Prospective Evaluation of Computerized Physician Order Entry in the Emergency Department

Operational Metrics of the Emergency Department Clinical Trial

— CPOE  

Official title:

Prospective Evaluation of Computerized Physician Order Entry in the Emergency Department

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT01444768
• Other study ID #: 2011P000308
• Status: Withdrawn
• Phase: N/A
• First received: September 29, 2011
• Last updated: April 4, 2017
• Start date: March 2012
• Est. completion date: December 2013

Study information

• Verified date: April 2017
• Source: Beth Israel Deaconess Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study will evaluate various performance metrics of emergency department operations after the implementation of computerized physician order entry in an academic emergency department.

Description:

The study will be a prospective before-after study comparing various operational and performance metrics before and after the implementation of a computerized physician order entry system in the emergency department.

The investigators will collect 6 month before, 6 month after of data along with a 2-4 week washout period. The investigators will also administer a computerized physician order entry survey after the study is completed. This confidential survey will be emailed to all ED nurses, residents, and attendings using RedCap. Consent will be implied if they choose to participate.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: December 2013
• Est. primary completion date: December 2012
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All consecutive adult patients (Age >=18) presenting to the Emergency Department during the study period will be included in the study.

Exclusion Criteria:

• Patients who eloped, left without being seen, or signed out against medical advice will be excluded.

Related Conditions & MeSH terms

• Emergencies
• Operational Metrics of the Emergency Department

Intervention

Other:
• Computerized Physician Order Entry
Computer ordering system allowing emergency department physicians to order medications, laboratory tests, radiology studies, and nursing interventions

Locations

Country	Name	City	State
United States	Beth Israel Deaconess Medical Center	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Beth Israel Deaconess Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Time to Antibiotics	Primary outcome measure is time to antibiotics. This is defined as the time patients are registered to the time they receive their first antibiotics for patients with an ED diagnosis of pneumonia.	6 months
Secondary	Emergency Department Length of Stay	Secondary outcome measure is length of stay defined as the time from patient registration to time the patients leave the emergency department.	6 months
Secondary	Lab turnaround time	Lab turnaround time is defined as the time it takes from when the sample is collected to when the results are entered.	6 months
Secondary	Resource Utilization	Resource utilization defined as the number of CBC, Chem7, and troponin tests ordered.	6 months