The Effects of a Results Management System on Physician Awareness of Post-Discharge Test Results

Healthy Clinical Trial

Official title:

The Effects of a Results Management System on Physician Awareness of Post-Discharge Laboratory and Radiology Results

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00146354
• Other study ID #: 2003P000551
• Status: Completed
• Phase: Phase 3
• First received: September 2, 2005
• Last updated: March 1, 2007

Study information

• Verified date: August 2005
• Source: Brigham and Women's Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

This project aims to define the problem of results that return after patient discharge and to study the implementation of an Electronic Medical Record (EMR)-based system for tracking these results.

Description:

The transfer of care at hospital discharge is complex and requires the transmission of large amounts of data between inpatient physicians (hospitalists) and outpatient physicians (PCPs), including information about pending tests. Frequently, laboratory and radiology tests are not finalized until after a patient is discharged, and when the responsibility for these pending results is not clearly defined, they can be missed. Our project aims to define the problem of these post-discharge results and to study the implementation of an EMR-based system (Hospitalist Results Manager, HRM) for tracking these results on the hospitalist services at Brigham and Women’s Hospital (BWH) and Massachusetts General Hospital (MGH). The project consists of two phases: a cross-sectional study before intervention to define the epidemiology of post-discharge results, and a randomized trial of HRM to determine its effect on physician awareness of these results.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 0
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Admitted under enrolled study Attendings at the two study locations

• Patient had test result finalized after discharge and prior to subsequent admission

Exclusion Criteria:

• Test result noted in discharge summary

• Test result not clinically actionable

Study Design

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind, Primary Purpose: Educational/Counseling/Training

Related Conditions & MeSH terms

• Healthy
• Medical Record Systems, Computerized

Intervention

Behavioral:
• Hospitalists Results Manager

Locations

Country	Name	City	State
United States	Brigham and Women's Hospital	Boston	Massachusetts
United States	Massachusetts General Hospital	Boston	Massachusetts

Sponsors (2)

Lead Sponsor	Collaborator
Brigham and Women's Hospital	Harvard Risk Management Foundation

Country where clinical trial is conducted

United States,