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Improving Pediatric Safety and Quality With Health Care Information Technology

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00134823
Recruitment Status : Completed
First Posted : August 25, 2005
Last Update Posted : July 21, 2011
Sponsor:
Collaborator:
Agency for Healthcare Research and Quality (AHRQ)
Information provided by:
Massachusetts General Hospital

Study Description
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Brief Summary:

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.


Condition or disease Intervention/treatment Phase
Medication Errors Medical Records Systems, Computerized Patient Safety Quality Improvement Other: weight based dosing decision support Not Applicable

Detailed Description:
please see description above
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 5420 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Improving Pediatric Safety and Quality With Health Care IT
Study Start Date : March 2005
Actual Primary Completion Date : September 2008
Actual Study Completion Date : September 2008

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: dosing decision support
weight based dosing decision support
 Other: weight based dosing decision support
weight based dosing decision support
No Intervention: no decision support
no weight based dosing decision support


Outcome Measures
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Primary Outcome Measures :
  1. Impact on rates of medication errors [ Time Frame: 1 year ]
    difference in weight related medication prescribing errors by drug class


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

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.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00134823


Locations
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United States, Massachusetts
Massachusetts General Hospital/Partners HealthCare
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital
Agency for Healthcare Research and Quality (AHRQ)
Investigators
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Principal Investigator: Timothy G Ferris, MD, MPH Massachusetts General Hospital, Partners Healthcare System Inc.
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Timothy G Ferris, Mass General Hospital
ClinicalTrials.gov Identifier: NCT00134823    
Other Study ID Numbers: 2004-P-002027
HS015002-01 ( Other Grant/Funding Number: AHRQ )
First Posted: August 25, 2005    Key Record Dates
Last Update Posted: July 21, 2011
Last Verified: July 2011
Keywords provided by Massachusetts General Hospital:
Parent Experience of Care
Quality Improvement
Medication Errors
Abnormal Lab Values
Guideline Adherence