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Improving Pediatric Safety and Quality With Health Care Information Technology

This study has been completed.
Sponsor:
Collaborator:
Agency for Healthcare Research and Quality (AHRQ)
Information provided by:
Massachusetts General Hospital
ClinicalTrials.gov Identifier:
NCT00134823
First received: August 23, 2005
Last updated: July 20, 2011
Last verified: July 2011
History of Changes
  Purpose

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 Intervention
Medication Errors
Medical Records Systems, Computerized
Patient Safety
Quality Improvement
 Other: weight based dosing decision support

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Improving Pediatric Safety and Quality With Health Care IT

Resource links provided by NLM:

U.S. FDA Resources

Further study details as provided by Massachusetts General Hospital:

Primary Outcome Measures:
  • 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


Enrollment: 5420
Study Start Date: March 2005
Study Completion Date: September 2008
Primary Completion Date: September 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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

Detailed Description:

please see description above

  Eligibility

Genders Eligible for Study:   Both
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
Please refer to this study by its ClinicalTrials.gov identifier: NCT00134823

Locations
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
Principal Investigator: Timothy G Ferris, MD, MPH Massachusetts General Hospital, Partners Healthcare System Inc.
  More Information

No publications provided by Massachusetts General Hospital

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Responsible Party: Timothy G Ferris, Mass General Hospital
ClinicalTrials.gov Identifier: NCT00134823     History of Changes
Other Study ID Numbers: 2004-P-002027, HS015002-01
Study First Received: August 23, 2005
Last Updated: July 20, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Massachusetts General Hospital:
Parent Experience of Care
Quality Improvement
Medication Errors
Abnormal Lab Values
Guideline Adherence

ClinicalTrials.gov processed this record on May 16, 2013