Prospective Evaluation of Computerized Physician Order Entry in the Emergency Department (CPOE)
This study is not yet open for participant recruitment.
Verified January 2012 by Beth Israel Deaconess Medical Center
Sponsor:
Beth Israel Deaconess Medical Center
Information provided by (Responsible Party):
Beth Israel Deaconess Medical Center
ClinicalTrials.gov Identifier:
NCT01444768
First received: September 29, 2011
Last updated: January 10, 2012
Last verified: January 2012
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Purpose
This study will evaluate various performance metrics of emergency department operations after the implementation of computerized physician order entry in an academic emergency department.
| Condition | Intervention |
|---|---|
|
Operational Metrics of the Emergency Department |
Other: Computerized Physician Order Entry |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Prospective Evaluation of Computerized Physician Order Entry in the Emergency Department |
Further study details as provided by Beth Israel Deaconess Medical Center:
Primary Outcome Measures:
- Time to Antibiotics [ Time Frame: 6 months ] [ Designated as safety issue: No ]Primary outcome measure is time to antibiotics. This is defined as the time patients are registered to the time they receive their first antibiotics for patients with an ED diagnosis of pneumonia.
Secondary Outcome Measures:
- Emergency Department Length of Stay [ Time Frame: 6 months ] [ Designated as safety issue: No ]Secondary outcome measure is length of stay defined as the time from patient registration to time the patients leave the emergency department.
- Lab turnaround time [ Time Frame: 6 months ] [ Designated as safety issue: No ]Lab turnaround time is defined as the time it takes from when the sample is collected to when the results are entered.
- Resource Utilization [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]Resource utilization defined as the number of CBC, Chem7, and troponin tests ordered.
| Estimated Enrollment: | 30000 |
| Study Start Date: | March 2012 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
Intervention Details:
Detailed Description:
-
Other: Computerized Physician Order Entry
Computer ordering system allowing emergency department physicians to order medications, laboratory tests, radiology studies, and nursing interventions
The study will be a prospective before-after study comparing various operational and performance metrics before and after the implementation of a computerized physician order entry system in the emergency department.
The investigators will collect 6 month before, 6 month after of data along with a 2-4 week washout period. The investigators will also administer a computerized physician order entry survey after the study is completed. This confidential survey will be emailed to all ED nurses, residents, and attendings using RedCap. Consent will be implied if they choose to participate.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Study Population
All patients who are registered in the emergency department > 18 years of age who do not elope, left without being seen, or leave AMA.
Criteria
Inclusion Criteria:
- All consecutive adult patients (Age >=18) presenting to the Emergency Department during the study period will be included in the study.
Exclusion Criteria:
- Patients who eloped, left without being seen, or signed out against medical advice will be excluded.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01444768
Locations
| United States, Massachusetts | |
| Beth Israel Deaconess Medical Center | |
| Boston, Massachusetts, United States, 02215 | |
Sponsors and Collaborators
Beth Israel Deaconess Medical Center
Investigators
| Principal Investigator: | Steven Horng, MD | Beth Israel Deaconess Medical Center |
More Information
No publications provided
| Responsible Party: | Beth Israel Deaconess Medical Center |
| ClinicalTrials.gov Identifier: | NCT01444768 History of Changes |
| Other Study ID Numbers: | 2011P-000308 |
| Study First Received: | September 29, 2011 |
| Last Updated: | January 10, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Beth Israel Deaconess Medical Center:
|
Alert Systems, Medication Computerized Physician Order Entry System CPOE Medication Alert Systems Medical Order Entry Systems |
Additional relevant MeSH terms:
|
Emergencies Disease Attributes Pathologic Processes |
ClinicalTrials.gov processed this record on May 23, 2013