Improving the Quality of Patient Care by Using a Clinical Expert System.
Recruitment status was Recruiting
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Purpose
Aim:
To investigate the quality of history taking with or without an knowledge based interview system.
Patients:
400 inpatients presenting at the RBK for the first time and treated in the departments of nephrology and department of hematology/oncology.
Methods:
The information obtained either by an knowledge based system or by conventional history taking is compared by the patient, by the physician and by independent reviewers. Study endpoint is the percentage of histories missing clinically significant information.
Study procedure After informed consent of the patients the procedure of history taking is performed by the physician according to the guidelines of the RBK. Within 2 days thereafter the patient is interviewed with help of the CLEOS system with the support of a study nurse. The physician will be informed about the results immediately after completion of the questionnaire.
Both the patient and the treating physician will rate the comparative quality of the two histories by means of a questionnaire. In addition, the relevance of the differences of the information obtained by the two systems is rated by an independent reviewer.
| Condition | Intervention |
|---|---|
|
Hypertension Diabetes Hypercholesterolemia Vasculitis Coronary Heart Diseases |
Procedure: Computer-assisted history |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | Quality Assessment for History Taking With or Without an Knowledge Based Interview System. |
- Completeness of Co-morbidities. [ Time Frame: During demission ] [ Designated as safety issue: No ]
- Completeness of evaluation of cardiovascular risk factors. [ Time Frame: During demission ] [ Designated as safety issue: No ]
- Completeness of information of previous vaccinations. [ Time Frame: During demission ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 1000 |
| Study Start Date: | August 2005 |
| Estimated Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
-
Procedure: Computer-assisted history
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- All inpatients in a hospital environment
Exclusion Criteria:
- Inability to give an informed consent
Contacts and Locations| Contact: Dominik M Alscher, MD | +4971181010 ext 5458 | dominik.alscher@rbk.de |
| Germany | |
| Robert-Bosch-Hospital | Recruiting |
| Stuttgart, Germany, 70376 | |
| Principal Investigator: | Dominik M Alscher, MD | Robert Bosch Gesellschaft für Medizinische Forschung mbH |
More Information
No publications provided
| Responsible Party: | Robert Bosch Hospital, Robert Bosch Foundation |
| ClinicalTrials.gov Identifier: | NCT00430755 History of Changes |
| Other Study ID Numbers: | RBK080 |
| Study First Received: | January 31, 2007 |
| Last Updated: | July 21, 2008 |
| Health Authority: | Germany: Ethics Commission |
Additional relevant MeSH terms:
|
Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases Hypercholesterolemia Hypertension Vasculitis Cardiovascular Diseases |
Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases Hyperlipidemias Dyslipidemias Lipid Metabolism Disorders Metabolic Diseases |
ClinicalTrials.gov processed this record on May 22, 2013