Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health Record

NCT02015702 | Completed

• 1 other identifier: ReadingHMC-IRB-045-12
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

This study was intended to test the effects of adding a one-on-one educational intervention taught by a physician to a physician during their clinical work to improve their acceptance and satisfaction with a new inpatient electronic health record and ordering system.

Conditions

Attitude of Health Personnel

Keywords

Physicians; Electronic Health Record; Education

Outcome Measures

Primary Outcomes (1)

• Time to complete a progress note

  the primary outcome measure will be time to complete a progress note. this is defined as the difference between the recorded time of opening the note and the recorded time the note was signed in the EPIC electronic health record system.

  within 1 week of note completion

Secondary Outcomes (2)

• Number of notes completed after shift

  within 1 week of posting note

• Physician Satisfaction with EPIC Electronic Health Record

  at baseline, 15-20 shifts, and 35-40 shifts

Study Arms (2)

One-on-one physician training

EXPERIMENTAL

One-on-one physician training Physicians in the experimental arm were visited by a instructing physician at a computer while performing clinical duties who had observed others to identify best practices. Instructors watched subjects' work, looking for a specific tip that could be applied to the current work, then demonstrated the tip, and answered any questions the subject had about using or applying this new technique .

Other: One-on-one physician training; Other: Usual training

Usual training

ACTIVE COMPARATOR

Usual training. This group will get the usual specified training for learning to use our electronic health record. Both groups received 12 hours of EPIC classroom training, exposure to the EPIC e-learning modules, user acceptability testing classes, and unlimited time on the EPIC 'playground', a site to practice on virtual patients. All had 90 days of elbow support with an EPIC-training non-physician technician, who were visible and available on all inpatient wards, as well as access to a physician-only support line available at all hours.

Other: Usual training

Interventions

One-on-one physician training OTHER

Physicians in the experimental arm were visited by a instructing physician at a computer while performing clinical duties who had observed others to identify best practices. Instructors watched subjects' work, looking for a specific tip that could be applied to the current work, then demonstrated the tip, and answered any questions the subject had about using or applying this new technique .

One-on-one physician training

Usual training OTHER

Usual training included online e-modules, 12 hours of classroom time, practice in the EPIC Playground, user acceptability training classes,non-physician technical support on all of the floors, and a physician-only help line.

One-on-one physician training; Usual training

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Internal Medicine physicians and resident physicians with inpatient clinical duties at the time of the EPIC electronic health record go-live (Feb 4, 2013)

You may not qualify if:

• Physicians whose duties did not include regular admissions and discharge of patients
• Physicians whose work was limited to teaching
• Physicians with prior experience in using EPIC systems for inpatient care .
• Physician assistants and nurse practitioners

Sponsors & Collaborators

• The Reading Hospital and Medical Center: lead

Study Sites (1)

Reading Health System

West Reading, Pennsylvania, 19612, United States

Location

Study Officials

• Leena Jalota, MBBS

  Reading Health System

  PRINCIPAL INVESTIGATOR

• Anthony A Donato, MD MHPE

  Reading Health System

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 13, 2013
• First Posted: December 19, 2013
• Study Start: January 1, 2013
• Primary Completion: June 1, 2013
• Study Completion: January 14, 2014
• Last Updated: May 28, 2021

Record last verified: 2013-12

Locations

US (1)