the internal medicine departments of the Azienda Ospedaliera di Desio e Vimercate during the study period.

Exclusion Criteria:

  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: NCT02577198

Locations
Italy
Ospedale di Vimercate
Vimercate, Lombardia, Italy
Sponsors and Collaborators
Istituto Ortopedico Galeazzi
University of Milan
Investigators
Principal Investigator: Pasquale Lorenzo Moja, MD, PhD Unità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milano
  More Information

Publications:

Responsible Party: Istituto Ortopedico Galeazzi
ClinicalTrials.gov Identifier: NCT02577198     History of Changes
Other Study ID Numbers: C41J11000110008
Study First Received: October 14, 2015
Last Updated: January 27, 2017

ClinicalTrials.gov processed this record on July 26, 2017