Hospital Acquired Condition Clinical Trial
Official title:
Communicating Narrative Concerns Entered by RNs (CONCERN) Clinical Decision Support (CDS) System
Verified date | September 2023 |
Source | Columbia University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
There are patients who die or have a bad outcome in the hospital and this could be prevented. Data in the nurses' notes could be used by computers to tell the rest of the care team that a patient is not doing well and that they should act more quickly. This project will build and evaluate a computer system that makes it easier for the care team to see and understand that data and act quickly to save patients. The aims of this study is to answer the questions, what is the level of provider use of the CONCERN CDS notification system (called CONCERN SMARTapp) and resulting impact on selected patient outcomes? Specifically, the study has 1) validated desired thresholds for the CONCERN CDS system and 2) integrated the CONCERN CDS system for early warning of risky patient states within CDS tools. In this portion of the study (aim 3), the investigator will implement and evaluate the CONCERN CDS system on primary outcomes of in-hospital mortality and length of stay and secondary outcomes of cardiac arrest, unanticipated transfers to the intensive care unit, and 30-day hospital readmission rates.
Status | Completed |
Enrollment | 86508 |
Est. completion date | October 31, 2022 |
Est. primary completion date | October 31, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Study inclusion criteria for patients: - Inpatients with a stay of at least 24 hours on one of our study units Study exclusion criteria for patients: - Inpatients with less than 24 hours on one of our study units - Patients less than 18 years of age - Hospice patients - Did not have a hospital encounter, patients not on one of our study units. Definition of Study Units: A clinical unit is considered a CONCERN Study unit if it meets the following criteria: - A general medical or surgical acute care or critical care unit The following clinical units are NOT considered CONCERN Study units: - Pediatric or Neonatal units - Hospice units - Emergency Department - Oncology units - Obstetrician (OB)/labor and delivery units - Behavioral/psych units - Observational units - Operating room - Pre-op - Post-op/Post Anesthesia Care Unit (PACU) - Same day surgical units - Plastics units - Virtual departments in EHR database. |
Country | Name | City | State |
---|---|---|---|
United States | Brigham and Women's Hospital | Boston | Massachusetts |
United States | New York Presbyterian Allen Hospital | New York | New York |
United States | New York Presbyterian Columbia University Medical Center | New York | New York |
United States | Newton-Wellesley Hospital | Newton | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Columbia University | Brigham and Women's Hospital, National Institute of Nursing Research (NINR) |
United States,
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Zhou L, Plasek JM, Mahoney LM, Karipineni N, Chang F, Yan X, Chang F, Dimaggio D, Goldman DS, Rocha RA. Using Medical Text Extraction, Reasoning and Mapping System (MTERMS) to process medication information in outpatient clinical notes. AMIA Annu Symp Proc. 2011;2011:1639-48. Epub 2011 Oct 22. — View Citation
* Note: There are 92 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | In-hospital mortality rate | Deaths occurring in the hospital | Up to 24 months | |
Primary | Average length of hospital stay | The number of days that a patient was in the hospital | Up to 24 months | |
Secondary | Number of Cardiac Arrest | Cardiopulmonary events during hospitalization | Up to 24 months | |
Secondary | Number of hospital acquired sepsis | Sepsis occurring during hospitalization | Up to 24 months | |
Secondary | Number of unanticipated transfer to ICU | Transfer to ICU from acute care study units during hospitalization | Up to 24 months | |
Secondary | Hospital readmission rates | Readmission to the hospital | Up to 24 months |
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