Learning Lab for Diagnostic Fidelity
Acute Care Learning Laboratory-Reducing Threats to Diagnostic Fidelity in Critical Illness
2 other identifiers
observational
25,551
1 country
2
Brief Summary
Diagnostic error and delay remain a leading cause of preventable harm and death in the United States. Using a learning laboratory structure, researchers will implement mixed-methods research approaches to identify the systemic weaknesses that contribute to diagnostic error and delay in the hospital setting. The knowledge gained from research innovative will allow researchers to design, develop, implement, and refined a suite of human-centered tools that can be deployed to reduce the risk of diagnostic error and delay in both community and academic hospital settings.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2019
Typical duration for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 4, 2019
CompletedFirst Posted
Study publicly available on registry
March 6, 2019
CompletedStudy Start
First participant enrolled
April 22, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2022
CompletedFebruary 8, 2023
February 1, 2023
3.6 years
January 4, 2019
February 3, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Validation of automated phenotypes
Use data from the patient electronic medical record to identify the number of diagnostic error or delay to validate clinical environment automated phenotypes
1 year
Adoption (Number of time the Control Tower used during the clinical encounters)
Standardized process tracking sheets to track each time the control tower system is triggered and used.
1 year
Implementation Acceptability
Focused questions about beliefs, attitudes, usability by healthcare providers
1 year
Eligibility Criteria
1. All patients at risk of diagnostic error will be eligible for the study. 2. We will include both sexes and all genders and all minority populations as they present with the risk of diagnostic error in the hospitals. Given the nature of the study, which focuses on patients with or at risk of diagnostic error, outreach efforts to underrepresented populations or individuals would not be possible.
You may qualify if:
- For EMR review all adults admitted to the hospital ages 18 and older with research authorization
- For survey-clinicians including physicians, advanced care practitioners
- For focus groups and interviews-clinicians including physicians, advanced care practitioners
You may not qualify if:
- Age \<18 years old
- No research authorization
- Refusal to give consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
- Agency for Healthcare Research and Quality (AHRQ)collaborator
Study Sites (2)
Mayo Clinic Health System - Mankato MCHS
Mankato, Minnesota, 56001, United States
Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Brian W Pickering, M.B., B.Ch.
Mayo Clinic
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Pricinple Investigator
Study Record Dates
First Submitted
January 4, 2019
First Posted
March 6, 2019
Study Start
April 22, 2019
Primary Completion
November 30, 2022
Study Completion
November 30, 2022
Last Updated
February 8, 2023
Record last verified: 2023-02