Prospective Evaluation of Computerized Physician Order Entry in the Emergency Department (CPOE)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified January 2012 by Beth Israel Deaconess Medical Center.
Recruitment status was  Not yet recruiting
Sponsor:
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
  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:
    Other: Computerized Physician Order Entry
    Computer ordering system allowing emergency department physicians to order medications, laboratory tests, radiology studies, and nursing interventions
Detailed Description:

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
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: 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 August 26, 2014