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

Attitude of Health Personnel Clinical Trial

Official title:

Interventions to Increase Physician Effectiveness and Acceptance of a Electronic Health Record System

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02015702
• Other study ID #: ReadingHMC-IRB-045-12
• Status: Completed
• Phase: N/A
• Start date: January 2013
• Est. completion date: January 14, 2014

Study information

• Verified date: December 2013
• Source: The Reading Hospital and Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Description:

This study was a randomized, parallel , non- blinded controlled trial of real-time, focused educational interventions in an intervention arm compared with usual training and support in the control arm. Improvement in performance, defined as the time between opening and closing a progress note, and number of notes completed after shift , were the primary outcomes. Physician satisfaction was a secondary outcome. Participants from one 550-bed Academic Independent Medical Center were invited to participate if they were full-time hospitalists or residents in internal medicine with no prior experience with the EPIC electronic health record.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 44
• Est. completion date: January 14, 2014
• Est. primary completion date: June 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 25 Years to 65 Years

Eligibility

Inclusion Criteria:

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

Exclusion Criteria:

• 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

Related Conditions & MeSH terms

• Attitude of Health Personnel

Intervention

Other:
• 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 .
• Usual training
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.

Locations

Country	Name	City	State
United States	Reading Health System	West Reading	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
The Reading Hospital and Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Number of notes completed after shift	Shifts are 7 a.m. - 7 p.m for doctors assigned to daytime work. We defined a note completed after shift as any note with a signed time that is after 7 p.m. on the day of a shift worked.	within 1 week of posting note
Secondary	Physician Satisfaction with EPIC Electronic Health Record	We asked the participants this question: How comfortable are you specifically using the EPIC program for inpatient practice?" at baseline, midpoint (after working 15-20 shifts), and end of the study (after working 35-40 shifts).	at baseline, 15-20 shifts, and 35-40 shifts