NCT00134823

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5,420

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2005

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2005

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

August 23, 2005

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 25, 2005

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2008

Completed
Last Updated

July 21, 2011

Status Verified

July 1, 2011

Enrollment Period

3.5 years

First QC Date

August 23, 2005

Last Update Submit

July 20, 2011

Conditions

Keywords

Parent Experience of CareQuality ImprovementMedication ErrorsAbnormal Lab ValuesGuideline Adherence

Outcome Measures

Primary Outcomes (1)

  • Impact on rates of medication errors

    difference in weight related medication prescribing errors by drug class

    1 year

Study Arms (2)

dosing decision support

EXPERIMENTAL

weight based dosing decision support

Other: weight based dosing decision support

no decision support

NO INTERVENTION

no weight based dosing decision support

Interventions

weight based dosing decision support

dosing decision support

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • 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.

You may not qualify if:

  • Non-Partners providers, or Partners providers who do not use LMR. Parents of patients not seen by Partners-affiliated pediatric providers who use LMR.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hospital/Partners HealthCare

Boston, Massachusetts, 02114, United States

Location

Related Publications (2)

  • Bourgeois FC, Linder J, Johnson SA, Co JP, Fiskio J, Ferris TG. Impact of a computerized template on antibiotic prescribing for acute respiratory infections in children and adolescents. Clin Pediatr (Phila). 2010 Oct;49(10):976-83. doi: 10.1177/0009922810373649. Epub 2010 Aug 19.

  • Co JP, Johnson SA, Poon EG, Fiskio J, Rao SR, Van Cleave J, Perrin JM, Ferris TG. Electronic health record decision support and quality of care for children with ADHD. Pediatrics. 2010 Aug;126(2):239-46. doi: 10.1542/peds.2009-0710. Epub 2010 Jul 19.

Study Officials

  • Timothy G Ferris, MD, MPH

    Massachusetts General Hospital, Partners Healthcare System Inc.

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

August 23, 2005

First Posted

August 25, 2005

Study Start

March 1, 2005

Primary Completion

September 1, 2008

Study Completion

September 1, 2008

Last Updated

July 21, 2011

Record last verified: 2011-07

Locations