Advancing Health Information Exchange (HIE) During Inter-hospital Transfer (IHT) to Improve Patient Outcomes
1 other identifier
interventional
1,006
1 country
1
Brief Summary
Sub-optimal transfer of clinical information during inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) is common and can lead to patient harm. To address this problem, the investigators will use key stakeholder input to refine and implement an interoperable health information exchange platform that integrates with the electronic health record and improves the reliability of and access to necessary clinical information in three use cases involving transfer of patients between sending and receiving hospitals with varying levels of affiliation and health record integration. The investigators will assess the effect of this intervention on frequency of medical errors, evaluate the use and usability of this platform from the perspective of those that interact with it, and use these results to develop a dissemination plan to spread implementation and use of this platform across other similar institutions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2022
Longer than P75 for not_applicable
1 active site
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
June 23, 2022
CompletedFirst Posted
Study publicly available on registry
July 5, 2022
CompletedStudy Start
First participant enrolled
November 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 22, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2027
ExpectedJanuary 23, 2026
January 1, 2026
3.1 years
June 23, 2022
January 21, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Total clinician-reported medical errors
Collected via a survey of admitting clinicians 48-72 hours after patient transfer.
Up to 72 hours after transfer
Secondary Outcomes (9)
Clinician-reported medical errors attributable to poor information exchange
Up to 72 hours after transfer
Total clinician-reported adverse events
Up to 72 hours after transfer
Preventable clinician-reported adverse events
Up to 72 hours after transfer
Ameliorable clinician-reported adverse events
Up to 72 hours after transfer
Clinician-reported quality of clinical information available
Up to 72 hours after transfer
- +4 more secondary outcomes
Study Arms (2)
Baseline
NO INTERVENTIONThe baseline arm will include all included patient transfers from the 3 participating transfer hospitals to the 1 accepting hospital during the 1-year pre-intervention phase. They will not receive any intervention, but rather usual care
Intervention
EXPERIMENTALThe intervention arm will include all included patient transfers from the 3 participating transfer hospitals to the 1 accepting hospital during the 1-year intervention phase. They will receive the intervention, which will include utilization of the developed health information exchange platform to transfer clinical information between transferring and accepting hospital. The intervention will not interact directly with the patient, but rather their clinical data.
Interventions
An improved health information exchange (HIE) platform will be developed at the start of the study with key stakeholder input. This platform will be implemented for use after baseline data collection, and will allow for improved data exchange between transferring and accepting hospital. We will allow for a 6-month wash-in period prior to intervention data collection.
Eligibility Criteria
You may qualify if:
- Age greater than or equal to 18 years old
- Transferred from one of the 3 included transferring hospitals (Brigham and Women's Faulkner Hospital, South Shore Hospital, Milford Regional Medical Center)
- Admitted to the general medical, cardiology, oncology, and/or ICU services at Brigham and Women's Hospital
You may not qualify if:
- Age \< 18 years old
- Transferred from a different acute care hospital than the 3 included hospitals
- Admitted through the ER
- Direct admission from home/clinic
- Admitted to a service other than general medicine, cardiology, oncology or ICU at Brigham and Women's Hospital
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Brigham & Women's Hospital
Boston, Massachusetts, 02115, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Physician
Study Record Dates
First Submitted
June 23, 2022
First Posted
July 5, 2022
Study Start
November 1, 2022
Primary Completion
December 22, 2025
Study Completion (Estimated)
June 30, 2027
Last Updated
January 23, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share
Individual Participant data will not be shared with any researchers outside of this study. All data will only be shared in aggregate to any member outside the study team.